RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201443179349100409
Schema version
2013v3.0
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)
Return2014-11-13T09:22:24-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11212 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133759663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRCHNBusinessNameControlTxt
Phone2122461122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10006ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFEYGELE JACOBSPersonNm
Person TitlePRES & CEOPersonTitleTxt
Phone2122461122PhoneNum
Signature2014-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$30,000,081FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,290InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,290InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,746,892DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,746,892DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$177,848NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,704,894GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$177,848CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,926,030TotalRevAndExpnssAmt
Total Net Invst Incm$1,926,030TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$887,978CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$386,495CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$501,483CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$348,110OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$123,236OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$248,791OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$792,588PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$109,745PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$203,434PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$113,316LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$86,710LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$26,606LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$56,700AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$42,525AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$14,175AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$370,199OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$196,655OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$173,544OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$43,555TaxesRevAndExpnssAmt
Taxes Net Invst Incm$16,155TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$314,188DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$314,188DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$510,959OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$209,493OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$301,466OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$68,910TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$68,910TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$2,323PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$1,161PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$1,162PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$212,022OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$56,511OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$155,511OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,720,848TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,542,874TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,695,082TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,403,674ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,482,468ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,124,522TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,542,874TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$3,177,550TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$3,198,492ExcessRevenueOverExpensesAmt
Net Investment Income$383,156NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,948,459SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,586,718SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,586,718SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$108,428PrepaidExpensesBOYAmt
Prepaid Expenses EOY$332,679PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$332,679PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$8,494,433CorporateStockBOYAmt
Corporate Stock EOY$10,757,328CorporateStockEOYAmt
Corporate Stock EOYFMV$10,757,328CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,498,314CorporateBondsBOYAmt
Corporate Bonds EOY$1,469,284CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,469,284CorporateBondsEOYFMVAmt
Other Investments BOY$15,761,966OtherInvestmentsBOYAmt
Other Investments EOY$14,993,180OtherInvestmentsEOYAmt
Other Investments EOYFMV$14,993,180OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$3,085,591LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,235,210LandBldgEquipAccumDeprecAmt
Land BOY$1,159,182LandBOYAmt
Land EOY$850,381LandEOYAmt
Land EOYFMV$850,381LandEOYFMVAmt
Other Assets BOY$5,218OtherAssetsBOYAmt
Other Assets EOY$10,511OtherAssetsEOYAmt
Other Assets EOYFMV$10,511OtherAssetsEOYFMVAmt
Total Assets BOY$30,976,000TotalAssetsBOYAmt
Total Assets EOY$30,000,081TotalAssetsEOYAmt
Total Assets EOYFMV$30,000,081TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,439,318AccountsPayableBOYAmt
Accounts Payable EOY$1,958,878AccountsPayableEOYAmt
Other Liabilities BOY$68,382OtherLiabilitiesBOYAmt
Other Liabilities EOY$48,577OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,507,700TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,007,455TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$29,468,300UnrestrictedBOYAmt
Unrestricted EOY$27,992,626UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$29,468,300TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$27,992,626TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$30,976,000TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$30,000,081TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$29,468,300TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$3,198,492ExcessRevenueOverExpensesAmt
Other Increases$1,722,818OtherIncreasesAmt
Subtotal$27,992,626SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$27,992,626TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtGross Sales PriceGrossSalesPriceAmtAcquiredAcquiredDtDepreciationDepreciationAmt
COMMUNITY HEALTH VENTURESP$53,684-$53,684-$53,684
PUBLICLY TRADED SECURITIES$7,473,362$225,532$225,532$7,698,894
SALE OF FIXED ASSETSP$43,150$6,000$6,000$6,0002002-05-15$43,150
FieldValueIRS element (for citing)
Capital Gain Net Income$177,848CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$4,034,403AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$29,636,227NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.136131DistributionYr1Rt
Total Distribution0.136131TotalDistributionRt
Average Distribution0.136131AverageDistributionRt
Net Vl Noncharitable Assets$27,970,934NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$3,807,711AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,832NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$3,811,543AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$3,177,550QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$7,663InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$7,663SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$7,663TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$20,120EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$9,000AppliedToEsTaxAmt
Total Payments And Credits$29,120TotalPaymentsAndCreditsAmt
Overpayment$21,457OverpaymentAmt
Applied To ES Tax$21,457AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.RCHNFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksIGOR GOLDENBERGIndividualWithBooksNm
Phone2122461122PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10006ZIPCode
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
FEYGELE JACOBS
55 BROADWAY SUITE 1502NEW YORKNY10006PRESIDENT & CEO35.00$265,497$84,833$0
IGOR GOLDENBERG
55 BROADWAY SUITE 1502NEW YORKNY10006CFO35.00$150,964$5,710$0
JULIO BELLBER
55 BROADWAY SUITE 1502NEW YORKNY10006PRESIDENT THROUGH 9/201335.00$471,517$51,916$0
LONNY REISMAN MD
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
MARTIN ZUCKERMAN ESQ
55 BROADWAY SUITE 1502NEW YORKNY10006TREASURER/SECRETARY1.00$0$0$0
SAMUEL DANIEL MD
55 BROADWAY SUITE 1502NEW YORKNY10006VICE CHAIRPERSON1.00$0$0$0
SARA ROSENBAUM ESQ
55 BROADWAY SUITE 1502NEW YORKNY10006CHAIRPERSON1.00$0$0$0
THOMAS VAN COVERDEN
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
BARBARA ALLEN
55 BROADWAY SUITE 1502NEW YORKNY10006FINANCE MANAGER35.00$110,496$30,925$0
DAVID HARTZBAND
55 BROADWAY SUITE 1502NEW YORKNY10006TECHNOLOGY RESERACH20.00$105,262$24,089$0
MARJORIE BOMSON
55 BROADWAY SUITE 1502NEW YORKNY10006HR MANAGER25.00$80,052$23,681$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeService TypeServiceTypeTxtCompensationCompensationAmt
HEALTH TECH STRATEGIES
6612 BRAWNER STREETMCLEANVA22101HEALTH INFORMATION TECHNOLOGY CONSULTING$74,737
MIRRAM GROUP LLC
895 BROADWAY 5TH FLOORNEW YORKNY10006STRATEGIC CONSULTING$60,000
COHNREZNICK LLP
1212 AVE OF THE AMERICASNEW YORKNY10036AUDIT AND TAX PREPARATION$56,700
MANATT PHELPS AND PHILLIPS
7 TIMES SQUARENEW YORKNY10036LEGAL SERVICES$52,777
FT SOLUTIONS LLC
1129 20TH STREET NWWASHINGTONDC20036STRATEGIC CONSULTING$51,814
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$26,690,828AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,706,059AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$28,396,887TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$28,396,887AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$425,953CashDeemedCharitableAmt
Net Vl Noncharitable Assets$27,970,934NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,398,547MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,398,547MinimumInvestmentReturnAmt
Tax Based On Investment Income$7,663TaxBasedOnInvestmentIncomeAmt
Total Tax$7,663TotalTaxAmt
Distributable Before Adj$1,390,884DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,390,884DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,390,884DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,177,550ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$3,177,550QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$3,177,550AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,390,884DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$2,572,674ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,572,674TotalExcessDistributionCyovAmt
Qualifying Distributions$3,177,550QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,390,884AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,786,666RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$4,359,340TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$4,359,340ExcessDistriCyovToNextYrAmt
Excess From Year1$2,572,674ExcessFromYear1Amt
Excess From Current Year$1,786,666ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (23 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AARON E HENRY COMMUNITY HEALTH SERVICES CENTER INC
800 OHIO AVECLARKSDALEMS38614PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$25,000
ACU HEALTH
1420 SPRING HILL RD SUITE 600TYSONS CORNERVA22012PCCONFERENCE SPONSORSHIP$5,000
BRONX COMMUNITY HEALTH NETWORK INC
1 FORDHAM PLAZA SUITE 1108BRONXNY10458PCSUPPORT OF CHARITABLE EVENT$1,000
CARESOUTH CAROLINA INC
201 SOUTH FIFTH STREETHARTSVILLESC29550PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$199,308
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL STREET 6TH FLOORNEW YORKNY10013PCSUPPORT OF CHARITABLE EVENT$2,100
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE
111 BROADWAY SUITE 1402NEW YORKNY10006PCCONFERENCE SPONSORSHIP$3,500
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE
111 BROADWAY SUITE 1402NEW YORKNY10006PCSUPPORT OF CHARITABLE EVENT$5,000
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC
3480 E BRITTANIA DR BLDG BTUSCONAZ85706PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$198,467
FINGER LAKES COMMUNITY HEALTH MIGRANT HEALTH CARE PROJECT INC
165 MAIN STREETPENN YANNY14527PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$200,000
FOOD BANK FOR NYC
PO BOX 1125NEW YORKNY10277PCSUPPORT OF CHARITABLE ORGANIZATION$500
GEORGE WASHINGTON UNIVERSITY
2121 I STREETWASHINGTONDC20052PCGIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH$350,000
HEALTHPROMED
PO BOX 14457SAN JUANPR00916PCGRANT FOR DEVELOPMENT OF CONCEPT FOR SAN JUAN HEALTH DELIVERY$10,000
HUDSON HEADWATERS HEALTH NETWORK
PO BOX 357GLEN FALLSNY12801PCSUPPORT OF CHARITABLE EVENT$1,500
HUDSON RIVER HEALTH CARE FOUNDATION
1200 BROWN STREET 4TH FLOORPEEKSVILLENY10566PCSUPPORT OF CHARITABLE EVENT$3,500
JEFFERY T LATMAN FOUNDATION
PO BOX 237DOBBS FERRYNY10522PCSUPPORT OF CHARITABLE EVENT$550
NATIONAL CENTER FOR FARMWORKER HEALTH
1770 FM 967BUDATX78610PCCONFERENCE SPONSORSHIP$6,000
ONEWORLD COMMUNITY HEALTH CENTERS
4920 SOUTH 30TH STREETOMAHANE68107PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$189,343
PRIMARY CARE DEVELOPMENT CORP
22 CORTLANDT STREETNEW YORKNY10007PCSUPPORT OF CHARITABLE EVENT$5,000
PRIMARY CARE DEVELOPMENT CORP
22 CORTLANDT STREETNEW YORKNY10007PCPRIMARY CARE CAPITAL MARKET ASSESSMENT$50,000
PUBLIC HEALTH SOLUTIONS
40 WORTH STREET 5TH FLOORNEW YORKNY10013PCSUPPORT OF CHARITABLE EVENT$700
SALUD FAMILY HEALTH CENTERS
203 S ROLLIE AVEFORT LUPTONCO80621PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$200,000
SEATTLE INDIAN HEALTH BOARD
611 12TH AVENUESEATTLEWA98144PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$25,000
URBAN HEALTH PLAN INC
1065 SOUTHERN BLVDBRONXNY10459PCSUPPORT OF CHARITABLE EVENT$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,482,468TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (6 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASIAN HEALTH SERVICES INC
818 WEBSTER STREETOAKLANDCA94607PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT.$200,000
COMMUNITY HEALTH OF SOUTH FLORIDA INC
10300 SW 216TH STREETMIAMIFL33190PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT.$179,840
MAINE PRIMARY CARE ASSOCIATION
73 WINTHROP STAUGUSTAME04330PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT.$200,000
MISSOURI COUALITION FOR PRIMARY CARE DBA MISSOURI PRIMARY CARE ASSOCIATION
3325 EMERALD LANEJEFFERSON CITYMO65109PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT.$200,000
MORRIS HEIGHTS HEALTH CENTER INC
85 WEST BURNSIDE AVENUEBRONXNY10453PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT.$71,834
WISCONSIN PRIMARY HEALTH CARE ASSOCIATION
5202 EASTPARK BLVD SUITE 109MADISONWI53718PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT.$182,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,033,674TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,290ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,746,892ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$177,848ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,926,030ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,926,030TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryCOHNREZNICK LLPCategoryTxt
Amt$56,700Amt
Net Investment Income$42,525NetInvestmentIncomeAmt
Disbursements Charitable Prps$14,175DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (6 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
LEASEHOLD IMPROVEMENTS2012-01-01$2,329,512$1,494,794SL10.000000000000$232,956$0
VEHICLES2012-01-01$86,294$2,877SL5.000000000000$17,259$0
FURN & FIXTURES2012-01-01$530,576$340,425SL10.000000000000$53,052$0
EQUIPMENT2012-01-01$139,208$82,926SL5.000000000000$10,921$0
GMC DENALI2012-01-01$43,150$43,150SL5.000000000000$0$0
DELL LAPTOP2012-01-01$898$898SL5.000000000000$0$0

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescMedium ExplanationMediumExplanationTxt
FORM 990-PF, PART VII-B, LINE 1A(4):OFFICERS FEYGELE JACOBS, IGOR GOLDENBERG, AND JULIO BELLBER RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2013. THIS AMOUNT REPRESENTS PAYMENT FOR THEIR SERVICES WITH REGARD TO THE FOUNDATION AND THE SERVICES IT PROVIDES. THIS MEETS THE EXCEPTION AND IS CONSIDERED REASONABLE, AND THEREFORE FORM 4720 IS NOT PREPARED.
FORM 990-PF SUPPLEMENTAL INFORMATION:THE ORGANIZATION PROVIDED PAYMENTS AND CERTAIN BENEFITS TO THE ORGANIZATION'S FOUNDING PRESIDENT THAT QUALIFY AS "SEVERANCE PAYMENTS" DURING THE REPORTING PERIOD. SUBJECT TO THE FOUNDING PRESIDENT'S SATISFACTION OF HIS OBLIGATIONS TO THE ORGANIZATION, THIS CONTINUED PAY AND BENEFITS IS PROJECTED GENERALLY THROUGH REPORTING YEAR 2014, AND WILL BE REPORTED AS CURRENT COMPENSATION AND BENEFITS IN THE NATURE OF SEVERANCE FOR 2014.

