2018-04-16T11:09:19-05:00 2017-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2016-07-01 596144450 PLASTIC SURGERY FOUNDATION PLAS 8472289900 444 EAST ALGONQUIN ROAD ARLINGTON HEIGHTS IL 60005 MARK ESPINOSA SENIOR VP OF OPERATIONS, CFO 8472289900 2018-04-16 1 RONALD BASTIAN P01455196 3123680500 12.197.118.215 2018-04-16 11:08:15 CD P D56625F7C0621E1EB8BA8C5A7372C18F0F4BC985 C3168D624729577079CA47B99B0ED2C5793BD89E 2016 2021-01-29 14:40:06Z MARK ESPINOSA 444 EAST ALGONQUIN ROAD ARLINGTON HEIGHTS IL 60005 16645382 0 X WWW.PLASTICSURGERY.ORG X 1948 IL THE PSF PROMOTES THE HIGHEST STANDARDS IN RESEARCH AND EDUCATION FOR PLASTIC SURGERY, OUR MEMBERS, AND THEIR PATIENTS. 24 21 0 750 0 0 2295937 2866511 0 0 373101 903880 -124944 0 2544094 3770391 1313614 1259436 0 0 501805 550189 0 0 119623 490893 855623 2306312 2665248 237782 1105143 15811470 17231847 319428 449646 15492042 16782201 THE PSF PROMOTES THE HIGHEST STANDARDS IN RESEARCH AND EDUCATION FOR PLASTIC SURGERY, OUR MEMBERS, AND THEIR PATIENTS. 0 0 2106221 1059436 TO DEVELOP AND SUPPORT THE DOMESTIC AND INTERNATIONAL RESEARCH AND PUBLIC SERVICE ACTIVITIES OF PLASTIC SURGEONS THROUGH EDUCATIONAL GRANTS AND RESEARCH AWARDS. 200000 200000 THE FRESH START CARING FOR KIDS FOUNDATION, A COLLABORATION BETWEEN THE PLASTIC SURGERY FOUNDATION AND FRESH START SURGICAL GIFTS, PROVIDES NO-COST RECONSTRUCTIVE SURGERIES AND OTHER MEDICAL SERVICES TO DISADVANTAGED KIDS WITH PHYSICAL DEFORMITIES CAUSED BY BIRTH DEFECTS, INJURY, ABUSE OR DISEASE THROUGH SURGICAL WEEKENDS AND CLINICS. 2306221 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 0 0 0 0 0 0 0 0 0 X 24 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X MARK ESPINOSA 8472283341 444 EAST ALGONQUIN RD ARLINGTON HEIGHTS IL 600054664 PAUL S CEDERNA MD PSF PRESIDENT 10.00 10.00 X X 26258 0 0 CHARLES BUTLER MD PSF IMMEDIATE PAST PRESIDE 10.00 10.00 X X 51378 0 0 DEBRA J JOHNSON MD ASPS PRESIDENT 25.00 25.00 X X 0 87390 0 DAVID H SONG MD ASPS IMMEDIATE PAST PRESID 10.00 10.00 X X 0 167048 0 RICHARD J GRECO MD BOARD VP - FINANCE & TREAS 10.00 10.00 X X 0 0 0 ANDREA PUSIC MD BOARD VP - RESEARCH 10.00 10.00 X X 0 0 0 LYNN L C JEFFERS MD BOARD VP - HEALTH POLICY 10.00 10.00 X X 0 0 0 JEFFREY E JANIS MD ASPS PRESIDENT - ELECT 10.00 10.00 X X 0 0 0 ARUN K GOSAIN MD PSF PRESIDENT - ELECT 10.00 10.00 X X 0 0 0 C SCOTT HULTMAN MD BOARD VP - ACADEMIC AFFAIRS 10.00 10.00 X X 0 0 0 ALAN MATARASSO MD BOARD VP - PRIVATE PRACTIVE & AESTHETIC SURGERY 10.00 10.00 X X 0 1459 0 JOSEPH E LOSEE MD BOARD VP - EDUCATION 10.00 10.00 X X 0 0 0 HENRY VASCONEZ MD ASMS REPRESENTATIVE 1.00 1.00 X 0 0 0 THOMAS H TUNG MD ASPN REPRESENTATIVE 1.00 1.00 X 0 0 0 DAVID W CHANG MD ASRM REPRESENTATIVE 1.00 1.00 X 0 0 0 AMANDA GOSMAN MD ACAPS REPRESENTATIVE 1.00 1.00 X 1250 0 0 WILLIAM C PEDERSON MD AAHS REPRESENTATIVE 1.00 1.00 X 0 0 0 HOWARD LEVINSON MD PSRC REPRESENTATIVE 1.00 1.00 X 0 0 0 PAUL WEISS MD MEMBER-AT-LARGE 1.00 1.00 X 0 0 0 ANU K BAJAJ MD MEMBER-AT-LARGE 1.00 1.00 X 0 0 0 NORMAN H RAPPAPORT MD ASPS