PCPI FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PCPI FOUNDATION (EIN 30-0590166)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2019-06-04
- IRS object ID
- 201941559349100504
- Schema version
- 2017v2.3
- 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-PF
- Schedule B
- Accounting Fees Schedule
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Reasonable Cause Explanation
- Substantial Contributors Sch
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-06-04T09:56:32-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363963131 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANN WEITZ & ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 DEER LAKE ROAD SUITE 125 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300590166 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCPI FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PCPI | BusinessNameControlTxt |
| Phone | 3127577274 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 N CLARK NO 1400-A | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60654 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN DONNELLY | PersonNm |
| Person Title | CEO/EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3127577274 | PhoneNum |
| Signature | 2019-06-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARCY STEINDLER | PreparerPersonNm |
| PTIN | P00573131 | PTIN |
| Phone | 8472673400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.225.221.131 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-06-01 | IPDt |
| IP Tm | 22:19:20 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CAFB5C9C123FBA50312E98C662C50AD8AE74D4A6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3ACE44DA01BAC7D596916A1D400CF57B0480D543 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return Former Pub Chrty | Yes (X) | InitialReturnFormerPubChrtyInd |
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,257,000 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $2,780,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $1,150 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,150 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $1,150 | InterestOnSavingsAdjNetIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $1,459,092 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $1,459,092 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $4,240,242 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,150 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $1,460,242 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $267,508 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $142,256 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $125,252 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $1,875,177 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $1,075,516 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $1,113,122 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $179,843 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $99,849 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $123,498 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $19,455 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $24,051 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $9,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $11,189 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $290,259 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $10,808 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $279,451 | OtherProfFeesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $52,176 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $209,160 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $116,126 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $96,331 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $453,264 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $453,264 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $397,291 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $15,687 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $360,664 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,753,133 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $1,460,242 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $2,586,822 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,753,133 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $1,460,242 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,586,822 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $487,109 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,150 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $159,246 | CashBOYAmt |
| Cash EOY | $351,571 | CashEOYAmt |
| Cash EOYFMV | $351,571 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $700,569 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $526,519 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $526,519 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $247,288 | AcctRcvblAmt |
| Acct Rcvbl BOY | $153,457 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $247,288 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $247,288 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses BOY | $2,191 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $1,445 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $1,445 | PrepaidExpensesEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $189,040 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $58,863 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $82,617 | LandBOYAmt |
| Land EOY | $130,177 | LandEOYAmt |
| Land EOYFMV | $130,177 | LandEOYFMVAmt |
| Total Assets BOY | $1,098,080 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,257,000 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,257,000 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $666,505 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $304,819 | AccountsPayableEOYAmt |
| Deferred Revenue BOY | $58,753 | DeferredRevenueBOYAmt |
| Deferred Revenue EOY | $92,250 | DeferredRevenueEOYAmt |
| Total Liabilities BOY | $725,258 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $397,069 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $372,822 | UnrestrictedBOYAmt |
| Unrestricted EOY | $859,931 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $372,822 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $859,931 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,098,080 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,257,000 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $372,822 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $487,109 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $859,931 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $859,931 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $23 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $23 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $23 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $23 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | THEPCPI.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN DONNELLEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3127577274 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 N CLARK ST SUITE 1400A | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60654 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN MCINTYRE MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR/CHAIR | 10.00 | $25,000 | $0 | $0 |
| ADRIENNE MIMS MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | VICE CHAIR | 4.00 | $0 | $0 | $0 |
| DIANNE JEWELL | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | TREASURER | 4.00 | $0 | $0 | $0 |
| LAURA CRANSTON RPH | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | SECRETARY | 4.00 | $0 | $0 | $0 |
| LARRY ALLEN MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| BRUCE AUERBACH MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| ARLENE BIERMAN MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| CAROL CRONIN | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| MELISSA DANFORTH | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| THOMAS GRANATIR | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| STANLEY HUFF MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| NANCY LUNDEBJERG | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| LLOYD MYERS | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| MELANIE PHELPS JD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| AMIR QASEEM MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| MARTHA RADFORD MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| WILLIAM RICH III MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| LOUIS SANDY MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| DAVID SHAHIAN MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| CAROL SIRIO MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| GEORGIA TUTTLE MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| RICHARD ZOROWITZ MD | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| KEVIN DONNELLY | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | CEO & EXECUTIVE DIRECTOR | 40.00 | $242,508 | $2,611 | $10,932 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| MARJORIE C RALLINS | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | VP AND CHIEF SCIENTI | 40.00 | $336,738 | $6,246 | $12,226 |
| SAMANTHA LEE TIERNEY | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | SR. DIRECTOR, MEASUR | 40.00 | $193,791 | $6,590 | $17,740 |
| SETH H BLUMENTHAL | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR OF DATA AND | 40.00 | $174,693 | $5,948 | $12,403 |
| STEPHEN L DAVIDOW | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR, QUALITY IM | 40.00 | $162,761 | $5,782 | $17,642 |
| DIEDRA D GRAY | ||||||||
| 353 N CLARK STREET | CHICAGO | IL | 60654 | DIRECTOR, MEASURE IM | 40.00 | $166,540 | $0 | $11,889 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 7 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MXOTECH INC | |||||
| 1101 W ADAMS ST SUITE A | CHICAGO | IL | 60607 | INFORMATION TECHNOLOGY SUPPORT | $96,098 |
| LASALLE NETWORK | |||||
| 200 N LASALLE ST | CHICAGO | IL | 60601 | EMPLOYMENT AGENCY | $85,663 |
| SMITHBUCKLIN | |||||
| 330 N WABASH AVE | CHICAGO | IL | 60611 | ASSOCIATION MANAGEMENT | $65,715 |
| APALON INC | |||||
| 750 MAIN ST | HARTFORD | CT | 06103 | CLINICAL INFORMATICS | $59,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | DEVELOP SCIENTIFICALLY VALID PERFORMANCE MEASURES: PCPI'S MEASUREMENT SCIENCE PROGRAM INCLUDES THREE DISTINCT BUT WELL-INTEGRATED AREAS - MEASURE DEVELOPMENT, MEASURE SPECIFICATION AND MEASURE TESTING - EACH OF WHICH IS ESSENTIAL TO PRODUCING HIGH QUALITY PERFORMANCE MEASURES READY FOR WIDESPREAD ADOPTION AND IMPLEMENTATION IN ELECTRONIC HEALTH RECORDS, REGISTRIES AND DATABASES. | Description1Txt |
| Expenses1 | $1,548,597 | Expenses1Amt |
| Description2 | UTILIZE CLINICAL REGISTRIES TO DRIVE OPTIMAL OUTCOMES: OUR NATIONAL QUALITY REGISTRY NETWORK (NQRN) PROMOTES A SUPPORTIVE REGULATORY ENVIRONMENT FOR REGISTRIES AND ADVOCATES FOR INCREASED INTEROPERABILITY BETWEEN REGISTRIES AND OTHER HEALTH INFORMATION TECHNOLOGY TO SPREAD LEADING PRACTICES AMONG MEMBERS AND MAXIMIZE THE UTILITY AND VALUE OF CLINICAL REGISTRIES. | Description2Txt |
| Expenses2 | $283,156 | Expenses2Amt |
| Description3 | A SPRING AND FALL CONFERENCE EACH YEAR PROVIDES AN OPPORTUNITY TO MEET PCPI LEADERSHIP AND STAFF, NETWORK WITH FELLOW PCPI MEMBERS, LEARN ABOUT THE ORGANIZATION'S CURRENT WORK AND FUTURE STRATEGIES IN MEASUREMENT SCIENCE, REGISTRIES AND QUALITY IMPROVEMENT AND JOIN PCPI'S EFFORTS TO IMPROVE THE QUALITY AND EFFICIENCY OF HEALTHCARE. THE NATIONAL CLINICAL REGISTRY CONFERENCE, CO-PRODUCED BY THE NATIONAL QUALITY RESTISTRY NETWORK (NQRN) AND COUNCIL OF MEDICAL SOCIETIES (CMSS), CONVENED THOUGHT LEADERS, INNOVATORS, AND INFLUENCERS IN THE REGISTRY COMMUNITY TO DISCUSS CHANGES IN NATIONAL HEALTHCARE POLICY, DATA INTEROPERABILITY, AND IMPROVING PATIENT HEALTH OUTCOMES. | Description3Txt |
| Expenses3 | $715,900 | Expenses3Amt |
| Description4 | IMPLEMENT QUALITY IMPROVEMENT INITIATIVES: THE PCPI QUALITY IMPROVEMENT (QI) PROGRAM FACILITATES THE RAPID ACCESS, SHARING, LEARNING, SCALE AND SPREAD OF QUALITY IMPROVEMENT METHODOLOGIES AS WE CONVENE THE EXPERTISE OF OUR MEMBERS AND LEVERAGE THIS KNOWLEDGE ACROSS ALL HEALTHCARE STAKEHOLDERS. | Description4Txt |
| Expenses4 | $265,300 | Expenses4Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $963,679 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $378,910 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,342,589 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,342,589 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $20,139 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,322,450 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $66,123 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $66,123 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $23 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $23 | TotalTaxAmt |
| Distributable Before Adj | $66,100 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $66,100 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $66,100 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,586,822 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,586,822 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $2,586,822 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp (3 entries)
| DescDesc | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|
| MEASUREMENT SCIENCE | $600,329 |
| MEMBERSHIP DUES | $413,600 |
| CONFERENCES/MEETINGS | $119,712 |
Fees Contracts From Govt Ag FeesContractsFromGovtAgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $323,773 | RelatedOrExemptFunctionIncmAmt |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,150 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Related Or Exempt Function Incm | $1,678 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,150 | ExclusionAmt |
| Related Or Exempt Function Incm | $1,459,092 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,460,242 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (4 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 1A | DEVELOPS SCIENTIFICALLY VALID PERFORMANCE MEASURES, DEVELOPMENT, SPECIFICATION, AND TESTING |
| 1B | PROVIDES OPPORTUNITY TO COLLABERATE WITH MEMBERS AND TO PARTICIPATE IN MEASUREMENT SCIENCE, NQRN, AND QI PROGRAMS |
| 1D | PROVIDES NETWORKING OPPORTUNITIES WITH PCPI LEADERSHIP, STAFF, AND MEMBERS AS WELL AS RELEVANT EDUCATIONAL OPPORTUNITIES |
| 1G | PCPI SUBCONTRACTED WITH MATHMATICA POLICY RESEARCH IN CONNECTION WITH A CONTRACT AWARDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | Yes (1) | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
Transfer Schedule Detail TransferScheduleDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 1b(3) | LineNumberTxt |
| Involved | $158,578 | InvolvedAmt |
Noncharitable Exempt Org Name NoncharitableExemptOrgName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN MEDICAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transfers Trans And Shr Arrngm | IN ITS INITIAL YEAR FILINGA AS A PRIVATE FOUNDATION, THE ORGANIZATION SUBLEASED SPACE FROM THE NONCHARITABLE ORGANIZATION THROUGH 12/31/17. | TransfersTransAndShrArrngmDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationships Nonchrtbl EO | Yes (1) | RelationshipsNonchrtblEOInd |
Relationship Schedule Detail RelationshipScheduleDetail
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN MEDICAL ASSOCIATION (AMA) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Type | 501(C)(6) | OrganizationTypeDesc |
| Relationship Description | THE ORGANIZATION WAS CREATED BY SPLITTING OFF CERTAIN ACTIVITIES FROM THE AMA. IN AN INITIAL PERIOD OF YEARS THE AMA MAINTAINS CERTAIN OVERSIGHT AND COLLABORATION FUNCTIONS. IN ADDITION, THE AMA PROVIDES SUBSTANTIAL FUNDING IN THAT INITIAL PERIOD. | RelationshipDescriptionTxt |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN MEDICAL ASSOCIATION | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 NORTH WABASH AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606115885 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $2,780,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $9,000 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $11,189 | DisbursementsCharitablePrpsAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $19,455 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $24,051 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| CORPORATE SERVICE COSTS | $29,956 | $0 | $0 | $29,956 |
| DUES | $11,644 | $0 | $0 | $11,644 |
| INSURANCE | $8,115 | $0 | $0 | $8,115 |
| INFORMATION TECHNOLOGY | $149,949 | $0 | $15,687 | $139,231 |
| MEMBERSHIP DEVELOPMENT | $61,088 | $0 | $0 | $61,088 |
| OFFICE EXPENSE | $53,873 | $0 | $0 | $27,964 |
| TEMPORARY LABOR | $82,666 | $0 | $0 | $82,666 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| MEASUREMENT SCIENCE | $600,329 | $600,329 |
| MEMBERSHIP DUES | $413,600 | $413,600 |
| CONFERENCES/MEETINGS | $119,712 | $119,712 |
| OTHER REVENUE | $1,678 | $1,678 |
| FEES FROM GOVERNMENT AGENCIES | $323,773 | $323,773 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MANAGMENT FEES | CategoryTxt |
| Amt | $290,259 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $10,808 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $279,451 | DisbursementsCharitablePrpsAmt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION IS FILING THIS 990PF AFTER THE EXTENDED DUE DATE OF NOVEMBER 15, 2018 (EXTENSION WAS FOR A FORM 990). THOUGH THE RETURN WAS INITIALLY PREPARED ON A TIMELY BASIS AS A PUBLIC CHARITY 990, UPON COMPLETION OF SCHEDULE A IT WAS DETERMINED THAT THE PUBLIC SUPPORT TEST HAD NOT BEEN MET FOR THE SECOND YEAR. RESEARCH INTO THE IRS CODE AND REGULATIONS WAS DONE TO DETERMINE NEXT STEPS, WHICH TOOK THE ORGANIZATION PAST THE DUE DATE. THE ORGANIZATION DID NOT INTENTIONALLY DISREGARD THE FILING REQUIREMENT, BUT RATHER, TOOK THE TIME TO ENSURE THAT THAT THE APPROPRIATE FILINGS WERE BEING MADE. GOING FORWARD, NOW THAT THE REQUIREMENTS ARE UNDERSTOOD, ALL 990PF FILINGS WILL BE TIMELY. ADDITIONALLY, THE ORGANIZATION PROPERLY EXTENDED THE 2018 RETURN AS FILING A FORM 990PF. | ExplanationTxt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN MEDICAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 N WABASH AVE SUITE 39300 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60611 | ZIPCd |