2021-11-12T14:48:24-06:00 2020-12-31 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 550 MILWAUKEE WI 53202 990 2020-01-01 363969842 AMERICAN SOCIETY FOR MOHS HISTOTECHNOLOGY AMER 4149189813 555 EAST WELLS ST NO 1100 MILWAUKEE WI 53202 ANGELIC R MADEN SECRETARY/TREAS 4149189813 2021-11-12 1 ANGELIC MADEN 999009999 KATY L SOMMER P00273273 4142711451 2021-11-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DANIEL H GONG 555 EAST WELLS ST NO 1100 MILWAUKEE WI 53202 144076 0 X WWW.MOHSTECH.ORG X 1995 IL THE EXEMPT PURPOSE OF ASMH IS TO A) PROVIDE AN INTERCHANGE OF IDEAS PERTINENT TO HISTOTECHNOLOGY AS IT RELATES TO MOHS MICROGRAPHIC SURGERY; B) ADVANCE PROFESSIONAL GROWTH, STANDARDS KNOWLEDGE AND PERFORMANCE IN MOHS HISTOTECHNOLOGY THROUGH CONTINUING AND FORMAL EDUCATIONAL PROGRAMS; C) CREATE MUTUAL UNDERSTANDING AND COOPERATION BETWEEN THE MEMBERS OF THE ACMS, OTHER ALLIED PROFESSIONALS AND PROFESSIONAL ORGANIZATIONS AND THE PUBLIC; D) SAFEGUARD THE STANDARDS OF HISTOTECHNOLOGY FOR PROCESSING MICROGRAPHIC SURGERY SPECIMENTS; AND E) ENCOURAGE RESEARCH IN THE FIELD OF MOHS HISTOTECHNOLOGY. 9 9 0 10 0 0 14000 10000 259507 86375 1431 914 0 46787 274938 144076 0 0 0 0 17140 0 0 0 0 388809 141322 405949 141322 -131011 2754 324706 296970 135884 105394 188822 191576 X THE EXEMPT PURPOSE OF ASMH IS TO A) PROVIDE AN INTERCHANGE OF IDEAS PERTINENT TO HISTOTECHNOLOGY AS IT RELATES TO MOHS MICROGRAPHIC SURGERY; B) ADVANCE PROFESSIONAL GROWTH, STANDARDS KNOWLEDGE AND PERFORMANCE IN MOHS HISTOTECHNOLOGY THROUGH CONTINUING AND FORMAL EDUCATIONAL PROGRAMS; C) CREATE MUTUAL UNDERSTANDING AND COOPERATION BETWEEN THE MEMBERS OF THE ACMS, OTHER ALLIED PROFESSIONALS AND PROFESSIONAL ORGANIZATIONS AND THE PUBLIC; D) SAFEGUARD THE STANDARDS OF HISTOTECHNOLOGY FOR PROCESSING MICROGRAPHIC SURGERY SPECIMENTS; AND E) ENCOURAGE RESEARCH IN THE FIELD OF MOHS HISTOTECHNOLOGY. 0 0 58810 10400 THE 2020 ANNUAL MEETING WAS CANCELLED. 14005 1000 THE MOHS TECHNICIAN QUALITY ASSURANCE (MTQA) TRAINING INITIATIVE IS DESIGNED TO PROVIDE IMPROVED SLIDE PREPARATION TECHNIQUE TO MOHS TECHNICIANS TO FURTHER ENHANCE THE PERFORMANCE AND QUALITY OF WORK. IN 2020 ASMH HELD ONLY 1 TRAINING SESSION. 3143 THE ASMH NEWSLETTER PROMOTES CURRENT DEVELOPMENTS IN THE FIELD AND KEEPS MEMBERS CURRENT ON TOPICS OF INTEREST. THE NEWSLETTER IS PUBLISHED QUARTERLY AND DISTRIBUTED TO ALL MEMBERS. 37021 OTHER PROGRAM SERVICE 37021 112979 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 0 1 1 1 1 0 IL X EXECUTIVE DIRECTOR INC 4142766445 555 E WELLS ST SUITE 1100 MILWAUKEE WI 53202 DANIEL H GONG MS MSO C-PM PRESIDENT 5.00 X X 1600 0 0 LINDSEY E RIGGS HTL VICE PRESIDENT 1.00 X X 0 0 0 CAMILLE J MCKAY MED BSHCA HTL SECRETARY/TREAS 5.00 X X 0 0 0 MAUREEN GAGNOT HT ASCP PAST PRESIDENT 1.00 X 0 0 0 RODNEY K BARBER HT PAST SECRETARY/TREAS 5.00 X 0 0 0 ROBIN M SEAVER MLTHT ASCP CM DIRECTOR 1.00 X 0 0 0 MELINDA M CHOW MS HT ASCP CM DIRECTOR 1.00 X 0 0 0 MARILYN MCCULLOCH CLT DIRECTOR 1.00 X 0 0 0 ANGELIC R MADEN MS HT ASCP CM DIRECTOR 1.00 X 0 0 0 LINDA R CESARIO DPM HT ASCP DIRECTOR 1.00 X 0 0 0 1600 0 0 0 0 0 0 EXECUTIVE DIRECTOR INC 555 E WELLS STREET MILWAUKEE WI 53202 MANAGEMENT SERVICES 108187 1 10000 10000 MEMBERSHIP DUES AND AS 611600 