TRUSTEE 1.00 1.00 X 0 0 0 BETH A PREMINGER MD YPS REPRESENTATIVE 1.00 1.00 X 0 0 0 DEANA SHENAQ MD RESIDENT REPRESENTATIVE 1.00 1.00 X 0 0 0 KEVIN CHUNG MD NEPS COUNCIL OF ADVISORS 1.00 1.00 X 18420 0 0 MICHAEL W NEUMEISTER MD ASPS TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL COSTELLOE EXECUTIVE VICE PRESIDENT 10.00 50.00 X X 0 457950 44909 MICHAEL REED LEGAL COUNSEL 10.00 10.00 X 0 0 0 MARK ESPINOSA VP, FINANCE & ADMINISTRATION 10.00 45.00 X 0 244160 36677 KEITH HUME VP, LEGISLATIVE, REGULATORY & SA 10.00 45.00 X 0 250342 42463 97306 1208349 124049 0 0 1 0 0 2866511 2866511 620280 620280 13158591 12874991 283600 283600 283600 3770391 0 0 903880 X 1179920 1179920 79516 79516 76500 76500 473689 392543 15010 66136 41910 18099 23811 19544 19544 81426 81426 358279 351121 7158 117901 103620 3419 10862 28374 27526 848 91228 70956 18982 1290 72959 38918 712 33329 44002 44002 2665248 2306221 239404 119623 217197 119456 1320184 1162139 156254 1033975 55127 53320 6654 64975 213105 149948 78338 63157 11734670 11787107 1636772 2166418 606274 781300 15811470 17231847 318928 449646 500 319428 449646 X 7252138 7447395 2797342 3892244 5442562 5442562 15492042 16782201 15811470 17231847 1105143 185016 0 X 0 1 X 1 0 X X 1 AMERICAN SOCIETY OF PLASTIC SURGEONS 941535436 10 1 392421 0 1 392421 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 3B THE ORGANIZATION MAKES THE ANNUAL CALCULATION TO DETERMINE THAT THE SUPPORTED ORGANIZATION SATISFIES THE PUBLIC SUPPORT TESTS. PART IV, SECTION A, LINE 3C THE ORGANIZATION ANNUALLY REVIEWS THE ACTIVITY OF THE SUPPORTED ORGANIZATION TO ENSURE THAT SUCH SUPPORT IS USED SOLELY FOR CHARITABLE PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6953772 0 557764 317927 47135 7146474 7204667 34986 121378 366735 40524 6953772 7424741 42162 53392 240053 75575 7204667 6781601 209012 850424 375400 40896 7424741 6686340 33990 433548 372277 6781601 0.03150 0.76150 0.20700 0 0 213105 149948 63157 63157 COMMON COLLECTIVE TRUSTS 1528090 F LIMITED PARTNERSHIP 158410 F CERTIFICATES OF DEPOSIT 479918 F 2166418 X 3873981 185016 185016 3688965 81426 81426 3770391 2583822 0 2583822 81426 81426 2665248 PART V, LINE 4: THE ORGANIZATION USES THE INVESTMENT EARNINGS OF THE ENDOWMENT FUND TO FUND GRANTS TO FURTHER RESEARCH IN THE FIELD OF PLASTIC SURGERY. ALSO FUNDS MAY BE WITHDRAWN FROM THE ENDOWMENT FUND TO BE USED EXCLUSIVELY FOR SUCH PURPOSES AS SPECIFIED BY THE BOARD OF DIRECTORS IN AUTHORIZING THE WITHDRAWAL. PART X, LINE 2: THE FOUNDATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. THE FOUNDATION'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. 1 0 0 0 0 0 0 0 0 0 CANADA RESEARCH FUNDING 9000 CHECK FMV CANADA RESEARCH FUNDING 9000 CHECK FMV 2 RESEARCH FUNDING BANGLADESH 1 6000 CHECK BOOK RESEARCH FUNDING DOMINICAN REPUBLIC 1 14530 CHECK BOOK RESEARCH FUNDING EGYPT 1 14736 CHECK BOOK RESEARCH FUNDING INDA 3 17250 CHECK BOOK RESEARCH FUNDING NIGERIA 1 4500 CHECK BOOK RESEARCH FUNDING TURKEY 1 4500 CHECK BOOK 0 0 0 0 0 0 PART I, LINE 2: EVERY GRANT FUNDING REQUEST THAT IS SUBMITTED, CONSIDERED AND REVIEWED BY THE PLASTIC SURGERY FOUNDATION (THE PSF) MUST CONTAIN AN ITEMIZED BUDGET WITH AN ACCOMPANYING BUDGET JUSTIFICATION. THE BUDGET AND THE APPROPRIATE USE OF FUNDS ARE EVALUATED WHEN DETERMINING WHETHER OR NOT A GRANT APPLICATION WILL BE FUNDED. WHEN A GRANT IS AWARDED, EACH INSTITUTION COMPLETES A GRANT AGREEMENT THAT OUTLINES THE TERMS OF THE GRANT AWARD. THE PSF ISSUES INITIAL FUNDS AT TIME THE CONTRACT IS EXECUTED, ACCORDING TO A PERCENTAGE OF THE TOTAL BUDGET. THE PSF THEN REQUESTS PROJECT PROGRESS REPORTS AT SIX AND TWELVE MONTHS. DEPENDENT UPON THE SPECIFIC GRANT PROGRAM AN APPLICATION APPLIED TO THE PSF WILL: 1) DISBURSE INITIAL FUNDS AND A FINAL DISBURSEMENT AFTER RECEIPT OF A FINAL PROGRESS REPORT; OR 2) DISBURSE INITIAL FUNDS AND A SECOND. 1 FRESH START CARING FOR KIDS FOUNDATION 2011 PALOMAR AIRPORT ROAD CARLSBAD CA 92011 464828915 501C3 250000 RESEARCH FUNDING REGENTS OF THE UNIVERSITY OF CALIFORNIA 900 UNIVERSITY AVENUE RIVERSIDE CA 92521 956006143 501C3 80000 RESEARCH FUNDING THE REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE STREET ANN ARBOR MI 48109 386006309 501C3 72000 RESEARCH FUNDING UNIVERSITY OF PITTSBURGH PO BOX 371220 PITTSBURGH PA 152517220 250965591 501C3 54000 RESEARCH FUNDING BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 941444253 941156365 501C3 45000 RESEARCH FUNDING THE TRUSTEES OF THE COLUMBIA UNIVERSITY IN THE CITY OF NY PO BOX 29789 NEW YORK NY 100879789 135598093 501C3 45000 RESEARCH FUNDING CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE A51 CLEVELAND OH 44195 340714585 501C3 35000 RESEARCH FUNDING MD ANDERSON CANCER CENTER 1400 PRESSLER ST UNIT 1488 HOUSTON TX 77030 746001118 501C3 35000 RESEARCH FUNDING BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY PO BOX 19616 SPRINGFIELD IL 627949616 376005961 501C3 32033 RESEARCH FUNDING UNIVERSITY OF MICHIGAN 1500 EAST MEDICAL CENTER DRIVE ANN ARBOR MI 481091274 386006309 501C3 25000 RESEARCH FUNDING STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 941444253 941156365 501C3 21000 RESEARCH FUNDING AMERICAN ASSOCIATION OF PLASTIC SURGEONS 500 CUMMINGS CENTER SUITE 4550 BEVERLY MA 01915 946118700 501C3 20000 RESEARCH FUNDING UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO IL 60639 916001537 501C3 16531 RESEARCH FUNDING ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE BOX 3500 NEY YORK NY 10029 136171197 501C3 15000 RESEARCH FUNDING TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA PA 191785541 231352685 501C3 15000 RESEARCH FUNDING CAGNO BREASTORATION FUND 824 ELMWOOD PARK BLVD SUITE 240 NEW ORLEANS LA 70123 720517802 501C3 15000 RESEARCH FUNDING AIRS FOUNDATION 3401 LEE PARKWAY SUITE 1508 DALLAS TX 75219 461206949 501C3 15000 RESEARCH FUNDING INNOVATING HEALTH INTERNATIONAL 1431 SOUTH OCEAN BLVD SUITE 65 POMPANO BEACH FL 33062 474984588 501C3 15000 RESEARCH FUNDING MAGEE-WOMENS HOSPITAL OF UPMC 300 HALKET STREET SUITE 2151 PITTSBURGH PA 15213 250965420 501C3 15000 RESEARCH FUNDING INTERMOUNTAIN HEALTHCARE 7302 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 800225150 501C3 15000 RESEARCH FUNDING WASHINGTON UNIVERSITY IN ST LOUIS 700 ROSEDALE AVENUE CAMPUS BOX 1054 ST LOUIS MO 631121408 430653611 501C3 12990 RESEARCH FUNDING SCOTT & WHITE HEALTHCARE 2401 SOUTH 31ST ST TEMPLE TX 76508 741102733 501C3 10000 RESEARCH FUNDING LIVING BEYOND BREAST CANCER 354 WEST LANCASTER AVENUE SUITE 224 HAVERFORD PA 19041 232734689 501C3 10000 RESEARCH FUNDING EVENLYN'S BREAST FRIENDS FOREVER 1221 W 243RD ST HARBOR CITY CA 90710 451606929 501C3 10000 RESEARCH FUNDING THE GREEN FOUNDATION 1971 E FOURTH STREET SUITE 320 SANTA ANA CA 92705 954509163 501C3 10000 RESEARCH FUNDING PINK RIBBON GIRLS 15 S SECOND ST TIPP CITY OH 45371 320020270 501C3 10000 RESEARCH FUNDING UTMB AT GALVESTON DEPT 750 PO BOX 660120 DALLAS TX 752660120 300710145 501C3 10000 RESEARCH FUNDING MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVE LONG BRANCH NJ 07740 222456079 501C3 10000 RESEARCH FUNDING JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE 12529 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 520595110 501C3 10000 RESEARCH FUNDING THE REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE STREET ANN ARBOR MI 481091274 386006309 501C3 9790 RESEARCH FUNDING ALBANY MEDICAL COLLEGE DEPT OF SURGERY 47 NEW SCOTLAND AVE ALBANY NY 12208 141338310 501C3 9000 RESEARCH FUNDING BOARD REGENTS OF THE UNIVERSITY OF WISCONSIN SYSTEM UW MADISON GAR ACCOUNT DRAWER 538 MILWAUKEE WI 532780538 396006492 501C3 9000 RESEARCH FUNDING MASS GENERAL HOSPITAL-RESEARCH 101 HUNTINGTON AVE STE 300 BOSTON MA 02199 042697983 501C3 9000 RESEARCH FUNDING MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 390806261 501C3 9000 RESEARCH FUNDING MONTEFIORE MEDICAL CENTER 182 EAST 210TH STREET BRONX NY 10467 131740114 501C3 9000 RESEARCH FUNDING THE OHIO STATE UNIVERSITY 1960 KENNY ROAD COLUMBUS OH 43210 316025986 501C3 9000 RESEARCH FUNDING THE RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 NORTH EMMET STREET CHARLOTTESVILLE VA 229044195 546001796 501C3 9000 RESEARCH FUNDING WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 575 LEXINGTON AVE 9TH FLOOR NEW YORK NY 10022 131623978 501C3 9000 RESEARCH FUNDING THE METHODIST HOSPITAL RESEARCH INSTITUTE PO BOX 4805 HOUSTON TX 772104805 870721923 501C3 8999 RESEARCH FUNDING UCLA REGENTS 11000 KINROSS AVENUE SUITE 102 LOS ANGELES CA 900951406 956006143 501C3 8946 RESEARCH FUNDING MY BREAST CHOICE 2512 BELMEADE DRIVE CARROLLTON TX 75006 471590298 501C3 6000 RESEARCH FUNDING LOURDES FOUNDATION 520 NORTH FOURTH AVENUE PASCO WA 99301 911528577 501C3 5087 RESEARCH FUNDING 42 0 PART I, LINE 2: EVERY GRANT FUNDING REQUEST THAT IS SUBMITTED, CONSIDERED AND REVIEWED BY THE PLASTIC SURGERY FOUNDATION (THE PSF) MUST CONTAIN AN ITEMIZED BUDGET WITH AN ACCOMPANYING BUDGET JUSTIFICATION. THE BUDGET AND THE APPROPRIATE USE OF FUNDS ARE EVALUATED WHEN DETERMINING WHETHER OR NOT A GRANT APPLICATION WILL BE FUNDED. WHEN A GRANT IS AWARDED, EACH INSTITUTION COMPLETES A GRANT AGREEMENT THAT OUTLINES THE TERMS OF THE GRANT AWARD. THE PSF ISSUES INITIAL FUNDS AT TIME THE CONTRACT IS EXECUTED, ACCORDING TO A PERCENTAGE OF THE TOTAL BUDGET. THE PSF THEN REQUESTS PROJECT PROGRESS REPORTS AT SIX AND TWELVE MONTHS. DEPENDENT UPON THE SPECIFIC GRANT PROGRAM AN APPLICATION APPLIED TO THE PSF WILL: 1) DISBURSE INITIAL FUNDS AND A FINAL DISBURSEMENT AFTER RECEIPT OF A FINAL PROGRESS REPORT; OR 2) DISBURSE INITIAL FUNDS AND A SECOND. 0 0 0 0 0 0 0 0 0 DAVID H SONG MD ASPS IMMEDIATE PAST PRESID 0 167048 0 0 0 0 0 0 0 0 0 167048 0 0 MICHAEL COSTELLOE EXECUTIVE VICE PRESIDENT 0 370785 0 81165 0 6000 0 23850 0 21059 0 502859 0 0 MARK ESPINOSA VP, FINANCE & ADMINISTRATION 0 210828 0 33332 0 0 0 22350 0 14327 0 280837 0 0 KEITH HUME VP, LEGISLATIVE, REGULATORY & SA 0 215279 0 35063 0 0 0 22956 0 19507 0 292805 0 0 FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING WITH THE IRS, A COPY OF THE FOUNDATION'S FORM 990 AND SUPPORTING SCHEDULES ARE FIRST DISTRIBUTED TO AND REVIEWED BY THE FOUNDATION'S AUDIT COMMITTEE AND THEN SUBSEQUENTLY ARE PLACED ON A SECURE WEBSITE SO THAT THE FOUNDATION'S BOARD OF DIRECTORS MAY REVIEW THE DOCUMENTS PRIOR TO FILING WITH THE IRS. ANY QUESTIONS, COMMENTS, OR PROPOSED CHANGES ARE DIRECTED TO THE FOUNDATION'S STAFF VICE PRESIDENT OF FINANCE & ADMINISTRATION AND ANY CHANGES ARE MADE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN 2015, ASPS/PSF ADOPTED A POLICY ON CONFLICTS OF INTEREST AND A DISCLOSURE STATEMENT APPLICABLE TO ITS OFFICERS, DIRECTORS, TRUSTEES, COMMITTEE CHAIRS, COMMITTEE MEMBERS, SENIOR ADMINISTRATIVE STAFF, THE EDITOR AND MEMBERS OF THE EDITORIAL BOARD OF THE SOCIETY'S JOURNAL AND OTHERS HOLDING LEADERSHIP POSITIONS. EACH OF THE AFFECTED INDIVIDUALS SIGNS AND SUBMITS TO THE SECRETARY ANNUALLY A COMPLETED DISCLOSURE STATEMENT SETTING FORTH INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ADDITIONALLY, ALL BOARD, EXECUTIVE COMMITTEE, AND COMMITTEE MEMBERS ARE REQUIRED TO DISCLOSE AT THE OUTSET OF MEETINGS ANY ADDITIONAL CONFLICTS THAT MAY NOT HAVE BEEN CONTAINED IN THE WRITTEN DISCLOSURE STATEMENT. THE PRESIDENT, EXECUTIVE VICE PRESIDENT OF THE FOUNDATION, AND THE CONFLICT OF INTEREST COMMITTEE CHAIR, IN CONSULTATION WITH LEGAL COUNSEL, REVIEW THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS IN ADVANCE OF MEETINGS AND TAKES STEPS TO ENSURE THAT THOSE WHO HAVE CONFLICTS DO NOT PARTICIPATE IN THE DISCUSSION AND ACTION TAKEN ON A PARTICULAR MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. HOWEVER, IF A MEMBER OF THE PUBLIC ASKS FOR A PARTICULAR GOVERNING DOCUMENT, SUCH AS THE FOUNDATION'S BYLAWS OR CODE OF ETHICS, THE FOUNDATION MAKES THOSE DOCUMENTS AVAILABLE. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 351,121. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 7,158. TOTAL EXPENSES 358,279. AMERICAN SOCIETY OF PLASTIC SURGEONS 444 E ALGONQUIN RD ARLINGTON HEIGHTS IL 60005 941535436 MEMBERSHIP ASSOCIATION IL 501(C)(6) N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0