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        <ExplanationTxt>NORTH CAROLINA MEDICAL SOCIETY (NCMS) PROVIDED MANAGEMENT SERVICES TO NORTH CAROLINA DERMATOLOGY ASSOCIATION (NCDA). THE EXECUTIVE DIRECTORS OF NCDA, ALAN SKIPPER &amp; ASHLEY NEWTON ARE AN EMPLOYEES OF NCMS. ALAN SKIPPER, ASHLEY NEWTON, AND OTHER NCMS EMPLOYEES PROVIDED SERVICES TO NCDA FOR WHICH A MANAGEMENT FEE WAS CHARGED. IT IS ESTIMATED THAT $32,963 OF THE MANAGEMENT FEE CHARGED TO NCDA IS FOR THE EXECUTIVE DIRECTOR'S SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL REVIEW THE RETURN AND WILL ALSO SHARE WITH THE NCDA LEADERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OFFICERS, DIRECTORS, AND SENIOR STAFF SHALL ANNUALLY DISCLOSE OR UPDATE TO THE PRESIDENT OF THE ORGANIZATION THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED TO THE PRESIDENT, THE PRESIDENT WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE TO THE ORGANIZATION'S OFFICERS; (C) ASK THE PERSON TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION, OR, IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL. THE ORGANIZATION'S EXECUTIVE WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE PRESIDENT IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NORTH CAROLINA DERMATOLOGY ASSOCIATION MAKES AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS VIA TWO METHODS: IN PERSON OR UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>