2021-11-02T19:00:44-05:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2020-01-01 844029941 ALLIANCE NCTN FOUNDATION ALLI 7737029171 125 S WACKER DRIVE NO 1600 CHICAGO IL 60606 MONICA BERTAGNOLLI PRESIDENT 7737029171 2021-11-02 1 MONICA BERTAGNOLLI 999009999 EVA MRUK P00543254 9143818900 2021-11-02 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MONICA BERTAGNOLLI 125 S WACKER DRIVE NO 1600 CHICAGO IL 60606 2926430 0 X N/A X 2019 IL TO PROVIDE SCIENTIFIC AND OPERATIONAL INFRASTRUCTURE FOR THE IMPLEMENTATION OF INNOVATIVE CLINICAL AND TRANSLATIONAL RESEARCH IN ACADEMIC AND COMMUNITY SETTINGS. 35 35 0 38 0 0 0 2926320 0 0 0 110 0 0 0 2926430 0 2716666 0 0 0 0 0 0 0 0 949947 0 3666613 0 -740183 0 4343626 0 3195016 0 1148610 X TO PROVIDE SCIENTIFIC AND OPERATIONAL INFRASTRUCTURE FOR THE IMPLEMENTATION OF INNOVATIVE CLINICAL AND TRANSLATIONAL RESEARCH IN ACADEMIC AND COMMUNITY SETTINGS AND TO REDUCE THE IMPACT OF CANCER ON PEOPLE BY ENGAGING A COMPREHENSIVE RESEARCH NETWORK, CONDUCTING HIGH QUALITY MULTIDISCIPLINARY CANCER CONTROL, PREVENTION AND TREATMENT TRIALS. 0 0 2716666 2716666 DURING 2020, ALLIANCE NCTN FOUNDATION SUCCESSFULLY INITIATED OPERATIONAL OVERSIGHT OF INNOVATIVE CLINICAL TRANSLATION RESEARCH IN ACADEMIC AND COMMUNITY SETTINGS FOCUSED ON REDUCING THE IMPACT OF CANCER BY ENGAGING A COMPREHENSIVE RESEARCH NETWORK AND CONDUCTING HIGH QUALITY MULTIDISCIPLINARY CANCER CONTROL, PREVENTION AND TREATMENT TRIALS, THE RESULTS OF WHICH WILL BE AVAILABLE TO THE PUBLIC, AND FURTHERING THE UNDERSTANDING OF THE BIOLOGICAL BASIS FOR CANCER AND ITS TREATMENT FROM DISCOVERY, TO VALIDATION, TO CLINICAL PRACTICE. 2716666 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 35 35 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X DHRUVA GOLLERKERI 6177327898 221 LONGWOOD AVENUE BOSTON MA 02115 DHRUVA GOLLERKERI TREASURER/CONTROLLER 20.00 20.00 X 0 173745 27129 TRINIDAD AJAZI SECRETARY 6.00 6.00 X 0 88008 0 MONICA BERTAGNOLLI PRESIDENT/TRUSTEE 5.00 5.00 X X 0 5120 0 SUZANNE GEORGE VICE PRESIDENT/TRUSTEE 0.50 0.50 X X 0 0 0 STEVEN ALBERTS TRUSTEE 0.50 0.50 X 0 0 0 DANIEL ANDERSON TRUSTEE 0.50 0.50 X 0 0 0 C BABIS ANDREADIS TRUSTEE 0.50 0.50 X 0 0 0 JAMES ATKINS TRUSTEE 0.50 0.50 X 0 0 0 LUDA BAZHENOVA TRUSTEE 0.50 0.50 X 0 0 0 ROBERT BEHRENS TRUSTEE 0.50 0.50 X 0 0 0 CLARA BLOOMFIELD TRUSTEE (THRU 3/1/20) 0.50 0.50 X 0 0 0 HAROLD BURSTEIN TRUSTEE 0.50 0.50 X 0 0 0 JEFFREY CRAWFORD TRUSTEE 0.50 0.50 X 0 0 0 JENNIFER DILL TRUSTEE 0.50 0.50 X 0 0 0 KONSTANTIN DRAGNEV TRUSTEE 0.50 0.50 X 0 0 0 JOHN ELLERTON TRUSTEE 0.50 0.50 X 0 0 0 GINI FLEMING TRUSTEE 0.50 0.50 X 0 0 0 RICHARD GOLDBERG TRUSTEE 0.50 0.50 X 0 0 0 STEPHEN GRAZIANO TRUSTEE 0.50 0.50 X 0 0 0 STEPHEN GRUBBS TRUSTEE 0.50 0.50 X 0 0 0 OLWEN HAHN TRUSTEE 0.50 0.50 X 0 0 0 CLIFFORD HUDIS TRUSTEE 0.50 0.50 X 0 0 0 KELLY HUNT TRUSTEE 0.50 0.50 X 0 0 0 HEIDI KLEPIN TRUSTEE 0.50 0.50 X 0 0 0 JOHN LEONARD TRUSTEE 0.50 0.50 X 0 0 0 ELLIS LEVINE TRUSTEE 0.50 0.50 X 0 0 0 MINETTA LIU TRUSTEE 0.50 0.50 X 0 0 0 ALAN LYSS TRUSTEE 0.50 0.50 X 0 0 0 SUMITHRA MANDREKAR TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL MORRIS TRUSTEE 0.50 0.50 X 0 0 0 ELECTRA PASKETT TRUSTEE 0.50 0.50 X 0 0 0 JANE PERLMUTTER TRUSTEE 0.50 0.50 X 0 0 0 STEVEN PIANTADOSI TRUSTEE 0.50 0.50 X 0 0 0 DEBORAH SCHRAG TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL SCHWARTZ TRUSTEE 0.50 0.50 X 0 0 0 PHILLIP STELLA