2025-07-03T21:15:42-05:00 2024-09-30 362886485 DUGAN & LOPATKA CPA'S PC 4320 WINFIELD ROAD SUITE 450 WARRENVILLE IL 605554036 990 2023-10-01 461777069 FAMILY MEDICINE MIDWEST FOUNDATION FAMI 7737511817 747 E BOUGHTON ROAD 253 BOLINGBROOK IL 60440 ANDREW SLATTENGREN DO TREASURER 7737511817 2025-07-03 1 0 RON MARKLUND P01985511 6306654440 2025-06-25 2023 2025-03-06 01:10:19Z ANDREW SLATTENGREN DO 747 E BOUGHTON ROAD 253 BOLINGBROOK IL 60440 207139 0 X WWW.FMMIDWEST.ORG X 2012 IL TO PROMOTE SCHOLARLY WORKS AND WORKFORCE DEVELOPMENT IN FAMILY MEDICINE 10 10 0 12 0 0 68326 90075 123715 116700 2077 364 400 0 194518 207139 17100 19000 0 0 0 0 0 0 0 206131 207574 223231 226574 -28713 -19435 265568 215746 390751 357656 -125183 -141910 TO PROMOTE SCHOLARLY WORKS AND WORKFORCE DEVELOPMENT IN FAMILY MEDICINE 0 0 180487 19000 116700 THE FOUNDATION HOLDS AN ANNUAL CONFERENCE WHICH ATTRACTS FAMILY PHYSICIAN FACULTY, MEDICAL STUDENTS AND FAMILY MEDICINE PHYSICIANS TO PRESENT CLINICAL RESEARCH, CONDUCT FACULTY DEVELOPMENT EDUCATION AND PROVIDE WORKSHOP TRAINING ON MEDICAL PROCEDURES. THE CONFERENCE AIMS TO INSPIRE MEDICAL STUDENTS TO CHOOSE MIDWEST FAMILY MEDICINE RESIDENCY PROGRAMS, PROVIDE A FORMAT FOR RESIDENTS TO PRESENT, TO LEARN FROM EACH OTHER AND FROM FACULTY PRESENTERS, TO SHOWCASE THE VARIETY OF CAREER OPPORTUNITIES IN FAMILY MEDICINE AND TO PROVIDE A PLATFORM TO SHARE IDEAS, BEST PRACTICES AND BUILD REGIONAL NETWORKS DEDICATED TO IMPROVE THE HEALTH OF ALL PATIENTS. THE FOUNDATION ALSO PROVIDES SCHOLARSHIPS TO MEDICAL STUDENTS TO ATTEND THE CONFERENCE. 180487 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 10 10 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 7737511817 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 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 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 90075 90075 REGISTRATIONS 541900 57400 57400 RESIDENCY EXHIBITS 541900 37300 37300 ACADEMIC PARTNER 541900 22000 22000 116700 364 364 207139 116700 0 364 X 19000 19000 97494 79998 17496 138 138 17495 17495 3015 3015 81489 81489 BANK FEES 7443 7443 OTHER EXPENSES 500 500 226574 180487 46087 0 190166 159842 24021 2315 50881 53589 500 0 265568 215746 28520 20912 146891 181400 215340 155344 390751 357656 X -125183 -141910 -125183 -141910 265568 215746 -19435 2708 0 X 0 0 0 X 27074 9426 2069 68326 90075 196970 27074 9426 2069 68326 90075 196970 2076 194894 118 269 57 2077 364 2885 5421 400 5821 205676 561432 0.94760 0.92990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 5,421. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 400. 2023 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ILLINOIS ACADEMY OF FAMILY PHYSICIANS 155044 DUE TO FAMILY HEALTH FOUNDATION OF ILLINOIS, INC. 300 155344 1 STUDENT SCHOLARSHIPS 28 19000 FAIR MARKET VALUE PART I, LINE 2: THE ORGANIZATION SETS THE GRANT AMOUNTS BASED ON STUDENT NEED AND DISTANCE FROM THE CONFERENCE. 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 3,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,015.