2018-02-21T09:24:25-06:00 2017-09-30 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2016-10-01 330935065 SAMUELI INSTITUTE FOR INFORMATION BIOLOGY SAMU 2405932159 C/O JOAN WALTER 1150 KERSEY ROAD SILVER SPRING MD 20902 JOAN WALTER COO & TREASURER 2405932159 2018-02-21 1 JAMES LARSON CPA P01329561 3019519090 75.103.231.202 2018-02-21 10:24:01 ES P 361F31FFFAF1A8969DB1EC184ADF9F5B90A96905 A2F6C3A5568DE9566EF1F96DA6C530556A1DCE36 2016 2021-01-29 14:40:06Z WAYNE BOICE JONAS C/O JOAN WALTER 1150 KERSEY ROAD SILVER SPRING MD 20902 842964 0 X WWW.SAMUELIINSTITUTE.ORG X 2000 DE SEE PART III, LINE 1. X 4 2 12 3 0 0 4492552 346650 712958 227530 4881 -339665 251432 263435 5461823 497950 56036 1340051 0 0 4397925 2192518 0 0 87270 3659212 2256911 8113173 5789480 -2651350 -5291530 9462407 39834 4131366 323 5331041 39511 X OUR MISSION IS TO CREATE A FLOURISHING SOCIETY THROUGH THE SCIENTIFIC EXPLORATION OF WELLNESS AND WHOLE-PERSON HEALING. 0 1 1475041 1340051 CENTER FOR MILITARY MEDICAL RESEARCH:THE CENTER FOR MILITARY MEDICAL RESEARCH PROGRAM IS THE UNIT WITHIN THE INSTITUTE THAT EXECUTES THE MAJORITY OF THE RESEARCH PROJECTS THAT ARE FUNDED THROUGH OUR DOD GRANTS. IN THE FIRST QUARTER OF FY17, THE INSTITUTE CARRIED SEVERAL OF THESE GRANTS, INCLUDING CONDUCTING RESEARCH ON THE ELEMENTS OF HEALTH PRESERVATION WITHIN THE ARMED FORCES, RESEARCH ON PAIN AND STRESS IN PATIENTS UNDERGOING SURGERY AT A MAJOR MILITARY MEDICAL CENTER, A CLINICAL TRIAL OF CHIROPRACTIC CARE FOR CHRONIC AND RECURRENT BACK PAIN IN MILITARY PERSONNEL, AND THE USE OF DIETARY SUPPLEMENTS FOR PAIN MANAGEMENT. IN 2017, ALL OF THE MILITARY GRANTS WERE TERMINATED AND REISSUED TO ANOTHER NON-PROFIT RESEARCH ORGANIZATION (TLIF), EXCEPT FOR THE "THE MILITARY COMPLEMENTARY AND ALTERNATIVE MEDICINE RESEARCH FOR MILITARY OPERATIONS AND HEALTHCARE (MIL-CAM)," WHICH CONTINUED IN THE INSTITUTE'S HANDS THROUGH JULY 2017, AT WHICH TIME IT ENDED. 368760 227530 CENTER FOR HEALING AND WELLBEING:SAMUELI INSTITUTE CONDUCTED RESEARCH ON AN INTEGRATIVE CANCER TREATMENT PROGRAM IN VANCOUVER, BC. THE RESEARCH WAS FUNDED BY THE HECHT FOUNDATION, USING FUNDS PREVIOUSLY CONTRIBUTED TO SI. THE PROGRAM WAS TRANSFERRED TO UNIVERSITY OF CALIFORNIA SAN DIEGO, UNDER THE LEADERSHIP OF ONE OF THE COLLABORATORS ON THE PROJECT.ACUPUNCTURE AND PAIN-SAMUELI INSTITUTE RESEARCHERS COMPLETED A RANDOMIZED CLINICAL TRIAL EVALUATING TWO ACUPUNCTURE METHODS FOR THE TREATMENT OF TBI-RELATED HEADACHES. THAT STUDY AND ITS RESULTS WERE PUBLISHED IN 2016 IN MEDICAL ACUPUNCTURE. THE STUDY PROVIDES EVIDENCE OF THE BENEFIT OF INCLUDING ACUPUNCTURE AS A CARE OPTION FOR TBI-ASSOCIATED HEADACHES AMONG ACTIVE DUTY PERSONNEL. THE INSTITUTE ALSO PARTICIPATED IN A JOINT INCENTIVE FUND PROGRAM TO ASSESS THE IMPACT ON HEALTHCARE OPERATIONS OF AN ENTERPRISE-WIDE TRAINING PROGRAM IN A SIMPLIFIED EAR ACUPUNCTURE TECHNIQUE. RESULTS OF THIS PROGRAM WILL BE DISSEMINATED IN 2017, AND MAY INFORM THE PROCESS OF SPREADING INTEGRATIVE PRACTICES FOR PAIN MANAGEMENT ACROSS THE DOD.INTEGRATIVE MEDICINE AND PTSD- THE INSTITUTE ALSO COMPLETED THE EVALUATION OF THE BACK-ON-TRACK PROGRAM AT CAMP LEJEUNE. PRELIMINARY ANALYSIS SHOWED SIGNIFICANT POSITIVE EFFECTS ON PTSD AND COMBAT-RELATED STRESS SYMPTOMS FROM THIS HOLISTIC, INTEGRATIVE PROGRAM. THIS STUDY VALIDATES THE IMPORTANT RETURNS ON THE MILITARY'S INVESTMENT IN THE BACK-ON-TRACK PROGRAM AND PROVIDES A FULLY-DEVELOPED DATA COLLECTION SYSTEM THAT WILL BE USED BY THE PROGRAM ON AN ONGOING BASIS TO CONDUCT RAPID ANALYSES IN THE FUTURE. 1843801 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 0 1 5 0 1 12 1 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA NY VA X JOAN WALTER 2405932159 1150 KERSEY RD SILVER SPRING MD 20902 WAYNE JONAS PRESIDENT & CEO (THROUGH 12/16) 40.00 X X 99648 0 1383 SUSAN SAMUELI CHAIR 5.00 X X 0 0 0 MICHAEL SCHULMAN SECRETARY 5.00 X X 0 0 0 HENRY SAMUELI BOARD MEMBER 5.00 X 0 0 0 JOAN WALTER COO (& TREAS. BEG. 08/17) 40.00 X 457887 0 12403 KEVIN BERRY VICE PRESIDENT (THROUGH 11/16) 40.00 X 91024 0 2014 BONNIE SAKALLARIS VICE PRESIDENT (THROUGH 11/16) 40.00 X 102339 0 944 750898 0 16744 2 0 1 0 HOGAN LOVELLS US LLP 555 THIRTEENTH STREET NW WASHINGTON DC 20004 LEGAL FEES 164790 CAPITOLINE CONSULTING 600 SECOND ST 404 ALEXANDRIA VA 22313 LOBBYING, CONSULTING 157304 HELIOS HR LLC 1900 CAMPUS COMMONS DRIVE SUITE 52 RESTON VA 20191 HUMAN RESOURCE SERVICES 118899 3 50000 266493 30157 346650 SERVICE FEES 900099 226530 226530 HONORARIUM 900099 1000 1000 227530 3291 3291 234623 0 234623 234623 234623 2058 345014 -342956 -342956 -342956 MISCELLANEOUS 900099 28812 28812 28812 497950 227530 0 -76230 1340051 1340051 1415143 1041802 363848 9493 565317 415509 145999 3809 29016 29016 78183 77616 567 104859 104859 311698 311698 58820 58820 168695 84 168611 249553 5597 243956 544135 544135 23591 18936 4655 22327 2675 19097 555 1134 1134 29548 29548 17565 17565 G&A ALLOCATION 0 -1210271 1143935 66336 LEASE TERMINATION COSTS 770589 770589 OFFICE SERVICES 12004 12004 LICENSE/PERMITS/TAXES 10588 10588 36664 17927 12794 5943 5789480 1843801 3858409 87270 176925 39834 7608537 387975 135798 0 334844 49751 768577 0 9462407 39834 662877 323 3468489 0 4131366 323 X 5331041 39511 5331041 39511 9462407 39834 -5291530 0 X 0 0 0 X BROOKE ARMY MED CTRSAMMC SAN ANTONIO TX WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA MD CARL R DARNALL ARMY MEDICAL CENTER FORT HOOD KILLEEN TX NAVAL HOSPITAL PENSACOLA PENSACOLA FL NAVAL MEDICAL CENTER SAN DIEGO SAN DIEGO CA BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL KY LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL BERKSHIRE HEALTH SYSTEMS PITTSFIELD MA FREDERICK MEMORIAL HOSPITAL FREDERICK MD RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 5789480 5789480 439474 109869 0 0 770033 713049 555659 439474 2478215 3717323 35544 20004 17147 72695 192508 178262 138915 109869 619554 929331 1 UNIVERSITY OF CALIFORNIA 9500 GILMAN DR MC0041 UC201 LAJOLLA CA 92093 956006144 501(C)(3) 27782 MEDICAL RESEARCH THOUGHT LEADERSHIP AND INNOVATION FOUNDATION 1750 TYSONS BLVD SUITE 1560 MCLEAN VA 22102 453090698 501(C)(3) 1312269 MILITARY MEDICAL RESEARCH 2 0 PART I, LINE 2: GRANTS ARE MONITORED THROUGH SCIENTIFIC PROGRESS REPORTS, FINANCIAL REPORTS AND SITE VISITS. IN ADDITION, PROJECTS THAT INVOLVE RECRUITMENT OF HUMAN SUBJECTS TYPICALLY REPORT WEEKLY AND STUDIES INVOLVING ANIMALS FOLLOW THE INSTITUTE'S ANIMAL OVERSIGHT PLAN. X 1 1 0 0 0 0 0 1 0 JOAN WALTER COO (& TREAS. BEG. 08/17) 274038 0 183849 0 0 0 8942 0 3461 0 470290 0 0 0 PART I, LINES 4A-B THE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS ON PART VII: KEVIN BERRY $52,719 BONNIE SAKALLARIS $52,836 NO CONTRIBUTIONS WERE MADE TO EMPLOYEE 457F PLANS IN 2016. HOWEVER, THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THEIR 457F ACCOUNTS IN FY17 (JANUARY/FEBRUARY 2017): WAYNE JONAS $510,825 JOAN WALTER $82,661 BECAUSE THESE FUNDS WERE DISTRIBUTED IN 2017, THEY WERE NOT INCLUDED ON PART VII. PART I, LINE 7 SEE PART II FOR THE BONUSES INCLUDED ON PART VII. SALUTOGENIC INNOVATIONS LLC ORGANIZATION IS OWNED BY HENRY SAMUELI, BOARD MEMBER OF SAMUELI 225615 SAMUELI PROVIDED EXECUTIVE/OPERATIONS PERSONNEL AND LEGAL AND BUSINESS CONSULTANTS. 0 FURNITURE, FIXTURES AND EQUIPMENT 2017-02-28 1041439 BOOK VALUE 201463557 SBG TECHNOLOGY SOLUTIONS INC 1737 KING STREET STE 601 ALEXANDRIA VA 22134 SDVOSB FITNESS EQUIPMENT 2017-02-20 10143 BOOK VALUE 261417796 ELECTRONIC INDUSTRY CITIZENSHIP COALITION 1737 KING STREET STE 330 ALEXANDRIA VA 22134 501(C)(6) LABORATORY/RESEARCH EQUIPMENT 2017-07-11 92462 PURCHASE PRICE 956006144 REGENTS OF THE UNIVERSITY OF CALIFORNIA 9500 GILMAN DRIVE LA JOLLA CA 92093 STATE UNIVERSITY AND 501(C)(3) 0 0 0 1 PART II, LINE 2E: PERSON(S) INVOLVED: KEVIN BERRY AND BONNIE SAKALLARIS PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: TWO OFFICERS REPORTED ON PART VII, RECEIVED SEVERANCE PAYMENTS AS A RESULT OF THE ORGANIZATION'S WIND-DOWN IN PREPARATION FOR TERMINATION. THIS WAS UNRELATED TO THE DISPOSITION OF ASSETS. PURPOSE OF NET ASSET DISTRIBUTION TO NON-CHARITABLE ORGANIZATIONS: IN ORDER TO WIND DOWN ITS ACTIVITIES AND ASSOCIATED OBLIGATIONS IN ANTICIPATION OF ITS TERMINATION AND EVENTUAL DISSOLUTION, THE INSTITUTE ENGAGED IN ARM'S-LENGTH NEGOTIATIONS WITH THE LANDLORD OF PREMISES LEASED TO INSTITUTE WITH A REMAINING TERM OF FIVE YEARS, FOR EARLY TERMINATION OF SUCH LEASE. THE INSTITUTE ALSO HAD A SUBTENANT, SBG TECHNOLOGY SOLUTIONS, INC. (SBG), WITH A SUBLEASE CO-TERMINUS WITH THE INSTITUTE'S PRIMARY LEASE. IN ORDER TO OBTAIN A FULL RELEASE OF INSTITUTE'S OBLIGATIONS BOTH TO THE LANDLORD AND TO ITS SUBTENANT, INSTITUTE ENTERED INTO AGREEMENTS WITH EACH OF THEM IN ORDER TO FULLY RESOLVE ALL OUTSTANDING OBLIGATIONS, WHICH RESULTED IN THE TRANSFER OF INSTITUTE'S OWNERSHIP IN THE FURNISHINGS IN THE LEASED PRESMISES, AS WELL AS OTHER INSTITUTE-OWNED EQUIPMENT STORED ON THE PREMISES, TO SBG. THE REFERENCED RELEASE AND TRANSFER AGREEMENTS WERE EXECUTED BY THE PARTIES IN FEBRUARY 2017. FORM 990, PART III, LINE 3 THE ORGANIZATION TERMINATED ALL OF ITS REMAINING DOD GRANTS EXCEPT FOR ONE. THESE PROGRAMS WERE TERMINATED BECAUSE SAMUELI TERMINATED ALL OF ITS PROGRAMMATIC STAFF IN PREPARATION FOR CLOSURE AND DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL SCHULMAN AND SUSAN SAMUELI HAVE A BUSINESS RELATIONSHIP. MICHAEL SCHULMAN AND HENRY SAMUELI HAVE BUSINESS RELATIONSHIP. WAYNE JONAS AND HENRY AND SUSAN SAMUELI HAVE A BUSINESS RELATIONSHIP. SUSAN SAMUELI AND HENRY SAMUELI HAVE A FAMILY AND BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT. IT WAS ALSO REVIEWED BY THE BUDGET COMPLIANCE AUDIT COMMITTEE. A DIGITAL COPY OF THE 990 WAS E-MAILED TO ALL MEMBERS OF THE GOVERNING BOARD, AND THEY HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON IT BEFORE IT WAS FILED WITH THE IRS. ALL APPROPRIATE COMMENTS AND REVISIONS HAVE BEEN INCLUDED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT EACH YEAR STATING THAT ANY CONFLICTS OF INTEREST WILL BE REPORTED TO THE BOARD FOR THE BOARD'S ACTION. THE POLICY ALSO APPLIES TO EMPLOYEES, BUT THEY ARE NOT REQUIRED TO SIGN A STATEMENT ANNUALLY. THE FOLLOWING STEPS WILL BE TAKEN IF A CONFLICT OF INTEREST WAS TO ARISE: 1. APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION/ARRANGEMENT, IF DEEMED NECESSARY; 2. WITH DUE DILIGENCE, DETERMINE IF THE INSTITUTE CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; AND 3. THE DISINTERESTED DIRECTORS DETERMINES BY MAJORITY VOTE WHETHER THE TRANSACTION/ARRANGEMENT WOULD BE IN THE INSTITUTE'S BEST INTEREST FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE INSTITUTE AND WOULD MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION/ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS ESTABLISHES THE CEO'S SALARY BY AN INTERNAL PERFORMANCE REVIEW. THE DECISION WAS DOCUMENTED BY THE COMPENSATION COMMITTEE OF THE BOARD. EMPLOYEE SALARIES ARE ESTABLISHED BY REVIEW OF SALARY SURVEYS DONE BY INDEPENDENT ORGANIZATIONS AND INTERNAL PERFORMANCE REVIEWS. A SALARY STRUCTURE FOR ALL LEVELS IS MAINTAINED BY THE INSTITUTE. EMAIL COMMUNICATIONS AND NOTES DEEMED NECESSARY FOR THE FILES ARE MAINTAINED. ALL SALARIES ARE APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE SAMUELI FOUNDATION 2101 E COAST HIGHWAY 300 CORONA DEL MAR CA 926251941 330758237 PRIVATE FOUNDATION CA 501(C)(3) N/A SAMUELI INSTITUTE FOR INFORMATION BIOLOGY 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE SAMUELI FOUNDATION C 50000 FMV