TY 2015 Form 990EZ

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; optional for others.)
What is the organization's primary exempt purpose? EDUCATION
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 KOTA REPRESENTS THE NEEDS OF OCCUPATIONAL THERAPY PRACTITIONERS AND STUDENTS IN THE STATE OF KANSAS. THE MISSION OF KOTA IS TO DEVELOP, PROMOTE AND ADVANCE THE PROFESSION OF OCCUPATIONAL THERAPY WITHIN OUR COMMUNITIES. (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

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; optional for others.)

What is the organization's primary exempt purpose? EDUCATION

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 KOTA REPRESENTS THE NEEDS OF OCCUPATIONAL THERAPY PRACTITIONERS AND STUDENTS IN THE STATE OF KANSAS. THE MISSION OF KOTA IS TO DEVELOP, PROMOTE AND ADVANCE THE PROFESSION OF OCCUPATIONAL THERAPY WITHIN OUR COMMUNITIES.
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

28a

29
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

29a

30
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

30a

31 Other program services (describe in Schedule O) ................
(Grants $ ) If this amount includes foreign grants, check here... MediumBullet

31a

32 Total program service expenses (add lines 28a through 31a).......... bullet

(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
MARNIE SELSTEDT Treasurer	1.00	0
LADESSA FORREST President	1.00	0
RACHEL HOCKER BOARD MEMBER	0.25	0
NANCY DAHLINGER Vice President	1.00	0
LYNETTE HOFER Secretary	1.00	0
WHITNEY RADKE BOARD MEMBER	0.25	0
KYLE AHLENSTORF BOARD MEMBER	0.25	0
KARA ROGERS BOARD MEMBER	0.25	0
BRIANNA BOBBETT BOARD MEMBER	0.25	0
HEATHER DREWS BOARD MEMBER	0.25	0
HEATHER WRIGHT BOARD MEMBER	0.25	0
JOEL THOMAS BOARD MEMBER	0.25	0

(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

MARNIE SELSTEDT

Treasurer

1.00

LADESSA FORREST

President

1.00

RACHEL HOCKER

BOARD MEMBER

0.25

NANCY DAHLINGER

Vice President

1.00

LYNETTE HOFER

Secretary

1.00

WHITNEY RADKE

BOARD MEMBER

0.25

KYLE AHLENSTORF

BOARD MEMBER

0.25

KARA ROGERS

BOARD MEMBER

0.25

BRIANNA BOBBETT

BOARD MEMBER

0.25

HEATHER DREWS

BOARD MEMBER

0.25

HEATHER WRIGHT

BOARD MEMBER

0.25

JOEL THOMAS

BOARD MEMBER

0.25

(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

(a) Name and business address of each independent contractor

(b) Type of service

(c) Compensation

NONE

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

KANSAS OCCUPATIONAL THERAPY ASSOCIATION

Employer identification number

23-7164691

Return Reference	Explanation
Other Revenue.1	EMPLOYMENT ADS $2075
Other Expenses.1002	Office Expenses $874
Other Expenses.1007	Conferences, Conventions, and Meetings $50966
Other Expenses.1009	Depreciation $298
Other Expenses.1012	Insurance $2396
Other Expenses.1	CEU EXPENSES $7080
Other Expenses.2	CREDIT CARD FEES $3960
Other Expenses.3	WEP PAGE/ INTERNET $2720
Other Expenses.4	LEGISLATIVE FUNCTIONS $2099
Other Expenses.5	BOARD MEETING EXPENSE $1514
Other Expenses.6	TELEPHONE $750
Other Expenses.7	STORAGE RENT $440
Other Expenses.9	NEWSLETTER EXPENSE $355
Other Expenses.10	DUES & MEMBERSHIPS $253
Other Expenses.11	CAR FIT PROGRAM $196
Other Expenses.12	GIFTS $179
Other Expenses.14	SECRETARY OF STATE FEE $40
Other Assets.1004	Miscellaneous - Beginning $1002 Miscellaneous - Ending $704
Other Assets.1011	Prepaid Expenses and Deferred Charges - Beginning $420 Prepaid Expenses and Deferred Charges - Ending $408
Total Liabilities.1001	Accounts Payable and Accrued Expenses - Beginning $1928 Accounts Payable and Accrued Expenses - Ending $0
Total Liabilities.1003	Deferred Revenue - Beginning $600 Deferred Revenue - Ending $0
Total Liabilities.1	Other Liabilities - Beginning $575 Other Liabilities - Ending $0
Total Liabilities.2	KOTA DISTRICT MONIES - Beginning $11638 KOTA DISTRICT MONIES - Ending $14090
Total Liabilities.3	KOTA SCHOLARSHIP FUND - Beginning $10 KOTA SCHOLARSHIP FUND - Ending $1085

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000324
Software Version:	2015v2.0

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ...............	2	122,228
3	Membership dues and assessments ...........................	3	21,620
4	Investment income ...........................	4	126
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	2,075
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	146,049

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	15,466
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	73,877
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 .......	21	89,343

Sign Here

	Signature of officer	Date

	Type or print name and title

(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-.
1
2
3
4
5
6

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

10	Grants and similar amounts paid (list in Schedule O) ............	10
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	55,965
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ..............	15	498
16	Other expenses (describe in Schedule O) ..............	16	74,120
17	Total expenses. Add lines 10 through 16 ..............	17	130,583

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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