omit=I 0637/9} 4 Office Use Only: Fiscal Year The Commonwealth of Massachusetts 0 OFFICE OF THE ATTORNEY GENERAL 2 NON-PROFIT ORGANIZATIONSIPUBLIC CHARITIES DIVISION 3 ONE ASHBURTON PLACE 1 BOSTON, MASSACHUSEITS 02108 (617) 727-2200. ext. 2101 5 Form PC Check all items attached to 09/30/14 (ifa plicable) Schedule A-t Attorney General?s Account ii[El Schedule A-2 :1 Schedule no Federal Probate Account IE Copy of [as Return When did the organization ?rst engage in [El Audited Financial charitable work in MassachusettsStatementsi?eview [El Filing Fee Has the organization applied for or been granted :1 Amended Articles} IFIS tax exempt status? :1 Yes No Bil-Laws If yes. date of application OR date of a? determination letter: IRS Exemption under 501 3 If exempt under 501(c). are contributions to the organization tax deductible as charitable contributions? I: Yes No BS :2 1t?. A Organization Data cl l/ l/ Name: SEED GLOBAL HEALTH kO CMAIMQJ, 1,4va MailingAddress: 100 CAMBRIDGE STREET, 15TH FLOOR, N0. 1541A City: BOSTON State: MA ZIP: 0 2 1 1 4 Phone NumberFax Number: Email: . ORG Website: . SEEDGLOBALHEALTH . ORG In the table below. please enter the appropriate codes from the corresponding tables found in the Enter up to 2 codes from Table 3 for your organizatim?s main purpose{s) Category Code Category Code County (T able 1) 3 Organization Purpose Code 1 '3 Type of Organization {Table 2) 2 0 organization Purpose Code 2 2 1 Please check box it ?nal return prior to dissolution: Of?ce Use Only: Payment Received Form PC Page 1 of 14 378001 05?01-13 1 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027?1 omit=I 10240224 758665 28027 SEED GLOBAL HEALTH . On what date was the organization createdWhere was the organization created? BOSTON . MA . What is the form of Organization? (check one) 45-3064098 All questions must be completed in their entirety whether or not similar questions are answered in an attached federal form. See instructions and de?nition section for guidance. 2013.05060 SEED GLOBAL HEALTH Carporation Testamentary Trust Ci Unincorporated Association inter \rwos Trust Other (please describe): . Was your organization related to any other organization{s) during the reporting year (see de?nition of ?Related Organization')? ltyes, please complete the Schedule 30 on pages 13 and 14. Yes No . Enter your summary of ?nancial data: Financial Data Amounts Contributions, gifts, grants, and similar amounts received Gross support and revenue Program services and similar amounts paid out Fundraising expenses Management and general expenses Payments to af?liates 0 . Totaiexpenses 2,199,838. Net assets or fund balances at the and of the year List the total compensation you provided to your live highest paid employees: Hrs! Salary and Other "amem?e Week Other Income Bene?t Plans Compensation JENNIFER GOLDSMITH- .CAO 40.00 78.495DIRECTOR OF COMINICATIONS ZABETH CUNNINGHAM .PROGRAM MANAGER 40.00 34.968. 0. 0. IRAN MITHA . DIRECTOR OF PARTNERSHIPS S: PROGR 40.00 18. 750. 616. 0. MARY KATE MALLEY .JR. PROGRAM MANAGER 40.00 11.930. 0. 0. . Was any compensation provided to any of the individuals listed in question 6 above which was not quanti?ed in your response to 6? if yes, please provide expianation (attach separate sheet). Yes No Form PC Page 2 of 14 Rev; 02/2010 arsooz 05-01-13 2 28027?1 0613? SEED GLOBAL HEALTH 8. List the name. amount of compensation paid, and the nature of services rendered by each of the organization's ?ve highest paid consultants providing professional services attorneys. architects. accountants. management companies, investment advisors. professional solicitors. professional fundraising counsel}. 45-3064098 Name?'ltie Amount of Compensation Type(s) of Service 1.BLOOM STRATEGIES 221.144.FUNDRAISING CONTRACTED 2.SADATH SAYEED 3 BURNESS COMMUNICATIONS 4.DEVELOPMENT GUILD FIRM CONTRACTED 5.MASSACHUSETTS GENERAL HOSPITAL 499.057.8ERVICES 9. Bank(s) in which the organization?s funds are deposited (include bank addresses and phone numbers): Bank Address Phone Number 161 CAMBRIDGE STREET BOSTON, MA BANK OF AMERICA 02114 617-723?4260 10. What is the organization's acoounting method? Cash Accrual 11. If organization's mailing address is a P.O. Box, list the organization's full street address: Address: City: State: 12. Contact Person Name: DR. VANESSA KERRY Street Address: 1 0 0 CAMBRIDGE STREET 1 5T City: BOSTON Phone NumberForm PC 375003 05-01-13 10240224 758665 28027 6853 Pagea at 14 3 2013.05060 SEED GLOBAL HEALTH State: MA ZIP Code: ZlPCode: 02114 Rev. 032010 28027?1 3.- 0 SEED GLOBAL HEALTH 45-3064093 4 13. During the fiscal year reported here. did your organization solicit contributions or have funds solicited on its behalfany time during the ?scal year following the year reported here. will your organization. or others 3 acting on its behalf. solicit contributions? Yes No 1 If you answered yes to Question 13 or 14. you must complete Schedule A-1 endlor Schedule A-2 unless you are exempt from 5 the solicitation certi?cate requirement. 15. If you are claiming an exemption irom the solicitation certificate requirement. please indicate by checking the box to the right to identity which exemption applies to your organization. a religious organization an organization which: does not raise more than $5.000 during a calendar year 0R does not receive contributions from more than ten persons during a calendar year. AND carries out all of its activities. including fundraising. through unpaid volunteers. (The conditions at both and must be met foryour organization to qualify for this exemption.) l: 16. Attach a list of names. addresses [street andlor mailing). and telephone numbers of other Attach a list of names. titles. and addresses (street and/or mailing) of of?cers. directors. trustees. and the principal salaried executives of organization. STATEMENT 18. Attach a list of names. titles. and addresses (street and/or mailing) of any individual(s) authorized to sign checks. and any individualls} responsible for. custody of funds: distribution of funds; fundraisin; and custody of ?nancial records. STATEMENT 2 19. Has this organization or any of its of?cers. directors. employees or fundraisers solicited funds in any Yes No other state? if you attach list of states where solicitation was conducted. including registered agency, dates of registration. registration numbers. any other names under which the organization was/is registered. and the dates and type (mail. telephone. door to door, special events. etc. of the soiicitation conducted. Form PC Page 4 of 14 Rev. 02f2010 37300: 05-01-13 4 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH G) SEED GLOBAL HEALTH 45-3064098 PC OFFICERS, DIRECTORS, TRUSTEES AND EXECUTIVES STATEMENT 1 NAME AND ADDRESS 5 CHARLENE ENGELHARD 545 FIFTH AVENUE NEW YORK, NY 10022 NAME AND ADDRESS DR. PAUL FARMER 641 HUNTINGTON AVE BOSTON, MA 02115 NAME AND ADDRESS DR. VANESSA KERRY 100 CAMBRIDGE STREET, 15TH FLOOR, STE 1541A BOSTON, MA 00114 NAME AND ADDRESS DR. FITZHUGH MULLAN 2121 STREET NW SUITE 210 WASHINGTON, DC 20037 NAME AND ADDRESS JOHN R. DREXEL 119 MCGHEE HILL ROAD MILLERTON, NY 12546 NAME AND ADDRESS THOMAS FRY 535 BOYLSTON STREET, 7TH FLOOR BOSTON, MA 02118 NAME AND ADDRESS JOEL LAMSTEIN 44 FARNSWORTH STREET #3 BOSTON. MA 02210 NAME AND ADDRESS LISA SCHWARTZ 453 HARRIS ROAD BEDFORD HILLS, NY 10507 10240224 758665 28027 5 TITLE TRUSTEE TITLE TRUSTEE TITLE CEO TITLE