NATIONAL HEALTH FORUM INC: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL HEALTH FORUM INC (EIN 20-5821134)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-03-10
- IRS object ID
- 201210719349200101
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-10T10:35:20-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205821134 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL HEALTH FORUM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NATI | NameControl |
| Phone | 3147574357 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2350 GATEROYAL DR | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631311928 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Naseem A Shekhani | Name |
| Title | 032510 | Title |
| Date Signed | 2012-03-10 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Fareed Katariwala | Name |
| Phone | 3149734230 | Phone |
| Date Prepared | 2012-03-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 97170 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 97170 | ContributionsGiftsGrantsEtc |
| Total Revenue | 97170 | TotalRevenue |
| Grants And Similar Amounts Paid | 82400 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 2378 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 10557 | PrintingPublicationsPostage |
| Other Expenses Total | 3194 | OtherExpensesTotal |
| Total Expenses | 98529 | TotalExpenses |
| Excess Or Deficit For Year | -1359 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 5003 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3644 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5003 | BOY |
| EOY | 3644 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5003 | BOY |
| EOY | 3644 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5003 | BOY |
| EOY | 3644 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | TO PROMOTE HEALTHCARE EDUCATION AND FUNDING | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (9 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Includes Foreign GrantsIncludesForeignGrants | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| KOOHI GOTH HOSPITAL is in rural area of Karachi and it caters indigent populationIt mainly performs fistular repair free of cost to patients It is also center for post graduation students | X | 38500 |
| ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA: A physicians run not-for profit rognization Provided helath care to victims of flood in the province of Sindh and Punjab | X | 12000 |
| MIDLAND DOCTORS ASSOCIATION OF UNITED KINGDOM: A physicians run not-for-profit organization operating a rehap hosptial in Muzzafarabad in unoccupied Kashmir Our donation goes to direct patient care | X | 10500 |
| CHILDREN CANCER HOSPITAL, the only Childern Cancer Hospital in city of Karachi with a population of 129 million In addition it serves the entire southern province of Sindh The grants are mostly used for Chemo therapy drugs | X | 8500 |
| ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA: A physicians run not-for profit rognization Provided helath care to victims of flood in the province of Sindh and Punjab | X | 5300 |
| ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA: Arranges educational teleconference program between USA and different medical colleges in Pakistan | X | 5000 |
| ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA: A physicians run not-for profit rognization For running Free health Care clinic in St Louis City area for people without healthcare insurance | X | 1000 |
| DOW GRADUATE ASSOCIATION OF NORTH AMERICA: For providng releif to people in the province of Sind via Dow University given donation | X | 600 |
| ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA: A physicians run not-for profit rognization for resident handbook project | X | 1000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 82400 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Naseem A Shekhani | ||||||
| 2350 Gateroyal Drive | St Louis | MO | 63131 | Director | 005.00 | 0 |
| Javid Qasim MD | ||||||
| 1169 Mason Knoll Road | Town and Country | MO | 63131 | Director | 001.00 | 0 |
| Junaid Syed | ||||||
| 11 Summerhill Ln | Town and Country | MO | 63017 | Director | 005.00 | 0 |
| Tanveer Imam | ||||||
| 5929 Ricky Ridge Trail | Orefield | PA | 18069 | Director | 002.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FAREED KATARIWALA | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1028 OLD DES PERES ROAD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63131 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3149734230 | 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 |
| 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 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40951 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 101150 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 50490 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90974 | CurrentTaxYear |
| Total | 355057 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40951 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 101150 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 50490 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90974 | CurrentTaxYear |
| Total | 355057 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 355057 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | 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 | 40951 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 101150 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 50490 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90974 | CurrentTaxYear |
| Total | 355057 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 1.00000 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Form 990-EZ, Part I, Line 10, Grants Paid Activity DIRECT PATIENT CARE, Grantee KOOHI GOTH HOSPITAL GADOP TOWNSHIP LANDHI KARACHI Pakistan, Cash Grant 38,500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity DIRECT PATIENT CARE, Grantee MEMON MEDICAL INSTITUTE SAFOORA GOTH KARACHI Pakistan, Cash Grant 5,300, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity DIRECT PATIENT CARE, Grantee CHILDREN CANCER HOSPITAL AISHA MANZIL FEDERAL B AREA KARACHI Pakistan, Cash Grant 8,500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity DIRECT PATIENT CARE, Grantee MIDLAND DOCTORS ASSOCIATION OF UNITED KINGDOM THE DERWENT BUSINESS CENTER, CLARK STREET DERBY DEI 2BU United Kingdom England, Northern Ireland, Scotland, and Wales, Cash Grant 10,500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity FLOOD RELIEF, Grantee APPNA 6414 SOUTH CASS AVENUE WESTMONT IL 60559, Cash Grant 12,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity FLOOD RELIEF, Grantee DOGANA 2608 EASTWOOD AVENUE RICHLAND WA 99352, Cash Grant 600, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity EDUCATIONAL TELECONF PROGRAM, Grantee APPNA 6414 SOUTH CASS AVENUE WESTMONT IL 60559, Cash Grant 5,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity DIRECT PATIENT CARE, Grantee APPNA 3843 WEST PINE MALL BLVD ST LOUIS MO 63108, Cash Grant 1,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity RESIDENT HAND BOOK, Grantee APPNA 3843 WEST PINE MALL BLVD ST LOUIS MO 63108, Cash Grant 1,000, Relationship Form 990-EZ, Part I, Line 16, Other Expenses Supplies 96 Form 990-EZ, Part I, Line 16, Other Expenses Bank Charges 470 Form 990-EZ, Part I, Line 16, Other Expenses Miscellaneous 2,623 Form 990-EZ, Part I, Line 16, Other Expenses Office expenses 5 Form 990-EZ, Part III, Line 31 CHILDREN CANCER HOSPITAL, the only Childern Cancer Hospital in city of Karachi with a population of 12.9 million. In addition it serves the entire southern province of Sindh. The grants are mostly used for Chemo therapy drugs Grants and allocations, including foreign grants 0, Program service expenses 8,500 Form 990-EZ, Part III, Line 31 ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA A physicians run not-for profit rognization. Provided helath care to victims of flood in the province of Sindh and Punjab Grants and allocations, including foreign grants 0, Program service expenses 5,300 Form 990-EZ, Part III, Line 31 ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA Arranges educational teleconference program between USA and different medical colleges in Pakistan. Grants and allocations, including foreign grants 0, Program service expenses 5,000 Form 990-EZ, Part III, Line 31 ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA A physicians run not-for profit rognization. For running Free health Care clinic in St. Louis City area for people without healthcare insurance. Grants and allocations, including foreign grants 0, Program service expenses 1,000 Form 990-EZ, Part III, Line 31 DOW GRADUATE ASSOCIATION OF NORTH AMERICA For providng releif to people in the province of Sind via Dow University given donation Grants and allocations, including foreign grants 0, Program service expenses 600 Form 990-EZ, Part III, Line 31 ASSOCIATION OF PHYSCIANS OF PAKISTANI DESCENT OF NORTH AMERICA A physicians run not-for profit rognization. for resident handbook project. Grants and allocations, including foreign grants 0, Program service expenses 1,000 | Explanation |