STRATEGY STUDIO / PUBLIC DATA EXPLORER

MEDICAL-SURGICAL NURSING CERTIFICATION BOARD INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEDICAL-SURGICAL NURSING CERTIFICATION BOARD INC (EIN 20-1448697)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-14
IRS object ID
201320459349300322
Schema version
2011v1.2
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)
Timestamp2013-02-14T08:48:24-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN223008776EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HAEFELE FLANAGAN & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 471AddressLine1
CityMOORESTOWNCity
StateNJState
ZIP Code08057ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201448697EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDICAL-SURGICAL NURSING CERTIFICATION BOARD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEDINameControl
Phone8562562300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1EAST HOLLY AVENUE BOX 56AddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA NOWICKI HNATIUKName
TitleEXECUTIVE DIRECTORTitle
Phone8562562300Phone
Date Signed2012-12-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM STACKHOUSEName
PTINP00628378PTIN
Phone8567225300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCYNTHIA NOWICKI HNATIUKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1EAST HOLLY AVENUE BOX 56AddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1855377GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MSNCB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO DEVELOP, ADMINISTER AND EVALUATE A PROGRAM TO PROMOTE THE ACHIEVEMENT OF THE CERTIFICATION OF MEDICAL-SURGICAL NURSES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1365307ProgramServiceRevenuePriorYear
Program Service Revenue CY1495716ProgramServiceRevenueCY
Investment Income Prior Year57713InvestmentIncomePriorYear
Investment Income Current Year70277InvestmentIncomeCurrentYear
Other Revenue Prior Year220OtherRevenuePriorYear
Other Revenue Current Year219OtherRevenueCurrentYear
Total Revenue Prior Year1423240TotalRevenuePriorYear
Total Revenue Current Year1566212TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1296180OtherExpensePriorYear
Other Expenses Current Year1412758OtherExpensesCurrentYear
Total Expenses Prior Year1296180TotalExpensesPriorYear
Total Expenses Current Year1412758TotalExpensesCurrentYear
Revenues Less Expenses Prior Year127060RevenuesLessExpensesPriorYear
Revenues Less Expenses CY153454RevenuesLessExpensesCY
Total Assets BOY1246200TotalAssetsBOY
Total Assets EOY1560098TotalAssetsEOY
Total Liabilities BOY631094TotalLiabilitiesBOY
Total Liabilities EOY791538TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY615106NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY768560NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION WAS FORMED TO DEVELOP, ADMINISTER AND EVALUATE A PROGRAM FOR THE CERTIFICATION OF MEDICAL-SURGICAL NURSES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense452560Expense
DescriptionMANAGEMENT FOR THE DEVELOPMENT AND ADMINISTRATION OF A PROGRAM TO CERTIFY MEDICAL-SURGICAL NURSES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense460362Expense
DescriptionFINANCIAL SUPPORT TO THE ACADEMY OF MEDICAL SURGICAL NURSES TO MEET ITS GOALS AND OBJECTIVES.Description
FieldValueIRS element (for citing)
Total Program Service Expense912922TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AJ JANNETTI INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2562562300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1BOX 56 EAST HOLLY AVENUEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KAREN GREGG
DIRECTOR2.00X000
MIMI HASKINS
TREASURER2.00X000X
CARLO PIRAINO
DIRECTOR2.00X000
JANE KEARNS
PUBLIC MEMBER2.00X000
CYNTHIA W WARD
PRESIDENT2.00X000X
PATRICIA KURZ
SECRETARY2.00X000X
CYNTHIA NOWICKI HNATIUK
EXECUTIVE DIRECTOR7.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AJ JANNETTI INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1EAST HOLLY AVEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesVARIOUS MANAGEMENT RELATED SERVICESDescriptionOfServices
Compensation346453Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCERTIFICATION FEESDescription
Business Code541900BusinessCode
Total Revenue Column1495716TotalRevenueColumn
Related Or Exempt Function Income1495716RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1495716TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51659TotalRevenueColumn
Related Or Exempt Function Income51659RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities307783Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities289165Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18618Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column18618TotalRevenueColumn
Related Or Exempt Function Income18618RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column219TotalRevenueColumn
Related Or Exempt Function Income219RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue219TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1566212TotalRevenueColumn
Related Or Exempt Function Income1566212RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15606Total
Management And General15606ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50Total
Management And General50ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6300Total
Management And General6300ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total49097Total
Management And General49097ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28426Total
Management And General28426ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total146824Total
Management And General146824ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total487Total
Management And General487ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6716Total
Management And General6716ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
GRANT TO AMSN460362460362
C-NET TEST ADMINISTRATI433385433385
CERT SVCES MANAGER SERV8948789487
EXECUTIVE DIRECTOR4419944199

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total131819Total
Program Services19175ProgramServices
Management And General112644ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1412758Total
Program Services912922ProgramServices
Management And General499836ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY376139BOY
EOY449763EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6607BOY
EOY7035EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5785BOY
EOY2226EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY857669BOY
EOY1101074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1246200BOY
EOY1560098EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY91692BOY
EOY121541EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY158223BOY
EOY209635EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY381179BOY
EOY460362EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY631094BOY
EOY791538EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY615106BOY
EOY768560EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY615106BOY
EOY768560EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1246200BOY
EOY1560098EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses153454ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$460,362Amount
FieldValueIRS element (for citing)
Total Of Amounts460362TotalOfAmounts
Total Revenue1566212TotalRevenue
Total Expenses1412758TotalExpenses
Excess Or Deficit For Year153454ExcessOrDeficitForYear
Excess Or Deficit Per FS153454ExcessOrDeficitPerFS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3MSNCB CONTRACTS WITH ANTHONY J. JANNETTI, INC. AS ITS ASSOCIATION MANAGEMENT COMPANY (AMC).
FORM 990, PART VI, SECTION B, LINE 11ALL BOARD MEMBERS REVIEW 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL REVIEW ACCORDING TO POLICY AND PERIODIC REVIEW IF INDIVIDUAL POSITIONS OR RESPONSIBILITIES CHANGE.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ACADEMY OF MEDICAL SURGICAL NURSES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1EAST HOLLY AVENUEAddressLine1
CityPITMANCity
StateNJState
ZIP Code08071ZIPCode
FieldValueIRS element (for citing)
EIN223141758EIN
Primary ActivitiesACADEMY OF MEDICAL-SURGICAL NURSESPrimaryActivities
Legal Domicile StateNJLegalDomicileState
Exempt Code SectionNONPROFIT ORGANIZATIExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ACADEMY OF MEDICAL-SURGICAL NURSES INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ACADEMY OF MEDICAL-SURGICAL NURSES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved460362AmountInvolved