Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Other Exempt Purposes |
| Form 990, Part VI, Line 9: Officer, Director, Trustee, Key Employee Mailing Address | President/Athletic Trainer DirectorSusan McGowen, ATCJohnson Center, Room 1661University of New Mexico MSC04 2610Albuquerque, NM 87131Athletic Trainer DirectorFrank Walters, ATCWellness Center - BGMC303 SE 17th Street Suite 308Ft Lauderdale, FL 33316Treasurer/Athletic Trainer DirectorJanet Lauer, ATCTri-Rehab, Inc.45610 Cherry Hill RoadCanton, MI 48187Vice President/Athletic Trainer DirectorErin Cramer, ATCSublimity Medical Center114 SE Church StSublimity, OR 97385Athletic Trainer DirectorJim Malseed, ATC3600 Philadelphia PikeClaymont, DE 19703Athletic Trainer DirectorRussell McKune, ATC987459 Nebraska Medical CenterOmaha, NE 68198Athletic Trainer Director-ElectPatrick Sexton1400 Highland CenterMinnesota State UniversityMankato, MN 56001Corporate/Educational DirectorEd Christman16137 S Avalon StOlathe, KS 66062Physician DirectorJames Kinderknecht535 East 70th StreetNew York, NY 10021Physician Director-ElectDouglas GregoryLakeview Pediatrics4868 Bridge Road, Suite 310Suffolk, VA 23435Executive DirectorDenise Fandel3315 N 124 StreetOmaha, NE 68164Public DirectorAmy DeRosa255 W Graham AvenueLombard, IL 60148 |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Information reported on the 990 is obtained from the annual financial statements, payroll information and the general ledger.Once the return has been prepared, a draft is approved by the board of directors, executive director and assistant executive director.Once all the reviewing parties have approved the return, the Executive Director will sign the form 990 and submit it to the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Officers, directors and employees are required to annually acknowledge a copy of the conflict of interest policy, which requires each person to disclose any relationships, positions or circumstances they believe could contribute to a conflict.FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT THE ORGANIZATION'S BEST INTEREST. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The following documents and analysis are prepared and distributed to the board members: a. Report on compensation received by executive directors in similar organizations and associations located in cities with comparable cost of living standards.b. Goals for the upcoming year.c. Evaluation of the past year.Discussion is made by each of the board members as far as job performance over the past year, expectations for the upcoming year and outside factors on compensation such as market and economic conditions.After discussion, a motion is made regarding the compensation package for the upcoming year, once the motion has been approved, it is documented accordingly in the meeting minutes. The Executive Director's compensation is reviewed and approved by the board of directors, the Asst. Executive Director's by the Executive Director and all other employees by the Executive Director and Assistant Executive Director. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
| Form 990, Part IX, Line 24e: Other Expenses | Awards & Plaques: Column (A) - Total = $30879; Column (B) - Program Services = $30879; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Bank Service Charges: Column (A) - Total = $2195; Column (B) - Program Services = $0; Column (C) - Management & General = $2195; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Computer Expense: Column (A) - Total = $119151; Column (B) - Program Services = $0; Column (C) - Management & General = $119151; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Dues & Subscriptions: Column (A) - Total = $19425; Column (B) - Program Services = $0; Column (C) - Management & General = $19425; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Honorarium Expenses: Column (A) - Total = $5700; Column (B) - Program Services = $5700; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | MISCELLANEOUS EXPENSE: Column (A) - Total = $120779; Column (B) - Program Services = $119742; Column (C) - Management & General = $1037; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | National Meeting: Column (A) - Total = $20412; Column (B) - Program Services = $0; Column (C) - Management & General = $20412; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | OTHER EXPENSES: Column (A) - Total = $582; Column (B) - Program Services = $0; Column (C) - Management & General = $582; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Postage and Shipping: Column (A) - Total = $35336; Column (B) - Program Services = $28624; Column (C) - Management & General = $6712; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Printing and Publications: Column (A) - Total = $26327; Column (B) - Program Services = $26327; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Repairs & Maintenance: Column (A) - Total = $35225; Column (B) - Program Services = $0; Column (C) - Management & General = $35225; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Taxes: Column (A) - Total = $31431; Column (B) - Program Services = $0; Column (C) - Management & General = $31431; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Telephone: Column (A) - Total = $17346; Column (B) - Program Services = $0; Column (C) - Management & General = $17346; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | UBI Taxes: Column (A) - Total = $77380; Column (B) - Program Services = $0; Column (C) - Management & General = $77380; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | Utilities: Column (A) - Total = $17264; Column (B) - Program Services = $0; Column (C) - Management & General = $17264; Column (D) - Fundraising = $0 |
| Software ID: | 15000324 |
| Software Version: | 2015v2.0 |