LANE COUNTY MEDICAL SOCIETY FOUNDATION: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: LANE COUNTY MEDICAL SOCIETY FOUNDATION (EIN 32-0080103)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201943179349203314
Schema version: 2018v3.1
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 A
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T14:26:21-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	930819646	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JONES & ROTH PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 10086	AddressLine1Txt
City	EUGENE	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97440	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990EZ	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	320080103	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LANE COUNTY MEDICAL SOCIETY FDN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LANE	BusinessNameControlTxt
Phone	5416860995	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7192	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97475	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARSHALL WILDE	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	5416860995	PhoneNum
Signature	2019-10-23	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARI YOUNG	PreparerPersonNm
PTIN	P01325552	PTIN
Phone	5416872320	PhoneNum
Preparation	2019-11-11	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.154.164.90	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-13	IPDt
IP Tm	14:26:21	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C9E21E635FBF3B49EFFC6769C6377F6DC1330F24	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C9E21E635FBF3B49EFFC6769C6377F6DC1330F24	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990-EZ IRS990EZ

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Schedule B Not Required	Yes (X)	ScheduleBNotRequiredInd
Website Address	N/A	WebsiteAddressTxt
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Gross Receipts	$11,500	GrossReceiptsAmt
Info In Schedule O Part I	Yes (X)	InfoInScheduleOPartIInd
Contributions Gifts Grants Etc	$2,626	ContributionsGiftsGrantsEtcAmt
Investment Income	$8,874	InvestmentIncomeAmt
Total Revenue	$11,500	TotalRevenueAmt
Grants And Similar Amounts Paid	$11,317	GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct	$2,235	FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total	$38,228	OtherExpensesTotalAmt
Total Expenses	$51,780	TotalExpensesAmt
Excess Or Deficit For Year	-$40,280	ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY	$504,124	NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets	-$42,793	OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY	$421,051	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part II	Yes (X)	InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

Field	Value	IRS element (for citing)
BOY	$503,624	BOYAmt
EOY	$421,049	EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

Field	Value	IRS element (for citing)
BOY	$500	BOYAmt
EOY	$2	EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$504,124	BOYAmt
EOY	$421,051	EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

Field	Value	IRS element (for citing)
BOY	$504,124	BOYAmt
EOY	$421,051	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Primary Exempt Purpose	THE LANE COUNTY MEDICAL SOCIETY FOUNDATION'S MISSION IS TO PROMOTE WELLNESS AND SECURITY FOR THE CITIZENS OF LANE COUNTY THROUGH PATIENT AND COMMUNITY EDUCATION, DIRECT SERVICE PROVISION AND PHYSICAL EDUCATION AND ORGANIZATION.	PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

Field	Value	IRS element (for citing)
Description Program Srvc Accom	TO PROMOTE PHYSICIAN WELLNESS AND SECURITY FOR THE PHYSICIAN COMMUNITY AND THE PATIENT COMMUNITY AT LARGE.	DescriptionProgramSrvcAccomTxt
Grants And Allocations	$11,317	GrantsAndAllocationsAmt
Program Service Expenses	$49,255	ProgramServiceExpensesAmt

Field	Value	IRS element (for citing)
Total Program Service Expenses	$49,255	TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (21 entries)

TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt
JILL BETTERTON MD
PAST PRESIDE	1.00	$0
SARA BATYA MD
PRESIDENT	1.00	$0
JULIE HUGHES MD
PAST PRESIDE	1.00	$0
CRAIG LASH MD
SEC/TREASURE	1.00	$0
PATRICK TANDINGAN MD
SEC/TREASURE	1.00	$0
PAUL CHAVIN MD
TRUSTEE	1.00	$0
DAVID BEAR MD
TRUSTEE	1.00	$0
JOCELYN PARK MD
TRUSTEE	1.00	$0
MONIQUE CARROLL MD
TRUSTEE	1.00	$0
DAVID NGUYEN MD
TRUSTEE	1.00	$0
SYLVIA EMORY MD
TRUSTEE	1.00	$0
ALICE HORRELL MD
TRUSTEE	1.00	$0
LAUREN HERBERT MD
TRUSTEE	1.00	$0
RICHARD BEYERLEIN MD
TRUSTEE	1.00	$0
MARK MUELLER MD
TRUSTEE	1.00	$0
PETER KOSEK MD
TRUSTEE	1.00	$0
ORTESTES GUTIERREZ MD
TRUSTEE	1.00	$0
ABNER SATTERTHWAITE-PHILLIPS MD
TRUSTEE	1.00	$0
KEVIN MODESTE MD
TRUSTEE	1.00	$0
PRIYA CARDEN MD
TRUSTEE	1.00	$0
MARSHALL WILDE
EXECUTIVE DI	1.00	$102,464	$11,646

Field	Value	IRS element (for citing)
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt	false	ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI	false	OrganizationHadUBIInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Form1120 Pol Filed	false	Form1120PolFiledInd
Made Loans To From Officers	false	MadeLoansToFromOfficersInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PAM SNYDER	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7192	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97475	ZIPCd

Field	Value	IRS element (for citing)
Phone	5416860995	PhoneNum

Field	Value	IRS element (for citing)
Foreign Financial Account	false	ForeignFinancialAccountInd
Foreign Office	false	ForeignOfficeInd
Donor Advised Fnds	false	DonorAdvisedFndsInd
Operate Hospital	false	OperateHospitalInd
Tanning Services Provided	false	TanningServicesProvidedInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
School Operating	false	SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd Empl	NONE	PartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof Srvc	NONE	PartVIHghstPdCntrctProfSrvcTxt
Filed Schedule A	Yes (true)	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	$97,973	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$138,999	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$64,455	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$55,555	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,626	CurrentTaxYearAmt
Total	$359,608	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$97,973	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$138,999	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$64,455	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$55,555	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,626	CurrentTaxYearAmt
Total	$359,608	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$2,482	SubstantialContributorsTotAmt
Public Support Total170	$357,126	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,875	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,967	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,624	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,972	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,874	CurrentTaxYearAmt
Total	$16,312	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$375,920	TotalSupportAmt
Public Support CY170	0.95000	PublicSupportCY170Pct
Public Support PY170	0.98030	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10	NAME: COMMUNITY SUPPORTED SHELTERS ADDRESS: 1160 GRANT STREET EUGENE, OR 97402 CASH CONTRIBUTION: 8,000
FORM 990-EZ, PART I, LINE 16	EXPENSES ADVERTISING AND PROMOTION 150 BUSINESS LICENSES AND FEE 140 WELLNESS COUNSELING 37,938 TOTAL 38,228
FORM 990-EZ, PART I, LINE 20	UNREALIZED LOSS -42,793 UNREALIZED LOSS ON INVESTMENTS.
FORM 990-EZ, PART II, LINE 24	UNDEPOSITED FUNDS 500 2 TOTAL 500 2
FORM 990-EZ, PART III	THE LANE COUNTY MEDICAL SOCIETY FOUNDATION'S MISSION IS TO PROMOTE WELLNESS AND SECURITY FOR THE CITIZENS OF LANE COUNTY THROUGH PATIENT AND COMMUNITY EDUCATION, DIRECT SERVICE PROVISION AND PHYSICAL EDUCATION AND ORGANIZATION.