2024-11-13T12:00:57-06:00 2023-12-31 611228184 CAROL S MOSES PSC 100 MALLARD CREEK RD STE 404 LOUISVILLE KY 40207 990 2023-01-01 611189281 PISACANO LEADERSHIP FOUNDATION INC PISA 8772237437 1648 MCGRATHIANA PARKWAY 550 LEXINGTON KY 40511 CAROL S MOSES CEO 8772237437 2024-11-08 1 0 CAROL S MOSES P00289978 5022130406 2024-11-08 2023 2024-10-15 13:58:12Z WARREN NEWTON MD 1648 MCGRATHIANA PARKWAY 550 LEXINGTON KY 40511 2880539 0 X WWW.PISACANO.ORG X 1990 KY PROVIDE SCHOLARSHIP AND LEADERSHIP TRAINING TO RESIDENTS IN FAMILY MEDICINE. 11 10 0 25 0 0 664968 428031 0 0 1400255 235695 0 0 2065223 663726 184000 277000 0 0 0 0 0 0 0 157706 279494 341706 556494 1723517 107232 10716667 12118025 22275 37848 10694392 12080177 X TO DEVELOP AN ENDURING FUND WHICH WILL BE USED TO SUPPORT: 1)SCHOLARSHIPS FOR STUDENTS INTERESTED IN PURSUING A CAREER IN FAMILY MEDICINE, 2)LOAN FUNDS FOR RESIDENTS IN FAMILY MEDICINE TRAINING PROGRAMS 3)TRAINING FUNDS FOR SCHOLARSHIP RECIPIENTS TO ATTEND SEMINARS, AND 4)LEADERSHIP DEVELOPMENT TRAINING AND OPPORTUNITIES FOR SCHOLARSHIP RECIPIENTS. 0 0 196934 175000 GRANTS WERE USED TO SUPPORT SCHOLARSHIPS FOR STUDENTS INTERESTED IN PURSUING A CAREER IN FAMILY MEDICINE, LOAN FUNDS FOR RESIDENTS, AND ATTEND LEADERSHIP DEVELOPMENT SEMINARS. 112601 HOST ANNUAL LEADERSHIP TRAINING CONFERENCE FOR PISACANO SCHOLARS TO FURTHER THEIR DEVELOPMENT AS LEADERS IN FAMILY MEDICINE. 183250 102000 FUNDED PROGRAM TO PROVIDE YOUNG RESEARCHERS WITH A RESEARCH AND POLICY IMMERSION EXPERIENCE IN THE NATION'S CAPITAL FOCUSED ON HEALTH POLICY AS SEEN FROM A FAMILY MEDICINE AND PRIMARY CARE PERSPECTIVE; (2) PROVIDE FAMILY MEDICINE WITH A RENEWABLE SOURCE OF IDEAS, ENERGY, AND COMPETENCIES, AND SERVICE THAT ENHANCES ITS PERFORMANCE; AND (3) DEVELOP THE INFRASTRUCTURE FOR POLICY-RELEVANT RESEARCH IN PRIMARY CARE AND BUILD RESEARCH CAPACITY FOR PRIMARY CARE THROUGHOUT THE NATION. 492785 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X TRISHA LAYOW 8772237437 1648 MCGRATHIANA PARKWAY STE 550 LEXINGTON KY 40511 EDWARD T BOPE MD DIRECTOR 1.00 X 0 0 0 KARA CADWALLADER MD DIRECTOR/TREASURER 2.00 X X 0 0 0 KEN VEIT DO DIRECTOR 1.00 X 0 0 0 JENNIFER DEVOE MD DIRECTOR 1.00 X 0 0 0 AMANDA M MORRIS MD DIRECTOR/SECRETARY 2.00 X X 0 0 0 WARREN NEWTON MD MPH PRESIDENT 2.00 87.00 X X 0 908589 48324 DAVID T O'GUREK MD DIRECTOR/CHAIRMAN 2.00 X X 0 0 0 SARIA SACCOCIO MD MHA DIRECTOR 1.00 X 0 0 0 HARRY STROTHERS MC DIRECTOR 1.00 X 0 0 0 MARTI TABA MD DIRECTOR 1.00 X 0 0 0 MICHAEL WORKINGS MD DIRECTOR 1.00 X 0 0 0 0 908589 48324 0 0 1 0 0 300000 128031 428031 317439 317439 2135069 2216813 -81744 -81744 -81744 663726 0 0 235695 102000 102000 175000 175000 2000 2000 37051 37051 8964 8964 5971 5971 114624 112601 2023 LEADERSHIP DEVELOPMENT 81250 81250 SCHOLARS EXPENSES 21934 21934 WEBSITE 4422 4422 CREDIT CARD FEES 1675 1675 1603 1603 556494 492785 63709 0 546992 471185 123327 123295 10046348 10244053 1279492 10716667 12118025 22275 37848 22275 37848 X 10694392 12080177 10694392 12080177 10716667 12118025 107232 1278553 0 X 0 0 0 X X 1 AMERICAN BOARD OF FAMILY MEDICINE INC 430921226 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 3B: THE FORM 990 OF THE SUPPORTED ORGANIZATION IS REVIEWED ANNUALLY TO ENSURE THAT THE ORGANIZATION SATISFIES THE PUBLIC SUPPORT TEST. PART IV, SECTION A, LINE 3C: THE FORM 990 OF THE SUPPORTED ORGANIZATION IS REVIEWED ANNUALLY TO ENSURE THAT THE ASSETS ARE USED SOLELY FOR EXEMPT PURPOSES. PART IV, SECTION B, LINE 1: THE SUPPORTED ORGANIZATION APPROVES THE APPOINTMENT OF FOUR MEMBERS TO THE BOARD OF DIRECTORS AND THE PRESIDENT AND SECRETARY OF THE SUPPORTED ORGANIZATION SERVES IN THE SAME CAPACITY ON THE FOUNDATION BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DODGE & COX INCOME FD 1279492 C 1279492 1 COMMUNITY HEALTH CENTER NETWORK 101 CALLAN AVE STE 300 SAN LEANDRO CA 94577 943253662 501 (C)(3) 25000 0 CONTINUED LEADERSHIP EFFORTS AMERICAN ACADEMY OF FAMILY PHYSICIAN'S FOUNDATION 11400 TOMOHAWK CREEK PARKWAY LEAWOOD KS 66211 446013671 501(C)(3) 77000 0 CONTINUED LEADERSHIP EFFORTS GRANTS WERE USED TO SUPPORT SCHOLARSHIPS FOR STUDENTS INTERESTED IN PURSUING A CAREER IN FAMILY MEDICINE AND ATTEND LEADERSHIP DEVELOPMENT SEMINARS. 35 175000 PART I, LINE 2: AN ANNUAL LIST OF THE INDIVIDUALS WHICH PARTICIPATE IN THE PROGRAM IS PROVIDED TO THE DIRECTORS OF THE PISACANO LEADERSHIP FOUNDATION AND THE SCHOLARSHIPS OF THOSE INDIVIDUALS ARE TRACKED THROUGHOUT THE YEAR. 1 0 0 0 0 0 0 0 0 0 WARREN NEWTON MD MPH PRESIDENT 0 908589 0 0 0 0 0 31350 0 16974 0 956913 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE SUPPORTED ABFM APPROVES OF FOUR MEMBERS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE OF CONFLICTS OF INTEREST IS DONE AT EVERY BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 TAX RETURNS ARE MADE AVAILABLE UPON WRITTEN REQUEST. AMERICAN BOARD OF FAMILY MEDICINE INC 1648 MCGRATHIANA PARKWAY STE 550 LEXINGTON KY 40511 430921226 MEDICAL SPECIALTIES BOARD MO 501(C)(6) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AMERICAN BOARD OF FAMILY MEDICINE INC C 300000 ACTUAL CASH CONTRIBUTION