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," on 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
2016
Open to Public
Inspection
Name of the organization
FOUNDATION OF THE ACADEMY OF
PSYCHOSOMATIC MEDICINE INC
Employer identification number
27-1235892
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
noncash assistance
(h) Purpose of grant
or assistance
(1) ACADEMY OF PSYCHOSOMATIC MEDICINE
5272 RIVER ROAD SUITE 630
BETHESDA,MD20816
75-1235048 501C6 15,000       TRAVEL & FELLOWSHIPS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
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) 2016
Page 2

Schedule I (Form 990) 2016
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash 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
SCHEDULE I, PAGE 1, PART I, LINE 2 TRAINEE TRAVEL AWARDS: TO ENCOURAGE PM FELLOWS, RESIDENTS, AND MEDICAL STUDENTS TO JOIN APM, ATTEND THE ANNUAL MEETING, AND EVENTUALLY BECOME NEW LEADERS OF THE ACADEMY, A LIMITED NUMBER OF MONETARY AWARDS ARE GIVEN TO HELP OFFSET THE COST OF ATTENDING THE ANNUAL MEETING. OUR ANNUAL MEETING IS THE BEST OPPORTUNITY FOR TRAINEES TO GET ACCESS TO GROUNDBREAKING INFORMATION IN PM TODAY, AS WELL AS TO GET INTRODUCED TO THE ACADEMY. THE APM COUNCIL DETERMINES THE DOLLAR AMOUNT AND NUMBER OF AWARDS EACH YEAR. SELECTIONS ARE MADE FROM THOSE WHOSE ABSTRACTS ARE ACCEPTED FOR THE ANNUAL MEETING AS WELL HAS FROM INDIVIDUAL APPLICATIONS. WEBB FELLOWSHIP PROGRAM: THE WEBB FELLOWSHIP PROGRAM IS DESIGNED TO SUPPORT A SELECT NUMBER OF OUTSTANDING ADVANCED RESIDENTS AND FELLOWS IN PSYCHOSOMATIC MEDICINE AT AN EARLY STAGE IN THEIR CAREER. PURPOSE OF THE WEBB FELLOWSHIP PROGRAM: THE ACADEMY OF PSYCHOSOMATIC MEDICINE HAS CREATED THE WILLIAM WEBB FELLOWSHIP PROGRAM TO FOSTER THE CAREER DEVELOPMENT AND LEADERSHIP POTENTIAL OF ADVANCED PSYCHIATRY RESIDENTS AND PSYCHOSOMATIC MEDICINE FELLOWS VIA: 1.MENTORSHIP. EACH FELLOW WILL HAVE TWO DESIGNATED MENTORS: ONE FROM THEIR SPONSORING INSTITUTION AND ONE FROM THE APM. 2.NETWORKING. EACH FELLOW WILL BE PROVIDED STRUCTURED AND SUPERVISED INVOLVEMENT IN THE NATIONAL PM ORGANIZATION, APM. 3.SUSTAINED INVOLVEMENT. EACH FELLOW WILL BE SUBSTANTIVELY INVOLVED IN SIGNIFICANT ONGOING APM PROJECTS. 4.AFFIRMATION AND CONSOLIDATION OF PROFESSIONAL IDENTITY. EACH FELLOW WILL EXPERIENCE COLLEGIAL INTERACTIONS VIA APM AND THROUGH EXCLUSIVE WEBB FELLOWSHIP EDUCATIONAL EXPERIENCES. AS LEADING PM PSYCHIATRISTS OF THE FUTURE, WEBB FELLOWS WILL BE ESPECIALLY WELL POSITIONED TO PLAY KEY ROLES IN EDUCATING NON-PSYCHIATRIC PHYSICIANS WHO TREAT PATIENTS WITH PSYCHIATRIC DISORDERS. FINANCIAL SUPPORT THE ACADEMY OF PSYCHOSOMATIC MEDICINE WILL UNDERWRITE EACH FELLOW'S ORGANIZATIONAL MEMBERSHIP FOR ONE YEAR AND ANNUAL MEETING REGISTRATION FEE. SUPPORT OF ATTENDANCE OF THE ACADEMY ANNUAL MEETING AT THE BEGINNING OF THEIR FELLOWSHIP APPOINTMENTS WILL BE COVERED BY THE FELLOW'S SPONSORING (NOMINATING) INSTITUTION. THE SPONSORING INSTITUTION WILL ALSO PROVIDE A MENTOR FOR THE FELLOW. THE ACADEMY WILL UNDERWRITE TRAVEL COSTS FOR THE FELLOW'S ATTENDANCE AT THE SECOND ANNUAL MEETING. THIS INCLUDES COACH AIRFARE, HOTEL, AND EXPENSES FOR MEALS AND INCIDENTALS.
Schedule I (Form 990) 2016



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