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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ACADEMY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, DONATIONS TO THE ACADEMY QUALIFY AS CHARITABLE CONTRIBUTIONS. THE ACADEMY'S EXEMPT ORGANIZATION ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) AND ITS TAXABLE STATUS ARE SUBJECT TO EXAMINATION BY THE IRS FOR OPEN TAX YEARS, WHICH AS OF THE DATE OF THIS REPORT ARE REPORTING PERIODS ENDED IN 2009 THROUGH 2012. IN THE EVENT THAT THE ACADEMY WOULD BE ASSESSED PENALTIES RELATED TO THE ANNUAL REPORT TO THE IRS, THEY WOULD BE REPORTED WITHIN GENERAL AND ADMINISTRATIVE EXPENSES IN THE STATEMENT OF ACTIVITIES.</Explanation>
      </Form990ScheduleDPartXIV>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF MISSOURI</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>JESSE HALL</AddressLine1>
          <City>COLUMBIA</City>
          <State>MO</State>
          <ZIPCode>65212</ZIPCode>
        </AddressUS>
        <EINOfRecipient>436003859</EINOfRecipient>
        <IRCSection>MO PUBLIC UNIVERSITY</IRCSection>
        <AmountOfCashGrant>107116</AmountOfCashGrant>
        <PurposeOfGrant>CONTINUING MEDICAL EDUCATION AND NEPHROLOGY</PurposeOfGrant>
      </RecipientTable>
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      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE PRESIDENT OF THE FILING ORGANIZATION IS THE DIRECTOR OF CONTINUING MEDICAL EDUCATION AT THE GRANTEE ORGANIZATION. HE RECEIVES AND REVIEWS REPORTS ON ALL EXPENDITURES MONTHLY.</Explanation>
      </Form990ScheduleIPartIV>
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      <Form990ScheduleJPartII>
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        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartII>
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        <BaseCompensationFilingOrg>1889</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>AMOUNTS REPORTED IN PART II, COLUMN B REPRESENT COMPENSATION PAID BY THE UNIVERSITY OF MISSOURI, AN UNRELATED ORGANIZATION, FOR SERVICES PROVIDED TO THE ACADEMY BY CERTAIN OFFICERS OF THE BOARD OF DIRECTORS. THE UNIVERSITY OF MISSOURI INCLUDES SUCH AMOUNTS IN THE W-2'S ISSUED TO THE BOARD MEMBERS. IN ADDITION, AS EMPLOYEES OF THE UNIVERSITY OF MISSOURI, THEY PARTICIPATE IN THE UNIVRSITY OF MISSOURI RETIREMENT PLAN. HOWEVER, THOSE AMOUNTS ARE NOT INCLUDED AS A PART OF COMPENSATION FOR SERVICES PROVIDED TO THE ACADEMY.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <GeneralExplanation>
        <Identifier>CHANGES IN PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>THE ACADEMY NO LONGER PARTICIPATES IN THE HEALTH IMPROVEMENT SKILLS CENTER (HISC), WHICH IS AN INTERNET RESOURCE FOR HEALTH CARE PROFESSIONALS. HOWEVER, THE ORGANIZATION'S ONGOING PROGRAMS CONTINUE TO SERVE ITS MISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE CORPORATION HAS ONE MEMBER, THE UNIVERSITY OF MISSOURI - COLUMBIA MEDICAL SCHOOL FOUNDATION, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE SOLE MEMBER, THE UNIVERSITY OF MISSOURI - COLUMBIA MEDICAL SCHOOL FOUNDATION, INC., HAS THE EXCLUSIVE RIGHTS TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE RETURN IS REVIEWED BY THE PRESIDENT AND ACCOUNTING MANAGER. THEN IT IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING, EITHER AT A BOARD MEETING OR VIA E-MAIL. THE BOARD MEMBERS NOTIFY THE PRESIDENT IF THEY HAVE ANY QUESTIONS ON THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY EACH PERSON MUST REPORT ALL CONFLICTS OF INTEREST TO THE PRESIDENT OF THE BAORD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE UNIVERSITY OF MISSOURI - COLUMBIA MEDICAL SCHOOL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>MA 210 MEDICAL SCIENCES BUILDING</AddressLine1>
          <City>COLUMBIA</City>
          <State>MO</State>
          <ZIPCode>65212</ZIPCode>
        </AddressUS>
        <EIN>436036792</EIN>
        <PrimaryActivities>MEDICAL EDUCATION</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 5</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
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