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      <GrantsToDomesticIndividuals>
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      <FeesForServicesLobbying>
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      <TotalLiabilities>
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      <TemporarilyRestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>-25880</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ACADEMY ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FASB ASC TOPIC 740-10), WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ACADEMY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE ACADEMY'S TAX POSITIONS AND CONCLUDED THAT THE ACADEMY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ACADEMY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. GENERALLY, THE ACADEMY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>COST OF GOODS SOLD AT LINE 10B 53,561. LOSS ON DISPOSAL OF FIXED ASSETS 318,099. RENTAL EXPENSES AT LINE 6B 192,014.</Explanation>
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          <City>ENGLEWOOD</City>
          <State>CO</State>
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          <AddressLine1>111 CONTINENTAL DRIVE STE 201</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
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          <City>RICHMOND</City>
          <State>VA</State>
          <ZIPCode>23230</ZIPCode>
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        </RecipientNameBusiness>
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          <AddressLine1>525 SW 5TH ST SUITE A</AddressLine1>
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          <AddressLine1>PO BOX 17932</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>33682</ZIPCode>
        </AddressUS>
        <EINOfRecipient>640648490</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>25100</AmountOfCashGrant>
        <PurposeOfGrant>TO FURTHER ADVOCACY EFFORTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NEBRASKA ACADEMY OF PA'S</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1335 H ST SUITE 100</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362897951</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>53075</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT SESSIONS AND WORKSHOPS FOR VARIOUS CONTINUING MEDICATION EDUCATION TOPICS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PENNSYLVANIA SOCIETY OF PAS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 128</AddressLine1>
          <City>GREENSBURG</City>
          <State>PA</State>
          <ZIPCode>15601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>251405655</EINOfRecipient>
        <IRCSection>501(C)(4)</IRCSection>
        <AmountOfCashGrant>31257</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT SESSIONS AND WORKSHOPS FOR VARIOUS CONTINUING MEDICATION EDUCATION TOPICS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TENNESSEE ACADEMY OF PA'S</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 150785</AddressLine1>
          <City>NASHVILLE</City>
          <State>TN</State>
          <ZIPCode>37215</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621218474</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>32417</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT SESSIONS AND WORKSHOPS FOR VARIOUS CONTINUING MEDICATION EDUCATION TOPICS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>11</TotalNbrOfOtherOrganizations>
