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AGENO FOUNDATION INTERNATIONAL INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
AGENO FOUNDATION INTERNATIONAL INCORPORATED (EIN 45-4043387)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349313635
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)
Return2017-11-14T21:57:04-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271197866PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NORSTAR GROUP LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 828AddressLine1Txt
CityYONKERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10702ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454043387EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE AGENO FOUNDATION INTERNATIONAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAGENBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 370AddressLine1Txt
CityNEW CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10956ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMEL PATTERSON MD MPH MSPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Signature2017-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND EMANUELPreparerPersonNm
PTINP00184601PTIN
Phone9142144971PhoneNum
Preparation2017-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.90.193.173IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm22:01:16IPTm
Federal Original Submission Id1381022017318g1rp5hjFederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD62B5DD7F7F55484E833B77989ADEBBD60189226AtSubmissionCreationDeviceId
At Submission Filing Device IdD62B5DD7F7F55484E833B77989ADEBBD60189226AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMEL PATTERSON MD MPH MSPrincipalOfficerNm
Gross Receipts$256,956GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AGENOFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHEALTH CARE AND EDUCATIONActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$249,886PYContributionsGrantsAmt
CY Contributions Grants$256,956CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$249,886PYTotalRevenueAmt
CY Total Revenue$256,956CYTotalRevenueAmt
PY Grants And Similar Paid$249,487PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$242,368CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,746CYTotalFundraisingExpenseAmt
PY Other Expenses$20,210PYOtherExpensesAmt
CY Other Expenses$17,573CYOtherExpensesAmt
PY Total Expenses$269,697PYTotalExpensesAmt
CY Total Expenses$259,941CYTotalExpensesAmt
PY Revenues Less Expenses-$19,811PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,985CYRevenuesLessExpensesAmt
Total Assets BOY$8,166TotalAssetsBOYAmt
Total Assets EOY$5,181TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,166NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,181NetAssetsOrFundBalancesEOYAmt
MissionHEALTH CARE AND EDUCATIONMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$96,280ExpenseAmt
Grant$96,280GrantAmt
DescCOMMUNITY DEVELOPMENT - CLINIQUE SUR APPEL DE DELMAS THIS IS A PRIMARY CARE MEDICAL CLINIC PROVIDING FREE CONSULTAION ANDMEDICATIONS TO THE PATIENTS.A TOTAL OF 8000 VISITS FOR THE YEAR. ALL CONSULTATIVE SERVICES, RADIOLOGIC,LABORATORY AND MEDICATIONS PROVIDED FREE AT NO COST TO THE PATIENT DURING 2016.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$96,060ExpenseAmt
Grant$96,060GrantAmt
DescHAITIPROJECT AGENO A DELMAS COMMUNITY DEVELOPMENT PROGRAMS 2016THE PROGRAM SPONSORED A TOTAL OF 50 STUDENTS FROM KINDERGARTEN THROUGHSECONDARY SCHOOL. WE ALSO SPONSORED 15 UNIVERSITY STUDENTS.WE HAD 3 STUDENTS GRADUATED HIGH SCHOOL AND 2 STUDENTS GRADUATED FROMUNIVERSITY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$29,068ExpenseAmt
Grant$29,068GrantAmt
DescOTHER COMMUNITY HEALTH AND DEVELOPMENT PROJECTSPROVIDED LAPTOPS TO UNIVERSITY STUDENTS AND SUPPORT TO WOMENS BEADING PROJECT AND MEDICAL MISSIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$20,960ExpenseAmt
Grant$20,960GrantAmt
DescEDUCATION PROGRAM EXPENDITURES 2016*ELIJAH MILLIARD EDUCATION PROJECT IN UGANDA*OVER 13,000 PEOPLE GIVEN FOOD SUPPLEMENT, CLOTHINGS, AND OVER 3,000 PEOPLE GIVENCLEAN WATER DURING 2016Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$20,960TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$20,960TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$242,368TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVE HOLSON MD MPHPersonNm
Phone9144231720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 370AddressLine1Txt
CityNEW CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10956ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAMEL PATTERSON MD MPH MS
PRESIDENT10.000.00Yes (X)Yes (X)$0$0$0
DAVE HOLSON MD MPH
VICE PRESIDENT & TREASURER10.000.00Yes (X)Yes (X)$0$0$0
DALE REIGER-BUTLER DNP FNP
VICE PRESIDENT & SECRETARY5.000.00Yes (X)Yes (X)$0$0$0
ROBERT CHIN
ASSISTANT SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$17,822FundraisingAmt
All Other Contributions$239,134AllOtherContributionsAmt
Total Contributions$256,956TotalContributionsAmt
Contri Rpt Fundraising Event$17,822ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,956TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$242,368TotalAmt
Program Services$242,368ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOPERATING EXPENSESDesc
Total$17,573TotalAmt
Management And General$5,827ManagementAndGeneralAmt
Fundraising$11,746FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$259,941TotalAmt
Program Services$242,368ProgramServicesAmt
Management And General$5,827ManagementAndGeneralAmt
Fundraising$11,746FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,166BOYAmt
EOY$5,181EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,166BOYAmt
EOY$5,181EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$8,166BOYAmt
EOY$5,181EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,166BOYAmt
EOY$5,181EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,166BOYAmt
EOY$5,181EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,985ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,788CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$226,387CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$249,886CurrentTaxYearMinus1YearAmt
Current Tax Year$256,956CurrentTaxYearAmt
Total$937,025TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,788CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$226,387CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$249,886CurrentTaxYearMinus1YearAmt
Current Tax Year$256,956CurrentTaxYearAmt
Total$937,025TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$207,113SubstantialContributorsTotAmt
Public Support Total170$729,912PublicSupportTotal170Amt
Total Support$937,025TotalSupportAmt
Public Support CY1700.77900PublicSupportCY170Pct
Public Support PY1700.80200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Schedule F IRS990ScheduleF

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Purpose Of GrantFEEDING INITIATIVE MEDICAL MISSIONSPurposeOfGrantTxt
Cash Grant$29,068CashGrantAmt
Manner Of Cash DisbursementWIRE TRANSFERMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AGENO GALAEvent1Nm

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11PRIOR 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 19BEYOND 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.