Civic Intelligence

Form5 Prosthetics Inc

EIN 82-3555210 • 501(c)3 • New Albany, OH

Profile

Empowering people to successfully interact with their world and their future

6560 New Albany Condit RdNew Albany, OH 43054

www.form5.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

25th percentile

-17%

Higher net margin than 25% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

34th percentile

-15%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

57th percentile

4.3%

Faster revenue growth than 57% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$289,404

Down $52,550 (-15%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$289,404

Down $52,550 (-15%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin25th percentile

Revenue

Up

$314,173

Up $13,018 (+4.3%) from 2023

Expenses

Up

$366,723

Up $159,731 (+77%) from 2023

Net Income

Down

-$52,550

Down $146,713 (-156%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth34th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2020: $48,758Liabilities 2020: $0Net Assets 2020: $48,7582020Assets 2021: $106,631Liabilities 2021: $0Net Assets 2021: $106,6312021Assets 2022: $247,791Liabilities 2022: $0Net Assets 2022: $247,7912022Assets 2023: $341,954Liabilities 2023: $0Net Assets 2023: $341,9542023Assets 2024: $289,404Liabilities 2024: $0Net Assets 2024: $289,4042024

Highlighted filing

2024

Assets$289,404
Liabilities$0
Net Assets$289,404
Open 2024 Filing

Operations Trend

Revenue Growth57th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2020: $84,139Expenses 2020: $45,044Net Income 2020: $39,0952020Revenue 2021: $107,560Expenses 2021: $49,687Net Income 2021: $57,8732021Revenue 2022: $273,934Expenses 2022: $132,774Net Income 2022: $141,1602022Revenue 2023: $301,155Expenses 2023: $206,992Net Income 2023: $94,1632023Revenue 2024: $314,173Expenses 2024: $366,723Net Income 2024: -$52,5502024

Highlighted filing

2024

Revenue$314,173
Expenses$366,723
Net Income-$52,550
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$289,404
Liabilities
$0
Net assets
$289,404
Revenue
$314,173
Expenses
$366,723
Net income
-$52,550
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.89$0.00$2.89$3.14$3.67$0.53
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.42$0.00$3.42$3.01$2.07$0.94
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.48$0.00$2.48$2.74$1.33$1.41
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.07$0.00$1.07$1.08$0.50$0.58
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.49$0.00$0.49$0.84$0.45$0.39
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$319,536
Mission and Program Overview

Mission

Empowering people to successfully interact with their world and their future

Empowering people to successfully interact with their world and their future.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$252,467$220,495▼ $31,972
Land, Buildings, and Equipment, Net$88,487$68,909▼ $19,578
Total Assets$341,954$289,404▼ $52,550
Other Assets Total$1,000$0▼ $1,000
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$341,954$289,404▼ $52,550
Total Net Assets Fund Balance$341,954$289,404▼ $52,550
Total Liabilities and Net Assets / Fund Balance$341,954$289,404▼ $52,550

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$68,909$71,979$140,888
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseTotal
Aaron WestbrookFounder/ CEOFT$55,000$55,000

Board Members and Trustees

NameTitle
Steve VotawBoard Chair
Jennifer HorvathVice Chair
Dr Laura CohenBoard Member
Dr Raymond WurapaBoard Member
Jay PerkinsBoard Member
John BrodyBoard Member
John LewisBoard Member
Libin BabuBoard Member
Lindsey AustinBoard Member
Susan MontgomeryBoard Member
Jackie OgdenSecretary
Kaylynn LorenzTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$242,206
Program Service Revenue
$73,498
Investment Income
$2,417
Other Revenue
$-3,948
All Other Contributions
$234,953
Change in Net Assets
$-52,550
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$185,220
Salaries, Compensation, and Employee Benefits$181,503
Total Fundraising Expense$23,413
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$144,202$6,192$18,211$168,605
Occupancy$41,838$4,514$2,202$48,554
Depreciation Depletion$27,003--$27,003
All Other Expenses$11,061$2,796-$13,857
Payroll Taxes-$12,898-$12,898
Other Expenses$6,061$1,910$2,560$7,971
Fees for Services Legal$3,263$2,324-$5,587
Fees for Services Other-$5,443-$5,443
Insurance-$3,790-$3,790
Fees for Services Accounting-$2,236-$2,236
Advertising$1,287$293$440$2,020
Office Expenses$564$675-$1,239
Travel$80$44-$124
Total Functional Expenses$292,727$50,583$23,413$366,723
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$5,363
Fundraising Gross Income$515
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“A copy of the 990 was provided to board members prior to filing.”

Form 990, Part VI, Section C, Line 19

“Documentation is available upon requet.”

Filing and Contact Details

Filer

Filer Name
Form5 Prosthetics Inc
EIN
82-3555210
Phone
6142261141
Address
6560 NEW ALBANY CONDIT RD, NEW ALBANY, OH 43054

Signing Officer

Name
Aaron Westbrook
Title
Founder & CEO
Phone
6142261141
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Aaron Westbrook
Formed
2017
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
13
Employees
17
Volunteers
150

Preparer

Firm
Brady Ware & Schoenfeld Inc
Address
3 EASTON OVAL SUITE 300, COLUMBUS, OH 43219
Preparer
Betty Collins CPA
Phone
6148857407
Raw XML AppendixShowing 400 of 458 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ProgSrvcAccomActy2Grp/Desc0EDUCATION PROGRAMS. EVENTS THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM ADAPTIVE PRODUCTS.
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IRS990/ProgSrvcAccomActy2Grp/RevenueAmt016500
IRS990/ProgSrvcAccomActy3Grp/Desc0RESEARCH AND DEVELOPMENT. FORM5 BUILDS INTERDISCIPLINARY TEAMS OF SPECIALISTS THAT RESEARCH & DEVELOP MEDICAL AND RECREATIONAL ADAPTIVE PRODUCTS. FORM5 HAS MULTIPLE PATENTS PENDING FOR ITS ADAPTIVE PRODUCTS AS OF 12/31/2025.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0152172
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0294081
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt02688
IRS990/PYOtherExpensesAmt0136775
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04386
IRS990/PYRevenuesLessExpensesAmt094163
IRS990/PYSalariesCompEmpBnftPaidAmt070217
IRS990/PYTotalExpensesAmt0206992
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0301155
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-52550
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt056998
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0242206
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0294081
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0271651
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0107508
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt083652
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0999098
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt02417
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt02688
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt01100
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt052
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt049
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt06306
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt073498
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt04386
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt077884
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt02417
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt02688
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt01100
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt052
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt049
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt06306
IRS990ScheduleA/InvestmentIncomeCYPct00.00580
IRS990ScheduleA/InvestmentIncomePYPct00.00510
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt01415
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt0438
IRS990ScheduleA/OtherIncome509Grp/TotalAmt01853
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99250
IRS990ScheduleA/PublicSupportPY509Pct00.99430
IRS990ScheduleA/PublicSupportTotal509Amt01076982
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0315704
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0298467
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0271651
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0107508
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt083652
IRS990ScheduleA/Total509Grp/TotalAmt01076982
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0319536
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0301155
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0272751
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0107560
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt084139
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01085141
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/EquipmentGrp/BookValueAmt068909
IRS990ScheduleD/EquipmentGrp/DepreciationAmt071979
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0140888
IRS990ScheduleD/TotalBookValueLandBuildingsAmt068909
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF THE 990 WAS PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTATION IS AVAILABLE UPON REQUET.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0341954
IRS990/TotalAssetsEOYAmt0289404
IRS990/TotalAssetsGrp/BOYAmt0341954
IRS990/TotalAssetsGrp/EOYAmt0289404
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0242206
IRS990/TotalEmployeeCnt017
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt023413
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt050583
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0292727
IRS990/TotalFunctionalExpensesGrp/TotalAmt0366723
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00

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