| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 5,069 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| GRANT APPLICATION INFORMATION | 990-PF, PART XV, LINE 2 | APPLICATION GUIDE FOR ITHC AWARDSPLEASE PROVIDE THE FOLLOWING INFORMATION IN SUBMITTING A PROPOSAL FORCONSIDERATION BY THE INSTITUTE FOR TECHNOLOGY IN HEALTH CARE:A. CONTACT INFORMATION NAME OF THE APPLICANT ORGANIZATION NAME AND TITLE OF THE PRINCIPAL CONTACT PERSON STREET ADDRESS CITY, STATE, ZIP COUNTRY PHONE NUMBER FAX NUMBER, IF AVAILABLE E-MAIL ADDRESSB. PROJECT INFORMATIONINDICATE WHICH ITHC AWARD IS BEST SUITED FOR YOUR PROJECT: W. RAYMOND MIZE, JR., MD, TECHNOLOGY IN CLINICAL CARE AWARDS PROJECTS TO IMPROVE HEALTH CARE IN HONDURAS PROJECTS IN LATIN AMERICA CLINICAL ENGINEERING PROJECTS HIV HEALTH CARE DESCRIBE IN TWO OR LESS PAGES PROJECT GOALS, ORGANIZATION, AND TIMING OREDUCATIONAL LEVELS OF PERFORMER(S). HOW THE PROJECT, PAPER, PRESENTATION OR OTHER PROPOSAL WILL STIMULATEOTHERS AND MEET GOALS OF THE INSTITUTE FOR TECHNOLOGY IN HEALTH CARE? HOW THE APPLICANT ORGANIZATION WILL ANNOUNCE THE AWARD? HOW, WHERE AND WHEN WILL THE APPLICANT ORGANIZATION PRESENT THE AWARD? WHAT IS THE MINIMAL AMOUNT OF FUNDING REQUIRED FOR YOUR PROJECT? PLEASEDETAIL HOW THE FUNDS WILL BE SPENT. IF A USA ORGANIZATION, IRS STATUS IS NECESSARY. IF NOT A USA ORGANIZATION, ACCREDITATION OF APPLICANT ORGANIZATION ORCREDENTIALS MUST BE INCLUDED. TAX-EXEMPT STATUS FOR APPLICANT ORGANIZATIONS OUTSIDE THE UNITED STATES, SUBMIT ACCREDITATIONOR CREDENTIALS WITH YOUR SUBMISSION. ARE THERE OTHER ORGANIZATIONS COSPONSORING THE SAME IDENTICAL OR CLOSELYRELATED WORK?C. PERMISSION STATEMENTPERMISSION MUST BE GIVEN TO THE ITHC TO REPRINT RESULTS OR PUBLISH THEM OR ANEXTENSIVE SUMMARIZATION IN ITS WEBSITE PAGES.D. SUBMISSIONSPLEASE FAX OR MAIL YOUR SUBMISSION TO THE INSTITUTE FOR TECHNOLOGY IN HEALTHCARE. YOU MAY ALSO USE OUR CONTACT PAGE.PROHIBITION: IN ACCORDANCE WITH INTERNAL REVENUE SERVICE REGULATIONS, ITHCCANOT CONSIDER PROPOSALS THAT INCLUDE LOBBYING ACTIVITIES OR ATTEMPTS IN ANY WAYTO INFLUENCE LEGISLATION AT ANY LEVEL. NOR CAN WE CONSIDER PROPOSALS ON BEHALF OFFOREIGN GOVERNMENT ENTITIES.SUBMIT YOUR PROPOSAL TO:JACQUELINE W. SCHICKBOARD SECRETARYINSTITUTE FOR TECHNOLOGY IN HEALTH CARE1759 Q STREET, N.W.WASHINGTON , DC 20009-2407U.S.A.TELEPHONE: 202-360-4886FAX: 202-338-0089E-MAIL: INFO@ITHCAWARDS.ORG |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| ASTRAZENECA PLC SPON ADR | 12,858 | 19,750 |
| A T & T INC | 71,336 | 69,210 |
| BRIGHTHOUSE FINL. INC. | 2,680 | 1,463 |
| CA RES. CORP. | 182 | 324 |
| CHEVRON CORPORATION | 61,954 | 87,032 |
| CIGNA CORPORATION | 59,890 | 286,209 |
| CONSOLIDATED EDISON INC | 49,718 | 76,460 |
| DOMINION ENERGY CORP. | 42,685 | 71,460 |
| DUKE ENERGY CORP | 62,669 | 96,311 |
| EDISON INTL EIX | 47,755 | 70,111 |
| ENTERGY CORP | 20,592 | 26,682 |
| GENERAL ELECTRIC COMPANY | 23,329 | 5,452 |
| HAWAIIAN ELEC INDS | 21,272 | 30,212 |
| JOHNSON & JOHNSON | 34,477 | 70,717 |
| KIMBERLY-CLARK CORP | 71,604 | 127,043 |
| L BRANDS INC. | 25,353 | 14,760 |
| MACY'S INC. | 24,107 | 29,780 |
| MARATHON OIL CORP | 14,910 | 7,428 |
| MARATHON PETROLEUM CORP | 10,086 | 30,567 |
| METLIFE INC | 23,214 | 21,713 |
| NOBLE ENERGY INC | 47,721 | 38,563 |
| OCCIDENTAL PETE CORP | 109,827 | 128,126 |
| P P G INDUSTRIES INC | 32,400 | 115,288 |
| REALTY INCOME CORP REIT | 68,567 | 132,384 |
| ROYAL DUTCH SHELL PLC ADR | 149,216 | 145,384 |
| SCANA CORP COM | 42,307 | 51,602 |
| THE SOUTHERN COMPANY | 82,629 | 97,942 |
| TRAVELERS COS. INC. | 23,819 | 65,053 |
| UNITED HEALTH GROUP | 34,290 | 149,762 |
| VERIZON COMMUNICATIONS COM | 94,833 | 136,334 |
| CAPITAL INCOME BLDR CL A | 27,246 | 27,384 |
| OPPENHEIMER INTL BOND FUND CL A | 37,833 | 33,655 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| WESTERN GAS PARTNERS, LP | AT COST | 8,533 | 154,351 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MISCELLANEOUS | 1,134 | 0 | 0 | |
| NONDEDUCTIBLE EXPENSE FROM PASS-THROUGH | 10 | 0 | 0 | |
| INVESTMENT EXPENSE | 2,224 | 2,224 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| BUSINESS LOSSES FROM PASSTHROUGH | -5,592 | -5,592 | |
| 1231 GAIN FROM PASSTHROUGH | 25 | 0 | 25 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXCISE TAX | 804 | 0 | 0 | |
| FOREIGN TAX | 1,412 | 1,412 | 0 |