2012-06-25T08:21:59-05:00 2011-12-31 581763439 WINDHAM BRANNON PC 3630 PEACHTREE RD NE SUITE 600 ATLANTA GA 30326 990 2011-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 JANET L LATHROP 6784178100 2012-06-25 1 CARLYE W BUCHANAN P00292964 4048982000 2012-06-25 2011 2016-02-24 21:20:13Z JANET J LATHROP 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 16132282 0 X WWW.NCCPA.NET X 1976 GA TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS OF KNOWLEDGE AND SKILLS. 22 22 61 80 0 0 0 0 10681982 11125350 505050 468143 0 0 11187032 11593493 12000 1477873 0 0 3559524 3849729 0 0 0 5896336 7170669 9467860 12498271 1719172 -904778 13898539 14150761 1790446 3182121 12108093 10968640 TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS OF KNOWLEDGE AND SKILLS 0 0 8231012 1477873 11125350 THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, INC. SERVED APPROXIMATELY 54,385 CANDIDATES. SERVICES INCLUDED APPLICATIONS FOR THE FIRST-TIME CANDIDATES AND REREGISTRATION AND RECERTIFICATION FOR EXISTING CANDIDATES. 8231012 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 73 0 1 61 1 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 GA X LORI LEAL 6784178100 12000 FINDLEY RD STE 100 JOHNS CREEK GA 30097 BARBARA BARZANSKY 1.00 X 0 0 0 CLAUDETTE DALTON 1.00 X 0 0 0 CYNTHIA GRIGGS-FLOURNOY 1.00 X 0 0 0 DENNI WOODMANSEE 1.00 X 0 0 0 ELLEN HARDER 1.00 X 0 0 0 ERICH A FOGG 1.00 X 0 0 0 FREDERICK C BLUM 1.00 X 0 0 0 JAMES CANNON 1.00 X 0 0 0 JANET LATHROP 40.00 X X 345222 9360 46823 JENNIFER MADONIA 1.00 X 0 0 0 JOEL KASE 1.00 X 0 0 0 JOHN DAVIS 1.00 X 0 0 0 JOHN HAYDEN 1.00 X 0 0 0 JOHN STUEMKY 1.00 X 0 0 0 LINDA F GOLODNER 1.00 X 0 0 0 MARK CHRISTIANSEN 1.00 X 0 0 0 MARY WARNER 1.00 X 0 0 0 PATRICIA A COOK 1.00 X 0 0 0 PAUL LOMBARDO 1.00 X 0 0 0 RICHARD TURNAGE 1.00 X 0 0 0 VARNELL MCDONALD 1.00 X 0 0 0 VICTORIA KAPRIELIAN 1.00 X 0 0 0 WANDA GONSALVES 1.00 X 0 0 0 JUDITH DUNWOODIE 40.00 X 167324 5000 9251 LORI LEAL 40.00 X 138422 6000 22189 PAM DEAN 40.00 X 172637 0 30499 TIM PERRY 40.00 X 204274 0 22881 SHEILA MAULDIN 40.00 X 141328 0 24750 ANGELA LANGA 40.00 X 123156 0 20683 RANDY DANIELSEN 40.00 X 26819 152473 16232 TIM ANDREWS 40.00 X 137769 0 13296 1456951 172833 206604 8 0 1 0 ARBET CONSULTING INC 2083 WELSH VALLEY ROAD PHOENIXVILLE PA 19460 TEST DEV AND ADMIN 808977 SIDLEY AUSTIN LLP ONE SOUTH DEARBORN CHICAGO IL 60603 LEGAL 287914 LANGA TECHNICAL SERVICES 10650 AVIARY DRIVE ALPHARETTA GA 30022 IT DEVELOPMENT 219315 SPRINGBIT INC 160 PARKSIDE CLOSE ALPHARETTA GA 30022 IT DEVELOPMENT 159653 4 RECERTIFICATION FEES 541900 3815350 3815350 CERTIFICATE MAINT FEES 541900 3524330 3524330 ENTRY LEVEL APPLICATIO 541900 3338300 3338300 PRACTICE EXAM FEES 541900 300265 300265 SPECIALTY CAQS 541900 95800 95800 51305 51305 11125350 213387 213387 4793545 4538789 254756 254756 254756 11593493 11125350 0 468143 1477873 1477873 1189567 454068 735499 1633505 623523 1009982 832734 323518 509216 193923 92398 101525 318336 318336 21000 21000 73303 73303 301697 98333 203364 283997 276715 7282 64643 46145 18498 65449 36735 28714 507540 284868 222672 603678 183639 420039 1290018 808548 481470 42440 23820 18620 EXAM COSTS 2986765 2986765 CREDIT CARD PROCESSING 274722 274722 EMPLOYEE DEVELOPMENT 133014 130261 2753 TELEPHONE/INTERNET 85186 47813 37373 118881 61268 57613 12498271 8231012 4267259 0 1261907 1266469 189041 153894 223813 280355 8424171 6391406 2007868 2032765 8215910 8371938 2000000 2045340 13898539 14150761 385371 442773 400000 1477873 1005075 1261475 1790446 3182121 X 12108093 12446513 -1477873 12108093 10968640 13898539 14150761 X -904778 -234675 X 0 1 1 X 0 26588 5840 20748 549080 459466 89614 7848503 5926100 1922403 2032765 ADVANCES TO NCCPA FOUNDATION 2000000 OTHER ASSETS 45340 2045340 11593493 12498271 -904778 -234675 -234675 -1139453 11285515 -234675 -234675 11520190 73303 73303 11593493 12424968 0 12424968 73303 73303 12498271 PART X LINE 2: FIN 48 FOOTNOTE THE COMMISSION IS EXEMPT FROM INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(6), AND THE FOUNDATION AND THE PA HISTORY SOCIETY ARE EXEMPT UNDER SECTION 501(C)(3). MANAGEMENT OF THE ORGANIZATION CONSIDERS THE LIKELIHOOD OF CHANGES BY TAXING AUTHORITIES IN ITS FILED INCOME TAX RETURNS AND RECOGNIZES A LIABILITY FOR OR DISCLOSES POTENTIAL SIGNIFICANT CHANGES THAT MANAGEMENT BELIEVES ARE MORE LIKELY THAN NOT TO OCCUR, INCLUDING CHANGES TO THE ENTITY'S STATUS AS A NOT-FOR-PROFIT ENTITY. MANAGEMENT BELIEVES THE ENTITIES WITHIN THE ORGANIZATION MET THE REQUIREMENTS TO MAINTAIN ITS TAX-EXEMPT STATUS AND HAVE NO INCOME SUBJECT TO UNRELATED BUSINESS INCOME TAX; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THESE FINANCIAL STATEMENTS. THE COMMISSION'S AND FOUNDATION'S INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES, AND MAY CHANGE UPON EXAMINATION. 1 NCCPA FOUNDATION 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204381466 501(C)(3) 1477873 BOOK FINANCIAL SUPPORT FOR OPERATING EXPENSES PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: NCCPA GIVES ASSISTANCE TO NCCPA FOUNDATION FOR FINANCIAL SUPPORT AND OPERATING EXPENSES. X X X X X 0 0 0 JANET LATHROP 270157 9360 51000 0 24065 0 39779 0 7044 0 392045 9360 0 0 JUDITH DUNWOODIE 130324 5000 15000 0 22000 0 9075 0 176 0 176575 5000 0 0 LORI LEAL 102532 6000 13890 0 22000 0 16511 0 5678 0 160611 6000 0 0 PAM DEAN 139497 0 16640 0 16500 0 20096 0 10403 0 203136 0 0 0 TIM PERRY 164144 0 18604 0 21526 0 22511 0 370 0 227155 0 0 0 SHEILA MAULDIN 111866 0 14500 0 14962 0 16458 0 8292 0 166078 0 0 0 RANDY DANIELSEN 25025 152473 0 0 1794 0 16144 0 88 0 43051 152473 0 0 TIM ANDREWS 113430 0 21446 0 2893 0 10609 0 2687 0 151065 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL ACT FOR AND ON BEHALF OF THE BOARD OF DIRECTORS, EXCEPT FOR ACTS PROHIBITED BY LAW, BY THE ARTICLES OF INCORPORATION, OR BY THESE BYLAWS. THE EXECUTIVE COMMITTEE SHALL HAVE AUTHORITY TO DELEGATE SUCH DUTIES AND RESPONSIBILITIES AS IT MAY DEEM ADVISABLE AND AS ARE PERMITTED BY LAW TO BE DELEGATED. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990 BEFORE IT IS SUBMITTED TO THE IRS. THE FORM 990 IS POSTED ON THE BOARD OF DIRECTOR'S RESOURCE WEB PAGE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE ASKED TO ANNUALLY SIGN A PARTICIPATION AGREEMENT. IT INCLUDES A SECTION OF INTEREST AS WELL AS THEIR DUTIES OF CONFIDENTIALITY, LOYALTY, ETC. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS. CONFLICTS THAT DO ARISE ARE USUALLY RESOLVED BY ASKING A BOARD MEMBER TO RECUSE FROM VOTING OR SOME OTHER ARRANGEMENT DETERMINED BY THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE REVIEWS EVERY THREE YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL INFORMATION CAN BE OBTAINED THROUGH THE FORM 990 ON WWW.GUIDESTAR.ORG. THE FORM 990 IS ALSO AVAILABLE UPON REQUEST AT NCCPA. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -234,675. NCCPA FOUNDATION 12000 FINDLEY ROAD SUITE 270 JOHNS CREEK GA 30097 204381466 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 11A, I NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS INC 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 270 JOHNS CREEK GA 30097 030429253 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS INC 1 0 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 NCCPA FOUNDATION B 1477873 AMOUNT CONTRIBUTED NCCPA FOUNDATION D 2000000 AMOUNT LOANED NCCPA FOUNDATION N 246751 SALARIES OF EMPLOYEES