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IZUMI FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
IZUMI FOUNDATION (EIN 04-3439149)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-04-13
IRS object ID
201801039349300110
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-04-13T09:39:02-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042442519PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EDELSTEIN AND COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1160 FEDERAL STREET 9TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043439149EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IZUMI FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIZUMBusinessNameControlTxt
Phone6172922333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE FINANCIAL CENTER24TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonYUKO YOSHIDAPersonNm
Person TitleCLERKPersonTitleTxt
Phone6172922333PhoneNum
Signature2018-04-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT KAPLOWITCHPreparerPersonNm
PTINP00002440PTIN
Phone6172276161PhoneNum
Preparation2018-04-11PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHINREI ITOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE FINANCIAL CENTER24TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,015,769GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://IZUMI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE ASSISTANCE TO THE WORLD'S POOREST PEOPLE THROUGH THE DEVELOPMENT AND SUPPORT OF PROGRAMS THAT IMPROVE HEALTHCARE IN DEVELOPING COUNTRIES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,000,000PYContributionsGrantsAmt
CY Contributions Grants$46,100CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,156,640PYInvestmentIncomeAmt
CY Investment Income$1,138,777CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,156,640PYTotalRevenueAmt
CY Total Revenue$1,184,877CYTotalRevenueAmt
PY Grants And Similar Paid$1,657,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,460,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$169,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,528CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$479,732PYOtherExpensesAmt
CY Other Expenses$475,463CYOtherExpensesAmt
PY Total Expenses$2,305,761PYTotalExpensesAmt
CY Total Expenses$2,069,991CYTotalExpensesAmt
PY Revenues Less Expenses-$149,121PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$885,114CYRevenuesLessExpensesAmt
Total Assets BOY$61,557,318TotalAssetsBOYAmt
Total Assets EOY$66,036,009TotalAssetsEOYAmt
Total Liabilities BOY$1,350,708TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,632,569TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$60,206,610NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$64,403,440NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ADDRESS THE ROOT CAUSES OF HUMAN SUFFERING, TO INCREASE THE COMPASSION AND CARING AMOUNG ALL HUMAN BEINGS, AND TO PROMOTE A SOCIETY THAT RESPECTS ALL LIVING THINGS. THE FOUNDATION'S MISSION IS TO ALLEVIATE HUMAN SUFFERING THROUGH IMPROVED HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$408,433ExpenseAmt
Grant$355,000GrantAmt
DescNEGLECTED TROPICAL DISEASES: TO SUPPORT PROGRAMS THAT ADDRESS NEGLECTED TROPICAL DISEASES IDENTIFIED BY THE WORLD HEALTH ORGANIZATION AND TO SUPPORT INTERVENTIONS THAT HAVE PROVEN EFFECTIVE IN CONTROLLING A DISEASE OR ITS SYMPTOMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$391,234ExpenseAmt
Grant$340,000GrantAmt
DescMATERNAL AND NEONATAL HEALTH: TO SUPPORT EFFECTIVE PROGRAMS THAT SUSTAIN THE LIVES OF BOTH THE MOTHER AND THE CHILD, RECOGNIZING THAT NEWBORN AND MATERNAL HEALTH AND SURVIVAL ARE CLOSELY LINKED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$321,999ExpenseAmt
Grant$280,000GrantAmt
DescINFECTIOUS DISEASE: TO SUPPORT PROJECTS THAT ADDRESS INFECTIOUS DISEASES WITH HIGH MORBIDITY AND MORTALITY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtDescDesc
$293,481$255,000HEALTHCARE INFRASTRUCTURE: TO SUPPORT PROJECTS THAT STRENGTHEN LOCAL SYSTEMS FOR DELIVERING HEALTH CARE, AS WELL AS NATIONAL AND REGIONAL SYSTEMS THAT SUPPORT THE PROVISION OF CARE AT THE LOCAL LEVEL.
$264,742$230,000MALNUTRITION: TO SUPPORT INNOVATIVE EFFORTS TO TREAT MALNUTRITION AT THE COMMUNITY LEVEL.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$558,223TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$485,000TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$1,679,889TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonYUKO YOSHIDAPersonNm
Phone6172922333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE FINANCIAL CENTERAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SHINREI ITO
PRESIDENT/DIRECTOR1.00Yes (X)Yes (X)$0$0$0
TAKEO AMANO
DIRECTOR (RESIGNED 10/26/2017)1.00Yes (X)$0$0$0
ZELMAN LEWIS BOKSER
DIRECTOR1.00Yes (X)$0$0$0
KOJI SUGIYAMA
DIRECTOR (APPOINTED 10/26/2017)1.00Yes (X)$0$0$0
KO YAMAMOTO
TREASURER1.00Yes (X)$0$0$0
YUKO YOSHIDA
CLERK40.00Yes (X)$0$0$0
JOHN WARFORD
ASSISTANT TREASURER40.00Yes (X)$0$0$0
GRETCHEN STODDARD
PROGRAM DIRECTOR40.00Yes (X)$85,000$0$21,959
FieldValueIRS element (for citing)
Total Reportable Comp From Org$85,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,959TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$46,100AllOtherContributionsAmt
Noncash Contributions$46,100NoncashContributionsAmt
Total Contributions$46,100TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,342,589TotalRevenueColumnAmt
Exclusion$1,342,589ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,627,080SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,830,892SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$203,812SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$203,812TotalRevenueColumnAmt
Exclusion-$203,812ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,184,877TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,138,777ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,380,000TotalAmt
Program Services$1,380,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$80,000TotalAmt
Program Services$80,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$106,959TotalAmt
Program Services$106,959ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,619TotalAmt
Program Services$16,619ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,147TotalAmt
Program Services$2,147ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,803TotalAmt
Program Services$8,803ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,138TotalAmt
Management And General$1,138ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,500TotalAmt
Management And General$22,500ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$193,176TotalAmt
Management And General$193,176ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,478TotalAmt
Management And General$11,478ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,060TotalAmt
Program Services$43,502ProgramServicesAmt
Management And General$132,558ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,752TotalAmt
Program Services$32,752ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,785TotalAmt
Program Services$1,970ProgramServicesAmt
Management And General$15,815ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,207TotalAmt
Management And General$9,207ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,644TotalAmt
Program Services$2,535ProgramServicesAmt
Management And General$2,109ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PRINTING & PUBLICATION$4,923$4,362$561
INTERNET$1,800$240$1,560

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,069,991TotalAmt
Program Services$1,679,889ProgramServicesAmt
Management And General$390,102ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$39,566BOYAmt
EOY$166,371EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,848,240BOYAmt
EOY$2,111,974EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$3,074EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$84,440LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$56,817LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,830BOYAmt
EOY$27,623EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,529,772BOYAmt
EOY$63,580,537EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$102,883BOYAmt
EOY$146,430EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,557,318BOYAmt
EOY$66,036,009EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,372BOYAmt
EOY$39,475EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$1,326,917BOYAmt
EOY$1,586,582EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,419BOYAmt
EOY$6,512EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,350,708BOYAmt
EOY$1,632,569EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,206,610BOYAmt
EOY$64,403,440EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,206,610BOYAmt
EOY$64,403,440EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,557,318BOYAmt
EOY$66,036,009EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$885,114ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,077,649NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,295OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SHINNYO-EN USABusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN942741242EIN
Organization Type1OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART IV, SECTION A. LINE 6FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION GRANTS FUNDS TO ORGANIZATIONS WHOSE MISSIONS AND PROGRAMS ALIGN WITH THE MISSION OF IT'S SUPPORTED ORGANIZATION.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,440OtherCostOrOtherBasisAmt
Depreciation$56,817DepreciationAmt
Book Value$27,623BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,623TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$6,512Amt
FieldValueIRS element (for citing)
Total Liability$6,512TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,453,845TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,077,649NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$191,319DonatedServicesAndUseFcltsAmt
Revenue Not Reported$5,268,968RevenueNotReportedAmt
Revenue Subtotal$1,184,877RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,184,877TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,257,015TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$191,319DonatedServicesUseFcltsAmt
Expenses Not Reported$191,319ExpensesNotReportedAmt
Expenses Subtotal$2,065,696ExpensesSubtotalAmt
Other Expenses Not Included$4,295OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,295ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,069,991TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 4B - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationREFUND OF PRIOR YEAR GRANTS 4,295.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGRANTS TO RECIPIENTS LOCATED IN REGIONTypeOfActivitiesConductedTxt
Specific Services ProvidedN/ASpecificServicesProvidedTxt
Region Total Expenditures$80,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$80,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$80,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Purpose Of GrantTO INCREASE AWARENESS OF THE HEALTH BENEFITS TO BE DERIVED FROM IMPROVED NUTRITION AMONG 200,000 RURAL MAYA RESIDENTS OF THE GUATEMALAN DEPARTMENT OF SOLOL.PurposeOfGrantTxt
Cash Grant$80,000CashGrantAmt
Manner Of Cash DisbursementCHECKMannerOfCashDisbursementTxt
Description Of Non Cash AsstN/ADescriptionOfNonCashAsstTxt
Valuation Method UsedN/AValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:THE FOUNDATION ASKS GRANTEE ORGANIZATIONS TO SUBMIT FINANCIAL REPORTS AT MIDTERM AND AT THE END OF THE PROJECT PERIOD. THE FINANCIAL REPORTS COMPARE THE ORIGINAL BUDGET TO ACTUAL EXPENDITURES. IF THE ORGANIZATION NEEDS ADJUSTMENTS TO THE APPROVED BUDGET THAT EXCEED 10% OF THE TOTAL AMOUNT OF ANY BUDGET CATEGORY, OR IF THEY NEED TO CREATE A NEW BUDGET ITEM, THEY ARE REQUIRED TO OBTAIN APPROVAL FROM THE DIRECTORS.
PART I, LINE 3:ACCRUAL METHOD OF ACCOUNTING

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
MASSACHUSETTS GENERAL HOSPITAL FAMILY TREATMENT FUND
125 NASHUA ST SUITE 722BOSTONMA02114041564655501(C)(3)$150,000N/AN/ATO REDUCE PEDIATRIC MORBIDITY AND MORTALITY IN SOUTHWESTERN UGANDA.
GLOBAL HEALING
2140 SHATTUCK AVENUE SUITE 203BERKELEYCA94704943207570501(C)(3)$50,000N/AN/ATO IMPROVE HEALTHCARE IN HONDURAS THROUGH EXPANDING ACCESS TO FREE PRIMARY CARE FOR INFANTS AND CHILDREN AND BY EDUCATION OF BOTH PARENTS AND HEALTH CARE PROVIDERS.
WEEMA INTERNATIONAL
2 GARDEN STREET 3RD FLOORCAMBRIDGEMA02138452947589501(C)(3)$100,000N/AN/ATO REDUCE UNDER-5 CHILD MORTALITY THROUGH CLINICALLY-BASED MOBILE TECHNOLOGY SUPPORT TOOLS DESIGNED TO EMPOWER THE ETHIOPIAN HEALTH EXTENSION WORKER.
THE IHANGANE PROJECT
206 SANTA CLARA AVENUEAPTOSGA95003262490827501(C)(3)$50,000N/AN/ATO CREATE A LOW-COST, QUALITY-DRIVEN, HEALTH CARE WORKER-CENTERED DIGITAL HEALTH RECORD TO IMPROVE HEALTH OUTCOMES FOR MOTHERS AND BABIES THAT IS DESIGNED FOR REPLICATION THROUGHOUT EAST AFRICA.
THE CARTER CENTER
453 FREEDOM PARKWAYATLANTAGA30307581454716501(C)(3)$300,000N/AN/ATO ASSIST THE FEDERAL MINISTRY OF HEALTH TO ALLEVIATE THE SUFFERING PRODUCED BY SCHISTOSOMIASIS THROUGH COMMUNITY-BASED DRUG DISTRIBUTION AND HEALTH EDUCATION.
MALI HEALTH ORGANIZING PROJECT
PO BOX 426081CAMBRIDGEMA02142205917332501(C)(3)$100,000N/AN/ATO FINALIZE A MODEL OF PARTICIPATORY, DATA-DRIVEN QUALITY IMPROVEMENT AND TO FULLY EVALUATE THE IMPACT OF THE APPROACH ON MATERNAL, NEONATAL AND CHILD HEALTH OUTCOMES AND HEALTH CENTER OPERATIONS IN BAMAKO'S PERI-URBAN COMMUNITIES.
HEALTH & DEVELOPMENT INTERNATIONAL
318 SETH PLACEROCKVILLEMD20850522051480501(C)(3)$190,000N/AN/ATO RAPIDLY PREVENT OBSTETRIC FISTULA, SAVE WOMEN'S AND BABIES' LIVES, AND PROTECT WOMEN'S DIGNITY USING METHODS FROM SUCCESSFUL DISEASE ERADICATION PROGRAMS, AND TO DO THAT USING MUCH FEWER RESOURCES OVER A MUCH LARGER AREA AND POPULATION THAN WAS APPLIED WHERE HDI HAS ALREADY SHOWN IT IS POSSIBLE TO PREVENT THESE TRAGEDIES ON A PUBLIC HEALTH SCALE.
HARVARD TH CHAN SCHOOL OF PUBLIC HEALTH (HSPH)
677 HUNTINGTON AVENUEBOSTONMA02115042103580501(C)(3)$150,000N/AN/ATO IMPROVE THE NUTRITION AND HEALTH OF FAMILIES IN RURAL TANZANIA THROUGH INTEGRATED NUTRITION-SPECIFIC AND NUTRITION-SENSITIVE AGRICULTURAL INTERVENTIONS THAT AIMS TO INCREASE CROP AND DIETARY DIVERSITY AT THE HOUSEHOLD LEVEL.
SANERGY
28 PARK STREET 3BROOKLINEMA02446364688468501(C)(3)$130,000N/AN/ATO PROVIDE HYGIENIC SANITATION IN UP TO 10 SCHOOLS AND IN 20 RESIDENTIAL PLOTS OVER 2 YEARS IN THE MUKURU AND MATHARE SLUMS OF NAIROBI, KENYA.
STBONFACE HAITI FOUNDATION
383 ELLIOT STREET DOOR G SUITE 100NEWTON UPPER FALLSMA02464043067595501(C)(3)$100,000N/AN/ATO ENSURE ACCESS TO HIGH QUALITY MNCH SERVICES BY EXPANDING AN INTEGRATED SERVICE MODEL, WHICH BUILDS ON CURRENT SUCCESSFUL INTERVENTIONS TO FURTHER STRENGTHEN A REPLICABLE MODEL OF MATERNAL, NEONATAL, AND CHILD HEALTH CARE.
AMANI GLOBAL WORKS
1885 7TH AVENUE SUITE 2CNEW YORKNY10026300603935501(C)(3)$50,000N/AN/ATO PROVIDE COMPREHENSIVE TRAINING FOR 35 NEW COMMUNITY HEALTH WORKERS IN FIVE CATCHMENTS IN NORTHERN IDJWI WITH THE INITIAL GOAL OF REDUCING VERY HIGH RATES OF INFECTION BY INTESTINAL WORMS (STH) AND INFANT AND MATERNAL MORTALITY.
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$41,600NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR'S COSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT FORM 990 IS REVIEWED BY THE TREASURER AND CLERK PRIOR TO FILING. ANY QUESTIONS THAT ARISE DURING THESE REVIEWS ARE DISCUSSED WITH THE INDEPENDENT TAX PREPARER BEFORE FILING THE FINAL VERSION.
FORM 990, PART VI, SECTION B, LINE 15BTHE FOUNDATION HAS A PROGRAM DIRECTOR WHOSE SALARY IS DETERMINED BASED ON THE ANNUAL SALARY REPORT BY THE ASSOCIATION OF SMALL FOUNDATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:REFUND OF PRIOR YEAR GRANTS 4,295.
FORM 990, PART XII, LINE 2CTHERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SHINNYO-EN USABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13910 BRET HARTE DRIVEAddressLine1Txt
CityREDWOOD CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94061ZIPCd
FieldValueIRS element (for citing)
EIN942741242EIN
Primary ActivitiesCHURCHPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 1PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHINNYO-EN JAPANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd