THE CLINICAL RESEARCH FORUM INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- THE CLINICAL RESEARCH FORUM INC (EIN 04-3809491)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-09-03
- IRS object ID
- 201602479349300500
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-09-03T08:14:56-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 362985770 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELDEN FOX LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 619 ENTERPRISE DRIVE | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605238835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043809491 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICAL RESEARCH FORUM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLIN | BusinessNameControlTxt |
| Phone | 2023671176 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2025 M STREET NW NO 800 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM LOWE | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 2023671176 | PhoneNum |
| Signature | 2016-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT G WUJEK | PreparerPersonNm |
| PTIN | P01367472 | PTIN |
| Phone | 6309541400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | HARRY P SELKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2025 M STREET NW NO 800 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $608,446 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.CLINICALRESEARCHFORUM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE LEADERSHIP TO THE NATIONAL CLINICAL AND TRANSLATIONAL RESEARCH ENTERPRISE AND PROMOTE UNDERSTANDING AND SUPPORT FOR CLINICAL RESEARCH AND ITS IMPACT ON HEALTH AND HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $469,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $458,144 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $52,650 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $108,745 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,377 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,266 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $544,927 | PYTotalRevenueAmt |
| CY Total Revenue | $593,155 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,161 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,076 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $449,624 | PYOtherExpensesAmt |
| CY Other Expenses | $456,224 | CYOtherExpensesAmt |
| PY Total Expenses | $525,700 | PYTotalExpensesAmt |
| CY Total Expenses | $469,385 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,227 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $123,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,109,230 | TotalAssetsBOYAmt |
| Total Assets EOY | $821,406 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $432,172 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,230 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $677,058 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $761,176 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE LEADERSHIP TO THE NATIONAL CLINICAL AND TRANSLATIONAL RESEARCH ENTERPRISE AND PROMOTE UNDERSTANDING AND SUPPORT FOR CLINICAL RESEARCH AND ITS IMPACT ON HEALTH AND HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $68,887 | ExpenseAmt |
| Grant | $13,161 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | TOP TEN CLINCIAL RESEARCH ADVANCEMENT AWARDS - THE FORUM'S TOP TEN CLINICAL RESEARCH ACHIEVEMENT AWARDS HONOR OUSTANDING ACCOMPLISHMENTS IN CLINICAL RESEARCH, THROUGH AN ANNUAL COMPETITION SEEKING TO IDENTIFY MAJOR ADVANCES RESULTING FROM THE NATION'S INVESTMENT IN RESEARCH TO BENEFIT THE HEALTH AND WELFARE OF ITS CITIZENS. SELECTION CRITERIA USED TO DETERMINE THE AWARD WINNERS INCLUDE: (A) THE DEGREE OF INNOVATION AND CREATIVITY INVOLVED AND ITS ADVANCEMENT OF THE SCIENCE IN A SPECIFIC AREA (B) THE CONTRIBUTION TO THE UNDERSTANDING OF HUMAN DISEASE AND/OR HUMAN PHYSIOLOGY AND (C) THE POTENTIAL IMPACT UPON THE DIAGNOSIS, PREVENTION AND/OR TREATMENT OR INCREASED UNDERSTANDING OF THE DISEASE STATE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $52,126 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $76,045 | RevenueAmt |
| Desc | IT ROUNDTABLE - THE FORUM CONSIDERS THE INTEGRATION OF INFORMATION TECHNOLOGY (IT) AND CLINICAL RESEARCH A HIGH PRIORITY FOR ITS MEMBERS. ROUNDTABLE MEETINGS PROVIDE A VENUE FOR ACADEMIC HEALTH CENTER LEADERS TO SHARE EXPERIENCES AND WORK WITH VENDORS TO ADDRESS KEY IT ISSUES IN CLINCIAL RESEARCH, SUCH AS THE INTERFACE OF CLINICAL SERVICES AND CLINICAL RESEARCH DATA, WAREHOUSING, DATA SECURITY, ELECTRONIC HEALTH RECORD PLATFORMS, AND GOVERNANCE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $44,651 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,200 | RevenueAmt |
| Desc | ANNUAL MEETING - THE FORUM CONDUCTS AN ANNUAL MEETING TO BRING TOGETHER ALLO OF THE DISCIPLINGS INVOLVED IN CLINCIAL AND TRANSLATIONAL RESEARCH FOR THE SHARED BENEFITS OF NETWORKING AND EDUCATION WITHE GOAL TO (A) INSPIRE PARTICIPANTS BY IDENTIFYING THE GREAT SUCCESSES OF CLINICAL AND TRANSLATIONAL RESEARCH AND DESCRIBING HOW THEY HAVE IMPROVED THE LIVES OF SO MANY PEOPLE (B) PROVIDE PARTICIPANTS WITH THE NEWEST AND MOST VALUABLE INFORMATION IN CLINICAL AND TRANSLATIONAL SCIENCE (C) PROVIDE TRAINEES AND ALL MEETING PARTICIPANTS AN OPPORTUNITY TO PRESENT THEIR RESEARCH TO A SUPPORTIVE GROUP OF THEIR PEERS, EDUCATORS, AND SENIOR INVESTIGATORS (D)COMMUNICATE NOVEL METHODS, BEST PRACTICES, AND RESOURCES FOR CLINICAL TRANSLATION (E) PROVIDE EXCITING AND DYNAMIC CAREER DEVELOPMENT PROGRAMS FOR TRAINEES AND THEIR MENTORS AND (F) PROVIDE EDUCATORS A VENUE TO PRESENT BEST PRACTICES IN CLINICAL AND TRANSLATIONAL RESEARCH CAREER DEVELOPMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $25,678 | $0 | $0 | ADVOCACY - THE FORUM IS A MEMBER OF THE COALITION FOR CLINICAL & TRANSLATIONAL SCIENCE (CCTS), WHICH IS THE UNIFIED VOICE OF THE CLINCIAL AND TRANSLATIONAL SCIENCE RESEARCH COMMUNITY. CCTS IS A NATIONWIDE GRASSROOTS NETWORK OF DEDICATED INDIVIDUALS WHO WORK TOGETHER TO EDUCATE CONGRESS AND THE ADMINISTRATION ABOUT THE VALUE AND IMPORTANCE OF FEDERAL CLINICAL AND TRANSLATIONAL RESEARCH AND RESEARCH TRAINING AND CAREER DEVELOPMENT ACTIVITIES. CCTS WORKS TO ENSURE THE (A) FULL SPECTRUM OF MEDICAL RESEARCH IS ADEQUATELY FUNDED, (B) NEXT GENERATION OF RESEARCHERS IS WELL-PREPARED, AND (C) REGULATORY AND PUBLIC POLICY ENVIRONMENT FACILITATES ONGOING EXPANSION AND ADVANCEMENT OF THE FIELD OF CLINICAL AND TRANSLATIONAL SCIENCE. |
| $272 | $0 | $16,500 | INDUSTRY ROUNDTABLE - THE FORUM SPONSORS AN INDUSRY ROUNDTABLE TO DISCUSS THE CHALLENGES FACING CLINICAL RESEARCH, AND THE APPROACHES THAT MIGHT BE FOLLOWED TO CREATE A MORE SUPPORTING ENVIRONMENT FOR THE CONDUCT OF A BROAD AGENDA OF HIGH QUALITY CLINICAL RESEARCH. |
| $4,358 | $0 | $0 | PATIENT ADVOCACY INITIATIVE - THE FORUM SPONSORED A SURVEY AND WHITE PAPER IN COLLABORATION WITH KEY VOLUNTEER HEALTH ASSOCIATIONS AND PATIENT GROUPS TO IDENIFY MUTUAL INTERESTS AND DEVELOP A PATHWAY FOR PARTNERING IN THE FUTURE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $30,308 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $16,500 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $195,972 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | Yes (1) | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITHBUCKLIN CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2023671176 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2025 M STREET NW SUITE 800 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| HARRY P SELKER | ||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HERBERT PARDES | ||||||
| VICE CHAIRMAN | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WILLIAM L LOWE | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LARS BERGLUND | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY S COLLER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANNE B CURTIS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAMELA DAVIS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAURIZIO FAVA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HARRY B GREENBERG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA D JACKSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC PETERSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| E ALBERT REECE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ARTHUR H RUBENSTEIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT SHERWIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALASTAIR J J WOOD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL E FORD | ||||||
| EX OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANANTHA SHEKHAR | ||||||
| EX OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANDRE WILLIAMS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITHBUCKLIN CORPORATION | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 N WABASH AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60611 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT | ServicesDesc |
| Compensation | $144,524 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $449,200 | MembershipDuesAmt |
| All Other Contributions | $8,944 | AllOtherContributionsAmt |
| Noncash Contributions | $8,944 | NoncashContributionsAmt |
| Total Contributions | $458,144 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| IT ROUNDTABLE | 900099 | $76,045 | $76,045 |
| INDUSTRY ROUNDTABLE | 900099 | $16,500 | $16,500 |
| ANNUAL MEETING | 900099 | $16,200 | $16,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $108,745 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,749 | TotalRevenueColumnAmt |
| Exclusion | $19,749 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,808 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,291 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,517 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,517 | TotalRevenueColumnAmt |
