NonprofitsForm5 Prosthetics Inc

Health Care

Form5 Prosthetics Inc

NEW ALBANY, OH

Total revenue

$314K

Total expenses

$367K

Net assets

$289K

Grants received

$626K

17 grants

EIN

823555210

Tax year

2024

Mission

Empowering people to successfully interact with their world and their future.

Programs

2 programs

Education programs. Events that pairs recipients to engineers, students, and other volunteers to co-create custom adaptive products.

Expenses: $75K

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.

Expenses: $152K

Financials

FY 2024

Revenue

Contributions & grants$242K
Program service revenue$73K
Investment income$2K
Other revenue
Total revenue$314K

Expenses

Grants paid
Salaries & benefits$182K
Fundraising$23K
Other expenses$185K
Total expenses$367K
Total assets$289K
Net assets$289K

People

13 listed

NameRoleCompensation

AARON WESTBROOK

FOUNDER/ CEO

Board

$55K

40 hrs/wk

KAYLYNN LORENZ

TREASURER

Board

1 hrs/wk

LIBIN BABU

BOARD MEMBER

Board

1 hrs/wk

JENNIFER HORVATH

VICE CHAIR

Board

1 hrs/wk

DR RAYMOND WURAPA

BOARD MEMBER

Board

1 hrs/wk

JAY PERKINS

BOARD MEMBER

Board

1 hrs/wk

STEVE VOTAW

BOARD CHAIR

Board

1 hrs/wk

JACKIE OGDEN

SECRETARY

Board

1 hrs/wk

SUSAN MONTGOMERY

BOARD MEMBER

Board

1 hrs/wk

DR LAURA COHEN

BOARD MEMBER

Board

1 hrs/wk

LINDSEY AUSTIN

BOARD MEMBER

Board

1 hrs/wk

JOHN BRODY

BOARD MEMBER

Board

1 hrs/wk

JOHN LEWIS

BOARD MEMBER

Board

1 hrs/wk

Grants received

Showing 17 of 17

FromAmountPurposeYear
$110K
SOCIAL SERVICES
2024
$18K
GENERAL SUPPORT
2024
$100
MATCHING CONTRIBUTION (GENERAL OPERATING SUPPORT)
2024
$200K
HEALTH
2023
$10K
Commercializing Form5's Bike Arm Adapter
2023
$100
GENERAL OPERATING SUPPORT
2023
$90K
WITH A COMMITMENT TO ENHANCE THE LIVES OF LIMB DIFFERENT INDIVIDUALS, FORM5 PROSTHETICS INNOVATES NOVEL PROSTHETIC DEVICES THAT EMPOWER LIMB DIFFERENT INDIVIDUALS TO INTERACT SUCCESSFULLY WITH THEIR WORLD. EACH YEAR, FORM5 HOST A SIX-WEEK CO-FAB WORKSHOP, BRINGING TOGETHER LIMB DIFFERENT INDIVIDUALS, STUDENTS AND INDUSTRY PROFESSIONALS TO CO-CREATE CUSTOM-APPLICATION DEVICES, ENABLING DREAMS OF PLAYING INSTRUMENTS, PARTICIPATING IN SPORTS, RIDING BICYCLES, AND OTHER ACTIVITIES. FOLLOWING THE WORKSHOPS, DEVICES ARE ASSESSED, REFINED, SELECTED AND MASS PRODUCED USING 3-D PRINTING. FORM5 THEN DISTRIBUTES THEM TO LIMB DIFFERENT INDIVIDUALS WHO WOULD NOT OTHERWISE BE ABLE TO ACCESS THEM.
2022
$87K
HEALTH & SOCIAL SERVICES
2022
$500
GENERAL OPERATING SUPPORT
2022
$16K
CHARITABLE DONATION
2021
$29K
HEALTH
2020
$10K
GENERAL SUPPORT
2020
$8K
HEALTH & WELLNESS
2020

Funded by

$626K from 9 funders · 17 grants · 2019–2024

Columbus Foundation

$426K · 4 grants · 2020–2024

Honda Usa Foundation

$90K · 1 grant · 2022

Ingram-White Castle Foundation

$47K · 3 grants · 2022–2024

Delaware County Foundation

$18K · 1 grant · 2024

Charities Aid Foundation America

$16K · 1 grant · 2021

Sea Change Incorporated

$10K · 1 grant · 2020

American Electric Power Foundation

$10K · 1 grant · 2023

The New Albany Community Foundation

$10K · 2 grants · 2019–2020

Details

EIN823555210
NTEE codeE50
Subsection03
Ruling date2018-02
Formed2017
Employees17
Volunteers150
FORM5 PROSTHETICS INC — Mission, Financials & Grants Received | Grantivo