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        <PostIssuanceComplianceProcdrs>0</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>SUN TRUST BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>SUN TRUST BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>28.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>ACCF'S SOLE MEMBER IS AMERICAN COLLEGE OF CARDIOLOGY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>ACCF GOVERNING BODY REVIEW OF THE 990 INCLUDES DETAILED REVIEWS BY THE AUDIT COMMITTEE, A GENERAL REVIEW BY THE BUDGET, FINANCE &amp; INVESTMENT COMMITTEE AND EXECUTIVE COMMITTEE AND OPTIONAL REVIEW BY EACH BOARD OF TRUSTEE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUAL DISCLOSURE IS REQUIRED FOR ALL MEMBERS PARTICIPATING ON ACCF COMMITTEES, TASK FORCES, WORKING GROUPS, ETC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ACCF REGULARLY REVIEWS COMPENSATION SURVEYS OF OTHER SIMILAR ORGANIZATIONS TO DETERMINE MARKET RATES FOR SAME/ OR SIMILAR FUNCTIONS AND POSITIONS. THIS APPLIES TO ALL FULL-TIME AND PART-TIME EMPLOYEES. ONLY THE CEO ANNUAL COMPENSATION, INCLUDING ANY PERFORMANCE AWARDS, IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. COMPENSATION PAID TO ACCF MEMBERS, INCLUDING BOARD OF TRUSTEES OFFICERS, IS GOVERNED BY A MEMBER COMPENSATION COMMITTEE POLICY THAT INCORPORATES IRS REQUIREMENTS FOR INDEPENDENT REVIEW, ESTABLISHING COMPARABILITY OF COMPENSATION WITH OTHER, SIMILAR POSITIONS AND/ OR MARKET RATES AND THE DOCUMENTING OF DELIBERATIONS AND OUTCOMES. COMPENSATION FOR MEMBER-FILLED POSITIONS IS BASED ON AN AVERAGE HOURLY RATE FOR CARDIOLOGISTS, AS PUBLISHED FROM AN INDEPENDENT SOURCE, AND THE EXPECTED ANNUAL HOURLY TIME COMMITMENT. AND/ OR, THE COMPENSATION AMOUNT IS DETERMINED BY USING THE MARKET COMPENSATION FOR SIMILAR, COMPARABLE POSITIONS. COMPENSATION FOR ALL MEMBER HELD POSITIONS ARE REVIEWED BY AN INDEPENDENT (NON-COMPENSATED) MEMBER-ONLY COMPENSATION COMMITTEE TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS. THIS PROCESS WAS LAST APPLIED TO BOARD OF TRUSTEE OFFICER POSITIONS (I.E. PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, SECRETARY/ BOARD OF GOVERNERS (BOG) CHAIR, BOG CHAIR ELECT AND IMMEDIATE PAST BOG CHAIR) PERIODICALLY. COMPENSATION FOR ALL OTHER MEMBER-FILLED POSITIONS IS REVIEWED WITH EXECUTIVE COMMITTEE PERIODICALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS: GOVERNING DOCUMENTS, SUCH AS BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICY ARE POSTED ON ACCF MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL. FINANCIAL STATEMENTS: FINANCIAL STATEMENTS AND FEDERAL TAX RETURNS ARE AVAILABLE UPON REQUEST. IN ADDITION, FEDERAL TAX AND INFORMATIONAL RETURNS ARE AVAILABLE ON WWW.GUIDESTAR.ORG</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -19,178,311.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OVERSIGHT OF AUDIT:</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE HAVE BEEN NO CHANGES DURING THE YEAR IN THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATION:</Identifier>
        <ReturnReference>FORM 990, PART VII, LINE 1A, COLUMN B</ReturnReference>
        <Explanation>AMERICAN COLLEGE OF CARDIOLOGY: HOURS NAME 20.0 JOHN C. LEWIN, M.D. 15.0 THOMAS E. AREND, JR., ESQ. 15.0 MICHAEL A. VOTAW 3.0 ERIC R. BATES, M.D. 3.0 ALFRED A. BOVE, M.D. 5.0 RALPH G. BRINDIS, M.D. 3.0 JOHN E. BRUSH, JR. M.D. 3.0 JOSEPH G. CACCHIONE, M.D. 3.0 A. JOHN CAMM, M.D. 4.0 RICHARD A. CHAZAL, M.D. 3.0 GREGORY J. DEHMER, M.D. 3.0 JOSEPH P. DROZDA, JR., M.D. 3.0 ROBERT A. GUYTON, M.D. 3.0 EILEEN M. HANDBERG, M.D. 5.0 JOHN GORDON HAROLD, M.D. 3.0 ROBERT A. HARRINGTON, M.D. 7.0 DAVID R. HOLMES, JR., M.D 3.0 DIPTI ITCHHAPORIA, M.D. 3.0 RICHARD J. KOVACS, M.D. 3.0 HARLAN M. KRUMHOLZ, M.D. 3.0 GERARD R. MARTIN, M.D 3.0 CHARLES R. MCKAY, M.D. 3.0 WILLIAM J. OETGEN, M.D. 3.0 ATHENA POPPAS, M.D. 3.0 GEORGE P. RODGERS, M.D. 3.0 JOHN S. RUMSFELD, M.D. 3.0 E. MURAT TUZCU, M.D. 3.0 C. MICHAEL VALENTINE, M.D. 7.0 THAD F. WAITES, M.D. 3.0 MARY NORINE WALSH, M.D. 3.0 CAROLE A. WARNES, M.D. 3.0 W. DOUGLAS WEAVER, M.D. 3.0 STUART A. WINSTON, D.O. 5.0 WILLIAM A. ZOGHBI, M.D. 40.0 JAMES FASULES, M.D. 15.0 CATHLEEN GATES 5.0 CATHERINE ORT-MABRY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION REGARDING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VII, COLUMN A AND D</ReturnReference>
        <Explanation>* - THE HONORARIUM COMPENSATION PAID DIRECTLY TO THE TRUSTEES EMPLOYER FOR THEIR ROLE AS BOARD OFFICER OF AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION. (3) BOARD OFFICER HONORARIA OF $77,500 DIRECTLY PAID TO THE PERMANENTE MEDICAL GROUP FOR DR. BRINDIS ROLE AS IMMEDIATE PAST PRESIDENT. (9) HONORARIA OF $3,000 DIRECTLY PAID TO RYAN HEADACHE CENTER /MERCY HEALTH RESEARCH FOR DR. DROZDA ROLE AS CO-CHAIR A NEW ERA 2.0 ADVISORY BOARD COMMITTEE. (14) BOARD OFFICER HONORARIA OF $165,000 DIRECTLY PAID TO MAYO CLINIC FOR DR. HOLMES ROLE AS PRESIDENT. (19) HONORARIA OF $50,000 DIRECTLY PAID TO HARBOR-UCLA MEDICAL FOUNDATION, INC. FOR DR. MCKAY ROLE AS ACCF NCDR SENIOR MEDICAL OFFICER OF ACCF NCDR. (23) HONORARIA OF $47,312 DIRECTLY PAID TO DEPARTMENT OF VETERANS AFFAIRS DENVER FOR DR. RUMSFELD ROLE AS ACCF NCDR CHIEF SCIENTIFIC OFFICER. (31) BOARD OFFICER HONORARIA OF $100,000 DIRECTLY PAID TO THE METHODIST HOSPITAL PHYSICIAN ORGANIZATION FOR DR. ZOGHBI'S ROLE AS PRESIDENT-ELECT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ACC LLC 1</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 N ST NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20037</ZIPCode>
        </AddressUS>
        <EIN>202886183</EIN>
        <PrimaryActivities>PROPERTY MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <TotalIncome>1293794</TotalIncome>
        <EOYAssets>393190</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN COLLEGE OF CARDIOLOGY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 N ST NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20037</ZIPCode>
        </AddressUS>
        <EIN>311781555</EIN>
        <PrimaryActivities>ADVOCATE AND INFLUENCE POLICY FOR QUALITY CARDIOVASCULAR CARE</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501C(6)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCAIACC SCIENTIFIC MEETING CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 N ST NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20037</ZIPCode>
        </AddressUS>
        <EIN>261235458</EIN>
        <PrimaryActivities>CONDUCT INTERVENTIONAL SCIENCE &amp; EDUCATION MEETING</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501C(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ACC SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2400 N ST NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20037</ZIPCode>
        </AddressUS>
        <PrimaryActivity>CONSULTANCY FOR MEDICAL EDUCATION</PrimaryActivity>
        <LegalDomicileState>DC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfEOYAssets>3741</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF CARDIOLOGY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF CARDIOLOGY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF CARDIOLOGY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>4413976</AmountInvolved>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>