AMERICAN ACADEMY OF PEDIATRICS NY CHAPTER 1 INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN ACADEMY OF PEDIATRICS NY CHAPTER 1 INC (EIN 22-3091024)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-12
- IRS object ID
- 201410439349200631
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2014-02-12T11:39:25-08:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN C BOTT | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 STATE ST SUITE 303 | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 146081743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223091024 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN ACADEMY OF PEDIATRICS NEW YORK | BusinessNameLine1 |
| Business Name Line2 | CHAPTER 1 INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AMER | NameControl |
| Phone | 5852443773 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 132 ALLENS CREEK RD | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14618 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY ADAMS | Name |
| Title | Executive Direc | Title |
| Date Signed | 2013-02-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN C BOTT | Name |
| PTIN | P00004515 | PTIN |
| Phone | 5853253140 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | NY1AAP.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 95213 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 12293 | ContributionsGiftsGrantsEtc |
| Membership Dues | 82765 | MembershipDues |
| Investment Income | 155 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 95213 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 33152 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 434 | PrintingPublicationsPostage |
| Other Expenses Total | 52973 | OtherExpensesTotal |
| Total Expenses | 86559 | TotalExpenses |
| Excess Or Deficit For Year | 8654 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 91365 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 100019 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105353 | BOY |
| EOY | 111138 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397 | BOY |
| EOY | 266 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105750 | BOY |
| EOY | 111404 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14385 | BOY |
| EOY | 11385 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91365 | BOY |
| EOY | 100019 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | THE ATTAINMENT OF OPTIMAL PHYSICAL, MENTAL AND SOCIAL HEALTH FOR ALL INFANTS, CHILDREN AND YOUNG ADULTS. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | EDUCATIONAL PROGRAMSNEW YORK CHAPTER ONE, INC REPRESENTS PEDIATRICIANS IN THE 50 COUNTIES OF UPSTATE NEW YORK AREA BY FOCUSING ON PROMOTING POSITIVE YOUTH DEVELOPMENT THROUGH THE NATIONAL FORTY-ASSET MODEL,THE 40 DEVELOPMENTAL ASSETS THAT HELP YOUNG PEOPLE MAKE WISE DECISIONS, CHOOSE POSITIVE PATHS, AND GROW UP COMPETENT, CARING AND RESPONSIBLE. THE CHAPTER PROGRAMS INCLUDE EDUCATING CHAPTER MEMBERS ON THE FORTY-ASSET MODEL AND WAYS TO IMPLEMENT IT IN THEIR PRACTICES AND COMMUNITY. THE CHAPTER ALSO WORKS WITH LOCAL ORGANIZATIONS WHO ARE PROMOTING THE FORTY-ASSET MODEL. THE CHAPTER IS ACTIVELY INVOLVED IN THE PROS (PEDIATRIC RESEARCH IN THE OFFICE SETTING) NETWORK. ADDITIONALLY THE CHAPTER PROVIDES SUPPORT TO ITS MEMBERS THROUGH THE PEDIATRIC MANAGERS GROUP WHICH MEETS ANNUALLY AND THROUGH ANNUAL EDUCATIONAL PROGRAMS. THE CHAPTER COMMITTEES ARE INVOLVED IN SPECIFIC PROJECTS OF CONCERN TO THE HEALTH OF CHILDREN AND THE DELIVERY OF HEALTH CARE TO CHILDREN. WORKING WITH STATEWIDE YOUTH ADVOCACY THE CHAPTER ALSO SEEKS TO REPRESENT THE HEALTH CARE NEEDS OF THE CHILDREN OF NEW YORK STATE AND THE PEOPLE WHO PROVIDE THEIR MEDICAL CARE. THE CHAPTER CURRENTLY HAS 650 MEMBERS. | DescriptionProgramServiceAccom |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (6 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| NANCY ADAMS | ||
| Executive Dir. | 2.00 | 0 |
| MELINDA CLARK MD | ||
| Treasurer | 1.00 | 0 |
| CAROLYN CLEARY MD | ||
| Vice President | 1.00 | 0 |
| HENRY M NEILLEY MD | ||
| Secretary | 1.00 | 0 |
| ERIC L BEYER MD | ||
| President | 1.00 | 0 |
| EDWARD D LEWIS MD | ||
| PAST PRESIDENT | 1.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THE ORGANIZATION | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 132 ALLENS CREEK RD | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 146183310 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5852443773 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200134 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 221484 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94004 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12293 | CurrentTaxYear |
| Total | 586703 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200134 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 221484 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94004 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12293 | CurrentTaxYear |
| Total | 586703 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 586703 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 184 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 306 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 237 | CurrentTaxYearMinus1Year |
| Current Tax Year | 155 | CurrentTaxYear |
| Total | 1156 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 184 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 306 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 237 | CurrentTaxYearMinus1Year |
| Current Tax Year | 155 | CurrentTaxYear |
| Total | 1156 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200408 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 221668 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 59025 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12448 | CurrentTaxYear |
| Total | 587859 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99800 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99790 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00200 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00210 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 26.1002 | Total Liabilities.1002 | Grants Payable - Beginning $14385 Grants Payable - Ending $11385 |
| Form 990-EZ, Part II, Line 24.1002 | Other Assets.1002 | Furniture and Fixtures - Beginning $397 Furniture and Fixtures - Ending $266 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | MISCELLANEOUS $682 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | TELEPHONE $1301 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | PROJECT EXPENSES $6193 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | NATIONAL DUES $35200 |
| Form 990-EZ, Part I, Line 16.1012 | Other Expenses.1012 | Insurance $1269 |
| Form 990-EZ, Part I, Line 16.1009 | Other Expenses.1009 | Depreciation $131 |
| Form 990-EZ, Part I, Line 16.1007 | Other Expenses.1007 | Conferences, Conventions, and Meetings $2510 |
| Form 990-EZ, Part I, Line 16.1005 | Other Expenses.1005 | Travel $4847 |
| Form 990-EZ, Part I, Line 16.1002 | Other Expenses.1002 | Office Expenses $840 |