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        <PersonNm>LISA COVER</PersonNm>
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        <PersonNm>STEVEN KIRKPATRICK</PersonNm>
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        <PersonNm>JOSHUA M KISVER</PersonNm>
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        <PersonNm>KARA OLEYN</PersonNm>
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        <PersonNm>TRACY WALLOWICZ</PersonNm>
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        <PersonNm>MAUREEN SABO</PersonNm>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ASC TOPIC 740, INCOME TAXES DEFINES THE CONFIDENCE LEVEL THAT A TAX POSITION MUST MEET BEFORE IT CAN BE RECOGNIZED IN THE FINANCIAL STATEMENTS, AND IT REQUIRES THE EFFECTS OF A POSITION BE RECOGNIZED ONLY IF IT IS MORE-LIKELY-THAN-NOT TO BE SUSTAINED BASED SOLELY ON ITS TECHNICAL MERITS AS OF THE REPORTING DATE. THE MORE-LIKELY-THAN-NOT THRESHOLD REPRESENTS A POSITIVE ASSERTION BY MANAGEMENT THAT THE ORGANIZATION IS ENTITLED TO THE ECONOMIC BENEFITS OF A TAX POSITION. IF A TAX POSITION IS NOT CONSIDERED MORE LIKELY THAN NOT TO BE SUSTAINED BASED SOLELY ON ITS TECHNICAL MERITS, NO BENEFITS OF THE POSITION ARE TO BE RECOGNIZED. MOREOVER, THE MORE-LIKELY-THAN-NOT THRESHOLD MUST CONTINUE TO BE MET IN EACH REPORTING PERIOD TO SUPPORT CONTINUED RECOGNITION OF A BENEFIT. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE ORGANIZATION DID NOT IDENTIFY ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN THAT WOULD REQUIRE ADJUSTMENT TO ITS CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, THE ORGANIZATION BELIEVES IT HAS NOT ENGAGED IN ANY ACTIVITIES FOR WHICH ITS TAX-EXEMPT STATUS WOULD NOT BE SUSTAINED UNDER FEDERAL EXAMINATION. THE ORGANIZATION'S TAX RETURNS FOR THE YEARS 2018 FORWARD REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS.</ExplanationTxt>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MONCRIEFF WATSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAVEL REIMBURSEMENT AND TAXABILITY FOR TRUSTEES - REIMBURSEMENT FOR AIR TRAVEL IS BASED ON FIRST CLASS ACCOMMODATIONS FOR FLIGHTS GREATER THAN 1,000 MILES IN DISTANCE. TRUSTEES HAVE THE OPTION TO APPLY THE COST OF A FIRST CLASS TICKET TOWARD TWO COACH FARE TICKETS TO COVER TRAVEL FOR SPOUSES WHEN ATTENDING MEETINGS OF THE ECFMG BOARD AND COMMITTEES OR CARRYING OUT OTHER OFFICIAL ECFMG DUTIES. HOWEVER, ONLY THE AMOUNT APPLICABLE TO TRAVEL FOR THE ECFMG BOARD MEMBER MAY BE CONSIDERED A BONA FIDE EXPENSE. TRAVEL EXPENSES FOR THE SPOUSE OF AN ECFMG BOARD MEMBER ARE REPORTED ON A SEPARATE TRAVEL AND EXPENSE REPORT AND REPORTED ON FORM 1099, ASSUMING THE AMOUNT IS GREATER THAN $600 DURING THE COURSE OF THE CALENDAR YEAR. FOR EMPLOYEES - REIMBURSEMENT OF BUSINESS CLASS (FIRST CLASS TRAVEL WHEN BUSINESS CLASS IS NOT AVAILABLE) FOR TRIPS WITHIN THE UNITED STATES ARE PAID WHEN COACH CLASS FLIGHTS WOULD RESULT IN A FLIGHT OF FIVE (5) HOURS OR MORE IN DURATION. DUE TO THE LENGTH OF INTERNATIONAL FLIGHTS, EMPLOYEES MAY TRAVEL ECONOMY PLUS (BUSINESS CLASS WHEN ECONOMY PLUS IS NOT AVAILABLE) ON FLIGHTS OF FIVE (5) HOURS OR GREATER IN DURATION. HEALTH OR SOCIAL CLUB DUES THE CHIEF EXECUTIVE OFFICER ("CEO") HAS A MEMBERSHIP TO THE UNION LEAGUE OF PHILADELPHIA THAT IS USED PRINCIPALLY FOR BUSINESS PURPOSES. IF IN THE EVENT ANY PORTION OF THE EXPENSES IS CONSIDERED PERSONAL USE, THE CEO REIMBURSES THE ORGANIZATION FOR THE AMOUNT CHARGED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ECFMG MADE SEVERANCE PAYMENTS OF $295,083 TO LISA COVER, FORMER VP OF BUSINESS DEVELOPMENT &amp; OPERATIONS AND $77,250 TO MAUREEN SABO, FORMER ASSISTANT VICE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ECFMG OFFERS AN EXECUTIVE INCENTIVE PLAN TO REWARD PARTICIPANTS FOR ACHIEVING DEFINED OBJECTIVES WHICH INCLUDE FINANCIAL PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ON MAY 26, 2020, THE USMLE PROGRAM SUSPENDED THE ADMINISTRATION OF STEP 2 CS EXAMINATION FOR PERIOD OF 12-18 MONTHS IN ORDER TO REVITALIZE AND INTRODUCE A MODIFIED EXAM. THE REVITALIZED EXAMINATION WAS NOT EXPECTED TO BE DELIVERED VIA A LIVE ENCOUNTER BETWEEN AN EXAMINEE AND A STANDARDIZED PATIENT IN A TEST CENTER, BUT RATHER IN A VIRTUAL ENVIRONMENT. ACCORDINGLY, IT WAS PROBABLE THAT ANY TEST CENTERS THAT WOULD BE MAINTAINED FOR THE FUTURE EXAMINATION WOULD NEED TO BE REMODELED OR RENOVATED TO SUSTAIN THE ANTICIPATED VIRTUAL-ASSESSMENT MODEL. ON JANUARY 26, 2021, THE FEDERATION OF STATE MEDICAL BOARDS ("FSMB") AND NBME, CO-SPONSORS OF THE USMLE, ANNOUNCED THE DISCONTINUATION OF WORK TO RELAUNCH A MODIFIED STEP 2 CS EXAM AND PERMANENTLY SUSPENDED THE ADMINISTRATION OF STEP 2 CS. AS THE STEP 2 CS EXAM WAS THE SOLE FOCUS OF CSE, ACTIVITIES RELATED TO THE COLLABORATION ARE WINDING DOWN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLIANCE, AUDIT, AND QUALITY ASSURANCE COMMITTEE OF THE BOARD HAS BEEN CHARGED BY THE BOARD TO REVIEW THE FORM 990 AS COMPLETED BY THE OUTSIDE AUDITOR, GRANT THORNTON, LLP PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE. ALL MEMBERS OF THE COMPLIANCE, AUDIT AND QUALITY ASSURANCE COMMITTEE WILL RECEIVE FINAL DRAFT COPIES OF THE FORM 990 ARE THEN GIVEN THE OPPORTUNITY TO MAKE INQUIRIES ABOUT ANY INFORMATION CONTAINED THEREIN. DRAFTS ARE THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE RESPONSIBILITY OF ALL TRUSTEES AND KEY EMPLOYEES TO IDENTIFY PROMPTLY TO THE CHAIR OF THE BOARD OF ECFMG OR FAIMER, AS APPROPRIATE, ALL "POSSIBLE CONFLICTS OF INTEREST" WHENEVER THEY ARISE; TO DECLARE THEIR LACK OF INDEPENDENCE; AND TO REFRAIN FROM ANY DISCUSSIONS OR DELIBERATIONS REGARDING THE IDENTIFIED "POSSIBLE CONFLICTS OF INTEREST OR VOTING ON OR TAKING ANY OTHER ACTION WITH RESPECT TO SUCH MATTER. FAILURE TO PROPERLY DISCLOSE A "CONFLICT OF INTEREST" MAY SUBJECT THE BOARD MEMBER OR KEY EMPLOYEE TO DISCIPLINARY ACTION UP TO AND INCLUDING DISMISSAL FROM THE BOARD OR TERMINATION OF EMPLOYMENT. ANNUAL CONFLICT OF INTEREST DISCLOSURE FORMS FOR BOARD AND KEY EMPLOYEES: A CONFLICT OF INTEREST DISCLOSURE FORM SHALL BE CIRCULATED ANNUALLY TO ALL CURRENT TRUSTEES AND KEY EMPLOYEES. THE EXECUTIVE VICE PRESIDENT OF ECFMG SHALL MAKE A DETERMINATION ANNUALLY AS TO WHICH CURRENT EMPLOYEES OF ECFMG AND FAIMER MEET THE DEFINITION OF KEY EMPLOYEE FOR THE PURPOSE OF THE QUESTIONAIRE. THE CONFLICT OF INTEREST DISCLOSURE FORM SHALL BE DISTRIBUTED IN DECEMBER OF EACH YEAR COVERING THE CURRENT CALENDAR YEAR. COMPLETED FORMS SHALL BE RETURNED TO THE SECRETARY OF THE BOARD FOR ECFMG. THE BOARD SECRETARY SHALL HAVE THE RESPONSIBILITY TO MONITOR THE COMPLETION OF REQUESTED FORMS AND FOR MAKING APPROPRIATE FOLLOW-UP INQUIRIES TO NON-RESPONDERS. NON-RESPONDERS TO THE SECRETARY'S REQUESTS SHALL BE REPORTED TO THE CHAIR OF THE BOARDS OF ECFMG AND FAIMER AS APPROPRIATE. COMPLETED CONFLICT DISCLOSURE FORMS SHALL BE REVIEWED BY THE EXECUTIVE VICE PRESIDENT, OR IN THE CASE OF THE DISCLOSURE FORM OF THE EXECUTIVE VICE PRESIDENT, BY THE PRESIDENT, AND A REPORT MADE ANNUALLY OF ALL INDENTIFIED "POSSIBLE CONFLICTS OF INTEREST". LEGAL COUNSEL SHALL RENDER AN OPINION DIRECTLY TO THE CHAIR AND PRESIDENT OF THE RESPECTIVE ORGANIZATION REGARDING SUCH MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD HAS THE RESPONSIBILITY FOR REVIEWING EXECUTIVE COMPENSATION OF HIGHLY COMPENSATED EMPLOYEES WHICH INCLUDES THE CEO AND SENIOR VICE PRESIDENT FOR BUSINESS DEVELOPMENT AND OPERATIONS (THE SENIOR STAFF). ANNUALLY THIS COMMITTEE COMMISSIONS AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPARATIVE SURVEY OF COMPENSATION AND BENEFITS OF COMPARABLE KEY POSITIONS FROM SIMILAR ORGANIZATIONS TO ECFMG'S SENIOR STAFF. ALSO, INCLUDED IN THE REVIEW IS THE VICE PRESIDENT OF HUMAN RESOURCES, THE VICE PRESIDENT OF INFORMATION TECHNOLOGY AND THE VICE PRESIDENT OF FINANCE. THE COMMITTEE COMPARES THE RESULTS OF THE COMPENSATION SURVEY TO THE COMPENSATION PAID TO EXECUTIVES OF ECFMG AND MAKES ADJUSTMENTS, IF APPROPRIATE. ANNUALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE PERFORMANCE OF THE CEO AND RECOMMENDS A SALARY INCREASE PERCENTAGE AS APPROPRIATE GIVEN THE PERFORMANCE OF THE CEO AND THE FINANCIAL RESULTS OF ECFMG FOR THAT YEAR. THE COMMITTEE ALSO REVIEWS AND APPROVES SALARY INCREASE RECOMMENDATIONS MADE BY THE CEO, FOR THE SENIOR STAFF. CONTEMPORANEOUS MINUTES OF ALL EXECUTIVE COMPENSATION COMMITTEE MEETINGS ARE MADE REFLECTING THE ACTIONS TAKEN WITH RESPECT TO SENIOR STAFF COMPENSATION. THE RESULT OF THE COMMITTEE'S ACTIONS ARE SUMMARIZED AND REPORTED TO THE BOARD. SENIOR STAFF COMPENSATION REVIEWS COMMENCED IN 2001.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN FAIMER 4,008,028.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FOUND FOR ADV OF INTL MED EDU &amp; RES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3624 MARKET STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <EIN>233057423</EIN>
        <PrimaryActivitiesTxt>PROMOTE INTERNATIONAL MEDICAL EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ECFMG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FOUND FOR ADV OF INTL MED EDU &amp; RES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1200351</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
