2013-11-14T17:01:48-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2012-01-01 410793046 AMERICAN ACADEMY OF DERMATOLOGY INC AMER 8473300230 930 EAST WOODFIELD ROAD SCHAUMBURG IL 60173 STEVEN DEBNAR 8473300230 2013-11-14 1 DAVID LOWENTHAL P00378651 3122071040 2013-11-11 2012 2016-02-25 16:41:14Z STEVEN DEBNAR 930 EAST WOODFIELD ROAD SCHAUMBURG IL 60173 51309731 0 X WWW.AAD.ORG X 1959 MN PROMOTING LEADERSHIP IN DERMATOLOGY AND EXCELLENCE IN PATIENT CARE THROUGH EDUCATION, RESEARCH, AND ADVOCACY. 24 16 180 417 1618494 415650 2145969 3705750 17345260 19827395 1401993 1882067 2298632 2162327 23191854 27577539 1429487 985948 0 0 12169900 14138202 0 0 2548432 13214311 13959338 26813698 29083488 -3621844 -1505949 59242222 63457654 22132507 24111577 37109715 39346077 X TO ASSURE THAT DERMATOLOGISTS HAVE ACCESS TO THE HIGHEST QUALITY EDUCATION, RESEARCH AND INNOVATIONS IN THE FIELD, AND THAT PATIENTS AND THE PUBLIC HAVE ACCESS TO THE HIGHEST QUALITY MEDICAL AND SURGICAL DERMATOLOGIC CARE AND TO INFORMATION REGARDING PREVENTION, CARE AND TREATMENT OF DERMATOLOGIC CONDITIONS. TO FACILITATE THE EFFICIENT DELIVERY OF QUALITY DERMATOLOGIC CARE, DEVELOP EVIDENCE-BASED CLINICAL GUIDELINES, AND PROMOTE RESEARCH IN AND PREVENTION OF DISEASES OF THE SKIN, HAIR, AND NAILS. 0 0 4780162 561775 16619159 SCIENTIFIC ASSEMBLY - THIS INCLUDES THE ANNUAL AND SUMMER SCIENTIFIC AND EDUCATIONAL MEETINGS. THESE MEETINGS ARE ATTENDED BY MORE THAN 19,000 DERMATOLOGISTS, OTHER PHYSICIANS, ALLIED MEDICAL PERSONNEL, AND OTHERS. THESE TWO PROGRAMS COMBINED PRESENT MORE THAN 500 INDIVIDUAL EDUCATIONAL SESSIONS PROVIDING RESULTS OF CURRENT RESEARCH AND RECENT ADVANCES IN THE DIAGNOSIS, MANAGEMENT AND TREATMENT OF DERMATOLOGIC CONDITIONS AND DISEASES, AND ADDRESS ISSUES OF PATIENT SAFETY, QUALITY OF CARE AND PRACTICE MANAGEMENT IMPROVEMENT. 1790687 0 405944 COMMUNICATION & PUBLICATIONS - A RANGE OF PROGRAMS FOCUS ON IMPROVING PUBLIC HEALTH BY PROVIDING INFORMATION ABOUT DERMATOLOGIC CONDITIONS AND THE IMPORTANCE OF SKIN CARE AS A COMPONENT OF OVERALL HEALTH. A PRIMARY FOCUS IS ON THE GOAL OF REDUCING MORTALITY FROM SKIN CANCER IN 10 YEARS AND ITS INCIDENCE IN 30 YEARS. THESE EFFORTS ARE CARRIED OUT THROUGH USE OF PATIENT INFORMATION PAMPHLETS, A PUBLIC WEB SITE, PUBLIC INFORMATION CAMPAIGNS, FREE SKIN CANCER SCREENINGS, GRANTS TO SUPPORT BUILDING OF SHADE STRUCTURES, AND OTHER ACTIVITIES. ESTIMATES ARE THAT MORE THAN 1,500,000 INDIVIDUALS HAVE BEEN REACHED ANNUALLY THROUGH THESE EFFORTS. 1229076 2485 31832 EDUCATION AND EVALUATION: IN ADDITION TO THE ANNUAL AND SUMMER MEETINGS, AS AN ACCREDITED CONTINUING MEDICAL EDUCATION PROVIDER THE ACADEMY PRESENTED TWO REGIONAL DERMATOLOGY COURSES AND RESIDENT PRACTICE MANAGEMENT COURSES WHICH HAD COMBINED ATTENDANCE OF MORE THAN 800. WE ALSO PRODUCE A VARIETY OF ENDURING EDUCATION MATERIALS (IN PRINT, DIGITAL, AND WEB BASED FORMATS) AS WELL AS SELF-ASSESSMENT PRODUCTS AND MAINTENANCE OF CERTIFICATION SELF-ASSESSMENT PRODUCTS TO SUPPORT DERMATOLOGISTS IN STAYING CURRENT IN PRACTICE AND MEDICAL CERTIFICATION REQUIREMENTS. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY - THE OFFICIAL CLINICAL JOURNAL OF THE ACADEMY IS PUBLISHED MONTHLY AND FEATURES ORIGINAL, PEER-REVIEWED ARTICLES ON THE LATEST ADVANCES IN THE PREVENTION, DIAGNOSIS, AND TREATMENT OF DERMATOLOGIC DISORDERS. ITS AUDIENCE INCLUDES DERMATOLOGISTS, PEDIATRIC DERMATOLOGISTS, DERMATOLOGIC SURGEONS, DERMATOPATHOLOGISTS, RESIDENTS, AND PHYSICIAN ASSISTANTS AND IT IS INDEXED IN INDEX MEDICUS, SCIENCE CITATION INDEX, CURRENT CONTENTS/CLINICAL MEDICINE, AND MEDICINE. IT HAS A CIRCULATION OF 18,300. SCIENCE, RESEARCH, QUALITY AND PRACTICE - INCLUDES THE DISTILLATION AND RATING OF EVIDENCE AND DISSEMINATION OF BEST PRACTICES IN THE PRACTICE OF DERMATOLOGY VIA CLINICAL PRACTICE GUIDELINES, PERFORMANCE MEASURES, AND OTHER TOOLS, SCIENTIFIC SUPPORT FOR PUBLIC AND HEALTH POLICY MESSAGING AND EDUCATIONAL PROGRAMS, AND SURVEY RESEARCH. PROVIDE ACADEMY MEMBERS WITH ASSISTANCE AND EDUCATION RELATED TO APPROPRIATELY RUNNING AN EFFICIENT PRACTICE INCLUDING COMPLIANCE WITH RELEVANT REGULATIONS, IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY, QUALITY IMPROVEMENT, AND GENERAL PRACTICE MANAGEMENT ISSUES. 8421675 421688 -807 OTHER PROGRAM SERVICES - OVER 600 PROGRAMS 8421675 421688 -807 16221600 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 1 1 1 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 155 0 1 180 1 1 1 0 0 0 0 0 0 0 0 0 X 24 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X STEVE DEBNAR 8472401128 930 EAST WOODFIELD ROAD SCHAUMBURG IL 60173 DANIEL M SIEGEL MD MS 25.50 4.50 X X 135137 22500 0 DIRK M ELSTON MD 5.00 0.00 X X 65000 0 0 ZOE D DRAELOS MD 3.00 0.00 X X 30000 0 0 SUZANNE M CONNOLLY 1.00 0.00 X X 10000 0 0 LISA A GARNER MD 2.00 0.00 X X 0 0 0 DARRYL M BRONSON MD MPH 2.00 0.00 X X 0 0 0 SUZANNE M OLBRICHT MD 15.00 0.00 X X 157000 0 0 BARBARA MATHES MD 5.00 0.00 X X 33334 0 0 RONALD L MOY MD 1.00 0.00 X X 39680 0 0 WILLIAM D JAMES MD 1.00 0.00 X X 0 0 0 DAVID J GOLDBERG MD JD 1.00 0.00 X 0 0 0 ELISE A OLSEN MD 1.00 0.00 X 0 0 0 VICTOR J MARKS MD 1.00 0.00 X 0 0 0 VINCENT A MUSCARELLA MD 1.00 0.00 X 0 0 0 BRETT M COLDIRON MD 1.00 0.00 X 0 0 0 BRIAN BERMAN MD PHD 1.00 0.00 X 0 0 0 NEAL D BHATIA MD 1.00 0.00 X 0 0 0 KENNETH J TOMECKI MD 1.00 0.00 X 0 0 0 DEE ANNA GLASER MD 1.00 0.00 X 0 0 0 ILONA J FRIEDEN MD 1.00 0.00 X 0 0 0 MARK LEBWOHL MD 1.00 0.00 X 0 0 0 RONALD P RAPINI MD 1.00 0.00 X 0 0 0 ALICE B GOTTLIEB MD 1.00 0.00 X 0 0 0 JAMES M SPENCER MD 1.00 0.00 X 0 0 0 PHOEBE RICH MD 1.00 0.00 X 0 0 0 THOMAS E ROHRER MD 1.00 0.00 X 0 0 0 ROBERT D DURST JR MD 1.00 0.00 X 0 0 0 STEPHEN H MANDY MD 1.00 0.00 X 0 0 0 JACK S RESNECK JR MD 1.00 0.00 X 0 0 0 KATHRYN SCHWARZENBERGER MD 1.00 0.00 X 0 0 0 ABEL TORRES MD JD 1.00 0.00 X 0 0 0 RONALD A HENRICHS 45.00 0.00 X 900333 0 374799 EILEEN M MURRAY 47.80 0.00 X 314733 0 38952 STEVEN J DEBNAR 43.00 0.00 X 128006 0 42565 KAREN COLLISHAW 45.00 0.00 X 239045 0 9735 BARBARA GREENAN 47.00 0.00 X 214400 0 29076 SARAH TANCREDI 43.00 0.00 X 203358 0 48753 ALLISON SCHERER 47.30 0.00 X 162693 0 144826 TIM MOSES 45.30 0.00 X 144768 0 23025 KENNETH LUURS 44.80 0.00 X 143694 0 11205 ERIK HORN 44.50 0.00 X 140260 0 34743 DEBRA GIST 42.50 0.00 X 133687 0 23177 LARA LOWERY 45.50 0.00 X 133304 0 19795 3328432 22500 800651 22 0 1 0 PSAV 925 FREEPORT PARKWAY SUITE 100 COPPELL TX 75019 AUDIO VISUAL SERVICES 1074891 EXPERIENT INC PO BOX 932320 CLEVELAND OH 44193 OUTSOURCED/CONFERENCE TECH SERVICES 614530 FREEMAN 5040 W ROOSEVELT ROAD CHICAGO IL 60644 CONVENTION SERVICES 531231 DIAMOND MARKETING SOLUTIONS 231318 MOMENTUM PLACE CHICAGO IL 60689 FULFILLMENT SERVICES 236730 POWERS PYLES SUTTER 1501 M STREETNW WASHINGTON DC 20005 LEGAL SERVICES 231222 32 3705750 212111 3705750 ANNUAL NAT'L MEETINGS 900099 15173930 14893800 280130 ROYALTY INCOME 900099 3315101 3315101 ADVERTISING INCOME 541800 1338364 1338364 19827395 1147721 1147721 24151335 23416989 734346 734346 734346 2416673 315203 2101470 2101470 OTHER REVENUE 900099 60857 60857 60857 27577539 17056127 1618494 5197168 303621 303621 449641 449641 232686 232686 3127854 511278 2616576 8514744 5125576 2413931 975237 691655 432231 192580 66844 1116973 620540 377156 119277 686976 371112 257658 58206 205451 37725 148552 19174 58266 58266 108859 108859 1586012 1271827 180917 133268 484129 289370 29 194730 1307543 740081 269399 298063 567305 7785 553515 6005 547525 547525 2320390 1453929 520886 345575 4365684 3948146 114325 303213 170542 170542 1378429 1378429 168109 107808 54901 5400 UNRELATED BUSINESS INCO 234748 234748 RECRUITMENT EXPENSE 186602 186602 STAFF EDUCATION 119941 42517 61610 15814 MEMBERSHIP DUES 74376 19520 48844 6012 75427 21459 52354 1614 29083488 16221600 10313456 2548432 5109519 3913234 3550260 3954568 335927 926379 2008157 2880739 562351 600408 1604112 1303331 21255769 10480405 11150091 10775364 32557670 36254099 2364135 2849532 59242222 63457654 2966469 4425947 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2549082 2549082 8216647 2154033 6062614 180250 27038 153212 5391019 4592411 798608 4918771 3706923 1211848 10775364 FAIR VALUE OF DERIVATIVE 627420 DUE TO RELATED ORGANIZATIONS 3764663 4392083 X 29339319 1555436 315203 1870639 27468680 108859 108859 27577539 28294195 315203 315203 27978992 108859 995637 1104496 29083488 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE ACADEMY'S DERMATOLOGICAL ACADEMIC, PHILANTHROPIC, AND STRATEGIC PROGRAM EXPENSES. EACH FUND AND ITS RELATED PURPOSE IS DESCRIBED BELOW. CAMP DISCOVERY - FORMED IN 1993, THE CAMP DISCOVERY FUND IS USED TO SUPPORT 4 CAMPS EACH SUMMER. THESE OFFER CHILDREN THE OPPORTUNITY TO SPEND A WEEK AMONG OTHER YOUNG PEOPLE WHO HAVE SIMILAR SERIOUS SKIN CONDITIONS, SUCH AS THEIR OWN. MANY OF THE COUNSELORS ALSO HAVE SERIOUS SKIN CONDITIONS, AND CAN PROVIDE SUPPORT AND ADVICE TO CAMPERS. EXCELLENCE IN DERMATOLOGY - THIS ENDOWMENT FUND IS TO ENSURE THE ACADEMY'S LONG-TERM ABILITY TO PROMOTE DERMATOLOGY BY SUPPORTING AAD BOARD-APPROVED PROGRAMS/PROJECTS IN THE AREAS OF PUBLIC AND MEDICAL EDUCATION, HEALTH POLICY, RESEARCH AND HUMANITARIAN SUPPORT. SULZBERGER - THE SULZBERGER INSTITUTE FOR DERMATOLOGIC EDUCATION IS THE ARM OF THE AMERICAN ACADEMY OF DERMATOLOGY THAT PROVIDES GRANT SUPPORT FOR INNOVATIVE INITIATIVES IN EDUCATION AND TECHNOLOGY. GRANTS TYPICALLY PROVIDE SEED FUNDS TO HELP DERMATOLOGISTS BEGIN PROJECTS THAT CAN EVENTUALLY IMPROVE PATIENT CARE. WORLD CONGRESS OF DERMATOLOGY FUND - ESTABLISHED IN 1993 FROM THE SURPLUS OF THE 18TH WORLD CONGRESS, THE FUND IS USED TO SUPPORT THE TRAVEL OF YOUNG PEOPLE FROM DEVELOPING COUNTRIES TO ATTEND THE ACADEMY'S ANNUAL MEETING, AND FOR YOUNG DERMATOLOGISTS FROM THE U.S. TO ATTEND MEETINGS IN OTHER COUNTRIES. LILA GRUBER FUND - THE FUND, ESTABLISHED BY MURRAY GRUBER IN 1983, IS USED TO SUPPORT THE ANNUAL MARION B. SULZBERGER, MD MEMORIAL AWARD AND LECTURESHIP. YOUNG INVESTIGATORS AWARD - THE PURPOSE OF THIS FUND, ESTABLISHED IN 1995, IS TO INSTITUTE A SPECIAL AWARD TO RECOGNIZE RESIDENTS AND RESIDENCY PROGRAMS WHICH HAVE CONTRIBUTED TO RESEARCH IN THE FIELD OF DERMATOLOGY. THE AWARD WILL HONOR OUTSTANDING RESEARCH BY DERMATOLOGISTS IN TRAINING IN THE U.S. AND CANADA, AND THE EDUCATIONAL INSTITUTIONS WHICH HAVE SUPPORTED THEIR EFFORTS. PICMED - THE FUND, ESTABLISHED IN 2003, IS USED EXCLUSIVELY TO SUPPORT THE ACTIVITIES OF PICMED (PROGRAM FOR INNOVATIVE CONTINUING MEDICAL EDUCATION IN DERMATOLOGY). THESE ACTIVITIES INCLUDE CREATIVE NEEDS ASSESSMENT MECHANISMS, INNOVATIVE USES OF TECHNOLOGY, UNIQUE APPROACHES TO SPECIFIC SUBJECT MATTER, NOVEL PRESENTATION TECHNIQUES AND UTILIZATION OF EXISTING EDUCATIONAL PARADIGMS IN NEW ENVIRONMENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ACADEMY AND RECOGNIZE A TAX LIABILITY IF THE ACADEMY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ACADEMY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. THE ACADEMY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2006. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVENTORY COSTS NETTED AGAINST REVENUES 315,203. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVENTORY COSTS NETTED AGAINST REVENUES 315,203. PART XII, LINE 4B - OTHER ADJUSTMENTS: COMPENSATION ALLOCATED FROM AFILIATED ORGANZIATION 995,637. 1 EUROPE (INCLUDING ICELAND & GREENLAND) 0 8 EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY CONGRESS MEETING ATTENDANCE 44095 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 ILDS DERMATOLGOY CONGRESS MEETING ATTENDANCE 1495 SOUTH AMERICA 0 1 BRAZILIAN SOCIETY OF DERMATOLOGY MEETING ATTENDANCE 5828 SUB-SAHARAN AFRICA 0 12 RESIDENT INTERNATIONAL GRANTS MEETING ATTENDANCE 28219 EAST ASIA AND THE PACIFIC 0 2 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 1000 EAST ASIA AND THE PACIFIC 0 8 WC SCHOLARSHIP MEETING ATTENDANCE 14000 CENTRAL AMERICA AND THE CARIBBEAN 0 3 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 7500 CENTRAL AMERICA AND THE CARIBBEAN 0 2 WC SCHOLARSHIP MEETING ATTENDANCE 3000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 11 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 10000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 6 WC SCHOLARSHIP MEETING ATTENDANCE 9000 MIDDLE EAST AND NORTH AFRICA 0 2 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 2000 NORTH AMERICA 0 6 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 6750 NORTH AMERICA 0 41 RESIDENT HOUSING MEETING ATTENDANCE 25300 NORTH AMERICA 0 2 WC SCHOLARSHIP MEETING ATTENDANCE 3000 SOUTH AMERICA 0 13 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 25500 SOUTH AMERICA 0 5 WC SCHOLARSHIP MEETING ATTENDANCE 7500 SOUTH ASIA 0 2 INTERNATIONAL AFFAIRS COMMITTEE SCHOLARSHIP MEETING ATTENDANCE 2000 SOUTH ASIA 0 4 WC SCHOLARSHIP MEETING ATTENDANCE 7000 SUB-SAHARAN AFRICA 0 2 WC SCHOLARSHIP MEETING ATTENDANCE 3500 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INTERNATIONAL PROGRAMS-GRANTS MEETING ATTENDANCE 25000 NORTH AMERICA 0 0 SHADE STRUCTURE GRANT PROGRAM GRANT TO RECIPIENT LOCATED IN THE REGION 8000 SOUTH AMERICA 0 0 INTERNATIONAL PROGRAMS-GRANTS GRANT TO RECIPIENT LOCATED IN THE REGION 5000 0 37 0 94 0 131 105137 139550 244687 EUROPE (INCLUDING ICELAND & GREENLAND) - INTERNATIONAL PROGRAMS 25000 NORTH AMERICA - CANADA AND MEXICO, BUT SHADE STRUCTURE GRANT PROGRAM 8000 2 INTERNATIONAL PROGRAMS SOUTH AMERICA 1 5000 CHECK 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: EDUCATIONAL GRANTS ARE PAID OUT AFTER THE ACADEMY RECEIVES THE AGREED UPON EDUCATIONAL RESEARCH FROM THE INSTITUTE. TRAVEL GRANTS ARE PAID AFTER RECEIPTS ARE RECEIVED. 1 DERMATOLOGY FOUNDATION 1560 SHERMAN AVE EVANSTON IL 60201 046115524 501(C)(3) 39600 DELEGATES/OTHER ORGANIZATIONS NYU LANGONE MEDICAL CENTER 240 EAST 38TH STREET NEW YORK NY 10015 135562308 501(C)(3) 11500 RESIDENTS HOUSING & TRAVEL PLAY AND PARK PO BOX 11407 BIRMINGHAM AL 35246 200173831 501(C)(3) 10200 SHADE STRUCTURE GRANT PROGRAM WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 660 S EUCLID AVE ST LOUIS MO 63110 430653611 501(C)(3) 8625 RESIDENTS HOUSING & TRAVEL NORTHWESTERN UNIVERSITY 575 N ST CLAIR CHICAGO IL 60611 362167817 501(C)(3) 8050 RESIDENTS HOUSING & TRAVEL ARROWHEAD ELEMENTARY 7490 W UNION HILLS GLENDALE AZ 85308 742509175 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM ASCENSION LUTHERAN DAY SCHOOL 1600 E HILLCREST DRIVE THOUSAND OAKS CA 91360 952243400 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM C W CLINE ELEMENTARY 505 BRIARMEADOW FRIENDSWOOD TX 77546 280058504 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM CITY OF CLOQUET PARK COMMISSION -ISD 94 1307 CLOQUET AVENUE CLOQUET MN 55720 416000450 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM CORNERSTONE ELEMENTARY PTA PO BOX 5826 SUGAR LAND TX 77479 260742074 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM FLORIDA DISABLED OUTDOORS ASSOCIATION 2803 JACKSON BLUFF ROAD TALLAHASSEE FL 03234 593051552 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM HELEN BALL ELEMENTARY SCHOOL 1950 FIREHOUSE DRIVE EL PASO TX 79936 174602938 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM JOHN F KENNEDY ELEMENTARY SCHOOL 20 KIMBOROUGH ROAD BILLERICA MA 01821 426877277 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM UNLIMITED PLAY 41 N MEADOW DRIVE O FALLON MO 63366 134252421 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM WILLIAM PENN ELEMENTARY SCHOOL 1002 MAIN STREET BETHLEHEM PA 18018 240862592 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM WHEELOCK COLLEGE 200 THE RIVERWAY BOSTON MA 02215 421003639 501(C)(3) 8000 SHADE STRUCTURE GRANT PROGRAM SHORECREST PREPARATORY SCHOOL 5101 FIRST STREET NORTHEAST SAINT PETERSBURG FL 33703 237412158 501(C)(3) 7778 SHADE STRUCTURE GRANT PROGRAM UNIVERSITY OF ALABAMA AT BIRMINGHAM 1720 2ND AVE ST SUITE 415 CEFH BIRMINGHAM AL 35294 636005396 501(C)(3) 7475 RESIDENTS HOUSING & TRAVEL NEVADA CHILDREN'S CENTER 5615 S PECOS ROAD LAS VEGAS NV 89120 880361315 501(C)(3) 6946 SHADE STRUCTURE GRANT PROGRAM OREGON HEALTH & SCIENCE UNIVERSITY 3303 SW BOND AVE CH15D PORTLAND OR 97239 931176109 501(C)(3) 6900 RESIDENTS HOUSING & TRAVEL DERMATOLOGY FOUNDATION- RI 593 EDDY STREET PROVIDENCE RI 02903 061475107 501(C)(3) 5750 RESIDENTS HOUSING & TRAVEL EASTER SEALS BLAKE FOUNDATION (CHILDREN'S ACHIEVEMENT CENTER) 330 N COMMERCE PARK LOOP STE100 TUCSON AZ 85745 860093224 501(C)(3) 5410 SHADE STRUCTURE GRANT PROGRAM MEDICAL COLLEGE OF WISCONSIN 9200 W WISCONSIN AVE MILWAUKEE WI 53225 390806261 501(C)(3) 5175 RESIDENTS HOUSING & TRAVEL COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS 722 WEST 168TH ST NEW YORK NY 10032 135598093 501(C)(3) 5000 SULZBERGER INSTITUTE HEALTH VOLUNTEERS OVERSEAS 1900 L STREEET NW WASHINGTON DC 20036 521485477 501(C)(3) 5000 INTERNATIONAL PROGRAMS-GRANTS 28 0 RESIDENT GRANTS - HOUSING AND TRAVEL 730 419750 RESIDENT GRANTS - INTERNATIONAL 12 14000 INTERNATIONAL PROGRAMS 10 15891 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: IF AN ORGANIZATION RECEIVES A GRANT FOR A SHADE STRUCTURE, THE ORGANIZATION, BEFORE IT RECEIVES A CHECK, MUST PROVIDE THE ACADEMY WITH BID DOCUMENTS FROM A CONTRACTOR, A MEMBER OF THE ASSOCIATION ATTENDS THE GROUND BREAKING CEREMONY, AND THE ORGANIZATION PROVIDES THE ACADEMY WITH PICTURES OF THE COMPLETED STRUCTURE. EDUCATIONAL GRANTS ARE PAID OUT AFTER THE ACADEMY RECEIVES THE AGREED UPON EDUCATIONAL RESEARCH FROM THE INSTITUTE. X X X 0 1 X X X X X 1 1 0 0 0 1 1 1 0 DANIEL M SIEGEL MD MS 135137 22500 0 0 0 0 0 0 0 0 135137 22500 0 0 SUZANNE M OLBRICHT MD 157000 0 0 0 0 0 0 0 0 0 157000 0 0 0 RONALD A HENRICHS 156418 0 367969 0 375946 0 342658 0 32141 0 1275132 0 259411 0 EILEEN M MURRAY 283048 0 0 0 31685 0 29500 0 9452 0 353685 0 0 0 STEVEN J DEBNAR 118724 0 0 0 9282 0 14834 0 27731 0 170571 0 0 0 KAREN COLLISHAW 70263 0 0 0 168782 0 2833 0 6902 0 248780 0 0 0 BARBARA GREENAN 192487 0 5000 0 16913 0 23864 0 5212 0 243476 0 0 0 SARAH TANCREDI 173743 0 5000 0 24615 0 22264 0 26489 0 252111 0 0 0 ALLISON SCHERER 149986 0 2000 0 10707 0 118279 0 26547 0 307519 0 0 0 TIM MOSES 134007 0 3000 0 7761 0 14582 0 8443 0 167793 0 0 0 KENNETH LUURS 120506 0 0 0 23188 0 5508 0 5697 0 154899 0 0 0 ERIK HORN 131005 0 0 0 9255 0 15941 0 18802 0 175003 0 0 0 DEBRA GIST 115602 0 0 0 18085 0 14754 0 8423 0 156864 0 0 0 LARA LOWERY 128663 0 1500 0 3141 0 9537 0 10258 0 153099 0 0 0 PART I, LINE 1A FIRST CLASS IS ALLOWED FOR THE PRESIDENT, SECRETARY-TREASURERS, AND EXECUTIVE DIRECTOR/CEO, BY WRITTEN POLICY, ON FLIGHTS OF THREE HOURS OR MORE. TRAVEL FOR COMPANIONS, BY WRITTEN POLICY, FOR THE PRESIDENT, SECRETARY-TREASURERS, AND EXECUTIVE DIRECTOR/CEO, MAY BE ALLOWED WHEN TRAVELING AS AN OFFICIAL REPRESENTATIVE OF THE ACADEMY FOR WHICH THE EXPECTED LENGTH OF STAY IS THREE DAYS OR LONGER, OR AT WHICH THE SOCIAL ACTIVITIES ARE A STRONG COMPONENT OF THE MEETING. ON OCCASION, RECOGNIZED STAFF RECEIVE GIFT CARDS WITH VALUES RANGING FROM $25-$200, THE VALUE OF THESE CARDS ARE GROSS-UP AND INCLUDED IN THE EMPLOYEES W-2. GROSSED-UP SEVERANCE PAYMENTS WERE PROVIDED TO THE PAST EXECUTIVE DIRECTOR AND DEPUTY EXECUTIVE DIRECTOR. THE SENIOR DIRECTOR, COMMUNICATIONS HAD GROSS-UP SEVERANCE ACCRUED IN 2012 FOR PAYMENT IN 2013. PART I, LINE 1B THERE IS NOT A STANDARD WRITTEN POLICY FOR SEPARATION AND SEVERANCE AGREEMENTS. THE AGREEMENT FOR THE EXECUTIVE DIRECTOR WAS BASED ON THE EMPLOYMENT AGREEMENT AND THE AGREEMENT FOR THE DEPUTY EXECUTIVE DIRECTOR AND SENIOR DIRECTOR, COMMUNICATIONS WERE NEGOTIATED AMONG THE ORGANIZATION AND THE EMPLOYEE. MEMBER LEADERSHIP APPROVED THE DEPUTY EXECUTIVE DIRECTOR AGREEMENT AND THE ACTING-EXECUTIVE DIRECTOR APPROVED THE SENIOR DIRECTOR, COMMUNICATIONS AGREEMENT WITH REVIEW DONE BY THE MEMBER LEADERSHIP. PART I, LINES 4A-B RON HENRICHS - RECEIVED SEVERANCE PAYMENTS TOTALING $325,862; ALSO ACCRUED $320,904 FOR PAYMENT IN 2013. RON HENRICHS - RECEIVED PAYMENTS FROM SUPPLEMENTAL SERP & 457F PLANS TOTALING $367,969. KAREN COLLISHAW - RECEIVED SEVERANCE PAYMENTS TOTALING $162,987 ALLISON SCHERER - SEVERANCE ACCRUED IN THE AMOUNT OF $99,700 TO BE PAID IN 2013. PART I, LINE 6 INCENTIVE COMPENSATION PROGRAM FOR DIRECTORS AND ABOVE HAVE A GOAL ON REACHING TARGETS FOR OPERATING-INCOME. PART I, LINE 7 THER ORGANIZATION PROVIDES SPOT BONUS FOR ACCOMPLISHMENT OF SIGNIFICANT WORK/ITEMS. THE FOLLOWING BONUSES WERE APPROVED BY THE ACTING EXECUTIVE DIRECTOR - BARBARA GREENAN - SUPERSTAR BONUS $5000; SARAH TANCREDI - SUPERSTAR BONUS $5000; ALLISON SCHERER - SUPERSTAR BONUS $2000; TIM MOSES - SUPERSTAR BONUS $3000; LARA LOWERY - SUPERSTAR BONUS $1500 X 27 212111 COST - WEB & VENDOR 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 AAD IS AN ASSOCIATION REPRESENTING APPROXIMATELY 17,000 DERMATOLOGISTS, WHO BECOME MEMBERS OF THE ACADEMY. THE ACADEMY HAS TEN CLASSES OF MEMBERS BUT ONLY FELLOWS AND LIFE AND HONORARY MEMBERS WHO WERE FELLOWS ARE ELIGIBLE TO VOTE AND SERVE IN ANY ELECTIVE OFFICE. MEMBERS ANNUALLY ELECT THE PRESIDENT TO A THREE YEAR TERM AS PRESIDENT ELECT, PRESIDENT, AND PAST PRESIDENT AND VICE-PRESIDENT TO TWO YEAR TERM AS VICE-PRESIDENT ELECT AND VICE PRESIDENT. ADDITIONALLY, MEMBERS ALSO ELECT FOUR DIRECTORS TO SERVE A FOUR YEAR TERM. PROPOSED AMENDMENTS TO THE BY-LAWS BY THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A SEE EXPLANATION OF LINE 6 ABOVE. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION OF LINE 6 ABOVE. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RETAINED THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS POSTED ON A SECURED WEB SITE FOR THEIR REVIEW. BOARD MEMBERS ARE GIVEN A REASONABLE PERIOD OF TIME TO CONTACT EITHER MANAGEMENT OR THE CPA FIRM WITH ANY QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, COMMITTEE MEMBERS, EDITORS, SPEAKERS, AND KEY EMPLOYEES ARE ANNUALLY REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION. DETAILED BELOW IS THE DISCLOSURE PROCESS: DISCLOSURE PROCESS 1. THE INDIVIDUALS COVERED ARE REQUIRED TO ELECTRONICALLY SUBMIT A DISCLOSURE STATEMENT ACKNOWLEDGING A DUTY TO SERVE THE ACADEMY IN GOOD FAITH AND WITH UNDIVIDED LOYALTY. THESE INDIVIDUALS ARE TO DESCRIBE ALL PERSONAL OR PROFESSIONAL CIRCUMSTANCES WHICH MIGHT CREATE A POTENTIAL CONFLICT OF INTEREST WITH THE INTERESTS OF THE ACADEMY. ACCOMPANYING THIS POLICY STATEMENT AS EXHIBIT A IS A SAMPLE COPY OF SUCH A DISCLOSURE STATEMENT. MEMBERS WHO DO NOT SUBMIT A YEARLY CONFLICT OF INTEREST DISCLOSURE, MAY LOSE THE RIGHT TO HOLD OFFICE AND SERVE IN THE GOVERNANCE STRUCTURE AND, EXCEPT IN UNUSUAL CIRCUMSTANCES APPROVED IN ADVANCE BY THE BOARD OF DIRECTORS, TO PARTICIPATE IN ACADEMY PROGRAMS AS A FACULTY MEMBER, PRESENTER, OR SCIENTIFIC EXHIBIT CONTRIBUTOR. REVIEW PROCESS 1.OFFICERS, DIRECTORS, CHAIRS AND MEMBERS OF COUNCILS, COMMITTEES, AND TASK FORCES, THE EDITORS OF JAAD AND SENIOR STAFF WILL SUBMIT THEIR STATEMENTS DIRECTLY ONTO THE ACADEMY WEBSITE WITH OVERSIGHT BY THE SECRETARY TREASURER. 2.THE STATEMENTS ARE PROVIDED AT EVERY COMMITTEE MEETING TO ALL COMMITTEE MEMBERS. IF NECESSARY, THE CHAIRMEN WILL FORWARD THOSE THAT APPEAR TO HAVE CONFLICTS WHICH COULD PREVENT THEM FROM SERVING TO THE SECRETARY-TREASURER WITH ANY RELEVANT OBSERVATIONS OR RECOMMENDATIONS. 3.THE SECRETARY-TREASURER WILL REVIEW ALL STATEMENTS SUBMITTED FOR FURTHER REVIEW AND IF NECESSARY WILL FORWARD TO THE ETHICS COMMITTEE, WHILE AT THE SAME TIME INFORMING THE BOARD OF DIRECTORS OF ANY CONFLICTS THAT APPEAR ESPECIALLY SIGNIFICANT. IF FURTHER CLARIFICATION IS NEEDED THE ETHICS COMMITTEE WILL UTILIZE THE ACADEMY OVERSIGHT COMMITTEE. 