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WORLD SURGICAL FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WORLD SURGICAL FOUNDATION INC (EIN 23-2905618)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201433219349302498
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

FieldValueIRS element (for citing)
Return2014-11-17T09:36:58-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN251896394PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DENK AND ASSOCIATES PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14755 LINGLESTOWN RD 207AddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code17112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232905618EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WORLD SURGICAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWORLBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1006AddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17001ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOMINGO T ALVEAR MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY H DENK CPAPreparerPersonNm
PTINP00180723PTIN
Phone7176524952PhoneNum
Preparation2014-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$298,075GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WORLDSURGICALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTHE FOUNDATION ORGANIZES VOLUNTEER TEAMS OF SURGEONS TO PARTICIPATE IN SURGICAL MISSIONS AROUND THE WORLD TO PROVIDE HEALTHCARE TO THE WORLD'S POOR AND MEDICALLY UNDERSERVED NATIONS REGARDLESS OF COLOR, RELIGION OR CREED.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Gross UBI$168TotalGrossUBIAmt
PY Contributions Grants$85,916PYContributionsGrantsAmt
CY Contributions Grants$274,661CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$186PYInvestmentIncomeAmt
CY Investment Income$168CYInvestmentIncomeAmt
PY Other Revenue$91,730PYOtherRevenueAmt
CY Other Revenue$19,052CYOtherRevenueAmt
PY Total Revenue$177,832PYTotalRevenueAmt
CY Total Revenue$293,881CYTotalRevenueAmt
PY Grants And Similar Paid$2,356PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,343PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,618CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,400CYTotalFundraisingExpenseAmt
PY Other Expenses$117,951PYOtherExpensesAmt
CY Other Expenses$200,039CYOtherExpensesAmt
PY Total Expenses$136,650PYTotalExpensesAmt
CY Total Expenses$216,657CYTotalExpensesAmt
PY Revenues Less Expenses$41,182PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$77,224CYRevenuesLessExpensesAmt
Total Assets BOY$149,552TotalAssetsBOYAmt
Total Assets EOY$242,799TotalAssetsEOYAmt
Total Liabilities BOY$25,693TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,716TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$123,859NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$201,083NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE FOUNDATION ORGANIZES VOLUNTEER TEAMS OF SURGEONS TO PARTICIPATE IN SURGICAL MISSIONS AROUND THE WORLD TO PROVIDE HEALTHCARE TO THE WORLD'S POOR AND MEDICALLY UNDERSERVED NATIONS REGARDLESS OF COLOR, RELIGION OR CREED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$193,585ExpenseAmt
DescTHE FOUNDTION PERFORMS MEDICAL AND SURGICAL MISSIONS TO DEVELOPING COUNTRIES THAT DO NOT HAVE ADEQUATE HEALTHCARE. THE FOUNDATION'S MISSION IN 2013 INCLUDED TRIPS TO PHILIPPINES AND HONDORUS.Desc
Total Program Service Expenses$193,585TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENK ASSOCIATES PCPersonNm
Phone7176524952PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14755 LINGLESTOWN ROADAddressLine1
Address Line2SUITE 207AddressLine2
CityHARRISBURGCity
StatePAState
ZIP Code17112ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
NANCY COHEN
EXECUTIVE DI20.00Yes (X)$15,000$0$0
DOMINGO T ALVEAR MD
PRESIDENTYes (X)$0$0$0Yes (X)
ROGER BUCS MD
VICE PRESIDEYes (X)$0$0$0Yes (X)
DOMINGO B ALVEAR
Yes (X)$0$0$0
VENERANDA B ALVEAR MD
DIRECTORYes (X)$0$0$0
SUSAN BRACKBILL RD
DIRECTORYes (X)$0$0$0
JOSEPH CAMPBELL MD
Yes (X)$0$0$0
GILDA CABARLO
DIRECTORYes (X)$0$0$0
SISTER MARTIN HAUBRICH RN
Yes (X)$0$0$0
PHYLLIS HICKS RN
Yes (X)$0$0$0
LUIS LARA RN
Yes (X)$0$0$0
MARK D HIPP ESQ
DIRECTORYes (X)$0$0$0
ROGER OSTDAHL MD
Yes (X)$0$0$0
JOSE PRUDENCIO MD
Yes (X)$0$0$0
DAVID REMMEL
Yes (X)$0$0$0
LISA WIEDEMAN
Yes (X)$0$0$0
LEE SCHILLER
DIRECTORYes (X)$0$0$0
EDUARDO VIOLAGO MD
DIRECTORYes (X)$0$0$0
IVAN REMPLE
DIRECTORYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$274,661AllOtherContributionsAmt
Total Contributions$274,661TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$168TotalRevenueColumnAmt
Unrelated Business Revenue$168UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$23,246FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,194FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,052TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$293,881TotalRevenueColumnAmt
Unrelated Business Revenue$168UnrelatedBusinessRevenueAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt
Program Services$5,000ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt
Fundraising$5,000FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,618TotalAmt
Program Services$539ProgramServicesAmt
Management And General$539ManagementAndGeneralAmt
Fundraising$540FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,495TotalAmt
Management And General$1,495ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,502TotalAmt
Program Services$4,502ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,065TotalAmt
Program Services$1,021ProgramServicesAmt
Management And General$1,021ManagementAndGeneralAmt
Fundraising$1,023FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,250TotalAmt
Program Services$1,083ProgramServicesAmt
Management And General$1,083ManagementAndGeneralAmt
Fundraising$1,084FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,255TotalAmt
Program Services$751ProgramServicesAmt
Management And General$751ManagementAndGeneralAmt
Fundraising$753FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$786TotalAmt
Program Services$786ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,760TotalAmt
Management And General$1,760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISSION COSTS$166,167$166,167
PATIENT ASSISTANCE EXPENS$13,500$13,500
DUES AND SUBSCRIPTIONS$1,650$1,650
TELEPHONE$1,068$1,068

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$541TotalAmt
Program Services$236ProgramServicesAmt
Management And General$305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$216,657TotalAmt
Program Services$193,585ProgramServicesAmt
Management And General$14,672ManagementAndGeneralAmt
Fundraising$8,400FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$94,230BOYAmt
EOY$220,014EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,322BOYAmt
EOY$22,785EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$149,552BOYAmt
EOY$242,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,856BOYAmt
EOY$94EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,837BOYAmt
EOY$41,622EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,693BOYAmt
EOY$41,716EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$123,859BOYAmt
EOY$201,083EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$123,859BOYAmt
EOY$201,083EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$149,552BOYAmt
EOY$242,799EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$77,224ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$195,528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$207,800CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,646CurrentTaxYearMinus1YearAmt
Current Tax Year$274,661CurrentTaxYearAmt
Total$1,010,502TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$23,246CurrentTaxYearAmt
Total$23,246TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$195,528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$207,800CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,646CurrentTaxYearMinus1YearAmt
Current Tax Year$297,907CurrentTaxYearAmt
Total$1,033,748TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,033,748PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,378CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$801CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$244CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$186CurrentTaxYearMinus1YearAmt
Current Tax Year$168CurrentTaxYearAmt
Total$3,777TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,378CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$801CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$244CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$186CurrentTaxYearMinus1YearAmt
Current Tax Year$168CurrentTaxYearAmt
Total$3,777TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$197,906CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,832CurrentTaxYearMinus1YearAmt
Current Tax Year$298,075CurrentTaxYearAmt
Total$1,037,525TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99640PublicSupportCY509Pct
Public Support PY5090.99050PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1SPECIAL GALANameOfEvent1Amt
Gross Receipts Event1$23,246GrossReceiptsEvent1Amt
Gross Revenue Event1$23,246GrossRevenueEvent1Amt
Rent Facility Costs Event1$4,194RentFacilityCostsEvent1Amt
Gross Receipts Total$23,246GrossReceiptsTotalAmt
Gross Revenue Total Events$23,246GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$4,194RentFcltyCostsTotalEventsAmt
Direct Expense Summary Events$4,194DirectExpenseSummaryEventsAmt
Net Income Summary$19,052NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonIVAN REMPLEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTORRelationshipDescriptionTxt
Transaction$3,250TransactionAmt
TransactionRENT AND EXPENSESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationWAREHOUSE RENT AND EXPENSES - 3250ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE FOUNDATION ORGANIZES VOLUNTEER TEAMS OF SURGEONS TO PARTICIPATE IN SURGICAL MISSIONS AROUND THE WORLD TO PROVIDE HEALTHCARE TO THE WORLD'S POOR AND MEDICALLY UNDERSERVED NATIONS REGARDLESS OF COLOR, RELIGION OR CREED.
FORM 990, PAGE 6, PART VI, LINE 2DOMINGO B. ALVEAR DIRECTOR CHILD VENERANDA ALVEAR, MD DIRECTOR SIBLING
FORM 990, PAGE 6, PART VI, LINE 11BTHE WORLD SURGICAL FOUNDATION IS COMMITTED TO APPROPERIATE FISCAL OVERSIGHT BY THE BOARD OF DIRECTORS. AS SUCH, WSF WORKS TO ENUSRE THE HIGHEST STANDARDS IN REVIEW OF ITS FORM 990. PRIOR TO SUBMISSION OF WSF'S FORM 990 TO THE IRS, EACH VOTING MEMBER OF THE BOARD OF DIRECTORS WAS PROVIDED WITH A COPY OF THE DRAFT FORM 990 - AS COMPLETED BY THE WORLD SURGICAL FOUNDATION'S INDEPENDENT ACCOUNTING FIRM. BOARD MEMBERS WERE PROVIDED AN OPPORTUNITY TO RAISE QUESTIONS, MAKE SUGGESTIONS AND ADDRESS ANY POTENTIAL PROBLEMS OR CONCERNS.
FORM 990, PAGE 6, PART VI, LINE 12CTHE WORLD SURGICAL FOUNDATION REGULARLY AND CONSISTENTLY MONITORS AND ENFO RCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. UPON A BOARD MEMBER S ASSOCIATION WITH THE WORLD SURGICAL FOUNDATION, THE BOARD MEMBER IS REQU IRED TO COMPLETE A QUESTIONNAIRE TO FULLY AND COMPLETELY DISCLOSE THE MATE RIAL FACTS ABOUT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS STAT
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION ARRANGEMENTS MUST BE APPROVED IN ADVANCE BY THE BOARD OF DIRE CTORS OF THE WORLD SURGICAL FOUNDATION. WHEN THE BOARD OF DIRECTORS IS CO NSIDERING COMPENSATION, IT MUST RELY ON COMPARABILITY DATA THAT DEMONSTRAT ES THE FAIR MARKET VALUE OF THE COMPENSATION IN QUESTION. THIS DATA UTILI ZED CAN INCLUDE EXPERT COMPENSATION STUDIES BY INDEPENDENT FIRMS, WRITTEN
FORM 990, PAGE 6, PART VI, LINE 19THE FOLLOWING DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION UPON REQUEST DUR ING NORMAL BUSINESS HOURS: THE ANNUAL FEDERAL INFORMATION TAX RETURN, FOR M 990 FOR THE PRECEDING THREE YEARS, THE ORIGINAL APPLICATION FOR TAX EXEM PT STATUS, FORM 1023; THE IRS DETERMINATION LETTER; THE ANNUAL REPORT FROM THE INDEPENDENT ACCOUNTING FIRM; AND THE WORLD SURGICAL FOUNDATION CONFLI