How
to Form a State Chapter
I.
Initial Contact and Request
for Application
Requests
will only be accepted from ASMBS
surgeon members in good standing.
Prior to starting the application
process it is strongly recommended
that the primary applicant hold
an initial meeting to determine
local interest. Once the interest
of other ASMBS members in the
area has been determined, the
application process can be initiated.
II.
Preliminary Application
Download
Application (PDF)
Requirements:
1.
Name of state requesting ASMBS
State Chapter Status
2.
Name and contact information
of the president (primary contact)
of the Chapter
3. Name
and
contact
information
of all
officers.
All
Chapter
members
must
be an
ASMBS
member
in good
standing
regardless
of level
of membership.
III.
Full Chapter Status Application
Requirements:
1.
Written Acceptance of the Preliminary
Application
2.
Review the ASMBS
State Chapter Charter Agreement.
(PDF)
3.
Provide documentation that
the group is formally incorporated
as a nonprofit organization.
The application shall be accompanied
by a copy of the applicant’s
articles of incorporation
showing the date of filing.
4.
Provide a copy
of the
duly
adopted
bylaws.
Note:
The
applicant’s
bylaws
must
indicate
a corporate
purpose
consistent
with
the
purpose
and
objectives
of the
ASMBS
as set
forth
in the
ASMBS’s
most
current
bylaws.
A copy
of sample
of suggested
bylaws
are
provided
here. Download
the
sample
bylaws. (PDF)
5. Provide
updated
information
on the
principle
office
and
mailing
addresses
and
the
names,
telephone
numbers,
and
e-mail
addresses
of all
officers.
6. Submission
of a
yearly
budget
7. A
nonrefundable
fee
of $100
IV.
Application Review and Approval
Process
1.
On receipt of an application
and application fee, the application
will be reviewed by staff for
completeness. If any required
information or documentation
is missing, the applicant will
be notified. No action will be
taken on the application until
all required information and
documentation has been submitted.
2.
Completed applications and accompanying
documentation shall be forwarded
to the Chair of the State Chapters
Committee. The State Chapters
Committee shall review all applications
and recommend those applicants
meeting the requirements to the
Executive Council for designation
as a local chapter. Applicants
not meeting the requirements
shall be referred back to the
Executive Director with a statement
of reasons why the application
is being declined. The applicant
should be encouraged to rectify
any deficiencies and to reapply.
3.
Applicants recommended for designation
must be approved by a majority
vote of the Executive Council.
Approval of an applicant shall
be subject to the applicant
executing a Charter Agreement
with ASMBS.
4.
The ASMBS shall notify applicants
of the decision of the Executive
Council. Approved applicants
will be forwarded a Charter Agreement
which must be executed by the
applicant and returned to ASMBS.
The Executive Director is authorized
to execute the Charter Agreement
on behalf of ASMBS.
5.
A fully executed copy of the
Charter Agreement shall be returned
to the applicant together with
a certificate designating the
applicant group as a local chapter
of ASMBS.
V.
Rights and Duties of Local
Chapters
1.
Applicant groups which have been
approved by the Executive Council
and which have executed a Charter
Agreement will be referred to
as a Chapter of ASMBS.
2.
Each Chapter shall have the right
to utilize the name of ASMBS in
the name of the Chapter, to acknowledge
and advertise its affiliation
with ASMBS as a local chapter,
and to receive any other benefits
which may be bestowed by ASMBS
on its designated local chapters.
3.
A Chapter and ASMBS, and their
respective members, employees,
agents, officers or directors,
are not considered agents, employees,
joint venturers, partners or
legal representatives of the
other for any purpose.
4.
EachChapter shall abide by
and promote the purposes and
objectives of ASMBS as set forth
in the most current version
of ASMBS’s
bylaws. A Chapter’s
bylaws shall not conflict with
or be inconsistent with the
bylaws of ASMBS. A Chapter must
submit all bylaw amendments to
ASMBS.
5.
Each Chapter must maintain its
not-for-profit corporate status
at all times as a condition of
designation as a local chapter
of ASMBS.
6.
Each Chapter must apply for
tax exemption with the Internal
Revenue Service and appropriate
state taxing authority. A Chapter’s
applications for tax exemption
must be filed in the Chapter’s
own name and not in the name
of ASMBS. No Chapter shall be
included on ASMBS’s
IRS Form 990. Each Chapter must
obtain its own federal and state
employer identification numbers
and shall not use the employer
identification numbers of ASMBS.
Each Chapter is solely responsible
for complying with all applicable
tax laws, rules, regulations
and filing requirements.
7.
Any bank accounts established
by a Chapter shall be established
in its own name and not in
the name of ASMBS.
8.
Each Chapter may determine
its own qualifications and
requirements for membership
provided that such qualifications
and requirements are consistent
with those established by ASMBS
for membership in ASMBS. Members
of a Chapter must be members
of ASMBS.
9.
A Chapter may impose and set
the amount of dues on its members.
10.
AChapter may use the ASMBS
name provided that the use
clearly distinguishes between
the Chapter and ASMBS. Each
Chapter must ensure that its
communications with third parties
and the general public specify
that the communication is that
of the Chapter. A Chapter may
identify itself as a local
chapter of ASMBS as follows: “[Actual
Chapter name, i.e., Bariatric
Surgery Society of State X ],
a local chapter of the American
Society for Bariatric Surgery”, “The
[State X] Chapter of ASMBS” or
similar wording which denotes
the chapter relationship. Officers,
directors or members communicating
on behalf of a Chapter should
identify themselves as officers,
directors or members of the
Chapter.
11.
Each Chapter must provide and
keep ASMBS current with the
Chapter’s
contact information including
principal office address,
mailing address, and phone
numbers and email addresses
of officers.
12.
ASMBS may post information
regarding its Chapters on ASMBS’s
website.
13.
Each Chapter shall provide
an annual report on its activities
to the Chairperson of the
ASMBS State Chapters Committee
prior to the ASMBS Annual Meeting.
The annual report should include:
a) a listing of the Chapter’s
current officers and directors;
b) a roster of current members;
c) a summary of the Chapter’s
activities for the 12 months
prior to the annual meeting
including member meetings, legislative
activities, seminars or continuing
education classes and other
items of interest as well as
a summary of future planned activities;
and d) balance sheets for the
prior year end and current year
to date. Failure to provide
an annual report is grounds for
termination of chapter status.
14.
A Chapter shall remain a Chapter
until and unless its Charter
is terminated. A Charter may
be terminated by either the Chapter
or ASMBS at any time for any reason,
with or without cause, on thirty
days written notice to the other
party. Upon termination by either
party for any reason, the Chapter
must immediately cease utilizing
the ASMBS name and acronym and
may no longer claim any affiliation
with ASMBS.