﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-04-09T09:27:58-05:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>261939542</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HAUK KRUSE AND ASSOCIATES LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1906 CORONA ROAD SUITE 100</AddressLine1Txt>
        <CityNm>COLUMBIA</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>65203</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>431212976</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>UNIVERSITY OF MISSOURI ORTHOPAEDIC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>ASSOCIATION</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>UNIV</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>1100 VIRGINIA AVENUE</AddressLine1Txt>
        <CityNm>COLUMBIA</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>65212</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JAMES L COOK DVM PHD OTSC</PersonNm>
      <PersonTitleTxt>SEC/TREAS</PersonTitleTxt>
      <SignatureDt>2019-03-25</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>J MARBERRY</PreparerPersonNm>
      <PTIN>P00037025</PTIN>
      <PhoneNum>5738758777</PhoneNum>
      <PreparationDt>2019-03-25</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>52.38.98.93</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-04-09</IPDt>
      <IPTm>09:27:58</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>28C8BDA2B78B5E59C1B794D1CACD565CC13E38DD</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>A608634BF9C6B37B8AAC5C01610B3910CAF4FF91</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="3">
    <IRS990EZ documentId="RetDoc1" referenceDocumentId="RetDoc2">
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <ScheduleBNotRequiredInd>X</ScheduleBNotRequiredInd>
      <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
      <Organization501c3Ind referenceDocumentId="RetDoc3">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>3916</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>3900</ContributionsGiftsGrantsEtcAmt>
      <InvestmentIncomeAmt>16</InvestmentIncomeAmt>
      <TotalRevenueAmt>3916</TotalRevenueAmt>
      <FeesAndOtherPymtToIndCntrctAmt>440</FeesAndOtherPymtToIndCntrctAmt>
      <OtherExpensesTotalAmt>3025</OtherExpensesTotalAmt>
      <TotalExpensesAmt>3465</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>451</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>37285</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>37736</NetAssetsOrFundBalancesEOYAmt>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>37285</BOYAmt>
        <EOYAmt>37736</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <Form990TotalAssetsGrp>
        <BOYAmt>37285</BOYAmt>
        <EOYAmt>37736</EOYAmt>
      </Form990TotalAssetsGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>37285</BOYAmt>
        <EOYAmt>37736</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <PrimaryExemptPurposeTxt>TO FOSTER, PROMOTE, SUPPORT, AUGMENT, DEVELOP AND ENCOURAGE INVESTIGATIVE KNOWLEDGE OF ORTHOPAEDICS AND ITS MANY RAMIFICATIONS; TO DEVELOP AND ENCOURAGE THE TEACHING AND EDUCATION OF THE SAME BY DEVELOPING, PUBLISHING AND COPYRIGHTING EDUCATIONAL MATERIALS, AND TO PROVIDE SPECIALIZED TRAINING FOR ORTHOPAEDIC SURGEIONS AND OTHERS; TO FOSTER, PROMOTE, SUPPORT, AUGMENT, DEVELOP AND ENCOURAGE EDUCATION IN ALLIED PROFESSIONS IN THE RECOGNITION, PREVENTION AND ORTHOPAEDIC TREATMENT OF DISEASES, INJURIES AND DEFORMITIES.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>TO SUPPORT THE RESEARCH ENDEAVORS AND EDUCATION OF FUTURE ORTHOPAEDIC SURGEONS IN TRAINING.</DescriptionProgramSrvcAccomTxt>
        <ProgramServiceExpensesAmt>2994</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>2994</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JAMES L COOK DVM PHD OTSC</PersonNm>
        <TitleTxt>SEC/TREAS</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>000.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JAMES KEENEY MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>000.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DAVID VOLGAS MD</PersonNm>
        <TitleTxt>VICE PRES</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>000.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <PersonNm>BARRY GAINOR MD</PersonNm>
        <USAddress>
          <AddressLine1Txt>1100 VIRGINIA AVENUE</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65212</ZIPCd>
        </USAddress>
        <PhoneNum>5738821580</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>true</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc3">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>11800</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29800</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15350</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12575</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3900</CurrentTaxYearAmt>
        <TotalAmt>73425</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus2YearsAmt>114</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>114</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11800</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29800</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15464</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12575</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3900</CurrentTaxYearAmt>
        <TotalAmt>73539</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>73539</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>25</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>33</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16</CurrentTaxYearAmt>
        <TotalAmt>111</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>25</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>33</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16</CurrentTaxYearAmt>
        <TotalAmt>111</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>11825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29833</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15486</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3916</CurrentTaxYearAmt>
        <TotalAmt>73650</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99850</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99860</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleO documentId="RetDoc2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES CONFERENCE &amp; MEETINGS 2,994 MISCELLANEOUS FEES 31 TOTAL 3,025</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>TO FOSTER, PROMOTE, SUPPORT, AUGMENT, DEVELOP AND ENCOURAGE INVESTIGATIVE KNOWLEDGE OF ORTHOPAEDICS AND ITS MANY RAMIFICATIONS; TO DEVELOP AND ENCOURAGE THE TEACHING AND EDUCATION OF THE SAME BY DEVELOPING, PUBLISHING AND COPYRIGHTING EDUCATIONAL MATERIALS, AND TO PROVIDE SPECIALIZED TRAINING FOR ORTHOPAEDIC SURGEIONS AND OTHERS; TO FOSTER, PROMOTE, SUPPORT, AUGMENT, DEVELOP AND ENCOURAGE EDUCATION IN ALLIED PROFESSIONS IN THE RECOGNITION, PREVENTION AND ORTHOPAEDIC TREATMENT OF DISEASES, INJURIES AND DEFORMITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>