SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
THE ICAHN MEDICAL RESEARCH FOUNDATION
C/O ICAHN ASSOCIATES HOLDING LLC
Employer identification number

46-1404597
Return Reference Explanation
PART V, LINE 2A AS NOTED ON SCHEDULE A, THE ICAHN MEDICAL RESEARCH FOUNDATION (THE "FOUNDATION") IS A MEDICAL RESEARCH ORGANIZATION WHICH CONDUCTS MEDICAL RESEARCH IN CONJUNCTION WITH MOUNT SINAI HOSPITAL (THE "HOSPITAL"). THIS ARRANGEMENT IS SET FORTH IN THE COLLABORATION AGREEMENT BETWEEN THE FOUNDATION AND THE HOSPITAL, A COPY OF WHICH WAS PROVIDED TO THE IRS AS PART OF THE FOUNDATION'S APPLICATION FOR RECOGNITION OF TAX-EXEMPTION ON FORM 1023. IN ACCORDANCE WITH THE TERMS OF THE COLLABORATION AGREEMENT, ALL INDIVIDUALS WHO CONDUCT MEDICAL RESEARCH AS PART OF THE FOUNDATION'S EXEMPT ACTIVITIES ARE SIMULTANEOUS EMPLOYEES OF THE FOUNDATION AND THE HOSPITAL, INCLUDING THE INDIVIDUALS REPORTED ON PART VII OF THIS FORM 990. THE HOSPITAL PROCESSES AND PAYS ALL SUCH SIMULTANEOUS EMPLOYEES AND THEY RECEIVE THEIR W-2 FROM THE HOSPITAL. AS SUCH, THE FOUNDATION DOES NOT FILE A FORM W-3 FOR SUCH INDIVIDUALS (THEY ARE INCLUDED ON THE HOSPITAL'S FILING). IN 2021, 126 SIMULTANEOUS EMPLOYEES RECEIVED W-2S FROM THE HOSPITAL FOR SERVICES RENDERED TO THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 1A THE FOUNDATION WAS FOUNDED BY MR. CARL C. ICAHN. HE IS THE SOLE DIRECTOR AND PRESIDENT OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 2 MR. ICAHN HAS A FAMILY RELATIONSHIP WITH MS. GOLDEN. MR. ICAHN ALSO HAS BUSINESS RELATIONSHIPS WITH MS. GOLDEN, MR. COZZA, MR. BELZNICK AND MS. MARCH.
FORM 990, PART VI, SECTION B, LINE 11B THE FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM WHICH ALSO PREPARED THE FORM 990 PRIOR TO ITS COMPLETION AND FILING. THE FORM 990 IS PROVIDED TO THE DIRECTOR UPON THE COMPLETION OF THE INDEPENDENT AUDIT AND PRIOR TO FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST AND DISCLOSURE POLICY REQUIRES THAT ANY INDIVIDUAL WHO HAS AUTHORITY TO MAKE DECISIONS ON BEHALF OF THE ORGANIZATION, SUCH AS A DIRECTOR, OFFICER, COMMITTEE MEMBER, OR EMPLOYEE, SHALL TAKE STEPS TO INFORM THE BOARD OF DIRECTORS OF ANY PERSONAL INTEREST HE OR SHE MAY HAVE IN A TRANSACTION OR CONTRACT BETWEEN THE ORGANIZATION AND A THIRD PARTY. THE BOARD WILL THEN DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND TAKE ACTION THAT THE BOARD DEEMS APPROPRIATE. THE INTERESTED PERSON MAY NOT VOTE ON THE TRANSACTION AND MAY NOT BE PRESENT WHEN THE BOARD MAKES ITS DETERMINATION OTHER THAN TO ANSWER QUESTIONS. EACH DIRECTOR, OFFICER, MEMBER OF A COMMITTEE OR THE BOARD, AND KEY EMPLOYEE MUST SIGN ANNUALLY A STATEMENT AFFIRMING THAT HE OR SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST AND DISCLOSURE POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT.
FORM 990, PART VI, SECTION B, LINE 15 AS DESCRIBED ON SCHEDULE O, PART V, LINE 2A, THE COMPENSATION OF JOINT EMPLOYEES OF THE FOUNDATION AND THE HOSPITAL IS PAID BY THE HOSPITAL. THE HOSPITAL DETERMINES SUCH COMPENSATION IN ACCORDANCE WITH ITS STANDARD REVIEW AND OVERSIGHT PROCEDURES, INCLUDING REVIEW BY THE COMPENSATION, EMPLOYEE BENEFITS AND EMPLOYEE RELATIONS COMMITTEE OF THE BOARD OF TRUSTEES OF THE ICAHN SCHOOL OF MEDICINE AT MT. SINAI.
FORM 990, PART VI, SECTION C, LINE 19 FORM 990 WILL BE POSTED ON WWW.GUIDESTAR.ORG. THE FOUNDATION WILL REVIEW THE WEBSITE TO VERIFY THE PRESENCE AND ACCURATE POSTING OF ITS FORM 990. THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FOUNDATION'S FINANCIAL STATEMENTS WILL BE AVAILABLE UPON REQUEST.
PART VII AND SCHEDULE J THE COMPENSATION REPORTED ON PART VII AND SCHEDULE J REPRESENTS COMPENSATION FOR SERVICES PROVIDED TO THE FOUNDATION. THE EMPLOYEES RECEIVE THEIR FORMS W-2 FROM MOUNT SINAI HOSPITAL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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