2025-10-31T10:43:50-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 901 VIA PIEMONTE SUITE 300 ONTARIO CA 91764 990 2024-01-01 412135059 ASSOCIATION FOR ACADEMIC SURGERY FOUNDATION ASSO 3104371606 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 CLIFFORD CHO TREASURER/SECRETARY 3104371606 2025-10-29 1 1 MEI-LI HUANG P02383735 9099857286 2025-10-29 2024 2025-03-06 01:10:19Z GINA HARDIMAN 11300 W OLYMPIC BLVD 600 LOS ANGELES CA 90064 329615 0 X N/A X 2004 WA TO FOSTER AND ADVANCE EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES 15 15 0 15 0 0 388542 236406 0 0 -23731 1500 0 0 364811 237906 86356 257475 0 0 0 0 0 0 0 43729 60737 130085 318212 234726 -80306 2036252 2387649 0 60000 2036252 2327649 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 257475 257475 0 TO SUPPORT MEDICAL/SURGICAL RESEARCH AND GRANTS. 16510 0 0 TO PROMOTE THE SCIENTIFIC FIELD THROUGH A SERIES OF AWARDS FOR PRESENTATIONS, MANUSCRIPTS, OUTSTANDING MEDICAL STUDENTS AND RESEARCH. 273985 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 600 LOS ANGELES CA 90064 X TIMOTHY PAWLIK MD PRESIDENT 2.00 X X 0 0 0 ERIC KIMCHI MD VICE PRESIDENT 1.00 X X 0 0 0 CLIFFORD CHO MD SECRETARY/TREASURER 2.00 X X 0 0 0 DAVID BERGER MD DIRECTOR 1.00 X 0 0 0 CALISA CLARK MD DIRECTOR 1.00 X 0 0 0 CHRISTOPHER DAVIS MD DIRECTOR 1.00 X 0 0 0 ANAHITA DUA MD DIRECTOR 1.00 X 0 0 0 LUKE FUNK MD DIRECTOR 1.00 X 0 0 0 CLARK T GAMBLIN MD DIRECTOR 1.00 X 0 0 0 CAPRICE GREENBERG MD DIRECTOR 1.00 X 0 0 0 HEATHER LIEBE MD DIRECTOR 1.00 X 0 0 0 BRENESSA LINDEMAN MD DIRECTOR 1.00 X 0 0 0 CHRISTINA ROLAND MD DIRECTOR 1.00 X 0 0 0 REBECCA SIPPEL MD DIRECTOR 1.00 X 0 0 0 ALISON SMITH MD DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 236406 236406 93209 91709 1500 1500 1500 237906 0 0 1500 257475 257475 19600 15680 3920 5250 5250 17251 17251 644 644 2020 2020 1000 830 170 JUMPSTART 12500 12500 BANK FEES 2472 2472 318212 273985 44227 0 139424 2023 30470 3425 1895778 2351731 1050 0 2036252 2387649 60000 0 60000 X 2036252 2327649 2036252 2327649 2036252 2387649 -80306 371703 0 X 0 0 0 X 14803 56971 403628 388542 236406 1100350 14803 56971 403628 388542 236406 1100350 368250 732100 242035 125390 3920 1500 372845 4310 4310 1477505 78122 0.49550 0.55650 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2020 AMOUNT: $ 4,310. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 THE UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE SALT LAKE CITY UT 84112 876000525 501(C)(3) 30000 0 N/A N/A FELLOWSHIP AWARDS UNIVERSITY OF OKLAHOMA 2300 N LINCOLN BLVD OKLAHOMA OK 73105 731563627 501(C)(3) 30000 0 N/A N/A FELLOWSHIP AWARDS UNIVERSITY OF WISCONSIN MADISO OFFICE FOR RESEARCH SPONSORED PROGRAM MILAWAUKEE WI 53278 916001537 501(C)(3) 30000 0 N/A N/A FELLOWSHIP AWARDS UNIVERSITY OF VIRGINIA 1001 N EMMET ST CHARLOTTESVILLE VA 22903 546001796 501(C)(3) 30000 0 N/A N/A FELLOWSHIP AWARDS THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1000 VICTORS WAY ANN ARBOR MI 48108 386006309 501(C)(3) 50000 0 N/A N/A FELLOWSHIP AWARDS ASSOCIATION FOR ACADEMIC SURGERY 11300 WEST OLYMPIC BLVD SUITE 600 LOS ANGELES CA 90064 043242181 501(C)(3) 10000 0 N/A N/A FELLOWSHIP AWARDS 6 PART I, LINE 2: FOLLOWING THE DISBURSEMENT AND USE OF THE GRANT, THE RECIPIENT'S ORGANIZATION IS ASKED TO PROVIDE A REPORT. 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) 509(A)(2) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0