2015-02-12T09:47:21-06:00 2014-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-07-01 596144450 PLASTIC SURGERY FOUNDATION PLAS 8472289900 444 EAST ALGONQUIN ROAD ARLINGTON HEIGHTS IL 60005 MARK ESPINOSA STAFF VICE PRESIDENT, FIN & ADMIN 8472289900 2015-02-12 1 RONALD BASTIAN P00748397 3123680500 2013 2016-02-25 16:41:14Z MARK ESPINOSA 444 EAST ALGONQUIN ROAD ARLINGTON HEIGHTS IL 60005 11786712 0 X WWW.PLASTICSURGERY.ORG X 1948 IL THE PSF PROMOTES THE HIGHEST STANDARDS IN RESEARCH AND EDUCATION FOR PLASTIC SURGERY, OUR MEMBERS, AND THEIR PATIENTS. 24 21 0 505 0 0 1773897 2264894 0 8916 669750 840671 -149058 -486989 2294589 2627492 791419 1220292 0 0 533542 479850 0 0 110834 768653 739522 2093614 2439664 200975 187828 15200044 16322403 1946269 2103730 13253775 14218673 THE PSF PROMOTES THE HIGHEST STANDARDS IN RESEARCH AND EDUCATION FOR PLASTIC SURGERY, OUR MEMBERS, AND THEIR PATIENTS. 0 0 2057661 1220292 8916 TO DEVELOP AND SUPPORT THE DOMESTIC AND INTERNATIONAL RESEARCH AND PUBLIC SERVICE ACTIVITIES OF PLASTIC SURGEONS THROUGH EDUCATIONAL GRANTS AND RESEARCH AWARDS. 2057661 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 1 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 X 24 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X MARK ESPINOSA 8472283341 444 EAST ALGONQUIN RD ARLINGTON HEIGHTS IL 600054664 KEVIN C CHUNG MD PSF PRESIDENT 10.00 10.00 X X 0 15668 0 NICHOLAS B VEDDER MD PSF PRESIDENT-ELECT 10.00 10.00 X X 0 0 0 ROBERT X MURPHY JR MD ASPS PRESIDENT 10.00 20.00 X X 0 51266 0 SCOT B GLASBERG MD ASPS PRESIDENT-ELECT 10.00 20.00 X X 0 0 0 DAVID H SONG MD BOARD VP - FINANCE & TREAS 10.00 10.00 X X 0 0 0 CHARLES E BUTLER MD BOARD VP - RESEARCH 10.00 10.00 X X 0 0 0 DEBRA J JOHNSON MD BOARD VP - HEALTH POLICY 10.00 10.00 X X 0 0 0 JEFFREY E JANIS MD BOARD VP - EDUCATION 10.00 10.00 X X 0 0 0 KEITH E BRANDT MD BOARD VP - ACADEMIC AFFAIR 10.00 10.00 X X 0 0 0 LYNN L C JEFFERS MD MEMBER-AT-LARGE 10.00 10.00 X 0 0 0 MICHAEL W NEUMEISTER MD AAHS REPRESENTATIVE 10.00 10.00 X 0 0 0 JOSEPH E LOSEE MD ACAPS REPRESENTATIVE 10.00 10.00 X 0 0 0 ROBERT J HAVLIK MD ASMS REPRESENTATIVE 10.00 10.00 X 0 0 0 HOWARD M CLARK MD ASPN REPRESENTATIVE 10.00 10.00 X 0 0 0 PETER C NELIGAN MB ASRM REPRESENTATIVE 10.00 10.00 X 0 0 0 GARY A SMOTRICH MD COUNCIL OF STATE AFFAIRS 10.00 10.00 X 0 0 0 BABAK J MEHRARA MD PSRC REPRESENTATIVE 10.00 10.00 X 0 0 0 GREGORY RD EVANS MD ASPS IMMEDIATE PAST PRESID 10.00 10.00 X X 0 87866 0 CHARLES N VERHEYDEN MD PSF IMMEDIATE PAST PRESIDE 10.00 10.00 X X 0 0 0 J PETER RUBIN MD MEMBER-AT-LARGE 10.00 10.00 X 0 0 0 RICHARD A D'AMICO MD TRUSTEE 10.00 10.00 X 0 0 0 LINDA G PHILLIPS MD TRUSTEE 10.00 10.00 X 0 0 0 MICHAEL E REED LEGAL COUNSEL 10.00 10.00 X 0 0 0 MICHAEL COSTELLOE EXECUTIVE VICE PRESIDENT 10.00 50.00 X X 0 460533 44469 C BOB BASU MD YPS REPRESENTATIVE 10.00 10.00 X 0 0 0 ANUP PATEL MD RESIDENT REPRESENTATIVE 10.00 10.00 X 0 0 0 ROBERT MICEK STAFF VP & CFO 5.00 50.00 X X 0 184096 30817 KEITH HUME STAFF VP & COO, PSF 5.00 50.00 X X 0 209491 38831 KAROL A GUTOWSKI MD NEPS COUNCIL OF ADVISORS 10.00 10.00 X 0 0 0 0 1008920 114117 0 0 1 0 REDFEARN & ASSOCIATES LLC 127 GRANDVIEW STREET ENCINITAS CA 92024 EVENT COORDINATOR 129605 1 625325 1639569 1500 2264894 MEETINGS / CONFERENCES 900099 8916 8916 8916 389334 389334 8845568 8394231 451337 451337 451337 278000 625325 764989 -486989 -486989 2627492 8916 0 353682 X 1162792 1162792 7000 7000 50500 50500 51753 51753 428097 338868 12710 76519 20303 166 20137 18211 18211 82235 82235 265262 247877 4296 13089 148010 150281 -2226 -45 21028 15214 600 5214 142998 61087 79564 2347 28893 11294 3889 13710 12582 12582 2439664 2057661 271169 110834 85818 241899 2375043 2435818 62882 76848 27151 32048 69521 75494 12582 0 62912 10679760 11448467 1636253 1620557 314274 353196 15200044 16322403 391444 506183 1554825 1597547 1946269 2103730 X 5398270 5506778 2699022 3346400 5156483 5365495 13253775 14218673 15200044 16322403 187828 777070 0 X 0 1 X 1 0 X X X 0 0 0 AMERICAN SOCIETY OF PLASTIC SURGEONS 941535436 501(C)6 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5391413 199012 5590425 5357423 33990 5391413 5322870 24553 5357423 5285426 37444 5322870 5230233 55193 5285426 0.04020 0.95980 0 0 75494 12582 62912 62912 COMMON COLLECTIVE TRUSTS 1235294 F LIMITED PARTNERSHIP 385263 F 1620557 DUE TO RELATED ORGANIZATION 1597547 1597547 X 3322327 777070 777070 2545257 82235 82235 2627492 2357429 0 2357429 82235 82235 2439664 PART V, LINE 4: THE ORGANIZATION USES THE INVESTMENT EARNINGS OF THE ENDOWMENT FUND TO FUND GRANTS TO FURTHER RESEARCH IN THE FIELD OF PLASTIC SURGERY. ALSO FUNDS MAY BE WITHDRAWN FROM THE ENDOWMENT FUND TO BE USED EXCLUSIVELY FOR SUCH PURPOSES AS SPECIFIED BY THE BOARD OF DIRECTORS IN AUTHORIZING THE WITHDRAWAL. PART X, LINE 2: THE FOUNDATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. THE FOUNDATION'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. 1 0 0 0 0 0 0 0 0 0 INTERNATIONAL SCHOLAR AWARD PHILLIPINES 1 11250 CHECK INTERNATIONAL SCHOLAR AWARD ETHIOPIA 1 11250 CHECK INTERNATIONAL SCHOLAR AWARD THAILAND 1 8000 CHECK INTERNATIONAL SCHOLAR AWARD BRAZIL 1 8000 CHECK INTERNATIONAL SCHOLAR AWARD NIGERIA 1 6000 CHECK INTERNATIONAL SCHOLAR AWARD PERU 1 6000 CHECK 0 0 0 0 0 0 PART I, LINE 2: EVERY GRANT FUNDING REQUEST THAT IS SUBMITTED, CONSIDERED AND REVIEWED BY THE PLASTIC SURGERY FOUNDATION (THE PSF) MUST CONTAIN AN ITEMIZED BUDGET WITH AN ACCOMPANYING BUDGET JUSTIFICATION. THE BUDGET AND THE APPROPRIATE USE OF FUNDS ARE EVALUATED WHEN DETERMINING WHETHER OR NOT A GRANT APPLICATION WILL BE FUNDED. WHEN A GRANT IS AWARDED, EACH INSTITUTION COMPLETES A GRANT AGREEMENT THAT OUTLINES THE TERMS OF THE GRANT AWARD. THE PSF ISSUES INITIAL FUNDS AT TIME THE CONTRACT IS EXECUTED, ACCORDING TO A PERCENTAGE OF THE TOTAL BUDGET. THE PSF THEN REQUESTS PROJECT PROGRESS REPORTS AT SIX AND TWELVE MONTHS. DEPENDENT UPON THE SPECIFIC GRANT PROGRAM AN APPLICATION APPLIED TO THE PSF WILL: 1) DISBURSE INITIAL FUNDS AND A FINAL DISBURSEMENT AFTER RECEIPT OF A FINAL PROGRESS REPORT; OR 2) DISBURSE INITIAL FUNDS AND A SECOND. SCHEDULE F, PART III ACCRUAL - US GAAP CARING FOR KIDS 903325 625325 278000 11850 60055 263674 429410 903325 625325 278000 11850 60055 263674 429410 764989 -486989 1 AMERICAN ASSOCIATION OF PLASTIC SURGEONS 500 CUMMINGS CENTER SUITE 450 BEVERLY MA 01915 946118700 501(C) 3 20000 RESEARCH FUNDING THE REGENTS OF UNIVERSITY OF MICHIGAN 3003 S STATE STREET ROOM 1054 ANN ARBOR MI 481091274 386006309 501(C) 3 110842 RESEARCH FUNDING UNIVERSITY OF PITTSBURGH 4200 FIFTH AVENUE PITTSBURGH PA 15213 250965591 501(C) 3 67850 RESEARCH FUNDING SIU SCHOOL OF MEDICINE 801 N RUTLEDGE ST RM 2077 SPRINGFIELD IL 627949616 376005961 501(C) 3 63501 RESEARCH FUNDING DUKE UNIVERSITY PO BOX 602651 CHARLOTTE NC 282602651 560532129 501(C) 3 19057 RESEARCH FUNDING STANFORD UNIVERSITY 301 RAVENSWOOD AVE MENLO PARK CA 940253434 941156365 501(C) 3 10974 RESEARCH FUNDING THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA P-221 FRANKLIN BLDG 3451 WALNUT STREET MAIL BOX P204-6205 PHILADELPHIA PA 191046205 231352685 501(C) 3 5000 RESEARCH FUNDING THE UNIV OF NC AT CHAPEL HILL 104 AIRPORT DR STE 2200 CHAPEL HILL NC 275991350 566001393 501(C) 3 5000 RESEARCH FUNDING MEMORIAL SLOAN-KETTERING CANCER CENTER 1275 YORK AVE NEW YORK NY 10065 131924236 501(C) 3 28000 RESEARCH FUNDING UNIVERSITY OF WISCONSIN - MADISON 750 UNIVERSITY AVE MADISON WI 53706 396006492 501(C) 3 9784 RESEARCH FUNDING MASSACHUSETTS GENERAL HOSPITAL 101 HUNTINGTON AVE SUITE 300 BOSTON MA 02199 042697983 501(C) 3 18000 RESEARCH FUNDING JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE 12529 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 520595110 501(C) 3 26811 RESEARCH FUNDING CHILDREN'S HOSPITAL CORP 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C) 3 54000 RESEARCH FUNDING BETH ISRAEL DEACONESS MEDICAL CENTER INC 330 BROOKLINE AVENUE BOSTON MA 02215 042103881 501(C) 3 45000 RESEARCH FUNDING BRINGHAM AND WOMEN'S HOSPITAL INC 101 HUNTINGTON AVE SUITE 300 BOSTON MA 02199 042312909 501(C) 3 45000 RESEARCH FUNDING PALO ALTO INSTITUTE FOR RESEARCH & EDUCATION INC 3801 MIRANDA AVE PO BOX V-38 PALO ALTO CA 943040038 624218814 501(C) 3 45000 RESEARCH FUNDING UCLA REGENTS 11000 KINROSS AVENUE LOS ANGELES CA 900951406 956006143 501(C) 3 45000 RESEARCH FUNDING SAINT LOUIS UNIVERSITY 3700 WEST PINE MALL ST LOUIS MO 63108 430654872 501(C) 3 44728 RESEARCH FUNDING UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST SAN FRANCISCO CA 94143 946036493 501(C) 3 40000 RESEARCH FUNDING UNIVERSITY OF SOUTHERN CALIFORNIA 700 ROSEDALE AVENUE ST LOUIS MO 631121408 143065361 501(C) 3 39830 RESEARCH FUNDING PHYSICIANS INSTITUTE OF COSMETIC AND RECONSTRUCTIVE SURGERY 3449 JOHNSON ST HOLLYWOOD FL 33021 650854670 501(C) 3 25000 RESEARCH FUNDING EVELYN'S BREAST FRIENDS FOREVER 1221 W 243RD ST HARBOR CITY CA 90710 451606929 501(C) 3 20000 RESEARCH FUNDING GATEWAY TO HOPE 845 N NEW BALANCE COURT ST LOUIS MO 63141 202737792 501(C) 3 20000 RESEARCH FUNDING MY HOPE CHEST PO BOX 3081 SEMINOLE FL 33775 200299888 501(C) 3 20000 RESEARCH FUNDING WASHINGTON UNIVERSITY IN ST LOUIS 700 ROSEDALE AVENUE ST LOUIS MO 631121408 143065361 501(C) 3 18000 RESEARCH FUNDING JOHN & SANDFORD I WEILL MED COLLEGE OF CORNELL UNIVERSITY 575 LEXINGTON AVE NEW YORK NY 10022 131623978 501(C) 3 14000 RESEARCH FUNDING BREAST TREATMENT TASK FORCE 150 WEST 25TH ST NEW YORK NY 10001 134018407 501(C) 3 10000 RESEARCH FUNDING BUSTED FOUNDATION 7510 W SUNSET BLVD LOS ANGELES CA 90046 261428078 501(C) 3 10000 RESEARCH FUNDING LIVING BEYOND BREAST CANCER 354 WEST LANCASTER AVENUE HAVERFORD PA 19041 232734689 501(C) 3 10000 RESEARCH FUNDING SAN FRANCISCO GENERAL HOSPITAL FOUNDATION 2789 25TH STREET SAN FRANCISCO CA 94110 943189424 501(C) 3 10000 RESEARCH FUNDING THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA PO BOX 400195 CHARLOTSVILLE VA 299044195 546001096 501(C) 3 9000 RESEARCH FUNDING UNIVERSITY OF CALIFORNIA LOS ANGELES 11000 KINROSS AVENUE LOS ANGELES CA 900951406 966006143 501(C) 3 9000 RESEARCH FUNDING YALE UNIVERSITY SCHOOL OF MEDICINE 47 COLLEGE ST NEW HAVEN CT 191046205 060646973 501(C) 3 9000 RESEARCH FUNDING 33 TIPS INNOVATION AWARD 1 7000 PART I, LINE 2: EVERY GRANT FUNDING REQUEST THAT IS SUBMITTED, CONSIDERED AND REVIEWED BY THE PLASTIC SURGERY FOUNDATION (THE PSF) MUST CONTAIN AN ITEMIZED BUDGET WITH AN ACCOMPANYING BUDGET JUSTIFICATION. THE BUDGET AND THE APPROPRIATE USE OF FUNDS ARE EVALUATED WHEN DETERMINING WHETHER OR NOT A GRANT APPLICATION WILL BE FUNDED. WHEN A GRANT IS AWARDED, EACH INSTITUTION COMPLETES A GRANT AGREEMENT THAT OUTLINES THE TERMS OF THE GRANT AWARD. THE PSF ISSUES INITIAL FUNDS AT TIME THE CONTRACT IS EXECUTED, ACCORDING TO A PERCENTAGE OF THE TOTAL BUDGET. THE PSF THEN REQUESTS PROJECT PROGRESS REPORTS AT SIX AND TWELVE MONTHS. DEPENDENT UPON THE SPECIFIC GRANT PROGRAM AN APPLICATION APPLIED TO THE PSF WILL: 1) DISBURSE INITIAL FUNDS AND A FINAL DISBURSEMENT AFTER RECEIPT OF A FINAL PROGRESS REPORT; OR 2) DISBURSE INITIAL FUNDS AND A SECOND. 