2018-11-15T10:49:06-06:00 2018-06-30 431985162 SMITH SULLIVAN & BROWN PC 80 FLANDERS ROAD - SUITE 200 WESTBOROUGH MA 01581 990 2017-07-01 471981973 COHEN VETERANS BIOSCIENCE INC COHE 6092182908 1 BROADWAY 14TH FLOOR CAMBRIDGE MA 02142 MAGALI HAAS CEO & PRESIDENT 6092182908 2018-11-15 1 SANDRA M BROWN CPA P01614103 5088717178 2018-11-15 71.248.188.134 2018-11-15 11:37:58 ES P 69E9977AC052CEB93F1ED3E2D4B07C277CAC5DE2 6BC98092A6EA2AC75760D16DFDF5B3F999D2EAB4 2017 2018-06-14 16:35:46Z MAGALI HAAS MD PHD 1 BROADWAY 14TH FLOOR CAMBRIDGE MA 02142 16845541 0 X WWW.COHENVETERANSBIOSCIENCE.ORG X 2014 MA COHEN VETERANS BIOSCIENCE IS A NATIONAL, NONPARTISAN 501(C)3 RESEARCH ORGANIZATION DEDICATED TO FAST-TRACKING THE DEVELOPMENT OF DIAGNOSTIC TESTS AND PERSONALIZED THERAPEUTICS FOR THE MILLIONS OF VETERANS AND CIVILIANS WHO SUFFER THE DEVASTATING EFFECTS OF TRAUMA-RELATED AND OTHER BRAIN DISORDERS. 4 2 11 0 0 0 4366629 16828176 0 0 0 17365 0 0 4366629 16845541 4756761 5034699 0 0 1155262 2674809 0 0 55943 5427793 7087152 11339816 14796660 -6973187 2048881 14863415 16353364 6579459 6020527 8283956 10332837 X COHEN VETERANS BIOSCIENCE IS A NATIONAL, NONPARTISAN 501(C)3 RESEARCH ORGANIZATION DEDICATED TO FAST-TRACKING THE DEVELOPMENT OF DIAGNOSTIC TESTS AND PERSONALIZED THERAPEUTICS FOR THE MILLIONS OF VETERANS AND CIVILIANS WHO SUFFER THE DEVASTATING EFFECTS OF TRAUMA-RELATED AND OTHER BRAIN DISORDERS. 0 0 11737134 5034699 POST TRAUMATIC STRESS DISORDER ("PTSD") & TRAUMATIC BRAIN INJURY ("TBI"):IN JULY 2015, THE CVB PROGRAM WAS FOUNDED TO ESTABLISH A NATIONAL RESEARCH ROADMAP FOR PTSD, TBI AND RELATED CONDITIONS (E.G. SUICIDALITY). PROGRAM ACTIVITIES FOCUS ON THE DISCOVERY OF BIOMARKERS AND BIOLOGICAL PATHWAYS THAT ARE TRANSLATIONALLY RELEVANT FOR THE DEVELOPMENT OF DIAGNOSTICS AND THERAPEUTIC TARGETS FOR DRUG AND OTHER MEDICAL INTERVENTIONS AND THE CREATION OF RESEARCH TOOLS (E.G. ANIMAL MODELS, DATA STANDARDS, COMPUTATIONAL MODELS, REFERENCE DATABASES, ETC.) THAT WILL ACCELERATE/FOSTER THESE DISCOVERIES. (CONTINUED SCH O)CVB HAS ESTABLISHED BOTH INTRAMURAL (RESEARCH CONDUCTED BY OR INCLUDING, CVB STAFF OR CONTRACTORS) AND EXTRAMURAL RESEARCH PROGRAMS (RESEARCH CONDUCTED VIA GRANTS OR IN COLLABORATION WITH EXTERNAL ACADEMIC, INDUSTRY, FOUNDATION AND GOVERNMENT PARTNERS). 1193407 0 0 COHEN VETERANS BIOSCIENCE CO-LEADS A NATIONAL VETERAN CARE SUMMIT FOCUSED ON ADVANCEMENTS IN BIOSCIENCE, CLINICAL TREATMENT, AND PRECISION MEDICINE, AND HIGHLIGHTED OPPORTUNITIES FOR ADVANCING THE PTSD AND TBI RESEARCH ROADMAP THROUGH PUBLIC-PRIVATE PARTNERSHIPS. WORLD-RENOWNED BRAIN HEALTH EXPERTS SHARE THE STATE-OF-THE-ART IN BIOMARKERS, DIAGNOSTICS, TRANSLATIONAL MODELS, GENETICS, BIOSENSORS AND MOBILE HEALTH FOR PTSD AND TBI. TOP-LEVEL CLINICIANS SHARED EXPERTISE AND BEST PRACTICES AROUND CARING FOR VETERANS AND MILITARY FAMILIES. THIS EVENT IS ATTENDED BY VETERANS ADVOCACY, GOVERNMENT, ACADEMIC AND INDUSTRY THOUGHT LEADERS IN CLINICAL DELIVERY, POLICY MAKING, AND SCIENTIFIC DISCOVERY. 5968 0 0 THE ORION BIONETWORKS FLAGSHIP PROGRAM SUCCESSFULLY PILOTED THE ESTABLISHMENT OF AN MS BIONETWORK COMPRISED OF ACADEMIC (NEUROSCIENCE INSTITUTE OF THE BRIGHAM AND WOMEN'S HOSPITAL), ADVOCACY (ACCELERATED CURE PROJECT FOR MS), COMPUTATIONAL (GNS HEALTHCARE, METACELL, THOMSON REUTERS), INFORMATICS (CONVERGE BY DELOITTE, RANCHO BIOSCIENCES, EXAPTIVE), AND ONLINE PATIENT COMMUNITY PARTNERS (PATIENTSLIKEME [PLM]). DE-IDENTIFIED HIPPA-COMPLIANT DATA FROM THREE DATABASES WERECURATED AND LOADED INTO A CLOUD-BASED DATA KNOWLEDGE MANAGEMENT SYSTEM CALLED TRANSMART. THE INTEGRATED REPOSITORY INCLUDES 9,000 SUBJECTS WITH MS AND RELATED CONDITIONS. THE ALLIANCE DEVELOPED A ROADMAP FOR JOINT EXECUTION WITH SPECIFIC SCIENTIFIC AIMS. TO DATE, THE ALLIANCE HAS GENERATED THREE MODELS BASED ON THE DATA REPOSITORY USING DIFFERENTALGORITHMIC APPROACHES: PHENOTYPIC PROGNOSTIC MODEL AND TWO MOLECULAR PROGNOSTIC MODELS. 12936509 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 30 0 11 1 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA NY X X GELMAN ROSENBERG AND FREEDMAN CPA 3019519090 4550 MONTGOMERY AVENUE SUITE 650N BETHESDA MD 20814 MAGALI HAAS MD PHD CEO & PRESIDENT 60.00 X X 591521 0 21130 THERESA FRANGIOSA SECRETARY 9.00 X X 0 0 0 MICHAEL SULLIVAN TREASURER 1.00 X X 0 0 0 DOUGLAS HAYNES BOARD MEMBER 1.00 X 0 0 0 ALLYSON GAGE CHIEF MEDICAL OFFICER 40.00 X 189243 0 27583 SEAN MCCREERY CHIEF OPERATIONS & BUSINESS OFFICER 40.00 X 203696 0 29119 ALLISON PROVOST SCIENTIFIC PROGRAM MANAGER 40.00 X 122572 0 7820 PATRICIA KABITZKE SR. SCIENTIFIC PROGRAM MANAGER 40.00 X 112942 0 26893 ANDREAS JEROMIN CHIEF SCIENTIFIC OFFICER 40.00 X 114000 0 5430 1333974 0 117975 6 0 1 0 PERCOLATION COMMUNICATIONS 4 SPRING HILL ROAD ANNANDALE NJ 08801 PROGRAM MANAGEMENT 559121 ICONIC EVENT STUDIOS 1861 SUNSET PLAZA DRIVE LOS ANGELES CA 90069 EVENT MANAGEMENT 400000 MORGAN LEWIS AND BOCKIUS LLP 1701 MARKET STREET PHILADELPHIA PA 19103 LEGAL SERVICES 212191 MORRISON AND FOERSTER LLP PO BOX 742335 LOS ANGELES CA 90074 LEGAL SERVICES 142816 FRANGIOSA & ASSOCIATES 313 HOMESTEAD DRIVE HARLEYSVILLE PA 19438 STRATEGIC CONSULTING 128975 8 16828176 16828176 17365 17365 16845541 0 0 17365 X 4874298 4874298 160401 160401 1291922 1064450 183215 44257 1138269 948835 189434 25435 21651 3784 76535 67541 8007 987 142648 118445 21654 2549 901578 15363 886215 219743 219743 3668614 3497908 170706 70564 26380 43857 327 30409 20446 9441 522 202814 168402 30788 3624 148182 123861 20644 3677 1828528 1828528 11720 11720 BAD DEBT EXPENSE 5000 5000 14796660 12936509 