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 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 407. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: RESEARCH GRANTS. GRANTEE NAME: SANJAYA GUPTA, MD. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: RESEARCH GRANTS. GRANTEE NAME: KORY LAVINE, MD. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: RESEARCH GRANTS. GRANTEE NAME: DANIEL PUALY, MD, PH. D., FACC. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: RESEARCH GRANTS. GRANTEE NAME: RANDALL THOMPSON, MD, FACC. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 20,000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MANAGEMENT SERVICES. AMOUNT: 31,410. DESCRIPTION: INSURANCE. AMOUNT: 1,088. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 1,062. DESCRIPTION: CHAPTER MEETINGS & SEMINARS. AMOUNT: 24,158. DESCRIPTION: ACC MEETINGS - ANNUAL MEETING. AMOUNT: 8,859. DESCRIPTION: ACC MEETINGS - LEGISLATIVE CONFERENCE. AMOUNT: 2,038. TOTAL TO FORM 990-EZ, LINE 16: 68,615. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 2,750. END OF YEAR AMOUNT: 2,093. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 5,215. END OF YEAR AMOUNT: 0. DESCRIPTION: CREDIT CARD PAYABLE. BEG. OF YEAR AMOUNT: 6,847. END OF YEAR AMOUNT: 498. |
| Software ID: | |
| Software Version: |