OSTEOPATHIC FOUNDERS FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OSTEOPATHIC FOUNDERS FOUNDATION (EIN 73-0583936)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-01
IRS object ID
201121529349300617
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

FieldValueIRS element (for citing)
Timestamp2011-06-01T12:09:06-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STANFIELD & ODELL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13211 S LAKEWOOD AVEAddressLine1
CityTULSACity
StateOKState
ZIP Code741354903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN730583936EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Osteopathic Founders FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOSTENameControl
Phone9185517300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14812 E 81st StreetAddressLine1
CityTulsaCity
StateOKState
ZIP Code74137ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSherri L WiseName
TitlePresidentTitle
Date Signed2011-06-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN F GRACE CPA ABV CFFName
Phone9186280500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSherri L WiseNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14812 East 81st St Ste 301AddressLine1
CityTulsaCity
StateOKState
ZIP Code74137ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10561367GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.osteopathicfounders.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1943YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionThe mission of Osteopathic Founders Foundation is to support osteopathic medical education, to enhance the public's understanding of osteopathic medicine, and to improve the health of the community through projects consistent with the osteopathic philosophy.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year227559ContributionsGrantsPriorYear
Contributions Grants Current Year192788ContributionsGrantsCurrentYear
Program Service Revenue Prior Year63534ProgramServiceRevenuePriorYear
Program Service Revenue CY75142ProgramServiceRevenueCY
Investment Income Prior Year-515993InvestmentIncomePriorYear
Investment Income Current Year788174InvestmentIncomeCurrentYear
Other Revenue Prior Year1018058OtherRevenuePriorYear
Other Revenue Current Year1681688OtherRevenueCurrentYear
Total Revenue Prior Year793158TotalRevenuePriorYear
Total Revenue Current Year2737792TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year162318GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY287422GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year236940SalariesEtcPriorYear
Salaries Etc Current Year243879SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year43205TotalFundrsngExpCurrentYear
Other Expense Prior Year277079OtherExpensePriorYear
Other Expenses Current Year326609OtherExpensesCurrentYear
Total Expenses Prior Year676337TotalExpensesPriorYear
Total Expenses Current Year857910TotalExpensesCurrentYear
Revenues Less Expenses Prior Year116821RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1879882RevenuesLessExpensesCY
Total Assets BOY13646624TotalAssetsBOY
Total Assets EOY16234751TotalAssetsEOY
Total Liabilities BOY146605TotalLiabilitiesBOY
Total Liabilities EOY281687TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13500019NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15953064NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Osteopathic Founders Foundation is to support osteopathic medical education, to enhance the public's understanding of osteopathic medicine, and to improve the health of the community through projects consistent with the osteopathic philosophy.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense655476Expense
Grants287422Grants
Revenue76885Revenue
DescriptionAs part of its overall mission, the Osteopathic Founders Foundation utilizes a significant portion of its resources on activities related to medical education. Scholarships, which are granted competitively and based on academic achievement, professional ambassadorship, and community engagement are provided to assist osteopathic medical students with the costs of their tuition, fees, and books. Educational stipends, which are also granted competitively, are available to osteopathic residents enrolled in AOA or ACGME accredited post graduate training programs, professional level employees of colleges of osteopathic medicine, or to professional level employees of a hospital which sponsors post graduate training programs which are accredited by the American Osteopathic Association. The Foundation's commitment to medical education reaches to the post-doctoral level through our programs of Continuing Medical Education. The CME mission of the Osteopathic Founders is to continually improve patient care by providing timely, relevant, evidence based clinical knowledge to osteopathic physicians and other health care providers. In 2009 the Foundation received accreditation from the American Osteopathic Association as a Category 1-A provider.Description
Total Program Service Expense655476TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSherri L WiseNamePerson
Telephone Number9185517300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14812 E 81st St Ste 301AddressLine1
CityTulsaCity
StateOKState
ZIP Code74137ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Stephen G Bovasso DO
Treasurer2.00X000
Sherri L Wise
President40.00136501010000X
Sheldon C Berger DO
Director1.00X000
Richard R Polk DO
Director1.00X000
Michael P Carney DO
Director1.00X000
Larry D McKenzie DO
Director2.00X000
Kimberlie K Dullye MD
Director1.00X000
Jeffrey S Stroup PharmD
Director1.00X000
Jay M Williamson DO
Secretary1.00X000
James M Benien
Director1.00X000
Henry G Will
Director1.00X000
Donald M Dushay DO
Director1.00X000
Arthur G Wallace DO
Director1.00X000
Andrew S Crawford DO
Director2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org136501TotalReportableCompFromOrg
Total Other Compensation10000TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues3425MembershipDues
Fundraising Events10584FundraisingEvents
All Other Contributions178779AllOtherContributions
Noncash Contributions10584NoncashContributions
Total Contributions192788TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionTuition and FeesDescription
Business Code611420BusinessCode
Total Revenue Column75142TotalRevenueColumn
Related Or Exempt Function Income75142RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue75142TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column402549TotalRevenueColumn
Exclusion$402,549ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8101255Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7715630Securities

Gain Or Loss GainOrLoss

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Securities385625Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column385625TotalRevenueColumn
Exclusion$385,625ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events211100GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10584CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses107945FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column103155TotalRevenueColumn
Exclusion$103,155ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Miscellaneous17431743
Medicare Claim Settlement15767901576790
FieldValueIRS element (for citing)
Total Other Revenue1578533TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2737792TotalRevenueColumn
Related Or Exempt Function Income1653675RelatedOrExemptFunctionIncome
Exclusion$891,329ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total202754Total
Program Services202754ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total84668Total
Program Services84668ProgramServices

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total136501Total
Program Services93641ProgramServices
Management And General26200ManagementAndGeneral
Fundraising16660Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total67682Total
Program Services52390ProgramServices
Management And General7030ManagementAndGeneral
Fundraising8262Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10000Total
Program Services6500ProgramServices
Management And General2000ManagementAndGeneral
Fundraising1500Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16348Total
Program Services11940ProgramServices
Management And General2519ManagementAndGeneral
Fundraising1889Fundraising

Payroll Taxes PayrollTaxes

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Total13348Total
Program Services9700ProgramServices
Management And General2085ManagementAndGeneral
Fundraising1563Fundraising

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total63422Total
Management And General57080ManagementAndGeneral
Fundraising6342Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19448Total
Management And General17503ManagementAndGeneral
Fundraising1945Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total71267Total
Program Services71267ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52437Total
Program Services44269ProgramServices
Management And General4901ManagementAndGeneral
Fundraising3267Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total10118Total
Program Services7484ProgramServices
Management And General2300ManagementAndGeneral
Fundraising334Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13905Total
Program Services11548ProgramServices
Management And General1414ManagementAndGeneral
Fundraising943Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4433Total
Program Services2345ProgramServices
Management And General2088ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone475928261933
SUPPLIES853966671872
Printing and Publications1192632068720
OUTSIDE SERVICES25670233422328
Board & Committee1403970207019

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26646Total
Program Services13909ProgramServices
Management And General12237ManagementAndGeneral
Fundraising500Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total857910Total
Program Services655476ProgramServices
Management And General159229ManagementAndGeneral
Fundraising43205Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3435BOY
EOY94132EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55617BOY
EOY82942EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY26417EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3675BOY
EOY1581069EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY734BOY
EOY48EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4552BOY
EOY4446EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis152009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec121728LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40438BOY
EOY30281EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13058461BOY
EOY13904620EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY479712BOY
EOY510796EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13646624BOY
EOY16234751EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35583BOY
EOY160665EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY111022BOY
EOY121022EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY146605BOY
EOY281687EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11549812BOY
EOY13921006EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY987652BOY
EOY1066078EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY962555BOY
EOY965980EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13500019BOY
EOY15953064EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13646624BOY
EOY16234751EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1879882ReconcilationRevenueExpenses
Reconcilation Other Changes573163ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187650CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years198659CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223234CurrentTaxYearMinus1Year
Current Tax Year196213CurrentTaxYear
Total1007506Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187650CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years198659CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223234CurrentTaxYearMinus1Year
Current Tax Year196213CurrentTaxYear
Total1007506Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701007506PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years752476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1125691CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years481454CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year383212CurrentTaxYearMinus1Year
Current Tax Year402549CurrentTaxYear
Total3145382Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11222CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1222CurrentTaxYearMinus1Year
Current Tax Year1744CurrentTaxYear
Total78643Total
FieldValueIRS element (for citing)
Total Support4231531TotalSupport
Gross Receipts From Admissions Etc3903688GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.23810PublicSupportPertcentage170
Public Support Pertcent Prior Year0.23080PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestPart II, Line 17b--see attachedFactsAndCircumstancesTest

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance962555BeginningOfYearBalance
Contributions3425Contributions
End Of Year Balance965980EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance957530BeginningOfYearBalance
Contributions5025Contributions
End Of Year Balance962555EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance956940BeginningOfYearBalance
Contributions7000Contributions
Other Expenditures6410OtherExpenditures
End Of Year Balance957530EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis152009OtherCostOrOtherBasis
Depreciation121728Depreciation
Book Value30281BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30281TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Money market funds101345C
US Treasury Securities103532C

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Funds held for others$21,022
Deferred Compensation$100,000
FieldValueIRS element (for citing)
Total Of Amounts121022TotalOfAmounts
Total Revenue2737792TotalRevenue
Total Expenses857910TotalExpenses
Excess Or Deficit For Year1879882ExcessOrDeficitForYear
Net Unrealized GL On Investments573163NetUnrealizedGLOnInvestments
Total Adjustments573163TotalAdjustments
Excess Or Deficit Per FS2453045ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3418900TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments573163NetUnrealizedGainsInvestments
Other Revenues107945OtherRevenues
Revenue Not Rptd F990681108RevenueNotRptdF990
Revenue Subtotal2737792RevenueSubtotal
Total Revenue Per Form9902737792TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt965855TotExpensesEtcAuditedFinclStmt
Other Expenses Included107945OtherExpensesIncluded
Expenses Not Rptd F990107945ExpensesNotRptdF990
Expenses Subtotal857910ExpensesSubtotal
Total Expenses Per Form990857910TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/Sfundraising exp $107945
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990fundraising expenses $107945

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Winterset 2010NameOfEvent1
Gross Receipts Event1221684GrossReceiptsEvent1
Charitable Contributions Event110584CharitableContributionsEvent1
Gross Revenue Event1211100GrossRevenueEvent1
Non Cash Prizes Event110584NonCashPrizesEvent1
Food And Beverage Event146100FoodAndBeverageEvent1
Entertainment Event13600EntertainmentEvent1
Other Direct Expenses Event147661OtherDirectExpensesEvent1
Gross Receipts Total221684GrossReceiptsTotal
Charitable Contributions Total10584CharitableContributionsTotal
Gross Revenue Total Events211100GrossRevenueTotalEvents
Non Cash Prizes Total Events10584NonCashPrizesTotalEvents
Food And Beverage Total Events46100FoodAndBeverageTotalEvents
Entertainment Total Events3600EntertainmentTotalEvents
Other Direct Expenses Total Events47661OtherDirectExpensesTotalEvents
Direct Expense Summary Events107945DirectExpenseSummaryEvents
Net Income Summary103155NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
The Mental Health Asso
1870 South Boulder Avenue WestTulsaOK74119730657931501(c)(3)150000Housing
Oklahoma State Univers
PO Box 1749StillwaterOK74076736097060501(c)(3)1227540Scholarship Endowment
Oklahoma State Univers
PO Box 1749StillwaterOK74076736097060501(c)(3)100000Scholarships
Iron Gate
501 South Cincinnati AvenueTulsaOK74103203164551501(c)(3)200000Feeding the homeless
HOPE HIV Outreach
1821 Fulton StHarrisburgPA17102731537952501(c)(3)100000HIV Prevention
Good Samaritan Health Services
7600 S Lewis AveTulsaOK74136731559561501(c)(3)150000Medical Services
American Red Cross
10151 East 11th StreetTulsaOK74128730579223501(c)(3)100000Disaster Assistance
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
Textbooks8021661Purchase PriceTextbooks
Scholarships for medical students416500
Educational Stipends for healthcare professionals75530
Educational conference grants for healthcare professionals27440977Purchase priceTraining, conferences, seminars

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThe Foundation requires that grants of $5,000 or more be made to a written agreement. The agreement specifies the agreed upon purpose of the grant and other requirements of the grantee. The expenditure agreement requires that all funds must be utilized for the specified purpose within 15 months or returned to the Foundation. The agreement also requires that the grantee will furnish to the Foundation a complete report on the manner in which the funds were expended within twelve months of the date of the agreement and the records of all expenditures under the grant must be retained and made available for at least four years. The Foundation's expenditure agreement specifically prohibits any of its grant funds from being used to influence legislation or any public election and denies any transfer of grant funds to another.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll documents are made available upon request.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization has a written conflict of interest policy which serves to assist directors, officers, and employees of the corporation to identify situations that present potential conflicts of interest and to provide a procedure which will allow a transaction which is in the best interest of the corporation to be binding even though a director, officer, or employee may have a conflict of interest in respect to that transaction. The policy is distributed annually at the first meeting of the Board of Directors following the beginning of the corporation's fiscal year. The policy is reviewed during that meeting. Each person serving as a director, officer, or key employee of the corporation is required to annually complete a disclosure form identifying any relationships, positions, or circumstances in which he or she is involved that he or she believes could contribute to a conflict of interest arising. Materials for meetings of the Board of Directors are distributed electronically in advance of the meeting, giving directors, officers, and key employees and opportunity to identify any proposed action in which he or she may have a conflict of interest. Following the call to order at each meeting of the Board of Directors, a request for disclosure of any potential conflict of interest is made. An absence of a declaration of a conflict of interest at that time does not preclude the later announcement of a conflict of interest which is determined by a director, officer, or key employee during the meeting.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe review of the Form 990 is conducted by the CEO with the Foundation's independent accountant available to answer questions.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Amended and Restated Bylaws of the organization state that the Chairman of the Board will annually appoint a nominating committee composed of five members of the corporation who are not then serving on the Board of Directors. The nominating committee, not less than ninety days prior to the corporation's fiscal year-end, shall nominate one candidate to fill the position of each director whose term is expiring. The nominations are announced to all members of the corporation 60 days prior to year-end. A form is made available at the principal office of the corportion for write-in nominations. Write-in nominations require the affirmation of three membbers of the corporation in order to be placed on the ballot. Ballots are required to be mailed to all members of the corporation.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Amended and Restated Bylaws of the organization provide that membership in the corporation is granted to any person who is an osteopathic physician and who makes an annual financial contribution to the Foundation, or who makes a one-time contribution of at least $250.

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