PRESIDENT, CHAIRMAN TITLE TRUSTEE TITLE TRUSTEE TITLE TRUSTEE TITLE TRUSTEE 1 2013.05060 SEED GLOBAL HEALTH 28027__1 A G) SEED GLOBAL HEALTH 45?3064098 4 gAnE AND ADDRESS TITLE 0 AARON WILLIAMS TRUSTEE $01 13TH STREET NW DC 20005 5 NAME AND ADDRESS TITLE ELIZABETH WILLIAMS TRUSTEE 2311 15TH STREET NW WASHINGTON, DC 20009 6 1 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027__1 OD SEED GLOBAL HEALTH 45-3064098 FORM PC PAGE 4 LINE 18 STATEMENT 2 1mm 5 DR. VANESSA KERRY ADDRESS 100 CAMBRIDGE STREET, NAME FL DR. VANESSA KERRY ADDRESS 100 CAMBRIDGE STREET, NAME FL DR. VANESSA KERRY ADDRESS 100 CAMBRIDGE STREET, NAME DR. VANESSA KERRY ADDRESS 100 CAMBRIDGE STREET. NAME DR. VANESSA KERRY ADDRESS 100 CAMBRIDGE STREET, NAME JENNIFER GOLDSMITH ADDRESS 100 CAMBRIDGE STREET, 10240224 758665 28027 BOSTON. BOSTON, BOSTON, BOSTON, BOSTON, BOSTON, 2013.05060 SEED GLOBAL HEALTH MA MA MA MA MA MA AREA OF RESPONSIBILITY RESPONSIBLE FOR CUSTODY OF FUNDS 02114 AREA OF RESPONSIBILITY RESPONSIBLE FOR CUSTODY OF FUNDS 02114 AREA OF RESPONSIBILITY RESPONSIBLE FOR FUNDRAISING 02114 AREA OF RESPONSIBILITY CUSTODY OF FINANCIAL RECORDS 02114 AREA OF RESPONSIBILITY AUTHORIZED TO SIGN CHECKS 02114 AREA OF RESPONSIBILITY AUTHORIZED TO SIGN CHECKS 02114 7 2 28027__1 p, 0 SEED GLOBAL HEALTH 45-3064098 4 20. Has this organization or any of its officers. directors. or employees: if yes. please attach an explanation. 2 0 (8) Been enjoined or othenivise prohibited by a government agency/court from operating 3 or soliciting contributiOns? 1 5 Ever been refused registration or had its registration or tax exemption denied. suspended. modified or revoked by a govemmentai agency? (6) Been the subject of a preceeding regarding any solicitation or registration? Entered into a voluntary agreement of compliance or consent judgment with any government agency or in a case before a court or administrative agency? 21. Have any restrictions been removed during the year from donor-restricted funds? if yes. please attach an explanation. 22. Have donor-restricted funds been loaned to unrestricted funds? if yes, please attach an explanation. Yes Cl Yes I: Yes Eli/es [:]Yes EYes 23. This question involves ?Termination of Employment or Changes of Control Compensatory Arrangements' with certain 'Related Parties? (see instructions and de?nition sections. Report only if payments made or promised to any individual are in excess of four months salary or $100,000. whichever dollar amount is less. (3) Did you make actual payments or otherwise transfer value under such an arrangement to any individual described in Related Party de?nition, sections or which payments are not reported in Question 6 or 7 above? Do you have an agreement with any individual described in Related Party de?nition. sections or containing such an agreement? Yes DYes if you answered yes for Question 23(8) or 23(b) above, please attach an explanation identity/mg the individuallsfinvohred, stating the amount of any payments made or value transferred, and describing the terms of each agreement. Form PC Page 5 of 14 373005 05-01?13 8 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH mNo EINO mNo EINO END Elm END mNo Rev. 0212010 28027?1 0 SEED GLOBAL HEALTH 453064098 4 24. This question applies to related party transactions. which include transactions with of?cers. directors. trustees. certain employees. relative. and organizations they own or control. Please consult the instructions and de?nition sections for the de?nition of a ?Related Party? and 0 'lndebtedness' before answering. Note that transactions involving related parties must be reported even when there is no accounting recognition in-kind gifts, waiver of interest not otherwise reported). 2 0 1 if the answer to any part of Question 24 is yes, attach a schedule stating the name and address of the reiated party, the nature of the 5 transaction, the value or the amounts involved in the transaction. and the procedure followed in authon'zing the transaction. During the year: A. Has your organization said or transferred assets to or purchased assets from or exchanged assets with a related party? Yes No B. Has your organization leased assets to or leased assets from a related party? '3 Yes El No C. Has your organization been indebted to a related party? ?3 Yes If] No D. Has your organization allowed a related party to be indebted to it? Yes [El No E. Has your organization made or held an investment in a related party? [3 Yes No F. Has your organization furnished goods, services, or facilities to a related party? El Yes No G. Has your organization acquired goods. services, or facilities from a related party who received compensation or other value in return? i:i Yes No H. Has your organization paid or became obligated to pay wages, salaryl or other compensation to a related party? Yes No I. Has your organization transferred income or assets to or for use by a related party? El Yes No J. Was your organization a party to any transaction in which any of its of?cers. directors. or trustees has a material ?nancial interest. or did any of?cer, director, or trustee receive anything of value not reported as compensation? Ci Yes No K. Has your organization invested in any corporate stock of a company in which any officer, director, or trustee owns more than 10% of the outstanding shares? Yes No L. IS any property of the organization held in the name of or commingled with the property of any other person or organization? Yes No M. Did your organization make a grant award or contribution to any other organization in which any of this organization's of?cers directors, or trustees has a relationship? :1 Yes No Form PC Page 6 of 14 Rev. 02/2010 erases 05431.13 9 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027_l orntt=I SEED GLOBAL HEALTH 45-3064098 Signature Required Under penalty of perjury. I declare that the intormation furnished in this report. including all attachments, is true and correct to the best of my knowledge. Signature: Date: FE Lo. 2,0 Printed Name: DR . VANESSA KERRY Title: CEO Name of Preparer: KIRKLAND ALBRECHT FREDRICKSON LLC Address 1 0 FORBES ROAD WEST City BRAINTREE State MA ZIP Code 0 2 1 8 4 Phone Number 781-356-2000 Form PC Page 7 of 14 Rev. 02/2010 373007 05-01-13 1 0 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027_1 OD SEED GLOBAL HEALTH 45-3064098 Schedule A-1 Solicitation Activities During Fiscal Year Covered By This Report List any names which will lee-used by the Organization in connection with the solicitation of funds, other than the of?cial name which appears on page 1. Types of solicitation activities in which you expect to engage (check all that appM: Via the lntemet Raf?e beano of Door-todoor Entertainment event without sale of with sale of with sale of ads Other (specify): or other than Individual solicitations Grant event Identify the method or methods you expect to use for the fundraising (check all that appM: ProfessiOnal solicitor Own employees Professional fundraising counsel' Volunteers m- Commercial co-venturer' Provide applicable names and addresses: Professional Solicitor Name: Address City State ZIP Code Professional Fundraising Counsel Name: Address City State ZIP Code Commercial Co-Venturer Name: Address City State ZIP Code Farm PC - Schedule A-1 Page 8 of 1 4 Rev. 02/2010 araooe 05-01-13 1 1 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027_1 ornit? SEED GLOBAL HEALTH Schedule A-1 ctd. 45-3064098 Solicitation Activities During Fiscal Year Covered By This Report Identify the individuals who will have ?nal responsibility for the charity's custody of contributiOns: DR . VANESSA KERRY Name and Title: CEO Address 100 CAMBRIDGE STREET, 15TH FLOOR City BOSTON State MA ZIP Code 0 2 1 1 4 MICHELLE SURETTE Name and Title: DIRECTOR OF INANCE AND ADMINI STRATI Address 1 0 0 CAMBRIDGE STREET 1 5TH FLOOR City BOSTON State MA ZIP Code 0 2 1 1 4 Name and Trtle: Address City State ZIP Code Identify the individuals who will have ?nal responsibility for the charity?s distribution of contributions: DR . VANESSA KERRY Name and Title: CEO Address 1 0 0 CAMBRIDGE STREET . 1 5TH FLOOR City BOSTON State MA ZIP Code 0 2 ll 4 MICHELLE SURETTE Name and Title: DIRECTOR OF AND ADMINISTRATI Address 1 0 0 CAMBRIDGE STREET 5TH FLOOR City BOSTON State MA ZIP Code 0 2 1 14 Name and Title: Address City State ZIP Code Form PC - Schedule AM Page of 14 Rev. 021?2010 373009 05?01-13 1 2 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027?1 omit=I 10240224 758665 28027 SEED GLOBAL HEALTH Schedule A-2 45-3064098 Solicitation Activities Planned for Fiscal Year Which Follows the Reporting Year List any names which will be used by the organization in connection with the solicitation of funds, other than the of?cial name which appears on page 1. Types of solicitation activities in which you expect to engage (check at! that apply): Mass Via the Internet Door-to-door Raffle beano Individual solicitations without sale of with sale of with Grant Other (specify): Identify the method or methods you expect to use for the fundraising (check at! that apply): Protessional solicitor I: Own employees Professional fund raising counsel? Volunteers BE Commercial co-venturer' Provide applicable names and addresses: Professions! Solicitor Name: Address City State Professional Fundraising Counsel Name: NON-PROFIT LEADERSHIP, LLC Address 5213 MOUNTAIN BROOK WAY ZIP Code City ATLANTA State GA ZIP Code 3 0 3 0 1 Cammercial CoVenturer Name: Address City State ZIP Code Form PC - Schedule A-2 373010 05-01-13 Page 10 of14 l3 2013.05060 SEED GLOBAL HEALTH Rev. 02/2010 28027?1 omit=I SEED GLOBAL HEALTH Schedule A-2 ctd. 45-3064098 Solicitation Activities Planned for Fiscal Year Which Follows the Reporting Year Identify the individuals who will have ?nal responsibility for the charity's custody of contributions: DR . VANESSA KERRY Name and Trtle: CEO Address 100 CAMBRIDGE STREET. FLOOR 15 City BOSTON State MA MICHELLE SURETTE Name and OF FINANCE AND ADMINISTRATI Address 100 CAMBRIDGE STREET, FLOOR 15 ZlPCode 02114 City BOSTON State MA ZIP Code 0 2 1 4 Name and Title: Address City State ZIP Code Identify the individuals who will have ?nal responsibility for the charity's distribution of contributions: DR . VANESSA KERRY Name and Trtle: CEO Address 100 CAMBRIDGE STREET, FLOOR 15 City BOSTON State MA ZIP Code 02114 MICHELLE SURETTE Nameand OF FINANCE AND ADMINISTRATI Address 100 CAMBRIDGE STREET, FLOOR 15 City BOSTON State HA ZIP Code 0 2 1 1 4 Name and Title: Address City State ZIP Code Form PC - Schedule A-2 Page 11 of 14 Rev. 022010 05-01-13 14 10240224 758665 28027 2013.05060 SEED GLOBAL HEALTH 28027_1 omit=I of our knowiedge. Signature: Print Name:DR. VANESSA KERRY Title: CEO Signature: Print Name: Certi?cation by Organization Two different signatures required. Signers must be organization president or other authorized officer or trustee. Date: Under penalty of periury. we declare that the information furnished in this report, including all attachments, is true and correct to the best Date: Febmaq Title: 05-01-13 10240224 758665 28027 P139912 ot14 15 2013.05060 SEED GLOBAL HEALTH Fiev- 032010 28027?1