2021-05-17T15:57:46-05:00 2020-12-31 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 550 MILWAUKEE WI 53202 990 2020-01-01 464754255 AMER ACADEMY OF FAMILY PHYSICIANS MASS CHAPTER INC AMER 2622426280 210 GREEN BAY RD THIENSVILLE WI 53092 BECKY WIMMER EXECUTIVE DIRECTOR 2622426280 2021-05-17 1 BECKY WIMMER 999009999 KATY L SOMMER P00273273 4142711451 2021-05-17 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z BECKY WIMMER 210 GREEN BAY RD THIENSVILLE WI 53092 317700 0 1077 X WWW.MASSAFP.ORG X 2014 MA THE ACADEMY IS DEDICATED TO ASSISTING ITS MEMBERS IN PROVIDING COMPASSIONATE, HIGH QUALITY HEALTHCARE TO THE PEOPLE OF MASSACHUSETTS. 22 22 0 200 0 0 888 4000 353943 293414 9243 12862 13799 7424 377873 317700 20000 20000 0 0 0 0 0 0 0 410927 297912 430927 317912 -53054 -212 278189 271676 155751 143282 122438 128394 X THE ACADEMY IS DEDICATED TO ASSISTING ITS MEMBERS IN PROVIDING COMPASSIONATE, HIGH QUALITY HEALTHCARE TO THE PEOPLE OF MASSACHUSETTS. 0 0 108199 ANNUAL MEETING AND CONTINUING EDUCATION EVENTS TO PROVIDE 150 MEMBERS WITH CLINICAL PRESENTATIONS AND FORUMS FEATURING DISCUSSIONS PERTAINING TO FAMILY MEDICINE. 74927 ADVOCACY FOR THE ASSOCATION'S MEMBERS 12325 SERVICES FOR THE MEMBERSHIP 20000 GRANT TO FOUNDATION PROMOTING FAMILY MEDICINE WORKFORCE DEVELOPING LEADERS WITHIN THE ASSOCATION AND FAMILY MEDICINE 20000 215451 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 X 22 22 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PREMIER CHOICE ASSOC MGMT LLC 2622426280 210 GREEN BAY ROAD THIENSVILLE WI 53092 X DEBORAH ERLICH DIRECTOR 1.00 X 0 0 0 DAVID GILCHRIST AAFP DELEGATE 1.00 X 0 0 0 JOSHUA ST LOUIS DIRECTOR 1.00 X 0 0 0 VIRGINIA VAN DUYNE DIRECTOR 1.00 X 0 0 0 ELIE ATA RES ALT DIR 1.00 X 0 0 0 KHALIL ALLEYNE TREASURER 1.00 X X 0 0 0 EMILY CHIN VICE-PRESIDENT 1.00 X X 0 0 0 GHAZALA ALAM DIRECTOR 1.00 X 0 0 0 MIGUEL CONCEPCION DIRECTOR 1.00 X 0 0 0 GAIL FAYRE DIRECTOR 1.00 X 0 0 0 JULIE JOHNSTON PRESIDENT-ELECT 1.00 X X 0 0 0 MICHAEL RICHARDSON DIRECTOR 1.00 X 0 0 0 MANJU MAHAJAN DIRECTOR 1.00 X 0 0 0 JENNIFER SPARKS BOARD CHAIR 1.00 X X 0 0 0 SUMANA SETTY RES DIRECTOR 1.00 X 0 0 0 WAYNE ALTMAN DIRECTOR 1.00 X 0 0 0 TIANTIAN WHITE STU DIRECTOR 1.00 X 0 0 0 MICHELE PARKER PRESIDENT 1.00 X X 0 0 0 TOM HINES AAFP DELEGATE 1.00 X 0 0 0 KAMI PHILLIPS AAFP ALT DEL 1.00 X 0 0 0 BECKY WIMMER EXECUTIVE DIR. 40.00 X 0 0 0 0 0 0 0 0 0 0 PREMIER CHOICE ASSOCIATION MANAGEMENT L 210 GREEN BAY ROAD THIENSVILLE WI 53092 MANAGEMENT SERVICES 172700 1 4000 4000 MEMBERSHIP DUES 611430 271742 271742 FOUNDATION ASSESSMENT 611430 20000 20000 ANNUAL MEETING 611430 1122 1122 CONFERENCE SUPPORT 611430 550 550 293414 5644 5644 7424 7424 7218 0 7218 7218 7218 317700 293414 0 20286 20000 172700 4250 74927 5917 3615 2860 9308 1637 BANK AND CREDIT CARD FE 8187 ANNUAL MEETING 7281 LEADERSHIP DEVELOPMENT 3228 BOARD EXPENSES 1977 2025 317912 94776 30506 4563 60900 4040 140 25624 157744 146748 17066 7758 278189 271676 52561 49329 103190 93953 155751 143282 X 122438 128394 122438 128394 278189 271676 -212 6168 0 X 1 X 0 0 0 0 0 0 291742 74925 74925 116697 -41772 0 MA ACADEMY OF FAMILY PHY FDN 210 GREEN BAY ROAD THIENSVILLE WI 53092 813784060 501(C)(3) 20000 DONATION FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - PREMIER CHOICE ASSOCIATION MANAGEMENT, LLC PERFORMS MANAGEMENT DUTIES UNDER THE DIRECT SUPERVISION OF THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE EXECUTIVE DIRECTOR REVIEWS THE PREPARED FORM 990 WITH THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS, INCLUDING THE TREASURER. IF THERE ARE ANY QUESTIONS OR COMMENTS, THEY ARE DISCUSSED PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS DEVELOPED A DISCLOSURE FORM WHICH IS TO BE COMPLETED BY OFFICERS AND BOARD MEMBERS, ORGANIZATION MEMBERS ELECTED OR APPOINTED TO SERVE THE ORGANIZATION WILL BE REQUESTED TO COMPLETE THIS DISCLOSURE FORM EACH TIME THEY ARE APPOINTED OR ELECTED TO A NEW TERM. ADDITIONALLY, ALL OF THOSE COMPLETING THE FORM ARE EXPECTED TO NOTIFY THE ORGANIZATION'S EXECUTIVE DIRECTOR IN WRITING IF A POTENTIAL CONFLICT OF INTEREST ARISES, WHICH HAS NOT PREVIOUSLY BEEN NOTED ON THE CURRENT DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 SURVEY DATA FROM ASAE, AAFP AND WSAE SURVEY DATA FROM ASAE, AAFP AND WSAE FORM 990, PART VI, SECTION C, LINE 19 THE INFORMATION IS AVAILABLE UPON REQUEST. MASSACHUSETTS ACADEMY OF FAMILY PHYSICIANS FOUNDATION INC 210 GREEN BAY RD THIENSVILLE WI 53092 813784060 CHARITABLE FOUNDATION MA 501(C)(3) LINE 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MA ACADEMY OF FAMILY PHYSICIANS FOUNDATION B 20000 FMV