KUPONA FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
KUPONA FOUNDATION (EIN 26-4371825)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-24
IRS object ID
201732369349301003
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

FieldValueIRS element (for citing)
Return2017-08-24T12:57:15-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Gary S Eisenkraft CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1271 Madison Avenue Suite 602AddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10016ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264371825EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KUPONA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKUPOBusinessNameControlTxt
Phone5183760189PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112 BENSONHURST AVENUEAddressLine1Txt
CitySARATOGA SPRINGSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonABBEY KOCANPersonNm
Person TitleExecutive Dir.PersonTitleTxt
Signature2017-08-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGary S Eisenkraft CPAPreparerPersonNm
PTINP00055181PTIN
Phone2126892655PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR JOHN BROTHERSPrincipalOfficerNm
Gross Receipts$1,304,430GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.kuponafoundation.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionKupona Foundation empowers people and communities living in poverty in Tanzania to realize their full potential by improving their access to quality healthcare.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$898,823PYContributionsGrantsAmt
CY Contributions Grants$1,296,952CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$121PYInvestmentIncomeAmt
CY Investment Income$58CYInvestmentIncomeAmt
CY Other Revenue-$19,904CYOtherRevenueAmt
PY Total Revenue$898,944PYTotalRevenueAmt
CY Total Revenue$1,277,106CYTotalRevenueAmt
PY Grants And Similar Paid$653,923PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$909,924CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$217,734PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$162,092CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$81,911CYTotalFundraisingExpenseAmt
PY Other Expenses$160,128PYOtherExpensesAmt
CY Other Expenses$126,026CYOtherExpensesAmt
PY Total Expenses$1,031,785PYTotalExpensesAmt
CY Total Expenses$1,198,042CYTotalExpensesAmt
PY Revenues Less Expenses-$132,841PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$79,064CYRevenuesLessExpensesAmt
Total Assets BOY$136,339TotalAssetsBOYAmt
Total Assets EOY$534,114TotalAssetsEOYAmt
Total Liabilities BOY$9,434TotalLiabilitiesBOYAmt
Total Liabilities EOY$328,145TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$126,905NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$205,969NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKupona Foundation empowers people and communities living in poverty in Tanzania to realize their full potential by improving their access to quality healthcare. Kupona mobilizes support and activates awareness to enable the continuation and sustainable growth of the life changing programs implemented by their sister organization, CCBRT (Comprehensive Community Based Rehabilitation in Tanzania). By convening a community of donors, technical experts, advocates and volunteers, Kupona gives individuals and institutions in the United States the opportunity to have a direct impact on the lives of people and communities living in poverty in Tanzania.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,069,862ExpenseAmt
DescKupona Foundation funds supported the activities of CCBRT, Tanzania's largest disability and rehabilitative services provider. The efforts of Kupona Foundation and CCBRT aim to prevent disability, prevent maternal and neonatal mortality and morbidity, provide equitable access to affordable, quality medical and rehabilitative services, empower people with disabilities and their families, facilitate the inclusion of disability in mainstream services, and build capacity in managerial, medical, and rehabilitative services. The three program areas that received the bulk of Kupona Foundation funding and technical support in 2016 are (1) CCBRT's program for the treatment of women with obstetric fistula, including surgical treatment and recovery, the identification and transport of patients from more rural areas of the country, and their socioeconomic rehabilitation through skills training and business lessons; (2) CCBRT's Core program services, which are implemented against their five year strategy; (3) CCBRT's maternal and newborn healthcare program, including both the training of nurses, midwives and doctors in maternal nad neonatal health at 23 regional health facilities and the creation of a new, specialized maternal and newborn hospital in Dar es SalaamDesc
Total Program Service Expenses$1,069,862TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAbbey KocanPersonNm
Phone5183760189PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112 BENSONHURST AVENUEAddressLine1Txt
CitySARATOGA SPRINGSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MIRA DEWJI
Director5.000.00Yes (X)$0$0$0
JOHN BROTHERS
President3.000.00Yes (X)$0$0$0Yes (X)
Adrian Stewart
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
James Mann
Vice Chair2.000.00Yes (X)$0$0$0Yes (X)
Robert Schwed
Director1.000.00Yes (X)$0$0$0
Steven Hatfield
Director1.000.00Yes (X)$0$0$0
ABBEY KOCAN
Executive Dir.40.000.00$97,000$0$16,643Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$97,000TotalReportableCompFromOrgAmt
Total Other Compensation$16,643TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$50,228FundraisingAmt
All Other Contributions$1,246,724AllOtherContributionsAmt
Total Contributions$1,296,952TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58TotalRevenueColumnAmt
Exclusion$58ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,420FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$50,228ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,324FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,904TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,277,106TotalRevenueColumnAmt
Exclusion$58ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$909,924TotalAmt
Program Services$909,924ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$84,500TotalAmt
Program Services$38,870ProgramServicesAmt
Management And General$16,900ManagementAndGeneralAmt
Fundraising$28,730FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,500TotalAmt
Program Services$19,550ProgramServicesAmt
Management And General$8,500ManagementAndGeneralAmt
Fundraising$14,450FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,683TotalAmt
Program Services$10,894ProgramServicesAmt
Management And General$3,810ManagementAndGeneralAmt
Fundraising$8,979FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,409TotalAmt
Program Services$5,248ProgramServicesAmt
Management And General$2,282ManagementAndGeneralAmt
Fundraising$3,879FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,931TotalAmt
Program Services$1,180ProgramServicesAmt
Management And General$3,466ManagementAndGeneralAmt
Fundraising$2,285FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$428TotalAmt
Management And General$428ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONSULTING AND OTHER IN-KIND$90,584$64,551$8,900$17,133
TRAVEL, MEETINGS AND MEALS$22,780$19,645$3,135
BANK CHARGES AND FEES$2,165$1,083$1,082
WORK SPACE RENT$1,800$900$900

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,338TotalAmt
Fundraising$1,338FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,198,042TotalAmt
Program Services$1,069,862ProgramServicesAmt
Management And General$46,269ManagementAndGeneralAmt
Fundraising$81,911FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,368BOYAmt
EOY$463,864EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$44,260BOYAmt
EOY$68,967EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$55,000BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,139LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$856LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,711BOYAmt
EOY$1,283EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$136,339BOYAmt
EOY$534,114EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,434BOYAmt
EOY$14,210EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$313,935EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,434BOYAmt
EOY$328,145EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,905BOYAmt
EOY$205,969EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,000BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$126,905BOYAmt
EOY$205,969EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,339BOYAmt
EOY$534,114EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$79,064ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$555,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$384,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,248CurrentTaxYearMinus1YearAmt
Current Tax Year$1,304,372CurrentTaxYearAmt
Total$3,621,737TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$555,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$384,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,248CurrentTaxYearMinus1YearAmt
Current Tax Year$1,304,372CurrentTaxYearAmt
Total$3,621,737TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,470CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$15,300CurrentTaxYearMinus1YearAmt
Current Tax Year$33,020CurrentTaxYearAmt
Total$66,790TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$203,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$195,138CurrentTaxYearMinus1YearAmt
Current Tax Year$173,189CurrentTaxYearAmt
Total$666,814TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$113,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$203,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$210,438CurrentTaxYearMinus1YearAmt
Current Tax Year$206,209CurrentTaxYearAmt
Total$733,604TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,888,133PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$555,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$384,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,248CurrentTaxYearMinus1YearAmt
Current Tax Year$1,304,372CurrentTaxYearAmt
Total$3,621,737TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.79740PublicSupportCY509Pct
Public Support PY5090.78130PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,139InvestmentCostOrOtherBasisAmt
Depreciation$856DepreciationAmt
Book Value$1,283BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,283TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB SAHARAN AFRRegionTxt
Purpose Of GrantHOSPITALPurposeOfGrantTxt
Cash Grant$909,924CashGrantAmt
Manner Of Cash DisbursementBANK TRANSMannerOfCashDisbursementTxt
Non Cash Assistance$25,500NonCashAssistanceAmt
Description Of Non Cash AsstTRAININGDescriptionOfNonCashAsstTxt
Valuation Method UsedAS PAIDValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2 - Grantmakers Explanation For Monitoring Use of Funds Outside USFormAndLineReferenceDesc
ExplanationGRANTEE FURNISHES REPORTS AND SITE VISITS ARE MADEExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf Tournament and Golf DinnerEvent1Nm
Gross Receipts Event1$57,648GrossReceiptsEvent1Amt
Charitable Contri Event1$50,228CharitableContriEvent1Amt
Gross Revenue Event1$7,420GrossRevenueEvent1Amt
Other Direct Expenses Event1$27,324OtherDirectExpensesEvent1Amt
Gross Receipts Total$57,648GrossReceiptsTotalAmt
Charitable Contributions Tot$50,228CharitableContributionsTotAmt
Gross Revenue Total Events$7,420GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$27,324OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,324DirectExpenseSummaryEventsAmt
Net Income Summary-$19,904NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2: New ServicesIn 2016, Kupona Foundation formed a new partnership with ReSurge International, a non-profit that provides reconstructive surgical care for poor children and adults who lack access and builds surgical capacity in developing countries. Together with ReSurge, Kupona Foundation secured funding from longstanding partner Johnson & Johnson to facilitate reconstructive surgery training for medical teams in Tanzania. A CCBRT surgical team, as well as clinicians from other facilities, benefited from this training. Kupona Foundation was the prime grantee for this award. Kupona Foundation received all funds from Johnson & Johnson and distributed to CCBRT and ReSurge International as sub-grantees, according to signed agreements.In 2016, Kupona Foundation also hosted an art exhibition (Kupona Foundation did not own the art) in New York City as a creative way to raise awareness of one of the key global health causes we champion, obstetric fistula. Using art as a vehicle for storytelling and community engagement, Kupona was able to connect with new supporters and members of the international fistula community. The project mobilized support and increased awareness of the partnerships and programs working to eradicate obstetric fistula, including CCBRTs role as one of the largest providers of comprehensive obstetric fistula treatment in the world. Kupona Foundation received both financial and in-kind support from partners, including Johnson & Johnson and UNFPA, to facilitate the execution of the project.
Form 990, Part VI, Line 11b: Form 990 Review ProcessYes, the Form 990 was sent to the Board of Directors via email for review and approval.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsENFORCED AS PER NYS LAW.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementIn June 2014 Kupona launched a Performance Management process for a Mid-Year and Year-End review of all employees (at that time only the Executive Director), led by the Organizational Capacity Committee chair. The employee conducted a self-evaluation at Mid-Year and Year-End performance, identifying strengths and development areas and noting progress against duties and responsibilities as identified in the Job Description. The Organizational Capacity Commitee chair reviews the self-evaluation at Mid-Year and Year-End, solicits input from the Board, Advisory Board and CCBRT as needed, provides feedback and discusses performance with the employee, and recommends compensation or bonus adjustments, to be approved or denied by the Board of Directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesKupona Foundation hired its first non-Executive Director employees in 2014. Compensation for these employees was discussed with and approved by the Board of Directors before offers were made. The performance management process launched in June 2014 with a Mid-Year and Year-End review cycle will be used for all employees.
Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public InspectionFinancial statements are posted on the organization's website; all other documents are made available upon request.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailablePROVIDED UPON REQUEST

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