﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2013v3.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2014-11-17T15:52:19-06:00</ReturnTs>
    <TaxPeriodEndDt>2013-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>362985665</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1>WOLF &amp; COMPANY LLP</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>1901 S MEYERS RD SUITE 500</AddressLine1>
        <City>OAKBROOK TERRACE</City>
        <State>IL</State>
        <ZIPCode>601815209</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>360291079</EIN>
      <BusinessName>
        <BusinessNameLine1>ASSOCIATION OF PHYSICIANS OF PAKISTANI</BusinessNameLine1>
        <BusinessNameLine2>DESCENT OF NORTH AMERICA</BusinessNameLine2>
      </BusinessName>
      <BusinessNameControlTxt>ASSO</BusinessNameControlTxt>
      <PhoneNum>6309688585</PhoneNum>
      <USAddress>
        <AddressLine1>6414 SOUTH CASS AVENUE</AddressLine1>
        <City>WESTMONT</City>
        <State>IL</State>
        <ZIPCode>605593209</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JAVED SULEMAN</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>6309688585</PhoneNum>
      <SignatureDt>2014-11-17</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DAVID R SIEHOFF</PreparerPersonNm>
      <PTIN>P00175845</PTIN>
      <PhoneNum>6305454500</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1>APPNA</BusinessNameLine1>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>JAVED SULEMAN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1>6414 SOUTH CASS AVENUE</AddressLine1>
        <City>WESTMONT</City>
        <State>IL</State>
        <ZIPCode>605593209</ZIPCode>
      </USAddress>
      <GrossReceiptsAmt>4844548</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.APPNA.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationAssocInd>X</TypeOfOrganizationAssocInd>
      <FormationYr>1989</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SHARE MEDICAL KNOWLEDGE, PROVIDE CONTINUING MEDICAL EDUCATION, ENGAGE IN CHARITABLE PROGRAMS INCLUDING DISASTER RELIEF SUPPORT AND SOCIAL WELFARE AND HEALTH PROGRAMS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>6</TotalEmployeeCnt>
      <TotalVolunteersCnt>300</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>610950</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>861804</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>3408756</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>3595703</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>128077</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>181026</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>450048</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>206015</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4597831</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4844548</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>682638</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>595722</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>194180</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>153307</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3108060</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>4211348</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3984878</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4960377</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>612953</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-115829</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>3640171</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>3643211</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>5115</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1815227</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3635056</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1827984</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SEE SCHEDULE O.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>2908465</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>2983593</RevenueAmt>
      <Desc>CONFERENCES AND SEMINARS ORGANIZED TO SHARE MEDICAL KNOWLEDGE, READ RESEARCH PAPERS, PROVIDE CONTINUED EDUCATION, PLAN STRATEGY, AND REVIEW CHARITABLE PROGRAMS - REACHING OVER 3,000 PHYSICIANS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>598984</ExpenseAmt>
        <GrantAmt>595722</GrantAmt>
        <RevenueAmt>20025</RevenueAmt>
        <Desc>PROVIDE HEALTH SOCIAL WELFARE AND DISASTER RELIEF SERVICES AND FACILITIES FOR VICTIMS OF NATURAL DISASTERS AND DIFFICULT SOCIAL CIRCUMSTANCES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>150807</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>229155</RevenueAmt>
        <Desc>CONTINUING MEDICAL EDUCATION PROGRAMS PROVIDED.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>16399</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>382955</RevenueAmt>
        <Desc>VARIOUS PROGRAMS SERVICES PROVIDED TO MEMBERSHIP.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>0</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>APPNA CARES CLINIC DAY - APPNA PHYSICIAN VOLUNTEERS AND STAFF PERFORM FREE HEALTH SCREENING TESTING AND ADMINISTERED FREE FLU VACCINES AT APPROXIMATELY 35 SITES THROUGHOUT THE UNITED STATES. APPROXIMATELY 300 VOLUNTEERS EXAMINED OVER 2,000 PATIENTS AND PROVIDED OVER 1,000 FLU VACCINES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>0</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>PROVIDED INFORMATION TO MEMBERSHIP AND CONFERENCE ATTENDEES IN THE FOLLOWING FIVE PUBLICATIONS: SPRING NEWSLETTER; SUMMER NEWSLETTER; SUMMER JOURNAL; FALL NEWSLETTER; WINTER JOURNAL.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>16399</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>382955</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>3674655</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">1</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>26</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>6</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>1</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>1</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>0</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>0</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>0</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>0</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1>JENNIFER E WOZNIAK</BusinessNameLine1>
        </BusinessName>
        <PhoneNum>6309688585</PhoneNum>
        <USAddress>
          <AddressLine1>6414 S CASS AVENUE</AddressLine1>
          <City>WESTMONT</City>
          <State>IL</State>
          <ZIPCode>60559</ZIPCode>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JAVED SULEMAN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR ASIF M REHMAN</PersonNm>
        <TitleTxt>PRESIDENT-ELECT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR S TARIQ SHAHAB</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR FARID U QAZI</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR SAIMA ZAFAR</PersonNm>
        <TitleTxt>IMMEDIATE PAST PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR KIMAT KHATAK</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR ABDUL R PIRACHA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR AFTAB A NAZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR NADEEM KAZI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MUFIZ CHAUHAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER E WOZNIAK</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR/ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>60000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>60000</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>861804</AllOtherContributionsAmt>
      <TotalContributionsAmt>861804</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES AND SEMINA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2983593</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2983593</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>382955</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>382955</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATIONAL PROGRAMS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>229155</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>229155</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3595703</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>181026</TotalRevenueColumnAmt>
        <ExclusionAmt>181026</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>SPONSORSHIPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>185990</TotalRevenueColumnAmt>
        <ExclusionAmt>185990</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>20025</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20025</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>206015</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4844548</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3615728</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>367016</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>142890</TotalAmt>
        <ProgramServicesAmt>142890</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>452832</TotalAmt>
        <ProgramServicesAmt>452832</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>60000</TotalAmt>
        <ManagementAndGeneralAmt>60000</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>53289</TotalAmt>
        <ManagementAndGeneralAmt>53289</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>40018</TotalAmt>
        <ManagementAndGeneralAmt>40018</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10627</TotalAmt>
        <ManagementAndGeneralAmt>10627</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23439</TotalAmt>
        <ManagementAndGeneralAmt>23439</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>7512</TotalAmt>
        <ProgramServicesAmt>7272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>42566</TotalAmt>
        <ManagementAndGeneralAmt>42566</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>15831</TotalAmt>
        <ManagementAndGeneralAmt>15831</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>82721</TotalAmt>
        <ManagementAndGeneralAmt>82721</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2839920</TotalAmt>
        <ProgramServicesAmt>2839920</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>16608</TotalAmt>
        <ManagementAndGeneralAmt>16608</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4040</TotalAmt>
        <ManagementAndGeneralAmt>4040</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>COMPONENT SOCIETIES</Desc>
        <TotalAmt>819616</TotalAmt>
        <ManagementAndGeneralAmt>819616</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTINUING MEDICAL EDUC</Desc>
        <TotalAmt>150807</TotalAmt>
        <ProgramServicesAmt>150807</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING</Desc>
        <TotalAmt>105421</TotalAmt>
        <ProgramServicesAmt>80934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24487</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATIONS</Desc>
        <TotalAmt>18500</TotalAmt>
        <ManagementAndGeneralAmt>18500</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>73740</TotalAmt>
        <ManagementAndGeneralAmt>73740</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4960377</TotalAmt>
        <ProgramServicesAmt>3674655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1285722</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2081830</BOYAmt>
        <EOYAmt>647560</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <EOYAmt>1012</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>527554</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>149468</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>306623</BOYAmt>
        <EOYAmt>378086</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1228156</BOYAmt>
        <EOYAmt>2588465</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>23562</BOYAmt>
        <EOYAmt>28088</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3640171</BOYAmt>
        <EOYAmt>3643211</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <EOYAmt>27708</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>1781472</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5115</BOYAmt>
        <EOYAmt>6047</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5115</BOYAmt>
        <EOYAmt>1815227</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>3368764</BOYAmt>
        <EOYAmt>1565556</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>266292</BOYAmt>
        <EOYAmt>262428</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3635056</BOYAmt>
        <EOYAmt>1827984</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3640171</BOYAmt>
        <EOYAmt>3643211</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-115829</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1691243</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>898061</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2609765</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1200446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>610950</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>861804</CurrentTaxYearAmt>
        <TotalAmt>6181026</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>2075257</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3100334</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3368462</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3767541</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3615728</CurrentTaxYearAmt>
        <TotalAmt>15927322</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus3YearsAmt>96489</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>38090</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>91263</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>185990</CurrentTaxYearAmt>
        <TotalAmt>411832</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>2973318</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5806588</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4606998</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4469754</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4663522</CurrentTaxYearAmt>
        <TotalAmt>22520180</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>22520180</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>38632</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>150383</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>61840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>128077</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>181026</CurrentTaxYearAmt>
        <TotalAmt>559958</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>38632</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>150383</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>61840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>128077</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>181026</CurrentTaxYearAmt>
        <TotalAmt>559958</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3011950</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5956971</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4668838</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4597831</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4844548</CurrentTaxYearAmt>
        <TotalAmt>23080138</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97570</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98110</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02430</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01890</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>29800</OtherCostOrOtherBasisAmt>
        <BookValueAmt>29800</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>422429</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>110246</DepreciationAmt>
        <BookValueAmt>312183</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>75325</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>39222</DepreciationAmt>
        <BookValueAmt>36103</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>378086</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CREDIT CARD PAYABLE</Desc>
