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 Form

990

OMB No. 1545-0047

Return of Organization Exempt From Income Tax

2015

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Open to Public
Do not enter social security numbers on this form as it may be made public.
Inspection
Information about Form 990 and its instructions is at www.irs.gov/form990.
For the 2015 calendar year, or tax year beginning
, 2015, and ending
, 20 15
01/01
12/31
D Employer identification number
Check if applicable: C Name of organization CONNECTICUT HEALTH INVESTIGATIVE TEAM INC
Doing business as C-HIT
46-1068891
Address change
a

Department of the Treasury
Internal Revenue Service

A
B

a

Number and street (or P.O. box if mail is not delivered to street address)

Name change

E Telephone number

Room/suite

640 Prospect Street

Initial return

203-215-6373

City or town, state or province, country, and ZIP or foreign postal code

Final return/terminated

New Haven, CT, 06511

Amended return

275,637

G Gross receipts $

Lynne DeLucia
640 Prospect Street, New Haven, CT 06511

Application pending F Name and address of principal officer:

H(a) Is this a group return for subordinates?

I

Tax-exempt status:

H(b) Are all subordinates included?
Yes
If “No,” attach a list. (see instructions)

J
K

Website:

Form of organization:

Activities & Governance

501(c)(3)

501(c) (

) ` (insert no.)

4947(a)(1) or

527

www.c-hit.org

a

Part I

✔

✔

Corporation

H(c) Group exemption number
Trust

Association

Other

2012

L Year of formation:

a

Revenue
Expenses

✔

No
No

a

CT

M State of legal domicile:

Summary

1

Briefly describe the organization’s mission or most significant activities:

2
3
4
5
6
7a
b

Check this box a if the organization discontinued its operations or disposed of more than 25% of its net assets.
3
Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . .
Number of independent voting members of the governing body (Part VI, line 1b) . . . .
4
Total number of individuals employed in calendar year 2015 (Part V, line 2a)
. . . . .
5
Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . .
6
Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . .
7a
Net unrelated business taxable income from Form 990-T, line 34 . . . . . . . . .
7b

The non-profit Connecticut Health Investigative
Team, C-HIT, is dedicated to producing original, responsible, in-depth journalism on issues of health and safety in Connecticut
and the surrounding region.

Prior Year

Net Assets or
Fund Balances

Yes

8
9
10
11
12
13
14
15
16a
b
17
18
19

Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . .
Program service revenue (Part VIII, line 2g)
. . . . . . . . . . .
Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . .
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . .
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . .
Benefits paid to or for members (Part IX, column (A), line 4) . . . . . .
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)
Professional fundraising fees (Part IX, column (A), line 11e) . . . . . .
Total fundraising expenses (Part IX, column (D), line 25) a
21,275
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)
. . . . .
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
.
Revenue less expenses. Subtract line 18 from line 12 . . . . . . . .

Current Year

351,966
0
0
0
351,966
0
0
0
0

275,637
0
0
0
275,637
0
0
0
0

226,605
226,605
125,361

255,332
255,332
20,305
End of Year

Beginning of Current Year

20
21
22

Total assets (Part X, line 16) . . . . . . . . . .
Total liabilities (Part X, line 26) . . . . . . . . . .
Net assets or fund balances. Subtract line 21 from line 20

Part II

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

8
8
0
14
0
0

166,076
6,133
159,943

182,654
2,406
180,248

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

FF

Sign
Here

Paid
Preparer
Use Only

Date

Signature of officer

Lynne DeLucia, Executive Director
Type or print name and title

Print/Type preparer’s name

Preparer's signature

Date

Check
if
self-employed

Sharon Dixon Peay
a
Dixon & Company
Firm’s name
Firm's address a POBox 938, Windsor, CT 06095

May the IRS discuss this return with the preparer shown above? (see instructions) .
For Paperwork Reduction Act Notice, see the separate instructions.

Firm's EIN

a

Phone no.

.

.

.

.

.

Cat. No. 11282Y

.

.

.

.

PTIN

P01275297

06-1555293
860-688-5818
✔ Yes
. .
No
Form 990 (2015)

 Page 2

Form 990 (2015)

Part III
1

Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . .

Briefly describe the organization’s mission:
Producing original, responsible, in-depth journalism on issues of health and safety in Connecticut and the surrounding region.

2

3

Did the organization undertake any significant program services during the year which were not listed on the
prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

✔

If “Yes,” describe these new services on Schedule O.
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

✔

No

4

No
If “Yes,” describe these changes on Schedule O.
Describe the organization's program service accomplishments for each of its three largest program services, as measured by
expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,
the total expenses, and revenue, if any, for each program service reported.

4a

(Code:

) (Expenses $
) (Revenue $
208,606 including grants of $
275,637 )
C-HIT provides the public with in-depth stories about key health, safety and medical issues that are published on its website and

by its media partners. The stories, many investigative, examine the systemic problems within the healthcare system and affect
people. C-HIT's stories focus on the quality of care provided by hospitals, home health care agencies, nursing homes, and other
care facilities. It reports on regulatory actions by government agencies; mental health treatment issues involving children and
adults; elderly care; health care reform and veterans' health issues. C-HIT also mentors college journalism students and provides
practical reporting experience. High school journalism students have an opportunity to attend summer investigative reporting
workshops.

