2021-08-24T15:26:04-05:00 2020-12-31 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 550 MILWAUKEE WI 53202 990 2020-01-01 042760899 CERTIFICATION BOARD OF INFECTION CONTROL AND EPIDEMIOLOGY INC CERT 4149189796 555 E WELLS STREET NO 1100 MILWAUKEE WI 53202 CHRISTOPHER L OLSON BS CIC TREASURER 4149189796 2021-08-24 1 CHRISTOPHER OLSON BS CIC 999009999 KATY L SOMMER P00273273 4142711451 2021-08-24 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTOPHER L OLSON BS 555 E WELLS STREET NO 1100 MILWAUKEE WI 53202 981451 0 X WWW.CBIC.ORG X 1981 MA THE MISSION OF CBIC IS TO PROVIDE PATHWAYS TO ASSESS AND MAINTAIN INFECTION PREVENTION COMPETENCY. 14 14 0 17 0 0 0 0 883341 916954 49133 44788 19525 18545 951999 980287 0 0 0 0 0 0 0 0 0 925454 940252 925454 940252 26545 40035 1773828 2049603 172485 202632 1601343 1846971 TO PROTECT THE PUBLIC THROUGH THE DEVELOPMENT, ADMINISTRATION, AND PROMOTION OF AN ACCREDITED CERTIFICATION IN INFECTION PREVENTION AND CONTROL. 0 0 159608 510329 EXAM ADMINISTRATION: CBIC OFFERS VOLUNTARY PERIODIC CERTIFICATION EXAMS FOR ALL INFECTION CONTROL PROFESSIONALS MEETING EDUCATIONAL AND PRACTICE REQUIREMENTS. THE PURPOSE OF THE CERTIFICATION PROCESS IS TO PROTECT THE PUBLIC BY PROVIDING A STANDARDIZED MEASUREMENT OF CURRENT BASIC KNOWLEDGE NEEDED FOR PERSONS PRACTICING INFECTION CONTROL, TO ENCOURAGE INDIVIDUAL GROWTH AND STUDY, THEREBY PROMOTING PROFESSIONALISM AMONG INFECTION CONTROL PROFESSIONALS AND TO FORMALLY RECOGNIZE INFECTION CONTROL PROFESSIONALS WHO FULFILL THE REQUIREMENTS FOR CERTIFICATION. CBIC'S CERTIFICATION PROGRAM IS ACCREDITED BY THE NATIONAL COMMISSION FOR CERTIFYING AGENCIES. 14363 368050 RECERTIFICATION EXAMINATION: IS AN OPEN BOOK WEB-BASED EXAM AVAILABLE ONLY TO RE-CERTIFIERS. IT IS DESIGNED FOR THE CANDIDATE TO COMPLETE AT HIS OR HER OWN PACE WITHIN THE CALENDAR YEAR THAT THE CANDIDATE IS DUE FOR RECERTIFICATION. RECERTIFYING CANDIDATES MAY RECERTIFY EITHER BY PASSING A WEB-BASED RECERTIFICATION EXAMINATION OR THROUGH CONTINUING EDUCATION, HEREBY REFERRED TO AS INFECTION PREVENTION UNITS (IPUS). 0 38575 EXAM PREP WEBINARS: CBIC OFFERS ON-DEMAND WEBINARS ON EACH OF THE 8 DOMAIN CONTENT AREAS. THESE WEBINARS WERE RECORDED ON JUNE 26, 2015 AT THE ANNUAL APIC CONFERENCE IN NASHVILLE, TN. THE EIGHT DOMAIN AREAS ARE: (1. IDENTIFICATION OF INFECTIOUS DISEASE PROCESSES) (2. SURVEILLANCE AND EPIDEMIOLOGIC INVESTIGATION) (3. PREVENTING/CONTROLLING THE TRANSMISSION OF INFECTIOUS AGENTS) (4. EMPLOYEE/OCCUPATIONAL HEALTH) (5. MANAGEMENT AND COMMUNICATION) (6. EDUCATION AND RESEARCH) (7. ENVIRONMENT OF CARE) AND (8. CLEANING, STERILIZATION, DISINFECTION, ASEPSIS). 464924 464924 638895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X EXECUTIVE DIRECTOR INC 4142766445 555 E WELLS STREET SUITE 1100 MILWAUKEE WI 53202 X SANDRA CALLERY RN MHSC CIC DIRECTOR 1.00 X 0 0 0 CHRISTOPHER L OLSON BS CIC TREASURER 1.00 X X 0 0 0 JANET GLOWICZ MPH PHD RN PRESIDENT ELECT 1.00 X X 0 0 0 JAMES F MARX PHD RN CIC DIRECTOR 1.00 X 0 0 0 ROY BOUKIDJIAN RN BSNPHNCIC PAST PRESIDENT 1.00 X X 0 0 0 IVAN W GOWE MS BS MLS CIC SECRETARY 1.00 X X 0 0 0 FRANK J NEMEC MD CIC DIRECTOR 1.00 X 0 0 0 JACIE COLYN VOLKMAN MPH CIC DIRECTOR 1.00 X 0 0 0 EVELYN MCKNIGHT CONSUMER DIRECTOR 1.00 X 0 0 0 KAREN G ANDERSON MT MPH CI DIRECTOR 1.00 X 0 0 0 LINDA GOSS DNP BS APRN ANP-BC CO PRESIDENT 1.00 X X 0 0 0 ROBERT M COONEY CIC DIRECTOR 1.00 X 0 0 0 TERRI REBMANN PHD RN DID FAPIC DIRECTOR 1.00 X 0 0 0 ELAINE LARSON CIC DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 EXECUTIVE DIRECTOR INC 555 E WELLS ST SUITE 1100 MILWAUKEE WI 53202 MANAGEMENT 470976 PROMETRIC BOX 223608 PITTSBURGH PA 15251 EXAMINATION 190877 2 COMPUTER EXAM 541900 510329 510329 RECERTIFICATION EXAM 541900 368050 368050 WEBINARS 541900 38575 38575 916954 44788 44788 12629 1164 11465 11465 MISCELLANEOUS 900099 7080 7080 7080 980287 935499 0 44788 470976 310579 160397 973 973 5550 5550 27050 27050 27687 27687 29006 29006 9859 9859 379 379 31276 18218 13058 21358 21358 3240 3240 EXAM DEVELOPMENT & ADMI 112531 112531 CORRELATION STUDY 71938 71938 JOB ANALYSIS 48751 48751 ASSOCIATES EXAM 47076 47076 32602 29423 3179 940252 638895 301357 0 77275 236746 33723 14426 3695 5740 1571 6626 79054 16783 1535793 1742422 42717 26860 1773828 2049603 43435 48057 129050 154575 172485 202632 X 1601343 1846971 1601343 1846971 1773828 2049603 40035 205593 0 X X 0 1 X 1 0 0 X 1159994 205593 1164 206757 953237 27050 27050 980287 914366 1164 1164 913202 27050 27050 940252 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS REVIEWED ALL TAX POSITIONS RECOGNIZED IN PREVIOUSLY FILED TAX RETURNS AND THOSE EXPECTED TO BE TAKEN IN FUTURE TAX RETURNS. AS OF DECEMBER 31, 2020 THE ORGANIZATION HAD NO AMOUNTS RELATED TO UNRECOGNIZED INCOME TAX BENEFITS AND NO AMOUNTS RELATED TO ACCRUED INTEREST AND PENALTIES. THE ORGANIZATION DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES TO UNRECOGNIZED INCOME TAX BENEFITS OVER THE NEXT YEAR. PART XI, LINE 2D - OTHER ADJUSTMENTS: COGS 1,164. PART XII, LINE 2D - OTHER ADJUSTMENTS: COGS 1,164. FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - CBIC CONTRACTS WITH EXECUTIVE DIRECTOR INC (A FOR-PROFIT MANAGEMENT COMPANY) TO PROVIDE OFFICE FACILITIES, MANAGEMENT, RECORD KEEPING, ACCOUNTING, STORAGE, OTHER SIGNIFICANT SERVICES, PLUS RELATED OVERHEAD. FORM 990, PART VI, SECTION A, LINE 4 LINE 4 EXPLANATION- THE BYLAWS WERE UPDATED, INCLUDING AN UPDATE TO THE MISSION, COMPOSITION OF THE BOARD, AND TERMS OF OFFICE. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE ORGANIZATION'S TREASURER REVIEWS A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT. ANY RESULTANT COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM 990 BY THE INDEPENDENT ACCOUNTANT. A FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THREE TIMES A YEAR, AT THE BOARD MEETINGS, EACH BOARD MEMBER COMPLETES THE CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED AND KEPT ON FILE AT THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION B, LINE 15A CBIC IS MANAGED BY EXECUTIVE DIRECTOR, INC (A FOR-PROFIT MANAGEMENT COMPANY). CBIC HAS NO OFFICIAL EMPLOYEES, BECAUSE ALL STAFF ASSIGNED TO CBIC ARE EMPLOYEES OF THE MANAGEMENT FIRM. CBIC DOES NOT COMPENSATE DIRECTORS OR TOP OFFICIALS. FORM 990, PART VI, SECTION C, LINE 19 CBIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S TREASURER REVIEWS A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT. ANY RESULTANT COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM 990 BY THE INDEPENDENT ACCOUNTANT. A FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. APIC INC - CENTRAL 1275 K STREET NW SUITE 1000 WASHINGTON DC 200054006 237256856 EDUCATION MA 501(C)(3) LINE 10 0 APIC CONSULTING SERVICES INC (ACSI) 1275 K STREET NW SUITE 1000 WASHINGTON DC 200054006 262299922 CONSULTING DC APIC - CENTRAL C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0