STRATEGY STUDIO / PUBLIC DATA EXPLORER

LANE COUNTY MEDICAL SOCIETY FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LANE COUNTY MEDICAL SOCIETY FOUNDATION (EIN 32-0080103)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201813179349305611
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T11:17:55-08:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930819646PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JONES & ROTH PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10086AddressLine1Txt
CityEUGENECityNm
State AbbreviationORStateAbbreviationCd
ZIP97440ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320080103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LANE COUNTY MEDICAL SOCIETY FDNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLANEBusinessNameControlTxt
Phone5416860995PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1990 WEST 7TH AVEAddressLine1Txt
CityEUGENECityNm
State AbbreviationORStateAbbreviationCd
ZIP97402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARSHALL WILDEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5416860995PhoneNum
Signature2018-10-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEREMY PRICKELPreparerPersonNm
PTINP00515216PTIN
Phone5416872320PhoneNum
Preparation2018-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.154.164.90IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm13:17:55IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC9E21E635FBF3B49EFFC6769C6377F6DC1330F24AtSubmissionCreationDeviceId
At Submission Filing Device IdC9E21E635FBF3B49EFFC6769C6377F6DC1330F24AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARSHALL WILDEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1990 WEST 7TH AVEAddressLine1Txt
CityEUGENECityNm
State AbbreviationORStateAbbreviationCd
ZIP97402ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$57,527GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTHE 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.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$64,455PYContributionsGrantsAmt
CY Contributions Grants$55,555CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,624PYInvestmentIncomeAmt
CY Investment Income$1,972CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$66,079PYTotalRevenueAmt
CY Total Revenue$57,527CYTotalRevenueAmt
CY Grants And Similar Paid$11,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$1,560PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,542PYOtherExpensesAmt
CY Other Expenses$20,733CYOtherExpensesAmt
PY Total Expenses$12,102PYTotalExpensesAmt
CY Total Expenses$31,733CYTotalExpensesAmt
PY Revenues Less Expenses$53,977PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$25,794CYRevenuesLessExpensesAmt
Total Assets BOY$478,330TotalAssetsBOYAmt
Total Assets EOY$504,124TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$478,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$504,124NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,608ExpenseAmt
Grant$11,000GrantAmt
DescTO PROMOTE PHYSICIAN WELLNESS AND SECURITY FOR THE PHYSICIAN COMMUNITY AND THE PATIENT COMMUNITY AT LARGE.Desc
Total Program Service Expenses$29,608TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNY BUFORDPersonNm
Phone5416860995PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1990 WEST 7TH AVEAddressLine1Txt
CityEUGENECityNm
State AbbreviationORStateAbbreviationCd
ZIP97402ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
JULIE HUGHES MD
PAST PRESIDE1.00Yes (X)Yes (X)$0$0$0
JILL BETTERTON MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SARA BATYA MD
PRESIDENT -1.00Yes (X)Yes (X)$0$0$0
CRAIG LASH MD
SECRETARY-TR1.00Yes (X)Yes (X)$0$0$0
PATRICK TANDINGAN MD
SECR.-TREASU1.00Yes (X)Yes (X)$0$0$0
DAVID BEAR MD
TRUSTEE1.00Yes (X)$0$0$0
JOCELYN PARK MD
TRUSTEE1.00Yes (X)$0$0$0
MONIQUE CARROLL MD
TRUSTEE1.00Yes (X)$0$0$0
DAVID NGUYEN MD
TRUSTEE1.00Yes (X)$0$0$0
ALICE HORRELL MD
TRUSTEE1.00Yes (X)$0$0$0
LAUREN HERBERT MD
TRUSTEE1.00Yes (X)$0$0$0
RICHARD BEYERLEIN MD
TRUSTEE1.00Yes (X)$0$0$0
MARK MUELLER MD
TRUSTEE1.00Yes (X)$0$0$0
PETER KOSEK MD
TRUSTEE1.00Yes (X)$0$0$0
SYLVIA EMORY MD
TRUSTEE1.00Yes (X)$0$0$0
PAUL CHAVIN MD
TRUSTEE1.00Yes (X)$0$0$0
MARSHALL WILDE
EXECUTIVE DI1.00Yes (X)$0$98,645$2,94340.00
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$98,645TotReportableCompRltdOrgAmt
Total Other Compensation$2,943TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$55,555AllOtherContributionsAmt
Total Contributions$55,555TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,972TotalRevenueColumnAmt
Exclusion$1,972ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,527TotalRevenueColumnAmt
Exclusion$1,972ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,000TotalAmt
Program Services$11,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,574TotalAmt
Management And General$1,574ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$413TotalAmt
Management And General$413ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
WELLNESS COUNSELING$18,558$18,558
MISCELLANEOUS$138$138
DUES AND SUBSCRIPTIONS$50$50

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,733TotalAmt
Program Services$29,608ProgramServicesAmt
Management And General$2,125ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$292,990BOYAmt
EOY$503,624EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$185,340BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$478,330BOYAmt
EOY$504,124EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$478,330BOYAmt
EOY$504,124EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$478,330BOYAmt
EOY$504,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$478,330BOYAmt
EOY$504,124EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$25,794ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,455CurrentTaxYearMinus1YearAmt
Current Tax Year$55,555CurrentTaxYearAmt
Total$457,626TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,455CurrentTaxYearMinus1YearAmt
Current Tax Year$55,555CurrentTaxYearAmt
Total$457,626TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$677SubstantialContributorsTotAmt
Public Support Total170$456,949PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,967CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,624CurrentTaxYearMinus1YearAmt
Current Tax Year$1,972CurrentTaxYearAmt
Total$8,514TotalAmt
FieldValueIRS element (for citing)
Total Support$466,140TotalSupportAmt
Public Support CY1700.98030PublicSupportCY170Pct
Public Support PY1700.98930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARSHALL WILDEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSPSE OF BOD MEMRelationshipDescriptionTxt
Transaction$98,645TransactionAmt
TransactionEMP COMPENSATIONTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationMARSHALL WILDE, EXECUTIVE DIRECTOR IS MARRIED TO MONIQUE CARROLL, MD WHO SERVED ON THE BOARD OF TRUSTEES. THUS, MONIQUE CARROLL IS NOT CONSIDERED AS INDEPENDENT VOTING MEMBER.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE 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.
FORM 990, PAGE 1, PART I, LINE 6ATTENDANCE AT BOARD MEETINGS AND GENERAL DUTIES ASSOCIATED WITH THEIR TITLE.
FORM 990, PAGE 6, PART VI, LINE 2MCKENZIE PEDIATRICS PEDIATRICIAN MARSHALL WILDE, ED'S SPOUSE
FORM 990, PAGE 6, PART VI, LINE 11B990 IS DISTRIBUTED TO OFFICERS AND TRUSTEES FOR APPROVAL BEFORE FILING.
FORM 990, PAGE 6, PART VI, LINE 12CYES, OFFICER, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE, ANNUALLY, INTEREST THAT COULD GIVE RISE TO CONFLICT. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LANE COUNTY MEDICAL SOCIETYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1990 WEST 7TH AVEAddressLine1Txt
CityEUGENECityNm
State AbbreviationORStateAbbreviationCd
ZIP97402ZIPCd
FieldValueIRS element (for citing)
EIN930562411EIN
Primary ActivitiesBUS LEAGUEPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Exempt Code Section501C6ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd