Civic Intelligence

Form5 Prosthetics Inc.

990EZ • Fiscal year 2020 • EIN 82-3555210

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 08, 2021

6560 New Albany Condit RdNew Albany, OH 43054

(614) 226-1141

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

87th percentile

46%

Higher net margin than 87% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Assets

$48,758

No earlier filing loaded for comparison.

Net Assets

$48,758

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$84,139

No earlier filing loaded for comparison.

Expenses

$45,044

No earlier filing loaded for comparison.

Net Income

$39,095

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2020

Assets$48,758
Liabilities$0
Net Assets$48,758

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2020

Revenue$84,139
Expenses$45,044
Net Income$39,095
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 8, 2021
Return Version
2020v4.1
Gross Receipts
$84,139
Mission and Program Overview

Mission

Empowering people to successfully interact with their world and their future

Form5 prosthetics aims to empower people to successfully interact with their world and their future by providing eco-friendly, custom-application 3d printed prosthetics.

Program Services

DescriptionGrantsExpenses
PPE & RELATED ACTIVITIES - MANUFACTURING AND PROVIDING 3D PRINTED REUSABLE FACE SHEILDS TO HEALTHCARE ORGANIZATIONS.$33,822$14,645
PROSTHETICS - PROVIDING ECO-FRIENDLY DEVICES TO THE LIMB DIFFERENT COMMUNITY AT LOW OR NO COST.$10,000$12,835
CO-FAB - ANNUAL EVENT THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM APPLICATION PROSTHETICS.$8,000$5,516
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JENNIFER HORVATHDevelopment COM. Chair-$0--
DR RAYMOND WURAPABoard Member-$0--
JAY PERKINSDesign Chair-$0--
JIM BROSNAHANCofab Chair-$0--
AARON WESTBROOKFounder/ CEOFT$0--
JENNIFER SCHEEHLEChairwoman-$0--
KAYLYNN YOUNGTreasurer-$0--
LIBIN BABUSecretary-$0--
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
2021-11-08
Discuss with paid preparer
Yes

Preparer

Firm
Brady Ware & Schoenfeld Inc
Address
3 EASTON OVAL SUITE 300, COLUMBUS, OH 43219
Preparer
Betty Collins CPA
Phone
6148857407
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 8 - Other Revenue

Description: dividend income. Amount: 49.

Form 990-ez, Part I, Line 16 - Other Expenses

Description: advertising. Amount: 40. Description: bank fees. Amount: 4. Description: cofab expenses. Amount: 4,294. Description: computers. Amount: 1,167. Description: depreciation. Amount: 3,667. Description: insurance. Amount: 700. Description: meals. Amount: 138. Description: merchandise for donors. Amount: 552. Description: misc expenses. Amount: 10. Description: licesnes. Amount: 25. Description: travel. Amount: 32. Description: supplies & materials. Amount: 11,407. Description: office expenses. Amount: 7,607. Total to form 990-ez, line 16: 29,643.

Form 990-ez, Part II, Line 24 - Other Assets

Description: donations receivable. Beg. Of year amount: 0. End of year amount: 627. Description: other depreciable assets. Beg. Of year amount: 5,395. End of year amount: 19,783.

Raw XML Appendix194 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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IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1BOARD MEMBER
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7SECRETARY
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TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
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ReturnHeader/TaxPeriodEndDt02020-12-31
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