BUILD HEALTH INTERNATIONAL INC: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BUILD HEALTH INTERNATIONAL INC (EIN 46-4300024)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-11-12
- IRS object ID
- 201813169349101546
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Schedule B
- Amortization Schedule
- Depreciation Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-12T19:09:59-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 464547996 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | E J CALLAHAN & ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 CEDAR STREET SUITE 61 | AddressLine1Txt |
| City | WOBURN | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464300024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANSARA FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANSA | BusinessNameControlTxt |
| Phone | 9789690920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CUMMINGS CENTER NO 120B | AddressLine1Txt |
| City | BEVERLY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01915 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES ANSARA | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9789690920 | PhoneNum |
| Signature | 2018-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD J CALLAHAN CPA CCIP | PreparerPersonNm |
| PTIN | P00314334 | PTIN |
| Phone | 6179747697 | PhoneNum |
| Preparation | 2018-11-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 76.24.236.24 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-12 | IPDt |
| IP Tm | 17:06:11 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C06FA1BC64EEA784E39CD8881BF4F51A40AEF0BD | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,801,219 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $3,649,733 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $49,429 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $49,429 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $49,429 | DividendsAdjNetIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $3,699,162 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $49,429 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $49,429 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $23,660 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $23,660 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $601,539 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $601,539 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $500 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $500 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $2,221 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $2,221 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $15,500 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $15,500 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,498 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $1,498 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $34,774 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $34,774 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $123,941 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $0 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $123,941 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,397,921 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $3,702 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $3,394,219 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,201,554 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $38,476 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,163,078 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $20,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $20,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,222,254 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $38,476 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,183,778 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$523,092 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $49,429 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $10,953 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $836,677 | CashBOYAmt |
| Cash EOY | $561,301 | CashEOYAmt |
| Cash EOYFMV | $561,301 | CashEOYFMVAmt |
| Acct Rcvbl | $2,967 | AcctRcvblAmt |
| Acct Rcvbl BOY | $3,097 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $2,967 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $2,967 | AcctRcvblEOYFMVAmt |
| Other Investments BOY | $1,107,212 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,054,768 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,054,768 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $236,226 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $66,843 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $142,366 | LandBOYAmt |
| Land EOY | $169,383 | LandEOYAmt |
| Land EOYFMV | $169,383 | LandEOYFMVAmt |
| Other Assets BOY | $12,800 | OtherAssetsBOYAmt |
| Other Assets EOY | $12,800 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $12,800 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $2,102,152 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,801,219 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,801,219 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $29,713 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $205,456 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $12,486 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $10,775 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $42,199 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $216,231 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $1,805,983 | UnrestrictedBOYAmt |
| Unrestricted EOY | $1,371,439 | UnrestrictedEOYAmt |
| Temporarily Restricted BOY | $253,970 | TemporarilyRestrictedBOYAmt |
| Temporarily Restricted EOY | $213,549 | TemporarilyRestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,059,953 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,584,988 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,102,152 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,801,219 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,059,953 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$523,092 | ExcessRevenueOverExpensesAmt |
| Other Increases | $48,127 | OtherIncreasesAmt |
| Subtotal | $1,584,988 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,584,988 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $4,652,586 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,462,664 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 1.889249 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $3,606,931 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,330,484 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 2.710992 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,187,290 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $865,306 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.372104 | DistributionYr3Rt |
| Total Distribution | 5.972345 | TotalDistributionRt |
| Average Distribution | 1.990782 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,000,179 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $3,981,920 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $494 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $3,982,414 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $4,183,778 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $494 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $494 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $494 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $494 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.BUILDHEALTHINTERNATIONAL.ORG | WebsiteAddressTxt |
| Individual With Books | BUILD HEALTH INTERNATIONAL | IndividualWithBooksNm |
| Phone | 9789690920 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CUMMINGS CENTER 120H | AddressLine1Txt |
| City | BEVERLY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JAMES ANSARA | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | PRESIDENT | 50.00 | $23,660 | $0 | $0 |
| KAREN ANSARA | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | DIRECTOR | 50.00 | $0 | $0 | $0 |
| PAUL E FARMER | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| DAVID A WALTON | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | TREASURER | 50.00 | $123,536 | $0 | $0 |
| JOHN UNNI | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| HUGH MCLAUGHLIN | ||||||||
| 100 CUMMINGS CENTER NO 120B | BEVERLY | MA | 01915 | DIRECTOR | 2.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| DAVID WALTON | ||||||||
| 100 CUMMINGS CENTER NO 120H | BEVERLY | MA | 01915 | SENIOR PROJECT MANAG | 40.00 | $123,536 | $0 | $0 |
| OMAR HERNANDEZ | ||||||||
| 100 CUMMINGS CENTER NO 120H | BEVERLY | MA | 01915 | SENIOR PROJECT MANAG | 40.00 | $118,600 | $0 | $0 |
| CARROLL HUSS | ||||||||
| 100 CUMMINGS CENTER NO 120H | BEVERLY | MA | 01915 | DIRECTOR OF INTERNAL | 45.00 | $113,750 | $0 | $0 |
| ZAC CHASE | ||||||||
| 100 CUMMINGS CENTER NO 120H | BEVERLY | MA | 01915 | DIRECTOR OF PARTNERS | 40.00 | $85,000 | $0 | $0 |
| CHRISTOPHER WELCH | ||||||||
| 100 CUMMINGS CENTER NO 120H | BEVERLY | MA | 01915 | PROJECT ENGINEER | 40.00 | $77,925 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 15 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | DEVELOPING AND BUILDING HEALTH CARE INFRASTRUCTURE IN IMPOVERVISHED COUNTRIES AND PROMOTING INTERNATIONAL DEVELOPMENT AND PHILANTHROPY. | Description1Txt |
| Expenses1 | $3,420,718 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,179,531 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $720,855 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $130,253 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,030,639 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,030,639 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $30,460 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,000,179 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $100,009 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,183,778 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $4,183,778 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $494 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $4,183,284 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2013-12-12 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $10,953 | CurrentYearAmt |
| Year1 | $261 | Year1Amt |
| Year2 | $5,980 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $17,194 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $9,310 | CurrentYearAmt |
| Year1 | $222 | Year1Amt |
| Year2 | $5,083 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $14,615 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $4,183,778 | CurrentYearAmt |
| Year1 | $4,652,586 | Year1Amt |
| Year2 | $3,607,014 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $12,443,378 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $4,183,778 | CurrentYearAmt |
| Year1 | $4,652,586 | Year1Amt |
| Year2 | $3,607,014 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $12,443,378 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $66,673 | CurrentYearAmt |
| Year1 | $82,089 | Year1Amt |
| Year2 | $44,349 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $193,111 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT BONIFACE HAITI FOUNDATION | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 383 ELLIOT STREET DOOR G SUITE 100 | AddressLine1Txt |
| City | NEWTON UPPER FALLS | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02464 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Foundation Status | PUBLIC CHARITY | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | TO PROVIDE SUPPORT FOR THE RECIPIENT'S MISSION TO BREAK THE CYCLE OF POVERTY AND ALLEVIATE SUFFERING THROUGH HEALTH CARE, EDUCATION, AND COMMUNITY DEVELOPMENT. | GrantOrContributionPurposeTxt |
| Amt | $20,700 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $20,700 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $49,429 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $49,429 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $49,429 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 4 | LineNumberTxt |
| Relationship Statement | DIVIDENDS AND INTEREST EARNED FROM THE INVESTMENT IN SECURITIES | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| PARTNERS IN HEALTH | ||||||
| 1 | 888 COMMONWEALTH AVENUE 3RD FLOOR | BOSTON | MA | 02215 | $1,056,112 | Yes (X) |
| ST BONIFACE HAITI FOUNDATION | ||||||
| 2 | 383 ELLIOT STREET DOOR G SUITE 100 | NEWTON UPPER FALLS | MA | 02464 | $993,288 | Yes (X) |
| HAITI PROJECTS | ||||||
| 3 | 335 WATER STREET | HANOVER | MA | 02339 | $99,551 | Yes (X) |
| WK KELLOGG FOUNDATION | ||||||
| 4 | ONE MICHIGAN AVENUE EAST | BATTLE CREEK | MI | 49017 | $565,658 | Yes (X) |
Amortization Schedule AmortizationSchedule
Amortization Schedule Detail AmortizationScheduleDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amortized Expenses | LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT) | AmortizedExpensesDesc |
| Acquired Completed Or Expended | 2018-06-15 | AcquiredCompletedOrExpendedDt |
| Amortized | $59,226 | AmortizedAmt |
| Amortization Period | 96.000000000000 | AmortizationPeriodRt |
| Current Year Amortization | $3,702 | CurrentYearAmortizationAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $3,702 | AdjustedNetIncomeAmt |
| Total Amortization | $3,702 | TotalAmortizationAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (7 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|---|---|---|---|---|
| INTERNATIONAL TRUCK | 2016-10-15 | $23,874 | $3,445 | SL | 5.000000000000 | $4,775 | $0 | $4,775 |
| EXCAVATOR | 2016-08-15 | $50,290 | $9,220 | SL | 5.000000000000 | $10,058 | $0 | $10,058 |
| BOX TRUCK (2016 IZUZU) | 2016-07-01 | $47,970 | $9,594 | SL | 5.000000000000 | $9,594 | $0 | $9,594 |
| HONDA CRV | 2016-07-18 | $5,000 | $917 | SL | 5.000000000000 | $1,000 | $0 | $1,000 |
| NISSAN PATROL | 2016-08-09 | $10,000 | $1,831 | SL | 5.000000000000 | $2,000 | $0 | $2,000 |
| LANDCRUISER | 2017-01-03 | $33,601 | $3,360 | SL | 5.000000000000 | $6,720 | $0 | $6,720 |
| LIFTGATE FOR BOX TRUCK | 2018-06-20 | $6,265 | SL | 5.000000000000 | $627 | $0 | $627 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENTS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $1,054,768 | BookValueAmt |
| EOYFMV | $1,054,768 | EOYFMVAmt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (8 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| INTERNATIONAL TRUCK | $23,874 | $8,220 | $15,654 |
| EXCAVATOR | $50,290 | $19,278 | $31,012 |
| BOX TRUCK (2016 IZUZU) | $47,970 | $19,188 | $28,782 |
| HONDA CRV | $5,000 | $1,917 | $3,083 |
| NISSAN PATROL | $10,000 | $3,831 | $6,169 |
| LANDCRUISER | $33,601 | $10,080 | $23,521 |
| LIFTGATE FOR BOX TRUCK | $6,265 | $627 | $5,638 |
| LEASEHOLD IMPROVEMENTS (OFFICE BUILDOUT) | $59,226 | $3,702 | $55,524 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $2,221 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $2,221 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITY DEPOSIT | Desc |
| BOY Book Value | $12,800 | BOYBookValueAmt |
| EOY Book Value | $12,800 | EOYBookValueAmt |
| EOYFMV | $12,800 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| CONSTRUCTION | $3,236,329 | $0 | $0 | $3,236,329 |
| FACILITIES & EQUIPMENT | $53,395 | $0 | $0 | $53,395 |
| WAREHOUSE | $93,521 | $0 | $0 | $93,521 |
| FUNDRAISING EVENTS | $10,974 | $0 | $0 | $10,974 |
| AMORTIZATION | $3,702 | $0 | $3,702 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS | Desc |
| Amt | $48,127 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| CREDIT CARDS | $12,441 | $10,730 |
| DUE TO DIRECTOR | $45 | $45 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FINANCIAL SERVICES | CategoryTxt |
| Amt | $15,500 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $15,500 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd |
|---|---|---|---|
| PARTNERS IN HEALTH | |||
| 888 COMMONWEALTH AVENUE 3RD FLOOR | BOSTON | MA | 02215 |
| ST BONIFACE HAITI FOUNDATION | |||
| 383 ELLIOT STREET DOOR G SUITE 100 | NEWTOWN UPPER FALLS | MA | 02464 |
| WK KELLOGG FOUNDATION | |||
| ONE MICHIGAN AVENUE EAST | BATTLE CREEK | MI | 490174012 |
| HAITI PROJECTS | |||
| 335 WATER STREET | HANOVER | MA | 02339 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| EXCISE TAX | $998 | $0 | $0 | $998 |
| STATE TAX | $500 | $0 | $0 | $500 |
| FED TAX | $0 | $0 | $0 | $0 |
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