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      <LimitedControlProvisionsApply>X</LimitedControlProvisionsApply>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>UNCERTAIN TAX POSITIONS UNDER FIN 48 THE SOCIETY BELIEVES THAT IT HAD NO UNCERTAIN TAX POSITIONS UNDER FIN 48 AND, AS A RESULT, THE ADOPTION OF FIN 48 HAD NO IMPACT ON THE SOCIETY'S FINANCIAL STATEMENTS.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>BUSINESS RELATIONSHIP AMONG BOARD MEMBERS DORIT H. AARON AND BARBARA WINTHROP ROSE JOINTLY OWN AND OPERATE A HAND THERAPY PRACTICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>DELEGATION OF MANAGEMENT DUTIES TO MANAGEMENT COMPANY THE SOCIETY OUTSOURCES ITS MEETING AND VARIOUS ADMINISTRATIVE SERVICES TO AN INDEPENDENT MANAGEMENT SERVICES COMPANY, INCLUDING THE POSITION OF EXECUTIVE DIRECTOR (NON-VOTING) OF THE ORGANIZATION. THE TOTAL COMPENSATION INCURRED TO THIS MANAGEMENT SERVICE COMPANY FOR THE TAX YEAR ENDED WAS $565,420 AND IS REPORTED ON FORM 990, PART IX, LINE 11A.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS THE GOVERING BOARD ADOPTED THE FOLLOWING CHANGES OF ITS BYLAWS IN FEBRUARY, 2012. THEY ARE AS FOLLOWS: [1] UNLAWFUL CONDUCT OR ETHICAL CONDUCT WILL NOW BE DECIDED ACCORDING TO THE ASHT CODE OF ETHICS, NOT THE ASHT POLICY MANUAL. [2] THE EDITOR OF THE JOURNAL OF HAND THERAPY IS NO LONGER A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. THIS CHANGE WAS MADE WITH HIS CONSENT AND APPROVAL. [3] THE EXECUTIVE DIRECTOR WAS ADDED TO THE EXECUTIVE COMMITTEE AS A NON-VOTING MEMBER. [4] EFFECTIVE JANUARY 1, 2016 ASHT TERMS OF OFFICE FOR THE BOARD OF DIRECTORS, EXECUTIVE COMMITTEE, DIVISIONS AND COMMITTEES AND ALL VOLUNTEER OFFICERS WILL TERMINATE AT THE ANNUAL BUSINESS MEETING HELD DURING THE ASHT ANNUAL MEETING. I.E. INSTEAD OF VOLUNTEER TERMS BEGINNING JANUARY 1 AND ENDING DECEMBER 31, THEY WILL BEGIN AT THE ANNUAL BUSINESS MEETING AND END AND THE FOLLOWING YEAR'S ANNUAL BUSINESS MEETING. [5] TERMS FOR REMOVAL OF A MEMBER OF THE BOARD OF DIRECTORS NOW INCLUDES DEMONSTRATED UNWILLINGNESS OR INABILITY TO PERFORM THE REQUIREMENTS OF THE ROLE. [6] INCREASED THE REQUIREMENTS FOR SERVICE AS AN OFFICER OF ASHT. [7] CLARIFICATION AND REARRANGEMENT OF OFFICERS' DUTIES. [8] APPOINTMENT OF DIVISION AND COMMITTEE MEMBERS IS NOW DONE BY THE BOARD, NOT BY THE PRESIDENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>MEMBERS THE SOCIETY HAS TWO CLASSES OF VOTING MEMBERS - ACTIVE AND ASSOCIATE MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>ELECTION OF MEMBERS OF GOVERNING BODY EACH VOTING MEMBER HAS THE RIGHT TO VOTE IN NATIONAL MEETINGS AND ELECTIONS, TO HOLD OFFICE, TO SERVE AS CHAIRPERSONS OF COMMITTEES AND TO SUBMIT NOMINATIONS FOR OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL ACTIVE MEMBERS ARE ENTITLED TO VOTE ON ALL MATTERS COMING BEFORE THE MEMBERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>GOVERNING BODY REVIEW OF FORM 990 PRIOR TO ITS FILING WITH THE IRS, A COPY OF THE FORM 990 IS CIRCULATED ELECTRONICALLY TO EACH VOTING MEMBER OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>MONITORING AND ENFORECMENT OF CONFLICT OF INTEREST POLICY ALL BOARD MEMBERS MUST ANNUALLY COMPLETE A NEW CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE WHICH IDENTIFIES ANY POTENTIAL CONFLICTS. BOARD MEMBERS REVIEW AND UPDATE THAT STATEMENT EACH TIME THE BOARD MEETS IN PERSON DURING THE SAME YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>PUBLIC AVAILABILITY OF OTHER DOCUMENTS GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND TAX FILINGS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. MEMBERS OF THE SOCIETY CAN OBTAIN THESE DOCUMENTS VIA THE MEMBERS ONLY SECTION OF THE SOCIETY'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 1,372.</Explanation>
      </GeneralExplanation>
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