0 0 0 0 0 0 0 0 0 MICHAEL COSTELLOE EXECUTIVE VICE PRESIDENT 0 460533 0 0 0 0 0 22950 0 21519 0 505002 0 0 ROBERT MICEK STAFF VP & CFO 0 184096 0 0 0 0 0 16569 0 14248 0 214913 0 0 KEITH HUME STAFF VP & COO, PSF 0 209491 0 0 0 0 0 18854 0 19977 0 248322 0 0 JEFFREY E JANIS MD BOARD MEMBER & OFFICER 100000 CONSULTING WORK WITH ASPS VENDORS 0 DAVID H SONG MD BOARD MEMBER & OFFICER 27500 CONSULTING WORK WITH ASPS VENDORS 0 PETER C NELIGAN MD BOARD MEMBER 10000 CONSULTING WORK WITH ASPS VENDORS 0 FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING WITH THE IRS, A COPY OF THE FOUNDATION'S FORM 990 AND SUPPORTING SCHEDULES ARE FIRST DISTRIBUTED TO AND REVIEWED BY THE FOUNDATION'S AUDIT COMMITTEE AND THEN SUBSEQUENTLY ARE PLACED ON A SECURE WEBSITE SO THAT THE FOUNDATION'S BOARD OF DIRECTORS MAY REVIEW THE DOCUMENTS PRIOR TO FILING WITH THE IRS. ANY QUESTIONS, COMMENTS, OR PROPOSED CHANGES ARE DIRECTED TO THE FOUNDATION'S SENIOR DIRECTOR OF FINANCE & ADMINISTRATION AND ANY CHANGES ARE MADE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN 2003, ASPS/PSF ADOPTED A POLICY ON CONFLICTS OF INTEREST AND A DISCLOSURE STATEMENT APPLICABLE TO ITS OFFICERS, DIRECTORS, TRUSTEES, COMMITTEE CHAIRS, SENIOR ADMINISTRATIVE STAFF, THE EDITOR AND MEMBERS OF THE EDITORIAL BOARD OF THE SOCIETY'S JOURNAL AND OTHERS HOLDING LEADERSHIP POSITIONS. EACH OF THE AFFECTED INDIVIDUALS SIGNS AND SUBMITS TO THE SECRETARY ANNUALLY A COMPLETED DISCLOSURE STATEMENT SETTING FORTH INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ADDITIONALLY, ALL BOARD AND EXECUTIVE COMMITTEE MEMBERS ARE REQUIRED TO DISCLOSE AT THE OUTSET OF MEETINGS ANY ADDITIONAL CONFLICTS THAT MAY NOT HAVE BEEN CONTAINED IN THE WRITTEN DISCLOSURE STATEMENT. THE PRESIDENT AND EXECUTIVE VICE PRESIDENT OF THE FOUNDATION, IN CONSULTATION WITH LEGAL COUNSEL, REVIEW THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS IN ADVANCE OF MEETINGS AND TAKES STEPS TO ENSURE THAT THOSE WHO HAVE CONFLICTS DO NOT PARTICIPATE IN THE DISCUSSION AND ACTION TAKEN ON A PARTICULAR MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. HOWEVER, IF A MEMBER OF THE PUBLIC ASKS FOR A PARTICULAR GOVERNING DOCUMENT, SUCH AS THE FOUNDATION'S BYLAWS OR CODE OF ETHICS, THE FOUNDATION MAKES THOSE DOCUMENTS AVAILABLE. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 247,877. MANAGEMENT AND GENERAL EXPENSES 4,296. FUNDRAISING EXPENSES 13,089. TOTAL EXPENSES 265,262. AMERICAN SOCIETY OF PLASTIC SURGEONS 444 E ALGONQUIN RD ARLINGTON HEIGHTS IL 60005 941535436 MEMBERSHIP ASSOCIATION IL 501(C)(6) N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0