2023-09-05T16:17:55-05:00 2022-12-31 561131459 Stancil PC 4909 Windy Hill Drive Raleigh NC 27609 990 2022-01-01 561686052 NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS FOUNDATION NORT 9198332110 2501 BLUE RIDGE RD SUITE 120 RALEIGH NC 27607 GREGORY GRIGGS EXECUTIVE VICE PRESIDENT & CEO 9198332110 2023-09-05 1 GREGORY GRIGGS 999009999 0 Nicholas Lombardi Jr P00741321 9198721260 2023-08-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREGORY GRIGGS 2501 BLUE RIDGE RD SUITE 120 RALEIGH NC 27607 762158 0 X WWW.NCAFP.COM/FOUNDATION X 1990 NC TO SUPPORT THE ADVANCEMENT OF FAMILY MEDICINE IN NORTH CAROLINA BY FOSTERING STUDENT INTEREST IN FAMILY MEDICINE, ENHANCING THE HEALTH OF THE CITIZENS OF OUR STATE, AND ENCOURAGING PHYSICIAN WELL-BEING. 18 18 0 18 0 0 76880 427716 0 0 108693 74452 0 0 185573 502168 19500 15000 0 0 108900 108900 0 43750 43750 46394 77199 174794 244849 10779 257319 2938633 2915114 1896 44569 2936737 2870545 TO SUPPORT THE ADVANCEMENT OF FAMILY MEDICINE IN NORTH CAROLINA BY FOSTERING STUDENT INTEREST IN FAMILY MEDICINE, ENHANCING THE HEALTH OF THE CITIZENS OF OUR STATE, AND ENCOURAGING PHYSICIAN WELL-BEING. 0 0 123259 15000 THE NCAFP AND NCAFP FOUNDATION COOPERATED TO HOST ITS ANNUAL WINTER FAMILY PHYSICIANS WEEKEND MEETING, WHERE MEDICAL STUDENTS HAD OPPORTUNITIES TO MEET WITH RESIDENCY PROGRAMS AND LEARN ABOUT FAMILY MEDICINE AS A SPECIALTY WHILE ALSO BEING EXPOSED TO EDUCATIONAL AND HANDS-ON OPPORTUNITIES. THE FOUNDATION PROVIDED MEDICAL STUDENTS TRAVEL ASSISTANCE TO ATTEND THIS CONFERENCE. THE NCAFP FOUNDATION GRANTED MULTIPLE SCHOLARSHIPS TO NORTH CAROLINA MEDICAL STUDENTS CONSIDERING CAREERS AS FAMILY PHYSICIANS. 123259 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X GREGORY GRIGGS 9198332110 2501 BLUE RIDGE RD SUITE 120 RALEIGH NC 27607 MAUREEN E MURPHY MD FAAFP PRESIDENT 1.00 X X 0 0 0 EUGENIE M KOMIVES MD FAAFP VICE-PRESIDENT 1.00 X X 0 0 0 RHETT L BROWN MD FAAFP SECRETARY-TREASURER 1.00 X X 0 0 0 CHRISTOPHER P DANFORD MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 VICKIE A FOWLER MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 MICHAEL HARRIS MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 AMY E MARIETTA MD MPH PHYSICIAN TRUSTEE 0.25 X 0 0 0 SUSAN A SCHMIDT MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 KYLE MELVIN MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 HOLLY STEGALL MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 PATRICK S WILLIAMS MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 SHAUNA L GUTHRIE MD MPH ACADEMY PRESIDENT-ELECT 1.00 1.00 X 0 2500 0 DIMITRIOS HONDROS MD ACADEMY PRESIDENT 1.00 5.00 X 0 5000 0 STEVE PARKER CORPORATE TRUSTEE 0.25 X 0 0 0 JOHN SMITH MD CORPORATE TRUSTEE 0.25 X 0 0 0 CAITLIN S PORTER DO RESIDENT TRUSTEE 0.25 X 0 0 0 CARLEY N BORRELLI MD RESIDENT TRUSTEE 0.25 X 0 0 0 KERI LANIER STUDENT TRUSTEE 0.25 X 0 0 0 COLLETTE A O'CONNOR STUDENT TRUSTEE 0.25 X 0 0 0 GREGORY GRIGGS MPA CAE EXECUTIVE VP AND CEO 5.00 45.00 X 0 212873 40384 SHAWN PARKER GENERAL COUNSEL AND CHIEF OF STAFF 5.00 35.00 X 0 162250 22319 0 382623 62703 0 0 1 0 0 27050 300000 100666 9942 427716 74452 74452 259990 259990 0 0 0 27050 0 0 502168 0 0 74452 15000 15000 108900 63000 45900 10450 10450 43750 43750 16386 16386 120 120 675 220 455 8273 5785 2488 25700 25618 82 1010 1010 LEADERSHIP 13636 13636 MISCELLANEOUS 949 949 244849 123259 77840 43750 289359 355267 586332 590686 31877 30620 2031065 1938541 2938633 2915114 1896 44569 1896 44569 X 2501319 2545136 435418 325409 2936737 2870545 2938633 2915114 257319 -323511 0 X X 1 X 0 1 0 X X 1 NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS 561778317 7 1 108900 0 1 108900 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE A, PART IV, SECTION C: THE FOUNDATION SHARES SOME BOARD MEMBERS WITH THE NC ACADEMY OF FAMILY PHYSICIANS, BUT NOT THE MAJORITY. HOWEVER, MANAGEMENT IS PERFORMED BY GREGORY GRIGGS, EXECUTIVE VICE PRESIDENT AND CEO, FOR BOTH ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1730977 -182989 1547988 1540011 190966 1730977 1365284 174727 1540011 1168315 196969 1365284 1213850 -45535 1168315 1.00000 0 0 0 X 162271 -323511 -16386 -339897 502168 0 502168 228463 0 228463 16386 16386 244849 Part X, Line 2: THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS ALSO EXEMPT FROM NORTH CAROLINA INCOME AND FRANCHISE TAXES UNDER THE NORTH CAROLINA NON-PROFIT CORPORATION ACT. THE FOUNDATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. Part XI, Line 2d - Other Adjustments: Investment fees PART V, LINE 4 THE EARNINGS FROM THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE FOUNDATION'S ONGOING PROGRAMMING TO HELP WITH STUDENT INTEREST IN THE FAMILY MEDICINE FIELD. THE ENDOWMENT FUNDS ARE CLASSIFIED AS BOARD DESIGNATED NET ASSETS. X 1 Moss Ross LLC 4102 Westfield Dr Durham NC 27705 Fundraiser 0 27050 43750 0 27050 43750 NC Raffle 27050 27050 27050 27050 1 SCHOLARSHIP PROGRAM PARTICIPANTS 4 15000 PART I, LINE 2: IN AN EFFORT TO ENCOURAGE MORE MEDICAL STUDENTS TO SELECT FAMILY MEDICINE AS A SPECIALTY, AND IN ADDITION TO PROVIDING AN ENRICHING AND REWARDING SUMMER OPPORTUNITY, THE NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS FOUNDATION INITIATED THE FAMILY MEDICINE EXTERNSHIP PROGRAM (FMEP) IN THE SUMMER OF 1992. THE PROJECT IS CONTINGENT ON ANNUAL FUNDRAISING. IN AN EFFORT TO ASSIST MEDICAL STUDENTS FINANCIALLY, THE NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS FOUNDATION ISSUES A NUMBER OF SCHOLARSHIPS PER YEAR. THERE IS A SCHOLARSHIP COMMITTEE IN PLACE AND ALL MEMBERS ARE SENT COPIES OF ALL APPLICATIONS ALONG WITH CRITERIA AND RANKING SHEETS. SEE FULL POLICY ON APPLICATION CRITERIA. 0 0 0 0 0 0 0 0 0 GREGORY GRIGGS MPA CAE EXECUTIVE VP AND CEO 0 189353 0 18235 0 5285 0 18935 0 21449 0 253257 0 0 SHAWN PARKER GENERAL COUNSEL AND CHIEF OF STAFF 0 152250 0 10000 0 0 0 15225 0 7094 0 184569 0 0 Form 990, Part VI, Section B, line 11b THE EXECUTIVE COMMITTEE WILL REVIEW AND APPROVE THE 990 IN ITS ENTIRETY BEFORE THE FILING DEADLINE OF THE RETURN. THE EXECUTIVE COMMITTEE WILL THEN UPDATE THE BOARD AT ITS NEXT MEETING VIA THE BOARD'S CONSENT CALENDAR. Form 990, Part VI, Section B, line 12c ALL NORTH CAROLINA ACADEMY OF FAMILY PHYSICIAN FOUNDATION BOARD MEMBERS ARE ASKED ON AN ANNUAL BASIS TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST IN ORDER TO ASSURE APPROPRIATE BUSINESS DISCUSSIONS DURING ALL BOARD RELATED MEETINGS. Form 990, Part VI, Section C, line 18 THE 990 IS AVAILABLE UPON REQUEST AS WELL AS PUBLICLY ON PUBLIC SERVICE WEBSITES SUCH AS WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THEY ARE ALSO POSTED ON VARIOUS PUBLIC SERVICE WEBSITES SUCH AS WWW.GUIDESTAR.ORG. Form 990, Part XII, Line 2c: THE PROCESS IS THE SAME AS LAST YEAR. NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS 2501 BLUE RIDGE RD SUITE 120 RALEIGH NC 27607 561778317 TO ENHANCE HEALTH CARE DELIVERED TO THE PEOPLE OF NC NC 501(c)(6) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS P 108900 AMOUNT REIMBURSED NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS C 14942 AMOUNT RECEIVED