CONSTITUTION AND BY-LAWS OF CAPE GIRARDEAU COUNTY AREA MEDICAL SOCIETY, INCORPORATED

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CONSTITUTION

Article I - Name

The name of this organization is Cape Girardeau County Area Medical Society, Incorporated.

Article II - Purposes

(1) The bringing together in one organization of physicians practicing the various branches of the healing arts in Cape Girardeau County and its environs;

(2) The promotion of inter-disciplinary harmony and good government among its members;

(3) The cultivation of medical science and the collection and examination of information relating to the prevention, eradication, diagnosis and treatment of disease;

(4) The maintenance and continued improvement in the standards of professional competence;

(5) The cultivation of standards of medical education; the aiding, in cooperation with national, state and local medical societies; national, state and local Departments of Health; national, state and local Schools of Medicine, Dentistry and Nursing, and other approved and interested health organizations, in the promotion of worthwhile projects in the health care field;

(6) In the furtherance of the objectives of the corporation, to solicit, collect, receive, hold, invest, reinvest, distribute and disburse dues, donations, subscriptions, gifts, grants and other funds;

(7) The doing of any and all of the acts which may be necessary, suitable and proper for the attainment of any and all of the scientific, benevolent and charitable objectives and purposes of the corporation;

(8) With other County Medical Societies of the State of Missouri, to operate as a component part of the Missouri State Medical Association, and through it, with other Associations, to form and maintain the American Medical Association.

Article III - Membership

Section 1. Eligibility - Every lawfully registered physician residing or practicing in the Cape Girardeau County area, holding the degree of Doctor of Medicine or its equivalent or Doctor of Osteopathy, who is of good moral character and professional standing, and certain graduates of recognized scientific institutions and/or graduates engaged in allied health care who may have made valuable scientific contributions to any of the branches of medicine, or whose membership would further the objectives of the Society shall be eligible for membership as provided in the By-Laws.

Section 2. Classes of Members - Classes of members and the qualifications for the various classes shall be as outlined in the By-Laws.

Section 3. Rights and duties of Members - The rights and duties of the various classes of members shall be as outlined in the By-Laws.

Article IV - Officers

The officers of the Society shall be the President, Vice President, Secretary, Treasurer, the three members of the Committee of Credentials and Grievances, the Delegates and Alternate Delegates to the Missouri State Medical Association, and the Editor of the Cape County Medical Journal. All Officers shall be elected by vote after report of the nominating committee and after nominations from the floor have been made at the annual meeting. A majority vote of the members present shall be necessary to elect. An officer shall take possession of his office on January 1st of the following year. Officers shall serve for the period for which they were elected and until their successors are elected and qualified.

In the event of death, disability or resignation of any elected Officer, the Board of Directors shall appoint a successor for the balance of the term which appointment shall be ratified by the Society.

Article V - Board of Directors

The elected Officers of the Society, the Program Chairman, the Delegates and the Alternate Delegates shall be the Board of Directors of the Society and shall have and may exercise the powers and authorities appertaining to such committee and shall act for the Society in the internal between meetings of the Society, except as otherwise specified by the Constitution and By-Laws. The Board shall have supervision over all standing and special committees and all appointive officers, agents and employees from whom it may require reports at least annually.

Article VI - Executive Director

The Board of Directors of the Society may employ and designate the duties of an Executive Director of the Society who shall have such duty as heretofore appointed to the Officers and specified by the Board of Directors.

Article VII - Committees

There shall be standing and special committees as set forth in the By-Laws. The duties of these various committees will be stated in the By-Laws.

Article VIII - Meetings

The Society shall hold an annual meeting, regular monthly meetings and special called meetings as outlined in the By-Laws.

Article IX - Finances

Funds for meeting the expenses of the Society shall be obtained by imposition of annual dues and special assessments, the receipt of voluntary contributions, bequests, gifts, grants and by other means acceptable to the membership.

Article X - Charter

The Society, having applied to the Council of the Missouri State Medical Association for approval of its original Constitution and By-Laws, shall maintain that Constitution and By-Laws and shall, upon revisions or amendments thereto, submit the same to the Missouri State Medical Association as required and shall, upon receipt of an original, revised or new charter, display such charter in the office of the Society.

Article XI - Amendments

The Society may amend any article of the Constitution by two thirds (2/3) vote of its members present and voting at any regular or special meeting, provided that such amendment or amendments are not in conflict with the Constitution, By-Laws and regulations of the Missouri State Medical Association; provided also, that such amendment or amendments shall have been presented in open session at a previous regular meeting and shall have been sent by mail to each member ten (10) days in advance of the meeting at which final action is to be taken.

Article XII - Dissolution

In the event of dissolution of the Society or if for any reason the purposes of this Society should become impossible of performance, all assets remaining after all liabilities and obligations of he Society have been paid, satisfied and discharged or adequate provisions made therefore, shall be distributed to one or more organizations organized and operated for similar exempt purposes or for scientific, educational or charitable purposes and which have exemption from Federal Income Tax under Section 501(c)(6) of the Internal Revenue Code, or such other section as may correspond thereto.

BY-LAWS

Section 1. Membership - Any person holding the degree of Doctor of Medicine or equivalent medical degree or the degree of Doctor of Osteopathy, who is of good moral character, who supports the Constitution and Laws of the United States and this State and who abides by the principles of Medical Ethics of the American Medical Association, shall be eligible for membership in this Society.

Section 2. Classes of Members - There shall be Active, Junior, Honor Members and Associate Members.

Section 3. Qualifications - A person to be eligible or continue to be eligible in the above classes of membership must:

(1) Possess the degree of Doctor of Medicine, its equivalent, or the degree of Doctor of Osteopathy, except for Associate Member.

Section 4. Specific Qualifications for Each Class

(1) Active Member - To be an Active Member of this Society, one must be licensed to practice medicine in the State of Missouri and either live or practice medicine in the county area and must be otherwise qualified under these By-Laws.

 

(2) Junior Member - To be qualified for Junior Membership, one must possess the degree of Doctor of Medicine or its equivalent or Doctor of Osteopathy and be engaged in either an internship or residency training program and indicate a desire to be a member of this Society. They shall pay applicable state and national dues for this class of membership and local dues to be determined by the Executive Committee but never more than one half that of Active Members.

 

(3) Honor Members - Honor Members of this Society shall consist of those Active Members who have reached advanced years or who may have become incapacitated and who have long served the Society and profession. They shall enjoy all of the privileges of Active Membership and may be nominated by two Active Members at any regular meeting. The vote on their election shall take place at the next regular meeting. A vote of two-thirds (2/3) of the members present and voting shall be required for election.

(4) Associate Members - Associate Members may be:

(a) Graduates of recognized scientific institutions or graduates of schools of dentistry, or graduates engaged in allied health services who may have made valuable scientific contributions to the practice of medicine, or whose membership would so further the object of the Society as to make his membership desirable. Associate Members shall have no voice in the business affairs of the Society; shall not have the privilege of voting or holding office. They shall pay the regular dues that go to maintain the County Society unless totally or partially exempted by the Executive Committee. They will not be subject to the annual State or National Association dues.

 

(b) This type of membership also may include a member in good standing of some other component medical society in this state or in a neighboring state, who is in the practice in that state and the same stipulations hold for this type of member. They shall be exempt from the payment of dues of the Society and shall have all the privileges of Active Members, except that they shall not be eligible to hold office or vote. Associate Members under 4(b) shall be exempt from the payment of dues, etc.

 

(c) Honorary Associate Membership - Honorary Associate Membership may be bestowed upon such distinguished men of the regular profession, as shall be elected by the vote of two-thirds (2/3) of the members present and voting. They shall have distinguished themselves by investigation work or by personal sacrifice in the cause of scientific medicine and warrant their recommendation for election by the Committee on Credentials and Grievances. Members elected under 4(c) shall be exempt from the payment of dues of the Society and shall have all the privileges of Active Members, except that they shall not be eligible to hold office or be allowed to vote.

 

 

(5) Incapacitated Membership Status - Notwithstanding any provision of the MSMA or AMA, Cape Girardeau County Medical Society shall confer, upon simple majority vote, Incapacitated Status upon any member who has, as a result of any physical illness or infirmity, mental disorder or illness, or drug or alcohol related illness, surrendered, lost or suffered a suspension of his licensee to practice medicine in the State of Missouri.

 

A member who has been nominated as an Incapacitated Member shall have the privilege of attending regular meetings of the Cape Girardeau County Medical Society and participating in other activities of the Society which do not require licensure within the State. Said member shall not have the right to vote at any membership meeting. Said member shall be exempt from payment of dues, but shall continue to pay for meals at meetings attended and shall bear any other such similar expense. Nothing in this provision shall prevent the membership of Cape Girardeau County Medical Society from revoking said Incapacitated Status upon a simple majority vote, on motion of a current member.

Section 5. Application of Membership - A candidate for Active, Junior or Associate membership shall make his application on such form as shall be required and specified by the Society, which, at a minimum, shall require statement of age, college, college graduation, professional school date of graduation, places of practice or scientific endeavor, date of registration in this state, if applicable, all states in which Applicant has sought registration and either been granted registration/licensure or denied same, a list of all societies in which Applicant has ever sought membership or to which Applicant has belonged, and a release permitting inquiry to the National Data Bank. The applicant must be endorsed by two members of this Society. The application shall be referred to the Committee on Credentials and Grievances who shall inquire into the standing of the applicant, assure themselves that the applicant is duly licensed according to the laws of the state, and report at the next regular meeting of this Society. Election shall require a two-thirds (2/3) vote of those voting at the regular meeting of the Society. The application shall be returned to the Secretary, who shall file it for future reference. Applications for membership from rejected candidates shall not be received within six (6) months of such rejection.

Section 6. Appeals by rejected applicants - Applicants for membership in the Society whose applications are rejected by vote of the membership under the provisions of Section 5 may, on application in writing delivered to the Committee on Credentials and Grievances within fifteen (15) days after rejection by vote of the membership, appeal such rejection.

On receipt of such appeal, the Committee on Credentials and Grievances shall promptly convene and afford to such rejected applicant an opportunity to show cause why the rejection of his or her application by the Society was improvident. The applicant may appear in person and by counsel and, if desired, may produce witnesses to sustain his or her contentions.

Following such hearing, the Committee on Credentials and Grievances shall, at the next regular meeting of the Society, report their findings and conclusions on said appeal to the membership. In the event it is the conclusion of the Committee that the prior rejection of the said application was improvident, the membership shall reconsider said application and vote upon the same. In the event it is the conclusion of the Committee that the prior rejection was not improvident, the application shall stand rejected and the appellant so notified.

In the event that the rejected applicant is dissatisfied with the recommendations of the Committee on Credentials and Grievances to the membership made pursuant to the provisions of this paragraph, he or she may, on written application to the President of the Society made within fifteen (15) days following notification of the action of the Committee and of the membership, appeal from the prior actions of the Committee and the membership, and request a full hearing on the propriety of such rejection by the membership at any regular meeting of the Society or at a special meeting thereof called by the President for that purpose. At such hearing, the rejected applicant may appear in person and by counsel, and shall be permitted to introduce competent evidence to support his or her contention that the prior rejection by the Society of his application for membership was improvident.

Following the hearing, the membership of the Society shall, at the same time or next regular meeting of the Society, sustain the decision of the Committee on Credentials and Grievances unless, by vote of two-thirds (2/3) of those present and voting, the Society shall sustain the appeal.

Section 7. Transfer - A physician applying for membership as a transfer from any other component medical society shall submit an application as a new member and shall accompany his or her application with a transfer card. The Committee on Credentials and Grievances shall consider such application as a new applicant and report to the Society recommending that the application be accepted or rejected. A two-thirds (2/3) majority vote of those present and voting shall be necessary to accept a recommendation for or against membership. The annual dues for members transferring into the Society shall be prorated, making allowance for annual dues previously paid by the transferee during the fiscal year.

Section 8. Physicians in Adjoining Counties - A physician residing in an immediately adjoining county, having a significant part of his practice in this county, may become a member of this Society in like manner, and on the same terms as a physician living in this county, on permission of the county Society in which the applicant lives.

Section 9. Transfer Cards - A member in good standing, who is free from all indebtedness to this Society, and against whom no charges are pending, wishing to withdraw, shall be granted a transfer card. This card shall state the date the member associated himself with this Society, the date of issuance of the card and a statement that he is in good standing, whose dues are paid until a date specified. It shall be signed by the President and Secretary.

Section 10. The Rights of Members - All members in good standing shall be equally privileged to attend all meetings of this Society. Members under suspicion shall not be eligible to vote, hold office or take part in any proceedings of the Society.

Section 11. Discipline - A member who has been convicted of any felony or any violation of The Medical Practice Act or any regulation issued under such Act, or who shall have been disciplined in any way for any violation of The Medical Practice Act or any regulations issued thereunder, shall be liable to censure, suspension or expulsion. Charges against a member must be made in writing and be delivered to the Secretary who shall immediately furnish a copy to the accused and to the Chairman of the Committee on Credentials and Grievances. Rules of evidence shall apply and the accused may be represented by an attorney at any hearing if he so desires. The Committee on Credentials and Grievances shall investigate the charges on their merits, but no action shall be taken by the Committee within ten (10) days of the presentation of the charges to the accused, nor before giving the accused and accusers the opportunity to be heard. The Committee shall report:

(1) That the charges are not sustained; or

(2) That the charges are sustained and that the accused be:

(a) Censured;

(b) Suspended for an indefinite time; or

(c) Expelled.

The report of the Committee on Credentials and Grievances shall be taken up at a regular meeting of the Society held on ten (10) days notice and not earlier than six (6) weeks after the filing of the charges. Censure and suspension shall require a two-thirds (2/3) vote of the members present and voting at such meeting, and a three fourths (3/4) vote of the members present and voting at such meeting shall be required to expel a member. A member suspended for a fixed time shall, on payment of current dues, be automatically reinstated at the expiration of such time.

Members whose licenses have been revoked or suspended by the State of Missouri shall report the same, in writing, to the Committee on Credentials and Grievances. Said report shall remain confidential, but the member suffering such revocation or suspension shall be automatically expelled until such time as his license is reinstated in the State of Missouri. Such automatically expelled member may thereafter attend meetings only upon the express invitation of an Active Member in good standing. Members expelled for the commission of felonies or violation of the Medical Practice Act shall not be permitted to attend.

Members who shall fail to pay the dues of the Society as provided in Chapter V, Section 1, shall automatically be suspended on the 15th day of March of each year and shall remain suspended until such time as all dues and special assessments outstanding are paid to date. A member automatically suspended for non-payment of dues shall have the right to seek a variance before the Committee on Credentials and Grievances, and such committee, may, in its sole and exclusive discretion, grant a variance on the basis of extreme economic hardship. If the Committee recommends the grant of such variance, the Board of Directors may waive or defer dues as provided in Chapter V, Section 3.

Section 12. Attempts to Conciliate - Kindly, efforts in the interest of peace, conciliation or reformation, so far as reasonable, should precede the filing of formal charges affecting the character or standing of a member, and the accused shall have the opportunity to be heard in his own defense in all trials and proceedings of this nature. Failure to attempt reconciliation shall not preclude or otherwise affect investigation, hearing report and action on charges.

Section 13. Re-Application After Expulsion - Members expelled from this Society may re-apply for membership at the expiration of one year from the date of expulsion.

Applications submitted by former members of the Society shall be treated as original application and processed accordingly.

Chapter II - Powers and Duties

Section 1. Purpose - This Society shall encourage among the members of the profession the interchange of views on all phases of professional advancement to equip each member of the profession to serve Society and promote public health; maintain a program of scientific education for the members of the Society; advance the standard of medical practice and ensure observance of the ideals and ethics of the medical profession.

Section 2. Powers - This Society shall have the power to acquire and hold title to such real and personal property as may be necessary to accomplish its purposes and to carry on such functions and activities as are deemed necessary to accomplish effectively the above purposes; provided, however, it shall engage in no activity that cannot reasonably be considered incidental or necessary to its charitable, educational, or scientific purposes.

Section 3. Professional Fees - This Society shall not maintain or publish any schedule of professional fees, or maintain or publish any suggested schedule or arrangement for professional fees.

Section 4. Community Responsibilities - This Society shall endeavor to inculcate its members with the conviction that the physician should be an active participant in the affairs of the community in which such physician serves, and each such physician should be distinguished as a leader in such community by such physician's exemplary conduct and dignified bearing exemplified by each physician's courteous and open treatment of his fellow physicians and fellow mankind.

Chapter III - Officers

1. General - All Officers of the Society shall be elected by a majority of all members present at the annual meeting of the Society held in October of each year.

2. President - The President of the Society shall be its principle Executive Officer, exercising general supervision and control over all the business and affairs of the Society. The President shall preside at all of the meetings of the Society and its Board of Directors. The President shall be the real head of the profession in the Cape Girardeau Area during the year of precedence and it shall be the Presidents goal, during tenure as President, to improve both scientific attainment of the Society and harmony among its members.

3. Vice-President - The Vice-President, who shall serve as President of the Society the year following election of Vice-President, shall exercise the powers and perform the functions that are, from time to time, assigned to such physician by the President of the Board of Directors. The Vice-President shall have the powers and shall exercise the duties of the President whenever the President, by reason of illness or other disabilities, or absence, is unable to act.

4. Secretary - The Secretary shall be the custodian of and shall maintain the books and records of the Society and shall be the recorder of the Society's formal actions and transactions. The Secretary shall make and maintain a list of members of this Society in good standing. The Secretary shall notify each member of the Society or shall cause each member to be notified through the office of the Executive Director of the time and place of each meeting of the Society and, whenever possible, the matters to be taken up at such meeting. The Secretary shall keep account of, and promptly turn over to the Treasurer all funds of the Society which may come into his hands. The Secretary shall attend to all such correspondence and make sure reports as may be assigned, and shall cooperate with the Missouri State Medical Association in the preparation and forwarding it of data requested by said State Association.

The duties of the Secretary, except those required by the laws of the State of Missouri to be performed by the Secretary, may, from time to time, be delegated by the Board of Directors to the Executive Director of the Society.

5. Treasurer - The Treasurer of the Society shall be it's chief fiscal officer and the custodian of it's funds, securities and property. The Treasurer shall receive and disburse funds of the Society and the accounts shall be audited no less than annually by an accountant selected by the Board of Directors.

The duties of the Treasurer, except those required by law to be performed personally by the Treasurer, may be delegated by the Board of Directors to an Executive Director who, in the performance of such duties, shall be bonded in an amount fixed by the Board of Directors.

It shall be the duty of the Treasurer or, if delegated, the Executive Director, to notify Members of their automatic suspension under the provision of Chapter I, Section 11.

6. Delegates - Delegates and Alternate Delegates from this Society to the House of Delegates of the Missouri State Medical Association shall be elected by the Society to serve for a period of three (3) years. Such Delegates and Alternate Delegates may, at the expiration of their terms, be re-elected. Such Delegates and Alternate Delegates shall attend, and faithfully represent, the members of this Society and the profession of this County Area in said House of Delegates and one of their number shall, at the earliest opportunity, report on the proceedings of that body to the Treasurer and to a regular meeting of the Board. Such Delegates and Alternate Delegates shall be elected as provided in Article IV of the Constitution.

7. Members of the Committee on Credentials and Grievances - The Committee on Credentials and Grievances shall be the three immediate past presidents of the Association. If one of the three most immediate past presidents cannot serve, then the next most current, active past president shall so serve and so on until the Committee is comprised of the three most immediate past presidents able to serve.

8. Editor of the Journal - The Editor of the Cape County Medical Journal shall serve as Chairman of the Editorial Staff and shall be elected for a term of two years. He may be re-elected. His duties are enumerated in Chapter IV.

9. Indemnification of Officers and Directors - Each Director and Officer of this Society now or hereafter serving as such shall be indemnified by the Society against any and all claims, actions and causes of action, and liabilities to which such Director and /or Officer has or shall be subject by reason of serving or having served as a Director or Officer or by reason alleged to have been taken by such physician serving as such Officer and Director, provided, however, that as a condition precedent to such indemnification, the Officer or Director seeking indemnification shall request such indemnification before undertaking or expending any expense or engaging council. If the Society determines that the act or omission for which indemnification is sought is within the scope of this article, then the Society shall choose council to represent such Officer and/or Director in such matter, and shall have the right to control the defense of each such matter and, in connection therewith, shall pay all legal expenses reasonably incurred. No Officer or Director shall, however, be entitled to indemnity and no such person shall be indemnified against or be re-imbursed for any expense incurred in connection with any claim, matter or liability arising out of willful misconduct or any intentional act or any act or omission involving breach of that Officer's fiduciary obligation.

Any expense incurred by any Officer or Director without prior approval of the Society acting through its Board of Directors shall be outside the scope of this provision.

