2017-04-25T09:13:10-05:00 2016-12-31 390758449 Wipfli LLP PO Box 8010 Wausau WI 544028010 990 2016-01-01 391397899 American Society for Laser Medicine and Surgery Inc AMER 7158459283 2100 Stewart Avenue No 240 Wausau WI 54401 E Victor Ross MD Treasurer 7158459283 2017-03-27 1 Kathleen J LaBrake CPA P00164006 7158453111 2017-03-27 216.54.158.3 2017-03-27 08:07:25 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 520516BE750F051A303807C978889EE7AA321C07 2016 2021-01-29 14:40:06Z J DIANNE DALSKY 2100 Stewart Avenue No 240 Wausau WI 54401 4811787 0 X WWW.ASLMS.ORG X 1981 WI THE MISSION OF THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY IS TO PROMOTE EXCELLENCE IN PATIENT CARE BY ADVANCING BIOMEDICAL APPLICATION OF LASERS AND OTHER RELATED TECHNOLOGIES WORLD WIDE. 19 19 14 102 0 0 891569 919523 1481318 1502112 217399 154072 120952 123038 2711238 2698745 160819 147151 0 0 649419 704565 0 0 21137 1815016 1668373 2625254 2520089 85984 178656 5470029 5782568 1034039 1059235 4435990 4723333 X THE MISSION OF THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY (ASLMS)IS TO PROMOTE EXCELLENCE IN PATIENT CARE BY ADVANCING BIOMEDICAL APPLICATION OF LASERS AND OTHER RELATED TECHNOLOGIES WORLDWIDE.THE VISION OF ASLMS IS TO BE THE WORLD'S PRE-EMINENT RESOURCE FOR BIOMEDICAL LASER AND OTHER RELATED TECHNOLOGIES, RESEARCH, EDUCATION, AND CLINICAL KNOWLEDGE. 0 0 1249063 1156961 THE SOCIETY HOLDS AN ANNUAL CONFERENCE AT WHICH THEY OFFER VARIOUS PRESENTATIONS OF LASER RESEARCH APPLICATIONS AND DEVELOPMENTS TO INDIVIDUALS. 445240 123038 AS PART OF THEIR ANNUAL MEMBERSHIP TO THE SOCIETY, MEMBERS RECEIVE A JOURNAL SUBSCRIPTION, ELECTRONIC NEWSLETTERS, AND HAVE ACCESS TO AN ONLINE DIRECTORY. THE VARIOUS PUBLICATIONS ARE DESIGNED TO KEEP MEMBERS CURRENT ON LASER TECHNOLOGY. ELEVEN ISSUES OF THE OFFICIAL JOURNAL OF THE ASLMS WERE PUBLISHED IN 2016. 147151 147151 GRANTS FOR RESEARCH, STUDENT TRAVEL AND PROFESSIONAL DEVELOPMENT. 188852 345151 OTHER PROGRAM SERVICES RELATE TO COURSES AND SEMINARS AS PART OF REGIONAL OR ONLINE EDUCATION PROGRAMS. 188852 345151 2030306 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 14 1 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X J DIANNE DALSKY 7158459283 2100 Stewart Ave STE 240 WAUSAU WI 54401 KRISTEN M KELLY MD PRESIDENT 0.50 X X 0 0 0 MATTHEW M AVRAM MD JD PRESIDENT-ELECT 0.50 X X 0 0 0 ERIC F BERNSTEIN MD MSE VICE PRESIDENT 0.50 X X 0 0 0 E VICTOR ROSS MD TREASURER 0.50 X X 0 0 0 SUZANNE L KILMER MD SECRETARY 0.50 X X 0 0 0 J STUART NELSON MD PhD HISTORIAN 0.50 X X 0 0 0 ROBERT A WEISS MD PAST PRESIDENT 0.50 X 0 0 0 M CRISTINA CHAVANTES MD PhD (2019) BASIC SCIENCE REPRESENTATIVE 0.50 X 0 0 0 Merete Haedersdal MD (2019) BASIC SCIENCE REPRESENTATIVE 0.50 X 0 0 0 Bahman Anvari PhD (2017) BIOMEDICAL ENGINEERING REPRESENTATIVE 0.50 X 0 0 0 Richard Bankowski (2017) INDUSTRIAL/MARKETING REPRESENTATIVE 0.50 X 0 0 0 Brian A Pryor PhD (2019) INDUSTRIAL/R&D REPRESENTATIVE 0.50 X 0 0 0 Gerald N Goldberg MD (2019) LASER MEDICINE REPRESENTATIVE 0.50 X 0 0 0 Emil A Tanghetti MD (2018) LASER MEDICINE REPRESENTATIVE 0.50 X 0 0 0 David H McDaniel MD (2019) LASER SAFETY REPRESENTATIVE 0.50 X 0 0 0 Paul M Friedman MD (2018) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 Ashish C Bhatia MD FAAD (2019) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 Petra Wilder-Smith DDS PhD (2018) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 Mary Stoll BS RN (2017) NURSING/ALLIED HEALTH REPRESENTATIVE 0.50 X 0 0 0 J DIANNE DALSKY EXECUTIVE DIRECTOR 40.00 X 81365 0 20514 81365 0 20514 0 0 0 0 Production Associates 1900 Campus Commons Dr Ste 100 Reston VA 20191 Production Associates 259749 John Wiley & Sons Inc PO Box 416502 Boston MA 022416502 John Wiley & Sons, Inc. 200000 Levy Restaurants PO Box 990163 Boston MA 02199 Levy Restaurants 125708 3 739258 131861 48404 919523 Annual Conference 611430 1156961 1156961 Courses & Seminars 611430 225361 225361 119790 119790 1502112 75702 75702 123038 123038 2175373 2097003 78370 78370 78370 16039 131861 16039 0 2698745 1625150 0 154072 107457 107457 27193 27193 12501 12501 101878 66221 32601 3056 445168 289359 142454 13355 20948 13617 6703 628 98785 64210 31611 2964 37786 24561 12091 1134 56410 36667 19743 45893 29830 16063 30480 30480 114326 74533 39793 110663 104553 6110 95172 61862 33310 746036 703249 42787 53949 35067 18882 36018 36018 Seminars & Courses 250970 250970 SEMINARS & COURSES 89000 89000 preceptorship Expense 31922 31922 Membership Promotion 7262 7262 272 272 2520089 2030306 468646 21137 100 100 207064 351387 563972 342326 175644 196582 582985 241043 248593 341942 4271274 4547132 3382 3099 5470029 5782568 70883 94682 963156 964553 1034039 1059235 X 2780383 2928713 211658 319062 1443949 1475558 4435990 4723333 5470029 5782568 178656 108687 0 X X 0 1 X 1 0 X 1087518 1312365 1298319 891569 919523 5509294 1232388 1392198 1409600 1481318 1502112 7017616 23083 22718 20845 22155 16039 104840 2342989 2727281 2728764 2395042 2437674 12631750 157774 155555 15808 60745 25848 415730 0 157774 155555 15808 60745 25848 415730 12216020 146995 164603 201582 194324 198740 906244 146995 164603 201582 194324 198740 906244 2489984 2891884 2930346 2589366 2636414 13537994 0.90240 0.90560 0.06690 0.06490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3017127 31609 155025 10805 17984 3174972 2974001 68436 4529 13293 16546 3017127 2463105 442128 100975 17413 14794 2974001 1763509 468921 250589 19914 2463105 1407120 213164 152051 8826 1763509 0.52020 0.46480 0.01500 0 0 582985 241043 341942 341942 X 2792991 108687 108687 2684304 30480 -16039 14441 2698745 2505648 16039 16039 2489609 30480 30480 2520089 Part V, Line 4: The Society's endowments consist of four funds established to benefit the Society for a variety of purposes. The Society has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowments while seeking to preserve the fair value of the endowment assets. Part X, Line 2: The Society is a tax-exempt organization as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Society is also exempt from state income tax. Part XI, Line 4b - Other Adjustments: FUNDRAISING EVENT EXPENSE -16,039. Part XII, Line 2d - Other Adjustments: FUNDRAISING EVENT EXPENSE 16,039. 0 0 0 0 0 0 0 0 0 0 TRAVEL GRANTS South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 1 929 WIRE TRANSFER TRAVEL GRANTS Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgiu 11 10573 WIRE TRANSFER TRAVEL GRANTS East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 1 1000 WIRE TRANSFER 0 0 0 0 0 0 Part I, Line 2: Per the grant application: Applicants will have 60 days of the award being made to provide evidence they are aggressively pursuing approval. Each grant recipient's situation will be monitored and evaluated individually, and at a point in time that it appears approval will not be given, or the applicant is not diligent in pursuing approval, the grant award will be withdrawn. ASLMS MONITORS THE USE OF GRANT FUNDS BY REQUIRING THE RECIPIENTS TO SIGN A GRANT ACCEPTANCE FORM WHICH OUTLINES THE GRANT FINANCING AND GRANT EXPENDITURE REPORTING REQUIREMENTS. BY SIGNING THE ACCEPTANCE FORM, THE RECIPIENT AGREES TO THE DESCRIBED SCHEDULE OF GRANT PAYMENTS, THE RECIPIENT AGREES TO RETURN ALL REASEARCH GRANT FUNDS WHICH ARE NOT EXPENDED IN THE COMPLETION OF THE RESEARCH PROJECT, AND THAT UPON REQUEST BY ASLMS, THE RECIPIENT WILL PROMPTLY PROVIDE THE SOCIETY WITH A SUMMARY OF THE FUNDS EXPENDED BY THE RECIPIENT ON THE RESEARCH PROJECT. SILENT AUCTION 147900 131861 16039 16039 147900 131861 16039 16039 16039 0 1 University of Texas Medical Branch 301 University Blvd Galveston TX 77555 174600094 170(c)(1) 5000 RESEARCH Johns Hopkins