FURP.ORG / PUBLIC DATA EXPLORER

ACADEMY OF MEDICAL-SURGICAL NURSES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ACADEMY OF MEDICAL-SURGICAL NURSES INC (EIN 22-3141758)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-22
IRS object ID
201330229349300563
Schema version
2011v1.2
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)
Timestamp2013-01-22T12:05:21-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN223008776EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HAEFELE FLANAGAN & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 471AddressLine1
CityMOORESTOWNCity
StateNJState
ZIP Code08057ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223141758EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACADEMY OF MEDICAL-SURGICAL NURSES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlACADNameControl
Phone8562562300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1BOX 56 EAST HOLLY AVENUEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA NOWICKI HNATIUKName
TitleEXECUTIVE DIRECTORTitle
Phone8562562300Phone
Date Signed2013-01-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM STACKHOUSEName
PTINP00628378PTIN
Phone8567225300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCYNTHIA NOWICKI HNATIUKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1BOX 56 EAST HOLLY AVENUEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4046086GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.AMSN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CONTINUING EDUCATION TO ITS MEMBERS AND MAINTAIN THE HIGHEST PROFESSIONAL STANDARDS IN NURSINGActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI104452TotalGrossUBI
Net Unrelated Business Txbl Income29755NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year93844ContributionsGrantsPriorYear
Contributions Grants Current Year74098ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2063602ProgramServiceRevenuePriorYear
Program Service Revenue CY2155842ProgramServiceRevenueCY
Investment Income Prior Year192676InvestmentIncomePriorYear
Investment Income Current Year246613InvestmentIncomeCurrentYear
Other Revenue Prior Year119333OtherRevenuePriorYear
Other Revenue Current Year133186OtherRevenueCurrentYear
Total Revenue Prior Year2469455TotalRevenuePriorYear
Total Revenue Current Year2609739TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1678979OtherExpensePriorYear
Other Expenses Current Year1842429OtherExpensesCurrentYear
Total Expenses Prior Year1678979TotalExpensesPriorYear
Total Expenses Current Year1842429TotalExpensesCurrentYear
Revenues Less Expenses Prior Year790476RevenuesLessExpensesPriorYear
Revenues Less Expenses CY767310RevenuesLessExpensesCY
Total Assets BOY4964028TotalAssetsBOY
Total Assets EOY5656110TotalAssetsEOY
Total Liabilities BOY833041TotalLiabilitiesBOY
Total Liabilities EOY757813TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4130987NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4898297NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROFESSIONAL ORGANIZATION FORMED TO PROMOTE EXCELLENCE IN MEDICAL-SURGICAL NURSING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense466329Expense
DescriptionANNUAL MEETING PROVIDES DIVERSE PROGRAMS TO UPDATE THE KNOWLEDGE AND SKILLS OF MEDICAL-SURGICAL NURSES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense374992Expense
DescriptionOFFICAL JOURNAL AND OFFICAL NEWSLETTER FOR THE EDUCATIONAL BENEFIT OF THE MEMBERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3140Expense
DescriptionCORE CORRICULUM BOOK OUTLINES THE CORE KNOWLEDGE OF MEDICAL-SURGICAL NURSING PRACTICE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense131440Expense
DescriptionCERTIFICATION REVIEW COURSE/EDUCATION DIRECTOR, MISCELLANEOUS EDUCATIONAL EXPENSES FOR THE EDUCATIONAL BENEFIT OF THE MEMBERSDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp131440TotalOfOtherProgramServiceExp
Total Program Service Expense975901TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109663NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AJ JANNETTI INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8562562300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1BOX 56 EAST HOLLY AVENUEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JANE LACOVARA RN CMSRN MSN
DIRECTOR2.00X000
DENISE VEROSKY MSN MS RN CMSRN
DIRECTOR2.00X000
LINDA YODER PHD MBA RN AOCN
DIRECTOR2.00X000
KATHLEEN LATTAVO MSN RN CMSRN
PRESIDENT ELECT3.00X000X
SANDRA FIGHTS MS RN CMSRN
PRESIDENT5.00X000X
JILL ARZOUMAN MS RN ACNS BC
TREASURER5.00X000X
DEE ELDARDIRI MS RN-BC CMSRN
DIRECTOR2.00X000
ROBIN A HERTEL MSN RN CMSRN
SECRETARY5.00X000X
CYNTHIA NOWICKI HNATIUK EDD RN CAE
EXECUTIVE DIRECTOR18.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANTHONY J JANNETTI INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1BOX 58 EAST HOLLY AVEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesVARIOUS MANAGEMENT RELATED SERVICEDescriptionOfServices
Compensation897085Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions74098AllOtherContributions
Total Contributions74098TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES611710797877797877
ANNUAL CONVENTION611710518867518867
CERT-MSNCB FEE611710460362460362
REVIEW COURSE611710294627294627
CORE CURRICULUM6117107594575945

