STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOCIETY OF UNIVERSITY SURGEONS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOCIETY OF UNIVERSITY SURGEONS INC (EIN 13-2903051)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201142229349300534
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-10T13:41:05-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHAFER TSCHOPP ET ALBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1541 S ORLANDO AVE STE 300AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN132903051EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOCIETY OF UNIVERSITY SURGEONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOCINameControl
Phone4076477714Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 N MAITLAND AVE NO 130AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHILIP PYSTERName
TitleEXECUTIVE DIRECTORTitle
Phone4076477714Phone
Date Signed2011-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCHAFER TSCHOPP ET ALName
Phone4078393330Phone
Date Prepared2011-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP PYSTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1341 N MAITLAND AVE NO 130AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
Gross Receipts181313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSUSWEB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO ADVANCE THE ART AND SCIENCE OF SURGERYActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI5339TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year153787ProgramServiceRevenuePriorYear
Program Service Revenue CY171900ProgramServiceRevenueCY
Investment Income Prior Year-12556InvestmentIncomePriorYear
Investment Income Current Year9392InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year21OtherRevenueCurrentYear
Total Revenue Prior Year141231TotalRevenuePriorYear
Total Revenue Current Year181313TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY25000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year255613OtherExpensePriorYear
Other Expenses Current Year165301OtherExpensesCurrentYear
Total Expenses Prior Year255613TotalExpensesPriorYear
Total Expenses Current Year190301TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-114382RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8988RevenuesLessExpensesCY
Total Assets BOY272760TotalAssetsBOY
Total Assets EOY285332TotalAssetsEOY
Total Liabilities BOY790TotalLiabilitiesBOY
Total Liabilities EOY422TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY271970NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY284910NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE OBJECT OF THE SOCIETY SHALL BE THE ADVANCEMENT OF THE ART AND SCIENCE OF SURGERY BY (1) THE ENCOURAGEMENT OF ITS MEMBERS TO PURSUE ORIGINAL INVESTIGATIONS BOTH IN THE CLINIC AND IN THE LABORATORY; (2) THE DEVELOPMENT OF METHODS OF GRADUATE TEACHING OF SURGERY WITH PARTICULAR REFERENCE TO THE RESIDENT SYSTEM; (3) FREE AND INFORMAL INTERCHANGE OF IDEAS PERTAINING TO THE ABOVE SUBJECTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense144419Expense
Grants25000Grants
Revenue171921Revenue
DescriptionADVANCEMENT OF EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES OF THE SOCIETY OF UNIVERSITY SURGEONS FOUNDATION TO ENHANCE THE QUALITY OF SURGERY AND SURGICAL CARE.Description
Total Program Service Expense144419TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CROW-SEGAL MANAGEMENT COBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4076477714TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 N MAITLAND AVE STE 130AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per WeekAverageHoursPerWeek
KELI M BULLARD DUNN
SURGICAL EDUCATIONX000
DEV DASAI
DIRECTOR-PUBLICATIONSX000
MARY HAWN
SOCIAL & LEGISLATIVE ISSUESX000
FUNDA MERIC-BERNSTAM
COUNCILOR-AT-LARGEX000
HASAN ALAM
COUNCILOR-AT-LARGEX000
SHARON WEBER
COUNCILOR-AT-LARGEX000
DANIEL R MELDRUM
PRESIDENT000X
GEORGE YANG
PRESIDENT-ELECT000X
O JOE HINES
SECRETARY000X
REBECCA M MINTER
SECRETARY-ELECT000X
DAVID HACKAM MD
TREASURER000X
DIANE M SIMEONE
PAST PRESIDENT000X
DAVID A GELLER
PAST PRESIDENT000X
DAI H CHUNG
PAST PRESIDENT000X
PHILIP PYSTER
EXECUTIVE DIRECTOR000X5.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DUES900099148300148300
CONVENTION REIMBURSEME9000992360023600
FieldValueIRS element (for citing)
Total Program Service Revenue171900TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4053TotalRevenueColumn
Exclusion$4,053ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5339Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5339Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5339TotalRevenueColumn
Unrelated Business Revenue5339UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANDOUSDescription
Business Code900099BusinessCode
Total Revenue Column21TotalRevenueColumn
Related Or Exempt Function Income21RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue21TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column181313TotalRevenueColumn
Related Or Exempt Function Income171921RelatedOrExemptFunctionIncome
Unrelated Business Revenue5339UnrelatedBusinessRevenue
Exclusion$4,053ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total25000Total
Program Services25000ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total83422Total
Program Services62566ProgramServices
Management And General20856ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1975Total
Management And General1975ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18465Total
Management And General18465ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2357Total
Management And General2357ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43774Total
Program Services43774ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PUBLICATION & MID-YEAR1307913079
ADMINISTRATIVE22292229

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total190301Total
Program Services144419ProgramServices
Management And General45882ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18829BOY
EOY33177EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY2275EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1799LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1799LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY227847BOY
EOY208740EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26084BOY
EOY41140EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY272760BOY
EOY285332EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY422EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY400BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY390BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY790BOY
EOY422EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY271970BOY
EOY284910EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY271970BOY
EOY284910EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY272760BOY
EOY285332EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8988ReconcilationRevenueExpenses
Reconcilation Other Changes21928ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years229975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years160040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151430CurrentTaxYearMinus1Year
Current Tax Year150575CurrentTaxYear
Total935400Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years103022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15343CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2357CurrentTaxYearMinus1Year
Current Tax Year24000CurrentTaxYear
Total181644Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years346402CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years266897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153787CurrentTaxYearMinus1Year
Current Tax Year174575CurrentTaxYear
Total1117044Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091117044PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4248CurrentTaxYearMinus1Year
Current Tax Year4053CurrentTaxYear
Total64617Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4248CurrentTaxYearMinus1Year
Current Tax Year4053CurrentTaxYear
Total64617Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years365539CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years291999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187460CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158035CurrentTaxYearMinus1Year
Current Tax Year178628CurrentTaxYear
Total1181661Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94530PublicSupportPercentage509
Prior Year Support Percentage0.95350PriorYearSupportPercentage
Investment Income Percentage0.05470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04650PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1799OtherCostOrOtherBasis
Depreciation1799Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value7869BookValue
Method Of ValuationCMethodOfValuation

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionAMERICAN COLLEGE OF SURGEONSDescription
Book Value200871BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities208740TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
PREPAID EXPENSES25250
DUE FROM ASC15570
DUE FROM FOUNDATION320
FieldValueIRS element (for citing)
Total Book Value Other Assets41140TotalBookValueOtherAssets

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SOCIETY OF UNIVERSITY SURGEONS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 N MAITLAND AVE STE 130AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient911712473EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant25000AmountOfCashGrant
Purpose Of GrantSURGICAL EDUCATION IN AMERICAPurposeOfGrant

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CROW-SEGAL MANAGEMENT COBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipINDEPENDENT CONTRACTORRelationship
Amount Of Transaction83422AmountOfTransaction
Description Of TransactionMANAGEMENT SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3ADMINISTRATIVE DUTIES ARE HANDLED BY CROW-SEGAL MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION CONSISTS OF DUES PAYING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ADUES PAYING MEMBERS WHO EACH MAY VOTE TO ELECT THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATIONS SENDS A COPY OF THE FORM 990 TO ITS OFFICERS FOR APPROVAL BEFORE IT IS FILED.
THE BOARD USES COMPARISON DATA TO NEGOTIATE THE MANAGEMENT FEES PAYABLE TO THE MANAGEMENT COMPANY RESPONSIBLE FOR COMPENSATION EARNED BY THE EXECUTIVE DIRECTOR AND ADMINISTRATIVE PERSONNEL.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE ON ITS WEBSITE. THE GOVERNANCE POLICIES ARE MADE AVAILABLE AT THE ORGANIZATION'S OFFICES UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 12,674. ACCRUAL TO CASH ADJUSTMENTS 9,254. TOTAL TO FORM 990, PART XI, LINE 5: 21,928.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOCIETY OF UNIVERSITY SURGEONS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 N MAITLAND AVE STE 130AddressLine1
CityMAITLANDCity
StateFLState
ZIP Code32751ZIPCode
FieldValueIRS element (for citing)
EIN911712473EIN
Primary ActivitiesCHARITABLE FOUNDATION DEDICATED TO SURGICAL EDUCATION IN AMERICA.PrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusPFPublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SOCIETY OF UNIVERSITY SURGEONS FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved25000AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination