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Form5 Prosthetics Inc

EIN 82-3555210 · New Albany, OH

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood78 out of 100GovernanceFair56 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

EMPOWERING PEOPLE TO SUCCESSFULLY INTERACT WITH THEIR WORLD AND THEIR FUTURE

Income
$314,173
Spending
$366,723
Spent on programs
80%
Reserves
7.2 months of spending
Largest source of income
donations and private grants, 77%
Employees
17
Volunteers
150
Highest pay
$55,000, founder/ ceo

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 78 out of 100. Higher than 48% of charities in its peer group (health care, $250k to $1m).

  • Reserves

    28 of 35

    Spendable reserves would cover 7.2 months of spending.

  • Debt

    20 of 20

    It owes 0% of what it owns.

  • Living within its means

    0 of 15

    Spending exceeded income by 17% of income.

  • Income trend

    15 of 15

    Income rose 4% on the year before.

  • Spending floor

    15 of 15

    80% of spending went to programs and raising each dollar of donations cost 10 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Fair: 56 out of 100. Higher than 21% of charities in its peer group (health care, $250k to $1m).

  • Independent board

    25 of 25

    13 of 13 voting board members are independent.

  • Conflict of interest policy

    0 of 15

    Reports no written conflict of interest policy.

  • Whistleblower policy

    0 of 8

    Reports no written whistleblower policy.

  • Record keeping policy

    0 of 7

    Reports no written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    0 of 5

    Reports no independent review process for its chief executive's pay.

  • Independent check of accounts

    6 of 15

    Its accounts were not audited or reviewed by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (3)
  1. $65,764 spent. CONTRACT MANUFACTURING - UTILIZING A PERCENTAGE OF FORM5'S DESIGN AND MANUFACTURING CAPACITY TO TAKE ON CONTRACTS THAT GENERATE REVENUE TO SUPPORT CHARITABLE ACTIVITIES
  2. $74,791 spent. EDUCATION PROGRAMS. EVENTS THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM ADAPTIVE PRODUCTS.
  3. $152,172 spent. RESEARCH AND DEVELOPMENT. FORM5 BUILDS INTERDISCIPLINARY TEAMS OF SPECIALISTS THAT RESEARCH & DEVELOP MEDICAL AND RECREATIONAL ADAPTIVE PRODUCTS. FORM5 HAS MULTIPLE PATENTS PENDING FOR ITS ADAPTIVE PRODUCTS AS OF 12/31/2025.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since February 2018.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.