2017-02-13T10:00:48-06:00 2016-09-30 382492570 DOEREN MAYHEW 305 WEST BIG BEAVER ROAD TROY MI 48084 990EZ 2015-10-01 201452547 MACOMB HEALTH PLAN MACO 5867839355 18 MARKET STREET NO B MOUNT CLEMENS MI 48043 PETER PROVENZANO TREASURER 5867839355 2017-01-27 1 PATRICK D FUELLING CPA P00360676 2482443000 2015 2021-01-29 14:40:06Z X X N/A X X 2267 X 2267 2267 50000 499633 24720 1663050 2237403 -2235136 2430150 0 195014 X 1295015 195224 35617 0 1555865 0 2886497 195224 456347 210 2430150 195014 X CREATE A SYSTEM FOR PROVIDING OR ARRANGING HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER INSURED. "B" PROGRAM 0 1655000 1655000 THE HONORABLE JOSEPH BOEDEKER PRESIDENT 0.50 0 0 0 THOMAS KALKOFEN VICE PRESIDENT 0.50 0 0 0 DAVID DIEGEL DIRECTOR 0.50 0 0 0 ANGELO NICHOLAS SECRETARY 0.50 0 0 0 PETER PROVENZANO TREASURER 0.50 0 0 0 BARBARA ROSSMANN DIRECTOR 0.50 0 0 0 DAMON SORENSEN DIRECTOR 0.50 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PETER PROVENZANO 18 MARKET STREET NO B MOUNT CLEMENS MI 48043 5867839355 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 9055585 12220653 8740834 1134790 0 31151862 9055585 12220653 8740834 1134790 31151862 0 0 0 31151862 22865 9301 3721 2136 2267 40290 22865 9301 3721 2136 2267 40290 9078450 12229954 8744555 1136926 2267 31192152 0.99870 0.99850 0.00130 0.00150 X FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 2,267. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: RAISE AWARENESS OF PRESCRIPTION OPIATE DRUG ABUSE. GRANTEE NAME: FAMILIES AGAINST NARCOTICS INC.. GRANTEE ADDRESS: 33000 GARFIELD ROAD FRASER, MI 48026. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/25/16. AMOUNT GIVEN: 50,000. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: DEPRECIATION. AMOUNT: 35,617. DESCRIPTION: INSURANCE. AMOUNT: 16,893. DESCRIPTION: PHYSICIAN'S SERVICES. AMOUNT: 1,245,000. DESCRIPTION: MACOMB COUNTY HEALTH PROGRAMS. AMOUNT: 360,000. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 4,960. DESCRIPTION: MISCELLANEOUS. AMOUNT: 580. TOTAL TO FORM 990-EZ, LINE 16: 1,663,050. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: ACCOUNTS RECEIVABLE - NET. BEG. OF YEAR AMOUNT: 297. END OF YEAR AMOUNT: 0. DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 1,555,404. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 164. END OF YEAR AMOUNT: 0. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 456,347. END OF YEAR AMOUNT: 210. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.