TIN:
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
(Form 990)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Inspection
Name of the organization
AMERICAN ACADEMY OF FAMILY PHYSICIANS SC CHAPTER
Employer identification number
57-0372530
57-0372530
| 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 | Keith Shealy, MD, 1025 West Meeting Street, Lancaster, SC 29720Patricia Bouknight, MD, 853 N. Church Street Ste. 510, Spartanburg, SC 29303Morris Brown, MD, 901 N Matthews Road, Lake City, SC 29560Matthew Roehrs, MD, 16 Roberts Blvd.,WilliamstKeith Shealy, MD, 1025 West Meeting Street, Lancaster, SC 29720Patricia Bouknight, MD, 853 N. Church Street Ste. 510, Spartanburg, SC 29303Morris Brown, MD, 901 N Matthews Road, Lake City, SC 29560Matthew Roehrs, MD, 16 Roberts Blvd.,Williamston, SC 29697-1136R. Michael Bryant, MD, 103 Little Mountain Rd., Ninety Six, SC 29666-9281Alec DeCastro, MD, 9228 Medical Plaza Dr, Charleston, SC 29406-9125Claire Birdsong, MD, 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212 William OQuinn, MD, PO Box 247, Branchville, SC 29432J. Burton Banks, MD, 381 Saint Julian Lane, Myrtle Beach, SC 29579Troy B. Gamble, MD, PO Box 820, Kingstree, SC 29556-0820Focell Jackson-Dozier, MD, 755 E. Smith St., Timmonsville, SC 29161Samuel Stone, MD, 542 Big Oak Dr., Chester, SC 29706Shannon Tiebout, DO, 3418 Casey St., Loris, SC 29569Kenneth Becker, MD, PO Box 319, Fairplay, SC 29643H. Griffin Cupstid, MD, 256 Cypress Creek Dr., Spartanburg, SC 29307Hugh Durrence, MD, 418 Folly Rd Ste A, Charleston, SC 29412T. Ed Evans, MD, 11082 N Radio Station Road, Seneca, SC 29678 Patricia Witherspoon, MD, 3209 Colonial Drive, Columbia, SC 29203Richard Boyles, Jr., MD, 86 Wren Street, Barnwell, SC 29812Abigail Harrison, DO, 204 Glenbrooke Circle, Columbia, SC 29204Kendall McDill, MD, 144 N. Ravenel St., Florence, SC 29506Danni Hix, 600 Greenlawn Dr., Columbia, SC 29209Skye Jacobson, 50 Bee St., Apt. 415, Charleston, SC 29401Kirsten Pesayanavin, 106 Fabling Court, Taylor, SC 29687Olivia Anderson, 201 N. Liberty St., Spartanburg, SC 29302 |
| 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. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021
Additional Data
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