AGENO FOUNDATION INTERNATIONAL INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: AGENO FOUNDATION INTERNATIONAL INCORPORATED (EIN 45-4043387)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2019-04-06
IRS object ID: 201930969349300123
Schema version: 2017v2.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-04-06T19:11:04-04:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	271197866	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	NORSTAR GROUP LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 828	AddressLine1Txt
City	YONKERS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10702	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	454043387	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE AGENO FOUNDATION INTERNATIONAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AGEN	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 370	AddressLine1Txt
City	NEW CITY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10956	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE HOLSON	PersonNm
Person Title	VICE PRESIDENT	PersonTitleTxt
Signature	2018-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RAYMOND EMANUEL	PreparerPersonNm
PTIN	P00184601	PTIN
Phone	9142144971	PhoneNum
Preparation	2019-04-06	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	184.171.140.17	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-04-06	IPDt
IP Tm	19:11:59	IPTm
Federal Original Submission Id	1381022019096rtsby4j	FederalOriginalSubmissionId
Federal Original Submission Id	2019-04-06	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	2F542E8C0E8B269767CA688E7A9538CAB87424E2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2F542E8C0E8B269767CA688E7A9538CAB87424E2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	JAMEL PATTERSON MD MPH MS	PrincipalOfficerNm
Gross Receipts	$283,327	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AGENOFOUNDATION.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	HEALTH CARE AND EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$256,956	PYContributionsGrantsAmt
CY Contributions Grants	$283,327	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$256,956	PYTotalRevenueAmt
CY Total Revenue	$283,327	CYTotalRevenueAmt
PY Grants And Similar Paid	$242,368	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$265,212	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$17,514	CYTotalFundraisingExpenseAmt
PY Other Expenses	$17,573	PYOtherExpensesAmt
CY Other Expenses	$22,458	CYOtherExpensesAmt
PY Total Expenses	$259,941	PYTotalExpensesAmt
CY Total Expenses	$287,670	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,985	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,343	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,181	TotalAssetsBOYAmt
Total Assets EOY	$838	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,181	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$838	NetAssetsOrFundBalancesEOYAmt
Mission	HEALTH CARE AND EDUCATION	MissionDesc
Expense	$126,669	ExpenseAmt
Grant	$126,669	GrantAmt
Desc	HAITIPROJECT AGENO A DELMAS COMMUNITY DEVELOPMENT PROGRAMS 2017Scholarships for 80 students to attend school and university Distributed school bags, shoes, uniforms and books to all recipients.Afterschool program for 60 students 5 days a week. Provided over 8 000 meals 4 students successfully completed their high school diploma. 3 of 4 now in university 5 students graduated with university degrees. Primary care clinic had 8000 patient visits. 4 medical mission trips.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$102,780	ExpenseAmt
Grant	$102,780	GrantAmt
Desc	COMMUNITY DEVELOPMENT - JAMAICA2 medical missions distribute school supplies to a rural primary school	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$25,703	ExpenseAmt
Grant	$25,703	GrantAmt
Desc	OTHER COMMUNITY HEALTH AND DEVELOPMENT PROJECTS - KENYACompleted the flooring of a primary school in a Maasai villageFinancial support for an art class for 15 youths in Nairobi.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$10,060	ExpenseAmt
Grant	$10,060	GrantAmt
Desc	EDUCATION PROGRAM EXPENDITURES 2017Uganda40 students received scholarships to attend primary schoolAgeno Feeding Initiative providing food to 50 families2 university graduates	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$10,060	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$10,060	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$265,212	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (true)	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVE HOLSON MD MPH	PersonNm
Phone	9144231720	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 370	AddressLine1Txt
City	NEW CITY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10956	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JAMEL PATTERSON MD MPH MS
PRESIDENT	10.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVE HOLSON MD MPH
VICE PRESIDENT & TREASURER	10.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DALE REIGER-BUTLER DNP FNP
VICE PRESIDENT & SECRETARY	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT CHIN
ASSISTANT SECRETARY	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Fundraising	$37,940	FundraisingAmt
All Other Contributions	$245,387	AllOtherContributionsAmt
Total Contributions	$283,327	TotalContributionsAmt
Contri Rpt Fundraising Event	$37,940	ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$283,327	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$265,212	TotalAmt
Program Services	$265,212	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	OPERATING EXPENSES	Desc
Total	$22,458	TotalAmt
Management And General	$4,944	ManagementAndGeneralAmt
Fundraising	$17,514	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$287,670	TotalAmt
Program Services	$265,212	ProgramServicesAmt
Management And General	$4,944	ManagementAndGeneralAmt
Fundraising	$17,514	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,181	BOYAmt
EOY	$838	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,181	BOYAmt
EOY	$838	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$5,181	BOYAmt
EOY	$838	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,181	BOYAmt
EOY	$838	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,181	BOYAmt
EOY	$838	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$4,343	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$125,008	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$226,387	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$249,886	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$256,956	CurrentTaxYearMinus1YearAmt
Current Tax Year	$283,327	CurrentTaxYearAmt
Total	$1,141,564	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$125,008	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$226,387	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$249,886	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$256,956	CurrentTaxYearMinus1YearAmt
Current Tax Year	$283,327	CurrentTaxYearAmt
Total	$1,141,564	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$282,223	SubstantialContributorsTotAmt
Public Support Total170	$859,341	PublicSupportTotal170Amt
Total Support	$1,141,564	TotalSupportAmt
Public Support CY170	0.75280	PublicSupportCY170Pct
Public Support PY170	0.77900	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Schedule F IRS990ScheduleF

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	RegionTxt
Purpose Of Grant	FEEDING INITIATIVE MEDICAL MISSIONS	PurposeOfGrantTxt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (3 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt
EDUCATION PROGRAMS	CENTRAL AMERICA AND THE CARIBBEAN
COMMUNITY DEVELOPMENT	CENTRAL AMERICA AND THE CARIBBEAN
COMMUNITY DEVELOPMENT	SUB-SAHARAN AFRICA

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AGENO GALA	Event1Nm

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Amended return information	FORM 990 AMENDED TO MORE ACCURATELY REPRESENT THE 2017 ACCOMPLISHMENTS OF THE AGENO FOUNDATION INTERNATIONAL, INC.
Form 990 governing body review Part VI line 11	PRIOR TO FILING FORM 990 OR 990EZ, THIS FORM WILL BE MADE AVAILABLE REVIEW, COMMENT AND/OR INPUT TO ALL GOVERNING MEMBERS OF THE ORGANIZATION IN ELECTRONIC OR PAPER FORMAT.
Governing documents etc available to public Part VI line 19	BEYOND ITEMS REQUIRED BY THE IRS TO BE MADE AVAILABLE TO THE PUBLIC, OTHER ORGANIZATIONAL DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UP WRITTEN REQUEST AND TO THE EXTENT THAT THE DOCUMENTS ENHANCE PUBLIC UNDERSTANDING AND ARE BENEFICIAL TO THE ORGANIZAION. THESE DOCUMENTS WILL BE MADE AVAILABLE IN ELECTRONIC AND/OR PAPER FORMAT.