HILLSBOROUGH COUNTY MEDICAL ASSOCIATION FOUNDATION INC: Form 990EZ, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- HILLSBOROUGH COUNTY MEDICAL ASSOCIATION FOUNDATION INC (EIN 59-3470072)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202501349349205390
- Schema version
- 2023v6.0
- 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) |
|---|---|---|
| Return | 2025-05-14T15:35:02-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593040705 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N FRANKLIN ST SUITE 2200 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593470072 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSBOROUGH COUNTY MEDICAL ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 8132530471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3001 W AZEELE STREET | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33609 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBBIE ZORIAN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8132530471 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM A LAZZARA | PreparerPersonNm |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | HTTPS://HCMA.NET/HCMA-FOUNDATION | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $103,727 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $62,355 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $7,150 | ProgramServiceRevenueAmt |
| Membership Dues | $3,750 | MembershipDuesAmt |
| Investment Income | $308 | InvestmentIncomeAmt |
| Sale Of Assets Gross | $24,062 | SaleOfAssetsGrossAmt |
| Gain Or Loss From Sale Of Assets | $24,062 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $6,102 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $35,495 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$29,393 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $68,232 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $44,500 | GrantsAndSimilarAmountsPaidAmt |
| Printing Publications Postage | $307 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $26,076 | OtherExpensesTotalAmt |
| Total Expenses | $70,883 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$2,651 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $177,156 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $174,505 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,156 | BOYAmt |
| EOY | $174,505 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,156 | BOYAmt |
| EOY | $174,505 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,156 | BOYAmt |
| EOY | $174,505 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE HILLSBOROUGH COUNTY MEDICAL ASSOCIATION FOUNDATION IS A CHARITABLE ORGANIZATION THAT PROVIDES CASH GRANTS TO NON-PROFIT ORGANIZATIONS IN THE TAMPA BAY AREA FOR PROGRAMS DESIGNED TO PROMOTE AWARENESS AND SUPPORT OF HEALTH AND HEALTH-RELATED ISSUES IN HILLSBOROUGH COUNTY, FLORIDA AND SURROUNDING AREAS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| PROVIDING CASH GRANTS TO NON-PROFIT ORGANIZATIONS TO PROMOTE AWARENESS AND SUPPORT OF HEALTH AND HEALTH-RELATED ISSUES WITHIN HILLSBOROUGH COUNTY. | $44,500 | $44,500 |
| PHYSICIAN WELLNESS PROGRAM PROVIDING ANONYMOUS, FREE HEALTHCARE SERVICES TO PATIENTS IN NEED. | $0 | $7,982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $52,482 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| MICHAEL ALBRINK MD FACS | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| RICHARD CASTELLANO MD | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| EDWARD FARRIOR MD | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MICHAEL FOLEY MD FACR | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| H RONALD KENNEDY MD | ||||
| TREASURER | 1.00 | $0 | $0 | $0 |
| HERNAN LEON MD | ||||
| HONORARY CHAIRMAN | 1.00 | $0 | $0 | $0 |
| STACEY PITTMAN | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| BRUCE SHEPHARD MD FACOG | ||||
| PRESIDENT | 1.00 | $0 | $0 | $0 |
| LAUREN SWOBODA | ||||
| CO-PRESIDENT | 1.00 | $0 | $0 | $0 |
| MICHAEL ZIMMER MD | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEAN REPASS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3001 W AZEELE STREET | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33609 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8132530471 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,381 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,105 | CurrentTaxYearAmt |
| Total | $263,189 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,381 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,105 | CurrentTaxYearAmt |
| Total | $263,189 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $263,189 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $184 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $308 | CurrentTaxYearAmt |
| Total | $600 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $263,789 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,150 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99770 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $68,152 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $62,050 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,102 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $32,623 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $2,872 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $68,152 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $62,050 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $6,102 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $32,623 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,872 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,495 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$29,393 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST & DIVIDENDS. AMOUNT: 308. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CLOTHES TO KIDS. GRANTEE ADDRESS: 5011 W HILLSBOROUGH AVE TAMPA, FL 33634. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CHILDREN'S HOME NETWORK. GRANTEE ADDRESS: 10909 MEMORIAL HIGHWAY TAMPA, FL 33615. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CHAMPIONS FOR CHILDREN, INC.. GRANTEE ADDRESS: 3108 WEST AZEELE ST TAMPA, FL 33609. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: FRAMEWORKS OF TAMPA BAY. GRANTEE ADDRESS: 402 EAST OAK AVENUE TAMPA, FL 33602. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: JUDEO CHRISTIAN HEALTH CLINIC, INC.. GRANTEE ADDRESS: 4118 N MACDILL AVE TAMPA, FL 33607. AMOUNT GIVEN: 6,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: TAMPA LIGHTHOUSE FOR THE BLIND, INC.. GRANTEE ADDRESS: 1106 W PLATT ST TAMPA, FL 33606. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: NEW LIFE VILLAGE. GRANTEE ADDRESS: 4926 VENICE LAKE AVE TAMPA, FL 33619. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: THE OUTREACH CLINIC. GRANTEE ADDRESS: 517 N PARSONS AVE BRANDON, FL 33510. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: MORE HEALTH, INC.. GRANTEE ADDRESS: 3821 HENDERSON BLVD TAMPA, FL 33629. AMOUNT GIVEN: 3,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: VOICES FOR CHILDREN OF TAMPA BAY, INC.. GRANTEE ADDRESS: 3314 HENDERSON BLVD, SUITE 207 TAMPA, FL 33609. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: BARBARA L HIGGINS LEGACY. GRANTEE ADDRESS: 9116 MOUNTAIN MAGNOLIA DR RIVERVIEW , FL 33578. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: OPERATION WALK FLORIDA INC. GRANTEE ADDRESS: 1200 W PLATT SUITE 100 TAMPA, FL 33606. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: HCMA PHYSICIAN WELLNESS PROGRAM. GRANTEE ADDRESS: 606 S BOULEVARD TAMPA, FL 33606. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: PANIT SINGH. GRANTEE ADDRESS: 111 N 12TH ST #1325 TAMPA, FL 33602. AMOUNT GIVEN: 2,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 44,500. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADMINISTRATIVE CHARGES. AMOUNT: 18,094. DESCRIPTION: PHYSICIAN WELLNESS PROGRAM EXPENSES. AMOUNT: 7,982. TOTAL TO FORM 990-EZ, LINE 16: 26,076. |
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. | DeclarationDesc |