MOLINA HEALTHCARE CHARITABLE FOUNDATION: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MOLINA HEALTHCARE CHARITABLE FOUNDATION (EIN 85-1496438)
- Tax period
- 2022-06-01 to 2023-05-31
- Filed
- 2024-04-04
- IRS object ID
- 202430959349100328
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- General Explanation Attachment
- Liquidation Explanation Stmt
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-04-04T15:22:22-05:00 | ReturnTs |
| Tax Period End | 2023-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 New Hyde Park Rd Ste 406 | AddressLine1Txt |
| City | New Hyde Park | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851496438 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Molina Healthcare Charitable Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | MOLI | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELISSA BUCKLEY | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2024-03-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MELISSA | PersonFirstNm |
| Person Last | BUCKLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $6,613,897 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $5,054,535 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $18,415 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $18,415 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $5,072,950 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $18,415 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $15,900 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $15,900 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $300 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $126,405 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $33 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $126,372 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $142,605 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $33 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $142,272 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $4,339,533 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $4,333,358 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,482,138 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $33 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,475,630 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $590,812 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $18,382 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $5,994,239 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $6,613,897 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $6,613,897 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl BOY | $25,000 | AcctRcvblBOYAmt |
| Other Assets BOY | $3,846 | OtherAssetsBOYAmt |
| Total Assets BOY | $6,023,085 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,613,897 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,613,897 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $6,023,085 | RetainedEarningBOYAmt |
| Retained Earning EOY | $6,613,897 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,023,085 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,613,897 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,023,085 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,613,897 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,023,085 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $590,812 | ExcessRevenueOverExpensesAmt |
| Subtotal | $6,613,897 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $6,613,897 | TotNetAstOrFundBalancesEOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cap Gains Loss Tx Invst Incm Detail | CapGainsLossTxInvstIncmDetail |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $256 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $256 | SubtotalAmt |