| Exclusion | $6,517 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $593,155 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,745 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,266 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,161 | TotalAmt |
| Program Services | $13,161 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,879 | TotalAmt |
| Program Services | $75,521 | ProgramServicesAmt |
| Management And General | $208,358 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195 | TotalAmt |
| Management And General | $1,195 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,500 | TotalAmt |
| Management And General | $18,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,958 | TotalAmt |
| Program Services | $11,958 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,430 | TotalAmt |
| Management And General | $5,430 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Program Services | $30,000 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,024 | TotalAmt |
| Program Services | $2,736 | ProgramServicesAmt |
| Management And General | $21,288 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,219 | TotalAmt |
| Program Services | $332 | ProgramServicesAmt |
| Management And General | $2,887 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,142 | TotalAmt |
| Management And General | $3,142 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,016 | TotalAmt |
| Program Services | $15,492 | ProgramServicesAmt |
| Management And General | $3,524 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,627 | TotalAmt |
| Program Services | $46,497 | ProgramServicesAmt |
| Management And General | $130 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,702 | TotalAmt |
| Management And General | $5,702 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BANK & CREDIT CARD FEES | Desc |
| Total | $3,532 | TotalAmt |
| Program Services | $275 | ProgramServicesAmt |
| Management And General | $3,257 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,385 | TotalAmt |
| Program Services | $195,972 | ProgramServicesAmt |
| Management And General | $273,413 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,556 | BOYAmt |
| EOY | $422,457 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,965 | BOYAmt |
| EOY | $2,057 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,253 | BOYAmt |
| EOY | $396,892 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,456 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,109,230 | BOYAmt |
| EOY | $821,406 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,472 | BOYAmt |
| EOY | $1,190 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,700 | BOYAmt |
| EOY | $44,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $15,040 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,172 | BOYAmt |
| EOY | $60,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,998 | BOYAmt |
| EOY | $672,510 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,060 | BOYAmt |
| EOY | $88,666 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $677,058 | BOYAmt |
| EOY | $761,176 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,109,230 | BOYAmt |
| EOY | $821,406 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $123,770 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$39,652 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | Yes (1) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | 0 | AgreeCarryoverPriorYearInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $96,948 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,282 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $88,666 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $98,895 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $3,053 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $96,948 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $93,562 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $10,333 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $98,895 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $97,060 | ContributionsAmt |
| Investment Earnings Or Losses | $1,502 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $93,562 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MUTUAL FUNDS | Desc |
| Book Value | $396,892 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $396,892 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO CLINICAL RESEARCH FOUNDATION, INC. | Desc |
| Amt | $15,040 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,040 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $548,073 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$39,652 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$39,652 | RevenueNotReportedAmt |
