2017-03-09T16:05:56-06:00 2016-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2015-07-01 251719695 1889 FOUNDATION INC 1889 8145320100 4 VALLEY PIKE JOHNSTOWN PA 15905 SUSAN MANN PRESIDENT 8145320100 2017-03-01 1 JEFFREY J PETRELL CPA P00138808 4126356270 2017-03-01 2015 2021-01-29 14:40:06Z SUSAN MANN 4 VALLEY PIKE JOHNSTOWN PA 15905 1053351 0 X WWW.1889FOUNDATION.ORG X 1993 PA TO SUPPORT INNOVATIVE PROGRAMS AND INITIATIVES THAT IMRPOVE AND TRANSFORM THE OVERALL HEALTH AND WELLNESS OF OUR REGION. 16 16 4 36 0 0 1382390 269239 0 0 558907 252306 463589 517245 2404886 1038790 507791 2335145 0 0 369717 443180 0 0 0 963592 7802041 1841100 10580366 563786 -9541576 10621192 10132223 298496 7220552 10322696 2911671 TO SUPPORT INNOVATIVE PROGRAMS AND INITIATIVES THAT IMPROVE AND TRANSFORM THE OVERALL HEALTH AND WELLNESS OF OUR REGION. 0 0 9887546 2335145 1889 FOUNDATION, INC. RAISES, MANAGES, AND DISTRIBUTES FUNDS THAT PROMOTE AND SUPPORT THE OVERALL HEALTH AND WELLNESS OF OUR REGION. 9887546 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 24 0 4 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X WENDY REITNAUER 8145320100 4 VALLEY PIKE JOHNSTOWN PA 15905 JAMES HARGREAVES CHAIRMAN 0.50 0.50 X X 0 0 0 JAMES CASCIO VICE CHAIRMAN 0.50 0.50 X X 0 0 0 KIM CRAIG TREASURER 0.50 0.50 X X 0 0 0 AMANDA ARTIM SECRETARY 0.50 0.50 X X 0 0 0 NANCY ABRAHAMS TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL BARLETTA TRUSTEE 0.50 0.50 X 0 0 0 BRUCE DUKE III MD TRUSTEE 0.50 0.50 X 0 0 0 ROWLAND TIBBOTT JR TRUSTEE 0.50 0.50 X 0 0 0 SCOTT BECKER TRUSTEE 0.50 0.50 X 0 0 0 KRISTIN BRANT MD TRUSTEE 0.50 0.50 X 0 0 0 NATHAN KAUFMAN TRUSTEE 0.50 0.50 X 0 0 0 BRIAN LIEB DO TRUSTEE 0.50 0.50 X 0 0 0 FRANK QUITONI TRUSTEE 0.50 0.50 X 0 0 0 DONALD RATCHFORD MD TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL SMITH TRUSTEE 0.50 0.50 X 0 0 0 RONALD VICKROY TRUSTEE 0.50 0.50 X 0 0 0 SUSAN MANN PRESIDENT/CEO 24.00 16.00 X 167460 0 6094 WENDY REITNAUER DIRECTOR OF FINANCE 20.00 20.00 X 92623 0 3780 260083 0 9874 1 0 1 0 BUCHANAN INGERSOLL ROONEY PC ONE OXFORD CENTRE 301 GRANT ST 20 PITTSBURGH PA 152191410 LEGAL SERVICES 558080 1 19550 249689 269239 248265 248265 4041 0 4041 4041 4041 31765 19550 14561 17204 17204 CORPORATE ASSESSMENT 900099 500041 500041 500041 1038790 500041 0 269510 2278490 2278490 56655 56655 269957 202468 67489 88302 66226 22076 21344 16008 5336 36058 27043 9015 27519 20639 6880 415132 415132 69483 69483 61695 61695 26833 20125 6708 7898 5923 1975 20417 15313 5104 3607 2705 902 26419 19814 6605 10572 7929 2643 GRANTS RELATED ACTIVITI 7076827 7076827 PURCHASED SERVICES 36051 36051 MAINTENANCE 23199 17399 5800 PROFESSIONAL DEVELOPMEN 15211 11408 3803 8697 6523 2174 10580366 9887546 692820 0 107431 68141 72942 22317 101041 22819 17381 22164 287791 60666 74154 227125 10248243 9769657 10621192 10132223 125274 63052 173222 7157500 298496 7220552 X 4403240 -1971162 5778746 4742123 140710 140710 10322696 2911671 10621192 10132223 X -9541576 -389449 2520000 X X 0 1 X 1 0 X 857803 939882 631753 1382390 269239 4081067 857803 939882 631753 1382390 269239 4081067 390221 3690846 124086 272528 341051 218014 248265 1203944 24723 74872 64440 39890 203925 5488936 970625 0.67240 0.66880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203941 9080 -571 5325 207125 258761 19087 1193 75100 203941 246722 6054 11085 5100 258761 233602 7432 10688 5000 246722 208843 31572 -813 6000 233602 1.00000 0 0 37299 18235 19064 200415 16583 183832 48393 25848 22545 1684 1684 227125 SECURITIES AND INVESTMENTS 9769657 F 9769657 CHARITABLE GIFT ANNUITY OBLIGATIONS 147460 DUE TO DLP CMMC 3981 DONATION PAYABLE 7006059 7157500 PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD AND INVESTED IN ACCORDANCE WITH FOUNDATION POLICY AND OPERATING PROCEDURES. THESE FUNDS ARE MAINTAINED AND ADMINISTERED BY THE FOUNDATION TO PROVIDE MONIES FOR SCHOLARSHIPS AND TO SUPPORT INNOVATIVE PROGRAMS AND INITIATIVES THAT IMRPOVE AND TRANSFORM THE OVERALL HEALTH AND WELLNESS OF OUR REGION. CHEF AUCTION 51315 19550 31765 3156 6216 4390 799 51315 19550 31765 3156 6216 4390 799 14561 17204 1 THOMAS JEFFERSON UNIVERSITY 125 SOUTH 89TH ST SUITE 600 PHILADELPHIA PA 19107 231352651 3 1500000 1889 FOUNDATION-JEFFERSON CENTER FOR POPULATION HEALTH AND VICTOR HEISER, MD ENDOWED PROFESSORSHIP FUND DLP CONEMAUGH PHYSICIAN PRACTICES 1020 FRANKLIN ST JOHNSTOWN PA 15905 251658283 14879 CANCER PATIENT MEALS AND HEALTH CARE SUPPLIES UNITED WAY OF LAUREL HIGHLANDS 422 MAIN ST SUITE 203 JOHNSTOWN PA 15901 250965383 3 550000 NURSE FAMILY PARTNERSHIP PROGRAM, SUPPORT FOR COMMUNITY HEALTH AND WELLNESS PROGRAMS COMMUNITY FOUNDATION FOR THE ALLEGHENIES 116 MARKET ST SUITE 4 JOHNSTOWN PA 15091 251637373 3 41180 2015 APOLLO SCHOLARSHIPS, JK LIVINGSTON MEMORIAL PARK, CRIBS FOR KIDS JOHNSTOWN FREE MEDICAL CLINIC 340 MAIN ST JOHNSTOWN PA 15901 232922409 3 5050 VARIOUS CLINIC SUPPLIES WINDBER FIRE COMPANY NO 1 1620 SOMERSET AVE WINDBER PA 15963 251007367 3 5000 CARDIAC MONITOR WITH ADVANCED DETECTION & CRITICAL CARE MONITORING ST VINCENT DEPAUL 927 FRANKLIN ST JOHNSTOWN PA 15905 237230413 3 5000 FAMILY KITCHEN DLP CONEMAUGH MEMORIAL MEDICAL CENTER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 611739000 3 77381 HEALTH CARE AND EDUCATION PENNSYLVANIA RURAL ARTS ALLIANCE PO BOX 9 LORETTO PA 15940 251591599 3 25000 CREATIVE HEALTH IMPACT GRANT JOHNSTOWN AREA REGIONAL INDUSTRIES 245 MARKET ST SUITE 200 JOHNSTOWN PA 15901 251254617 3 50000 COMMUNITY DEVELOPMENT AMERICAN HEART ASSOCIATION - GREAT RIVERS AFFILIATE PO BOX 50065 PRESCOTT AZ 86304 135613797 3 5000 CAMBRIA SOMERSET HEART BALL 10 1 NURSING TUITION 44 56655 PART I, LINE 2: 1889 FOUNDATION, INC.'S MANAGEMENT ANALYZES REQUESTS FOR CHARITABLE GRANTS ON AN ONGOING BASIS IN SUPPORT OF ORGANIZATION'S MISSION TO SUPPORT INNOVATIVE PROGRAMS AND INITIATIVES THAT IMRPOVE AND TRANSFORM THE OVERALL HEALTH AND WELLNESS OF OUR REGION. THE 1889 FOUNDATION, INC. MAINTAINS RECORDS TO SUBSTANTIATE THE PURPOSE AND AMOUNT OF ASSISTANCE PROVIDED FOR THOSE REQUESTS. X X X X 0 0 0 0 0 0 0 0 0 SUSAN MANN PRESIDENT/CEO 142460 0 25000 0 0 0 4874 0 1220 0 173554 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 1889 FOUNDATION, INC. HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANANGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C 1889 FOUNDATION, INC. ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15A 1889 FOUNDATION, INC.'S BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 18 1889 FOUNDATION, INC. MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, 1889 FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER FROM RELATED ORGANIZATION 2,520,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 1889 - CHS FOUNDATION INC 4 VALLEY PIKE JOHNSTOWN PA 15905 232801799 TO SUPPORT THE 1889 FOUNDATION PA 501(C)(3) 11A 1889 FOUNDATION INC 1 1086 FRANKLIN - MMC INC 4 VALLEY PIKE JOHNSTOWN PA 15905 250965307 HEALTHCARE SERVICES PA 501(C)(3) 3 1889 - CHS FOUNDATION INC 0 290 HAIDA- MIMC INC 4 VALLEY PIKE JOHNSTOWN PA 15905 250977902 HEALTHCARE SERVICES PA 501(C)(3) 3 1889 - CHS FOUNDATION INC 0 200 HOSPITAL - MYMC INC 4 VALLEY PIKE JOHNSTOWN PA 15905 251002946 HEALTHCARE SERVICES PA 501(C)(3) 3 1889 - CHS FOUNDATION INC 0 UPMC-CONEMAUGH CANCER CENTER 600 GRANT STREET PITTSBURGH PA 15219 202671883 HEALTHCARE SERVICES PA 501(C)(3) 3 1086 FRANKLIN - MMC INC 0 GREATER JOHNSTOWN TECH PARK 4 VALLEY PIKE JOHNSTOWN PA 15905 260389121 OPERATES MULTI-TENANT COMMERCE OFFICE PARK PA N/A 1086 FRANKLIN - CPG INC 4 VALLEY PIKE JOHNSTOWN PA 15905 251658283 PHYSICIAN SERVICES PA N/A C 1 1086 REAL ESTATE 4 VALLEY PIKE JOHNSTOWN PA 15905 251489704 REAL ESTATE PA N/A C 0 1086 FRANKLIN - CEI INC 4 VALLEY PIKE JOHNSTOWN PA 15905 202998473 ECONOMIC DEVELOPMENT PA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1889 - CHS FOUNDATION INC C 2520000