TRUSTEE 0.50 0.50 X 0 0 0 W FRASER SYMMANS TRUSTEE 0.50 0.50 X 0 0 0 EVERETT VOKES TRUSTEE (THRU 1/31/20) 0.50 0.50 X 0 0 0 ERIC WINER TRUSTEE (THRU 1/31/20) 0.50 0.50 X 0 0 0 MARIE WOOD TRUSTEE 0.50 0.50 X 0 0 0 0 266873 27129 0 0 1 0 0 2926320 2926320 110 110 2926430 0 0 110 X 2692666 2692666 24000 24000 14706 14706 40230 40230 766216 766216 11230 11230 19027 19027 15891 15891 2773 2773 1111 1111 6230 6230 DRUG DISTRIBUTION 72533 72533 3666613 2716666 949947 0 1285002 2926320 132304 0 4343626 2921382 0 273634 0 3195016 X 1148610 0 1148610 0 4343626 X -740183 1888793 X X 0 1 X 1 1 1 X 0 2926320 2926320 2926320 2926320 2926320 0 110 110 2926430 2926320 X SCHEDULE A, PART II, SECTION A: COLUMN (D) - 2019 IS A SHORT-YEAR AS THE ORGANIZATION WAS FORMED 11/22/2019. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTIES 273634 273634 X 2984430 58000 58000 2926430 0 2926430 3724613 58000 58000 3666613 0 3666613 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. 1 NORTH AMERICA GRANTS 24000 0 0 0 0 0 0 24000 0 24000 NORTH AMERICA INSTITUTIONAL SUPPORT FOR CANCER RESEARCH 24000 WIRE 1 0 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS. PAYMENTS OF GRANTS ARE NOT MADE UNTIL THE GRANTEE SUBMITS AN INVOICE, REFERENCING A STUDY UNDERWAY. ALL INVOICES ARE REVIEWED AND APPROVED BY OPERATIONS. THE DISBURSEMENTS ARE ALSO MONITORED BY THE BOARD TREASURER. THE ORGANIZATION RUNS AND MAINTAINS REPORTS IDENTIFYING GRANT PAYMENT OBLIGATIONS AND GRANT PAYMENTS. PART I, LINE 3: EXPENDITURES ARE RECOGNIZED UNDER THE ACCRUAL BASIS OF ACCOUNTING. PART III ACCOUNTING METHOD: 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 1556103 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH AMERICAN COLLEGE OF SURGEONS 633 NORTH SAINT CLAIR STREET CHICAGO IL 60611 362192800 501(C)(3) 86685 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH ASCENSION VIA CHRISTI HOSPITALS WICHITA 929 N ST FRANCIS WICHITA KS 67214 481172106 501(C)(3) 34400 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH ADVENTHEALTH ALTAMONTE 601 E ROLLINS STREET ORLANDO FL 32803 590724459 501(C)(3) 33000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER 1515 HOLCOMBE BOULEVARD HOUSTON TX 77030 746001118 STATE OF TX 32537 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH WILLIAM E KAHLERT REGIONAL CANCER CENTERSINAI HOSPITAL 2401 W BELVEDERE AVENUE BALTIMORE MD 21215 520486540 501(C)(3) 27900 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH SAINT LUKE'S HOSPITAL 232 SOUTH WOODS MILL ROAD SUITE 360 EAST SHESTERFIELD MO 63017 430652680 501(C)(3) 25950 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH OHIO STATE UNIVERSITY COMPREHENSIVE CANCER CENTER PO BOX 21781 COLUMBUS OH 43221 311166607 501(C)(3) 24000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER PO BOX 26901 SCB 233 OKLAHOMA CITY OK 73126 736017987 STATE OF OK 21900 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH AUGUSTA HEALTH CENTER FOR CANCER AND BLOOD DISORDERS 78 MEDICAL CENTER DR FISHERSVILLE VA 22939 541453954 501(C)(3) 19750 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 660 S EUCLID ST LOUIS MO 63110 430653611 501(C)(3) 19200 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF CALIFORNIA SAN FRANSCISCO 1855 FOLSOM STREET SUITE 425 SAN FRANCISCO CA 94143 946036493 501(C)(3) 17784 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH SITEMAN CANCER CENTER AT CHRISTIAN HOSPITAL 11133 DUNN ROAD ST LOUIS MO 63136 436057893 501(C)(3) 17000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH HENRY FORD HOSPITAL 1 FORD PLACE DETROIT MI 48202 381357020 501(C)(3) 15000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH HOUSTON METHODIST SUGAR LAND HOSPITAL 6565 FANNIN STREET HOUSTON TX 77030 870721923 501(C)(3) 15000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH COBORN CANCER CENTER AT SAINT CLOUD HOSPITAL 1406 6TH AVE NORTH ST CLOUD MN 56303 410695596 501(C)(3) 13750 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH SENTARA NORFOLK GENERAL HOSPITAL 6015 POPLAR HALL DR NORFOLK VA 23502 541547408 501(C)(3) 13000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH NORTHWEST HOSPITAL CENTER 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 521372665 501(C)(3) 12400 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH WALTER REED NATIONAL MILITARY MEDICAL CENTER 8901 ROCKVILLE PIKE BETHESDA MD 20889 770706389 FEDERAL GOVT 11500 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH MEDICAL COLLEGE OF WISCONSIN 8701 W WATERTOWN PLANK ROAD MILWARUKEE WI 53226 390806261 501(C)(3) 11000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNC LINEBERGER COMPREHENSIVE CANCER CENTER 123 W FRANKLIN ST STE 510 CHAPEL HILL NC 27516 566057494 501(C)(3) 10500 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTONSALEM NC 27157 223849199 501(C)(3) 10500 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH DURHAM VA MEDICAL CENTER 508 FULTON ST DURHAM NC 27705 561655431 501(C)(3) 10000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH OSF SAINT ANTHONY MEDICAL CENTER 800 NE GLEN OAK AVE PEORIA IL 61603 370813229 501(C)(3) 9600 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH GUTHRIE MEDICAL GROUP PC-ROBERT PACKER HOSPITAL 1 GUTHRIE SQUARE SAYRE PA 18840 250815795 501(C)(3) 9450 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH ALTRU CANCER CENTER 960 S COLUMBIA RD GRAND FORKS ND 58201 450310462 501(C)(3) 9000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH HUNTSMAN CANCER INSTITUTEUNIVERSITY OF UTAH 500 S HUNTSMAN WAY SALT LAKE CITY UT 84108 870541293 501(C)(3) 9000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF PITTSBURGH CANCER INSTITUTE (UPCI) 5150 CENTER AVENUE PITTSBURGH PA 15232 250965591 501(C)(3) 8000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH EASTERN MAINE MEDICAL CENTER CANCER CARE 43 WHITING HILL RD BREWER ME 04412 010211501 501(C)(3) 7000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH SAINT ELIZABETH MEDICAL CENTER SOUTH 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 610445850 501(C)(3) 7000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 7974 UW HEALTH COURT MIDDLETON WI 56562 391835630 501(C)(3) 7000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH THE MEDICAL COLLEGE OF WISCONSIN 8701 W WATERTOWN PLANK ROAD MILWAUKEE WI 53226 390806261 501(C)(3) 6970 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH BAPTIST HEALTH HARDIN 913 NORTH DIXIE ELIZABETHTOWN KY 42071 611251585 501(C)(3) 6600 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH MINNEAPOLIS VA MEDICAL CENTER ONE VETERANS DRIVE MINNEAPOLIS MN 55417 410696270 FEDERAL GOVT 6250 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH MEMORIAL SLOAN KETTERING NASSAU 1275 YORK AVE NEW YORK NY 10065 131924236 501(C)(3) 6000 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH UNIVERSITY OF NORTH CAROLINA 450 WEST DR CHAPEL HILL NC 27599 566001393 STATE OF NC 5318 INSTITUTIONAL SUPPORT FOR CANCER RESEARCH 36 0 PART I, LINE 2: THE ORGANIZATION HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS. PAYMENTS OF GRANTS ARE NOT MADE UNTIL THE GRANTEE SUBMITS AN INVOICE, REFERENCING A STUDY UNDERWAY. ALL INVOICES ARE REVIEWED AND APPROVED BY OPERATIONS. THE DISBURSEMENTS ARE ALSO MONITORED BY THE BOARD TREASURER. THE ORGANIZATION RUNS AND MAINTAINS REPORTS IDENTIFYING GRANT PAYMENT OBLIGATIONS AND GRANT PAYMENTS. 0 0 0 0 0 0 0 0 0 DHRUVA GOLLERKERI TREASURER/CONTROLLER 0 143745 0 30000 0 0 0 0 0 27129 0 200874 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION IS MANAGED BY THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY FOUNDATION (THE "FOUNDATION"), A RELATED TAX-EXEMPT ORGANIZATION. THE FOUNDATION MANAGES AND DIRECTS ALL OPERATIONS, FINANCIAL AFFAIRS, AND PROVIDES STAFFING AND OFFICE SPACE TO THE ORGANIZATION. THE ORGANIZATION'S PRESIDENT, SECRETARY, AND TREASURER WERE COMPENSATED BY THE FOUNDATION. AS REPORTED IN FORM 990, PART VII, THE FOLLOWING COMPENSATION WAS RECEIVED BY SUCH PERSONS FOR SERVICES RENDERED TO THE FILING ORGANIZATION AND THE FOUNDATION DURING 2020: REPORTABLE COMPENSATION: OTHER COMPENSATION: MONICA BERTAGNOLLI, PRESIDENT $5,120 $0 TRINIDAD AJAZI, SECRETARY $88,008 $0 DHRUVA GOLLERKERI, TREASURER $173,745 $27,129 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND THE CORPORATE OFFICERS PRIOR TO FILING WITH A REASONABLE AMOUNT OF TIME TO REVIEW AND PROVIDE ANY QUESTIONS OR OBSERVATIONS DIRECTLY TO THE ORGANIZATION. THE GOVERNING BODY IS GIVEN AN OPPORTUNITY TO REVIEW THE RETURN AND PROVIDE ANY QUESTIONS OR OBSERVATIONS DIRECTLY TO THE ORGANIZATION'S MANAGEMENT OR THE CONTACT AT THE INDEPENDENT CPA FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO OFFICERS, TRUSTEES, EMPLOYEES, AND INDEPENDENT CONTRACTORS. ANY INDIVIDUAL INVOLVED IN A FOUNDATION DECISION-MAKING PROCESS HAS AN OBLIGATION TO DISCLOSE ANY CONFLICTING OR POTENTIALLY CONFLICTING PERSONAL, PROFESSIONAL OR BUSINESS INTEREST HE OR SHE MAY HAVE, DIRECTLY OR INDIRECTLY, TO THE COMPLIANCE OFFICER OF THE FOUNDATION. UNLESS SUCH INTEREST HAS FIRST BEEN DISCLOSED TO THE OTHER PARTICIPANTS IN THE DECISION-MAKING BODY, NO TRUSTEE SHALL VOTE ON ANY MATTER IN WHICH HE OR SHE HAS AN INTEREST. IN SOME CASES, RECUSAL FROM VOTING ON A MATTER AND LIMITING THE INDIVIDUAL'S PARTICIPATION ONLY TO PROVIDING FACTUAL INFORMATION BENEFITING THE GROUP DISCUSSION MAY BE NECESSARY. OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS. POTENTIAL CONFLICTS ARE LOGGED WITH AND MONITORED BY THE SECRETARY OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSOURCED STAFFING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 624,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 624,091. FEDERAL GRANT MANAGEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 141,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,535. SPACE PLANNING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 590. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER FROM RELATED ORGANIZATION 1,888,793. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY FOUNDATION 125 S WACKER DRIVE STE 1600 CHICAGO IL 60606 020464400 RAISE FUNDS TO SUPPORT THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY IL 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0