2026-08-14T09:40:41-05:00 2025-12-31 581433845 FRAZIER & DEETER ADVISORY LLC 1230 PEACHTREE STREET NE SUITE 1500 ATLANTA GA 30309 990 2025-01-01 831958197 FORSYTH COMMUNITY CLINIC INC FORS 6788126622 PO BOX 3204 CUMMING GA 30028 EVAN SHOEMAKE EXECUTIVE DIRECTOR 6788126622 2026-08-14 1 CHRISTOPHER ETHERIDGE P00038639 4042537500 2026-08-14 2025 2025-03-06 01:10:19Z EVAN SHOEMAKE PO BOX 3204 CUMMING GA 30028 277977 0 X HTTPS://FORSYTHCOMMUNITYCLINIC.ORG/ X 2018 GA THE ORGANIZATION'S MISSION IS TO PROVIDE NO COST NON-EMERGENT HEALTHCARE TO LOW INCOME AND INDIGENT RESIDENTS 18 YEARS OF AGE OR OLDER OF FORSYTH COUNTY, GEORGIA. 15 0 4 60 0 0 181114 262829 0 0 1747 1551 8576 4262 191437 268642 0 0 0 0 81750 121901 0 0 19710 59954 69716 141704 191617 49733 77025 141807 218454 427 49 141380 218405 X FORSYTH COMMUNITY CLINIC'S MISSION IS TO HARNESS THE HEART, EXPERTISE, AND RESOURCES OF OUR COMMUNITY TO DELIVER FREE BASIC HEALTH AND WELLNESS SERVICES TO UNINSURED ADULT FORSYTH COUNTY RESIDENTS IN NEED. 1 0 11616 IN 2024 THE CLINIC PURCHASED A MOBILE UNIT THAT BEGAN OPERATION IN MAY 2025. SERVICES PROVIDED IN THE MOBILE CLINIC MIRROR THOSE INSIDE THE BRICK AND MORTAR LOCATION. 137186 IN 2025 VOLUNTEERS SERVED OVER 2500 HOURS PROVIDING $105,107 WORTH OF MEDICAL CARE. ADDITIONALLY, THE CLINIC HAS SAVED PATIENTS OVER $100,000 IN MEDICATION COSTS AS WELL AS PROVIDED HUNDREDS OF THOUSANDS OF DOLLARS IN FREE MEDICAL SERVICES THROUGH A PARTNERSHIP WITH THE LOCAL HOSPITAL.FCC'S PROGRAMMING AND THE MEDICAL CARE PROVIDED SAVED THE LOCAL HOSPITAL ALMOST $1 MILLION BY PREVENTING PATIENTS FROM USING THE ER AS THEIR MEDICAL PROVIDER. FCC ENDED 2025 WITH 746 UNIQUE PATIENTS AND EXPERIENCED 1,562 PATIENT VISITS FOR THE ENTIRE YEAR. 148802 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 4 1 0 0 0 0 0 0 0 0 0 0 X 15 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 GA X EVAN SHOEMAKE 6788126622 PO BOX 3204 CUMMING GA 30028 JOHN CANNADY BOARD CHAIR 5.00 X X 0 0 0 MATT BEMONT VICE CHAIR 5.00 X X 0 0 0 CHRIS ETHERIDGE TREASURER 5.00 X X 0 0 0 SANDRA GREEN SECRETARY 5.00 X X 0 0 0 KAREN PIRKLE PAST BOARD CHAIR 1.00 X X 0 0 0 FELICIA BRAZILE DIRECTOR 1.00 X 0 0 0 EMIL KRANZ DIRECTOR 1.00 X 0 0 0 AMY MOREAU DIRECTOR 1.00 X 0 0 0 ELAINE PADGETT DIRECTOR 1.00 X 0 0 0 SINTYA PAPPAGALLO DIRECTOR 1.00 X 0 0 0 MADONNA OWENS DIRECTOR 1.00 X 0 0 0 DALIE ALINEE-ROJO DIRECTOR 1.00 X 0 0 0 PAIGE WHALEN DIRECTOR 1.00 X 0 0 0 STEPHEN CRABTREE MEDICAL DIRECTOR 5.00 X 0 0 0 FLORENCE OBAITAN DIRECTOR 1.00 X 0 0 0 KRIS REYES DIRECTOR 1.00 X 0 0 0 EVAN SHOEMAKE EXECUTIVE DIRECTOR 40.00 X 78840 0 0 78840 0 0 0 0 0 0 0 262829 262829 1551 1551 13597 9335 4262 4262 268642 1551 0 4262 78840 39420 19710 19710 33536 33536 9525 9525 6063 6063 22577 22577 1256 1256 5953 5953 5188 5188 CLINICAL EXPENSES 11338 11338 MOBILE UNIT EXPENSES 5663 5663 TELEPHONE AND WIFI 4904 4904 BANK AND PAYROLL SERVIC 1945 1945 4829 3379 1450 191617 148802 23105 19710 35318 65481 86489 129163 29763 5953 20000 23810 141807 218454 427 49 427 49 X 0 0 0 0 0 0 141380 218405 141807 218454 77025 0 X 0 0 0 X 0 0 142955 181114 261744 585813 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142955 181114 261744 585813 0 0 0 585813 0 0 0 1747 1551 3298 1747 1551 3298 0 0 0 0 0 142955 182861 263295 589111 X PART II, SECTION B LINE 13 THE ORGANIZATION WAS FORMED IN 2019 AND DID NOT BEGIN RECEIVING PUBLIC SUPPORT UNTIL 2023. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29763 5953 23810 23810 CREDIT CARD PAYABLE 49 49 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, PART III, LINE 2 IN 2024 THE CLINIC PURCHASED A MOBILE UNIT THAT BEGAN OPERATION IN MAY 2025. SERVICES PROVIDED IN THE MOBILE CLINIC MIRROR THOSE INSIDE THE BRICK AND MORTAR LOCATION. LINE 2 MOBILE CLINIC SERVICES BEGAN OPERATIONS IN 2025. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BOARD OF DIRECTORS CREATED A COMMITTEE TO RECEIVE NOMINATIONS FROM THE PUBLIC FOR POTENTIAL BOARD OF DIRECTOR CANDIDATES. THESE CANDIDATES ARE SCREENED AND INTERVIEWED BY VARIOUS BOARD MEMBERS BEFORE BEING PRESENTED FOR APPROVAL BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B ASSIGNMENT OF COMMITTEES ARE ASSIGNED BY THE BOARD OF DIRECTORS AND COMMITTEES ARE GOVERNED BY THE ORGANIZATION'S BYLAWS AS APPROVED BY THE BOARD OF DIRECTORS. COMMITTEES ARE ASSIGNED TASKS AND REPORT TO THE FULL BOARD OF DIRECTORS FOR ANY PROPOSED RECOMMENDATIONS AND ACTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE EXECUTIVE DIRECTOR AND ALL BOARD OF DIRECTORS MEMBERS VIA EMAIL AND THEN REVIEWED JOINTLY AT A BOARD MEETING PRIOR TO ITS ELECTRONIC FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE DISTRIBUTED TO ALL INTERESTED PERSONS. ALL NEW INTERESTED PERSONS COMPLETE THE DISCLOSURE STATEMENT WITHIN SIXTY DAYS OF THEIR ELECTION, APPOINTMENT OR EMPLOYMENT. THE INTERNAL AFFAIRS COMMITTEE REVIEWS THE QUESTIONNAIRES AND RECOMMENDS WHICH MATTERS INTERESTED PERSONS SHOULD RECUSE THEMSELVES FROM AS WELL AS DETERMINES THAT ANY ASSOCIATED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT, THAT THE TERMS OF THE TRANSACTION OR ARRANGEMENT ARE FAIR AND REASONABLE TO THE ORGANIZATION, AND AFTER THE EXERCISE OF DUE DILIGENCE, THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. AN INTERESTED PERSON ABSTAINS FROM TAKING PART IN OR BEING PRESENT AT ANY COMMITTEE OR BOARD MEETING DETERMINING THE IMPACT OF THAT PARTICULAR INTERESTED PERSON'S CONFLICT OF INTEREST EXCEPT TO PROVIDE SUCH INFORMATION AS THE COMMITTEE OR BOARD MAY REQUEST FOR CONSIDERATION. IF NECESSARY, THE BOARD MAY APPOINT A DISINTERESTED PERSON TO INVESTIGATE ANY ALTERNATIVES TO THE PROPOSED TRANSACTIONS OR ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 A CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE DISTRIBUTED TO ALL INTERESTED PERSONS. ALL NEW INTERESTED PERSONS COMPLETE THE DISCLOSURE STATEMENT WITHIN SIXTY DAYS OF THEIR ELECTION, APPOINTMENT OR EMPLOYMENT. THE INTENAL AFFAIRS COMMITTEE REVIEWS THE QUESTIONNAIRES AND RECOMMENDS WHICH MATTERS INTERESTED PERSONS SHOULD RECUSE THEMSELVES FROM AS WELL AS DETERMINES THAT ANY ASSOCIATED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT, THAT THE TERMS OF THE TRANSACTION OR ARRANGEMENT ARE FAIR AND REASONABLE TO THE ORGANIZATION, AND AFTER THE EXERCISE OF DUE DILIGENCE, THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. AN INTERESTED PERSON ABSTAINS FROM TAKING PART IN OR BEING PRESENT AT ANY COMMITTEE OR BOARD MEETING DETERMINING THE IMPACT OF THAT PARTICULAR INTERESTED PERSON'S CONFLICT OF INTEREST EXCEPT TO PROVIDE SUCH INFORMATION AS THE COMMITTEE OR BOARD MAY REQUEST FOR CONSIDERATION. IF NECESSARY, THE BOARD MAY APPOINT A DISINTERESTED PERSON TO INVESTIGATE ANY ALTERNATIVES TO THE PROPOSED TRANSACTIONS OR ARRANGEMENT. LINE 8B ASSIGNMENT OF COMMITTEES ARE ASSIGNED BY THE BOARD OF DIRECTORS AND COMMITTEES ARE GOVERNED BY THE ORGANIZATION'S BYLAWS AS APPROVED BY THE BOARD OF DIRECTORS. COMMITTEES ARE ASSIGNED TASKS AND REPORT TO THE FULL BOARD OF DIRECTORS FOR ANY PROPOSED RECOMMENDATIONS AND ACTIONS.