2012-10-26T10:33:52-05:00 2011-12-31 MILLER HELMS & FOLK PA 6326 WHISKEY CREEK DRIVE SUITE A FORT MYERS FL 33919 990EZ 2011-01-01 650763136 INTERNATIONAL PERFUSION ASSOCIATION INTE 2392439171 17080 SAFETY STREET UNIT 109 FORT MYERS FL 33908 BRYAN V LICH 2392439171 2012-10-19 true CRAIG R FOLK 2394819696 2012-10-19 2011 2016-02-24 21:20:13Z X X N/A X 33365 X 33360 5 33365 25460 220 534 7910 34124 -759 53562 52803 53562 52803 53562 52803 53562 52803 X SURGICAL EQUIPMENT,SUPPLIES AND INFORMATION OBTAINED DONATIONS OF HEART SURGERY MEDICAL EQUIPMENT AND SUPPLIES AND PROVIDED THEM FREE OF CHARGE TO A HUMANITARIAN PROGRAM WHICH DOES FREE HEART SURGERY IN THE D0MINICAN REPUBLIC. 25460 X 33570 33570 IRIS CHACON CCP 8141 NW 186TH ST REDDICK FL 32686 0.50 0 PETER ZUCK 15266 BRIAR CREST CIRCLE FORT MYERS FL 33912 0.50 0 BRYAN V LICH 500 KEENAN AVE FORT MYERS FL 33919 1.00 0 SAM DOMINICO CCP 5413 WILLIAMS PLACE CT WINSTONSALEM NC 27106 0.50 0 ROBERT PASCOTTO MD 6910 OLD WHISKEY CREEK DRIVE FORT MYERS FL 33901 0.50 0 false false false false false false false false false VICTOR J LICH JR ATTORNEY 17080 SAFETY STREET UNIT 109 FORT MYERS FL 33908 2392439171 false false false false false false false false false false NONE NONE true X 53906 120733 76351 29835 33360 314185 53906 120733 76351 29835 33360 314185 1000 1000 1000 1000 313185 9 23 13 6 5 56 9 23 13 6 5 56 53915 120756 76364 29841 33365 314241 0.99660 0.99640 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GRANTS AND SIMILAR AMTS PAID TO ORGANIZATIONS FORM 990-EZ, PART I, LINE 10 HOSPITAL REGIONAL UNIVERSITARIO SANTIAGO, DOMINICAN REPUBLIC PERFUSION SUPPL DR 0 25,460 0 OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 EXPENSES AWARDS 250 TRAVEL 7,660 TOTAL 7,910 FIRST ACCOMPLISHMENT FORM 990-EZ, PART III, LINE 28 OBTAINED DONATIONS OF HEART SURGERY MEDICAL EQUIPMENT AND SUPPLIES AND PROVIDED THEM FREE OF CHARGE TO A HUMANITARIAN PROGRAM WHICH DOES FREE HEART SURGERY IN THE D0MINICAN REPUBLIC. IRIS CHACON CCP PETER ZUCK BRYAN V LICH SAM DOMINICO CCP ROBERT PASCOTTO MD