2017-05-02T14:32:45-05:00 2016-12-31 042442519 EDELSTEIN AND COMPANY LLP 160 FEDERAL STREET 9TH FLOOR BOSTON MA 02110 990 2016-01-01 043439149 IZUMI FOUNDATION IZUM 6172922333 ONE FINANCIAL CENTER24TH FLOOR BOSTON MA 02111 YUKO YOSHIDA CLERK 6172922333 2017-05-02 1 ALFONSO PERILLO P00950491 6172276161 2017-05-01 38.111.9.114 2017-05-02 09:04:57 ED P D4725D521042C17E8B490C5C06D7217ABD14318C 0D76887A21FF303987ADF0E4D0B068FF6EB2BB99 2016 2021-01-29 14:40:06Z SHINREI ITO ONE FINANCIAL CENTER24TH FLOOR BOSTON MA 02111 11574802 0 X HTTP://IZUMI.ORG X 1998 MA TO PROVIDE ASSISTANCE TO THE WORLD'S POOREST PEOPLE THROUGH THE DEVELOPMENT AND SUPPORT OF PROGRAMS THAT IMPROVE HEALTHCARE IN DEVELOPING COUNTRIES 3 3 2 0 0 0 0 1000000 0 0 1427879 1156640 0 0 1427879 2156640 1621000 1657000 0 0 119213 169029 0 0 0 505699 479732 2245912 2305761 -818033 -149121 59746295 61557318 1248297 1350708 58497998 60206610 TO ADDRESS THE ROOT CAUSES OF HUMAN SUFFERING, TO INCREASE THE COMPASSION AND CARING AMOUNG ALL HUMAN BEINGS, AND TO PROMOTE A SOCIETY THAT RESPECTS ALL LIVING THINGS. THE FOUNDATION'S MISSION IS TO ALLEVIATE HUMAN SUFFERING THROUGH IMPROVED HEALTH CARE. 0 0 533556 465000 TO INCREASE THE COMPASSION AND CARING AMONG ALL HUMAN BEINGS BY IMPROVING HEALTH INFRASTRUCTURE. 736651 642000 TO PROMOTE A SOCIETY THAT RESPECTS AND CARES THE MOST VULNERABLE POPULATION. 631087 550000 TO ADDRESS THE ROOT CAUSES OF HUMAN SUFFERING CAUSED BY NEGLECTED TROPICAL DISEASES. 1901294 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 X YUKO YOSHIDA 6172922333 ONE FINANCIAL CENTER BOSTON MA 02111 SHINREI ITO PRESIDENT/DIRECTOR 1.00 X X 0 0 0 TAKEO AMANO DIRECTOR 1.00 X 0 0 0 ZELMAN LEWIS BOKSER DIRECTOR 1.00 X 0 0 0 KO YAMAMOTO TREASURER 1.00 X 0 0 0 YUKO YOSHIDA CLERK 40.00 X 0 0 0 JOHN WARFORD ASSISTANT TREASURER 40.00 X 0 0 0 GRETCHEN STODDARD PROGRAM DIRECTOR 40.00 X 85000 0 22640 85000 0 22640 0 0 0 0 0 1000000 1000000 1484454 1484454 9090348 9418162 -327814 -327814 -327814 2156640 0 0 1156640 1442000 1442000 215000 215000 107640 107640 41900 41900 8126 8126 11363 11363 2715 2715 25245 25245 202130 202130 11739 438 11301 166805 41188 125617 28636 28636 21162 2190 18972 9207 9207 9388 2061 7327 INTERNET 1640 240 1400 PRINTING & PUBLICATION 1065 512 553 2305761 1901294 404467 0 273828 39566 3894632 1848240 27 84440 47610 46037 36830 55514107 59529772 17691 102883 59746295 61557318 34044 13372 1199927 1326917 14326 10419 1248297 1350708 X 58497998 60206610 58497998 60206610 59746295 61557318 X -149121 1847822 9911 X X 0 1 X 1 0 X X 1 SHINNYO-EN USA 942741242 1 1 1000000 0 1 1000000 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A. LINE 6 THE ORGANIZATION GRANTS FUNDS TO ORGANIZATIONS WHOSE MISSIONS AND PROGRAMS ALIGN WITH THE MISSION OF IT'S SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84440 47610 36830 36830 DEFERRED RENT 10419 10419 4176763 1847822 172301 2020123 2156640 0 2156640 2468151 172301 172301 2295850 9911 9911 2305761 PART XII, LINE 4B - OTHER ADJUSTMENTS: REFUND OF PRIOR YEAR GRANTS 9,911. 1 EUROPE - ALBANIA, ANDORRA, AUSTRIA, BELGIUM, BOSNIA & HERZEGOVINA, BULGARIA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION N/A 100000 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION N/A 115000 0 0 0 0 0 0 215000 0 215000 EUROPE - ALBANIA, ANDORRA, AUSTRIA, BELGIUM, BOSNIA & HERZEGOVINA, BULGARIA PROGRAM SUPPORT 100000 CHECK N/A N/A SUB SAHARA AFRICA - KENYA AND NAMIBIA PROGRAM SUPPORT 115000 CHECK N/A N/A 2 0 0 0 0 0 0 0 PART I, LINE 2: THE FOUNDATION ASKS GRANTEE ORGANIZATIONS TO SUBMIT FINANCIAL REPORTS AT MIDTERM AND AT THE END OF THE PROJECT PERIOD. THE FINANCIAL REPORTS COMPARE THE ORIGINAL BUDGET TO ACTUAL EXPENDITURES. IF THE ORGANIZATION NEEDS ADJUSTMENTS TO THE APPROVED BUDGET THAT EXCEED 10% OF THE TOTAL AMOUNT OF ANY BUDGET CATEGORY, OR IF THEY NEED TO CREATE A NEW BUDGET ITEM, THEY ARE REQUIRED TO OBTAIN APPROVAL FROM THE DIRECTORS. PART I, LINE 3: ACCRUAL METHOD OF ACCOUNTING 0 LWALA COMMUNITY ALLIANCE PO BOX 60688 NASHVILLE TN 37206 261303951 501(C)(3) 155000 N/A N/A TO REDUCE UNDER-5 MORTALITY TO 50% OF THE COUNTY AVERAGE AND SUSTAIN THIS REDUCTION OVER TIME. HEALTH & DEVELOPMENT INTERNATIONAL 23 MIDDLE STREET 3RD FLOOR NEWBURYPORT MA 01950 300207842 501(C)(3) 71250 N/A N/A TO SAVE WOMEN'S AND BABIES' LIVES AND PROTECT WOMEN'S DIGNITY USING ORGANIZATIONAL METHODS FROM SUCCESSFUL DISEASE ERADICATION PROGRAMS TO PREVENT OBSTETRIC FISTULATO SAVE WOMEN'S AND BABIES' LIVES AND PROTECT WOMEN'S DIGNITY USING ORGANIZATIONAL METHODS FROM SUCCESSFUL DISEASE ERADICATION PROGRAMS TO PREVENT OBSTETRIC FISTULA MGH DIVISION OF GLOBAL HEALTH & HUMAN RIGHTS DEPARTMENT OF EMERGENCY MEDICINE ZERO EMERSON PLACE SUITE 104 BOSTON MA 02114 041564655 501(C)(3) 43125 N/A N/A TO REFINE THE INITIATIVE TO END CHILD MALNUTRITION'S (IECM) OPERATIONAL MODEL, CONTINUE TO BUILD LOCAL CAPACITY TO IDENTIFY AND TREAT MALNUTRITION, AND EXPAND IECM TO OTHER PARTS OF UGANDA DOCTORS FOR GLOBAL HEALTH PO BOX 1761 DECATUR GA 30031 582194069 501(C)(3) 18750 N/A N/A TO STRENGTHEN THE QUALITY OF PRIMARY CARE AND IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN ESTANCIA, AGUA BLANCA, AND GUACHIPILIN IN RURAL, NORTHEASTERN EL SALVADOR PROJECT CONCERN INTERNATIONAL 5151 MURPHY CANYON ROAD SUITE 320 SAN DIEGO CA 92123 952248462 501(C)(3) 160000 N/A N/A TO IMPROVE THE QUALITY OF CARE FOR PTB/ LBW NEWBORNS ALONG THE CONTINUUM FROM HEALTH FACILITIES TO THE COMMUNITY AND HOUSEHOLD LEVELS IN TWO MUNICIPALITIES IN HUEHUETENANGO, GUATEMALA. CARE2COMMUNITIES PO BOX 446 DOVER MA 02030 264369180 501(C)(3) 57000 N/A N/A TO SAFEGUARD THE HEALTH OF PREGNANT WOMEN AND THEIR YOUNG CHILDREN BY PROVIDING ACCESS TO QUALITY MATERNAL CARE AND EDUCATION IN THE COMMUNITIES C2C SERVES. THE CARTER CENTER ONE COPENHILL 453 FREEDOM PARKWAY ATLANTA GA 30307 581454716 501(C)(3) 112500 N/A N/A TO ASSIST THE MINISTRY OF HEALTH TO ALLEVIATE THE SUFFERING PRODUCED BY SCHISTOSOMIASIS THROUGH COMMUNITY-BASED DRUG DISTRIBUTION AND HEALTH EDUCATION MANO A MANO INTERNATIONAL PARTNERS 774 SIBLY MEMORIAL HIGHWAY MENDOTA HEIGHTS MN 55118 411796971 501(C)(3) 150000 N/A N/A TO BE ABLE TO CONSISTENTLY PROVIDE SUPPORT PROGRAMS THAT COMPLEMENT THE EXISTING HEALTH SYSTEMS AND INFRASTRUCTURE IN BOLIVIA, IN ORDER TO IMPROVE THE HEALTH AND OVERALL LIVING STANDARDS FOR RURAL BOLIVIAN COMMUNITIES. MALI HEALTH ORGANIZING PROJECT PO BOX 426081 CAMBRIDGE MA 02142 205917332 501(C)(3) 28125 N/A N/A TO IMPROVE UNDER-5 MORTALITY AND MORBIDITY IN A PERI-URBAN COMMUNITY IN MALI THROUGH IMPROVEMENTS IN OPERATIONAL EFFICIENCIES, THE REDUCTION OF BARRIERS TO CARE, MORE EFFICIENT TREATMENT DELIVERY, AND A GREATER EMPHASIS ON QUALITY IMPROVEMENT SUPPORT FOR INTERNATIONAL CHANGE PO BOX 25803 LOS ANGELES CA 90025 460514486 501(C)(3) 8750 N/A N/A TO PROVIDE ADDITIONAL REPRODUCTIVE AND SEXUAL HEALTH TRAINING TO HIV-INFECTED WOMEN IN SIC SUPPORT GROUPS. PARTNERS IN HEALTH 888 COMMONWEALTH AVE 3RD FLOOR BOSTON MA 02215 364688468 501(C)(3) 25000 N/A N/A TO IMPROVED SANITATION AND TO PROMOTE HYGIENE AMONG CHILDREN IN SCHOOLS IN NAIROBI'S INFORMAL SETTLEMENTS. SIGHTSAVERS ONE BOSTON PLACE SUITE 2600 BOSTON MA 02108 311740776 501(C)(3) 343500 N/A N/A 1) $300,000 TO CONTRIBUTE TOWARDS ACHIEVING THE ELIMINATION OF THE NTDS RIVER BLINDNESS AND LYMPHATIC FILARIASIS IN LIBERIA BY 2025 AND 2019 RESPECTIVELY, THROUGH IMPLEMENTATION OF THE WHO RECOMMENDED MASS DRUG ADMINISTRATION (MDA) OF MECTIZAN AND ALBENDAZOLE TABLETS. 2) $43,500 TO CONTRIBUTE TO THE ELIMINATION OF BLINDING TRACHOMA IN MALI BY REDUCING THE TRACHOMATOUS TRICHIASIS SURGICAL BACKLOG TO SUCH A LEVEL THAT IT IS NO LONGER A PUBLIC HEALTH CONCERN BY 2015 ESPERANCA 1911 WEST EARLL DRIVE PHOENIX AZ 85015 237087997 501(C)(3) 12500 N/A N/A TO REDUCE RATES OF CHAGAS DISEASE WITHIN SIX RURAL VILLAGE COMMUNITIES IN THE DEPARTMENT OF TARIJA, BOLIVIA. CONTAINERS2CLINICS 360 HUNTINGTON AVENUE BOSTON MA 02115 264369180 501(C)(3) 6362 N/A N/A THE GOAL FOR ERONGO CLINIC IS TO SUPPORT THE EFFORTS OF THE NMOHSS TO REDUCE MATERNAL AND INFANT MORTALITY. IMA WORLD HEALTH 500 MAIN STREET PO BOX 429 NEW WINDSOR MD 21776 522112460 501(C)(3) 67321 N/A N/A TO IMPROVE THE LIVES OF MEN SUFFERING FROM LF COMPLICATIONS BY COMPLETING THE BACKLOG OF HYDROCELECTOMY SURGERIES IN LINDI REGION. CHILDREN WITHOUT WORMS 325 SWANTON WAY DECATUR GA 30030 581698648 501(C)(3) 41250 N/A N/A TO STRENGTHEN THE CAPACITY OF THE GOVERNMENT TO IMPLEMENT STRATEGIES FOR CONTROLLING INTESTINAL WORMS AMONG SCHOOL AGE CHILDREN IN NICARAGUA AND PARAGUAY. GARDENS FOR HEALTH INTERNATIONAL 2 ATLANTIC AVE 4TH FLOOR BOSTON MA 02100 161772171 501(C)(3) 108750 N/A N/A GARDENS FOR HEALTH AIMS TO 1) $100,000 FOR PROVIDING 240 PARTNER FAMILIES IN BUSOGO WITH THE AGRICULTURAL INPUTS, PEER-LED SUPPORT, AND TECHNICAL EXPERTISE THEY NEED TO OVERCOME CHRONIC MALNUTRITION IN THEIR HOMES AND COMMUNITIES, WHILE SIMULTANEOUSLY USING CHRONIC MALNUTRITION AS AN ENTRY POINT TO BUILD THE CAPACITY OF BUSOGO HEALTH CENTER STAFF, AND ADVOCATING FOR THE INCORPORATION OF AGRICULTURE INTO THE CLINICAL TREATMENT OF MALNUTRITION ACROSS RWANDA; 2) $8,750 TO MEANINGFULLY REDUCE RATES OF MALNUTRITION IN THE BUSOGO HEALTH CENTER CATCHMENT AREA BY EQUIPPING VULNERABLE FAMILIES WITH THE KNOWLEDGE, SEEDS, AND SUPPORT TO OVERCOME MALNUTRITION OVER THE LONG TERM. BOSTON MEDICAL CENTER DOWLING 5 SOUTH ONE MEDICAL CENTER PLACE BOSTON MA 021182393 043314093 501(C)(3) 37500 N/A N/A TO IMPROVE MATERNAL AND INFANT MORTALITY AND MORBIDITY THROUGH AN INCREASE IN THE NUMBER OF DELIVERIES ATTENDED BY A NURSE MIDWIFE. MGH FAMILY TREATMENT FUND 100 CAMBRIDGE STREET 15TH FLOOR BOSTON MA 02114 041564655 501(C)(3) 18750 N/A N/A TO IMPROVE INPATIENT PEDIATRIC MORBIDITY AND MORTALITY IN SOUTHWESTERN UGANDA. WORLD EDUCATION 44 FARNWORTH STREET BOSTON MA 02210 131804349 501(C)(3) 37500 N/A N/A TO IMPROVE THE HEALTH AND EDUCATIONAL ATTAINMENT OF VULNERABLE CHILDREN IN SWAZILAND'S LUBOMBO REGION. FAMILY CARE INTERNATIONAL 45 BROADWAY SUITE 320 NEW YORK NY 10006 133228334 501(C)(3) 37500 N/A N/A THE PROJECT GOAL IS TO CONTRIBUTE TO REDUCING MATERNAL MORTALITY IN MOXOS, DISTRICT OF BENI, BY IMPROVING ACCESS TO SKILLED MATERNITY CARE FOR WOMEN LIVING IN ISOLATED AREAS. ST BONIFACE HAITI FOUNDATION 383 ELLIOT STREET DOOR G SUITE 100 NEWTON UPPER FALLS MA 02464 043067595 501(C)(3) 62500 N/A N/A SBHF AIMS TO EXPAND THE OUTREACH AND QUALITY OF MATERNAL AND NEONATAL HEALTH SERVICES PROVIDED BY THE ST. 1) $37,500 - BONIFACE HOSPITAL IN FOND DES BLANCS (SOUTH DEPARTMENT) AND ITS ANCILLARY HEALTH CLINIC IN VILLA (SOUTHEAST DEPARTMENT) OF HAITI; 2) $25,000 FOR EMERGENCY RELIEF. FOOTWORK 1201 CONNECTICUT AVENE NW SUITE 300 300 WASHINGTON DC 20036 205806345 501(C)(3) 100000 N/A N/A TO REDUCE MATERNAL AND CHILD MORBIDITY AND MORTALITY IN MUKONO DISTRICT BY EXPANDING NAWEC'S EXISTING PROGRAMMING FOR MOTHERS AND THEIR CHILDREN, AND PROVIDING THE CLINIC WITH AN OPPORTUNITY TO DEVELOP AND IMPLEMENT NEW SERVICES FOR THESE VULNERABLE GROUPS. KOMO LEARNING CENTRES 3151 NORTH HILL FARM DRIVE TUCSAN AZ 85712 263993914 501(C)(3) 55000 N/A N/A TO REDUCE MATERNAL AND CHILD MORBIDITY AND MORTALITY IN MUKONO DISTRICT BY EXPANDING NAWEC'S EXISTING PROGRAMMING FOR MOTHERS AND THEIR CHILDREN, AND PROVIDING THE CLINIC WITH AN OPPORTUNITY TO DEVELOP AND IMPLEMENT NEW SERVICES FOR THESE VULNERABLE GROUPS. LAST MILE HEALTH 2 ATLANTIC AVE 4TH FLOOR BOSTON MA 22100 261401736 501(C)(3) 100000 N/A N/A THE OVERALL GOAL IS TO SUPPORT DIRECT IMPLEMENTATION OF THE MOH'S NATIONAL COMMUNITY HEALTH ASSISTANT (NCHA) PROGRAM IN GRAND CAPE MOUNT AND GBARPOLU COUNTIES. NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVENUE BOSTON MA 02115 041679980 501(C)(3) 162500 N/A N/A 1) $160,000 TO SUPPORT LEISHMANIASIS DISEASE CASE-MANAGEMENT BY STRENGTHENING THE SERVICE INFRASTRUCTURE AT THE CHEMOLINGOT SUB-COUNTY HOSPITAL AND LINKING THE COMMUNITY TO THESE SERVICES WITH THE OVERALL GOAL OF REDUCING THE HIGH BURDEN OF VL AND OTHER RELATED DISEASES IN THIS POPULATION IN EAST POKOT; 2) $12,500 TO REDUCE THE HIGH MORBIDITY OF KALA-AZAR AND OTHER NTDS (TRACHOMA AND STH) AND TO BUILD STRATEGIES FOR COMMUNITY ENGAGEMENT IN TACKLING THESE DISEASES IN EAST POKOT ACODEVONE WORLD 1012 TORNEY AVENUE SUITE 201 SAN FRANCISCO CA 94129 770479205 501(C)(3) 80000 N/A N/A TO CONTRIBUTE TO AN ACCELERATED REDUCTION IN MATERNAL, NEWBORN AND CHILD MORBIDITY AND MORTALITY IN LUWERO DISTRICT. 27 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT FORM 990 IS REVIEWED BY THE TREASURER AND CLERK PRIOR TO FILING. ANY QUESTIONS THAT ARISE DURING THESE REVIEWS ARE DISCUSSED WITH THE INDEPENDENT TAX PREPARER BEFORE FILING THE FINAL VERSION. FORM 990, PART VI, SECTION B, LINE 15B THE FOUNDATION HAS A PROGRAM DIRECTOR WHOSE SALARY IS DETERMINED BASED ON THE ANNUAL SALARY REPORT BY THE ASSOCIATION OF SMALL FOUNDATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: REFUND OF PRIOR YEAR GRANTS 9,911. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM THE PRIOR YEAR. SHINNYO-EN USA 3910 BRET HARTE DRIVE REDWOOD CITY CA 94061 942741242 CHURCH CA 501(C)(3) LINE 1 SHINNYO-EN JAPAN 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0