2020-10-15T12:49:51-05:00 2019-12-31 042971374 LMHS PC 80 WASHINGTON ST BUILDING S NORWELL MA 02061 990 2019-01-01 451837673 TEAM IMPACT INC TEAM 6178010248 500 VICTORY ROAD QUINCY MA 02171 TIMOTHY J KELLY DIRECTOR/TREASURER 6178010230 2020-10-15 1 WILLIAM E SYNAN CPA P00595384 7818789111 2020-10-08 71.184.197.122 2020-10-15 12:58:38 ED P D797FF00CE081FC32EAE7896601B3BD2C0BC208B 0B68ACC482B44DBF07F70FE225F9D71705FE82A9 2019 2021-01-29 14:40:06Z KRISTEN GIARRUSSO 500 VICTORY ROAD QUINCY MA 02171 6028085 0 X TEAMIMPACT.ORG X 2011 MA TEAM IMPACT IS THE ONLY U.S. NONPROFIT THAT TACKLES THE EMOTIONAL TRAUMA AND SOCIAL ISOLATION EXPERIENCED BY CHILDREN FACING SERIOUS AND CHRONIC ILLNESSES BY MATCHING THEM WITH A COLLEGE ATHLETIC TEAM. OUR TWO-YEAR THERAPEUTIC PROGRAM COMPLEMENTS A CHILD'S MEDICAL TREATMENTS, ALLOWING THE CHILD TO DEVELOP RELATIONSHIPS AND SKILLS THAT HELP THEM COMPLETE THE FULL CIRCLE OF HEALING.THROUGH PARTICIPATION IN TEAM IMPACT'S CLINICALLY INFORMED PROGRAM, CHILDREN EXPERIENCE A TRUE SENSE OF BELONGING, RESULTING IN INCREASED EMPOWERMENT, NORMALIZATION, HEALTH PROMOTION, AND RESILIENCE. FAMILIES FEEL CONNECTED AND SUPPORTED AS THEIR CHILD ACHIEVES INDIVIDUALIZED GOALS, WHILE EXPERIENCING THE JOY OF TEAM CAMARADERIE AND INCLUSION; AND STUDENT ATHLETES GAIN PERSPECTIVE AND INSPIRATION, AS WELL AS LESSONS IN ADVERSITY AND RESILIENCE. 19 19 42 185 0 0 4301592 5900533 0 0 773 2884 -461697 -573269 3840668 5330148 0 7863 0 0 2368218 3208912 0 0 380778 872731 1143850 3240949 4360625 599719 969523 2399759 3455838 196533 283089 2203226 3172749 X TEAM IMPACT IS THE ONLY U.S. NONPROFIT THAT TACKLES THE EMOTIONAL TRAUMA AND SOCIAL ISOLATION EXPERIENCED BY CHILDREN FACING SERIOUS AND CHRONIC ILLNESSES BY MATCHING THEM WITH A COLLEGE ATHLETIC TEAM. BECAUSE NO CHILD SHOULD BE SIDELINED BY SICKNESS. 0 0 3726789 7863 EXPENSES ABOVE RELATED TO THE IDENTIFICATION AND EDUCATION OF THE MEDICAL AND COLLEGE ATHLETIC COMMUNITIES ABOUT THE BENEFIT OF THE PROGRAM TO THE CHILDREN AND STUDENT ATHLETES, AS WELL AS THE PARTICIPANT CASE MANAGEMENT PROCESS. DURING 2019, TEAM IMPACT MADE 307 NEW MATCHES, WHICH ADDED 307 NEW FAMILIES TO OUR GROWING ROSTER. THESE NEW MATCHES CULMINATED IN A TOTAL OF 982 ACTIVE MATCHES IN OUR PROGRAM DURING THE 2019 CALENDAR YEAR, ALLOWING US TO REACH APPROXIMATELY 25,000 STUDENT ATHLETES IN 2019 ALONE. FOUNDED IN 2011, TEAM IMPACT HAS MATCHED NEARLY 2,000 CHILDREN SINCE ITS INCEPTION THROUGH THE END OF 2019, PARTNERING WITH ALMOST 700 COLLEGES AND UNIVERSITIES ACROSS 48 STATES, AND IMPACTING MORE THAN 60,000 STUDENT ATHLETES. 