2024-08-15T09:50:12-05:00 2023-09-30 362886485 DUGAN & LOPATKA CPA'S PC 4320 WINFIELD ROAD SUITE 450 WARRENVILLE IL 605554036 990 2022-10-01 461777069 FAMILY MEDICINE MIDWEST FOUNDATION FAMI 6304350257 747 E BOUGHTON ROAD 253 BOLINGBROOK IL 60440 JENNIFER O'LEARY EXECUTIVE DIRECTOR 6304350257 2024-08-13 1 0 RON MARKLUND P01985511 6306654440 2024-08-06 2022 2024-08-08 14:25:15Z JENNIFER O'LEARY 747 E BOUGHTON ROAD 253 BOLINGBROOK IL 60440 194518 0 X WWW.FMMIDWEST.ORG X 2012 IL TO PROMOTE SCHOLARLY WORKS AND WORKFORCE DEVELOPMENT IN FAMILY MEDICINE 12 12 0 13 0 0 2519 68326 25300 123715 57 2077 0 400 27876 194518 2250 17100 0 0 0 0 0 0 0 116140 206131 118390 223231 -90514 -28713 187591 265568 284942 390751 -97351 -125183 TO PROMOTE SCHOLARLY WORKS AND WORKFORCE DEVELOPMENT IN FAMILY MEDICINE 0 0 198422 17100 124115 THE FOUNDATION HOLDS AN ANNUAL CONFERENCE WHICH ATTRACTS FAMILYPHYSICIAN FACULTY, MEDICAL STUDENTS AND FAMILY MEDICINE PHYSICIANS TOPRESENT CLINICAL RESEARCH, CONDUCT FACULTY DEVELOPMENT EDUCATION ANDPROVIDE WORKSHOP TRAINING ON MEDICAL PROCEDURES. THE CONFERENCE AIMS TOINSPIRE MEDICAL STUDENTS TO CHOOSE MIDWEST FAMILY MEDICINE RESIDENCYPROGRAMS, PROVIDE A FORMAT FOR RESIDENTS TO PRESENT, TO LEARN FROM EACHOTHER AND FROM FACULTY PRESENTERS, TO SHOWCASE THE VARIETY OF CAREEROPPORTUNITIES IN FAMILY MEDICINE AND TO PROVIDE A PLATFORM TO SHAREIDEAS, BEST PRACTICES AND BUILD REGIONAL NETWORKS DEDICATED TO IMPROVETHE HEALTH OF ALL PATIENTS. THE FOUNDATION ALSO PROVIDES SCHOLARSHIPSTO MEDICAL STUDENTS TO ATTEND THE CONFERENCE. 198422 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X JENNIFER O'LEARY 6304350257 747 E BOUGHTON ROAD 253 BOLINGBROOK IL 60440 X JACOB PRUNUSKE CHAIR 0.25 X X 0 0 0 THOMAS HAHN VICE CHAIR 0.25 X X 0 0 0 ANDREW SLATTENGREN TREASURER 0.25 X 0 0 0 KATHLEEN M MACKEN EMERITUS 0.25 X 0 0 0 JANICE BENSON EMERITUS 0.25 X 0 0 0 ALICIA VAZQUEZ DIRECTOR 0.25 X 0 0 0 RISHEET PATEL DIRECTOR 0.25 X 0 0 0 LISA PHIFER DIRECTOR 0.25 X 0 0 0 ROXANNE SMITH DIRECTOR 0.25 X 0 0 0 RUBEN HERNANDEZ DIRECTOR 0.25 X 0 0 0 MARIYAM HOUSTON RESIDENT DIRECTOR 0.25 X 0 0 0 HANNAH CRAIG STUDENT DIRECTOR 0.25 X 0 0 0 JENNIFER O'LEARY EXECUTIVE DIRECTOR 2.00 X 0 0 0 0 0 0 0 0 0 0 0 68326 68326 REGISTRATIONS 541900 56465 56465 RESIDENCY EXHIBITS 541900 48750 48750 ACADEMIC PARTNER 541900 18500 18500 123715 2077 2077 MISCELLANEOUS 900099 400 400 400 194518 124115 0 2077 X 17100 17100 97494 97494 11243 11243 2815 2815 3900 3900 83828 83828 BANK FEES 6851 6851 223231 198422 24809 0 167257 190166 20334 24021 0 50881 0 500 187591 265568 18109 28520 129275 146891 137558 215340 284942 390751 X -97351 -125183 -97351 -125183 187591 265568 -28713 881 0 X 0 0 0 X 39219 27074 9426 2069 68326 146114 39219 27074 9426 2069 68326 146114 2209 143905 274 118 269 57 2077 2795 23 5421 400 5844 154753 612112 0.92990 0.95320 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 23. 2019 AMOUNT: $ 5,421. 2022 AMOUNT: $ 400. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ILLINOIS ACADEMY OF FAMILY PHYSICIANS 215340 215340 0 STUDENT SCHOLARSHIPS 45 17100 FAIR MARKET VALUE FORM 990, PART VI, SECTION B, LINE 11B TAXES ARE REVIEWED BY JENNIFER O'LEARY AND WHEN ALL ITEMS ARE CORRECT THE TAX FORMS ARE SHARED WITH THE TREASURER OF THE ORGANIZATION FOR APPROVAL. AS SOON AS THAT IS GIVEN THE 990S ARE EMAILED TO ALL BOARD MEMBERS, SIGNED AND THEN MAILED. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE BOARD IS ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AND TO FILL OUT A DISCLOSURE FORM. AT THE BEGINNING OF EVERY BOARD MEETING THEY ARE ASKED IF THERE ARE ANY CHAGES TO THEIR DISCLOSURE STATEMENTS TO PLEASE FILL OUR A NEW FORM. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. NO OTHER DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G TAXES & LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,815.