STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAMUELI INSTITUTE FOR INFORMATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAMUELI INSTITUTE FOR INFORMATION (EIN 33-0935065)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-02-21
IRS object ID
201800529349300515
Schema version
2016v3.0
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)
Return2018-02-21T09:24:25-06:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521392008PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GELMAN ROSENBERG & FREEDMANBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14550 MONTGOMERY AVE SUITE 650NAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208142930ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330935065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMUELI INSTITUTE FOR INFORMATIONBusinessNameLine1Txt
Business Name Line2BIOLOGYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAMUBusinessNameControlTxt
Phone2405932159PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O JOAN WALTER 1150 KERSEY ROADAddressLine1Txt
CitySILVER SPRINGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOAN WALTERPersonNm
Person TitleCOO & TREASURERPersonTitleTxt
Phone2405932159PhoneNum
Signature2018-02-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES LARSON CPAPreparerPersonNm
PTINP01329561PTIN
Phone3019519090PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address75.103.231.202IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-21IPDt
IP Tm10:24:01IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id361F31FFFAF1A8969DB1EC184ADF9F5B90A96905AtSubmissionCreationDeviceId
At Submission Filing Device IdA2F6C3A5568DE9566EF1F96DA6C530556A1DCE36AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWAYNE BOICE JONASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O JOAN WALTER 1150 KERSEY ROADAddressLine1Txt
CitySILVER SPRINGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$842,964GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAMUELIINSTITUTE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionSEE PART III, LINE 1.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,492,552PYContributionsGrantsAmt
CY Contributions Grants$346,650CYContributionsGrantsAmt
PY Program Service Revenue$712,958PYProgramServiceRevenueAmt
CY Program Service Revenue$227,530CYProgramServiceRevenueAmt
PY Investment Income$4,881PYInvestmentIncomeAmt
CY Investment Income-$339,665CYInvestmentIncomeAmt
PY Other Revenue$251,432PYOtherRevenueAmt
CY Other Revenue$263,435CYOtherRevenueAmt
PY Total Revenue$5,461,823PYTotalRevenueAmt
CY Total Revenue$497,950CYTotalRevenueAmt
PY Grants And Similar Paid$56,036PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,340,051CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,397,925PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,192,518CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$87,270CYTotalFundraisingExpenseAmt
PY Other Expenses$3,659,212PYOtherExpensesAmt
CY Other Expenses$2,256,911CYOtherExpensesAmt
PY Total Expenses$8,113,173PYTotalExpensesAmt
CY Total Expenses$5,789,480CYTotalExpensesAmt
PY Revenues Less Expenses-$2,651,350PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,291,530CYRevenuesLessExpensesAmt
Total Assets BOY$9,462,407TotalAssetsBOYAmt
Total Assets EOY$39,834TotalAssetsEOYAmt
Total Liabilities BOY$4,131,366TotalLiabilitiesBOYAmt
Total Liabilities EOY$323TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,331,041NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,511NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO CREATE A FLOURISHING SOCIETY THROUGH THE SCIENTIFIC EXPLORATION OF WELLNESS AND WHOLE-PERSON HEALING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$1,475,041ExpenseAmt
Grant$1,340,051GrantAmt
DescCENTER FOR MILITARY MEDICAL RESEARCH:THE CENTER FOR MILITARY MEDICAL RESEARCH PROGRAM IS THE UNIT WITHIN THE INSTITUTE THAT EXECUTES THE MAJORITY OF THE RESEARCH PROJECTS THAT ARE FUNDED THROUGH OUR DOD GRANTS. IN THE FIRST QUARTER OF FY17, THE INSTITUTE CARRIED SEVERAL OF THESE GRANTS, INCLUDING CONDUCTING RESEARCH ON THE ELEMENTS OF HEALTH PRESERVATION WITHIN THE ARMED FORCES, RESEARCH ON PAIN AND STRESS IN PATIENTS UNDERGOING SURGERY AT A MAJOR MILITARY MEDICAL CENTER, A CLINICAL TRIAL OF CHIROPRACTIC CARE FOR CHRONIC AND RECURRENT BACK PAIN IN MILITARY PERSONNEL, AND THE USE OF DIETARY SUPPLEMENTS FOR PAIN MANAGEMENT. IN 2017, ALL OF THE MILITARY GRANTS WERE TERMINATED AND REISSUED TO ANOTHER NON-PROFIT RESEARCH ORGANIZATION (TLIF), EXCEPT FOR THE "THE MILITARY COMPLEMENTARY AND ALTERNATIVE MEDICINE RESEARCH FOR MILITARY OPERATIONS AND HEALTHCARE (MIL-CAM)," WHICH CONTINUED IN THE INSTITUTE'S HANDS THROUGH JULY 2017, AT WHICH TIME IT ENDED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$368,760ExpenseAmt
Revenue$227,530RevenueAmt
DescCENTER FOR HEALING AND WELLBEING:SAMUELI INSTITUTE CONDUCTED RESEARCH ON AN INTEGRATIVE CANCER TREATMENT PROGRAM IN VANCOUVER, BC. THE RESEARCH WAS FUNDED BY THE HECHT FOUNDATION, USING FUNDS PREVIOUSLY CONTRIBUTED TO SI. THE PROGRAM WAS TRANSFERRED TO UNIVERSITY OF CALIFORNIA SAN DIEGO, UNDER THE LEADERSHIP OF ONE OF THE COLLABORATORS ON THE PROJECT.ACUPUNCTURE AND PAIN-SAMUELI INSTITUTE RESEARCHERS COMPLETED A RANDOMIZED CLINICAL TRIAL EVALUATING TWO ACUPUNCTURE METHODS FOR THE TREATMENT OF TBI-RELATED HEADACHES. THAT STUDY AND ITS RESULTS WERE PUBLISHED IN 2016 IN MEDICAL ACUPUNCTURE. THE STUDY PROVIDES EVIDENCE OF THE BENEFIT OF INCLUDING ACUPUNCTURE AS A CARE OPTION FOR TBI-ASSOCIATED HEADACHES AMONG ACTIVE DUTY PERSONNEL. THE INSTITUTE ALSO PARTICIPATED IN A JOINT INCENTIVE FUND PROGRAM TO ASSESS THE IMPACT ON HEALTHCARE OPERATIONS OF AN ENTERPRISE-WIDE TRAINING PROGRAM IN A SIMPLIFIED EAR ACUPUNCTURE TECHNIQUE. RESULTS OF THIS PROGRAM WILL BE DISSEMINATED IN 2017, AND MAY INFORM THE PROCESS OF SPREADING INTEGRATIVE PRACTICES FOR PAIN MANAGEMENT ACROSS THE DOD.INTEGRATIVE MEDICINE AND PTSD- THE INSTITUTE ALSO COMPLETED THE EVALUATION OF THE BACK-ON-TRACK PROGRAM AT CAMP LEJEUNE. PRELIMINARY ANALYSIS SHOWED SIGNIFICANT POSITIVE EFFECTS ON PTSD AND COMBAT-RELATED STRESS SYMPTOMS FROM THIS HOLISTIC, INTEGRATIVE PROGRAM. THIS STUDY VALIDATES THE IMPORTANT RETURNS ON THE MILITARY'S INVESTMENT IN THE BACK-ON-TRACK PROGRAM AND PROVIDES A FULLY-DEVELOPED DATA COLLECTION SYSTEM THAT WILL BE USED BY THE PROGRAM ON AN ONGOING BASIS TO CONDUCT RAPID ANALYSES IN THE FUTURE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,843,801TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOAN WALTERPersonNm
Phone2405932159PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 KERSEY RDAddressLine1Txt
CitySILVER SPRINGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20902ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WAYNE JONAS
PRESIDENT & CEO (THROUGH 12/16)40.00Yes (X)Yes (X)$99,648$0$1,383
SUSAN SAMUELI
CHAIR5.00Yes (X)Yes (X)$0$0$0
MICHAEL SCHULMAN
SECRETARY5.00Yes (X)Yes (X)$0$0$0
HENRY SAMUELI
BOARD MEMBER5.00Yes (X)$0$0$0
JOAN WALTER
COO (& TREAS. BEG. 08/17)40.00Yes (X)$457,887$0$12,403
KEVIN BERRY
VICE PRESIDENT (THROUGH 11/16)40.00Yes (X)$91,024$0$2,014
BONNIE SAKALLARIS
VICE PRESIDENT (THROUGH 11/16)40.00Yes (X)$102,339$0$944
FieldValueIRS element (for citing)
Total Reportable Comp From Org$750,898TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,744TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HOGAN LOVELLS US LLP
555 THIRTEENTH STREET NWWASHINGTONDC20004LEGAL FEES$164,790
CAPITOLINE CONSULTING
600 SECOND ST 404ALEXANDRIAVA22313LOBBYING, CONSULTING$157,304
HELIOS HR LLC
1900 CAMPUS COMMONS DRIVE SUITE 52RESTONVA20191HUMAN RESOURCE SERVICES$118,899
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$50,000RelatedOrganizationsAmt
Government Grants$266,493GovernmentGrantsAmt
All Other Contributions$30,157AllOtherContributionsAmt
Total Contributions$346,650TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE FEES900099$226,530$226,530
HONORARIUM900099$1,000$1,000
FieldValueIRS element (for citing)
Total Program Service Revenue$227,530TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,291TotalRevenueColumnAmt
Exclusion$3,291ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$234,623RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$234,623RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,623TotalRevenueColumnAmt
Exclusion$234,623ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,058OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$345,014OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$342,956OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$342,956TotalRevenueColumnAmt
