2021-11-09T10:06:30-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 2210 EAST ROUTE 66 GLENDORA CA 91740 990 2020-01-01 412135059 ASSOCIATION FOR ACADEMIC SURGERY FOUNDATION ASSO 3104371606 11300 W OLYMPIC BLVD NO 600 LOS ANGELES CA 90064 TIMOTHY PAWLIK TREASURER 3104371606 2021-11-05 1 TIMOTHY PAWLIK 999009999 MARLEN GOMEZ P01306775 6268577300 2021-11-05 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JENAY ROOT 11300 W OLYMPIC BLVD NO 600 LOS ANGELES CA 90064 261148 0 X N/A X 2004 WA TO FOSTER AND ADVANCE EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES 16 16 0 16 0 0 282482 14803 0 0 56106 21421 10289 4310 348877 40534 88188 127500 0 0 0 0 0 0 0 35137 36402 123325 163902 225552 -123368 1420175 1390885 608 26369 1419567 1364516 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 127500 127500 TO SUPPORT MEDICAL/SURGICAL RESEARCH AND GRANTS. 17539 TO PROMOTE THE SCIENTIFIC FIELD THROUGH A SERIES OF AWARDS FOR PRESENTATIONS, MANUSCRIPTS, OUTSTANDING MEDICAL STUDENTS AND RESEARCH. 145039 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NO 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 HERBERT CHEN 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 KARL BILIMORIA MD BOARD MEMBER 1.00 X 0 0 0 CLIFFORD CHO MD BOARD MEMBER 1.00 X 0 0 0 ADIL HAIDER 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 14803 14803 24704 24704 217331 220614 -3283 -3283 -3283 4310 0 4310 4310 40534 0 0 25731 120000 120000 7500 7500 15100 12080 3020 3150 3150 7855 7855 856 856 1253 1253 4500 3735 765 1724 1724 BANK FEES 1964 1964 163902 145039 18863 0 143927 287054 250000 8600 4300 1017648 1099531 1420175 1390885 608 26369 608 26369 X 1419567 1364516 1419567 1364516 1420175 1390885 -123368 68317 0 X 0 0 0 X 25383 136842 221234 282482 14803 680744 25383 136842 221234 282482 14803 680744 680744 19743 22042 21711 24704 88200 12615 10089 4310 27014 795958 21777 0.85530 0.89130 X 1 BOSTON MEDICAL CENTER CORPORATION 660 HARRISON AVE 2ND FL GAMBRO BOSTON MA 02118 043314093 501(C)(3) 30000 FELLOWSHIP AWARDS MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET WHIE 505 BOSTON MA 02114 042697983 501(C)(3) 30000 FELLOWSHIP AWARDS UNIVERSITY OF CHICAGO 6054 DREXEL AVE SUITE 200 CHICAGO IL 60637 362177139 501(C)(3) 30000 FELLOWSHIP AWARDS JOHN HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 520595110 501(C)(3) 30000 FELLOWSHIP AWARDS 4 RESEARCH AWARDS AND SCHOLARSHIPS 16 7500 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