POLK COUNTY MEDICAL ASSOICATION INC: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- POLK COUNTY MEDICAL ASSOICATION INC (EIN 59-6137315)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-06-02
- IRS object ID
- 201421539349200317
- Schema version
- 2013v3.1
- 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 | 2014-06-02T14:11:16-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEASLEY BRYANT & COMPANY CPA'S PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4940 SOUTHFORK DR | AddressLine1 |
| City | LAKELAND | City |
| State | FL | State |
| ZIP Code | 338132042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| Address Line2 | ROOM/SUITE STE B | AddressLine2 |
| City | LAKELAND | City |
| State | FL | State |
| ZIP Code | 33813 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE COURTNEY | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 8636444051 | PhoneNum |
| Signature | 2014-05-09 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN BEASLEY | PreparerPersonNm |
| PTIN | P01408459 | PTIN |
| Phone | 8636461373 | PhoneNum |
| Preparation | 2014-05-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | $93,788 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $69,818 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $41 | InvestmentIncomeAmt |
| Other Revenue Total | $23,929 | OtherRevenueTotalAmt |
| Total Revenue | $93,788 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $45,809 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $2,273 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $17,613 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $3,778 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $86,963 | OtherExpensesTotalAmt |
| Total Expenses | $156,436 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$62,648 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $122,085 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | -$1,111 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $58,326 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,514 | BOYAmt |
| EOY | $85,301 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,008 | BOYAmt |
| EOY | $1,143 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,522 | BOYAmt |
| EOY | $86,444 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,437 | BOYAmt |
| EOY | $28,118 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,085 | BOYAmt |
| EOY | $58,326 | 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 | $0 |
| GARY SCHEMMER MD | ||
| DIRECTOR | 000.00 | $0 |
| FRANCES MARTIN MD | ||
| VICE PRESIDE | 000.00 | $0 |
| ULYEE CHOE MD | ||
| DIRECTOR | 000.00 | $0 |
| RICHARD HAMILTON 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 | AddressLine1 |
| City | LAKELAND | City |
| State | FL | State |
| ZIP Code | 33813 | ZIPCode |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 | ENDORSEMENT INCOME 23,929 TOTAL 23,929 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE 2,799 INFORMATION TECHNOLOGY 1,194 TRAVEL 2,076 CONFERENCES/MEETINGS 16,936 INSURANCE 2,171 CONTRIBUTIONS - 501C3 ORG 61,486 NON-INVESTMENT DEPRECIATION 301 TOTAL 86,963 |
| FORM 990-EZ, PART I, LINE 20 | 2012 FORM 990T TAX -1,111 |
| FORM 990-EZ, PART II, LINE 24 | 19,613 20,402 LESS ACCUMULATED DEPRECIATION 19,149 19,449 DUE FROM P.C. MEDICAL BULLETIN 4,354 0 UTILITY DEPOSIT 190 190 TOTAL 5,008 1,143 |
| FORM 990-EZ, PART II, LINE 26 | DEFERRED REVENUE 31,278 26,930 PAYROLL LIABILITIES 4,204 1,188 DUE TO FOUNDATION 4,955 0 |
| 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. |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (8 entries)
| JACKIE COURTNEY |
| GARY SCHEMMER MD |
| FRANCES MARTIN MD |
| ULYEE CHOE MD |
| RICHARD HAMILTON MD |
| RALPH NOBO MD |
| SERGIO SEOANE MD |
| ARVIND SONI MD |