2019-07-08T11:55:51-05:00 2018-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2018-01-01 030429253 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC SOCI 6784178100 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 MARYANN RAMOS MPH PA-C EMERITUS PRESIDENT 8015857588 2019-06-24 1 MARY JO ALEXANDER P00002534 7709558600 2019-06-24 50.192.51.169 2019-06-24 15:23:26 ED P 1D80EF4C2A8753E0332C9BC6492B45673CE6356A 36CA17837E5C31E931BF87A6C93A26E803B49F4E 2018 2019-02-21 02:37:17Z MARYANN RAMOS MPH PA-C 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 408996 0 X WWW.PAHX.ORG X 2002 NC PRESERVING AND PRESENTING THE HISTORY OF THE PA PROFESSION. UPDATED THE PAHX'S ILLUSTRATED WEBSITE WITH NEW RECORDED INTERVIEWS, BIOGRAPHIES AND PA-RELATED EXHIBITS. THE STAFF, TRUSTEES AND HISTORIANS PARTICIPATED IN PRESENTATIONS TO PA STUDENTS AND PA FACULTY. DEVELOPED AND PRESENTED A TWO-DAY PA HISTORIAN WORKSHOP TO PAS TO TEACH THEM ON TO PRESERVE THE HISTORY OF THEIR INSTITUTIONS. 12 11 0 11 0 0 406573 405846 0 0 0 0 0 3150 406573 408996 0 1000 0 0 215206 234807 0 0 0 189470 135960 404676 371767 1897 37229 133554 177506 37579 44302 95975 133204 X TO SHARE THE HISTORY OF THE DEVELOPMENT OF THE PA PROFESSION AND ILLUSTRATE HOW PAS CONTINUE TO MAKE A DIFFERENCE IN OUR SOCIETY. 0 0 174576 1000 SEE SCHEDULE OTHE PA HISTORY SOCIETY MAINTAINS A COLLECTION OF ARCHIVAL DOCUMENTS, REFERENCE MATERIALS, AUDIO & VIDEO CLIPS, AND MUSEUM ITEMS FROM THEDEVELOPMENT OF THE PA PROFESSION. THE SOCIETY SHARES THESE MATERIALS, VIA ITS ILLUSTRATED WEBSITE, AND DEVELOPS ADDITIONAL EDUCATIONALRESOURCES USED TO TEACH THE HISTORY OF PA PROFESSION. EDUCATIONAL MATERIALS INCLUDE A PUBLISHED THE PHYSICIAN ASSISTANT AN ILLUSTRATEDHISTORY BOOK, A PRODUCED DVD ABOUT THE CREATION OF THE NATIONAL PA ORGANIZATIONS TITLED, THE WAY WE WERE, A CONVERSATION WITH THE PAPROFESSION'S EARLY LEADERS, A DEVELOPED EDUCATIONAL TOOLKIT WITH LEARNING MODULES AND INSTRUCTORS GUIDE FOR PA FACULTY TO ASSIST THEMWITH TEACHING THE HISTORY OF THE PROFESSION. EACH YEAR THE SOCIETY CREATES ADDITIONAL EDUCATIONAL MATERIALS FROM ITS GROWING COLLECTION. 174576 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X E TIM RYAN VP FINANCE AND HR 6784178109 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 DAWN MORTON-RIAS EX-OFFICIO TRUSTEE 1.00 40.00 X X 0 411541 34168 MARYANN RAMOS PRESIDENT 1.00 X X 0 0 0 DEBORAH GERBERT SECRETARY/TREASURER 1.00 X X 0 0 0 COURTNEY AMBURGEY TRUSTEE 1.00 X 0 0 0 JOHN J DAVIS TRUSTEE 1.00 X 0 0 0 MARILYN FITZGERALD TRUSTEE 1.00 X 0 0 0 HENRY HEARD TRUSTEE 1.00 X 0 0 0 LESLIE A KOLE TRUSTEE 1.00 X 0 0 0 KAREN MUTITALO PAST PRESIDENT 1.00 X 0 0 0 MAHA B LUND TRUSTEE 1.00 X 0 0 0 STEVE WILSON TRUSTEE 1.00 X 0 0 0 ROBERT WOOTEN TRUSTEE 1.00 X 0 0 0 0 411541 34168 0 0 1 0 0 340000 65846 405846 MISCELLANEOUS 900099 3150 3150 3150 408996 0 0 3150 1000 1000 168648 83548 85100 66159 32686 33473 1476 1476 2200 2200 17100 11050 6050 21465 17339 4126 4715 61 4654 15600 15600 60829 23133 37696 1571 1571 2288 2288 PRINTING 5759 5759 CREDIT CARD PROCESSING 1390 1390 MISCELLANEOUS EXPENSE 1035 1035 TRAINING 532 532 371767 174576 197191 0 122006 170185 24 4235 7207 340 8617 5871 4317 2746 133554 177506 7782 6257 29797 38045 37579 44302 X 94975 130054 1000 3150 95975 133204 133554 177506 37229 0 X X 0 1 X 1 0 X X 1 NATL COMM ON CERT OF PHYS ASSISTANT 581218672 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, LINE 3B THE SUPPORTED ORGANIZATION, THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC (NCCPA), RECEIVES THE MAJORITY OF ITS SUPPORT FROM EXEMPT ACTIVITY FUNCTIONS WHICH ARE DERIVED DIRECTLY FROM THE ADMINISTRATION OF EXAMS AND RECERTIFICATION REQUIRED TO BE CERTIFIED AS A PHYSICIAN ASSISTANT. CONSEQUENTLY, NCCPA, A 501(C)(6) ORGANIZATION, WILL CONTINUE TO PASS THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2) INDEFINITELY (97.6% IN FYE 2018) SHOULD THERE EVER BE A SIGNIFICANT CHANGE IN PROGRAM FUNCTIONS, THE SOCIETY WILL BE NOTIFIED IMMEDIATELY. PART IV, LINE 3C THE EXPENSES SHOWN GOING TO THE SUPPORTED ORGANIZATION (NCCPA) ARE IN FACT EXPENSES SPENT BY THE SOCIETY TO SUPPORT ITS PROGRAM INITIATIVES WHICH ARE ORIGINALLY DIRECTED TO THE SOCIETY BY NCCPA. THE SOCIETY OPERATES ITS OWN PROGRAMS AND HAS THE CONTROL OVER WHERE THE FUNDS ARE DIRECTED, WHICH ARE FOR CHARITABLE AND EDUCATIONAL PURPOSES UNDER SECTION 170(C)(2)(B. THE SOCIETY PROVIDES WRITTEN REPORTS ABOUT ITS PROGRAM ACTIVITIES TO NCCPA ON A QUARTERLY BASIS. THE NCCPA BOARD OF DIRECTORS ALSO PROVIDES DIRECTION FOR THE SOCIETY'S FUTURE PROGRAM ACTIVITIES, AND THE SOCIETY WILL PRESENT ITS STRATEGIC INITIATIVES FOR 2019 TO NCCPA AT THE BOARD MEETING IN NOVEMBER 2018. 4689 2282 2407 3928 3589 339 2746 RELATED PARTY PAYABLE - NCCPA 38045 38045 X 408996 0 408996 0 408996 371767 0 371767 0 371767 PART X, LINE 2: THE COMMISSION IS EXEMPT FROM INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(6), AND THE FOUNDATION AND THE PA HISTORY SOCIETY ARE EXEMPT UNDER SECTION 501(C)(3). MANAGEMENT OF THE ORGANIZATION CONSIDERS THE LIKELIHOOD OF CHANGES BY TAXING AUTHORITIES IN ITS FILED INCOME TAX RETURNS AND RECOGNIZES A LIABILITY FOR OR DISCLOSES POTENTIAL SIGNIFICANT CHANGES THAT MANAGEMENT BELIEVES ARE MORE LIKELY THAN NOT TO OCCUR, INCLUDING CHANGES TO THE ENTITY'S STATUS AS A NOT-FOR-PROFIT ENTITY. MANAGEMENT BELIEVES THE ENTITIES WITHIN THE ORGANIZATION MET THE REQUIREMENTS TO MAINTAIN THEIR TAX-EXEMPT STATUS AND HAVE NO INCOME SUBJECT TO UNRELATED BUSINESS INCOME TAX; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THESE FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 DAWN MORTON-RIAS EX-OFFICIO TRUSTEE 0 320378 0 66663 0 24500 0 33000 0 1168 0 445709 0 0 FORM 990 PART VII 100% OF THE ORGANIZATION'S PAYROLL IS REPORTED UNDER A RELATED ENTITY, NATIONAL COMMISSION OF CERTIFIED PHYSICIAN ASSISTANTS, "NCCPA". THE ORGANIZATION REIMBURSES NCCPA FOR COMPENSATION AND BENEFITS PAID FOR ALL OF ORGANIZATION'S EMPLOYEES INCLUDING THE MANAGING DIRECTOR OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 NCCPA (THE CORPORATE MEMBER) IS THE SOLE MEMBER OF THE SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY, INC AS THE SOLE MEMBER, THE NCCPA BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE SOCIETY'S BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7A PAHX BOARD PROVIDES RECOMMENDATIONS OF NEW TRUSTEES TO THE NCCPA BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER OF NCCPA REVIEWED THE FORM 990 PRIOR TO ITS FILING. THE 990 WAS SUPPLIED TO THE BOARD OF TRUSTEES VIA EMAIL WITH RETURN RECIEPT TO ENSURE EACH MEMBER HAD RECEIVED THEIR COPY. EACH TRUSTEE IS REQUIRED TO REVIEW THE FORM 990 AND VOTE TO APPROVE FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF TRUSTEES REVIEW AND SIGN A STATEMENT OF FIDUCIARY OBLIGATIONS, INCLUDING CONFLICT OF INTEREST ISSUES, ON AN ANNUAL BASIS. TRUSTEES RECUSE THEMSELVES FROM DISCUSSIONS OR VOTES ON ISSUES ON WHICH THEY HAVE A POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE NCCPA DETERMINES PAY BASED ON COMPENSATION STUDIES FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AT THE SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY, INC. ALL FINANCIAL AND GOVERNERING DOCUMENTS ARE STORED ON THE NCCPA-PAHX INTRANET SO THAT THE PAHX MANAGING DIRECTOR AND/OR THE NCCPA-PAHX FINANCE TEAM CAN ACCESS THEM. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSIGHT OF FINANCIAL STATEMENTS HAS NOT CHANGED. NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 581218672 CERTIFICATION OF PHYSICIAN ASSISTANTS GA 501(C)(6) N/A 0 NCCPA HEALTH FOUNDATION INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204318466 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 12B, II NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC P 267918 PERSONNEL RELATED COSTS NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC C 340000 CASH CONTRIBUTED