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        <PersonNm>Elizabeth Billingsley MD</PersonNm>
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        <PersonNm>David M Zloty MD</PersonNm>
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        <ExplanationTxt>ACMS MEMBERS PARTICIPATED IN THE ALLIANCE OF SPECIALTY MEDICINE (COALITION) FLY-IN. THIS WAS AN OPPORTUNITY FOR VOLUNTEER PHYSICIANS TO ENGAGE IN CONVERSATIONS WITH LEGISLATORS ABOUT ISSUES PERTAINING TO THE PRACTICE OF SPECIALTY MEDICINE. THE FLY-IN TOOK PLACE JULY 2018 IN WASHINGTON, DC IN THE OFFICES OF LEGISLATORS REPRESENTING THE VARIOUS DISTRICTS/STATES OF THE PARTICIPANTS. ACMS ALSO PARTICIPATED IN A FLY-IN HELD BY THE COALITION THEY ARE MEMBERS OF. description for i: $3,750 (PORTION OF COALITION DUES PAYMENT) GOES TOWARDS THE COALITION'S LOBBYING ACTIVITIES.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization and the Affiliate are exempt from income tax under Section 501(c)(3) of the Internal Revenue Code and are classified as other than private foundations. However, income from certain activities (primarily advertising income) not directly related to the Organization's tax-exempt purpose is subject to taxation as unrelated business income. As of December 31, 2018, the Organization had recorded a liability of $1,810 for unrelated business income tax and penalties. The total unrelated business income tax expense recorded for year ended December 31, 2018, was $1,810.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, 2018, 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.</ExplanationTxt>
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          <BusinessNameLine1Txt>AMER SOCIETY FOR MOHS HISTOTECHNOLOGY</BusinessNameLine1Txt>
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          <AddressLine1Txt>555 E WELLS ST STE 1100</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53202</ZIPCd>
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        <RecipientEIN>361967102</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>14000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>OPERATIONS AND ANNUAL MEETING</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>ACMS awards a grant to ASMH for use at their combined Annual Meeting and general operations. The grant is reviewed by the Board each year and then awarded upon approval.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: MOHSAIQ IS THE NATIONAL DATA REGISTRY OF THE ACMS. THE REGISTRY PROVIDES MEANINGFUL DATA ABOUT PATIENTS AND PHYSICIAN PERFORMATION IN ORDER TO IMPROVE OUTCOMES AND MAXIMIZE RESULTS UNDER NEW PAYMENT MODELS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</FormAndLineReferenceDesc>
        <ExplanationTxt>ACMS IS IN CONTRACT WITH EXECUTIVE DIRECTOR, INC., AN ASSOCIATION MANAGEMENT COMPANY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF ACMS INCLUDES FOUR CATEGORIES OF MEMBERS: FELLOWS, ASSOCIATES, LIFE AND INTERNATIONAL AFFILIATE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>Election of directors and officers is conducted prior to each annual meeting of the members of the college in accordance with the procedures described in the bylaws. At least ninety (90) days prior to the meeting, a mail or electronic ballot of the nominees is sent to all members in good standing.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ON ANY MATTER TO BE VOTED UPON AT ANY ANNUAL MEETING OF MEMBERS, EACH MEMBER (FELLOW, ASSOCIATE AND LIFE) IN GOOD STANDING SHALL BE ENTITLED TO VOTE. THERE SHALL BE NO VOTING BY PROXY OR CUMULATIVE VOTING AT THE ANNUAL MEETING OF MEMBERS. THE ACT OF A MAJORITY OF THE MEMBERS PRESENT AND VOTING AT THE ANNUAL MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBERSHIP OF THE COLLEGE, EXCEPT WHERE OTHERWISE PROVIDED BY LAW OR THE BYLAWS, INCLUDING ELECTION OF DIRECTORS. QUORUM SHALL CONSIST OF FIVE PERCENT (5%) OF THE TOTAL VOTING MEMBERSHIP IN GOOD STANDING, BUT NOT LESS THAN FIFTY (50) MEMBERS WITH VOTING RIGHTS.</ExplanationTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <ExplanationTxt>ACMS requires disclosure of certain information from Leaders (Officers, Board members, Committee Chairs/ Members, Task Force Chairs, and senior staff), Faculty, Participants at business/committee meetings, and Authors of manuscripts submitted for possible publication. ANY POSSIBLE CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND ARE BROUGHT FORWARD TO THE ETHICS COMMITTEE AND BOARD OF DIRECTORS FOR FURTHER INVESTIGATION, REVIEW AND DETERMINATION OF THE APPROPRIATE DISCIPLINARY ACTIONS. Actions that may be imposed include ABSTENTION FROM DISCUSSING OR VOTING ON THE MATTER OF CONFLICT AND DISCIPLINARY ACTIONS IF REQUIRED and/or RESIGNATION FROM POSITION OR DIVESTITURE OF INTEREST WHICH GIVES RISE TO THE CONFLICT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>acms is managed by Executive Director incorporated, a for-profit management company. acms has no official employees, because all staff assigned to acms are employees of the management company. acms also does not compensate directors or other top officials and does not have anyone who fits the definition of a key employee.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>acms is managed by Executive Director incorporated, a for-profit management company. acms has no official employees, because all staff assigned to acms are employees of the management company. acms also does not compensate directors or other top officials and does not have anyone who fits the definition of a key employee.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>ACMS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990/990-T and applicable schedules AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. ALL SUCH REQUESTS SHOULD BE IN WRITING TO THE ACMS OFFICE. MEMBERS OF THE BOARD RECEIVING AN INQUIRY MUST ADVISE STAFF OF THE REQUEST within a reasonable time after inquiry is received.</ExplanationTxt>
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