Civic Intelligence

The American Venous Forum

990 • Fiscal year 2015 • EIN 36-3643456

Jan 01, 2015 to Dec 31, 2015 • Filed on Jun 23, 2016

6800 Gulfport Blvd Ste 201-212South Pasadena, FL 33707

(727) 202-6213

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

50th percentile

0.18x

Higher debt load relative to assets than 50% of similar nonprofits.

2015 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

59th percentile

0.26x

Higher debt load relative to revenue than 59% of similar nonprofits.

2015 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2015

Net Margin

92nd percentile

25%

Higher net margin than 92% of similar nonprofits.

2015 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

21st percentile

$1,000

Higher top officer pay than 21% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2015 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Assets

Up

$1,772,832

Up $1,073,127 (+153%) from 2011

Net Assets

Up

$1,446,110

Up $909,356 (+169%) from 2011

Liabilities

Up

$326,722

Up $163,771 (+101%) from 2011

Revenue

$1,262,948

No earlier filing loaded for comparison.

Expenses

Up

$942,806

Up $100,528 (+12%) from 2011

Net Income

$320,142

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $784,531Liabilities 2010: $120,099Net Assets 2010: $664,4322010Assets 2011: $699,705Liabilities 2011: $162,951Net Assets 2011: $536,7542011Assets 2015: $1,772,832Liabilities 2015: $326,722Net Assets 2015: $1,446,1102015Assets 2017: $1,473,711Liabilities 2017: $154,533Net Assets 2017: $1,319,1782017Assets 2018: $1,342,173Liabilities 2018: $336,371Net Assets 2018: $1,005,8022018Assets 2019: $1,448,364Liabilities 2019: $449,275Net Assets 2019: $999,0892019Assets 2020: $1,456,735Liabilities 2020: $216,856Net Assets 2020: $1,239,8792020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2015

Assets$1,772,832
Liabilities$326,722
Net Assets$1,446,110

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2010: $900,7272010Expenses 2011: $842,2782011Revenue 2015: $1,262,948Expenses 2015: $942,806Net Income 2015: $320,1422015Revenue 2017: $1,014,695Expenses 2017: $1,062,076Net Income 2017: -$47,3812017Revenue 2018: $696,174Expenses 2018: $1,009,550Net Income 2018: -$313,3762018Revenue 2019: $1,017,858Expenses 2019: $1,024,571Net Income 2019: -$6,7132019Revenue 2020: $1,035,504Expenses 2020: $903,941Net Income 2020: $131,5632020Revenue 2021: $1,146,479Expenses 2021: $837,868Net Income 2021: $308,6112021

Highlighted filing

2015

Revenue$1,262,948
Expenses$942,806
Net Income$320,142
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Jun 23, 2016
Return Version
2015v2.0
Gross Receipts
$1,262,948
Mission and Program Overview

Mission

The mission of the avf is to save and improve lives by reducing venous and lymphatic disease through education, innovation research and advocacy, and to empower venous specialists to be the best in the world in assessing and treating venous disease.

Promote venous and lymphatic health through innovative research, education, and technology.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$730,316$1,073,158▲ $342,842
Investments in Publicly Traded Securities$364,938$370,605▲ $5,667
Savings and Temporary Cash Investments$252,023$253,031▲ $1,008
Prepaid Expenses and Deferred Charges$66,684$50,878▼ $15,806
Other Notes and Loans Receivable, Net$18,000$16,000▼ $2,000
Accounts Receivable$90,219$9,160▼ $81,059
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$1,522,180$1,772,832▲ $250,652
Other Assets Total-$0-
Liabilities
Deferred Revenue$313,435$246,790▼ $66,645
Accounts Payable and Accrued Expenses$65,597$79,932▲ $14,335
Total Liabilities$379,032$326,722▼ $52,310
Net Assets / Fund Balance
Unrestricted Net Assets$1,086,648$1,330,337▲ $243,689
Temporarily Rstr Net Assets$56,500$115,773▲ $59,273
Total Net Assets Fund Balance$1,143,148$1,446,110▲ $302,962
Total Liabilities and Net Assets / Fund Balance$1,522,180$1,772,832▲ $250,652
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Fedor Lurie MDPast PresidentPT$1,000$1,000
William A Marston MDEducation Chair-$700$700

Board Members and Trustees

NameTitle
Jose A Diaz MDResearch Chair
John Blebea MD MBAPresident
Lowell S Kabnick MDPresident Elect
Marc PassmanVice President
Antonios Gasparis MDDirector
Cynthia Shortell MdDirector
Jose I Almeida MDDirector
Suresh Vedantham MDDirector
Ruth BushArchivist
Harold WelchRecorder
Elna Masuda MDSecretary
Brajesh Lal MDTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Executive Director Inc 555 E Wells StreetManagement555 E Wells St No 1100, Milwaukee, WI 53202$273,051
Revenue and Support

Revenue Composition

Contributions and Grants
$487,000
Program Service Revenue
$751,830
Investment Income
$23,859
Other Revenue
$259
All Other Contributions
$185,000
Change in Net Assets
$320,142

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,262,948
Revenue Not Reported on Form 990
$-17,180
Total Revenue per Audited Statements
$1,245,768
Total Revenue per Form 990
$1,262,948
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$912,556
Grants and Similar Amounts Paid$30,250
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings$488,854--$488,854
All Other Expenses$31,724$13,306-$45,030
Fees for Services Management-$37,418-$37,418
Grants to Domestic Individuals$27,750--$27,750
Other Expenses$24,227--$24,227
Fees for Services Legal-$9,357-$9,357
Advertising-$7,983-$7,983
Information Technology$4,230$3,522-$7,752
Fees for Services Accounting-$6,406-$6,406
Office Expenses-$5,588-$5,588
Travel-$2,650-$2,650
Grants to Domestic Orgs$2,500--$2,500
Insurance-$911-$911
Total Functional Expenses$855,665$87,141$0$942,806

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$942,806
Total Expenses per Audited Statements$942,806
Total Expenses per Form 990$942,806
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
In-house lobbying only
Yes
Subject to proxy tax
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company

AVF contracts with Executive Director Inc. (a For-Profit management company) to provide office facilities, management, record keeping, accounting, storage, other related services, and overhead costs. Prior to this, AVF had contracted with Administrare (a For-Profit management company) to provide office facilities, management, record keeping, accounting, storage, other related services, and overhead costs.

Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents

The organization went through a bylaws revision during the year with the help of legal counsel with the intent to streamline operations. The bylaws were simplified and formatted in a more concise way that allowed for other operational tasks to be developed into a policy manual for the organization.

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

The organization has members. Membership in the organization is a privilege and is dependent upon an application submitted by the applicant for one of the 7 different classes of members as documented in the organizations bylaws.

Form 990, Part VI, Line 11B: Form 990 Review Process

A copy of the 990 is made available to all members of the governing body before it's filed. The form is reviewed in detail by the Finance Committee & Treasurer of the organization.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Annually, each Board member and key employee shall be asked to review the conflict of interest policy and acknowledge, in writing, that s/he has done so. Annually, each Board member and key employee shall complete a disclosure form identifying any relationships, positions or circumstances that could give rise to a conflict of interest. At the outset of every Board meeting, the Board president or presiding officer shall request that any Board member or key employee with a conflict of interest related to an agenda item make it known. Such disclosure shall be noted in the minutes. If or when a Board member holds a financial, professional, or personal relationship that represents an actual or apparent conflict of interest, the Executive Director or any Board member is entitled to request that such Board member recuse him- or herself from decision-making deliberations that could be affected by such relationship. Members who have a conflict of interest on a matter that comes to a vote shall abstain from voting; such abstention shall be noted in the minutes.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

The Organization is managed by Executive Director Incorporated, a for-profit management company.The Organization has no official employees because all staff assigned to the Organization are employees of the management company. The Organization does not compensate Directors, other top officials, nor has anybody that fits the definition of a Key Employee. The management contract includes providing office facilities, management, record-keeping, accounting, storage, other significant services, and related overhead costs.The Organizations management fee is compared to data from the Benchmarking Series Publication-Operating Ratio Report provided by ASAE & the Center Industry Research and is approved by the Organizations Board of Directors. This data outlines percentages of an Organizations budget spent on expense line items included in the Organizations management fee.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

The Organization is managed by Executive Director Incorporated, a for-profit management company.The Organization has no official employees because all staff assigned to the Organization are employees of the management company. The Organization does not compensate Directors, other top officials, nor has anybody that fits the definition of a Key Employee. The management contract includes providing office facilities, management, record-keeping, accounting, storage, other significant services, and related overhead costs.The Organizations management fee is compared to data from the Benchmarking Series Publication-Operating Ratio Report provided by ASAE & the Center Industry Research and is approved by the Organizations Board of Directors. This data outlines percentages of an Organizations budget spent on expense line items included in the Organizations management fee.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

All of the organization's governing documents are either available on its website or upon request at the home office.

Filing and Contact Details

Filer

Filer Name
The American Venous Forum
EIN
36-3643456
Phone
7272026213
Address
6800 Gulfport Blvd Ste 201-212, South Pasadena, FL 33707

Signing Officer

Name
Brajesh Lal MD
Title
Treasurer
Signed
2016-06-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Blebea MD MBA
Formed
1988
Legal Domicile
Il
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
14

Preparer

Firm
Ritz Holman LLP
Address
330 E Kilbourn Ste 550, Milwaukee, WI 53202-3144
Preparer
Katy L Sommer
Phone
4142711451
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D: Other Program Services Description

OTHER PROGRAM SERVICES 4: Other program expenses include expenses related to the Vein Forum Course, National Screening Program, Journal subscription costs, website & committee work.

Financial Statement Notes

Part X : FIN48 Footnote

The Forum is exempt from income tax under Section 501(c)(6)of the Internal Revenue Code and are classified as other than a private foundation. However, income from certain activities (primarily advertising income) not directly related to the Organization's tax-exempt purpose is subject to taxation as unrelated business income. As of December 31, 2015, the Organization had recorded a liability of $2,333 for unrelated business income tax (UBIT) liability. No estimated payments were made during the year and the total UBIT expense recorded for year ended was $2,333.

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