Exclusion-$342,956ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$28,812TotalRevenueColumnAmt
Exclusion$28,812ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$28,812OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$497,950TotalRevenueColumnAmt
Related Or Exempt Func Income$227,530RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$76,230ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,340,051TotalAmt
Program Services$1,340,051ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,415,143TotalAmt
Program Services$1,041,802ProgramServicesAmt
Management And General$363,848ManagementAndGeneralAmt
Fundraising$9,493FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$565,317TotalAmt
Program Services$415,509ProgramServicesAmt
Management And General$145,999ManagementAndGeneralAmt
Fundraising$3,809FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,016TotalAmt
Program Services$29,016ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$78,183TotalAmt
Program Services$77,616ProgramServicesAmt
Management And General$567ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$104,859TotalAmt
Program Services$104,859ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$311,698TotalAmt
Management And General$311,698ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$58,820TotalAmt
Management And General$58,820ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$168,695TotalAmt
Program Services$84ProgramServicesAmt
Management And General$168,611ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$249,553TotalAmt
Program Services$5,597ProgramServicesAmt
Management And General$243,956ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$544,135TotalAmt
Management And General$544,135ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,591TotalAmt
Program Services$18,936ProgramServicesAmt
Management And General$4,655ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,327TotalAmt
Program Services$2,675ProgramServicesAmt
Management And General$19,097ManagementAndGeneralAmt
Fundraising$555FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,134TotalAmt
Fundraising$1,134FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,548TotalAmt
Management And General$29,548ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,565TotalAmt
Management And General$17,565ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
G&A ALLOCATION$0-$1,210,271$1,143,935$66,336
LEASE TERMINATION COSTS$770,589$770,589
OFFICE SERVICES$12,004$12,004
LICENSE/PERMITS/TAXES$10,588$10,588

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$36,664TotalAmt
Program Services$17,927ProgramServicesAmt
Management And General$12,794ManagementAndGeneralAmt
Fundraising$5,943FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,789,480TotalAmt
Program Services$1,843,801ProgramServicesAmt
Management And General$3,858,409ManagementAndGeneralAmt
Fundraising$87,270FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$176,925BOYAmt
EOY$39,834EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,608,537BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$387,975BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$135,798BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$334,844BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$49,751BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$768,577BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,462,407BOYAmt
EOY$39,834EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$662,877BOYAmt
EOY$323EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,468,489BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,131,366BOYAmt
EOY$323EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,331,041BOYAmt
EOY$39,511EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,331,041BOYAmt
EOY$39,511EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,462,407BOYAmt
EOY$39,834EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,291,530ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp (9 entries)

CityCityNmState AbbreviationStateAbbreviationCd
BROOKE ARMY MED CTRSAMMC
SAN ANTONIOTX
WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDAMD
CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD KILLEENTX
NAVAL HOSPITAL PENSACOLA
PENSACOLAFL
NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGOCA
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELLKY
LEE MEMORIAL HEALTH SYSTEM
FORT MYERSFL
BERKSHIRE HEALTH SYSTEMS
PITTSFIELDMA
FREDERICK MEMORIAL HOSPITAL
FREDERICKMD

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 C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$5,789,480FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$5,789,480FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$439,474FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$109,869FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$770,033CurrentYearMinus3Amt
Current Year Minus2$713,049CurrentYearMinus2Amt
Current Year Minus1$555,659CurrentYearMinus1Amt
Current Year$439,474CurrentYearAmt
Total$2,478,215TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$3,717,323LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$35,544CurrentYearMinus3Amt
Current Year Minus2$20,004CurrentYearMinus2Amt
Current Year Minus1$17,147CurrentYearMinus1Amt
Total$72,695TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$192,508CurrentYearMinus3Amt
Current Year Minus2$178,262CurrentYearMinus2Amt
Current Year Minus1$138,915CurrentYearMinus1Amt
Current Year$109,869CurrentYearAmt
Total$619,554TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$929,331GrassrootsCeilingAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF CALIFORNIA
9500 GILMAN DR MC0041 UC201LAJOLLACA92093956006144501(C)(3)$27,782MEDICAL RESEARCH
THOUGHT LEADERSHIP AND INNOVATION FOUNDATION
1750 TYSONS BLVD SUITE 1560MCLEANVA22102453090698501(C)(3)$1,312,269MILITARY MEDICAL RESEARCH
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED THROUGH SCIENTIFIC PROGRESS REPORTS, FINANCIAL REPORTS AND SITE VISITS. IN ADDITION, PROJECTS THAT INVOLVE RECRUITMENT OF HUMAN SUBJECTS TYPICALLY REPORT WEEKLY AND STUDIES INVOLVING ANIMALS FOLLOW THE INSTITUTE'S ANIMAL OVERSIGHT PLAN.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJOAN WALTERPersonNm
TitleCOO (& TREAS. BEG. 08/17)TitleTxt
Base Compensation Filing Org$274,038BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$183,849BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,942DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$3,461NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$470,290TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BTHE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS ON PART VII: KEVIN BERRY $52,719 BONNIE SAKALLARIS $52,836 NO CONTRIBUTIONS WERE MADE TO EMPLOYEE 457F PLANS IN 2016. HOWEVER, THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THEIR 457F ACCOUNTS IN FY17 (JANUARY/FEBRUARY 2017): WAYNE JONAS $510,825 JOAN WALTER $82,661 BECAUSE THESE FUNDS WERE DISTRIBUTED IN 2017, THEY WERE NOT INCLUDED ON PART VII.
PART I, LINE 7SEE PART II FOR THE BONUSES INCLUDED ON PART VII.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SALUTOGENIC INNOVATIONS LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionORGANIZATION IS OWNED BY HENRY SAMUELI, BOARD MEMBER OF SAMUELIRelationshipDescriptionTxt
Transaction$225,615TransactionAmt
TransactionSAMUELI PROVIDED EXECUTIVE/OPERATIONS PERSONNEL AND LEGAL AND BUSINESS CONSULTANTS.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (3 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
SBG TECHNOLOGY SOLUTIONS INC
FURNITURE, FIXTURES AND EQUIPMENT2017-02-28$1,041,439BOOK VALUE2014635571737 KING STREET STE 601ALEXANDRIAVA22134SDVOSB
ELECTRONIC INDUSTRY CITIZENSHIP COALITION
FITNESS EQUIPMENT2017-02-20$10,143BOOK VALUE2614177961737 KING STREET STE 330ALEXANDRIAVA22134501(C)(6)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
LABORATORY/RESEARCH EQUIPMENT2017-07-11$92,462PURCHASE PRICE9560061449500 GILMAN DRIVELA JOLLACA92093STATE UNIVERSITY AND 501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation2Yes (1)ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 2E:PERSON(S) INVOLVED: KEVIN BERRY AND BONNIE SAKALLARIS
PART II, LINE 2E:EXPLANATION OF INVOLVEMENT: TWO OFFICERS REPORTED ON PART VII, RECEIVED SEVERANCE PAYMENTS AS A RESULT OF THE ORGANIZATION'S WIND-DOWN IN PREPARATION FOR TERMINATION. THIS WAS UNRELATED TO THE DISPOSITION OF ASSETS.
PURPOSE OF NET ASSET DISTRIBUTION TO NON-CHARITABLE ORGANIZATIONS:IN ORDER TO WIND DOWN ITS ACTIVITIES AND ASSOCIATED OBLIGATIONS IN ANTICIPATION OF ITS TERMINATION AND EVENTUAL DISSOLUTION, THE INSTITUTE ENGAGED IN ARM'S-LENGTH NEGOTIATIONS WITH THE LANDLORD OF PREMISES LEASED TO INSTITUTE WITH A REMAINING TERM OF FIVE YEARS, FOR EARLY TERMINATION OF SUCH LEASE. THE INSTITUTE ALSO HAD A SUBTENANT, SBG TECHNOLOGY SOLUTIONS, INC. (SBG), WITH A SUBLEASE CO-TERMINUS WITH THE INSTITUTE'S PRIMARY LEASE. IN ORDER TO OBTAIN A FULL RELEASE OF INSTITUTE'S OBLIGATIONS BOTH TO THE LANDLORD AND TO ITS SUBTENANT, INSTITUTE ENTERED INTO AGREEMENTS WITH EACH OF THEM IN ORDER TO FULLY RESOLVE ALL OUTSTANDING OBLIGATIONS, WHICH RESULTED IN THE TRANSFER OF INSTITUTE'S OWNERSHIP IN THE FURNISHINGS IN THE LEASED PRESMISES, AS WELL AS OTHER INSTITUTE-OWNED EQUIPMENT STORED ON THE PREMISES, TO SBG. THE REFERENCED RELEASE AND TRANSFER AGREEMENTS WERE EXECUTED BY THE PARTIES IN FEBRUARY 2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3THE ORGANIZATION TERMINATED ALL OF ITS REMAINING DOD GRANTS EXCEPT FOR ONE. THESE PROGRAMS WERE TERMINATED BECAUSE SAMUELI TERMINATED ALL OF ITS PROGRAMMATIC STAFF IN PREPARATION FOR CLOSURE AND DISSOLUTION.
FORM 990, PART VI, SECTION A, LINE 2MICHAEL SCHULMAN AND SUSAN SAMUELI HAVE A BUSINESS RELATIONSHIP. MICHAEL SCHULMAN AND HENRY SAMUELI HAVE BUSINESS RELATIONSHIP. WAYNE JONAS AND HENRY AND SUSAN SAMUELI HAVE A BUSINESS RELATIONSHIP. SUSAN SAMUELI AND HENRY SAMUELI HAVE A FAMILY AND BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT. IT WAS ALSO REVIEWED BY THE BUDGET COMPLIANCE AUDIT COMMITTEE. A DIGITAL COPY OF THE 990 WAS E-MAILED TO ALL MEMBERS OF THE GOVERNING BOARD, AND THEY HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON IT BEFORE IT WAS FILED WITH THE IRS. ALL APPROPRIATE COMMENTS AND REVISIONS HAVE BEEN INCLUDED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT EACH YEAR STATING THAT ANY CONFLICTS OF INTEREST WILL BE REPORTED TO THE BOARD FOR THE BOARD'S ACTION. THE POLICY ALSO APPLIES TO EMPLOYEES, BUT THEY ARE NOT REQUIRED TO SIGN A STATEMENT ANNUALLY. THE FOLLOWING STEPS WILL BE TAKEN IF A CONFLICT OF INTEREST WAS TO ARISE: 1. APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION/ARRANGEMENT, IF DEEMED NECESSARY; 2. WITH DUE DILIGENCE, DETERMINE IF THE INSTITUTE CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; AND 3. THE DISINTERESTED DIRECTORS DETERMINES BY MAJORITY VOTE WHETHER THE TRANSACTION/ARRANGEMENT WOULD BE IN THE INSTITUTE'S BEST INTEREST FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE INSTITUTE AND WOULD MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION/ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS ESTABLISHES THE CEO'S SALARY BY AN INTERNAL PERFORMANCE REVIEW. THE DECISION WAS DOCUMENTED BY THE COMPENSATION COMMITTEE OF THE BOARD. EMPLOYEE SALARIES ARE ESTABLISHED BY REVIEW OF SALARY SURVEYS DONE BY INDEPENDENT ORGANIZATIONS AND INTERNAL PERFORMANCE REVIEWS. A SALARY STRUCTURE FOR ALL LEVELS IS MAINTAINED BY THE INSTITUTE. EMAIL COMMUNICATIONS AND NOTES DEEMED NECESSARY FOR THE FILES ARE MAINTAINED. ALL SALARIES ARE APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE SAMUELI FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12101 E COAST HIGHWAY 300AddressLine1Txt
CityCORONA DEL MARCityNm
State AbbreviationCAStateAbbreviationCd
ZIP926251941ZIPCd
FieldValueIRS element (for citing)
EIN330758237EIN
Primary ActivitiesPRIVATE FOUNDATIONPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAMUELI INSTITUTE FOR INFORMATION BIOLOGYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE SAMUELI FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$50,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt