STANISLAUS MEDICAL SOCIETY ALLIANCE: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- STANISLAUS MEDICAL SOCIETY ALLIANCE (EIN 77-0519356)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-09-06
- IRS object ID
- 201322499349200752
- Schema version
- 2012v2.0
- 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 | 2013-09-06T11:11:27-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Johnson & Associates CPAs Inc | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 631 15TH ST | AddressLine1 |
| City | MODESTO | City |
| State | CA | State |
| ZIP Code | 95354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770519356 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stanislaus Medical Society Alliance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STAN | NameControl |
| Phone | 2095271704 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 576007 | AddressLine1 |
| City | Modesto | City |
| State | CA | State |
| ZIP Code | 95357 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Alka Modi | Name |
| Title | Treasurer | Title |
| Date Signed | 2013-09-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Casey G Johnson | Name |
| PTIN | P00002089 | PTIN |
| Phone | 2092361040 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 78426 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 30673 | ContributionsGiftsGrantsEtc |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 47753 | FundraisingGrossIncome |
| Special Events Direct Expenses | 20593 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 27160 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 57833 | TotalRevenue |
| Grants And Similar Amounts Paid | 41770 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 550 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 2270 | PrintingPublicationsPostage |
| Other Expenses Total | 7433 | OtherExpensesTotal |
| Total Expenses | 52023 | TotalExpenses |
| Excess Or Deficit For Year | 5810 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 27694 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33504 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27694 | BOY |
| EOY | 61504 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27694 | BOY |
| EOY | 61504 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 28000 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27694 | BOY |
| EOY | 33504 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | MEDICAL FAMILIES UNITED IN FRIENDSHIP DEDICATED TO EDUCATING AND SERVING THE COMMUNITY. TO REPRESENT THE INTERESTS OF THE COMMUNITY BEFORE HOSPITAL ADMINISTRATION AND THE GENERAL PUBLIC AND PROVIDE EDUCATIONAL PROGRAMS AND OPPORTUNITIES TO MEMBERS, INTERESTED PARTIES, AND FUTURE HEALTHCARE PROFESSIONALS. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| Scholarships - The organization distributes educational scholarships to local students. | 5000 | 5000 |
| Charitable Grants - The organization distributes grants to local charitable organizations. | 34050 | 34050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 39050 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (18 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| Heidi Kinzie | ||
| Director | 0 | 0 |
| Alka Modi | ||
| Co-Treasurer | 0 | 0 |
| Seema Shankar | ||
| President | 0 | 0 |
| Liz Cottrell | ||
| Director | 0 | 0 |
| Christine Ashrafzadeh | ||
| VP-Membership | 1.00 | 0 |
| Meenu Shergill | ||
| Director | 1.00 | 0 |
| Lilly Banisadre | ||
| Director | 1.00 | 0 |
| Darlyn Remington | ||
| President Elect | 1.00 | 0 |
| Allison Arroyo | ||
| VP-Health Progm | 1.00 | 0 |
| Narinda Ludder | ||
| Director | 5.00 | 0 |
| Subha Chandran | ||
| Secretary | 5.00 | 0 |
| Sally Elsakr | ||
| Secretary | 5.00 | 0 |
| Loan Bui-Thompson | ||
| Co-Treasurer | 5.00 | 0 |
| Ravinder Hundal | ||
| Director | 5.00 | 0 |
| Renu Duggal | ||
| Director | 10.00 | 0 |
| Simi Nijjar | ||
| Director | 10.00 | 0 |
| Cherrie Llewellyn | ||
| Director | 10.00 | 0 |
| Jyothi Seetharam | ||
| Parliamentarian | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Alka Modi | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 576007 | AddressLine1 |
| City | Modesto | City |
| State | CA | State |
| ZIP Code | 95357 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2099681091 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10285 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14049 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14801 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9750 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7070 | CurrentTaxYear |
| Total | 55955 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 61960 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45900 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 56971 | CurrentTaxYearMinus1Year |
| Current Tax Year | 71356 | CurrentTaxYear |
| Total | 303393 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 72245 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 81255 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60701 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 66721 | CurrentTaxYearMinus1Year |
| Current Tax Year | 78426 | CurrentTaxYear |
| Total | 359348 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 359348 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 185 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41 | CurrentTaxYearMinus1Year |
| Total | 314 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 185 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41 | CurrentTaxYearMinus1Year |
| Total | 314 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 72430 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 81326 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60718 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 66762 | CurrentTaxYearMinus1Year |
| Current Tax Year | 78426 | CurrentTaxYear |
| Total | 359662 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99910 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99860 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00090 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00140 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Hearts & Flowers Dinner and Auction | NameOfEvent1 |
| Gross Receipts Event1 | 46483 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 46483 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 11648 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 8742 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 46483 | GrossReceiptsTotal |
| Gross Revenue Total Events | 46483 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 11648 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 8742 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 20390 | DirectExpenseSummaryEvents |
| Net Income Summary | 26093 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 26.1 | Total Liabilities.1 | Scholarship Payable - Beginning $0 Scholarship Payable - Ending $28000 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | BANK CHARGES $16 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | Filing Fees $45 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Supplies $315 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | Food and Beverage $3307 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | Membership Dues $3750 |
| Form 990-EZ, Part I, Line 10.5 | Grants and Similar Amounts Paid In Excess of $5,000.5 | Class of Activity: Community Support | Donee's Name: Wave of Hope MS Foundation | Relationship of Donee: None | Cash Amount Given: $6000 |
| Form 990-EZ, Part I, Line 10.4 | Grants and Similar Amounts Paid In Excess of $5,000.4 | Class of Activity: Community Support | Donee's Name: Gabriel's Friend | Relationship of Donee: None | Cash Amount Given: $7000 |
| Form 990-EZ, Part I, Line 10.3 | Grants and Similar Amounts Paid In Excess of $5,000.3 | Class of Activity: Community Support | Donee's Name: Haven Women's Center | Relationship of Donee: None | Cash Amount Given: $7000 |
| Form 990-EZ, Part I, Line 10.2 | Grants and Similar Amounts Paid In Excess of $5,000.2 | Class of Activity: Community Support | Donee's Name: The Ed. Foundation of Stanislaus County | Relationship of Donee: None | Cash Amount Given: $7000 |
| Form 990-EZ, Part I, Line 10.1 | Grants and Similar Amounts Paid In Excess of $5,000.1 | Class of Activity: Community Support | Donee's Name: Children's Crisis Center | Relationship of Donee: None | Cash Amount Given: $7000 |