2020-11-16T17:39:25-06:00 2019-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2019-01-01 273530769 AGAHOZO-SHALOM YOUTH VILLAGE INC AGAH 6463817866 620 8TH AVE 19TH FLOOR NEW YORK NY 10018 LAURIE TOLL FRANZ CHAIR 6463817866 2020-11-16 1 GARRETT M HIGGINS P00543209 9143818900 2020-11-16 100.33.234.126 2020-11-16 17:39:19 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A6D13489680F7BF7A058155E65F3C61B5D8EE11D 2019 2021-01-29 14:40:06Z SHIRI SANDLER 620 8TH AVE 19TH FLOOR NEW YORK NY 10018 4986346 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. 18 18 5 70 0 0 2630176 4141140 184084 248482 63513 66637 59393 98926 2937166 4555185 0 0 0 0 1468509 1642127 60100 56900 275690 1373128 1992357 2901737 3691384 35429 863801 13536289 14533405 649750 510342 12886539 14023063 TO ENABLE ORPHANED AND VULNERABLE YOUTH TO REALIZE THEIR MAXIMUM POTENTIAL BY PROVIDING THEM WITH A SAFE AND SECURE LIVING ENVIRONMENT, HEALTH CARE, EDUCATION AND NECESSARY LIFE SKILLS. EDUCATION AND SERVICE ARE USED TO MODEL AND CREATE SOCIALLY RESPONSIBLE CITIZENS IN 0 0 3016392 257746 ASYV PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES AND THERAPEUTIC TREATMENT TO MORE THAN 500 ORPHANED AND VULNERABLE TEENS IN RWANDA. 3016392 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 11 0 5 1 0 1 RW 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 NY X X CHASBRO INVESTMENTS 2129310100 445 PARK AVE SUITE 16A NEW YORK NY 10022 SHIRI SANDLER MANAGING DIRECTOR 40.00 X 124502 0 13777 JEAN-CLAUDE NKULIKIYIMFURA EXECUTIVE DIRECTOR 40.00 X 8690 0 0 LAURIE TOLL FRANZ CHAIR 30.00 X X 0 0 0 MIKE DELGIACCO TREASURER 5.00 X X 0 0 0 JEFF SCHWARTZMAN SECRETARY 5.00 X X 0 0 0 BILL BERTOLET BOARD MEMBER 5.00 X 0 0 0 RAN GOSHEN BOARD MEMBER 5.00 X 0 0 0 GIDEON HERSCHER BOARD MEMBER 5.00 X 0 0 0 JOHN HOOVER BOARD MEMBER 10.00 X 0 0 0 KATHY HARRIS BOARD MEMBER 5.00 X 0 0 0 JEAN KAGUBARE BOARD MEMBER 5.00 X 0 0 0 BERTRAND KAYIRANGA BOARD MEMBER 5.00 X 0 0 0 JASON KOTIK BOARD MEMBER 10.00 X 0 0 0 CHRISTY LAMAGNA BOARD MEMBER 5.00 X 0 0 0 JASON MERRIN BOARD MEMBER 5.00 X 0 0 0 SETH ROSENZWEIG BOARD MEMBER 5.00 X 0 0 0 ELIZABETH STERN BOARD MEMBER 5.00 X 0 0 0 BRIAN WALSH BOARD MEMBER 5.00 X 0 0 0 MICHELLE BARRACK BOARD MEMBER 5.00 X 0 0 0 BEN SNYDER BOARD MEMBER 5.00 X 0 0 0 133192 0 13777 1 0 0 0 0 818837 3322303 4141140 SERVICE TRIPS 900099 171015 171015 VISITORS & VOLUNTEERS 900099 77467 77467 248482 63512 63512 101320 0 101320 101320 101320 317598 314473 3125 3125 3125 64602 818837 116688 -52086 -52086 9264 0 9264 9264 MISCELLANEOUS INCOME 900099 26038 26038 VAT REFUND 900099 14390 14390 40428 4555185 257746 0 156299 8690 1654 2542 4494 1540915 1322574 78890 139451 9218 1174 2608 5436 58835 49264 3103 6468 24469 3116 6923 14430 11692 1489 3308 6895 13018 13018 98600 98600 56900 56900 12086 12086 176350 125226 50710 414 97418 34714 41921 20783 65304 47262 18042 111533 101989 9544 119259 93282 5558 20419 5352 5352 525703 525703 82687 31101 51586 PROGRAM SUPPLIES 237213 226815 10398 BAD DEBT EXPENSE 178648 178648 EQUIPMENT AND MAINTENAN 100699 100699 VILLAGE OPERATIONS 63482 63482 93313 89830 3483 3691384 3016392 399302 275690 1362047 1046563 77262 38431 275339 11775 104028 1077148 70245 81273 12254152 2790663 9357389 9463489 1674926 2354538 615053 460188 13536289 14533405 219750 260342 430000 250000 649750 510342 X 11446084 11790993 1440455 2232070 12886539 14023063 13536289 14533405 X 863801 195572 77151 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1034547 106967 1141514 896466 200000 -61919 1034547 817855 25000 53611 896466 758472 59383 817855 720901 25000 12571 758472 0.12450 0.83220 0.04330 0 0 237774 237774 11200372 2605214 8595158 283168 180253 102915 532838 5196 527642 9463489 REFUNDABLE ADVANCE 250000 250000 X 5150346 195572 154699 244890 595161 4555185 0 4555185 3907883 154699 304788 459487 3448396 242988 242988 3691384 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR THE GELFAND FAMILY SCIENCE CENTER AND AN UNRESTRICTED BOARD DESIGNATED FUND. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS. PART X, LINE 2: ASYV RECOGNIZES THE EFFECT OF INCOME TAXES 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 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTED TO RELATED ENTITIES 51,051. GAIN ON DISPOSAL OF ASSETS 3,145. FUNDRAISING EXPENSES REPORTED ON PART VIII, LINE 8B 116,688. FOREIGN EXCHANGE GAINS 74,006. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTED TO RELATED ENTITIES 188,100. FUNDRAISING EXPENSES REPORTED ON PART VIII, LINE 8B 116,688. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATIONS ON CONSOLIDATED FINANCIAL STATEMENTS 242,988. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE E, PART I, LINE 3 THE ORGANIZATION'S RACIALLY NONDISCRIMINATORY POLICY APPEARS ON ITS WEBSITE. SUB-SAHARAN AFRICA 1 270 PROGRAM SERVICES PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES AND THERAPUTIC TREATMENT TO ORPHANED AND VULERABLE TEENS IN RWANDA. 2812094 1 270 0 0 1 270 2812094 0 2812094 0 0 1 0 0 0 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 1 BLB CONSULTING & EVENTS LLC 576 FIFTH AVENUE SUITE 903 NEW YORK NY 10036 EVENT PRODUCTION 0 873030 52250 820780 873030 52250 820780 NY VILLAGE TIME GALA 873030 811452 61578 12370 59275 2800 37574 WINTER COCKTAILS 8699 5675 3024 3444 1225 1 1710 1710 883439 818837 64602 12370 62719 2800 38799 116688 -52086 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE TOTAL FEE FOR SERVICES AS OUTLINED ABOVE IS $52,250 ($55,000 WITH A 5% DISCOUNT) WITH PAYMENTS STRUCTURED AS FOLLOWS: DUE UPON SIGNING $2,250 SEPTEMBER 1, 2018 $5,000 OCTOBER 1, 2018 $5,000 NOVEMBER 1, 2018 $5,000 DECEMBER 1, 2018 $5,000 JANUARY 1, 2019 $5,000 FEBRUARY 1, 2019 $5,000 MARCH 1, 2019 $5,000 APRIL 1, 2019 $5,000 MAY 1, 2019 $5,000 JUNE 1, 2019 $5,000 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. FORM 990, PART V, LINE 2A: IN ACCORDANCE WITH THE INSTRUCTIONS, THE ORGANIZATION IS REPORTING THE NUMBER OF EMPLOYEES INCLUDED ON A FORM W-3 ON LINE 2A. HOWEVER, THE ORGANIZATION HAS AN OFFICE IN RWANDA WITH OVER 200 EMPLOYEES. THESE INDIVIDUALS DO NOT RECEIVE A W-2 FROM THE ORGANIZATION AS THEY ARE NOT REQUIRED TO BE ISSUED ONE, AND THEREFORE ARE NOT BEING INCLUDED IN THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A AND PART I, LINE 5. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION USE AN OUTSIDE MANAGEMENT COMPANY, AMBROSE EMPLOYER GROUP LLC, A PROFESSIONAL EMPLOYER ORGANIZATION ("PEO") AS A CO-EMPLOYER. AMBROSE WAS PAID $11,692 DURING 2019 FOR THEIR SERVICES. THE MANAGING DIRECTOR LISTED IN PART VII, SHIRI SANDLER, WAS PAID BY THE PEO. FORM 990, PART VI, SECTION B, LINE 11B ASYV HAS ITS 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 ELECTRONICALLY 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 15A 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. THE HUMAN RESOURCES & COMPENSATION COMMITTEE WILL OBTAIN RESEARCH AND INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR THE COMPENSATION (SALARY AND BENEFITS) OF THE EXECUTIVE DIRECTOR AND MANAGING DIRECTOR, FOLLOWING THE RECOMMENDATION OF THE EXECUTIVE DIRECTOR, BASED ON A REVIEW OF COMPARABILITY DATA. FOR EXAMPLE, THE HUMAN RESOURCES & COMPENSATION COMMITTEE WILL SECURE DATA THAT DOCUMENTS COMPENSATION LEVELS AND BENEFITS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT A MINIMUM THREE SIMILAR ORGANIZATIONS. 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 ANDBENEFITS, 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 COMMITTEEBUT 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 3,145. FOREIGN EXCHANGE GAINS 74,006. 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 181696 10 1.00000 1 SEE FAR HOUSING REMERA GASABO UMUJYI WA KIGALI RW AFFORDABLE HOUSING RW AGAHOZO-SHALOM YOUTH VILLAGE INC C 3814 340809 1.00000 1 SEE FAR HOUSING HOLDINGS LLC PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ 981488391 INTEREST IN SEE FAR HOUSING CJ AGAHOZO-SHALOM YOUTH VILLAGE INC C 2671 1290690 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0