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8164TotalRevenueColumn
Related Or Exempt Function Income8164RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2155842TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column178963TotalRevenueColumn
Related Or Exempt Function Income178963RelatedOrExemptFunctionIncome

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column104452TotalRevenueColumn
Unrelated Business Revenue104452UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1503997Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1436347Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities67650Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column67650TotalRevenueColumn
Related Or Exempt Function Income67650RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
POSTAGE AND HANDLING F9000992731027310
MISCELLANEOUS INCOME90009914241424
FieldValueIRS element (for citing)
Total Other Revenue28734TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2609739TotalRevenueColumn
Related Or Exempt Function Income2431189RelatedOrExemptFunctionIncome
Unrelated Business Revenue104452UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total431493Total
Management And General431493ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3072Total
Management And General3072ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6700Total
Management And General6700ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40326Total
Management And General40326ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total83118Total
Management And General83118ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95741Total
Management And General95741ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12764Total
Management And General12764ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total466329Total
Program Services466329ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3640Total
Management And General3640ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
JOURNAL216900216900
NEWSLETTER158092158092
CERTIFICATION REVIEW CO8067880678
MEMBERSHIP DEVELOPMENT6204862048

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total181528Total
Program Services53902ProgramServices
Management And General127626ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1842429Total
Program Services975901ProgramServices
Management And General866528ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY751086BOY
EOY551640EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25331BOY
EOY42487EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY381179BOY
EOY460362EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY58103BOY
EOY71102EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3748329BOY
EOY4530519EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4964028BOY
EOY5656110EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY158314BOY
EOY193563EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY668178BOY
EOY558556EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6549BOY
EOY5694EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY833041BOY
EOY757813EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4130987BOY
EOY4898297EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4130987BOY
EOY4898297EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4964028BOY
EOY5656110EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses767310ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESCROW PAYABLEDescription
Amount$5,694Amount
FieldValueIRS element (for citing)
Total Of Amounts5694TotalOfAmounts
Total Revenue2609739TotalRevenue
Total Expenses1842429TotalExpenses
Excess Or Deficit For Year767310ExcessOrDeficitForYear
Excess Or Deficit Per FS767310ExcessOrDeficitPerFS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3AMSN CONTRACTS WITH ANTHONY J. JANNETTI, INC. AS ITS ASSOCIATION MANAGMENT COMPANY (AMC).
FORM 990, PART VI, SECTION A, LINE 6AMSN IS A MEMBERSHIP BASED ORGANIZATION WITH 9,934 MEMBERS
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD IS ELECTED BY THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS APPROVE ALL BYLAW CHANGES
FORM 990, PART VI, SECTION B, LINE 11ALL BOARD MEMBERS REVIEW THE FORM 990, AND HAVE AN OPPORTUNITY TO ASK QUESTIONS AND PROVIDE COMMENT, AND APPROVE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REVIEWS BOARD MEMBERS ANNUALLY TO ENSURE THERE IS NO CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15CEO AND STAFF ARE SELECTED BY THE AMC. THE AMSN BOARD APPROVES THE AMC CONTRACT, USES COMPARATIVE DATA FOR FEES, INTERVIEWS OTHER AMC - MANAGED ASSOCIATIONS, AND DELIBERATES/DECIDES ON THE FINAL SELECTION THIS PROCESS IS COMPLETED EVERY FIVE YEARS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST.
NO CHANGES FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MEDICAL-SURGICAL NURSING CERTIFICATION BOARDINCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1BOX 56 EAST HOLLY AVEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
EIN201448697EIN
Primary ActivitiesCERTIFICATION OF MEDICAL-SURGICAL NURSESPrimaryActivities
Legal Domicile StateNJLegalDomicileState
Exempt Code Section501(C)6ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1MEDICAL-SURGICAL NURSING CERTIFICATION BOARD INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeMTransactionType
Amount Involved460362AmountInvolved
Method Of Amt DeterminationACCRUALMethodOfAmtDetermination