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        <MannerOfCashDisbursementTxt>Bank transf.</MannerOfCashDisbursementTxt>
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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Education</PurposeOfGrantTxt>
        <CashGrantAmt>20979</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Bank transf.</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Education</PurposeOfGrantTxt>
        <CashGrantAmt>6777</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Bank transf.</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="14000265" softwareVersionNum="2014v5.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sexual Medof NAmericaSMSNA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2950 Cleveland Clinic Blvd</AddressLine1Txt>
          <CityNm>Weston</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33331</ZIPCd>
        </USAddress>
        <CashGrantAmt>12583</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Education</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>Require a submission of a proposal by the grantee. The funds are disbursed in thirds: the first third is given upon the award of the grant to the grantee, the next third is given half way through completion of the project for which the grant is given, and the final third is given when a progress report is supplied to the board for review. If a progress report is not supplied, the final third is not disbursed and the grantee will not be able to receive future grants.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000265" softwareVersionNum="2014v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: To produce best practice statements on Hypogonadism for primary care practitioners and specialists, and to develop an educational website and web dissemination strategy with the educational information on hypogonadism, TRT and discussions important to mens health. OTHER PROGRAM SERVICES 5: To promote the publication and encourage contributions to the medical and scientific literature in the field of sexual function to support emerging regions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSM has the following types of members:Full members, associate members, and honorary members</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>A nominating committee shall be formed for each election. The nominating committee shall be chaired by the immediate past-president of the society. The nominating committee shall consist of all past-presidents plus one member from each Regional Society. Each Regional Society shall determine whether its representative to the Nominating Committee shall be elected by members of the Regional Society or shall be appointed by its Board of Directors. The term of office of each Regional Society representative shall be two years. The Nominating Committee shall nominate one candidate for each open position. In addition to the candidates nominated by the Nominating Committee, any member of the Society who is not delinquent of dues or ineligible by law to serve as a company director in the State of California may be nominated for election by presenting to the Secretary General a petition for nomination signed by any 20 full members of the society. There will not be nominations from the floor during the biennial meeting of the members.In an election at the biennial meeting of the members, the candidate for each office receiving the most votes shall be elected.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Any action that may be taken at any regular or special meeting of members may be taken without a meeting. If an action is taken without a meeting, the Society must distribute a written ballot to every member entitled to vote on the matter. The ballot must state the proposed action, provide an opportunity to specify approval or disapproval of any proposal, and provide a reasonable time within which to return the ballot to the Society. Such ballot may be taken by electronic transmission but only for a matter referred by the Board of Directors. Approval by written ballot is valid only when the number of votes cast by ballot within the time period specified equals or exceeds the quorum required to be present at a meeting authorizing the action, and the number of approvals equals or exceeds the number of votes that would be required to approve at a meeting at which the total number of votes cast was the same as the number of votes cast by ballot.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 10b: Explanation of No Written Policies and Procedures for Chapters, Branche</FormAndLineReferenceDesc>
        <ExplanationTxt>The affiliates are independent organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the executive committee for errors and omissions before it is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is available on GuideStar website, www.guidestar.org. Registration on the site is required in order to view the return, but there is no charge. Other documents are disclosed upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Addition to other reserve = $52744</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Currency conversion change = -$452593</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>