| Tax Based On Investment Income | $256 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $65 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $200 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $265 | TotalPaymentsAndCreditsAmt |
| Overpayment | $9 | OverpaymentAmt |
| Applied To ES Tax | $9 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | Yes (true) | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Lawrence Anderson | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $0 | $0 | $0 |
| Jeff Barlow | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec | 1.0 | $0 | $0 | $0 |
| Carolyn Ingram | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Executive Dir | 25.0 | $0 | $0 | $0 |
| Mark Keim | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Treas | 1.0 | $0 | $0 | $0 |
| Ronald Kurtz | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Chair, Executive Dir | 1.0 | $0 | $0 | $0 |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Walls Drive 3rd Fl | AddressLine1Txt |
| City | Fairfield | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06824 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | Administrative | ServiceTypeTxt |
| Compensation | $89,041 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $4,061,212 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,061,212 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,061,212 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $60,918 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,000,294 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $200,015 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $200,015 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $256 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $256 | TotalTaxAmt |
| Distributable Before Adj | $199,759 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $199,759 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $199,759 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,475,630 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $2,329 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $4,477,959 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $199,759 | DistributableAsAdjustedAmt |
| Prior Year1 | 2020 | PriorYear1Yr |
| Prior Year2 | 2019 | PriorYear2Yr |
| Prior Year3 | 2018 | PriorYear3Yr |
| Excess Distribution Cyov Yr2 | $1,794,926 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $6,565,264 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $8,360,190 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $4,477,959 | QualifyingDistributionsAmt |
| Applied To Current Year | $199,759 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $4,278,200 | RemainingDistriFromCorpusAmt |
| Total Corpus | $12,638,390 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $12,638,390 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $1,794,926 | ExcessFromYear2Amt |
| Excess From Year1 | $6,565,264 | ExcessFromYear1Amt |
| Excess From Current Year | $4,278,200 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (129 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ACUMEN FUND INC | |||||||
| 40 WORTH ST STE 303 | NEW YORK | NY | 10013 | N/A | PC | Medicaid Innovation Collaborative (MIC) - Tech-enabled Innovation in Medicaid to Advance Health Equity | $150,000 |
| AFTER THE PEANUT FOUNDATION NFP | |||||||
| PO BOX 572 | PLAINFIELD | IL | 60544 | N/A | PC | Summer STEAM Enrichment, SAT Prep & STEAM Enrichment, Urban Agriculture | $15,000 |
| ALBUQUERQUE HEALTH CARE FOR THE HOMELESS INC | |||||||
| PO BOX 25445 | ALBUQUERQUE | NM | 87125 | N/A | PC | Albuquerque Health Care for the Homeless, Inc. (AHCH) | $50,000 |
| ALBUQUERQUE MEALS ON WHEELS INC | |||||||
| 5901 HARPER DR NE | ALBUQUERQUE | NM | 87109 | N/A | PC | Meals on Wheels food delivery program for homebound individuals | $30,000 |
| ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI | |||||||
| 309 WAVERLEY OAKS RD | WALTHAM | MA | 02452 | N/A | PC | Walk to End Alzheimer's | $17,500 |
| AMERICAN HEART ASSOCIATION | |||||||
| 2007 O ST | SACRAMENTO | CA | 95811 | N/A | PC | Social Emotional Learning Program & Random Acts of Kindness Campaign | $75,000 |
| AMERICAN HEART ASSOCIATION INC - AMERICAN STROKE A | |||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | N/A | PC | Teen Voice Video on Vaping and Tobacco-free Schools | $15,000 |
| AMERICAN RED CROSS OF KING AND KITSAP COUNTIES | |||||||
| PO BOX 3097 | SEATTLE | WA | 98114 | N/A | PC | Molina Care WA Winter Outreach | $2,000 |
| ARAB COMMUNITY CENTER FOR ECONOMIC & SOCIAL SERVIC | |||||||
| 2651 SAULINO CT | DEARBORN | MI | 48120 | N/A | PC | Social Determinants Navigation Grant for Diverse Communities | $100,000 |
| ARC OF INDIANA | |||||||
| 143 W MARKET ST 200 | INDIANAPOLIS | IN | 46204 | N/A | PC | The Arc of Indiana Circles of Support | $10,000 |
| BABYS BOUNTY | |||||||
| 3400 W DESERT INN ROAD STE 24 | LAS VEGAS | NV | 89102 | N/A | PC | NV: Diaper bank sponsorship | $5,000 |
| BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION | |||||||
| 2601 ENTERPRISE RD | RENO | NV | 89512 | N/A | PC | Medications for Opioid Use Disorder | $27,000 |
| BOYS & GIRLS CLUB OF ALTON INC | |||||||
| PO BOX 532 | ALTON | IL | 62002 | N/A | PC | Economic Stability Education | $4,000 |
| BRONX CHAMBER OF COMMERCE FOUNDATION INC | |||||||
| 1200 WATERS PL STE 106 | BRONX | NY | 10461 | N/A | PC | Fire Victim Disaster Relief | $15,000 |
| CASA DE PEREGRINOS INC | |||||||
| 999 W AMADOR AVE STE F | LAS CRUCES | NM | 88005 | N/A | PC | Community of Hope (shelter, housing and support services) | $20,000 |
| CASE WESTERN RESERVE UNIVERSITY | |||||||
| 10900 EUCLID AVE | CLEVELAND | OH | 44106 | N/A | PC | Scholarship Fund To provide annual tuition-based scholarships for a total of four students in each of the academic years commencing fall of 2021, 2022, 2023, and 2024, respectively | $300,000 |
| CHARITABLE ASSISTANCE TO COMMUNITYS HOMELESS | |||||||
| 503 S AMERICANA BLVD | BOISE | ID | 83702 | N/A | PC | Rapid-response housing to reduce homelessness | $5,000 |
| CHARLES DREW UNIVERSITY OF MEDICINE & SCIENCE | |||||||
| 1731 EAST 120TH ST AP DEPT COBB | LOS ANGELES | CA | 90059 | N/A | PC | MolinaCares Health Equity Challenge - Step Up, Stand Down: A Mental Health De-Escalation Toolkit for Providers | $50,000 |
| CHELAN-DOUGLAS COUNTY COMMUNITY ACTION COUNCIL INC | |||||||
| 620 LEWIS ST | WENATCHEE | WA | 98801 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| CHI HEALTH FOUNDATION | |||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | N/A | PC | Intimate partner violence (IPV) program; perinatal mental health training; tele-behavioral health program | $21,580 |
| CHIEF SEATTLE CLUB | |||||||
| 410 2ND AVE EXT S | SEATTLE | WA | 98104 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| CHILDRENS HOSPITAL & MEDICAL CENTER FOUNDATION | |||||||
| 8200 DODGE ST | OMAHA | NE | 68114 | N/A | PC | Helmets for Patients | $50,000 |
| CHILDRENS HOSPITAL MEDICAL CENTER | |||||||
| 3333 BURNET AVE | CINCINNATI | OH | 45229 | N/A | PC | Project Search in New Mexico | $20,000 |
| CHILDRENS HOSPITAL MEDICAL CENTER | |||||||
| 3333 BURNET AVE | CINCINNATI | OH | 45229 | N/A | PC | Project SEARCH (Bexar County, TX) - integrated employment for I/DD population | $20,000 |
| CHILDRENS HOSPITAL OF WISCONSIN FOUNDATION INC | |||||||
| PO BOX 1997 FINANCE DEPT | MILWAUKEE | WI | 53201 | N/A | PC | Children's Emergency Department Food Insecurity Screening Program | $20,000 |
| CHILDRENS TRUST FUND OF SOUTH CAROLINA | |||||||
| 1330 LADY ST STE 310 | COLUMBIA | SC | 29201 | N/A | PC | Child Abuse Prevention Programming | $30,000 |
| COASTLINE ELDERLY SERVICES INC | |||||||
| 863 BELLEVILLE AVE | NEW BEDFORD | MA | 02745 | N/A | PC | Coastline Breakfast for Tripp Tower residents | $10,920 |
| COCOON HOUSE | |||||||
| 3530 COLBY AVE | EVERETT | WA | 98201 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| COMMONWEALTH OF KENTUCKY | |||||||
| 500 MERO ST 218-NC | FRANKFORT | KY | 40601 | N/A | GOV | Team Eastern Kentucky Flood Relief Fund | $25,000 |
| COMMUNITY ACTION OF GREATER INDIANAPOLIS INC | |||||||
| 3266 N MERIDIAN ST | INDIANAPOLIS | IN | 46208 | N/A | PC | Community Action Agency of Greater Indianapolis | $10,000 |
| COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA F | |||||||
| 3350 10TH ST | GERING | NE | 69341 | N/A | SO I | NE - Community Action Partnership of Western Nebraska Youth Programs | $15,000 |
| COMMUNITY BASED CONNECTIONS | |||||||
| 1021 NW 6TH ST | FT LAUDERDALE | FL | 33311 | N/A | PC | General & Unrestricted | $10,000 |
| COMMUNITY FOUNDATION OF NORTHWEST MISSISSIPPI INC | |||||||
| 315 LOSHER ST 100 | HERNANDO | MS | 38632 | N/A | PC | MS Delta Food Insecurity Program | $50,000 |
| COMMUNITY FOUNDATION OF WASHINGTON COUNTY INC | |||||||
| PO BOX 5910 | GREENVILLE | MS | 38704 | N/A | PC | Washington County Food Access Improvement Fund | $50,000 |
| COMMUNITY HEALTH DEVELOPMENT INC | |||||||
| 908 EVANS ST STE A | UVALDE | TX | 78801 | N/A | PC | School Based Partnership in Response to Robb Elementary School Disaster (Uvalde) | $50,000 |
| COMMUNITY ROOTS COLLABORATIVE | |||||||
| 13801 NW 20TH CT | VANCOUVER | WA | 98685 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| COOKING WITH KIDS INC | |||||||
| PO BOX 6113 | SANTA FE | NM | 87502 | N/A | PC | Cooking with Kids 'BIG little Project' | $35,000 |
| DARE TO CARE INC | |||||||
| 5803 FERN VALLEY RD | LOUISVILLE | KY | 40228 | N/A | PC | Mobile Market Program | $15,000 |
| DOWNTOWN STREETS INC | |||||||
| 1671 THE ALAMEDA STE 301 | SAN JOSE | CA | 95126 | N/A | PC | Downtown Streets Team Committed 2 Care | $75,000 |
| FAMILY SCHOLAR HOUSE INC | |||||||
| 403 REG SMITH CIR | LOUISVILLE | KY | 40208 | N/A | PC | MyKY.info Program | $35,000 |
| FAMILY SCHOLAR HOUSE INC | |||||||
| 403 REG SMITH CIR | LOUISVILLE | KY | 40208 | N/A | PC | Houston Family Scholar House | $75,000 |
| FAMILY SERVICE ASSOCIATION | |||||||
| 21250 BOX SPRINGS RD STE 211 | MORENO VALLEY | CA | 92557 | N/A | PC | Early Education Workforce Development Program | $25,000 |
| FARM SHARE INC | |||||||
| 14125 SW 320TH ST | HOMESTEAD | FL | 33033 | N/A | PC | Hurricane Ian Relief | $100,000 |
| FARM SHARE INC | |||||||
| 14125 SW 320TH ST | HOMESTEAD | FL | 33033 | N/A | PC | Farm Share food distribution events | $30,000 |
| FEEDING AMERICA KENTUCKYS HEARTLAND INC | |||||||
| PO BOX 821 | ELIZABETHTOWN | KY | 42702 | N/A | PC | Rx Pantry Program - Food Distribution | $25,800 |
| FILL A HEART 4 KIDS INC | |||||||
| 400 E ILLINOIS RD | LAKE FOREST | IL | 60045 | N/A | PC | Food distribution fund | $15,000 |
| FIRST GENESIS BAPTIST CHURCH INC | |||||||
| 292 HUDSON AVE | ROCHESTER | NY | 14605 | N/A | PC | Just Across the River fund | $40,000 |
| FOOD FINDERS FOOD BANK INC | |||||||
| 1204 GREENBUSH ST | LAFAYETTE | IN | 47904 | N/A | PC | General Support for Mobile Pantry and Senior Grocery programs | $10,000 |
| FOUNDATION FOR APPALACHIAN KENTUCKY INC | |||||||
| 420 MAIN ST | HAZARD | KY | 41701 | N/A | PC | Eastern Kentucky Flood Relief | $75,000 |
| FOUNDATION OF THE ROTARY CLUB OF BONITA SPRINGS IN | |||||||
| PO BOX 474 | BONITA SPGS | FL | 34133 | N/A | PC | Hurricane Ian Relief | $5,000 |
| FREE SPIRIT MISSIONARY BAPTIST CHURCH | |||||||
| PO BOX 517 | BUFFALO | NY | 14240 | N/A | PC | Buffalo Tragedy Food Relief | $15,000 |
| FREE SPIRIT MISSIONARY BAPTIST CHURCH | |||||||
| PO BOX 517 | BUFFALO | NY | 14240 | N/A | PC | Helping Buffalo Food Disparity | $40,000 |
| FRIENDSHIP PLACE INC | |||||||
| 1423 FRONT ST | GEORGETOWN | SC | 29440 | N/A | PC | Riverside Behavioral and Learning Collaborative (RBLC) | $21,000 |
| GATEWAY CENTER 24 7 INC | |||||||
| 275 PRYOR ST SW | ATLANTA | GA | 30303 | N/A | PC | General & Unrestricted | $10,000 |
| GLEANERS FOOD BANK OF INDIANA INC | |||||||
| 3737 WALDEMERE AVE | INDIANAPOLIS | IN | 46241 | N/A | PC | Gleaners Food Bank of Indiana - Senior Hunger Initiative | $10,000 |
| GOODWILL INDUSTRIES OF KENTUCKY INC | |||||||
| 1325 S 4TH ST | LOUISVILLE | KY | 40208 | N/A | PC | Second Chance fund | $21,000 |
| GULF COAST COMMUNITY FOUNDATION INC | |||||||
| 601 TAMIAMI TRAIL S | VENICE | FL | 34285 | N/A | PC | Combatting Childhood Obesity and Promoting Healthy Lifestyles Program | $35,000 |
| HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC | |||||||
| 3760 FOWLER ST | FORT MYERS | FL | 33901 | N/A | PC | FL: Harry Chapin Food Bank - Food Distribution | $10,000 |
| HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC | |||||||
| 3760 FOWLER ST | FORT MYERS | FL | 33901 | N/A | PC | Hurricane Ian Relief - Food Distribution | $25,000 |
| HEADING HOME | |||||||
| PO BOX 27636 | ALBUQUERQUE | NM | 87125 | N/A | PC | HEADING HOME fund | $50,000 |
| HEALTHY MOTHERS-HEALTHY BABIES COALITION OF BROWAR | |||||||
| 3810 INVERRARY BLVD STE 305 | LAUDERHILL | FL | 33319 | N/A | PC | General & Unrestricted | $20,000 |
| HOPE IN CHRIST MINISTRIES DBA THE COFFEE OASIS | |||||||
| 837 4TH ST | BREMERTON | WA | 98337 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| IDAHO FOODBANK WAREHOUSE | |||||||
| 3630 E COMMERCIAL CT | MERIDIAN | ID | 83642 | N/A | PC | A Chefs' Affair program for food distribution | $2,500 |
| IDAHO FOODBANK WAREHOUSE | |||||||
| 3630 E COMMERCIAL CT | MERIDIAN | ID | 83642 | N/A | PC | Hope for the Holidays - Mobile Food Pantries | $5,500 |
| INCLUSIVE PUBLIC SERVICE COMMUNITIES | |||||||
| 945 LAKEWOOD DR | ROCKFORD | IL | 61102 | N/A | PC | General & Unrestricted | $30,000 |
| IOWA HEALTH CARE ASSOCIATION FOUNDATION | |||||||
| 1775 90TH ST | WDM | IA | 50266 | N/A | PC | Scholarships fund for students pursuing degrees in healthcare such as nurses, CNA, etc. | $20,000 |
| JADENS VOICE INC | |||||||
| 1109 PRISTINE PL | ALPHARETTA | GA | 30022 | N/A | PC | General & Unrestricted | $10,000 |
| JEWELS HELPING HANDS | |||||||
| 5128 N JEFFERSON ST | SPOKANE | WA | 99205 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| JUSTICE IN AGING | |||||||
| 1444 EYE ST SUITE 1100 | WASHINGTON | DC | 20005 | N/A | PC | Inequities in Aging and Disability Policy Primer | $150,000 |
| KITCHEN ANGELS INC | |||||||
| 1222 SILER RD | SANTA FE | NM | 87507 | N/A | PC | Meals that Matter fund | $15,000 |
| LATINO LEADERSHIP INC | |||||||
| 8617 E COLONIAL DR STE 1600 | ORLANDO | FL | 32817 | N/A | PC | Hurricane Ian relief efforts | $25,000 |
| LIFETIME RESOURCES INC | |||||||
| 13091 BENEDICT DR | DILLSBORO | IN | 47018 | N/A | PC | Community Paramedicine Pilot Project | $40,000 |
| LINKS TO SUCCESS | |||||||
| 907 S ORANGE AVE | ARCADIA | FL | 34266 | N/A | PC | Hurricane Ian Relief | $5,000 |
| LITTLE SMILES INC | |||||||
| 3569 91ST ST N STE 4 | PALM BCH GDNS | FL | 33403 | N/A | PC | Project SMILE | $20,000 |
| MANY MOTHERS | |||||||
| PO BOX 23222 | SANTA FE | NM | 87502 | N/A | PC | Pre and post-natal wraparound services | $25,000 |
| MAVEN PROJECT | |||||||
| PO BOX 156781 | SAN FRANCISCO | CA | 94115 | N/A | PC | General & Unrestricted | $75,000 |
| MAVEN PROJECT | |||||||
| PO BOX 156781 | SAN FRANCISCO | CA | 94115 | N/A | PC | Expanding Access to Specialty Care in NM | $75,000 |
| MISSISSIPPI CHILDRENS MUSEUM | |||||||
| PO BOX 55409 | JACKSON | MS | 39296 | N/A | PC | Happy Healthy Families | $35,000 |
| MUHAMMAD ALI MUSEUM AND EDUCATION | |||||||
| 144 N 6TH ST | LOUISVILLE | KY | 40202 | N/A | PC | Muhammad Ali Humanitarian Award Sponsorship | $25,000 |
| MULTIPLYING GOOD INC | |||||||
| 348 WEST 57TH ST 115 | NEW YORK | NY | 10019 | N/A | PC | Multiplying Good Jefferson Awards | $10,000 |
| NEIGHBORHOOD FOOD PANTRIES | |||||||
| 123 FREMONT ST | WEST CHICAGO | IL | 60185 | N/A | PC | Food Pantry Support | $10,000 |
| NEVADA P E P INC | |||||||
| 7211 WEST CHARLESTON BLVD | LAS VEGAS | NV | 89117 | N/A | PC | Family Peer Support Services | $20,000 |
| NEW MEXICO ALLIANCE FOR SCHOOL BASED HEALTH CARE | |||||||
| 3301-R COORS BLVD NW STE 288 | ALBUQUERQUE | NM | 87120 | N/A | PC | Expanding NM School-Based Health Center Services | $50,000 |
| NEW MEXICO CAREGIVERS COALITION | |||||||
| PO BOX 297 | BERNALILLO | NM | 87004 | N/A | PC | Caregiver Basic Needs Program | $40,000 |
| NEW MEXICO COMMUNITY CAPITAL | |||||||
| 219 CENTRAL AVE NW STE 201 | ALBUQUERQUE | NM | 87102 | N/A | PC | Native Women Lead fund | $2,000 |
| NORTH THURSTON EDUCATION FOUNDATION | |||||||
| PO BOX 3312 | LACEY | WA | 98509 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| NORTHEAST MISSISSIPPI COMMUNITY COLLEGE DEVELOPMEN | |||||||
| 101 CUNNINGHAM BLVD | BOONEVILLE | MS | 38829 | N/A | PC | Health Care Workforce Training Scholarships fund | $37,500 |
| NORTHWEST INDIANA COMMUNITY ACTION CORP | |||||||
| 5240 FOUNTAIN DR | CROWN POINT | IN | 46307 | N/A | PC | Northwest Area Agency on Aging Community Project/Broadway Lofts Housing Development Program | $20,000 |
| OMAHA BETTER BIRTH PROJECT | |||||||
| 6232 N 104TH ST | OMAHA | NE | 68134 | N/A | PC | Omaha Better Birth Project to support maternal and child health | $15,000 |
| OMAHA HEALTHY KIDS ALLIANCE | |||||||
| 1425 S 13TH ST | OMAHA | NE | 68108 | N/A | PC | Healthy Housing Omaha Asthma in Home Response (AIR) | $20,000 |
| OPERATION WARM INC | |||||||
| PO BOX 822431 | PHILADELPHIA | PA | 19182 | N/A | PC | Operation Warm Coat | $50,000 |
| OPERATION WARM INC | |||||||
| PO BOX 822431 | PHILADELPHIA | PA | 19182 | N/A | PC | Molina HOPE Coat Giveaways - Flint and Muskegon | $40,500 |
| OPERATION WARM INC | |||||||
| PO BOX 822431 | PHILADELPHIA | PA | 19182 | N/A | PC | Chicago Housing Authority Coat Gifting and Resource Fair | $10,000 |
| OPERATION WARM INC | |||||||
| PO BOX 822431 | PHILADELPHIA | PA | 19182 | N/A | PC | Operation Warm and MHT Shoes for School program | $25,000 |
| PEACE LEARNING CENTER INC | |||||||
| 6040 DELONG RD | INDIANAPOLIS | IN | 46254 | N/A | PC | Peace and Healthcare fund | $10,000 |
| PENCIL INC | |||||||
| 30 WEST 26TH ST 5TH FLOOR | NEW YORK | NY | 10010 | N/A | PC | PENCIL School Partnership Program | $20,000 |
| PRISMA HEALTH - UPSTATE | |||||||
| 300 E MCBEE AVESUITE 302 | GREENVILLE | SC | 29601 | N/A | PC | Wheels to Wellness - Bike Skills Program | $30,000 |
| PUBLIC HEALTH DISTRICT IV | |||||||
| 707 N ARMSTRONG PL | BOISE | ID | 83704 | N/A | GOV | Western Idaho Community Health Collaborative (WICHC) | $10,000 |
| REACH OUT AND READ INC | |||||||
| 89 S ST STE 201 | BOSTON | MA | 02111 | N/A | PC | Reach Out and Read fund | $5,000 |
| REACH OUT WEST END | |||||||
| 1126 W FOOTHILL BLVD STE 250 | UPLAND | CA | 91786 | N/A | PC | Reach Out West End - Mamas y Bebes | $125,000 |
| REACH SERVICES INC | |||||||
| 6157 31ST AVE N | ST PETERSBURG | FL | 33710 | N/A | PC | Reach St. Pete Mobile Grocery Store | $12,000 |
| REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES | |||||||
| 1125 MURPHY HALL 405 HILGARD AVE | LOS ANGELES | CA | 90095 | N/A | PC | Health Equity Challenge Phase II | $100,000 |
| RON FOLEY PANCREATIC CANCER FOUNDATION INC | |||||||