74975 74975 ANNUAL MEETING 611710 10400 10400 GROUP TRAINING 611710 1000 1000 86375 914 914 INSURANCE PAYOUT 900099 46787 46787 46787 144076 133162 0 914 108187 90424 17763 4819 4819 12530 10413 2117 2572 2395 177 2588 2588 5681 5681 241 241 1613 520 1093 EDUCATION 2261 270 1991 MEMBER SERVICES 688 688 BOARD OF DIRECTORS EXPE 142 142 141322 112979 28343 0 70927 33142 205149 206062 44321 56521 4068 1245 241 0 324706 296970 96034 95694 39850 9700 135884 105394 X 188822 191576 188822 191576 324706 296970 2754 0 X 0 1 X 1 0 X 81450 83500 84425 78625 84975 412975 171021 192375 231083 194882 11400 800761 252471 275875 315508 273507 96375 1213736 0 19000 9000 9000 9000 9000 55000 19000 9000 9000 9000 9000 55000 1158736 974 977 1288 1431 914 5584 974 977 1288 1431 914 5584 250 333 46787 47370 253695 276852 317129 274938 144076 1266690 0.91480 0.95320 0.00440 0.00420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 250. WEBSITE ADVERTISING - 2018 AMOUNT: $ 333. INSURANCE PAYOUT - 2020 AMOUNT: $ 46,787. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 144076 0 144076 0 144076 141322 0 141322 0 141322 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION. MANAGEMENT HAS REVIEWED ALL TAX POSITIONS RECOGNIZED IN PREVIOUSLY FILED TAX RETURNS IN THE U.S. FEDERAL AND STATE JURISDICTIONS AND THOSE EXPECTED TO BE TAKEN IN FUTURE TAX RETURNS. AS OF DECEMBER 31, 2020, THE ORGANIZATION HAD NO AMOUNTS RELATED TO UNRECOGNIZED INCOME TAX BENEFITS AND NO AMOUNTS RELATED TO ACCRUED INTEREST AND PENALTIES. THE ORGANIZATION DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES TO UNRECOGNIZED INCOME TAX BENEFITS OVER THE NEXT YEAR. THE ORGANIZATION IS CURRENTLY NOT UNDER AUDIT BY ANY FEDERAL OR STATE TAXING AUTHORITY. FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - ASMH IS IN CONTRACT WITH EXECUTIVE DIRECTOR, INC., AN ASSOCIATION MANAGEMENT COMPANY FORM 990, PART VI, SECTION A, LINE 6 LINE 6 EXPLANATION - MEMBERSHIP IN SOCIETY IS OPEN TO ANY PERSON WHO IS A MEMBER OF ACMS OR IS PERFORMING MOHS HISTOTECHNOLOGY SERVICES UNDER THE SUPERVISION OR AUSPICES OF AN ACMS MEMBER. MEMBERSHIP CLASSES CONSIST OF CHARTER, ACTIVE, HONORARY, ASSOCIATE, AFFILIATE AND LIFE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A LINE 7A EXPLANATION - ACTIVE AND CHARTER MEMBERS IN GOOD STANDING ARE ENTITLED TO VOTE FOR THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B LINE 7B EXPLANATION - ACTIVE AND CHARTER MEMBERS IN GOOD STANDING ARE ENTITLED TO VOTE ON ANY MATTER TO BE VOTED UPON BY THE MEMBERSHIP AT EITHER THE ANNUAL MEETING OR BY WRITTEN BALLOT. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - UPON COMPLETION OF THE PREPARED FORM 990 AND ALL APPLICABLE SCHEDULES, IT IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE ORIGINAL FORM IS SIGNED BY THE APPROPRIATE OFFICER AND THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 ASMH IS MANAGED BY EXECUTIVE DIRECTOR, INC., A FOR-PROFIT MANAGEMENT COMPANY. ASMH HAS NO OFFICIAL EMPLOYEES, BECAUSE ALL STAFF ASSIGNED TO ASMH ARE EMPLOYEES OF THE MANAGEMENT COMPANY. ASMH ALSO DOES NOT COMPENSATE DIRECTORS OR OTHER TOP OFFICIALS AND DOES NOT HAVE ANYONE WHO FITS THE DEFINITION OF A KEY EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST