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        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE PROVIDED UNDER CONTRACT BY AMERICAN COLLEGE OF RADIOLOGY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE ASSOCIATION SHALL CONSIST OF SEVEN (7) CATEGORIES: ACTIVE MEMBER, MEMBERS-IN-TRAINING, EMERITUS MEMBER, HONORARY MEMBER, CORRESPONDING INTERNATIONAL MEMBER, AND INSTITUTIONAL/CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ACTIVE, ASSOCIATE, AND EMERITUS/A MEMBERS VOTE IN THE ELECTION OF THE BOARD OF DIRECTORS; ELECTIONS SHALL BE BY A MAJORITY VOTE OF THE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE BY-LAWS MAY BE ADOPTED AT THE ANNUAL MEETING, OR ANY REGULAR OR SPECIAL MEETING OF THE MEMBERS OF THE ASSOCIATION BY AN AFFIRMATIVE VOTE OF AT LEAST 2/3 OF THE ACTIVE MEMBERS, ASSOCIATION MEMBERS, AND EMERITUS/A MEMBERS PRESENT. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE DRAFT 990 IS REVIEWED AND APPROVED BY THE SENIOR DIRECTOR OF ACCOUNTING, EXECUTIVE DIRECECTOR, AND TREASURER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT SERVICES WERE PROVIDED UNDER CONTRACT BY AMERICAN COLLEGE OF RADIOLOGY AND NGAGE MANAGEMENT DURING 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN THE ASSOCIATION SHALL CONSIST OF SEVEN (7) CATEGORIES: ACTIVE MEMBER, ASSOCIATE MEMBER, MEMBERS-IN-TRAINING, EMERITUS MEMBER, HONORARY MEMBER, CORRESPONDING INTERNATIONAL MEMBER, AND INSTITUTIONAL/CORPORATE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE, ASSOCIATE, AND EMERITUS/A MEMBERS VOTE IN THE ELECTION OF THE BOARD OF DIRECTORS. ELECTIONS SHALL BE BY A MAJORITY VOTE OF THE VOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMENDMENTS TO THE BY-LAWS MAY BE ADOPTED AT THE ANNUAL MEETING, OR ANY REGULAR OR SPECIAL MEETING OF THE MEMBERS OF THE ASSOCIATION BY AN AFFIRMATIVE VOTE OF AT LEAST 2/3 OF THE ACTIVE MEMBERS, ASSOCIATION MEMBERS, AND EMERITUS/A MEMBERS PRESENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE DRAFT 990 IS REVIEWED AN DAPPROVED BY THE ACCOUNTANT, EXECUTIVE DIRECTOR, AND TREASURER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRESTRICTED NET ASSETS -16,786</ExplanationTxt>
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