MEDICAL ASSOCIATION OF GEORGIA FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL ASSOCIATION OF GEORGIA FOUNDATION INC (EIN 58-6066431)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349308230
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T15:02:28-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580692043 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAULDIN & JENKINS LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 GALLERIA PKWY SE STE 1700 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 303395946 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 586066431 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ASSOCIATION OF GEORGIA FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | NameControl |
| Phone | 6783039290 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 THE EXCHANGE SE NO 200 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30339 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN D WATSON JR MD | Name |
| Title | PRESIDENT | Title |
| Phone | 6783039290 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF T FUCITO | Name |
| PTIN | P00120748 | PTIN |
| Phone | 7709558600 | Phone |
| Date Prepared | 2013-11-08 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN D WATSON JR MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 THE EXCHANGE SE NO 200 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30339 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 122575 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MAG.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O FOR COMPLETE DESCRIPTION.THE FOUNDATION IS A PUBLIC CHARITY ENABLING GEORGIA PHYSICIANS TO SUPPORT AND ENGAGE IN CHARITABLE AND EDUCATIONAL PROJECTS AFFECTING MEDICINE AND PUBLIC HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 181552 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 95551 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14995 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13437 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2974 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13587 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 199521 | TotalRevenuePriorYear |
| Total Revenue Current Year | 122575 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3852 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50737 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 100800 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 33000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 42825 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 70978 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 173729 | OtherExpensePriorYear |
| Other Expenses Current Year | 99799 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 258466 | TotalExpensesPriorYear |
| Total Expenses Current Year | 247276 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -58945 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -124701 | RevenuesLessExpensesCY |
| Total Assets BOY | 5206793 | TotalAssetsBOY |
| Total Assets EOY | 5233275 | TotalAssetsEOY |
| Total Liabilities BOY | 5514692 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5583266 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -307899 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -349991 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF THE MAG FOUNDATION IS TO ADVANCE POSITIVE HEALTH OUTCOMES FOR GEORGIANS BY PROMOTING INFORMATION ABOUT MEDICAL CARE AND THE SYSTEMS THAT DELIVER IT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 92952 | Expense |
| Grants | 3852 | Grants |
| Description | THE "THINK ABOUT" IT PROGRAM IS A CAMPAIGN TO PREVENT THE ABUSE OF PRESCRIPTION DRUGS THROUGH EDUCATION OF PHYSICIANS, BUSINESSES, AND THE GENERAL PUBLIC, AND FACILITATION OF THE SYSTEMIC CHANGES NEEDED TO COMBAT THE PROBLEM. TO ACCOMPLISH THIS, THE FOUNDATION, THROUGH "THINK ABOUT IT" IS BRINGING TOGETHER INTO A CONCERTED EFFORT THE PHYSICIAN COMMUNITY, LOCAL DRUG COALITIONS, STATE AND FEDERAL GOVERNMENT AGENCIES, AND OTHER HEALTHCARE RELATED ORGANIZATIONS CAPABLE OF AFFECTING THE NEEDED CHANGES IN ATTITUDE AND PROCESSES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 38120 | Expense |
| Revenue | 11032 | Revenue |
| Description | THE GPLA IS A FOUNDATION PROGRAM DESIGNED TO PROVIDE A LEADERSHIP EXPERIENCE BENEFITING AND EDUCATING PHYSICIANS WHO WANT TO IMPROVE HEALTH CARE DELIVERY FOR THEIR PATIENTS, COMMUNITIES, AND THE MEDICAL PROFESSION. EACH PARTICIPANT ATTENDS OVER A ONE-YEAR PERIOD SIX SESSIONS COMPRISED OF INTERACTIVE CLASSES ENABLING THE STUDENTS TO ENHANCE THEIR LEADERSHIP SKILLS AND DEVELOP CONTINUING RELATIONSHIPS WITH COLLEAGUES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 81 | Expense |
| Revenue | 2405 | Revenue |
| Description | FOR MORE THAN 35 YEARS, THE MEDICAL ASSOCIATION OF GEORGIA FOUNDATION HAS BEEN HELPING MEDICAL STUDENTS REALIZE THEIR DREAMS OF BECOMING PHYSICIANS THROUGH AFFORDABLE LOANS TO HELP FUND THEIR MEDICAL EDUCATION. IN 2012, THERE WERE 7 OUTSTANDING LOANS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 131153 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRED JONES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6783039284 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 THE EXCHANGE SE | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30339 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| JOHN D WATSON JR MD | |||||||
| PRES. & TRUSTEE | 1.00 | X | X | 6000 | 0 | 0 | |
| JOSEPH P BAILEY JR MD | |||||||
| VP & TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | 5.00 |
| JOY A MAXEY MD | |||||||
| SEC/TREAS. & TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN S ANTALIS MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 12.00 | |
| JACK M CHAPMAN MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 11.00 | |
| ROY W VANDIVER MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 95551 | AllOtherContributions |
| Total Contributions | 95551 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| REGISTRATION FEES | 900099 | 11032 | 11032 |
| INTEREST INC-STUDENT L | 525990 | 2405 | 2405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13437 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13587 | TotalRevenueColumn |
| Exclusion | $13,587 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122575 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13437 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $13,587 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3852 | Total |
| Program Services | 3852 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6000 | Total |
| Management And General | 6000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94800 | Total |
| Program Services | 54984 | ProgramServices |
| Management And General | 19908 | ManagementAndGeneral |
| Fundraising | 19908 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4327 | Total |
| Management And General | 4327 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9766 | Total |
| Management And General | 9766 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42825 | Total |
| Fundraising | 42825 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852 | Total |
| Management And General | 852 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17527 | Total |
| Program Services | 17527 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 689 | Total |
| Program Services | 689 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8872 | Total |
| Program Services | 5146 | ProgramServices |
| Management And General | 1863 | ManagementAndGeneral |
| Fundraising | 1863 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3564 | Total |
| Program Services | 2068 | ProgramServices |
| Management And General | 748 | ManagementAndGeneral |
| Fundraising | 748 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1099 | Total |
| Management And General | 1099 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42936 | Total |
| Program Services | 42354 | ProgramServices |
| Management And General | 582 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Program ServicesProgramServices |
|---|---|---|---|
| PROMOTION AND DEVELOPME | 5634 | 5634 | |
| SEC 170 INSURANCE PREMI | 4533 | 4533 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247276 | Total |
| Program Services | 131153 | ProgramServices |
| Management And General | 45145 | ManagementAndGeneral |
| Fundraising | 70978 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121498 | BOY |
| EOY | 38902 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394982 | BOY |
| EOY | 407668 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 28389 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 30288 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53615 | BOY |
| EOY | 27287 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4635698 | BOY |
| EOY | 4699741 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5206793 | BOY |
| EOY | 5233275 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 600 | BOY |
| EOY | 3294 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5514092 | BOY |
| EOY | 5579972 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5514692 | BOY |
| EOY | 5583266 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -757258 | BOY |
| EOY | -729239 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 449359 | BOY |
| EOY | 379248 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -307899 | BOY |
| EOY | -349991 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5206793 | BOY |
| EOY | 5233275 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -124701 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 82609 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ASSOCIATION OF GEORGIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580605267 | EIN |
| Type Of Organization | 501(C)(6) | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIFE INSURANCE & GIFT ANNUITY CONTRACTS | Description |
| Book Value | 4699741 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4699741 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED ANNUITY LIABILITIES | $5,546,670 |
| INTERCOMPANY ACCOUNTS | $33,302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5579972 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 131075 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 8500 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 8500 | RevenueNotRptdF990 |
| Revenue Subtotal | 122575 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 122575 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 255776 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 8500 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 8500 | ExpensesNotRptdF990 |
| Expenses Subtotal | 247276 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 247276 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THERE WERE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE AUDITED FINANCIAL STATEMENTS UNDER ASC 740-10. THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION PURSUANT TO CODE SECTION 501 (A) AS AN ENTITY DESCRIBED IN CODE SECTION 501 (C) (3). THE FOUNDATION IS SUBJECT TO EXAMINATIONS OF ITS TAX RETURNS BY THE U.S., FEDERAL, STATE, AND LOCAL AUTHORITIES FOR THREE YEARS AFTER THE RETURNS ARE FILED. MANAGEMENT ASSESSED THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN IN THESE YEARS. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization | Name Of IndividualNameOfIndividual |
|---|---|---|---|---|---|---|---|---|---|
| PRIDE PHILANTHROPY | |||||||||
| 2620 MILFORD LANE | ALPHARETTA | GA | 30009 | FUNDRAISING CONSULTING | 0 | 0 | 36000 | 0 | |
| (no name) | |||||||||
| 6553 B ALDERTON STREET | REGO PARK | NY | 11374 | GRANT WRITING AND CONSULTING | 0 | 0 | 6825 | 0 | LAUREEN FREDELLA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 42825 | TotalRetainedByContractors |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN D WATSON JR MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PRESIDENT & TRUSTEE | Relationship |
| Amount Of Transaction | 72727 | AmountOfTransaction |
| Description Of Transaction | DR. WATSON PARTICIPATES IN CHARITABLE GIFT ANNUITY PLAN FROM WHICH ANNUITY PAYMENTS ARE PAID. DURING 2012, JOHN D. WATSON RECEIVED DISTRIBUTIONS FROM THE PLAN. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FOUNDATION DIRECTOR AND THE SECRETARY/TREASURER OF THE FOUNDATION REVIEW THE 990. ONCE THEY ARE SATISFIED, AN ELECTRONIC COPY IS FORWARDED TO THE REMAINDER OF THE BOARD OF TRUSTEES FOR COMMENT. IF NO COMMENTS ARE RECEIVED WITHIN 24 HOURS, IT IS SIGNED BY THE PRESIDENT OF THE FOUNDATION AND MAILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | TRUSTEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR, AND AS A PART, DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | A STIPEND OF $500 PER MONTH IS PROVIDED TO THE BOARD PRESIDENT. THIS IS APPROVED BY THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990 PART XII LINE 2C | THERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS, NOR OVERSIGHT OF THE FINANCIAL STATEMENTS. |
| FORM 990 PART I LINE 5 | MEDICAL ASSOCIATION OF GEORGIA FOUNDATION UTILIZES LEASED EMPLOYEES. |
| PART VII LINE 1A(B) | JOSEPH P. BAILEY AND JOHN ANTALIS ARE ALSO VOTING MEMBERS OF THE BOARD OF DIRECTORS FOR MEDICAL ASSOCIATION OF GEORGIA. THEY EACH DEVOTE APPROXIMATELY 10 HOURS PER WEEK TO THIS RELATED EXEMPT ORGANIZATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ASSOCIATION OF GEORGIA | |||||||||
| 1849 THE EXCHANGE SUITE 200 | ATLANTA | GA | 30339 | 580605267 | MEDICAL PROFESSIONAL LEAGUE | GA | 501(C)(6) | N/A | 0 |
| GAMPAC | |||||||||
| 1849 THE EXCHANGE SE | ATLANTA | GA | 30339 | 580939391 | MEDICAL PROFESSIONAL LEAGUE | GA | 501(C)(6) | N/A | 0 |
| PHYSICIANS' INSTITUTE FOR EXCELLENCE IN MEDICINE | |||||||||
| 1849 THE EXCHANGE SE | ATLANTA | GA | 30339 | 300211350 | MEDICAL PROFESSIONAL LEAGUE | GA | 501(C)(6) | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |