Liabilities / Assets
60th percentile
Tied with the lowest-debt nonprofits in its peer group.
Integrated Medical Foundation Inc
EIN 26-2404924 • 501(c)3 • Roslyn, NY
990-N Coverage
Profile
To provide free educational and outreach programs, as well as cancer screenings and support groups
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.00x
Liabilities / Revenue
62nd percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 107.4% of source-year revenue.
Asset Growth
11th percentile
Faster asset growth than 11% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Balance Sheet
Assets
Down$2,252
Down $61,955 (-96%) from 2020
Liabilities
Down$0
Down $25,750 (-100%) from 2020
Net Assets
Down$2,252
Down $36,205 (-94%) from 2020
Revenue
Up$59,773
Up $388 (+0.7%) from 2020
Expenses
Down$95,978
Down $110,160 (-53%) from 2020
Net Income
Up-$36,205
Up $110,548 (+75%) from 2020
Trend Graphs
Filings
Most recent year
2021 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $2,252
- Liabilities
- $0
- Net assets
- $2,252
- Revenue
- $59,773
- Expenses
- $95,978
- Net income
- -$36,205
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Feb 16, 2022
- Return Version
- 2021v4.1
- Gross Receipts
- $59,773
Mission and Program Overview
Mission
To provide free educational and outreach programs, as well as cancer screenings and support groups
Program Services
| Description | Grants | Expenses |
|---|---|---|
| CANCER SCREENINGS, SUPPORT SERVICES AND EDUCATIONAL SERVICES, INCLUDING AN EXTENSIVE PSA PROGRAM | $0 | $58,963 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| RHONDA SAMUEL | Executive Director | FT | $57,010 | $7,163 | $64,173 |
| MARC SCHUMER | Md Director | - | $0 | - | - |
| STEPHANIE ALBERT | Director | - | $0 | - | - |
| EDWARD OBEDIAN | Md Director | - | $0 | - | - |
| LANCE KUBA | Esq Director | - | $0 | - | - |
| ERIC THALL | Md Director | - | $0 | - | - |
| CARLTON BARNSWELL | Md Director | - | $0 | - | - |
| DEBORAH SRAGG | Director | - | $0 | - | - |
| DOREEN OTERO | Director | - | $0 | - | - |
| ERIC MITCHNIK | President/Director | - | $0 | - | - |
| ROCCO A CARRIERO | Treasurer/Director | - | $0 | - | - |
Filing and Contact Details
Filer
- Filer Name
- Integrated Medical Foundation
- EIN
- 26-2404924
- Phone
- 6312470100
- Address
- 1391 OLD NORTHERN BLVD PO BOX 353, ROSLYN, NY 11576
Signing Officer
- Name
- Eric Mitchnick
- Title
- President
- Phone
- 6312470100
- Signed
- 2022-02-16
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Cerini & Associates Llp
- Address
- 3340 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716
- Preparer
- Tania Quigley
- Phone
- 6315821600
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 16 - Other Expenses
“Description: office expense. Amount: 251. Description: other expenses. Amount: 1,723. Description: insurance. Amount: 1,793. Description: computer expense. Amount: 435. Description: bank and credit card fees. Amount: 444. Total to form 990-ez, line 16: 4,646.”
Form 990-ez, Part II, Line 26 - Other Liabilities
“Description: ppp loan. Beg. Of year amount: 25,750. End of year amount: 0.”
Form 990EZ, Line 36
“During the year, the board of directors voted to close the organization. The organization ceased operations on september 2, 2021. The organization is in the process of filing for its certificate of dissolution with the attorney general's office.”
Raw XML Appendix202 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | 0 |
| IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 5162771181 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1391 OLD NORTHERN BLVD PO BOX 353 |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | ROSLYN |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 11576 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 64207 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 2252 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 0 |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 59773 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | -36205 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 575 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 64207 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 2252 |
| IRS990EZ/GrossReceiptsAmt | 0 | 59773 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 38457 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 2252 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 38457 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 2252 |
| IRS990EZ/OccupancyRentUtltsAndMaintAmt | 0 | 1151 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 9 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 10 | 40.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 10 | 57010 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 10 | 7163 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | MARC SCHUMER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | STEPHANIE ALBERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | EDWARD OBEDIAN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | LANCE KUBA |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | ERIC THALL |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | CARLTON BARNSWELL |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | DEBORAH SRAGG |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | DOREEN OTERO |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | ERIC MITCHNIK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 9 | ROCCO A CARRIERO |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 10 | RHONDA SAMUEL |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | MD DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | MD DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | ESQ DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | MD DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | MD DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | PRESIDENT/DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | TREASURER/DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 10 | EXECUTIVE DIRECTOR |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 0 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 4646 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | TO PROVIDE FREE EDUCATIONAL AND OUTREACH PROGRAMS, AS WELL AS CANCER SCREENINGS AND SUPPORT GROUPS |
| IRS990EZ/PrintingPublicationsPostageAmt | 0 | 269 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | CANCER SCREENINGS, SUPPORT SERVICES AND EDUCATIONAL SERVICES, INCLUDING AN EXTENSIVE PSA PROGRAM |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 58963 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/SalariesOtherCompEmplBnftAmt | 0 | 89337 |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | NY |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 25750 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 95978 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 58963 |
| IRS990EZ/TotalRevenueAmt | 0 | 59773 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationTrustInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | N/A |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 59773 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 59385 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 404749 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 369445 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 355184 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1248536 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.83480 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.82120 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 1042257 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 206279 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 59773 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 59385 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 404749 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 369445 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 355184 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1248536 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 1248536 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: OFFICE EXPENSE. AMOUNT: 251. DESCRIPTION: OTHER EXPENSES. AMOUNT: 1,723. DESCRIPTION: INSURANCE. AMOUNT: 1,793. DESCRIPTION: COMPUTER EXPENSE. AMOUNT: 435. DESCRIPTION: BANK AND CREDIT CARD FEES. AMOUNT: 444. TOTAL TO FORM 990-EZ, LINE 16: 4,646. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: PPP LOAN. BEG. OF YEAR AMOUNT: 25,750. END OF YEAR AMOUNT: 0. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DURING THE YEAR, THE BOARD OF DIRECTORS VOTED TO CLOSE THE ORGANIZATION. THE ORGANIZATION CEASED OPERATIONS ON SEPTEMBER 2, 2021. THE ORGANIZATION IS IN THE PROCESS OF FILING FOR ITS CERTIFICATE OF DISSOLUTION WITH THE ATTORNEY GENERAL'S OFFICE. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990EZ, LINE 36 |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd | 0 | AAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd | 0 | IAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd | 0 | 3 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | ERIC MITCHNICK |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | PRESIDENT |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 6312470100 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2022-02-16 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | INTEGRATED MEDICAL FOUNDATION |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | INTE |
| ReturnHeader/Filer/EIN | 0 | 262404924 |
| ReturnHeader/Filer/PhoneNum | 0 | 6312470100 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 1391 OLD NORTHERN BLVD PO BOX 353 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | ROSLYN |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NY |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 11576 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 113066459 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | CERINI & ASSOCIATES LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 3340 VETERANS MEMORIAL HWY |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | BOHEMIA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | NY |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 11716 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 6315821600 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2022-02-16 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | TANIA QUIGLEY |
| ReturnHeader/ReturnTs | 0 | 2022-02-16T12:54:23-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm | 0 | ERIC |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm | 0 | MITCHNICK |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2021-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2021-12-31 |
| ReturnHeader/TaxYr | 0 | 2021 |
Document Assets
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