ASPMN 2018 Chapter Annual Report Question Title * 1. Chapter Central Indiana Chicago Metropolitan Colorado Eastern Massachusetts Garden State Greater Kansas City Houston Area Long Island Louisiana Maryland New York City North Carolina Pittsburgh Western Region St. Louis Regional Upper Midwest Wisconsin Other (please specify) Question Title * 2. Name of Current Chapter President Question Title * 3. Chapter Mailing Address Address City State Zip code Question Title * 4. Tax ID Number Question Title * 5. In what state were your Articles of Incorporation filed? State Date Filed Question Title * 6. In 2018, did your chapter file its state Annual Report in the state in which your chapter is incorporated? Yes No Question Title * 7. Date your chapter was registered (chartered) at the ASPMN National Office. Question Title * 8. Our chapter has filed IRS Form 1024 and has been approved as a tax exempt organization. Yes No Question Title * 9. Amount of Chapter Dues charged Question Title * 10. Chapter total financial assets/bank balance as of January 30, 2018 Question Title * 11. Chapter total financial assets/bank balance as of December 31, 2018 Question Title * 12. An audit of our chapter's financial assets was conducted in 2018. Yes No Question Title * 13. All Board and Committee meeting minutes are on file with the chapter. Yes No Question Title * 14. If there were any changes to your chapter's bylaws in 2018, please list the changes here. Question Title * 15. Our chapter will file its IRS form 990EZ or 990N by May 15 and a copy will be provided to the ASPMN National Office (ASPMN@kellencompany.com) by May 31, 2019. Yes No Other (please specify) Question Title * 16. 2018 Chapter Meetings. Total number of Meetings Number of Face to Face Meetings Number of Virtual Meetings (conference call/video call) Question Title * 17. Chapters are required to hold at least one educational event per year. Please provide the following information about your chapter's educational session(s) in 2018. Topic Description Speaker Names Length of Program (hours) Live or Virtual Number of attendees Fees charged Sponsorship Funding Provided By: # of CEs offered CE Provider Question Title * 18. If you held a second educational event, please provide the following information about that event. Topic Description Speaker Names Length of Program (hours) Live or Virtual Number of attendees Fees charged Sponsorship Funding Provided By: # of CEs offered CE Provider Question Title * 19. List recognition/awards/scholarships given and name(s) of recipients. Question Title * 20. List the goals your chapter accomplished in the past year. Question Title * 21. List any goals in progress from the past year. Question Title * 22. List any new goals for 2019. Question Title * 23. Describe any chapter work with legislators or government agencies. Question Title * 24. Describe any fundraising efforts. Question Title * 25. Describe any ways that your chapter has supported pain management nursing research. Question Title * 26. Number of chapter members. Question Title * 27. Number of new members this year. Question Title * 28. Chapter membership has: Increased Remained the same Decreased Other (please specify) Question Title * 29. If you have a chapter newsletter, how often is it distributed? weekly monthly quarterly bi-annually annually Other (please specify) Question Title * 30. How are members reminded to renew their chapter membership? Mail Email Phone Call Other (please specify) Question Title * 31. Are all chapter members current members of ASPMN? Yes No Question Title * 32. Describe how your chapter encourages members to be involved with chapter activities. Question Title * 33. How do you welcome new or transferred members? Mail Email Phone call Other (please specify) Question Title * 34. How many members of your chapter also serve at the national level as board members, committee chairs or committee members? Question Title * 35. Please list your chapter's Board members: names and term expiration President Vice President Secretary Treasurer Past President At Large Member 1 At Large Member 2 At Large Member 3 At Large Member 4 At Large Member 5 At Large Member 6 Other: Question Title * 36. What is the name of your incoming president (if known) Question Title * 37. List your Chapter's committees and committee chairs. Committee 1 Committee 2 Committee 3 Committee 4 Committee 5 Committee 6 Question Title * 38. What is the biggest challenge that your chapter is currently facing? Question Title * 39. Other comments/feedback/suggestions for ASPMN's Board of Directors or National Office. Done