2017-11-15T16:46:52-06:00 2016-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2016-01-01 273530769 AGAHOZO-SHALOM YOUTH VILLAGE INC AGAH 6463817866 498 SEVENTH AVENUE 15TH FLOOR New York NY 10018 JOHN HOOVER TREASURER 6463817866 2017-11-15 1 THOMAS LANNING P00851654 2122970400 2017-11-15 209.3.217.20 2017-11-15 15:37:22 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 90CC17281F34CD083B051E620E31C1B2A26173FC 2016 2021-01-29 14:40:06Z JOHN HOOVER 498 SEVENTH AVENUE 15TH FLOOR New York NY 10018 3096608 0 X www.asyv.org X 2010 DE ASYV IS A COMPREHENSIVE HOME, COMMUNITY, AND HIGH SCHOOL FOR 500 ORPHANS INRWANDA'S EASTERN PROVINCE. 19 19 6 19 0 0 3413854 2772136 0 210960 38247 33001 89522 -244792 3541623 2771305 0 65000 0 0 1616552 1453205 62732 0 649260 1287169 1487988 2966453 3006193 575170 -234888 14021075 13743594 372166 415398 13648909 13328196 X TO ENABLE ORPHANED AND VULNERABLE YOUTH TO REALIZE THEIR MAXIMUM POTENTIAL BY PROVIDING THEM WITH A SAFE AND SECURE LIVING ENVIRONMENT, HEALTH CARE, EDUCATION AND NECESSARY LIFE SKILLS. EDUCATION AND SERVICE ARE USED TO MODEL AND CREATE SOCIALLY RESPONSIBLE CITIZENS IN RWANDA AND AROUND THE WORLD. 0 0 1620456 65000 238803 ASYV PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES AND THERAPEUTIC TREATMENT TO ORPHANED AND VULNERABLE TEENS IN RWANDA. 1620456 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 42 0 1 6 1 0 1 RW 0 0 0 1 1 0 0 0 0 X 19 19 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY DE X The Organization 6463817866 498 SEVENTH AVENUE 15TH FLOOR New York NY 10018 Bertrand Kayranga Board Member 2.00 X 0 0 0 Bill Bertolet Board Member 2.00 X 0 0 0 Brian Walsh Board Member 2.00 X 0 0 0 Christy Lamagna Board Member 2.00 X 0 0 0 Elizabeth Stern Board Member 2.00 X 0 0 0 Gideon Herscher Board Member 2.00 X 0 0 0 Jason Kotik Board Member 2.00 X 0 0 0 Jason Merrin Board Member 2.00 X 0 0 0 Jean Kagubare Outgoing Board Member 2.00 X 0 0 0 Jeff Swartzman Secretary 5.00 X X 0 0 0 John Hoover Treasurer 5.00 X X 0 0 0 Kathy Harris Board Member 2.00 X 0 0 0 Laurie Toll Franz Chair 30.00 X X 0 0 0 Lisa Issroff Board Member 5.00 X 0 0 0 Michael DelGiacco Board Member 2.00 X 0 0 0 Ran Goshen Board Member 2.00 X 0 0 0 Sam Merrin Board Member 2.00 X 0 0 0 Seth Rosenzweig Board Member 2.00 X 0 0 0 Steve Moss Board Member 2.00 5.00 X 0 0 0 Louis D'Souza CFO 40.00 X 109725 0 36661 109725 0 36661 1 0 0 0 0 1370878 1401258 2772136 Program service fees 900099 107585 107585 land Lease 900099 103375 103375 210960 14761 14761 18240 0 18240 18240 18240 52668 1370878 325303 -272635 -272635 Miscellaneous Revenue 900099 27843 27843 27843 2771305 238803 0 -239634 65000 65000 146385 74354 45051 26980 1241097 718506 366641 155950 4252 1256 1466 1530 61471 18161 21189 22121 65600 65600 2540 2540 36937 6667 30270 41723 30139 9808 1776 72915 42667 11759 18489 17291 10118 2788 4385 65 65 307079 306166 913 64210 19530 44680 Food and supplies 452470 327831 105320 19319 Event 374793 374793 Miscellaneous 28896 61 4918 23917 online transaction fees 23469 23469 3006193 1620456 736477 649260 608250 876861 773940 800811 929394 600784 5352 617 259445 259445 194478 40574 11764521 1865077 10076050 9899444 756082 814444 418084 450614 14021075 13743594 122166 165398 250000 250000 372166 415398 X 12198912 11944948 724997 658248 725000 725000 13648909 13328196 14021075 13743594 -234888 -85825 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 758472 59383 1021 816834 720901 25000 12571 758472 700000 20901 720901 1.00000 0 0 229102 229102 11115490 1592929 9522561 419929 272148 147781 9899444 Refundable advance 250000 250000 Part V, Line 4: THE ENDOWMENT FUNDS WILL BE USED FOR PROGRAMS IN THE VILLAGE. 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 Schedule E, Part I, Line 3 THE ORGANIZATION HAS PUBLICIZED OUR POLICY IN THE NEW TIMES NEWSPAPER IN RWANDA. Schedule E, Part I, Line 4 All Full Time Staff and faculty are RWANDAN. Sub-Saharan Africa - rwanda 1 140 Program Services PROVIDES A HIGH SCHOOL EDUCATION, RESIDENTIAL FACILITIES AND THERAPEUTIC TREATMENT TO ORPHANED AND VULNERABLE TEENS IN RWANDA. 1615699 1 140 0 0 1 140 1615699 0 1615699 1 0 1 0 0 0 STAND UP EVENT 1423546 1370878 52668 97600 227703 1423546 1370878 52668 97600 227703 325303 -272635 0 Empowerment Works Inc 1801 Lincoln blvd suite 138 venice VA 90291 311796801 501(c)(3) 65000 general support 1 Form 990, Part VI, Section A, line 2 BOARD MEMBERS JASON MERRIN AND SAM MERRIN HAVE A FAMILY RELATIONSHIP Form 990, Part VI, Section B, line 11b FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT. THEN THE RETURN IS PRESENTED TO THE BOARD FOR REVIEW BEFORE FILING. Form 990, Part VI, Section B, line 12c at the annual Board meeting which is usually in February of each year the officers & directors, are required to disclose any potential conflicts of interest. Form 990, Part VI, Section B, line 15a The board engages a pro-bono Human Resources consultant, to determine the executive director's compensation. They also consult with legal counsel and compare compensation to other organizations. Organizational goals are set for the executive director, and evaluations of performance are done ANNUALLY. Form 990, Part VI, Section C, line 19 Documents are available to the public upon request. FORM 990, PART XII, LINE 2C: The selection and oversight process did not change from the prior year. Form 990, Part V, 2A: EMPLOYEES IN THE UNITED STATES ARE PAID THROUGH A THIRD PARTY AMBROSE EMPLOYER GROUP LLC EIN: 13-3867443 AND DID NOT RECEIVE A W-2 FROM ASYV. EMPLOYEES IN RWANDA ARE PAID BY ASYV BUT DO NOT RECEIVE A W-2. SEE FAR ENTERPRISE ltd Jesusis Able House Kanobe Road kigali kigali RW training RW agahozo-shalom youth village inc C 2511 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0