2013-02-12T16:57:17-06:00 2012-06-30 431126847 WILLIAMS-KEEPERS LLC 3220 WEST EDGEWOOD STE E JEFFERSON CITY MO 65109 990 2011-07-01 263106643 PHARMACY AGENT CORPORATION PHAR 5736367522 211 EAST CAPITOL AVENUE JEFFERSON CITY MO 65101 RON FITZWATER 5736367522 2013-02-06 1 MICHAEL J OLDELEHR P00048943 5736356196 2011 2016-03-07 17:11:31Z RON FITZWATER 211 EAST CAPITOL AVENUE JEFFERSON CITY MO 65101 410431 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 8 0 0 0 0 400000 400000 9368 10431 0 0 409368 410431 100000 70000 0 0 0 0 0 0 0 313360 300885 413360 370885 -3992 39546 4311695 3793129 4193843 3635731 117852 157398 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 309846 70000 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. 309846 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 1 2 0 1 0 0 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 10431 10431 410431 400000 0 10431 70000 70000 143000 128700 14300 20057 20057 13500 13500 78672 70805 7867 7447 6703 744 7588 6830 758 12939 12939 1381 1381 1100 1100 1863 1863 BANK SERVICE CHARGES 12488 12488 MISCELLANEOUS 686 686 BOARD EXPENSE 164 164 370885 309846 61039 0 4300564 3780426 7147 9819 5659 2775 3984 2884 4311695 3793129 118202 83283 4075641 3552448 4193843 3635731 X 0 0 0 0 117852 157398 117852 157398 4311695 3793129 39546 0 X X 0 1 1 X 0 5659 2775 2884 2884 DUE TO PHARMACIES 3552448 3552448 410431 370885 39546 39546 410431 0 410431 0 410431 370885 0 370885 0 370885 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: AT THE TIME THE AUDIT REPORT WAS ISSUED, THE ORGANIZATION HAD REAPPLIED FOR EXEMPT STATUS AFTER THE INITIAL APPLICATION TO BE EXEMPT UNDER SECTION 501(C)(6) WAS REJECTED. HOWEVER, SHORTLY AFTER, THE ORGANIZATION RECEIVED NOTICE THAT THEY HAD BEEN ACCEPTED AS A SECTION 501(C)(4) ENTITY. THEREFORE, THIS RETURN HAS BEEN PREPARED BASED ON THE 501(C)(4) CLASSIFICATION. 1 MISSOURI PHARMACEUTICAL ASSOCIATION 211 E CAPITOL AVE JEFFERSON CITY MO 65101 440357135 501(C)(6) 70000 PROGRAM EXPANSION 1 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. 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 1 0 0 0 0 0 0 0 0