FOUNDATION FOR EXCELLENCE IN MENTAL HEALTH CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR EXCELLENCE IN MENTAL HEALTH CARE INC (EIN 27-4682873)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202123149349302067
Schema version
2020v4.1
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)
Return2021-11-10T09:52:47-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN475422543PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KENNETH FREED & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 WEST CUMMINGS PARK SUITE 5850AddressLine1Txt
CityWOBURNCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018017238ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274682873EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATION FOR EXCELLENCE INBusinessNameLine1Txt
Business Name Line2MENTAL HEALTH CARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone5038165676PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18532 SW ST HELENS DR 250AddressLine1Txt
CityWILSONVILLECityNm
State AbbreviationORStateAbbreviationCd
ZIP97070ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSEANA O'CALLAGHANPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5038165676PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSEANAPersonFirstNm
Person LastOCALLAGHANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES HULBERT JR CPAPreparerPersonNm
PTINP01253253PTIN
Phone6174241100PhoneNum
Preparation2021-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1OPEN EXCELLENCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSEANA O'CALLAGHANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18532 SW ST HELENS DR 250AddressLine1Txt
CityWILSONVILLECityNm
State AbbreviationORStateAbbreviationCd
ZIP97070ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,045,163GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressOPENEXCELLENCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionWE CONNECT THE PASSION OF PRIVATE PHILANTHROPY WITH THE WORLDS TOP RESEARCHERS AND PROGRAMS TO BRING RECOVERY-BASED CARE AND SUPPORTS TO EVERY COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,114,358PYContributionsGrantsAmt
CY Contributions Grants$1,043,508CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$4,026PYInvestmentIncomeAmt
CY Investment Income$123CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,532CYOtherRevenueAmt
PY Total Revenue$2,118,384PYTotalRevenueAmt
CY Total Revenue$1,045,163CYTotalRevenueAmt
PY Grants And Similar Paid$760,391PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$363,882CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$518,640PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$422,253CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$256,327CYTotalFundraisingExpenseAmt
PY Other Expenses$277,200PYOtherExpensesAmt
CY Other Expenses$270,474CYOtherExpensesAmt
PY Total Expenses$1,556,231PYTotalExpensesAmt
CY Total Expenses$1,056,609CYTotalExpensesAmt
PY Revenues Less Expenses$562,153PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,446CYRevenuesLessExpensesAmt
Total Assets BOY$1,539,404TotalAssetsBOYAmt
Total Assets EOY$1,398,949TotalAssetsEOYAmt
Total Liabilities BOY$167,068TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,002TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,372,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,375,947NetAssetsOrFundBalancesEOYAmt
MissionWE CONNECT THE PASSION OF PRIVATE PHILANTHROPY WITH THE WOLRD'S TOP RESEARCHERS AND PROGRAMS TO BRING RECOVERY-BASED CARE AND SUPPORTS TO EVERY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$498,491ExpenseAmt
Grant$363,882GrantAmt
DescTHE FOUNDATION FOR EXCELLENCE IN MENTAL HEALTH CARE IS A ONE-OF-A-KIND COMMUNITY FOUNDATION, INTERNATIONAL IN SCOPE, FOCUSED SOLEY ON MENTAL HEALTH.Desc
Total Program Service Expenses$498,491TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMALEA STOCKTONPersonNm
Phone5038165676PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18532 SW ST HELENS DR 250AddressLine1Txt
CityWILSONVILLECityNm
State AbbreviationORStateAbbreviationCd
ZIP97070ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SEANA O'CALLAGHAN
PRESIDENT & CEO (CURRENT)32.00Yes (X)$38,769$0$1,188
JESSICA PRATT
INTERIM CEO/CHIEF COMMUNICATIONS OFFICEE40.00Yes (X)$106,513$0$19,787
GINA NIKKEL PHD
CEO (PART-YEAR)40.00Yes (X)$63,953$0$5,534
SANDRA STEINGARD MD
BOARD CHAIR4.00Yes (X)$0$0$0
KERIS JAN MYRICK
VICE CHAIR4.00Yes (X)$0$0$0
DAVID HUGHES PHD
TREASURER4.00Yes (X)$0$0$0
YANA A JACOBS
SECRETARY4.00Yes (X)$0$0$0
GIOVAN BAZAN
DIRECTOR4.00$0$0$0Yes (X)
GAYLE ROCKMORE BERG PHD
DIRECTOR4.00$0$0$0Yes (X)
KERMIT COLE
DIRECTOR4.00$0$0$0Yes (X)
CHRISTOPHER GORDON
DIRECTOR4.00$0$0$0Yes (X)
PETER KINDERMAN
DIRECTOR4.00$0$0$0Yes (X)
HANNAH LINGLEY
DIRECTOR4.00$0$0$0Yes (X)
ANDREW SMITH
DIRECTOR4.00$0$0$0Yes (X)
RO SPEIGHT
DIRECTOR4.00$0$0$0Yes (X)
KEVIN ASPEGREN
CHIEF PHILANTHROPY OFFICER40.00$103,270$0$5,486Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$312,505TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$31,995TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$84,345GovernmentGrantsAmt
All Other Contributions$959,163AllOtherContributionsAmt
Total Contributions$1,043,508TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$123TotalRevenueColumnAmt
Exclusion$123ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,532TotalRevenueColumnAmt
Exclusion$1,532ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,532OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,045,163TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,655ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$213,882TotalAmt
Program Services$213,882ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$150,000TotalAmt
Program Services$150,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$209,326TotalAmt
Program Services$88,695ProgramServicesAmt
Management And General$54,640ManagementAndGeneralAmt
Fundraising$65,991FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$161,227TotalAmt
Program Services$5,331ProgramServicesAmt
Management And General$57,238ManagementAndGeneralAmt
Fundraising$98,658FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,137TotalAmt
Program Services$255ProgramServicesAmt
Management And General$2,207ManagementAndGeneralAmt
Fundraising$675FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,482TotalAmt
Program Services$888ProgramServicesAmt
Management And General$7,783ManagementAndGeneralAmt
Fundraising$4,811FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$35,081TotalAmt
Program Services$8,348ProgramServicesAmt
Management And General$10,775ManagementAndGeneralAmt
Fundraising$15,958FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,436TotalAmt
Management And General$2,436ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,266TotalAmt
Management And General$43,266ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$159,843TotalAmt
Program Services$31,092ProgramServicesAmt
Management And General$72,914ManagementAndGeneralAmt
Fundraising$55,837FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,986TotalAmt
Management And General$11,993ManagementAndGeneralAmt
Fundraising$11,993FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,597TotalAmt
Management And General$3,869ManagementAndGeneralAmt
Fundraising$728FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,487TotalAmt
Management And General$6,487ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,500TotalAmt
Management And General$19,500ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,004TotalAmt
Management And General$1,502ManagementAndGeneralAmt
Fundraising$1,502FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,182TotalAmt
Management And General$6,182ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescLICENSES, SUBSCRIPTIONSDesc
Total$1,173TotalAmt
Management And General$999ManagementAndGeneralAmt
Fundraising$174FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,056,609TotalAmt
Program Services$498,491ProgramServicesAmt
Management And General$301,791ManagementAndGeneralAmt
Fundraising$256,327FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,041,495BOYAmt
EOY$835,908EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$326,535EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$362,862BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$135,047BOYAmt
EOY$236,506EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,539,404BOYAmt
EOY$1,398,949EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,068BOYAmt
EOY$23,002EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$167,068BOYAmt
EOY$23,002EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,372,336BOYAmt
EOY$1,375,947EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,372,336BOYAmt
EOY$1,375,947EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,539,404BOYAmt
EOY$1,398,949EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$11,446ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,057NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community TrustYes (X)CommunityTrustInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,266,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,049,373CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$801,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,114,358CurrentTaxYearMinus1YearAmt
Current Tax Year$1,043,508CurrentTaxYearAmt
Total$6,274,762TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,266,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,049,373CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$801,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,114,358CurrentTaxYearMinus1YearAmt
Current Tax Year$1,043,508CurrentTaxYearAmt
Total$6,274,762TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,232,474SubstantialContributorsTotAmt
Public Support Total170$2,042,288PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,562CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,018CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$997CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,627CurrentTaxYearMinus1YearAmt
Current Tax Year$123CurrentTaxYearAmt
Total$17,327TotalAmt
FieldValueIRS element (for citing)
Total Support$6,292,089TotalSupportAmt
Public Support CY1700.32460PublicSupportCY170Pct
Public Support PY1700.34390PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests PY170Yes (X)ThirtyThrPctSuprtTestsPY170Ind

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)
Donor Advised Funds Held14DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$119,882DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$75,000DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$349,408DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (1)DisclosedForCharitablePrpsInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN ENDOWMENTDesc
Book Value$236,506BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$236,506TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFIN 48 FOOTNOTE THE FOUNDATION IS EXPEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNREALTED BUSINESS ACTIVITIES. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. ANNUALLY, THE FOUNDATION IS REQUIRED TO FILE FEDERAL AND STATE RETURNS APPLICABLE TO EXEMPT ORGANIZATIONS. THE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY THEIR RESPECTIVE TAX AUTHORITY FOR A PERIOD OF THREE YEARS AFTER THEY ARE FILED. THE OPEN PERIODS ARE 2017 - 2020.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionEUROPERegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGRANTTypeOfActivitiesConductedTxt
Specific Services ProvidedGRANTMAKINGSpecificServicesProvidedTxt
Region Total Expenditures$150,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$150,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$150,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
Purpose Of GrantMENTAL HEALTH STUDYPurposeOfGrantTxt
Cash Grant$150,000CashGrantAmt
Manner Of Cash DisbursementWIREMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PRT 1, LINE 3 - ACTIVITIES PER REGIONREGION EXPENDITURES INVESTMENTS EUROPE $150,000 $ 0

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EASTERN MAINE MEDICAL CENTER
489 STATE STREETBANGORME04401010211501501C3$20,000NUTRITION & MENTAL HEALTH
MAD IN AMERICA CONTINUING EDUCATION
763 MASSACHUSETTS AVECAMBRIDGEMA02139474772825501C3$125,000MENTAL HEALTH
OHIO STATE UNIVERSITY
1960 KENNY RDCOLUMBUSOH43210316401599501C3$55,000RESEARCH
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONTORING THE USE OF GRANT FUNDS: THE EXECUTIVE DIRECTOR CONFIRMS ELIGILBILITY FOR GRANTS IN CONJUNCTION WITH THE BOARD OF DIRECTORS AND REQUIRES QUARTERLY REPORTS ON THE STATUS OF APPROVED PROJECTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART 1, LINE 6VOLUNTEER MEMBERS PARTICIPATE IN DISCUSSIONS AND ADVISING ON RESEARCH, PROGRAMS, AND DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 1AUTHORITY DELEGATED TO COMMITTEE: AN EXECUTIVE COMMITTEE CONSISTS OF THE FOUNDATION'S CHAIR, VICE CHAIR, SECRETARY, TREASURER, PRESIDENT, AND ONE ADDITIONAL MEMBER FROM THE GOVERNING BODY. THE COMMITTEE MEETS MONTHLY AND HAS THE AUTHORITY TO MAKE DECISIONS AND EXPENDITURES BELOW $5,000 WITHOUT IMMEDIATE APPROVAL OF THE FULL BOARD. MINUTES OF THE EXECUTIVE COMMITTEE SESSIONS ARE PROVIDED TO THE FULL BOARD TYPICALLY WITHIN 24 HOURS OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 11BORGANIZATION'S PROCESS TO REVIEW FORM 990: THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGMENT. UPON COMPLETION AND REVIEW, THE RETURN WAS REVIEWED AND DISCUSSED AT A BOARD MEETING PRIOR TO ITS SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENTS OF CONFLICTS POLICY: BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY AND THE CEO MONITORS AND ENFORCES ANY POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW PROCESS: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SETS THE COMPENSATION OF ALL EMPLOYEES OF THE ORGANIZATION USING INFORMATION ON SIMILAR POSITIONS WITHIN SIMILAR NONPROFIT ORGANIZATIONS FROM THE COUNCIL OF FOUNDATIONS SALARY COMPENSATION DATA CHARTS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE: THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAIABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, THE FINANCIAL STATEMENTS AND OTHER VARIOUS PROGRAM DOCUMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND FROM GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11GOUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 31,092. MANAGEMENT AND GENERAL EXPENSES 66,486. FUNDRAISING EXPENSES 55,837. TOTAL EXPENSES 153,415. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,428.

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