2024-11-14T17:55:07-06:00 2023-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2023-01-01 261580196 The Passport Foundation % Foundation Source PASS 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Michelle Ruggeri Treasurer 8008391754 2024-11-13 true true Jeffrey D Haskell P01345770 8008391754 2023 2024-10-15 13:58:12Z X 60185025 X 8809877 1387 1387 0 -1198619 1753492 182695 199020 209338 16156 7811665 393420 16156 0 158122 158122 19349 0 0 19349 76750 0 0 76750 28750 28750 40735 35 153 153 25436 25436 1661448 1533518 125373 2010743 1533553 0 433933 3710670 3710670 5721413 1533553 0 4144603 2090252 0 16156 96658 90220 90220 46645 294861 46645 46645 48686 18372 57079 48848529 51323749 59991081 49288734 51478986 60185025 0 0 X 49288734 51478986 49288734 51478986 49288734 51478986 49288734 2090252 100000 51478986 51478986 Publicly-traded Securities 1691152 410385 1280767 1280767 Passthrough K1 Capital Gain/(Loss) -599993 DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2023-03-31 20581 2997 17584 17584 DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2023-12-19 2298 653 1645 1645 OFFSHORE HEDGE FUND CAPITAL GAIN DISTRIB P 39461 39461 39461 THERAPYDIA, INC. 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P 2014-12-14 2023-12-31 0 508083 -508083 -508083 182695 0 0 0 102883 0 102883 102883 102883 false false false false false true true false true true CA true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false true false false false false false false false false false false false true false false true false false false false Ani Arutyunyan Foundation Source 501 Silverside Rd Wilmington DE 198091377 Sec, Dir 1.0 0 0 0 John H Burbank III Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres 1.0 0 0 0 Jim Cunningham Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Trustee 1.0 0 0 0 Walther Lovato Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir 1.0 0 0 0 Joanne Poile Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas, Dir 1.0 0 0 0 Michelle Ruggeri Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas 1.0 0 0 0 WILLIAM WALSH FOUNDATION SOURCE WILMINGTON DE 198091377 EXECUTIVE DIRECTOR 40.0 158122 Foundation Source 55 Walls Drive 3rd Fl Fairfield CT 06824 Administrative 116217 Navolio & Tallman LLP 2121 N California Blvd Suite 610 Walnut Creek CA 94596 Philanthropic 76750 32960 81366 60061143 60175469 0 60175469 902632 59272837 2963642 2963642 0 0 2963642 100000 3063642 3063642 4144603 0 0 0 0 4144603 3063642 3798805 4144603 3798805 345798 0 0 2717844 0 0 John H Burbank III X ALASKA COMMUNITY ACTION ON TOXICS 1225 E INTL AIRPORT RD STE 220 ANCHORAGE AK 99518 N/A PC Communicating Impact of Toxics In the Arctic 50000 AMERICAN CIVIL LIBERTIES UNION FOUNDATION INC 125 BROAD ST 18TH FLOOR NEW YORK NY 10004 N/A PC Employee Matching 250 BAY AREA LEGAL AID 1735 TELEGRAPH AVE OAKLAND CA 94612 N/A PC Employee Matching 250 BENNINGTON COLLEGE CORPORATION ONE COLLEGE DR BENNINGTON VT 05201 N/A PC Media Briefings On Plastics Pollution 50000 BLACK WOMEN FOR WELLNESS PO BOX 292516 LOS ANGELES CA 90029 N/A PC Celebrating Black Beauty 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INAPPROPRIATE HEALTH RISKS. false false false false false false false false false false X X 1 Burbank III John H 122 W Dilido Dr Miami FL 33139 7006322 X 2 Ventures LLC Nimble 122 W Dilido Dr Miami CA 33139 1803555 X X 2 Rigetti Computing Inc RGTI, 109908 sh. 64906 2023-03-14 2 ABAXX TECHNOLOGIES INC ABXXF, 129000 sh. 249305 2023-03-17 2 ABAXX TECHNOLOGIES INC ABXXF, 175250 sh. 312821 2023-03-24 2 APPLOVIN CORP APP, 5700 sh. 158204 2023-07-11 2 APPLOVIN CORP APP, 32000 sh. 1006400 2023-08-01 Audit Fees 76750 76750 INTERNATIONAL POLLUTANTS ELIMINATION NET BOX 7256 GOTHENBURG SW 40235 2020-06-02 75000 SUPPORT LEVERAGING DATA ON TOXIC CHEMICALS IN PLASTICS TO ADVANCE ENVIRONMENTAL HEALTH GOALS 75000 NO 08/30/2021, 5/25/2022, 3/28/2023 NONE NECESSARY INTERNATIONAL POLLUTANTS ELIMINATION NET BOX 7256 GOTHENBURG SW 40235 2022-07-02 100000 SUPPORT LEVERAGING THE TREATY PROCESS TO ADVANCE ENVIRONMENTAL HEALTH GOALS 100000 NO 03/28/2023, 05/20/2024 NONE NECESSARY INTERNATIONAL POLLUTANTS ELIMINATION NET BOX 7256 GOTHENBURG SW 40235 2023-10-03 100000 SUPPORT LEVERAGING THE TREATY PROCESS TO ADVANCE ENVIRONMENTAL HEALTH GOALS 89139 NO 05/20/2024 NONE NECESSARY FORM 926 FORM 926 THE FOUNDATION HAS PREPARED THIS FORM TO THE BEST OF ITS ABILITY BASED ON THE LIMITED INFORMATION PROVIDED TO IT BY THE INVESTMENT ON WHICH THE FOUNDATION IS REPORTING AND ON THE BASIS OF HAVING RECEIVED NO INFORMATION TO THE CONTRARY. ANY MISSING OR INCOMPLETE INFORMATION IS DUE TO THE FOUNDATION'S INABILITY TO OBTAIN SUCH INFORMATION AND IS NOT A WILLFUL ATTEMPT TO WITHHOLD SUCH INFORMATION. FORM 990-PF, PART I, LN 6A PART I LINE 6A (990-PF) - RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $(641,788) TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $(62) TOTAL PART I, LINE 6A: $(1,198,619) DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRADED SECURITIES GROSS SALES PRICE: $1,691,152 BOOK BASIS: $1,791,637 NET GAIN/(LOSS): $(100,485) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $(599,993) SALES OF OTHER ITEMIZED ASSETS GROSS SALES PRICE: $62,340 BOOK BASIS: $560,419 NET GAIN/(LOSS): $(498,079) THE ONCOLOGY INSTITUTE, INC 18372 57079 1KX LP 1060245 1159472 AAF II - YASI VENTURES, L.P 219022 235452 ALIGNMENT GROWTH FUND I, LP 407089 302946 BIG LEAGUE ADVANCE FUND II, LP 359765 642334 BOOST VC ACCELERATOR 3, L.P 286641 203979 BUCKLEY VENTURES III, LP 267693 170053 BULLPEN CAPITAL IV, L.P 419535 779648 CH VENTURES I, L.P 193919 232994 CH VENTURES II, L.P 117527 176759 CHANGE.ORG GROWTH LLC 7149 CIVILIZATION VENTURES II, L.P. 175482 146872 CLOCKTOWER CLIMATE AND SUSTAIN 93859 71099 CLOCKTOWER LATIN AMERICAN TECH 137114 145561 COURTSIDE VENTURES II, L.P 377240 662049 COURTSIDE VENTURES III, L.P 669934 571929 CRE VENTURE CAPITAL FUND II, L 432152 847036 CV 2-KREATE, L.P 186877 245747 DISTRIBUTED GLOBAL OFFSHORE FU 29372 97653 ELECTRIC CAPITAL PARTNERS FRON 13193 FMZ VENTURES FUND I, L.P 461361 410361 FORMATION8 PARTNERS ENTREPRENE 181766 611301 FYRFLY VENTURE PARTNERS FUND I 338414 424548 GK VENTURES, LP 69212 45182 GLOBAL VENTURES L.P 123979 180181 GOVTECH FUND I, L.P 1181764 1810387 GOVTECH FUND II, L.P 694774 898718 HAVENCREST HEALTHCARE PARTNERS 162243 115020 HAVENCREST HEALTHCARE PARTNERS 446424 608327 HCM V, L.P 758473 584287 HEROIC VENTURES, L.P 118583 868352 HUAXING CAPITAL PARTNERS II, L 173463 194632 HUAXING CAPITAL PARTNERS, LP 363230 315840 INNOVATION WORKS DEVELOPMENT F 288189 428522 KONVOY VENTURES III LP 69754 47415 LEARNSTART I, L.P 172700 234768 LEARNSTART II, L.P. 229412 180286 LEGACY CAPITAL, LP 947867 1238357 LEGACY HARMONY LTD 742465 1114750 LEVEL EQUITY GROWTH PARTNERS I 490289 805454 LJ VENTURES FUND II, L.P 787346 1051180 LJV FUND III, L.P 237858 226287 LJV OPPORTUNITY FUND I, L.P 269274 190996 MADIBA 6-2 LLC 1027744 927624 MAVEN VENTURES FUND II, L.P 251053 965772 MAVEN VENTURES FUND III, L.P 127272 151353 MERON II, L.P 205366 224565 META STABLE EDGE OFFSHORE FUND 243953 MITHRIL II LP 826809 673141 MORTAR & MASH ONE, LLC 35063 15017 MOSAIC GENERAL FUND I, LP (FKA 150901 134020 NEW FORM CAPITAL I, L.P. 1256514 1529945 NEW NORTH VENTURES FUND I, L.P 290060 207372 NEXT COAST VENTURES III, L.P 109668 56271 NIMBLE PARTNERS FUND I, LP 21381254 25411549 NIMBLE PARTNERS FUND II, LP 5308846 3889202 QUIET GROWTH I, L.P 327452 375905 REGENERATION.VC FUND 1, LP 134894 126503 ROCANA VENTURE PTNRS II (US) L 168143 306911 ROGUE CAPITAL PARTNERS, L.P 164355 193577 RTW OFFSHORE FUND ONE LTD 49305 SALT FUND I, L.P. 179839 216521 SILVER LAKE WATERMAN FUND, L.P 31592 11526 SKY9 CAPITAL FUND III, L.P 681113 691335 SKY9 CAPITAL FUND IV, L.P 211659 266247 SKY9 CAPITAL MVP FUND, L.P 476575 342149 SYBIL CAPITAL FUND I-B FEEDER 850000 700041 TANDEM FUND II, LP 248901 982321 TFG HOLDING, INC 137659 191705 THE CXO FUND, LLC 227697 319523 UNIKOINGOLD 303858 652 VOLTA ENERGY STORAGE FUND I L. 343867 352247 WILL VENTURES FUND I, L.P 375055 518192 WILL VENTURES FUND II, LP 121866 87795 WTI FUND X LLC 619219 538915 General Consultations 19349 19349 Administrative Fees 116217 116217 Bank Charges 25 25 Foundation Dues & Memberships 8697 8697 K-1 Exp 1KX LP 28795 28794 K-1 Exp AAF II - 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