        <Amt>6047</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6047</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4844548</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4844548</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4844548</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4960377</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4960377</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4960377</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ASSOCIATION RECOGNIZES THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ASSOCIATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE THE 2010 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>GRANTMAKING DETAILED IN PART II</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>452832</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinutationTotalOfficeCnt>0</ContinutationTotalOfficeCnt>
      <ContinutationTotalEmployeeCnt>0</ContinutationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>452832</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>452832</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>HEPATITIS C PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>4411</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>KIDNEY CARE AND RESEARCH</PurposeOfGrantTxt>
        <CashGrantAmt>2060</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SAJAWAL PROJECT/RAHIB AMRO VILLAGE PROJECT DONATION</PurposeOfGrantTxt>
        <CashGrantAmt>48000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>PAKISTAN KIDNEY INSTITUTE DONATION</PurposeOfGrantTxt>
        <CashGrantAmt>164800</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>FISTULA PROJECT</PurposeOfGrantTxt>
        <CashGrantAmt>8657</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>RESEARCH FOR MEDASTATIC GASTRIC CANCER FUND</PurposeOfGrantTxt>
        <CashGrantAmt>68737</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>PAKISTAN KIDNEY INSTITUTE DONATION</PurposeOfGrantTxt>
        <CashGrantAmt>9500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>PAKISTAN FLOOD RELIEF</PurposeOfGrantTxt>
        <CashGrantAmt>3700</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>TRAUMA CARE INITIATIVE</PurposeOfGrantTxt>
        <CashGrantAmt>16317</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>TRAUMA CARE INITIATIVE</PurposeOfGrantTxt>
        <CashGrantAmt>23500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>TRAUMA CARE INITIATIVE</PurposeOfGrantTxt>
        <CashGrantAmt>17500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>DONATION - HEALTH CARE INITIATIVE</PurposeOfGrantTxt>
        <CashGrantAmt>85650</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>12</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIAL WELFARE &amp; DISASTER RELIEF FUND DISTRIBUTION REQUEST FOR GRANT IS RECEIVED. SOCIAL WELFARE &amp; DISASTER RELIEF (SWDR) COMMITTEE REVIEWS REQUEST. SWDR COMMITTEE PERFORMS DUE DILIGENCE, ENSURES BUSINESS IS NOT ON TERRORIST WATCH LIST &amp; OBTAINS BACKGROUND INFORMATION ON PRINCIPALS. SWDR COMMITTEE APPROVES GRANT REQUEST. IF DECLINED, THE GRANTEE IS NOTIFIED AND NO FURTHER ACTION IS TAKEN. MEMORANDUM OF UNDERSTANDING (TEMPLATE PREPARED BY CORPORATE ATTORNEY) IS PREPARED FOR SIGNATURE AND SIGNED BY BOTH PARTIES. FUNDS ARE ALLOCATED OR FUNDRAISING BEGINS. SWDR COMMITTEE APPROVES RELEASE OF FUNDS. SWDR CHAIR REQUESTS RELEASE OF FUNDS FROM TREASURER. TREASURER APPROVES REQUEST AND FUNDS ARE DISBURSED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>APPNA NEW JERSEY CHAPTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>900 WOODBRIDGE CENTER</AddressLine1>
          <City>WOODBRIDGE</City>
          <State>NJ</State>
          <ZIPCode>07095</ZIPCode>
        </USAddress>
        <RecipientEIN>263379492</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13290</CashGrantAmt>
        <PurposeOfGrantTxt>HURRICANE SANDY RELIEF, APPNA HOUSE FOR WOMEN - WOMEN'S SHELTER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>APPNA CLINICPPS</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>6414 S CASS AVE</AddressLine1>
          <City>WESTMONT</City>
          <State>IL</State>
          <ZIPCode>60559</ZIPCode>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION TO FREE CLININC, HOUSING FOR MEDICAL INTERNS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>APPNA NORTH CAROLINA CHAPTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>224 N MAIN ST</AddressLine1>
          <City>SPRING LAKE</City>
          <State>NC</State>
          <ZIPCode>28390</ZIPCode>
        </USAddress>
        <RecipientEIN>360291079</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9500</CashGrantAmt>
        <PurposeOfGrantTxt>APPNA OBESITY PREVENTION PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MOORE PUBLIC SCHOOLS</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1500 SE 4TH</AddressLine1>
          <City>MOORE</City>
          <State>OK</State>
          <ZIPCode>73160</ZIPCode>
        </USAddress>
        <RecipientEIN>736021049</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4100</CashGrantAmt>
        <PurposeOfGrantTxt>TORNADO RELIEF DONANTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNITED STATES FUND FOR UNICEF</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>125 MAIDEN LANE</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10038</ZIPCode>
        </USAddress>
        <RecipientEIN>131760110</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1500</CashGrantAmt>
        <PurposeOfGrantTxt>PHILIPPINES DISASTER RELIEF DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>HUMAN DEVELOPMENT FUND</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1350 REMINGTON RD</AddressLine1>
          <City>SCHAUMBURG</City>
          <State>IL</State>