1804208 55943 7231562 7749812 7534674 8208158 13512 0 73029 258542 10638 136852 14863415 16353364 1007904 1415169 5571555 4605358 6579459 6020527 X 299480 382880 7984476 9949957 8283956 10332837 14863415 16353364 2048881 0 X X 0 1 X 1 0 X 68535 31399759 4366629 16828176 52663099 68535 31399759 4366629 16828176 52663099 48540037 4123062 17365 17365 52680464 1500 X 90000 90000 14777660 14867660 893383 223346 0 0 893383 893383 1340075 90000 90000 223346 223346 335019 0 X 16916541 71000 71000 16845541 0 16845541 14867660 71000 71000 14796660 0 14796660 PART X, LINE 2: TAX POSITION: THE ORGANIZATION CURRENTLY EVALUATES ALL TAX POSITIONS, AND MAKES A DETERMINATION REGARDING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UNDER REVIEW. THE PRIMARY TAX POSITION MADE BY THE ORGANIZATION IS THE EXISTENCE OF UNRELATED BUSINESS INCOME TAX AND THE ORGANIZATION'S STATUS AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FOR THE YEAR PRESENTED, THE ORGANIZATION HAS NOT RECOGNIZED ANY TAX BENEFITS OR LOSS CONTINGENCIES FOR UNCERTAIN TAX POSITIONS BASED ON THIS EVALUATION. 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION N/A 88401 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION N/A 72000 0 0 0 0 0 0 160401 0 160401 EUROPE (BELGIUM) HIGH-DENSITY RECORDING IN THE SPS MODEL OF PTSD 88401 WIRE TRANSFER N/A N/A NORTH AMERICA (CANADA) DEMENTIA RESEARCH AWARD 72000 WIRE TRANSFER N/A N/A 3 0 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION REQUIRES GRANTEES TO REGULARLY PROVIDE QUALITATIVE AND QUANTITATIVE REPORTS DESCRIBING HOW FUNDS ARE BEING SPENT AND THE RESULTS THE GRANTEE HAS ACHIEVED. PROGRESS IS MEASURED AGAINST ORIGINAL AND REVISED GRANT PROPOSALS. CONTINUATION OF FUNDING IS DEPENDENT ON RESULTS AND ACCURATE, TIMELY REPORTING. 1 UNIVERSITY OF CALIFORNIA SAN DIEGO 9500 GILMAN DRIVE LA JOLLA CA 92093 956006144 501C3 143235 0 N/A N/A ANALYSIS OF GENETIC DATA (GWAS) IN PTSD PATIENTS MCLEAN HOSPITAL 115 MILL ST BELMONT MA 02142 042697981 501C3 195094 0 N/A N/A ESTABLISHMENT OF BRAIN TISSUE BANK FOR PTSD & TBI AMERICAN COLLEGE OF RADIOLOGY 1818 MARKET ST STE 1720 PHILADELPHIA PA 19103 362261602 501C3 65335 0 N/A N/A CONDUCT STUDY TO ESTABLISH A NATIONAL NORMATIVE NEUROIMAGING LIBRARY UNIV OF CINCINNATI PO BOX 932641 CLEVELAND OH 44193 316000989 GOVERNMENT 98007 0 N/A N/A THE ROLE OF STRESS HORMONES AND DOPAMINE IN A NOVEL GENETIC RAT MODEL OF PTSD MICHIGAN STATE UNIVERSITY 426 AUDITORIUM ROAD ROOM 2 EAST LANSING MI 48824 386005984 501C3 187397 0 N/A N/A DO SEX DIFFERENCES IN GONADAL HORMONES DETERMINE SEX DIFFERENCES IN PTSD? REGENTS OF THE UNIVERSITY OF MICHIGAN 1000 VICTORS WAY SUITE 1A ANN ARBOR MI 02744 386006309 501C3 76330 0 N/A N/A HIGH-DENSITY RECORDING IN THE SPS MODEL OF PTSD CHILDREN'S HOSPITAL OF PHILADELPHIA PO BOX 8500 PHILADEPHIA PA 01457 231352166 501C3 119146 0 N/A N/A VALIDATING CONSTRUCTS RELEVANT TO PTSD IN A MODEL OF INDIVIDUAL DIFFERENCES IN RESPONSE TO SOCIAL DEFEAT IN RATS STANFORD UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 501C3 363602 0 N/A N/A EEG SYSTEM ACQUISITION GEORGE W BUSH FOUNDATION 2943 SMU BOULEVARD DALLAS TX 75205 204119317 501C3 250000 0 N/A N/A WARRIOR WELLNESS ALLIANCE TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02215 042103547 501C3 100000 0 N/A N/A BRAIN HEALTH INITIATIVE NATIONAL ASSOCIATION OF VETERANS' RESEARCH AND EDUCATION FOUNDATION 1717 K ST NW SUITE 900 WASHINGTON DC 20006 521784596 C CORP 7500 0 N/A N/A NAVREF ANNUAL CONFERENCE SPONSORSHIP CONCUSSION LEGACY FOUNDATION 361 NEWBURY ST 5TH FL BOSTON MA 02142 770689904 501C3 5000 0 N/A N/A SPONSORSHIP EARLY SIGNAL FOUNDATION 315 W 36TH ST NEW YORK NY 10018 813198566 501C3 626000 0 N/A N/A BIOSENSORS AND MOBILE HEALTH PLATFORM FOR BRAIN DISEASES EARLY SIGNAL FOUNDATION 315 W 36TH ST NEW YORK NY 10018 813198566 501C3 100000 0 N/A N/A PREDICTING THE ONSET OF LABOUR & NEONATAL BRAIN HEALTH NATIONAL ACADEMY OF SCIENCES 2101 CONSTITUTION AVE NW WASHINGTON DC 20418 530196932 C CORP 5000 0 N/A N/A MEMBERSHIP IN THE FORUM ON NEUROSCIENCE AND NERVOUS SYSTEM DISORDERS NATIONAL ASSOCIATION OF VETERANS' RESEARCH AND EDUCATION FOUNDATION 1717 K ST NW SUITE 900 WASHINGTON DC 20006 521784596 C CORP 36000 0 N/A N/A SUPPORT ACT-TRIAL VA INIATIVE AMERICAN COLLEGE OF RADIOLOGY (ACR) 1818 MARKET ST STE 1720 PHILADELPHIA PA 19103 362261602 501C3 829599 0 N/A N/A CONDUCT STUDY TO ESTABLISH A NATIONAL NORMATIVE NEUROIMAGING LIBRARY STANFORD UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 501C3 1109942 0 N/A N/A IMAGING BIOMARKER STUDY FOR PTSD DIAGNOSIS AND RESPONSE CENTER FOR COMPUTATIONAL SCIENCE RESEARCH INC 400 LATHROP AVE SUITE 90 RIVER FOREST IL 60305 261866627 501C3 139907 0 N/A N/A BRAIN COMMONS DEVELOPMENT AND MAINTENANCE UNIVERSITY OF CHICAGO 6054 SOUTH DREXEL AVE CHICAGO IL 60637 362177139 501C3 918851 0 N/A N/A PROVIDE SERVICES AND SUPPORT FOR BRAIN COMMONS (DATA-REPOSITORY) MCLEAN HOSPITAL 115 MILL ST BELMONT MA 02142 042697981 501C3 -369367 0 N/A N/A CANCELLATION OF PRIOR YEAR GRANT AWARD BROAD INSTITUTE - STANLEY CENTER 415 MAIN STREET CAMBRIDGE MA 02142 263428781 501C3 -132280 0 N/A N/A CANCELLATION OF PRIOR YEAR GRANT AWARD 19 3 PART I, LINE 2: THE ORGANIZATION REQUIRES GRANTEES TO REGULARLY PROVIDE QUALITATIVE AND QUANTITATIVE REPORTS DESCRIBING HOW FUNDS ARE BEING SPENT AND THE RESULTS THE GRANTEE HAS ACHIEVED. PROGRESS IS MEASURED AGAINST ORIGINAL AND REVISED GRANT PROPOSALS. CONTINUATION OF FUNDING IS DEPENDENT ON RESULTS AND ACCURATE, TIMELY REPORTING. X X X 0 0 0 0 0 0 0 0 0 MAGALI HAAS MD PHD CEO & PRESIDENT 420161 0 171360 0 0 0 21130 0 0 0 612651 0 0 0 ALLYSON GAGE CHIEF MEDICAL OFFICER 189243 0 0 0 0 0 21880 0 5703 0 216826 0 0 0 SEAN MCCREERY CHIEF OPERATIONS & BUSINESS OFFICER 203696 0 0 0 0 0 14108 0 7505 0 225309 0 0 0 FRANGIOSA & ASSOCIATES OWNER IS OFFICER OF ORGANIZATION 125938 PROVIDED DISCOUNTED STRATEGIC CONSULTING SERVICES TO ORGANIZATION. 0 X CONTRACT RIGHTS 1 0 SEE SUPPLEMENTAL INF 0 1 0 PART I, LINE 32B: IN FY18, CVB RECEIVED A DONATION OF CONTRACT RIGHTS TO A REVENUE STREAM THAT HAS THE POTENTIAL OF MATERIAL ANNUAL PAYMENTS. THE VALUE AND DURATION OF THE INTANGIBLE ASSET IS UNCERTAIN AND THEREFORE WAS NOT RECORDED AS REVENUE IN FY18 FOR GAAP PURPOSES. THE ANNUAL PAYMENTS RECEIVED FROM THE CONTRACT RIGHTS WILL BE RECORDED IN THE YEAR IN WHICH THE ESTIMATED PAYMENT IS QUANTIFIABLE, AND REFLECTED ON THE 990 ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 PRIOR TO ITS FILING. THE FORM 990 WAS THEN AUTHORIZED AND SIGNED BY THE ORGANIZATION'S CEO & PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REQUIRES AN ANNUAL DECLARATION FROM ALL BOARD MEMBERS AND SENIOR MANAGEMENT AS TO THE EXISTENCE AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE BOARD MEMBERS SIGN A DISCLOSURE STATEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED BY THE DIS-INTERESTED BOARD MEMBERS, WHILE THE PARTY IN POTENTIAL CONFLICT IS REQUIRED TO LEAVE THE ROOM. BOARD MEETING MINUTES WILL DOCUMENT THE DISCUSSION AND DECISION MAKING PROCESS. IN THE EVENT OF A POTENTIAL CONFLICT, PROCEDURES TO OBTAIN COMPETITIVE BIDS AND DILIGENCE ON FAIR MARKET VALUE WILL BE ESTABLISHED. FORM 990, PART VI, SECTION B, LINE 15 CVB'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE BOARD OF DIRECTORS. THE BOARD IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR THE KEY EXECUTIVES OF THE ORGANIZATION. THE BOARD MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES, AS APPROPRIATE. A PERFORMANCE EVALUATION IS CONDUCTED AND REVIEWED EACH YEAR AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE BOARD REVIEWS AND APPROVES, FOR SELECTED KEY EXECUTIVES, BASE SALARIES AND ANNUAL INCENTIVE OPPORTUNITY ADJUSTMENTS, AND OBJECTIVES AND GOALS UPCOMING YEAR'S ANNUAL INCENTIVE PLAN. THE BOARD REVIEWS AND RECOMMENDS TO THE BOARD SALARY APPROVAL AND INCENTIVE AWARDS FOR THE CEO/PRESIDENT AND SELECTED KEY SENIOR STAFF. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST AND FORMS AVAILABLE THROUGH CHARITY NAVIGATOR WEBSITE AS WELL. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,412. RESEARCH COLLABORATION EXPENSES: PROGRAM SERVICE EXPENSES 2,700,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,700,428. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 797,480. MANAGEMENT AND GENERAL EXPENSES 164,294. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 961,774.