3726789 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 24 0 42 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA PA CA AL AR NC OR SC X TIMOTHY J KELLY TREASURER 6178010248 500 VICTORY ROAD QUINCY MA 02171 SCOTT TULLY JUNE 25 2019 DIRECTOR/CLERK 2.00 X 0 0 0 KRIS HERMAN DIRECTOR 2.00 X 0 0 0 DAN WALSH DIRECTOR 4.00 X 0 0 0 JOHN CALNAN DIRECTOR 4.00 X 0 0 0 TIM KELLY DIRECTOR/ TREASURER 6.00 X X 0 0 0 DANIEL KRAFT DIRECTOR 4.00 X 0 0 0 MARK PLANSKY DIRECTOR 2.00 X 0 0 0 ROBERT TISHMAN DIRECTOR 2.00 X 0 0 0 ALLISON SCOBIE-CARROLL DIRECTOR/CLERK 4.00 X X 0 0 0 KRISTIN GIARRUSSO DIRECTOR/CHAIR 6.00 X X 0 0 0 JOSH GOLD DIRECTOR/VICE-CHAIR 4.00 X X 0 0 0 CHUCK DOYLE DIRECTOR 2.00 X 0 0 0 MATTHEW DANIELS DIRECTOR 2.00 X 0 0 0 MICHAEL JOSEPHSON DIRECTOR 2.00 X 0 0 0 STEVEN ELLIS DIRECTOR 2.00 X 0 0 0 DENNIS BALDWIN DIRECTOR 2.00 X 0 0 0 ROBERT COUGHLIN DIRECTOR 2.00 X 0 0 0 MICHAEL CROWE DIRECTOR 2.00 X 0 0 0 SOL KUMIN DIRECTOR 2.00 X 0 0 0 AMIT SACHDEV DIRECTOR 2.00 X 0 0 0 SETH ROSENZWEIG CEO/PRESIDENT 40.00 X 299231 0 26347 AMY VANRYN NATIONAL DIRECTOR OF PROGRAMS 40.00 X 129808 0 17560 PATRICK MADDIGAN NATIONAL DIRECTOR OF FINANCE & OPERATIONS 40.00 X 134231 0 5037 KEVIN FLYNN NATIONAL DIRECTOR OF REGIONAL STRATEGY 40.00 X 125000 0 1488 KELLY ROBERTS NATIONAL DIRECTOR OF MARKETING AND COMMUNICATION 40.00 X 121000 0 16979 SHANNA GERSHMAN NATIONAL DIRECTOR OF DEVELOPMENT 40.00 X 135462 0 4263 944732 0 71674 6 0 1 0 0 2896094 3004439 302307 5900533 2884 2884 155760 2896094 697937 -542177 -542177 OTHER INCOME/LOSS 900099 -31092 -31092 -31092 5330148 0 0 -570385 7863 7863 399440 279608 59916 59916 2175854 1929659 75670 170525 46548 41177 1708 3663 404295 370021 10194 24080 182775 158397 8613 15765 61036 8896 52140 138867 128849 7714 2304 80059 54845 7380 17834 101807 81837 8086 11884 86691 75715 40 10936 115850 99357 9986 6507 150735 95807 2772 52156 87117 75414 7120 4583 5863 4312 1551 CASE MANAGEMENT 294418 294418 EVENTS 11081 11081 DUES AND SUBSCRIPTIONS 10326 9533 168 625 4360625 3726789 253058 380778 1590080 2388991 211616 269709 84000 48632 77951 756261 121074 549431 635187 2399759 3455838 189859 281010 6674 2079 196533 283089 X 1968226 2782827 235000 389922 2203226 3172749 2399759 3455838 969523 0 X 0 1 X 1 0 X 1422502 1993703 2940245 4301592 5900533 16558575 1422502 1993703 2940245 4301592 5900533 16558575 943307 15615268 37 7 161 -219 2884 2870 16561445 0.94290 0.92960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 756261 121074 635187 635187 DEFERRED COSTS 2079 2079 X 5335108 4960 4960 5330148 0 5330148 4365585 4960 4960 4360625 0 4360625 PART X, LINE 2: UNCERTAINTY IN INCOME TAXES - THE ORGANIZATION ADOPTED THE NEW STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (INCOME, SALES, USE AND PAYROLL), WHICH REQUIRED THE ORGANIZATION TO REPORT ANY UNCERTAIN TAX POSITIONS AND TO ADJUST ITS FINANCIAL STATEMENTS FOR THE IMPACT THEREOF. AS OF DECEMBER 31, 2019 AND 2018, THE ORGANIZATION DETERMINED THAT IT HAD NO TAX POSITIONS THAT DID NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. THE ORGANIZATION FILES TAX AND INFORMATION RETURNS IN THE UNITED STATES FEDERAL AND APPLICABLE STATE JURISDICTIONS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE LAST THREE YEARS. GALA 2569961 2414201 155760 27932 369548 231034 RACE EVENT 108654 108654 6750 7 373239 373239 62673 3051854 2896094 155760 27932 369548 300457 697937 -542177 1 ALL GRANTS ARE TRAVEL RELATED EXPENSES, TYPICALLY TO ATTEND CHAMPIONSHIP MATCHES 5 7863 PART I, LINE 2: TEAM IMPACT MAINTAINS RECORDS RELATED TO REIMBURSEMENTS FOR, AND DIRECT PURCHASES OF, TRAVEL RELATED EXPENSES TO ATTEND COLLEGIATE ATHLETIC CHAMPIONSHIPS AND TEAM IMPACT EVENTS. TEAM IMPACT PREPAYS THE ASSOCIATED COSTS OR PROVIDES REIMBURSEMENTS UPON SUBMISSION OF RECEIPTS AND DOCUMENTATION. X X X 0 0 0 0 0 0 0 0 0 SETH ROSENZWEIG CEO/PRESIDENT 299231 0 0 0 0 0 0 0 26347 0 325578 0 0 0 X 245995 FAIR MARKET VALUE X 5 55262 FAIR MARKET VALUE X DISHWASHER 1 1050 FAIR MARKET VALUE 0 1 0 PART I, LINE 30B: THE AMOUNT IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 2 JOHN CALNAN AND TIM KELLY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE & AUDIT COMMITTEE, BOARD TREASURER, C.E.O., AND DIRECTOR OF FINANCE & OPERATIONS, AS WELL AS AN OUTSOURCED ACCOUNTANT, ALL REVIEW THE FORM 990 IN DETAIL BEFORE IT IS FILED. THE FINANCE & AUDIT COMMITTEE PROVIDES APPROVED COPIES OF THE RETURN TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TEAM IMPACT REGULARLY REVIEWS TRANSACTIONS AND DISCUSSES ALL ASPECTS OF THE ORGANIZATION WITH THE BOARD OF DIRECTORS AS WELL AS MANAGEMENT. ALL OFFICERS, DIRECTORS, MEMBERS OF A COMMITTEE AND KEY EMPLOYEES ARE COVERED UNDER SAID POLICY. COVERED PERSONS MUST DISCLOSE THE EXISTENCE OF THEIR FINANCIAL OR PERSONAL INTEREST AND ALL MATERIAL FACTS TO THE DIRECTORS, OFFICERS, AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINATIONS OF WHETHER A CONFLICT OF INTEREST EXISTS ARE MADE AT THE BOARD LEVEL, WITH ASSISTANCE FROM COMMITTEES, WITH THE INTERESTED PERSON'S ABSENCE FROM DISCUSSIONS AND DETERMINATION. RECORDS OF THE PROCEEDINGS SHALL BE CAPTURED IN THE BOARD OR COMMITTEE MEETING MINUTES. ANNUAL STATEMENTS SHALL BE EXECUTED BY ALL SUCH COVERED PERSONS FOLLOWING THE ANNUAL BOARD MEETING EACH YEAR. RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT, IF ONE IS DETERMINED TO EXIST, INCLUDE PROHIBITING THE PARTY WITH CONFLICT FROM PARTICIPATING IN DISCUSSION OF, AND THE DELIBERATION AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT GAVE RISE TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 TEAM IMPACT HAS A REGULAR REVIEW PROCESS RELATED TO C.E.O./E.D. COMPENSATION BY AN EXECUTIVE COMPENSATION COMMITTEE, LAST UNDERTAKEN AT THE FY19 Q4 BOARD MEETING. REVIEW AND APPROVAL BY EXECUTIVE COMPENSATION COMMITTEE USED COMPARABLE DATA FOR SIMILAR POSITIONS IN ORGANIZATIONS, INCLUDING PUBLICLY AVAILABLE 990 FILINGS AND INTERNET RESOURCES AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF DELIBERATIONS AND DECISIONS KEPT IN CORPORATE RECORDS. THERE ARE CURRENTLY NO OTHER EMPLOYEES WHO MEET THE IRS DEFINITION OF AN OFFICER OR KEY EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 IN COMPLIANCE WITH IRS REQUIREMENTS, TEAM IMPACT MAKES THEIR ANNUAL FORM 990 FILING AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION, LED BY THEIR AUDIT AND FINANCE COMMITTEE. IN ADDITION, TEAM IMPACT PUBLISHES THEIR YEARLY AUDITED FINANCIAL STATEMENT(S) AND FORM 990(S) ON THEIR WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.