STRATEGY STUDIO / PUBLIC DATA EXPLORER

ASSOCIATION OF MEDICAL SCHOOL PEDIATRIC DEPARTMENT CHAIRMAN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF MEDICAL SCHOOL PEDIATRIC DEPARTMENT CHAIRMAN INC (EIN 16-6098016)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-06
IRS object ID
201800659349300820
Schema version
2016v3.0
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)
Return2018-03-06T20:00:28-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541019610PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CST GROUP CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110740 PARKRIDGE BLVD 5TH FLOORAddressLine1Txt
CityRESTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20191ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN166098016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF MEDICAL SCHOOL PEDIATRICBusinessNameLine1Txt
Business Name Line2DEPARTMENT CHAIRSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASSOBusinessNameControlTxt
Phone7035569222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA DEGNONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7035569222PhoneNum
Signature2018-03-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH J ROMAGNOLIPreparerPersonNm
PTINP00181102PTIN
Phone7033912000PhoneNum
Preparation2018-03-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.77.128.118IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-01IPDt
IP Tm09:29:07IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id396EB726704C150E30544A95CAEF189BA467FE1FAtSubmissionCreationDeviceId
At Submission Filing Device Id9E7420568392742B8BF4D9EDD965BC96521C92AAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAURA DEGNONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$467,773GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMSPDC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PURSUE OPTIMAL HEALTH OUTCOME OF CHILDREN THROUGH THE DEVELOPMENT OF SUCCESSFUL ACADEMIC DEPARTMENTS ACROSS NORTH AMERICAActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers47TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$379,552PYContributionsGrantsAmt
CY Contributions Grants$383,011CYContributionsGrantsAmt
PY Program Service Revenue$59,840PYProgramServiceRevenueAmt
CY Program Service Revenue$69,375CYProgramServiceRevenueAmt
PY Investment Income$7,939PYInvestmentIncomeAmt
CY Investment Income$15,387CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$447,331PYTotalRevenueAmt
CY Total Revenue$467,773CYTotalRevenueAmt
PY Grants And Similar Paid$46,617PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,462CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$247,349PYOtherExpensesAmt
CY Other Expenses$355,489CYOtherExpensesAmt
PY Total Expenses$293,966PYTotalExpensesAmt
CY Total Expenses$397,951CYTotalExpensesAmt
PY Revenues Less Expenses$153,365PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$69,822CYRevenuesLessExpensesAmt
Total Assets BOY$917,229TotalAssetsBOYAmt
Total Assets EOY$1,004,681TotalAssetsEOYAmt
Total Liabilities BOY$6,212TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,472TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$911,017NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,002,209NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH AND WELLBEING OF CHILDREN THROUGH THE DEVELOPMENT OF THE CHAIRS OF ACADEMIC PEDIATRIC DEPARTMENTS AND SUPPORT OF THEIR CLINICAL, RESEARCH, EDUCATION, AND ADVOCACY MISSIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$124,527ExpenseAmt
Grant$0GrantAmt
Revenue$41,875RevenueAmt
DescANNUAL MEETINGDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$42,462ExpenseAmt
Grant$42,462GrantAmt
Revenue$0RevenueAmt
DescORGANIZATIONAL SUPPORT TO VARIOUS ORGANIZATIONS TO PROMOTE EXCELLENCE IN UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION; SUPPORT AND ADVOCATE FOR MAXIMUM HEALTH OUTCOMES OF CHILDREN; ENHANCE THE LEADERSHIP AND MANAGEMENT SKILLS OF ITS MEMBERS; FOSTER EXCELLENCE AND INNOVATION IN CLINICAL CARE FOR CHILDREN AND IN RESEARCH AND EDUCATION IN HUMAN DEVELOPMENT AND CHILD'S HEALTH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$26,926ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescBOARD, COMMITTEE, AND LIAISON EXPENSESDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$16,972$0$0MEMBERSHIP SERVICES
$14,528$0$27,500PEDIATRIC LEADERSHIP DEVELOPMENT PROGRAM (PLDP) - THIS YEARLONG FELLOWSHIP PROGRAM CONSISTS OF A FORMAL MENTORSHIP PROGRAM, A PEER-TO-PEER MENTORSHIP PROGRAM, LEADER SEMINARS AND A LEADERSHIP DEVELOPMENT PROJECT.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$31,500TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$27,500TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$225,415TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEGNON ASSOCIATES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7035569222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP221013906ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MICHAEL ARTMAN MD
PRESIDENT10.00Yes (X)Yes (X)$0$0$0
SHERIN DEVASKAR MD
PRESIDENT ELECT1.00Yes (X)Yes (X)$0$0$0
ROBERT W WILMOTT MD MB BS
SECRETARY - TREASURER1.00Yes (X)Yes (X)$0$0$0
D WADE CLAPP MD
DIRECTOR1.00Yes (X)$0$0$0
LORETTA CORDOVA DE ORTEGA MD
DIRECTOR1.00Yes (X)$0$0$0
SAMIR S EL-DAHR MD
DIRECTOR1.00Yes (X)$0$0$0
GARY R FLEISHER MD
DIRECTOR1.00Yes (X)$0$0$0
ANN REED MD
DIRECTOR1.00Yes (X)$0$0$0
ALLISON EDDY MD
EX OFFICIO CANADIAN REPRESENTATIVE1.00Yes (X)$0$0$0
RICHARD JACOBS MD
FORMER PRESIDENT1.00Yes (X)Yes (X)$0$0$0
DAVID GREMSE MD
FORMER DIRECTOR1.00Yes (X)$0$0$0
CATHERINE MANNO MD
FORMER DIRECTOR1.00Yes (X)$0$0$0
D BRENT POLK MD
FORMER DIRECTOR1.00Yes (X)$0$0$0
TERESA QUATTRIN MD
FORMER DIRECTOR1.00Yes (X)$0$0$0
JOHN SPARKS MD
FORMER DIRECTOR1.00Yes (X)$0$0$0
VALERIE P OPIPARI MD
FORMER PRESIDENT1.00Yes (X)$0$0$0
LAURA DEGNON CAE
EXECUTIVE DIRECTOR20.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEGNON ASSOCIATES INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRIVEAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$146,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Membership Dues$292,011MembershipDuesAmt
All Other Contributions$91,000AllOtherContributionsAmt
Total Contributions$383,011TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEETINGS900099$41,875$41,875
PLDP MENTOR FEES900099$27,500$27,500
FieldValueIRS element (for citing)
Total Program Service Revenue$69,375TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,387TotalRevenueColumnAmt
Exclusion$15,387ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,773TotalRevenueColumnAmt
Related Or Exempt Func Income$69,375RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,387ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,462TotalAmt
Program Services$42,462ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$146,000TotalAmt
Management And General$146,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,210TotalAmt
Management And General$6,210ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,528TotalAmt
Management And General$1,528ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,339TotalAmt
Program Services$6,339ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Management And General$9,000ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$165,981TotalAmt
Program Services$165,981ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,272TotalAmt
Management And General$1,272ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CREDIT CARD PROCESSING$6,333$6,333
COMPUTER$4,300$4,300
TELEPHONE$2,009$2,009
PRINTING & COPYING$795$795

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$722TotalAmt
Management And General$722ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$397,951TotalAmt
Program Services$225,415ProgramServicesAmt
Management And General$172,536ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$389,208BOYAmt
EOY$114,430EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$100,195EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$43,159EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,450BOYAmt
EOY$10,035EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$505,571BOYAmt
EOY$736,862EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$917,229BOYAmt
EOY$1,004,681EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,212BOYAmt
EOY$2,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,212BOYAmt
EOY$2,472EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$911,017BOYAmt
EOY$1,002,209EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$911,017BOYAmt
EOY$1,002,209EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$917,229BOYAmt
EOY$1,004,681EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$69,822ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,370NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$429,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$463,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$280,024CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$379,552CurrentTaxYearMinus1YearAmt
Current Tax Year$383,011CurrentTaxYearAmt
Total$1,935,056TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$209,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$172,580CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$291,439CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,840CurrentTaxYearMinus1YearAmt
Current Tax Year$69,375CurrentTaxYearAmt
Total$802,883TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$639,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$635,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$571,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$439,392CurrentTaxYearMinus1YearAmt
Current Tax Year$452,386CurrentTaxYearAmt
Total$2,737,939TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,000CurrentTaxYearMinus1YearAmt
Current Tax Year$85,000CurrentTaxYearAmt
Total$427,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,000CurrentTaxYearMinus1YearAmt
Current Tax Year$85,000CurrentTaxYearAmt
Total$427,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,310,939PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,406CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,939CurrentTaxYearMinus1YearAmt
Current Tax Year$15,387CurrentTaxYearAmt
Total$26,897TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,406CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,939CurrentTaxYearMinus1YearAmt
Current Tax Year$15,387CurrentTaxYearAmt
Total$26,897TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,190CurrentTaxYearMinus3YearsAmt
Total$4,235TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$642,410CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$639,182CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$572,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$447,331CurrentTaxYearMinus1YearAmt
Current Tax Year$467,773CurrentTaxYearAmt
Total$2,769,071TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.83460PublicSupportCY509Pct
Public Support PY5090.84210PublicSupportPY509Pct
Investment Income CY0.00970InvestmentIncomeCYPct
Investment Income PY0.00430InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePT III LN 12FormAndLineReferenceDesc
ExplanationOTHER INCOME PART III, LINE 12 DESCRIPTION: OTHER INCOME 2012: $2,045, 2013: $2,190, 2014: $0, 2015: $0, 2016: $0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN ACADEMY OF PEDIATRICS
601 13TH STREET NW SUITE 400NWASHINGTONDC20005362275597501C(3)$21,485ORGANIZATIONAL SUPPORT
ASSOCIATION OF ADMINISTRATORS IN ACADEMIC PEDIATRICS
BHS 101 630 WEST 168TH STREETNEW YORKNY10032561449651501C(6)$10,437ORGANIZATIONAL SUPPORT
COUNCIL OF PEDIATRIC SUBSPECIALITIES
6728 OLD MCLEAN VILLAGE DRIVEMCLEANVA22101271669910501C(3)$10,000ORGANIZATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePT I LN 2FormAndLineReferenceDesc
ExplanationGRANT FUNDS ARE MONITORED BY REQUIRING THE RECEIPIENTS TO SUBMIT REPORTS DESCRIBING WHAT THEY DID AND HOW THEY SPENT THE GRANT FUNDS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LAURA DEGNON EXECUTIVE DIRECTOR
EXECUTIVE DIRECTOR IS ALSO EMPLOYEE OF MANAGEMENT COMPANY$146,000MANAGEMENT FEES0
LAURA DEGNON EXECUTIVE DIRECTOR
EXECUTIVE DIRECTOR IS ALSO A MEMBER OF OMV, LLC$9,000RENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE MANAGEMENT DUTIES ARE PERFORMED BY DEGNON ASSOCIATES, AN ASSOCIATION MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6AMSPDC IS A MEMBERSHIP ORGANIZATION BECAUSE THE REGULAR DUES PAYING MEMBERS ELECT THE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ARE REGULAR DUES PAYING MEMBERS THAT DO NOT HAVE ANY EQUITY OWNERSHIP IN THE ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION RESERVES BYLAW CHANGES AND THE ELECTION OF THE BOARD TO MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS ELECTRONICALLY SUBMITTED TO THE BOARD MEMBERS ASKING FOR COMMENTS OR QUESTIONS BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CA SIGNED DISCLOSURE FORM IS SUBMITTED EVERY YEAR AND REVIEWED BY THE PRESIDENT.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND OUR CONFLICT OF INTEREST POLICY ARE ON OUR WEBSITE. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE BOARD OF DIRECTORS APPROVES THE HIRING OF THE ACCOUNTING FIRM.