2017-11-15T17:18:02-06:00 2016-12-31 390974031 WEGNER CPAS LLP 230 PARK AVE FL 10 NEW YORK NY 101691001 990 2016-01-01 474897004 CIVIC HALL LABS INC CIVI 8057484174 118 W 22ND ST FL 12 NEW YORK NY 100112416 ELIZABETH STEWART EXECUTIVE DIRECTOR 8057484174 2017-11-15 1 YIGIT UCTUM CPA P01269549 2125511724 97.91.110.18 2017-11-15 15:59:39 CS P F5220C048E8F4764883E15D3AD23391DA5D6985E 38ADCCD4451C13DD10062D258D4F13D8E82D36F2 2016 2017-02-10 21:41:12Z X ELIZABETH STEWART 118 W 22ND ST FL 12 NEW YORK NY 100112416 1525101 0 X WWW.CIVICHALLLABS.ORG X 2015 NY CIVIC HALL LABS COLLABORATIVELY DESIGNS, BUILDS, AND PILOTS TECHNOLOGY FOR THE PUBLIC GOOD AND HELPS OTHERS DO THE SAME. 5 3 0 5 0 0 278100 1475350 0 47520 16 328 0 1903 278116 1525101 0 70000 0 0 0 421177 0 0 124888 158160 694824 158160 1186001 119956 339100 266043 565637 146087 106581 119956 459056 X AT CIVIC HALL LABS, WE COLLABORATIVELY DESIGN AND DEVELOP TECHNOLOGY PILOTS THAT HAVE MEASURABLE IMPACT AND THE POTENTIAL TO SCALE. WE BELIEVE THAT 21ST CENTURY DIGITAL TOOLS HAVE TREMENDOUS POTENTIAL TO ADVANCE THE PUBLIC GOOD WHEN DESIGNED, DEVELOPED, AND IMPLEMENTED THROUGH INCLUSIVE PROCESSES THAT ALLOW SECTOR EXPERTS, THE PUBLIC, GOVERNMENT, AND PHILANTHROPY TO COLLABORATE WITH DATA SCIENTISTS, DESIGNERS, AND DEVELOPERS. CURRENTLY, OUR WORK IS ORGANIZED INTO THREE CORE PROGRAMS: ISSUE-FOCUSED LABS, CIVICXCEL, AND OPEN INFRASTRUCTURE. 1 0 413050 47520 THE OPEN INFRASTRUCTURE PROGRAM POWERS THE LABS AND SUPPORTS OTHERS IN APPLYING TECHNOLOGY FOR THE PUBLIC GOOD. EACH PROJECT IS DEDICATED TO PROVIDING SUSTAINABLE, SCALABLE TOOLS THAT INCREASES CROSS-SECTOR COLLABORATION, PUBLIC PARTICIPATION, AND DATA COLLECTION AND SHARING. PROJECTS IN THIS PROGRAM INCLUDE MOTHERBOARD PROJECT, CIVIC USABILITY TESTING NETWORK, AND PRO BONO TECH. 259697 CIVIC HALL LABS, INC. PROVIDES PROACTIVE, STRATEGIC SUPPORT TO INDIVIDUALS WORKING ON BIG IDEAS THAT CREATE CIVIC VALUE AND ADVANCE THE USE OF TECHNOLOGY FOR PUBLIC GOOD. THIS SUPPORT INCLUDES PARTNERSHIP, FUNDING, ACCESS TO RESEARCH AND DEVELOPMENT TOOLS, PROMOTION, USER TESTING, AND COLLABORATIVE, INCLUSIVE DESIGN SERVICES. 229084 70000 THROUGH A MULTIDISCIPLINARY APPROACH, CIVIC HALL LABS, INC.'S SHIFTING FROM THE MAINSTREAM NOTION OF HEALTH AS DISEASE MANAGEMENT INTO THE BROADER NOTION OF THE CIVIC AND SOCIAL HEALTH OF OUR SOCIETY. THE HEALTH LAB CATALYZE INNOVATIONS THAT ADDRESS THE CIVIC ROOTS OF HEALTH DISPARITIES: IMPROVING PUBLIC HEALTH BY WORKING TOWARD A HEALTHY PUBLIC. A HEALTHY PUBLIC IS ONE WHERE ALL INDIVIDUALS FEEL A PART OF THE WHOLE, CAN BE ACTIVE IN INSTITUTIONS, AND HAVE ACCESS TO RESOURCES ESSENTIAL FOR A STABLE LIFE. PROJECTS IN THE HEALTH LAB THEREFORE FOCUS ON CIVIC INTERVENTIONS THAT ARE DESIGNED AND DEPLOYED FOR THE HEALTH OF OUR PUBLIC INCLUDING CIVIC COHESION; POLITICAL PARTICIPATION; AND ACCESS TO RESOURCES. TO CREATE A HEALTHY PUBLIC, CIVIC HALL LABS, INC. BELIEVES SOLUTIONS MUST INTEGRATE TECHNOLOGY AS A TOOL TO MOBILIZE PEOPLE WITH SIMILAR CHALLENGES, PROVIDE MUTUAL SUPPORT NETWORKS, ADDRESS SOCIAL DETERMINANTS OF MENTAL HEALTH ISSUES, AND CULTIVATE COMMUNITY ENGAGEMENT. 26386 BRINGING TOGETHER KEY PLAYERS IN THE CRIMINAL JUSTICE AND COMMUNITY DEVELOPMENT ECOSYSTEMS, CIVIC HALL LABS, INC.'S EXPLORING OPPORTUNITIES AS TO HOW OPEN DATA STANDARDS, OPEN INFRASTRUCTURE, MACHINE LEARNING, AND MOBILE TECHNOLOGY CAN SUPPORT HEALTH AND HUMAN SERVICE PROVIDERS ON THE FRONT LINES SERVING THOSE IN NEED. HARNESSING THE INGENUITY OF LOCAL RESIDENTS AND THE POWER OF TECHNOLOGY IN SERVICE OF GOVERNMENT AND OUR PUBLIC WELL-BEING, THE CIVIC ACCELERATOR PROGRAM IS A COMMUNITY SOURCED INNOVATION PLATFORM THAT WORKS WITH RESIDENTS TO BECOME CIVIC INVENTORS AND CIVIC ENTREPRENEURS THROUGH PART-TIME TRAINING IN DESIGN-THINKING, PROTOTYPING, AND STARTUP METHODOLOGY. IT ALSO ASSISTS MID-STAGE, CIVIC TECH STARTUPS WITH STRATEGY, LEGAL, FINANCING, UX, BRANDING, AND DESIGN CHALLENGES THAT CAN ARISE WHEN DEVELOPING A PRODUCT FOR GOVERNMENT OR THE GENERAL PUBLIC. 26386 928217 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X ELIZABETH STEWART 8057484174 118 W 22ND ST FL 12 NEW YORK NY 100112416 ANDREW RASIEJ PRESIDENT 1.00 X X 0 0 0 ALLISON FINE SECRETARY 1.00 X X 0 0 0 MICHAEL BASSIK TREASURER 1.00 X X 0 0 0 MICHAH SIFRY DIRECTOR 1.00 X 0 0 0 YVETTE ALBERDINGK THIJM DIRECTOR 1.00 X 0 0 0 ELIZABETH STEWART EXECUTIVE DIRECTOR 40.00 X 154487 0 0 154487 0 0 1 0 1 0 CIVIC HALL LLC 118 W 22ND ST FL 12 NEW YORK NY 100112416 CONSULTING SERVICES AND MEMBERSHIP 341707 ELIZABETH STEWART 118 W 22ND ST FL 12 NEW YORK NY 100112416 EXECUTIVE DIRECTOR 108750 2 1475350 1475350 PROGRAM SERVICE FEES 900099 47520 47520 47520 328 328 MISCELLANEOUS REVENUE 900099 1903 1903 1903 1525101 47520 0 2231 X 49000 49000 21000 21000 154487 96092 4170 54225 222046 185312 29580 7154 22384 18681 2982 721 22260 18578 2965 717 17774 17774 26303 26303 515397 422465 40333 52599 2614 2298 166 150 9961 4169 309 5483 10344 9049 991 304 24439 22527 1463 449 16069 14835 706 528 26349 23626 1769 954 391 344 25 22 DUES AND SUBSCRIPTIONS 30640 27458 2435 747 14543 12783 925 835 1186001 928217 132896 124888 10727 447893 40316 40644 215000 76100 1000 266043 565637 87 49081 57500 146000 146087 106581 X -135001 244235 254957 214821 119956 459056 266043 565637 339100 0 X 0 1 X 1 0 X 278100 1475350 1753450 278100 1475350 1753450 1410438 343012 16 328 344 1903 1903 1755697 47520 X SCHEDULE A, PART II: THE 2015 COLUMN ON SCHEDULE A, PART II REPRESENTS THE SHORT TAX YEAR BEGINNING JULY 13, 2015 AND ENDING DECEMBER 31, 2015. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 0 1581882 56781 56781 1525101 0 1525101 1242782 56781 56781 1186001 0 1186001 PART IV, LINE 2B: THE ORGANIZATION RECEIVED CONTRIBUTIONS RAISED BY AN INDIVIDUAL FOR A SPECIFIC PROJECT DURING THE YEAR. THE AGREEMENT STATES THAT PAYMENT IS TO GO THROUGH CIVIC HALL LABS. THE PROJECT IS NOT CIVIC HALL LABS' PROJECT. 1 ARTICLE 25 242 W 30TH ST RM 806 NEW YORK NY 100010811 461692820 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE FUND FOR THE CITY OF NEW YORK 121 AVENUE OF THE AMERICAS FL 6 NEW YORK NY 100131510 132612524 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE HEAT SEEK INC 242 W 30TH ST RM 806 NEW YORK NY 100010811 472309345 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE HOLLABACK INC 30 3RD AVE RM 800B NEW YORK NY 100035504 273199988 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE PARTICIPATORY BUDGETING PROJECT 540 PRESIDENT ST BROOKLYN NY 112151493 453858268 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE PARTICIPATORY POLITICS FOUNDATION 1500 DEKALB AVE APT 1R BROOKLYN NY 112373623 262296822 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE ROCKAWAY WATERFRONT ALLIANCE INC 5803 ROCKAWAY BEACH BLVD FAR ROCKAWAY NY 116921801 113783397 501(C)(3) 7000 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE 7 PRODUCT AND PROGRAM DEVELOPMENT ASSISTANCE 3 21000 PART I, LINE 2: THE GRANT RECIPIENTS ARE SELECTED THROUGH A RIGOROUS CHALLENGE PROCESS IN LINE WITH OUR CHARITABLE MISSION AND ONCE SELECTED SPEND SIX MONTHS RECEIVING HANDS ON MENTORING BY OUR TEAM AND OUR EXPERTS-IN-RESIDENCE. EACH TEAM RECEIVES DISBURSEMENTS ON THE GRANTS ONCE AGREED UPON MILESTONES HAVE BEEN MET. X 0 0 0 0 0 0 0 0 0 ELIZABETH STEWART EXECUTIVE DIRECTOR 154487 154487 0 0 0 0 0 0 0 0 154487 154487 0 0 CIVIC HALL LLC ENTITY MORE THAN 35% OWNED BY ANDREW RASIEJ, PRESIDENT 363800 CONSULTING SERVICES, MEMBERSHIP, AND SPACE 0 FORM 990, PART III, LINE 2 OUR HEALTH LAB'S HEALTH PUBLIC PROJECT INCLUDED AN INNOVATION CHALLENGE FOR INDIVIDUALS, NONPROFITS, AND COMPANIES WORKING ON TECH PROJECTS THAT IMPACT THE CIVIC ROOTS OF HEALTH. CIVIC HALL LABS PROVIDED TEN MICROGRANTS AND SIX MONTHS OF ADVISING SERVICES TO 10 WINNERS. THIS PROGRAM REFLECTS OUR COMMITMENT TO COLLABORATING WITH OUTSIDE PARTNERS IN ORDER TO BUILD AND PILOT TECHNOLOGY IN SUPPORT OF THE PUBLIC GOOD, AND SHARE LEARNINGS AS TO HOW FOUNDATIONS CAN DRIVE INNOVATION AND TEST NEW IDEAS WITH MICRO-GRANTS. OUR PRO BONO TECH PROGRAM, PILOTED IN NEW YORK CITY AS DELTA.NYC, CONNECTED TEAMS OF SKILLED TECH WORKERS WITH LOCAL, NEW YORK-BASED NONPROFITS ON DISCRETE VOLUNTEER PROJECTS. THE PROGRAM PROVIDED PROFESSIONAL DEVELOPMENT TO 60 NEW YORK CITY'S DIGITAL PROFESSIONALS AND ADVANCED THE MISSION AND WORK OF MORE THAN A DOZEN NONPROFIT PARTNERS. IT LAID THE FOUNDATION FOR A NEW MODEL OF CIVIC ENGAGEMENT FOR DIGITAL PROFESSIONALS WITHIN THE TECH INDUSTRY AND A WAY FORWARD IN BRIDGING THE DIGITAL DIVIDE WITHIN THE PUBLIC INTEREST SECTOR. FORM 990, PART VI, SECTION A, LINE 2 ANDREW RASIEJ AND MICAH SIFRY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION UTILIZED SERVICES OF ELIZABETH STEWART TO PERFORM MANAGEMENT DUTIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP THAT HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS REVIEWED BY THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS FROM CIVIC HALL: PROGRAM SERVICE EXPENSES 202,201. MANAGEMENT AND GENERAL EXPENSES 40,333. FUNDRAISING EXPENSES 52,599. TOTAL EXPENSES 295,133. OTHER PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 220,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,264.