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RX FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
RX FOUNDATION (EIN 81-0556499)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-25
IRS object ID
202332989349100723
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-25T14:14:49-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN873231666PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1245 PARK AVENUE 12TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101670008ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810556499EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RX FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRXFOBusinessNameControlTxt
Phone6172756415PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 23AddressLine1Txt
CityHADLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP010350023ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER RILEYPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone6172756415PhoneNum
Signature2023-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJENNIFERPersonFirstNm
Person LastRILEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS F BLANEY CPAPreparerPersonNm
PTINP00234022PTIN
Phone2122862600PhoneNum
Preparation2023-10-24PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$39,658,195FMVAssetsEOYAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$10,212InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$10,212InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$467,465DividendsRevAndExpnssAmt
Dividends Net Invst Incm$467,465DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,035,889NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$5,623,570GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,035,889CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss-$58,154OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm-$58,857OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,455,412TotalRevAndExpnssAmt
Total Net Invst Incm$1,454,709TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$82,800CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$82,800CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$54,150OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$54,150OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$21,787PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$21,787PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$4,545LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$4,545LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$31,472AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$31,472AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$468,128OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$268,234OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$199,894OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$35,000TaxesRevAndExpnssAmt
Taxes Net Invst Incm$8,000TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$41,447OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$41,447OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$739,329TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$276,234TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$436,095TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,320,448ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,320,448ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,059,777TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$276,234TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,756,543TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,604,365ExcessRevenueOverExpensesAmt
Net Investment Income$1,178,475NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$1,800,116SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$2,975,998SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$2,975,998SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$1,284,048USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,335,945USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,335,945USGovtObligationsEOYFMVAmt
Corporate Stock BOY$4,895,017CorporateStockBOYAmt
Corporate Stock EOY$4,150,027CorporateStockEOYAmt
Corporate Stock EOYFMV$4,150,027CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,206,138CorporateBondsBOYAmt
Corporate Bonds EOY$928,889CorporateBondsEOYAmt
Corporate Bonds EOYFMV$928,889CorporateBondsEOYFMVAmt
Other Investments BOY$41,569,298OtherInvestmentsBOYAmt
Other Investments EOY$30,267,336OtherInvestmentsEOYAmt
Other Investments EOYFMV$30,267,336OtherInvestmentsEOYFMVAmt
Total Assets BOY$50,754,617TotalAssetsBOYAmt
Total Assets EOY$39,658,195TotalAssetsEOYAmt
Total Assets EOYFMV$39,658,195TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$50,754,617NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$39,658,195NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$50,754,617TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$39,658,195TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$50,754,617TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$39,658,195TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$50,754,617TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,604,365ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$49,150,252SubtotalAmt
Other Decreases$9,492,057OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$39,658,195TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (11 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
PUBLICLY TRADED SECURITIES$4,751,346$4,512,799$238,547$238,547
COOPER SQUARE OFFSHORE FUND, LTD.$611,168$500,000$111,168$111,168P2016-04-012022-06-30
THRU SCH K-1 - CLEAN GROWTH FUND V, LP$46,023$46,023P
THRU SCH K-1 - ECOSYSTEM INTEGRITY FUND III, L.P.$196,760$196,760P
THRU SCH K-1 - ECOSYSTEM INTEGRITY FUND IV, L.P.-$11,166-$11,166P
THRU SCH K-1 - GENERATION IM GLOBAL EQUITY FUND LLC$211,884$211,884P
THRU SCH K-1 - HIGHCLERE INTERNATIONAL INVESTORS SMALLER COMPANIES FUND-$49,875-$49,875P
THRU SCH K-1 - LEGACY VENTURE XI, LLC$341$341P
THRU SCH K-1 - SJF VENTURES IV, LP$26,535$26,535P
THRU SCH K-1 - SJF VENTURES V, LP$4,616$4,616P
CAPITAL GAINS DIVIDENDS$261,056$261,056$261,056P
FieldValueIRS element (for citing)
Capital Gain Net Income$1,035,889CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$16,381InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$16,381SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$16,381TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$23,379EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$23,379TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$6,998OverpaymentAmt
Applied To ES Tax$6,998AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.RXFOUNDATION.ORGWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER RILEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6172756415PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O PKFOD 500 MAMARONECK AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GEORGE HATCH
PO BOX 23HADLEYMA010350023TRUSTEE, PRESIDENT5.00$0$0$0
WHITNEY HATCH
PO BOX 23HADLEYMA010350023TRUSTEE, TREASURER5.00$0$0$0
CHRISTOPHER ANGELL
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
HEIDI BEHFOROUZ MD
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
DONALD M BERWICK MD MPP FRCP
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
HOWARD HIATT MD
PO BOX 23HADLEYMA010350023TRUSTEE EMERITUS5.00$0$0$0
ANN HWANG MD
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
MATTHEW LIANG MD MPH
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
MICHELLE MORSE MD
PO BOX 23HADLEYMA010350023TRUSTEE5.00$0$0$0
JENNIFER RILEY
PO BOX 23HADLEYMA010350023SECRETARY, EXECUTIVE DIRECTOR25.00$82,800$2,484$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonMEGAN COOKPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 23AddressLine1Txt
CityHADLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP010350023ZIPCd
FieldValueIRS element (for citing)
TitlePROGRAMS AND OPERATITitleTxt
Average Hrs Per Wk Devoted To Pos25.00AverageHrsPerWkDevotedToPosRt
Compensation$54,150CompensationAmt
Employee Benefits$1,625EmployeeBenefitsAmt
Expense Account$0ExpenseAccountAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
PATHSTONE
24 FEDERAL ST 8TH FLBOSTONMA02110INVESTMENT ADVISORY$104,473
FRISBY & ASSOCIATES
1101 30TH STREET NW SUITE 500WASHINGTONDC20007PROGRAMMATIC AND TECHNICAL ASSISTANCE CONSULTANT$58,189
FAMILIES USA FOUNDATION
1225 NEW YORK AVENUE NW SUITE 800WASHINGTONDC20005PROGRAMMATIC AND TECHNICAL ASSISTANCE CONSULTANT$50,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE RX PARTNERS NETWORK - THE RX FOUNDATION PROVIDES TRAINING, COACHING, AND COMMUNICATIONS OPPORTUNITIES FOR RX FOUNDATION GRANT RECIPIENTS AND CONNECTS GRANT PARTNERS DIRECTLY WITH CONTENT AND SKILL EXPERTS AND TECHNICAL ASSISTANCE ORGANIZATIONS. THE TARGETED COACHING PROGRAM INCLUDES FUNDING AND INTRODUCTIONS TO A ROSTER OF COACHES AND TECHNICAL ASSISTANCE PROVIDERS WHO WERE READY AND WILLING TO ENGAGE. THIS OPTIONAL PROGRAM GIVES GRANT PARTNERS A BOOST TO FOCUS ON GOALS THAT ARE ALIGNED WITH THE PURPOSE OF THE GRANT BUT MIGHT NOT HAVE BEEN ARTICULATED IN THEIR ORIGINAL PROPOSALS, AND TO MEET COACHES AND EXPERTS WHO WERE NOT ALREADY KNOWN TO THEM.Description1Txt
Expenses1$199,894Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$41,745,090AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,068,776AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$42,813,866TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$42,813,866AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$642,208CashDeemedCharitableAmt
Net Vl Noncharitable Assets$42,171,658NetVlNoncharitableAssetsAmt
Minimum Investment Return$2,108,583MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$2,108,583MinimumInvestmentReturnAmt
Tax Based On Investment Income$16,381TaxBasedOnInvestmentIncomeAmt
Total Tax$16,381TotalTaxAmt
Distributable Before Adj$2,092,202DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$2,092,202DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$2,092,202DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,756,543ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,756,543QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$2,092,202DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$413,859ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$97,897ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$458,899ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,026,767ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$797,860ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,795,282TotalExcessDistributionCyovAmt
Qualifying Distributions$2,756,543QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,092,202AppliedToCurrentYearAmt
Remaining Distri From Corpus$664,341RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,459,623TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$413,859ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$3,045,764ExcessDistriCyovToNextYrAmt
Excess From Year4$97,897ExcessFromYear4Amt
Excess From Year3$458,899ExcessFromYear3Amt
Excess From Year2$1,026,767ExcessFromYear2Amt
Excess From Year1$797,860ExcessFromYear1Amt
Excess From Current Year$664,341ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (31 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ALABAMA COALITION FOR IMMIGRANT JUSTICE
1826 6TH AVENUE SOUTHIRONDALEAL35210N/APCHOSTING COMMUNITY HEALTH EVENTS, EXPANDING OUTREACH EFFORTS, AND ESTABLISHING A PROMOTORAS PROGRAM TO CREATE A MORE DEEPLY CONNECTED SYSTEM OF CARE.$25,000
ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS)
2651 SAULINO COURTDEARBORNMI48120N/APCFISCAL SPONSOR FOR THE NATIONAL NETWORK OF ARAB AMERICAN COMMUNITIES: CAPACITY-BUILDING AND INFRASTRUCTURE OF THE NATIONAL NETWORK FOR ARAB AMERICAN COMMUNITIES AND ITS MEMBERS TO ORGANIZE AND ADVOCATE FOR POLICIES THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF ARAB AMERICAN PEOPLE IN THE UNITED STATES.$150,000
AXESSPOINTE COMMUNITY HEALTH CENTERS
1400 S ARLINGTON STREET SUITE 38AKRONOH44306N/APCCOMMUNITY-CENTERED MENTAL HEALTH AND WELLNESS EVENTS; AND PROVIDE ONGOING COVID RESPONSE EFFORTS, INCLUDING ASSISTING INDIVIDUALS EXPERIENCING LONG-COVID SYMPTOMS, AND CONTINUING VACCINE OUTREACH AND EDUCATION WORK WITH A VIDEO CAMPAIGN ON VACCINATIONS.$25,000
BAY AREA WOMEN COALITION INC
PO BOX 13277MOBILEAL36663N/APCINTERGENERATIONAL AMBASSADOR PROGRAM, ADDRESSING VACCINE HESITANCY, INCREASING OPPORTUNITIES FOR VACCINATIONS, AND STRENGTHENING PARTNERSHIPS.$25,000
BOSTON MEDICAL CENTER
1 BOSTON MEDICAL CENTER PLACEBOSTONMA02118N/APCNEXT PHASE OF WORK TOWARDS CREATING A NATIONAL MODEL FOR END-TO-END HOUSING AND HEALTH PARTNERSHIPS: BUILD DATA INFRASTRUCTURE, PILOT LOW-BARRIER SUPPORTING HOUSING PROGRAMS, AND ENGAGE THE CITY, STATE, AND HEALTH SYSTEMS IN EXPANDING RESOURCES FOR MEDICALLY AND BEHAVIORALLY COMPLEX HOMELESS INDIVIDUALS AND FAMILIES.$125,000
COMMON COUNSEL FOUNDATION
1624 FRANKLIN STREET SUITE 1022OAKLANDCA94612N/APCFISCAL SPONSOR FOR RISING MAJORITY - RISING MAJORITY AND THE EXPANSION OF THEIR COALITION AND SHARPEN THEIR ANALYSIS OF THE ROLE THAT HEALTH JUSTICE PLAYS IN THE BROADER PUSH FOR STRUCTURAL CHANGE.$150,000
COVID SAFE AT HOME INC
185 DARTMOUTH STREET SUITE 1002BOSTONMA02116N/APCLAUNCH OF A NEW NONPROFIT INNOVATION PRACTICE, FOR THE MOST COMPLEX, HIGH-NEED PATIENTS IN MASSACHUSETTS.$200,000
EL CENTRO
650 MINNESOTA AVENUEKANSAS CITYKS66101N/APCEXPANSION AND FACILITATION OF EDUCATION AND OUTREACH SERVICES ON COVID VACCINATIONS, IN ADDITION TO OTHER COMMUNITY EDUCATION PROGRAMS AND WRAPAROUND SERVICES, LIKE HEALTH EATING AND FINANCIAL LITERACY PROGRAMS, THROUGH EL CENTROS PROMOTORAS PROGRAM.$25,000
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW ROAD FLOOR 5WESTBURYNY11590N/APCFINAL INSTALLMENT OF FUNDING FOR A FIVE-YEAR PROJECT TO DEVELOP AND TEST TOOLS AND RESOURCES FOR THE FAMILIES OF ADULTS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES, AS WELL AS RISK STRATIFICATION TOOLS TO IDENTIFY ADULTS WHO ARE AT GREATEST RISK OF INSTITUTIONAL PLACEMENT. AIMS INCLUDE IMPROVED AND MORE PRACTICAL ASSISTANCE FOR A POPULATION OF FAMILIES WHO HAVE LARGELY BEEN UNDERSERVED. CO-FUNDED WITH THE PATRICK AND CATHERINE WELDON DONAGHUE MEDICAL RESEARCH FOUNDATION AS PART OF THEIR GREATER VALUE PORTFOLIO.$80,000
GRANTMAKERS IN HEALTH
1100 CONNECTICUT AVENUE NW SUITEWASHINGTONDC20036N/APCGIH'S NEW FIVE-YEAR STRATEGIC PLAN.$5,0001100
GRAPEVINE HEALTH
475 K STREET NW UNIT 1112WASHINGTONDC20001N/ANCCOVID VACCINE EQUITY IN SOUTHERN AND HIGH PRIORITY URBAN BLACK COMMUNITIES.$132,248
HEALTH RESOURCES IN ACTION INC
2 BOYLSTON STREET 4TH FLOORBOSTONMA02111N/APCFISCAL SPONSOR FOR THE NATIONAL ASSOCATION OF COMMUNITY HEALTH WORKERS: NATIONAL ASSOCIATION OF COMMUNITY HEALTH WORKERS IN LEADERSHIP CULTIVATION, TECHNICAL ASSISTANCE AND CAPACITY BUILDING FOR CHW NETWORKS AND CHW MEMBERS PROMOTING RACIAL EQUITY IN HEALTH POLICY.$75,000
HOLA LAKEWAY
2450 OLD HIGHWAY 25EMORRISTOWNTN37813N/APCCOMMUNITY-CENTERED MENTAL HEALTH AND WELLNESS EVENTS; AND PROVIDE ONGOING COVID RESPONSE EFFORTS, INCLUDING ASSISTING INDIVIDUALS EXPERIENCING LONG-COVID SYMPTOMS, AND CONTINUING VACCINE OUTREACH AND EDUCATION WORK WITH A VIDEO CAMPAIGN ON VACCINE EXPERIENCES FEATURING CHILDREN AND ADULTS.$25,000
INSTITUTE FOR EXCEPTIONAL CARE
1825 K STREET NW SUITE 1200WASHINGTONDC20006N/APCTO BUILD THE CAPACITY AND INFRASTRUCTURE OF THEIR ORGANIZATION, WHICH SEEKS TO TRANSFORM HEALTH CARE FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.$100,000
INSTITUTE FOR HEALTHCARE IMPROVEMENT
20 UNIVERSITY ROAD 7TH FLOORCAMBRIDGEMA02138N/APCTHE DEVELOPMENT AND LAUNCH OF AN INSTITUTE FOR HEALTHCARE IMPROVEMENT PODCAST TO SPOTLIGHT PROBLEMS AND GROUNDBREAKING COLLABORATIONS THAT ADDRESS THE ROOT CAUSES OF POOR HEALTH AND INEQUITIES.$78,200
LA CASITA CENTER
PO BOX 1844LOUISVILLEKY40201N/APCTHE CREATION OF A CULTURALLY COMPETENT, MULTILINGUAL DIGITAL APP FOR DISSEMINATING TIMELY AND RELEVANT INFORMATION TO LOUISVILLES IMMIGRANT AND LATINX COMMUNITIES ON TOPICS LIKE VIRAL AND INFECTIOUS DISEASES, IMMEDIATE HAZARDS, AND NATURAL DISASTERS IN PARTNERSHIP WITH INDIGENOUS INTERPRETERS AND EXISTING COMMUNITY AND CITY PARTNERS.$25,000
LOUISIANA COMMUNITY HEALTH OUTREACH NETWORK
1226 N BROAD STREETNEW ORLEANSLA70119N/APCTHE DEVELOPMENT AND LAUNCH OF INSTRUCTIONAL VIDEOS FOR COMMUNITY HEALTH WORKERS (CHWS) ON SUBSTANCE USE DISORDER AND HOW TO USE NARCAN; TO PROVIDE EDUCATION AND SUPPORT TO THE PUBLIC ON CHRONIC DISEASES LIKE HYPERTENSION, INCLUDING DISTRIBUTING FREE BLOOD PRESSURE MONITORING MACHINES; AND TO PURCHASE RAPID COVID TEST KITS, AS WELL AS PERSONAL PROTECTIVE EQUIPMENT, FOR CHWS AND THE PUBLIC IN ANTICIPATION OF FUTURE SURGES.$25,000
LOUISVILLE URBAN LEAGUE
1535 W BROADWAYLOUISVILLEKY40203N/APCONGOING COVID WRAPAROUND SERVICES TO MEET THE HOUSING, ECONOMIC, EDUCATIONAL, AND HOLISTIC HEALTH NEEDS OF KENTUCKIANS, INCLUDING PAYING RENTAL AND UTILITY BILLS FOR CLIENTS, PROVIDING FINANCIAL EDUCATION AND BUDGET COUNSELING, AND PAYING FOR SUPPLEMENTAL TUTORING FOR CHILDREN.$25,000
NEW DIRECTION HEALTH CARE SOLUTIONS
3615 MARTIN LUTHER KING JR AVENUEKNOXVILLETN37914N/APCTO SUPPORT ONGOING COVID VACCINATION EFFORTS WITH FREE WEEKLY CLINICS, FOOD DISTRIBUTION SITES, AND POP-UP EVENTS. ADDITIONALLY, SUPPORTING NDHCS IN BUILDING NEW PARTNERSHIPS WITH OTHER FREE CLINICS AND NONPROFIT PARTNERS TO WORK ON THE KEY DRIVERS OF HEALTH, IN AN EFFORT TO BECOME A HEALTH RESEARCH INSTITUTE IN EAST TENNESSEE, FOCUSED ON FILLING THE GAP OF HEALTH DATA TO INFORM THE PLANNING AND BUILDING OF A DATA-DRIVEN COMMUNITY HEALTH RESPONSE FOR PEOPLE OF COLOR.$25,000
NEW FELLOWSHIP BAPTIST CHURCH
3420 PETZINGER ROADCOLUMBUSOH43232N/APCFISCAL SPONSOR OF THE EASTERN UNION MISSIONARY BAPTIST ASSOCIATION: EASTERN UNION MISSIONARY BAPTIST ASSOCIATION IN HOSTING HEALTH FAIRS WITH MOBILE VANS FOR PREVENTIVE SCREENINGS AT EACH OF EUMBAS 29 MEMBER CHURCHES, PROVIDING EDUCATIONAL SESSIONS ON MENTAL AND BEHAVIORAL HEALTH (INCLUDING THE MENTAL HEALTH FIRST AID TRAINING FROM NAMI) FOR THE PUBLIC AND EUMBA CHURCHES, AND BUILDING THE CAPACITY OF MEMBER CHURCHES TO SCALE THE SUCCESSFUL FOOD DISTRIBUTION AND HEALTH CLINIC SCREENING MODEL DEVELOPED, OPERATED, AND LED BY THE MT. VERNON NEIGHBORHOOD DURING THE PANDEMIC.$25,000
NEW JERSEY RESOURCE PROJECT
128 BARTLETT AVENUEWEST CREEKNJ08092N/APCFISCAL SPONSOR OF SEA CHANGE RECOVERY COMMUNITY ORGANIZATION: SEA CHANGE RECOVERY COMMUNITY ORGANIZATION IN ENGAGING PEOPLE WHO HAVE EXPERIENCED SUBSTANCE USE DISORDER IN ORGANIZING AND ADVOCACY FOR LONG-TERM, SYSTEMIC CHANGE THAT WILL POSITIVELY IMPACT THE HEALTH AND WELLBEING OF COMMUNITIES IN NEW JERSEY.$50,000
NEW YORK IMMIGRATION COALITION
131 W 33RD STREET 6TH FLOORNEW YORKNY10001N/APCONGOING HEALTH POLICY AND COALITION CAPACITY-BUILDING EFFORTS THAT EXPAND SERVICES, BENEFITS, PROTECTIONS, AND POLICIES FOR, AND ADDRESS THE HEALTH CARE ACCESS NEEDS OF, IMMIGRANT COMMUNITIES IN NEW YORK.$75,000
NORTHEAST OHIO BLACK HEALTH COALITION INC
18115 HARVARD AVENUECLEVELANDOH44128N/APCWRAPAROUND SERVICES, ADDRESSING FOOD INSECURITY, LOW COVID VACCINATION RATES, AND PANDEMIC-RELATED TRAUMA.$25,000
ORGANIZING EMPOWERMENT FUND
PO BOX 288MCFARLANDWI53558N/APCBUILDING GRASSROOTS ORGANIZING CAPACITY BY PROVIDING RELATIONAL ORGANIZING TRAINING, COACHING, AND TECHNICAL ASSISTANCE SUPPORT TO NONPROFIT ORGANIZATIONS ACROSS THE UNITED STATES, AND TO EMPOWER COMMUNITIES TO ADVOCATE FOR POLICIES THAT WILL IMPROVE THEIR HEALTH AND WELL-BEING.$150,000
PEOPLE'S ACTION INSTITUTE
1130 N MILWAUKEE AVENUECHICAGOIL60642N/APCEFFORTS TO DEVELOP STRONG RURAL COMMUNITY-BASED GRASSROOTS ORGANIZATIONS IN IDAHO, NORTH CAROLINA, AND NEW JERSEY, TO BUILD POWER AND CAPACITY IN LOCAL COMMUNITIES ADVOCATING FOR POLICIES THAT IMPROVE HEALTH AND WELL-BEING.$150,000
ROSIE'S PLACE
889 HARRISON AVENUEBOSTONMA02118N/APCONGOING COVID RESPONSE EFFORTS, A COMPREHENSIVE FOOD DISTRIBUTION PROGRAM, AND RECOVERY SUPPORT SERVICES TO HOMELESS WOMEN AND THOSE AT-RISK FOR HOMELESSNESS.$25,000
TEXAS ORGANIZING PROJECT EDUCATION FUND
PO BOX 120296SAN ANTONIOTX78212N/APCLEADERSHIP AND POWER-BUILDING OPPORTUNITIES TO GRASSROOTS HEALTH ORGANIZERS IN THE STATE THROUGH THEIR HEALTHCARE JUSTICE CAMPAIGN, WHILE ADVOCATING FOR POLICIES THAT IMPROVE THE HEALTH AND WELL-BEING OF TEXANS.$25,000
UNITED VISION FOR IDAHO
1912 W JEFFERSONBOISEID83720N/APCEFFORTS TO INCREASE CAPACITY AND INFRASTRUCTURE FOR PROACTIVE ORGANIZING AND ADVOCACY FOR CHANGE THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE IN IDAHO AND THROUGHOUT THE UNITED STATES.$150,000
VOT-ER
12 MOHAWK STREET UNIT 9SOUTH BOSTONMA02127N/APCTO BUILD CAPACITY FOR CIVIC ENGAGEMENT LEADERSHIP IN HEALTHCARE ACROSS THE UNITED STATES.$150,000
WEST VIRGINIANS FOR AFFORDABLE HEALTH CARE
600 LEON SULLIVAN WAY SUITE 215CHARLESTONWV25301N/APCNONPROFIT ORGANIZATIONS IN WEST VIRGINIA IN BUILDING OUT GRASSROOTS ORGANIZING CAPACITY THROUGHOUT THE STATE TO ADVOCATE FOR POLICIES THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF WEST VIRGINIANS.$150,000
YOUTH COUNCIL FOR POSITIVE DEVELOPMENT
PO BOX 5277ST LOUISMO63115N/APCFISCAL SPONSOR FOR THE ORGANIZATION FOR BLACK STRUGGLE: TO SUPPORT THE ORGANIZATION FOR BLACK STRUGGLE IN CREATING A VIDEO CAMPAIGN TO BOOST COVID VACCINE UPTAKE; CREATING CAMPAIGNS TO ADDRESS THE OVERALL, HOLISTIC HEALTH OF THE COMMUNITY, ADDRESSING TOPICS LIKE COMMUNITY SAFETY, MENTAL AND SPIRITUAL HEALTH; AND HOSTING A NATIONAL NIGHT OUT FOR SAFETY AND LIBERATION.$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,320,448TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (6 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS)
2651 SAULINO COURTDEARBORNMI48120N/APCFISCAL SPONSOR FOR THE NATIONAL NETWORK OF ARAB AMERICAN COMMUNITIES: CAPACITY-BUILDING AND INFRASTRUCTURE OF THE NATIONAL NETWORK FOR ARAB AMERICAN COMMUNITIES AND ITS MEMBERS TO ORGANIZE AND ADVOCATE FOR POLICIES THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF ARAB AMERICAN PEOPLE IN THE UNITED STATES.$300,000
COMMON COUNSEL FOUNDATION
1624 FRANKLIN STREET SUITE 1022OAKLANDCA94612N/APCFISCAL SPONSOR FOR RISING MAJORITY - RISING MAJORITY AND THE EXPANSION OF THEIR COALITION AND SHARPEN THEIR ANALYSIS OF THE ROLE THAT HEALTH JUSTICE PLAYS IN THE BROADER PUSH FOR STRUCTURAL CHANGE.$300,000
ORGANIZING EMPOWERMENT FUND
PO BOX 288MCFARLANDWI53558N/APCBUILDING GRASSROOTS ORGANIZING CAPACITY BY PROVIDING RELATIONAL ORGANIZING TRAINING, COACHING, AND TECHNICAL ASSISTANCE SUPPORT TO NONPROFIT ORGANIZATIONS ACROSS THE UNITED STATES, AND TO EMPOWER COMMUNITIES TO ADVOCATE FOR POLICIES THAT WILL IMPROVE THEIR HEALTH AND WELL-BEING.$300,000
TENNESSEE HEALTH CARE CAMPAIGN
PO BOX 332453MURFREESBOROTN37133N/APCEFFORTS TO INCREASE CAPACITY AND INFRASTRUCTURE FOR PROACTIVE ORGANIZING AND ADVOCACY FOR POLICIES THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE IN TENNESSEE.$150,000
UNITED VISION FOR IDAHO
1912 W JEFFERSONBOISEID83720N/APCEFFORTS TO INCREASE CAPACITY AND INFRASTRUCTURE FOR PROACTIVE ORGANIZING AND ADVOCACY FOR CHANGE THAT WILL IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE IN IDAHO AND THROUGHOUT THE UNITED STATES.$300,000
VOT-ER
12 MOHAWK STREET UNIT 9SOUTH BOSTONMA02127N/APCTO BUILD CAPACITY FOR CIVIC ENGAGEMENT LEADERSHIP IN HEALTHCARE ACROSS THE UNITED STATES.$300,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,650,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$10,212ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$467,465ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$372ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,035,889ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
GRANT REFUNDS01$703
OTHER LOSSES THRU SCHEDULE K-1'S14-$59,229

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,455,412ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,455,412TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BOOKKEEPING$8,880$0$8,880
FINANCIAL STATEMENT AUDIT AND TAX RETURN PREPARATION$22,592$0$22,592

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtResults Of VerificationResultsOfVerificationTxt
GRAPEVINE HEALTH
475 K STREET NW UNIT 1112WASHINGTONDC200012021-10-13$56,667FIRST INSTALLMENT OF A GRANT SUPPORTING ACCESS AND EDUCATION TO COVID VACCINES AND INFORMATION IN HIGH COVID MORBIDITY REGIONS WITH LOW VACCINE UPTAKE.$56,667TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED.12/15/2021, 07/29/2022THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE. THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE.
GRAPEVINE HEALTH
475 K STREET NW UNIT 1112WASHINGTONDC200012022-01-24$132,248COVID VACCINE EQUITY IN SOUTHERN AND HIGH PRIORITY URBAN BLACK COMMUNITIES.$132,248TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED.07/29/2022THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE. THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE.

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (45 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBVIE INC 3.2000% 11/21/2029 25,000 QTY$22,537$22,537
ALEXANDRIA REAL ESTATE 4.9000% 12/15/2030 10,000.000 QTY$9,742$9,742
AMERICAN ELECTRIC POWER 1.0000% 11/01/2025 20,000 QTY$17,862$17,862
AMERICAN EXPRESS CO 3.9500% 08/01/2025 25,000 QTY$24,491$24,491
AMERICAN TOWER CORP 1.6000% 04/15/2026 5,000.000 QTY$4,445$4,445
AMERICAN TOWER CORP 3.1250% 01/15/2027 5,000.000 QTY$4,581$4,581
AMGEN INC 2.2000% 02/21/2027 20,000 QTY$17,943$17,943
ANHEUSER-BUSCH CO 3.6500% 02/01/2026 25,000 QTY$24,060$24,060
ANTHEM INC 3.6500% 12/01/2027 25,000 QTY$23,573$23,573
BANK OF AMERICA CORP 1.8980% 07/23/2031 40,000 QTY$30,700$30,700
BOSTON PROPERTIES LP 2.7500% 10/01/2026 10,000 QTY$9,006$9,006
CARRIER GLOBAL CORP 2.2420% 02/15/2025 7,000 QTY$6,594$6,594
CHUBB INA HOLDINGS INC 1.3750% 09/15/2030 25,000.000 QTY$19,406$19,406
CITIGROUP INC 3.2000% 10/21/2026 20,000 QTY$18,503$18,503
COMCAST CORP 3.1500% 03/01/2026 35,000 QTY$33,315$33,315
CVS HEALTH CORP 4.3000% 03/25/2028 20,000.000 QTY$19,345$19,345
DTE ELECTRIC CO 2.2500% 03/01/2030 25,000 QTY$21,013$21,013
EQUINIX INC 3.2000% 11/18/2029 8,000.000 QTY$6,963$6,963
EQUINOR ASA 2.6500% 01/15/2024 35,000 QTY$34,149$34,149
EVERSOURCE ENERGY 3.8000% 12/01/2023 25,000.000 QTY$24,714$24,714
FIFTH THIRD BANCORP 6.3610% 10/27/2028 24,000 QTY$24,693$24,693
GENERAL MILLS INC 4.2000% 04/17/2028 15,000 QTY$14,495$14,495
GOLDMAN SACHS GROUP 3.8140% 04/23/2029 20,000 QTY$18,269$18,269
HOME DEPOT INC 2.9500% 06/15/2029 35,000 QTY$31,663$31,663
INTEL CORP DTD 8/5/2022 3.7500% 32,000 QTY$30,742$30,742
INT'L BK OF RECON & DEVELOPMENT 0.6250% 04/22/2025 10,000 QTY$9,174$9,174
JP MORGAN CHASE & CO 3.7020% 15,000 QTY$13,453$13,453
JPMORGAN CHASE & CO 2.5800% 04/22/2032 38,000.000 QTY$30,439$30,439
LINCOLN NATIONAL CORP 3.0500% 01/15/2030 10,000 QTY$8,263$8,263
LOWES COS INC 2.5000% 04/15/2026 35,000 QTY$32,617$32,617
MERK & CO INC 3.4000% 03/07/2029 AA 30,000 QTY$27,948$27,948
MORGAN STANLEY 1.5930% 05/04/2027 25,000 QTY$21,931$21,931
NEXTERA ENERGY CAPITAL 3.5500% 05/01/2027 20,000.000 QTY$18,842$18,842
NORTHROP GRUMMAN CORP 3.2500% 01/15/2028 25,000 QTY$23,056$23,056
PNC FINANCIAL SERVICES 3.5000% 01/23/2024 25,000 QTY$24,629$24,629
PROLOGIS LP 1.2500% 10/15/2030 30,000 QTY$22,742$22,742
SALESFORCE.COM INC 1.9500% 07/15/2031 25,000.000 QTY$19,932$19,932
SCHLUMBERGER INVESTMENT 3.6500% 12/01/2023 25,000 QTY$24,692$24,692
SEMPRA ENERGY 3.4000% 02/01/2028 25,000.000 QTY$23,203$23,203
SIMON PROPERTY GROUP 2.0000% 09/13/2024 25,000 QTY$23,745$23,745
STARBUCKS CORP 2.4500% 06/15/2026 35,000 QTY$32,415$32,415
SUMITOMO MITSUI FINANCIAL GROUP 3.9360% 10/16/2023 8,000 QTY$7,911$7,911
TORNOTO-DOMINION BANK 0.7500% 01/06/2026 40,000 QTY$35,369$35,369
VERIZON COMMUNICATIONS 1.5000% 09/18/2030 20,000 QTY$15,549$15,549
WESTPAC BANKING CORP 5.3500% 10/18/2024 20,000 QTY$20,175$20,175

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (105 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
3D SYSTEMS CORP (DDD) 2,120.000 SHARES$15,688$15,688
ADOBE INC (ADBE) 108.000 SHARES$36,345$36,345
ADVANCED ENERGY INDUSTRIES INC (AEIS) 380.000 SHARES$32,596$32,596
AEROVIRONMENT INC (AVAV) 505.000 SHARES$43,258$43,258
ALPHABET INC CL A (GOOGL) 671.000 SHARES$59,202$59,202
AMAZON.COM INC COM (AMZN) 597.000 SHARES$50,148$50,148
AMBARELLA INC (AMBA) 600.000 SHARES$49,338$49,338
AMERICAN TOWER CORP CL A (REIT) (AMT) 313.000 SHARES$66,312$66,312
AMYRIS INC (AMRS) 3,690.000 SHARES$5,646$5,646
ANALOG DEVICES INC COM (ADI) 226.000 SHARES$37,071$37,071
ARRAY TECHNOLOGIES INC (ARRY) 1,380.000 SHARES$26,675$26,675
ATARA BIOTHERAPEUTICS INC. (ATRA) 790.000 SHARES$2,591$2,591
ATLASSIAN CORP A (TEAM) 162.000 SHARES$20,846$20,846
AUTODESK INC COM (ADSK) 211.000 SHARES$39,430$39,430
BIO RAD LABORATORIES INC CL A (BIO) 93.000 SHARES$39,105$39,105
BLACKSTONE INC (BX) 354.000 SHARES$26,263$26,263
BLOCK INC (SQ) 342.000 SHARES$21,491$21,491
CADENCE DESIGN SYSTEMS INC COM (CDNS) 296.000 SHARES$47,549$47,549
CAE INC COM (CAE) 1,340.000 SHARES$25,916$25,916
CANADA GOOSE HOLDINGS INC (GOOS) 580.000 SHARES$10,330$10,330
CANADIAN PACIFIC RAILWAY LTD COM (CP) 523.000 SHARES$39,011$39,011
CARA THERAPEUTICS INC (CARA) 1,325.000 SHARES$14,231$14,231
CERENCE INC (CRNC) 655.000 SHARES$12,137$12,137
CHIPOTLE MEXICAN GRILL INC (CMG) 25.000 SHARES$34,687$34,687
COGNEX CORP COM (CGNX) 1,110.000 SHARES$52,292$52,292
COHERENT CORP (COHR) 1,236.000 SHARES$43,384$43,384
COMMVAULT SYSTEMS INC (CVLT) 460.000 SHARES$28,906$28,906
CYTOKINETICS INC (CYTK) 570.000 SHARES$26,117$26,117
DANAHER CORP COM (DHR) 280.000 SHARES$74,318$74,318
DIGITAL REALTY TRUST INC COM (DLR) 278.000 SHARES$27,875$27,875
DYNATRACE INC (DT) 1,076.000 SHARES$41,211$41,211
ECOLAB INC COM (ECL) 194.000 SHARES$28,239$28,239
EDGIO INC (EGIO) 5,950.000 SHARES$6,724$6,724
EDWARDS LIFESCIENCES CORP (EW) 493.000 SHARES$36,783$36,783
ENPHASE ENERGY INC (ENPH) 95.000 SHARES$25,171$25,171
ESPERION THERAPEUTICS INC (ESPR) 370.000 SHARES$2,305$2,305
EVOQUA WATER TECHNOLOGIES CORP (AQUA) 1,560.000 SHARES$61,776$61,776
FARO TECHNOLOGIES INC (FARO) 645.000 SHARES$18,969$18,969
FIBROGEN INC (FGEN) 300.000 SHARES$4,806$4,806
FORMFACTOR INC (FORM) 1,070.000 SHARES$23,786$23,786
FORTIVE CORP COM (FTV) 555.000 SHARES$35,659$35,659
HEXCEL CORP COM (HXL) 460.000 SHARES$27,071$27,071
HOME DEPOT INC COM (HD) 118.000 SHARES$37,271$37,271
IAC INC (IAC) 340.000 SHARES$15,096$15,096
ICHOR HOLDINGS LTD (ICHR) 860.000$23,065$23,065
IDEXX LABS INC COM (IDXX) 114.000 SHARES$46,507$46,507
IMMUNOGEN INC COM (IMGN) 2,930.000 SHARES$14,533$14,533
INTERCEPT PHARMACEUTICALS (ICPT) 415.000 SHARES$5,134$5,134
INTRA-CELLULAR THERAPIES INC (ITCI) 400.000 SHARES$21,168$21,168
INTUIT INC COM (INTU) 159.000 SHARES$61,886$61,886
IONIS PHARMACEUTICALS INC (IONS) 620.000 SHARES$23,417$23,417
IRIDIUM COMMUNICATIONS INC (IRDM) 1,340.000 SHARES$68,876$68,876
ITRON INC COM (ITRI) 500.000 SHARES$25,325$25,325
LAM RESEARCH CORP COM (LRCX) 200.000 SHARES$84,060$84,060
LEXICON PHARMACEUTICALS INC (LXRX) 3,720.000 SHARES$7,105$7,105
LIBERTY SIRIUSXM GROUP SER A (LSXMA) 1,000.000 SHARES$39,310$39,310
LUMENTUM HOLDINGS INC (LITE) 880.000 SHARES$45,910$45,910
MACROGENICS INC (MGNX) 650.000 SHARES$4,361$4,361
MADISON SQUARE GARDEN CORP (MSG) 260.000 SHARES$47,666$47,666
MANCHESTER UNITED PLC A (MANU) 1,600.000 SHARES$37,328$37,328
MARVELL TECHNOLOGY GROUP LTD (MRVL) 958.000 SHARES$35,484$35,484
MATCH GROUP INC (MTCH) 298.000 SHARES$12,364$12,364
MERCK & CO INC (MRK) 6,608.000 SHARES$733,157$733,157
MICROSOFT CORP COM (MSFT) 301.000 SHARES$72,186$72,186
MONOLITHIC POWER SYSTEMS INC COM (MPWR) 120.000 SHARES$42,433$42,433
MSCI INC CL A (MSCI) 102.000 SHARES$47,447$47,447
NIKE INC CL B (NKE) 391.000 SHARES$45,751$45,751
NLIGHT INC (LASR) 2,710.000 SHARES$27,479$27,479
NVIDIA CORP COM (NVDA) 318.000 SHARES$46,473$46,473
ONESPAWORLD HOLDINGS LTD (OSW) 3,850.000 SHARES$35,920$35,920
PLUG POWER INC (PLUG) 3,120.000 SHARES$38,594$38,594
PROTHENA CORP PLC (PRTA) 270.000 SHARES$16,267$16,267
PTC THERAPEUTICS INC (PTCT) 350.000 SHARES$13,359$13,359
QORVO INC (QRVO) 692.000 SHARES$62,723$62,723
RAYMOND JAMES FINANCIAL INC COM (RJF) 495.000 SHARES$52,891$52,891
REGENERON PHARMACEUTICALS INC (REGN) 78.000 SHARES$56,276$56,276
ROBERT HALF INTERNATIONAL INC COM (RHI) 420.000 SHARES$31,009$31,009
ROGERS CORP COM (ROG) 111.000 SHARES$13,247$13,247
ROYAL CARIBBEAN CRUISES LTD COM SHS (RCL) 710.000 SHARES$35,095$35,095
SAGE THERAPEUTICS INC (SAGE) 300.000 SHARES$11,442$11,442
SAREPTA THERAPEUTICS INC (SRPT) 190.000 SHARES$24,620$24,620
SCRIPPS (EW) CO SER A (SSP) 700.000 SHARES$9,233$9,233
SEAGEN INC (SGEN) 315.000 SHARES$40,481$40,481
SEAWORLD ENTERTAINMENT INC (SEAS) 1,060.000 SHARES$56,721$56,721
SERVICENOW INC (NOW) 110.000 SHARES$42,710$42,710
SINCLAIR BROADCAST GROUP INC CL A (SBGI) 970.000 SHARES$15,045$15,045
STRATASYS LTD (SSYS) 1,240.000 SHARES$14,706$14,706
TEGNA INC COM (TGNA) 835.000 SHARES$17,694$17,694
TELOS CORPORATION (TLS) 3,030.000 SHARES$15,423$15,423
TENABLE HOLDINGS INC (TENB) 630.000 SHARES$24,034$24,034
THERMO FISHER SCIENTIFIC INC COM (TMO) 121.000 SHARES$66,633$66,633
TRIMBLE INC COM (TRMB) 970.000 SHARES$49,043$49,043
TUTOR PERINI CORP (TPC) 720.000 SHARES$5,436$5,436
ULTRA CLEAN HOLDINGS INC (UCTT) 700.000 SHARES$23,205$23,205
ULTRAGENYX PHARMACEUTICAL INC (RARE) 200.000 SHARES$9,266$9,266
UNIFI INC NEW (UFI) 696.000 SHARES$5,993$5,993
UNITEDHEALTH GROUP INC COM (UNH) 141.000 SHARES$74,756$74,756
VERISK ANALYTICS INC A (VRSK) 311.000 SHARES$54,867$54,867
VIAVI SOLUTIONS INC (VIAV) 2,180.000 SHARES$22,912$22,912
VIMEO HOLDINGS INC (VMEO) 1,355.000 SHARES$4,648$4,648
VISA INC CL A (V) 386.000 SHARES$80,196$80,196
VISHAY INTERTECHNOLOGY INC COM (VSH) 2,180.00 SHARES$47,023$47,023
WARNER BROS DISCOVERY INC (WBD) 1,350.000 SHARES$12,798$12,798
WERNER ENTERPRISES INC COM (WERN) 1,030.000 SHARES$41,468$41,468
WEST PHARMACEUTICAL SERVICES INC COM (WST) 137.000 SHARES$32,243$32,243

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$895,577USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$895,577USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$440,368StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$440,368StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (20 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ARIEL FUND (ARGFX) 34,326.288 SHARESFMV$2,139,557$2,139,557
ARTISAN INTL VALUE FUND - ADV (APDKX) 83,219.264 SHARESFMV$3,196,452$3,196,452
CALVERT ABSOLUTE RETURN BOND FUND - I (CUBIX) 156,254.579 SHARESFMV$2,187,564$2,187,564
CALVERT US LARGE CAP VALUE RESPONSIBLE I (CFJIX) 97,828.442 SHARESFMV$2,698,108$2,698,108
CLEAN GROWTH FUND V, LPFMV$439,972$439,972
DORCHESTER CAPITAL SECONDARIES OFFSHORE IV, L.P.FMV$175,710$175,710
ECOSYSTEM INTEGRITY FUND III, LPFMV$634,344$634,344
ECOSYSTEM INTEGRITY FUND IV, LPFMV$362,250$362,250
GENERATION IM GLOBAL EQUITY FUND, LLCFMV$5,033,771$5,033,771
ISHARES RUSSELL 1000 INDEX ETF (IWB) 8,751.000 SHARESFMV$1,842,261$1,842,261
LEGACY VENTURE XI, LLCFMV$34,975$34,975
RBC EMERGING MARKETS EQUITY I (REEIX) 244,083.060 SHARESFMV$2,765,461$2,765,461
SJF VENTURES IV, LPFMV$567,241$567,241
SJF VENTURES V, LPFMV$132,738$132,738
SUMMIT PARTNERS SUSTAINABLE OPPORTUNITIES L/S FUND LIMITEDFMV$2,754,629$2,754,629
THE HIGHCLERE INTERNATIONAL INVESTORS SMALLER COMPANIES FUNDFMV$1,345,845$1,345,845
VANGUARD SHORT-TERM BD INDEX ADM (VBIRX) 74,672.002 SHARESFMV$737,013$737,013
VANGUARD SHORT-TERM INV-GRADE ADMRL SHS (VFSUX) 80,327.239 SHARESFMV$799,256$799,256
VANGUARD ULTRASHORT TERM BOND FUND CL ADM (VUSFX) 25,182.402 SHARESFMV$496,345$496,345
WCM FOCUSED INTL GROWTH INSTL (WCMIX) 97,855.739 SHARESFMV$1,923,844$1,923,844

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryGENERAL AND ADMINISTRATIVE LEGAL COUNSELCategoryTxt
Legal Fees$4,545LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,545DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED DEPRECIATION ON INVESTMENTSDesc
Amt$9,492,057Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE EXPENSE$2,395$0$2,395
MEMBERSHIP FEES$7,870$0$7,870
OFFICE AND OTHER EXPENSES$31,182$0$31,182

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
SECURITIES LITIGATION PROCEEDS$372$372$372
GRANT REFUNDS$703$703
OTHER LOSSES THRU SCHEDULE K-1'S-$59,229-$59,229-$59,229

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT AND ADVISORY$268,234$268,234$0
PROGRAMMATIC AND TECHNICAL ASSISTANCE CONSULTANT$199,894$0$199,894

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX PAID$27,000$0$0
FOREIGN TAXES WITHHELD$8,000$8,000$0