MADISON COUNTY MEDICAL GROUP INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MADISON COUNTY MEDICAL GROUP INC (EIN 20-5180288)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201301359349201720
Schema version
2012v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T10:31:35-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jackson Marvin Tax and AccountingBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line122 E Spring StreetAddressLine1
CityFayettevilleCity
StateARState
ZIP Code72707ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205180288EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MADISON COUNTY MEDICAL GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMADINameControl
Phone4797386230Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 860AddressLine1
CityHUNTSVILLECity
StateARState
ZIP Code72740ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNANCY MARSHName
TitleTREASURERTitle
Date Signed2013-05-13DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMelissa MarvinName
Phone4795279999Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Web SiteN/AWebSite
Organization501c3XOrganization501c3
Gross Receipts88493GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc5000ContributionsGiftsGrantsEtc
Investment Income93InvestmentIncome
Other Revenue Total83400OtherRevenueTotal
Total Revenue88493TotalRevenue
Fees And Oth Pymt To Ind Contractors3193FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint17677OccupancyRentUtilitiesAndMaint
Printing Publications Postage45PrintingPublicationsPostage
Other Expenses Total61362OtherExpensesTotal
Total Expenses82277TotalExpenses
Excess Or Deficit For Year6216ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY96054NetAssetsOrFundBalancesBOY
Other Changes In Net Assets-46683OtherChangesInNetAssets
Net Assets Or Fund Balances EOY55587NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY96054BOY
EOY55587EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY96054BOY
EOY55587EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY96054BOY
EOY55587EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeTO PROVIDE ACCESS FOR MEDICAL EDUCATIONAL CARE.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (2 entries)

Description Program Service AccomDescriptionProgramServiceAccom
WITH DONATIONS, PURCHASED A CTSCAN FOR USE THAT WAS NOT AVAVAILABLE IN THE RURAL COMMUNITY OF HUNTSVILLE.
PROVIDED HEALTH CLASSES FOR DIABETES AND HIGH BLOOD PRESSURE.

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (7 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
ODELL DAVIS
CHAIRMAN003.000
LUCINA BRASHEARS
BOARD MEMBER001.000
DAVID PEMBERTON
VICE-CHAIRMAN006.000
NANCY MARSH
SECRETARY-TREASURER010.000
DWIGHT STEELE
BOARD MEMBER001.000
PHILLIP CAIN
BOARD MEMBER001.000
PAT STROUD
BOARD MEMBER001.000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Organization Filed990 TfalseOrganizationFiled990T
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNANCY MARSHNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 860AddressLine1
CityHUNTSVILLECity
StateARState
ZIP Code72740ZIPCode
FieldValueIRS element (for citing)
Telephone Number4797386230TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule AtrueFiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year42CurrentTaxYearMinus1Year
Current Tax Year5000CurrentTaxYear
Total5042Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year42CurrentTaxYearMinus1Year
Current Tax Year5000CurrentTaxYear
Total5042Total
FieldValueIRS element (for citing)
Public Support Total5095042PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Total0Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year42CurrentTaxYearMinus1Year
Current Tax Year5000CurrentTaxYear
Total5042Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Compensation Explanation CompensationExplanation

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