CONNECTMED INTERNATIONAL: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CONNECTMED INTERNATIONAL (EIN 27-0804773)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-12
- IRS object ID
- 201102289349201005
- Schema version
- 2010v3.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T15:04:17-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CPWR LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5057 KELLER SPRINGS RD SUITE 425 | AddressLine1 |
| City | ADDISON | City |
| State | TX | State |
| ZIP Code | 75001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270804773 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE TELEPLAST EXCHANGE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TELE | NameControl |
| Phone | 6198005349 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1435 EOLUS AVE | AddressLine1 |
| City | ENCINITAS | City |
| State | CA | State |
| ZIP Code | 92024 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMANDA GOSMAN MD | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 6198005349 | Phone |
| Date Signed | 2011-08-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD E COLBURN | Name |
| Phone | 9729914566 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Initial Return | X | InitialReturn |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.CONNECTMED.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 8610 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 8610 | ContributionsGiftsGrantsEtc |
| Total Revenue | 8610 | TotalRevenue |
| Printing Publications Postage | 304 | PrintingPublicationsPostage |
| Other Expenses Total | 513 | OtherExpensesTotal |
| Total Expenses | 817 | TotalExpenses |
| Excess Or Deficit For Year | 7793 | ExcessOrDeficitForYear |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 7793 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 7793 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 7793 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 7793 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | THE MISSION OF THIS ORGANIZATION IS TO PROMOTE SUSTAINABLE MULTIDISCIPLINARY HEALTH CARE AND EDUCATION TO PATIENTS AND HEALTH CARE PROVIDERS IN UNDERSERVED AREAS AROUND THE WORLD THROUGH A COMBINATION OF DIRECT MEDICAL CARE AND THE ESTABLISHMENT OF AN INTERACTIVE TELEMEDICINE NETWORK BETWEEN INTERNATIONAL SITES | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| MARCH 13, 2010 -- TRAVEL TO HOSPITAL INFANTIL DE LAS CALIFORNIAS IN TIJUANA, MEXICO AND PERFORMED CRANIOFACIAL RECONSTRUCTIVE SURGERIES ON SIX PATIENTS | 0 | 70 |
| JULY 10, 2010 -- TRAVEL TO HOSPITAL INFANTIL DE LAS CALIFORNIAS IN TIJUANA, MEXICO AND PERFORMED CRANIOFACIAL RECONSTRUCTIVE SURGERIES ON SIX PATIENTS | 0 | 70 |
| NOVEMBER 20, 2010 -- TRAVEL TO HOSPITAL INFANTIL DE LAS CALIFORNIAS IN TIJUANA, MEXICO AND PERFORMED CRANIOFACIAL RECONSTRUCTIVE SURGERIES ON SIX PATIENTS | 0 | 70 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 210 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| SHERRY L COLBURN | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | EXECUTIVE DIRECTOR | 15.00 | 0 | 0 | 0 |
| AMANDA GOSMAN MD | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | PRESIDENT AND CEO / BOARD MEM | 20.00 | 0 | 0 | 0 |
| RITA ABBATI | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | VICE PRESIDENT/BOARD MEMBER | 5.00 | 0 | 0 | 0 |
| ELIZABETH STEVENS | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | SECRETARY/BOARD MEMBER | 5.00 | 0 | 0 | 0 |
| RONALD COLBURN CPA | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | TREASURER/BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| ALICIA SIGLER MD | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| ZIA AGHA MD | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| ROHIT KHOSLA MD | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| SHANKAR SITAPATI | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| EVELYN SNYDER RN | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| ROBERT HALL | ||||||||
| 1435 EOLUS AVE | ENCINITAS | CA | 92024 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1435 EOLUS AVE | AddressLine1 |
| City | ENCINITAS | City |
| State | CA | State |
| ZIP Code | 92024 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6198005349 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Contribution By Related Party | 1 | ContributionByRelatedParty |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 8610 | CurrentTaxYear |
| Total | 8610 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 8610 | CurrentTaxYear |
| Total | 8610 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8610 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 8610 | CurrentTaxYear |
| Total | 8610 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER EXPENSES | Identifier |
| Return Reference | FORM 990-EZ, PART I, LINE 16 | ReturnReference |
| Explanation | DESCRIPTION: TRAVEL. AMOUNT: 210. DESCRIPTION: OFFICE AND ADMINISTRATIVE. AMOUNT: 303. TOTAL TO FORM 990-EZ, LINE 16: 513. | Explanation |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |
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