Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 3,327,474 | 3,150,951 | 2,840,528 | 643,213 | 394,865 | 10,357,031 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 3,327,474 | 3,150,951 | 2,840,528 | 643,213 | 394,865 | 10,357,031 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 224,965 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 10,132,066 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,327,474 | 3,150,951 | 2,840,528 | 643,213 | 394,865 | 10,357,031 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 407,541 | 713,146 | 912,738 | 714,463 | 646,849 | 3,394,737 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 13,751,768 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1: | FROM 1/1/2021 - 6/30/2021: TO PROVIDE SUPPORT AND FINANCIAL AID ASSISTANCE TO HEAD INJURY ASSOCIATION AND TO DISSEMINATE INFORMATION TO THE PUBLIC ABOUT THE PROGRAMS & SERVICES IT PROVIDES. STARTING 7/1/2021: To provide financial assistance to non-profits providing health-related programs and services with a focus on individuals with intellectual and developmental disabilities, autism and traumatic brain injury. |
| FORM 990, PART III, LINE 2: | The organization undertook the following program service during CY2021: starting 7/1/2021: To provide financial support and assistance to organizations qualified as exempt from federal income tax under section 501(c)(3) of the internal revenue code, which provide health-related programs and services, including, but not limited to, programs and services for individuals with intellectual and developmental disabilities, autism and traumatic brain injury; and to enter into contracts and agreements and to do any acts or things incidental to or in connection with the foregoing purposes or in advancement thereof. |
| FORM 990, PART III, LINE 3: | FEINSTEIN HEALTH FUND, INC. SEPARATED FROM HEAD INJURY ASSOCIATION ("HIA") ON 7/1/2020. THE ORGANIZATION CEASED CONDUCTING THE FOLLOWING PROGRAM SERVICE: TO PROVIDE SUPPORT AND ASSISTANCE THROUGH FINANCIAL AID TO HEAD INJURY ASSOCIATION, INC., A NY NOT-FOR-PROFIT CORPORATION THAT PROVIDES RESIDENTIAL, VOCATIONAL & HABILITATIVE PROGRAMS AND SERVICES FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY; TO DISSEMINATE INFORMATION TO THE PUBLIC ABOUT THE PROGRAMS AND SERVICES PROVIDED BY HEAD INJURY ASSOCIATION, INC.; AND TO ENTER INTO CONTRACTS AND AGREEMENTS AND TO DO ANY ACTS OR THINGS INCIDENTAL TO OR IN CONNECTION WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF. |
| FORM 990, PART VI, SECTION A, LINE 2: | - STUART GLEIBER AND JILL GLEIBER HAVE A FAMILY RELATIONSHIP. - LEONARD FEINSTEIN, RICHARD FEINSTEIN AND JEFFREY FEINSTEIN HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4: | Head Injury Foundation (the "Foundation") was incorporated in 2010 as a wholly controlled affiliate of Head Injury Association, Inc. ("HIA"). HIA was the sole corporate member of the Foundation and exercised certain reserve powers with respect to the Foundation, including sole authority to amend the Certificate of Incorporation and Bylaws of the Foundation. However, effective June 30, 2021, HIA withdrew as sole corporate member of the Foundation. In order to effectuate this change, HIA adopted resolutions to amend the Foundation Certificate of Incorporation and Bylaws to remove itself as sole corporate member and to state that the Foundation is no longer a membership corporation. The Certificate of Amendment, filed with the New York State Secretary of State on August 9, 2021, included the following changes: (i) name change to Feinstein Health Fund, Inc., (ii) confirmation that the corporation shall have no members and (iii) amendment of the charitable purposes of the corporation as follows: to provide financial support and assistance to organizations qualified as exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, which provide health-related programs and services, including, but not limited to, programs and services for individuals with intellectual and developmental disabilities, autism and traumatic brain injury. |
| FORM 990, PART VI, SECTION B, LINE 11B: | FORM 990 WAS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. final 990 draft will be sent to Feinstein Health Fund, Inc., board of directors for review and approval prior to filing. |
| FORM 990, PART VI, SECTION B, LINE 12C: | Board Member were aware that their signature acknowledged their commitment to immediately notifying the Executive Committee of the Board of any conflict, actual or potential, and will make a full disclosure. If the particular transaction or relationship requires a vote of the Board or of one of its committees, the affected Directors shall not be counted for purposes of a quorum, shall not participate in the discussion of the matter and shall not vote on the issue. Each year, each Director shall complete and file with the Secretary of the Board an Annual Conflict of Interest Declaration in the form attached to this policy. The Executive Committee of the Board shall annually review all such Declarations and advise the President concerning potential conflicts indicated by the Declarations. |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B: | THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICER OR KEY EMPLOYEE. the CEO & CFO were paid by a related 501(c)(3) organization. |
| FORM 990, PART VI, SECTION C, LINE 19: | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| Software ID: | |
| Software Version: |