AMERICAN SURGEONS FOR CENTRAL AMERI: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AMERICAN SURGEONS FOR CENTRAL AMERI (EIN 58-2247157)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349100733
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)
Timestamp2012-11-13T13:35:17-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7650AddressLine1
CityTIFTONCity
StateGAState
ZIP Code31793ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582247157EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN SURGEONS FOR CENTRAL AMERICABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone2293821239Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11610 JOHN ORR DRIVEAddressLine1
CityTIFTONCity
StateGAState
ZIP Code31794ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES W SCOTTName
TitlePRESIDENTTitle
Phone2293821239Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROCK N BLEDSOE CPAName
PTINP00136032PTIN
Phone2293828576Phone
Date Prepared2012-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY1079FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss2000ContriReceivedRevAndExpnss
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Total Revenue And Expenses2000TotalRevenueAndExpenses
Total Net Investment Income0TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss775AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps775AccountingFeesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss523DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Deprec And Depletion Adj Net Incm523DeprecAndDepletionAdjNetIncm
Other Expenses Rev And Expnss1000OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps1000OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss2298TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm523TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps1775TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss0ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps0ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss2298TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm523TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps1775TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-298ExcessOfRevenueOverExpenses
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY70CashBOY
Cash EOY295CashEOY
Land Building And Equipment Basis4537LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip3753AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY1307LandBuildingAndEquipmentBOY
Land Building And Equipment EOY784LandBuildingAndEquipmentEOY
Total Assets BOY1377TotalAssetsBOY
Total Assets EOY1079TotalAssetsEOY
Total Assets EOYFMV1079TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY1377RetainedEarningsBOY
Retained Earnings EOY1079RetainedEarningsEOY
Total Net Assets BOY1377TotalNetAssetsBOY
Total Net Assets EOY1079TotalNetAssetsEOY
Total Liabilities Net Assets BOY1377TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1079TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY1377TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-298ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal1079Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY1079TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year113961QualifyingDistributionsYear1
Noncharitable Assets Year14010NoncharitableAssetsYear1
Distribution Ratio Year13.481546DistributionRatioYear1
Qualifying Distributions Year21806QualifyingDistributionsYear2
Noncharitable Assets Year24216NoncharitableAssetsYear2
Distribution Ratio Year20.428368DistributionRatioYear2
Qualifying Distributions Year316436QualifyingDistributionsYear3
Noncharitable Assets Year34584NoncharitableAssetsYear3
Distribution Ratio Year33.585515DistributionRatioYear3
Qualifying Distributions Year44892QualifyingDistributionsYear4
Noncharitable Assets Year4119NoncharitableAssetsYear4
Distribution Ratio Year441.109244DistributionRatioYear4
Qualifying Distributions Year56883QualifyingDistributionsYear5
Noncharitable Assets Year5136NoncharitableAssetsYear5
Distribution Ratio Year550.610294DistributionRatioYear5
Total Distribution Ratio99.214967TotalDistributionRatio
Average Distribution Ratio19.842993AverageDistributionRatio
Net Noncharitable Assets4121NetNoncharitableAssets
Adjusted Noncharitable Assets81773AdjustedNoncharitableAssets
One Percent Net Investment Income0OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One81773AdjNonchrtblAssetsAndOnePct
Qualifying Distributions1775QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal0Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income0TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due0TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets0AtLeast5000InAssets
States Filed WithGAStatesFiledWith
Private Operating Foundation1PrivateOperatingFoundation
New Substantial Contributors1NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameDR JAMES W SCOTTBooksInCareOfPersonName
Books In Care Of Phone Number2293821239BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line11610 JOHN ORR DRIVE TIFTON GAAddressLine1
CityTIFTONCity
StateGAState
ZIP Code31794ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DR JAMES W SCOTT
1610 JOHN ORR DRIVETIFTONGA31794PRESIDENT0.00000
ROLANDO CHAJON
1610 JOHN ORR DRIVETIFTONGA31794VICE PRESIDENT0.00000
MARTHA MARCHANT
1610 JOHN ORR DRIVETIFTONGA31794SECRETARY/TREASURER0.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1TRAVEL TO CENTRAL AMERICA TO PERFORM CHARITABLE HIP AND KNEE REPLACEMENT SURGERIES TO INDIGENT PATIENTS.Description1
Expenses11775Expenses1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances184AvgMonthlyCashBalances
FMV All Other Noncharitable Assets4000FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets4184TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets4184AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable63CashDeemedCharitable
Net Noncharitable Assets4121NetNoncharitableAssets
Minimum Investment Return206MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgXSect4942j3j5FndtnAndFrgnOrg

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions1775ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions1775QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions1775AdjQualifyingDistributions

Private Operating Foundations PrivateOperatingFoundations

FieldValueIRS element (for citing)
Date Of Ruling1998-12-31DateOfRuling
Section4942j3XSection4942j3

Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Percent85 Of Lessor Percent85OfLessor

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Current Year1775CurrentYear
Year113961Year1
Year21806Year2
Year316436Year3
Total33978Total

Qlfy Distri Not Used Directly QlfyDistriNotUsedDirectly

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Qlfy Distri Made Directly QlfyDistriMadeDirectly

FieldValueIRS element (for citing)
Current Year1775CurrentYear
Year113961Year1
Year21806Year2
Year316436Year3
Total33978Total

Total Assets TotalAssets

FieldValueIRS element (for citing)
Current Year4295CurrentYear
Year14500Year1
Year24500Year2
Year34687Year3
Total17982Total

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3Bi

FieldValueIRS element (for citing)
Current Year4295CurrentYear
Year14500Year1
Year24500Year2
Year34687Year3
Total17982Total

Two Thirds Min Invst Return TwoThirdsMinInvstReturn

FieldValueIRS element (for citing)
Total0Total

Total Support TotalSupport

FieldValueIRS element (for citing)
Total0Total

Public Support PublicSupport

FieldValueIRS element (for citing)
Total0Total

Largest Support From EO LargestSupportFromEO

FieldValueIRS element (for citing)
Total0Total

Gross Investment Income GrossInvestmentIncome

FieldValueIRS element (for citing)
Total0Total

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year0TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$0ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA0TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategory
Amount$775Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps775DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation

FieldValueIRS element (for citing)
Description Of Property16 FT UTILITY TRAILERDescriptionOfProperty
Date Acquired2008-05-22DateAcquired
Cost Or Other Basis4537CostOrOtherBasis
Prior Years Depreciation3230PriorYearsDepreciation
Computation Method200DBComputationMethod
Life5.000000000000Life
Current Year Expense523CurrentYearExpense
Net Investment Income0NetInvestmentIncome
Adjusted Net Income907AdjustedNetIncome

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc

FieldValueIRS element (for citing)
Category Or Item16 FT UTILITY TRAILERCategoryOrItem
Cost Or Other Basis4537CostOrOtherBasis
Accumulated Depreciation3753AccumulatedDepreciation
Book Value784BookValue

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFREIGHTDescription
Revenue And Expenses Per Books1000RevenueAndExpensesPerBooks
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps1000DisbursementsCharitablePrps

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameDR JAMES W SCOTTPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line11610 JOHN ORR DRIVEAddressLine1
CityTIFTONCity
StateGAState
ZIP Code31794ZIPCode

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