2022-12-21T09:55:31-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY ST SUITE 1400 FORT WORTH TX 76102 990 2021-01-01 340787715 AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY INC AMER 2148711619 2828 ROUTH STREET 700 DALLAS TX 75201 GEORGE WENDEL JR MD EXECUTIVE DIRECTOR 2148711619 2022-12-16 1 GEORGE WENDEL JR MD 999009999 MICHAELA J CROMAR CPA P00895728 8178775000 2022-12-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z GEORGE WENDEL JR MD 2828 ROUTH STREET 700 DALLAS TX 75201 27795228 0 X WWW.ABOG.ORG X 1930 DE CERTIFICATION FOR PHYSICIANS PRACTICING IN THE AREAS OF OB/GYN AND ITS AFFILIATED SPECIALTIES. 19 0 56 278 0 0 0 0 13013160 20173215 -3459805 2901136 62932 44290 9616287 23118641 10000 800000 0 0 6843822 7341730 0 0 0 6105213 8620471 12959035 16762201 -3342748 6356440 74527372 79504335 10507892 7247503 64019480 72256832 INITIAL CERTIFICATION AND MAINTENANCE OF CERTIFICATION FOR PHYSICIANS PRACTICING IN THE AREAS OF OB/GYN AND ITS AFFILIATED SUBSPECIALITIES. 0 0 6975353 400000 10553995 SPECIALTY COMPETENCE EXAMINATIONS - GYNECOLOGIC ONCOLOGY, MATERNAL FETAL MEDICINE, REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY, FEMALE PELVIC MEDICINE AND REPRODUCTIVE SURGERY. 5153020 400000 9619220 PREPARATION, ADMINISTRATION, AND MAINTENANCE OF RECORDS OF EXAMINATIONS TAKEN BY PHYSICIANS AS PROOF OF CONTINUING EDUCATION IN THE FIELD OF OBSTETRICS AND GYNECOLOGY. 12128373 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 405 0 1 56 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 1 0 0 0 X X JAMES KUNKO 2148711619 2828 ROUTH STREET 700 DALLAS TX 75201 ANDREW SATIN MD PRESIDENT 10.00 2.00 X X 24000 0 0 DAVID E SOPER MD VICE PRESIDENT 10.00 2.00 X X 24000 0 0 LAUREL W RICE MD TREASURER 10.00 2.00 X X 24000 0 0 MATTHEW BARBER MD SUBSPECIALTIES CHAIR/ DIRE 10.00 1.00 X 15250 0 0 RONALD D ALVAREZ MD DIRECTOR 9.00 1.00 X 24000 0 0 SEINE CHIANG MD DIRECTOR 9.00 1.00 X 12000 0 0 MARLENE M CORTON MD DIRECTOR 9.00 1.00 X 24000 0 0 FAMUYIDE ABIMBOLA MD DIRECTOR 9.00 1.00 X 12000 0 0 GEORGE A MACONES MD DIRECTOR 9.00 1.00 X 24000 0 0 WANDA K NICHOLSON MD DIRECTOR 9.00 1.00 X 24000 0 0 MICHAEL THOMAS MD DIRECTOR 9.00 1.00 X 24000 0 0 KIMBERLY KENTON MD DIRECTOR 9.00 1.00 X 24000 0 0 WILLIAM GROBMAN MD DIRECTOR 9.00 1.00 X 24000 0 0 COURTNEY SCHREIBER MD DIRECTOR 9.00 1.00 X 24000 0 0 DENISE JAMIESON MD DIRECTOR 9.00 1.00 X 24000 0 0 MARY NORTON MD DIRECTOR 9.00 1.00 X 13000 0 0 STEPHEN PLAXE MD DIRECTOR 9.00 1.00 X 15250 0 0 JEANNE S SHEFFIELD MD DIRECTOR 9.00 1.00 X 24000 0 0 MEGHAM TWISS DIRECTOR 9.00 1.00 X 12000 0 0 GEORGE D WENDEL JR MD EXECUTIVE DIRECTOR 50.00 2.00 X 647833 0 19031 LACEY HAMMONS CHIEF OPERATING AND FINANC 45.00 2.00 X 210342 0 46020 SUSAN RAMIN MD ASSOCIATE EXECUTIVE DIRECT 50.00 2.00 X 515884 0 59965 WILMA LARSEN MD ASSOCIATE EXECUTIVE DIRECT 50.00 2.00 X 510470 0 52704 KIRK DIEPENBROCK CHIEF INFORMATION OFFICER 45.00 X 228462 0 60073 CARIEL APODACA EXAM MANAGER 40.00 X 123341 0 38428 SANDRA HODGSON CHIEF COMMUNICATIONS OFFICER 40.00 X 163624 0 43888 POOJA SHIVRAJ PSYCHOMETRICIAN 40.00 X 153537 0 28428 RAJAT CHADHA SENIOR PSYCHOMETRICIAN 40.00 X 140222 0 35750 MARSHA CONGLETON SENIOR EXECUTIVE ASSISTANT 40.00 X 119988 0 10483 3205203 0 394770 17 0 1 0 BECK ARCHITECTURE LLC 1601 ELM STREET DALLAS TX 75201 BUILDING DESIGN 1229322 JIM HENRY INC 435 THIRTY-SEVENTH AVE ST CHARLES IL 60174 PRINTING & MAILING CERTIFICATES 664043 NCS PEARSON INC 13036 COLLECTION CENTER DRIVE CHICAGO IL 60693 TESTING CENTERS 471385 DUANE MORRIS LLP 100 CRESCENT COURT SUITE 1200 DALLAS TX 75201 LEGAL SERVICES 457789 AMERICAN BOARD OF MEDICAL SPECIALTIES 353 NORTH CLARK STREET SUITE 1400 CHICAGO IL 60654 GOVERNANCE 395369 13 APPLICATION FEES 541380 17125620 17125620 EXAM FEES 541380 2740395 2740395 FELLOWSHIP & DIPLOMATE FEES 541380 307200 307200 20173215 2877723 2877723 27875 27875 4700000 4676587 23413 23413 23413 OTHER INCOME 900099 16415 16415 16415 23118641 20173215 0 2945426 800000 800000 2742284 1607749 1134535 3419496 2393647 1025849 270047 189033 81014 583457 408420 175037 326446 228511 97935 687144 481001 206143 29610 29610 168878 168878 475014 283545 191469 12095 12095 181411 52858 128553 60018 34935 25083 1430994 992839 438155 493261 141280 351981 290692 3742 286950 364619 364619 389241 272469 116772 95308 66716 28592 EXAMINATIONS 2853981 2853554 427 SERVICE FEES 468144 453695 14449 REPAIRS & MAINTENANCE 293433 238115 55318 HONORARIA 237500 237500 89128 24145 64983 16762201 12128373 4633828 0 6443382 4378207 6081876 6298787 29061 29061 427432 290088 4728329 807433 1480057 3920896 48108358 56236049 3775515 43973 8181691 8307274 74527372 79504335 2573927 1263358 7933965 5984145 10507892 7247503 X 64019480 72256832 64019480 72256832 74527372 79504335 6356440 1880912 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 X SCHEDULE A, PART III THE AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY, INC WAS GRANTED EXEMPTION FROM INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND OPERATED UNDER THAT EXEMPTION FOR ALL OF THE 2021 TAX YEAR. IN 2022, THE ORGANIZATION APPLIED FOR AND WAS GRANTED EXEMPTION UNDER SECTION 501(C)(3) EFFECTIVE MARCH 8, 2022. AS SUCH, THE 2021 RETURN IS BEING FILED AS A 501(C)(3) EXEMPT ORGANIZATION TO MATCH THE IRS' RECORDS AND DATABASE AT THE TIME OF FILING. NONE OF THE INCOME FROM THE 2021 TAX YEAR IS BEING INCLUDED IN THE ORGANIZATION'S PUBLIC SUPPORT SCHEDULE ON SCHEDULE A, PART III. 1309166 1309166 896224 278210 618014 260245 199931 60314 2262694 329292 1933402 3920896 DUE FROM ABOG EDUCATION FOUNDATION 8169177 DEPOSITS 138097 8307274 X PART X, LINE 2: THE BOARD IS A NONPROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE IRC AS A 501(C)(6) ORGANIZATION. HOWEVER, THE BOARD IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ON CERTAIN REVENUE STREAMS AND TAX BASES. IN ADDITION, THE ENTITY IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSES. THE BOARD HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. THE BOARD WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 AMERICAN BOARD OF OBGYN EDUCATIONAL FOUNDATION 2828 ROUTH ST SUITE 700 DALLAS TX 75201 752619323 501(C)(3) 800000 0 SCHOLARSHIPS 1 PART I, LINE 2: THE EXECUTIVE DIRECTOR REVIEWS THE ORGANIZATION'S FORM 990. X 1 1 X X X 0 0 0 0 0 0 0 0 0 GEORGE D WENDEL JR MD EXECUTIVE DIRECTOR 619669 0 28164 0 0 0 19031 0 0 0 666864 0 0 0 SUSAN RAMIN MD ASSOCIATE EXECUTIVE DIRECT 491417 0 24467 0 0 0 21476 0 38489 0 575849 0 0 0 WILMA LARSEN MD ASSOCIATE EXECUTIVE DIRECT 491003 0 19467 0 0 0 22720 0 29984 0 563174 0 0 0 KIRK DIEPENBROCK CHIEF INFORMATION OFFICER 217879 0 10583 0 0 0 19787 0 40286 0 288535 0 0 0 LACEY HAMMONS CHIEF OPERATING AND FINANC 200476 0 9866 0 0 0 18068 0 27952 0 256362 0 0 0 SANDRA HODGSON CHIEF COMMUNICATIONS OFFICER 156416 0 7208 0 0 0 14180 0 29708 0 207512 0 0 0 POOJA SHIVRAJ PSYCHOMETRICIAN 145787 0 7750 0 0 0 10504 0 17924 0 181965 0 0 0 RAJAT CHADHA SENIOR PSYCHOMETRICIAN 133097 0 7125 0 0 0 12604 0 23146 0 175972 0 0 0 CARIEL APODACA EXAM MANAGER 114549 0 8792 0 0 0 11141 0 27287 0 161769 0 0 0 PART I, LINE 1A DIRECTORS ARE PROVIDED FIRST-CLASS TRAVEL TO ATTEND BOARD FUNCTIONS IN ACCORDANCE WITH THE ORGANIZATION'S TRAVEL POLICIES. THE FRINGE BENEFIT IS NOT INCLUDED IN TAXABLE COMPENSATION. FORM 990, PAGE 1, BOX I: THE AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY, INC WAS GRANTED EXEMPTION FROM INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND OPERATED UNDER THAT EXEMPTION FOR ALL OF THE 2021 TAX YEAR. IN 2022, THE ORGANIZATION APPLIED FOR AND WAS GRANTED EXEMPTION UNDER SECTION 501(C)(3) EFFECTIVE MARCH 8, 2022. AS SUCH, THE 2021 RETURN IS BEING FILED AS A 501(C)(3) EXEMPT ORGANIZATION TO MATCH THE IRS' RECORDS AND DATABASE AT THE TIME OF FILING. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. AFTER THIS REVIEW PERIOD, THE TAX RETURN IS SUBMITTED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12 ANNUAL CONFLICT OF INTEREST STATEMENTS, ARE FILLED OUT, REVIEWED AND SIGNED. THE EXECUTIVE COMMITTEE CONDUCTS PERIODIC REVIEWS OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REFERS TO COMPENSATION PAID TO SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. AMERICAN BOARD OF OBGYN EDUCATION FOUNDATION 2828 ROUTH STREET SUITE 700 DALLAS TX 75201 752619323 SCHOLARSHIPS & EDUCATION TX 501(C)(3) LINE 12A, I AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY 1 ABOG INTERNATIONAL INC 2828 ROUTH STREET SUITE 700 DALLAS TX 75201 462166475 TESTING & MAINTAINING CERTIFICATION STANDARDS TX 501(C)(6) N/A AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 AMERICAN BOARD OF OBGYN EDUCATIONAL FOUNDATION B 800000 CASH RECEIVED ABOG INTERNATIONAL INC A 27875 CASH RECEIVED AMERICAN BOARD OF OBGYN EDUCATIONAL FOUNDATION D 173261 CASH TRANSFERRED