2016-01-15T14:25:50-06:00 2015-06-30 043121055 KIRKLAND ALBRECHT & FREDRICKSON LLC 10 FORBES ROAD WEST BRAINTREE MA 02184 990 2014-07-01 043067595 ST BONIFACE HAITI FOUNDATION INC STBO 6172449800 383 ELLIOT STREET DOOR G SUITE 100 NEWTON UPPER FALLS MA 02464 CONOR SHAPIRO PRESIDENT/CEO 6172449800 2016-01-13 1 RICHARD L ANTENUCCI CPA P00893261 7813562000 2016-01-13 2014 2016-04-25 22:37:26Z CONOR SHAPIRO 383 ELLIOT STREET DOOR G SUITE 100 NEWTON UPPER FALLS MA 02464 10664050 0 X WWW.HAITIHEALTH.ORG X 1990 MA AID AND SUPPORT OF THE POOR OF FOND-DES-BLANCS, HAITI 18 18 16 17 0 0 6600004 9345733 144029 158074 116556 72985 91763 124909 6952352 9701701 0 0 0 0 1996385 2127684 0 0 127020 4395758 5704661 6392143 7832345 560209 1869356 6031519 7317032 843668 378848 5187851 6938184 PROVIDING ESSENTIAL HEALTH SERVICES TO THE PEOPLE OF SOUTHERN HAITI THROUGH CLINICAL AND COMMUNITY-BASED PREVENTION AND CARE, AND BY TRAINING LOCAL HEALTH PRACTITIONERS. 0 0 5595936 158074 THE FOUNDATION SUPPORTS & OPERATES A HOSPITAL FACILITY IN FOND-DES-BLANCS, HAITI THAT CONTAINS APPROXIMATELY 90 BEDS, AS WELL AS A SATELLITE CLINIC IN VILLA, HAITI. 921529 FEDERAL GRANT-RELATED PROGRAMS CONSIST OF HIV/AIDS PREVENTION, TREATMENT AND RELIEF; AND, SPINAL CORD INJURY PATIENT TREATMENT, REHABILITATION AND REINTEGRATION INTO THEIR COMMUNITIES. 307768 MATERNAL AND CHILD HEALTH PROGRAM CONSIST OF IMPROVING HEALTH, NUTRITION, WATER AND SANITATION FOR PREGNANT, LACTATING WOMEN AND CHILDREN UNDER THE AGE OF 5. INCREASE ACCESS TO NUTRITIONAL CARE AND HEALTH CARE THROUGH MOBILE CLINICS 297617 297617 7122850 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 6 0 1 16 1 0 1 HA 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SAMANTHA BRIGGS HANNON 6172449800 383 ELLIOT STREET DOOR G SUITE 100 NEWTON UPPER FALLS MA 02464 CONOR SHAPIRO PRESIDENT/CEO 40.00 X X 115000 0 18222 JOHN LOGUE TRUSTEE 1.00 X 0 0 0 JEFFREY LYNCH TREASURER 1.00 X X 0 0 0 REV GERALD J OSTERMAN TRUSTEE 1.00 X 0 0 0 DR RON CARZOLI TRUSTEE 1.00 X 0 0 0 THOMAS CONWAY TRUSTEE 1.00 X 0 0 0 NANNETTE M CANNIFF PRESIDENT EMERITUS 1.00 X 0 0 0 JAMES ANSARA CHAIRMAN 1.00 X X 0 0 0 REV JEFF MCGOWAN TRUSTEE 1.00 X 0 0 0 DAVID MELVILLE VICE CHAIR/SECRETARY 1.00 X X 0 0 0 DR DAVID WALTON TRUSTEE 1.00 X 0 0 0 DR PAUL FARMER TRUSTEE 1.00 X 0 0 0 ELIZABETH FLOOR TRUSTEE 1.00 X 0 0 0 REV JOHN UNNI TRUSTEE 1.00 X 0 0 0 DIANE CURRIER TRUSTEE 1.00 X 0 0 0 JAMES DOWN TRUSTEE 1.00 X 0 0 0 LOUISE IVERS TRUSTEE 1.00 X 0 0 0 G BARRIE LANDRY TRUSTEE 1.00 X 0 0 0 115000 0 18222 1 0 0 0 0 1540 374162 991597 821169 7157265 4109611 9345733 REVENUES - OTHER LOCAL 621400 158074 158074 158074 94565 94565 896282 849693 68169 46589 -68169 -21580 -21580 105500 374162 44487 61013 61013 GAIN ON EXCHANGE RATE 621400 63896 63896 63896 9701701 221970 0 133998 115000 115000 1686675 1461951 174974 49750 326009 258109 59182 8718 49800 49800 12710 12710 71479 71479 46023 46023 117912 88586 17074 12252 393786 392273 1513 SUPPLIES 4564012 4517097 21477 25438 OTHER PROGRAM EXPENSES 363339 363339 OTHER EXPENSES 