Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Members or stockholder classes and rights Part VI line 6 | THE ORGANIZATIONS MEMBERS ARE COMPOSED OF FAMILY PHYSICIANS, FAMILY MEDICINE RESIDENTS AND MEDICAL STUDENTS. |
| Member election for additional members Part VI line 7a | THE GENERAL MEMBERSHIP OF THE ORGANIZATIN ELECT EACH YEAR AT THE ANNUAL BUSINESS MEETING THE OFFICERS AND OTHER MEMBERS OF THE BOARD WHOSE TERMS ARE EXPIRING AT THE CONCLUSION OF THE ANNUAL ASSEMBLY. |
| Governing body decisions Part VI line 7b | THE GENERAL MEMBERSHIP, THROUGH THE APPROVED BYLAWS, LIMIT THE AMOUNT THE BOARD CAN SET AS DUES FOR THE MEMBERS. |
| Committee meeting documentation Part VI line 8b | COMMITTES DO NO HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY AND MUST SUBMIT ANY RECOMMENDATIONS TO THE BOARD FOR REVIEW AND APPROVAL. |
| Form 990 governing body review Part VI line 11 | COPIES OF THE FORM 990 ARE REVIEWED BY THE FINANCE COMMISSION, ALONG WITH THE REVIEW OF THE AUDITED FINANCIAL STATEMENTS. ADDITIONALLY, THE TREASURER PROVIDES A REPORT TO THE BOARD OF DIRECTORS WHERE COPIES OF THE FORM 990 ARE AVAILABLE. |
| Officer director etc mailing address Part VI line 9 | ED EVANS, MD, 11082 N RADIO STATION ROAD, SENECA, SC 29678RICHARD BOYLES, JR., MD, 86 WREN STREET, BARNWELL, SC 29812ASHLEY HARTE, MD, 412 JENNINGS AVE. GREENWOOD, SC 29649CARLA F. GENTRY, MD, 309 LAUREL OAK COURT, SPARTANBURG, SC 29306HUGH DURRENCE, MD, 418 FOLLY ROAD STE. A, CHARLESTON, SC 29412KENNETH BECKER, MD, 298 MEMORIAL DRIVE, SENECA, SC 29672BRUCE HANLIN, MD, 114 SHADY CREEK COURT,GREER, SC 29650PATRICIA BOUKNIGHT, MD, 853 N. CHURCH STREET STE. 510, SPARTANBURG, SC 29303MICHAEL BRYANT, MD., 103 LITTLE MOUNTAIN RD., NINETY SIX, SC 29666-9281KEITH SHEALY, MD. 1025 WEST MEETING STREET, LANCASTER, SC 29720 MARCIA TAYLOR, MD, 4080 AUGUSTA HWY., GILBERT, SC 29054LUCIUS LAFFITTE, MD, 10 B KEMMERLIN LN., BEAUFORT, SC 29907WILLIAM OQUINN, MD, PO BOX 247, BRANCHVILLE, SC 29432ROBERT EAGERTON, MD, 200 EAST HOSPITAL STREET, MANNING, SC 29102CORY SMITH, MD, 834 OLDFIELD CIRCLE, FLORENCE, SC 29501ALEXIS BROWN, MD, 95 SPRING LANE, MURRELLS INLET, SC 29576KAY DURST, MD, 306 STATION 22 1/2 STREET, SULLIVANS ISLAND, SC 29482 MORRIS BROWN, MD, 901 N MATTHEWS ROAD, LAKE CITY, SC 29560JOHAN HERNANDEZ, MD, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203 MESHIA WALEH, MD, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203NEAL SHEALY, MD, PO BOX 1282, VARNVILLE, SC 29944H. GRIFFIN CUPSTID, MD, 256 CYPRESS CREEK DRIVE, SPARTANBURG, SC 29307W. HUGH MORGAN, MD, 801 MOBLEY STREET, JOHNSTON, SC 29832JONY BOLINGER, MD, 309 EAST FIRST AVENUE, EASLEY, SC 29640FRAN M. KUNDA, MD, 225 CARDINAL LANE, CHESNEE, SC 29323TROY GAMBLE, MD, PO BOX 820, KINGSTREE, SC 29556JOHN HAYDE, MD, 1618 CAROLINA AVE, ORANGEBURG, SC 29115LOUIS GERENA, MC, 700 DANIEL ELLIS DRIVE, APT. 9305, CHARLESTON, SC 29412 |
| Conflict of interest policy compliance Part VI line 12c | AT THE CONCLUSION OF THE ANNUAL ASSEMBLY, THE NEW OFFICERS AND BOARD OF DIRECTORS ASSUME THEIR POSITIONS. AT THAT TIME ALL OFFICERS AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. A SPECIFIC STAFF MEMBER ENSURES THAT ALL FORMS ARE RETURNED EACH YEAR. AT MEETINGS, MEMBERS ARE REMINDED THAT ANY CONFLICTS OF INTEREST MUST BE ACKNOWLEDGED. |
| CEO executive director top management comp Part VI line 15a | THE FINANCE COMMISSION EACH YEAR DETERMINES THE RECOMMENDED COMPENSATION FOR THE EXECUTIVE VICE PRESIDENT, THE ORGANIZATIONS KEY EMPLOYEE, BASED ON AN ESTABLISHED POLICY THAT INCLUDES REVIEW AND APPROVAL OF THE FINANCE COMMISSION, FOLLOWED BY THE BOARD OF DIRECTORS; USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILAR POSITION AND A SIMILAR SITUATED ORGANIZATION; THESE ACTIONS ARE DOCUMENTED WITH RECORDS KEPT WITH REGARD TO THE DELIBERATIONS AND DECISIONS. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST. |
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