2023-10-31T15:34:43-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990EZ 2022-01-01 454946512 ASA CHARITABLE FOUNDATION ASAC 8475855586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 LISA STEININGER CHIEF FINANCIAL OFFICER 8472689220 2023-10-30 1 LISA STEININGER 999009999 0 JAMES R THOMAS P00095586 6305738600 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X WWW.ASACHARITY.ORG X X 198692 X 198692 198692 110000 66883 1567 178450 20242 88767 0 109009 X 88900 150949 88900 150949 133 41940 88767 109009 X THE FOUNDATION'S EXEMPT PURPOSE IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE, TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE, TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES, AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. THE MISSION OF THE LIFEBOX FOUNDATION IS TO SAVE LIVES OF THOUSANDS OF PEOPLE UNDERGOING SURGERY IN UNDER-RESOURCED COUNTRIES THROUGH THE USE OF A PULSE OXIMETER WHICH MEASURES THE LEVEL OF OXYGEN IN A PATIENT'S BLOOD. PULSE OXIMETERS ARE USED AS A STANDARD IN MANY CLINICAL AREAS IN HOSPITALS THROUGHOUT HIGH INCOME COUNTRIES. APPROXIMATELY 70,000 OPERATING ROOMS IN LOW AND MIDDLE INCOME COUNTRIES ARE WITHOUT THESE EXTREMELY IMPORTANT DEVICES. 0 0 0 STEVEN SWEEN MD PRESIDENT 6.00 0 0 0 JAMES M WEST MD TREASURER 1.00 0 0 0 ALEXANDER HANNENBERG MD TRUSTEE 1.00 0 0 0 ARTHUR M BOUDREAUX MD TRUSTEE 1.00 0 0 0 BRIAN VAUGHAN MD TRUSTEE 1.00 0 0 0 KA KELLY MCQUEEN MD TRUSTEE 1.00 0 0 0 MARY DALE PETERSON MD TRUSTEE 1.00 0 0 0 ELIZABETH T DRUM MD TRUSTEE 1.00 0 0 0 FAYE EVANS MD TRUSTEE 1.00 0 0 0 CHERYL K GOODEN MD TRUSTEE 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 IL LISA STEININGER 1061 AMERICAN LANE SCHAUMBURG IL 601734973 8472689220 0 0 0 0 0 1 0 0 0 0 1 0 NONE NONE 1 X X X 1 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 362181944 10 0 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: ASA CHARITABLE FOUNDATION CONFIRMED THAT THE SUPPORTED ORGANIZATION, AMERICAN SOCIETY OF ANESTHESIOLOGISTS (ASA), IS A 501 (C)(6) TAX EXEMPT ORGANIZATION BY REVIEWING THEIR IRS DETERMINATION LETTER AND ALSO ANNUALLY COMPLETING A PRO FORMA SCHEDULE A, PART III TEST TO CONFIRM THAT ASA SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). PART IV, SECTION A, LINE 3C: THE ACTIVITIES OF ASACF ARE PERFORMED IN FURTHERANCE OF THEIR EXEMPT PURPOSE WHICH IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE, TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE, TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES, AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. THESE ACTIVITIES ARE ALSO IN FURTHERANCE OF THEIR SUPPORTED ORGANIZATIONS ASA'S EXEMPT PURPOSE OF ADVANCING THE PRACTICE OF AND SECURING THE FUTURE OF ANESTHESIOLOGY. ASACF ENSURES THAT ALL SUPPORT PROVIDED TO ASA IS USED EXCLUSIVELY FOR CHARITABLE PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: PROGRAM GRANTS. GRANTEE NAME: GLOBAL RESPONSE MANAGEMENT. GRANTEE ADDRESS: 7762 PARK RUN ROAD FORT WORTH, TX 76137. AMOUNT GIVEN: 100,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: PROGRAM GRANTS. GRANTEE NAME: LIFEBOX FOUNDATION INC. GRANTEE ADDRESS: 195 MONTAGUE STREET, 14TH FLOOR BROOKLYN, NY 11201. AMOUNT GIVEN: 10,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 110,000. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: CREDIT CARD FEES. AMOUNT: 1,567. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: DUE TO ASA. BEG. OF YEAR AMOUNT: 133. END OF YEAR AMOUNT: 41,940. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.