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        <PersonNm>ANTHONY ATALA</PersonNm>
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        <PersonNm>JOHN LD ATKINSON</PersonNm>
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        <PersonNm>CAROL L BROWN</PersonNm>
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        <PersonNm>FRANCOISE P CHAGNON</PersonNm>
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        <PersonNm>ANNESLEY AJ W COPELAND</PersonNm>
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        <PersonNm>JAMES C DENNENY III</PersonNm>
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        <PersonNm>DIANA L FARMER</PersonNm>
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        <PersonNm>HENRI R FORD</PersonNm>
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        <PersonNm>JAMES W GIGANTELLI</PersonNm>
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        <PersonNm>SEAN C GRONDIN</PersonNm>
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        <PersonNm>LENA M NAPOLITANO</PersonNm>
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        <PersonNm>KENNETH W SHARP</PersonNm>
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        <PersonNm>STEVEN C STAIN MD</PersonNm>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ACSPA IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. EXCEPT FOR TAXES RELATING TO UNRELATED BUSINESS INCOME, THESE ENTITIES ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACSPA - SURGEONS PAC IS A POLITICAL ORGANIZATION EXEMPT FROM FEDERAL TAXES UNDER SECTION 527 OF THE INTERNAL REVENUE CODE. ACSEO IS A LIMITED LIABILITY COMPANY WHICH OPERATES UNDER CERTAIN SECTIONS OF FEDERAL AND STATE INCOME TAX LAW. THE COLLEGE DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS OR TAX LIABILITIES THAT SHOULD BE RECORDED AS OF JUNE 30, 2022 AND 2021.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASCPA PROVIDES FINANCIAL SUPPORT FOR THE AMERICAN COLLEGE OF SURGEONS (ACS) FOR RESEARCH, EDUCATION, AND PATIENT SAFETY PROGRAMS. THE PROFESSIONAL ASSOCIATION TRANSFERS INCOME TO ACS AND THE USE OF THE FUNDS IS MONITORED BY ACS, WHICH HAS THE SAME LEADERSHIP AS THE PROFESSIONAL ASSOCIATION. THE ACSPA ALSO SUPPORTS LOCAL-LEVEL ADVOCACY EFFORTS BY ACS CHAPTERS IN THEIR RESPECTIVE STATES BY OFFERING GRANTS BETWEEN $5,000 AND $15,000 THROUGH THEIR STATE ADVOCACY GRANT PROGRAM. THE CHAPTERS USE THESE FUNDS TO ENGAGE ON STATE LEGISLATIVE ISSUES IMPORTANT TO THE PRACTICE OF SURGERY AND DELIVERY OF QUALITY PATIENT CARE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN COLLEGE OF SURGEONS HAS AN EXECUTIVE COMPENSATION COMMITTEE AS A SUBCOMMITTEE TO THE FINANCE COMMITTEE. THE COMMITTEE IS COMPRISED OF GOVERNORS SECRETARY, AND A MEMBER OF THE FINANCE COMMITTEE. THE PROCEDURES TO CREATE A "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN RESPONSIBLITIES ARE TO ENSURE THAT COMPENSATION FOR EACH EXECUTIVE IS THE BOARD OF RECENTS CHAIR, BOARD OF REGENTS TREASURER, BOARD OF EXECUTIVE COMPENSATION COMMITTEE'S PURPOSE IS AS FOLLOWS: TO ESTABLISH CONNECTION WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. HUMAN RESOURCES PROVIDES COMPARABILITY DATA TO THE COMMITTEE IN THE FORM OF SURVEYS, OTHER SIMILAR ORGANIZATIONS, GEOGRAPHICAL COMPARISONS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF AN EXECUTIVE. THE COMMITTEE DOCUMENTS THE BASIS FOR ALL COMPENSATION DETERMINATIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SHALL CONSIST OF THE PERSONS SERVING FROM TIME TO TIME AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF REGENTS OF THE AMERICAN COLLEGE OF SURGEONS. THE CHAIR OF THE BOARD OF DIRECTORS SHALL BE THE CHAIR OF THIS COMMITTEE. DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT AND DIRECTIONS OF THE BUSINESS AND THE CONDUCT OF THE AFFAIRS OF THE CORPORATION, EXCEPT THAT IT SHALL NOT HAVE POWER TO AMEND THE BYLAWS OR REGULATE FEES, DUES, OR ASSESSMENTS. IT SHALL KEEP A RECORD OF ITS PROCEEDINGS AND SHALL, AFTER EACH MEETING, REPORT THE SAME TO THE DIRECTORS FOR APPROVAL AT THE NEXT SUCCEEDING MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 FORMS ARE COMPLETED BY THE ACS ACCOUNTING DEPARTMENT AND REVIEWED BY OUTSIDE TAX PROFESSIONALS. ONCE OUTSIDE TAX PROFESSIONALS REVIEW AND RECOMMEND CHANGES, THE ACCOUNTING DEPARTMENT FINALIZES THE 990 FORMS. THE ACS CFO REVIEWS AND SIGNS THE FORMS AND THE ACS ACCOUNTING DEPARTMENT PROVIDES A COPY OF THE RETURN TO THE BOARD OF DIRECTORS. THE ACS ACCOUNTING DEPARTMENT THEN FILES THE RETURN WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE HAS CONFLICT OF INTEREST POLICIES FOR EMPLOYEES, CONSULTANTS, AND BOARD MEMBERS. ALL EMPLOYEES, CONSULTANTS, AND BOARD MEMBERS ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT EACH YEAR, WHICH IS COLLECTED AND DISSEMINATED BY THE CHIEF FINANCIAL OFFICER'S OFFICE. THERE IS ALSO AN ACS CONFLICTS OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES TO DISCUSS ISSUES THAT RELATE TO CONFLICTS OF INTEREST. THE COMMITTEE ACCOUNTS FOR THE RECEIPT OF DISCLOSURE STATEMENTS AND FOLLOW UP ON ANY ISSUES. THIS INFORMATION IS THEN REPORTED TO THE ACS FINANCE COMMITTEE OF THE BOARD OF REGENTS. IF THE ACS FINANCE COMMITTEE FEELS THERE ARE CONFLICTS THAT ARE QUESTIONABLE IN NATURE, THEY ARE REPORTED TO THE ACS BOARD OF REGENTS CHAIR AND TREASURER FOR ACTION. THE BOARD OF REGENTS EXECUTIVE COMMITTEE SHALL TAKE ACTION ON ANY PRESUMED OR POTENTIAL VIOLATION OF THIS POLICY BY A MEMBER OF LEADERSHIP TO ENSURE THAT A CONFLICT OF INTEREST DOES NOT ARISE OR DOES NOT CONTINUE. IN ADDITION TO ANY LEGAL PENALTIES, SUCH ACTION MAY INCLUDE, BUT SHALL NOT BE LIMITED TO, ORAL ADMONISHMENT, WRITTEN REPRIMAND, RESIGNATION, AND RESTITUTION. A MEMBER OF LEADERSHIP WHO DISAGREES WITH THE FINDINGS OR RECOMMENDATIONS OF THE FINANCE COMMITTEE OR THE ACTION OF THE BOARD OF REGENTS EXECUTIVE COMMITTEE MAY APPEAL THE DECISION TO THE BOARD OF REGENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, COLUMN E</FormAndLineReferenceDesc>
        <ExplanationTxt>TIMOTHY J. EBERLEIN, JAMES W. FLESHMAN, JR., ANDREA HAYES, TYLER G. HUGHES, BOARD MEMBERS OF AMERICAN COLLEGE OF SURGEONS, PROVIDED INDEPENDENT CONTRACTOR SERVICES TO THE ORGANIZATION. THE INDEPENDENT CONTRACTOR SERVICES WITH THE BOARD MEMBER WAS CONDUCTED AT ARM'S LENGTH AND FAIR MARKET VALUE.</ExplanationTxt>
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