The opportunity to be indemnified herein provided for shall not be exclusive but shall be in addition to any rights to which such Director or Officer of the Society might otherwise be entitled to by law.

Chapter IV - Committees

Section 1. Special Committees - Special Committees may be appointed by the President.

Section 2. Standing Committees - The Standing Committees with their duties are as follows:

(1) Board of Directors - The Board of Directors shall consist of the elected officers of the Society as enumerated in Chapter III. This Board shall be responsible for the business of the Society between regular monthly meetings.

(2) Committee on Credentials and Grievances - The three members of the Committee on Credentials and Grievances will, in addition to serving on the Board of Directors, also have the application for membership of each new member submitted to them for their investigation and evaluation, as outlined under Membership in the By-Laws. The Committee shall also function to hear grievances for the Society. Other physicians or members of the public who have grievances against physician members of the Society may submit their charges to the Board as outlined under Chapter I, Section II of the By-Laws.

(3) Program Committee - The Chairman of the Program Committee shall be appointed by the President and in addition to serving on the Board of Directors shall be responsible for acquiring, arranging and organizing educational programs and functions for the membership of the Society.

(4) Editorial Committee - The Editor of the Journal shall serve as Chairman of the Editorial Committee. the Editorial Committee shall be large and shall consist of the Editor of the Journal and the Editorial Staff. The Editorial Staff shall be picked by the Journal Editor with the advice of the Board of Directors. The Committee may maintain the Cape County Medical Journal.

(5) Education and Public Relations Committee - This shall be large and shall include (a) college liaison; (b) preventive medicine; (c) medical secretaries' advisors; and (d) lectureships. The members of this Committee shall be appointed by the President and have the various duties outlined by the President.

(6) Civil Defense - This Committee shall be appointed by the President and should work with local civil authorities and cooperate in the Local Civil Defense Program. In addition to this, they should maintain a disaster plan for the Cape Girardeau County Area Medical Society.

(7) Cancer Committee - Appointed by the President annually, this Committee shall be responsible for the coordination of Cancer Education Programs within the county area.

(8) Emergency Service Committee - Appointed by the President annually, this Committee will make recommendations to the local hospitals regarding methods of management of emergency cases and will provide hospitals with rosters of on- call physicians.

(9) Entertainment Committee - This Committee shall be appointed by the President and shall have duties as outlined by the President.

(10) Nominating Committee - The Nominating Committee shall be the Board of Directors and shall present a slate of Officers to be elected each year at the annual meeting.

Chapter V - Finances

Section 1. Annual Dues - The Annual Dues shall be determined by a majority vote by the Society and shall remain in effect until changed. Dues shall be billed by the Missouri State Medical Association in October of each year and are due and payable no later than March 1st of each year. Each member who shall fail to pay his annual dues when due shall be automatically suspended without action on the part of the Society, as provided in Chapter I, Section 11. A member suspended by reason of non-payment of dues shall be notified by the Executive Director who shall also delete that member from the roles of the Society. Such member shall be restored to full membership on payment of all indebtedness due to the Society.

Section 2. Special Assessments - Special Assessments shall be made as follows: When a special assessment is proposed, the Board of Directors, at the regular meeting, shall discuss the matter. Thereafter, all Members shall be notified of the final proposal by mail. Said notice shall contain: (1) the proposal; (2) a summary of the discussion of the Board of Directors; and (3) a reminder as to the date the assessment shall be presented for a vote. On the date so specified in the notice, such assessment shall be presented to the membership by resolution and such assessment shall be made only upon the affirmative vote of two-thirds (2/3) of the Active Members at such meeting. For purposes of this section, Active Members are those who are in good standing, pursuant to Section 1 of this chapter and who are in good standing pursuant to all dues and special assessments. Upon a two-thirds (2/3) vote of the Active Members present and the implementation of the assessment upon the members, any member who has not paid said assessment within ninety (90) days shall be suspended from the roles of the members and shall be re-instated only upon payment in full of the indebtedness to the Society as imposed herein or upon the grant of a variance as governed by Section 11 of these By-Laws. In no event shall any assessment be made against Honor of Junior Members unless special notice is given of a specific intent to impose the assessment.

Section 3. Dues and Special Assessments may be waived in exceptional cases by the Board of Directors.

