TY 2013 Form 990EZ

Form990-EZ
Click to see list of attachments

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)

Do not enter Social Security numbers on this form as it may be made public. By law, the

IRS generally cannot redact the information on the form.

Information about Form 990-EZ and its instructions is at www.irs.gov/form990.

OMB No. 1545-1150

2013

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Terminated

Amended return

Application pending

C Name of organization
ILLINOIS OSTEOPATHIC MEDICAL SOCIETY

Number and street (or P. O. box, if mail is not delivered to street address)142 EAST ONTARIO STREET
Room/suite

City or town, state or province, country, and ZIP or foreign postal code CHICAGO, IL60611

D Employer identification number

36-6065503

E Telephone number

(312) 202-8179

F Group Exemption
Number. . bullet


	1	Contributions, gifts, grants, and similar amounts received...............	1	30,554
2	Program service revenue including government fees and contracts ............	2	80,544
3	Membership dues and assessments......................	3	55,904
4	Investment income...........................	4	139
5a	Gross amount from sale of assets other than inventory........	5a
b	Less: cost or other basis and sales expenses...........	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000) .	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the
	sum of such gross income and contributions exceeds $15,000)	6b	0
c	Less: direct expenses from gaming and fundraising events.......	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances........	7a
b	Less: cost of goods sold.................	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) .....................	8	6
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8..............	9	167,147
	10	Grants and similar amounts paid (list in Schedule O) .................	10	400
11	Benefits paid to or for members........................	11
12	Salaries, other compensation, and employee benefits................	12
13	Professional fees and other payments to independent contractors............	13	116,950
14	Occupancy, rent, utilities, and maintenance...................	14
15	Printing, publications, postage, and shipping...................	15	330
16	Other expenses (describe in Schedule O) ....................	16	62,592
17	Total expenses. Add lines 10 through 16 .................	17	180,272
	18	Excess or (deficit) for the year (Subtract line 17 from line 9)............	18	-13,125
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return)................	19	161,658
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20	5,457
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........	21	153,990

Contributions, gifts, grants, and similar amounts received...............

30,554

Program service revenue including government fees and contracts ............

80,544

Membership dues and assessments......................

55,904

Investment income...........................

139

Gross amount from sale of assets other than inventory........

Less: cost or other basis and sales expenses...........

Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......

Gaming and fundraising events

Gross income from gaming (attach Schedule G if greater than $15,000) .

Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the

sum of such gross income and contributions exceeds $15,000)

Less: direct expenses from gaming and fundraising events.......

Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)

Gross sales of inventory, less returns and allowances........

Less: cost of goods sold.................

Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........

Other revenue (describe in Schedule O) .....................

Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet

167,147

Grants and similar amounts paid (list in Schedule O) .................

400

Benefits paid to or for members........................

Salaries, other compensation, and employee benefits................

Professional fees and other payments to independent contractors............

116,950

Occupancy, rent, utilities, and maintenance...................

Printing, publications, postage, and shipping...................

330

Other expenses (describe in Schedule O) ....................

62,592

Total expenses. Add lines 10 through 16 ................. Bullet

180,272

Excess or (deficit) for the year (Subtract line 17 from line 9)............

-13,125

Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with

end-of-year figure reported on prior year’s return)................

161,658

Other changes in net assets or fund balances (explain in Schedule O) ..........

5,457

Net assets or fund balances at end of year. Combine lines 18 through 20......... Bullet

153,990

Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? TO ACT AS A NON-PROFIT PROFESSIONAL BODY IN THE INTEREST AND FOR THE BENEFIT OF ITS MEMBERS ON MATTERS OF MEMBERSHIP, LEGISLATION AND PUBLIC RELATIONS FOR THE PURPOSE OF CREATING AND MAINTAINING HIGH PROFESSIONAL AND ETHICAL STANDARDS FOR THE OSTEOPATHIC PROFESSION IN THE STATE OF ILLINOIS AND FOR THE MUTUAL BENEFIT OF THE INDIVIDUAL MEMBERS AND THE PUBLIC THEY SERVE.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 PROVIDED CONTINUING MEDICAL EDUCATION ACROSS THE STATE OF ILLINOIS TO HELP MEMBERS MEET CAREER GOALS. MONITORED LEGISLATION IMPORTANT TO THE OSTEOPATHIC MEDICAL COMMUNITY. VOLUNTEERED MEDICAL EXPERTISE TO STATE PANELS. MET WITH LEGISLATORS TO SHARE THE PHYSICIAN PERSPECTIVE ON HEALTH CARE POLICY ISSUES.PROVIDED PROFESSIONAL SUPPORT THROUGH THE ILLINOIS INSIGHTS NEWSLETTER AND THE MAINTENANCE OF WEB RESOURCES. REPRESENTED OUR MEMBERSHIP TO VARIOUS GOVERNMENT AND PROFESSIONAL ORGANIZATIONS.ANSWERED QUESTIONS ABOUT MEDICAL LICENSING AND LEGISLATIVE/REGULATORY ACTIVITIES AFFECTING OSTEOPATHIC MEDICAL PRACTICES.SUPPORTED POSTGRADUATES IN TRAINING THROUGH OUR WEBSITE, SEMINARS AND MEETINGS.SUPPORTED OSTEOPATHIC MEDICAL STUDENTS THROUGH STUDENT WORKSHOPS, AWARDS AND ACTIVITIES. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

(a) Name and title	(b) Average hours per week devoted to position	(c)Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
ANDREW YOCHUMTrustee	2.00	0
GLENN NORDEHNTreasurer	5.00	0
PAULA MACKRIDESVice President	5.00	0
ALICIA MARTINPresident Elect	5.00	0
ISAAC J KIRSTEINTrustee	2.00	0
LAURA ROSCHPresident	5.00	0
HEATHER CZAJKOWSKATrustee	2.00	0
ANTHONY DELORENZOTrustee	2.00	0
MICHAEL CHIPMANAt Large	2.00	0
AMANDA S WRIGHTTrustee	2.00	0
NICOLE ABELLPOSTGRADUATE	2.00	0
TIMOTHY J BUFFEYTrustee	2.00	0
DANIEL MENDELSONTrustee	2.00	0
JAYNEE KRIPPELTrustee	2.00	0

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ................. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Revenue.1	MISCELLANEOUS $6
Other Expenses.1005	Travel $50
Other Expenses.1007	Conferences, Conventions, and Meetings $50982
Other Expenses.1012	Insurance $1156
Other Expenses.1	BANK AND OTHER FEES $3791
Other Expenses.2	HOUSE OF DELEGATES $3504
Other Expenses.3	DUES $1525
Other Expenses.4	STUDENT MEMBERSHIP $613
Other Expenses.5	MEMBERSHIP SOLICITATION $523
Other Expenses.6	TELEPHONE $368
Other Expenses.8	LEGISLATIVE $50
Other Expenses.9	MISC EXPENSE $16
Other Expenses.10	OFFICE EXPENSE $14
Other Assets.1005	Accounts Receivable - Beginning $1299 Accounts Receivable - Ending $6403
Other Assets.1011	Prepaid Expenses and Deferred Charges - Beginning $246 Prepaid Expenses and Deferred Charges - Ending $895
Total Liabilities.1001	Accounts Payable and Accrued Expenses - Beginning $107 Accounts Payable and Accrued Expenses - Ending $15
Total Liabilities.1003	Deferred Revenue - Beginning $111556 Deferred Revenue - Ending $76245

Return Reference

Explanation

Other Revenue.1

MISCELLANEOUS $6

Other Expenses.1005

Travel $50

Other Expenses.1007

Conferences, Conventions, and Meetings $50982

Other Expenses.1012

Insurance $1156

Other Expenses.1

BANK AND OTHER FEES $3791

Other Expenses.2

HOUSE OF DELEGATES $3504

Other Expenses.3

DUES $1525

Other Expenses.4

STUDENT MEMBERSHIP $613

Other Expenses.5

MEMBERSHIP SOLICITATION $523

Other Expenses.6

TELEPHONE $368

Other Expenses.8

LEGISLATIVE $50

Other Expenses.9

MISC EXPENSE $16

Other Expenses.10

OFFICE EXPENSE $14

Other Assets.1005

Accounts Receivable - Beginning $1299 Accounts Receivable - Ending $6403

Other Assets.1011

Prepaid Expenses and Deferred Charges - Beginning $246 Prepaid Expenses and Deferred Charges - Ending $895

Total Liabilities.1001

Accounts Payable and Accrued Expenses - Beginning $107 Accounts Payable and Accrued Expenses - Ending $15

Total Liabilities.1003

Deferred Revenue - Beginning $111556 Deferred Revenue - Ending $76245

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	13000170
Software Version:	2013v4.0

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures