MEDICAL ARTS BUILDING INC: Form 990EZ, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MEDICAL ARTS BUILDING INC (EIN 03-0275720)
Tax period: 2009-10-01 to 2010-04-30
Filed: 2011-08-15
IRS object ID: 201122279349201212
Schema version: 2009v1.7
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
Form 990-EZ
Schedule N
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T10:31:05-04:00	Timestamp
Tax Period End Date	2010-04-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990EZ	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	030275720	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL ARTS BUILDING INC	BusinessNameLine1
Business Name Line2	D/B/A BARTON CLINIC BUILDING	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	MEDI	NameControl
Phone	8023343270	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O NCH 189 PROUTY DRIVE	AddressLine1
City	NEWPORT	City
State	VT	State
ZIP Code	05855	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ANDRE BISSONNETTE	Name
Title	VP OF FINANCE	Title
Date Signed	2011-08-03	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-EZ IRS990EZ

Field	Value	IRS element (for citing)
Terminated Return	X	TerminatedReturn
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Organization501c	X	Organization501c
Gross Receipts	24584	GrossReceipts
Program Service Revenue	24240	ProgramServiceRevenue
Investment Income	344	InvestmentIncome
Cost Other Basis And Sales Expenses	2013	CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets	-2013	GainOrLossFromSaleOfAssets
Total Revenue	22571	TotalRevenue
Salaries Other Comp Empl Benefits	0	SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors	4483	FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint	10557	OccupancyRentUtilitiesAndMaint
Other Expenses Total	12538	OtherExpensesTotal
Total Expenses	27578	TotalExpenses
Excess Or Deficit For Year	-5007	ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY	358433	NetAssetsOrFundBalancesBOY
Other Changes In Net Assets	-353426	OtherChangesInNetAssets
Net Assets Or Fund Balances EOY	0	NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

Field	Value	IRS element (for citing)
BOY	53554	BOY
EOY	0	EOY

Land And Buildings LandAndBuildings

Field	Value	IRS element (for citing)
BOY	144269	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	166225	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	364048	BOY
EOY	0	EOY

Sum Of Total Liabilities SumOfTotalLiabilities

Field	Value	IRS element (for citing)
BOY	5615	BOY
EOY	0	EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

Field	Value	IRS element (for citing)
BOY	358433	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Primary Exempt Purpose	RENTS BUILDING TO EXEMPT HOSPITAL	PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

Field	Value	IRS element (for citing)
Description Program Service Accom	THE CORPORATION HOLDS TITLE TO MEDICAL OFFICE BUILDINGS. NET INCOME IS TURNED OVER TO NORTH COUNTRY HOSPITAL, EXEMPT UNDER 501(C)(3)	DescriptionProgramServiceAccom
Program Service Expenses	26092	ProgramServiceExpenses

Field	Value	IRS element (for citing)
Total Program Service Expenses	26092	TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (18 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
DAVID BOUFFARD
189 PROUTY DRIVE	NEWPORT	VT	05855	CHAIR THROUGH 01/2010	1.0	0	0	0
JEANE KADMIRI
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
DAVE LAFORCE
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
THOMAS MOSELEY MD
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
MELISSA PETTERSSON
189 PROUTY DRIVE	NEWPORT	VT	05855	SECRETARY/CLERK	1.0	0	0	0
ALAN WING
189 PROUTY DRIVE	NEWPORT	VT	05855	VICE CHAIR - BOARD	1.0	0	0	0
BOB WILSON
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
CHRISTOPHER RICKMAN MD
189 PROUTY DRIVE	NEWPORT	VT	05855	PHYSICIAN/TRUSTEE	1.0	0	0	0
SCOTT PERRY
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
SUSAN PENHARLOW
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
KATHRYN AUSTIN
189 PROUTY DRIVE	NEWPORT	VT	05855	CHAIR BEGINNING 01/2010	1.0	0	0	0
RICHARD BARAW
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
BONNIE NASH
189 PROUTY DRIVE	NEWPORT	VT	05855	VICE CHAIR - FINANCE	1.0	0	0	0
BILL STENGER
189 PROUTY DRIVE	NEWPORT	VT	05855	TRUSTEE	1.0	0	0	0
ANDRE BISSONNETTE
189 PROUTY DRIVE	NEWPORT	VT	05855	CFO	1.0	0	0	0
CLAUDIO D FORT
189 PROUTY DRIVE	NEWPORT	VT	05855	CEO	1.0	0	0	0
MARC BOUCHARD MD
189 PROUTY DRIVE	NEWPORT	VT	05855	MEDICAL STAFF VP	1.0	0	0	0
PETER STUART MD
189 PROUTY DRIVE	NEWPORT	VT	05855	MEDICAL STAFF PRESIDENT	1.0	0	0	0

Field	Value	IRS element (for citing)
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc	false	MadeChangesToOrgnzngEtcDoc
Organization Had UBI	false	OrganizationHadUBI
Organization Dissolved Etc	true	OrganizationDissolvedEtc
Did Org File Form1120 POL This Year	false	DidOrgFileForm1120POLThisYear
Made Loans To From Officers	false	MadeLoansToFromOfficers
Initiation Fees And Capital Contri	0	InitiationFeesAndCapitalContri
Gross Receipts For Public Use	0	GrossReceiptsForPublicUse

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ANDRE BISSONNETTE	NamePerson

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	189 PROUTY DRIVE	AddressLine1
City	NEWPORT	City
State	VT	State
ZIP Code	05855	ZIPCode

Field	Value	IRS element (for citing)
Telephone Number	8023347331	TelephoneNumber

Field	Value	IRS element (for citing)
Foreign Financial Account	false	ForeignFinancialAccount
Foreign Office	false	ForeignOffice
Maintain Any Donor Advised Funds	false	MaintainAnyDonorAdvisedFunds
Related Org Controlled Entity	false	RelatedOrgControlledEntity

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail (5 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection
NORTH COUNTRY HOSPITAL HEALTH CEN
PREPAID ASSETS	2010-04-30	2006	MARKET VALUE	030185556	189 PROUTY DRIVE	NEWPORT	VT	05855	501(C)(3)
NORTH COUNTRY HOSPITAL HEALTH CEN
FIXED ASSETS	2010-04-30	123435	MARKET VALUE	030185556	189 PROUTY DRIVE	NEWPORT	VT	05855	501(C)(3)
NORTH COUNTRY HOSPITAL HEALTH CEN
LAND & LAND IMPROVEMENTS	2010-04-30	12960	MARKET VALUE	030185556	189 PROUTY DRIVE	NEWPORT	VT	05855	501(C)(3)
NORTH COUNTRY HOSPITAL HEALTH CEN
INVESTMENTS	2010-04-30	173227	MARKET VALUE	030185556	189 PROUTY DRIVE	NEWPORT	VT	05855	501(C)(3)
NORTH COUNTRY HOSPITAL HEALTH CEN
CASH	2010-04-30	52218	MARKET VALUE	030185556	189 PROUTY DRIVE	NEWPORT	VT	05855	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor	true	DirectorOfSuccessor
Employee Of Successor	true	EmployeeOfSuccessor
Owner Of Successor	false	OwnerOfSuccessor
Receive Compensation	false	ReceiveCompensation
Assets Distributed	true	AssetsDistributed
Determination Letter	false	DeterminationLetter
Required To Notify AG	true	RequiredToNotifyAG
AG Notified	true	AGNotified
Liabilities Paid	true	LiabilitiesPaid
Bonds Outstanding	false	BondsOutstanding

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Identifier	OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES	Identifier
Return Reference	SCHEDULE N, PART 1, LINE 2A & 2B	ReturnReference
Explanation	ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES WERE ALSO CURRENTLY WITH NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC.	Explanation

MEDICAL ARTS BUILDING INC: Form 990EZ, tax year 2009

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-EZ IRS990EZ

Cash Savings And Investments CashSavingsAndInvestments

Land And Buildings LandAndBuildings

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Sum Of Total Liabilities SumOfTotalLiabilities

Net Assets Or Fund Balances NetAssetsOrFundBalances

Program Service Accomplishment ProgramServiceAccomplishment

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (18 entries)

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail (5 entries)

Form990 Schedule N Part III Form990ScheduleNPartIII

Reasonable Cause Explanation ReasonableCauseExplanation

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