Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 5,868. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEDICAL RESEARCH. GRANTEE NAME: ANESTHESIA PATIENT SAFETY FOUNDATION. GRANTEE ADDRESS: 1061 AMERICAN LANE SCHAUMBURG, IL 60173. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/21/19. AMOUNT GIVEN: 1,170. |
| 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: 1061 AMERICAN LANE SCHAUMBURG, IL 60173. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/22/19. AMOUNT GIVEN: 1,170. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,340. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE EXPENSE. AMOUNT: 13,879. DESCRIPTION: MEETING EXPENSES. AMOUNT: 39,299. DESCRIPTION: OTHER TAXES. AMOUNT: 50. DESCRIPTION: LIABILITY INSURANCE. AMOUNT: 1,292. TOTAL TO FORM 990-EZ, LINE 16: 54,520. |
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