2017-06-08T11:40:45-05:00 2016-12-31 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2016-01-01 362405828 AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS AMER 8476786200 9700 W BRYN MAWR AVENUE ROSEMONT IL 60018 SCOTT C FARRELL EXECUTIVE DIRECTOR 8476786200 2017-06-05 1 Kimberly A Haumann P00546491 3122071040 2017-06-05 67.59.56.31 2017-06-05 14:05:33 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4F551198EC90A92CA2ED3AE42C89D47A164E6F16 2016 2021-01-29 14:40:06Z SCOTT C FARRELL 9700 W BRYN MAWR AVENUE ROSEMONT IL 60018 33450358 0 X WWW.AAOMS.ORG X 1918 IL TO ASSURE EXCELLENCE IN PATIENT CARE BY ADVANCING, PROMOTING, AND PROTECTING THE SPECIALTY OF ORAL AND MAXILLOFACIAL SURGERY, AND THE SKILL AND PROFESSIONALISM OF AAOMS MEMBERS. 11 6 63 310 759396 470270 207525 165150 15553118 15703524 1350504 -111584 1974938 1914137 19086085 17671227 291505 272892 0 0 7629072 7772569 14535 27888 0 9956624 9960850 17891736 18034199 1194349 -362972 23771765 27018825 9200160 11582225 14571605 15436600 TO ASSURE EXCELLENCE IN PATIENT CARE BY ADVANCING, PROMOTING, AND PROTECTING THE SPECIALTY OF ORAL AND MAXILLOFACIAL SURGERY, AND THE SKILL AND PROFESSIONALISM OF AAOMS MEMBERS. 0 0 SERVICE AND CONTINUING EDUCATION FOR APPROXIMATELY 9,000 ORAL AND MAXILLOFACIAL SURGEON MEMBERS. 0 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 162 0 1 63 1 1 1 0 0 0 1 1 0 X 11 6 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X MS KIMBERLY A MOLLEY 8476786200 9700 W BRYN MAWR Ave ROSEMONT IL 600185701 WILLIAM J NELSON PAST PRESIDENT OF THE BOARD 4.75 0.25 X X 51090 0 0 LOUIS K RAFETTO PRESIDENT/PAST PRES of the board 14.00 1.00 X X 97735 0 18000 DOUGLAS W FAIN PRESIDENT ELECT/PRES OF The board 19.00 1.00 X X 117720 0 0 BRETT L FERGUSON VICE PRESIDENT/PRESIDENT Elect 14.75 0.25 X X 92855 0 0 A THOMAS INDRESANO TRUSTEE/VICE PRESIDENT 9.75 0.25 X X 25785 0 18000 STEVEN R NELSON SPEAKER of the HOUSE OF Delegates 2.00 0.00 X X 17775 0 0 J DAVID JOHNSON JR TREASURER 9.00 1.00 X X 31340 0 18000 ROBERT S CLARK TRUSTEE 4.75 0.25 X 45450 0 0 VINCENT E DIFABIO TRUSTEE 4.75 0.25 X 7190 0 18000 MARK A EGBERT TRUSTEE 4.75 0.25 X 3075 0 0 PAUL M LAMBERT TRUSTEE 4.75 0.25 X 42699 0 18000 VICTOR L NANNINI TRUSTEE 4.75 0.25 X 27265 0 18000 BD TINER TRUSTEE 4.75 0.25 X 43025 0 18000 J DAVID MORRISON JR TRUSTEE 4.75 0.25 X 37705 0 0 PAUL SCHWARTZ TRUSTEE 4.75 0.25 X 2890 0 18000 ROBERT RINALDI EXECUTIVE DIRECTOR/FORMER EXECUTIVE DIRECTOR 38.00 2.00 X 113857 0 27586 SCOTT FARRELL CFO/EXECUTIVE DIRECTOR 36.00 4.00 X 356093 0 52141 KIMBERLY MOLLEY ASSOC EXEC DIR, OPS & BUS 38.00 2.00 X 165051 0 31965 KARIN WITTICH ASSOC EXECUTIVE DIRECTor 38.00 2.00 X 211564 0 45160 MARK ADAMS GENERAL COUNSEL 40.00 0.00 X 229777 0 52908 MARY SCHNITZER ASSOC EXECUTIVE DIRECTor 40.00 0.00 X 175055 0 37539 BARBARA CHOYKE ASSOC EXECUTIVE DIRECTor 40.00 0.00 X 148794 0 32658 RONALD SKIBA director of human resources 40.00 0.00 X 139904 0 57159 2183694 0 481116 16 0 1 0 ATHORN CLARK & PARTNERS 21 W 46TH ST STE 905 NEW YORK NY 10036 WEBSITE DESIGN & MARKETING 1656322 Personify Inc 6500 River Pl Blvd Bldg 3 Ste 120 Austin TX 78730 Software Implementation Services 257675 KELMSCOTT COMMUNICATIONS 1650 MALLETTE ROAD AURORA IL 60507 PRINTING AND MAILING 194911 NATIONAL BOARD OF MEDICAL EXAMINERS PO BOX 48006 NEWARK NJ 07101 TESTING SERVICES 192150 Bryan Cave Strategies PO Box 503089 St Louis MO 631503089 Lobbying Services 130000 7 165150 165150 MEMBERSHIP DUES & ASSESSMENTS 813920 7208494 7208494 ANNUAL MEETING REVENUES 541900 4033419 3958844 74575 MEETINGS & PROGRAMS 541900 3563613 3533013 30600 endorsement fees 900004 300000 300000 newsletter ads 541800 227025 227025 370973 121781 127196 121996 15703524 413431 413431 1555026 1555026 366091 350493 15598 15598 15598 14796888 15321903 -525015 -525015 -525015 450248 106735 343513 343513 17671227 15165645 759396 1581036 30000 242142 750 1396058 4331664 477265 1201676 365906 45549 47000 120000 27888 56154 956985 1037524 820211 304169 448702 1404264 3202898 348347 46459 PRINTING AND PUBLICATIO 733508 UNRELATED BUSINESS INCO 205525 EMPLOYEE DEVELOPMENT 79815 TEMPORARY HELP 51750 51990 18034199 55 43 4258289 6618749 387455 350335 78651 112715 1564176 1528932 10005526 6798069 3287261 3207457 14180878 15188094 15000 12500 23771765 27018825 1592494 1938752 223175 222800 6550465 8443688 834026 976985 9200160 11582225 X 14571605 15436600 14571605 15436600 23771765 27018825 -362972 1227967 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1 7262363 503602 -233065 270537 384454 -113917 698900 698900 3751100 3049675 701425 3755254 2236322 1518932 1800272 1512072 288200 3207457 8889 LIABILITY UNDER DEFERRED COMPENSATION PLAN 965928 illinois income taxes 2168 976985 X 19575834 1227967 983922 2211889 17363945 56154 251128 307282 17671227 18690334 838417 838417 17851917 56154 126128 182282 18034199 Part X, Line 2: The Association's adoption of GAAP regarding uncertain tax positions had no effect on its financial position as management believes the Association has no material unrecognized income tax benefits, including any potential risk of loss of its not-for-profit status. the association would account for any potential interest or penalties related to possible future liabilities for unrecognized income tax benefits as interest or other expense. Part XI, Line 2d - Other Adjustments: COST OF GOODS SOLD 106,735. SUBSIDIARY INCOME 526,694. RENTAL EXPENSE 350,493. Part XI, Line 4b - Other Adjustments: INTERCOMPANY ELIMINATIONS WITH SUBSIDIARY 251,128. Part XII, Line 2d - Other Adjustments: COST OF GOODS SOLD 106,735. SUBSIDIARY EXPENSES 381,189. RENTAL EXPENSE 350,493. Part XII, Line 4b - Other Adjustments: INTERCOMPANY ELIMINATIONS WITH SUBSIDIARY 126,128. EUROPE 0 0 AWARD TO RECIPIENTS LOCATED IN REGION ABSTRACT AWARD 750 EUROPE 0 0 PROGRAM SERVICES REIMBURSEMENT AND STIPEND TO SPEAK AT CONFERENCES 18988 NORTH AMERICA 0 0 PROGRAM SERVICES SENDING ORGANIZATON AGENTS TO ATTEND CONFERENCES 3974 EASt asia and the pacific 0 0 PROGRAM SERVICES REIMBURSEMENT AND STIPEND TO SPEAK AT CONFERENCES 23889 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES REIMBURSEMENT AND STIPEND TO SPEAK AT CONFERENCES 9115 EUROPE 0 0 PROGRAM SERVICES SENDING ORGANIZATON AGENTS TO ATTEND CONFERENCES 29436 0 0 0 0 0 0 86152 0 86152 0 0 0 0 0 0 X X X 1 national capital teleservices llc 1300 FIFTH STREET NE WASHINGTON DC 20002 PHONE SOLICITATIONS 0 54950 27878 27072 54950 27878 27072 Schedule G, Part I, Line 2b, Column (v) THE ORGANIZATION HAS AN AGREEMENT WITH A FUNDRAISING ORGANIZATION WHICH INCLUDES SOLICITING CONTRIBUTIONS ON BEHALF OF A RELATED POLITICAL ACTION COMMITTEE. THESE CONTRIBUTIONS ARE SENT DIRECTLY TO THE POLITICAL ACTION COMMITTEE. 1 Ohio State University 901 Woody Hayes Dr2020 Blankenship Hall Columbus OH 43210 316025986 501(c)3 10000 facultY educator development award University of Pennsylvania 3451 Walnut St Rm 329 Philadelphia PA 19104 231352685 501(c)3 10000 facultY educator development award University of Washington 1959 NE Pacific Ave Box 357134 Seattle WA 98195 916001537 501(c)3 10000 facultY educator development award 3 0 Faculty Educator Development Award 8 199642 Oral and Maxillofacial Regeneration 5 25000 Global Outreach Grants 4 10000 Resident Research Award Winers 2 4000 Oral Abstract Award Winners 3 2250 Poster Award Winners 5 1250 Part I, Line 2: The Association provides recurring grants for one major activity: Financial incentives to encourage oral and maxillofacial surgeons to accept faculty positions in our training programs (referred to as Faculty Educator Development Awards). An internal review committee determines the recipients of the Faculty Educator Development Awards based on applications, and the awardees are required to remain in a faculty position for at least six years. If they leave early, they are required to repay some of the grants. All other grants involve unrestricted funds. The Association's Board of Trustees approves funding following an evaluation of the merits concerning requests for funding. If the Association is not familiar with the organization requesting the funding, additional background information is obtained and presented to the Board of Trustees. X X X 1 1 X X X X X 0 0 0 SCOTT FARRELL CFO/EXECUTIVE DIRECTOR 292811 0 27000 0 36282 0 35851 0 16290 0 408234 0 0 0 KIMBERLY MOLLEY ASSOC EXEC DIR, OPS & BUS 148813 0 10522 0 5716 0 16800 0 15165 0 197016 0 0 0 KARIN WITTICH ASSOC EXECUTIVE DIRECTor 190147 0 13400 0 8017 0 26792 0 18368 0 256724 0 0 0 MARK ADAMS GENERAL COUNSEL 219964 0 2775 0 7038 0 24285 0 28623 0 282685 0 0 0 MARY SCHNITZER ASSOC EXECUTIVE DIRECTor 172078 0 3275 0 -298 0 20927 0 16612 0 212594 0 0 0 BARBARA CHOYKE ASSOC EXECUTIVE DIRECTor 139148 0 3275 0 6371 0 16666 0 15992 0 181452 0 0 0 RONALD SKIBA director of human resources 144428 0 1275 0 -5799 0 17838 0 39321 0 197063 0 0 0 Part I, Line 1a TRAVEL FOR COMPANIONS - THE PRESIDENT RECEIVED PAYMENT FOR AIRFARE FOR HIS SIGNIFICANT OTHER TO ACCOMPANY HIM TO MEETINGS WITHIN THE USA. ONE PERSON RECEIVED SUCH PAYMENTS. BOARD OFFICERS REPRESENTING AAOMS AT NON-USA MEETINGS RECEIVED PAYMENTS FOR AIRFARE FOR SPOUSES TO ACCOMPANY THEM TO THESE MEETINGS. FOR INTERNATIONAL MEETINGS, THE ACCEPTED CUSTOM IS TO HAVE A SPOUSE/SIGNIFICANT OTHER REPRESENTING AAOMS AT ALL SOCIAL FUNCTIONS. THIS HELPS BRIDGE SOME OF THE CULTURAL GAPS THAT EXIST ACCROSS THE WORLD. ONE PERSON RECEIVED PAYMENTS FOR SPOUSAL INTERNATIONAL TRAVEL. ALL PAYMENTS FOR TRAVEL FOR COMPANIONS WERE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. HEALTH CLUB DUES - THE ASSOCIATION PAID HEALTH CLUB DUES FOR THE EXECUTIVE DIRECTOR PER HIS EMPLOYMENT AGREEMENT. ALL SUCH PAYMENTS WERE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. Form 990, Part VI, Section A, line 6 The Association is comprised of members of the dental profession that 1) have special qualifications, including training in oral and maxillofacial surgery; and 2) have completed all requirements of membership as spelled out in the Association's Bylaws. Form 990, Part VI, Section A, line 7a All 102 members of the House of Delegates are elected by members of the Association. The House of Delegates elects 11 members of the Board of Trustees, who are ex-officio members of the House of Delegates. The Board of Trustees is the administrative governing body of the Association, vested with full power to conduct all business of the Association subject to the laws of the State of Illinois, the Articles of Incorporation, the Constitution and Bylaws, and the mandates of the House of Delegates. Form 990, Part VI, Section A, line 7b Certain decisions of the Board of Trustees are subject to the approval of the House of Delegates, which consists of 102 members of the Association in good standing which represent each state in the Union, the District of Columbia, the Commonwealth of Puerto Rico, and each branch of the five federal dental services. Any revisions to the Association's "Code of Professional Conduct and Guidelines for Filing a Complaint of Violation" proposed by the Board of Trustees must be approved by the House of Delegates. The House of Delegates also considers the annual reports of the Board of Trustees and acts on resolutions and recommendations contained in the reports. The House of Delegates approves all membership elections proposed by the Board of Trustees, and also approves the annual budget and any withdrawal of funds from a designated Reserve Fund. Form 990, Part VI, Section B, line 11b The Board of Trustees, being the administrative governing body of the Association, is responsible for the review of the annual Form 990 filing. The Finance and Audit Committee of the Board of Trustees, consisting of 5 of the 11 Board members, reviews the filing annually when they meet with the outside public accounting firm to review the prior year's financial statement audit. Once approved by the Finance and Audit Committee, the Form 990 is distributed to the remaining members of the Board of Trustees for their review, prior to filing. Form 990, Part VI, Section B, line 12c All officers, trustees, committee members, members of the Association's staff, and speakers at educational sessions must annually provide a signed statement listing any and all potential conflicts of interest involving possible financial gain or loss that could result from an action taken in their capacity as an Association representative or employee. Failure to comply with the disclosure provisions may result in dismissal from Association activities. The Association's General Counsel reviews all disclosure statements, and reports any items of potential concern to the Executive Director. Once disclosure has been made, the Association Committee/Agency on which such individual serves may proceed to take action with or without the interested member. If, in the opinion of the chair of the committee/agency or the president, a member has a direct conflict of interest, that member shall abstain from any agency vote or action related to the subject of the conflict. The Association's Executive Director is responsible for sharing conflict of interest disclosures with the President or chair. Additionally, at each face-to-face meeting of the Board of Trustees, an opening agenda item reviews the Association's conflict of interest policy, requiring any Board member to disclose a potential conflict of interest that has not previously been reported. Form 990, Part VI, Section B, line 15 The five members of the Executive Committee of the Board of Trustees review and approve all compensation decisions affecting the Executive Director. On an annual basis, the Executive Committee reviews the Executive Director's performance goals that were established for the review period, and whether or not each goal was achieved and to what level. For key employees, the Executive Committee reviews similar information that has been reviewed and approved by the Executive Director in consultation with the manager of Human Resources. Every three years, the Association hires an outside independent consultant who reviews all staff position descriptions and benchmark data compiled from other Association compensation data from similar organizations. Following this review, the consultant provides salary ranges for each member of the Association staff. Ranges for the Executive Director and key employees are shared with the Executive Committee to provide the necessary framework to make compensation decisions. The Executive Committee also receives comparative compensation data for CEO/Executive Director and all other relevant positions that has been compiled by the American Society of Association Executives (national data), and their local chapter, the Association Forum of Chicago. Formal meeting minutes of the Executive Committee's deliberations are compiled and filed. Form 990, Part VI, Section C, line 19 The Association's Governing Rules and Regulations contains the governing documents and the Conflict of Interest Policy of the organization. This publication is available free of charge to members of the Association. It is not available to the general public. The Association's Audited Financial Statements are distributed annually to each member of the House of Delegates. The Board of Trustees receives all monthly financial statements, in addition to the audited financial statements. Financial statements are not available to the general public, except the financial data that is presented in the annual Form 990. financial statements are provided yearly to dun & bradstreet for publication. OMSPAC 9700 W BRYN MAWR AVE ROSEMONT IL 60018 237148497 POLITICAL ACTION COMMITTEE IL 527 0 AAOMS SERVICES INC 9700 W BRYN MAWR AVE ROSEMONT IL 60018 364019908 MEMBER SERVICES IL AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS C 526694 353210 1.00000 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 0 AAOMS SERVICES INC F 125000 ACTUAL AMOUNT PAID AAOMS SERVICES INC O 49138 ACTUAL AMOUNT PAID AAOMS SERVICES INC Q 145690 ACTUAL AMOUNT PAID omspac O 120478 ACTUAL AMOUNT PAID OMSPAC (PROMPT AND DIRECT TRANSFER OF CONTRIB COLLECTED ON BEHALF OF PAC) R 165361 ACTUAL AMOUNT PAID