Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
PHYSICIAN ASSISTANT FOUNDATION OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS
Employer identification number
54-1071370
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
AAPA
237067770
501(C)(6)
Yes
Yes
Yes
327,880
Total
327,880
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
PHYSICIAN ASSISTANT FOUNDATION OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS
Employer identification number
54-1071370
Identifier
Return Reference
Explanation
CHANGES IN PROGRAM SERVICES
FORM 990, PART III, LINE 3
IN HONOR OF THE SILVER ANNIVERSARY, THE FOUNDATION LAUNCHED A "TRADITION OF CARE" CAMPAIGN. THE DONATION RAISED UNDER THE CAMPAIGN FUNDS THE TWO GRANT PROGRAMS, "HEALTHY NEIGHBORHOODS" AND "GLOBAL OUTREACH PROJECT," TO PROVIDE FUNDING FOR COMMUNITY SERVICES AND PATIENT EDUCATION PROJECTS THAT PHYSICIAN ASSISTANTS LAUNCH IN THEIR COMMUNITIES. THE FOUNDATION APPROPRIATED ALL FUNDS RAISED THROUGH THE CAMPAIGN THAT WERE CONTRIBUTED BY INDIVIDUALS AND CORPORATIONS OTHER THAN AAPA, WHICH CONTRIBUTED $250,000 TO THE SILVER ANNIVERSARY FUND IN JUNE 2003. IN OCTOBER 2009, THE BOARD OF DIRECTORS OF AAPA APPROVED A MOTION THAT THE FOUNDATION MAY USE THE REMAINING FUND FOR MARKETING AND COMMUNICATION STRATEGIES AS OUTLINED IN THE FOUNDATION'S 2010-2012 STRATEGIC PLANS. THE AMOUNTS RELEASED DURING 2010 WERE USED FOR SUCH MARKETING AND COMMUNICATION ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 3
ALL EMPLOYEES ARE EMPLOYED BY AAPA, WHICH MANAGES PHYSICIAN ASSISTANT FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 4
THE FOLLOWING ARE THE CHANGES TO THE FOUNDATION'S BYLAWS: ARTICLE III, SECTION 2 IS AMENDED TO BRING THE BYLAWS' STATEMENT OF PAF'S MISSION IN LINE WITH THE MISSION DEVELOPED AT THE JUNE 2009 PAF STRATEGIC PLANNING MEETING. A NEW ARTICLE IV, SECTION 1, REGARDING "GENERAL POWERS" OF THE BOARD HAS BEEN ADDED, CONSISTENT WITH VIRGINIA CODE 13.1-853. ARTICLE IV, SECTION 2 REGARDING BOARD COMPOSITION HAS BEEN AMENDED TO ADJUST THE REQUIRED PERCENTAGES OF PA AND NON-PA TRUSTEES IN ORDER TO FACILITATE INCLUSION OF ADDITIONAL TRUSTEES WITH SPECIFIC PHILANTHROPIC AND CHARITABLE FUNDRAISING EXPERTISE. ARTICLE IV, SECTION 2 REGARDING BOARD COMPOSITION HAS BEEN AMENDED TO EXPAND THE MAXIMUM NUMBER OF PA AND NON-PA TRUSTEES FROM 15 TO 20. ARTICLE IV, SECTION 3 PERTAINING TO APPOINTMENT OF TRUSTEES IS AMENDED BY CLARIFYING THAT THE AAPA BOARD MAY NOT APPOINT TO THE PAF BOARD INDIVIDUALS OF AAPA'S CHOOSING WHO HAVE NOT FIRST BEEN APPROVED BY THE PAF BOARD. ARTICLE IV, SECTION 3 PERTAINING TO TRUSTEES' TERM OF SERVICE IS AMENDED BY ADDING A PROVISION STATING THAT TRUSTEES SHALL SERVE UNTIL SUCH TIME AS THEIR SUCCESSORS ARE DULY ELECTED AND QUALIFIED. THIS ENSURES CONTINUITY OF SERVICE IN THE EVENT THAT ELECTIONS ARE DELAYED FOR SOME REASON. ARTICLE IV, SECTION 4 REGARDING RESIGNATION AND REMOVAL OF TRUSTEES IS AMENDED TO ADD A PROVISION, CONSISTENT WITH VIRGINIA CODE 13.1-860(E), STATING THAT A TRUSTEE MAY BE REMOVED ONLY AT A MEETING CALLED FOR THAT PURPOSE, AND THAT THE MEETING NOTICE MUST STATE THAT THE PURPOSE OR ONE OF THE PURPOSES OF THE MEETING IS REMOVAL OF THE TRUSTEE. ARTICLE IV, SECTION 4 REGARDING RESIGNATION AND REMOVAL OF TRUSTEES IS AMENDED TO PROVIDE THAT TRUSTEES MAY BE REMOVED BY THE AAPA BOARD WITH OR WITHOUT CAUSE, IN ORDER TO BRING THE BYLAWS INTO COMPLIANCE WITH ARTICLE 3 OF THE PAF ARTICLES OF INCORPORATION. ARTICLE IV, SECTION 5 PERTAINING TO VACANCIES IS AMENDED BY MOVING THE PROVISIONS ON TRUSTEES' ELIGIBILITY FOR ADDITIONAL TERMS OF OFFICE AFTER FILLING A VACANCY OUT OF THE "OFFICERS" ARTICLE AND INTO THE "BOARD" ARTICLE. THE SECTION IS ALSO AMENDED BY CLARIFYING THAT THE AAPA BOARD MAY NOT FILL A VACANCY ON THE PAF BOARD WITH AN INDIVIDUAL OF AAPA'S CHOOSING WHO HAS NOT FIRST BEEN APPROVED BY THE PAF BOARD. ARTICLE V, SECTION 1 IS AMENDED BY ADDING FOUR OFFICER POSITIONS: IMMEDIATE PAST PRESIDENT, PRESIDENT-ELECT, CHAIR-ELECT, AND CHIEF EXECUTIVE OFFICER. THE IMMEDIATE PAST PRESIDENT, PRESIDENT-ELECT, AND CHAIR-ELECT SHALL HAVE SUCH DUTIES AS MAY BE ASSIGNED FROM TIME TO TIME BY THE PAF BOARD OF TRUSTEES. THE CHIEF EXECUTIVE OFFICER SHALL BE THE AAPA EVP/CEO, WHO SHALL BE RESPONSIBLE FOR OVERSIGHT OF THE PAF EXECUTIVE DIRECTOR, AND WHO SHALL HAVE SUCH OTHER DUTIES AS MAY BE ASSIGNED FROM TIME TO TIME BY THE PAF BOARD OF TRUSTEES. ARTICLE V, SECTION 2 IS AMENDED BY ADDING ELIGIBILITY QUALIFICATIONS FOR THE NEW OFFICER POSITIONS OF PRESIDENT-ELECT, CHAIR-ELECT, AND IMMEDIATE PAST PRESIDENT. ARTICLE V, SECTION 2 IS AMENDED BY CLARIFYING THE PROCEDURE FOR THE AAPA BOARD'S APPROVAL OF THE PAF OFFICERS. ARTICLE V, SECTION 2 IS AMENDED BY ADDING A PROVISION THAT STATES THAT OFFICERS SHALL SERVE UNTIL SUCH TIME AS THEIR SUCCESSORS ARE DULY ELECTED AND QUALIFIED. A NEW ARTICLE V, SECTION 3 IS ADDED REGARDING REMOVAL OR RESIGNATION OF OFFICERS. OFFICERS SHALL BE REMOVED USING THE SAME PROCESS FOR REMOVING TRUSTEES, WITH A CAVEAT THAT IF ANY INDIVIDUAL IS REMOVED AS A TRUSTEE, THAT INDIVIDUAL WILL ALSO AUTOMATICALLY BE REMOVED FROM ANY OFFICE POSITIONS HELD AT THE TIME OF REMOVAL. ARTICLE V, SECTION 4 REGARDING VACANCIES IS AMENDED BY ADDING A PROVISION ON THE OFFICER'S ELIGIBILITY FOR ADDITIONAL TERMS OF OFFICE AFTER FILLING A VACANCY, SIMILAR TO THE PROVISION IN THE "BOARD" ARTICLE THAT IS APPLICABLE TO TRUSTEES. ARTICLE VI, SECTION 4, WHICH ADDRESSES THE APPOINTMENT, TERM, AND REMOVAL OF COMMITTEE CHAIRS AND MEMBERS, IS AMENDED TO ESTABLISH TERM LIMITS AND ELIGIBILITY REQUIREMENTS FOR COMMITTEE SERVICE. UNDER THE NEW SECTION 4, AN INDIVIDUAL SHALL BE ELIGIBLE TO SERVE AS CHAIR OF A COMMITTEE IF HE OR SHE HAS PREVIOUSLY SERVED AS A MEMBER OF THE COMMITTEE. AN INDIVIDUAL MAY SERVE AS CHAIR OF A PARTICULAR COMMITTEE FOR A MAXIMUM OF TWO CONSECUTIVE TWO-YEAR TERMS. AN INDIVIDUAL MAY SERVE AS A MEMBER OF A PARTICULAR COMMITTEE FOR A MAXIMUM OF TWO CONSECUTIVE ONE-YEAR TERMS. ARTICLE VI, SECTION 4 NOW CLARIFIES THAT STANDING COMMITTEE CHAIRS MUST BE CURRENT PAF TRUSTEES, AND THAT ANY TYPE OF PAF TRUSTEE IS ELIGIBLE TO BE A COMMITTEE CHAIR (I.E. INCLUDING EMERITUS TRUSTEES). ADDITIONALLY, THE PROVISION RESTRICTING SERVICE ON THE EXECUTIVE COMMITTEE TO ONE ONE-YEAR TERM HAS BEEN REMOVED TO MAKE THE TERM OF SERVICE ON THE EXECUTIVE COMMITTEE CONSISTENT WITH THE TERM OF SERVICE ON ALL OTHER COMMITTEES. ARTICLE VIII, SECTION 1 IS AMENDED BY ADDING A SPECIFIC REFERENCE TO THE CONFLICT OF INTEREST POLICY AND ANNUAL DISCLOSURE PROCESS TO REINFORCE THE IMPORTANCE OF SUCH POLICY FOR THE BOARD AND COMMITTEES. ARTICLE X IS AMENDED BY ADDING A PROVISION TO THE BYLAWS REGARDING THE APPROVAL PROCESS FOR AMENDING THE PAF ARTICLES OF INCORPORATION. ARTICLE X IS AMENDED BY CLARIFYING THAT THE LEGAL REVIEW OF AMENDMENTS TO THE BYLAWS SHOULD BE CONDUCTED FOR CONFORMITY WITH STATE LAW TO PRESERVE PAF AS A NONPROFIT CORPORATION IN GOOD STANDING, AS WELL AS TO PRESERVE PAF AS A 501(C)(3) ENTITY UNDER FEDERAL TAX LAW. . ARTICLE XI IS AMENDED TO AVOID POTENTIAL FOR CONFLICT BETWEEN THE BYLAWS AND THE TERMS OF AN EXISTING EMPLOYMENT AGREEMENT OR WITH EMPLOYMENT LAWS BY CLARIFYING THAT THE BYLAWS PROVISIONS RELATED TO THE EXECUTIVE DIRECTOR OF PAF WILL APPLY UNLESS OTHERWISE SPECIFIED IN AN EMPLOYMENT AGREEMENT. 2. ARTICLE XI IS AMENDED TO CLARIFY THAT PAF SHALL HAVE AN EXECUTIVE DIRECTOR, RATHER THAN THAT AAPA WILL EMPLOY AN EXECUTIVE DIRECTOR FOR PAF. STAFFING ARRANGEMENTS SHOULD BE SET FORTH IN AN AFFILIATION AGREEMENT BETWEEN THE TWO ENTITIES, RATHER THAN IN THE PAF BYLAWS, WHICH IN AND OF THEMSELVES CANNOT SERVE TO OBLIGATE AAPA. . ARTICLE XIII IS AMENDED BY REPLACING THE BYLAWS' DISSOLUTION PROVISION WITH A PROVISION THAT STATES THAT DISSOLUTION SHALL TAKE PLACE IN ACCORDANCE WITH THE REQUIREMENTS OF VIRGINIA LAW AND WITH THE PAF ARTICLES OF INCORPORATION. THIS PROPOSED REVISION SERVES TO AVOID UNNECESSARILY LIMITING THE MANNER IN WHICH PAF MAY CARRY OUT ITS DISSOLUTION, AND SERVES TO ALERT READERS THAT DISSOLUTION MUST TAKE PLACE IN ACCORDANCE WITH STATUTORY REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 11
THE VP OF FINANCIAL REPORTING AND ANALYSIS OF AAPA REVIEWS THE 990 RETURN WITH THE PAF EXECUTIVE DIRECTOR AND PRESIDENT.
FORM 990, PART VI, SECTION C, LINE 19
THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 119,468.
FORM 990, PART XII, LINE 2C
THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.
FORM 990, PART VI, LINE 15
THE EXECUTIVE DIRECTOR, ALSO THE CEO/EVP OF AAPA, EX-OFFICIO TRUSTEE OF PA FOUNDATION,IS AN EMPLOYEE OF AAPA (A RELATED ORGANIZATION). AAPA DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR BASED ON INFORMATION OBTAINED BY AAPA'S HUMAN RESOURCES DEPARTMENT WHICH CONSULTS WITH QUATT ASSOCIATES, AN INDEPENDENT CONSULTANT, WHICH CONDUCTS A SALARY SURVEY OF AN EMPLOYMENT CONTRACT IS MADE FOR THE CEO/EVP OF AAPA AND HIS COMPENSATION IS APPROVED BY THE BOARD OF AAPA.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART VII
AAPA PAF BILL LEINWEBER 40 2 ELLEN WOODS 2 40
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.