4.THE ETHICS COMMITTEE WILL REVIEW AND INITIATE ANY REQUEST FOR FURTHER INFORMATION AND PROMPTLY PREPARE A REPORT TO THE SECRETARY-TREASURER REGARDING ITS FINDINGS. THE SECRETARY-TREASURER WILL REPORT TO THE BOARD OF DIRECTORS ON ANY ITEMS FOUND BY THE COMMITTEE TO BE OF SPECIAL SIGNIFICANCE. ALL ELECTRONIC DISCLOSURE STATEMENTS WILL BE RETAINED ON THE ACADEMY SERVER. THEY WILL BE AVAILABLE ELECTRONICALLY FOR REVIEW BY MEMBERS OF THE BOARD OF DIRECTORS AND STAFF, AND UPON REQUEST BY ACADEMY MEMBERS. THEY WILL BE AVAILABLE TO THE COUNCIL, COMMITTEE AND TASK FORCE MEMBERS TO REVIEW PRIOR TO ALL CONFERENCE CALLS AND MEETINGS. ALL MEMBERS FILING AN ANNUAL DISCLOSURE STATEMENT WILL BE OBLIGATED TO PROMPTLY UPDATE ANY CHANGE IN CIRCUMSTANCES WHICH MIGHT GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. MEMBERS ALSO SHOULD VERBALLY DISCLOSE AND UPDATE THEIR CONFLICT OF INTEREST FORM FOR ANY RELEVANT CONFLICTS THAT MAY OCCUR DURING A CONFERENCE CALL OR MEETING THAT DO NOT ALREADY APPEAR ON THE DISCLOSURE FORM. CHAIRS OF COUNCILS, COMMITTEE AND TASK FORCES ARE REQUIRED TO INCLUDE IN THE SUMMATION REPORT ANY CONFLICT OF INTERESTS THAT HAVE BEEN EXPRESSED BY A MEMBER DURING A MEETING OR CONFERENCE CALL. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR: IT HAS BEEN STANDARD PRACTICE FOR THE ACADEMY TO COMPLY WITH THE INTERNAL REVENUE CODES SECTION 4958, FOLLOWING BEST PRACTICES FOR ENSURING COMPLIANCE AND ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS AS IT RELATES TO COMPENSATION. THE ACADEMY USES FAIR MARKET VALUE TO DETERMINE CASH AND NON-CASH COMPENSATION FOR THE EXECUTIVE DIRECTOR/CEO. FAIR MARKET VALUE IS BASED ON MARKET DATA. MARKET DATA MAY BE COLLECTED FROM A VARIETY OF METHODS, INCLUDING PUBLISHED OR OFF THE SHELVES SURVEYS, SURVEYS MANAGED BY THIRD PARTY CONSULTANTS, COMPENSATION ANALYSIS PERFORMED BY THIRD PARTY CONSULTANTS, AND SURVEYS MANAGED BY A GROUP OF ORGANIZATIONS. THE COMPETITIVE MARKET IS TYPICALLY DEFINED IN TERMS OF REVENUE AND COMPANY SIZE. TO DEFINE COMPETITIVE MARKET THE ACADEMY CONSIDERS THE FOLLOWING AS VALID RESOURCES FOR COMPARABLE MARKET DATA:COMPANIES WITH SIMILAR OPERATING BUDGET; COMPANIES WITH ROUGHLY SAME NUMBER OF EMPLOYEES; AND COMPANIES WHO OPERATE UNDER LIKE CIRCUMSTANCES. COMPENSATION DECISIONS ARE RECOMMENDED BY THE COMPENSATION COMMITTEE THAT CONSISTS OF INDEPENDENT OFFICERS OF THE BOARD OF DIRECTORS AND APPROVED BY THE BOARD OF DIRECTORS. THE DECISIONS ARE BASED ON ANALYSIS OF COMPARABLE MARKET DATA. OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION: KEY EMPLOYEES OF THE ORGANIZATION'S COMPENSATION ARE DETERMINED IN THE SAME FASHION OF THE EXECUTIVE DIRECTOR ALTHOUGH THEIR COMPENSATION DECISIONS ARE APPROVED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ACADEMY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE ON THE ACADEMY'S WEB SITE FOR THE MEMBERSHIP AND PUBLIC TO VIEW. THE ANNUAL FINANCIAL STATEMENTS ARE PUBLISHED IN DERMATOLOGY WORLD, THE ACADEMY'S MAGAZINE, AND ARE AVAILABLE ON GUIDESTAR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER FROM AADA 1,191,238. OFFICER COMPENSATION ALLOCATED TO AADA 995,637. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION INC 930 EAST WOODFIELD RD SCHAUMBURG IL 60173 364367987 TO REPRESENT THE INTERESTS OF DERMATOLOGISTS AND THEIR PATIENTS. IL 501(C)(6) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION INC Q 1191236 FAIR MARKET VALUE