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ObjectId: 201502049349300810 - Submission: 2015-07-23
TIN: 04-2263040
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
Dana-Farber Cancer Institute Inc
Employer identification number
04-2263040
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Dana-Farber Inc
450 Brookline Avenue BP418
BOSTON
,
MA
02215
04-3102433
INVEST MGMT
MA
501(c)(3)
11A, TYPE 1
DFCI
Yes
(2)
DANA-FARBER TRUST INC
450 Brookline Avenue BP418
BOSTON
,
MA
02215
30-0195757
DFCI RE MGMT
MA
501(c)(3)
11A
DFCI
Yes
(3)
DANA-FARBERPARTNERS CANCER CARE INC
450 Brookline Avenue BP418
BOSTON
,
MA
02215
04-3320640
ONCOL SUP ORG
MA
501(c)(3)
11c FI
DFCI
No
(4)
RMSA TRUST
450 Brookline Avenue BP418
BOSTON
,
MA
02215
56-2656539
RETRMT TRUST
MA
501(c)(9)
DFCI
Yes
(5)
Friends of Dana-Farber Cancer Institute
450 Brookline Ave BP418
Boston
,
MA
02215
37-1613621
Fundraising
MA
501(c)(3)
11A, TYPE 1
DFCI
Yes
(6)
Dana-FarberChildren's Hospital Cancer C
450 Brookline Ave BP418
Boston
,
MA
02215
04-3554536
Pediatric Onc
MA
501(c)(3)
Type 1
N/A
(7)
Dana-Farber Cancer Care Network Inc
450 Brookline Avenue BP 418
Boston
,
MA
02215
46-5138314
ONCOL SUP ORG
MA
501(c)(3)
Type 1
DFCI
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
DANA-FARBERPARTNERS CANCER CARE
450 Brookline Avenue BP418
BOSTON
,
MA
02215
04-3402364
ONCOLOGY PTNR
MA
Related
47,503,778
0
No
0
50.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.
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1a
No
b
Gift, grant, or capital contribution to related organization(s)
.
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1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
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1c
Yes
d
Loans or loan guarantees to or for related organization(s)
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1d
No
e
Loans or loan guarantees by related organization(s)
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1e
No
f
Dividends from related organization(s)
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1f
No
g
Sale of assets to related organization(s)
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1g
No
h
Purchase of assets from related organization(s)
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1h
No
i
Exchange of assets with related organization(s)
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1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
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1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
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1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
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1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
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1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
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1n
No
o
Sharing of paid employees with related organization(s)
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1o
Yes
p
Reimbursement paid to related organization(s) for expenses
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1p
No
q
Reimbursement paid by related organization(s) for expenses
.
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1q
No
r
Other transfer of cash or property to related organization(s)
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1r
Yes
s
Other transfer of cash or property from related organization(s)
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1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
Dana-Farber Partners Cancer Care Inc
O
133,550
CASH
(2)
Dana-Farber Partners Cancer Care Inc
R
353,990
CASH
(3)
Dana-Farber Partners Cancer Care Inc
L
29,564,715
CASH
(4)
Dana-Farber Inc
R
124,287,991
CASH
(5)
Dana-Farber Inc
S
173,139,401
CASH
(6)
Friends of Dana-Farber Cancer Institute Inc
O
221,170
Actual Expense
(7)
RMSA Trust
R
149,884
CASH
(8)
Friends of Dana-Farber Cancer Institute Inc
B
75,650
Cash
(9)
Friends of Dana-Farber Cancer Institute Inc
C
564,777
Cash
(10)
Dana-Farber Cancer Care Network Inc
L
6,775,357
COST
(11)
Dana-Farber Cancer Care Network Inc
R
9,289,993
COST
(12)
Dana-Farber Cancer Care Network Inc
R
1,713,791
Cost
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2013
Additional Data
Software ID:
Software Version: