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        <ExplanationTxt>The Society performs grassroots lobbying by encouraging political activism of its members and the public at large in response to proposed health care reform and legislation in the medical/ health care industry. Political expenditures include an allocation of staff salaries and direct materials related to grassroots lobbying.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Society is a 501(c)(6) organization exempt from income taxes under Section 501(a) of the Internal Revenue Code. However, income from certain activities not related to the Societys tax exempt purpose is subject to taxation as unrelated business income, primarily commissions from insurance administration, rental income, and advertising. The Society has analyzed its tax positions taken for filings with the Internal Revenue Service. It believes that its tax filing positions will be substantiated upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The Societys federal and state income tax returns for 2010, 2011 and 2012 are subject to examination by federal, state and local taxing authorities, generally for three years after they are filed.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Society is a 501(c)(6) organization with dues paying members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Executive Board are dues members of the Society. Members of the Society elect and appoint members of the Executive Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>A draft of the Form 990 is reviewed in detail by the Executive Board prior to being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Society has a written conflict of interest policy that is monitored by the Executive Board and reviewed annually. Conflict of interest statements are reviewed by a Executive Board member for propriety on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director's compensation was determined based on comparable compensation from similar nonprofits and the deliberations and results of annual compensation are documented. The Executive Board reviews the Executive Director's salary annually and performs annual evaluations of performance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The Society's Form 990, Form 990-T and Form 1023 are available upon request for public inspection.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Society's governing documents,financial statements and conflict of interest policy are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 1 - Other Accounting Method</FormAndLineReferenceDesc>
        <ExplanationTxt>The Society uses the modified cash basis of accounting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's Executive Board assumes responsibility for oversight of the audit.</ExplanationTxt>
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        </DisregardedEntityName>
        <USAddress>
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          <City>Buffalo</City>
          <State>NY</State>
          <ZIPCode>14206</ZIPCode>
        </USAddress>
        <EIN>204797245</EIN>
        <PrimaryActivitiesTxt>To own and operate the building occupied by the filing organization.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1>Medical Society of County of Erie</BusinessNameLine1>
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          <City>Buffalo</City>
          <State>NY</State>
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        </USAddress>
        <EIN>204797245</EIN>
        <PrimaryActivitiesTxt>To own and operate the building occupied by the filing organization.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
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