FIBROMUSCULAR DYSPLASIA SOCIETY OF AMERICA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FIBROMUSCULAR DYSPLASIA SOCIETY OF AMERICA INC (EIN 01-0771966)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-31
- IRS object ID
- 201312129349300221
- 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 | 2013-07-31T11:13:24-04:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020644478 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wagner & Company CPA LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1655 W Market Street Suite 525 | AddressLine1 |
| City | Akron | City |
| State | OH | State |
| ZIP Code | 44313 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010771966 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fibromuscular Dysplasia Society of America Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FIBR | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20325 Center Ridge Road | AddressLine1 |
| City | Rocky River | City |
| State | OH | State |
| ZIP Code | 44116 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Cheryl Bailey | Name |
| Title | Vice President | Title |
| Date Signed | 2013-07-10 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steven Wagner | Name |
| PTIN | P00027993 | PTIN |
| Phone | 3308641550 | Phone |
| Date Prepared | 2013-07-31 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMDSA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 126664 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.fmdsa.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | FMDSA is a public health charity working towards better diagnosis and treatment of Fibromuscular Displasia (FMD). We do this by building awareness of FMD, funding research activities, providing patient support, and educating patients and the healthcare community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 123766 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 106541 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 22199 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20033 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 201 | InvestmentIncomePriorYear |
| Investment Income Current Year | 90 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 146166 | TotalRevenuePriorYear |
| Total Revenue Current Year | 126664 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 23310 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 50456 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 73417 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 64506 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 8788 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 55088 | OtherExpensePriorYear |
| Other Expenses Current Year | 47512 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 151815 | TotalExpensesPriorYear |
| Total Expenses Current Year | 162474 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5649 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -35810 | RevenuesLessExpensesCY |
| Total Assets BOY | 80396 | TotalAssetsBOY |
| Total Assets EOY | 44586 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 80396 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 44586 | NetAssetsOrFundBalancesEOY |
| Mission Description | FMDSA is a public health charity working towards better diagnosis and treatment of Fibromuscular Displasia (FMD). We do this by building awareness of FMD, funding research activities, providing patient support, and educating patients and the healthcare community. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 51251 | Expense |
| Description | International Patient Registry The patient registry has been developed in cooperation with the University of Michigan Health System9s Cardiovascular Outcomes Research and Reporting Program (M-CORRP). The purpose of the registry is to collect data on FMD patients seeking treatment at one of twelve medical centers in the United States. Until now, minimal research has been initiated on FMD. The database grew in 2012 to almost 700 patients being enrolled. Our FMD registry is the largest registry in th eworld collecting data on patients diagnosed with FMD. The data base is helping us to learn more about the disease and will help us to one day set protocols for treating the disease and leat us to hopefully finding a cure. Several articles were published in medical journals in 2012 with data from th eregistry and several abstracts with data were presented at medical conferences. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21204 | Expense |
| Description | Healthcare Professional Education Program This program is a combination of attending medical conferences and presenting training classes within hospital environments. The program is a major focus of FMDSA and has been an avenue to educate literally thousands of medical professionals. The end result is a greater awareness of Fibromuscular Dysplasia within the medical community, improved medical expertise for patients, and development of key partnerships that are helping us spur research activity. FMDSA participated in the following conferences in 2012: The 22nd European Meeting on Hypertension and Cardiovascular Protection in London, the International Stroke and Sociey of Vascular Medicine Conferences. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22598 | Expense |
| Description | Annual Medical Conference FMDSA held it9s Fifth Annual Conference in 2012 in Cleveland Ohio. The primary purpose of the conference is to educate patients and medical professionals on the latest data being released on FMD and current research. Speakers included Doctors, Jeffrey Olin of Mount Sinai, Heather Gornik and Esther Kim of the Cleveland Clinic, Kevin Meyers of Children9s Hospital of Philadelphia, Jim Stanley and Santhi Ganesh of the University of Michigan. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 3305 | Public Awareness Program This program was initiated in July 2005 as GAP patients educate their healthcare providers about FMD. We have a number of valuable resources on our website to help communicate FMD in laymen9s terms as well as more in depth information for physicians that can help bridge the gap and build a better relationship between patient and physician. GAP also includes our work to get represented within the media. |
| 3228 | Website Education One of our most important charters is to educate patients and family about FMD. Our website has grown exponentially since inception. FMDSA is the premier resource of FMD information for the layperson and an excellent place for physicians to easliy find medical papers. Our Honcode certification is a stamp of approval that verifies we are an unbiased organization providing only medical certified information. |
| 2320 | FMD Research FMDSA did not directly fund any research grants in 2012. This category includes expenses related to the time we spend talking with candidate reserachers and follow up on medical data. |
| 20138 | Patient Support As we spread awareness, patient support is becoming a larger part of our responsibility as an organization. A signficant percentage of our paid employee time is spent assisting patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 28991 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 124044 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FMDSA | NamePerson |
| Telephone Number | 2168342410 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20325 Center Ridge Road | AddressLine1 |
| City | Rocky River | City |
| State | OH | State |
| ZIP Code | 44116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| Bradley Daar | |||||||
| Vice President | 1.00 | X | X | 0 | 0 | 0 | |
| Cheryl Bailey | |||||||
| Vice President | 20.00 | X | X | 0 | 0 | 0 | |
| Cheryl Golden | |||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | |
| Dr Douglas Webster | |||||||
| Director-at-Large | 1.00 | X | 0 | 0 | 0 | ||
| Dr Glen Graham | |||||||
| Director-at-Large | 1.00 | X | 0 | 0 | 0 | ||
| Kay Tanner | |||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 | |
| Kellie Smiddie | |||||||
| Director-at-Large | 8.00 | X | 0 | 0 | 0 | ||
| Richard Gould | |||||||
| Chairperson | 5.00 | X | X | 0 | 0 | 0 | |
| Pamela Mace | |||||||
| Executive Director | 40.00 | 0 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Federated Campaigns | 106541 | FederatedCampaigns |
| Total Contributions | 106541 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Annual Medical Conf | Description |
| Business Code | 541900 | BusinessCode |
| Total Revenue Column | 20033 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20033 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20033 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 126664 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20123 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50456 | Total |
| Program Services | 50456 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44168 | Total |
| Program Services | 32231 | ProgramServices |
| Management And General | 8662 | ManagementAndGeneral |
| Fundraising | 3275 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20338 | Total |
| Program Services | 14537 | ProgramServices |
| Management And General | 4346 | ManagementAndGeneral |
| Fundraising | 1455 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2500 | Total |
| Management And General | 2500 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 966 | Total |
| Management And General | 966 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5100 | Total |
| Management And General | 5100 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6596 | Total |
| Program Services | 6561 | ProgramServices |
| Management And General | 35 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16546 | Total |
| Program Services | 16546 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79 | Total |
| Management And General | 79 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 743 | 221 | 522 | |
| Postage and mailing | 1044 | 595 | 449 | |
| Telecommunications | 1947 | 1947 | ||
| Printing and publications | 850 | 690 | 160 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11141 | Total |
| Program Services | 2207 | ProgramServices |
| Management And General | 6823 | ManagementAndGeneral |
| Fundraising | 2111 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162474 | Total |
| Program Services | 124044 | ProgramServices |
| Management And General | 29642 | ManagementAndGeneral |
| Fundraising | 8788 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31005 | BOY |
| EOY | 25740 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49391 | BOY |
| EOY | 18846 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80396 | BOY |
| EOY | 44586 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80396 | BOY |
| EOY | 44586 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80396 | BOY |
| EOY | 44586 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80396 | BOY |
| EOY | 44586 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -35810 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57813 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 72102 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 123488 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 123766 | CurrentTaxYearMinus1Year |
| Current Tax Year | 126574 | CurrentTaxYear |
| Total | 503743 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8299 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3711 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4895 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22199 | CurrentTaxYearMinus1Year |
| Total | 39104 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66112 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 75813 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 128383 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 145965 | CurrentTaxYearMinus1Year |
| Current Tax Year | 126574 | CurrentTaxYear |
| Total | 542847 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13234 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15508 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5548 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14606 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51073 | CurrentTaxYear |
| Total | 99969 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13234 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15508 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5548 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14606 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51073 | CurrentTaxYear |
| Total | 99969 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 442878 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90 | CurrentTaxYear |
| Total | 3769 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90 | CurrentTaxYear |
| Total | 3769 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 68229 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 76771 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 128786 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 146166 | CurrentTaxYearMinus1Year |
| Current Tax Year | 126664 | CurrentTaxYear |
| Total | 546616 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.81020 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.85310 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00690 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00810 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCORRP The Regents of UM | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Frank Lloyd Wright Drive | AddressLine1 |
| City | Ann Arbor | City |
| State | MI | State |
| ZIP Code | 48106 | ZIPCode |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| O01 | Organizational document changes Part VI line 4 | Added to the specific functions of the organziation: 4To provide emotional support to patients and family members through online social media and direct contact.4 |
| O02 | Form 990 governing body review Part VI line 11 | Form 990 is reviewed by the Chairperson and distributed electronically to each board member prior to signature and transmission to the IRS. |
| O03 | Conflict of interest policy compliance Part VI line 12c | Employees and directors of FMDSA are required to review and sign the FMDSA Code of Ethics and Professional Conduct which outlines the various policies of FMDSA including the conflict of interest and whistleblower policy. |
| O04 | CEO executive director top management comp Part VI line 15a | The pay of the executive director is reviewed and approved by the board of directors. |
| O05 | Other officer or key employee compensation Part VI line 15b | The pay of the executive director is reviewed and approved by the board of directors. |
| O06 | Governing documents etc available to public Part VI line 19 | The governing documents can be obtained through proper request to the organziation through contact information available on the website. |
| O07 | General explanation attachment | Other states registered: Alabama AL08-351 Alaska Arizona 25431 Arkansas California CT147629 Colorado 20083005977 Florida CH16556 Hawaii Illinois 01-105,443 Kansas 422-044-8 Kentucky 6211 Maryland 13970 Massachusetts 48394 Michigan MICS 28540 Minnesota Missouri CO-157-08 New Hampshire 17337 Additional states registered: New Jersey CH-30785-00 New Mexico New York 20-47-45 North Carolina SL004981 North Dakota 9150 Ohio 03-4369 Oklahoma 4312203627 Oregon 38826 Pennsylvania 36253 Rhode Island 97-3568 South Carolina P15624 Tennessee CO10684 Utah 7096298-CHAR Virginia Washington 25347 West Virginia Wisconsin 10631-800 |
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