A
For the 2010 calendar year, or tax year beginning
, 2010, and ending
,
B
Check if applicable:
C
Name of organization
D
Employer Identification Number
Address change
Doing Business As
Name change
Number and street (or P.O. box if mail is not delivered to street addr)
Room/suite
E
Telephone number
Initial return
Terminated
City, town or country
State
ZIP code + 4
Amended return
G
Gross receipts
$
Part I
Summary
1
Briefly describe the organization's mission or most significant activities:
2
Check this box G
if the organization discontinued its operations or disposed of more than 25% of its net assets.
3
Number of voting members of the governing body (Part VI, line 1a)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Number of independent voting members of the governing body (Part VI, line 1b)
. . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Total number of individuals employed in calendar year 2010 (Part V, line 2a)
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
Total number of volunteers (estimate if necessary)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 a Total unrelated business revenue from Part VIII, column (C), line 12
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 a
b Net unrelated business taxable income from Form 990-T, line 34
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 b
OMB No. 1545-0047
Form
990
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
2010
Department of the Treasury
Internal Revenue Service
G
The organization may have to use a copy of this return to satisfy state reporting requirements.
Open to Public
Inspection
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
A
Signature of officer
Date
Sign
Here
A
Type or print name and title.
Print/Type preparer's name
Preparer's signature
Date
Check
if
PTIN
self-employed
Firm's name
G
Firm's address
G
Firm's EIN
G
Paid
Preparer
Use Only
Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
BAA For Paperwork Reduction Act Notice, see the separate instructions.
TEEA0101 03/25/11
Form 990 (2010)
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Program service revenue (Part VIII, line 2g)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d)
. . . . . . . . . . . . . . . . . . . . . . . . . .
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
. . . . . . . . . . . . . . . . .
12
Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12)
. . . . . .
13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
. . . . . . . . . . . . . . . . . . . . . . .
14
Benefits paid to or for members (Part IX, column (A), line 4)
. . . . . . . . . . . . . . . . . . . . . . . . . .
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)
. . . . . .
16 a Professional fundraising fees (Part IX, column (A), line 11e)
. . . . . . . . . . . . . . . . . . . . . . . . . . .
b Total fundraising expenses (Part IX, column (D), line 25) G
17
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f)
. . . . . . . . . . . . . . . . . . . . . . . . . .
18
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)
. . . . . . . . . . . . . .
19
Revenue less expenses. Subtract line 18 from line 12
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
Total liabilities (Part X, line 26)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
Net assets or fund balances. Subtract line 21 from line 20
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Application pending
F
Name and address of principal officer:
I
Tax-exempt status
501(c)(3)
501(c) (
)H
(insert no.)
4947(a)(1) or
527
J
Website:
G
H(a) Is this a group return for affiliates?
H(b) Are all affiliates included?
K
Form of organization:
Corporation
T
rust
Association
Other
G
L
Year of Formation:
M
State of legal domicile:
If 'No,' attach a list. (see instructions)
H(c) Group exemption number
G
Yes
No
Yes
No
MEDICAL TOURISM ASSOCIATION, INC
10130 NORTHLAKE BOULEVARD
214-315
WEST PALM BEACH
FL 33412
26-0753785
(561) 791-2000
JONATHAN EDELHEIT 10130 NORTHLAKE BOULEVA
WEST PALM BEACH
FL 33412
522,349.
X
X
6
www.MedicalTourismAssociation.com
X
2007
FL
EDUCATION & PROMOTION OF GLOBAL HEALTHCARE
5
3
10
10
0.
312,453.
219,696.
228,008.
246,653.
84,752.
56,000.
625,213.
522,349.
172,636.
206,283.
445,142.
297,440.
617,778.
503,723.
7,435.
18,626.
17,061.
50,687.
0.
15,000.
17,061.
35,687.
JONATHAN EDELHEIT
President
RAYMOND V STEPHANO, CPA, CFS
Raymond V. Stephano, P.C., CPA
550 Pinetown Road Suite 303
Fort Washington
PA 19034
(215) 283-5210
X