| Revenue Subtotal | $587,725 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,430 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,430 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $593,155 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $464,080 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $125 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $125 | ExpensesNotReportedAmt |
| Expenses Subtotal | $463,955 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $5,430 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $5,430 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $469,385 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | IN 2012, AN ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE A $5,000 ANNUAL AWARD TO RECONGIZE EXCELLENCE IN THE CLINICAL RESEARCH FIELD. PRIOR TO 2015, THE AMOUNT WAS NOT REPORTED AS AN ENDOWMENT. IN 2015, SCHEDULE D WAS ADJUSTED TO REFLECT THE ACTIVITY IN THE ENDOWMENT SINCE ITS INCEPTION. |
| PART X, LINE 2: | THE FORUM HAS DETERMINED THEY ARE NOT REQUIRED TO RECORD A LIABILITY FOR ANY UNCERTAIN TAX POSITIONS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES OF CLINICAL RESEARCH FORUM FOUNDATION, INC. INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 125. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CLINICAL RESEARCH AWARDS | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $12,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | CASH AWARDED | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EACH YEAR NOMINATIONS ARE REQUESTED FOR THE FORUM'S TOP TEN CLINICAL RESEARCH ACHIEVEMENT AWARDS. BASED ON THE ELIGIBLE NOMINATIONS, THE TOP 20 ARE IDENTIFIED. THE LIST IS THEN NARROWED TO THE TOP 10 AND A FINAL REVIEW IDENTIFIES THE TOP 3 WINNERS WHO WILL RECEIVE MONETARY PRIZES. THE FORUM'S BOARD OF DIRECTORS SERVES AS THE SELECTION COMMITTEE, WITH THE SELECTION CRITERIA BASED ON 1) THE DEGREE OF INNOVATION AND CREATIVITY INVOLVED AND ITS ADVANCEMENT OF THE SCIENCE IN A SPECIFIC AREA, 2) CONTRIBUTION TO THE UNDERSTANDING OF HUMAN DISEASE AND/OR HUMAN PHYSIOLOGY, AND 3) POTENTIAL IMPACT UPON THE DIAGNOSIS, PREVENTION, AND/OR TREATMENT OR INCREASED UNDERSTANDING OF THE DISEASE STATE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE FORUM HAS DELEGATED THE MANAGEMENT OF ITS DAILY OPERATIONS TO SMITHBUCKLIN CORPORATION. SMITHBUCKLIN CORPORATION IS A MANAGEMENT COMPANY WHICH MANAGES ALL ASPECTS OF THE ASSOCIATION IN ACCORDANCE WITH THE ASSOCIATION'S BYLAWS AND POLICIES. OPERATIONS MAY INCLUDE, BUT ARE NOT LIMITED TO, ADMINISTRATION, MEMBERSHIP, FINANCE AND ACCOUNTING, CONVENTION/TRADESHOW/MEETING PLANNING, EDUCATION, MARKETING, INFORMATION TECHNOLOGY AND GOVERNMENT RELATIONS. SMITHBUCKLIN CORPORATION EMPLOYEES PROVIDE THESE SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER THE BYLAWS OF THE ORGANIZATION, EACH DUES-PAYING ACADEMIC HEALTH CENTER MEMBER MAY CAST ONE VOTE FOR THE ANNUAL ELECTION OF THE BOARD OF DIRECTORS. A SLATE OF CANDIDATES IS PREPARED BY THE NOMINATING COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. A BALLOT IS THEN DISTRIBUTED TO THE MEMBERSHIP FOR VOTING. A MAJORITY OF THE VOTING MEMBERS IS REQUIRED TO ELECT NEW DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | PER THE BYLAWS OF THE ORGANIZATION, ALL GOVERNANCE AND CHANGES TO THE BYLAWS ARE PRESENTED TO THE MEMBERSHIP AT THE ANNUAL MEMBERS MEETING IN APRIL. A MAJORITY OF ACADEMIC HEALTH CENTER VOTES IS REQUIRED TO APPROVE ANY CHANGES. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY MANAGEMENT AND THE BOARD'S FINANCE AND AUDIT SUBCOMMITTEE PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SUBMIT A QUESTIONNAIRE AND STATEMENT OF DISCLOSURE ANNUALLY. THEY ARE REQUIRED TO INFORM THE AUDIT COMMITTEE IF THERE IS ANY CHANGE OR IF A CONFLICT ARISES DURING THE YEAR. THE AUDIT COMMITTEE REVIEWS EACH QUESTIONNAIRE AND DISCLOSURE STATEMENT OR ANY SET OF FACTS OR CIRCUMSTANCES THAT MAY REFLECT AN ACTUAL, POTENTIAL, OR APPARENT CONFLICT OF INTEREST. THE AUDIT COMMITTEE MAY REQUEST THE ASSISTANCE OF LEGAL COUNSEL TO IDENTIFY POTENTIAL CONFLICTS. THE AUDIT COMMITTEE MAY ASK FOR ADDITIONAL INFORMATION. THE AUDIT COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD TO EITHER WAIVE THE CONFLICT OR ASK THE DIRECTOR TO RESIGN. THE BOARD OF DIRECTORS HAS THE FINAL DECISION ON THE RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FORUM'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND YEAR END FINANCIAL STATEMENTS ARE AVAILABLE TO MEMBERS AND REVIEWED AT THE ANNUAL MEMBERS' MEETING. THIS INFORMATION IS ALSO AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICAL RESEARCH FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2025 M STREET NW SUITE 800 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020773588 | EIN |
| Primary Activities | TO PROVIDE LEADERSHIP TO THE NATIONAL CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |