2018-11-15T15:23:12-06:00 2017-12-31 042971374 LMHS PC 80 WASHINGTON ST BUILDING S NORWELL MA 02061 990 2017-01-01 451837673 TEAM IMPACT INC TEAM 6178010248 500 VICTORY ROAD NO 4TH FL QUINCY MA 02171 TIMOTHY J KELLY TREASURER 6178010230 2018-11-15 1 WILLIAM E SYNAN CPA P00595384 7818789111 2018-11-15 71.184.197.122 2018-11-15 14:32:16 ES P 8A42CDB01BAF4C4DA93EEC09332885C78DF0216C 8A42CDB01BAF4C4DA93EEC09332885C78DF0216C 2017 2019-02-21 02:37:17Z DAN KRAFT 500 VICTORY ROAD NO 4TH FL QUINCY MA 02171 3690406 0 X GOTEAMIMPACT.ORG X 2011 MA TEAM IMPACT IS A NATIONAL NONPROFIT THAT CONNECTS CHILDREN FACING SERIOUS AND CHRONIC ILLNESSES WITH LOCAL COLLEGE ATHLETIC TEAMS, FORMING LIFELONG BONDS AND LIFE-CHANGING OUTCOMES. THROUGH TEAM IMPACT, THESE CHILDREN BECOME TRUE MEMBERS OF THE TEAM, ATTENDING PRACTICES, GAMES, TEAM DINNERS AND MORE--AND AFTER TWO YEARS, GRADUATE FROM THE PROGRAM WITH INCREASED OPTIMISM, SELF-CONFIDENCE, AND SENSE OF BELONGING. FAMILIES AND STUDENT ATHLETES ALSO BENEFIT FROM THE PROGRAM: THEIR FAMILIES FEEL CONNECTED AND SUPPORTED THROUGH THIS NEW COMMUNITY, AND STUDENT ATHLETES LEARN LESSONS ON PERSPECTIVE, COURAGE AND PERSEVERANCE, AND ENTER THE WORKFORCE MORE CIVIC-MINDED. 12 12 23 750 0 0 1993703 2940245 0 0 8 161 0 358893 1993711 3299299 0 4697 0 0 803370 1800864 0 13201 259932 846158 703892 1649528 2522654 344183 776645 904978 1718384 78116 114877 826862 1603507 TEAM IMPACT IS A NATIONAL NONPROFIT THAT CONNECTS CHILDREN FACING SERIOUS AND CHRONIC ILLNESSES WITH LOCAL COLLEGE ATHLETIC TEAMS, FORMING LIFELONG BONDS AND LIFE-CHANGING OUTCOMES. 0 0 1973618 EXPENSES ABOVE RELATE TO THE IDENTIFICATION AND EDUCATION OF THE MEDICAL AND COLLEGE ATHLETIC COMMUNITIES ABOUT THE BENEFIT OF THE PROGRAM TO THE CHILDREN AND ATHLETES, AS WELL AS THE PARTICIPANT CASE MANAGEMENT PROCESS THAT IN 2017 MADE 300 MATCHES CONSISTING OF 300 FAMILIES AND 300 TEAMS ACROSS 212 CAMPUSES WITH APPROXIMATELY 10,000 STUDENT-ATHLETES, WHICH HAS NOW MADE AND MANAGED 1,377 CASES TO DATE. 1973618 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 23 23 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X TIMOTHY J KELLY TREASURER 6178010230 3 BATTERYMARCH PARK 5TH FLOOR QUINCY MA 02169 SCOTT TULLY CLERK/DIRECTOR 2.00 X 0 0 0 KRIS HERMAN DIRECTOR 2.00 X 0 0 0 DAN WALSH 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 JAY ARGUS DIRECTOR 2.00 X 0 0 0 KRISTIN GIARRUSSO DIRECTOR 2.00 X 0 0 0 CHUCK DOYLE DIRECTOR 2.00 X 0 0 0 MATTHEW DANIELS DIRECTOR 2.00 X 0 0 0 JOHN CALNAN CHAIRMAN 8.00 X 0 0 0 TIM KELLY TREASURER/DIRECTOR 4.00 X 0 0 0 DANIEL KRAFT CO CHAIRMAN 4.00 X 0 0 0 SETH ROSENZWEIG PRESIDENT 40.00 X 320000 0 20000 320000 0 20000 1 0 1 0 0 1141417 1798828 2940245 161 161 750000 391107 358893 358893 3299299 0 0 359054 4697 4697 340000 204000 68000 68000 1162230 932584 112624 117022 28823 23609 2786 2428 153284 119741 21712 11831 116527 91326 12942 12259 28654 28654 13201 13201 99754 87268 7015 5471 204135 200082 230 3823 89929 70348 15588 3993 35677 32310 3287 80 89205 77695 7083 4427 103512 87427 626 15459 32212 28024 2577 1611 5602 3061 2215 326 MISCELLANEOUS 9401 7005 2395 1 DUES AND SUBSCRIPTIONS 5811 4441 1370 2522654 1973618 289104 259932 638844 1058897 92145 92156 10000 50000 8198 26207 552053 60929 155791 491124 904978 1718384 76654 109737 1462 5140 78116 114877 X 826862 1263507 340000 826862 1603507 904978 1718384 776645 0 X 0 1 X 1 0 X 1160217 312292 1422502 1993703 2940245 7828959 1160217 312292 1422502 1993703 2940245 7828959 7828959 252 100 37 7 161 557 7829516 0.99990 X 1.00000 84119 19628 64491 467934 41301 426633 491124 DEFERRED COSTS 5140 5140 X 3299299 0 3299299 0 3299299 2522654 0 2522654 0 2522654 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, 2017, 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 MASSACHUSETTS JURISDICTIONS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE LAST THREE YEARS. X MA PA CA GALA 1891417 1891417 9783 240633 4021 136670 1891417 1891417 9783 240633 4021 136670 391107 1500310 X X 0 0 0 0 0 0 0 1 0 SETH ROSENZWEIG PRESIDENT 275000 0 45000 0 0 0 8000 0 12000 0 340000 0 0 0 PART I, LINE 7 SETH ROSENZWEIG WAS PAID A $45,000 BONUS. FORM 990, PART VI, SECTION A, LINE 2 HE AUDIT AND FINANCE COMMITEE, DIRECTOR OF FINANCE/OPS AND OUTSOURCED ACCOUNTANT ALL REVIEW THE FORM 990 IN DETAIL BEFORE IT IS FILED. THE AUDIT AND FINANCE COMMITTEE WILL PROVIDE COPIES OF THE RETURN TO ALL BOARD MEMBERS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND FINANCE COMMITEE, DIRECTOR OF FINANCE/OPS AND OUTSOURCED ACCOUNTANT ALL REVIEW THE FORM 990 IN DETAIL BEFORE IT IS FILED. THE AUDIT AND FINANCE COMMITTEE WILL PROVIDE COPIES OF THE RETURN TO ALL BOARD MEMBERS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C TEAM IMPACT REGULARLEY REVIEWS TRANSACTIONS AND DISCUSSES ALL ASPECTS OF THE ORGANIZATION WITH THE BOARD OF DIRECTORS AND MANAGEMENT. ALL OFFICERS, DIRECTORS, MEMBERS OF A COMMITTEE AND KEY EMPLOYEES ARE COVERED UNDER SAID POLICY. DETERMINATIONS OF WETHER A CONFILICT OF INTEREST EXISTS ARE MADE AT THE BOARD LEVEL. 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 BY AN EXECUTIVE COMPENSATION COMMITTEE, LAST UNDERTAKEN FY17 Q4 BOARD MEETING. REVIEW AND APPROVAL BY EXECUTIVE COMPENSATION COMMETTEE USED COMPARABLE DATA FOR SIMILAR POSITIONS IN ORGANIZATIONS AND CONTEMPORANEOUS DOCUMENTATION OF DELIBERATIONS AND DECISIONS KEPT IN CORPORATE RECORDS. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE AUDIT AND FINANCE COMMITTEE. AUDITED FINANCIALS, 990 AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON OUR WEBSITE AS WELL. FORM 990, PAGE 6, LINE 2 JOHN CALNAN AND TIM KELLY HAVE A BUSINESS RELATIONSHIP.