Section 4. Funds of the Society shall be segregated into those accounts designed by the Board of Directors. All such accounts shall be subject to audit not less than annually, by an accountant selected by the Board of Directors.

Funds of the Society shall be disbursed by check signed by two of the officers whose names appear on the bank's signature card as authorized signatories.

Section 5. Donations - Donations to civic or community projects are, in general, not within the scope or purpose of the Society; though such are not prohibited. However, any action to expend Society funds for any such use shall be only with two-thirds (2/3) favorable vote of the Active Members present at the regular or specially called meeting of the Society.

Chapter VI - Meetings

Section 1. Annual Meetings - The Annual Meeting of the Society shall be held on the first Monday of October in each year. Adequate notice of this meeting shall be given to each Active Member by the Secretary or Executive Director.

Section 2. Regular Meetings - Regular Meetings shall ordinarily be held on the first Monday of each month except when such date shall fall on a legal holiday. The time and place of all meetings shall be selected by the Board of Directors and the Secretary or Executive Director shall notify the membership in adequate time for the date, time and place of such meeting.

Section 3. Special Meetings - Special Meetings shall be called by the President or on a written request of five (5) of the Active Members who shall state the particular purpose of which the meeting is called. Such special Meeting shall be held at the time and place and with the limited purpose set forth in the call. At such Special Meetings, no business other than that specified in the called notice shall be transacted. Action taken at any such meeting may be challenged at the next Regular Meeting and a second vote must be taken if challenged to the decision of the Society made at any such Special Meeting may be made, provided, however, that such challenge first must be made at the next Regular Meeting of the Society and, second, said challenge shall be made, in writing, not less than ten (10) days prior to the date of such Regular Meeting, and, in all events, any challenge is limited to the legality of the meeting, and particular, limited only to the adequacy of the notice, the time of giving of the notice, and the existence or non-existence of a quorum. In the event a challenge is sustained, the business or matter transacted at the Special Meeting must be immediately placed to another vote of the Society at the meeting at which the challenge is sustained.

Section 4. Twenty percent (20%) of the Active Membership shall constitute a quorum at any meeting of the membership.

Section 5. The Board of Directors shall meet monthly. The time and the places of all meetings shall be designated by the President and the Secretary or Executive Director shall notify the Members of the Board of the date, time and place of such meeting.

Section 6. Notices - Any notice required under any provision of the By-Laws of the Constitution shall be deemed to have been given when such notice is deposited in the United States mail, postage prepaid, first class, addressed to the member at the address shown on the Membership List of the Society as it exists on the date the notice is given. Notices given in this matter shall be presumed to have been delivered when mailed.

When possible, notices to the general Membership shall also be placed in the Journal of the Society, but the lack of any such notice shall not effect the regularity or legality of any action taken in the absence of such notice.

Section 7. Guests - Guests may attend Regular Meetings of the Society upon the specific special invitation of an Active Member who is in good standing. Payment of all such guests shall be the responsibility of the Active Member at whose invitation the guest attended.

Chapter VII - Order of Business

Section 1. The Regular Order of Business shall be as follows:

(1) Call to Order by the President

(2) Reading of the Minutes of the Last Meeting

(3) Presentation of Program

(4) Unfinished Business

(5) New Business

(6) Announcements

(7) Adjournment

Section 2. All New Business to be discussed at the regular Monthly Meetings shall be presented to the Board of Directors at it's regular monthly meeting preceding the Regular Meeting of the Society. Suspension of this rule to allow other new business to come before the Society shall require a two-thirds (2/3) vote of those present.

Chapter VIII - Rules of Order

The deliberations of this Society shall be governed by parliamentary usage as contained in Sturgis Rules of Order, except where modified by the Constitution or By-Laws or unless suspended by a majority vote of the Society.

Chapter IX - Principles of Medical Ethics

Each Member of this Society shall subscribe to and pledge himself to observe the Principles of Medical Ethics of the American Medical Association.

Chapter X - Amendments

These By-Laws may be amended at any Regular Meeting by a two-thirds (2/3) vote of the Members present provided that such amendment has been presented in Open Session at the preceding Regular Meeting and a copy of the same has been mailed to each Member by the Secretary ten (10) days in advance of the meeting at which final action is to be taken.

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