TY 2021 Form 990EZ

Form990EZ

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 foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
NORTHWEST WASHINGTON MEDICAL SOCIETY INC

Number and street (or P. O. box, if mail is not delivered to street address)2219 Rimland Drive Suite 301
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Bellingham, WA98226

D Employer identification number

91-6028266

E Telephone number

(360) 676-7630

F Group Exemption
Number bullet

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? The Society promotes awareness of national medical progress, trends, and health awareness in Whatcom County, Washington.
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 Provides annual scholarship for pre-med student at Western Washington University. (Grants $ ) If this amount includes foreign grants, check here ...			28a
29 Serves as Whatcom County information resource for Death with Dignity. (Grants $ ) If this amount includes foreign grants, check here ...			29a
30 Provides physician referral service. (Grants $ ) If this amount includes foreign grants, check here ...			30a
Provides wellness programming for at-risk professionals, including suicide and burn-out prevention. (Grants $ ) If this amount includes foreign grants, check here ...
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	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
April Metz De Montiel Executive Director	20	47,474	8,516
Dina Levin MD President	1	0	0
David Lynch MD Chair of the Philanthropic Committee	1	0	0
John Dunne MD Chair of the Delegate Committee	1	0	0
Kim Koyamatsu MD Secretary/Treasurer	1	0	0
Garrett Jeffery DO FAAFP Vice President	1	0	0
Megan Ellingsen MD Delegate	2	0	0
Ken Bachenburg MD Board Member	1	0	0
Marta Kazmyra MD Chair of the Emeritus Committee	1	0	0
Laura Backer MD Past President	1	0	0
Gary Goldfogel MD Board Member	1	0	0
Edward Bloom MD Board Member	1	0	0
Cari Matthews MD Board Member	1	0	0
Amy Harley MD County Health Department Liaison #1	1	0	0
Greg Thompson MD County Health Department Liaison #2	1	0	0

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I

40b

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

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

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Return Reference	Explanation
Form 990-EZ, Part I, Line 8	Description;Amount^Sponsorships;550\|Interest;2^Total;552^
Form 990-EZ, Part I, Line 10	Donation to Chuckanut Health Foundation for North Sound Health Equity scholarship for Medical Students of Color totaling $1,000. Donation to Western Washington University Foundation for Palliative Care Institute totaling $100.
Form 990-EZ, Part I, Line 16	Description;Amount^Dues and subscriptions;1064\|Events;2917\|Insurance;3503\|Office expense;1630\|Membership;826\|Travel and meals;473\|Conferences and meetings;550\|Other;1245^Total;12208^

Return Reference

Explanation

Form 990-EZ, Part I, Line 8

Description;Amount^Sponsorships;550|Interest;2^Total;552^

Form 990-EZ, Part I, Line 10

Donation to Chuckanut Health Foundation for North Sound Health Equity scholarship for Medical Students of Color totaling $1,000. Donation to Western Washington University Foundation for Palliative Care Institute totaling $100.

Form 990-EZ, Part I, Line 16

1	Contributions, gifts, grants, and similar amounts received ....................	1	0
2	Program service revenue including government fees and contracts ................	2	0
3	Membership dues and assessments .............................	3	166,600
4	Investment income ....................................	4	0
5a	Gross amount from sale of assets other than inventory .......	5a	0
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	0
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a	0
b	Gross income from fundraising events (not including $ 0 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	0
7a	Gross sales of inventory, less returns and allowances ......	7a	0
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c	0
8	Other revenue (describe in Schedule O) ....................	8	552
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	167,152

10	Grants and similar amounts paid (list in Schedule O) ................	10	1,100
11	Benefits paid to or for members ......................	11	0
12	Salaries, other compensation, and employee benefits ................	12	55,830
13	Professional fees and other payments to independent contractors ............	13	3,003
14	Occupancy, rent, utilities, and maintenance ...................	14	4,472
15	Printing, publications, postage, and shipping ...................	15	14
16	Other expenses (describe in Schedule O) ...................	16	12,208
17	Total expenses. Add lines 10 through 16 .................	17	76,627

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	90,525
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	30,180
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20	0
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	120,705

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	Signature of officer	Date

	Type or print name and title

Software ID:	21013178
Software Version:	v1.00