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        <TypeOfGrant>AWARDS/SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>8</NumberOfRecipients>
        <AmountOfCashGrant>10700</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
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        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: CHAPTER GRANT: AAPA SUBMITS GRANT REQUESTS ON BEHALF OF A CONSTITUENT ORGANIZATION (CO). A MEMO OF UNDERSTANDING (MOU) IS SIGNED THAT OUTLINES THE RESPONSIBILITY OF EACH. REQUESTS ARE SENT TO ORGANIZATIONS THAT PROVIDE FUNDS IN AREAS THAT CORRESPOND TO COS' EDUCATIONAL PROGRAMS. ONCE THE GRANT IS APPROVED, THE PAYMENT IS FIRST MADE THROUGH AAPA, WHICH COLLECTS AND DISBURSES FUNDS TO THE CO PER MOU AND MARKS THE RECEIPTS AND DISBURSEMENTS AS "CHAPTER GRANTS" IN AAPA'S DATABASE. AFTER THE CO'S EDUCATIONAL CONFERENCE, COS WORK WITH AN EXTERNAL CONSULTANT TO PROVIDE DOCUMENTATION THAT IS REQUIRED FOR RECONCILIATION WITH THE SPONSORING ORGANIZATION. STIPEND: COS THAT PROVIDE THE EDUCATION CONFERENCE COMPLETE A LETTER OF AGREEMENT (LOA) WITH AAPA. THE LOA SPELLS OUT THE CONDITIONS TO BE MET TO QUALITY FOR THE STIPEND. ONCE THE PROGRAM IS HELD, THE CO SUBMITS A COMPLETED EVALUATION FORM AND OTHER DOCUMENTATION TO AAPA TO RECEIVE THE STIPEND. STATE TECHNICAL ASSISTANCE GRANT: STATE CHAPTERS SUBMITS REQUEST TO AAPA. THE REQUEST IS APPROVED BY THE AAPA EVP/CEO AND A MOU DESCRIBING THE CONDITION OF THE GRANT IS SIGNED WITH THE STATE CHAPTER. AAPA STAFF MONITORS THE STATE CHAPTER'S PROJECTS TO ENSURE THAT THE FUNDS ARE USED AS AGREED TO AND THE BOARD RECEIVES QUARTERLY REPORTS ON THE AWARDS. VARIOUS AWARDS: SELECTED BY A COMMITTEE BASED ON A SET LIST OF CRITERIA AND RATINGS. CONTRIBUTIONS: BUDGETED AND APPROVED BY THE BOARD.</Explanation>
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    </IRS990ScheduleI>
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        <NamePerson>HOWARD GLASSROTH</NamePerson>
        <Title>VP FOR COMMUNICATIONS</Title>
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        <NamePerson>MICHAEL SAXTON</NamePerson>
        <Title>SR. VP/CLO</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>ELIZABETH BUSH</NamePerson>
        <Title>SR. VP OF MEMBER VALUE AND RESEARCH</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL POWE</NamePerson>
        <Title>VP REIMBURSEMENT &amp; PROFESSIONAL ADVO</Title>
        <BaseCompensationFilingOrg>153904</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANN DAVIS</NamePerson>
        <Title>VP CONSTIUENT ORGANIZATION OUTREACH</Title>
        <BaseCompensationFilingOrg>146534</BaseCompensationFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SANDRA HARDING</NamePerson>
        <Title>SR DIRFED ADVOCACY</Title>
        <BaseCompensationFilingOrg>137121</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>ROBERT MCNELLIS</NamePerson>
        <Title>SENIOR ADVISOR</Title>
        <BaseCompensationFilingOrg>130932</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>LYNN SCHOENFELDER</NamePerson>
        <Title>VP HR</Title>
        <BaseCompensationFilingOrg>129698</BaseCompensationFilingOrg>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS THE FOLLOWING MEMBERS: FELLOW MEMBERS. A FELLOW MEMBER SHALL BE A PHYSICIAN ASSISTANT WHO IS A GRADUATE OF A PHYSICIAN ASSISTANT PROGRAM ACCREDITED BY THE ACCREDITATION REVIEW COMMISSION ON EDUCATION FOR THE PHYSICIAN ASSISTANT (ARC-PA), OR BY ONE OF ITS PREDECESSOR AGENCIES (COMMITTEE ON ALLIED HEALTH EDUCATION AND ACCREDITATION [CAHEA], COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS [CAAHEP]) OR WHO HAS PASSED THE PHYSICIAN ASSISTANT NATIONAL CERTIFYING EXAMINATION (PANCE) ADMINISTERED BY THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA) OR AN EXAMINATION ADMINISTERED BY ANOTHER AGENCY APPROVED BY THE ACADEMY. FELLOW MEMBERS MUST SATISFY SUCH CONTINUING MEDICAL AND/OR MEDICALLY RELATED EDUCATIONAL REQUIREMENTS AS MAY BE PRESCRIBED BY THE ACADEMY. NON-CLINICAL FELLOW MEMBERS WILL NOT BE REQUIRED TO MAINTAIN CONTINUING MEDICAL EDUCATION (CME). FELLOW MEMBERS SHALL VOTE FOR ACADEMY OFFICERS AND DIRECTORS WITH THE EXCEPTION OF THE VICE PRESIDENT AND STUDENT DIRECTOR, AND SHALL BE ELIGIBLE TO HOLD OFFICE. STUDENT MEMBERS. A STUDENT MEMBER IS AN INDIVIDUAL WHO IS ENROLLED IN AN ARC-PA OR SUCCESSOR AGENCY APPROVED PHYSICIAN ASSISTANT PROGRAM. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS WITH RESPECT TO THE ELECTION OF THE STUDENT DIRECTOR, STUDENT MEMBERS SHALL NOT HAVE THE PRIVILEGE TO VOTE OR HOLD OFFICE. NOTWITHSTANDING THE PRECEDING SENTENCE, ONE STUDENT SHALL BE ELECTED BY HIS/HER PEERS TO SIT ON THE BOARD OF DIRECTORS AND THIS STUDENT DIRECTOR SHALL HAVE AND ENJOY ALL RIGHTS AND PRIVILEGES OF ANY OTHER MEMBER OF SUCH BOARD. AFFILIATE MEMBERS. AFFILIATE MEMBERS SHALL CONSIST OF INDIVIDUALS APPROVED BY THE MEMBERSHIP DIVISION OF THE NATIONAL OFFICE FROM THE HEALTH PROFESSIONS WHO DESIRE TO ASSOCIATE WITH THE ACADEMY. AFFILIATE MEMBERS SHALL BE ENTITLED TO THE PRIVILEGES OF THE FLOOR, BUT SHALL NOT BE ENTITLED TO VOTE OR TO HOLD OFFICE. SUSTAINING MEMBERS. SUSTAINING MEMBERS SHALL CONSIST OF ARC-PA, CAHEA, CAAHEP OR SUCCESSOR AGENCY APPROVED PHYSICIAN ASSISTANT PROGRAM GRADUATES WHO HAVE CHOSEN NOT TO ACTIVELY PRACTICE IN THE PROFESSION AND OPT TO BE CLASSIFIED AS SUSTAINING MEMBERS. SUSTAINING MEMBERS SHALL BE ENTITLED TO PRIVILEGES OF THE FLOOR, BUT SHALL NOT BE ENTITLED TO VOTE OR HOLD OFFICE. PHYSICIAN MEMBERS. PHYSICIAN MEMBERS SHALL CONSIST OF LICENSED PHYSICIANS WHO DESIRE TO ASSOCIATE WITH THE ACADEMY. PHYSICIAN MEMBERS SHALL BE ENTITLED TO THE PRIVILEGES OF THE FLOOR, BUT SHALL NOT BE ENTITLED TO VOTE OR HOLD OFFICE. ASSOCIATE MEMBERS. ASSOCIATE MEMBERS SHALL CONSIST OF REPRESENTATIVES OF BUSINESSES ENGAGED IN SELLING PRODUCTS OR SERVICES TO PAS OR INDIVIDUALS EMPLOYED BY GOVERNMENT AGENCIES WHO DO NOT QUALIFY FOR ANY OTHER MEMBERSHIP CATEGORY. ASSOCIATE MEMBERS ARE NOT ENTITLED TO THE PRIVILEGES OF THE FLOOR, TO VOTE, OR TO HOLD OFFICE. HONORARY MEMBERS. HONORARY MEMBERSHIP MAY BE CONFERRED BY THE ACADEMY UPON NON-PHYSICIAN ASSISTANTS WHO HAVE RENDERED DISTINGUISHED SERVICE TO THE PHYSICIAN ASSISTANT PROFESSION. HONORARY MEMBERS SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF THE ACADEMY WITH THE EXCEPTION OF VOTING, HOLDING OFFICE, AND/OR CHAIRING COMMISSIONS OR WORK GROUPS. ALL HONORARY MEMBERS SHALL BE EXEMPT FROM THE PAYMENT OF DUES. RETIRED MEMBERS. A RETIRED MEMBER SHALL BE A PHYSICIAN ASSISTANT WHO IS A FORMER FELLOW MEMBER WHO HAS CHOSEN TO RETIRE FROM THE PROFESSION, AND OPTS TO BE CLASSIFIED AS A RETIRED MEMBER. RETIRED MEMBERS SHALL BE ENTITLED TO PRIVILEGES OF THE FLOOR, BUT SHALL NOT BE ENTITLED TO VOTE OR HOLD OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE GOVERNANCE COMMISSION SHALL DETERMINE THE PROCEDURES FOR THE ELECTION OF ACADEMY OFFICERS AND DIRECTORS-AT-LARGE, INCLUDING THE DATES FOR DISTRIBUTION AND RETURN OF BALLOTS, SUBJECT TO THE REQUIREMENTS OF THE NORTH CAROLINA NONPROFIT CORPORATION ACT. VOTING SHALL BE BY MAIL OR ELECTRONIC BALLOTS. THE ACADEMY STAFF SHALL MANAGE THE BALLOT DISTRIBUTION. FOR ALL POSITIONS OTHER THAN THE STUDENT DIRECTOR, HOUSE OFFICER, AND NOMINATING WORK GROUP POSITIONS, ELIGIBLE VOTERS ARE FELLOW MEMBERS LISTED ON THE ACADEMY MEMBERSHIP ROSTER AS OF THE DATE THAT IS THIRTY (30) DAYS BEFORE THE ELECTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>TO BE ADOPTED, AN AMENDMENT TO THE BYLAWS SHALL BE APPROVED BY THE BOARD OF DIRECTORS AND BY A TWO-THIRDS VOTE OF ALL DELEGATES PRESENT AND VOTING OF THE HOUSE OF DELEGATES. THE HOUSE OF DELEGATES SHALL REPRESENT THE INTERESTS OF THE MEMBERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE 990 IS PROVIDED TO THE AAPA FINANCE COMMITTEE AND GOVERNING BODY FOR INSPECTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUAL CONFLICT OF INTEREST STATEMENTS WERE COLLECTED FOR ALL BOARD MEMBERS AND SENIOR VICE PRESIDENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>AAPA USES QUATT ASSOCIATES TO SURVEY THE MARKET FOR THE APPROPRIATE COMPENSATION FOR OUR STAFFS INCLUDING THE CEO. THE AAPA BOARD APPROVES THE CEO'S COMPENSATION BASED ON THE RESULTS OF THE SALARY SURVEY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC BY KEEPING A PUBLIC INSPECTION 990 ON FILE AT THE HEADQUARTERS OFFICE AFTER IT HAS BEEN COMPLETED AND FILED WITH IRS. AAPA ALSO PUT AN ELECTRONIC COPY OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS IN THEIR DIGITAL LIBRARY FOR STAFFS TO REVIEW AND FOR PUBLIC INSPECTION PURPOSE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>PROFESSIONAL SERVICES: TOTAL EXPENSES 2,970,599. COMMISSIONS &amp; FEES: TOTAL EXPENSES 203,805. SUBCONTRACTOR: TOTAL EXPENSES 1,224,283.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.</Explanation>
      </GeneralExplanation>
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          <AddressLine1>2318 MILL ROAD</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
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        <EIN>541071370</EIN>
        <PrimaryActivities>EMPOWERS THE PA PROFESSION TO IMPACT THE HEALTH AND WELLNESS OF THE COMMUNIT</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
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          <BusinessNameLine1>AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC</BusinessNameLine1>
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          <AddressLine1>12000 FINDLEY RD STE 100</AddressLine1>
          <City>JOHNS CREEK</City>
          <State>GA</State>
          <ZIPCode>30097</ZIPCode>
        </AddressUS>
        <EIN>030429253</EIN>
        <PrimaryActivities>HISTORIC PRESERVATION</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
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        <ControlledOrg>1</ControlledOrg>
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      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PHYSICIAN ASSISTANT FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>373935</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PHYSICIAN ASSISTANT FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>80000</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>