Form 990 Return of Organization Exempt From Income Tax...

27
Form 990 Deportment of the Treasury Inter^Ial Revenue Service OMB No 1545-0047 Return of Organization Exempt From Income Tax 007 Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation ) - The organization may have to use a copy of this return to satisfy state reporting requirements. fil .- A For the 2007 calendar year , or tax year beginning , 2007, and ending , 20 B Check if applicable Please C Name of organization D Employer identification number ] Address change as label °.l or Nei g hborhood Doctors Or g anization 36 4477633 q Name change print or Number and street (or P O. box if mail is not delivered to street address) Room /suite E Telephone number q Initial return hype. See 910 W . Van Buren 6th ( 708 429-1602 ermination q tipe calc Inat r u City or town, state or country, and ZIP + 4 F Accouebn 9 method El Cash q y Aewal ^ q Amended return hoes Chicago, Illinois 60607 q other (specify) q Application pending a Section 501 (c)(3) organizations and 4947(a)(1) nonexempt chartable H and I are not applicable to section 527 organizations. trusts must attach a completed Schedule A (Form 990 or 990 - EZ). H(a) Is this a group return for affiliates? q Yes 3q No G Website: J Organization type (check only one) U 501(c) ( 3 ) .4 (insert no) LJ 4947(a)(1) or U 527 K Check here q if the organization is not a 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000 A return is not required, but if the organization chooses to file a return, be sure to file a complete return H(b) If 'Yes," enter number of affiliates Po---------- H(c) . Are all affiliates included? q Yes q No (If 'No," attach a list. See Instructions ) H(d) Is this a separate return filed by an organization covered by a group ruling? q Yes 3 q No I Group Exemption Number M Check q if the organization is not required L Gross receipts- Add lines 6b, 8b, 9b, and lob to line 12 to attach Sch. B (Form 990, 990-EZ, or 990-PF) Revenue , Ex p enses , and Chan g es in Net Assets or Fund Balances (See the instructions.) 1 Contributions, gifts, grants, and similar amounts received: a Contributions to donor advised funds . . . . . . . la b Direct public support (not included on line 1a) . . lb c Indirect public support (not included on line 1a) . . 1C d Government contributions (grants) (not included on line 1a) id = Alt- e Total (add lines 1a through 1d) (cash $ noncash $ ) le line 93) 2 Program service revenue including government fees and contracts (from Part VII 2 6,306,730 , 3 Membership dues and assessments . . . . . . . . . . . . . 3 . . . 4 Interest on savings and temporary cash investments . . . . . . . . . . 4 . . . . . 5 Dividends and interest from securities 5 . . . . . 6a Gross rents 6a . . . . . . . . . . . . . . . b Less: rental expenses 6b . . . . . . . . . . . . c Net rental income or (loss). Subtract line 6b from line 6a . . . . . . . . . 6c 7 Other investment income (describe 7 8a Gross amount from sales of assets other (A) Securities (B) Other than inventory 8a . . . . . . . . b Less: cost or other basis and sales expenses 8b . c Gain or (loss) (attach schedule) 8c . . . columns (A) and ( B) . . . . . . . . . d Net gain or (loss) Combine line 8c 8d , . 9 Special events and activities (attach schedule) If any amount is from gaming , check here q a Gross revenue (not including $ of contributions reported on line 1 b) . . . . . . 9a b Less: direct expenses other than fundraising expenses . 9b X` , mot . . c Net income or (loss) from special events. Subtract line 9b from line 9a 9C less returns and allowances 10a Gross sales of inventory 10a . , b Less: cost of goods sold 10b co -0 . . . . . . . . . . . c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line 1 Ob from line 1 Oa 10c > 11 Other revenue (from Part VII, line 103) . . . . . . 11 12 Total revenue . Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9 10c, 12 6,306,730 column (B)) . . 13 Program services (from line 44 13 4,999,253 ® 0 , L) column ( J),^ Co 14 Management and general (from line 44 14 576,245 0 a , column (D)) `^u^ ^+ O 15 Fundraising (from line 44 l ZQQB 15 C -- 41 . , , . . . . IT- 16 Payments to affiliates (attach schedule) . . . . . . . . . (n . 16 f 17 Total expenses . Add lines 16 and 44, column 17 5,575,498 k-Z m 40i `^ . UT. 18 Excess or (deficit) for the year. Subtract line 17 flem-lin-W 18 731,232 po in - 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . , . 19 404,979 C--) 20 Other changes in net assets or fund balances (attach explanation) . . . . . . . 20 - Go z 21 Net assets or fund balances at end of year. Combine lines 18, 19, and 20 21 1,136,211 For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions . Cat No 11282Y Form 990 (2007) 6

Transcript of Form 990 Return of Organization Exempt From Income Tax...

Page 1: Form 990 Return of Organization Exempt From Income Tax 007990s.foundationcenter.org/990_pdf_archive/364/364477633/... · 2017. 6. 22. · See 910 W. Van Buren 6th ( 708 429-1602 q

Form 990Deportment of the Treasury

Inter^Ial Revenue Service

OMB No 1545-0047

Return of Organization Exempt From Income Tax 007Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

benefit trust or private foundation ) -

► The organization may have to use a copy of this return to satisfy state reporting requirements. fil . -

A For the 2007 calendar year , or tax year beginning , 2007, and ending , 20

B Check if applicable Please C Name of organization D Employer identification number

] Address changeas

label°.l

or Neighborhood Doctors Organization 36 4477633

q Name changeprint or Number and street (or P O. box if mail is not delivered to street address) Room/suite E Telephone number

q Initial return

hype.See 910 W. Van Buren 6th ( 708 429-1602

erminationqtipe

calcInatru City or town, state or country, and ZIP + 4 F Accouebn9 method El Cash qy Aewal^

q Amended returnhoes Chicago, Illinois 60607 q other (specify) ►

q Application pending a Section 501 (c)(3) organizations and 4947(a)(1) nonexempt chartable H and I are not applicable to section 527 organizations.

trusts must attach a completed Schedule A (Form 990 or 990 - EZ). H(a) Is this a group return for affiliates? q Yes 3q No

G Website: ►

J Organization type (check only one) ► U 501(c) ( 3 ) .4 (insert no) LJ 4947(a)(1) or U 527

K Check here ► q if the organization is not a 509(a)(3) supporting organization and its gross

receipts are normally not more than $25,000 A return is not required, but if the organization chooses

to file a return, be sure to file a complete return

H(b) If 'Yes," enter number of affiliates Po----------

H(c)

.

Are all affiliates included? q Yes q No(If 'No," attach a list. See Instructions )

H(d) Is this a separate return filed by anorganization covered by a group ruling? q Yes 3q No

I Group Exemption Number ►M Check ► q if the organization is not required

L Gross receipts- Add lines 6b, 8b, 9b, and lob to line 12 ► to attach Sch. B (Form 990, 990-EZ, or 990-PF)

Revenue , Expenses, and Changes in Net Assets or Fund Balances (See the instructions.)

1 Contributions, gifts, grants, and similar amounts received:

a Contributions to donor advised funds . . . . . . . la

b Direct public support (not included on line 1a) . . lb

c Indirect public support (not included on line 1a) . . 1C

d Government contributions (grants) (not included on line 1a) id

=Alt-

e Total (add lines 1a through 1d) (cash $ noncash $ ) le

line 93)2 Program service revenue including government fees and contracts (from Part VII 2 6,306,730,

3 Membership dues and assessments . . . . . . . . . . . . . 3. . .

4 Interest on savings and temporary cash investments . . . . . . . . . . 4. . . . .5 Dividends and interest from securities 5. . . . .

6a Gross rents 6a. . . . . . . . . . . . . . .

b Less: rental expenses 6b. . . . . . . . . . . .

c Net rental income or (loss). Subtract line 6b from line 6a . . . . . . . . . 6c

7 Other investment income (describe ► 7

8a Gross amount from sales of assets other(A) Securities (B) Other

than inventory 8a. . . . . . . .

b Less: cost or other basis and sales expenses 8b.

c Gain or (loss) (attach schedule) 8c. . .

columns (A) and (B) . . . . . . . . .d Net gain or (loss) Combine line 8c 8d, .

9 Special events and activities (attach schedule) If any amount is from gaming , check here ► q

a Gross revenue (not including $ of

contributions reported on line 1 b) . . . . . . 9a

b Less: direct expenses other than fundraising expenses . 9bX`

, mot

. .c Net income or (loss) from special events. Subtract line 9b from line 9a 9C

less returns and allowances10a Gross sales of inventory 10a.

,

b Less: cost of goods sold 10bco

-0

. . . . . . . . . . .

c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line 1 Ob from line 1 Oa 10c

> 11 Other revenue (from Part VII, line 103) . . . . . . 11

12 Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9 10c, 12 6,306,730

column (B)) . .13 Program services (from line 44 13 4,999,253®

0

,L)

column ( J),^ Co14 Management and general (from line 44 14 576,2450a

,

column (D)) `^u^ ^+ O15 Fundraising (from line 44 l ZQQB 15C

-- 41

.,, .. . . IT-16 Payments to affiliates (attach schedule) . . . . . . . . . (n . 16f17 Total expenses. Add lines 16 and 44, column 17 5,575,498

k-Zm 40i `^ . UT.18 Excess or (deficit) for the year. Subtract line 17 flem-lin-W 18 731,232po

in

-

19 Net assets or fund balances at beginning of year (from line 73, column (A)) . , . 19 404,979

C--) 20 Other changes in net assets or fund balances (attach explanation) . . . . . . . 20 -Go z 21 Net assets or fund balances at end of year. Combine lines 18, 19, and 20 21 1,136,211

For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions . Cat No 11282Y Form 990 (2007)

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Form 990 (2007) Page 2

Statement of All organizaionsmustcomplete-column-(A).Coiumns-{B),-(G), and-(D)-are-required-for-section-5011c)($)_and_(4)

Functional Expenses organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others. (See the instructions.)

Do not include amounts reported on lineVJ (A) Total (B) Program (C) Management (D) Fundrais ing

6b, 8b , 9b, 10b , or 16 of Part 1. •.; services and genera l

22a Grants paid from donor advised funds (attach schedule)

(cash $ noncash $check here 01 qIf this amount includes foreign grants 22a ' y•,

22b Other grants and allocations (attach schedule)

(cash $ noncash $If this amount includes foreign grants , check here ► q 22b

23 Specific assistance to individuals (attach •:.schedule) 23 ;;Y =

,.. . . . . . . . . . ^ . ,

24 Benefits paid to or for members (attach z ,^ t - e r a

schedule) 24 4,999 , 253 4 , 999,253

25a Compensation of current officers , directors,etc listed in Part V -Akey employees 25a 312 , 144 312,144. . ., .

b Compensation of former officers , directors,etc listed in Part V- Bkey employees 25b. . .,

c Compensation and other distributions, notincluded above , to disqualified persons (asdefined under section 4958(f)(1)) and persons

described in section 4958(c)(3)(B) . . . . 25c

26 Salaries and wages of employees not included

and con lines 25a b 26 36 , 211 36,211. . . . . . ., ,

27 Pension plan contributions not included on

and clines 25a b 27, , . . . . . . .

28 Employee benefits not included on lines

25a - 27 . 28. . . . . . . . .

29 Payroll taxes 29. . . . . . . . . .

30 Professional fundraising fees 30. . . . . ,

. . . .31 Accounting fees 31. . . . . .

.32 Legal fees 32. . . . . . . . . .

33 Supplies 33 11 , 535 11,535. . . . . . . . . .

.34 Telephone 34 18 , 074 18,074. . . . . . . . .

35 Postage and shipping . . . . . . 35

36 Occupancy 36 42 , 303 42,303. . . . . . . . . .

. . .37 Equipment rental and maintenance 37.

38 Printing and publications 38. . . . . . •

39 Travel 39. . . . . . . . . . . .

and meetings.conventions40 Conferences 40, ,

. . . . ,41 Interest 41. . . . . . .

(attach schedule)depletion etc42 Depreciation 42, , .

43 Other expenses not covered above (itemize):Expensea genera l 43a 155,978 155,978__

--------------------------

----

b43b43c43d

e 43e

f43f

943g

44 Total functional expenses . Add lines 22athrough 43g . (Organizations completingcolumns (B)-(D), carry these totals to lines13-15) 44 5,575 ,498 4 , 999,253 576,245

Joint Costs. Check ► q if you are following SOP 98-2.

Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? . ► q Yes q No

If "Yes," enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $

(iii) the amount allocated to Management and general $ ; and (iv) the amount allocated to Fundraising $

Form 990 (2007)

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Form 990 (2007) Page 3

Statement of Program Service Accomplishments (See the instructions.)

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about aparticular organization. How the public perceives an organization in such cases may be determined by the information presentedon its return. Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization'sprograms and accomplishments.

at is the organization's primary exempt purpose? ► .............................................................. Program ServiceExpenses

rganizations must describe their exempt purpose achievements in a clear and concise manner. State the number (Required far 501(c)(3) andlients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) (4) orgs , and 4947(a)(1)

trusts nal forbanizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) .othersi

Neighborhood Doctors Organization provides healthcare under the state's integrated health plan--------------

for the indigent. Neighborhood Doctors Organization provided care- for members totaling 10,281-------------y year end.

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-------------------------------------------------------------------------------------------------------------------------(Grants and allocations $ ) If this amount includes foreign grants, check here Do- E) 4,999,253

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-------------------------------------------------------------------------------------------------------------------------(Grants and allocations $ ) If this amount includes foreign grants, check here 10- E]

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-------------------------------------------------------------------------------------------------------------------------(Grants and allocations $ ) If this amount includes foreign grants, check here ► q

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----------------Grants and allocations $ ) If this amount includes fore n rants, check here ►

Other program services (attach schedule)

(Grants and allocations $ ) If this amount includes foreign grants, check here Do- E]

oc

Wh

Alloforg

f Total of Program Service Expenses (should equal line 44, column (B), Program services). . ► 4,999,253

Form 990 (2007)

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Form 990 (2007) Page 4

FFY^ Balance Sheets (See the instkiti s)

Note: Where required, attached schedules and amounts within the description (A) (B)column should be for end-of-year amounts only. Beginning of year End of year

. . .45 Cash-non-interest-bearing 178,204 45 163,167. . . . . . . . . .

. . . . . . .46 Savings and temporary cash investments . 46.

t47a Accounts receivable . . . . . . . 47a 1,194,864

b Less: allowance for doubtful accounts 47b 398,183 47c 1,194,864

48a Pledges receivable 48a --' -. . . . . .

b Less: allowance for doubtful accounts 48b 48c

. . .49 Grants receivable 49. . . . . . . . . . . . .

50a Receivables from current and former officers, directors, trustees, and. . . . . .key employees (attach schedule) 50a. . . . .

b Receivables from other disqualified persons (as defined under section4958(f)(1)) and persons described in section 4958(c)(3)(B) (attach schedule) 50b

51 a Other notes and loans receivable (attach+y. schedule) . . . . . . . . 51a

y 51bb Less: allowance for doubtful accounts 51c.

. . . .52 Inventories for sale or use 52. . . . . . . . .

53 Prepaid expenses and deferred charges 53. .► q Cost q FMV54a Investments-publicly-traded securities 54a. . .

b Investments-other securities (attach schedule) ► q Cost q FMV 54b

55a Investments-land, buildings, and

equipment: basis . . . . . . . . 55a

t ttachd d (l tL ioneprecia aa eess: accumubschedule) 55b 55c.

. . . .56 Investments-other (attach schedule) 56

and equipment: basisbuildings57a Land 57a. .

.,,

b Less: accumulated depreciation (attach

schedule) 57b 57c. . . . . . . . . .

58 Other assets, including program-related investments

(describe ► --•-••----------------------•-----•----------)- -- 58•---------•-- -

59 Total assets (must equal line 74). Add lines 45 through 58 576,387 59 1,358,031

. . .60 Accounts payable and accrued expenses 171,408 60 221,820. . . .

. . . .61 Grants payable 61. . . . . . . . . . . . .

. . .62 Deferred revenue 62. . . . . . . . . . . . .

a lo ees (attachd ke emffi di t tf ti yy pees, anrec ors, rusrom o cers,63 Loans

schedule) 63

o. . . .

. . . . .64a Tax-exempt bond liabilities (attach schedule) 64aco . . .

b Mortgages and other notes payable (attach schedule) . . . . . 64b

65 Other liabilities (describe ► ) 65

66 Total liab ilities. Add lines 60 through 65 171,408 66 221,820

Organizations that follow SFAS 117, check here ► q and complete lines

h 69 and lines 73 and 7467 throu

0

.g

. . . .67 Unrestricted 404,979 67 1,136,211c

. . . . . . . . . . . . . .

. . . .68 Temporarily restricted 68

M

. . . . . . . . . . .

. . . .69 Permanently restricted 69

3

. . . . . . . . . .

check here ► q andOrganizations that do not follow SFAS 117,

lete lines 70 throu h 74comu.

0

.p g

or current funds . . .trust principal70 Capital stock 70. ., . . .,

and equipment fundbuildingor land71 Paid-in or capital surplus 71,,,or other fundsaccumulated incomeendowment72 Retained earnings 72,,,

73 Total net assets or fund balances. Add lines 67 through 69 or lines

70 through 72. (Column (A) must equal line 19 and column (B) mustZ equal line 21) . . . . . . . . . . . . . . . . . 404,979 73 1,136,211

74 Total liabilities and net assets/fund balances. Add lines 66 and 73 576,387 74 1,358,031

Form 990 (2007)

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1 /

Form 990 (2007) Page 5

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See theinstructions.

a gains, and other support per audited financial statements . .Total revenue . . . . . . ab

,Amounts included on line a but not on Part I, line 12:

1 . . b1Net unrealized gains on investments . . . . N/A

2

. .

Donated services and use of facilities . . . . . . . . . . b2

3.

Recoveries of prior year grants . . . . . . . . . . . . W

4 Other (specify):b4

Add lines bi through b4 . . . . . . . . . . . . . . . . . . . . . . b

c Subtract line b from line a . . . . . . . . . . . . . . . . . . . . . . C

d Amounts included on Part I, line 12, but not on line a:

1 Investment expenses not included on Part I, line 6b . . . . . . d1

2 Other (specify)- -----------------------------------------------------------•d2

Add lines dl and d2 . . . . . . . . . . . . . . de Total revenue (Part I, line 12). Add lines c and d ► e

FMq&FM,- Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

a Total expenses and losses per audited financial statements . . . . . . . . . . . a

b Amounts included on line a but not on Part 1, line 17:

1 Donated services and use of facilities . . .. bi N/A Y

2

. . . . . .

line 20 .Prior year adjustments reported on Part I . . . . . b2

3

, .

line 20Losses reported on Part I .

4

, . . . . .

Other (specify):

-- -------------b4

=----------------------------------------------------------- --------Add lines b1 through b4 . . . . . . . . . . . . . . . . . . . . . . b

c Subtract line b from line a . . . . . . . . . . . . . . . . . . . . . . c

d Amounts included on Part I, line 17, but not on line a:

1 Investment expenses not included on Part I, line 6b . . . . . . d1

2 Other (specify)- -------------------------------------------------------------- t .+d2

------------------ ------------------------------------------------------- ----- ----Add lines d1 and d2 . . . . . . . . . . . . d

e Total expenses (Part I, line 17). Add lines c and d ► e

EMIMCurrent Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee,or kev emolovee at any time durina the year even if they were not compensated.) (See the ins tructions.)

(A) Name and address(B)

T i tle and average hours perweek devoted to position

(C) Compensation(If not paid, enter

-0-.)

( D) Contributions to employeebenefit plans & deferredcompensation plans

(E) Expense accountand other allowances

SEE ATTACHED PART V SCHEDULE- -----------------------------------------------------------

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Form 990 (2007)

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Page 6

75a Enter the total number of officers, directors, and trustees permitted to vote on organization business at boardmeetings . . . . . . . . . . . . . . . . . . . . . . . . ► -----------------------

b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensatedemployees listed in Schedule A, Part I, or highest compensated professional and other independentcontractors listed in Schedule A, Part II-A or II-B, related to each other through family or businessrelationships? If "Yes," attach a statement that identifies the individuals and explains the relationship(s) .

c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest='compensated employees listed in Schedule A, Part I, or highest compensated professional and other , ^;s, •- t ^?, ;Independent contractors listed in Schedule A, Part II-A or 11-B, receive compensation from any otherorganizations, whether tax exempt or taxable, that are related to the organization? See the instructions for -4^the definition of "related organization.". . . . . . . . . . . . . . . . . . . . . ► 75c 3

If "Yes," attach a statement that includes the information described in the instructions. ` V]d Does the organization have a written conflict of interest policy? 75d 3

Former Officers, Directors, Trustees , and Key Employees That Received Compensation or Other Benefits (If any formerofficer, director, trustee, or key employee received compensation or other benefits (described below) during the year, list thatperson below and enter the amount of compensation or other benefits in the appropriate column. See the instructions )

(A) Name and address (B) Loans and Advances(C) Compensation

(if not paid,enter -0-)

(D( Contributions to employeebenefit plans & deferredoompensabon plans

(E) Expenseaccount and other

allowances

N\A------- --------------------------------------------------------

------- --------------------------------------------------------

------ ---------------------------------------------------------

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,

Other Information (See the instructions.) Yes No

76 Did the organization make a change in its activities or methods of conducting activities ? If "Yes " attach a^^

,

detailed statement of each change . . . . . . . . . . . . . . . . . . 76 3

77. . . .

Were any changes made in the organizing or governing documents but not reported to the IRS? . 77 3

78a

If "Yes," attach a conformed copy of the changes .

Did the organization have unrelated business gross income of $1,000 or more during the year covered by

. . . . . . . . . . . . . . . . . . . . . .this return ?

f

78a 3

b

. . . . . . . . .

" has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . .If "Yes 78b

79

,

Was there a liquidation , dissolution , termination , or substantial contraction during the year? If "Yes," attach

. . . . . . . . . . . . . . . . . . . . . . . .a statement 79 3

80a

. . . . . . .

Is the organization related (other than by association with a statewide or nationwide organization ) through

common membership, governing bodies , trustees , officers , etc., to any other exempt or nonexempt

organization ? . . . . . . . . . .

+°•; __

-^-^^--^80a 3

b

818

. . . . . . . .

If "Yes," enter the name of the organization 0- _F_amil Health___Network, ____Inc___________________ _______________

and check whether it is © exempt or El nonexempt---------------------------------------------------- --Enter direct and indirect political expenditures. (See line 81 instructions.) 1 81a

b Did the organization file Form 1120-POL for this year? . 81b 3

Form 990 (2007)

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Form 990 (2007) Page 7

Other Information (continued) Yes No

82a Did the organization receive donated services or the use of materials , equipment , or facilities at no charge

or at substantially less than fair rental value? . . . . . . . . . . . . . . . . . . 82a 3

b If "Yes ," you may indicate the value of these items here . Do not include thisamount as revenue in Part I or as an expense in Part II. =tom-_ :"

(See instructions in Part III .) . . . . . . . . . . . . . . 82b . '•'

83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a 3

b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? . . . 83b

84a Did the organization solicit any contributions or gifts that were not tax deductible ? . . . . . . . . 84a 3

b If "Yes," did the organization include with every solicitation an express statement that such contributions or • -

gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . 84b

85a 501 (c)(4), (5), or (6). Were substantially all dues nondeductible by members? . . . . . . . . . . 85a O

b Did the organization make only in-house lobbying expenditures of $2,000 or less? . . . . . . 85b AA

If "Yes" was answered to either 85a or 85b , do not complete 85c through 85h below unless the organization

received a waiver for proxy tax owed for the prior year.

c Dues , assessments , and similar amounts from members . . 85c y^ ,N

d Section 162 (e) lobbying and political expenditures . . . . . . .

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e s =.`

f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f

g Does the organization elect to pay the section 6033 (e) tax on the amount on line 85f? . . . . . . 85g

h If section 6033 (e)(1)(A) dues notices were sent , does the organization agree to add the amount on line 85f

to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the

following tax year? . . . . . . . . . . . . . . . . . . . . . . . . 85h

86 501 (c)(7) orgs. Enter : a Initiation fees and capital contributions included on line 12 86a

b Gross recei pts, included on line 12 , for public use of club facilities 86b

87 501 (c)(12) orgs . Enter: a Gross income from members or shareholders . . . 87a

b Gross income from other sources. (Do not net amounts due or paid to other

sources against amounts due or received from them .) . . . . . . 87b r . ._,

88a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or

partnership , or an entity disregarded as separate from the organization under Regulations sections

301.7701-2 and 301 .7701-3? If "Yes ," complete Part IX . . . . . . . . . . . . . . . . . 88a 3

b At any time during the year , did the organization , directly or indirectly , own a controlled entity within the

meaning of section 512 (b)(13)? If "Yes," complete Part XI . . . . . . . . . . . . . . . ► 88b 3

89a 501 (c)(3) organizations . Enter: Amount of tax im posed on the organization durin g the year under: d t ^ s r

section 4911 section 4912 section 4955

and 501(c)(4) 9s . Did the organization engage in any section 4958 excess benefit transaction !F4s•-orgs . =^2- %i^.b 501(c)(3)

during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach

a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . 89b - 3

c Enter: Amount of tax imposed on the organization managers or disqualifiedpersons during the year under sections 4912, 4955 , and 4958 . . . . ► ,.. ,

d Enter: Amount of tax on line 89c , above , reimbursed by the organization ►

e All organizations . At any time during the tax year , was the organization a party to a prohibited tax shelter

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89e 3

f All organizations . Did the organization acquire a direct or indirect interest in any applicable insurance contract? 89f 3

g For supporting organizations and sponsoring organizations maintaining donor advised funds. Did the > w-;^ `•,xL -. %:

supporting organization , or a fund maintained by a sponsoring organization, have excess business holdings -=189g 3at any time during the year? .

90a List the states with which a copy of this return is filed ► ...................................

b Number of employees employed in the pay period that includes March 12 , 2007 (Seeinstructions.) . . . . . . . . . . . . . . . . . . . . I90b

91a The books are in care of ► Tom Tennison Telephone no. ► _(. 708 ) 429-1602 A /3

--------------------------------------------------Located at ► -910 W_ Van Buren 6th Floor Chicago , Illinois ZIP + 4 ► ................60607

b At any time during the calendar year , did the organization have an interest in or a signature or other authority

over a financial account in a foreign country (such as a bank account, securities account, or other financial Yes No

3account)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r1b

If "Yes," enter the name of the foreign country ►he instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign BankSee t

and Financial Accounts.

Form 990 (2007)

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990 Page 8

,

Other Information continue Ves No

c At any time during the calendar year, did the organization maintain an office outside of the United States? 91c 3

If "Yes," enter the name of the foreign country ► .................................................................92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041-Check here . . . . . . . ► q

and enter the amount of tax-exempt interest received or accrued during the tax year ► 92

Anal sis of Income-Producing Activities (See the instructions.

Note:indicat

93

a

b

c

d

e

f

994

95

96

97

a

b

98

99

100

101

102

103

b

c

d

e

104

nter gross amounts unless otherwise Unrelated business income Excluded by section 512, 513, or 514 (E)

d.

Program service revenue:

(A)Business code

(B)Amount

(C)Exclusion code

(p)

Amount

Related orexempt function

income

Family Health Network Capitation 6,306,730

Medicare/Medicaid payments . . . . .Fees and contracts from government agenciesMembership dues and assessments .. .

Interest on savings and temporary cash investments

Dividends and interest from securitiesNet rental income or (loss) from real estate:

debt-financed property . . . . . . .not debt-financed property . . . . . .Net rental income or (loss) from personal property

Other investment income . . . . . .

Gain or (loss) from sales of assets other than inventory

Net income or (loss) from special events .

Gross profit or (loss) from sales of inventory

Other revenue: a

Subtotal (add columns (B) (D) and (E))' ' •

--r ,. .^'. `"'-

E

e

6,306,730

105 Total (add line 104, columns (B), (D), and (E)) . . . . . . . . . . . . . . . ► 6,306,730

Note : Line 105 plus line le. Part 1. should equal the amount on line 12, Part 1.

Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions. )

Line No.y

Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishmentof the organization's exempt purposes (other than by providing funds for such purposes).

The organization operated to arrang e for managed care services for the indigent with Family Health Network

which contracts with the Illinois Medicaid Agency ; to serve enrollees of the State 's integrated health care

program.

Information Regardin g Taxable Subsidiaries and Disregarded Entities (See the instructions.

Name, address, and )EIN of corporation,partnership, or disregarded enti

(B)Percentage ofownership interest

(C)Nature of activities

(D)Total income

E^Endof-year

assets

Information Regarding Transfers Associated with Personal t3enent contracts (See me insrrucrions)

(a) Lid the co ,zation, during the yea, reoeve any ft.r>ds, directly or indnadly, to pay par ions m a personal bffv t corinad? . q Yes q No

(b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? q Yes q NoNote: If "Yes" to (b), file Form 8870 and Form 4720 (see instnictions)

Form 990 (2007)

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Form 990 (2007) Page 9

Information Regarding Transfers To and From Controlled Entities . Complete only if the organizationis a controlling organization as defined in section 512(b)(13).

Yes No

10g Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) ofthe Code? If "Yes," complete the schedule below for each controlled entity.

(A) (B) (C)Name , address, of each Employer Identification Description of

(D)

controlled entity Number transfer Amount of transfer

a---------------------------------------

-----------------------------------------

b---------------------------------------------------------------------------------

c-----------------------------------------

-----------------------------------------

Totals , ' ,; , »7 a _w^ j ,s, , ;.,?:i ^^ •; ' F« i ;r^r

Yes No

107 Did the reporting organization receive any transfers from a controlled entity as defined in section512(b)(13) of the Code? If "Yes," complete the schedule below for each controlled entity.

(A)Name, address, of each Employer Identification Description of (D)

controlled entity Number transfer Amount of transfer

a-----------------------------------------

-----------------------------------------

b------------------------------------------------------------------------------------

c------------------ -----------------------

----------------------------------------

Totals

Yes No

108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest,rents, royalties, and annuities described in question 107 above?Under penalties of perjury, I declare that I have examined thisand belief, it is true, correct , arld complete Declaration of pi

Please

Sign

HereSignature of officer

Philip C. Bradley President/CEO

Type or pri nt name and title

Paid Preparer'ssignature

Preparer's'Firm s name (or yours

Use Only if self-employed),address. and ZIP + 4

accompanying schedules and statements , and to the best of my knowledgen officer) is based on all information of which preparer has any knowledge

7- /o - O iDate

Date I Check if I Per's SSN or PUN (See Gen Inst. )Qself-

-

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SCHEDULE A I Organization Exempt Under Section 501(c)(3)(Form 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(f), 501(k), 501(n),

4 or 4947(a)(1) Nonexempt Charitable Trust

Supplementary Information-(See separate instructions.)Department of the Treasuryintental Revenue Seance ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ

Name of the organization

Neighborhood Doctors 0

OMB No. 1545-0047

007Employer identification number

36 ; 4477633

Compensation of the Five Highest Paid Employees Other Than Officers , Directors , and Trustees(See page 1 of the instructions. List each one. If there are none, enter "None.")

(a) Name and address of each employee paid morethan $50,000

(b) Title and average hoursper week devoted to position (c) Compensation

(d) Contnbutions toemployee benefit plans 8deferred compensation

(e) Expenseaccount and other

allowances

---------------------------------------------------------

---------------------------------------------------------

---------------------------------------------------------

---------------------------------------------------------

---------------------------------------------------------

Total number of other employees paid over $50,000 ► 0 '4

Compensation of the Five Highest Paid Independent Contractors for Professional Services(See page 2 of the instructions. List each one (whether individuals or firms). If there are none, enter "None.")

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

--------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

Total number of others receiving over $50 , 000 forprofessional services ► 0

s .; •i' _ _ ti: i ^'^^_ , ' ': r _ j

W-MIM Compensation of the Five Highest Paid Independent Contractors for Other Services(List each contractor who performed services other than professional services, whether individuals orfirms. If there are none, enter "None." See page 2 of the instructions.)

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

---------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

Total number of other contractors receiving over$50,000 for other services . . . . . . ►

F'' :.t : :'':^ '•:: '' • i ''t

,' 4;f ` 1!'lFil

For Paperwork Reduction Act Notice , see the Instructions for Form 990 and Form 990-EZ . Cat. No 11285E Schedule A (Form 990 or 99o- EZ) 2007

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Schedule A (Form 990 or 990-EZ) 2007 Page 2

Statements About Activities (See page 2 of the instructions.)

1 During the year, has the organization attempted to influence national, state, or local legislation, including any

attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid

or incurred in connection with the lobbying activities ► $ (Must equal amounts on line 38,

Part VI-A, or line i of Part VI-B.) . . . . . . . . . . . . . . . . . . . . . . . . . 1 v

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A. Other

organizations checking "Yes" must complete Part VI-B AND attach a statement giving a detailed description of t1 .,.

the lobbying activities. '' {

2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any i;= '•

substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or

with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority ' L `' x `Y•

owner, or principal beneficiary? Of the answer to any question is "Yes, " attach a detailed statement explaining the =" ` ^ ~A

transactions.) ' ^.

a Sale, exchange, or leasing of property? . . . . . . . . . . . . . . . . . . . . . .

b Lending of money or other extension of credit? . . . . . . . . . . . . . . . . . . . 2b

v

3

or facilities? . . . . . . . . . . . . . . . . . .c Furnishing of goods services 2c 3, , . . .

000)'? . . . .d Payment of compensation (or payment or reimbursement of expenses if more than $1 2d 3,

e Transfer of any part of its income or assets? . . . . . . . . . . . . . . . . . . . . 2e 3

3a Did the organization make grants for scholarships, fellowships, student loans, etc.? (If "Yes," attach an explanation

of how the organization determines that recipients qualify to receive payments .) . . . . . . . . . 3a 3

b Did the organization have a section 403(b) annuity plan for its employees? . . . . . . . . . . . 3b 3

c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open

space, the environment, historic land areas or historic structures? If "Yes," attach a detailed statement . . . 3c 3

credit repairdebt management or debt negotiation services?d Did the organization provide credit counseling 3d 3., ,,

4a Did the organization maintain any donor advised funds? If "Yes," complete lines 4b through 4g. If "No," complete

lines 4f and 4g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 3

b Did the organization make any taxable distributions under section 4966? 4b 3. . . . . . . . . .

or related person?donor advisoranization make a distribution to a donorc Did the or 4c 3. . . . . . . ,,,g

d Enter the total number of donor advised funds owned at the end of the tax year . . . . . ► 0. . . .

e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year . . ► 0

f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised

funds included on line 4d) where donors have the right to provide advice on the distribution or investment of

amounts in such funds or accounts . . . . . . . . . . . . . . . . . . . . . . ► 0

g Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year ► 0

Schedule A (Form 990 or 990-EZ 2007

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Schedule A (Form 990 o r 990-EZ) 200 7 Page 3

^m Reason for Non-Private Foundation Status (See pages 4 through 8 of the instructions.)

I certify that the organization is not a private foundation because it is: (Please check only ONE applicable box.)

5 q A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).

6 q A school. Section 170(b)(1)(A)(ii) (Also complete Part V.)

7 q A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(iii).

8 q A federal, state , or local government or governmental unit. Section 170(b)(1)(A)(v).

9 q A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital ' s name, city,and state ► ----•---------•---------•------------•---------••-----------------•-

10 q An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).

(Also complete the Support Schedule in Part IV-A.)

1la q An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A)

11b q A community trust Section 170(b)( 1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

12 q An organization that normally receives: ( 1) more than 33'/3% of its support from contributions, membership fees, and gross receipts

from activities related to its charitable, etc., functions-subject to certain exceptions, and (2) no more than 331/3% of its support

from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by theorganization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)

13 0 An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets therequirements of section 509(a)(3) Check the box that describes the type of supporting organization.

0 Type I q Type 11 III-Functionally Integrated III-Other

Provide the following information about the suonorted oraanizations . (See oaae 8 of the instructions.)

(a)Name(s) of supported organization (s)

(b)Employer

identificationnumber (EIN)

(c)Type of

organization(described in lines

5 through 12above or IRC

section)

(d)Is the supported

organization listed inthe supportingorganization's

governing documents?

(e)Amount of

support

Yes No

Famil y Health Network 36-3985468 7 3 0

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 1 0

14 q An organization organized and operated to test for public safety Section 509(a)(4) (See page 8 of the instructions )

Schedule A (Form 990 or 990- EZ) 2007

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^ Page 4Schedule A Form 990 or 990 -EZ) 2007 /

Support Schedule (Complete only if you checkeda-box on-tine1D; -l , or12)-Use-cask-method -of-accounting.Nnte' You may use the worksheet in the instructions for converting from the accrual to the cash method of accountino.

Calendar year (or fiscal year beginning in) ► (a) 2006 (b) 2005 (c) 2004 (d) 2003 (e) Total

15 Gifts, grants, and contributions received. (Do

not include unusual grants. See line 28.).

16 Membership fees received

17 Gross receipts from admissions, merchandisesold or services performed, or furnishing offacilities in any activity that is related to theorganization's charitable, etc., purpose ,

18 Gross income from interest, dividends,amounts received from payments on securitiesloans (section 512(a)(5)), rents, royalties,income from similar sources, and unrelatedbusiness taxable income (less section 511taxes) from businesses acquired by theorganization after June 30, 1975 .

19 Net income from unrelated business

activities not included in line 18.

20 Tax revenues levied for the organization'sbenefit and either paid to it or expended onits behalf . . . . . . . . . .

21 The value of services or facilities furnished tothe organization by a governmental unitwithout charge Do not include the value ofservices or facilities generally furnished to thepublic without charge .

22 Other income. Attach a schedule. Do not

include gain or (loss) from sale of capital assets

23 Total of lines 15 through 22 .

24 Line 23 minus line 17 .

25 Enter 1% of line 23 ;°y x't =*^.^''s

26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 . . . . ► 26a

b Prepare a list for your records to show the name of and amount contributed by each person (other than a ? -F = ' • ^z.anization) whose total gifts for 2003 throuorted or h 2006 exceeded theovernmental unit or ublicl su -T'^= 'p g gy ppg

amount shown in line 26a. Do not file this list with your return . Enter the total of all these excess amounts ► 26b

c Total support for section 509(a)(1) test: Enter line 24, column (e) . . . . . . . . . . . . ► 26c

d Add Amounts from column (e) for lines. 18 19

22 26b , , • , , ► 26d

e Public support (line 26c minus line 26d total) . . . . . . . . . . . . ► 26e

f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) , ► 26f %

27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualifiedperson," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person."Do not file this list with your return . Enter the sum of such amounts for each year:

(2006) ---------------------- --- (2005) -------------------------- (2004) ..........---------------- (2003)

b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records toshow the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000(Include in the list organizations described in lines 5 through 11 b, as well as individuals.) Do not file this list with your return . After computingthe difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excessamounts) for each year

(2006) ------------------ ------ (2005) ----------- .............. (2004) -------------------------- (2003)

c Add Amounts from column (e) for lines: 15 16

17 20 21 . . . . . .. 27c

d Add. Line 27a total and line 27b total . . . . . . ► 27d

e Public support (line 27c total minus line 27d total) . . . ► 27e

f Total support for section 509(a)(2) test- Enter amount from line 23, column (e) . ► 27f •" „ ' -, r`-I

g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) . . . . . . ► 27g %

h Investment income percentage (line 18 , column (e) (numerator) divided by line 27f (denominator)). ► 27h %

28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2003 through 2006,prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a briefdescription of the nature of the grant Do not file this list with your return . Do not include these grants in line 15.

Schedule A (Form 990 or 990-EZ) 2007

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Schedule A (Form 990 or 990-EZ) 2007 Page 5

Private School Questionnaire (See page 9 of the instructions.) /(To be completed ONLY by schools that checked the box on line 6 in Part IV) ,N /

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, Yes No

other governing instrument, or in a resolution of its governing body? . . . . . . . . . . . . 29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all itsEbrochures , catalogues , and other written communications with the public dealing with student admissions,

programs , and scholarships ? . . . . . . . . . . . . . . . . . . . . . . . . . 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during '`

the period of solicitation for students , or during the registration period if it has no solicitation program, in a way

that makes the policy known to all parts of the general community it serves? . . . . . . . . . . 31

If "Yes ," please describe ; if "No," please explain . (If you need more space , attach a separate statement .) ,_',

-------------------------------------------------------------------------------------------------------------------------. w`rd+ ? EM

------------------------------------------------- _______________________________________________________________________

-------------------------------------------------------------------------------------------------------------------------

32 Does the organization maintain the following:

a Records indicating the racial composition of the student body , faculty, and administrative staff? . . . . 32a .

b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory

basis? . . . . . . . . . . . . . 32b

c Copies of all catalogues , brochures , announcements , and other written communications to the public dealing

with student admissions , programs , and scholarships? . . . . . . . . . . . . . . . . . 32c

d Copies of all material used by the organization or on its behalf to solicit contributions ? . . . . . . 32d

If you answered "No" to any of the above , please explain . (If you need more space, attach a separate statement )

-------------------------------------------------------------------------------------------------------------------------

_________________________________________________________________________________________________________________________

33 Does the organization discriminate by race in any way with respectto.i

a Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . .a

b Admissions policies? . . . . . . . . . . . . . . . . . . . . . . . . . 33b

c Employment of faculty or administrative staff? . . . . . . . . . . . . . . . . . . . . 33c

d Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . .

e Educational policies? . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33f

g Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Other extracurricular activities? . . . . . . . . . . . . . . . . . . . . . . . 33h

If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement.)

-------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------------------

34a Does the organization receive any financial aid or assistance from a governmental agency? . . . a

b Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . 3413

If you answered "Yes" to either 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05

of Rev. Proc 75-50, 1975-2 C B. 587, covering racial nondiscrimination? If "No," attach an explanation . . 35

Schedule A (Form 990 or 990-EZ) 2007

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Schedule A (Form 990 or 990-EZ) 2007 Page b

Lobbying Expenditures byElectingPublic-Charities-(Seepage1-1-of-the-instructions.)- ^j_(To be completed ONLY by an eligible organization that filed Form 5768)/^^

Check ► a q if the organization belongs to an affiliated group. Check ► b q if you checked "a" and "limited control" provisions apply

Limits on Lobbying Expenditures Affiliated group

(b)To be completed

(The term "expenditures" means amounts paid or incurred.) totalsfor all electingorganizations

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) . . . 36

37 Total lobbying expenditures to influence a legislative body (direct lobbying). . . . . 37

38 . . . . . . .Total lobbying expenditures (add lines 36 and 37) 38

39

. . . . .

. . . . . . .Other exempt purpose expenditures 39

40

. . . . . . . . .

Total exempt purpose expenditures (add lines 38 and 39) . . . . . . . . . 40

41 Lobbying nontaxable amount Enter the amount from the following table-.f.

;,.,-L^

}: a :;K't ,•

-0:,ar';•,.

If the amount on line 40 is- The lobbying nontaxable amount is-

l000. . . . . . 20% of the amount on line 40 . . .over $500Not ., ' ^ " " w •t' ^'''_ ' :,

000 plus 15% of the excess over $500 000$100000 but not over $1 000 000Over $500 ,,, , .,

000 plus 10% of the excess over $1,000,000000 $175000 but not over $1 500Over $1 000 41,, ,, ,

Over $1,500,000 but not over $17,000,000. $225,000 plus 5% of the excess over $1,500,000 -'-

$1 000,000 . . . . . . . . . .Over $17 000 000

42

,, , . . . . .

. . . . . . . .Grassroots nontaxable amount (enter 25% of line 41 ) 42

43

.

Enter -0- if line 42 is more than line 36. . . . . . .Subtract line 42 from line 36 43

44

.

Enter -0- if line 41 is more than line 38. . . . . . .Subtract line 41 from fine 38 44.

Caution : if there is an amount on either line 43 or line 44, you must file Form 4720.

4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501(h) election do not have to complete all of the five columns belowSee the instructions for lines 45 through 50 on page 13 of the instructions.)

ILobbying Expenditures During 4-Year Averaging Period

Calendar year (or (a) (b ) (c) (d) (e)

fiscal year beginning in) ► 2007 2006 2005 2004 Total

45 Lobbying nontaxable amount . .

46 Lobbying ceilin g amount (150% of line 45(e))

47 Total lobbying expenditures .

48 Grassroots nontaxable amount .

`4i."`s 3 ,.'^`4 !^ •4s-c Sti^. ., .? 't j Fi`£ • .s° 7r '„• 1-

amount (150% of line 48(e))s ts ceilin49 G_ . ..c , ' S i,;.a

q,• ,y^'ras roo g

50 Grassroots lobbying expenditures .

Lobbying Activity by Nonelecting Public Charities(For reporting only by organizations that did not complete Part VI -A) (See page 14 of the instructions.)

During the year, did the organization attempt to influence national, state or local legislation, including any Yes No Amountattempt to influence public opinion on a legislative matter or referendum, through the use of.

a Volunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Paid staff or management (Include compensation in expenses reported on lines c through h.) . .

c Media advertisements . . . . . . . . . . . . . . . . . . . . . . . . . '(

d Mailings to members , legislators, or the public . . . . . . . . . . . . . . . . .

e Publications , or published or broadcast statements . . . . . . . . . . . . . . .

f Grants to other organizations for lobbying purposes . . . . . . . . . . . . . . .

g Direct contact with legislators , their staffs , government officials , or a legislative body . . . . . . '(

In Rallies , demonstrations , seminars , conventions, speeches, lectures , or any other means . . '^

i Total lobbying expenditures (Add lines c through h.) . . . . . . . . . . . . . . .If "Yes" to any of the above , also attach a statement giving a detailed description of the l obbying activities.

Schedule A (Form 990 or 990-EZ) 2007

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Schedule A (Form 990 or 990-EZ) 2007 Page 7

Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations (See page 14 of the instructions.)

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization d

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizationsescribe?

d in section

a Transfers from the reporting organization to a noncharitable exempt organization of: Yes No

(i) Cash . . . . . . . . . . . . . . . . . . . . . . .. . . . 51a (I ) 3. . .

(ii) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . a (i i ) 3

b Other transactions:

(i) Sales or exchanges of assets with a noncharitable exempt organization . . . . . . . . . b ( i) 3

(ii) Purchases of assets from a noncharitable exempt organization . . . . . . . . . . . . b ( ii ) 3

(iii) Rental of facilities equipment or other assets . . . . . . . . . . . . . . . . . b ii 3, ,

(iv) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . b (i v) 3

(v) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . b (v) 3

(vi) Performance of services or membership or fundraising solicitations . . . . . . . . . . . b (v i ) 3

mailing lists, other assets, or paid employees . . . . . . . .c Sharing of facilities equipment C 3, ,

d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fairgoods, other assets, or services given by the reporting organization If the organization received less than fair mtransaction or sharing arrangement, show in column (d) the value of the goods, other assets , or services received

marketarket v

value of thealue in any

Schedule A (Form 990 or 990•EZ) 2007

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations

described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? . . . . . . ► q Yes q No

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Name and Address Amount

A Tom Petropulos Slot 30251 P.O. Box 66973 Chicago, III. 60666 22.10Access Community Health Network Dept 9090 PO Box 87618 Chicago, III. 60680 9,573.02Acmc Physician Services 75 Remittance Dr. Ste. 6010 Chicago, III. 60675 2,613.00Acute Care Specialists Inc P.O. Box 634713 Cincinnati, OH. 45263 305.09Addison Emergency Physicians 520 E. 22nd Street Lombard, III. 60148 32.20Addison Radiology Assoc., S.C. 520 E. 22nd Street Lombard, III. 60148 10.75Adeyemi Fatoki M.D. P.O. Box 1668 Calumet City, III. 60409 154.05Adrian A. Abdala, M.D. 1824 W. 47th St. Chicago, III. 60609 48.50Advance Ambulance 33906 Treasury Center Chicago, III. 60694 428.51Advanced Medical Imaging Center 111 N. Wabash STE 620 Chicago, III. 60602 71.90Advocate South Suburban Hospital 22091 Network Place Chicago, III. 60673 717.00Affiliated Physicians Group 4415 Harrison St. Hillside, III. 60162 1,892,067.11Affiliated Radiologists S.C. Dept: 4104 Carol Stream, II. 60122 1,121.67Aftab A Khan Md Sc 1368 Liberty St. Morris, III. 60450 29,082.74Ahuad Abdala, M.D. 6911 Concord Lane Niles, III. 60714 161,086.88Aimpg 75 Remitt Dr. #6994 Chicago, III. 60675 32.20Alemayehu Bekele Md Facs 8071 Greenbrair Ct. Burr Ridge, II. 60527 549.00Allport Clinic LIc 1239 W. 18th St. Chicago, III. 60608 22,252.86Ambulance Transportation Inc 8200 West 185th Street St N Tinley Park, III. 60477 965.50Amic Hvde Park Open Mri 111 N. Wabash STE. 620 Chicago, III. 60602 296.60Annie Lai Md 2929 S. Ellis Chicago, III. 60616 64.30Antillas Family Medical Center 3109 W. Armitage Ave. Chicago, III. 60647 148,660.93Antillas South Medical Center 5159 S. Damen Chicago, III. 60609 31,638.73Apria Healthcare Inc 1341 Solutions Center Chicago, III. 60677 592.76Argent Care Inc 3050 S. 25th Ave. Ste. B Broadview, III. 60155 17.93Asad Bakir Md Sc 8743 West Ogden Ave. Lyons, III. 60534 522.05Ashok Shah M.D.S.C. 8055 S. Cottage Grove Chicago, III. 60619 98.53Ashraf Abourahma Mdfacc 5702 West 95th St. Oaklawn, III. 60453 90.58Associated Lab Physicians S C P.O. Box 74821 Chicago, III. 60694 21.80Associated St James Radiolo P.O. Box 3597 Springfield, III. 62708 187.25Aurora Med Center Kenosha P.O. Box 341700 Milwaukee, WI. 53234 26.00Barbara Santucci, Md P.O. Box 1168 Mt. Vernon, III. 62864 520.52Barry Kirschenbaum, M.D. 2740 W. Foster STE. 305 Chicago, III. 60625 51.30Bazell Clinic Llc 3520 S. Ashland Ave. Chicago, III. 60608 11,292.59Berwyn Emer Physicians Lip 75 Remittance Dr. Ste. 1209 Chicago, III. 60675 844.29Bethany Hospital - Er P.O. Box 93554 Chicago, III. 60673 1,790.77Bhc Streamwood Hospital 1400 E. Irving Park Rd. Streamwood, III. 60107 32.15Blue Island Radiology Consult 3300 W. 127th St. 2nd Fl. Blue Island, III. 60406 14.35Brett E Marcotte Do 35682 Eagle Way Chicago, Ill. 60678 32.20Bud'S Ambulance Service P.O. Box 659 Dolton, III. 60419 228.34C Tyson Md 8012 S. Crandon Chicago, III. 60617 22.10Cardiac Billing Services 9410 Compubill Drive Orland Park,IL. 60462 44.20Carle Foundation Physician Srv P.O. Box 911287 Dallas, TX. 75391 32.20Carlos Ortega, Md, Sc P.O. Box 481158 Niles, III. 60714 612.90Centro De Salud Esperanza 2001 S. California Ave. Chicago, III. 60608 23,717.97Charles C. Alston 2017 West 95th Street Chicago, III. 60643 66.40Chen-Chii Wang Md Sc P.O. Box 525 Palos Hieghts, III. 60463 784.53

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

Name and Address

36-4477633

Amoun

Chicago Central Ep, Lip 75 Remitt Dr. #3274 Chicago, III. 60675 4 , 000.85Chicago Dept. Rev . Cfd Ems ERR ERR 118.34Chicago Emer Phys Lip 75 Remitt Dr. #1351 Chicago , III. 60675 64.40Chicago Imaging Associates LIc 36515 Treasury Center Chicago , III. 60694 2 ,112.73Chicago Imaging Ltd 75 Remitt Dr . # 1667 Chicago, III. 60675 580.71Chicago Metropolitan Obstetr P . O. Box 4685 Chicago , III. 60680 535.20Chicago Otolaryngology Assoc Sc 425 Huehl Road , Bldg 8 Northbrook , III. 60062 94.20Childrens Memorial Hospita 75 Remitt Dr. #96211 Chicago, III. 60675 2,215.40Childrens Memorial Medical Gro 75 Remittance Dr. Ste . 1312 Chicago , III. 60675 3 , 314.98Childrens Surgical Foundation -Cu 35422 Eagle Way Chicago , III. 60678 159.60Christ Hospital P.O. Box 70508 Chicago , III. 60673 6,515.30Christian Community Health Center P.O. Box 288080 Chicago, III. 60628 24.25Chung M Song Md Sc 2910 Cherokee LN. Riverwoods , Ill. 60015 3.50Circle Family Care 5002 W. Madison St . Chicago , III. 60644 1 , 126.65City Of Chicago Ems 33589 Treasury Center Chicago , III. 60694 1,896.41Consultants In Clinical P 37416 Eagle Way Chicago , III. 60661 67.73Consultants In Pathology P.O. Box 9231 Michigan City , IN. 46361 82.99Cook County Hospital 1901 W. Harrison St. Chicago, III. 60612 67.00Cottage Emergency Physicians P.O. Box 41494 Philadelphia , Pa. 19101 358.15Crandon Emergency Physicians P.O. Box 42911 Philadelphia, PA. 19101 1 ,771.57Cynthia C. Thomas , M.D. 3333W. Arlington Chicago , III. 60624 3,142.95Cynthia C. Thomas , M.D. 3333W . Arlington Chicago , III. 60624 456.00Dependicare Home HIth In P.O. Box 88270 Dept A Chicago, Ill. 60680 482.77Dheeraj Mahajan, M.D., S.C . 675 West North Ave. Ste . 60 Melrose Park , III. 60160 46.45Diversified Emergency Services , Lic Dept 20 P.O. Box 5940 Carol Stream . III. 60197 803.05Door To Door Transportation Inc 5001 S . Racine Ave . Chicago , III. 60609 1,846.73Dr. Seshan Subramanian P.O. Box 88273 Dept . A Chicago, III. 60680 66.75Dr. Tony Cazeau Bethany Hospital Chicago, III. 60624 2 , 265.00Dr. Zivojin Pavlovic - Lor 9410 Compubill Drive Orland , Park , III. 60462 39.13Edrosa Ramoncito , M.D. 8012 S . Crandon Ave . Chicago , III. 60617 1,495.54Edward Hospital 801 S . Washington Naperville , III. 60540 181.00Elliott M Fourte 7906 S . Crandon Chicago, III. 60617 94.25Emerg Care & Hith Org Ltd 555 W. Court St # 410 Kankakee , II. 60901 453.10Emergency Care Phys Serv-Hp Lt P. O. Box 88284 Dept A Chicago , III. 60680 183.22Emergency Care Physician Servs P . O. Box 88640 Chicago , III. 60680 361.90Emergency Healthcare Phys 649 Executive Dr. Willowbrook , III. 60527 64.40Emergency Med Specialists Ii 34404 Eagle Way Chicago, III. 60678 352.12Emergency Room Care Providers S.C. Dept :4034 PO Box 3065 Oak Brook, II. 60522 6 , 840.95Evergreen Emergency Srvcs P.O. Box 428080 Evergreen Park , III. 60805 1,115.24Extended Care Specialists Ltd P.O. Box 366 Hinsdale , III. 60521 668.85Flisak Michael Md 37241 Eagle Way Chicago , III. 60678 25.10Foster G Mcgaw Hospital 2160 S . First Ave . Maywood, III. 60153 542.00Foundation For Emergency Svcs P.O. Box 94860 Chicago, III. 60690 610.08Friend Family Health Center Inc. 800 E . 55th Street Chicago, III. 60615 559.45Germain Georges , M.D. 1135 E . 87th Street Chicago , III. 60619 19,323.90Goldflies Mitchell 6445 N . Central Ave . Chicago , III. 60646 388.80Gooneratne Nihal Md 37241 Eagle Way Chicago , III. 60678 35.95

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Name and Address Amoun

Graceway Medical Center 4108 N. Sheridan Road Chicago, III. 60613 46,340.36Great Heights Family Medicine, Ltd. 1473 Ring Road Calumet City, III. 60409 5,691.48Great Heights Family Medicine, Ltd. 1473 Ring Road Calumet City, III. 60409 484.00Gregory Emergency Physicians P.O. Box 7428 Philadelphia, PA. 19101 278.40Gyne Care Group Clinic 75 Remittance Dr. Ste. 1611 Chicago, III. 60675 623.40Hand And Plastic Surgery Associates 5046 Paysphere Circle Chicago, III. 60674 488.90Hanger Pros And Orth East Inc 17530 S. Kedzie Ave. Hazel Crest, II. 60429 442.98Hanger Prothetics Orthotics 4801 W. Peterson Ave. Chicago, III. 60646 46.80Hasmukh V Patel P.O. Box 577 Berwyn, II. 60402 716.90Heart Care Centers Of II P.O. Box 766 Bedford Park, III. 60499 90.58Heller, Richard Md 37241 Eagle Way Chicago, III. 60678 10.75Henrikson Glenn Md 37241 Eagle Way Chicago, III. 60678 21.85Holy Cross Hospital P.O. Box 2166 Bedford Park, III. 60499 11,109.02Holy Cross Neighborhood Affiliation P.O. Box 5899 Chicago, III. 60680 1,801.18Hong-Ming Lay, M.D., P.C. 11 Royal Vale Dr. Oak Brook, III. 60523 222.30Hortzon Emergency Physician Gr Dept:3100 PO Box 3781 Oak Brook, II. 60522 541.29Hur Beck Md 37241 Eagle Way Chicago, III. 60678 10.10the St Francis Emergency Phys 1251 W. Glen Oaks Lane Mequon, WI. 53092 32.20the St Francis Emergency Physi 1251 W. Glen Oaks Lane Mequon, WI. 53092 44.00Illinois College Of Optometry 3241 S. Michigan Chicago, III. 60616 230.70Illinois Masonic Medical 22393 Network Place Chicago, III. 60673 134.00Imani Health Care Llc 3333W. Arlington Chicago, III. 60624 23,809.28Ingalls Hospital P.O. Box 75608 Chicago, III. 60675 1,151.00J C Medical Group 6033 N.Sheridan Rd. STE N6 Chicago, Ill. 60660 54.43J H Stroger Hospital Of Cook 1901 W. Harrison St. Chicago, III. 60612 985.00Jackson Park Hospital Fou 7531 Stony Island Ave. Chicago, III. 60649 903.00Jamiere Smith Md 5312 S. Ingleside Chicago, III. 60615 164.70Jayanti G Patel M D 6834 W. Cermack Rd. Berwyn, III. 60402 699.20John A Desalvo Do 35682 Eagle Way Chicago, III. 60678 32.20Joliet Radiological Service 36910 Treasury Ctr. Chicago, III. 60694 145.08K Anand Md 4 Clubside Court Burr Ridge, III. 60527 270.70Kankakee Radiology Associat 6135 Reliable Parkway Chicago, III. 60686 50.60Karen Malamut P.O. Box 616 Forest Park, III. 60130 96.15Kathleen M Scarpulla, Md, Sc 5600 W. Addison STE. 403 Chicago, III. 60634 179.80Kellison Pathology 135 S. LaSalle Bank Dept 3446 Chicago, III. 60674 301.73Klepac Steven Md 37241 Eagle Way Chicago, III. 60678 10.75Knapp Medical Center Ltd. 3303 S. Halsted Chicago, III. 60608 52,840.80Koh Choong Md 37241 Eagle Way Chicago, III. 60678 10.75Koscielski, Daniel Md 37241 Eagle Way Chicago, III. 60678 71.85Kuji Health Concepts 7906 S. Crandon Ave. Chicago, III. 60617 5,428.34Kuji Health Concepts 7906 S. Crandon Ave. Chicago, III. 60617 448.00L And L Transportation 9046 South Euclid Chicago, III. 60617 2,699.84La Rabida Childrens Hosp E. 65th Street at Lake Michigan Chicago, III. 60649 227.00Lagrange Memorial Hosp 33737 Treasury Center Chicago, III. 60694 341.00Lake Imaging LIc P.O. Box 10645 Merrillville, IN. 46411 154.93Lakeside Medical Center 2218 S. Michigan Ave. Chicago, III. 60616 168,752.38Lawrence Marczak D.P.M. 30 N. Michigan STE. 1229 Chicago, III. 60602 28.35

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Name and Address Amoun

Little Co Affiliated Phys 2800 W. 87th St. Chicago, III. 60652 201.85Little Co Hospitalist Group 2800 W. 87th St. STE 100 Chicago, III. 60652 176.43Little Company Of Mary Hospital 2800 W. 95th St. Evergreen Park, III. 60805 1,762.26Loretto Hospital P.O. Box 44116 Chicago, III. 60644 670.00Louis A Weiss Memorial Void 4646 n. Marine Dr. Chicago, III. 60640 1,033.00Louis F Alloco Do 35682 Eagle Way Chicago, III. 60678 25.62Loyola Univ Med Ctr P.O. Box 7814 Chicago, III. 60693 313.38Loyola Univ Physician Fds (Hcfa) P.O. Box 7814 Chicago, III. 60693 17.93Loyola University Phys Foundation P.O. Box 98284 Chicago, III. 60693 10.75Luangsuwan Chairat 9410 Compubill Drive Orland, Park, III. 60462 35.95Lutheran General Hospital P.O. Box 73208 Chicago, III. 60673 134.00Lyndon D Taylor Md 1100 Lake Street STE 260 Oak Park, III. 60301 69.55Macneal Hospital 2384 Payshere Circle Chicago, III. 60674 2,453.40Manjeet S. Chawla Md 5 Kingston Drive Oak Brook, III. 60523 464.80Manuel Martinez, M.D. 4006 W. 26th Street Chicago, III. 60623 68,058.44Marquette Radiology Assoc Llc P.O. Box 2153 Bedford Park, III. 60499 1,658.55Mary K Palmore P.O. Box 89 Hazel Crest, III. 60429 44.10Mchenry Laboratory Services 39222 Treasury Center Chicago, III. 60694 39.60Mea-Aea Kenosha Sc P.O. Box 5990 Dept 20 Carol Stream, III. 60197 36.20Medical Express Ambulance Serv 5650 West Howard St. Skokie, III. 60077 610.81Medstar Laboratories Inc. 7716 W. Madison Ave. River Forest, III. 60305 95.70Mercy Hospital Medical Center 1111 6th Avenue Des Moines, IA. 50314 14,426.35Mercy Physician Billing 35072 Eagle Way Chicago, III. 60678 1,112.10Metropolitan Advanced Rad Srvc 135 S. LaSalle Dept. 1362 Chicago, III. 60674 201.38Metropolitan Chicago Health Assoc. 45 W. 111th Street Chicago, III. 60628 752,347.70Michael Reese Medical Cen P.O. Box 52428 Phoenix Az. 85072 909.00Midamerica Cardiovascular Cons 5009 West 95th St. Oaklawn, III. 60453 11.05Midwest Diagnostic Pathology 75 Remittance Dr. Ste. 3070 Chicago, III. 60675 1,294.99Midwest Emergency Associates Dept 20-6000 P.O. Box 5990 Carol Stream. III. 60197 468.95Midwest Eye Center, S.C. 1700 East West Road Calumet City, III. 60409 397.02Midwest Gastro Assoc. Ltd 4121 Fairview Ave. Downers Grove, III. 60515 24.90Midwest Neoped Associates, Ltd Dept CH17544 Palatine, III. 60055 1,504.41Midwest Pediatric Cardiology 1482 Momentum Place Chicago, III. 60689 726.87Midwest Physician Group Ltd P.O. Box 95401 Chicago, III. 60664 50.00Midwest Womens Hea 7380 W. 87th Street Bridgeview, III. 60455 29.20Mill Creek Eye Care P.O. Box 451 Worth, III. 60482 74.00Mitchell Goldflies Md 6445 N. Central Chicago, III. 60646 1,109.55Mohammad Al-Khudari, Jr, Md 777 Oakmont Lane, Ste. 1600 Westmont, III. 60559 44.45Mohammad Chaudhary, M.D. P.O. Box 4655 Oakbrook, III. 60552 58,732.97Mohammad Jamil, M.D 2837 S. Halsted Chicago, III. 60608 45.50Mr. Young S. Pac Mdsc 27 Cambridge Dr. Oak Brook, III. 60523 113.58Mt. Sinai Hospital & Medical Center 2750 W. 15th PI Chicago, III. 60608 33,805.19Mukherjee Amal 1409 Burr Oak Road Hinsdale, III. 60521 480.00Munster Radiology Group 9201 Calumet Ave. Munster, IN. 46321 46.70Nafees U. Ahmed Md 1140 S. Wesimore Meyers Rd. Lombard, III. 60148 665.00Nah - Clinic 1799 Momentum Place Chicago, III. 60689 7.18Nam Shin Md 37241 Eagle Way Chicago, III. 60678 19.25

