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
The American Head and Neck Society Inc
 
Employer identification number
23-7323559
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) MEMORIAL SLOAN KETTERING CANC
PO BOX 026338 MSKCC FINANCE
NEW YORK,NY10087 		13-1924236   20,000 0     RESEARCH
(2) REGENTS OF UNIV OF MICHIGAN
PO BOX 223131
PITTSBURG,PA15251 		38-6006309   9,736 0     RESEARCH
(3) RESEARCH FOUNDATION OF AHNS
11300 W OLYMPIC BLVD 600
LOS ANGELES,CA90064 		54-6319787   20,000 0     RESEARCH
(4) UNIV OF TORONTO

190 ELIZABETH ST 35-438
TORONTO,ONTARIOMSG2N2
CA 		  10,000 0     RESEARCH
(5) UNIVERSITY OF MIAMI
PO BOX 4058303
ATLANTA,GA30384 		59-0624458   11,000 0     RESEARCH
(6) UNIVERSITY OF PITTSBURG
200 LOTHROP ST BST W912
PITTSBURG,PA15213 		25-0965591   12,500 0     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)
(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
Grantmaker's Description of How Grants are Used Explanation of grant qualifications:The Society sponsors several research grants both as an individual society and in conjunction with the American Academy of Otolaryngoloy-Head and Neck Surgery and the American College of Surgeons.Pilot grants are open to residents, fellow and junior faculty for pilot research in head and neck cancer-related topics. These awards are offered to support outstanding clinical and basic science research in head and neck oncology.Young Investigator Awards are open to fellow and assistant professors to support research in neoplastic disease of the head and neck.The Surgeon-Scientist Career Development Award is granted to support a collaborative AHNS/AAO HNSF research project in contemporary basic or clinical research skills focused on neoplastic disease of the head and neck amoung new full time academic surgeons. The Ballantyne Resident Research Grant is awarded for the best grant application by a resident.
Schedule I (Form 990) 2014



Additional Data


Software ID: 14000265
Software Version: 2014v5.0