2021-09-22T07:07:29-05:00 2020-12-31 111986323 MARCUM LLP 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2020-01-01 831501685 FORWARD IMPACT FORW 3105702963 777 S ALAMEDA ST 2ND FLOOR LOS ANGELES CA 90021 DANIEL FORKKIO CHIEF EXECUTIVE OFFICER 3105702963 2021-09-22 1 DANIEL FORKKIO XXX-XX-XXXX AARON M FOX P01365820 2022274000 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X REPRESENT JUSTICE DANIEL FORKKIO 777 S ALAMEDA ST 2ND FLOOR LOS ANGELES CA 90021 1138673 0 X N/A X 2018 CA EDUCATES THE PUBLIC ON A WIDE RANGE OF SOCIAL ISSUES REGARDING THE U.S. JUSTICE SYSTEM. 5 5 12 6 0 0 10880164 1135894 0 0 3509 2779 0 0 10883673 1138673 800000 2627700 0 0 406433 847714 0 96631 287935 2295941 4365543 3502374 7937588 7381299 -6798915 8885508 1908396 1504209 1326010 7381299 582386 X FORWARD IMPACT WORKS TO EDUCATE THE PUBLIC ON ON THE U.S. JUSTICE SYSTEM AND ITS INTERSECTION WITH THE TOPICS OF RACIAL EQUALITY, GENDER EQUALITY, WOMEN AND REPRODUCTIVE RIGHTS, EDUCATION REFORM, REFUGEE AND MIGRATION RIGHTS, HOMELESSNESS AND INCOME EQUALITY, HEALTH AND MENTAL HEALTH/WELLNESS/ADDICTION, GUN RIGHTS / CONTROL, MODERN SLAVERY / FORCED LABOR / AND ANY OTHER SOCIAL MATTERS THAT ARE IMPACTING COMMUNITIES THROUGHOUT THE UNITED STATES BUT ARE LIMITED IN TERMS OF EDUCATIONAL CONTENT. FORWARD IMPACT DEVELOPS AND EXECUTES CAMPAIGNS DESIGNED TO CATALYZE SOCIAL CHANGE AROUND PREMIER TV AND FILM. FORWARD IMPACT'S PUBLIC ENGAGEMENT ACTIVITIES INFLUENCE PERCEPTION AND BEHAVIOR CHANGE AT THE INDIVIDUAL AND INSTITUTIONAL LEVEL. FORWARD IMPACT DOES THIS BY ENGAGING WITH DECISION MAKERS AND STAKEHOLDERS AND MOBILIZING GRASSROOTS AUDIENCES AROUND THE CONTENT OF OUR ENTERTAINMENT INDUSTRY PARTNERS. 0 0 7187586 2627700 FORWARD IMPACT WORKS TO EDUCATE THE PUBLIC ON ON THE U.S. JUSTICE SYSTEM AND ITS INTERSECTION WITH THE TOPICS OF RACIAL EQUALITY, GENDER EQUALITY, WOMEN AND REPRODUCTIVE RIGHTS, EDUCATION REFORM, REFUGEE AND MIGRATION RIGHTS, HOMELESSNESS AND INCOME EQUALITY, HEALTH AND MENTAL HEALTH/WELLNESS/ADDICTION, GUN RIGHTS / CONTROL, MODERN SLAVERY / FORCED LABOR / AND ANY OTHER SOCIAL MATTERS THAT ARE IMPACTING COMMUNITIES THROUGHOUT THE UNITED STATES BUT ARE LIMITED IN TERMS OF EDUCATIONAL CONTENT.. FORWARD IMPACT DEVELOPS AND EXECUTES CAMPAIGNS DESIGNED TO CATALYZE SOCIAL CHANGE AROUND PREMIER TV AND FILM. FORWARD IMPACT'S PUBLIC ENGAGEMENT ACTIVITIES INFLUENCE PERCEPTION AND BEHAVIOR CHANGE AT THE INDIVIDUAL AND INSTITUTIONAL LEVEL. FORWARD IMPACT DOES THIS BY ENGAGING WITH DECISION MAKERS AND STAKEHOLDERS AND MOBILIZING GRASSROOTS AUDIENCES AROUND THE CONTENT OF OUR ENTERTAINMENT INDUSTRY PARTNERS. FORWARD IMPACT USES FILM SCREENINGS, SHORT FORM STORYTELLING, VIRTUAL REALITY (VR) AND AUGMENTED REALITY (AR) ACTIVATIONS, ART INSTALLMENTS, CONCERTS AND ALBUMS, EDUCATIONAL CONTENT, AND DIGITAL CAMPAIGNS (EMAIL, SOCIAL MEDIA), TO ACHIEVE THESE GOALS. FORWARD IMPACT'S EFFORTS ARE CLOSELY COORDINATED WITH THE RELEASE OF FEATURE FILMS AND TELEVISION SERIES THAT ADDRESS THE CIVIL AND HUMAN RIGHTS ISSUES THAT THE NONPROFIT FOCUSES ON, SO THAT IT CAN ENGAGE THE MASSES THROUGH THE PHENOMENON OF "NARRATIVE TRANSPORTATION" THAT OCCURS WHEN PEOPLE ARE CONSUMED IN POWERFUL STORIES. FORWARD IMPACT THEN CONNECTS AUDIENCES TO SPECIFIC ACTIONS THAT WHEN TAKEN COLLECTIVELY, HAVE LASTING IMPACT ON SOCIETY ONCE THE FILM OR CONTENT HAS COME AND GONE. 7187586 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 12 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 CA X DANIEL FORKKIO 3105702963 777 S ALAMEDA ST 2ND FLOOR LOS ANGELES CA 90021 DANIEL FORKKIO CHIEF EXECUTIVE OFFICER 40.00 X 192667 0 5383 GRETEL TRUONG VP, IMPACT CAMPAIGNS 40.00 X 177599 0 5405 CARLA FLEISHER VP, IMPACT DISTRIBUTION 40.00 X 106680 0 5279 JULIO MARCIAL BOARD CHAIR 1.00 X X 0 0 0 LIESL COPLAND SECRETARY 1.00 X X 0 0 0 SCOTT BUDNICK BOARD MEMBER 1.00 X 0 0 0 ANGELA MWANZA BOARD MEMBER (UNTIL 06/2020) 1.00 X 0 0 0 HEIDI NEL BOARD MEMBER 1.00 X 0 0 0 SHAKA SENGHOR BOARD MEMBER 1.00 X 0 0 0 476946 0 16067 3 0 1 0 PLUS ONE SOCIETY 1855 INDUSTRIAL STREET SUITE 720 LOS ANGELES CA 90021 MARKETING SERVICES 617335 DO BIG THINGS LLC PO BOX 128 MILL VALLEY CA 94942 PROGRAM MANAGEMENT AND DESIGN SUPPORT 472594 THE RABEN GROUP 1341 G STREET NW FLOOR 5 WASHINGTON DC 20005 OVERALL CAMPAIGN MGMT SERVICES 252615 ADVANCED ALTERNATIVE MEDIA INC 270 LAFAYETTE STREET NEW YORK NY 10012 PRODUCTION SERVICES 240000 TRAP HEALS 220 NW 66TH STREET 972 OKLAHOMA OK 73116 EVENT SERVICES 200000 11 1135894 1135894 2779 2779 1138673 0 0 2779 X 2627700 2627700 381054 254579 76964 49511 397662 313803 50489 33370 14876 11466 2030 1380 54122 39544 8831 5747 36560 36560 88004 88004 96631 96631 2860851 2700313 145663 14875 125959 83356 163 42440 125401 113751 7615 4035 30831 26351 2929 1551 39502 39502 162975 155833 6883 259 666928 659613 7315 523 373 98 52 13395 11374 1321 700 CONTENT & DIGITAL 107999 71472 139 36388 SCREENINGS 68087 68087 DUES & SUBSCRIPTIONS 23260 8949 13315 996 MISCELLANEOUS 8309 1520 6789 6959 6959 7937588 7187586 462067 287935 4220170 309708 2793487 1546247 1852253 5400 19598 41117 6447 523 0 5924 8885508 1908396 704209 81790 800000 400000 844220 1504209 1326010 X 786402 477386 6594897 105000 7381299 582386 8885508 1908396 -6798915 0 X 0 1 X 1 0 X 0 10880164 1135894 12016058 0 10880164 1135894 12016058 4035977 7980081 3509 2779 6288 12022346 X SCHEDULE A, PART II, EXPLANATION OF SHORT YEAR AS FORWARD IMPACT WAS INCORPORATED ON JUNE 19, 2018, A SHORT PERIOD RETURN WAS FILED FOR THE PERIOD ENDED DECEMBER 31, 2018. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 87770 270000 357770 7469111 7826881 541344 135336 0 0 541344 541344 812016 357770 357770 135336 135336 203004 87770 87770 6447 523 5924 5924 X 1138673 0 1138673 0 1138673 7937588 0 7937588 0 7937588 PART X, LINE 2: FORWARD IMPACT IS REQUIRED TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A LIABILITY FOR ANY POSITIONS THAT WOULD NOT BE CONSIDERED "MORE LIKELY THAN NOT" TO BE UPHELD UNDER A TAX AUTHORITY EXAMINATION. X 1 AKM CONSULTING INC 1140 3RD STREET NE WASHINGTON DC 20003 FUNDRAISING CONSULTING 0 0 10000 -10000 THE ALCHEMIST AGENCY 10926 QUALITY DRIVE 38991 CHARLOTTE NC 28728 FUNDRAISING CONSULTING 0 0 11160 -11160 THE RABEN GROUP 1341 G STREET NW 5TH FLOOR WASHINGTON DC 20005 OVERALL CAMPAIGN MGMT SERVICES 0 0 20000 -20000 THURLOW ASSOCIATES 15342 HAWTHRONE BOULEVARD SUITE 40 LAWNDALE CA 90260 FUND DEVELOPMENT COUNSEL AND ASSISTANCE 0 0 55471 -55471 96631 -96631 CA 1 AIM 4 THE HEART 10850 WILSHIRE BOULEVARD SUITE 350 LOS ANGELES CA 90024 954685139 501(C)(3) 7000 CHARITABLE AMERICAN CONSERVATIVE UNION FOUNDATION 1199 N FAIRFAX STREET SUITE 500 ALEXANDRIA VA 22314 521294680 501(C)(3) 25000 DIGNITY FOR WOMEN INCARCERATED GRANT ANTI RECIDIVISM COALITION 1320 EAST 7TH STREET LOS ANGELES CA 90021 462140915 501(C)(3) 19000 COVID-19 GRANT ART FOR JUSTICE PO BOX 526 HARLEYSVILLE PA 19438 208596534 501(C)(3) 500000 CHARITABLE BLUE GIRLS TURNED GOLD 1710 ROCK BRIDGE MEWS D CHESAPEAKE VA 23320 821463100 501(C)(3) 8000 COVID-19 GRANT BROOKLYN DEFENDER SERVICES 177 LIVINGSTON STREET 7TH FLOOR BROOKLYN NY 11201 113305406 501(C)(3) 15000 CAPACITY-BUILDING SUPPORT FOR REPRESENT JUSTICE CAMPAIGN CAMPAIGN FOR THE FAIR SENTENCING OF YOUTH 1323 F STREET NW SUITE 303 WASHINGTON DC 20004 273761788 501(C)(3) 120000 CHARITABLE COLOR OF CHANGEORG EDUCATION FUND 1714 FRANKLIN STREET SUITE 100-136 OAKLAND CA 94612 455569879 501(C)(3) 150000 