TY 2018 Form 990

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) SHAUN FERRIE......................................................................
PRESIDENT

10.00
.................

(2) LEE RANALLI......................................................................
PRES. ELECT

5.00
.................

(3) ALI BAGHAI......................................................................
TREASURER

5.00
.................

(4) HENRY SARGENT......................................................................
SECRETARY

5.00
.................

(5) SCOTT IMUS......................................................................
DIRECTOR

5.00
.................

(6) ANGI FOUNTAIN......................................................................
DIRECTOR

5.00
.................

(7) AMOS WILKINSON......................................................................
DIRECTOR

5.00
.................

(8) KRISTIE HOCH......................................................................
DIRECTOR

5.00
.................

(9) BLAIRE ZAMBONI......................................................................
DIRECTOR

5.00
.................

(10) AARON WHITLEY......................................................................
DIRECTOR

5.00
.................

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Arizona Association of Nurse Anesthetist Inc

Employer identification number

51-0180632

Return Reference	Explanation
Form 990, Part VI, Section A, Line 3	THE ORGANIZATION HIRED KCA ASSOCIATION MANAGEMENT TO HANDLE DAY-TO-DAY OPERATIONS, MEMBERSHIPS, THE ANNUAL CONFERENCE, AND ANY OTHER EVENTS.
Form 990, Part VI, Section A, Line 6	ACTIVE MEMBERSHIP SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE ABLE TO PROVIDE EVIDENCE OF THE FOLLOWING 1 GRADUATION FROM AN APPROVED SCHOOL OF NURSING AS DETERMINED BY THE JURISDICTION IN WHICH THE APPLICANT PRACTICES 2 IF PRACTICING ANESTHESIA, POSSESSION OF A CURRENT LICENSE AS A REGISTERED PROFESSIONAL NURSE AS DETERMINED BY THE JURISDICTION IN WHICH THE INDIVIDUAL PRACTICES OR BY THE FEDERAL AUTHORITIES IF SO EMPLOYED 3 GRADUATION FROM AN ACCREDITED PROGRAM IN NURSE ANESTHESIA IN COMPLIANCE WITH STANDARDS SET AT THE TIME OF GRADUATION BY THE COUNCIL ON ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS OR ITS PREDECESSOR 4 SUCCESSFUL COMPLETION OF THE CERTIFICATION EXAMINATION ADMINISTERED BY THE COUNCIL ON CERTIFICATION OF NURSE ANESTHETISTS OR ITS PREDECESSOR 5 COMPLIANCE WITH THE GUIDELINES AND STANDARDS ESTABLISHED BY THE ASSOCIATION 6 IS A CITIZEN, RESIDENT OF, OR INDIVIDUAL EMPLOYED IN THE UNITED STATES AND, 7 COMPLIANCE WITH OTHER QUALIFICATIONS OR REQUIREMENTS SET FORTH IN THESE BYLAWS. AZANA HAS SEVERAL OTHER MEMBERSHIP CLASSES HONORARY, SUPPORTERS, HONORS, BENEFACTORS, AND DONORS. THESE CLASSES ARE NOTED IN THE ORGANIZATIONS BYLAWS BUT ARE NOT ENTITLED TO VOTE AND CAN NOT HOLD AN OFFICE.
Form 990, Part VI, Section A, Line 7a	ACTIVE MEMBERS IN GOOD STANDING VOTE ON THE ORGANIZATIONS OFFICERS AND BOARD OF DIRECTORS. ELECTIONS ARE DONE ON A ONE MEMBER ONE VOTE BASIS.
Form 990, Part IV, Section A, Line 7b	ACTIVE MEMBERS IN GOOD STANDING VOTE ON THE ORGANIZATIONS OFFICERS AND BOARD OF DIRECTORS. ELECTIONS ARE DONE ON A ONE MEMBER ONE VOTE BASIS.
Form 990, Part VI, Section B, Line 11b	THE TREASURER OF THE ORGANIZATION DISTRIBUTES A PDF COPY OF THE 990 TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT PRIOR TO THE RETURN BEING FILED.
Form 990, Part VI, Section B, Line 15	THE BOARD MAY HIRE AND COMPENSATE INDIVIDUALS FOR NECESSARY SERVICES RENDERED TO THE ORGANIZATION SO LONG AS SUCH COMPENSATION IS REASONABLE. THE BOARD SHALL DETERMINE REASONABLE COMPENSATION AMOUNTS BASED UPON COMPENSATION PAID BY SIMILARLY SITUATED NONPROFITS FOR LIKE SERVICES.CURRENTLY, THE BOARD MEMBERS AND OFFICERS ARE ALL VOLUNTEERS.
Form 990, Part VI, Section C, Line 19	THE ORGANIZATION WILL PROVIDE IN A TIMELY MANNER, COPIES OF TAX RETURNS, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS INCLUDING ITS CONFLICT OF INTEREST POLICIES WHEN REQUESTED IN WRITING OR IN PERSON.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

1	Briefly describe the organization’s mission or most significant activities: THE AZANA WORKS TO ADVANCE THE CLINICAL PRACTICE OF NURSE ANESTHETISTS, ASSURE PATIENT SAFETY, ADVOCATES FOR THE PROFESSION, AND EDUCATES MEMBERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	20
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	200
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,330	0
9	Program service revenue (Part VIII, line 2g) .........	236,535	281,180
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	91	118
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,461	240
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	247,417	281,538
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,000	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)		0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	239,344	239,861
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	240,344	239,861
19	Revenue less expenses. Subtract line 18 from line 12.......	7,073	41,677
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	258,295	298,809
21	Total liabilities (Part X, line 26).............		0
22	Net assets or fund balances. Subtract line 21 from line 20.....	258,295	298,809

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE ARIZONA ASSOCIATION OF NURSE ANESTHETISTS AZANA PUBLISHES THE SENTINEL NEWSLETTER WHICH KEEPS MEMBERS INFORMED OF CHANGES IN THE PROFESSION. THE SENTINEL IS MAILED TO OVER 500 MEMBERS AND IS AVAILABLE ONLINE TO MEMBERS AND NON-MEMBERS. OVER 200 PEOPLE ATTENDED AZANAS ANNUAL CONFERENCE TO EDUCATE CERTIFIED REGISTERED NURSE ANESTHETISTS. AZANA IS ACTIVE IN ADVOCACY OF THE NURSE ANESTHETIST PROFESSION AND HELPED TOWN HALL MEETINGS ON CRNA ISSUES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......

		Business Code
2a	CONFERENCE	900099	143,855	143,855
b	MEMBERSHIP DUES	900099	134,289	134,289
c	ADMIN FEES	900099	3,036	3,036
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		281,180

3 Investment income (including dividends, interest, and othersimilar amounts) ......			118			118
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		40
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			40	40
Business Code			Miscellaneous Revenue
11a	ADVERTISING		541800	200		200
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			200
12	Total revenue. See Instructions......			281,538	281,220	200	118

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	29,400
b	Legal .........	6,171
c	Accounting ...........	1,450
d	Lobbying ...........	45,729
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0
12	Advertising and promotion ....	3,281
13	Office expenses .......	5,629
14	Information technology ......	1,189
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	2,653
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	140,424
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	0
23	Insurance ...	990
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	NEWSLETTER	2,881
b	TAX EXPENSE	64
c
d
e	All other expenses	0
25	Total functional expenses. Add lines 1 through 24e	239,861
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		158,554	1	97,704
2	Savings and temporary cash investments .........		99,741	2	201,105
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............			4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				6
7	Notes and loans receivable, net ....			7
8	Inventories for sale or use ........			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 34)...		258,295	16	298,809

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	0	26	0

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	258,295	27	298,809
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	258,295	33	298,809
34	Total liabilities and net assets/fund balances ........	258,295	34	298,809

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
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