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Name and Address Amount

Naser Rustom Md P.O. Box 2939 Carol Stream. III. 60197 54.06Neb Doctors Of Illinois 7646 W. 159th Street Orland Park, III. 60462 120.58Noel G Alcantara M.D. S.C. P.O. Box 2909 Darien 1II. 60561 252.00Norman Lewis, M.D. P.O. Box 8502 Chicago, III. 60680 46.45Northwestern Medical Faculty 38205 Eagle Way Chicago, III. 60678 766.93Northwestern Mem Hosp P.O. Box 73690 Chicago, III. 60673 658.60Norwegian American Hospital 1782 Momentum PI., 231782 Chicago, Ill. 60689 705.65Nri Laboratories Inc 5646 W. North Ave. Chicago, III. 60639 5.90Nwi Pathology Consult Pc 9201 Calumet Ave. Munster, IN. 46321 15.68Oak Lawn Fire Depart P.O. Box 457 Wheeling, Ill. 60090 145.88Oaklawn Radiology Imaging C 37241 Eagle Way Chicago, III. 60678 366.23Orbit Medical Of Chicago 1455 West Hubbard Chicago, III. 60622 38.66Orhan Kaymakcalan 9410 Compubill Drive Orland, Park , III. 60462 1,167.12Orizon Pathology Foundation LIc P.O. Box 88639 Chicago, III. 60680 540.49Our Lady Res Med Center P.O. Box 220284 Chicago, III. 60622 67.00Pathology Assoc Of Chicago Ltd P.O. Box 88487 Chicago, III. 60680 109.41Pathology Chp Sc P.O. Box 2486 Indianapolis, In. 46206 62.63Pathology Consultants Of Chicago P.O. Box 88493 Chicago, III. 60680 1,726.86Pathology Services Of Illinoi P.O. Box 1287 Indianapolis, In. 46206 206.56Pcc Community Wellness P.O. Box 74025 Chicago, III. 60690 209.13Pediatric Anesthesia Asso 75 Remitt Dr. #6994 Chicago, III. 60675 138.15Percy Conrad May, M.D. 3857 W. Washington Blvd. Chicago, III. 60624 7,806.19Pff Emergency Services 75 Remitt Dr. #6933 Chicago, III. 60675 1,538.17Prairie Anesthesia Llc P.O. Box 570 Lake Forest, II. 60045 1,672.05Prairie Medical Associates 2850 S. Wabash Ste 106 Chicago, III. 60616 7,623.23Prakash C Rattan Md 35682 Eagle Way Chicago, III. 60678 32.20Provena Mercy Med Center 75 Remittance Dr. Ste. 1871 Chicago, Ill. 60675 200.15Provena St Joseph Med Cnt 75 Remittance Dr. Ste. 1366 Chicago, III. 60675 134.00Provena St Marys Hospital 500 W. Court St. Kankakee, III . 60901 210.90Provident Hospital Of Coo 500 E. 51st Street Chicago, III. 60615 400.30Provident Medical Center 500 E. 51st Street Chicago, III. 60615 629.45Psychealth, Ltd. P.O. Box 5312 Evanston, III. 60204-5312 160,947.07P.B. Sales M.D., And Assoc 11101 S. State Street Chicago, III. 60628 376.60P.E.F. Clinic, Ltd. 10 W. 35th Street, 3rd Fl. Chicago, III. 60616 630,941.81Quest Diagnostics P.O. Box 12989 Chicago, III. 60693 25,671.37Radiological Physicians, Ltd P.O. Box 2150 Bedford, III. 60499 2,432.21Radiology Imaging P.O. Box 70 Hinsdale, II. 60522 268.31Rafael Campanini M.D. P.O. Box 34860 Chicago, III. 60634 34.80Ramilo Jose Md 37241 Eagle Way Chicago, III. 60678 25.10Ramin Sam Md 8743 West Ogden Ave. Lyons, III. 60534 70.10Rawal Upma Md 37241 Eagle Way Chicago, III. 60678 100.65Reddy Althuru Md 37241 Eagle Way Chicago, III. 60678 37.55Richard M. O'Young, M.D. 326 W. 64th Street STE. 312 Chicago, III. 60621 70.85Rita J Mcguire Md P.O. Box 74048 Chicago, III. 60619 118.40Roseland Comm Hosp Anesthesiol P.O. Box 388320 Chicago, III. 60638 78.75Roseland Community Hospit 45 West 111th Street Chicago, III. 60628 478.80Rumc-University Neurologists 21262 Network Place Chicago, III. 60673 46.45

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Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Name and Address Amoun

Rush Oak Park Er Physicians 38954 Eagle Way Chicago, III. 60678 173.46Rush Oak Park Hospital 38954 Eagle Way Chicago, III. 60678 569.21Rush Pediatric Msp 75 Remittance Dr. Ste. 1611 Chicago, III. 60675 1,228.16Rush Presbyterian St Luke Med Ctr P.O. Box 73952 Chicago, III. 60673 3,293.02Rush Univ Emer Svcs Phy Grp 75 Remittance Dr. Ste. 6379 Chicago, III. 60675 1,017.60Sa Anesthesia P.O. Box 486 Lake Forest, II. 60045 5,236.85Sacred Heart Hospital 3240 W. Franklin Blvd Chicago, III. 60624 560.95Saint Elizabeth Hospital 1117 Paysphere Circle Chicago, III. 60674 1,555.00Saint Margaret Mercy No 35987 Eagle Way Chicago, III. 60678 583.40Saints Mary Elizab P.O. Box 220292 Chicago, III. 60622 67.00Sante, Inc P.O. Box 909 Dolton, III. 60419 88.20Schwab Faculty Associates P.O. Box 7227 Westchester, III. 60154 242.15Schwab Rehab Hosp 1401 S. California PI. Chicago, III. 60608 514.10Segel Kenneth Md 37241 Eagle Way Chicago, III. 60678 10.75Sheridan Medical Center 4527 N. Sheridan Rd. Chicago, III. 60640 9,487.08Sheridan Medical Center 4527 N. Sheridan Rd. Chicago, III. 60640 693.00Sinai Medical Group 3537 Paysphere Circle Chicago, III. 60674 43,520.44Sme Pathologists, Sc P.O. Box 3133 Indianapolis, IN. 46206 49.34Smith, Jamiere 5312 S. Ingleside Chicago, III. 60615 155.10Smmhc Er Physicians 35682 Eagle Way Chicago, III. 60678 32.20Sonya L. Thomas M.D. P.O. Box 798 Park Ridge, III. 60068 100.25South Shore Hospital Corp 8015 S. Luella Ave. Chicago, III. 60617 3,475.00Southeast Anesthesia Consultants Lt P.O. Box 4096 Carol Stream. III. 60122 605.15Southtown Medical Center LIc 6342 S. Pulaski Chicago, III. 60629 129,359.44Southtown Medical Center LIc 6342 S. Pulaski Chicago, III. 60629 3,104.80Southwest Laboratory Phys Dept. 77-9288 Chicago, III. 60678 94.86St Anthony Emergency Svcs Physician., P.O. Box 428249 Evergreen Park, II. 60805 9,142.26St Anthony Health Affiliates 4177 South ArcherAve. Chicago, III. 60632 5,088.05St Anthony Medical Center 1201 S. Main St. Crown Point, In. 46307 660.62St Bernard Hospital 326 W. 64th Street Chicago, III. 60621 3,147.92St Francis Hospital P.O. Box 220283 Chicago, III. 60622 938.40St James Hosp And HIth Ct 36211 Eagle Way Chicago, III. 60678 119.00St Louis Univer. Dept Of Radiology P.O. Box 18353M St. Louis, MO. 63195 24.45St Mary Of Nazareth Hospital P.O. Box 220292 Chicago, III. 60622 212.00Steven D. Disanti D.O. 109 S. Genoa Street Genoa, III. 60135 32.15Stone Park Fire Dept P.O. Box 1368 Elmhurst, III. 60126 179.58St. Anthony Hospital 1849 Paysphere Circle Chicago, III. 60674 13,176.04St. Bernard Anesthesia Group 520 E. 22nd St. Lombard, III. 60148 110.25St. Jude Medical Center 1418 W. 18th Street Chicago, III. 60608 9,048.52Suburban Emergency Phys Grp P.O. Box 2729 Carol Stream, II. 60132 227.06Suburban Radiologists Sc 1446 Momentum Place Chicago, III. 60689 145.08Sullivan Urgent Aid Ctrs, Ltd Dept 20-6001 P.O. Box 5990 Carol Stream, III. 60197 122.22Superior Air Ground Amb Serv P.O. Box 1407 Elmhurst, III. 60126 3,646.38Suresh B. Talathi, M.D. 1001 Beninford Lane Westmont, III. 60559 29,253.66Swedish Covenant Hospital 5145 N. California Ave. Chicago, III. 60625 26.00Swedish Emergency Assoc Pc Dept 20-1070 P.O. Box 5940 Carol Stream. III. 60197 64.40Tagizadieh Habib T Md 541 Otis Bowen Dr. Munster, IN. 46321 70.35

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Name and Address

The Eye Specialists Center LIcThe Friedell ClinicThe Pediatric Faculty FoundationThorek Memorial HospitalTown Of CiceroTrace Ambulance IncTracy Vera, M.D.Trinity HospitalU Of Chicago Physicians GroupU Of I HospitalUic AnesthesiologyUic Emergency MedicineUic Ob/GyneUic OrthopaedicsUic OtolaryngologyUic PathologyUic PathologyUic PediatricsUic RadiologyUic RadiologyUic SurgeryUic UrologyUic Women Health Assoc.Uicmc Emergency PhysiciansUnimed, Ltd.Unity Physician Group P.C.Universal Radiology Ltd.University Anesthesiologists SUniversity Of Chicago HospitalsUniversity Of Illinois HospitalVhs Genesis Lab IncVhs Of Illinois Inc.Village Imaging Professionals LIcVillage Radiology LtdVillanueva, Feli, ZVision Surgeons ConsultantsVista Medical Center EasWalgreen Home Care, Inc.West Care Medical CenterWest Side Emergency Phys LipWest Side Pathology AssocWest Suburban HospitalWestlake HospitalWestside Emer. Phys.Wiesman M D Gary GWindy City Emerg PhysiciansWoman To Woman Health Care

Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

1800 Momentum Place10 W. 35th Street, 3rd Fl.P.O. Box 2787850 W. Irving Park Rd.P.O. Box 1368P.O. Box 2646547 N. Avondale #001P.O. Box 70173P.O. Box 75307135 S. LaSalle Dept. 3468135 S. LaSalle Dept. 3452135 S. LaSalle Dept. 2001135 S. LaSalle Dept. 3463135 S. LaSalle Bank135 S. LaSalle Dept. 3458135 S. LaSalle Dept. 3446135 S. LaSalle Bank Dept 3446135 S. LaSalle Bank Dept 345135 S. LaSalle Dept. 3455135 S. LaSalle Bank135 S. LaSalle Bank Dept 3449135 S. LaSalle Bank Dept 3451135 S. LaSalle Bank Dept 3463135 S. LaSalle Bank Dept 3466580 Roger Williams STE. 22P.O. Box 47779410 Compubill DriveLock Box 1281122 Paysphere Circle3468 Payshere Circle1590 Paysphere Circle2368 Paysphere Circle36944 Treasury Center121 N. Marion StreetP.O. Box 5652P.O. Box 388320P.O. Box 504316P.O. Box 906005470 W. Madison75 Remittance Dr. Ste. 6322Dept 2050 P.O. Box 87165P.O. Box 47461225 Lake StreetP.O. Box 080951431 N. Western Ave. Ste 208P.O. Box 7209P.O. Box 19651

Chicago, III. 60689Chicago, Ill. 60616Springfield, III. 62708Chicago, III. 60613Elmhurst, III. 60126Bedford Park, III. 60499Chicago, III. 60631Chicago, III. 60673Chicago, III. 60675Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, Ill. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Highland Park, III. 60035Bloomington, IN. 47402Orland Park,IL. 60462Glenview, II. 60025Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60674Chicago, III. 60694Oak Park, II. 60301Chicago, III. 60680Chicago, III. 60638St. Louis, MO. 63150Chicago, III. 60696Chicago, III. 60644Chicago, III. 60675Carol Stream, II. 60188Carol Stream, III. 60197Melrose park, III. 60160Chicago, III. 60675Chicago, III. 60622Philadelphia, PA. 19101Chicago, III. 60619

36-4477633

Amo n

155.9591.2542.50129.70572.77412.70535.20

3,103.158,871.635,426.70614.25

1,725.811,194.55343.9028.35

108.4560.07

185.58209.08522.36889.33837.90535.20189.4546.6332.20

127.68204.75

5,278.001,074.55

13.65613.70397.39164.8324.2537.4067.00

117.59137,593.94

1,219.62110.29

2,173.25134 0032.2046.45

1,100.64317.45

Page 24: Form 990 Return of Organization Exempt From Income Tax 007990s.foundationcenter.org/990_pdf_archive/364/364477633/... · 2017. 6. 22. · See 910 W. Van Buren 6th ( 708 429-1602 q

Name and Address

Womens Health ConsultantsYihoodah Y Green & AssociatesYoung S Lee MdYoung S Pae Md

Neighborhood Doctors OrganizationChicago, Illinois

Form 990Year Ended December 31, 2007

Part II, Line 24 - Benefits paid for members

36-4477633

Amoun

36007 Eagle Way Chicago, III. 60678 420.701120 W. Taylor Chicago, III. 60607 3,497.64P.O. Box 218 Lansing, II. 60438 46.3527 Cambridge Dr. Oak Brook, III. 60523 204.47

$4,999 ,253.43

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36-4477633Neighborhood Doctors Organization

Chicago , IllinoisForm 990

Year Ended December 3 1, 2006

Part V - List of Officers, Directors , Trustees and Key Employees

Title ContributionsAvg. hours worked to Employee

per week Compensation Benefit PlansName and Address

Alan Channing Chairperson None NoneCalifornia at 15th Street Part-timeChicago , Illinois 60608

Michael O'Grady Vice Chairperson None None1044 N. Francisco Part-timeChicago , Illinois 60622

Henry Wiggins M.D. Treasurer None None326 W. 64th Street Part-timeChicago , Illinois 60621

Donald Franke Director None None100 N. River Road Part-timeDes Plaines , Illinois 60016

Sister Elizabeth Van-Straten Director None None326 W. 64th Street Part-timeChicago , Illinois 60621

Philip C. Bradley President/CEO $102 ,273 None910 W. Van Buren 6th FI Full-timeChicago, Illinois 60607

Barbara Hay Chief Operating Officer $75,988 None910 W. Van Buren 6th Fl Full-timeChicago , Illinois 60607

Thomas Tennison Chief Financial Officer $74,791 None910 W. Van Buren 6th Fl Full-timeChicago , Illinois 60607

William Seydlitz Chief Information Officer $59 , 092 None910 W. Van Buren 6th FI Full-timeChicago, Illinois 60607

Expense

Account

None

None

None

None

None

ReimbursedExpenses

ReimbursedExpenses

ReimbursedExpenses

ReimbursedExpenses

Total $312,144

Page 26: Form 990 Return of Organization Exempt From Income Tax 007990s.foundationcenter.org/990_pdf_archive/364/364477633/... · 2017. 6. 22. · See 910 W. Van Buren 6th ( 708 429-1602 q

Form 8868 I Application for Extension of Time To File an(Rev April 2008) Exempt Organization Return OMB No 1545-1709

Department of the Treasury ► File a separate application for each return.Internal Revenue Service

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box . . . . . . . . ► El^• If you are filing for an Additional (Not Automatic) 3-Month Extension , complete only Part II (on page 2 of this form).Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previousl y filed Form 8868.

Automatic 3-Month Extension of Time . Only submit original (no copies needed).

A corporation required to file Form 990-T and requesting an automatic 6-month extension,-check this box and completePart I only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► q

All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension oftime to file income tax retums.

Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to fileone of the returns noted below (6 months for a corporation required to file Form 990-T). However, you cannot file Form 8868electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, groupreturns, or a composite or consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II) of Form8868. For more details on the electronic filing of this form, visit www.irs.gov/efile and click on e-file for Chanties & Nonprofits.

Type or Name of Exempt Organization Employer identification number

print Neighborhood Doctors Organization 36 4477633

File by the Number , street , and room or suite no . If a P.O box, see instructionsdue date forfiling your 910 W. Van Buren 6th Floorreturn Seeinstructions City, town or post office , state , and ZIP code. For a foreign address , see instructions.

Chicago , Illinois 60607

Check type of return to be filed (file a separate application for each return):

© Form 990 q Form 990-T (corporation) q Form 4720

q Form 990-BL q Form 990-T (sec. 401(a) or 408(a) trust) q Form 5227

q Form 990-EZ q Form 990-T (trust other than above) q Form 6069

q Form 990-PF q Form 1041-A q Form 8870

• The books are in the care of ► Thomas J. Tennison----------------------------------------------------------------

Telephone No. ► 708 - )-------- 429.1602-- X13 FAX No. ► (___708---)--------- 429-4196 ---------

• If the organization does not have an office or place of business in the United States , check this box . . . . . . ► q

• If this is for a Group Return , enter the organization ' s four digit Group Exemption Number (GEN) . If this isfor the whole group , check this box ...... ► q . If it is for part of the group , check this box ...... ► q and attacha list with the names and EINs of all members the extension will cover.

1 I request an automatic 3- month (6 months for a corporation required to file Form 990-T) extension of time

until ----- August 15 20P!, to file the exempt organization return for the organization named above . The extension is

for the organization ' s return for:

► Q calendar year 20 -- R?-- or

► q tax year beginning ---------------------------------- - 20 ------- and ending ------------------------------------ - 20-------•

2 If this tax year is for less than 12 months, check reason: q Initial return q Final return q Change in accounting period

3a If this application is for Form 990- BL, 990- PF, 990-T, 4720, or 6069 , enter the tentative tax,

less any nonrefundable credits . See instructions.

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated taxpayments made. Include any prior year overpayment allowed as a credit. 3b $

c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax PaymentSystem). See instructions.

Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO

for payment instructions.

For Privacy Act and Paperwork Reduction Act Notice, see Instructions . Cat No 27916D Form 8868 (Rev 4-2008)

Page 27: Form 990 Return of Organization Exempt From Income Tax 007990s.foundationcenter.org/990_pdf_archive/364/364477633/... · 2017. 6. 22. · See 910 W. Van Buren 6th ( 708 429-1602 q

Form 8868 (Rev 4-2008) Page 2

• If you are filing for an Additional (Not Automatic) 3-Month Extension , complete only Part II and check this box ► q

Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.

• If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

Additional (Not Automatic) 3-Month Extension of Time. You must file original and one copy.

Type or Name of Exempt Organization Employer identification number

print

File by the Number, street , and room or suite no. If a P.O. box , see instructions . For IRS use onlyextendeddue date forfil i ng the City, town or post office, state , and ZIP code. For a foreign address, see instructionsreturn Seeinstructions

Check type of return to be filed (File a separate application for each return):

q Form 990 q Form 990-PF q Form 1041-A q Form 6069

q Form 990-BL q Form 990-T (sec. 401(a) or 408(a) trust) q Form 4720 q Form 8870q Form 990-EZ q Form 990-T (trust other than above) q Form 5227

STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

• The books are in the care of ► -------------------------------------------------------------------------------------Telephone No. ► (---------- ) ---------------------------- FAX No. ► ( --------) -----------------------------

• If the organization does not have an office or place of business in the United States, check this box . . . . . . ► q

• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this isfor the whole group, check this box ...... ► q . If it is for part of the group, check this box...... ► q and attach a

list with the names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until -------------------------------------------- 20-----.

5 For calendar year -------- or other tax year beginning------------------------ - 20----., and ending -------------------------- 20----..

6 If this tax year is for less than 12 months, check reason: q Initial return q Final return q Change in accounting period

7 State in detail why you need the extension --------------------------------------------------------------------------------------------

8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,

less any nonrefundable credits. See instructions. 8a

b If this application is for Form 990- PF, 990-T, 4720 , or 6069 , enter any refundable credits and

estimated tax payments made . Include any prior year overpayment allowed as a credit and any

amount paid previously with Form 8868.

c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, depositwith FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. 8c $

Signature and VerificationUnder penalties of perjury, I da are that I have a mined this form, including accompanying schedules and statements , and to the best of my knowledge and belief,

it is true, correct , and compI , and that

thonzed to prepare this form

Signature ► Title ► Date ►

Form 8868 (Rev 4-2008)