2018-11-15T13:56:33-06:00 2017-12-31 390974031 WEGNER CPAS LLP 230 PARK AVE FL 3 NEW YORK NY 101690005 990 2017-01-01 474897004 CIVIC HALL LABS INC CIVI 8057484174 118 W 22ND ST FL 12 NEW YORK NY 100112416 JESSICA LAWRENCE QUINN CHIEF OPERATING OFFICER 8057484174 2018-11-15 YIGIT UCTUM CPA P01269549 2125511724 66.222.124.178 2018-11-15 09:00:58 CS P 68342E75F01A61EB9B1EE0111EA88A19222854B3 B169A553E6FC674180C4B0C62460B1C0CC916730 2017 2019-02-21 02:37:17Z JESSICA LAWRENCE QUINN 118 W 22ND ST FL 12 NEW YORK NY 100112416 2233761 0 X WWW.CIVICHALL.ORG X 2015 NY CIVIC HALL LABS COLLABORATIVELY DESIGNS, BUILDS, AND PILOTS TECHNOLOGY FOR THE PUBLIC GOOD AND HELPS OTHERS DO THE SAME. 5 3 14 5 0 0 1475350 2227300 47520 6400 328 36 1903 25 1525101 2233761 70000 75000 0 0 421177 1031969 0 0 138027 694824 888555 1186001 1995524 339100 238237 565637 1105370 106581 408077 459056 697293 X AT CIVIC HALL LABS, WE COLLABORATIVELY DESIGN AND DEVELOP TECHNOLOGY PILOTS THAT HAVE MEASURABLE IMPACT AND THE POTENTIAL TO SCALE. WE BELIEVE THAT 21ST CENTURY DIGITAL TOOLS HAVE TREMENDOUS POTENTIAL TO ADVANCE THE PUBLIC GOOD WHEN DESIGNED, DEVELOPED, AND IMPLEMENTED THROUGH INCLUSIVE PROCESSES THAT ALLOW SECTOR EXPERTS, THE PUBLIC, GOVERNMENT, AND PHILANTHROPY TO COLLABORATE WITH DATA SCIENTISTS, DESIGNERS, AND DEVELOPERS. CURRENTLY, OUR WORK IS ORGANIZED INTO THREE CORE PROGRAMS: ISSUE-FOCUSED LABS, CIVICXCEL, AND OPEN INFRASTRUCTURE. 0 0 570743 45000 6400 THE OPEN INFRASTRUCTURE PROGRAM POWERS THE LABS AND SUPPORTS OTHERS IN APPLYING TECHNOLOGY FOR THE PUBLIC GOOD. EACH PROJECT IS DEDICATED TO PROVIDING SUSTAINABLE, SCALABLE TOOLS THAT INCREASES CROSS-SECTOR COLLABORATION, PUBLIC PARTICIPATION, AND DATA COLLECTION AND SHARING. PROJECTS IN THIS PROGRAM INCLUDE MOTHERBOARD PROJECT, CIVIC USABILITY TESTING NETWORK, AND PRO BONO TECH. 322403 CIVIC HALL LABS, INC. PROVIDES PROACTIVE, STRATEGIC SUPPORT TO INDIVIDUALS WORKING ON BIG IDEAS THAT CREATE CIVIC VALUE AND ADVANCE THE USE OF TECHNOLOGY FOR PUBLIC GOOD. THIS SUPPORT INCLUDES PARTNERSHIP, FUNDING, ACCESS TO RESEARCH AND DEVELOPMENT TOOLS, PROMOTION, USER TESTING, AND COLLABORATIVE, INCLUSIVE DESIGN SERVICES. 308795 BRINGING TOGETHER KEY PLAYERS IN THE CRIMINAL JUSTICE AND COMMUNITY DEVELOPMENT ECOSYSTEMS, CIVIC HALL LABS, INC.'S EXPLORING OPPORTUNITIES AS TO HOW OPEN DATA STANDARDS, OPEN INFRASTRUCTURE, MACHINE LEARNING, AND MOBILE TECHNOLOGY CAN SUPPORT HEALTH AND HUMAN SERVICEPROVIDERS ON THE FRONT LINES SERVING THOSE IN NEED. 266841 30000 HARNESSING THE INGENUITY OF LOCAL RESIDENTS AND THE POWER OF TECHNOLOGY IN SERVICE OF GOVERNMENT AND OUR PUBLIC WELL-BEING, THE CIVIC ACCELERATOR PROGRAM IS A COMMUNITY SOURCED INNOVATION PLATFORM THAT WORKS WITH RESIDENTS TO BECOME CIVIC INVENTORS AND CIVIC ENTREPRENEURS THROUGH PART-TIME TRAINING IN DESIGN-THINKING, PROTOTYPING, AND STARTUP METHODOLOGY. IT ALSO ASSISTS MID-STAGE, CIVIC TECH STARTUPS WITH STRATEGY, LEGAL, FINANCING, UX, BRANDING, AND DESIGN CHALLENGES THAT CAN ARISE WHEN DEVELOPING A PRODUCT FOR GOVERNMENT OR THE GENERAL PUBLIC. THROUGH A MULTIDISCIPLINARY APPROACH, CIVIC HALL LABS, INC.'S SHIFTING FROM THE MAINSTREAM NOTION OF HEALTH AS DISEASE MANAGEMENT INTO THE BROADER NOTION OF THE CIVIC AND SOCIAL HEALTH OF OUR SOCIETY. THE HEALTH LAB CATALYZE INNOVATIONS THAT ADDRESS THE CIVIC ROOTS OF HEALTH DISPARITIES: IMPROVING PUBLIC HEALTH BY WORKING TOWARD A HEALTHY PUBLIC. A HEALTHY PUBLIC IS ONE WHERE ALL INDIVIDUALS FEEL A PART OF THE WHOLE, CAN BE ACTIVE IN INSTITUTIONS, AND HAVE ACCESS TO RESOURCES ESSENTIAL FOR A STABLE LIFE. PROJECTS IN THE HEALTH LAB THEREFORE FOCUS ON CIVIC INTERVENTIONS THAT ARE DESIGNED AND DEPLOYED FOR THE HEALTH OF OUR PUBLIC INCLUDING CIVIC COHESION; POLITICAL PARTICIPATION; AND ACCESS TO RESOURCES. TO CREATE A HEALTHY PUBLIC, CIVIC HALL LABS, INC. BELIEVES SOLUTIONS MUST INTEGRATE TECHNOLOGY AS A TOOL TO MOBILIZE PEOPLE WITH SIMILAR CHALLENGES, PROVIDE MUTUAL SUPPORT NETWORKS, ADDRESS SOCIAL DETERMINANTS OF MENTAL HEALTH ISSUES, AND CULTIVATE COMMUNITY ENGAGEMENT. 266841 30000 1468782 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 47 0 14 1 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X JESSICA LAWRENCE QUINN 8057484174 118 W 22ND ST FL 12 NEW YORK NY 100112416 ANDREW RASIEJ PRESIDENT 1.00 X X 0 0 0 ALLISON FINE SECRETARY 1.00 X X 0 0 0 MICHAEL BASSIK TREASURER 1.00 X X 0 0 0 MICHAH SIFRY DIRECTOR 1.00 X 0 0 0 YVETTE ALBERDINGK THIJM DIRECTOR 1.00 X 0 0 0 ELIZABETH STEWART EXECUTIVE DIRECTOR 40.00 X 193508 0 29750 193508 0 29750 1 0 1 0 CIVIC HALL LLC 118 W 22ND ST FL 12 NEW YORK NY 100112416 CONSULTING SERVICES AND MEMBERSHIP 247010 1 413300 1814000 2227300 PROGRAM SERVICE FEES 900099 6400 6400 6400 36 36 MISCELLANEOUS REVENUE 900099 25 25 25 2233761 6400 0 61 X 51000 51000 24000 24000 223258 171589 26408 25261 649520 499201 76827 73492 93632 71962 11075 10595 65559 50387 7754 7418 69157 69157 42269 42269 552366 524654 13262 14450 2193 572 1621 16829 4658 12156 15 22842 7063 15779 38211 16750 19983 1478 15482 8989 6030 463 33998 22586 9938 1474 18397 8560 8077 1760 DUES AND SUBSCRIPTIONS 62989 76 62913 PAYROLL FEES 8925 6735 2190 BANK/CREDIT CARD FEES 3097 3097 BAD DEBT EXPENSE 1800 1800 1995524 1468782 388715 138027 447893 1098482 40644 3879 76100 1000 3009 565637 1105370 49081 177971 224106 57500 0 6000 106581 408077 X 244235 269731 214821 427562 459056 697293 565637 1105370 238237 0 X 0 1 X 1 0 X 278100 1475350 2227300 3980750 278100 1475350 2227300 3980750 2538384 1442366 16 328 36 380 1903 25 1928 3983058 53920 X SCHEDULE A, PART II: THE 2015 COLUMN ON SCHEDULE A, PART II REPRESENTS THE SHORT TAX YEAR BEGINNING JULY 13, 2015 AND ENDING DECEMBER 31, 2015. 0 0 0 DUE TO RELATED PARTY 6000 6000 2383401 149640 149640 2233761 0 2233761 2145164 149640 149640 1995524 0 1995524 1 NESTERLY 29 TREMONT ST APT B CAMBRIDGE MA 021391222 821742514 15000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE PASSNYC 232 W 116TH ST UNIT 120 NEW YORK NY 100269006 473824643 501(C)(3) 15000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE 1 1 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE 4 24000 PART I, LINE 2: THE GRANT RECIPIENTS ARE SELECTED THROUGH A RIGOROUS CHALLENGE PROCESS IN LINE WITH OUR CHARITABLE MISSION AND ONCE SELECTED SPEND SIX MONTHS RECEIVING HANDS ON MENTORING BY OUR TEAM AND OUR EXPERTS-IN-RESIDENCE. EACH TEAM RECEIVES DISBURSEMENTS ON THE GRANTS ONCE AGREED UPON MILESTONES HAVE BEEN MET. X 0 0 0 0 0 0 0 0 0 ELIZABETH STEWART EXECUTIVE DIRECTOR 193508 0 0 0 0 0 0 0 29750 0 223258 0 0 0 CIVIC HALL LLC ENTITY MORE THAN 35% OWNED BY ANDREW RASIEJ, PRESIDENT 247010 CONSULTING SERVICES, MEMBERSHIP, AND SPACE 0 FORM 990, PART VI, SECTION A, LINE 2 ANDREW RASIEJ AND MICAH SIFRY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE CLASS OF MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS REVIEWED BY THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS FROM CIVIC HALL: PROGRAM SERVICE EXPENSES 115,965. MANAGEMENT AND GENERAL EXPENSES 13,262. FUNDRAISING EXPENSES 14,450. TOTAL EXPENSES 143,677. OTHER PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 408,689. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,689. PERSONAL DEMOCRACY FORUM LLC 31 UNION SQUARE WEST 7A NEW YORK NY 10003 270864568 NURTURES CONVERSATION ABOUT TECHNOLOGY'S IMPACT ON THE WORLD NY UNRELATED 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0