Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEDICAL RESEARCH. GRANTEE NAME: ANESTHESIA PATIENT SAFETY FOUNDATION. GRANTEE ADDRESS: 8007 SOUTH MERIDIAN STREET INDIANAPOLIS, IN 46217. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/29/14. AMOUNT GIVEN: 1,205. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEDICAL RESEARCH. GRANTEE NAME: FOUNDATION FOR ANESTHESIA EDUCATION RESEARCH. GRANTEE ADDRESS: 200 FIRST STREET, SW ROCHESTER, MN 55905. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/28/14. AMOUNT GIVEN: 60. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: LECTURE SUPPORT. GRANTEE NAME: FREDERICK P. HAUGEN LECTURE FUND. GRANTEE ADDRESS: 1121 S.W. SALMON STREET, SUITE 100 PORTLAND, OR 97205. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/28/14. AMOUNT GIVEN: 180. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEDICAL RESEARCH. GRANTEE NAME: ASA CHARITABLE FOUNDATION. GRANTEE ADDRESS: 520 N NORTHWEST HIGHWAY PARK RIDGE, IL 60068. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/28/14. AMOUNT GIVEN: 25. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 1,470. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE EXPENSE . AMOUNT: 148. DESCRIPTION: MEETING EXPENSES . AMOUNT: 21,168. DESCRIPTION: LIABILITY INSURANCE . AMOUNT: 1,292. TOTAL TO FORM 990-EZ, LINE 16: 22,608. |
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