For the 2009 calendar year, or tax year beginning
, 2009, and ending
,
B
Check if applicable:
C
Name of organization
D
Employer Identification Number
Address change
Name change
Number and street (or P.O. box if mail is not delivered to street addr)
Room/suite
E
Telephone number
Initial return
Termination
City, town or country
State
ZIP code + 4
Amended return
Please use
IRS label
or print
or type.
See
specific
Instruc-
tions.
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 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 employees (Part V, line 2a)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
Total number of volunteers (estimate if necessary)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 a Total gross unrelated business revenue from Part VIII, lcolumn (C), ine 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)
2009
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.
G
Signature of officer
Date
Sign
Here
G
Type or print name and title.
Date
Preparer's identifying number
(see instructions)
Check if
self-
employed
G
Preparer's
signature
G
G
EIN
G
Paid
Pre-
parer's
Use
Only
Firm's name (or
yours if self-
employed),
address, and
ZIP + 4
Phone no.
G
May the IRS discuss this return with the preparer shown above? (see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
TEEA0101 07/20/09
Form 990 (2009)
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 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) (
)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
RENEE MARIE STEPH 10130 NORTHLAKE BOULEVA
WEST PALM BEACH
FL 33412
625,213.
X
X
6
www.MedicalTourismAssociation.com
X
2007
FL
EDUCATION & PROMOTION OF GLOBAL HEALTHCARE
2
0
5
10
0.
312,453.
228,008.
84,752.
625,213.
172,636.
445,142.
617,778.
7,435.
57,153.
17,061.
47,524.
9,629.
17,061.
RENEE MARIE STEPHANO
PRESIDENT
Raymond V. Stephano, P.C., CPA
550 Pinetown Road Suite 303
Fort Washington
PA 19034
(215) 283-5210
X