SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
MID-SOUTH MEDICAL GROUP ASSOCIATION
 
Employer identification number

62-1658807
Return Reference Explanation
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE DESCRIPTION: OTHER INCOME. AMOUNT: 1,355.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: CHARITABLE GRANT. GRANTEE NAME: CHURCH HEALTH CENTER. GRANTEE ADDRESS: 1196 PEABODY AVENUE MEMPHIS, TN 38104. DATE OF GIFT: 12/01/15. AMOUNT GIVEN: 2,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: CHARITABLE GRANT. GRANTEE NAME: BOYS & GIRLS CLUB OF GREATER MEMPHIS. GRANTEE ADDRESS: 44 SOUTH REMBERT MEMPHIS, TN 38104. DATE OF GIFT: 12/01/15. AMOUNT GIVEN: 2,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 5,000.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: GIFTS/OTHER. AMOUNT: 943. DESCRIPTION: INSURANCE. AMOUNT: 250. DESCRIPTION: MEETINGS AND SEMINARS. AMOUNT: 10,848. DESCRIPTION: WEBSITE. AMOUNT: 839. DESCRIPTION: OTHER EXPENSES. AMOUNT: 181. DESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 799. DESCRIPTION: STATE TAXES. AMOUNT: 152. TOTAL TO FORM 990-EZ, LINE 16: 14,012.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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