          <ZIPCode>60173</ZIPCode>
        </USAddress>
        <RecipientEIN>364184940</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>EARTHQUAKE RELIEF PROJECT DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>AMA-IMG SECTION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>515 N STATE STREET</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60654</ZIPCode>
        </USAddress>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>1000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>NATIONAL HEALTH FORUM INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2325 DOUGHERTY FERRY ROAD 203</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63122</ZIPCode>
        </USAddress>
        <RecipientEIN>205821134</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>FISTULA PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>APPNA NORTHERN CALIFORNIA CHAPTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>168 SAN MARCO WAY</AddressLine1>
          <City>AMERIAN CANYON</City>
          <State>CA</State>
          <ZIPCode>94503</ZIPCode>
        </USAddress>
        <RecipientEIN>360291079</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION TO FREE CLININC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>KEMCAANA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>210 W 22ND</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </USAddress>
        <RecipientEIN>721254660</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>77500</CashGrantAmt>
        <PurposeOfGrantTxt>HOUSING FOR MEDICAL INTERNS - PHILADELPHIA, NY AND MI</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIAL WELFARE &amp; DISASTER RELIEF FUND DISTRIBUTION REQUEST FOR GRANT IS RECEIVED. SOCIAL WELFARE &amp; DISASTER RELIEF (SWDR) COMMITTEE REVIEWS REQUEST. SWDR COMMITTEE PERFORMS DUE DILIGENCE &amp; OBTAINS BACKGROUND INFORMATION ON PRINCIPALS. SWDR COMMITTEE APPROVES GRANT REQUEST. IF DECLINED, THE GRANTEE IS NOTIFIED AND NO FURTHER ACTION IS TAKEN. MEMORANDUM OF UNDERSTANDING (TEMPLATE PREPARED BY CORPORATE ATTORNEY) IS PREPARED FOR SIGNATURE AND SIGNED BY BOTH PARTIES. FUNDS ARE ALLOCATED OR FUNDRAISING BEGINS. SWDR COMMITTEE APPROVES RELEASE OF FUNDS. SWDR CHAIR REQUESTS RELEASE OF FUNDS FROM TREASURER. TREASURER APPROVES REQUEST AND FUNDS ARE DISBURSED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1: DESCRIPTION OF ORGANIZATION MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>APPNA IS A PROFESSIONAL, NONPOLITICAL, EQUAL OPPORTUNITY ORGANIZATION WHICH PROMOTES EXCELLENCE IN HEALTH CARE, RESEARCH, EDUCATION AND HUMANITARIAN ACTIVITIES. IT FACILITATES THE TRANSFER OF HEALTH CARE EXPERTISE AND RESOURCES TO DESERVING COMMUNITIES. IT ALSO PROVIDES ADVOCACY, CATERS TO CULTURAL AND SOCIAL NEEDS, IS A VEHICLE FOR CHARITABLE PROJECTS AND SEEKS TO NUTURE YOUNG PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS SEVEN DIFFERENT TYPES OF MEMBERS: 1. ACTIVE MEMBERS 2. PHYSICIANS-IN-TRAINING MEMBERS 3. EMERITUS MEMBERS 4. HONORARY MEMBERS 5. ASSOCIATE MEMBERS 6. STUDENT MEMBERS 7. AFFILIATE MEMBERSHIP ACTIVE MEMBERS HAVE VOTING PRIVILEDGES AND CAN HOLD OFFICE. PHYSICIAN-IN-TRAINING CAN RECEIVE VOTING PRIVILEDGES BY PAYING ANNUAL DUES. NONE OF THE OTHER MEMBER TYPES HAVE THE RIGHT TO VOTE OR HOLD OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A NOMINATING COMMITTEE SEEKS NOMINATIONS AT LEAST 3 MONTHS BEFORE THE ANNUAL MEETING. THE COMMITTEE WILL SUBMIT A SLATE OF CANDIDATES FOR VARIOUS OFFICES OF THE ASSOCIATION TO ALL MEMBERS AT LEAST 30 DAYS BEFORE THE ANNUAL MEETING. AT LEAST ONE NOMINEE SHALL BE SUBMITTED FOR EACH POSITION. NO MEMBER OF THE NOMINATING COMMITTEE IS ELIGIBLE FOR ANY OFFICE DURING THE CURRENT ELECTION. FOR AN OFFICE OF THE ASSOCIATION, OTHER CANDIDATES WHO RECEIVE 15 OR MORE NOMINATIONS FROM MEMBERS IN GOOD STANDING FOR 2 CONSECUTIVE YEARS SHALL BE INCLUDED ON THE BALLOT IN ADDITION TO THE NOMINEE OF THE NOMINATING COMMITTEE. ELECTION OF OFFICERS WILL BE HELD BY SECRET MAIL BALLOT WITH A SIMPLE PLURALITY REQUIRED FOR ELECTION. NO CANDIDATE SHALL BE ELECTED TO AN OFFICE FOR MORE THAN TWO CONSECUTIVE TERMS. HOWEVER, THE GENERAL MEMBERSHIP MAY, BY AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THOSE VOTING, WAIVE THIS RESTRICTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL BODY CONSISTS OF DULY REGISTERED MEMBERS OF THE ASSOCIATION. ALL ACTIONS TAKEN BY AN OFFICER OR A COMMITTEE OF THE ASSOCIATION MAY BE APPROVED, REJECTED, OR AMENDED BY THIS BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE PREPARED BY AN OUTSIDE CPA FIRM. THE COMPLETED FORM 990 WILL BE REVIEWED BY THE ADMINISTRATOR, TREASURER AND PRESIDENT. THE COMPLETED FORM 990 IS THEN SIGNED BY THE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICE MANAGEMENT COMMITTEE GATHERED COMPARABILITY DATA IN MAKING SEARCH FOR THE ADMINISTRATOR. INITIAL SALARY BASED ON THIS DATA AND BUDGET. SUBSEQUENT SALARY ADJUSTMENTS ARE BASED ON PERFORMANCE EVALUATION AND REVIEWED ANNUALLY BY THE OFFICE MANAGEMENT COMMITTEE WITH BOARD INPUT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B: COMPENSATION PROCESS FOR EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WAGES OF ALL EMPLOYEES ARE BASED ON PERFORMANCE EVALUATIONS AND ADJUSTED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTATEMENT OF BEGINNING NET ASSETS TO CHANGE FROM CASH TO ACCRUAL BASIS -1,691,243.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES TO OVERSIGHT PROCESS OR SELECTION PROCESS WERE MADE DURING 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>