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Form 990 (2010)
Page 7
BAA
TEEA0107 12/21/10
Form 990 (2010)
(A)
(B)
(C)
(D)
(E)
(F)
Name and title
Position (check all that apply)
Reportable
compensation from
the organization
(W-2/1099-MISC)
Reportable
compensation from
related organizations
(W-2/1099-MISC)
Estimated
amount of other
compensation
from the
organization
and related
organizations
Average
hours
per week
(describe
hours for
related
organiza-
tions in
Schedule
O)
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the
organization's tax year.
? List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of
compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.'
? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who
received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any
related organizations.
? List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
? List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated
employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees,
and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part VII
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
MEDICAL TOURISM ASSOCIATION, INC
26-0753785
X
JONATHAN EDELHEIT
CHIEF EXECUTIVE OFFICER 20.00 X
X
RENEE-MARIE STEPHANO
PRESIDENT
40.00 X
X
BRAD COOK
SECRETARY
1.00 X
X
PREM JAGYASI
CHIEF STRATEGY OFFICER
5.00
X
KEMAL CANLAR
DIRECTOR
1.00 X
ALEX PIPER
DIRECTOR
1.00 X