REGISTRY FOR PROSTATE CANCER RADIOSURGERY INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- REGISTRY FOR PROSTATE CANCER RADIOSURGERY INC (EIN 45-3303492)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-18
- IRS object ID
- 201301999349200120
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-18T13:45:53-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLLIER JERNIGAN & GOEDERT PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 NE 25TH AVENUE | AddressLine1 |
| City | OCALA | City |
| State | FL | State |
| ZIP Code | 344707035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453303492 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGISTRY FOR PROSTATE CANCER | BusinessNameLine1 |
| Business Name Line2 | RADIOSURGERY INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REGI | NameControl |
| Phone | 2392625168 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 694 8TH STREET N | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 34102 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBRA FREEMAN | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 2392625168 | Phone |
| Date Signed | 2013-07-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DARYL L COLLIER CPA | Name |
| Phone | 3527325601 | Phone |
| Date Prepared | 2013-07-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | X | InitialReturn |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c | X | Organization501c |
| Gross Receipts | 105501 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 20501 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 85000 | ProgramServiceRevenue |
| Total Revenue | 105501 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 73066 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 1915 | OtherExpensesTotal |
| Total Expenses | 74981 | TotalExpenses |
| Excess Or Deficit For Year | 30520 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 9947 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 40467 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10147 | BOY |
| EOY | 40467 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10147 | BOY |
| EOY | 40467 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9947 | BOY |
| EOY | 40467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | MAINTAIN AN INDEPENDENT REGISTRY TO SHARE INFORMATION REGARDING RESULTS OF PROSTATE RADIOSURGERY | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom |
|---|
| MAINTAIN HIPPA COMPLIANT DATABASE AND PERFORM ANNUAL ANALYSIS OF PATIENT OUTCOMES |
| RECRUIT NEW SITES TO JOIN REGISTRY |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| MARK PERMAN MD | ||
| PRESIDENT | 1.00 | 0 |
| DEBRA FREEMAN MD | ||
| VICE PRESIDE | 1.00 | 0 |
| GREGG DICKERSON MD | ||
| BOARD MEMBER | 1.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARCI CHARLAND | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 694 8TH STREET N | AddressLine1 |
| City | NAPLES | City |
| State | FL | State |
| ZIP Code | 34102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2316381853 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE 639 BUSINESS REGISTRATIONS 946 TAXES 330 TOTAL 1,915 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 200 0 |
| PRIMARY EXEMPT PURPOSE | FORM 990-EZ, PART III | MAINTAIN AN INDEPENDENT REGISTRY TO SHARE INFORMATION REGARDING RESULTS OF PROSTATE RADIOSURGERY |
Compensation Explanation CompensationExplanation
Compensation Compensation (3 entries)
| MARK PERMAN MD |
| DEBRA FREEMAN MD |
| GREGG DICKERSON MD |
Comments