Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY
 
Employer identification number
23-7058604
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) NORTHWESTERN UNIVERSITY
633 CLARK RM G-547
EVANSTON,IL60208 		36-2167817 501(C)(3) 80,200       MEDICAL RESEARCH
(2) UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
1100 N LINDSAY
OKLAHOMA CITY,OK73104 		73-6017987 115(A) 32,425       MEDICAL RESEARCH
(3) UNIVERSITY OF ALABAMA AT BIRMINGHAM
1825 UNIVERSITY BLVD BDB 369
BIRMINGHAM,AL35294 		63-6005396 501(C)(3) 30,120       MEDICAL RESEARCH
(4) JOHN'S HOPKINS UNIVERSITY
125269 COLLECTIONS CENTER DRIVE
CHICAGO,IL60693 		52-0595110 501(C)(3) 75,000       MEDICAL RESEARCH
(5) BAYSTATE MEDICAL CENTER
759 CHESTNUT STREET
SPRINGFIELD,MA01199 		04-2790311 501(C)(3) 66,000       MEDICAL RESEARCH
(6) TRUSTEES OF THE UNIVERSITY OF PA
421 CURIE BOULEVARD
PHILADELPHIA,PA19104 		23-1352685 501(C)(3) 10,000       MEDICAL RESEARCH
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) MEDICAL RESEARCH 6 31,500      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ORGANIZATION REQUIRES THAT ANY USE OF GRANT FUNDS BE REVIEWED BY THE CFO AND THE PRESIDENT TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE.
Schedule I (Form 990) 2014



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