57165 41495 13243 2427 CONSULTANTS 28435 0 28435 7832345 7122850 582475 127020 597928 637366 69624 211820 807210 752177 27828 46486 5965268 2439887 2448166 3525381 2080763 2143802 6031519 7317032 273994 255791 564674 118057 5000 5000 843668 378848 X 4717796 6589922 370055 248262 100000 100000 5187851 6938184 6031519 7317032 1869356 -119023 0 X 0 1 X 1 1 1 X 7188097 5915521 6573729 6482601 6600004 32759952 171868 208983 214187 183605 196216 974859 7359965 6124504 6787916 6666206 6796220 33734811 330000 466375 1672000 2468375 0 330000 466375 1672000 2468375 31266436 63637 111152 117455 116556 129049 537849 63637 111152 117455 116556 129049 537849 7423602 6235656 6905371 6782762 6925269 34272660 0.91230 0.96430 0.01570 0.01310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2080763 55509 7530 2143802 1830268 36969 213526 2080763 1602261 127004 101003 1830268 1520432 15359 66470 1602261 422932 97500 1000000 1520432 0.95300 0.04700 0.00000 0 0 107167 107167 3302314 473229 2829085 1674157 1163032 511125 881630 803626 78004 3525381 LONG-TERM DEFERRED REVENUE 5000 5000 X 10100841 -119023 473676 44487 399140 9701701 0 9701701 8350508 473676 44487 518163 7832345 0 7832345 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE FOUNDATION MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 44,487. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 44,487. FONDS-DES-BLANCS, HAITI 1 234 PROGRAM SERVICES HOSPITAL FACILITY THAT CONTAINS APPROXIMATELY 90 BEDS 10648231 1 234 0 0 1 234 10648231 0 10648231 0 0 0 0 0 0 ANNUAL EVENT 479662 374162 105500 11931 21157 11399 479662 374162 105500 11931 21157 11399 44487 61013 BUILD HEALTH INTERNATIONAL SEE BELOW 115197 SEE BELOW 0 SCH L PART IV(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE BOARD CHAIR IS A VOLUNTEER PRESIDENT/DIRECTOR/TREASURER OF THIS NOT-FOR-PROFIT ORGANIZATION. SCH L PART IV(D) DESCRIPTION OF TRANSACTION: THIS ENTITY IS PROVIDING CONSTRUCTION SERVICES AND SUPPLY REIMBURSEMENT X 4 55509 FAIR MARKET VALUE X 113 3264133 DISCOUNT WHSLE PRICE X BUILDINGS 2 725122 FAIR MARKET VALUE X EQUIPMENTS 7 64847 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES TO DETERMINE ITS APPROPRIATENESS FOR FILING. THE BOARD APPROVES THE RETURN BEFORE SUBMITTING IT TO THE GOVERNMENT. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES, MEMBERS OF THE BOARD OR DIRECTORS, AND OTHER INTERESTED PARTIES ARE REQUIRED TO COMPLETE A QUESTIONNAIRE REGARDING POSSIBLE CONFLICTS OF INTEREST. THE QUESTIONNAIRE COVERS A MULTITUDE OF AREAS INCLUDING INVESTMENTS, MEMBERSHIP IN OTHER ORGANIZATIONS, FAMILY RELATIONSHIPS,ETC. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT BOARD MEMBERS CONDUCT A SURVEY OF ORGANIZATIONS SIMILAR IN SIZE AND MISSION TO ST. BONIFACE HAITI FOUNDATION,INC TAKING INTO CONSIDERATION ANY DIFFERENCES IN THE DUTIES PERFORMED BY EMPLOYEES IN COMPARABLE POSITIONS. THE BOARD THEN COMPARES THE RESULTS OF THE SURVEY WITH THE PERFORMANCE OF THE EMPLOYEE BEING REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION AVAILABLE UPON REQUEST