2015-11-13T16:27:34-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990EZ 2014-01-01 454946512 ASA CHARITABLE FOUNDATION ASAC 8475855586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 ALEXANDER HANNENBERG MD PRESIDENT 8475855586 2015-10-26 1 LU ANN TRAPP P01506476 3122071040 2015-10-26 2014 2016-02-25 16:41:14Z X X ASACHARITY.ORG X X 75106 X 75106 75106 36761 1139 3314 1835 43049 32057 33160 0 65217 X 27883 68539 5799 2511 33682 71050 522 5833 33160 65217 X THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE, TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE, TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES, AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. THE MISSION OF THE LIFEBOX PROGRAM IS TO SAVE LIVES OF THOUSANDS OF PEOPLE UNDERGOING SURGERY IN UNDER-RESOURCED COUNTRIES THROUGH THE USE OF A PULSE OXIMETER WHICH MEASURES THE LEVEL OF OXYGEN IN A PATIENT'S BLOOD. PULSE OXIMETERS ARE USED AS A STANDARD IN MANY CLINICAL AREAS IN HOSPITALS THROUGHOUT HIGH INCOME COUNTRIES. APPROXIMATELY 70,000 OPERATING ROOMS IN LOW AND MIDDLE INCOME COUNTRIES ARE WITHOUT THESE EXTREMELY IMPORTANT DEVICES.THE MISSION OF HOPE FOR THE WARRIORS IS TO ENHANCE THE QUALITY OF LIFE FOR POST-9/11 SERVICE MEMBERS, THEIR FAMILIES AND FAMILIES OF THE FALLEN WHO HAVE SUSTAINED PHYSICAL AND PSYCHOLOGICAL WOUNDS IN THE LINE OF DUTY.HOPE FOR THE WARRIORS IS DEDICATED TO RESTORING A SENSE OF SELF, RESTORING THE FAMILY UNIT AND RESTORING HOPE FOR OUR SERVICE MEMBERS AND OUR MILITARY FAMILIES. THE HURRICANE SANDY RELIEF FUND PROVIDES FOOD, SHELTER AND EMOTIONAL SUPPORT FOR VICTIMS OF THE HURRICANE SANDY DISASTER. THE ASA CHARITABLE FOUNDATION ACCEPTS CONTRIBUTIONS FOR THESE PROGRAMS AND DONATES TO THE AMERICAN RED CROSS, INTERNATIONAL MEDICAL CORP., LIFEBOX AND HOPE FOR THE WARRIORS. 36761 X 41345 41345 ALEXANDER HANNENBERG MD PRESIDENT 4.00 0 0 0 PETER DUNBAR MD SECRETARY/TREASURER 2.00 0 0 0 MARY DALE PETERSON MD DIRECTOR 1.00 0 0 0 KELLY MCQUEEN MD DIRECTOR 1.00 0 0 0 ARTHUR BOUDREAUX MD DIRECTOR 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 IL STEVE LOTHARY 1061 AMERICAN LANE SCHAUMBURG IL 601734973 8472689125 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X 1 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 362181944 501(C)(6) 1 43049 0 1 43049 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: ASA CHARITABLE FOUNDATION CONFIRMED THAT THE SUPPORTED ORGANIZATION, AMERICAN SOCIETY OF ANESTHESIOLOGISTS (ASA), IS A 501(C)(6) TAX EXEMPT ORGANIZATION BY REVIEWING THEIR IRS DETERMINATION LETTER AND ALSO ANNUALLY COMPLETING A PRO FORMA SCHEDULE A, PART III TEST TO CONFIRM THAT ASA SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). PART IV, SECTION A, LINE 3C: THE ACTIVITIES OF ASACF ARE PERFORMED IN FURTHERANCE OF THEIR EXEMPT PURPOSE WHICH IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE, TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE, TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES, AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. THESE ACTIVITIES ARE ALSO IN FURTHERANCE OF THEIR SUPPORTED ORGANIZATION ASA'S EXEMPT PURPOSE OF ADVANCING THE PRACTICE OF AND SECURING THE FUTURE OF ANESTHESIOLOGY. ASACF ENSURES THAT ALL SUPPORT PROVIDED TO ASA IS USED EXCLUSIVELY FOR CHARITABLE PURPOSES BY PEFORMING THESE ACTIVITIES AND FUNCTIONS ON BEHALF OF THEIR OWN MISSION WHICH IN TURN FURTHERS ASA'S MISSION, AS OPPOSED TO TRANSFERRING FUNDS TO THE SUPPORTED ORGANIZATION TO PERFORM THESE FUNCTIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: PROGRAM GRANTS. GRANTEE NAME: LIFEBOX FOUNDATION. GRANTEE ADDRESS: 21 PORTLAND PLACE LONDON, UK, UNITED KINGDOM W1B1PY. AMOUNT GIVEN: 36,781. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: OFFICE EXPENSES. AMOUNT: 181. DESCRIPTION: CREDIT CARD FEES. AMOUNT: 1,654. TOTAL TO FORM 990-EZ, LINE 16: 1,835. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: OTHER ASSETS. BEG. OF YEAR AMOUNT: 5,799. END OF YEAR AMOUNT: 2,485. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 26. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: OTHER LIABILITIES. BEG. OF YEAR AMOUNT: 522. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO RELATED PARTY. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 5,833. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.