2022-09-12T17:15:25-05:00 2021-12-31 464016990 THE PUN GROUP LLP 200 E SANDPOINTE AVE STE 600 SANTA ANA CA 92707 990 2021-01-01 264311090 MEDICAL TOXICOLOGY FOUNDATION MEDI 6235336340 10645 N TATUM BLVD SUITE 200-111 PHOENIX AZ 85028 PAUL M WAX EXECUTIVE DIRECTOR 6235336340 2022-09-12 1 PAUL WAX 999009999 KENNETH PUN P01443751 9497778800 2022-09-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z PAUL M WAX 10645 N TATUM BLVD SUITE 200-11 PHOENIX AZ 85028 306154 0 X ACMT.NET X 2008 AZ TO PROMOTE THE IMPACT AND VALUE OF MEDICAL TOXICOLOGY IN THE PROVISION OF SAFE, HIGH QUALITY CARE. 10 10 18 0 0 0 169718 301022 0 0 3475 632 1412 4500 174605 306154 25823 15500 0 0 48766 62886 0 0 0 8873 5433 83462 83819 91143 222335 615926 981069 5000 110000 610926 871069 TO PROMOTE THE IMPACT AND VALUE OF MEDICAL TOXICOLOGY IN THE PROVISION OF SAFE, HIGH QUALITY CARE. 0 0 15500 15500 THE FOUNDATION WORKS TO SUSTAIN AND IMPROVE THE PRACTICE OF MEDICAL TOXICOLOGY AND IS COMMITTED TO FUNDING MEDICAL TOXICOLOGY EDUCATION AND RESEARCH PROGRAMS THAT ARE VITAL TO THE CARE OF PATIENTS SUFFERING FROM THE ADVERSE EFFECTS OF DRUG, CHEMICAL AND NATURAL TOXIN EXPOSURES. 15500 1 1 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 18 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AZ X X ALEX SHOVALY 6235336340 10645 N TATUM BLVD SUITE 200-111 PHOENIX AZ 85028 JEFFREY BRENT MD PHD BOARD MEMBER 0.75 X 0 0 0 BRYAN JUDGE MD BOARD MEMBER 0.75 X 0 0 0 ZIAD KAZZI MD BOARD MEMBER 0.75 X 0 0 0 ED KUFFNER MD BOARD MEMBER 0.75 X 0 0 0 CHARLES MCKAY MD BOARD MEMBER 0.75 X 0 0 0 ANTHONY PIZON MD BOARD MEMBER 0.75 X 0 0 0 ANDREW STOLBACH MD BOARD MEMBER 0.75 X 0 0 0 SUZANNE WHITE MD BOARD MEMBER 0.75 X 0 0 0 ERICA LIEBELT MD PRESIDENT 2.00 X 0 0 0 TIMOTHY WIEGAND MD SECRETARY/TREASURER 2.00 X 0 0 0 PAUL WAX EXECUTIVE DIRECTOR 1.00 40.00 X 0 404654 0 0 404654 0 0 0 1 0 0 301022 301022 632 632 OTHER INCOME 900099 4500 4500 4500 306154 4500 0 632 15500 15500 53792 53792 5322 5322 3772 3772 1210 1210 760 760 2112 2112 OTHER FEES 1351 1351 83819 15500 68319 0 530909 748144 93257 85017 139668 615926 981069 5000 110000 5000 110000 X 482978 677920 127948 193149 610926 871069 615926 981069 222335 37808 0 X X 0 1 X 1 1 1 X X 1 AMERICAN COLLEGE OF MEDICAL TOXICOLOGY INC 870460513 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 AMERICAN COLLEGE OFMEDICAL TOXICOLOGY A 501(C)(6) ORGANIZATION AND THE RELATED MEDICAL TOXICOLOGY FOUNDATION ACCOUNTING IS MAINTAINED BY THESAME FINANCE DEPARTMENT. MANAGEMENT VERIFIES, ON ANANNUAL BASIS, THAT THE ORGANIZATION RECEIVES MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTION AND THE ORGANIZATIN DOES NOT EXCEED INVESTMENT INCOME AND UNRELATED BUSINESS INCOME THRESHOLDS. PART IV SECTION A LINE 3C THE AMERICAN COLLEGE OFMEDICAL TOXICOLOGY A 501(C)(6) ORGANIZATION AND THE RELATED MEDICAL TOXICOLOGY FOUNDATION ACCOUNTING IS MAINTAINED BY THESAME FINANCE DEPARTMENT. MANAGEMENT VERIFIES, ON ANANNUAL BASIS, THAT THE ORGANIZATION RECEIVES MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTION AND THE ORGANIZATIN DOES NOT EXCEED INVESTMENT INCOME AND UNRELATED BUSINESS INCOME THRESHOLDS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 343962 37808 37808 306154 0 306154 83819 0 83819 0 83819 PART X, LINE 2: THE ORGANIZATION ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION UTILIZES A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT, THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AT DECEMBER 31, 2021, THERE WERE NO UNCERTAIN TAX POSITIONS. 0 MEDICAAL TOXICOLOGY PROGRAM AWARD 1 10000 0 0 0 0 0 0 0 0 0 PAUL WAX EXECUTIVE DIRECTOR 0 404654 0 0 0 0 0 0 0 0 0 404654 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT ANNUALLY DISCLOSING ANY CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION IS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND RECORDING CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. A WRITTEN CONTRACT IS PREPARED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTREST STATEMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART XII, LINE 2C MEDICAL TOXICOLOGY FOUNDATION DID NOT CHANGE ITS OVERSIGHT PROCESS OVER THE AUDIT OR SELECTION PROCESS OVER THE AUDITOR DURING THE YEAR. AMMERICAN COLLEGE OF MEDICAL TOXICOLOGY INC 10645 N TATUM BLVD SUITE 200-111 PHOENIX AZ 85028 870460513 DEVELOPMENT AZ 501 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 AMERICAN COLLEGE OF MEDICAL TOXICOLOGY O 62886 COST