2012-07-13T08:58:22-05:00 2011-08-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANPOLIS IN 46204 990 2010-09-01 237268635 NEW YORK UNIVERSITY MEDICAL CENTER FOUNDATION NEWY 2122633092 550 FIRST AVENUE NEW YORK NY 10016 MICHAEL T BURKE 2122633092 2012-07-13 0 ANGELA MOORE 3176817000 2010 2016-02-24 21:20:13Z MICHAEL T BURKE 550 FIRST AVENUE NEW YORK NY 10016 839537 0 X N/A X 1999 NY TO SUPPORT THE MISSION AND PROGRAMS OF THE NYU SCHOOL OF MEDICINE AND NYU HOSPITALS CENTER. 10 2 0 0 0 0 187143 252142 0 0 588094 587395 0 0 775237 839537 773806 839537 0 0 0 0 0 0 0 0 0 773806 839537 1431 0 10564807 11458543 0 0 10564807 11458543 X THE PROMOTION, ENCOURAGEMENT, AND SPONSORSHIP OF STUDY, RESEARCH, AND OTHER EDUCATIONAL ACTIVITIES IN THE AREA OF SCIENCES AND THE PRACTICE OF MEDICINE BY CONDUCTING AND SUPPORTING ACTIVITIES FOR THE BENEFIT OF, PROMOTING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF NEW YORK UNIVERSITY SCHOOL OF MEDICINE AND NYU HOSPITALS CENTER. 0 0 839537 839537 GRANTS TO PROMOTE, ENCOURAGE, AND SPONSOR THE STUDY, RESEARCH, AND OTHER EDUCATIONAL ACTIVITIES IN THE AREA OF SCIENCES AND THE PRACTICE OF MEDICINE AT THE NEW YORK UNIVERSITY SCHOOL OF MEDICINE. 839537 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 2 0 0 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 X MICHAEL T BURKE TREASURER 2122633092 550 FIRST AVENUE NEW YORK NY 10016 X THOMAS S MURPHY 1.00 X X 0 0 0 E JOHN ROSENWALD 1.00 X 0 0 0 MICHAEL C ALFANO DMD PHD 1.00 X 0 562483 45377 ROBERT BERNE PHD 1.00 X 0 845826 34761 ROBERT I GROSSMAN MD 1.00 X X 0 2972780 516180 DAVID W MCLAUGHLIN 1.00 X 0 563785 34759 JOHN E SEXTON 1.00 X 0 1307650 168975 MICHAEL T BURKE 1.00 X X 0 920748 39312 ANNETTE JOHNSON JD 1.00 X X 0 577765 11808 BONNIE BRIER 1.00 X 0 561739 35988 0 8312776 887160 0 0 1 0 0 252142 252142 587395 587395 839537 0 0 587395 839537 839537 839537 839537 0 0 6087 6087 5701709 6413375 4857011 5039081 10564807 11458543 0 0 X 2395288 2598035 8169519 8860508 10564807 11458543 10564807 11458543 X 0 893736 X 0 1 1 X 0 X X 0 0 0 NEW YORK UNIVERSITY 135562308 2 1 589537 NYU HOSPITALS CTR 133971298 3 1 250000 2 839537 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10558720 893736 11452456 10322913 235807 10558720 12350418 -1422851 588094 16560 10322913 0.22690 0.77310 0 1 1 0 LIMITED PARTNERSHIP INTEREST HELD VIA UNIVERSITY ENDOWMENT 5039081 F 5039081 839537 839537 893736 893736 893736 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO SUPPORT THE NYU SCHOOL OF MEDICINE AND NYU HOSPITALS CENTER IN A VARIETY OF PURPOSES SUCH AS: PROGRAM SUPPORT, SCHOLARSHIP AND FELLOWSHIPS, AND RESEARCH. 0 NEW YORK UNIVERSITY 726 BROADWAY 9TH FLOOR NEW YORK NY 10003 135562308 501(C)(3) 589537 SUPPORT ACTIVITIES OF NYU SCHOOL OF MEDICINE. NYU HOSPITALS CENTER 550 FIRST AVENUE NEW YORK NY 10016 133971298 501(C)(3) 250000 SUPPORT ACTIVITIES OF NYU HOSPITALS CENTER. 2 0 OTHER INFORMATION: PART IV: ORGANIZATION'S PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES: ALL GRANTS WERE MADE TO RELATED TAX-EXEMPT 501(C)(3) ORGANIZATIONS, THEREFORE NO MONITORING OF THE USE OF FUNDS IS REQUIRED. 0 1 0 0 0 0 0 0 0 MICHAEL C ALFANO DMD PHD 0 562483 0 0 0 0 0 35500 0 9877 0 607860 0 0 ROBERT BERNE PHD 0 845826 0 0 0 0 0 24500 0 10261 0 880587 0 0 ROBERT I GROSSMAN MD 0 1881536 0 478812 0 612432 0 501284 0 14896 0 3488960 0 423974 DAVID W MCLAUGHLIN 0 563785 0 0 0 0 0 24500 0 10259 0 598544 0 0 JOHN E SEXTON 0 1242806 0 0 0 64844 0 101700 0 67275 0 1476625 0 0 MICHAEL T BURKE 0 820748 0 75000 0 25000 0 24500 0 14812 0 960060 0 0 ANNETTE JOHNSON JD 0 400448 0 177317 0 0 0 7367 0 4441 0 589573 0 0 BONNIE BRIER 0 561739 0 0 0 0 0 24500 0 11488 0 597727 0 0 PART I, LINE 4B ROBERT GROSSMAN, MD - DEAN OF NYU SCHOOL OF MEDICINE PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2010. THE EMPLOYER CONTRIBUTION TO THIS PLAN WAS $496,584. THIS AMOUNT IS REPORTED AS A SHARED COST BETWEEN NYU HOSPITALS CENTER AND THE NYU SCHOOL OF MEDICINE. THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN CONTRIBUTIONS WERE MADE PURSUANT TO A NEGOTIATED AGREEMENT WITH DR. GROSSMAN. NEW YORK UNIVERSITY PRESIDENT JOHN SEXTON IS ENTITLED TO RECEIVE A LENGTH OF SERVICE BONUS ON JANUARY 15, 2015, SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, EQUAL TO $77,200 TIMES THE NUMBER OF YEARS HE HAS SERVED AS A FULL-TIME MEMBER OF THE NYU SCHOOL OF LAW (INCLUDING HIS SERVICES AS DEAN OF THE SCHOOL OF LAW AND AS PRESIDENT OF THE UNIVERSITY). THE $77,200 ALLOCABLE TO CALENDAR YEAR 2010 IS INCLUDED IN PART II, ABOVE, IN COLUMN C(II). IN ADDITION, COMMENCING ON SEPTEMBER 1, 2011, SUBJECT TO A SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, PRESIDENT SEXTON WILL BE ENTITLED TO RECEIVE PAYMENTS FOR THE REMAINDER OF HIS LIFE (THE "SERP ANNUAL PAYMENTS") EQUAL TO $800,000 PER YEAR, ADJUSTED BY THE LOCAL CONSUMER PRICE INDEX SINCE SEPTEMBER 1, 2008, REDUCED BY RETIREMENT BENEFITS OTHERWISE PROVIDED BY THE UNIVERSITY. THE OBLIGATION TO MAKE THE SERP ANNUAL PAYMENTS HAS BEEN PREVIOUSLY DESCRIBED ON NEW YORK UNIVERSITY'S FORMS 990. PRESIDENT SEXTON'S SALARY - WHILE PRESIDENT OR IN ANY POST-PRESIDENT EMPLOYMENT WITH NYU - IS REDUCED BY THE SERP ANNUAL PAYMENTS. FOR EXAMPLE, SO LONG AS PRESIDENT SEXTON REMAINS AS PRESIDENT, HE WILL NOT RECEIVE ANY ECONOMIC BENEFIT FROM THE SERP ANNUAL PAYMENTS BECAUSE EVERY DOLLAR HE RECEIVES FROM THE SERP ANNUAL PAYMENTS WILL REDUCE HIS SALARY AS PRESIDENT. NEW YORK UNIVERSITY EXECUTIVE VICE PRESIDENT ALFANO IS ENTITLED TO RECEIVE A LENGTH OF SERVICE BONUS ON JANUARY 15, 2013, SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, EQUAL TO $11,000 TIMES THE NUMBER OF YEARS HE HAS SERVED AS A FULL-TIME MEMBER OF THE NYU COLLEGE OF DENTISTRY (INCLUDING HIS SERVICES AS DEAN OF THE NYU COLLEGE OF DENTISTRY, A MEMBER OF THE FACULTY OF THE NYU COLLEGE OF DENTISTRY, AND/OR EVP OF NYU). THE $11,000 ALLOCABLE TO CALENDAR YEAR 2010 IS INCLUDED IN PART II, ABOVE, IN COLUMN C (II). SUPPLEMENTAL INFORMATION PART III FORM 990, SCHEDULE J, PART II, COL. (F): DR. GROSSMAN'S OTHER REPORTABLE COMPENSATION (COL. (B)(III)) INCLUDES AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN A PRIOR FORM 990. FORM 990, PART VI, SECTION A, LINE 6 NEW YORK UNIVERSITY IS THE SOLE MEMBER OF NEW YORK UNIVERSITY MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, NEW YORK UNIVERSITY HAS THE POWER TO APPOINT THE GOVERNING BODY OF NEW YORK UNIVERSITY MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B NEW YORK UNIVERSITY, THE SOLE MEMBER OF THE ORGANIZATION, HAS ALL SUCH POWERS AS PERMITTED UNDER THE BYLAWS AND APPLICABLE LAW INCLUDING, BUT NOT LIMITED TO, THE POWER TO AMEND THE BY-LAWS, AMEND THE CERTIFICATE OF INCORPORATION, REMOVE TRUSTEES WITH OR WITHOUT CAUSE, LIQUIDATE OR DISSOLVE THE CORPORATION, AND MERGE, CONSOLIDATE OR TRANSFER ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DID NOT MAINTAIN ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY DURING THE REPORTING PERIOD. FORM 990, PART VI, SECTION B, LINE 11 DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE NYU LANGONE MEDICAL CENTER ("NYULMC") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULES BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY AND PRIOR YEAR REPORTING. 2. THE DRAFT IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW. 3. THE DRAFT IS THEN REVIEWED BY THE CONTROLLER, VICE PRESIDENT OF FINANCE, AND THE CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW. 5. ONCE APPROVED BY THE BOARD OF TRUSTEES, THE FORM 990 IS FORWARDED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12 ALL TRUSTEES AND OFFICERS OF THE CORPORATION MUST ACT SOLELY IN THE INTEREST OF THE CORPORATION WITHOUT REGARD TO PERSONAL INTEREST. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY OF THE NYU LANGONE MEDICAL CENTER, TO WHICH THE BOARD OF TRUSTEES AND OFFICERS ARE SUBJECT TO, ALL TRUSTEES ARE REQUIRED TO DISCLOSE BI-ANNUALLY IN WRITING ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL, OR MEMBER OF THE INDIVIDUAL'S FAMILY, HAS IN ANY BUSINESS ENTITY THAT TRANSACTS WITH THE CORPORATION. THE BOARD OF TRUSTEES SHALL REGULARLY EVALUATE THE CONFLICT OF INTEREST POLICY AND ADOPT SUCH OTHER POLICIES AND PROCEDURES AS MAY BE NECESSARY OR APPROPRIATE WITH RESPECT TO DETERMINING WHETHER A RELATIONSHIP, FINANCIAL INTEREST OR BUSINESS AFFILIATION RESULTS IN A CONFLICT OF INTEREST, PRESCRIBING THE COURSES OF ACTION TO BE TAKEN IN THE EVENT A CONFLICT OF INTEREST IS IDENTIFIED AND PROMOTING COMPLIANCE WITH ETHICAL STANDARDS OF BEHAVIOR AND APPLICABLE LAWS AND REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE OFFICE OF THE GENERAL COUNSEL AT WASHINGTON SQUARE MAINTAINS COPIES OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES. THERE ARE NO AUDITED FINANCIAL STATEMENTS FOR THIS ENTITY. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES CAN BE OBTAINED BY CONTACTING: NEW YORK UNIVERSITY OFFICE OF THE GENERAL COUNSEL 70 WASHINGTON SQUARE SOUTH, 11TH FLOOR NEW YORK, NEW YORK 10003 TELEPHONE NUMBER: 212-998-2240 WHISTLEBLOWER POLICY AND DOCUMENT RETENTION & DESTRUCTION POLICY: FORM 990, PART VI, LINES 13 & 14 WHILE THE CORPORATION DOES NOT MAINTAIN ITS OWN WHISTLEBLOWER OR DOCUMENT RETENTION & DESTRUCTION POLICIES, ALL TRUSTEES AND OFFICERS OF THE CORPORATION ARE SUBJECT TO THE WHISTLEBLOWER AND DOCUMENT RETENTION & DESTRUCTION POLICIES OF NYU LANGONE MEDICAL CENTER. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A NAME / TITLE / HOURS MICHAEL C. ALFANO, DMD, PHD / EX-OFFICIO / 60.0 ROBERT BERNE, PHD / EX-OFFICIO / 60.0 ROBERT I. GROSSMAN, MD / EX-OFFICIO / 60.0 DAVID W. MCLAUGHLIN / EX-OFFICIO / 60.0 JOHN E. SEXTON / EX-OFFICIO / 60.0 MICHAEL T. BURKE / TREASURER / 60.0 ANNETTE JOHNSON, JD / SECRETARY / 60.0 BONNIE BRIER / EX-OFFICIO / 60.0 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 893,736. NEW YORK UNIVERSITY 726 BROADWAY NEW YORK NY 10003 135562308 UNIVERSITY NY 501(C)(3) LINE 2 N/A 0 NYU HOSPITALS CENTER 550 FIRST AVENUE NEW YORK NY 10016 133971298 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 34TH STREET CANCER CENTER INC C/O NYUHC 550 FIRST AVENUE NEW YORK NY 10016 300262470 CANCER CARE NY 501(C)(3) LINE 11C, III-FI NYU HOSPITALS CENTER 1 COURANT INSTITUTE FOUNDATION 251 MERCER STREET NEW YORK NY 10012 237277792 SUPP CIMS NY 501(C)(3) PF NEW YORK UNIVERSITY 1 HAROLD ACTON TRUST 726 BROADWAY 9TH FLOOR NEW YORK NY 10003 137050560 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 HORTENSE ACTON TRUST 70 WASHINGTON SQ S NEW YORK NY 10013 367110976 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(C)(3) PF NEW YORK UNIVERSITY 1 INSTITUTE OF FINE ARTS FOUNDATION 1 EAST 78TH STREET NEW YORK NY 10021 237184242 SUPP NYU'S INSTITUTE OF FINE ARTS NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 INSTITUTE OF JUDICIAL ADMIN INC 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 135613508 SUPP NYU NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NATIONAL CENTER ON PHILANTHROPY AND THE LAW 110 WEST 3RD ST 2ND FL NEW YORK NY 10012 133954405 STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NEW YORK UNIVERSITY IN ABU DHABI CORP 70 WASHINGTON SQ S NEW YORK NY 10013 262652713 SUPPORT NYU COLLEGE IN ABU DHABI NY 501(C)(3) LINE 2 NEW YORK UNIVERSITY 1 NEW YORK UNIV SCHOOL OF BUSINESS FDN 44 WEST 4TH ST STE 11-160 NEW YORK NY 10012 134168015 SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESS NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU IMAGING INC 545 FIRST AVENUE NEW YORK NY 10016 134000622 SUPPORT NYU SCHOOL OF MEDICINE NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU REAL ESTATE CORPORATION 70 WASHINGTON SQ S 11TH NEW YORK NY 10013 134141728 OWNS REAL PROPERTY NY 501(C)(25) NEW YORK UNIVERSITY 1 NYU SCHOOL OF LAW FOUNDATION 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 136161036 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU SCHOOL OF LAW HOUSING ASSISTANCE CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043221 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 NYU SCHOOL OF LAW RECRUITMENT ASSIST CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043182 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 NYU SCHOOL OF LAW RETENTION ASSIST CORP 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134047911 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY 6 METROTECH CENTER BROOKLYN NY 11201 111630820 ENGINEERING COLLEGE NY 501(C)(3) LINE 2 NEW YORK UNIVERSITY 1 WASHINGTON SQUARE LEGAL SERVICES INC 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 237392120 CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NEW YORK UNIVERSITY SCHOOL OF MEDICINE VEBA TRUST 550 FIRST AVENUE NEW YORK NY 10016 371592643 POSTRETIREMENT HEALTH CARE BENEFITS NY 501(C)(9) NEW YORK UNIVERSITY 1 JURODIN FUND PO BOX 6089 NEWARK DE 197146089 136169166 SILVER FUNDS DE 501(C)(3) PF NEW YORK UNIVERSITY 1 CCC 550 INSURANCE SCC 550 FIRST AVENUE NEW YORK NY 10016 PROF LIAB COVERAGE BB N/A C INTERNATIONAL ART FUND C/O NYU 726 BROADWAY NEW YORK NY 10003 HOLDS STOCK IN LA PIETRA CORP. 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