MOLINA HEALTHCARE CHARITABLE FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MOLINA HEALTHCARE CHARITABLE FOUNDATION (EIN 85-1496438)
- Tax period
- 2020-06-17 to 2021-05-31
- Filed
- 2022-02-08
- IRS object ID
- 202200399349101200
- Schema version
- 2020v4.1
- 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
- Compensation Explanation
- Depreciation Schedule
- Expenditure Responsibility Stmt
- Other Expenses Schedule
- Substantial Contributors Sch
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-08T11:39:25-06:00 | ReturnTs |
| Tax Period End | 2021-05-31 | 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 | One Hollow Ln Ste 212 | AddressLine1Txt |
| City | Lake Success | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-06-17 | 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 | Carolyn Ingram | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2021-12-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Carolyn | PersonFirstNm |
| Person Last | Ingram | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $12,910,406 | 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 | $15,000,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $10,452 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $10,452 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $15,010,452 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $10,452 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Printing And Pub Rev And Expnss | $3,388 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Dsbrs Chrtbl | $3,388 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $56,740 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $131 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $56,609 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $60,128 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $131 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $59,997 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,039,918 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,039,918 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $2,100,046 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $131 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,099,915 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $12,910,406 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $10,321 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst EOY | $12,910,406 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $12,910,406 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $0 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,910,406 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $12,910,406 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning EOY | $12,910,406 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $0 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $12,910,406 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $0 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $12,910,406 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $0 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $12,910,406 | ExcessRevenueOverExpensesAmt |
| Subtotal | $12,910,406 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $12,910,406 | 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 | $143 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $143 | SubtotalAmt |
| Tax Based On Investment Income | $143 | TaxBasedOnInvestmentIncomeAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $150 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $150 | TotalPaymentsAndCreditsAmt |
| Overpayment | $7 | OverpaymentAmt |
| Applied To ES Tax | $7 | 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 | false | 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 | Yes (true) | 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 | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| 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 | Yes (true) | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (true) | MaintainedExpenditureRspnsInd |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|
| Carolyn Ingram | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Executive Dir | 25.0 | $0 | $0 | $0 |
| 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 |
| Ronald Kurtz | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | chair, executive dir | 1.0 | $0 | $0 | $0 |
| Mark Keim | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Treas | 0.0 | $0 | $0 | $0 |
| Thomas Tran | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Treas | 1.0 | $0 | $0 | $0 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | PPE DISTRIBUTION PROGRAM - PERSONAL PROTECTIVE EQUIPMENT (PPE) DISTRIBUTION TO SUPPORT COVID TESTING SITES. | Description1Txt |
| Expenses1 | $24,558 | Expenses1Amt |
| Description2 | WINTER STORM URI RELIEF EFFORT - FOUNDATION VOLUNTEERS DISTRIBUTE FOOD AND SUPPLIES TO PUBLIC IN NEED. | Description2Txt |
| Expenses2 | $3,199 | Expenses2Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $6,479,601 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,479,601 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $6,479,601 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $97,194 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $6,382,407 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $305,132 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $305,132 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $143 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $143 | TotalTaxAmt |
| Distributable Before Adj | $304,989 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $304,989 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $304,989 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,099,915 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $2,099,915 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $2,099,915 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $304,989 | DistributableAsAdjustedAmt |
| Prior Year1 | 2018 | PriorYear1Yr |
| Prior Year2 | 2017 | PriorYear2Yr |
| Prior Year3 | 2016 | PriorYear3Yr |
| Qualifying Distributions | $2,099,915 | QualifyingDistributionsAmt |
| Applied To Current Year | $304,989 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,794,926 | RemainingDistriFromCorpusAmt |
| Total Corpus | $1,794,926 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $1,794,926 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $1,794,926 | 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 (118 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| 100 BLACK MEN OF LONG BEACH INC | ||||||||
| 701 PINE AVE | LONG BEACH | CA | 90813 | N/A | PC | Charitable Event | $5,000 | |
| AFTER THE PEANUT FOUNDATION NFP | ||||||||
| PO BOX 572 | PLAINFIELD | IL | 60544 | N/A | PC | Urban Agriculture Campaign | $10,000 | |
| AMERICAN HEART ASSOCIATION | ||||||||
| 2929 SOUTH 48TH ST | TEMPE | AZ | 85282 | N/A | PC | Feeding Phoenix Families Program | $25,000 | |
| AMERICAN LUNG ASSOCIATION | ||||||||
| 3325 WILSHIRE BLVD STE 900 | LOS ANGELES | CA | 90010 | N/A | PC | Charitable Event | $5,000 | |
| ASIA PACIFIC CULTURAL CENTER | ||||||||
| 4851 S TACOMA WAY | TACOMA | WA | 98409 | N/A | PC | Charitable Event | $2,000 | |
| BABYS BOUNTY | ||||||||
| 73 SPECTRUM BLVD | LAS VEGAS | NV | 89101 | N/A | PC | Diaper bank fund for low-income families | $10,000 | |
| BIG BROTHERS-BIG SISTERS OF UTAH INC | ||||||||
| 2121 S STATE ST STE 201 | S SALT LAKE | UT | 84115 | N/A | PC | Charitable Event | $500 | |
| BROOME-DELAWARE-TIOGA BOCES | ||||||||
| 435 GLENWOOD RD | BINGHAMTON | NY | 13905 | N/A | GOV | Rock on Cafe Refrigerated Food Truck Project | $30,000 | |
| BUFFALO ISLAMIC COMMUNITY CENTER INC | ||||||||
| PO BOX 1634 | BUFFALO | NY | 14213 | N/A | PC | Charitable Event | $2,075 | |
| BUFFALO OLMSTED PARKS CONSERVANCY INC | ||||||||
| 84 PARKSIDE AVE | BUFFALO | NY | 14214 | N/A | PC | Riverside Park fund & Movie Series Project | $35,000 | |
| CALEXICO WELLNESS CENTER | ||||||||
| 420 HEFFERNAN AVE STE D | CALEXICO | CA | 92231 | N/A | PC | Charitable Event | $5,000 | |
| CALL FOR HELP INC | ||||||||
| 9400 LEBANON RD | E SAINT LOUIS | IL | 62203 | N/A | PC | St. Clair County Homeless Hotel Stays through Call for help inc. project | $20,000 | |
| CAMP KESEM NATIONAL | ||||||||
| 10586 W PICO BLVD 196 | LOS ANGELES | CA | 90064 | N/A | PC | KESEM's Camp in a Box Care Package fund | $10,000 | |
| CATHERINE PLACE | ||||||||
| 923 S 8TH ST | TACOMA | WA | 98405 | N/A | PC | Charitable Event | $1,000 | |
| CATHOLIC CHARITIES | ||||||||
| 1232 N CLASSEN BLVD | OKLAHOMA CITY | OK | 73106 | N/A | PC | General & Unrestricted | $25,000 | |
| CATHOLIC CHARITIES OF NORTHERN NEVADA | ||||||||
| PO BOX 5099 | RENO | NV | 89513 | N/A | PC | Food distribution fund | $25,000 | |
| CATHOLIC CHARITIES OF SHIAWASSEE & GENESEE COUNTIE | ||||||||
| 901 CHIPPEWA ST | FLINT | MI | 48503 | N/A | PC | General & Unrestricted | $10,000 | |
| CATHOLIC CHARITIES OF SOUTHERN NEVADA | ||||||||
| 1501 LAS VEGAS BLVD N | LAS VEGAS | NV | 89101 | N/A | PC | Food distribution fund | $25,000 | |
| CATHOLIC CHARITIES OF TOMPKINS TIOGA | ||||||||
| 324 WEST BUFFALO ST | ITHACA | NY | 14850 | N/A | PC | Food Distribution fund | $12,000 | |
| CATHOLIC SOCIAL SERVICES INC | ||||||||
| 197 E GAY ST 2ND FLOOR | COLUMBUS | OH | 43215 | N/A | PC | Charitable Event | $3,000 | |
| CENTER FOR HEALTH CARE STRATEGIES INC | ||||||||
| 200 AMERICAN METRO BLV S | HAMILTON | NJ | 08619 | N/A | PC | General & Unrestricted | $88,502 | |
| CENTRO MULTICULTURAL LA FAMILIA INC | ||||||||
| 35 W HURON | PONTIAC | MI | 48342 | N/A | PC | COVID-19 Vaccination Education & Equity Project | $6,000 | |
| CHAUTAUQUA CENTER INC | ||||||||
| 319 CENTRAL AVE | DUNKIRK | NY | 14048 | N/A | PC | Literacy Program | $2,500 | |
| CHILD AND FAMILY SERVICE OF SAGINAW COUNTY | ||||||||
| 2838 AUTOMOTIVE CTR | SAGINAW | MI | 48603 | N/A | PC | Sexual Assault Center | $1,000 | |
| CITY MISSION SOCIETY INC | ||||||||
| 100 E TUPPER ST | BUFFALO | NY | 14203 | N/A | PC | General & Unrestricted | $3,000 | |
| COALITION ON HOMELESS AND HOUSING IN OHIO | ||||||||
| 175 S 3RD ST STE 580 | COLUMBUS | OH | 43215 | N/A | PC | COHHO statewide conference fund | $3,000 | |
| COMMUNITIES IN SCHOOLS OF TACOMA | ||||||||
| 708 SOUTH G ST | TACOMA | WA | 98405 | N/A | PC | Charitable Event | $1,000 | |
| COMMUNITY DEVELOPMENT FOR ALL PEOPLE | ||||||||
| 946 PARSONS AVE | COLUMBUS | OH | 43206 | N/A | PC | Fresh Market fund | $122,500 | |
| COMMUNITY HEALTH ALLIANCE FOUNDATION | ||||||||
| 680 S ROCK BLVD | RENO | NV | 89502 | N/A | SO I | Prescription Food Pantry project | $7,000 | |
| COMMUNITY INITIATIVES | ||||||||
| 1000 BROADWAY STE 480 | OAKLAND | CA | 94607 | N/A | PC | Groundworks Ohio fund | $150,000 | |
| COMMUNITY PANTRY | ||||||||
| PO BOX 520 | GALLUP | NM | 87305 | N/A | PC | Wholehearted Food Fund & Community Pantries project | $20,000 | |
| COMPASS HEALTH | ||||||||
| 4526 FEDERAL AVE M/S 49 | EVERETT | WA | 98203 | N/A | PC | Charitable Event | $2,500 | |
| COUNCIL ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT | ||||||||
| 2500 WALDO AVE | MIDLAND | MI | 48642 | N/A | PC | Branding of Bus Overhang at emergency shelter project | $5,000 | |
| COURT APPOINTED SPECIAL ADVOCATES OF IMPERIAL COUN | ||||||||
| 229 S 8TH ST STE B | EL CENTRO | CA | 92243 | N/A | PC | Charitable Event | $5,000 | |
| DANCING FOR A DREAM INC | ||||||||
| 1850 W MAIN ST STE G | EL CENTRO | CA | 92243 | N/A | PC | Charitable Event | $5,000 | |
| DENISE LOUIE EDUCATION CENTER | ||||||||
| 5333 15TH AVE S STE 1K | SEATTLE | WA | 98108 | N/A | PC | Charitable Event | $1,000 | |
| DETROIT FRIENDSHIP HOUSE INC | ||||||||
| 9540 CONANT ST | HAMTRAMCK | MI | 48212 | N/A | PC | Stories of Hamtramck Program | $5,000 | |
| DIRECTIONS FOR YOUTH & FAMILIES INC | ||||||||
| 1515 INDIANOLA AVE | COLUMBUS | OH | 43201 | N/A | PC | Charitable Event | $2,500 | |
| DRESS FOR SUCCESS CLEVELAND | ||||||||
| 2239 E 55TH ST | CLEVELAND | OH | 44103 | N/A | PC | 2021 Dress for Success Cleveland project | $2,000 | |
| DURHAM'S MATERNAL STRESS-FREE ZONE (DH) INC | ||||||||
| 1982 DELAWARE AVE APT 2 | BUFFALO | NY | 14216 | N/A | PC | Durham's Maternal Stress-Free Zone (DH) Inc - Midwifery fund | $5,000 | |
| E-SERVICES & CASE MANAGEMENT | ||||||||
| 522 CESAR E CHAVEZ AVE | PONTIAC | MI | 48342 | N/A | PC | Youth Leadership Program | $2,500 | |
| ECONOMIC COUNCIL HELPING OTHERS INC | ||||||||
| 1921 E MURRAY DR | FARMINGTON | NM | 87401 | N/A | PC | ECHO fund in San Juan County, NM, which improves the social determinants of health and welfare of those in need | $20,000 | |
| EQUITAS HEALTH INC | ||||||||
| 1105 SCHROCK RD STE 400 | COLUMBUS | OH | 43229 | N/A | PC | Community Innovation Fund to support a mobile health care unit | $60,546 | |
| FAMILY EDUCATION AND SUPPORT SERVICES | ||||||||
| PO BOX 14907 | TUMWATER | WA | 98511 | N/A | PC | Parental Compass Podcast fund | $3,000 | |
