2025-12-22T14:15:54-06:00 2025-04-30 410746749 CLIFTONLARSONALLEN LLP 1145 BROADWAY SUITE 1300 TACOMA WA 98402 990 2024-05-01 363071272 FEDERATION OF STATE MEDICAL BOARDS RESEARCH & EDUCATION FOUNDATION FEDE 8178684000 400 FULLER WISER ROAD EULESS TX 76039 DR HUMAYUN J CHAUDHRY DO SECRETARY 8178684000 2025-12-19 1 1 ROSALINDA MARIKAR CPA P01684134 2532721555 2025-12-19 2024 2025-03-06 01:10:19Z FSMB FOUNDATION JANELLE A RHYNE MD 400 FULLER WISER ROAD EULESS TX 76039 820081 0 X WWW.FSMB.ORG/FOUNDATION X 1980 IL TO SUPPORT AND PROMOTE RESEARCH AND EDUCATION INITIATIVES THAT STRENGTHEN THE SAFETY AND QUALITY OF HEALTH CARE THROUGH EFFECTIVE MEDICAL REGULATION. 11 8 0 8 0 0 29703 50200 0 0 95494 170503 0 0 125197 220703 0 235000 0 0 0 0 0 0 0 95819 142912 95819 377912 29378 -157209 4801752 5011699 78662 60980 4723090 4950719 TO SUPPORT AND PROMOTE RESEARCH AND EDUCATION INITIATIVES THAT STRENGTHEN THE SAFETY AND QUALITY OF HEALTH CARE THROUGH EFFECTIVE MEDICAL REGULATION. 0 0 354266 235000 0 THE FOUNDATION AWARDS FUNDING TO STATE MEDICAL BOARDS AND OTHER ORGANIZATIONS THAT ARE CONDUCTING RESEARCH, DEVELOPING EDUCATIONAL MATERIALS AND INCREASING AWARENESS ABOUT TOPICS OF IMPORTANCE TO MEDICAL REGULATORS. 354266 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X TODD PHILLIPS 8178684000 400 FULLER WISER ROAD EULESS TX 76039 HUMAYUN J CHAUDHRY DO SECRETARY 3.00 37.00 X X 0 749072 129637 KATIE L TEMPLETON JD DIRECTOR 2.00 18.00 X 0 86385 0 GEORGE ABRAHAM DIRECTOR 2.00 18.00 X 0 38342 0 JANELLE A RHYNE MD PRESIDENT 10.00 0.00 X X 0 0 0 PATRICIA A KING MD PHD VICE PRESIDENT 10.00 0.00 X X 0 0 0 RALPH C LOOMIS MD TREASURER 10.00 0.00 X X 0 0 0 KATHLEEN HALEY JD DIRECTOR 2.00 0.00 X 0 0 0 ARTHUR S HENGERER MD DIRECTOR 2.00 0.00 X 0 0 0 STEPHANIE LOUCKA JD DIRECTOR 2.00 0.00 X 0 0 0 KENNETH B SIMONS MD DIRECTOR 2.00 0.00 X 0 0 0 CHERYL WALKER-MCGILL MD MBA DIRECTOR 2.00 0.00 X 0 0 0 0 873799 129637 0 0 1 0 0 50200 50200 47761 47761 722120 599378 122742 122742 122742 220703 0 0 170503 X 235000 235000 3840 3840 17130 17130 49398 49398 2676 2676 24472 24472 45396 45396 377912 354266 23646 0 85968 163356 50538 38755 21453 2819700 2802598 1824093 2006990 4801752 5011699 23662 14946 20000 0 35000 46034 78662 60980 X 4723090 4950719 4723090 4950719 4801752 5011699 -157209 384838 0 X 0 1 X 1 0 X X 1 THE FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES 751092490 10 1 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: THE ORGANIZATION CONFIRMS ANNUALLY THAT THE SUPPORTED 501(C)(6) ORGANIZATION SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). THIS CONFIRMATION LAST TOOK PLACE IN 2024. PART IV, SECTION A, LINE 3C: THE SUPPORTED ORGANIZATION AND THE FILING ORGANIZATION SHARE MANAGEMENT, SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATION IS BASED ON THE REIMBURSEMENT FOR EXPENDITURES THAT RELATE TO THE SECTION 170(C)(2)(B) PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3415773 274732 384200 3306305 3192993 272780 50000 3415773 3333181 -81288 58900 3192993 3512170 -178989 3333181 2563456 1050170 100000 1456 3512170 1.00000 0 0 0 MERCATOR FUND (DE) LP 2006990 C 2006990 DUE TO AFFILIATE 46034 46034 X PART V, LINE 4: THE ENDOWMENT SHALL BE USED SOLELY TO SUPPORT THE FSMB FOUNDATION'S MISSION TO UNDERTAKE EDUCATIONAL AND SCIENTIFIC RESEARCH PROJECTS DESIGNED TO EXPAND PUBLIC AND MEDICAL PROFESSIONAL AWARENESS AND KNOWLEDGE OF CHALLENGES IMPACTING HEALTH CARE AND HEALTH CARE REGULATION IN ORDER TO CREATE STRONGER AND MORE EFFECTIVE MEDICAL LICENSURE AND REGULATION. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM THE PAYMENT OF INCOME TAXES ON THEIR EXEMPT ACTIVITIES UNDER SECTION 501(C)(3) OF THE IRC, AND ARE CLASSIFIED AS ORGANIZATIONS THAT ARE NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(3) OF THE CODE. THE FEDERATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAD NO IMPACT ON THE FEDERATION'S CONSOLIDATED FINANCIAL STATEMENTS. FSMB AND THE FOUNDATION FILE AS TAX-EXEMPT ORGANIZATIONS. 1 WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE 1205 DUDLEY RD CHARLESTON WV 25314 550600137 WEST VIRGINIA 50000 0 N/A N/A GENERAL SUPPORT RHODE ISLAND BOARD OF MEDICAL LICENSURE & DISCIPLINE THREE CAPITOL HILL RM 401 PROVIDENCE RI 02908 056000522 RHODE ISLAND 15000 0 N/A N/A TO SUPPORT THE IMPLEMENTATION OF THE INTERSTATE MEDICAL LICENSING COMPACT OREGON MEDICAL BOARD 1500 SW 1ST AVE SUITE 620 PORTLAND OR 97201 930836197 OREGON 50000 0 N/A N/A TO SUPPORT THE OREGON APPLICATION PROGRAMMING INTERFACE INTEGRATION PROJECT MAINE BOARD OF LICENSURE IN MEDICINE 137 STATE HOUSE STATION AUGUSTA ME 04333 016000001 MAINE 20000 0 N/A N/A TO SUPPORT THE PROJECT FOR THE DEVELOPMENT OF TWO EDUCATIONAL VIGNETTES DESIGNED FOR LICENSEES AND THE PUBLIC NEW MEXICO MEDICAL BOARD 2055 S PACHECO ST BUILDING 400 SANTA FE NM 87505 856000565 NEW MEXICO 50000 0 N/A N/A TO SUPPORT PROJECT TO MODERNIZE DECISION MAKING PROCESSES BY CREATING A MORE EFFICIENT AND EVIDENCE-BASED MEDICAL BOARD GUAM BOARD OF MEDICAL EXAMINERS 194 HERNAN CORTEZ AVE TERLAJE PROFESSIONAL BUILDING SUITE 213 HAGATNA GU 99999 980018947 GUAM 50000 0 N/A N/A TO SUPPORT THE GBME EMERGENCY PREPAREDNESS AND RESPONSE PROJECT. 6 PART I, LINE 2: THE FOUNDATION SENDS A NOTICE OF GRANT FUNDS DISBURSEMENT TO GRANT RECIPIENTS, STIPULATING WITHIN 6 MONTHS OF RECEIPT OF FUNDING, YOU AGREE TO PROVIDE THE FOUNDATION WITH A WRITTEN REPORT SUMMARIZING THE STATUS OF THE PROJECT. THIS REPORT SHOULD INCLUDE A DESCRIPTION OF PROGRESS MADE TOWARD ACHIEVING THE PURPOSES OF THE GRANT AND INCLUDE AN ACCOUNTING OF THE USES OR EXPENDITURE OF FUNDS. WITHIN 60 DAYS OF PROJECT COMPLETION, YOU ALSO AGREE TO PROVIDE A WRITTEN REPORT THAT INCLUDES A NARRATIVE OF WHAT WAS ACCOMPLISHED BY THE GRANT SUCH AS THE RESULTS, BENEFITS AND IMPACT OF THE FUNDING, AS WELL AS AN INDICATION AS TO WHETHER THE FUNDING WAS 100% OF THE PROJECT COST. 0 1 0 0 0 0 0 0 0 HUMAYUN J CHAUDHRY DO SECRETARY 0 698460 0 26374 0 24238 0 108956 0 20681 0 878709 0 0 SCHEDULE J, PART I, LINE 3: FOR THE PURPOSE OF DETERMINING COMPENSATION, THE REPORTING ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS/DIRECTORS. THEY RELIED ON A RELATED ORGANIZATION, THE FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES, TO ESTABLISH THE COMPENSATION OF THE OFFICERS/DIRECTORS. THE FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES USED THE FOLLOWING PRACTICES TO ESTABLISH COMPENSATION FOR THE OFFICERS/DIRECTORS: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B: NAME: DR. HUMAYUN J. CHAUDHRY, DO, DESCRIPTION: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, CURRENT YEAR AMOUNT: $57,206. PLAN DESCRIPTION: 457F. THERE WERE NO DISTRIBUTIONS IN FY2025. FORM 990, PART VI, SECTION A, LINE 7A THE FOUNDATION BOARD SHALL CONSIST OF UP TO FIFTEEN (15) DIRECTORS (THE"DIRECTORS"), MINIMUM OF THREE (3) OF WHOM SHALL BE ELECTED FOR THREE (3) YEAR TERMS FROM AMONG THE FELLOWS OR HONORARY FELLOWS OF THE FSMB; ONE (1) OF WHOM SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE FEDERATION OF STATE MEDICAL BOARDS (THE "FSMB"), ONE (1) OF WHOM SHALL BE THE CURRENT CHAIR OF THE FSMB BOARD OF DIRECTORS, AND UP TO TWO (2) OF WHOM MAY BE PERSONS ELECTED FROM THE PUBLIC AT LARGE. AT NO TIME SHALL THE FOUNDATION BOARD CONSIST OF LESS THAN FORTY PERCENT (40%) OF DIRECTORS WHO HAVE BEEN ELECTED BY THE FSMB BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE TREASURER, THEN A COPY OF THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE BOARD OF DIRECTORS BEFORE THE FORM 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST POLICY AND ITS CERTIFICATION IS DISTRIBUTED TO AND REVIEWED ANNUALLY BY DIRECTORS, OFFICERS, COMMITTEE MEMBERS AND EXECUTIVE MANAGERS, EACH OF WHOM HAS A CONTINUING RESPONSIBILITY TO EVALUATE THEIR TRANSACTIONS, OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS OF INTEREST, AND TO MAKE SUCH DISCLOSURES AS DESCRIBED IN THE POLICY. THE FOUNDATION BOARD SHALL ANNUALLY REVIEW THE CONFLICT OF INTEREST CERTIFICATIONS. THE DISCLOSURES CONTAINED THEREIN SHALL BE DEEMED APPROVED BY THE BOARD UNLESS AN OBJECTION IS MADE BY ONE OR MORE DIRECTORS. SUCH APPROVAL OR OBJECTION IS DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. WHENEVER ANY INDIVIDUAL SUBJECT TO THIS POLICY BELIEVES HE OR SHE MAY HAVE A CONFLICT OF INTEREST, HE OR SHE SHALL PROMPTLY NOTIFY THE BOARD PRESIDENT OR APPROPRIATE COMMITTEE CHAIR OF SUCH CONFLICT. WHEN ANY CONFLICT OF INTEREST IS RELEVANT TO A MATTER THAT COMES UNDER CONSIDERATION OR REQUIRES ACTION BY THE FOUNDATION BOARD OR A COMMITTEE, THE DIRECTOR/OFFICER/COMMITTEE MEMBER SHALL CALL IT TO THE ATTENTION OF THE BOARD PRESIDENT OR APPROPRIATE COMMITTEE CHAIR. AFTER BEING PERMITTED TO MAKE A PRESENTATION TO THE BOARD OR COMMITTEE, THE INTERESTED PARTY SHALL RECUSE HIMSELF OR HERSELF FOR THE DISCUSSION OF, AND THE VOTE ON, THE MATTER. THE INTERESTED PARTY SHALL BE COUNTED FOR PURPOSES OF A QUORUM BUT SHALL LEAVE THE MEETING BEFORE DECISIONS ARE MADE ON MATTERS IN WHICH HE/SHE HAS SUCH AN INTEREST. THE MINUTES OF THE MEETING OF THE BOARD OR COMMITTEE DOCUMENT ANY CONFLICT OF INTEREST THAT WAS DISCLOSED AND THAT THE INTERESTED PARTY WAS NOT PRESENT DURING DISCUSSION OR DECISION ON THE MATTER AND DID NOT VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PRINTING AND DESIGN SERVICES: PROGRAM SERVICE EXPENSES 49,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,398. THE FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES 400 FULLER WISER ROAD EULESS TX 76039 751092490 PROMOTING EXCELLENCE IN MEDICAL PRACTICE, LICENSURE, AND REGULATION NE 501(C)(6) N/A N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 NA 0