2022-07-15T16:20:54-05:00 2021-08-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2020-09-01 273530769 AGAHOZO-SHALOM YOUTH VILLAGE INC AGAH 6463817866 234 5TH AVENUE 2ND FLOOR NO 209 NEW YORK NY 10001 CHRISTY LAMAGNA SECRETARY 6463817866 2022-07-15 1 CHRISTY LAMAGNA 999009999 EVA MRUK P00543254 9143818900 2022-07-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X SHIRI SANDLER 234 5TH AVENUE 2ND FLOOR NO 209 NEW YORK NY 10001 12412298 0 X WWW.ASYV.ORG X 2010 DE THROUGH HEALING, EDUCATION, AND LOVE, THE AGAHOZO-SHALOM YOUTH VILLAGE EMPOWERS ORPHANED AND VULNERABLE RWANDAN YOUTH TO BUILD LIVES OF DIGNITY AND CONTRIBUTE TO A BETTER WORLD. 20 19 4 24 0 0 1965027 10674658 62005 22942 21882 63649 233110 914242 2282024 11675491 26000 23157 0 0 907715 1551311 22743 33870 281190 1102732 1380496 2059190 2988834 222834 8686657 15019183 24355900 780160 1388895 14239023 22967005 THROUGH HEALING, EDUCATION, AND LOVE, THE AGAHOZO-SHALOM YOUTH VILLAGE EMPOWERS ORPHANED AND VULNERABLE RWANDAN YOUTH TO BUILD LIVES OF DIGNITY AND CONTRIBUTE TO A BETTER WORLD. 0 0 2327939 23157 49024 ASYV PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES, AND THERAPEUTIC TREATMENT TO MORE THAN 500 ORPHANED AND VULNERABLE TEENS IN RWANDA. 2327939 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 1 1 0 1 1 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 X 11 0 4 1 0 1 RW 0 0 0 0 0 0 0 0 0 0 X 20 19 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 NY X X CHASBRO INVESTMENTS INC 2129310100 445 PARK AVE SUITE 16A NEW YORK NY 10022 ELIZABETH STERN CHAIR 30.00 0.00 X X 0 0 0 MICHAEL DELGIACCO TREASURER 5.00 5.00 X X 0 0 0 CHRISTY LAMAGNA SECRETARY 5.00 0.00 X X 0 0 0 MICHELLE BARRACK DIRECTOR 5.00 0.00 X 0 0 0 BILL BERTOLET DIRECTOR 5.00 0.00 X 0 0 0 LAURIE TOLL FRANZ DIRECTOR 5.00 0.00 X 0 0 0 RAN GOSHEN DIRECTOR 5.00 0.00 X 0 0 0 KATHY HARRIS DIRECTOR 5.00 0.00 X 0 0 0 JOHN HOOVER DIRECTOR 10.00 0.00 X 0 0 0 GIDEON HERSCHER DIRECTOR, THRU 10/31/20 5.00 0.00 X 0 0 0 JEAN KAGUBARE DIRECTOR 5.00 0.00 X 0 0 0 BERTRAND KAYIRANGA DIRECTOR 5.00 0.00 X 0 0 0 VLAD KHANDROS DIRECTOR 5.00 0.00 X 0 0 0 CHERYL KNOPP DIRECTOR 5.00 0.00 X 0 0 0 JASON KOTIK DIRECTOR 10.00 0.00 X 0 0 0 JASON MERRIN DIRECTOR 5.00 0.00 X 0 0 0 SETH ROSENZWEIG DIRECTOR 5.00 0.00 X 0 0 0 JEFF SCHWARTZMAN DIRECTOR 5.00 0.00 X 0 0 0 BEN SNYDER DIRECTOR 5.00 0.00 X 0 0 0 BRIAN WALSH DIRECTOR 5.00 0.00 X 0 0 0 JILLIAN YOUNGBLOOD DIRECTOR 5.00 0.00 X 0 0 0 JEAN-CLAUDE NKULIKIYIMFURA EXECUTIVE DIRECTOR 40.00 0.00 X 120497 0 0 SHIRI SANDLER MANAGING DIRECTOR 40.00 0.00 X 132170 0 34713 252667 0 34713 2 0 1 0 0 547668 88521 10038469 31930 10674658 VISITORS & VOLUNTEERS PROGRAM 900099 21942 21942 SERVICE TRIPS 900099 1000 1000 22942 41940 41940 100066 0 100066 100066 100066 743668 721959 21709 21709 21709 18676 547668 7564 11112 11112 33366 7284 26082 26082 REIMBURSEMENT INCOME 900099 355979 355979 MISCELLANEOUS INCOME 900099 339852 339852 VAT REFUND 900099 81151 81151 776982 11675491 49024 0 951809 23157 23157 120220 120220 1318491 1020706 113873 183912 10644 10644 70911 40817 6407 23687 31045 4578 8519 17948 7102 1024 2619 3459 3693 3693 127172 127172 33870 33870 14723 14723 24231 23321 730 180 89708 64864 7160 17684 21092 9916 10726 450 116347 107486 8861 50666 50666 48 48 2166 2166 479383 479383 79432 27794 51638 PROGRAM SUPPLIES 164266 159901 4365 COVID-19 EXPENSES 113203 113203 MISCELLANEOUS 56039 49816 6223 EQUIPMENT & MAINTENANCE 13823 13823 17402 15098 2304 2988834 2327939 379705 281190 1608675 2157392 84262 601641 150000 7786397 684331 361449 0 200467 102540 302710 13752541 3454992 9672514 10297549 2174409 1585005 542452 1063290 15019183 24355900 335896 373018 105743 99879 0 602166 338521 313832 780160 1388895 X 11979830 12393471 2259193 10573534 14239023 22967005 15019183 24355900 X 8686657 270928 -229603 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1165354 237908 47000 1356262 1141514 73840 50000 1165354 1034547 106967 1141514 896466 200000 -61919 1034547 817855 25000 53611 896466 0.00000 0.70050 0.29950 0 0 234023 234023 11290698 3196927 8093771 401364 251956 149408 1826456 6109 1820347 10297549 REFUNDABLE ADVANCE 250000 PAYROLL PROTECTION PROGRAM LOAN 63832 313832 X 12265755 270928 329986 219014 819928 11445827 229664 229664 11675491 4146554 329986 827734 1157720 2988834 0 2988834 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR THE GELFAND FAMILY SCIENCE CENTER AND A BOARD DESIGNATED FUND TO SUPPORT THE LONG TERM SUSTAINABILITY OF THE ORGANIZATION. PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTED TO RELATED ENTITIES 204,104. GAIN ON DISPOSAL OF ASSETS 61. FUNDRAISING EXPENSES REPORTED ON PART VIII, LINE 8B 7,565. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 7,284. PART XI, LINE 4B - OTHER ADJUSTMENTS: FOREIGN EXCHANGE LOSSES 229,664. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTED TO RELATED ENTITIES 812,885. FUNDRAISING EXPENSES REPORTED ON PART VIII, LINE 8B 7,565. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 7,284. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 SCHEDULE E, PART I, LINE 3 THE ORGANIZATION'S RACIALLY NONDISCRIMINATORY POLICY APPEARS ON THE MAIN LANDING PAGE OF THE ORGANIZATION'S WEBSITE. SCHEDULE E, PART I, LINE 6 DURING THE YEAR, THE PAYROLL PROTECTION PROGRAM LOAN THAT THE ORGANIZATION HAD PREVIOUSLY APPLIED FOR UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (CARES ACT), MET THE REQUIREMENTS FOR FORGIVENESS AND WAS FORGIVEN BY THE U.S. SMALL BUSINESS ADMINISTRATION. 1 SUB-SAHARAN AFRICA 0 0 GRANTS TO INDIVIDUALS 23157 SUB-SAHARAN AFRICA 1 257 PROGRAM SERVICES PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES AND THERAPUTIC TREATMENT TO ORPHANED AND VULERABLE TEENS IN RWANDA. 2284788 1 257 0 0 1 257 2307945 0 2307945 PROVIDE STUDENTS IN NEED WITH SEXUAL AND REPRODUCTIVE HEALTH EDUCATION, RELEVANT HEALTH SERVICES GENDER EQUITY, AND EMPOWERMENT ACTIVITIES SUB-SAHARAN AFRICA 506 23157 CHECK 0 0 1 0 0 0 PART I, LINE 2: ALL KIDS RECEIVED FINANCIAL SUPPORT FOR MEALS ACCORDING TO THEIR FINANCIAL CONSTRAINTS/CRITICAL CONDITIONS ANALYZED BY FAMILY MOTHERS AND SOCIAL WORKERS SUCH AS THOSE WHO LIVE ALONE OR WITH ELDEST PARENTS/ GUARDIANS OR WITH HANDICAP. FINANCIAL SUPPORT WAS PROVIDED TO KIDS DURING LOCKDOWNS AND HOLIDAYS. PART III ACCOUNTING METHOD: PART IV, LINE 3: THE ORGANIZATION IS REQUIRED TO FILE FORM 5471 BECAUSE IT MEETS THE APPLICABLE THRESHOLD OF OWNERSHIP REQUIREMENTS. X X X X X 1 BLB CONSULTING & EVENTS LLC 576 FIFTH AVENUE SUITE 903 NEW YORK NY 10036 EVENT PRODUCTION 0 142240 33870 108370 142240 33870 108370 NY VIRTUAL VILLAGE TIME GALA 447448 447448 5783 VILLAGE TIME GALA 2021 106624 92464 14160 1231 2 12272 7756 4516 250 300 566344 547668 18676 250 300 7014 7564 11112 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION PAYS THE FUNDRAISER A MONTHLY FEE FOR THE DURATION OF THE CONTRACT. THE FEE INCLUDES TRAVEL TO/FROM THE EVENT AND MEETINGS AS OUTLINED IN THE CONTRACT. ADDITIONAL EXPENSE FOR ITEMS SUCH AS COURIER SERVICES, SUPPLIES, ETC. ARE NOT EXPECTED TO EXCEED $1,000 AND WILL BE BILLED BY THE VENDOR DIRECTLY OR BILLED BY BLB CONSULTING LLC. X X 0 0 0 0 0 0 0 0 0 SHIRI SANDLER MANAGING DIRECTOR 132170 0 0 0 0 0 5287 0 29426 0 166883 0 0 0 LAURIE TOLL FRANZ MEMBER OF BOARD OF DIRECTORS OPERATING CAPITAL X 600000 602166 0 1 1 602166 X 3 31930 AVG. SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN COLUMN (B). FORM 990, PART V, LINE 2A: THE ORGANIZATION HAS AN OFFICE IN RWANDA WITH OVER 200 EMPLOYEES. THESE INDIVIDUALS DO NOT RECEIVE A FORM W-2 FROM THE ORGANIZATION AS THEY ARE NOT REQUIRED TO BE ISSUED ONE AS THEIR PAYROLL IS NOT U.S. SOURCED. THEREFORE, THEY ARE NOT BEING INCLUDED IN THE NUMBER OF EMPLOYEES REPORTED ON PART I, LINE 5 AND PART V, LINE 2A. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION USES AN OUTSIDE MANAGEMENT COMPANY, AMBROSE EMPLOYER GROUP LLC, A PROFESSIONAL EMPLOYER ORGANIZATION ("PEO") AS A CO-EMPLOYER. AMBROSE WAS PAID $7,102 DURING FY2021 FOR THEIR SERVICES. FORM 990, PART VI, SECTION B, LINE 11B ASYV HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, AN ELECTRONIC COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AT THE ANNUAL BOARD MEETING WHICH IS USUALLY IN FEBRUARY OF EACH YEAR THE OFFICERS & DIRECTORS, ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING GOVERNING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN \VITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: A. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST. IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: ASYV SHALL, UNDER THE GUIDANCE OF THE BOARD OF DIRECTORS, ANNUALLY EVALUATE THE EXECUTIVE DIRECTOR ON HIS/HER PERFORMANCE, AND ANNUALLY UNDERTAKE A COMPENSATION REVIEW PROCESS UNDER THE GUIDANCE OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE PRIOR TO DETERMINING THE FOLLOWING YEAR'S COMPENSATION. CONCURRENT DOCUMENTATION. TO APPROVE THE COMPENSATION FOR THE EXECUTIVE DIRECTOR (AND OTHER HIGHLY COMPENSATED EMPLOYEES AND CONSULTANTS) THE BOARD MUST DOCUMENT HOW IT REACHED ITS DECISIONS, INCLUDING THE DATA ON WHICH IT RELIED, IN MINUTES OF THE MEETING DURING WHICH THE COMPENSATION WAS APPROVED. DOCUMENTATION WILL INCLUDE: A) A DESCRIPTION OF THE COMPENSATION AND BENEFITS AND THE DATE IT WAS APPROVED; B) THE MEMBERS OF THE BOARD WHO WERE PRESENT DURING THE DISCUSSION ABOUT COMPENSATION AND BENEFITS, AND THE RESULTS OF THE VOTE; C) A DESCRIPTION OF THE COMPARABILITY DATA RELIED UPON AND HOW THE DATA WAS OBTAINED; AND D) ANY ACTIONS TAKEN (SUCH AS ABSTAINING FROM DISCUSSION AND VOTE) BY ANY MEMBER OF THE COMMITTEE BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE DECISION ON THE COMPENSATION AND BENEFITS. THE CHAIR OF THE BOARD OF DIRECTORS, WHO IS A VOLUNTEER AND NOT COMPENSATED BY ASYV, WILL OPERATE INDEPENDENTLY WITHOUT UNDUE INFLUENCE FROM THE EXECUTIVE DIRECTOR. NO MEMBER OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE WILL BE A STAFF MEMBER, THE RELATIVE OF A STAFF MEMBER, OR HAVE ANY RELATIONSHIP WITH STAFF THAT COULD PRESENT A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: GAIN ON DISPOSAL OF ASSETS 61. FOREIGN EXCHANGE LOSSES -229,664. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SEE FAR ENTERPRISE LTD JESUS IS ABLE HOUSE 3RD FLOOR KAN KICUKIRO UMUJYI WA KIGALI RW TRAINING & EMPLOYMENT OPPORTUNITIES TO ASYV GRADUATES RW AGAHOZO-SHALOM YOUTH VILLAGE INC C 10 1.00000 1 SEE FAR HOUSING LTD REMERA GASABO UMUJYI WA KIGALI RW AFFORDABLE HOUSING RW AGAHOZO-SHALOM YOUTH VILLAGE INC C 179244 2437356 1.00000 1 SEE FAR HOUSING HOLDINGS LLC PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ 981488391 INTEREST IN SEE FAR HOUSING, LTD CJ AGAHOZO-SHALOM YOUTH VILLAGE INC C 24860 899915 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 SEE FAR HOUSING HOLDING LLC D 604994 BOOK VALUE