4b (Code:

) (Expenses $

including grants of $

) (Revenue $

)

4c

) (Expenses $

including grants of $

) (Revenue $

)

(Code:

4d Other program services (Describe in Schedule O.)
(Expenses $
0 including grants of $
4e Total program service expenses a
208,606

0 ) (Revenue $

0 )
Form 990 (2015)

 Page 3

Form 990 (2015)

Part IV

Checklist of Required Schedules
Yes

1

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”
complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2
3

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . . .
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . .
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . .

4
5

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors
have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If
“Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
. . .
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,”
complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . .

7
8
9

10
11
a
b
c
d

Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a
custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or
debt negotiation services? If “Yes,” complete Schedule D, Part IV .
. . . . . . . . . . . . .
Did the organization, directly or through a related organization, hold assets in temporarily restricted
endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V . .
If the organization’s answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,”
complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more
of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII . . . . . . . .
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more
of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII . . . . . . . .
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets
reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX . . . . . . . . . . . . . .

e Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X
f Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses
the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X .
12 a Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete
Schedule D, Parts XI and XII

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

b Was the organization included in consolidated, independent audited financial statements for the tax year? If
“Yes,” and if the organization answered “No” to line 12a, then completing Schedule D, Parts XI and XII is optional
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . .
14 a Did the organization maintain an office, employees, or agents outside of the United States? . . . . .
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,
fundraising, business, investment, and program service activities outside the United States, or aggregate
foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . .
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or
for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . .
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other
assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV. . . . . . . .
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on
Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions) . . . . .
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on
Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II . . . . . . . . . . . . . . .
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If “Yes,” complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . .

1
2

No

✔
✔

3

✔

4

✔

5

✔

6

✔

7

✔

8

✔

9

✔

10

✔

11a

✔

11b

✔

11c

✔

11d
11e

✔
✔

11f

✔

12a

✔

12b
13
14a

✔
✔
✔

14b

✔

15

✔

16

✔

17

✔

18

✔

19

✔

Form 990 (2015)

 Page 4

Form 990 (2015)

Part IV

Checklist of Required Schedules (continued)
Yes

20 a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . .
b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
.
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or
domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . .
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on
Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . .
23

Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the
organization’s current and former officers, directors, trustees, key employees, and highest compensated
employees? If “Yes,” complete Schedule J . . . . . . . . . . . . . . . . . . . . . .

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than
$100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b
through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . .
c Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . .
d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . .
25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit
transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . .
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ?
If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . .
26

27

28

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any
current or former officers, directors, trustees, key employees, highest compensated employees, or
disqualified persons? If “Yes,” complete Schedule L, Part II . . . . . . . . . . . . . . . .
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,
substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled
entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . .
Was the organization a party to a business transaction with one of the following parties (see Schedule L,
Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV . .
b A family member of a current or former officer, director, trustee, or key employee? If “Yes,” complete
Schedule L, Part IV
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)
was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV . . .

29
30
31
32
33
34

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . .
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,”
complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . .
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III,
or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . .
b If “Yes” to line 35a, did the organization receive any payment from or engage in any transaction with a
controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . .
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable
related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . .
37

38

Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R,
Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and
19? Note. All Form 990 filers are required to complete Schedule O.

No

20a
20b

✔

21

✔

22

✔

23

✔

24a
24b

✔

24c
24d
25a

✔

25b

✔

26

✔

27

✔

28a

✔

28b

✔

28c
29

✔
✔

30

✔

31

✔

32

✔

33

✔

34
35a

✔
✔

35b
36

✔

37

✔

38

✔

Form 990 (2015)

 Page 5

Form 990 (2015)

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V

. . . . . . . . . . . . .
Yes

1a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable
. . . .
1a
12
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . .
1b
0
c Did the organization comply with backup withholding rules for reportable payments to vendors and
reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . .
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
Statements, filed for the calendar year ending with or within the year covered by this return
2a
0
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? .
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) . .
3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . .
b If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O . .
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financial
account)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” enter the name of the foreign country: a
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts
(FBAR).
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . .
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . .
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the
organization solicit any contributions that were not tax deductible as charitable contributions? . . . . .
b If “Yes,” did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods
and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . .
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . .
d
e
f
g
h
8
9
a
b
10
a
b
11
a
b
12a
b
13
a
b

If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . .
7d
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? .
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the
sponsoring organization have excess business holdings at any time during the year? . . . . . . . .
Sponsoring organizations maintaining donor advised funds.
Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . .
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . .
Section 501(c)(7) organizations. Enter:
Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . .
10a
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities .
10b
Section 501(c)(12) organizations. Enter:
11a
Gross income from members or shareholders . . . . . . . . . . . . . . .
Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them.) . . . . . . . . . . . . . . .
11b
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . .
12b
Section 501(c)(29) qualified nonprofit health insurance issuers.
Is the organization licensed to issue qualified health plans in more than one state?
. . . . . . . .
Note. See the instructions for additional information the organization must report on Schedule O.
Enter the amount of reserves the organization is required to maintain by the states in which
the organization is licensed to issue qualified health plans
. . . . . . . . . .
13b

c Enter the amount of reserves on hand . . . . . . . . . . . . . . . . .
13c
14a Did the organization receive any payments for indoor tanning services during the tax year? . . . . .
b If “Yes,” has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O

.
.

1c

No

✔

2b
3a
3b

✔

4a

✔

5a
5b
5c

✔
✔

6a

✔

6b

7a
7b
7c
7e
7f
7g
7h
8
9a
9b

12a

13a

14a
14b

✔

Form 990 (2015)

 Page 6
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No”
response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Form 990 (2015)

Part VI

Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .

✔

Section A. Governing Body and Management
Yes

1a

Enter the number of voting members of the governing body at the end of the tax year . .
If there are material differences in voting rights among members of the governing body, or
if the governing body delegated broad authority to an executive committee or similar
committee, explain in Schedule O.

1a

No

8

b Enter the number of voting members included in line 1a, above, who are independent .
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . .
3
Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors, or trustees, or key employees to a management company or other person?
.
4
5
6
7a

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . .
Did the organization have members, stockholders, or other persons who had the power to elect or appoint
one or more members of the governing body?
. . . . . . . . . . . . . . . . . . . .
b Are any governance decisions of the organization reserved to (or subject to approval by) members,
stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . .
8
Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the following:
a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . .
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at
the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O . . . . .

2

✔

3
4
5
6

✔
✔
✔
✔

7a

✔

7b

✔

8a
8b

✔
✔

9

✔

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes

10a Did the organization have local chapters, branches, or affiliates?
. . . . . . . . . . . . . .
b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
b Describe in Schedule O the process, if any, used by the organization to review this Form 990.
12a Did the organization have a written conflict of interest policy? If “No,” go to line 13
. . . . . . . .
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
c Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,”
describe in Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . .
13
Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . .
14
Did the organization have a written document retention and destruction policy?
. . . . . . . . .
15
Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

10a

No

✔

10b
11a ✔
12a ✔
12b ✔
12c ✔
13
14

✔
✔

15a
15b

✔
✔

arrangement
. . . .

16a

✔

b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . .

16b

a The organization’s CEO, Executive Director, or top management official . . . . . . . .
b Other officers or key employees of the organization . . . . . . . . . . . . . . .
If “Yes” to line 15a or 15b, describe the process in Schedule O (see instructions).
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar
with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . .

.
.

.
.

.
.

.
.

Section C. Disclosure
17
18

List the states with which a copy of this Form 990 is required to be filed a
CT
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)
available for public inspection. Indicate how you made these available. Check all that apply.

19

✔ Upon request
Own website
Another’s website
Other (explain in Schedule O)
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and
financial statements available to the public during the tax year.

20

State the name, address, and telephone number of the person who possesses the organization's books and records: a
Lynne DeLucia, (203)215-6373
640 Prospect Street, New Haven, CT 06511

Form 990 (2015)

 Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and
Independent Contractors

Form 990 (2015)

Part VII

Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the
organization’s tax year.
• List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of
compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
• List all of the organization’s current key employees, if any. See instructions for definition of “key employee.”
• List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.
• List all of the organization’s former officers, key employees, and highest compensated employees who received more than
$100,000 of reportable compensation from the organization and any related organizations.
• List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(C)

Director
Isabel Morais
Director
Marie Shanahan
Director
Jeanne Milstein
Director
Susan Whetstone
Director
Karen Hunter
Director
Teresa Younger
Director
Elaine Braffman
Director
Lynne DeLucia
Editor and President
Lisa Chedekel
Co-Founder and Secretary

Former

1
0
1
0
1
0
1

Highest compensated
employee

Beth Darby
Director
William Dyson
Director
Lindy Lee Gold
Director
Richard Hanley

Key employee

Average
hours per
week (list any
hours for
related
organizations
below dotted
line)

Officer

Name and Title

Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)
Institutional trustee

(B)

Individual trustee
or director

(A)

(D)

(E)

(F)

Reportable
Reportable
compensation compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

Estimated
amount of
other
compensation
from the
organization
and related
organizations

✔

0

0

0

✔

0

0

0

✔

0

0

0

0
1

✔

0

0

0

0
1
0
1
0
1
0
1
0
1
0
1
0
35
0
20
0

✔

0

0

0

✔

0

0

0

✔

0

0

0

✔

0

0

0

✔

0

0

0

✔

0

0

0

✔

0

0

0

✔

70,000

0

0

✔

38,280

0

0

Form 990 (2015)

 Page 8

Form 990 (2015)

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(C)

Former

Highest compensated
employee

Key employee

Officer

Institutional trustee

(B)
Average
hours per
week (list any
hours for
related
organizations
below dotted
line)

Individual trustee
or director

(A)
Name and title

Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)

(D)

(E)

(F)

Reportable
Reportable
compensation compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

Estimated
amount of
other
compensation
from the
organization
and related
organizations

1b
c
d
2

Sub-total . . . . . . . . . . . . . . . . . . . . . a
108,280
0
Total from continuation sheets to Part VII, Section A . . . . . a
Total (add lines 1b and 1c) . . . . . . . . . . . . . . . a
108,280
0
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
reportable compensation from the organization a 0

3

Did the organization list any former officer, director, or trustee, key employee, or highest compensated
employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . .

4

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . .

0
0

Yes

5

No

3

✔

4

✔

✔
5
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax
year.
(A)
Name and business address

(B)
Description of services

(C)
Compensation

None

2

Total number of independent contractors (including but not limited to those listed above) who
received more than $100,000 of compensation from the organization a
0
Form 990 (2015)

 Page 9

Form 990 (2015)

Part VIII Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . .

Program Service Revenue

Contributions, Gifts, Grants
and Other Similar Amounts

(A)
Total revenue

1a
b
c
d
e
f

1a
1b
1c
1d
1e

Federated campaigns . . .
Membership dues . . . .
Fundraising events . . . .
Related organizations . . .
Government grants (contributions)
All other contributions, gifts, grants,
and similar amounts not included above

(C)
Unrelated
business
revenue

(D)
Revenue
excluded from tax
under sections
512-514

0
0
0
0
0

1f
g Noncash contributions included in lines 1a-1f: $
h Total. Add lines 1a–1f . . . . . .

275,637
0

.

.

.

275,637

a

Business Code

2a
b
c
d
e
f All other program service revenue .
g Total. Add lines 2a–2f . . . . . . . . . a
3
Investment income (including dividends, interest,
and other similar amounts) . . . . . . . a
4
5

(ii) Personal

6a
b
c
d
7a

Gross rents . .
Less: rental expenses
Rental income or (loss)
0
Net rental income or (loss) . . . .
(i) Securities
Gross amount from sales of
assets other than inventory
b Less: cost or other basis
and sales expenses .
c Gain or (loss) . .
d Net gain or (loss)

8a

b
c
9a
b
c
10a
b
c

0

Income from investment of tax-exempt bond proceeds a
Royalties . . . . . . . . . . . . . a
(i) Real

Other Revenue

(B)
Related or
exempt
function
revenue

0

.

.

.

a

(ii) Other

0

.

.

.

.

.

.

0

.

.

.

Gross income from fundraising
events (not including $
0
of contributions reported on line 1c).
See Part IV, line 18 . . . . . a
Less: direct expenses . . . . b
Net income or (loss) from fundraising events
Gross income from gaming activities.
See Part IV, line 19 . . . . . a
Less: direct expenses . . . . b
Net income or (loss) from gaming activities .
Gross sales of inventory, less
returns and allowances . . . a
Less: cost of goods sold . . . b
Net income or (loss) from sales of inventory .

a

.

a

.

a

.

a

Business Code

Miscellaneous Revenue

11a
b
c
d All other revenue . . . . .
e Total. Add lines 11a–11d . . .
12
Total revenue. See instructions.

.

.
.

.
.

.
.

.
.

.
.

a

0

a

275,637

0

0

0

Form 990 (2015)

 Page 10

Form 990 (2015)

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . .
Do not include amounts reported on lines 6b, 7b,
8b, 9b, and 10b of Part VIII.
1
2

(A)
Total expenses

(B)
Program service
expenses

(C)
Management and
general expenses

✔

(D)
Fundraising
expenses

Grants and other assistance to domestic organizations
and domestic governments. See Part IV, line 21 . .
Grants and other assistance to domestic
individuals. See Part IV, line 22 . . . . .

3

Grants and other assistance to foreign
organizations, foreign governments, and foreign
individuals. See Part IV, lines 15 and 16 . . .

4
5

Benefits paid to or for members . . . .
Compensation of current officers, directors,
trustees, and key employees . . . . .

6

Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B) . .

7
8

Other salaries and wages . . . . . .
Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)

9
10
11

Other employee benefits . . . . . . .
Payroll taxes . . . . . . . . . . .
Fees for services (non-employees):
a Management
. . . . . . . . . .
b Legal . . . . . . . . . . . . .
c Accounting . . . . . . . . . . .
d Lobbying . . . . . . . . . . . .
e Professional fundraising services. See Part IV, line 17
f Investment management fees . . . . .
g Other. (If line 11g amount exceeds 10% of line 25, column
(A) amount, list line 11g expenses on Schedule O.) . .

12
13
14
15
16
17
18

Advertising and promotion . . . . . .
Office expenses
. . . . . . . . .
Information technology . . . . . . .
Royalties . . . . . . . . . . . .
Occupancy . . . . . . . . . . .
Travel . . . . . . . . . . . . .
Payments of travel or entertainment expenses
for any federal, state, or local public officials

19
20
21
22
23
24

Conferences, conventions, and meetings .
Interest . . . . . . . . . . . .
Payments to affiliates . . . . . . . .
Depreciation, depletion, and amortization .
Insurance . . . . . . . . . . . .
Other expenses. Itemize expenses not covered
above (List miscellaneous expenses in line 24e. If
line 24e amount exceeds 10% of line 25, column
(A) amount, list line 24e expenses on Schedule O.)

a
b
c
d
e All other expenses
Total functional expenses. Add lines 1 through 24e
25
Joint costs. Complete this line only if the
26
organization reported in column (B) joint costs
from a combined educational campaign and
fundraising solicitation. Check here a
if
following SOP 98-2 (ASC 958-720)
. . . .

13,850

13,850

4,279

4,279

178,831
6,178
13,865

164,831
3,900
3,209

7,000
2,278
10,231

2,032

2,032

32,360

31,068

1,292

3,937

3,566

371

255,332

208,606

25,451

7,000
425

21,275

Form 990 (2015)

 Page 11

Form 990 (2015)

Part X

Balance Sheet
Check if Schedule O contains a response or note to any line in this Part X

.

Net Assets or Fund Balances

Liabilities

Assets

(A)
Beginning of year

1
2
3
4
5

Cash—non-interest-bearing . . . . . . . . . . . . . .
Savings and temporary cash investments . . . . . . . . . .
Pledges and grants receivable, net . . . . . . . . . . . .
Accounts receivable, net
. . . . . . . . . . . . . . .
Loans and other receivables from current and former officers, directors,
trustees, key employees, and highest compensated employees.
Complete Part II of Schedule L . . . . . . . . . . . . .

6

Loans and other receivables from other disqualified persons (as defined under section
4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and
sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions). Complete Part II of Schedule L . . . . . . .

7
8
9
10a
b
11
12
13
14
15
16
17
18
19
20
21
22

Notes and loans receivable, net . . . . .
Inventories for sale or use . . . . . . .
Prepaid expenses and deferred charges . .
Land, buildings, and equipment: cost or
other basis. Complete Part VI of Schedule D

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

10a
Less: accumulated depreciation . . . .
10b
Investments—publicly traded securities
. . . . . . . . . .
Investments—other securities. See Part IV, line 11 . . . . . . .
Investments—program-related. See Part IV, line 11 . . . . . . .
Intangible assets . . . . . . . . . . . . . . . . . .
Other assets. See Part IV, line 11 . . . . . . . . . . . . .
Total assets. Add lines 1 through 15 (must equal line 34) . . . . .
Accounts payable and accrued expenses . . . . . . . . . .
Grants payable . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . .
Tax-exempt bond liabilities . . . . . . . . . . . . . . .
Escrow or custodial account liability. Complete Part IV of Schedule D .
Loans and other payables to current and former officers, directors,
trustees, key employees, highest compensated employees, and
disqualified persons. Complete Part II of Schedule L . . . . . .

23
24
25

Secured mortgages and notes payable to unrelated third parties . .
Unsecured notes and loans payable to unrelated third parties . . .
Other liabilities (including federal income tax, payables to related third
parties, and other liabilities not included on lines 17-24). Complete Part X
of Schedule D . . . . . . . . . . . . . . . . . . .

26

Total liabilities. Add lines 17 through 25 . . . . . . . .
Organizations that follow SFAS 117 (ASC 958), check here a
complete lines 27 through 29, and lines 33 and 34.

27
28
29

30
31
32
33
34

Unrestricted net assets . . . . . . . . . . . . . .
Temporarily restricted net assets . . . . . . . . . . .
Permanently restricted net assets . . . . . . . . . . .
Organizations that do not follow SFAS 117 (ASC 958), check here a
complete lines 30 through 34.

.

.

Capital stock or trust principal, or current funds . . . . . . .
Paid-in or capital surplus, or land, building, or equipment fund . .
Retained earnings, endowment, accumulated income, or other funds
Total net assets or fund balances . . . . . . . . . . . .
Total liabilities and net assets/fund balances . . . . . . . .

1
2
3
4

182,654

5

6
7
8
9

10c
11
12
13
14
15
166,076 16
6,133 17
18
19
20
21

182,654
2,406

22
23
24

25
6,133 26

2,406

159,943 27
0 28
0 29

180,248
0
0

30
31
32
159,943 33
166,076 34

180,248
182,654

and

✔

.
.
.

166,076

.
(B)
End of year

.
.
.
and
.
.
.
.
.

Form 990 (2015)

 Page 12

Form 990 (2015)

Part XI

Reconciliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI

1
2
3
4
5
6
7
8
9
10

Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . .
Total expenses (must equal Part IX, column (A), line 25)
. . . . . . . . . . .
Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . .
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) .
Net unrealized gains (losses) on investments . . . . . . . . . . . . . . .
Donated services and use of facilities
. . . . . . . . . . . . . . . . .
Investment expenses . . . . . . . . . . . . . . . . . . . . . . .
Prior period adjustments . . . . . . . . . . . . . . . . . . . . . .
Other changes in net assets or fund balances (explain in Schedule O) . . . . . . .
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part
33, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . .

Part XII

.
.
.
.
.
.
.
.
.
.
X,
.

.
.
.
.
.
.
.
.
.
line
.

.

1
2
3
4
5
6
7
8
9

275,637
255,332
20,305
159,943
0
0
0
0
0

10

180,248

Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . .
Yes

1

Accounting method used to prepare the Form 990:
Cash ✔ Accrual
Other
If the organization changed its method of accounting from a prior year or checked “Other,” explain in
Schedule O.

2a

Were the organization’s financial statements compiled or reviewed by an independent accountant? . . .
If “Yes,” check a box below to indicate whether the financial statements for the year were compiled or
reviewed on a separate basis, consolidated basis, or both:

Separate basis
Consolidated basis
Both consolidated and separate basis
b Were the organization’s financial statements audited by an independent accountant?
. . . . . . .
If “Yes,” check a box below to indicate whether the financial statements for the year were audited on a
separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in
Schedule O.
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in
the Single Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the
required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

No

2a

✔

2b

✔

c

2c

3a

✔

3b
Form 990 (2015)

 (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

OMB No. 1545-0047

Public Charity Status and Public Support

SCHEDULE A

2015

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
a Information

a Attach to Form 990 or Form 990-EZ.
about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

Name of the organization

Employer identification number

CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

Part I

Open to Public
Inspection

46-1068891

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
3
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
4
hospital’s name, city, and state:
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7

✔

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)

8
9

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

10
11

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check
the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

a

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization. You must complete Part IV, Sections A and B.

b

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

c
d

e

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III
functionally integrated, or Type III non-functionally integrated supporting organization.

f Enter the number of supported organizations . . . . . . . . .
g Provide the following information about the supported organization(s).
(i) Name of supported organization

(ii) EIN

(iii) Type of organization
(described on lines 1–9
above (see instructions))

.

.

.

.

.

.

.

.

.

.

.

.

(iv) Is the organization (v) Amount of monetary
listed in your governing
support (see
document?
instructions)

Yes

.

.
(vi) Amount of
other support (see
instructions)

No

(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

 Page 2

Schedule A (Form 990 or 990-EZ) 2015

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) a
1
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") . . .
2

Tax
revenues
levied
for
the
organization’s benefit and either paid
to or expended on its behalf . . .

3

The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . .

4

Total. Add lines 1 through 3 .

5

The portion of total contributions by
each
person
(other
than
a
governmental
unit
or
publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f) . . . .

6

Public support. Subtract line 5 from line 4.

.

.

(a) 2011

.

(b) 2012

0

(c) 2013

(d) 2014

(e) 2015

(f) Total

44,500

163,633

328,748

253,137

790,018

44,500

163,633

328,748

253,137

790,018

790,018

Section B. Total Support
Calendar year (or fiscal year beginning in) a
7
Amounts from line 4 . . . . . .
8
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources . . . . . . . . . .

(a) 2011

(b) 2012
0

(c) 2013

(d) 2014

(e) 2015

(f) Total

44,500

163,633

328,748

253,137

790,018

3,400

24,207

23,218

22,500

73,325

9

Net income from unrelated business
activities, whether or not the business
is regularly carried on
. . . . .

10

Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .

11
12
13

Total support. Add lines 7 through 10
863,343
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . .
12
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . a ✔

Section C. Computation of Public Support Percentage
14
15
16a

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) . . . .
14
15
Public support percentage from 2014 Schedule A, Part II, line 14 . . . . . . . . . .
331/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this
a
box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . .
1
1
b 33 /3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 /3% or more,
a
check this box and stop here. The organization qualifies as a publicly supported organization
. . . . . . .

17a

%
%

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is
10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in
Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
a
organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b 10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
a
supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
a
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule A (Form 990 or 990-EZ) 2015

 Page 3

Schedule A (Form 990 or 990-EZ) 2015

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) a
Gifts, grants, contributions, and membership fees
1
received. (Do not include any "unusual grants.")
2
Gross receipts from admissions, merchandise
sold or services performed, or facilities
furnished in any activity that is related to the
organization’s tax-exempt purpose . . .
3
Gross receipts from activities that are not an
unrelated trade or business under section 513
4

Tax
revenues
levied
for
the
organization’s benefit and either paid
to or expended on its behalf . . .

5

The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . .

6
7a

Total. Add lines 1 through 5 . . . .
Amounts included on lines 1, 2, and 3
received from disqualified persons .

(a) 2011

(b) 2012

(c) 2013

(d) 2014

(e) 2015

(f) Total

(a) 2011

(b) 2012

(c) 2013

(d) 2014

(e) 2015

(f) Total

b Amounts included on lines 2 and 3
received
from other than disqualified
persons that exceed the greater of $5,000
or 1% of the amount on line 13 for the year
c
8

Add lines 7a and 7b . . . . . .
Public support. (Subtract line 7c from
line 6.) . . . . . . . . . . .

Section B. Total Support
Calendar year (or fiscal year beginning in) a
9
Amounts from line 6 . . . . . .
10a Gross income from interest, dividends,
payments received on securities loans, rents,
royalties and income from similar sources .
b Unrelated business taxable income (less
section 511 taxes) from businesses
acquired after June 30, 1975 . . . .
c
11

12

13
14

Add lines 10a and 10b . . . . .
Net income from unrelated business
activities not included in line 10b, whether
or not the business is regularly carried on
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .
Total support. (Add lines 9, 10c, 11,
and 12.) . . . . . . . . . .
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . a

Section C. Computation of Public Support Percentage
15
16

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f))
Public support percentage from 2014 Schedule A, Part III, line 15 . . . . . .

.
.

.
.

.
.

.
.

.
.

15
16

%
%

Section D. Computation of Investment Income Percentage
17
18
19a

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) . . .
17
%
Investment income percentage from 2014 Schedule A, Part III, line 17 . . . . . . . . . .
18
%
331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . a
b 331/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and
line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization a
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions a
20
Schedule A (Form 990 or 990-EZ) 2015

 Page 4

Schedule A (Form 990 or 990-EZ) 2015

Part IV

Supporting Organizations
(Complete only if you checked a box in line 11 on Part I. If you checked 11a of Part I, complete Sections A
and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete
Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes No
1

Are all of the organization’s supported organizations listed by name in the organization’s governing
documents? If "No," describe in Part VI how the supported organizations are designated. If designated by
class or purpose, describe the designation. If historic and continuing relationship, explain.

1

2

Did the organization have any supported organization that does not have an IRS determination of status
under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported
organization was described in section 509(a)(1) or (2).

2

3a

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer
(b) and (c) below.
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the
organization made the determination.

3a

3b

c

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)
purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
4a Was any supported organization not organized in the United States ("foreign supported organization")? If
"Yes," and if you checked 11a or 11b in Part I, answer (b) and (c) below.
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization? If "Yes," describe in Part VI how the organization had such control and discretion
despite being controlled or supervised by or in connection with its supported organizations.

3c
4a

4b

c

Did the organization support any foreign supported organization that does not have an IRS determination
under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used
to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)
purposes.

4c

5a

Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes,"
answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN
numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;
(iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action
was accomplished (such as by amendment to the organizing document).

5a

b Type I or Type II only. Was any added or substituted supported organization part of a class already
designated in the organization's organizing document?
c Substitutions only. Was the substitution the result of an event beyond the organization's control?
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited
by one or more of its supported organizations, or (iii) other supporting organizations that also support or
benefit one or more of the filing organization’s supported organizations? If "Yes," provide detail in Part VI.
7

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
(defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with
regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).

8

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?
If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).
Was the organization controlled directly or indirectly at any time during the tax year by one or more
disqualified persons as defined in section 4946 (other than foundation managers and organizations described
in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.

9a

5b
5c

6

7
8

9a

b Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which
the supporting organization had an interest? If "Yes," provide detail in Part VI.
c Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
10a Was the organization subject to the excess business holdings rules of section 4943 because of section
4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated
supporting organizations)? If "Yes," answer 10b below.

10a

b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.)

10b

9b
9c

Schedule A (Form 990 or 990-EZ) 2015

 Page 5

Schedule A (Form 990 or 990-EZ) 2015

Part IV

Supporting Organizations (continued)
Yes No

11

Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c)
below, the governing body of a supported organization?
b A family member of a person described in (a) above?
c A 35% controlled entity of a person described in (a) or (b) above? If "Yes" to a, b, or c, provide detail in Part VI.

11a
11b
11c

Section B. Type I Supporting Organizations
Yes No
1

Did the directors, trustees, or membership of one or more supported organizations have the power to
regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the
tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or
controlled the organization’s activities. If the organization had more than one supported organization,
describe how the powers to appoint and/or remove directors or trustees were allocated among the supported
organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

2

Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated,
supervised, or controlled the supporting organization.

1

2

Section C. Type II Supporting Organizations
Yes No
1

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors
or trustees of each of the organization’s supported organization(s)? If "No," describe in Part VI how control
or management of the supporting organization was vested in the same persons that controlled or managed
the supported organization(s).

1

Section D. All Type III Supporting Organizations
Yes No
1

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax
year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
organization’s governing documents in effect on the date of notification, to the extent not previously provided?

1

2

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported
organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
the organization maintained a close and continuous working relationship with the supported organization(s).

2

3

By reason of the relationship described in (2), did the organization’s supported organizations have a
significant voice in the organization’s investment policies and in directing the use of the organization’s
income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s
supported organizations played in this regard.

3

Section E. Type III Functionally-Integrated Supporting Organizations
1

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c

2

The organization satisfied the Activities Test. Complete line 2 below.
The organization is the parent of each of its supported organizations. Complete line 3 below.
The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).
Activities Test. Answer (a) and (b) below.

a

Yes No

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify
those supported organizations and explain how these activities directly furthered their exempt purposes,
how the organization was responsive to those supported organizations, and how the organization determined
that these activities constituted substantially all of its activities.

2a

b Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more
of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the
reasons for the organization’s position that its supported organization(s) would have engaged in these
activities but for the organization’s involvement.

2b

3
a

Parent of Supported Organizations. Answer (a) and (b) below.
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or
trustees of each of the supported organizations? Provide details in Part VI.

b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each
of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

3a
3b

Schedule A (Form 990 or 990-EZ) 2015

 Page 6

Schedule A (Form 990 or 990-EZ) 2015

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All
other Type III non-functionally integrated supporting organizations must complete Sections A through E.
(B) Current Year
Section A - Adjusted Net Income
(A) Prior Year
(optional)
1 Net short-term capital gain
2 Recoveries of prior-year distributions
3 Other gross income (see instructions)
4 Add lines 1 through 3
5 Depreciation and depletion

1
2
3
4
5

6 Portion of operating expenses paid or incurred for production or
collection of gross income or for management, conservation, or
maintenance of property held for production of income (see instructions)
7 Other expenses (see instructions)
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)

6
7
8

Section B - Minimum Asset Amount
1 Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year):
a Average monthly value of securities
b Average monthly cash balances
c Fair market value of other non-exempt-use assets
d Total (add lines 1a, 1b, and 1c)
e Discount claimed for blockage or other
factors (explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets
3 Subtract line 2 from line 1d
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,
see instructions).
5 Net value of non-exempt-use assets (subtract line 4 from line 3)
6 Multiply line 5 by .035
7 Recoveries of prior-year distributions
8 Minimum Asset Amount (add line 7 to line 6)
Section C - Distributable Amount

(A) Prior Year

(B) Current Year
(optional)

1a
1b
1c
1d

2
3
4
5
6
7
8
Current Year

1
1 Adjusted net income for prior year (from Section A, line 8, Column A)
2 Enter 85% of line 1
2
3 Minimum asset amount for prior year (from Section B, line 8, Column A)
3
4 Enter greater of line 2 or line 3
4
5 Income tax imposed in prior year
5
6 Distributable Amount. Subtract line 5 from line 4, unless subject to
6
emergency temporary reduction (see instructions)
7
Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see
instructions).
Schedule A (Form 990 or 990-EZ) 2015

 Page 7

Schedule A (Form 990 or 990-EZ) 2015

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions.
7 Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions.
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount
Section E - Distribution Allocations (see instructions)
1
2

(i)
Excess Distributions

Current Year

(ii)
Underdistributions
Pre-2015

(iii)
Distributable
Amount for 2015

Distributable amount for 2015 from Section C, line 6
Underdistributions, if any, for years prior to 2015
(reasonable cause required-see instructions)
Excess distributions carryover, if any, to 2015:

3
a
b
c
d
e
f
g
h
i
j
4
a

From 2013 . . . . .
From 2014 . . . . .
Total of lines 3a through e
Applied to underdistributions of prior years
Applied to 2015 distributable amount
Carryover from 2010 not applied (see instructions)
Remainder. Subtract lines 3g, 3h, and 3i from 3f.
Distributions for 2015 from Section
D, line 7:
$
Applied to underdistributions of prior years

b
c
5

Applied to 2015 distributable amount
Remainder. Subtract lines 4a and 4b from 4.
Remaining underdistributions for years prior to 2015, if
any. Subtract lines 3g and 4a from line 2 (if amount
greater than zero, see instructions).

6

Remaining underdistributions for 2015. Subtract lines 3h
and 4b from line 1 (if amount greater than zero, see
instructions).
Excess distributions carryover to 2016. Add lines 3j
and 4c.

7
8

Breakdown of line 7:
a
b
c Excess from 2013 . .
d Excess from 2014 . .
e Excess from 2015 . .

.
.
.
Schedule A (Form 990 or 990-EZ) 2015

 Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part
III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section
B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b,
3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E,
lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)

Schedule A (Form 990 or 990-EZ) 2015

Part VI

Schedule A, Part II, Line 10 - Other Income: Income from paying media partnerships.

Schedule A (Form 990 or 990-EZ) 2015

 Supplemental Information to Form 990 or 990-EZ

SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service

OMB No. 1545-0047

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
a

a

2015

Open to Public
Inspection

Employer identification number

Name of the organization

CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

46-1068891

Form 990, Part VI, Section B, Line 11b - Review Process for Form 990 - The Form 990 is emailed to C-HIT's Board of Directors for review
prior to filing
Form 990, Part VI, Section B, Line 12c - Conflict of Interest Policy - Each Director is given C-HIT's Statement Regarding Business Ethics
and Conflicts of Interest. They are required to annually sign a questionnaire relating to business and conflicts of interest and return the
document to C-HIT. Compliance is checked twice a year at board meetings.
Form 990, Part VI, Section C, Line 19 - C-HIT posts its governing policies, foundation grants, individual donors and corporate sponsorships
and 990 reports online in the ABOUT C-HIT and SPONSOR sections of the website.
Form 990, Part IX, Line 11g - Other expenses: Freelance writers including the Editor/President and the Co-Founder/Secretary

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) (2015)

 Schedule B
Department of the Treasury
Internal Revenue Service

OMB No. 1545-0047

Schedule of Contributors

(Form 990, 990-EZ,
or 990-PF)
a

a Attach to Form 990, Form 990-EZ, or Form 990-PF.
Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

Name of the organization

2015

Employer identification number

CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

46-1068891

Organization type (check one):
Filers of:

Section:

Form 990 or 990-EZ

✔

501(c)(

3

) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF

501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See
instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000
or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a
contributor's total contributions.
Special Rules
✔

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3 % support test of the
regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line
13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1)
$5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific,
literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such
contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received
during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the
General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions
totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . a $
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its
Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613X

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

 Page 1 of 2 of Part I
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Name of organization
CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

Part I

46-1068891

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Connecticare
1
175 Scott Swamp Road

$

20,000

Farmington, CT, 06032

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Connecticut Health Foundation
2
100 Pearl Street

$

27,500

Hartford, CT, 06103

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Dow Jones News Foundation
3
PO Box 300

$

6,000

Princeton, NJ, 08543

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Ethics and Excellence Foundation
4
Oklahoma Tower
210 Park Acvenue Suite 3150

$

75,000

Oklahoma City, OK, 73102

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Hartford Foundation for Public Givi
5
10 Columbus Blvd 8th Floor

$

20,000

Hartford, CT, 06106

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Hartford Healthcare
6
85 Seymour Street

$
Hartford, CT, 06106

5,000

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

 Page 2 of 2 of Part I
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Name of organization
CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

Part I

46-1068891

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Institute for Nonprofit News
7
17514 Ventura Blvd

$

20,000

Encino, CA, 91316

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

James Knight Foundation
8
200 South Biscayne Blvd
Suite 3300

$

25,000

Miami, FL, 33131

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Universal Health Care Foundation
9
290 Pratt Street
Suite 3

$

6,500

Meriden, CT, 06450

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

Wheeler Clinic Inc
10
91 Northwest Drive

$

5,000

Plainville, CT, 06062

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution

William Graustein Foundation
11
2319 Whitney Avenue

$

5,000

Hamden, CT, 06518

(a)
No.

Person
Payroll
Noncash

✔

(Complete Part II for
noncash contributions.)

(b)
Name, address, and ZIP + 4

(c)
Total contributions

$

(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

 Page
of
of Part II
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Name of organization
CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

Part II
(a) No.
from
Part I

46-1068891

Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(c)
FMV (or estimate)

(b)
Description of noncash property given

(see instructions)

(d)
Date received

$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

 Page
of
of Part III
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Name of organization
CONNECTICUT HEALTH INVESTIGATIVE TEAM INC

Part III

(a) No.
from
Part I

46-1068891

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or
(10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and
the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) a $
Use duplicate copies of Part III if additional space is needed.
(b) Purpose of gift

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee’s name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee’s name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee’s name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee’s name, address, and ZIP + 4

Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)