2024-07-12T09:26:57-05:00 2023-12-31 561131459 Stancil PC 4909 Windy Hill Drive Raleigh NC 27609 990 2023-01-01 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 2024-07-12 1 GREGORY GRIGGS 999009999 1 Nicholas Lombardi Jr P00741321 9198721260 2024-06-18 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z GREGORY GRIGGS 2501 BLUE RIDGE RD SUITE 120 RALEIGH NC 27607 1332876 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 427716 931221 0 0 74452 138892 0 0 502168 1070113 15000 265000 0 0 108900 206453 43750 103977 129486 77199 90770 244849 666200 257319 403913 2915114 3435794 44569 23212 2870545 3412582 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 199251 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. THE FOUNDATION ORGANIZED TWO SUMMER PROGRAMS TO PROVIDE MEDICAL STUDENTS TWO WORK WEEK CLINICAL EXPERIENCES ACROSS THE STATE. THE SUMMER PROGRAM PAID STIPENDS TO STUDENTS AND PRECEPTORS AS WELL AS COVERED DIRECT PROGRAM COSTS. 250000 250000 THE FOUNDATION, WITH FUNDS PROVIDED BY UNITED HEALTHCARE, ESTABLISHED THE FAMILY MEDICINE PRACTICE TELEMEDICINE AND MEDICAL SCRIBE PILOT PROGRAM TO SUPPORT SMALL MEDICAL PRACTICES WHICH ARE CONTINUING TO IMPLEMENT TELEHEALTH. THE PROGRAM WILL PROVIDE FUNDING OF $100,000 TO THREE PARTICIPATING PRACTICES. THE PROGRAM FUNDS ARE TO BE USED TO HIRE NEW SCRIBES OR MEDICAL ASSISTANTS FOR A YEAR-LONG PROJECT TO BETTER INTEGRATE IN-PERSON AND VIRTUAL VISITS INTO THE PRACTICES' CLINICAL WORKFLOWS. BY INCREASING THE EFFICIENCY OF THESE VISITS, THE PARTICIPATING PRACTICES CAN INCREASE ACCESS TO MEDICAL CARE IN OUR STATE'S RURAL AND UNDERSERVED AREAS. 449251 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 4 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 1 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 KYLE MELVIN MD 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 J HARRIS MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 AMY E MARIETTA MD MPH PHYSICIAN TRUSTEE 0.25 X 0 0 0 AMIR H BARZIN DO PHYSICIAN TRUSTEE 0.25 X 0 0 0 FRANKLIN NIBLOCK MD PHYSICIAN TRUSTEE 0.25 X 0 0 0 GARETT R FRANKLIN MD ACADEMY PRESIDENT-ELECT 1.00 1.00 X 0 2500 0 SHAUNA L GUTHRIE MD MPH 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 TOM WROTH MD CORPORATE TRUSTEE 0.25 X 0 0 0 WESLEY T ROTEN MD RESIDENT TRUSTEE 0.25 X 0 0 0 JAMES T MULLER DO RESIDENT TRUSTEE 0.25 X 0 0 0 CY FOGELMAN STUDENT TRUSTEE 0.25 X 0 0 0 COLLEEN YANG STUDENT TRUSTEE 0.25 X 0 0 0 GREGORY GRIGGS MPA CAE EXECUTIVE VP AND CEO 5.00 45.00 X 0 215754 42708 SHAWN PARKER GENERAL COUNSEL AND CHIEF 5.00 35.00 X 0 175849 24093 0 399103 66801 0 0 1 0 0 23000 36350 871871 931221 107359 107359 294296 262763 31533 31533 31533 0 23000 0 0 1070113 0 0 138892 250000 250000 15000 15000 206453 126260 54915 25278 2466 2466 5500 5500 103977 103977 17020 17020 1414 1414 1117 178 804 135 12584 9279 3209 96 31815 31815 2045 2045 LEADERSHIP 16217 16217 MISCELLANEOUS 592 502 90 666200 449251 87463 129486 355267 51554 590686 732343 234267 30620 4639 1938541 2412991 2915114 3435794 44569 23212 44569 23212 X 2545136 3177554 325409 235028 2870545 3412582 2915114 3435794 403913 138124 0 X X 1 X 0 1 0 X X 1 NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS 561778317 7 1 206453 0 1 206453 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1547988 368280 1916268 1730977 -182989 1547988 1540011 190966 1730977 1365284 174727 1540011 1168315 196969 1365284 1.00000 0 0 0 X 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 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 238250 96458 141792 238250 96458 141792 NC Raffle 23000 23000 23000 23000 1 Hodges Family Practice 610 N Fayetteville St 202 Asheboro NC 27203 100000 0 Practice Stipend Clinton Medical Clinic 403 Fairview St Clinton NC 28328 50000 0 Practice Stipend MedNorth Health Center 925 N 4th St Wilmington NC 28401 100000 0 Practice Stipend 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 193140 0 19314 0 3300 0 19311 0 23397 0 258462 0 0 SHAWN PARKER GENERAL COUNSEL AND CHIEF 0 159863 0 15986 0 0 0 15983 0 8110 0 199942 0 0 Form 990, Part VI, Section A, line 4 The Organization's bylaws have been updated to include: 1. Added a new Article IB to state the general business purpose of the Foundation as well as prohibited activities as a charitable exempt organization and includes an updated version provision of dissolution from Article XII of the current bylaws. 2. Article II is revised to clarify the affirmative act of Academy's Board of Directors is the act of the Voting Member (for items that require Member approval) and uses conforming language accordingly throughout. The Article also provides authority to remove for good cause Non-Voting Corporate and Individual Members and allows electronic notice (email). 3. Article III relates to the Board of Trustees and provides the NCAFP's Nominating Committee serves as the Foundation's Nominating Committee. The Article is further revised to remove superfluous language that used to establish staggered terms, include language to account for resignation or removal or a Trustee, and to allow for electronic notice. Virtual meeting authority is removed from Section 3.6 as it provided for in Section 3.15 of the Article. Language regarding waiver of Notice is deleted from Section 3.15 as well as Article X as this is accounted for both are accounted for in Section 2.4 and 3.7. Section 3.13 revises the composition of the Executive Committee of the Foundation (from 5 committee members to 3) to be consistent with what is currently in practice. 4. Article IV is revised to combine the Officer role of Secretary and Treasurer into a single office to be consistent with current practice. 5. Updates the Indemnification provision of Article V to align better with current case law and provides authority for the Foundation to maintain liability insurance on behalf of its officers and trustees. 6. The remaining changes are predominately stylistic converting single provision Articles into a multi-section General Provision Article and adding a provision to set the Fiscal year and clarify use of any pronoun. 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 206453 AMOUNT REIMBURSED NORTH CAROLINA ACADEMY OF FAMILY PHYSICIANS C 36350 AMOUNT RECEIVED