2020-08-12T09:37:21-05:00 2019-09-30 582676261 Rogers & Company PLLC 8300 Boone Boulevard Suite 600 Vienna VA 22182 990 2018-10-01 521305780 Change Elemental CHAN 2026591963 1717 Pennsylvania Avenue NW No 1025 Washington DC 20006 Delia Allen O'Brien Director of Finance and Operations 2026591963 2020-08-12 1 Jie Chen CPA P01049760 7038930300 2020-08-12 173.73.98.186 2020-08-12 10:34:44 ED P E59C419D3DEC05809FE27F249B789CFBBAB4F7E1 63C1C0B9F93C8B40CBCDC4B3DDBC3363D21A7384 2018 2020-09-23 17:36:50Z X Delia Allen O'Brien 1717 Pennsylvania Avenue NW No 1025 Washington DC 20006 4534526 0 X www.changeelemental.org X 1983 DC To provide consulting services to exempt organizations. 9 9 15 0 0 0 336195 2477960 1819950 1665515 22084 44935 0 54 2178229 4188464 0 0 0 0 1373810 1431325 0 0 31306 465328 1215773 1839138 2647098 339091 1541366 2249731 3721765 381375 340162 1868356 3381603 X Change Elemental strengthens visionary organizations that work to create a just world so they can persevere as powerful agents of social change. 1 1 2216461 1665515 The primary program of Change Elemental involves providing individualized, in depth support to nonprofit groups that are grappling with organizational problems, challenged by change or growth, or striving to become stronger. Change Elemental works exclusively with groups committed to a just, humane and sustainable society. The issues Change Elemental helps social purpose organizations to address include: purpose and priorities, organizational structure, managerial styles, financial management, fund-raising, working relationships, board development, and planning. 22107 Program Development: A multi-year program, internally and externally, to further embed reflection and inner awareness, healing and grounding practices in our work, increase our and others' sustainability and continue building the liberatory practices that contribute to the effectiveness of leaders, organizations, and networks. This includes: Outreach, deep equity work, learning and practice sessions, attendance and leadership at in-person and virtual conferences and developing free downloadable publications and webinars related to equitable systems change toward love, dignity and justice. 24700 Change Elemental created the Karl Mathiasen Capacity Building Fund to provide subsidies to groups who need our assistance but cannot afford the full fees. Change Elemental raises money each year to support the KM Fund. The KM Fund helps social organizations at the national and community level to do what they do better by: (a) strengthening their clarity of purpose, (b) defining the most effective strategies to meet new challenges, and (c) structuring themselves more powerfully to make a difference. 2263268 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 23 0 1 15 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X Pam Sysiuk Finance and Operations 2026591963 1717 Pennsylvania Avenue NW No 1025 Washington DC 20006 Kent Glenzer Board Chair 1.00 X X 0 0 0 Delia Allen O'Brien Treasurer 1.00 X X 0 0 0 Ananda Valenzuela Secretary 1.00 X X 0 0 0 David Greene Member 1.00 X 0 0 0 Rajiv Khanna Member 1.00 X 0 0 0 Paul O'Brien Member 1.00 X 0 0 0 Zulayka Santiago Member 1.00 X 0 0 0 Ashley Shelton Member 1.00 X 0 0 0 Trish Tchume Member 1.00 X 0 0 0 Marissa Tirona Member 1.00 X 0 0 0 Susan Misra CoDirector 40.00 X 144865 0 18488 Elissa Perry CoDirector 40.00 X 144865 0 22008 Mark Leach Senior Consultant 40.00 X 138835 0 32545 Aja Duncan Senior Consultant 40.00 X 113757 0 15861 Sheryl Petty Senior Consultant 40.00 X 119263 0 15509 Amy Dean Senior Consultant 40.00 X 113757 0 18385 775342 0 122796 6 0 1 0 ProInspire 1305 North Taylor Street Arlington VA 22201 Consulting Services 175000 1 2477960 2477960 Program service fees 541900 1665515 1665515 1665515 39703 39703 54 54 351294 344529 1533 6765 -1533 5232 5232 4188464 1665515 0 44989 315915 253789 59220 2906 850057 660903 181584 7570 40867 40867 139071 199923 -63142 2290 85415 85415 5985 5985 72542 72542 3024 3024 235296 208263 10533 16500 22344 22344 30733 12817 17916 31364 12871 18493 11548 11548 752024 697090 54934 35889 39457 -3568 9657 9657 4297 4297 Dues/subscriptions 1070 1070 Indirect allocation 0 178155 -180195 2040 2647098 2263268 352524 31306 653072 340635 561444 1816788 599458 324799 219355 24699 39382 51281 15769 10953 35512 674764 670635 2249731 3721765 57312 165628 324063 174534 381375 340162 X 1484744 1886835 383612 1494768 1868356 3381603 2249731 3721765 1541366 -28119 0 X X 0 1 X 1 0 X 156562 314307 363910 336195 2477960 3648934 1010600 1325757 2084137 1819950 1665515 7905959 1167162 1640064 2448047 2156145 4143475 11554893 0 688217 711498 1174788 1244060 653410 4471973 688217 711498 1174788 1244060 653410 4471973 7082920 4690 7728 12809 21849 39757 86833 4690 7728 12809 21849 39757 86833 1171852 1647792 2460856 2177994 4183232 11641726 0.60840 0.48980 0.00750 0.00580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 2647098 2647098 282355 70589 0 0 249982 241957 282355 774294 1161441 62496 60489 70589 193574 290361 Schedule C, Part II-A 4 Year Averaging Period Change Elemental made the 501(h) election effective for the fiscal year ended September 30, 2017. 26326 13274 13052 24955 2495 22460 35512 X 4157321 -28119 -28119 4185440 3024 3024 4188464 2644074 0 2644074 3024 3024 2647098 Part X, Line 2: Management has evaluated Change Elemental tax positions and has determined there are no significant uncertain tax positions that qualify for either recognition or disclosure. X X X 0 0 0 0 0 0 0 0 0 Susan Misra CoDirector 136865 0 8000 0 0 0 6844 0 11644 0 163353 0 0 0 Elissa Perry CoDirector 136865 0 8000 0 0 0 6844 0 15164 0 166873 0 0 0 Mark Leach Senior Consultant 134835 0 4000 0 0 0 6741 0 25804 0 171380 0 0 0 Robin Katcher See Part V 59716 See Part V 0 Sch L, Part IV, Business Transactions Involving Interested Persons: (a) Name of Person: Robin Katcher/Katcher Consulting(b) Relationship Between Interested Person and Organization:Robin Katcher is a former officer of the organization (Executive Director) Last served in 2015.(c) Amount of Transaction $ 59,716.(d) Description of Transaction: Provided program consulting services as an independent contractor during the fiscal year.(e) Sharing of Organization Revenues? = No Form 990, Part III, line 2 In this tax year, the organization ceased the Network Leaders Innovation Lab program, and replaced it with a new multi-year program that is to further embed reflection and inner awareness, healing and grounding practices in our work, increase our and others' sustainability and continue building the liberatory practices that contribute to the effectiveness of leaders, organizations, and networks. Form 990, Part III, line 3 In this tax year the organization ceased conducting the Network Leaders Innovation Lab program. Form 990, Part VI, Section B, line 11b The Federal form 990 is prepared by an independent CPA firm as part of annual audit process of Change Elemental. The 990 is then reviewed by executive management, and a copy is sent to the Board for review. The Treasurer has the responsibility to review it and will receive the board's comments before bringing it back to the Board by the date provided. Form 990, Part VI, Section B, line 12c COI forms are distributed to board and staff at beginning of each year. The office manager ensures that all forms are completed. Completed forms are provided to the Finance Committee for review to ensure there are no conflicts that need to be resolved or managed. If there are conflicts, the Finance Committee reports these to the Executive Committee for further action and resolution. Form 990, Part VI, Section B, line 15a The Executive Committee determines the compensation of the Executive Director. Compensation adjustments are approved as part of the budget process (Finance Committee reviews and makes recommendation to Executive Committee for approval of budget). The Executive Committee reviews comparable organization CEO compensation studies periodically. Form 990, Part VI, Section C, line 19 Change Elemental makes governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XII, Line 2c: The Audit Committee of Change Elemental assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. The process is consistent with previous year.