2023-01-27T10:59:29-06:00 2022-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2021-10-01 471846222 AMERISOURCEBERGEN FOUNDATION AMER 6105763832 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 JF QUINN TREASURER 6105763832 2023-01-25 1 JF QUINN 999009999 PATRICIA J MAYER P00188643 4159561500 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z GINA CLARK 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 8924603 0 X N/A X 2014 DE TO SUPPORT THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND. 5 3 0 14 0 0 6250 3506695 0 0 2234357 1878058 0 0 2240607 5384753 7759957 6324313 0 0 0 0 0 0 0 53700 33332 7813657 6357645 -5573050 -972892 25773807 19786138 598185 961593 25175622 18824545 X THE SPECIFIC AND PRIMARY PURPOSE OF THIS CORPORATION IS TO ENGAGE IN CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND THE TREASURY REGULATIONS PROMULGATED THEREUNDER, PER THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"), FOR THE BENEFIT OF, OR TO CONDUCT OR CARRY OUT THE PURPOSES OF THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND, A NONPROFIT, CHARITABLE AND EDUCATIONAL ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE AND WHICH IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) (THE SUPPORTED TAX-EXEMPT ORGANIZATION). 0 0 6324313 6324313 THE AMERISOURCEBERGEN FOUNDATION WAS ESTABLISHED AS A DELAWARE NONSTOCK CORPORATION ON SEPTEMBER 15, 2014. THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS FOCUSING ON HEALTH, EDUCATION, AND COMMUNITY. THE FOUNDATION MAY ALSO PROVIDE CHARITABLE RELIEF BY PROVIDING GOODS AND SERVICES SUCH AS PALLIATIVE CARE PACKAGES TO INDIVIDUALS SUFFERING FROM CANCER OR OTHER DISEASES AND SAFE PHARMACEUTICAL DISPOSAL PACKAGES TO COMMUNITY MEMBERS. 6324313 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X KOUROSH PIROUZ 6107277000 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 X GINA K CLARK PRESIDENT & DIRECTOR 1.00 41.00 X X 0 0 0 KEVIN DOW DIRECTOR 1.00 X 0 0 0 ESPERANZA NEU DIRECTOR 1.00 X 0 0 0 JAIME PLUDO DIRECTOR 1.00 X 0 0 0 CRYSTAL THOMPSON DIRECTOR (THRU 2/22) 1.00 41.00 X 0 0 0 KEN HARDY DIRECTOR 1.00 41.00 X 0 0 0 JF QUINN TREASURER 1.00 41.00 X 0 0 0 JAMES T RIZOL ASSISTANT TREASURER 1.00 41.00 X 0 0 0 KOUROSH Q PIROUZ SECRETARY 1.00 41.00 X 0 0 0 SUSAN L COLDREN ASSISTANT SECRETARY 1.00 41.00 X 0 0 0 MELISSA GREENBAUM ASSISTANT SECRETARY 1.00 41.00 X 0 0 0 SUSAN LORENZ-FISHER PROGRAM OFFICER 1.00 41.00 X 0 0 0 KATE LAEPPLE HERTZOG GRANT ADMINSTRATOR 1.00 41.00 X 0 0 0 NICOLE GORDON PROGRAM OFFICER 1.00 41.00 X 0 0 0 0 0 0 0 0 0 0 0 3500000 6695 3506695 417908 417908 5000000 3539850 1460150 1460150 1460150 5384753 0 0 1878058 6108988 6108988 99303 99303 116022 116022 28140 28140 5192 5192 6357645 6324313 33332 0 2075917 3088455 0 1500000 23697890 15197683 25773807 19786138 2000 0 596185 961593 598185 961593 X 19366116 12455479 5809506 6369066 25175622 18824545 25773807 19786138 -972892 -5378185 0 X 0 1 X 1 0 X X X 1 AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND 900918856 7 1 23063 0 1 23063 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND AND THE AMERISOURCEBERGEN FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE AND THE LAWS OF THE STATES IN WHICH THEY OPERATE. THE FUND HAD NO UNRECOGNIZED TAX BENEFITS WHICH WOULD REQUIRE AN ADJUSTMENT TO THE BEGINNING BALANCES OF NET ASSETS AND HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2022 AND 2021. THE FUND FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION AND THE NECESSARY FORMS WITH THE APPROPRIATE AUTHORITIES IN THE STATES IN WHICH IT OPERATES. THE FUND IS NOT AWARE OF ANY TRANSACTIONS THAT WOULD AFFECT ITS TAX-EXEMPT STATUS. 1 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 GRANTMAKING 116022 0 0 0 0 0 0 116022 0 116022 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM RELIEF AID 116022 WIRE 0 N/A N/A 4 0 0 0 0 0 0 PART I, LINE 2: GRANTS ARE APPROVED BY THE GRANT MAKING COMMITTEE AND REPORTED TO THE BOARD OF DIRECTORS. GRANTS ARE PROCESSED THROUGH THE ACCOUNTING DEPARTMENT. PART I, LINE 3: ACCRUAL BASIS PART III ACCOUNTING METHOD: PART II: ACCRUAL BASIS 1 AAEP FOUNDATION INC 4033 IRON WORKS PARKWAY LEXINGTON KY 40511 611259683 501C3 5506 0 GENERAL SUPPORT ALEXS LEMONADE STAND FOUNDATION 333 E LANCASTER AVE WYNNEWOOD PA 19096 562496146 501C3 65367 0 GENERAL SUPPORT AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501C3 21240 0 GENERAL SUPPORT AMERICAN NATIONAL RED CROSS - SOUTHEASTERN PENNSYLVANIA 2221 CHESTNUT ST PHILADELPHIA PA 19103 820837813 501C3 168910 0 GENERAL SUPPORT AMERICARES FOUNDATION INC 88 HAMILTON AVE STAMFORD CT 06902 061008595 501C3 219728 0 GENERAL SUPPORT ANDY TALLEY BONE MARROW FOUNDATION 237 W LANCASTER AVE DEVON PA 19333 273566826 501C3 25000 0 GENERAL SUPPORT ANGEL FLIGHT EAST 1501 NARCISSA ROAD BLUE BELL PA 19422 232705595 501C3 85000 0 GENERAL SUPPORT BOYS GIRLS CLUBS OF AMERICA 1275 PEACHTREE STREET NW ATLANTA GA 30309 135562976 501C3 256491 0 GENERAL SUPPORT CH PENNSYLVANIA UNDER - 21 31 E ARMAT ST 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6500 0 GENERAL SUPPORT GLOBAL GREEN USA 1617 BROADWAY FL 2 SANTA MONICA CA 90404 770387124 501C3 10000 0 GENERAL SUPPORT GLOBALGIVING FOUNDATION INC 1110 VERMONT AVE NW STE 550 WASHINGTON DC 20005 300108263 501C3 24323 0 GENERAL SUPPORT GREATER GOOD CHARITIES 600 UNIVERSITY STREET SEATTLE WA 98101 204846675 501C3 25000 0 GENERAL SUPPORT HEALTHCARE READY 1325 G ST NW STE 500 WASHINGTON DC 20005 463134601 501C3 45856 0 GENERAL SUPPORT HIGHLAND PARK COMMUNITY FOUNDATION PO BOX 398 HIGHLAND PARK IL 60035 363819818 501C3 10411 0 GENERAL SUPPORT HUMANE SOCIETY INTERNATIONAL 1255 23RD ST NW STE 450 WASHINGTON DC 20037 521769464 501C3 25282 0 GENERAL SUPPORT INITIATIVE FOR A COMPETITIVE INNER CITY INC 56 WARREN ST 3RD FLOOR ROXBURY MA 02119 133772904 501C3 100000 0 GENERAL SUPPORT INTERNATIONAL MEDICAL CORPS 12400 WILSHIRE BLVD STE 1500 LOS ANGELES CA 90025 953949646 501C3 50000 0 GENERAL SUPPORT INTERNATIONAL RESCUE COMMITTEE INC 122 E 42ND ST NEW YORK NY 10168 135660870 501C3 26475 0 GENERAL 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501C3 5120 0 GENERAL SUPPORT PLEASE TOUCH MUSEUM 4231 AVENUE OF THE REPUBLIC AVE PHILADELPHIA PA 19131 232109376 501C3 7596 0 GENERAL SUPPORT PRIDE VENTURES INC 26 S MAIN ST MEDFORD NJ 08055 270278243 501C3 5120 0 GENERAL SUPPORT RIO SALADO ROWING CLUB INC PO BOX 1555 TEMPE AZ 85280 860809620 501C3 9573 0 GENERAL SUPPORT SPCA OF TEXAS 2400 LONE STAR DR DALLAS TX 75212 751216660 501C3 6096 0 GENERAL SUPPORT ST JOSEPHS PREPARATORY SCHOOL 1733 W GIRARD AVE PHILADELPHIA PA 19130 231352675 501C3 5120 0 GENERAL SUPPORT ST JUDE CHILDRENS RESEARCH HOSPITAL INC 262 DANNY THOMAS PL MSC 512 MEMPHIS TN 38105 620646012 501C3 12965 0 GENERAL SUPPORT SUSAN G KOMEN BREAST CANCER FOUNDATION 13770 NOEL RD STE 801889 DALLAS TX 75380 751835298 501C3 10567 0 GENERAL SUPPORT TEEN CHALLENGE RANCH OF NORTHWEST ARKANSAS INC PO BOX 20 MORROW AR 72749 710551941 501C3 7684 0 GENERAL SUPPORT THE CHILDRENS HOSPITAL OF PHILADELPHIA PO BOX 781352 PHILADELPHIA PA 19178 231352166 501C3 7010 0 GENERAL SUPPORT AMERICANSOURCEBERGEN ASSOCIATE ASSISTANCE FUND 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 900918856 501C3 23063 0 GENERAL SUPPORT 100 SAFE PHARMACEUTICAL DISPOSAL FOR INDIVIDUALS 122000 99303 PURCHASE PRICE OF DISPOSAL KITS SAFE PHARAMACEUTICAL DISPOSAL PACKAGES TO COMMUNITY MEMBERS PART I, LINE 2: GRANTS ARE APPROVED BY THE GRANT MAKING COMMITTEE AND REPORTED TO THE BOARD OF DIRECTORS. GRANTS ARE PROCESSED THROUGH THE ACCOUNTING DEPARTMENT. FORM 990, PART VI, SECTION A, LINE 2 THE OFFICERS OF AMERISOURCEBERGEN FOUNDATION ARE ALSO OFFICERS AND EMPLOYEES OF AMERISOURCEBERGEN CORPORATION. IN ADDITION, A MAJORITY OF THE OFFICERS OF AMERISOURCEBERGEN FOUNDATION ARE ALSO OFFICERS OF THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND (THE SUPPORTED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND, A 501(C)(3) ORGANIZATION CLASSIFIED AS A PUBLIC CHARITY UNDER SECTION 509(A)(1) OF THE CODE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS INITIALLY PREPARED BY MOSS ADAMS. IT IS THEN REVIEWED FOR ACCURACY BY THE ASSISTANT CONTROLLER FOR AMERISOURCEBERGEN CORPORATION. CORRECTIONS, IF ANY, ARE MADE AND A FINAL DRAFT IS PROVIDED ELECTRONICALLY TO EACH MEMBER OF THE GOVERNING BODY. QUESTIONS/COMMENTS FROM THE BOARD ARE ADDRESSED AT THE JANUARY MEETING AND ANY CHANGES NECESSARY ARE MADE PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY ("POLICY") OF AMERISOURCEBERGEN FOUNDATION (THE ORGANIZATION") IS APPLICABLE TO ALL CURRENT OFFICERS AND DIRECTORS ("COVERED PERSONS"). THE POLICY APPLIES TO TRANSACTIONS OR OTHER ARRANGEMENTS IN WHICH THE PERSONAL OR FINANCIAL INTERESTS OF A COVERED PERSON MAY APPEAR TO BE ADVANCED BY AN ACTION OF THE ORGANIZATION, OR OTHERWISE WHENEVER A COVERED PERSON'S PERSONAL OR FINANCIAL INTERESTS COULD BE REASONABLY VIEWED AS AFFECTING HIS OR HER OBJECTIVITY OR INDEPENDENCE IN FULFILLING HIS OR HER DUTIES TO THE ORGANIZATION. WHEN A COVERED PERSON BECOMES AWARE OF A POSSIBLE COVERED TRANSACTION, HE OR SHE SHALL HAVE A DUTY TO TAKE THE FOLLOWING ACTIONS: (A) IMMEDIATELY DISCLOSE THE EXISTENCE AND ALL MATERIAL FACTS OF THE POSSIBLE COVERED TRANSACTION TO THE CHAIR OF THE BOARD OF DIRECTORS (IN THE CASE OF DIRECTORS OR THE PRESIDENT) OR THE PRESIDENT (IN THE CASE OF OFFICERS); (B) REFRAIN FROM USING HIS OR HER PERSONAL INFLUENCE TO ENCOURAGE ENTERING INTO THE COVERED TRANSACTION; AND (C) PHYSICALLY EXCUSE HIMSELF OR HERSELF FROM PARTICIPATION IN ANY DISCUSSION REGARDING THE COVERED TRANSACTION WITH OFFICERS, DIRESTORS, AND EMPLOYEES OF THE ORGANIZATION, EXCEPT TO RESPOND TO REQUESTS FOR INFORMATION. IN ORDER TO ASSIST THE ORGANIZATION IN IDENTIFYING POTENTIAL COVERED TRANSACTIONS, EACH COVERED PERSON WHO CURRENTLY SERVES AS AN OFFICER, DIRECTOR OR KEY EMPLOYEE ANNUALLY SHALL COMPLETE AND SIGN A CONFLICT OF INTEREST DECLARATION PROVIDED BY THE ORGANIZATION AND SHALL UPDATE SUCH DECLARATION AS NECCESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 900918856 ASSISTANCE DURING NATURAL OR CIVIL DISASTERS DE 501(C)(3) LINE 7 AMERISOURCEBERGEN CORPORATION 0 XCENDA LLC 4114 WOODLAND PARKWAY 500 EAST LAKE PALM HARBOR FL 34685 043697141 PHARMACEUTICAL SOURCING AND DISTRIBUTION FL N/A 0 0 AMERISOURCEBERGEN CORPORATION 1 WEST 1ST AVENUE CONSHOHOCKEN PA 19428 233079390 PHARMACEUTICAL SOURCING AND DISTRIBUTION DE N/A C 0 THE LASH GROUP INC 1800 INNOVATION POINT FORT MILL SC 29715 521663991 PHARMACEUTICAL SOURCING AND DISTRIBUTION DE N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0