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          <AddressLine1Txt>330 Brookline Ave</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>022155491</ZIPCd>
        </USAddress>
        <RecipientEIN>042103881</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Loyola University Chicago</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2160 S First Ave</AddressLine1Txt>
          <CityNm>Maywood</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60153</ZIPCd>
        </USAddress>
        <RecipientEIN>361408475</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Spirit of Chartiy Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 Canal Street</AddressLine1Txt>
          <CityNm>New Orleans</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70112</ZIPCd>
        </USAddress>
        <RecipientEIN>721251751</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Ohio State University Office of Sponsored Prog</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>395 W 12th Avenue</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43210</ZIPCd>
        </USAddress>
        <RecipientEIN>316025986</RecipientEIN>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Regents of the University of California</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 Potrero Avenue</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94110</ZIPCd>
        </USAddress>
        <RecipientEIN>943067788</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 Tigvert H</AddressLine1Txt>
          <CityNm>Gainesville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32610</ZIPCd>
        </USAddress>
        <RecipientEIN>596002052</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Southern California</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3500 S Figueroa Street</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900988001</ZIPCd>
        </USAddress>
        <RecipientEIN>951642394</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Washington</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 359796</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98104</ZIPCd>
        </USAddress>
        <RecipientEIN>916001537</RecipientEIN>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American College of Surgeons</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>633 N Saint Clair Street</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>362192800</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Research Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarship</GrantTypeTxt>
        <RecipientCnt>29</RecipientCnt>
        <CashGrantAmt>51533</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATIONS ARE SUBMITTED ONLINE, WHICH ARE THEN PRESENTED TO AAST SCHOLARSHIP COMMITTEE. UPON APPROVAL SCHOLARSHIP RECIPIENTS ARE REQUIRED TO ATTEND THE ANNUAL MEETINGS TO DISCUSS THE SCHOLARSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="23017437" softwareVersionNum="2023v5.1">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>6200</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <BooksAndPublicationsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>750</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </BooksAndPublicationsGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>1650</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>1475</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>ELECTRONICS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>90</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EXPERIENCES</Desc>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>9250</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>WE USE AN AUCTIONEER FOR THE EXPERIENCES PORTION OF OUR LIVE AUCTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Art - Works of art - THE ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. Food inventory - THE ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. Other - ELECTRONICS THE ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. Other - EXPERIENCES THE ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2 New program services</FormAndLineReferenceDesc>
        <ExplanationTxt>AAST started a Leadership Academy. This is an application process that helps early to mid career surgeons become leaders.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Material differences in voting rights</FormAndLineReferenceDesc>
        <ExplanationTxt>Associate Members are not allowed to vote for AAST regular members or to change the bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee is made up of President, President-Elect, Vice President, Secretary-Treasurer, Program Chair and Immediate Past President. All committee members are on the Board. The board can approve expenditures not budgeted under $20,000 and approve ACS site visit report and other items the board gives approval for.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HIRED THE AMERICAN COLLEGE OF SURGEONS (ACS) TO PROVIDE MANAGEMENT AND EXECUTIVE SERVICES FOR THE ASSOCIATION. THE ASSOCIATION RELIES ON THE VENDOR TO: - PROVIDE ADMINISTRATIVE SUPPORT TO THE OFFICERS AND ASSIST WITH ALL ORGANIZATIONAL ACTIVITIES DURING AND BETWEEN MEETINGS. - PROVIDE CENTRALIZED ADMINISTRATIVE MANAGEMENT FOR AAST COMMITTEE ACTIVITIES TO ASSURE THAT STRATEGIC GOALS ARE MET (OUTCOME, TRIALS, WEB SITE, ETC.) AND TIMELINES ARE MAINTAINED. - MANAGE AND SUPPORT THE PROCESS FOR THE DEVELOPMENT OF A FIVE-YEAR STRATEGIC PLAN AND ASSIST THE BOARD OF MANAGERS (BOM) IN THE DEVELOPMENT AND IMPLEMENTATION OF THAT PLAN WITH ANNUAL GOALS, PERFORMANCE METRICS AND BUDGETS. - COORDINATE ACTIVITIES WITH MEETING MANAGERS AND WEB SITE MANAGERS IN REGARD TO MEETING SCHEDULING AND PLANNING AND WEB SITE MAINTENANCE. TOTAL FEES PAID FOR THE MANAGEMENT AND EXECUTIVE SERVICES DESCRIBED ABOVE WERE $851,477. INDIVIDUALS ON PART VII RECEIVING COMPENSATION FROM ACS INCLUDE THE FOLLOWING: SHARON GAUTSCHY - $368,027 INCLUDING BENEFITS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO THE AAST BY-LAWS FOR A DESCRIPTION OF MEMBER'S RIGHTS AND OBLIGATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ACTIVE MEMBERS PRESENT AT THE ANNUAL BUSINESS MEETING MAY VOTE TO ELECT THE OFFICERS FROM THE NOMINEES IDENTIFIED BY THE NOMINATING COMMITTEE. ANY OFFICER OR AGENT MAY BE REMOVED BY MAJORITY VOTE OF THE BOARD OF MANAGERS WHENEVER IN ITS JUDGMENT THE BEST INTEREST OF THE CORPORATION WOULD BE SERVED THEREBY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PROVIDED TO THE TREASURER AND PRESIDENT OF THE ASSOCIATION AND WAS REVIEWED BY THE TREASURER OF THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE GOVERNING BODY AND COMMITTEES ARE TOLD THE POLICY AND ARE ASKED TO DISCLOSE ANY CONFLICT OF INTEREST. COMPLIANCE WITH THE POLICY IS MONITORED INDIVIDUALLY BY EACH COMMITTEE AND BOARD OF DIRECTORS. THE GOVERNING BOARD OR COMMITTEE DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS. IF THERE IS AN ISSUE OF NON DISCLOSURE, THE AAST BOARD OF MANAGERS WILL DETERMINE IF ACTION SHOULD BE TAKEN AND WHAT ACTION SHOULD BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>A review of surveys completed by national organizations on salaries of association professionals is bought and sent to the compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>A compensation committee made of the secretary-treasurer, president and immediate past president decides compensation and reviews for all staff positions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Acute Care Revenues - Total Revenue: 54500, Related or Exempt Function Revenue: 54500, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Education Revenue - Total Revenue: 14340, Related or Exempt Function Revenue: 14340, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Trauma Tool App Revenue - Total Revenue: 310, Related or Exempt Function Revenue: 310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Editorial Contractor - Total Expense: 307473, Program Service Expense: 307473, Management and General Expenses: , Fundraising Expenses: ; Other Independent Contractors - Total Expense: 155934, Program Service Expense: 79020, Management and General Expenses: 76914, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>