BYLAWS THE KENTUCKY CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY ARTICLE I NAME AND PURPOSE

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BYLAWS THE KENTUCKY CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY ARTICLE I NAME AND PURPOSE Section 1. Name. This organization, a not-for-profit corporation*, shall be known as the Kentucky Chapter of the American College of Cardiology (hereinafter referred to as the Chapter ). Section 2. Purpose. The purpose of the Chapter shall be to contribute to the prevention of cardiovascular diseases, to ensure optimal quality of care for individuals with such diseases, and to foster the highest professional ethical standards. In carrying out these purposes the Chapter shall function, in consultation with the leadership of the College, as a source of advice to local and state governmental and professional organizations concerning issues related to cardiovascular disease. The Chapter shall, in the interests of patients, physicians, and the public in general, maintain a high level of social consciousness and involvement with socioeconomic factors and access to the highest possible quality of cardiovascular health care in Kentucky. *This Chapter will be formed as a 501(c)(6) not-for-profit corporation under the federal and state tax codes.

ARTICLE II MEMBERSHIP Section 1. Eligibility. All members of the American College of Cardiology residing or working in Kentucky shall be eligible for membership in the Chapter. Section 2. Classes of Members. The Chapter shall have five classes of membership. The qualifications for membership in the respective classes are: a) Active Members: all Fellows, Associate Fellows, Affiliates, Distinguished Fellows and Honorary Fellows of the American College of Cardiology residing or working in Kentucky. b) Fellows-in-Training Members: all Fellows-in-Training of the American College of Cardiology. c) Emeritus Members: all Emeritus members of the American College of Cardiology.

d) Cardiovascular Team Members: all Cardiovascular Team members of the American College of Cardiology including Registered Nurses, Nurse Practitioners, and Clinical Nurse Specialists. e) CV Administrator Members: all CV Administrator members of the American College of Cardiology. Section 3. Voting and Office Holding Rights. Members of the Chapter in good standing shall be eligible to vote and hold a Councilor position in the Chapter. Only Active members shall hold an Officer position in the chapter. All members shall be eligible to serve on committees of the Chapter. Section 4. Termination of Membership. Membership in the Chapter shall terminate when the member ceases to hold membership in the American College of Cardiology or fails to pay Chapter dues as specified in Article VIII. ARTICLE III OFFICERS Section 1. Officers. The officers of the Chapter shall consist of the President, the President-Elect, the Immediate Past President and the Secretary-Treasurer. The American College of Cardiology Governor for the state of Kentucky shall serve concurrently as the President of the Chapter. The American College of Cardiology Governor-Elect for the

state of Kentucky shall serve concurrently as the President-Elect of the Chapter. The American College of Cardiology Immediate Past Governor for the state of Kentucky shall serve concurrently as the Immediate Past President of the Chapter. Section 2. Election and Term of Office. Governors and Governors-Elect of the College are elected through a process as set forth in the Bylaws of the American College of Cardiology. The term of office for College Governors is three (3) years; therefore, the Chapter President s term shall be for a like number of years. The term of office for College Governors-Elect is one (1) year; therefore, the Chapter President-Elect s term shall be for a like number of years. At the end of his/her one-year term as President-Elect, he/she shall begin a three-year term as President. The Chapter Immediate Past President shall also serve a term of three (3) years. The Chapter Secretary-Treasurer shall serve a term of two (2) years and shall be elected by the members of the Chapter at an annual meeting, by mail ballot, or by electronic means. The Secretary-Treasurer may serve a maximum of two (2) consecutive terms as Secretary-Treasurer. Section 3. Vacancies. If a vacancy for the office of President and/or President-Elect occurs for any cause it shall be filled, after consultation with the Chapter, in accordance with the Bylaws of the American College of Cardiology. If the offices of Immediate Past President or Secretary-Treasurer become vacant, these offices shall be filled by action of the members of the Council and subsequently ratified by the members of the Council at any meeting of the Council, by mail, or by electronic means.

ARTICLE IV DUTIES OF OFFICERS Section 1. President. The President of the Chapter, who concurrently is the American College of Cardiology Governor for the state of Kentucky, shall be the chief elected officer of the Chapter and shall in general supervise and direct the business and affairs of the Chapter, in consultation with the Council. The President shall serve as Chairman at all meetings of the membership and of the Council. The Chapter President shall serve as Chairman of the Council. The President, in consultation with the Council and committee chairmen, shall appoint the members of all standing and special committees of the Chapter. Section 2. President-Elect and Immediate Past President. The President-Elect and Immediate Past President shall assist the President in the discharge of the duties of the President as the President may direct, and shall perform such duties as from time to time may be assigned by the President. In the absence of the President, the Immediate Past President shall perform the duties of the President. Section 3. Secretary-Treasurer. The Secretary-Treasurer shall: 1) ensure that a current roster of all members of the Chapter is maintained, 2) ensure that a record of proceedings of all meetings of the Chapter is kept, 3) serve as the principal volunteer financial officer of the Chapter and shall have responsibility for

ensuring the maintenance of adequate books and accounts for the Chapter, and 4) in general perform all duties customarily incident to the offices of Secretary and Treasurer and such other duties as from time to time may be assigned by the Chapter President or Council. If required by the Council, the Secretary-Treasurer shall give a bond for the faithful discharge of duties of that office in such sum and with such surety or sureties as the Council shall determine, the cost of any such bond or surety to be paid from the funds of the Chapter. ARTICLE V COUNCIL Section 1. General Powers. The administration, property and activities of the Chapter shall be managed by its Council. Section 2. Composition. The Council shall consist of the officers of the Chapter; ten (10) district councilors: with a minimum of one councilor from the Western, Eastern, Northern, Louisville and Lexington Districts, and a delegate and alternate delegate, appointed by the Council, who represent the Chapter in the House of Delegates of the

Kentucky Medical Association. Liaisons to the Council may be appointed by the President as agreed upon by the Council. Section 3. Election and Term of Office. During the initial year of the Chapter, half of the district councilors shall be appointed by the President to two-year terms and half to three-year terms. For subsequent years, councilors shall be elected by the members of the Chapter residing in each district, using a mail ballot or electronic means, of candidates proposed by the Nominating Committee, and shall serve two-year terms. Councilors will recommend an alternate councilor to the Executive Committee for approval. Alternates may attend all meetings of the Council, but will have voting privileges only in the absence of the Councilor. The Chapter Secretary-Treasurer shall be responsible for transmitting ballots to the membership containing nominees recommended by the Nominating Committee and approved by the Council. District councilors are eligible to succeed themselves for one additional two-year term. Section 4. Vacancies. A vacancy on the Council for members other than the President and President-Elect may be filled by action of the members of the Council at any meeting of the Council. The individual so appointed to fill a vacancy shall serve for the unexpired term of his/her predecessor. Section 5. Meetings. Meetings of the Council may be called by the Chapter President, who also serves as Chairman of the Council, or at the request of six (6) Council members. The President shall fix the place for holding all Council meetings unless otherwise

directed by the Council. The Council shall meet at least twice each year. District Councilors must attend at least fifty percent (50%) of Council meetings to maintain their position on the Council. Any Councilor who misses two consecutive Council Meetings without being formally excused by the President will automatically be removed from the Council. Vacancies shall be filled by the process as set forth in Article V. Section 6. Notice. A notice stating the place, day and hour of the meeting and the purpose or purposes for which the meeting is called shall be transmitted to each Council member not less than thirty (30) days before the date of the meeting. Section 7. Quorum. A majority of the members of the Council, when duly called and assembled, shall constitute a quorum for the transaction of business at any meeting of the Council. ARTICLE VI COMMITTEES Section 1. Establishment and Composition. Committees may be established by resolution of the Council adopted at any duly called and constituted meeting. The size, purposes and powers of any such committee shall be as provided in such resolution. The President of the Chapter shall, in consultation with the Council, appoint the chair and members of each such committee. All Standing Committee appointments must have the

approval of the Council. The term of service of any committee member may be terminated by the President, whenever, in the judgment of the President and the Council the best interests of the Chapter shall be served by such termination. Section 2. Term of Office. The term of office for the members of all committees, with the exception of the Nominating Committee, shall be determined by the Council. Section 3. Chairman. A chairman for each committee, with the exception of the Nominating Committee, shall be appointed by the President of the Chapter. Section 4. Vacancies. Vacancies in the membership of any committee shall be filled by appointments made by the Chapter President in consultation with the committee chair. Standing committee vacancy replacements require the approval of the Council. The individual so appointed to fill a vacancy shall serve for the unexpired term of his/her predecessor. Section 5. Reporting. All Chapter committees shall report to the Council. Section 6. Standing Committee: Standing Committees of the Chapter shall be: Advocacy and Public Policy, and Nominating.

Section 7. Special Committees. Upon recommendation by the Chapter President, the Council may establish special or ad hoc committees or task forces to address special subjects of interest to the Chapter. Section 8. Nominating Committee. Committee Composition: The Immediate Past President shall serve on this committee. With the Immediate Past President representing his/her district, the Chapter President shall select three (3) additional Chapter members to this committee. These shall be district councilors or members of other Chapter committees, who shall not be elected or re-elected in the current term. This process shall produce one (1) member from each district. The Immediate Past President shall not be eligible to serve as committee chairman. Each year, the chairman of the committee shall be elected by the members of the committee. It is recommended that whenever possible, consideration be given for a balanced representation on this committee (i.e., Adult Cardiology, Pediatric Cardiology, Cardiovascular Surgery, Private Practice, Academic Practice, Geographical Representation). Term of Committee Membership: The term of the Immediate Past President shall be for as long as that individual holds office as Immediate Past President of the Chapter. The remaining three members of the committee shall serve one year terms. No member shall be eligible to serve a second consecutive term on the committee. Vacancies in the

