OMB No. 1545-0047
SCHEDULE L
(Form 990 or 990-EZ)
Transactions With Interested Persons
2010
Department of the Treasury
Internal Revenue Service
G Complete if the organization answered
'Yes' on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
G Attach to Form 990 or Form 990-EZ. G See separate instructions.
Open to Public
Inspection
Name of the organization
Employer identification number
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered 'Yes' on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
(c) Corrected?
1
(a) Name of disqualified person
(b) Description of transaction
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under
G
section 4958
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
3
G
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Part II
Loans to and/or From Interested Persons.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 26 or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose
(e) In default?
(b) Loan to or from
the organization?
(c) Original
principal amount
(d) Balance due
(f) Approved
by board or
committee?
(g) Written
agreement?
To
From
Yes
No
Yes
No
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
G
Total
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 27.
(a) Name of interested person
(c) Amount and type of assistance
(b) Relationship between interested person and
the organization
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
TEEA4501 11/15/10
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule L (Form 990 or 990-EZ) 2010
MEDICAL TOURISM ASSOCIATION, INC
26-0753785
15,000.
RENEE MARIE STEPHAN
WORKING CAPITAL
X
15,000.
15,000.
X
X
X