REPRESENT JUSTICE CAMPAIGN - JUST MERCY COLORADANS FOR ALTERNATIVES TO THE DEATH PO BOX 46123 DENVER CO 80201 841477844 501(C)(3) 7500 FILM SCREENING COMMUNITY PARTNERS PO BOX 741265 LOS ANGELES CA 900741265 954302067 501(C)(3) 10000 SPONSORED PROJECT HEALING DIALOGUE AND ACTION EQUAL JUSTICE INITIATIVE 122 COMMERCE STREET MONTGOMERY AL 36104 631135091 501(C)(3) 1000000 EQUAL JUSTICE INITIATIVE FAITH IN ACTION NATIONAL NETWORK PO BOX 5387 CAROL STREAM IL 601975387 942206497 501(C)(3) 10000 DONATION - PLEDGE TO LIVE FREE AND THE MASKS FOR THE PEOPLE CAMPAIGN HUMAN RIGHTS FOR KIDS PO BOX 5960 WASHINGTON DC 20016 822971359 501(C)(3) 20000 SUPPORT FOR HRFK CHARITABLE SERVICES HUMAN RIGHTS WATCH 11500 W OLYMPIC BOULEVARD SUITE 608 608 LOS ANGELES CA 900211134 132875808 501(C)(3) 35000 CAPACITY BUILDING FUNDING LIFT BROTHERS UP FOUNDATION 1703 S SOUTHFIELD DRIVE MAHOMET IL 61853 842255577 501(C)(3) 7000 COVID-19 GRANT LIVING THROUGH GIVING FOUNDATION 8544 BURTON WAY SUITE 401 LOS ANGELES CA 90048 800928421 501(C)(3) 25000 CHARITABLE LOUISIANA PAROLE PROJECT 427 MAYFLOWER STREET BATON ROUGE LA 70802 813399508 501(C)(3) 10000 COVID-19 GRANT MILLENNIAL ACTION PROJECT 1701 RHODE ISLAND AVENUE NW WASHINGTON DC 20036 472802851 501(C)(3) 100000 CAPACITY BUILDING FUNDING NEW VENTURE FUND 1201 CONNECTICUT AVENUE NW SUITE 300 WASHINGTON DC 20036 205806345 501(C)(3) 20000 OHIO TRANSFORMATION FUND PROJECT/GRANT FOR REPRESENT JUSTICE CAMPAIGN OHIO JUSTICE POLICY CENTER 215 E 9TH STREET SUITE 601 CINCINNATI OH 60202 311319172 501(C)(3) 4000 COVID-19 GRANT OHIO ORGANIZING COLLABORATIVE 25 E BOARDMAN STREET SUITE 230 YOUNGSTOWN OH 44503 261601472 501(C)(3) 25000 CHARITABLE PHILADELPHIA LAWYERS FOR SOCIAL EQUITY 1501 CHERRY STREET PHILADELPHIA PA 19102 452980014 501(C)(3) 20000 CHARITABLE SOUTHSIDERS ORGANIZED FOR UNITY AND LIBERATION (SOUL) 11211 S ST LAWRENCE AVENUE CHICAGO IL 60628 364174590 501(C)(3) 45000 REPRESENT JUSTICE CAMPAIGN FILM SCREENING THE LADIES OF HOPE MINISTRIES 8 W 126TH STREET NEW YORK NY 10027 832249413 501(C)(3) 60000 CHARITABLE THE SENTENCING PROJECT 1705 DESALES STREET NW 8TH FLOOR WASHINGTON DC 20036 521472546 501(C)(3) 12500 STATED -BASED ADVOCACY & PUBLIC EDUCATION ACTIVITIES THE STORY PROJECT 1175 EAST BAKER STREET E-19 COSTA MESA CA 92626 954684376 501(C)(3) 8000 COVID-19 GRANT TIDES ADVOCACY 1014 TORNEY AVENUE SAN FRANCISCO CA 94129 943153687 501(C)(3) 246000 CHARITABLE VERA INSTITUTE OF JUSTICE 34 35TH STREET SUITE 4-2A BROOKLYN NY 11232 131941627 501(C)(3) 50000 PROMOTING THE REPRESENT JUSTICE CAMPAIGN VOTE - VOICE OF THE EXPERIENCED PO BOX 13622 NEW ORLEANS LA 70185 161695266 501(C)(3) 30000 GOOD FILMS IMPACT GRANT - REPRESENT JUSTICE CAMPAIGN 2/1/20-6/30/20 WOMEN INVOLVED IN REENTRY EFFORTS 4117 AMES STREET NE WASHINGTON DC 20019 464587157 501(C)(3) 8000 COVID-19 GRANT WITNESS TO INNOCENCE 1501 CHERRY STREET PHILADELPHIA PA 19102 202394229 501(C)(3) 15000 COVID-19 GRANT; LEGISLATIVE SCREENING OF JUST MERCY YOUNG WOMEN'S FREEDOM CENTER 832 FOLSOM STREET SUITE 700 SAN FRANCISCO CA 94107 943227681 501(C)(3) 9000 COVID-19 GRANT 32 0 PART I, LINE 2: GRANT APPLICATIONS ARE REVIEWED AND APPROVED BY MANAGEMENT. ONCE THE GRANT IS APPROVED, AN AGREEMENT BETWEEN FORWARD IMPACT AND THE RECIPIENT OUTLINES THE RESPONSIBILITIES FOR EACH PARTY AS WELL AS HOW THE FUNDS ARE TO BE USED. THIS AGREEMENT IS SIGNED BY BOTH PARTIES. FINAL REPORTS ARE REQUIRED FROM THE GRANTEES PRIOR TO FINAL PAYMENT OF THE GRANT. X X X 0 0 0 0 0 0 0 0 0 DANIEL FORKKIO CHIEF EXECUTIVE OFFICER 192667 0 0 0 0 0 0 0 5383 0 198050 0 0 0 GRETEL TRUONG VP, IMPACT CAMPAIGNS 177599 0 0 0 0 0 0 0 5405 0 183004 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORWARD IMPACT HIRES AN ACCOUNTING FIRM TO PREPARE THE FEDERAL FORM 990. AFTER PREPARATION OF THE FEDERAL FORM 990, THE CHIEF FINANCIAL AND OPERATING OFFICER REVIEWS THE DRAFT FEDERAL FORM 990. ONCE ANY QUESTIONS OR CORRECTIONS ARE ADDRESSED, THE DRAFT FEDERAL FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD OF DIRECTORS PRIOR TO ELECTRONICALLY FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN THE EVENT A CONFLICT OF INTEREST EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THEY CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A UPON APPROVAL OF A JOB DESCRIPTION BY THE BOARD CHAIR, PAY BAND RESEARCH WAS REQUESTED AND PROVIDED BY A HIRED THIRD PARTY HR GROUP AT MARCUM LLP, WHICH WAS THEN DISCUSSED WITH THE FULL BOARD OF DIRECTORS, BEFORE COMING TO AN AGREEMENT AND PRESENTING AN OFFER LETTER. THE OFFER LETTER IS DRAFTED DIRECTLY BY THE HR FIRM AT THE DIRECTION OF THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 FORWARD IMPACT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,694,813. MANAGEMENT AND GENERAL EXPENSES 144,435. FUNDRAISING EXPENSES 14,076. TOTAL EXPENSES 2,853,324. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 5,500. MANAGEMENT AND GENERAL EXPENSES 1,228. FUNDRAISING EXPENSES 799. TOTAL EXPENSES 7,527.