membership of this committee shall be filled by the process set forth in Article VI, Section 4 of the Bylaws. Charge and Function of Nominating Committee: The committee shall recommend to the Council at least two (2) nominees for each district councilor position whose term is due to expire. Nominations shall be restricted to Active members of the Chapter residing in the district where the vacancy is to occur. The committee shall not nominate any of its members to any position on the ballot. The committee shall recommend to the Chapter membership at the annual business meeting the committee s nominee(s) for the office of Secretary-Treasurer and any open District Councilor positions. ARTICLE VII MEETINGS Section 1. Annual Business Meeting. The Chapter shall hold an annual business meeting, open to all members of the Chapter and invited guests of the Council, at a time and place designated by the Council. The Council is described in Article V of these Bylaws. The purpose of the meeting shall be to transact any business that may come before the Chapter.

Section 2. Special Meetings. Special meetings of the membership may be called by the President after consultation with the Council or upon written request of not less than twenty percent (20%) of the membership. Section 3. Notice of Meeting. A notice stating the place, day and hour of the meeting shall be transmitted to each member of the Chapter not less than thirty (30) days before the date of the meeting. Section 4. Meeting by Electronic Means. Meetings may be conducted through the use of a conference telephone or similar communications equipment by means of which all persons participating in the meeting can hear each other and such participation in a meeting shall constitute presence at the meeting. ARTICLE VIII DUES AND ASSESSMENTS Annual dues and assessments by membership category shall be set by the Council and approved by the American College of Cardiology prior to implementation. Active members, with the exception of Honorary Fellows, shall be deemed as dues paying members. Dues shall be waived for Emeritus members and Fellow-in-Training members.

The American College of Cardiology shall be responsible for billing all ACC members in the state of Kentucky for Chapter dues. Upon receipt of the dues payment, the American College of Cardiology shall promptly remit such payments to the Chapter Secretary- Treasurer. ARTICLE IX REPORTING The Chapter shall submit to the American College of Cardiology an annual report which includes: a) a statement of income and expenses signed by a duly-authorized Chapter officer (usually the Secretary-Treasurer); b) a copy of Internal Revenue Service Form 990 and other required IRS forms submitted by the Chapter; and c) a summary of Chapter activities for the previous twelve-month period and plans for the coming year. ARTICLE X CHAPTER AND NATIONAL RELATIONS Neither the Chapter nor any of its officers, or members, is authorized to represent or in any way bind the American College of Cardiology, unless authorized to do so by the College President, nor will any of them in any way hold themselves out as being authorized to do so without specific authorization of the College President. The College shall provide the Chapter of with all policy and position statements in order for Chapter

statements to be consistent with those of the College, and major new policy statements by the Chapter shall be developed in consultation with College leadership. The relationship between the Chapter and the governing bodies of the American College of Cardiology is defined in the American College of Cardiology Constitution and Bylaws which state that: 1) Chapters may be organized under guidelines established by the ACC Board of Trustees for the purpose of furthering the objectives of the College; 2) Articles or Certificate of Incorporation and Bylaws of each Chapter must be approved by the Board of Trustees of the College; and 3) after incorporation, no Chapter shall amend, restate, or otherwise change the provisions of the Articles of Incorporation, Bylaws or other governing documents without the approval of the ACC Board of Trustees. The American College of Cardiology may terminate Chapter status for any Chapter if the ACC Board of Trustees finds that the Chapter has engaged in activities detrimental to the best interest of the College. The Chapter shall be afforded an opportunity to be heard pursuant to such reasonable procedures as the ACC Board of Trustees shall provide. ARTICLE XI DISSOLUTION Upon dissolution of the corporation, all its assets, after payment of all debts and other liabilities, shall be paid and distributed to the American College of Cardiology.

ARTICLE XII INDEMNIFICATION To the full extent permitted by law, the Chapter may indemnify any and all of its officers, council members and committee members for certain expenses and other amounts paid in connection with legal proceedings in which any such person becomes involved by reason of serving in any such capacity with or for the Chapter. The Chapter may purchase and maintain insurance on behalf of any or all officers, Council members or committee members against any liability asserted against any such person, and incurred in any such capacity, whether or not the Chapter would have the power to indemnify them against such liability under the provisions of this article. ARTICLE XIII ETHICS Members of the Chapter are expected to exhibit high ethical and moral standards. The Bylaws of the American College of Cardiology provide a mechanism for addressing matters related to the ethical conduct of all members of the College.

ARTICLE XIV AMENDMENTS Bylaws may be amended or repealed and new Bylaws may be adopted by ballot with a two-thirds (2/3) approval by the respondents, provided that written notice of the proposed change or changes has been transmitted to each voting member at least thirty (30) days before the final vote count. However, before becoming effective such amendments must have the approval of the Board of Trustees of the American College of Cardiology. Drafted: October 1991 Amended: December 2017