| 1000 FARMINGTON AVE STE 108A | WEST HARTFORD | CT | 06107 | N/A | PC | Work on early detection for pancreatic cancer and family support | $2,500 |
| SALVATION ARMY | |||||||
| 16130 NORTHLAND DR | SOUTHFIELD | MI | 48075 | N/A | PC | General & Unrestricted (SEE GENERAL EXPLANATION) | $3,846 |
| SANTA FE COMMUNITY FOUNDATION | |||||||
| PO BOX 1827 | SANTA FE | NM | 87504 | N/A | PC | Wildfire Relief Efforts | $50,000 |
| SECOND HELPINGS INC | |||||||
| 1121 SOUTHEASTERN AVE | INDIANAPOLIS | IN | 46202 | N/A | PC | Second Helpings Culinary Job Training | $10,000 |
| SHIELDS FOR FAMILIES | |||||||
| 11601 S WESTERN AVE | LOS ANGELES | CA | 90047 | N/A | PC | SHIELDS Health Equity | $50,000 |
| SOUTHEAST GEORGIA COMMUNITIES PROJECT INC | |||||||
| 300 S STATE ST | LYONS | GA | 30436 | N/A | PC | General & Unrestricted | $10,000 |
| SPRINGBOARD TO SUCCESS INC | |||||||
| 60 E VAN BUREN ST STE 1100 | CHICAGO | IL | 60605 | N/A | PC | Springboard to Success - Scholarship Fund | $25,000 |
| SPRINGBOARD TO SUCCESS INC | |||||||
| 60 E VAN BUREN ST STE 1100 | CHICAGO | IL | 60605 | N/A | PC | Essentials needs for college Scholarship Fund | $20,000 |
| SURVIVORS PATHWAY CORPORATION | |||||||
| 33 SW 2ND AVE STE 901 | MIAMI | FL | 33130 | N/A | PC | MolinaCares Food Pantry | $750 |
| TARGET HUNGER | |||||||
| 1260 SHOTWELL ST | HOUSTON | TX | 77020 | N/A | PC | Senior Day Site Program food distribution | $10,000 |
| TEXAS TECH FOUNDATION INC | |||||||
| PO BOX 45025 | LUBBOCK | TX | 79409 | N/A | PC | Texas Tech - Rural Telepsych for Youth | $75,000 |
| THE GREATER BOSTON FOOD BANK INC | |||||||
| 70 S BAY AVE | BOSTON | MA | 02118 | N/A | PC | Greater Boston Food Bank food distribution | $12,500 |
| THE OHIO STATE UNIVERSITY FOUNDATION | |||||||
| 660 ACKERMAN ROAD RM 637 | COLUMBUS | OH | 43218 | N/A | PC | The Molina Healthcare Dental Scholarship Fund | $222,808 |
| THE RESCUE MISSION | |||||||
| PO BOX 1912 | TACOMA | WA | 98401 | N/A | PC | Molina Cares WA Winter Outreach | $2,000 |
| THE SALVATION ARMY | |||||||
| 1424 NE EXPY NE | BROOKHAVEN | GA | 30329 | N/A | PC | Hurricane Ian Relief | $5,000 |
| TUKWILA SCHOOL DISTRICT | |||||||
| 4640 S 144TH ST | TUKWILA | WA | 98168 | N/A | GOV | Molina Cares WA Winter Outreach | $2,000 |
| UNITED NEGRO COLLEGE FUND INC | |||||||
| 1805 7TH ST NW | WASHINGTON | DC | 20001 | N/A | PC | The Health Care Navigator Scholars Program | $15,000 |
| UNITED WAY OF CENTRAL NEW MEXICO | |||||||
| 2340 ALAMO AVE SE 2ND FL | ALBUQUERQUE | NM | 87106 | N/A | PC | Ride United fund | $15,000 |
| UNITED WAY OF GREATER RICHMOND | |||||||
| 7814 CAROUSEL LN STE 400 | RICHMOND | VA | 23294 | N/A | PC | WomenRise Child Care Scholarship fund | $50,000 |
| UNITED WAY OF THE MIDLANDS | |||||||
| 2201 FARNAM ST STE 200 | OMAHA | NE | 68102 | N/A | PC | Women United Mental Health Initiative: United in Heart and Mind | $25,000 |
| UNIVERSITY OF WASHINGTON FOUNDATION | |||||||
| PO BOX 359505 | SEATTLE | WA | 98195 | N/A | PC | Reinforcing the Safety Net Program | $200,000 |
| VOLUNTEER FLORIDA FOUNDATION INC | |||||||
| 1545 RAYMOND DIEHL RD STE 250 | TALLAHASSEE | FL | 32308 | N/A | SO I | Hurricane Ian Relief | $150,000 |
| VOLUNTEER INTERFAITH CAREGIVERS SOUTHWEST | |||||||
| 9600 S GESSNER RD | HOUSTON | TX | 77071 | N/A | PC | Senior Rides and More transportation assistance | $10,000 |
| WOMEN IN DISTRESS OF BROWARD COUNTY INC | |||||||
| PO BOX 50187 | LIGHTHOUSE PT | FL | 33074 | N/A | PC | Women in Distress fund | $10,000 |
| YOUNG MENS CHRISTIAN ASSOCIATION OF WAYNESBORO VIR | |||||||
| 648 S WAYNE AVE | WAYNESBORO | VA | 22980 | N/A | PC | GENERAL & UNRESTRICTED | $30,000 |
| YWCA METROPOLITAN CHICAGO | |||||||
| 1 N LA SALLE ST STE 1150 | CHICAGO | IL | 60602 | N/A | PC | Support for homeless families | $6,000 |
| FREE SPIRIT MISSIONARY BAPTIST CHURCH | |||||||
| PO Box 517 | Buffalo | NY | 14240 | N/A | PC | General & Unrestricted (See General Explanation) | $2,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $4,339,533 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $18,415 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends And Interest From Sec Dtl | DividendsAndInterestFromSecDtl | |
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp | |
| Gain Sales Ast Oth Than Invntry | GainSalesAstOthThanInvntryGrp | |
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $18,415 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $18,415 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| Health Network One LLC | ||||||
| 1 | 2001 South Andrews Avenue | Fort Lauderdale | FL | 33316 | $15,000 | Yes (X) |
| Molina Healthcare Inc | ||||||
| 2 | 200 Oceangate Suite 100 | Long Beach | CA | 90802 | $5,039,535 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Audit Fees | CategoryTxt |
| Amt | $15,900 | Amt |
| Disbursements Charitable Prps | $15,900 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp (2 entries)
| IdentifierIdentifierTxt | Form And Line ReferenceFormAndLineReferenceDesc | Medium ExplanationMediumExplanationTxt |
|---|---|---|
| IN-KIND GRANTS | PART I LINE 25 AND PART XIV LINE 3A | DISTRIBUTIONS OF PROPERTY VALUE AT FAIR MARKET VALUE AT DATE OF DISTRIBUTION METHOD FOR DETERMINING VALUE OF TOTE BAGS: PURCHASE PRICE TOTAL FAIR MARKET VALUE OF PROPERTY: $6,175 TOTAL BOOK VALUE OF PROPERTY: $6,175 TOTAL CASH PORTION OF GRANTS: $- TOTAL AMOUNT OF GRANTS: $6,175 FORM 990-PF, PART III, LINE 3 - OTHER INCREASES/DECREASES: $- DETAILS OF ITEMS GRANTED: DESCRIPTION OF PROPERTY: Tote Bags UNITS: 200 DATE OF DISTRIBUTION: 1/19/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $518 BOOK VALUE OF PROPERTY: $518 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $518 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 200 DATE OF DISTRIBUTION: 2/28/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $518 BOOK VALUE OF PROPERTY: $518 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $518 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 500 DATE OF DISTRIBUTION: 5/5/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $1,294 BOOK VALUE OF PROPERTY: $1,294 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $1,294 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 3,000 DATE OF DISTRIBUTION: 12/18/2022 GRANT RECIPIENT: SALVATION ARMY FMV OF PROPERTY: $3,846 BOOK VALUE OF PROPERTY: $3,846 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $3,846 |
| Form 990-PF, Parts I and XIV | FORM 990-PF, PARTS I AND XIV | TOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $4,339,533 Less amount counted as a qualifying distribution on Part XI, Line 2: $2,329 Less amount counted as a qualifying distribution in 2021: $3,846 TOTAL Part I, Line 25, Column (d): $4,333,358 |
Liquidation Explanation Stmt LiquidationExplanationStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | As explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending May 31, 2023, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $4,339,533. This amount represents 25% or more of the Foundation's net assets of $6,023,085 (as measured by fair market value) at the beginning of the Foundation's taxable year ending May 31, 2023. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XIV, Line 3a; each such grant was made solely for the charitable purpose specified therein. | ExplanationTxt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $89,041 | $89,041 | |
| Bank Charges | $33 | $33 | |
| EVENT SUPPLIES | $37,261 | $37,261 | |
| Postage/Delivery Service | $70 | $70 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | 990-PF Extension for 2022 | CategoryTxt |
| Amt | $300 | Amt |