2017-11-09T08:20:25-06:00 2016-12-31 042442519 EDELSTEIN AND COMPANY LLP 160 FEDERAL STREET 9TH FLOOR BOSTON MA 02110 990 2016-01-01 300687494 COMMUNITY CATALYST ACTION FUND INC COMM 6173386035 ONE FEDERAL STREET BOSTON MA 02110 JOHN MCDONOUGH PRESIDENT 6173386035 2017-11-07 1 ALFONSO PERILLO P00950491 6172276161 2017-11-01 38.111.9.114 2017-11-07 08:01:25 ES P AF937AEFAE428952D3E5712EF5D1FBD0BBD489CF 0D76887A21FF303987ADF0E4D0B068FF6EB2BB99 2016 2021-01-29 14:40:06Z JOHN MCDONOUGH ONE FEDERAL STREET BOSTON MA 02110 207897 0 X ACTIONFUND.COMMUNITYCATALYST.ORG X 2011 MA TO ASSIST IN THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT. 5 5 0 0 0 0 1830058 196630 0 0 6043 11267 0 0 1836101 207897 599597 803423 0 0 0 0 0 0 0 450935 160280 1050532 963703 785569 -755806 2900111 2319127 93998 239150 2806113 2079977 X THE COMMUNITY CATALYST ACTION FUND (CCAF) IS COMMITTED TO ENSURING CONSUMERS ARE ACTIVELY ENGAGED IN THE DECISION-MAKING THAT SHAPES OUR HEALTH SYSTEM. THAT MEANS PROVIDING CONSUMER ADVOCATES WITH THE SUPPORT THEY NEED TO PARTICIPATE FULLY AND DIRECTLY IN THE CREATION AND IMPLEMENTATION OF LAWS AFFECTING THEIR ACCESS TO QUALITY CARE. IT ALSO MEANS MAKING SURE THAT THAT CANDIDATES' POSITIONS ON HEALTH CARE ISSUES ARE CLEAR AND UNDERSTANDABLE SO THAT THE PUBLIC CAN MAKE INFORMED CHOICES. 0 0 916694 803423 TO PROVIDE SUPPORT FOR STATE-BASED HEALTH ADVOCACY TO ENSURE THAT HEALTH REFORM REFLECTS CONSUMER INTERESTS AND CONCERNS, ESPECIALLY THOSE OF LOW-INCOME AND VULNERABLE POPULATIONS. 916694 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 0 0 0 0 0 1 1 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X DONNA PINA ROBINSON 6173386035 ONE FEDERAL STREET BOSTON MA 02110 X JOHN E MCDONOUGH CEO/DIRECTOR 0.50 X X 0 0 0 KATHERINE S VILLERS CLERK/DIRECTOR 4.00 36.00 X X 0 0 0 KAREN HICKS PRESIDENT/TREASURER/DIRECTOR 0.50 0.50 X X 0 0 0 DAN MCGRATH DIRECTOR 0.50 0.50 X 0 0 0 EDDY MORALES APPOINTED JUNE 2016 DIRECTOR (APPOINTED 6/2016) 0.50 X 0 0 0 0 0 0 0 0 0 0 0 196630 196630 11267 11267 207897 0 0 11267 X 803423 803423 2006 1836 170 5250 5250 109352 109352 138 122 16 163 163 5352 1961 3391 ADMINISTRATIVE FEE 37500 37500 STATE FILING FEES 519 519 963703 916694 47009 0 22169 180860 952394 1241267 1925548 897000 2900111 2319127 93998 202490 36660 93998 239150 X 18311 77873 2787802 2002104 2806113 2079977 2900111 2319127 X -755806 29670 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2787802 196630 773753 208575 2002104 2005119 1830058 586097 461278 2787802 2201872 45142 191895 50000 2005119 785936 1925349 471913 37500 2201872 1112847 12109 301520 37500 785936 1.00000 0 0 0 207897 0 207897 0 207897 934033 0 934033 29670 29670 963703 PART V, LINE 4: THE $2,002,104 OF TERM ENDOWMENTS AT DECEMBER 31, 2016 WILL BE USED FOR STATE CONSUMER ADVOCACY PROGRAMS. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURN OF UNEXPENDED GRANTS 29,670. 1 ARISE CITIZEN'S POLICY PROJECT 207 MONTGOMERY ST SUITE 900 MONTGOMERY AL 36104 631186365 170(B)(1)(A)(VI) 12741 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY GEORGIANS FOR A HEALTHY FUTURE 100 EDGEWOOD AVE NE ATLANTA GA 30303 263695851 170(B)(1)(A)(VI) 14000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY IDAHOANS FOR A STRONG ECONOMY PO BOX 295 BOISE ID 83701 273695851 501(C)(3) 67000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY NORTH CAROLINA JUSTICE CENTER 224 S DAWSON ST RALEIGH NC 276041044 561348186 170(B)(1)(A)(VI) 28350 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY TENNESSEE JUSTICE CENTER 301 CHARLOTTE AVENUE NASHVILLE TN 37201 621630417 170(B)(1)(A)(VI) 23246 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY TEXAS INTERFAITH CENTER FOR PUBLIC POLICY 200 EAST 30TH STREET AUSTIN TX 78705 742989021 170(B)(1)(A)(VI) 14619 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC 555 11TH ST NW STE 300 WASHINGTON DC 20004 522340031 501(C)(4) 45000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY KENTUCKIANS FOR THE COMMONWEALTH PO BOX 1450 LONDON KY 40743 611015576 501(C)(4) 40000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY CHILDREN'S ACTION ALLIANCE 4001 N 3RD ST SUITE 160 PHOENIX AZ 85012 860594785 170(B)(1)(A)(VI) 19020 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY COMMONWEALTH INST FOR FISCAL ANALYSIS 1529 E E CARY ST SUITE 202 RICHMOND VA 23219 271598303 509(A)(2) 30750 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY EQUALITY STATE POLICY CENTER 340 W B ST SUITE 203 CASPER WY 82601 830305144 509(A)(2) 15000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY HEALTH CARE FOR ALL ONE FEDERAL ST BOSTON MA 02110 043071598 509(A)(2) 20000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY LOUISIANA BUDGET PROJECT 619 JEFFERSON HWY SUITE 1-D BATON ROUGE LA 70806 463872778 170(B)(1)(A)(VI) 22000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY MARYLAND CITIZENS HEALTH INITIATIVE 2600 ST PAUL ST BALTIMORE MD 21218 522173223 170(B)(1)(A)(VI) 50000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY MI FAMILIA VOTA 1710 E INDIAN SCHOOL STE 100 PHOENIX AZ 85016 810668995 501(C)(4) 78500 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY MICHIGAN LEAGUE FOR PUBLIC POLICY 1223 TURNER ST STE G-1 LANSING MI 48906 381360557 170(B)(1)(A)(VI) 7292 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY NEBRASKA APPLESEED CENTER 941 O STREET SUITE 920 LINCOLN NE 68508 470798343 509(A)(2) 111455 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY COMMUNITY CATALYST INC ONE FEDERAL ST BOSTON MA 02110 043355127 170(B)(1)(A)(VI) 125000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY COMMUNITY HEALTHCARE ASSOCIATION OF DAKOTAS 300 S PHILLIPS AVE STE L105 SIOUX FALLS SD 57104 363377788 170(B)(1)(A)(VI) 47450 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY BOSTON CENTER FOR INDEPENDENT LIVING 60 TEMPLE PLACE 5TH FLOOR BOSTON MA 02111 042546595 509(A)(2) 30000 N/A N/A SUPPORT HEALTH ISSUES AND ADVOCACY 17 3 PART I, LINE 2: THE ORGANIZATION MONITORS THE FUNDS BY REQUIRING ALL GRANT RECIPIENTS TO SUBMIT QUARTERLY REPORTS, SITE VISITS, AND DISCUSSIONS BY PHONE. FORM 990, PART VI, SECTION B, LINE 11B EACH OFFICER AND DIRECTOR OF THE ORGANIZATION RECEIVES A DRAFT COPY OF THE FORM 990 AND THEY REVIEW IT TOGETHER AT A BOARD MEETING BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND DIRECTORS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY. THEY SIGN AN ANNUAL STATEMENT DECLARING THAT THEY: RECEIVED A COPY OF THE POLICY; HAVE READ AND UNDERSTOOD THE POLICY; AGREE TO COMPLY WITH THE POLICY; AND UNDERSTOOD THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUB-COMMITTEES. IF THE BOARD DETERMINES THAT A CONFLICT OF INTEREST DOES EXIST, IT MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES. AFTER EXERCISING DUE DILIGENCE, THE BOARD MUST DETERMINE, BY A MAJORITY VOTE, WHETHER THE TRANSACTION OR SOME ALTERNATIVE 1) IS IN THE ORGANIZATION'S BEST INTERESTS AND FOR ITS OWN BENEFIT; 2) IS FAIR AND REASONABLE TO THE ORGANIZATION; AND 3) IS THE MOST ADVANTAGEOUS TRANSACTION THE ORGANIZATION CAN OBTAIN UNDER THE CIRCUMSTANCES. THE INTERESTED PERSON MUST NOT PARTICIPATE IN THE DETERMINATION OF WHETHER OR NOT THE FINANCIAL INTEREST MAY RESULT IN A CONFLICT OF INTEREST NOR IN THE RESOLUTION OF SUCH A CONFLICT. IF IT IS DETERMINED THAT AN OFFICER OR A DIRECTOR VIOLATED THE POLICY, THE BOARD MAY TAKE APPROPRIATE DISCIPLINARY ACTION AGAINST THE INTERESTED PERSON RANGING FROM FORMAL REPRIMAND TO REMOVAL FROM THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G PROGRAM CONSULTING: PROGRAM SERVICE EXPENSES 99,190. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,190. STAFFING: PROGRAM SERVICE EXPENSES 6,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,766. CTG FEE: PROGRAM SERVICE EXPENSES 3,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,396. FORM 990, PART XI, LINE 9: RETURN OF UNEXPENDED GRANTS 29,670. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. COMMUNITY CATALYST INC ONE FEDERAL STREET BOSTON MA 02110 043355127 TO PROVIDE POLICY & ORGANIZING SUPPORT TO HELP SHAPE HEALTH REFORM MA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0