BUILD HEALTH INTERNATIONAL INC: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BUILD HEALTH INTERNATIONAL INC (EIN 46-4300024)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-11-15
IRS object ID
201903199349101675
Schema version
2018v3.1
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)
Return2019-11-15T10:09:40-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD J CALLAHAN CPA CCIPPreparerPersonNm
PTINP00314334PTIN
Phone6179747697PhoneNum
Preparation2019-11-14PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.62.177.164IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-15IPDt
IP Tm09:37:18IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4E69B693EA926E006596CA829F18D4E00FCB6AE6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,852,666FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$4,003,680ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$110,785DividendsRevAndExpnssAmt
Dividends Net Invst Incm$110,785DividendsNetInvstIncmAmt
Dividends Adj Net Incm$110,785DividendsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$4,114,465TotalRevAndExpnssAmt
Total Net Invst Incm$110,785TotalNetInvstIncmAmt
Total Adj Net Incm$110,785TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$128,706CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$128,706CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$238,427OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$238,427OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$31,138PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$31,138PensionEmplBnftDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$151,113OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$151,113OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,258TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$1,258TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$35,400DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$35,400DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$143,168OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$143,168OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,459,223OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$7,403OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$3,451,820OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$4,188,433TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$42,803TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,145,630TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$6,250ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$6,250ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$4,194,683TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$42,803TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$4,151,880TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$80,218ExcessRevenueOverExpensesAmt
Net Investment Income$110,785NetInvestmentIncomeAmt
Adjusted Net Income$67,982AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$561,301CashBOYAmt
Cash EOY$472,517CashEOYAmt
Cash EOYFMV$472,517CashEOYFMVAmt
Acct Rcvbl$234,241AcctRcvblAmt
Acct Rcvbl BOY$2,967AcctRcvblBOYAmt
Acct Rcvbl EOY$234,241AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$234,241AcctRcvblEOYFMVAmt
Prepaid Expenses EOY$2,500PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$2,500PrepaidExpensesEOYFMVAmt
Other Investments BOY$1,054,768OtherInvestmentsBOYAmt
Other Investments EOY$4,004,028OtherInvestmentsEOYAmt
Other Investments EOYFMV$4,004,028OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$236,226LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$109,646LandBldgEquipAccumDeprecAmt
Land BOY$169,383LandBOYAmt
Land EOY$126,580LandEOYAmt
Land EOYFMV$126,580LandEOYFMVAmt
Other Assets BOY$12,800OtherAssetsBOYAmt
Other Assets EOY$12,800OtherAssetsEOYAmt
Other Assets EOYFMV$12,800OtherAssetsEOYFMVAmt
Total Assets BOY$1,801,219TotalAssetsBOYAmt
Total Assets EOY$4,852,666TotalAssetsEOYAmt
Total Assets EOYFMV$4,852,666TotalAssetsEOYFMVAmt
Accounts Payable BOY$205,456AccountsPayableBOYAmt
Accounts Payable EOY$37,367AccountsPayableEOYAmt
Other Liabilities BOY$10,775OtherLiabilitiesBOYAmt
Other Liabilities EOY$3,187,234OtherLiabilitiesEOYAmt
Total Liabilities BOY$216,231TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,224,601TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,371,439UnrestrictedBOYAmt
Unrestricted EOY$1,628,065UnrestrictedEOYAmt
Temporarily Restricted BOY$213,549TemporarilyRestrictedBOYAmt
Temporarily Restricted EOY$0TemporarilyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,584,988TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,628,065TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,801,219TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,852,666TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,584,988TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$80,218ExcessRevenueOverExpensesAmt
Other Increases$123,295OtherIncreasesAmt
Subtotal$1,628,065SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,628,065TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$4,183,284AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,000,179NetVlNoncharitableAssetsYr1Amt
Distribution Yr12.091455DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,652,586AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,462,664NetVlNoncharitableAssetsYr2Amt
Distribution Yr21.889249DistributionYr2Rt
Adjusted Qlfy Distri Yr3$3,606,931AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,330,484NetVlNoncharitableAssetsYr3Amt
Distribution Yr32.710992DistributionYr3Rt
Adjusted Qlfy Distri Yr4$1,187,290AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$865,306NetVlNoncharitableAssetsYr4Amt
Distribution Yr41.372104DistributionYr4Rt
Total Distribution8.063800TotalDistributionRt
Average Distribution2.015950AverageDistributionRt
Net Vl Noncharitable Assets$3,944,592NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$7,952,100AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,108NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$7,953,208AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$4,151,880QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,216InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,216SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,216TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$21EsPenaltyAmt
Tax Due$2,237TaxDueAmt

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 (6 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 120BBEVERLYMA01915PRESIDENT50.00$4,718$0$0
KAREN ANSARA
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR50.00$0$0$0
PAUL E FARMER
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR2.00$0$0$0
DAVID A WALTON
100 CUMMINGS CENTER NO 120BBEVERLYMA01915TREASURER50.00$123,988$0$0
JOHN UNNI
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR2.00$0$0$0
HUGH MCLAUGHLIN
100 CUMMINGS CENTER NO 120BBEVERLYMA01915DIRECTOR2.00$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
OMAR HERNANDEZ
100 CUMMINGS CENTER NO 120HBEVERLYMA01915SENIOR PROJECT MANAG40.00$124,530$0$0
DAVID WALTON
100 CUMMINGS CENTER NO 120HBEVERLYMA01915SENIOR PROJECT MANAG40.00$123,988$0$0
IRYNA TKACHUK
100 CUMMINGS CENTER NO 120HBEVERLYMA01915CONTROLLER40.00$95,000$0$0
ZAC CHASE
100 CUMMINGS CENTER NO 120HBEVERLYMA01915DIRECTOR OF PARTNERS40.00$85,000$0$0
ROBERT WILLIAM FRENI
100 CUMMINGS CENTER NO 120HBEVERLYMA01915DIRECTOR OF ARCHITEC40.00$78,600$0$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$3,559,057Expenses1Amt

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$3,355,764AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$272,777AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$376,121FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,004,662TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,004,662AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$60,070CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,944,592NetVlNoncharitableAssetsAmt
Minimum Investment Return$197,230MinimumInvestmentReturnAmt

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$4,151,880ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$4,151,880QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$4,151,880AdjustedQualifyingDistriAmt

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$67,982CurrentYearAmt
Year1$10,953Year1Amt
Year2$261Year2Amt
Year3$5,980Year3Amt
Total$85,176TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$57,785CurrentYearAmt
Year1$9,310Year1Amt
Year2$222Year2Amt
Year3$5,083Year3Amt
Total$72,400TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$4,151,880CurrentYearAmt
Year1$4,183,778Year1Amt
Year2$4,652,586Year2Amt
Year3$3,607,014Year3Amt
Total$16,595,258TotalAmt

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$4,151,880CurrentYearAmt
Year1$4,183,778Year1Amt
Year2$4,652,586Year2Amt
Year3$3,607,014Year3Amt
Total$16,595,258TotalAmt

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$131,487CurrentYearAmt
Year1$66,673Year1Amt
Year2$82,089Year2Amt
Year3$44,349Year3Amt
Total$324,598TotalAmt

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 Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
SAINT BONIFACE HAITI FOUNDATION
383 ELLIOT STREET DOOR G SUITE 100NEWTON UPPER FALLSMA02464PUBLIC CHARITYTO PROVIDE SUPPORT FOR THE RECIPIENT'S MISSION TO BREAK THE CYCLE OF POVERTY AND ALLEVIATE SUFFERING THROUGH HEALTH CARE, EDUCATION, AND COMMUNITY DEVELOPMENT.$5,000
THE BOSTON FOUNDATION
75 ARLINGTON STREETBOSTONMA02116PUBLIC CHARITYTO PROVIDE SUPPORT FOR THE RECIPIENT'S MISSION TO BREAK THE CYCLE OF POVERTY AND ALLEVIATE SUFFERING THROUGH HEALTH CARE, EDUCATION, AND COMMUNITY DEVELOPMENT.$1,000
MASSACHUSETTS GENERAL HOSPITAL LURIE CENTER FOR AUTISM
1 MAGUIRE ROADLEXINGTONMA02421PUBLIC CHARITYTO PROVIDE SUPPORT FOR A LOCAL CHARITY FOR CHILDREN IMPACTED BY AUTISM.$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$6,250TotalGrantOrContriPdDurYrAmt
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$110,785RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$110,785RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$110,785TotalIncomeProducingActyAmt

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 (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
PARTNERS IN HEALTH
1888 COMMONWEALTH AVENUE 3RD FLOORBOSTONMA02215$1,631,040Yes (X)
ST BONIFACE HAITI FOUNDATION
2383 ELLIOT STREET DOOR G SUITE 100NEWTON UPPER FALLSMA02464$383,958Yes (X)
HAITI PROJECTS
3335 WATER STREETHANOVERMA02339$42,230Yes (X)
WK KELLOGG FOUNDATION
4ONE MICHIGAN AVENUE EASTBATTLE CREEKMI49017$297,129Yes (X)

Amortization Schedule AmortizationSchedule

Amortization Schedule Detail AmortizationScheduleDetail

FieldValueIRS element (for citing)
Amortized ExpensesLEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)AmortizedExpensesDesc
Acquired Completed Or Expended2018-06-15AcquiredCompletedOrExpendedDt
Amortized$59,226AmortizedAmt
Deduction For Prior Years$3,702DeductionForPriorYearsAmt
Amortization Period96.000000000000AmortizationPeriodRt
Current Year Amortization$7,403CurrentYearAmortizationAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$7,403AdjustedNetIncomeAmt
Total Amortization$11,105TotalAmortizationAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (7 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
INTERNATIONAL TRUCK2016-10-15$23,874$8,220SL5.000000000000$4,775$0$4,775
EXCAVATOR2016-08-15$50,290$19,278SL5.000000000000$10,058$0$10,058
BOX TRUCK (2016 IZUZU)2016-07-01$47,970$19,188SL5.000000000000$9,594$0$9,594
HONDA CRV2016-07-18$5,000$1,917SL5.000000000000$1,000$0$1,000
NISSAN PATROL2016-08-09$10,000$3,831SL5.000000000000$2,000$0$2,000
LANDCRUISER2017-01-03$33,601$10,080SL5.000000000000$6,720$0$6,720
LIFTGATE FOR BOX TRUCK2018-06-20$6,265$627SL5.000000000000$1,253$0$1,253

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemINVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$4,004,028BookValueAmt
EOYFMV$4,004,028EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (8 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
INTERNATIONAL TRUCK$23,874$12,995$10,879
EXCAVATOR$50,290$29,336$20,954
BOX TRUCK (2016 IZUZU)$47,970$28,782$19,188
HONDA CRV$5,000$2,917$2,083
NISSAN PATROL$10,000$5,831$4,169
LANDCRUISER$33,601$16,800$16,801
LIFTGATE FOR BOX TRUCK$6,265$1,880$4,385
LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT)$59,226$11,105$48,121

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

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

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSTRUCTION$3,299,382$0$0$3,299,382
FACILITIES & EQUIPMENT$62,385$0$0$62,385
WAREHOUSE$88,926$0$0$88,926
FUNDRAISING EVENTS$1,127$0$0$1,127
AMORTIZATION$7,403$0$7,403$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINSDesc
Amt$123,295Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (4 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
CREDIT CARDS$10,730$0
DUE TO DIRECTOR$45$0
DEFERRED REVENUE$0$3,140,826
ACCRUED PAYROLL$0$46,408

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FINANCIAL SERVICES$24,994$0$0$24,994
COMPUTER CONSULTATNTS$13,774$0$0$13,774
FUNDRAISING CONSULTANTS$76,944$0$0$76,944
RECRUTING FEES$35,401$0$0$35,401

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$264$0$0$264
STATE TAX$994$0$0$994

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