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Nonprofit · EIN 82-3555210

FORM5 PROSTHETICS INC

Tax-exempt · NEW ALBANY, OH 43054

Financials

$301K$207K2023$314K$367K2024
Revenue Expenses · by fiscal year end
Financials of FORM5 PROSTHETICS INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2024990$314,173$366,723-$52,550$289,404$0$289,404
December 31, 2023990$301,155$206,992$94,163$341,954$0$341,954
Financial details: 990 for the year ended December 31, 2024

Revenue

Contributions, gifts and grants
$242,206
Program service revenue
$73,498
Investment income
$2,417
Net income from fundraising events
-$4,848
Other revenue
-$3,948

Expenses

Grants and similar amounts paid
$0
Other salaries and wages
$168,605
Salaries, compensation and benefits (total)
$181,503
Professional fundraising fees
$0
Legal fees
$5,587
Accounting fees
$2,236
Occupancy
$48,554
Travel
$124
Depreciation
$27,003
Program services (functional)
$292,727
Management and general (functional)
$50,583
Fundraising (functional)
$23,413

Balance sheet and other

Total assets, start of year
$341,954
Total assets, end of year
$289,404
Total liabilities, end of year
$0
Net assets, end of year
$289,404
Land, buildings and equipment
$68,909
Net assets without donor restrictions
$289,404
Gross receipts
$319,536
Employees
17
Volunteers
150
Year formed
2017
State of legal domicile
OH

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended December 31, 2024, highest compensation first.

NameTitleHours / weekCompensation
AARON WESTBROOKFOUNDER/ CEO
Trustee or director, Officer
40$55,000
KAYLYNN LORENZTREASURER
Trustee or director, Officer
1$0
LIBIN BABUBOARD MEMBER
Trustee or director
1$0
JENNIFER HORVATHVICE CHAIR
Trustee or director, Officer
1$0
DR RAYMOND WURAPABOARD MEMBER
Trustee or director
1$0
JAY PERKINSBOARD MEMBER
Trustee or director
1$0
STEVE VOTAWBOARD CHAIR
Trustee or director, Officer
1$0
JACKIE OGDENSECRETARY
Trustee or director, Officer
1$0
SUSAN MONTGOMERYBOARD MEMBER
Trustee or director
1$0
DR LAURA COHENBOARD MEMBER
Trustee or director
1$0
LINDSEY AUSTINBOARD MEMBER
Trustee or director
1$0
JOHN BRODYBOARD MEMBER
Trustee or director
1$0
JOHN LEWISBOARD MEMBER
Trustee or director
1$0
990 for the year ended December 31, 2023: 12 people
NameTitleHours / weekCompensation
AARON WESTBROOKFOUNDER/ CEO
Trustee or director, Officer
40$49,577
KAYLYNN LORENZTREASURER
Trustee or director, Officer
1$0
LIBIN BABUBOARD MEMBER
Trustee or director
1$0
JENNIFER HORVATHVICE CHAIR
Trustee or director, Officer
1$0
DR RAYMOND WURAPABOARD MEMBER
Trustee or director
1$0
JAY PERKINSBOARD MEMBER
Trustee or director, Officer
1$0
JIM BROSNAHANBOARD MEMBER
Trustee or director
1$0
STEVE VOTAWBOARD CHAIR
Trustee or director, Officer
1$0
JACKIE OGDENSECRETARY
Trustee or director, Officer
1$0
SUSAN MONTGOMERYBOARD MEMBER
Trustee or director
1$0
DR LAURA COHENBOARD MEMBER
Trustee or director
1$0
LINDSEY AUSTINBOARD MEMBER
Trustee or director
1$0

Address and contacts

Address (IRS master file)
6560 NEW ALBANY CONDIT RD, NEW ALBANY, OH 43054-9734
Mailing address (990-N for 2019)
NEW ALBANY, NEW ALBANY OH 43054
Principal officer (990 for 2024)
AARON WESTBROOK, 7662 ASDEN CT, REYNOLDSBURG, OH 43068
Principal officer (990-N for 2019)
AARON WESTBROOK, 7662 ASDEN CT, REYNOLDSBURG OH 43068
Signed the 990
AARON WESTBROOK, FOUNDER & CEO
Phone
(614) 226-1141
Return prepared by
BRADY WARE & SCHOENFELD INC

Mission

EMPOWERING PEOPLE TO SUCCESSFULLY INTERACT WITH THEIR WORLD AND THEIR FUTURE

990 for the year ended December 31, 2024

Program accomplishments

  • CONTRACT MANUFACTURING - UTILIZING A PERCENTAGE OF FORM5'S DESIGN AND MANUFACTURING CAPACITY TO TAKE ON CONTRACTS THAT GENERATE REVENUE TO SUPPORT CHARITABLE ACTIVITIES
    Expenses $65,764 · revenue $56,998
  • EDUCATION PROGRAMS. EVENTS THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM ADAPTIVE PRODUCTS.
    Expenses $74,791 · revenue $16,500
  • RESEARCH 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.
    Expenses $152,172

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025990 on file
2023December 31, 2023May 15, 2024990 on file

IRS record

EIN
82-3555210
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Publicly supported organization (170(b)(1)(A)(vi))
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2018
Accounting year ends
December
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E50)
Assets (IRS master file)
$289,404
Income (IRS master file)
$319,536

Filing history

FormYear endedRevenueExpensesAssetsReturn
990December 2024$314,173$366,723$289,404XML
990December 2023$301,155$206,992$341,954XML
990December 2022$273,934$132,774$247,791IRS
990-EZDecember 2021–––IRS
990-EZDecember 2020–––IRS
990-N for 2019
Officer: AARON WESTBROOK
December 31, 2019≤ $50,000 receipts––e-Postcard

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 82-3555210).

Questions about FORM5 PROSTHETICS INC

What is the EIN of FORM5 PROSTHETICS INC?
The employer identification number (EIN) of FORM5 PROSTHETICS INC is 82-3555210.
Is FORM5 PROSTHETICS INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2018.
Are donations to FORM5 PROSTHETICS INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does FORM5 PROSTHETICS INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of FORM5 PROSTHETICS INC due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did FORM5 PROSTHETICS INC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended December 2024.
Who is the principal officer of FORM5 PROSTHETICS INC?
The 990 for the year ended December 31, 2024 names AARON WESTBROOK.
Who are the officers and directors of FORM5 PROSTHETICS INC?
The 990 for the year ended December 31, 2024 lists 13 people; 1 received compensation from the organization, the highest $55,000 (AARON WESTBROOK, FOUNDER/ CEO).
How much revenue does FORM5 PROSTHETICS INC have?
On its 990 for the year ended December 31, 2024 it reported revenue of $314,173, expenses of $366,723 and total assets of $289,404 at year end.

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