| FEEDING TEXAS | ||||||||
| 1524 SOUTH IH 35 STE 342 | AUSTIN | TX | 78704 | N/A | PC | Food distribution fund, disaster relief fund | $250,000 | |
| FOCUS HOPE | ||||||||
| 1400 OAKMAN BLVD | DETROIT | MI | 48238 | N/A | PC | Addressing Health Disparities in Maternal Health project | $10,000 | |
| FOOD BANK OF IOWA | ||||||||
| PO BOX 1517 | DES MOINES | IA | 50305 | N/A | PC | General & Unrestricted | $50,000 | |
| FOOD RESCUE US INC | ||||||||
| 27 ANN ST | NORWALK | CT | 06854 | N/A | PC | Be The Rescue Food Program | $1,000 | |
| FOUNDATION FOR APPALACHIAN KENTUCKY INC | ||||||||
| 420 MAIN ST | HAZARD | KY | 41701 | N/A | PC | General & Unrestricted | $100,000 | |
| FRANKLIN PIERCE YOUTH FIRST INC | ||||||||
| 315 129TH ST S | TACOMA | WA | 98444 | N/A | PC | Charitable Event | $300 | |
| FREE SPIRIT MISSIONARY BAPTIST CHURCH | ||||||||
| PO BOX 517 | BUFFALO | NY | 14240 | N/A | PC | Easter Dinner Food Distribution fund | $1,250 | |
| GIRL SCOUTS OF WESTERN WASHINGTON | ||||||||
| 5601 6TH AVE S STE 150 | SEATTLE | WA | 98108 | N/A | PC | Charitable Event | $5,000 | |
| GOLDEN 22 FOUNDATION INC | ||||||||
| 4001 S PINE ST UNIT 112121 | TACOMA | WA | 98411 | N/A | PC | Youth Summit fund | $495 | |
| GOODWILL INDUSTRIES OF KENTUCKY INC | ||||||||
| 1325 S 4TH ST | LOUISVILLE | KY | 40208 | N/A | PC | Goodwill 2nd Chance Conference fund | $15,000 | |
| GRACE CENTERS OF HOPE | ||||||||
| 35 E HURON ST | PONTIAC | MI | 48342 | N/A | PC | Support of Homeless fund | $3,000 | |
| GREAT LAKES BAY HEALTH CENTERS | ||||||||
| 501 LAPEER AVE | SAGINAW | MI | 48607 | N/A | PC | Vaccine Promotions fund with Focus on COVID19 Vaccinations | $15,000 | |
| HARVEST AGAINST HUNGER | ||||||||
| 1201 LST AVE SOUTH STE 327 | SEATTLE | WA | 98134 | N/A | PC | Charitable Event | $1,000 | |
| HELP OF SOUTHERN NEVADA | ||||||||
| 1640 E FLAMINGO RD STE 100 | LAS VEGAS | NV | 89119 | N/A | PC | Secure and maintain housing project | $25,000 | |
| HELPING ENSURE AFRICA LOOMS INTERNATIONAL INC | ||||||||
| 240 W FERRY ST | BUFFALO | NY | 14213 | N/A | PC | General & Unrestricted | $8,000 | |
| HOPE HOSPITALITY AND WARMING CENTER INC | ||||||||
| 249 BALDWIN AVE | PONTIAC | MI | 48342 | N/A | PC | Charitable Giving 2021 fund | $5,000 | |
| HOSPICE OF CENTRAL IOWA FOUNDATION | ||||||||
| 3000 EASTON BLVD | DES MOINES | IA | 50317 | N/A | PC | EveryStep Healthy Heart program | $10,000 | |
| HURLEY FOUNDATION | ||||||||
| 1 HURLEY PLZ | FLINT | MI | 48503 | N/A | PC | Charitable Event | $10,000 | |
| IMAGINE THE POSSIBILITIES INC | ||||||||
| 1710 E MAPLE ST | MAQUOKETA | IA | 52060 | N/A | PC | COVID supplies fund | $5,000 | |
| IOWA ASSOCIATION OF COMMUNITY PROVIDERS | ||||||||
| 7025 HICKMAN RD STE 5 | URBANDALE | IA | 50322 | N/A | NC | Expenditure Responsibility Grant | $10,000 | |
| IOWA HEALTH CARE ASSOCIATION FOUNDATION | ||||||||
| 1775 90TH ST | WDM | IA | 50266 | N/A | PC | COVID supplies fund | $50,000 | |
| IOWA HEALTHIEST STATE INITIATIVE | ||||||||
| 301 GRAND AVE | DES MOINES | IA | 50309 | N/A | PC | Food distribution fund | $5,000 | |
| IOWA PRIMARY CARE ASSOCIATION INC | ||||||||
| 9943 HICKMAN RD | URBANDALE | IA | 50322 | N/A | PC | Connecting Siouxland Community Health Center Patients with legal aid services program | $15,000 | |
| JANNUS INC | ||||||||
| 1607 W JEFFERSON ST | BOISE | ID | 83702 | N/A | PC | Idaho Suicide Prevention Hotline Staff and Training fund | $1,000 | |
| KEEP MEMORY ALIVE | ||||||||
| 888 W BONNEVILLE AVE | LAS VEGAS | NV | 89106 | N/A | PC | Alzheimer's disease support and research fund | $50,000 | |
| KEVIN GUEST HOUSE | ||||||||
| 782 ELLICOTT ST | BUFFALO | NY | 14203 | N/A | PC | to purchase hygiene products | $1,000 | |
| LIFELINE CONNECTIONS | ||||||||
| 1601 E 4TH PLAIN BLVD STE A212 | VANCOVER | WA | 98661 | N/A | PC | Making the House a Home program | $1,000 | |
| LIVING INDEPENDENCE NETWORK CORP | ||||||||
| 1878 W OVERLAND RD | BOISE | ID | 83705 | N/A | PC | Idaho Gives Week fund - Helping individuals with disabilities remain independent | $5,000 | |
| METRO UNITED WAY INC | ||||||||
| PO BOX 4488 | LOUISVILLE | KY | 40204 | N/A | PC | Black L.O.V.E. Philanthropic Partnership fund | $25,000 | |
| MULTICARE HEALTH FOUNDATION | ||||||||
| PO BOX 5299 MSC 1313-5-PAY | TACOMA | WA | 98415 | N/A | PC | Changing Minds Lunchroom fund | $3,000 | |
| NAMI PINELLAS COUNTY FLORIDA INC | ||||||||
| 8800 49TH ST N STE 302 | PINELLAS PARK | FL | 33782 | N/A | PC | Mental Health Month fund | $7,500 | |
| NEIGHBORHOOD HOUSE | ||||||||
| 201 N 25TH ST | LOUISVILLE | KY | 40212 | N/A | PC | Youth Development Program | $10,000 | |
| NEIGHBORHOOD HOUSE ASSOCIATION | ||||||||
| 1050 W 500 S | SALT LAKE CTY | UT | 84104 | N/A | PC | Health Equity fund | $2,000 | |
| NEIGHBORHOOD SERVICE ORGANIZATION | ||||||||
| 882 OAKMAN BLVD STE C | DETROIT | MI | 48238 | N/A | PC | General & Unrestricted | $5,000 | |
| NEW VISIONS HOMELESS SERVICES | ||||||||
| 1435 N 15TH ST | COUNCIL BLFS | IA | 51501 | N/A | PC | Shelter and meals for homeless fund | $5,000 | |
| NORTHERN NEVADA HIV OUTPATIENT PROGRAM EDUCATION A | ||||||||
| 580 W 5TH ST | RENO | NV | 89503 | N/A | PC | Safe housing support and resources fund | $25,000 | |
| NOURISH PIERCE COUNTY | ||||||||
| 1702 S 72ND ST STE E | TACOMA | WA | 98408 | N/A | PC | Food Insecurity Programs | $2,500 | |
| OPERATION WARM INC | ||||||||
| PO BOX 822431 | PHILADELPHIA | PA | 19182 | N/A | PC | A Warm Welcome to the Library fund | $5,000 | |
| PARENT TO PARENT SUPPORT PROGRAM OF THURSTON COUNT | ||||||||
| 2108 CATON WAY SW | OLYMPIA | WA | 98502 | N/A | PC | Helping Parent Coordinator fund | $2,500 | |
| PONTIAC ALUMNI FOUNDATION INC | ||||||||
| 468 LUTHER AVE | PONTIAC | MI | 48341 | N/A | PC | Teacher Appreciation Program | $5,000 | |
| PREVENT BLINDNESS OHIO | ||||||||
| 1500 W 3RD AVE STE 200 | COLUMBUS | OH | 43212 | N/A | PC | Blindness prevention and resources fund | $500 | |
| PROJECT EDUCATE | ||||||||
| 13151 FOUNTAIN PARK DR APT 202 | PLAYA VISTA | CA | 90094 | N/A | PC | Charitable Event | $5,000 | |
| PUBLIC HEALTH SOLUTIONS | ||||||||
| 220 CHURCH ST 5TH FL | NEW YORK | NY | 10013 | N/A | PC | Healthcare Community Partnerships fund for New York City | $15,000 | |
| PUI TAK CENTER | ||||||||
| 2216 S WENTWORTH AVE | CHICAGO | IL | 60616 | N/A | PC | COVID Vaccine events fund | $20,000 | |
| RON FOLEY PANCREATIC CANCER FOUNDATION INC | ||||||||
| 1000 FARMINGTON AVE STE 108A | WEST HARTFORD | CT | 06107 | N/A | PC | Early detection for pancreatic cancer, family support fund | $2,500 | |
| RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTA | ||||||||
| 935 E S TEMPLE | SALT LAKE CITY | UT | 84102 | N/A | PC | Charitable Event | $10,000 | |
| SAY YES BUFFALO SCHOLARSHIP INC | ||||||||
| 712 MAIN ST | BUFFALO | NY | 14202 | N/A | PC | Everything Buffalo Mentor Race program | $25,000 | |
| SHELTER PROVIDERS OF LOS ANGELES | ||||||||
| 350 S BIXEL ST STE 100 | LOS ANGELES | CA | 90017 | N/A | PC | Charitable Event | $5,000 | |
| SHERWOOD COMMUNITY SERVICES | ||||||||
| 402 91ST AVE NE | LAKE STEVENS | WA | 98258 | N/A | PC | Charitable Event | $2,000 | |
| SLEEP IN HEAVENLY PEACE INC | ||||||||
| PO BOX 116 | KIMBERLY | ID | 83341 | N/A | PC | No Kid Sleeps on the Floor in Our Town! program | $5,000 | |
| SOCIETY OF ST VINCENT DE PAUL COUNCIL OF SEATTLE K | ||||||||
| 5950 4TH AVE S | SEATTLE | WA | 98108 | N/A | PC | Children's Day program | $500 | |
| SOLID GROUND WASHINGTON | ||||||||
| 1501 N 45TH ST | SEATTLE | WA | 98103 | N/A | PC | Charitable Event | $2,000 | |
| SOUTH CAROLINA STATE OFFICE OF RURAL HEALTH INC | ||||||||
| 107 SALUDA POINTE DR | LEXINGTON | SC | 29072 | N/A | PC | Expanding Vaccination and COVID Treatment in Rural SC project | $27,500 | |
| SOUTH CAROLINA STATE OFFICE OF RURAL HEALTH INC | ||||||||
| 107 SALUDA POINTE DR | LEXINGTON | SC | 29072 | N/A | PC | Vaccine Clinic Support fund | $7,000 | |
| SOUTHEASTERN CALIFORNIA CONFERENCE | ||||||||
| PO BOX 79990 | RIVERSIDE | CA | 92513 | N/A | PC | Charitable Event | $5,000 | |
| SOUTHERN CALIFORNIA REHABILITAION SERVICES INCORPO | ||||||||
| 2023 LINCOLN AVE | PASADENA | CA | 91103 | N/A | PC | Charitable Event | $5,000 | |
| SOUTHERN NEVADA MATERNAL AND CHILD HEALTH COALITIO | ||||||||
| 7220 S CIMARRON RD STE 195 | LAS VEGAS | NV | 89113 | N/A | PC | General & Unrestricted | $13,000 | |
| SUMMIT CENTER INC | ||||||||
| 150 STAHL RD | GETZVILLE | NY | 14068 | N/A | PC | Charitable Event | $1,000 | |
| THE ARC OF THE UNITED STATES | ||||||||
| 1825 K ST NW STE 1200 | WASHINGTON | DC | 20006 | N/A | PC | One Voice Wisconsin for Disability Rights fund | $2,500 | |
| THE CHILD CARE ACTION COUNCIL OF THURSTON COUNTY | ||||||||
| 3729 GRIFFIN LN SE | OLYMPIA | WA | 98501 | N/A | PC | Charitable Event | $1,750 | |
| THE FOOD BANK OF NORTHERN NEVADA INC | ||||||||
| 550 ITALY DR | SPARKS | NV | 89437 | N/A | PC | Food pantry fund for family with special dietary needs | $25,000 | |
| THE JESSE TREE OF IDAHO | ||||||||
| 1121 W MILLER ST | BOISE | ID | 83702 | N/A | PC | Emergency Rental Assistance Program | $1,000 | |
| THE OHIO STATE UNIVERSITY FOUNDATION | ||||||||
| 660 ACKERMAN ROAD RM 637 | COLUMBUS | OH | 43218 | N/A | PC | Molina Healthcare Scholarship Fund - OSU Dental scholarship fund | $211,000 | PO BOX 183112 |
| THE SALVATION ARMY | ||||||||
| 1450 RIVERSIDE DR | JACKSON | MS | 39202 | N/A | PC | Salvation Army Fan Club | $6,000 | |
| THREE SQUARE | ||||||||
| 4190 N PECOS ROAD | LAS VEGAS | NV | 89115 | N/A | PC | Food distribution fund | $25,000 | |
| UNDERGROUND RAILROAD INC | ||||||||
| 5647 STATE ST STE A | SAGINAW | MI | 48603 | N/A | PC | General & Unrestricted | $2,500 | |
