BUILD HEALTH INTERNATIONAL INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BUILD HEALTH INTERNATIONAL INC (EIN 46-4300024)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-02-26
IRS object ID
202100579349100200
Schema version
2019v5.2
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)
Return2021-02-26T06:06:49-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464547996PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1E J CALLAHAN & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE PLEASURE ISLAND ROAD SUITE 2AAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01880ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464300024EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUILD HEALTH INTERNATIONAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBUILBusinessNameControlTxt
Phone9789690920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CUMMINGS CENTER NO 120BAddressLine1Txt
CityBEVERLYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01915ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES ANSARAPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9789690920PhoneNum
Signature2021-02-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD J CALLAHAN CPAPreparerPersonNm
PTINP00314334PTIN
Phone6179747697PhoneNum
Preparation2021-02-05PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,014,699FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$5,308,279ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$187,281DividendsRevAndExpnssAmt
Dividends Net Invst Incm$187,281DividendsNetInvstIncmAmt
Dividends Adj Net Incm$187,281DividendsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$5,495,560TotalRevAndExpnssAmt
Total Net Invst Incm$187,281TotalNetInvstIncmAmt
Total Adj Net Incm$187,281TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$259,185OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$77,350PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$0PensionEmplBnftDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$54,104OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$2,862TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$36,189DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$36,189DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$111,096OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$30,054TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,681,985OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$8,407OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$5,252,825TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$44,596TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$15,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$15,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,267,825TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$44,596TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$15,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$227,735ExcessRevenueOverExpensesAmt
Net Investment Income$187,281NetInvestmentIncomeAmt
Adjusted Net Income$142,685AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$472,517CashBOYAmt
Cash EOY$732,770CashEOYAmt
Cash EOYFMV$732,770CashEOYFMVAmt
Acct Rcvbl$456,072AcctRcvblAmt
Acct Rcvbl BOY$234,241AcctRcvblBOYAmt
Acct Rcvbl EOY$456,072AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$456,072AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$2,500PrepaidExpensesBOYAmt
Other Investments BOY$4,004,028OtherInvestmentsBOYAmt
Other Investments EOY$3,714,489OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,714,489OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$250,710LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$154,242LandBldgEquipAccumDeprecAmt
Land BOY$126,580LandBOYAmt
Land EOY$96,468LandEOYAmt
Land EOYFMV$96,468LandEOYFMVAmt
Other Assets BOY$12,800OtherAssetsBOYAmt
Other Assets EOY$14,900OtherAssetsEOYAmt
Other Assets EOYFMV$14,900OtherAssetsEOYFMVAmt
Total Assets BOY$4,852,666TotalAssetsBOYAmt
Total Assets EOY$5,014,699TotalAssetsEOYAmt
Total Assets EOYFMV$5,014,699TotalAssetsEOYFMVAmt
Accounts Payable BOY$37,367AccountsPayableBOYAmt
Accounts Payable EOY$303,081AccountsPayableEOYAmt
Other Liabilities BOY$3,187,234OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,910,437OtherLiabilitiesEOYAmt
Total Liabilities BOY$3,224,601TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,213,518TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$1,628,065NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$1,801,181NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$1,628,065TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,801,181TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,852,666TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,014,699TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,628,065TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$227,735ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,855,800SubtotalAmt
Other Decreases$54,619OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,801,181TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$4,151,880AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,944,592NetVlNoncharitableAssetsYr1Amt
Distribution Yr11.052550DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,183,284AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,000,179NetVlNoncharitableAssetsYr2Amt
Distribution Yr22.091455DistributionYr2Rt
Adjusted Qlfy Distri Yr3$4,652,586AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,462,664NetVlNoncharitableAssetsYr3Amt
Distribution Yr31.889249DistributionYr3Rt
Adjusted Qlfy Distri Yr4$3,606,931AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,330,484NetVlNoncharitableAssetsYr4Amt
Distribution Yr42.710992DistributionYr4Rt
Adjusted Qlfy Distri Yr5$1,187,290AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$865,306NetVlNoncharitableAssetsYr5Amt
Distribution Yr51.372104DistributionYr5Rt
Total Distribution9.116350TotalDistributionRt
Average Distribution1.823270AverageDistributionRt
Net Vl Noncharitable Assets$3,825,325NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$6,974,600AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,873NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$6,976,473AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$15,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,746InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,746SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,746TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$66EsPenaltyAmt
Tax Due$3,812TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.BUILDHEALTHINTERNATIONAL.ORGWebsiteAddressTxt
Individual With BooksBUILD HEALTH INTERNATIONAL INCIndividualWithBooksNm
Phone9789690920PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 CUMMINGS CENTER 120BAddressLine1Txt
CityBEVERLYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01915ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JAMES ANSARA
100 CUMMINGS CENTER NO 120BBEVERLYMA01915PRESIDENT40.00$0$0$0
KAREN ANSARA
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR1.00$0$0$0
IRYNA BALENTINE
100 CUMMINGS CENTER NO 120BBEVERLYMA01915TREASURER40.00$0$0$0
DAVID A WALTON
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR40.00$0$0$0
JOHN UNNI
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR1.00$0$0$0
BOB BROUDO
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR1.00$0$0$0
PAUL FARMER
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR1.00$0$0$0
MARVIN RYOU
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR1.00$0$0$0
HEATHER ANNE HARMON
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DCLERK1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
HENRY WIEMAN
100 CUMMINGS CENTER NO 120HBEVERLYMA01915CHIEF OPERATING OFFI40.00$175,000$5,791$0
JOSE OMAR HERNANDEZ
100 CUMMINGS CENTER NO 120HBEVERLYMA01915DIRECTOR OF ENGINEER40.00$138,000$20,892$0
DAVID WALTON
100 CUMMINGS CENTER NO 120HBEVERLYMA01915CHIEF EXECUTIVE OFFI40.00$127,708$13,510$0
JOSEPH CONDON
100 CUMMINGS CENTER NO 120HBEVERLYMA01915SENIOR PROJECT MANAG40.00$120,000$9,285$0
IRYNA BALENTINE
100 CUMMINGS CENTER NO 120HBEVERLYMA01915CONTROLLER40.00$104,500$15,536$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1DEVELOPING AND BUILDING HEALTH CARE INFRASTRUCTURE IN IMPOVERVISHED COUNTRIES AND PROMOTING INTERNATIONAL DEVELOPMENT AND PHILANTHROPY.Description1Txt
Expenses1$4,672,014Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,997,911AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$318,228AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$567,440FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,883,579TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,883,579AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$58,254CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,825,325NetVlNoncharitableAssetsAmt
Minimum Investment Return$191,266MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$15,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$15,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$15,000AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling2013-12-12PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$142,685CurrentYearAmt
Year1$67,982Year1Amt
Year2$10,953Year2Amt
Year3$261Year3Amt
Total$221,881TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$121,282CurrentYearAmt
Year1$57,785Year1Amt
Year2$9,310Year2Amt
Year3$222Year3Amt
Total$188,599TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$15,000CurrentYearAmt
Year1$4,151,880Year1Amt
Year2$4,183,778Year2Amt
Year3$4,652,586Year3Amt
Total$13,003,244TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$15,000CurrentYearAmt
Year1$4,151,880Year1Amt
Year2$4,183,778Year2Amt
Year3$4,652,586Year3Amt
Total$13,003,244TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$127,511CurrentYearAmt
Year1$131,487Year1Amt
Year2$66,673Year2Amt
Year3$82,089Year3Amt
Total$407,760TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)

Address Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmCountryRecipientForeignAddress/CountryCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCd
SOCIOS EN SALUD
JIRON PUNO 279CERCADO DE LIMAPEPUBLIC CHARITYTO IMPROVE HEALTH CARE OF PEOPLE LIVING IN POVERTY.$9,500
SAINT BONIFACE HAITI FOUNDATION
PUBLIC CHARITYTO PROVIDE SUPPORT FOR THE RECIPIENT'S MISSION TO BREAK THE CYCLE OF POVERTY AND ALLEVIATE SUFFERING THROUGH HEALTH CARE, EDUCATION, AND COMMUNITY DEVELOPMENT.$5,000383 ELLIOT STREET DOOR G SUITE 100NEWTON UPPER FALLSMA02464
REGIS HAITI PROJECT
PUBLIC CHARITYTO IMPROVE PATIENT CARE AND HEALTH OUTCOMES IN HAITI.$500235 WELLESLEY STWESTONMA02493
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$15,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$187,281RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$187,281RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$187,281TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number4LineNumberTxt
Relationship StatementDIVIDENDS AND INTEREST EARNED FROM THE INVESTMENT IN SECURITIESRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (7 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
PARTNERS IN HEALTH
1888 COMMONWEALTH AVENUE 3RD FLOORBOSTONMA02215$1,759,953Yes (X)
AMERICARES FOUNDATION
288 HAMILTON AVESTAMFORDCT06902$213,293Yes (X)
HAITI PROJECTS
3335 WATER STREETHANOVERMA02339$127,750Yes (X)
WK KELLOGG FOUNDATION
4ONE MICHIGAN AVENUE EASTBATTLE CREEKMI49017$149,517Yes (X)
DIRECT RELIEF
56100 WALLACE BECKNELL ROADSANTA BARBARACA93117$608,645Yes (X)
HEALTH EQUITY INTERNATIONAL
640 GLEN AVENEWTONMA02459$693,544Yes (X)
SAINT ROCK HAITI FOUNDATION
7371 GRANITE AVE 1MILTONMA02186$271,438Yes (X)

Amortization Schedule AmortizationSchedule

Amortization Schedule Detail AmortizationScheduleDetail (2 entries)

Amortized ExpensesAmortizedExpensesDescAcquired Completed Or ExpendedAcquiredCompletedOrExpendedDtAmortizedAmortizedAmtDeduction For Prior YearsDeductionForPriorYearsAmtAmortization PeriodAmortizationPeriodRtCurrent Year AmortizationCurrentYearAmortizationAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtTotal AmortizationTotalAmortizationAmt
LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)2018-06-15$59,226$11,10596.000000000000$7,403$0$7,403$18,508
LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)2019-07-01$8,02896.000000000000$1,004$0$1,004$1,004

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (8 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
INTERNATIONAL TRUCK2016-10-15$23,874$12,995SL5.000000000000$4,775$0$4,775
EXCAVATOR2016-08-15$50,290$29,336SL5.000000000000$10,058$0$10,058
BOX TRUCK (2016 IZUZU)2016-07-01$47,970$28,782SL5.000000000000$9,594$0$9,594
HONDA CRV2016-07-18$5,000$2,917SL5.000000000000$1,000$0$1,000
NISSAN PATROL2016-08-09$10,000$5,831SL5.000000000000$2,000$0$2,000
LANDCRUISER2017-01-03$33,601$16,800SL5.000000000000$6,720$0$6,720
LIFTGATE FOR BOX TRUCK2018-06-20$6,265$1,880SL5.000000000000$1,253$0$1,253
HILUX CAPITAL REPAIR2019-08-06$6,456SL5.000000000000$789$0$789

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemINVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$3,714,489BookValueAmt
EOYFMV$3,714,489EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (10 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
INTERNATIONAL TRUCK$23,874$17,770$6,104
EXCAVATOR$50,290$39,394$10,896
BOX TRUCK (2016 IZUZU)$47,970$38,376$9,594
HONDA CRV$5,000$3,917$1,083
NISSAN PATROL$10,000$7,831$2,169
LANDCRUISER$33,601$23,520$10,081
LIFTGATE FOR BOX TRUCK$6,265$3,133$3,132
LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)$59,226$18,508$40,718
LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)$8,028$1,004$7,024
HILUX CAPITAL REPAIR$6,456$789$5,667

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSITDesc
BOY Book Value$12,800BOYBookValueAmt
EOY Book Value$14,900EOYBookValueAmt
EOYFMV$14,900EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$54,619Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSTRUCTION$3,906,674$0$0$0
FACILITIES & EQUIPMENT$96,821$0$0$0
WAREHOUSE$534,528$0$0$0
FUNDRAISING$135,555$0$0$0
AMORTIZATION$8,407$0$8,407$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DEFERRED REVENUE$3,140,826$2,859,839
ACCRUED PAYROLL$46,408$50,598

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FINANCIAL SERVICES$15,065$0$0$0
COMPUTER CONSULTATNTS$0$0$0$0
FUNDRAISING CONSULTANTS$3,145$0$0$0
RECRUTING FEES$35,894$0$0$0

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCd
PARTNERS IN HEALTH
888 COMMONWEALTH AVENUE 3RD FLOORBOSTONMA02215
ST BONIFACE HAITI FOUNDATION
383 ELLIOT STREET DOOR G SUITE 100NEWTOWN UPPER FALLSMA02464
WK KELLOGG FOUNDATION
ONE MICHIGAN AVENUE EASTBATTLE CREEKMI490174012
HAITI PROJECTS
335 WATER STREETHANOVERMA02339

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$125$0$0$0
STATE TAX$2,737$0$0$0

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