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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID C HERMAN MD</PersonNm>
        <TitleTxt>PUBLIC TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY E KIM MD</PersonNm>
        <TitleTxt>TRUSTEE-AT-LARGE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <PersonNm>JAMES A LAWRENCE</PersonNm>
        <TitleTxt>PUBLIC TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PURNIMA S PATEL MD</PersonNm>
        <TitleTxt>TRUSTEE-AT-LARGE START 1/2022</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <PersonNm>RON W PELTON MD PHD</PersonNm>
        <TitleTxt>TRUSTEE-AT-LARGE</TitleTxt>
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        <PersonNm>CHRISTOPHER J RAPUANO MD</PersonNm>
        <TitleTxt>SR SECRETARY FOR CLINICAL EDUCATION</TitleTxt>
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        <PersonNm>SARWAT SALIM MD FACS</PersonNm>
        <TitleTxt>CHAIR, THE COUNCIL THROUGH 12/2021</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY L SKUTA MD</PersonNm>
        <TitleTxt>FOUNDATION ADVISORY BOARD CHAIR</TitleTxt>
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        <PersonNm>PREM S SUBRAMANIAN MD PHD</PersonNm>
        <TitleTxt>VICE CHAIR, THE COUNCIL (2022)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD TAN MD FRCS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL N VAN GELDER MD PHD</PersonNm>
        <TitleTxt>EDITOR EFFECTIVE 1/2022</TitleTxt>
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        <PersonNm>AARON P WEINGEIST MD</PersonNm>
        <TitleTxt>TRUSTEE-AT-LARGE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE A WILLIAMS MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE MENDENHALL MBA JD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE CARR</PersonNm>
        <TitleTxt>VP, INFORMATION TECHNOLOGY</TitleTxt>
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        <PersonNm>CATHY COHEN MHSA CAE</PersonNm>
        <TitleTxt>VP, GOVERNMENTAL AFFAIRS</TitleTxt>
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        <PersonNm>DALE E FAJARDO EDD MBA</PersonNm>
        <TitleTxt>VP, EDUCATION</TitleTxt>
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        <PersonNm>JANE AGUIRRE</PersonNm>
        <TitleTxt>VP, MEMBERSHIPS AND ALLIANCES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FLORA LUM MD</PersonNm>
        <TitleTxt>VP, QUALITY AND DATA SCIENCE</TitleTxt>
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        <PersonNm>DEBRA ROSENCRANCE CMP CAE</PersonNm>
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        <PersonNm>BETH HEINRICH MPA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT PALMER</PersonNm>
        <TitleTxt>STATE AFFAIRS POLICY DIRECTOR</TitleTxt>
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        <PersonNm>MIKE ROLL</PersonNm>
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        <PersonNm>BRANDI BROOKS</PersonNm>
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        <PersonNm>DANIEL MUMMERT</PersonNm>
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        <PersonNm>REBECCA HYDER</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>FREEMAN</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>350 RHODE ISLAND STREET 220N</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94103</ZIPCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <BusinessName>
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          <BusinessName>
            <BusinessNameLine1Txt>ENFORME</BusinessNameLine1Txt>
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          <USAddress>
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        <UnrelatedBusinessRevenueAmt>1332422</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>106440</ExclusionAmt>
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        <TotalAmt>123177</TotalAmt>
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      <FeesForServicesLobbyingGrp>
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        <TotalAmt>269137</TotalAmt>
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        <TotalAmt>3297190</TotalAmt>
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      <InsuranceGrp>
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        <Desc>PRINTING &amp; PUBLICATIONS</Desc>
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        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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      <OtherExpensesGrp>
        <Desc>UNRELATED BUS INC TAX</Desc>
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        <Desc>EXPENSE ALLOCATION</Desc>
        <TotalAmt>-3847846</TotalAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>500000</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>844354</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>24338230</BOYAmt>
        <EOYAmt>25587309</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>79860478</BOYAmt>
        <EOYAmt>91703472</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>3497480</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>82903329</BOYAmt>
        <EOYAmt>95200952</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>107241559</BOYAmt>
        <EOYAmt>120788261</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>11469379</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>828244</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <FormAndLineReferenceDesc>PART III-B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACADEMY WORKS TO EDUCATE OTHER HEALTH CARE PROVIDERS AND THE PUBLIC ABOUT EYE CARE AND REPRESENTS OPHTHALMOLOGISTS AND THEIR PATIENTS BEFORE THE GOVERNMENT AND OTHER ORGANIZATIONS THAT INFLUENCE THE PROVISION OF EYE CARE.</ExplanationTxt>
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        <BookValueAmt>725409</BookValueAmt>
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        <BookValueAmt>54374645</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>19292</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>54393937</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREE HEALTH INSURANCE BENEFITS OBLIGATIONS</Desc>
        <Amt>519734</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>324620</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>844354</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ENDOWMENT FUND IS UTILIZED AS A RESERVE FOR THE SURGICAL SCOPE FUND, SHOULD THAT FUND RUN DRY. THROUGH THE SURGICAL SCOPE FUND, AAO WORKS WITH OPHTHALMOLOGICAL AND MEDICAL SOCIETIES TO ENSURE PATIENT SAFETY STANDARDS. AAO UPHOLDS THIS COMMITMENT BY OPPOSING STATE-LEVEL EFFORTS TO GRANT MEDICAL AND SURGICAL PRIVILEGES, LEGISLATIVELY OR THROUGH REGULATIONS, TO NON-PHYSICIAN HEALTH CARE PRACTITIONERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AAO FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC TOPIC 740, INCOME TAXES, TO ACCOUNT FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAS CONCLUDED THAT AAO HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION TO COMPLY WITH PROVISIONS OF THIS GUIDANCE.</ExplanationTxt>
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          <AddressLine1Txt>1801 ROCKVILLE PIKE SUITE 400</AddressLine1Txt>
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          <ZIPCd>20852</ZIPCd>
        </USAddress>
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      <RecipientTable>
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          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22314</ZIPCd>
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        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>ALABAMA ACADEMY OF OPHTHALMOLOGY</BusinessNameLine1Txt>
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          <CityNm>MONTGOMERY</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
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        <PurposeOfGrantTxt>SCOPE OF SURGERY CAMPAIGNS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CALIFORNIA ACADEMY OF EYE PHYSICIANS &amp; SURGEONS</BusinessNameLine1Txt>
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          <AddressLine1Txt>71 STEVENSON STREET SUITE 400</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94105</ZIPCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>FLORIDA SOCIETY OF OPHTHALMOLOGY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6816 SOUTHPOINT PARKWAY 1000</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>IDAHO SOCIETY OF OPHTHALMOLOGY</BusinessNameLine1Txt>
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          <CityNm>BOISE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83701</ZIPCd>
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          <CityNm>MANCHESTER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
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          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <CityNm>LAKE OSWEGO</CityNm>
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      <RecipientTable>
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          <AddressLine1Txt>701 BRADFORD AVENUE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
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        <PersonNm>REBECCA HYDER</PersonNm>
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        <ExplanationTxt>THESE BENEFITS ARE PROVIDED TO THE CEO UNDER TERMS OF HIS CONTRACT. ANY PAYMENTS MADE FOR TRAVEL FOR COMPANIONS, TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, AND HEALTH OR SOCIAL CLUB DUES IS INCLUDED IN FORM W-2 AS TAXABLE COMPENSATION; ANY PAYMENTS MADE FOR FIRST-CLASS OR CHARTER TRAVEL IS NON-TAXABLE, PROVIDED THE BENEFIT IS REASONABLE.</ExplanationTxt>
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        <ExplanationTxt>PUBLIC TRUSTEES AND INTERNATIONAL TRUSTEES-AT-LARGE ARE NOT ENTITLED TO VOTE ON MATTERS INVOLVING GOVERNANCE, RULES, OR PROCEDURES OF AAO; ADDITIONALLY, PUBLIC TRUSTEES AND INTERNATIONAL TRUSTEES-AT-LARGE CANNOT VOTE TO REMOVE ANY TRUSTEE, WHICH CAN OCCUR WITH AN AFFIRMATIVE WRITTEN BALLOT OF FOUR-FIFTHS (4/5THS) VOTE OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OF THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS HAS A BUSINESS RELATIONSHIP WITH ONE ANOTHER: DAVID W. PARKE II, MD; DANIEL J. BRICELAND, MD; RON W. PELTON, MD, PHD; CHRISTOPHER J. RAPUANO, MD; GREGORY L. SKUTA, MD; AND ROBERT E. WIGGINS, MD, MHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AAO IS A MEMBERSHIP ORGANIZATION WITH THE FOLLOWING CLASSES OF MEMBERS ENTITLED TO VOTE ON ANY MATTER OR TO ATTEND ANY ANNUAL OR SPECIAL BUSINESS MEETING: ACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS, LIFE FELLOWS, LIFE OSTEOPATHIC FELLOWS, ACTIVE MEMBERS, AND LIFE MEMBERS. ONLY ACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS, AND LIFE FELLOWS SHALL BE ELIGIBLE FOR NOMINATION, ELECTION, OR APPOINTMENT TO A POSITION ON THE BOARD OF TRUSTEES; ONLY INTERNATIONAL MEMBERS, OR THOSE FELLOWS AND MEMBERS WHO PRACTICE EXCLUSIVELY OUTSIDE OF THE UNITED STATES, SHALL BE ELIGIBLE FOR APPOINTMENT AS AN INTERNATIONAL TRUSTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VOTING FELLOWS AND MEMBERS (ACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS, LIFE FELLOWS, LIFE OSTEOPATHIC FELLOWS, ACTIVE MEMBERS, AND LIFE MEMBERS) ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY AMENDMENT OR REVISION TO THE ARTICLES OF INCORPORATION, THE BYLAWS, AND THE ACADEMY'S CODE OF ETHICS MUST BE RATIFIED BY THE VOTING FELLOWS OR MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER IN CONJUNCTION WITH THE ORGANIZATION'S INTERNAL FINANCE AND ACCOUNTING DEPARTMENT. THE CHIEF OPERATING OFFICER AND DIRECTOR OF FINANCE THEN COMPLETELY REVIEW THE FORM 990; ADJUSTMENTS ARE MADE AS NECESSARY. UPON APPROVAL WITH THE COO AND DIRECTOR OF FINANCE, THE FORM 990 IS THEN MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS AT LEAST ONE WEEK PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, WHO WERE INVITED TO ASK QUESTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AAO HAS A PROFOUND DUTY TO ITS MEMBERS, THE LARGER MEDICAL COMMUNITY, AND THE PUBLIC TO ENSURE THE INTEGRITY OF ALL OF ITS SCIENTIFIC, EDUCATIONAL, ADVOCACY, AND CONSUMER INFORMATION ACTIVITIES AND MATERIALS. THUS, EACH ACADEMY TRUSTEE AND AAO STAFF ARE RESPONSIBLE FOR DISCLOSING INTERACTIONS WITH COMPANIES AND MANAGE CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST THAT AFFECT THIS INTEGRITY. AAO LEADERS AND PERSONS IN A POSITION TO INFLUENCE (INCLUDING TRUSTEES, OFFICERS, AND KEY EMPLOYEES) MUST SUBMIT AN ANNUAL DISCLOSURE FORM OF ALL FINANCIAL RELATIONSHIPS IN ANY AMOUNT AND UNCOMPENSATED INTERACTIONS WITH COMPANIES WITHIN THE PREVIOUS 12 MONTHS PRIOR TO THEIR PARTICIPATION IN THE ACTIVITY. IN THE EVENT A CONFLICT OF INTEREST IS IDENTIFIED, THE ACADEMY LEADER WHO DISCLOSES A CONFLICT OR POTENTIAL CONFLICT, OR TO WHOM A FELLOW LEADER IDENTIFIES A PERCEIVED CONFLICT, PREPARES A STATEMENT DESCRIBING THE CONFLICT AND SUGGESTING WAYS OF RESOLVING OR MANAGING IT. THIS STATEMENT OF CONFLICT MANAGEMENT IS SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD; IF A CHAIRPERSON OR EXECUTIVE COMMITTEE MEMBER IS SUBMITTING THE STATEMENT, TWO INDEPENDENT MEMBERS WILL BE APPOINTED TO REVIEW THE STATEMENT. IF THERE IS A CONSENSUS THAT A CONFLICT EXISTS, METHODS FOR RESOLUTION INCLUDE: HIGHLY SPECIFIC CONFIDENTIALITY AGREEMENTS; RECUSAL FROM SPECIFIC DISCUSSIONS, ACTIVITIES, OR VOTES; OR A REQUIREMENT THAT THE LEADER STEP-DOWN FROM A PARTICULAR POSITION OF LEADERSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AAO COMPENSATION COMMITTEE IS MADE UP OF THE PRESIDENT, PRESIDENT-ELECT, PAST PRESIDENT, AND THE MOST RECENT PAST PRESIDENT NO LONGER SERVING ON THE BOARD. THE COMMITTEE ANNUALLY REVIEWS THE STIPEND AND CONTRACT PAYMENTS FOR ALL PHYSICIAN POSITIONS AND USES COMPARATIVE DATA FROM OTHER MEDICAL SPECIALTY SOCIETIES IN THEIR ANALYSIS. THE COMMITTEE IS RESPONSIBLE FOR THE INITIAL CONTRACT NEGOTIATION WITH A NEW CEO/EVP WITH THE ADVICE AND ASSISTANCE OF A PROFESSIONAL COMPENSATION ANALYST WHO PROVIDES COMPARATIVE DATA AND CONSULTATION. FINALLY, THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CEO/EVP IN JUNE OF EACH YEAR TO DETERMINE THE ANNUAL PERFORMANCE BONUS - WHICH IS LIMITED TO A MAXIMUM OF 20% OF HIS SALARY PER THE EMPLOYMENT CONTRACT. FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE ORGANIZATION CONTRACTS WITH AN OUTSIDE COMPENSATION CONSULTANT, WHO USES COMPARATIVE DATA FROM OTHER MEDICAL SPECIALTY SOCIETIES IN THEIR ANALYSIS, TO DETERMINE REASONABLE COMPENSATION FOR EACH JOB CLASSIFICATION; THESE SALARIES ARE THEN APPROVED BY THE CEO/EVP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY, BYLAWS, AS WELL AS OTHER POLICY STATEMENTS FOR ACADEMY LEADERS ARE AVAILABLE ON THE AAO WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLISHED EVERY FALL IN THE JOURNAL OF OPHTHALMOLOGY AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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