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIXED INCOMEBondNm
EOY Book Value$1,469,284EOYBookValueAmt
EOYFMV$1,469,284EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITIESStockNm
EOY Book Value$10,757,328EOYBookValueAmt
EOYFMV$10,757,328EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALTERNATIVE INVESTMENTSFMV$2,406,541$2,406,541
INVESTMENT IN CHA/CHVFMV$500,142$500,142
MUTUAL FUNDSFMV$12,086,497$12,086,497

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (4 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LEASEHOLD IMPROVEMENTS$2,329,512$1,727,750$601,762
VEHICLES$86,294$20,136$66,158
FURN & FIXTURES$530,576$393,477$137,099
EQUIPMENT$139,208$93,847$45,361

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (5 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SMITH & DOWNEY$20,457$20,457$0
MINTZ AND GOLD$15,000$15,000$0
WHITEMAN OSTERMAN & HANNA LLP$218$0$218
HIRSHEN SINGER & EPSTEIN LLP$24,864$24,864$0
MANATT, PHELPS & PHILLIPS, LLP$52,777$26,389$26,388

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDUE FROM RELATED PARTIESDesc
BOY Book Value$5,218BOYBookValueAmt
EOY Book Value$10,511EOYBookValueAmt
EOYFMV$10,511EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$37,761$15,482$22,279
INFORMATION TECHNOLOGY EXPENSES$58,239$13,317$44,922
SPONSERSHIPS$35,350$0$35,350
DUES AND MEMBERSHIPS$11,130$0$11,130
TELEPHONE$17,326$7,104$10,222
OTHER$52,216$20,608$31,608

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINDescription
Amount$1,722,818Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
BOY Book Value$68,382BOYBookValueAmt
EOY Book Value$48,577EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (7 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MERRILL LYNCH$153,092$153,092$0
PUBLIC INTEREST MEDIA GROUP$12,900$0$12,900
MIRRAM GROUP$60,000$0$60,000
HEALTH TECH STRATEGIES$74,737$0$74,737
FT SOLUTIONS LLC$51,814$25,907$25,907
PRM CONSULTING$15,156$15,156$0
PGREF$2,500$2,500$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$27,400$0$0
FOREIGN TAXES$16,155$16,155$0

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