POLK COUNTY MEDICAL ASSOICATION INC: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- POLK COUNTY MEDICAL ASSOICATION INC (EIN 59-6137315)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-03-15
- IRS object ID
- 201740749349200779
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-03-15T17:08:55-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593188484 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEASLEY BRYANT & COMPANY CPA'S PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4940 SOUTHFORK DR | AddressLine1Txt |
| City | LAKELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 338132042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 596137315 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POLK COUNTY MEDICAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | POLK | BusinessNameControlTxt |
| Phone | 8636444051 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4315 HIGHLAND PARK BLVD STE B | AddressLine1Txt |
| City | LAKELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33813 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE COURTNEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8636444051 | PhoneNum |
| Signature | 2017-02-09 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN BEASLEY | PreparerPersonNm |
| PTIN | P01408459 | PTIN |
| Phone | 8636461373 | PhoneNum |
| Preparation | 2017-02-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 2DA1EA137098010AFD5112EB5647A839C6CE86A7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CA34C79C3F4982E6922B85039FAC79964852BDED | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.POLKCOUNTYDOCTORS.COM | WebsiteAddressTxt |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $67,939 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Membership Dues | $48,673 | MembershipDuesAmt |
| Investment Income | $18 | InvestmentIncomeAmt |
| Special Events Direct Expenses | $1,389 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$1,389 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $19,248 | OtherRevenueTotalAmt |
| Total Revenue | $66,550 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $50,703 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $1,400 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $11,491 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $526 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $10,678 | OtherExpensesTotalAmt |
| Total Expenses | $74,798 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$8,248 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $39,527 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,279 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,697 | BOYAmt |
| EOY | $54,522 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,737 | BOYAmt |
| EOY | $564 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,434 | BOYAmt |
| EOY | $55,086 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,907 | BOYAmt |
| EOY | $23,807 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,527 | BOYAmt |
| EOY | $31,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE ASSOCIATION SERVES AS AN ADVOCATE FOR PHYSICIANS AND THEIR PATIENTS TO PROMOTE HIGH STANDARDS IN MEDICAL ETHICS, PROMOTE PUBLIC HEALTH, AND TO ENHANCE THE QUALITY AND ACCESSIBILITY OF HEALTH CARE IN OUR COMMUNITIES. THE ASSOCIATION ALSO PROVIDES FREE PHYSICIAN REFERRALS AND CAN BE OF ASSISTANCE IN HELPING GROUPS SECURE A SPEAKER ON A MEDICAL TOPIC. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE ASSOCIATION SERVES AS AN ADVOCATE FOR PHYSICIANS AND THEIR PATIENTS TO PROMOTE HIGH STANDARDS IN MEDICAL ETHICS, PROMOTE PUBLIC HEALTH, AND TO ENHANCE THE QUALITY AND ACCESSIBILITY OF HEALTH CARE IN OUR COMMUNITIES. THE ASSOCIATION ALSO PROVIDES FREE PHYSICIAN REFERRALS AND CAN BE OF ASSISTANCE IN HELPING GROUPS SECURE A SPEAKER ON A MEDICAL TOPIC. | DescriptionProgramSrvcAccomTxt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JACKIE COURTNEY | ||
| EXECUTIVE DI | 40.00 | $47,019 |
| GARY SCHEMMER MD | ||
| DIRECTOR | 000.00 | $0 |
| FRANCES MARTIN MD | ||
| VICE PRESIDE | 000.00 | $0 |
| ULYEE CHOE MD | ||
| DIRECTOR | 000.00 | $0 |
| GEORGE LYLE MD | ||
| DIRECTOR | 000.00 | $0 |
| RALPH NOBO MD | ||
| BOARD CHAIR | 000.00 | $0 |
| SERGIO SEOANE MD | ||
| DIRECTOR | 000.00 | $0 |
| ARVIND SONI MD | ||
| PRESIDENT | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | Yes (true) | OrganizationHadUBIInd |
| Organization Filed990 T | Yes (true) | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE COURTNEY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4315 HIGHLAND PARK BLVD STE B | AddressLine1Txt |
| City | LAKELAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8636444051 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 | ENDORSEMENT INCOME 19,248 TOTAL 19,248 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING AND PROMOTION 360 OFFICE 1,026 INFORMATION TECHNOLOGY 599 TRAVEL 952 CONFERENCES/MEETINGS 5,395 INSURANCE 1,577 SUPPLIES 485 TAXES & LICENSES 61 NON-INVESTMENT DEPRECIATION 223 TOTAL 10,678 |
| FORM 990-EZ, PART II, LINE 24 | OTHER LOANS RECEIVABLE 5,000 50 3,872 3,872 LESS ACCUMULATED DEPRECIATION 3,325 3,548 UTILITY DEPOSIT 190 190 TOTAL 5,737 564 |
| FORM 990-EZ, PART II, LINE 26 | DEFERRED REVENUE 18,898 21,537 PAYROLL LIABILITIES 3,009 2,270 |
| FORM 990-EZ, PART III | THE ASSOCIATION SERVES AS AN ADVOCATE FOR PHYSICIANS AND THEIR PATIENTS TO PROMOTE HIGH STANDARDS IN MEDICAL ETHICS, PROMOTE PUBLIC HEALTH, AND TO ENHANCE THE QUALITY AND ACCESSIBILITY OF HEALTH CARE IN OUR COMMUNITIES. THE ASSOCIATION ALSO PROVIDES FREE PHYSICIAN REFERRALS AND CAN BE OF ASSISTANCE IN HELPING GROUPS SECURE A SPEAKER ON A MEDICAL TOPIC. |
| FORM 990-EZ, PART III, LINE 28 | THE ASSOCIATION SERVES AS AN ADVOCATE FOR PHYSICIANS AND THEIR PATIENTS TO PROMOTE HIGH STANDARDS IN MEDICAL ETHICS, PROMOTE PUBLIC HEALTH, AND TO ENHANCE THE QUALITY AND ACCESSIBILITY OF HEALTH CARE IN OUR COMMUNITIES. THE ASSOCIATION ALSO PROVIDES FREE PHYSICIAN REFERRALS AND CAN BE OF ASSISTANCE IN HELPING GROUPS SECURE A SPEAKER ON A MEDICAL TOPIC. |