FTD DISORDERS REGISTRY LLC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FTD DISORDERS REGISTRY LLC (EIN 47-3601782)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-30
IRS object ID
201721509349300037
Schema version
2016v3.0
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 ReturnHeader

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Return2017-05-30T09:41:12-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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Business Name Line1Regalia & Associates CPAsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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Address Line1103 Town Country Dr Ste KAddressLine1Txt
CityDanvilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94526ZIPCd
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Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

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EIN473601782EIN

Business Name BusinessName

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Business Name Line1The FTD Disorders Registry LLCBusinessNameLine1Txt
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Business Name ControlFTDDBusinessNameControlTxt
Phone4156261501PhoneNum

US Address USAddress

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Address Line1637 Carolina StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94107ZIPCd

Business Officer BusinessOfficerGrp

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PersonRodney PearlmanPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-05-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

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Preparer PersonDouglas W RegaliaPreparerPersonNm
PTINP00186389PTIN
Phone9253140390PhoneNum
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Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

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Principal OfficerRodney PearlmanPrincipalOfficerNm

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Address Line1637 Carolina StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941072725ZIPCd
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Gross Receipts$234,540GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bluefieldproject.orgWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Formation2015FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionThe FTD Disorders Registry LLC pro- vides a patient registry for those afflicted with the devastating neurodegener- ative disease of Frontotemporal degeneration, for which currently, there is no cure. The Registry serves patients and advocacy groups seeking help & information.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$358,280PYContributionsGrantsAmt
CY Contributions Grants$234,421CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$45PYInvestmentIncomeAmt
CY Investment Income$119CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$358,325PYTotalRevenueAmt
CY Total Revenue$234,540CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$77,209PYOtherExpensesAmt
CY Other Expenses$264,834CYOtherExpensesAmt
PY Total Expenses$77,209PYTotalExpensesAmt
CY Total Expenses$264,834CYTotalExpensesAmt
PY Revenues Less Expenses$281,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,294CYRevenuesLessExpensesAmt
Total Assets BOY$472,062TotalAssetsBOYAmt
Total Assets EOY$515,815TotalAssetsEOYAmt
Total Liabilities BOY$15,946TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,993TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$456,116NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$500,822NetAssetsOrFundBalancesEOYAmt
MissionThe Registry also serves investigators conducting research, clinicians treating patients, epidemiologists analyzing disease data, and investigators seeking patients for new clinical trials and initiating natural history studies.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$223,312ExpenseAmt
DescGoals of the Registry are to:Provide a centralized registry effort across the frontotemporal disorders spectrum, making de-identified data available to a diversity of stakeholders to support health outcomes research and other studies of interest to patient advocacy groups, clinical and basic science researchers.Improve the understanding of disease genotype and phenotype; improve quality of care; and provide a better understanding of disease epidemiology.Provide a centralized resource that can facilitate clinical trial enrollment for FTD disorders and the utility of preventive strategies by providing high quality, aggregate data, and a means of alerting a base of volunteers to clinical trial and research study opportunities.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescProvide a mechanism for coordinating and querying registrant volunteers to inform on more patient-friendly clinical trial design and potentially regulatory and policy groups in aid of patient-focused drug development.Thrive as a dynamic resource that can adapt to the FTD (and related disorders) research landscape and needs of the lay community.Desc
FieldValueIRS element (for citing)
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Schedule B RequiredYes (true)ScheduleBRequiredInd
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PersonRodney PearlmanPersonNm
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Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

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Emily Levy
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Rodney Pearlman
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All Other Contributions$234,421AllOtherContributionsAmt
Noncash Contributions$10,080NoncashContributionsAmt
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Exclusion$119ExclusionAmt

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Office Expenses OfficeExpensesGrp

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Program Services$5,735ProgramServicesAmt
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Occupancy OccupancyGrp

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Travel TravelGrp

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Insurance InsuranceGrp

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Total$3,069TotalAmt
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Other Expenses OtherExpensesGrp (3 entries)

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FTD contracted expenses$135,053$135,053
In kind expenses$10,080$10,080
Taxes and fees$285$23$262

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EOY$150,000EOYAmt

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EOY$515,815EOYAmt

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BOY$15,946BOYAmt
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BOY$15,946BOYAmt
EOY$14,993EOYAmt
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Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

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BOY$456,116BOYAmt
EOY$500,822EOYAmt

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EOY$500,822EOYAmt

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BOY$472,062BOYAmt
EOY$515,815EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$30,294ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$75,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

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Audit CommitteeYes (true)AuditCommitteeInd
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Schedule A IRS990ScheduleA

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Public Organization170Yes (X)PublicOrganization170Ind

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Current Tax Year$224,341CurrentTaxYearAmt
Total$574,341TotalAmt

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Total$0TotalAmt

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Current Tax Year$224,341CurrentTaxYearAmt
Total$574,341TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$527,020SubstantialContributorsTotAmt
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Current Tax Year$119CurrentTaxYearAmt
Total$164TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

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Total$0TotalAmt

Other Income170 OtherIncome170Grp

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Total$0TotalAmt
FieldValueIRS element (for citing)
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First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

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ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

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Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

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Other Cost Or Other Basis$150,000OtherCostOrOtherBasisAmt
Book Value$150,000BookValueAmt
FieldValueIRS element (for citing)
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Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$234,540TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$234,540RevenueSubtotalAmt
Total Revenue Per Form990$234,540TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$264,834TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$264,834ExpensesSubtotalAmt
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Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationIncome TaxesFinancial statement presentation follows the recommendations of ASC 740, Income Taxes. Under ASC 740, the Registry is required to report information regarding its exposure to various tax positions taken by the organization and requires a two-step process that separates recognition from measurement. The first step is determining whether a tax position has met the recognition threshold; the second step is measuring a tax position that meets the recognition threshold. Management believes that the Registry has adequately evaluated its current tax positions and has concluded that as of December 31, 2016, the Registry does not have any uncertain tax positions for which a reserve or an accrual for a tax liability would be necessary.The Registry has received notification from the Internal Revenue Service and the State of California that it qualifies for tax-exempt status under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the California Revenue and Taxation Code. This exemption is subject to periodic review by the federal and state taxing authorities and management is confident that the organization continues to satisfy all federal and state statutes in order to qualify for continued tax exemption status. The Registry may periodically receive unrelated business income requiring the organization to file separate tax returns under federal and state statutes. Under such conditions, the Registry calculates and accrues the applicable taxes payable.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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Business Name Line1Assn Frontotemporal DegenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionContractRelationshipDescriptionTxt
Transaction$139,844TransactionAmt
TransactionConsultingTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationThe FTD Disorders Registry LLC ("FTD") utilizes services provided by Association for Frontotemporal Degeneration ("AFD" - a 501.C.3 exempt organization). A Board member of FTB is also a Director on the Board of AFD. During the year ended December 31, 2015, FTB remitted payments totaling $31,657 to AFD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtThree of the directors have a family relationship.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe FTD Disorders Registry LLC (the Registry) was formed as a Delaware Limited Liability Company in 2015 by two founding members: (1) the Association for Frontotemporal Degeneration and (2) The Bluefield Project To Cure Frontotemporal Dementia, both of which are 501(c)(3) nonprofit exempt organizations.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMembers control appointment of respective Management Committee and Board members.
Form 990, Part VI, Line 11b: Form 990 Review ProcessFORM 990 IS PREPARED BY AN OUTSIDE TAX PROFESSIONAL. THE FORM IS THEN REVIEWED BYAT LEAST ONE OF THE ORGANIZATION'S THE BOARD MEMBERS. AFTER A FULL REVIEW, THE FINAL VERSION OF THE TAX RETURN IS PROVIDED TO ALL MEMBERS OF THE ORGANIZATION'S VOTING BODY. A REPRESENTATIVE OF MANAGEMENT AUTHORIZES THE FINAL FORM 990 WHICH IS THEN E-FILED WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsMEMBERS OF THE BOARD OF DIRECTORS REVIEW ALL POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY. ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS AND ANY RELATED PARTY AFFILIATIONS. LOANS BETWEEN THE ORGANIZATION AND MEMBERS OF MANAGEMENT AND THE BOARD ARE STRICTLY PROHIBITED. THE ORGANIZATION SEEKS FULL TRANSPARENCY ON ALL RELATIONSHIPS. ANY POTENTIAL CONFLICTS (IN FACT OR APPEARANCE) ARE DISCUSSED OPENLY AND RESOLVED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES AND PROCEDURES.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe organization does not have any employees.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe organization does not have any employees.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND OTHER LEGALFILINGS ARE MAINTAINED IN A SECURE ENVIRONMENT AND HELD AVAILABLE FOR INSPECTION BYTAX AUTHORITIES AND THE GENERAL PUBLIC. TAX RETURNS ARE POSTED ANNUALLY TOWWW.GUIDESTAR.ORG (WHERE THEY ARE AVAILABLE FOR VIEWING AS ELECTRONIC COPIES) AND ARE ALSO AVAILABLE FOR A PHYSICAL INSPECTION AT THE ORGANIZATION'S OFFICE IN SAN FRANCISCO, CALIFORNIA.
Other Changes In Net Assets Or Fund Balances - Other IncreasesInvestment from Members = $75000

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