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AGENO FOUNDATION INTERNATIONAL INCORPORATED: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
AGENO FOUNDATION INTERNATIONAL INCORPORATED (EIN 45-4043387)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-13
IRS object ID
201632269349300433
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

FieldValueIRS element (for citing)
Return2016-08-13T23:45:27-04:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND EMANUELPreparerPersonNm
PTINP00184601PTIN
Phone9142144971PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMEL PATTERSON MD MPH MSPrincipalOfficerNm
Gross Receipts$249,886GrossReceiptsAmt
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$226,387PYContributionsGrantsAmt
CY Contributions Grants$249,886CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$226,387PYTotalRevenueAmt
CY Total Revenue$249,886CYTotalRevenueAmt
PY Grants And Similar Paid$190,847PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$249,487CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,588PYOtherExpensesAmt
CY Other Expenses$20,210CYOtherExpensesAmt
PY Total Expenses$207,435PYTotalExpensesAmt
CY Total Expenses$269,697CYTotalExpensesAmt
PY Revenues Less Expenses$18,952PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$19,811CYRevenuesLessExpensesAmt
Total Assets BOY$27,977TotalAssetsBOYAmt
Total Assets EOY$8,166TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,977NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,166NetAssetsOrFundBalancesEOYAmt
MissionHEALTH CARE AND EDUCATIONMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$119,672ExpenseAmt
Grant$115,264GrantAmt
DescHAITIPROJECT AGENO A DELMAS COMMUNITY DEVELOPMENT PROGRAMS 2015TOTAL OF 63 STUDENTS REGISTERED IN THE PROGRAM FROM KINDERGARTEN TOUNIVERSITY. TOTAL OF 14 STUDENTS WERE ENROLLED IN THE HAITIAN NATIONALEXAMS AND WE ACHIEVED A 100% SUCCESS RATE.THREE STUDENTS COMPLETED THEIR PRIMARY SCHOOL EDUCATION AND ARE NOWENROLLED IN SECONDARY SCHOOL.FOUR STUDENTS GRADUATED FROM SECONDARY SCHOOL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$77,035ExpenseAmt
Grant$76,440GrantAmt
DescCOMMUNITY DEVELOPMENT - CLINIQUE SUR APPEL DE DELMAS THIS IS A PRIMARY CARE MEDICAL CLINIC PROVIDING FREE CONSULTAION ANDMEDICATIONS TO THE PATIENTS.TOTAL OF 6500 PATIENTS RECEIVED SERVICES AT THE CLINIC DURING 2015.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$25,815ExpenseAmt
Grant$25,450GrantAmt
DescEDUCATION PROGRAM EXPENDITURES 2015TOTAL OF 5 STUDENTS ARE FULL SCHOLARSHIP RECIPIENTS. 3 IN UGANDA, 1 KENYAAND 1 IN DOMINICAN REPUBLIC.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtDescDesc
$14,645$14,597OTHER COMMUNITY HEALTH AND DEVELOPMENT PROJECTSPROVIDED LAPTOPS TO UNIVERSITY STUDENTS AND SUPPORT TO WOMENS BEADING PROJECT.
$12,320$12,160UGANDATHE AGENO FEEDING INITIATIVE CONTINUE TO PROVIDE PACKAGES OF NUTRITIONAL GRAINS TO FAMILIES WITH PREGNANT WOMEN AND CHILDREN.IN 2015 7,600 PEOPLE WERE FED.THE ELIJAH EDUCATION PROJECT PROVIDED OPPORTUNITY FOR 40 KIDS FROM DISENFRANCHISED FAMILIES TO GO TO PRIMARY SCHOOL. COMMUNITY HEALTH: 250 MOSQUITO NETS DISTRIBUTED.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$26,965TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$26,757TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$249,487TotalProgramServiceExpensesAmt
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 OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (true)MoreThan5000KToIndividualsInd
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$15,720FundraisingAmt
All Other Contributions$234,166AllOtherContributionsAmt
Total Contributions$249,886TotalContributionsAmt
Contri Rpt Fundraising Event$15,720ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,886TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$249,487TotalAmt
Program Services$249,487ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOPERATING EXPENSESDesc
Total$20,210TotalAmt
Management And General$20,210ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$269,697TotalAmt
Program Services$249,487ProgramServicesAmt
Management And General$20,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,977BOYAmt
EOY$8,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,977BOYAmt
EOY$8,166EOYAmt

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$27,977BOYAmt
EOY$8,166EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,977BOYAmt
EOY$8,166EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,977BOYAmt
EOY$8,166EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$19,811ReconcilationRevenueExpnssAmt
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$22,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$226,387CurrentTaxYearMinus1YearAmt
Current Tax Year$249,886CurrentTaxYearAmt
Total$702,840TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$226,387CurrentTaxYearMinus1YearAmt
Current Tax Year$249,886CurrentTaxYearAmt
Total$702,840TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$139,197SubstantialContributorsTotAmt
Public Support Total170$563,643PublicSupportTotal170Amt
Total Support$702,840TotalSupportAmt
Public Support CY1700.80200PublicSupportCY170Pct
Public Support PY1700.84000PublicSupportPY170Pct
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

Foreign Individuals Grants ForeignIndividualsGrantsGrp (3 entries)

Type Of AssistanceTypeOfAssistanceTxtRegionRegionTxtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxt
EDUCATION PROGRAMSCentral America and the Caribbean
COMMUNITY DEVELOPMENTCentral America and the Caribbean
COMMUNITY DEVELOPMENTSub-Saharan Africa0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AGENO FRIENDEvent1Nm
Event2AGENO GALAEvent2Nm

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.