BETA

FOUNDATION FOR SELF LEADERSHIP: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR SELF LEADERSHIP (EIN 20-1318139)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-15
IRS object ID
202242279349304304
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-15T15:22:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN362985770PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SELDEN FOX LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1619 ENTERPRISE DRIVEAddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP605238835ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201318139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR SELF LEADERSHIPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone9083088531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3776AddressLine1Txt
CityOAK PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60303ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOUFIC HAKIMPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3127186876PhoneNum
Signature2022-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTOUFICPersonFirstNm
Person LastHAKIMPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN T WOJCIKPreparerPersonNm
PTINP01331805PTIN
Phone6309541400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTOUFIC HAKIMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 HARDGROVE COURTAddressLine1Txt
CityHILLSBOROUGHCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08844ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$621,064GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFOUNDATIONIFS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionRESEARCH, PROGRAM DEVELOPMENT AND ADVOCACYActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers31TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$265,430PYContributionsGrantsAmt
CY Contributions Grants$566,738CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$51,233PYInvestmentIncomeAmt
CY Investment Income-$211CYInvestmentIncomeAmt
PY Other Revenue$378PYOtherRevenueAmt
CY Other Revenue$552CYOtherRevenueAmt
PY Total Revenue$317,041PYTotalRevenueAmt
CY Total Revenue$567,079CYTotalRevenueAmt
PY Grants And Similar Paid$48,438PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$78,005CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$177,625PYOtherExpensesAmt
CY Other Expenses$196,803CYOtherExpensesAmt
PY Total Expenses$226,063PYTotalExpensesAmt
CY Total Expenses$274,808CYTotalExpensesAmt
PY Revenues Less Expenses$90,978PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$292,271CYRevenuesLessExpensesAmt
Total Assets BOY$298,976TotalAssetsBOYAmt
Total Assets EOY$589,740TotalAssetsEOYAmt
Total Liabilities BOY$22,594TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,087TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$276,382NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$568,653NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE STATEMENTTHE FOUNDATION FOR SELF LEADERSHIP'S PURPOSE IS TO FOSTER GREATER EMOTIONAL AND RELATIONAL HEALING AND WELLBEING - LEADING TO A MORE PEACEFUL WORLD -THROUGH THE PRACTICE OF SELF LEADERSHIP AS IDENTIFIED BY IFS. THE FOUNDATION FUNDS INDEPENDENT, SCIENTIFIC RESEARCH OF THE EFFICACY OF IFS FOR PTSD, SUBSTANCE ABUSE AND OTHER CONDITIONS, AND IN DIFFERENT SETTINGS. THE FOUNDATION INCUBATES INNOVATIVE APPLICATIONS OF THE IFS MODEL IN VARIOUS SOCIETAL CONTEXTS (E.G., K12 SCHOOLS, ACTIVE DUTY MILITARY AND VETERANS, MARGINALIZED COMMUNITIES) AND PROFESSIONAL SETTINGS (E.G., LAW, MEDICINE, BUSINESS, FINANCE). THE FOUNDATION'S OPERATION AND PROGRAMS ARE ENTIRELY FUNDED BY CHARITABLE GIVING FROM MEMBERS OF THE EXTENDED IFS COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$230,319ExpenseAmt
Grant$78,005GrantAmt
Revenue$68RevenueAmt
DescTHE FOUNDATION FUNDS INDEPENDENT, SCIENTIFIC RESEARCH ON THE EFFICAY OF IFS TREATMENTS; SPONSORS IFS-ORIENTED PROGRAMS IN SCHOOLS; ENDEAVORS TO ASSIST MILITARY VETERANS SUFFERING FROM PTSD; AND DEVELOPS INITIATIVES TO EMPOWER LEADERS EMERGING FROM, OR SERVING, HISTORICALLY MARGINALIZED COMMUNITIES TO ADVANCE SOCIAL JUSTICE AND HARMONY.Desc
Total Program Service Expenses$230,319TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIEL FERMINPersonNm
Phone9083088531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3776AddressLine1Txt
CityOAK PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60303ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VICKI MCCOY MA
CHAIR1.50Yes (X)Yes (X)$0$0$0
TOUFIC HAKIM PHD
EXECUTIVE DIRECTOR10.00Yes (X)Yes (X)$70,750$0$0
REQUINA BARNES LICSW
DIRECTOR1.00Yes (X)$0$0$0
STEWART BROWN PHD
DIRECTOR1.00Yes (X)$0$0$0
LES FAGAN MA JD
DIRECTOR1.50Yes (X)$0$0$0
KELLY GAULE CAP
DIRECTOR1.00Yes (X)$0$0$0
SADY KIM-SINGH MSW LCSW
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$70,750TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$566,738AllOtherContributionsAmt
Total Contributions$566,738TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$128TotalRevenueColumnAmt
Exclusion$128ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$53,646SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$53,985SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$339SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$339TotalRevenueColumnAmt
Exclusion-$339ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$484GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$484TotalRevenueColumnAmt
Exclusion$484ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business541700BusinessCd
Total Revenue Column$68TotalRevenueColumnAmt
Related Or Exempt Func Income$68RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$68OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$567,079TotalRevenueColumnAmt
Related Or Exempt Func Income$68RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$273ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$78,005TotalAmt
Program Services$78,005ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,433TotalAmt
Management And General$7,433ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$115,192TotalAmt
Program Services$98,855ProgramServicesAmt
Management And General$16,337ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,223TotalAmt
Management And General$5,223ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,236TotalAmt
Program Services$4,236ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,151TotalAmt
Program Services$1,151ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,430TotalAmt
Management And General$1,430ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPORT STAFF GOVERNANC$31,641$20,124$11,517
PRODUCTIONS AND PUBLICA$27,473$27,473
SUBSCRIPTION$2,576$475$2,101
MISCELLANEOUS$298$298

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$274,808TotalAmt
Program Services$230,319ProgramServicesAmt
Management And General$44,489ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$108,996BOYAmt
EOY$132,208EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$171,858BOYAmt
EOY$446,303EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72BOYAmt
EOY$11,229EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,050BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$298,976BOYAmt
EOY$589,740EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,329BOYAmt
EOY$21,087EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$265BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,594BOYAmt
EOY$21,087EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$94,601BOYAmt
EOY$140,506EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$181,781BOYAmt
EOY$428,147EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$276,382BOYAmt
EOY$568,653EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$298,976BOYAmt
EOY$589,740EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$292,271ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$152,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$265,430CurrentTaxYearMinus1YearAmt
Current Tax Year$566,738CurrentTaxYearAmt
Total$1,434,382TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$152,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$265,430CurrentTaxYearMinus1YearAmt
Current Tax Year$566,738CurrentTaxYearAmt
Total$1,434,382TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,434,382PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$128CurrentTaxYearAmt
Total$128TotalAmt
FieldValueIRS element (for citing)
Total Support$1,434,510TotalSupportAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$567,079TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$567,079RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$567,079TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$274,808TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$274,808ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$274,808TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CAMBRIDGE HEALTH ALLIANCE
1035 CAMBRIDGE STREET SUITE 21CAMBRIDGEMA02141$56,305$0RESEARCH STUDY
SELF-LEADERSHIP COLLABORATIVE LLC
66 CEDAR STREET SUITE 201NEWTONCT06111$21,700$0PROGRAM ADVANCING IFS IN SCHOOLS
FieldValueIRS element (for citing)
Total Other Org2TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT AND THE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12MEMBERS OF THE BOARD ARE REQUIRED TO DISCLOSE THE EXISTENCE OF A POTENTIAL CONFLICT OF INTEREST, AT WHICH TIME THE INDVIDUAL TO WHOM THE CONFLICT PERTAINS WILL BE EXCUSED FROM THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT OUT OF WHICH THE POSSIBLE CONFLICT OF INTEREST ARISES.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GCONSULTING - COMMUNICATIONS: PROGRAM SERVICE EXPENSES 22,571. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,571. CONSULTING - DEVELOPMENT: PROGRAM SERVICE EXPENSES 53,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,790. CONSULTING - OPERATIONAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,265. CONSULTING - RESEARCH: PROGRAM SERVICE EXPENSES 22,494. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,494. DUES AND OTHER LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 72. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72.
FORM 990 PART XII LINE 2CTHE EXECUTIVE DIRECTOR WITH THE SUPPORT OF THE BOARD OF DIRECTORS APPOINTS THE INDEPENDENT AUDITOR AND REVIEWS THE RESULTS OF THE AUDIT.

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