2022-11-11T19:30:44-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 2210 EAST ROUTE 66 GLENDORA CA 91740 990 2021-01-01 412135059 ASSOCIATION FOR ACADEMIC SURGERY FOUNDATION ASSO 3104371606 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 TIMOTHY PAWLIK TREASURER 3104371606 2022-11-10 1 TIMOTHY PAWLIK 999009999 MEI-LI HUANG P02383735 6268577300 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JENAY ROOT 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 182361 0 X N/A X 2004 WA TO FOSTER AND ADVANCE EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES 16 16 0 16 0 0 14803 56971 0 0 21421 56293 4310 0 40534 113264 127500 120500 0 0 0 0 0 0 0 36402 38436 163902 158936 -123368 -45672 1390885 1539640 26369 44719 1364516 1494921 TO 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. 0 0 120500 120500 0 TO SUPPORT MEDICAL/SURGICAL RESEARCH AND GRANTS. 16447 0 0 TO PROMOTE THE SCIENTIFIC FIELD THROUGH A SERIES OF AWARDS FOR PRESENTATIONS, MANUSCRIPTS, OUTSTANDING MEDICAL STUDENTS AND RESEARCH. 136947 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 WA X DALE DULLABAUN 3104371606 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 X LILLIAN KAO MD PRESIDENT 2.00 X X 0 0 0 ERIC KIMCHI MD VICE PRESIDENT 1.00 X X 0 0 0 TIMOTHY PAWLIK MD SECRETARY/TREASURER 2.00 X X 0 0 0 DAVID BERGER MD BOARD MEMBER 1.00 X 0 0 0 CALISA CLARK MD BOARD MEMBER 1.00 X 0 0 0 CLARK T GAMBLIN MD BOARD MEMBER 1.00 X 0 0 0 JULIE ANN SOSA MD BOARD MEMBER 1.00 X 0 0 0 ALISON SMITH MD BOARD MEMBER 1.00 X 0 0 0 CLIFFORD CHO MD BOARD MEMBER 1.00 X 0 0 0 FABIAN JOHNSTON MD BOARD MEMBER 1.00 X 0 0 0 REBECCA SIPPEL MD BOARD MEMBER 1.00 X 0 0 0 AMIR GHAFERI MD BOARD MEMBER 1.00 X 0 0 0 EUGENE KIM MD BOARD MEMBER 1.00 X 0 0 0 CAPRICE GREENBERG MD BOARD MEMBER 1.00 X 0 0 0 CARRIE LUBITZ MD BOARD MEMBER 1.00 X 0 0 0 HARI NATHAN MD BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 56971 56971 26229 26229 99161 69097 30064 30064 30064 113264 0 0 56293 120000 120000 500 500 15100 12080 3020 3830 3830 9550 9550 376 376 1618 1618 5261 4367 894 BANK FEES 2701 2701 158936 136947 21989 0 287054 207165 4300 10125 1099531 1322350 1390885 1539640 26369 44719 26369 44719 X 1364516 1494921 1364516 1494921 1390885 1539640 -45672 176077 0 X 0 0 0 X 136842 221234 282482 14803 56971 712332 136842 221234 282482 14803 56971 712332 712332 22042 21711 24704 30064 98521 12615 10089 4310 27014 837867 21777 0.85020 0.85530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA FELLOWSHIP AWARDS 30000 0 1 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 UNIV OF CALIFORNIA PO BOX 989062 WEST SACRAMENTO CA 95798 946036494 501(C)(3) 30000 0 FELLOWSHIP AWARDS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET WHIE 505 BOSTON MA 02114 042697983 501(C)(3) 30000 0 FELLOWSHIP AWARDS UW-MADISON DRAWAER 538 MILWAUKEE WI 53278 396006492 501(C)(3) 30000 0 FELLOWSHIP AWARDS RESEARCH AWARDS AND SCHOLARSHIPS 1 500 PART I, LINE 2: THE FOUNDATION RECEIVES INFORMATION FROM THE GRANTEES REGARDING THE USE OF THE FUNDS AND RESULTS DERIVED. FORM 990, PART VI, SECTION A, LINE 8B THE 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 11B THE 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 12C THE 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 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ASSOCIATION FOR ACADEMIC SURGERY 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 043242181 INSPIRE AND DEVELOP YOUNG ACADEMIC SURGEONS. IL 501(C)(3) LINE 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0