University LATROBE HALL 3400 N CHARLES ST Baltimore MD 21218 520595110 501(c)(3) 38409 RESEARCH University of Arkansas 210 Administration Building Fayetteville AR 72701 716003252 501(c)(3) 5000 RESEARCH UCLA 11000 Kinross Ave Ste 211 Los Angeles CA 90095 956006143 501(c)(3) 5000 RESEARCH UC San Diego 9500 Gilman Drive 0934 La Jolla CA 92093 956006144 501(c)(3) 15640 RESEARCH University at Buffalo 12 Capen Hall Buffalo NY 142601660 141368361 501(c)(3) 38408 RESEARCH 5 1 Travel Grant 19 17193 Horace Furumoto Award 1 9000 RICHARD FTIZPATRICK AWARD 1 1000 Part I, Line 2: Per the grant application: Applicants will have 60 days of the award being made to provide evidence they are aggressively pursuing approval. Each grant recipient's situation will be monitored and evaluated individually, and at a point in time that it appears approval will not be given, or the applicant is not diligent in pursuing approval, the grant award will be withdrawn. ASLMS MONITORS THE USE OF GRANT FUNDS BY REQUIRING THE RECIPIENTS TO SIGN A GRANT ACCEPTANCE FORM WHICH OUTLINES THE GRANT FINANCING AND GRANT EXPENDITURE REPORTING REQUIREMENTS. BY SIGNING THE ACCEPTANCE FORM, THE RECIPIENT AGREES TO THE DESCRIBED SCHEDULE OF GRANT PAYMENTS, THE RECIPIENT AGREES TO RETURN ALL REASEARCH GRANT FUNDS WHICH ARE NOT EXPENDED IN THE COMPLETION OF THE RESEARCH PROJECT, AND THAT UPON REQUEST BY ASLMS, THE RECIPIENT WILL PROMPTLY PROVIDE THE SOCIETY WITH A SUMMARY OF THE FUNDS EXPENDED BY THE RECIPIENT ON THE RESEARCH PROJECT. Form 990, Part VI, Section A, line 6 THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY UTILIZES AN INDUSTRY ADVISORY COUNCIL, MADE UP OF 12 MEMBERS WHICH ARE ORGANIZATIONS. THERE ARE THREE CLASSES OF VOTING MEMBERS. ASSOCIATES ARE SCIENTIST, PHYSICIANS, OR OTHER HEALTH CARE PROFESSIONAL. FELLOWS ARE ASSOCIATES WHO ACTIVELY PARTICIPATE IN THE SOCIETY AND HAVE BEEN IN GOOD STANDING FOR A PERIOD OF TIME SPECIFIED BY THE BOARD OF DIRECTORS. LIFE MEMBERS ARE ASSOCIATES OR FELLOWS ARE PHYSICALLY UNABLE TO CONTINUE IN SCIENTIFIC, BIOLOGICAL, OR MEDICAL PRACTICE OR HAVE RETIRED FROM THESE INDUSTRIES. Form 990, Part VI, Section A, line 7a Members vote to elect officers and Board representatives. Form 990, Part VI, Section A, line 7b By-law revising voted on by members. Form 990, Part VI, Section B, line 11b A COPY OF THE FINAL FORM 990 IS DISTRIBUTED TO EACH MEMBER OF THE GOVERNING BODY (BOARD MEMBERS) BEFORE FINAL SUBMISSION TO THE IRS. Form 990, Part VI, Section B, line 12c Society officers, members of the Board of Directors and candidates for those positions, as well as committee members, shall disclose financial interests, potential conflicts of interest and any information requested by states in which the Society is registered as a charitable organization by completing and signing a disclosure statement on an annual basis and as disclosure information changes. All members of the Board of Directors and of committees established by the Board shall verbally disclose actual and potential conflicts of interest involving any pertinent item on a Board or committee agenda and shall recuse from discussion and voting. The Secretary shall record such disclosures and recusals in the minutes. Form 990, Part VI, Section B, line 15a Each year, the Human Resource Committee approves the incentive packages offered to key employees. The Board of Director's Finance Committee approves the yearly budget, which includes the salaries of these employees. In order to determine salary reasonableness, a published study was used for comparability. At the November Board meeting the budget, including salaries, was approved. Form 990, Part VI, Section C, line 19 The organization's governing documents, financial statements and conflict of interest policy are available upon request. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.