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 ORGANIZATION 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. DUE TO COVID 19 PANDEMIC THE EMERGENCY BYLAWS WERE ENACTED THEREFORE ALL BOARD MEMBER POSITIONS REMAINED IN PLACE. |
| 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 NOT 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 | KENNETH BECKER, MD, 298 MEMORIAL DRIVE, SENECA, SC 29672WILLIAM OQUINN, MD, PO BOX 247, BRANCHVILLE, SC 29432KAY DURST, MD, 306 STATION 22 1/2 STREET, SULLIVANS ISLAND, SCPATRICIA BOUKNIGHT, MD, 853 N. CHURCH STREET STE. 510, SPARTANBURG, SC 29303CARLA F. GENTRY, MD, 309 LAUREL OAK COURT, SPARTANBURG, SC 29306MATTHEW ROEHRS, MD, 16 ROBERTS BLVD.,WILLIAMSTON, SC 29697-1136SARIA SACCOCIO, MD, 4 AMIATA WAY, SIMPSONVILLE, SC 29681JEROME AYA-AY, MD., 1703 JOHN B. WHITE SR. BLVD, STE A, SPARTANBURG, SC 29301MICHAEL BRYANT, MD, 103 LITTLE MOUNTAIN RD., NINETY SIX, SC 29666-9281KEITH SHEALY, MD, 1025 WEST MEETING STREET, LANCASTER, SC 29720 MARCIA TAYLOR, MD, 2161 OLD CHEROKEE RD., LEXINGTON, SC 29072JOHAN HERNANDEZ, MD, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203LUCIUS LAFFITTE, MD, 10 B KEMMERLIN LN., BEAUFORT, SC 29907JOHN H. HAYDEN, MD, 1618 CAROLINA AVE., ORANGEBURG, SC 29115-4939TROY B. GAMBLE, MD, PO BOX 820, KINGSTREE, SC 29556-0820MORRIS BROWN, MD, 901 N MATTHEWS ROAD, LAKE CITY, SC 29560ASHLEY LOCKLEAR-BATTON, MD, 3102 MARSH ISLAND SR., MYRTLE BEACH, SC 29579ALEC DECASTRO, MD, 9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125CLAIRE BIRDSONG, MD, 100 PALMETTO HEALTH PKWY, SUITE 220, COLUMBIA, SC 29212JOSEPH MULVIHILL, MD, WREN FAMILY MEDICINE, 6650 HIGHWAY 81 N, PIEDMONT, SC 29673-9055 H. GRIFFIN CUPSTID, MD, 256 CYPRESS CREEK DR., SPARTANBURG, SC 29307HUGH DURRENCE, MD, 418 FOLLY RD STE A, CHARLESTON, SC 29412ED EVANS, MD, 11082 N RADIO STATION ROAD, SENECA, SC 29678PATRICIA WITHERSPOON, MD, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203FRAN M. KUNDA, MD, 225 CARDINAL LANE, CHESNEE, SC 29323RICHARD BOYLES, JR., MD, 86 WREN STREET, BARNWELL, SC 29812MICHELLE SLIVA, MD, 558 CLAIRIDGE DR., BOILING SPRINGS, SC 29316 |
| 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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