STRATEGY STUDIO / PUBLIC DATA EXPLORER

CERTIFICATION BOARD OF INFECTION CONTROL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CERTIFICATION BOARD OF INFECTION CONTROL (EIN 04-2760899)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349305745
Schema version
2011v1.3
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)
Timestamp2012-11-14T15:27:27-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 HIGH ST 21ST FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code021102704ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042760899EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Certification Board of InfectionBusinessNameLine1
Business Name Line2Control and Epidemiology IncBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% ANNE KROLIKOWSKIInCareOfName
Name ControlCERTNameControl
Phone4149189796Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E Wells StreetAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code532023823ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGAIL HARRISName
TitleTREASURERTitle
Date Signed2012-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura KenneyName
Phone6172267000Phone
Date Prepared2012-11-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAnne KrolikowskiNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 E Wells StreetAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code532023823ZIPCode
FieldValueIRS element (for citing)
Gross Receipts527538GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.cbic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTo protect the public by improving healthcare through an accredited certification process.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year618463ProgramServiceRevenuePriorYear
Program Service Revenue CY489230ProgramServiceRevenueCY
Investment Income Prior Year39222InvestmentIncomePriorYear
Investment Income Current Year28954InvestmentIncomeCurrentYear
Other Revenue Prior Year3087OtherRevenuePriorYear
Other Revenue Current Year4060OtherRevenueCurrentYear
Total Revenue Prior Year660772TotalRevenuePriorYear
Total Revenue Current Year522244TotalRevenueCurrentYear
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 Year553138OtherExpensePriorYear
Other Expenses Current Year595971OtherExpensesCurrentYear
Total Expenses Prior Year553138TotalExpensesPriorYear
Total Expenses Current Year595971TotalExpensesCurrentYear
Revenues Less Expenses Prior Year107634RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-73727RevenuesLessExpensesCY
Total Assets BOY1248810TotalAssetsBOY
Total Assets EOY1138116TotalAssetsEOY
Total Liabilities BOY22154TotalLiabilitiesBOY
Total Liabilities EOY16945TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1226656NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1121171NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE QUALITY OF HEALTHCARE BY INCREASING THE NUMBER OF PROFESSIONALS WHOSE KNOWLEDGE MASTERY IN INFECTION CONTROL AND APPLIED EPIDEMIOLOGY HAS BEEN DEMONSTRATED BY CERTIFICATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionThe certification board of infection control and epidemiology, inc. (CBIC) offers voluntary periodic certification exams for all infection control professionals meeting educational and practice requirements. The purpose of the certification process is to protect the public by providing a standardized measurement of current basic knowledge needed for persons practicing infection control, to encourage individual growth and study, thereby promoting professionalism among infection control professionals who fulfill the requirements for certification. CBIC's certification program is accredited by the national commission for certifying agencies. CBIC administered approximately 1,120 exams during 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionThe self-achievement recertification examinations (SARE) is an open book web-based exam available only to re-certifiers. It is designed for the candidate to complete at his or her own pace within the calendar year that the candidate is due to recertify. Approximately 335 candidates took the SARE exam during 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionPractice exams are available for initial certifiers to help the candidate assess their knowledge level in the field of infection control and epidemiology by providing information on how the candidate performed in each of the different content areas prior to taking the exam. Approximately 620 candidates took the practice exam in 2011.Description
FieldValueIRS element (for citing)
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNE KROLIKOWSKINamePerson
Telephone Number4149189796TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 E WELLS STREET SUITE 1100AddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code532023823ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensation
Terrie Lee RN MPH CIC
President4.0XX00
Barbara Russell RN BSHA MPH CIC
President-Elect3.0XX00
Marie Kassai RN BSN MPH CIC
Secretary2.0XX00
Craig Gilliam BSMT CIC
Treasurer4.0XX00
Fran Feltovich MBA RN CIC CPHQ
Past President2.0XX00
Celeste Andrews RN MS CIC
Director2.0X00
Ruth Carrico PhD RN CIC
Director2.0X00
Gail Harris RN MS MA CIC
Director2.0X00
Deanie Lancaster RN BSN MS CIC
Director2.0X00
Kathy McGhie RN BSCN CIC
Director2.0X00
Bonnie Sue Norrick CLS EdM CIC
Director2.0X00
Glenda Schuh RN BSN CIC
Director2.0X00
Kathryn Suh MD FRCPC CIC
Director2.0X00
Paul Field
Consumer Director2.0X00
Anne Krolikowski
Executive Director20.0X00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EXECUTIVE DIRECTOR INC
555 EAST WELLS STREET SUITE 1100MILWAUKEEWI53202MANAGEMENT SERVICES160423
Applied Measurement Professionals
18000 W 105th StreetOLATHEKS66061EXAMINATION SERVICES132270
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EXAMINATIONS541900345790345790
SARE EXAM541900112225112225
PRACTICE EXAMS5419003072030720
CERTIFICATES/WAIVERS541900495495
FieldValueIRS element (for citing)
Total Program Service Revenue489230TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28866TotalRevenueColumn
Exclusion$28,866ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1422Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1334Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities88Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column88TotalRevenueColumn
Exclusion$88ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory7646GrossSalesOfInventory
Cost Of Goods Sold3960CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3686TotalRevenueColumn
Exclusion$3,686ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column374TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue374TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column522244TotalRevenueColumn
Related Or Exempt Function Income489230RelatedOrExemptFunctionIncome
Exclusion$32,640ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total160423Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5743Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9330Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10644Total

Advertising Advertising

FieldValueIRS element (for citing)
Total4263Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1511Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12202Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total47110Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total172087Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1735Total

Insurance Insurance

FieldValueIRS element (for citing)
Total2422Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
EXAM DEVELOPMENT AND ADMIN132270
CREDIT CARD FEES10696
PRINTING10469
POSTAGE4332

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10734Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total595971Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY63564BOY
EOY18739EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY85101BOY
EOY10158EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30875BOY
EOY24732EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1948BOY
EOY5005EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2523BOY
EOY16428EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10021LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7045LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1860BOY
EOY2976EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1062939BOY
EOY1060078EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1248810BOY
EOY1138116EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22154BOY
EOY16945EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22154BOY
EOY16945EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1226656BOY
EOY1121171EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1226656BOY
EOY1121171EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1248810BOY
EOY1138116EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-73727ReconcilationRevenueExpenses
Reconcilation Other Changes-31758ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10021OtherCostOrOtherBasis
Depreciation7045Depreciation
Book Value2976BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2976TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue522244TotalRevenue
Total Expenses595971TotalExpenses
Excess Or Deficit For Year-73727ExcessOrDeficitForYear
Net Unrealized GL On Investments-12098NetUnrealizedGLOnInvestments
Other-$19,660OtherAmount
Total Adjustments-31758TotalAdjustments
Excess Or Deficit Per FS-105485ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt494446TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-12098NetUnrealizedGainsInvestments
Other Revenues-15700OtherRevenues
Revenue Not Rptd F990-27798RevenueNotRptdF990
Revenue Subtotal522244RevenueSubtotal
Total Revenue Per Form990522244TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt599931TotExpensesEtcAuditedFinclStmt
Other Expenses Included3960OtherExpensesIncluded
Expenses Not Rptd F9903960ExpensesNotRptdF990
Expenses Subtotal595971ExpensesSubtotal
Total Expenses Per Form990595971TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER LIABILITIESPART X, LINE 2CBICs informational returns are subject to examination by the appropriate taxing jurisdictions. Tax positions for the open tax years as of December 31, 2011 were reviewed and it was determined that no provision for uncertain tax positions was required as of December 31, 2011 and 2010. As of December 31, 2011 CBICs federal and various state informational returns generally remain open for the last three years.
PART XI, LINE 8INVESTMENT MAINTENANCE COSTS $19,660
PART XII, LINE 2DAmount is comprised of the removal of $19,660 of investment maintenance costs and the inclusion of $3,960 of cost of goods sold (inventory).
PART XIII, LINE 2DAmount is comprised of the removal of $3,960 of costs of goods sold (inventory).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3CBIC contracted with Executive Director, Inc. to perform its daily operations. All major decisions regarding the Organization's mission, goals, and activities are determined by the Board of Directors.
FORM 990, PART VI, SECTION B, LINE 11The Organization's Treasurer reviews a draft of the Form 990, which is prepared by the Organization's independent accountant. Any resultant comments and changes are incorporated into the Form 990 by the independent accountant. A final version of the Form 990 is then provided to each member of the Board of Directors prior to its filing with the IRS.
FORM 990, PART VI, SECTION B, LINE 12CThree times a year, at the Board meetings, each Board member completes the conflict of interest form. The forms are reviewed and kept on file at the management company.
FORM 990, PART VI, SECTION B, LINE 15The Organization is managed by Executive Director, Incorporated, a for-profit management company. The Organization has no official employees because all staff assigned to the Organization are employees of the management company. The Organization does not compensate directors, other top officials, nor has anybody that fits the definition of a key employee. The management contract includes providing office facilities, management, recordkeeping, accounting, storage, other significant services, and related overhead costs. The organization's management fee is compared to data from the benchmarking series publication "Operating Ratio Report" provided by ASAE and the Center for Industry Research and is approved by the Organization's Board of Directors. This data outlines percentages of an organization's budget spent on expense line items included in the Organization's management fee.
FORM 990, PART VI, SECTION C, LINE 19CBIC's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
FORM 990, PART XI, LINE 5, CHANGE IN NET ASSETS:NET UNREALIZED LOSS ON INVESTMENTS: (12,098) INVESTMENT EXPENSES: (19,660) TOTAL TO FORM 990, PART XI, LINE 5: (31,815)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1APICBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1160 FEDERAL STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
EIN911887495EIN
Primary ActivitiesEDUCATIONPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg