LANE COUNTY MEDICAL SOCIETY FOUNDATION: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LANE COUNTY MEDICAL SOCIETY FOUNDATION (EIN 32-0080103)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-11
- IRS object ID
- 201241329349201094
- 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 | 2012-05-11T13:11:20-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930396435 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERNUTT STOKES LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 EXECUTIVE PARKWAY SUITE 110 | AddressLine1 |
| City | EUGENE | City |
| State | OR | State |
| ZIP Code | 974017116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320080103 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANE COUNTY MEDICAL SOCIETY FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LANE | NameControl |
| Phone | 5416860995 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 990 WEST 7TH AVENUE | AddressLine1 |
| City | EUGENE | City |
| State | OR | State |
| ZIP Code | 97402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CANDICE BARR | Name |
| Title | CEO | Title |
| Phone | 5416860995 | Phone |
| Date Signed | 2012-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | B DEAN HUBER | Name |
| PTIN | P00041482 | PTIN |
| Phone | 5416871170 | Phone |
| 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 |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 4010 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 920 | ContributionsGiftsGrantsEtc |
| Investment Income | 3090 | InvestmentIncome |
| Total Revenue | 4010 | TotalRevenue |
| Other Expenses Total | 66 | OtherExpensesTotal |
| Total Expenses | 66 | TotalExpenses |
| Excess Or Deficit For Year | 3944 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 63000 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 66944 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63000 | BOY |
| EOY | 66944 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63000 | BOY |
| EOY | 66944 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63000 | BOY |
| EOY | 66944 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | THE LANE COUNTY MEDICAL SOCIETY FOUNDATION'S MISSION IS TO PROMOTE WELLNESS AND SECURITY FOR THE CITIZENS OF LANE COUNTY THROUGH PATIENT AND COMMUNITY EDUCATION, DIRECT SERVICE PROVISION AND PHYSICIAN EDUCATION AND ORGANIZATION. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | MADE CONTRIBUTIONS TO VARIOUS ORGANIZATION TO PROMOTE WELLNESS AND SECURITY FOR THE CITIZENS OF LANE COUNTY. | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 0 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 0 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| RAYMOND ENGLANDER MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | PRESIDENT | 1.00 | 0 | 0 | 0 |
| MARC SCHNAPPER MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | PAST-PRESIDENT | 1.00 | 0 | 0 | 0 |
| BYRKE BELLER MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | PRESIDENT ELECT | 1.00 | 0 | 0 | 0 |
| PETER KOSEK MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | SECRETARY-TREASURER | 1.00 | 0 | 0 | 0 |
| MARK MEYERS MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | SECRETARY-TREASURER ELECT | 1.00 | 0 | 0 | 0 |
| SYLVIA EMORY MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | CHAIR OF OMA DELEGATION | 1.00 | 0 | 0 | 0 |
| PAULA CIESIELSKI MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| DELTA RUSCHEINSKY MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| LEO CYTRYNBAUM MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| ROBERT CAROLAN MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| SHADI MILLER MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| JUANITA DOERKSEN MD | ||||||||
| 990 WEST 7TH AVENUE | EUGENE | OR | 97402 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANE COUNTY MEDICAL SOCIETY FOUND | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 990 WEST 7TH AVENUE | AddressLine1 |
| City | EUGENE | City |
| State | OR | State |
| ZIP Code | 97402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5416860995 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1549 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1790 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1285 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 935 | CurrentTaxYearMinus1Year |
| Current Tax Year | 920 | CurrentTaxYear |
| Total | 6479 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1549 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1790 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1285 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 935 | CurrentTaxYearMinus1Year |
| Current Tax Year | 920 | CurrentTaxYear |
| Total | 6479 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 6479 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2835 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1150 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 737 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1117 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3090 | CurrentTaxYear |
| Total | 8929 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 15408 | TotalSupport |
| Public Support Pertcentage170 | 0.42050 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.91590 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 3,090.. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: LICENSE AND PERMITS . AMOUNT: 16. DESCRIPTION: OFFICE SUPPLIES . AMOUNT: 50. TOTAL TO FORM 990-EZ, LINE 16: 66. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |