2013-11-13T09:39:15-06:00 2013-06-30 431126847 WILLIAMS-KEEPERS LLC 3220 WEST EDGEWOOD STE E JEFFERSON CITY MO 65109 990 2012-07-01 263106643 PHARMACY AGENT CORPORATION PHAR 5736367522 211 EAST CAPITOL AVENUE JEFFERSON CITY MO 65101 RANDY MEENTS 5736367522 2013-11-12 1 MICHAEL J OLDELEHR P00048943 5736356196 2012 2016-02-24 21:20:13Z RANDY MEENTS 211 EAST CAPITOL AVENUE JEFFERSON CITY MO 65101 413841 0 X N/A X 2008 MO ENHANCING AND FACILITATING MO HEALTHNET (FORMERLY KNOWN AS MEDICAID) FUNDING FOR MISSOURI PHARMACIES IN ORDER TO PROMOTE AND MAINTAIN HIGH QUALITY PHARMACY GOODS AND SERVICES FOR THE INDIGENT. 8 8 0 0 0 0 0 0 400000 400000 10431 13841 0 0 410431 413841 70000 0 0 0 0 0 0 0 0 300885 390745 370885 390745 39546 23096 3793129 2759419 3635731 2578925 157398 180494 TO ENHANCE AND FACILITATE MO HEALTHNET (FORMERLY KNOWN AS MEDICAID) FUNDING FOR MISSOURI PHARMACIES IN ORDER TO PROMOTE AND MAINTAIN HIGH QUALITY PHARMACY GOODS AND SERVICES FOR THE INDIGENT. 0 0 336435 400000 TO ENHANCE AND FACILITATE MO HEALTHNET (FORMERLY KNOWN AS MEDICAID) FUNDING FOR MISSOURI PHARMACIES IN ORDER TO PROMOTE AND MAINTAIN HIGH QUALITY PHARMACY GOODS AND SERVICES FOR THE INDIGENT. 336435 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X DREW OESTREICH 5736367522 211 E CAPITOL AVENUE JEFFERSON CITY MO 65101 X RANDY MEENTS 1.00 X X 0 0 0 RON FITZWATER 1.00 X X 0 0 0 BECKY CULBERTSON 1.00 X 0 0 0 LANCE LOMAX 1.00 X 0 0 0 TIMOTHY KOCH 1.00 X 0 0 0 JIM HARLAN 1.00 X 0 0 0 MATT HARTWIG 1.00 X X 0 0 0 DREW OESTREICH 1.00 X 0 0 0 0 0 0 0 0 0 0 0 PARTICIPANT PAYMENTS 900099 400000 400000 400000 13841 13841 413841 400000 0 13841 X 143000 128700 14300 3089 3089 19781 19781 79368 71431 7937 4803 4323 480 6823 6141 682 13038 13038 132 132 1100 1100 2286 2286 PROGRAM EXPANSION 100000 100000 BANK SERVICE CHARGES 12670 12670 CONTINUING EDUCATION 3960 3960 MISCELLANEOUS 668 668 27 27 390745 336435 54310 0 3780426 2740829 9819 16807 5659 3876 2884 1783 3793129 2759419 83283 109141 3552448 2469784 3635731 2578925 X 0 0 0 0 157398 180494 157398 180494 3793129 2759419 23096 0 X X 0 1 X 1 0 5659 3876 1783 1783 DUE TO PHARMACIES 2469784 2469784 X 413841 0 413841 0 413841 390745 0 390745 0 390745 0 FORM 990, PART VI, SECTION A, LINE 3 PHARMACY AGENT CORPORATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO THE MISSOURI PHARMACEUTICAL ASSOCIATION, A 501(C)(6) ENTITY, PER A SERVICES AGREEMENT ENTERED INTO ON AUGUST 1, 2008. FORM 990, PART VI, SECTION B, LINE 11 BOARD MEMBERS ARE EMAILED COPIES AND WILL DISCUSS ANY AND ALL QUESTIONS RELATED TO THE FORM 990. THIS POLICY WAS ADOPTED 10/22/2009. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS EXPRESS ANY CONFLICT TO THE BOARD OF DIRECTORS AND IF A CONFLICT EXISTS, THE BOARD MEMBER INVOLVED WILL SUSTAIN FROM VOTING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 71,431. MANAGEMENT AND GENERAL EXPENSES 7,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,368. THERE HAS BEEN NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PREVIOUS YEAR. FORM 990, PART IV, LINE 28: PHARAMCY AGENT CORPORATION (PAC) ACTS AS AN AGENT TO THE PARTICIPATING PHARMACIES ACROSS THE STATE OF MISSOURI. IN DOING SO, PAC HELPS TO REDUCE THE POTENTIAL FOR A PHARMACY TO BE UNABLE TO RECOVER BENEFITS FROM THEIR TAX EQUAL TO OR GREATER THAN THEIR TAX. THE PAC PAYS THE PHARMACY'S TAX, THUS REDUCING THE CASH FLOW REQUIREMENTS FOR THE PHARMACY. THE PAC BALANCES THE OVERALL TAX LIABILITY OVER ALL PROVIDERS, REDUCES THE POTENTIAL FOR LOSSES, AND PROVIDES A LIMITED RETURN TO THE PHARMACIES FOR PARTICIPATING IN THE PROGRAM. MEMBERS OF THE BOARD MAY OWN OR HAVE OWNERSHIP INTERESTS IN BUSINESSES WHICH RECEIVE THE PROGRAM PAYMENTS. THESE PAYMENTS ARE A PART OF THE EXEMPT PURPOSE OF PHARMACY AGENT CORPORATION AND DO NOT DIFFER FROM PAYMENTS MADE TO ANY OTHER PHARMACIES RECEIVING PROGRAM PAYMENTS. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: PHARMACY AGENT CORPORATION (PAC) MADE PAYMENTS TO MISSOURI PHARMACY ASSOCIATION (MPA) TO REIMBURSE MPA FOR PAC'S PORTION OF DIRECT EXPENSES AND FOR PAC'S MONTHLY MANAGEMENT FEE AND RENT. EXPENSES REIMBURSED INCLUDE THE FOLLOWING: SALARY ($54,500), PAYROLL TAXES ($4,320), EMPLOYEE RETIREMENT ($1,605), EMPLOYEE BENEFITS ($3,382), COPIES ($963), POSTAGE ($181), BUSINESS GIFTS ($377), CELL PHONE ($848), OFFICE SUPPLIES ($179), WEBSITE HOSTING ($108), DOMAIN REGISTRATION ($31), TELEPHONE/INTERNET ($919). PAC PAID A TOTAL OF $68,333 IN MANAGEMENT FEES AND $840 IN RENT TO MPA. MISSOURI PHARMACY FOUNDATION 211 E CAPITOL AVE JEFFERSON CITY MO 65101 436071329 ENHANCE MEMBER KNOWLEDGE MO 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0