2023-11-13T11:40:14-06:00 2022-12-31 812950760 SAX LLP 1040 AVENUE OF THE AMERICAS-16TH FL NEW YORK NY 10018 990 2022-01-01 871876876 THE POLG FOUNDATION INC POLG 2123158339 99 PARK AVENUE 24TH FLOOR NEW YORK NY 10016 MARCUS SIEZING TREASURER 2123158339 2023-11-13 1 MARCUS SIEZING 999009999 0 MIKE SCHALL P02024184 2126618640 2023-11-13 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT DE LUXEMBOURG 99 PARK AVENUE 24TH FLOOR NEW YORK NY 10016 7954948 0 X POLGFOUNDATION.ORG X 2021 DE SUPPORT RESEARCH TO FIND TREATMENTS AND A CURE FOR POLG-RELATED MITOCHONDRIAL DISORDERS. 10 9 0 9 0 0 840696 7904623 0 0 0 0 0 50325 840696 7954948 0 64250 0 0 0 256328 0 0 0 43226 470882 43226 791460 797470 7163488 797470 8139856 0 51438 797470 8088418 X THE PURPOSES FOR WHICH THE FOUNDATION IS FORMED ARE TO ADDRESS THE UNMET MEDICAL NEEDS OF PATIENTS WITH POLG-RELATED DISORDERS WITH THE GOAL OF BEING ABLE TO MITIGATE OR CURE SUCH DISORDERS. SEE SCHEDULE OTHE FOUNDATION INTENDS TO (I) IDENTIFY HIGH-QUALITY SCIENTIFIC RESEARCH AND DISCOVERIES IN THE TREATMENT AND DIAGNOSIS OF POLG-RELATED DISORDERS, (II) PROVIDE CAPITAL TO ASSIST IN THE DEVELOPMENT OF NEW TREATMENTS AND DIAGNOSTIC TOOLS FOR SUCH DISORDERS; AND (III) FUND RESEARCH [AND] CLINICAL TRIALS, AND INVEST IN MISSION-RELATED BUSINESSES. 0 0 403949 64250 POLG FOUNDATION'S SUPPORTS AND ACCELERATES RESEARCH TO FIND EFFECTIVE TREATMENTS AND A CURE FOR POLG-RELATED MITOCHONDRIAL DISORDERS. 403949 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X MARCUS SIEZING 2123158339 99 PARK AVENUE 24TH FLOOR NEW YORK NY 10016 ROBERT DE LUXEMBOURG CHAIR 1.00 X 0 0 0 JULIE DE LUXEMBOURG VICE CHAIR 1.00 X 0 0 0 CINDY GAVIN DIRECTOR 1.00 X X 30000 0 0 REMY BEST DIRECTOR 1.00 X 0 0 0 ALLYSON OCEAN DIRECTOR 1.00 X 0 0 0 JENNIFER ADAMS DIRECTOR 1.00 X 0 0 0 FRANCESCO DE RUBERTIS DIRECTOR 1.00 X 0 0 0 STVEN ALTSCHULER DIRECTOR 1.00 X 0 0 0 JORG DUSCHMALE DIRECTOR 1.00 X 0 0 0 BRIAN TSENG DIRECTOR 1.00 X 0 0 0 EILEEN KANE CORPORATE SECTRETARY 1.00 X 0 0 0 MARCUS SIEZING TREASURER 3.00 X 0 0 0 OLIVIER GERRITS EXECUTIVE DIRECTOR 1.00 X 226328 0 0 256328 0 0 1 0 1 0 RTM 20 OWL CREEK ROAD SANTA FE NM 87505 WEB/DIGITAL BRANDING 208391 1 7904623 7904623 OTHER REVENUE 50325 50325 50325 7954948 0 0 50325 X 64250 64250 256328 210972 45356 360043 67956 292087 7041 7041 47495 1751 45744 837 837 OTHER EXPENSES 55466 51979 3487 791460 403949 387511 0 797470 6691679 448177 1000000 797470 8139856 51438 0 51438 X 797470 7838418 250000 797470 8088418 797470 8139856 X 7163488 127460 X 0 1 1 0 X 840696 7904623 8745319 840696 7904623 8745319 7261228 1484091 50325 50325 8795644 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 OTHER INVESTMENTS 1000000 F 1000000 X 8082408 127460 127460 7954948 0 7954948 791460 0 791460 0 791460 PART X, LINE 2: THEFOUNDATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY MATERIAL, UNCERTAIN TAX POSITIONS. TAX FILINGS FOR THE PERIOD ENDED DECEMBER 31, 2021, THE FOUNDATION'S INITIAL FILING, AND LATER ARE SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOREIGN CURRENCY GAIN 0 0 0 0 0 0 0 0 0 OLIVIER GERRITS EXECUTIVE DIRECTOR 226328 0 0 0 0 0 0 0 0 0 226328 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 LINE 2 EXPLANATION - ROBERT AND JULIE DE LUXEMBOURG ARE MARRIED FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - MANAGEMENT REVIEWED A DRAFT OF THE FORM 990 WITH THE FOUNDING ORGANIZATIONAL DIRECTOR/TREASURER AND PROVIDED EDITS TO THE TAX PREPARER. AFTER THIS PROCESS WAS PERFORMED, THE FORM 990 WAS SENT TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE WRITTEN POLICY REQUIRES DISCLOSURES BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND EMPLOYEES OF THE ORGANZATION THAT COULD GIVE RISE TO CONFLICT. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES THE COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. THERE WERE NO CONFLICTS OF INTEREST FOR THE TAX YEAR ENDED DECEMBER 31, 2021. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 67,956. MANAGEMENT AND GENERAL EXPENSES 292,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,043. FORM 990, PART XI, LINE 9: CURRENCY GAIN 127,460.