STRATEGY STUDIO / PUBLIC DATA EXPLORER

ASSOCIATION FOR ACADEMIC SURGERY FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION FOR ACADEMIC SURGERY FOUNDATION (EIN 41-2135059)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-28
IRS object ID
202423029349301227
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-10-28T13:32:49-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12210 EAST ROUTE 66AddressLine1Txt
CityGLENDORACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91740ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412135059EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION FOR ACADEMIC SURGERYBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASSOBusinessNameControlTxt
Phone3104371606PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W OLYMPIC BLVD 600AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLIFFORD CHOPersonNm
Person TitleTREASURER/SECRETARYPersonTitleTxt
Phone3104371606PhoneNum
Signature2024-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMEI-LI HUANGPreparerPersonNm
PTINP02383735PTIN
Phone6268577300PhoneNum
Preparation2024-10-24PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGINA HARDIMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W OLYMPIC BLVD 600AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$435,251GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO FOSTER AND ADVANCE EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIESActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$403,628PYContributionsGrantsAmt
CY Contributions Grants$388,542CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$14,929PYInvestmentIncomeAmt
CY Investment Income-$23,731CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$388,699PYTotalRevenueAmt
CY Total Revenue$364,811CYTotalRevenueAmt
PY Grants And Similar Paid$113,344PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$86,356CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,777PYOtherExpensesAmt
CY Other Expenses$43,729CYOtherExpensesAmt
PY Total Expenses$158,121PYTotalExpensesAmt
CY Total Expenses$130,085CYTotalExpensesAmt
PY Revenues Less Expenses$230,578PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$234,726CYRevenuesLessExpensesAmt
Total Assets BOY$1,552,623TotalAssetsBOYAmt
Total Assets EOY$2,036,252TotalAssetsEOYAmt
Total Liabilities BOY$44,719TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,507,904NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,036,252NetAssetsOrFundBalancesEOYAmt
MissionTO FOSTER AND ADVANCE THE EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES OF THE ASSOCIATION FOR ACADEMIC SURGERY THEREBY ENHANCING THE QUALITY OF CARE AND TO GENERALLY SUPPORT EDUCATION AND SCIENTIFIC RESEARCH CONCERNING SURGERY AND SURGICAL CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$86,356ExpenseAmt
Grant$86,356GrantAmt
Revenue$0RevenueAmt
DescTO SUPPORT MEDICAL/SURGICAL RESEARCH AND GRANTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,901ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTO PROMOTE THE SCIENTIFIC FIELD THROUGH A SERIES OF AWARDS FOR PRESENTATIONS, MANUSCRIPTS, OUTSTANDING MEDICAL STUDENTS AND RESEARCH.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$106,257TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDALE DULLABAUNPersonNm
Phone3104371606PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W OLYMPIC BLVD 600AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TIMOTHY PAWLIK MD
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
ERIC KIMCHI MD
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CLIFFORD CHO MD
SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
DAVID BERGER MD
DIRECTOR1.00Yes (X)$0$0$0
CALISA CLARK MD
DIRECTOR1.00Yes (X)$0$0$0
CLARK T GAMBLIN MD
DIRECTOR1.00Yes (X)$0$0$0
ALISON SMITH MD
DIRECTOR1.00Yes (X)$0$0$0
REBECCA SIPPEL MD
DIRECTOR1.00Yes (X)$0$0$0
CAPRICE GREENBERG MD
DIRECTOR1.00Yes (X)$0$0$0
FABIAN JOHNSTON MD
DIRECTOR1.00Yes (X)$0$0$0
CHRISTOPHER DAVIS MD
DIRECTOR1.00Yes (X)$0$0$0
ANAHITA DUA MD
DIRECTOR1.00Yes (X)$0$0$0
LUKE FUNK MD
DIRECTOR1.00Yes (X)$0$0$0
BRENESSA LINDEMAN MD
DIRECTOR1.00Yes (X)$0$0$0
HEATHER LIEBE MD
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$388,542AllOtherContributionsAmt
Total Contributions$388,542TotalContributionsAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$46,709SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$70,440SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$23,731SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,731TotalRevenueColumnAmt
Exclusion-$23,731ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$364,811TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$23,731ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$86,356TotalAmt
Program Services$86,356ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$15,100TotalAmt
Program Services$12,080ProgramServicesAmt
Management And General$3,020ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,725TotalAmt
Management And General$4,725ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,277TotalAmt
Management And General$9,277ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$743TotalAmt
Management And General$743ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$968TotalAmt
Management And General$968ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,500TotalAmt
Program Services$4,565ProgramServicesAmt
Management And General$935ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,256TotalAmt
Program Services$3,256ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Total$4,160TotalAmt
Management And General$4,160ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,085TotalAmt
Program Services$106,257ProgramServicesAmt
Management And General$23,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$465,707BOYAmt
EOY$139,424EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,850BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,080,370BOYAmt
EOY$1,895,778EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,696BOYAmt
EOY$1,050EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,552,623BOYAmt
EOY$2,036,252EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$44,719BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,719BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,507,904BOYAmt
EOY$2,036,252EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,507,904BOYAmt
EOY$2,036,252EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,552,623BOYAmt
EOY$2,036,252EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$234,726ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$248,903NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$44,719PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$282,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,971CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$403,628CurrentTaxYearMinus1YearAmt
Current Tax Year$388,542CurrentTaxYearAmt
Total$1,146,426TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$282,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,971CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$403,628CurrentTaxYearMinus1YearAmt
Current Tax Year$388,542CurrentTaxYearAmt
Total$1,146,426TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$199,944SubstantialContributorsTotAmt
Public Support Total170$946,482PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$168,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$242,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,390CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,920CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$539,658TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,310CurrentTaxYearMinus3YearsAmt
Total$14,599TotalAmt
FieldValueIRS element (for citing)
Total Support$1,700,683TotalSupportAmt
Gross Receipts Rltd Activities$78,122GrossReceiptsRltdActivitiesAmt
Public Support CY1700.55650PublicSupportCY170Pct
Public Support PY1700.54120PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationFUNDRAISING INCOME - 2019 AMOUNT: $ 10,289. 2020 AMOUNT: $ 4,310.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1720 2ND AVENUE SOUTHBIRMINGHAMAL35294636005396501(C)(3)$30,000$0FMVFELLOWSHIP AWARDS
THE MEDICAL COLLEGE OF WISCONSIN
8701 WATERTOWN PLANK ROADMILWAUKEEWI53226390806261501(C)(3)$30,000$0FMVFELLOWSHIP AWARDS
ASSOCIATION FOR ACADEMIC SURGERY
11300 WEST OLYMPIC BLVD SUITE 600LOS ANGELESCA90064043242181501(C)(3)$10,000$0FMVFELLOWSHIP AWARDS
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFOLLOWING THE DISBURSEMENT AND USE OF THE GRANT, THE RECIPIENT'S ORGANIZATION IS ASKED TO PROVIDE A REPORT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE GOVERNING BODY DOES NOT HAVE ANY COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD AT THIS TIME.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THEN PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE ACCOUNTING MANAGER, THE TREASURER, AND THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, OFFICERS AND AGENTS OF THE ASSOCIATION. POTENTIAL CONFLICTS SHOULD BE REPORTED TO THE BOARD OF DIRECTORS. DISINTERESTED BOARD MEMBERS MAKE THE DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR NOT. IF A CONFLICT WERE TO ARISE THE MEMBER IN CONFLICT WOULD ABSTAIN FOR THE DELIBERATION AND VOTE. THE POLICY REQUIRES THAT POTENTIAL CONFLICTS BE DISCLOSED AS THEY ARISE, THE BOARD IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE FORM AT LEAST ONCE ANNUALLY TO CONFIRM COMPLIANCE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION FOR ACADEMIC SURGERYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W OLYMPIC BLVD 600AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
EIN043242181EIN
Primary ActivitiesINSPIRE AND DEVELOP YOUNG ACADEMIC SURGEONS.PrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF ACADEMIC SURGERYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$100,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt