2018-04-23T09:37:39-05:00 2017-06-30 043077056 MOODY FAMIGLIETTI & ANDRONICO LLP 1 HIGHWOOD DRIVE TEWKSBURY MA 01876 990 2016-07-01 421727335 NATIONAL COLLEGIATE INVENTORS & INNOVATORS ALLIANCE INC NATI 4135872172 100 VENTURE WAY HADLEY MA 01035 JENNIFER HOLME CHIEF OF STAFF 4135872173 2018-04-19 1 MATTHEW KALIL CPA MBA P01517069 9785575300 64.27.39.203 2018-04-19 07:25:57 ED P 317E8747876FC67392754136350CB4FA072B998C E1D2BF9BD6EE0870F11924BD59E9D7BF96EE3504 2016 2021-01-29 14:40:06Z VENTUREWELL PHILIP J WEILERSTEIN 100 VENTURE WAY HADLEY MA 01035 14037381 0 X WWW.VENTUREWELL.ORG X 2007 MA VENTUREWELL IS ON A MISSION TO CULTIVATE A PIPELINE OF SCIENCE AND TECHNOLOGY INVENTORS, INNOVATORS, AND ENTREPRENEURS DRIVEN TO SOLVE THE WORLD'S BIGGEST CHALLENGES AND TO CREATE LASTING IMPACT.WE FOSTER COLLABORATION AMONG THE BEST MINDS FROM RESEARCH LABS, CLASSROOMS, AND BEYOND TO ADVANCE INNOVATION AND ENTREPRENEURSHIP EDUCATION AND TO PROVIDE UNIQUE OPPORTUNITIES FOR STEM STUDENTS AND RESEARCHERS TO FULLY REALIZE THEIR POTENTIAL TO IMPROVE THE WORLD. 10 9 66 0 0 0 10101069 10054709 3318588 3649234 32184 24287 0 0 13451841 13728230 2186785 1797234 0 0 4067960 4465736 0 0 89114 6702777 7156062 12957522 13419032 494319 309198 5936392 5836696 1525093 1082283 4411299 4754413 X VENTUREWELL IS ON A MISSION TO CULTIVATE A PIPELINE OF SCIENCE AND TECHNOLOGY INVENTORS, INNOVATORS, AND ENTREPRENEURS DRIVEN TO SOLVE THE WORLD'S BIGGEST CHALLENGES AND TO CREATE LASTING IMPACT. 0 0 4672150 253000 2291312 I-CORPS PROGRAM - VENTUREWELL SUPPORTS THE DELIVERY OF THE NATIONAL SCIENCE FOUNDATION I-CORPS TRAINING PROGRAM TO ENGAGE UNIVERSITY RESEARCHERS TO MOVE THEIR IDEAS OUT OF THE LAB TO COMMERCIALIZE THEIR INNOVATION. ADDITIONALLY, VENTUREWELL TRACKS THE ECONOMIC IMPACT OF THE COMMERCIALIZATION ACTIVITIES OF PROGRAM PARTICIPANTS. 968651 31822 GIST: VENTUREWELL SUPPORTS DELIVERY OF THE U.S. DEPARTMENT OF STATE'S GLOBAL INNOVATION THROUGH SCIENCE AND TECHNOLOGY (GIST) INITIATIVE, WHICH EMPOWERS YOUNG INNOVATORS THROUGH NETWORKING, SKILLS BUILDING, MENTORING, AND ACCESS TO FINANCING TO DEVELOP STARTUP SOLUTIONS THAT ADDRESS ECONOMIC AND DEVELOPMENT CHALLENGES. 816812 109400 2750 E1-E2 TRAINING: VENTUREWELL E-TEAM TRAINING PROGRAM PROVIDES IMMERSIVE WORKSHOPS, AND SPECIALIZED COACHING TO STUDENT STEM INNOVATORS TO HELP THEM MOVE THEIR INVENTIONS INTO THE MARKETPLACE. 4308194 1403012 1355172 IN ADDITION TO THE 3 GRANTS PROGRAMS OUTLINED ON LINES 4A THROUGH 4C, NCIIA ALSO: A)AWARDS OTHER TYPES OF GRANTS PRIMARILY TO INSTITUTIONS OF HIGHER EDUCATION IN KEEPING WITH THE ORGANIZATION'S MISSION OF PROMOTING INVENTION, INNOVATION AND ENTREPRENEURSHIP; B)OFFERS MEMBERSHIPS TO COLLEGES AND UNIVERSITIES ACROSS THE US, WHICH AFFORD MEMBER INSTITUTIONS THE OPPORTUNITY TO ATTEND NCIIA-SPONSORED EVENTS AT REDUCED RATES, TAP INTO THE NCIIA NETWORK, AND TO APPLY FOR NCIIA GRANTS; C)CONDUCTS WORKSHOPS AND EVENTS, INCLUDING BUT NOT LIMITED TO AN ANNUAL CONFERENCE AND WORKSHOPS DESIGNED TO TEACH TECHNOLOGY ENTREPRENEURSHIP BASICS AND HOW TO ENHANCE SUCCESS OF COMMERCIALIZING INVENTIONS AND INNOVATIONS; ANDD)INVESTS IN SELECT VENTURES EMERGING FROM U.S. INSTITUTIONS OF HIGHER EDUCATION. 4308194 1403012 1355172 10765807 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 1 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 196 0 1 66 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X THE ORGANIZATION 4135872172 100 VENTURE WAY HADLEY MA 01035 KT MOORTGAT DIRECTOR 1.00 X 0 0 0 PAUL YOCK DIRECTOR 1.00 X 0 0 0 YOUSEPH YAZDI DIRECTOR 1.00 X 0 0 0 DONNA PETKANICS DIRECTOR 1.00 X 0 0 0 MICHAEL MARASCO DIRECTOR 1.00 X 0 0 0 DEBBY HOPKINS DIRECTOR (SINCE 12/31/16) 1.00 X 0 0 0 TODD WARREN SECRETARY 1.00 X X 0 0 0 MICHAEL MALONE TREASURER 1.00 X X 0 0 0 ABIGAIL BARROW CHAIR 1.00 X X 0 0 0 PHILIP WEILERSTEIN PRESIDENT 35.00 X X 259531 0 33252 JENNIFER HOLME CHIEF OF STAFF/ASST SEC 35.00 X 164056 0 27452 HEATH NAQUIN VP, STRATEGIC DEVELOPMENT 35.00 X 185847 0 14518 DORN CARRANZA DIRECTOR, INNOVATION & INDUSTRY 35.00 X 130688 0 10993 ALLISON BLEYLER MCDONALD DIRECTOR, MARKETING & COMM. 35.00 X 116788 0 13349 856910 0 99564 5 0 1 0 PRESENTATION TECHNOLOGY LLC 75 BYFIELD STREET SUITE 4 WARWICK RI 02888 AUDIO/VISUAL SERVICES 199014 EDMUND PENDLETON 5131 YORKTOWN BLVD ARLINGTON VA 22207 PROGRAM DELIVERY 158508 EXPONENT PARTNERS 720 MARKET STREET SUITE 600 SAN FRANCISCO CA 94102 IT CONSULTING 143039 THOMAS TODD MORRILL 261 COURTNEY LANE ORINDA CA 94563 PROGRAM DELIVERY 129185 DAVID CHARRON 310 SAN CARLOS AVE PIEDMONT CA 94611 PROGRAM DELIVERY 126940 6 128080 5688656 4237973 10054709 REGISTRATION FEES 900099 2858926 2858926 SERVICES 900099 790308 790308 3649234 17384 17384 316054 309151 6903 6903 6903 13728230 3649234 0 24287 X 1654032 1654032 44580 44580 98622 98622 501239 275798 214736 10705 3249238 2197101 995258 56879 181261 125179 52968 3114 250664 169752 76500 4412 283334 187505 90741 5088 39461 11404 28057 35552 35552 9204 9204 3255072 2693412 561660 3448 3443 5 110935 61107 49828 538624 338338 199959 327 220876 152415 64417 4044 841888 778528 62869 491 1215206 1207015 6094 2097 11916 11916 31960 31960 SUBAWARD COSTS 239446 239446 DONATIONS/CONTRIBUTIONS 218870 218870 PARTICIPANT SUPPORT COS 136215 136215 SERVICE FEES 89706 75220 14486 157683 97825 57901 1957 13419032 10765807 2564111 89114 1014121 1109703 1994667 2098622 1394794 1038755 199754 204138 6244 4267 3226 1977 1160180 1256126 157205 125597 12445 1778 5936392 5836696 1066884 894944 458209 150019 0 37320 1525093 1082283 X 1895581 2025034 2515718 2729379 4411299 4754413 5936392 5836696 X 309198 84844 -50928 X X 0 1 X 1 1 1 X 7286697 7272131 7019254 10101069 10054709 41733860 1926075 2064262 2449636 3318588 3649234 13407795 9212772 9336393 9468890 13419657 13703943 55141655 4707284 3578625 3346996 3253532 3109109 17995546 0 4707284 3578625 3346996 3253532 3109109 17995546 37146109 12293 9556 35339 32184 24287 113659 12293 9556 35339 32184 24287 113659 9225065 9345949 9504229 13451841 13728230 55255314 0.67230 0.60920 0.00210 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6244 4267 1977 1977 OFFICERS' RETIREMENT PLAN LIABILITY 37320 37320 X 13752942 84844 -50928 33916 13719026 9204 9204 13728230 13409828 0 13409828 9204 9204 13419032 PART X, LINE 2: NCIIA IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE LLC IS A DISREGARDED ENTITY FOR TAX PURPOSES. AS A RESULT, NO PROVISION FOR INCOME TAXES IS PRESENTED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. HOWEVER, IN CERTAIN CIRCUMSTANCES, THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES FOR PROFITS GENERATED PROFITS GENERATED FROM UNRELATED TRADE OR BUSINESS INCOME. AS OF JUNE 30, 2017, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY LIABILITIES ASSOCIATED WITH UNRELATED TRADE OR BUSINESS INCOME. THE ORGANIZATION ASSESSES THE RECORDING OF UNCERTAIN TAX POSITIONS BY EVALUATING THE MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT REQUIREMENTS A TAX POSITION MUST MEET BEFORE BEING RECOGNIZED AS A BENEFIT IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNCERTAIN TAX POSITIONS AS A COMPONENT OF INCOME TAX EXPENSE, IF ANY, IN ITS CONSOLIDATED STATEMENTS OF ACTIVITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: IMPAIRMENT OF PRIVATELY HELD SECURITIES 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA, FASO, 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR XCELERATOR TRAINING/GLOBAL PROGRAMS IN MALAWI. 29035 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR GIST TRAINING/GLOBAL PROGRAMS IN LEBANON, AND CLEANTECH INNOVATION CHALLEGE TRAINING/GLOBAL PROGRAM IN MOROCCO. 87847 SOUTH AMERICA 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR GIST TRAINING/GLOBAL PROGRAMS IN PERU. 25451 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR GIST TRAINING/GLOBAL PROGRAMS IN VIETNAM 9525 RUSSIA AND NEIGHBORING STATE 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR GIST TRAINING/GLOBAL PROGRAMS IN UKRAINE 2980 SOUTH ASIA 0 0 PROGRAM SERVICES EVENT EXPENSES RELATED TO OUR XCELERATOR TRAINING/GLOBAL PROGRAMS IN NEPAL. 6557 EUROPE 0 0 PROGRAM SERVICES TRAVEL STIPEND RELATED TO ATTENDANCE AT OUR XCELERATOR TRAINING/GLOBAL PROGRAMS IN MALAWI AND NEPAL AND GIST INNOVATION HUB AWARD. 19400 0 0 0 0 0 0 180795 0 180795 TRAVEL STIPEND RELATED TO ATTENDANCE AT THE OPEN 2017 CONFERENCE, PRIZES FOR CLEANTECH INNOVATION CHALLENGE, AND GIST INNOVATION HUB AWARD MIDDLE EAST AND NORTH AFRICA 5 27822 GIST INNOVATION HUB AWARD SUB-SAHARAN AFRICA 5 5000 PRIZES FOR GIST BOOTCAMP PERU AND TRAVEL STIPEND RELATED TO XCELERATOR MALAWAI SOUTH AMERICA 1 7000 TRAVEL STIPEND RELATED TO GLOBAL LAB ON MARKET IN CAIRO EUROPE 3 1500 PRIZES FOR GIST BOOTCAMP VIETNAM EAST ASIA AND THE PACIFIC 1 3000 0 0 0 0 0 0 PART I, LINE 2: EACH GRANT APPLICATION IS REVIEWED FOR QUALIFICATIONS. ONCE THE GRANT HAS BEEN AWARDED, THE ORGANIZATION REQUIRES THE RECIPIENT TO PROVIDE REPORTS TO THE ORGANIZATION TO SUBSTANTIATE THAT THE GRANT WAS USED FOR ITS DESIGNATED PURPOSE. 1 ART CENTER COLLEGE OF DESIGN 1700 LIDA STREET PASADENA CA 91103 951921340 501(C)(3) 30000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. NEW YORK UNIVERSITY 25 WEST 4TH ST NEW YORK NY 10012 135562308 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. NORTH CAROLINA A&T STATE UNIVERSITY 1601 EAST MARKET ST GREENSBORO NC 27411 566000007 501(C)(3) 18500 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. NORTHWESTERN UNIVERSITY 633 CLARK STREET EVANSTON IL 60208 362167817 501(C)(3) 22500 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. AWARD TO RECOGNIZE EXCELLENCE AND INNOVATION AMONG GRADUATE AND UNDERGRADUATE BIOMEDICAL ENGINEERING STUDENT TEAMS. TEXAS A & M UNIVERSITY 6000 TAMU COLLEGE STATION TX 778436000 741974733 170(C)(1) 27000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. TRAVEL STIPEND TO ATTEND PATHWAYS DISSEMINATION OF BEST PRACTICES. COLUMBIA UNIVERSITY 2960 BROADWAY NEW YORK NY 100276902 135598093 501(C)(3) 40000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. CALIFORNIA POLYTECHNIC STATE UNIVERSITY SAN LUIS OBISPO CAL POLY CORPORATION 1 GRAND AVENUE BUILDING 15 SAN LUIS OBISPO CA 93407 951648180 501(C)(3) 90000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE AZ 85287 860196696 170(C)(1) 50000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. PUERTO RICO MAYAGUEZ UNIVERSITY OF HIGHWAY 108 KM 10 MAYAGUEZ PR 00681 660433761 115(A) 30000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. STANFORD UNIVERSITY TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 501(C)(3) 55000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. ILLINOIS URBANA-CHAMPAIGN UNIVERSITY OF BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS 506 S WRIGHT SREET 209 HAB MC-339 URBANA IL 61801 376000511 501(C)(3) 30000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. ILLINOIS AT CHICAGO UNIVERSITY OF BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS 809 SOUTH MARSHFIELD AVE MC-551 CHICAGO IL 60612 376000511 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. MISSOURI COLUMBIA UNIVERSITY OF THE CURATORS OF THE UNIVERSITY OF MISSOURI 118 UNIVERSITY HALL COLUMBIA MO 65211 436003859 170(C)(1) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. MISSOURI UNIVERSITY OF SCIENCE & TECHNOLOGY THE CURATORS OF THE UNIVERSITY OF MISSOURI 202 CENTENNIAL HALL 300 WEST 12TH STREET ROLLA MO 65409 436003859 170(C)(1) 18800 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL OFFICE OF SPONSORED RESEARCH 104 AIRPORT DRIVE SUITE 2200 CHAPEL HILL NC 275991350 566001393 501(C)(3) 44250 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. DELAWARE UNIVERSITY OF 220 HULLIHEN HALL NEWARK DE 19716 516000297 501(C)(3) 9500 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. TRAVEL STIPEND TO ATTEND PATHWAYS DISSEMINATION OF BEST PRACTICES. CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVENUE CLEVELAND OH 441067006 341018992 501(C)(3) 10000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. MICHIGAN ANN ARBOR UNIVERSITY OF REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE STREET ROOM 1040 ANN ARBOR MI 481091274 386006309 501(C)(3) 50000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. YALE UNIVERSITY PO BOX 208327 NEW HAVEN CT 065208237 060646973 501(C)(3) 15000 AWARD TO RECOGNIZE EXCELLENCE AND INNOVATION AMONG GRADUATE AND UNDERGRADUATE BIOMEDICAL ENGINEERING STUDENT TEAMS. UNIVERSITY OF TEXAS AT EL PASO 500 W UNIVERSITY AVE EL PASO TX 79968 746000813 170(C)(1) 30000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. HAMPSHIRE COLLEGE 893 WEST STREET AMHERST MA 01002 046130872 501(C)(3) 20000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. OREGON STATE UNIVERSITY PO BOX 1086 CORVALLIS OR 973391086 611730890 170(C)(1) 10000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. TENNESSEE TECH UNIVERSITY ONE WILLIAM L JONES DRIVE COOKVILLE TN 38505 620646806 170(C)(1) 20000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. JOHNS HOPKINS UNIVERSITY 1101 EAST 33RD STREET SUITE C200 BALTIMORE MD 21218 520595110 501(C)(3) 35000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. NORTH DAKOTA STATE UNIVERSITY NDSU DEPT 3100 PO BOX 6050 FARGO ND 581086050 456002439 170(C)(1) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. UNIVERSITY OF MASSACHUSETTS LOWELL 600 SUFFOLK STREET 2ND FLOOR SOUTH LOWELL MA 01854 043167352 170(C)(1) 10000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. DUKE UNIVERSITY BOX 104132 DURHAM NC 27708 560532129 501(C)(3) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. MICHIGAN TECHNOLOGICAL UNIVERSITY 1400 TOWNSEND DRIVE HOUGHTON MI 49931 386005955 170(C)(1) 15000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. RESEARCH FOUNDATION OF THE CITY COLLEGE OF NEW YORK 230 WEST 41ST STREET NEW YORK NY 10036 131988190 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. AKRON UNIVERSITY OF 302 BUTCHTEL COMMON AKRON OH 44325 346002924 501(C)(3) 27000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. TEXAS SOUTHWESTERN MEDICAL CENTER UNIVERSITY OF 5323 HARRY HINES BLVD MC 9029 DALLAS TX 753909029 756002868 170(C)(1) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. UNIVERSITY OF KANSAS MEDICAL CENTER STATE OF KANSAS 3901 RAINBOW BLVD KANSAS CITY KS 66160 481124839 501(C)(3) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. TEXAS TECH UNIVERSITY SYSTEM BOX 41091 LUBBOCK TX 79409 756002622 501(C)(3) 25000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. VIRGINIA UNIVERSITY OF RECTORS VISITORS OF THE UNIVERSITY OF VIRGINIA PO BOX 400194 CHARLOTTESVILLE VA 229044195 546001796 501(C)(3) 59935 AWARD TO RECOGNIZE EXCELLENCE AND INNOVATION AMONG GRADUATE AND UNDERGRADUATE BIOMEDICAL ENGINEERING STUDENT TEAMS. FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. HARDING UNIVERSITY 915 E MARKET AVE HU10772 SEARCY AR 72149 710236896 501(C)(3) 24000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. ASSOCIATION OF PUBLIC AND LAND-GRANT UNIVERSITIES 1307 NEW YORK AVENUE NW400 WASHINGTON DC 20005 530182346 501(C)(3) 10000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. SOCIETY FOR ADVANCEMENT OF CHICANOS AND NATIVE AMERICANS IN SCIENCE 1211 PACIFIC AVENUE SANTA CRUZ CA 95060 521443811 501(C)(3) 5000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. UNITED STATES ASSOCIATION FOR SMALL BUSINESS & ENTREPRENEURSHIP 1214 HYLAND HALL UNIVERSITY OF WISCONSIN-WHITEWATER WHITEWATER WI 53190 521287170 501(C)(3) 20000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. UNIVERSITY OF PUERTO RICO RIO PIEDRAS PO BOX 23308 SAN JUAN PR 009313308 660433760 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. 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TULANE UNIVERSITY ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND 6823 ST CHARLES AVENUE NEW ORLEANS LA 70118 720423889 501(C)(3) 20000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. WILLIAM MARSH RICE UNIVERSITY 6100 MAIN STREET MS-70 HOUSTON TX 77005 741109620 501(C)(3) 7800 .FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. 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IOWA STATE UNIVERSITY 2505 UNIVERSITY BLVD AMES IA 50010 421143702 501(C)(3) 23400 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. BAYLOR COLLEGE OF MEDICINE ONE BAYLOR PLAZA HOUSTON TX 770303411 741613878 501(C)(3) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. MARYLAND UNIVERSITY OF 7809 REGENTS DRIVE ROOM 3112 LEE BLDG COLLEGE PARK MD 207425141 526002033 170(C)(1) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. MINNESOTA UNIVERSITY OF REGENTS OF THE UNIVERSITY OF MINNESOTA C/O UNIVERSITY TAX MANAGEMENT OFFICE MINNEAPOLIS MN 554552070 416007513 170(C)(1) 21750 FUNDING TO PARTICIPATE IN THE SPRINT (SPEEDING RESEARCH-TESTED INTERVENTIONS) PROGRAM. 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DREXEL UNIVERSITY 3201 ARCH STREET SUITE 420 PHILADELPHIA PA 19104 231352630 501(C)(3) 19600 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. AMERICAN CHEMICAL SOCIETY 1155 16TH STREET NW WASHINGTON DC 20036 530196572 501(C)(3) 10000 FUNDING FOR NEW INITIATIVES THAT WILL DEVELOP INTO USEFUL RESOURCES FOR THE NCIIA COMMUNITY AND BEYOND. SINODE SYSTEMS INC 3340 S DEARBORN 113N CHICAGO IL 60616 462971717 CORPORATION 10000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. 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PROGRAM FOR APPROPRIATE TECHNOLOGY IN HEALTH (PATH) 2201 WESTLAKE AVENUE SUITE 200 SEATTLE WA 98121 911157127 501(C)(3) 6000 .TRAVEL STIPEND RELATED TO ATTENDANCE AT OUR XCELERATOR TRAINING/GLOBAL PROGRAMS IN AND MALAWI CALIFORNIA IRVINE UNIVERSITY OF REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVIN 120 THEORY STE IRVINE CA 926971050 952226406 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. CENTRAL FLORIDA UNIVERSITY OF BOARD OF TRUSTEES UCF RESEARCH FOUNDATION 12201 RESEARCH PKWY STE 300 ORLANDO FL 32826 592924021 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. CINCINNATI UNIVERSITY OF 500 UNIVERSITY HALL PO BOX 210641 CINCINNATI OH 45221 316000989 170(C)(1) 5000 AWARD TO RECOGNIZE EXCELLENCE AND INNOVATION AMONG GRADUATE AND UNDERGRADUATE BIOMEDICAL ENGINEERING STUDENT TEAMS. GEORGIA UNIVERSITY OF 310 EAST CAMPUS ROAD ATHENS GA 30602 586001998 115(A) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. LINCOLN UNIVERSITY 820 CHESTNUT STREET JEFFERSON CITY MO 65102 446001089 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. OHIO STATE UNIVERSITY 2020 BLANKENSHIP HALL 901 WOODY HAYES DR COLUMBUS OH 43210 316025986 170(C)(1) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. PITTSBURGH UNIVERSITY OF 116 ATWOOD STREET SUITE 201 PITTSBURGH PA 15260 250965591 501(C)(3) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. TEXAS STATE UNIVERSITY 601 UNIVERSITY DRIVE SAN MARCOS TX 786664684 746002248 170(C)(1) 5000 FUNDING, HANDS-ON WORKSHOPS, PEER NETWORKING OPPORTUNITIES, AND EXPERT COACHING FOR STUDENT TEAMS WORKING TO COMMERCIALIZE THEIR HIGH-IMPACT SCIENCE AND TECHNOLOGY INVENTIONS. WESTERN STATE COLORADO UNIVERSITY FINANCE ADMIN DEPT 600 N ADAMS STREET GUNNISON CO 81231 846000558 170(C)(1) 26000 GRANTS TO HELP FUND AND SUPPORT FACULTY WITH INNOVATIVE IDEAS TO CREATE NEW OR TRANSFORM EXISTING COURSES AND PROGRAMS TO HELP STUDENTS DEVELOP NOVEL, STEM-BASED INVENTIONS AND GAIN THE NECESSARY ENTREPRENEURIAL SKILLS NEEDED TO BRING THESE IDEAS TO MARKET. 46 29 OPEN MINDS AWARDS 15 8880 0 ASPIRE DETROIT TRAVEL STIPEND 3 10000 0 BMEIDEA 2017 TRAVEL STIPEND 2 1000 0 I-CORPS L ADVISORY PANEL STIPEND 1 2000 0 ASPIRE CLEANTECH 2016 TRAVEL STIPEND 2 1200 0 ENTREPRENEURIAL MINDSET SYMPOSIUM STIPEND 2 4000 0 PATHWAYS DISSEMINATION OF BEST PRACTICES STIPEND 10 16000 0 GLOBAL LAB ON MARKET IN CAIRO STIPEND 1 1500 0 PART I, LINE 2: EACH GRANT APPLICATION IS REVIEWED FOR QUALIFICATIONS. ONCE THE GRANT HAS BEEN AWARDED, THE ORGANIZATION REQUIRES THE RECIPIENT TO PROVIDE REPORTS TO THE ORGANIZATION TO SUBSTANTIATE THAT THE GRANT WAS USED FOR ITS DESIGNATED PURPOSE. X X X X X X 0 0 0 0 0 0 0 0 0 PHILIP WEILERSTEIN PRESIDENT 209383 0 50148 0 0 0 21540 0 11712 0 292783 0 0 0 JENNIFER HOLME CHIEF OF STAFF/ASST SEC 164056 0 0 0 0 0 15740 0 11712 0 191508 0 0 0 HEATH NAQUIN VP, STRATEGIC DEVELOPMENT 185847 0 0 0 0 0 2806 0 11712 0 200365 0 0 0 JEROME ENGEL FORMER BOARD MEMBER (THRU JUNE 2016) 112788 JEROME PROVIDES SERVICES TO THE ORGANIZATION AS THE FACULTY DIRECTOR OF THE I-CORPS AND LLP PROGRAMS. JEROME WAS NOT PAID IN HIS ROLE AS A DIRECTOR FOR ORGANIZATION'S BOARD OF DIRECTORS. 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND THEY ARE GIVEN THE OPPORTUNITY TO REVIEW AND COMMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AND DISCLOSE WHETHER THEY ARE ENGAGED IN CONFLICTING ACTIVITIES. 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