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ObjectId: 202201369349306270 - Submission: 2022-05-16
TIN: 95-4684347
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
Open to Public Inspection
Name of the organization
ALFRED E MANN INSTITUTE FOR
BIOMEDICAL ENGINEERING AT THE USC
Employer identification number
95-4684347
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020
Page 2
Schedule J (Form 990) 2020
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2 and/or 1099-MISC compensation
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
CAROL FOLT
DIRECTOR AS OF 3/1/21
(i)
(ii)
0
-------------
1,322,433
0
-------------
0
0
-------------
1,008,305
0
-------------
28,500
0
-------------
17,123
0
-------------
2,376,361
0
-------------
0
2
JAMES M STATEN
DIRECTOR
(i)
(ii)
0
-------------
1,382,669
0
-------------
200,000
0
-------------
341,105
0
-------------
128,500
0
-------------
39,955
0
-------------
2,092,229
0
-------------
0
3
CHARLES F ZUKOSKI
DIRECTOR AND CHAIR
(i)
(ii)
0
-------------
755,370
0
-------------
200,000
0
-------------
67,230
0
-------------
124,623
0
-------------
29,473
0
-------------
1,176,696
0
-------------
0
4
LAURA MOSQUEDA
DIRECTOR UNTIL 3/1/21
(i)
(ii)
0
-------------
826,971
0
-------------
125,000
0
-------------
88,362
0
-------------
28,500
0
-------------
23,390
0
-------------
1,092,223
0
-------------
0
5
YANNIS C YORTSOS
DIRECTOR
(i)
(ii)
0
-------------
431,829
0
-------------
65,000
0
-------------
22,841
0
-------------
28,500
0
-------------
31,599
0
-------------
579,769
0
-------------
0
6
CAROLYN DOMEN-BROSHEARS
SECRETARY
(i)
(ii)
0
-------------
305,311
0
-------------
50,000
0
-------------
29,418
0
-------------
28,500
0
-------------
4,249
0
-------------
417,478
0
-------------
0
7
MAJA MATARIC
DIRECTOR
(i)
(ii)
0
-------------
307,072
0
-------------
0
0
-------------
25,736
0
-------------
28,500
0
-------------
41,827
0
-------------
403,135
0
-------------
0
8
DENNIS M FOSTER
TREASURER
(i)
(ii)
0
-------------
302,993
0
-------------
30,000
0
-------------
5,746
0
-------------
28,500
0
-------------
17,028
0
-------------
384,267
0
-------------
0
9
JONATHAN G LASCH PHD
COO/DIRECTOR OF THE INSTITUTE
(i)
(ii)
0
-------------
293,173
0
-------------
0
0
-------------
23,654
0
-------------
28,500
0
-------------
29,867
0
-------------
375,194
0
-------------
0
10
CHRYSOSTOMOS L NIKIAS
FORMER CHAIRMAN
(i)
(ii)
0
-------------
1,585,377
0
-------------
0
0
-------------
11,766
0
-------------
28,500
0
-------------
28,407
0
-------------
1,654,050
0
-------------
0
11
MICHAEL QUICK
FORMER DIRECTOR AND CHAIR
(i)
(ii)
0
-------------
633,207
0
-------------
200,000
0
-------------
122,927
0
-------------
28,500
0
-------------
10,367
0
-------------
995,001
0
-------------
0
Schedule J (Form 990) 2020
Page 3
Schedule J (Form 990) 2020
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
SCHEDULE J, PART I, LINE 3:
THE ORGANIZATION RELIES ON THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT. THE COMPENSATION IS DETERMINED ANNUALLY USING THE SAFE HARBOR PROCESS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. NAMELY, A COMMITTEE OF THE USC'S BOARD OF TRUSTEES TAKES THE FOLLOWING THREE STEPS: (1) IT ENSURES THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING REVIEWED, (2) IT LOOKS TO COMPARABILITY DATA AND SPECIALIZED COMPENSATION REPORTS (AND IN SOME CASES OPINIONS) PREPARED FOR THE USC BY COMPENSATION CONSULTANTS WITH RESPECT TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED UNIVERSITIES, AND (3) IT MAINTAINS A CONTEMPORANEOUS RECORD OF ITS DELIBERATIONS AND DECISIONS.
SCHEDULE J, PART I, LINE 4B
JAMES M. STATEN: DURING CALENDAR YEAR 2020, SENIOR VICE PRESIDENT, FINANCE AND CFO AT THE UNIVERSITY OF SOUTHERN CALIFORNIA PARTICIPATED IN A RETENTION PROGRAM. A PAYMENT OF $500,000 (ACCRUING AT $100,000 PER YEAR) IS SCHEDULED TO VEST AND BE PAYABLE IN 2021 SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. AN ACCRUAL OF $100,000 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). CHARLES ZUKOSKI: DURING CALENDAR YEAR 2020, PROVOST AND SENIOR VICE PRESIDENT, ACADEMIC AFFAIRS AT THE UNIVERSITY OF SOUTHERN CALIFORNIA PARTICIPATED IN A RETENTION PROGRAM. A PAYMENT OF $500,000(ACCRUING AT $100,000 PER YEAR) IS SCHEDULED TO VEST AND BE PAYABLE IN 2024 SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. AN ACCRUAL OF $100,000 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). OTHER: IN 1994 USC CREATED A 457(F) SUPPLEMENTAL RETIREMENT PLAN TO PROVIDE MAKE-UP BENEFITS TO EMPLOYEES WHOSE COMPENSATION EXCEEDS THE EARNINGS LIMITATION FOR CONTRIBUTIONS TO THE USC DEFINED CONTRIBUTION RETIREMENT PLAN. AS OF JANUARY 1, 2005, THE PLAN WAS FROZEN AND PARTICIPANTS, WITH RESPECT TO FUTURE MAKE-UP BENEFITS, WERE NO LONGER PERMITTED TO DEFER THESE BENEFITS. SCHEDULE J, PART II NONE OF THE OFFICERS AND DIRECTORS OF THIS ORGANIZATION RECEIVED ANY COMPENSATION FROM THE FILING ORGANIZATION DURING 2020. DURING 2020, THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II WERE EMPLOYEES OF THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC"), A RELATED ORGANIZATION.
Schedule J (Form 990) 2020
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