2019-11-14T17:02:35-06:00 2018-12-31 680323663 THOMAS PORCH & GULLICKSON CPAS 5213 EL MERCADO PKWY STE E SANTA ROSA CA 954031301 990 2018-01-01 680136430 SONOMA COUNTY ACADEMIC FOUNDATION FOR EXCELLENCE IN MEDICINE SONO 7075276223 3569 ROUND BARN CIRCLE NO 200 SANTA ROSA CA 95403 TARA SCOTT MD PRESIDENT 7075276223 2019-10-30 1 MARLA GULLICKSON P00052647 7075754236 2019-10-21 72.160.14.209 2019-10-30 18:48:29 MD P 1725DBE3BB13CC97068609F6ABD785DF2A0973E6 E835F731291D9787217D2A2819E5EC4D5A469E93 2018 2020-03-31 21:24:44Z X TARA SCOTT MD 3569 ROUND BARN CIRCLE STE 200 SANTA ROSA CA 95403 339283 0 X N/A X 501(C)(3) ORGANIZATION 1987 CA MEDICAL EDUCATION 5 5 1 0 0 0 759971 332904 0 3190 59 3162 0 27 760030 339283 0 46400 0 0 15486 24252 0 0 0 255151 314182 270637 384834 489393 -45551 711154 684650 115217 134264 595937 550386 TO FOSTER EXCELLENCE IN THE PRACTICE, RESEARCH, AND TEACHING OF MEDICINE. 0 0 365240 46400 THE FOUNDATION PROVIDES GRANT ADMINISTRATION, CONTINUING MEDICAL EDUCATION COURSES AND OTHER MEDICAL TRAINING RELATED SERVICES. 365240 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 CA X CHRISTINE S FAUX 7075276223 3569 ROUND BARN CIRCLE STE 200 SANTA ROSA CA 95403 X LISA WARD MD BOARD MEMBER 2.00 X 0 0 0 CHERYL GREEN MD BOARD MEMBER 2.00 X 0 0 0 TARA SCOTT MD PRESIDENT 2.00 X 0 0 0 DAN MARRIN MD JD VICE PRESIDENT 2.00 X 0 0 0 MARSHALL KUBOTA MD SECRETARY-TREASURER 2.00 X 0 0 0 0 0 0 0 0 0 0 0 234550 98354 332904 CONFERENCE FEES 611430 3190 3190 3190 3162 3162 27 27 339283 0 0 6379 46400 46400 21318 11725 9593 1191 655 536 1743 959 784 2065 2065 57 28 29 7056 5562 1494 7787 7787 2520 378 2142 SUBCONTRACTORS 285998 285998 POSTAGE & SUPPLIES 4219 2109 2110 PRINTING 3240 2399 841 PROFESSIONAL DEVELOPMEN 649 649 591 591 384834 365240 19594 0 61404 7294 537841 534575 103230 131333 8679 11448 711154 684650 114546 124214 671 10050 115217 134264 X 567035 549786 28902 600 595937 550386 711154 684650 -45551 0 X 0 0 0 X 190225 238638 245213 708356 308004 1690436 190225 238638 245213 708356 308004 1690436 0 0 0 1690436 67 57 66 59 3189 3438 67 57 66 59 3189 3438 190292 238695 245279 708415 311193 1693874 0.99800 0.99980 0.00200 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 KAISER PERMANENTE SANTA ROSA MEDICAL CENTER 401 BICENTENNIAL WAY SANTA ROSA CA 95403 941340523 501(C)(3) 17173 FMV MEDICAL TRAINING MODELS DONATION OF MEDICAL MODELS FOR MEDICAL PERSONNEL TRAINING SUTTER BAY HOSPITALS DBA SUTTER SANTA ROSA REGIONAL HOSPITAL 30 MARK WEST SPRINGS ROAD SANTA ROSA CA 95403 940562680 501(C)(3) 28948 FMV MEDICAL TRAINING MODELS DONATION OF MEDICAL MODELS FOR MEDICAL PERSONNEL TRAINING 2 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION INCLUDING GOVERNING DOCUMENTS, POLICIES AND CERTAIN FINANCIAL INFORMATION IS AVAILABLE UPON REQUEST.