Liabilities / Assets
56th percentile
Tied with the lowest-debt nonprofits in its peer group.
Form5 Prosthetics Inc.
990EZ • Fiscal year 2021 • EIN 82-3555210
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
56th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
88th percentile
Higher net margin than 88% of similar nonprofits.
Top Officer Pay
77th percentile
Higher top officer pay than 77% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
91st percentile
Faster asset growth than 91% of similar nonprofits.
Revenue Growth
66th percentile
Faster revenue growth than 66% of similar nonprofits.
Balance Sheet
Assets
Up$106,631
Up $57,873 (+119%) from 2020
Net Assets
Up$106,631
Up $57,873 (+119%) from 2020
Liabilities
Flat$0
Flat from 2020
Revenue And Expenses
Revenue
Up$107,560
Up $23,421 (+28%) from 2020
Expenses
Up$49,687
Up $4,643 (+10%) from 2020
Net Income
Up$57,873
Up $18,778 (+48%) from 2020
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Nov 9, 2022
- Return Version
- 2021v4.2
- Gross Receipts
- $107,560
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
| Description | Grants | Expenses |
|---|---|---|
| PROSTHETICS - PROVIDING ECO-FRIENDLY DEVICES TO THE LIMB DIFFERENT COMMUNITY AT LOW OR NO COST. | $27,567 | $32,160 |
| PPE & RELATED ACTIVITIES - MANUFACTURING AND PROVIDING 3D PRINTED REUSABLE FACE SHEILDS TO HEALTHCARE ORGANIZATIONS. | $0 | $5,491 |
| CO-FAB - ANNUAL EVENT THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM APPLICATION PROSTHETICS. | $0 | $5,011 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| JENNIFER HORVATH | Development COM. Chair | - | $0 | - | - |
| DR RAYMOND WURAPA | Board Member | - | $0 | - | - |
| JAY PERKINS | Design Chair | - | $0 | - | - |
| JIM BROSNAHAN | Cofab Chair | - | $0 | - | - |
| AARON WESTBROOK | Founder/ CEO | FT | $0 | - | - |
| JENNIFER SCHEEHLE | Chairwoman | - | $0 | - | - |
| KAYLYNN YOUNG | Treasurer | - | $0 | - | - |
| LIBIN BABU | Secretary | - | $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
- 2022-11-09
- 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: 52.”
Form 990-ez, Part I, Line 16 - Other Expenses
“Description: advertising. Amount: 11. Description: bank fees. Amount: 20. Description: cofab expenses. Amount: 2,446. Description: depreciation. Amount: 5,130. Description: insurance. Amount: 1,051. Description: meals. Amount: 293. Description: merchandise for donors. Amount: 1,233. Description: travel. Amount: 167. Description: supplies & materials. Amount: 4,362. Description: office expenses. Amount: 7,290. Total to form 990-ez, line 16: 22,003.”
Form 990-ez, Part II, Line 24 - Other Assets
“Description: donations receivable. Beg. Of year amount: 627. End of year amount: 50,000. Description: other depreciable assets. Beg. Of year amount: 19,783. End of year amount: 17,851.”
Raw XML Appendix200 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/BooksInCareOfDetail/USAddress/CityNm | 0 | NEW ALBANY |
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| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 106631 |
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| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
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| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 48758 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 106631 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 48758 |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | JENNIFER HORVATH |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | AARON WESTBROOK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | JENNIFER SCHEEHLE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | KAYLYNN YOUNG |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | LIBIN BABU |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | DEVELOPMENT COM. CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | DESIGN CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | COFAB CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | FOUNDER/ CEO |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | CHAIRWOMAN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | TREASURER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | SECRETARY |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 20410 |
| IRS990EZ/OtherAssetsTotalDetail/EOYAmt | 0 | 67851 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 22003 |
| IRS990EZ/OtherRevenueTotalAmt | 0 | 52 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | FORM5 PROSTHETICS AIMS TO EMPOWER PEOPLE TO SUCCESSFULLY INTERACT WITH THEIR WORLD AND THEIR FUTURE BY PROVIDING ECO-FRIENDLY, CUSTOM-APPLICATION 3D PRINTED PROSTHETICS. |
| IRS990EZ/PrintingPublicationsPostageAmt | 0 | 3797 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | PROSTHETICS - PROVIDING ECO-FRIENDLY DEVICES TO THE LIMB DIFFERENT COMMUNITY AT LOW OR NO COST. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 1 | CO-FAB - ANNUAL EVENT THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM APPLICATION PROSTHETICS. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 2 | PPE & RELATED ACTIVITIES - MANUFACTURING AND PROVIDING 3D PRINTED REUSABLE FACE SHEILDS TO HEALTHCARE ORGANIZATIONS. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 27567 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 1 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 2 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 32160 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 1 | 5011 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 2 | 5491 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/SalariesOtherCompEmplBnftAmt | 0 | 12620 |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | OH |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 49687 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 42662 |
| IRS990EZ/TotalRevenueAmt | 0 | 107560 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | HTTPS://WWW.FORM5PROSTHETICSINC.ORG/ |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 107508 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 83652 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 191160 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 52 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 49 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 101 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 52 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 49 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 101 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00050 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00060 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 438 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 438 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99720 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99420 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 191160 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 107508 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 83652 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 191160 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 107560 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 84139 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 191699 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: DIVIDEND INCOME. AMOUNT: 52. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: ADVERTISING. AMOUNT: 11. DESCRIPTION: BANK FEES. AMOUNT: 20. DESCRIPTION: COFAB EXPENSES. AMOUNT: 2,446. DESCRIPTION: DEPRECIATION. AMOUNT: 5,130. DESCRIPTION: INSURANCE. AMOUNT: 1,051. DESCRIPTION: MEALS. AMOUNT: 293. DESCRIPTION: MERCHANDISE FOR DONORS. AMOUNT: 1,233. DESCRIPTION: TRAVEL. AMOUNT: 167. DESCRIPTION: SUPPLIES & MATERIALS. AMOUNT: 4,362. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 7,290. TOTAL TO FORM 990-EZ, LINE 16: 22,003. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DESCRIPTION: DONATIONS RECEIVABLE. BEG. OF YEAR AMOUNT: 627. END OF YEAR AMOUNT: 50,000. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 19,783. END OF YEAR AMOUNT: 17,851. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | THE 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. |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd | 0 | AAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd | 0 | IAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd | 0 | 3 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | AARON WESTBROOK |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | FOUNDER & CEO |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 6142261141 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2022-11-09 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | FORM5 PROSTHETICS INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | FORM |
| ReturnHeader/Filer/EIN | 0 | 823555210 |
| ReturnHeader/Filer/PhoneNum | 0 | 6142261141 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 6560 NEW ALBANY CONDIT RD |
| ReturnHeader/Filer/USAddress/CityNm | 0 | NEW ALBANY |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | OH |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 43054 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 351476702 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | BRADY WARE & SCHOENFELD INC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 3 EASTON OVAL SUITE 300 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | COLUMBUS |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | OH |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 43219 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 6148857407 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2022-11-08 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | BETTY COLLINS CPA |
| ReturnHeader/ReturnTs | 0 | 2022-11-15T14:20:11-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm | 0 | AARON |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm | 0 | WESTBROOK |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2021-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2021-12-31 |
| ReturnHeader/TaxYr | 0 | 2021 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2021 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $106,631
- Liabilities
- $0
- Net assets
- $106,631
- Revenue
- $107,560
- Expenses
- $49,687
- Net income
- $57,873