| UNITED LABOR AGENCY OF NEVADA INC | ||||||||
| 1201 N DECATUR BLVD STE 106 | LAS VEGAS | NV | 89108 | N/A | PC | Food assistance fund, utility assistance fund | $50,000 | |
| UNITED SOMALI ALLIANCE OF BUFFALO | ||||||||
| 280 GRANT ST | BUFFALO | NY | 14213 | N/A | PC | General & Unrestricted | $5,000 | |
| UTAH PARTNERS FOR HEALTH | ||||||||
| 7651 MAIN ST | MIDVALE | UT | 84047 | N/A | PC | Reading & Literacy Program | $1,000 | |
| UTAH VETERANS ALLIANCE | ||||||||
| 230 W 200 S STE 2607 | SALT LAKE CTY | UT | 84101 | N/A | PC | Car & Bike Show fund | $1,500 | |
| WASHINGTON AUTISM ALLIANCE & ADVOCACY | ||||||||
| PO BOX 891 | KIRKLAND | WA | 98083 | N/A | PC | Charitable Event | $1,000 | |
| YOUNG WOMENS CHRISTIAN ASSOCIATION OF UTAH | ||||||||
| 322 E 300 S | SALT LAKE CITY | UT | 84111 | N/A | PC | After School Programs | $5,000 | |
| YWCA PIERCE COUNTY | ||||||||
| 405 BROADWAY | TACOMA | WA | 98402 | N/A | PC | Charitable Event | $1,000 | |
| YWCA SYRACUSE & ONONDAGA COUNTY | ||||||||
| 101 DOUGLAS ST | SYRACUSE | NY | 13203 | N/A | PC | Passport to the World fund | $15,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,039,918 | 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 | $10,452 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Div And Int From Sec Part VII | DivAndIntFromSecPartVIIGrp | |
| 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 Incm Part VII | OtherInvestmentIncmPartVIIGrp | |
| 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 | $10,452 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $10,452 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | Molina Healthcare Inc | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Oceangate Suite 100 | AddressLine1Txt |
| City | Long Beach | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $15,000,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas Tran | PersonNm |
| Short Explanation | * resigned from foundation in FYE 2021 | ShortExplanationTxt |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Iowa Association of Community Providers | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7025 Hickman Rd Suite 5 | AddressLine1Txt |
| City | Urbandale | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50322 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | 2021-02-04 | GrantDt |
| Grant | $10,000 | GrantAmt |
| Purpose Of Grant | Supportive Employment for the Disability Community | PurposeOfGrantTxt |
| Any Diversion By Grantee | NO | AnyDiversionByGranteeTxt |
| Dates Of Reports By Grantee | expected in 2022 | DatesOfReportsByGranteeTxt |
| Results Of Verification | none necessary | ResultsOfVerificationTxt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $11,806 | $11,806 | |
| Administrative Set-Up Fee | $10,000 | $10,000 | |
| Bank Charges | $131 | $131 | |
| POSTAGE/DELIVERY SERVICE | $2,169 | $2,169 | |
| Office & Supplies | $4,877 | $4,877 | |
| DCA EXPENSES | $27,757 | $27,757 |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Molina Healthcare Inc | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Oceangate Suite 100 | AddressLine1Txt |
| City | Long Beach | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90802 | ZIPCd |