STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PASSPORT FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PASSPORT FOUNDATION (EIN 26-1580196)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223209349100607
Schema version
2021v4.2
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)
Return2022-11-15T23:06:27-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261580196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Passport FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlPASSBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personjohn burbankPersonNm
Person TitlepresidentPersonTitleTxt
Phone8008391754PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstjohnPersonFirstNm
Person LastburbankPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$95,269,285FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$8,363InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8,363InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$262,158DividendsRevAndExpnssAmt
Dividends Net Invst Incm$262,158DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$10,969,612NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$25,559,800GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$10,969,619CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,862,665OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,856,105OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$13,102,798TotalRevAndExpnssAmt
Total Net Invst Incm$13,096,245TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$3,913LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$1,743LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$2,170LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$210,639AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$210,639AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$190,757OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$46,757OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$144,000OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$2,616InterestRevAndExpnssAmt
Interest Net Invst Incm$2,616InterestNetInvstIncmAmt
Taxes Rev And Expnss$139,261TaxesRevAndExpnssAmt
Taxes Net Invst Incm$8,661TaxesNetInvstIncmAmt
Occupancy Rev And Expnss$347OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$347OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,353TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$1,353TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$309PrintingAndPubRevAndExpnssAmt
Printing And Pub Dsbrs Chrtbl$309PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,318,995OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,154,239OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$154,871OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,868,190TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,214,016TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$513,689TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,704,357ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,604,357ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$4,572,547TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,214,016TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$3,118,046TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$8,530,251ExcessRevenueOverExpensesAmt
Net Investment Income$11,882,229NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$1,194,518SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$5,986,597SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$5,986,597SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$161,994AcctRcvblAmt
Acct Rcvbl BOY$9,084AcctRcvblBOYAmt
Acct Rcvbl EOY$161,994AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$161,994AcctRcvblEOYFMVAmt
Corporate Stock EOY$702,398CorporateStockEOYAmt
Corporate Stock EOYFMV$3,926,118CorporateStockEOYFMVAmt
Other Investments BOY$38,283,095OtherInvestmentsBOYAmt
Other Investments EOY$40,635,959OtherInvestmentsEOYAmt
Other Investments EOYFMV$85,194,576OtherInvestmentsEOYFMVAmt
Other Assets BOY$100,000OtherAssetsBOYAmt
Total Assets BOY$39,586,697TotalAssetsBOYAmt
Total Assets EOY$47,486,948TotalAssetsEOYAmt
Total Assets EOYFMV$95,269,285TotalAssetsEOYFMVAmt
Loans From Officers BOY$630,000LoansFromOfficersBOYAmt
Loans From Officers EOY$0LoansFromOfficersEOYAmt
Total Liabilities BOY$630,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$38,956,697RetainedEarningBOYAmt
Retained Earning EOY$47,486,948RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$38,956,697TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$47,486,948TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$39,586,697TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$47,486,948TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$38,956,697TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$8,530,251ExcessRevenueOverExpensesAmt
Subtotal$47,486,948SubtotalAmt
Tot Net Ast Or Fund Balances EOY$47,486,948TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (14 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdSoldSoldDtAcquiredAcquiredDt
OFFSHORE HEDGE FUND CAPITAL GAIN DISTRIBUTIONS$440,873$0$440,873$440,873
Passthrough K1 Capital Gain/(Loss)$2,523,507
BTC-USD - BITCOIN USD$3,000,791$1,735,099$1,265,692$1,265,692P2021-04-24
BTC-USD - BITCOIN USD$12,915,506$8,723,280$4,192,226$4,192,226P2021-05-13
BTC-USD - BITCOIN USD$4,318,151$5,240,763-$922,612-$922,612P2021-05-172021-05-12
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD$2,408,155$411,860$1,996,295$1,996,295P2021-03-312018-02-28
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD$23,523$2,228$21,295$21,295P2021-06-302018-02-28
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD$50,792$9,650$41,142$41,142P2021-09-302018-02-28
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD$214,888$7,629$207,259$207,259P2021-12-092018-02-28
LEGION - HOLDBACK$9,084$9,084P2021-04-062020-10-01
LEGPIBLP - LEGP I AIV (B) LP$1,286$19,440-$18,154-$18,154P2021-12-212013-06-17
MAPROCK - Maple Rock Offshore Fund LP$130,323$7,545$122,778$122,778P2021-03-312015-02-03
SAVAGEXHOLD - SAVAGE X HOLDING, LLC$487,848$69,112$418,736$418,736P2021-03-192012-12-31
TECHSTYLEINC - TECHSTYLE, INC$1,558,580$877,998$680,582$680,582P2021-03-112012-12-31
FieldValueIRS element (for citing)
Capital Gain Net Income$10,969,619CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$165,163InvestmentIncomeExciseTaxAmt
Subtotal$165,163SubtotalAmt
Tax Based On Investment Income$165,163TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$168,131EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$168,131TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$2,968OverpaymentAmt
Applied To ES Tax$2,968AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityYes (true)OwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
John H Burbank III
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Pres1.0$0$0$0
Jim Cunningham
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Trustee1.0$0$0$0
Julie Kim
Foundation Source 501 Silverside RdWilmingtonDE198091377Sec20.0$0$0$0
Walther Lovato
Foundation Source 501 Silverside RdWilmingtonDE198091377Dir, Trustee1.0$0$0$0
Joanne Poile
Foundation Source 501 Silverside RdWilmingtonDE198091377Treas1.0$0$0$0

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SUSAN CHEN
277 ELDER VIEW DRIVELAS VEGASNV89138PHILANTHROPIC$53,639
Foundation Source
55 Walls Drive 3rd FlFairfieldCT06824Administrative$145,533
Janet Maughan
428 Lagunitas AvenueOaklandCA94610Philanthropic$144,421
Navolio & Tallman LLP
2121 N California Blvd Suite 610Walnut CreekCA94596Philanthropic$135,000
FieldValueIRS element (for citing)
Contractor Paid Over50k100ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,738,017AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$7,904,008AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$83,283,750FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$96,925,775TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$96,925,775AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,453,887CashDeemedCharitableAmt
Net Vl Noncharitable Assets$95,471,888NetVlNoncharitableAssetsAmt
Minimum Investment Return$4,773,594MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$4,773,594MinimumInvestmentReturnAmt
Tax Based On Investment Income$165,163TaxBasedOnInvestmentIncomeAmt
Total Tax$165,163TotalTaxAmt
Distributable Before Adj$4,608,431DistributableBeforeAdjAmt
Distributable Before Ded$4,608,431DistributableBeforeDedAmt
Distributable As Adjusted$4,608,431DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,118,046ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$3,118,046QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$4,608,431DistributableAsAdjustedAmt
Undistributed Income PY$2,825,655UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Qualifying Distributions$3,118,046QualifyingDistributionsAmt
Applied To Year1$2,825,655AppliedToYear1Amt
Applied To Current Year$292,391AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$4,316,040UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJohn H Burbank IIIContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (65 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADELANTE FOUNDATION
PO BOX 2329SAN FRANCISCOCA94126N/APCGeneral & Unrestricted$500
ADELANTE FOUNDATION
PO BOX 2329SAN FRANCISCOCA94126N/APCEmployee Matching$500
ARMENIA FUND INC
111 N JACKSON ST STE 205GLENDALECA91206N/APCEmployee Matching$1,000
BREAST CANCER PREVENTION PARTNERS
1388 SUTTER ST STE 400SAN FRANCISCOCA94109N/APCClearya Seed Grant, for the activities outlined in$50,000
BUSINESS EXECUTIVES FOR NATIONAL SECURITY
1030 15TH ST NW STE 200 EWASHINGTONDC20005N/APCGeneral & Unrestricted$25,000
CENTER FOR ENVIRONMENTAL HEALTH
2201 BROADWAY STE 508OAKLANDCA94612N/APCGeneral Support$80,000
CENTRO MATER FOUNDATION INC
4970 SW 80TH STMIAMIFL33143N/APCEmployee Matching$10,000
CHANGE ORG CHARITABLE FOUNDATION INC
548 MARKET ST BOX 29993SAN FRANCISCOCA94104N/APCGeneral & Unrestricted$1,647
CHINESE HOSPITAL ASSOCIATION
845 JACKSON STSAN FRANCISCOCA94133N/APCEmployee Matching$100
CLEAN AND HEALTHY NEW YORK INC
69 STATE ST SUITE 1400CALBANYNY12207N/APCAdvancing a Nontoxic, Just, Regenerative Circular$65,000
CLEAN PRODUCTION ACTION
1310 BROADWAY STE 101SOMERVILLEMA02144N/APCDemonstrating a National Model for Replacing Toxic$55,000
CLEAN WATER FUND
1444 EYE ST NW NO 400WASHINGTONDC20005N/APCAddressing California's PFAS Crisis$60,000
COMING CLEAN INC
28 VERNON ST STE 434BRATTLEBOROVT05301N/APCCampaign for Healthier Solutions$65,000
CONTRA COSTA GOSPEL CHURCH INC
2460 BUENA VISTA AVEWALNUT CREEKCA94597N/APCEmployee Matching$4,000
EARTHJUSTICE
50 CALIFORNIA ST SUITE 500SAN FRANCISCOCA94111N/APCEmployee Matching$5,000
EARTHJUSTICE
50 CALIFORNIA ST SUITE 500SAN FRANCISCOCA94111N/APCProtecting Communities from Toxic Chemical Exposur$100,000
EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
1801 VICENTE STSAN FRANCISCOCA94116N/APCEmployee Matching$2,505
ENVIRONMENTAL DEFENSE FUND INCORPORATED
257 PARK AVE SOUTHNEW YORKNY10010N/APCSafer Food for All$100,000
ENVIRONMENTAL PROTECTION NETWORK
2925 LEGATION ST NWWASHINGTONDC20015N/APCGeneral Support for EPN's Work to Build the Capaci$50,000
ENVIRONMENTAL WORKING GROUP
1250 I ST NW STE 1000WASHINGTONDC20005N/APCNational Campaign for Food Chemical Reform$75,000
ENVIRONMENTAL WORKING GROUP
1250 I ST NW STE 1000WASHINGTONDC20005N/APCFood Chemicals Coordinated Campaign$75,000
EQUAL JUSTICE INITIATIVE
122 COMMERCE STMONTGOMERYAL36104N/APCEmployee Matching$1,000
FRIENDS OF THE URBAN FOREST
1007 GENERAL KENNEDY AVE STE 1SAN FRANCISCOCA94129N/APCGeneral & Unrestricted$1,035
GEORGE WASHINGTON UNIVERSITY
2033 K ST STE 300WASHINGTONDC20052N/APCAgents of Change: Amplifying New Voices in Environ$65,000
GOLDEN STATE WARRIORS COMMUNITY FOUNDATION
1 WARRIORS WAYSAN FRANCISCOCA94158N/APCGeneral & Unrestricted$25,000
GREEN CORPS INC
1543 WAZEE ST STE 400DENVERCO80202N/APCGreen Corps and Toxic-Free Future Partnership to E$50,000
GREEN FOOTHILLS FOUNDATION
3921 E BAYSHORE BLVDPALO ALTOCA94303N/APCEmployee Matching$5,000
GREEN FOOTHILLS FOUNDATION
3921 E BAYSHORE BLVDPALO ALTOCA94303N/APCGeneral & Unrestricted$1,000
GREEN SCIENCE POLICY INSTITUTE
1400 SHATTUCK AVE STE 8BERKELEYCA94709N/APCReducing harmful chemicals in consumer products -$75,000
HEALTHY BUILDING NETWORK
4911 7TH ST NWWASHINGTONDC20011N/APCChemFORWARD: Safe + Circular Food Packaging$100,000
HEALTHY BUILDING NETWORK
4911 7TH ST NWWASHINGTONDC20011N/APCGeneral Support$100,000
INTERNATIONAL SOCIETY FOR CHILDRENS HEALTH AND THE
1100 E WOODFIELD RD STE 350SCHAUMBURGIL60173N/APCThe Impact of Toxic Chemicals on Brain Development$50,000
MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT
PO BOX 5030HAGERSTOWNMD21741N/APCEmployee Matching$1,000
MIRACLEFEET
107 CONNOR DR STE 230CHAPEL HILLNC27514N/APCAfrica proposal$250,000
MISSION AVIATION FELLOWSHIP
PO BOX 47NAMPAID83653N/APCEmployee Matching$1,450
NATIONAL NETWORK OF ABORTION FUNDS
9450 SW GEMINI DR PMB 16009BEAVERTONOR97008N/APCEmployee Matching$520
NATURAL RESOURCES DEFENSE COUNCIL INC
40 WEST 20TH ST 11TH FLOORNEW YORKNY10011N/APCGeneral & Unrestricted$500
NATURAL RESOURCES DEFENSE COUNCIL INC
40 WEST 20TH ST 11TH FLOORNEW YORKNY10011N/APCProtecting the Public from Toxic Chemicals$100,000
NEWSONG COMMUNITY CHURCH OF ORANGE COUNTY
910 W 17TH ST STE BSANTA ANACA92706N/APCEmployee Matching$3,000
PACIFIC BEACH COALITION
PO BOX 932PACIFICACA94044N/APCGeneral & Unrestricted$100
PAN-MASSACHUSETTS CHALLENGE INC
77 4TH AVENEEDHAMMA02494N/APCEmployee Matching$6,000
PATH MINISTRIES INTERNATIONAL
PO BOX 4010SEAL BEACHCA90740N/APCGeneral & Unrestricted$10,000
PESTICIDE ACTION NETWORK NORTH AMERICA REGIONAL CE
2029 UNIVERSITY AVE STE 200BERKELEYCA94704N/APCFumigant-Free Farming: the campaign to ban 1,3-dic$60,000
PHYSICIANS FOR SOCIAL RESPONSIBILITY INC
617 S OLIVE ST STE 1100LOS ANGELESCA90014N/APCPhysicians for Social Responsibility - Los Angeles$75,000
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
123 WILLIAMS ST 10TH FLNEW YORKNY10038N/APCEmployee Matching$1,000
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE
201 SPROUL HALL 1960BERKELEYCA94720N/APCGeneral & Unrestricted$100
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE
201 SPROUL HALL 1960BERKELEYCA94720N/APCEmployee Matching$100
SAN FRANCISCO CASA
2535 MISSION STSAN FRANCISCOCA94110N/APCEmployee Matching$500
SAN FRANCISCO FOOD BANK
900 PENNSYLVANIA AVESAN FRANCISCOCA94107N/APCGeneral & Unrestricted$300
ST JUDE CHILDREN'S RESEARCH HOSPITAL
3750 NW 87TH AVE STE 100DORALFL33178N/APCEmployee Matching$100
STANFORD JAZZ WORKSHOP
PO BOX 20454STANFORDCA94309N/APCGeneral & Unrestricted$1,250
SUSTAINABLE PURCHASING COUNCIL
2885 SANFORD AVE SW 33539GRANDVILLEMI49418N/APCToxics and Environmental Justice in Procurement$75,000
THE ARC OF THE UNITED STATES
1825 K ST NW STE 1200WASHINGTONDC20006N/APCProject TENDR (Targeting Environmental Neuro-Devel$60,000
THE TEXAS DEMOCRACY FOUNDATION
54 CHICON STAUSTINTX78702N/APCPublic Health Watch launch Support Another Organiz$60,000
TOXIC-FREE FUTURE
4649 SUNNYSIDE AVE N STE 540SEATTLEWA98103N/APCSAFER States: Building Intersections Between Plast$30,000
TOXIC-FREE FUTURE
4649 SUNNYSIDE AVE N STE 540SEATTLEWA98103N/APCSafer Solutions Meetings$30,000
TOXIC-FREE FUTURE
4649 SUNNYSIDE AVE N STE 540SEATTLEWA98103N/APCProtecting Communities and the Environment from To$75,000
TOXIC-FREE FUTURE
4649 SUNNYSIDE AVE N STE 540SEATTLEWA98103N/APCSafer States Chemical and Plastics Campaigns$75,000
TOXIC-FREE FUTURE
4649 SUNNYSIDE AVE N STE 540SEATTLEWA98103N/APCSafer Chemicals Healthy Families/ Mind the Store$80,000
UNIVERSITY OF CALIFORNIA SAN FRANCISCO - UC REGE
PO BOX 45339SAN FRANCISCOCA94145N/APCDefending Science and Promoting Evidence-Based Dec$100,000
UNIVERSITY OF MASSACHUSETTS FOUNDATION INC
100 CARLSON AVENEWTON CENTERMA02459N/APCCreating a compelling economic and business case f$100,000
VALLEY OF THE MOON NATURAL HISTORY ASSOCIATION
2400 LONDON RANCH RDGLEN ELLENCA95442N/APCEmployee Matching$150
VIRGINIA ORGANIZING INC
703 CONCORD AVECHARLOTTESVILLEVA22903N/APCHEFN 2.0: Toxics Funders Expansion Project Support$50,000
VIRGINIA ORGANIZING INC
703 CONCORD AVECHARLOTTESVILLEVA22903N/APCHealthy Baby Food for All Babies Support Another O$60,000
PRACTICE GREENHEALTH
12110 SUNSET HILLS RD STE 600RESTONVA20190PRI loan forgiveness for PRI - Practice Greenhealth in March 2021. Qualifying distribution counted in 2016$100,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,704,357TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,363ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$262,158ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm-$7UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$10,969,619ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescK-1 Inc/LossDesc
Business525990BusinessCd
Unrelated Business Taxbl Incm-$9,388UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$1,872,053ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm-$9,395UnrelatedBusinessTaxblIncmAmt
Exclusion$13,112,193ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$13,102,798TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAudit FeesCategoryTxt
Amt$210,639Amt
Disbursements Charitable Prps$210,639DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERNATIONAL POLLUTANTS ELIMINATION NETBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1BOX 7256AddressLine1Txt
CityGOTHENBURGCityNm
CountrySWCountryCd
Foreign Postal40235ForeignPostalCd
FieldValueIRS element (for citing)
Grant2020-06-02GrantDt
Grant$75,000GrantAmt
Purpose Of GrantSUPPORT LEVERAGING DATA ON TOXIC CHEMICALS IN PLASTICS TO ADVANCE ENVIRONMENTAL HEALTH GOALSPurposeOfGrantTxt
Expended By Grantee$32,593ExpendedByGranteeAmt
Any Diversion By GranteeNOAnyDiversionByGranteeTxt
Dates Of Reports By Grantee08/30/2021, 5/25/2022DatesOfReportsByGranteeTxt
Results Of VerificationNONE NECESSARYResultsOfVerificationTxt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (3 entries)

IdentifierIdentifierTxtForm And Line ReferenceFormAndLineReferenceDescMedium ExplanationMediumExplanationTxt
FORM 990-PF, PARTS I AND XIVFORM 990-PF, PARTS I AND XIVTOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $2,704,357 LESS Forgiveness of PRI: $100,000 TOTAL Part I, Line 25, Column (d): $2,604,357
FORM 926FORM 926The 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.
FORMS 8865FORM 8865The Foundation has prepared these forms 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.

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockAPPLOVIN CORPStockNm
EOY Book Value$702,398EOYBookValueAmt
EOYFMV$3,926,118EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (63 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
1KX LP$1,479,877$2,890,316
AAF II - YASI VENTURES, L.P$232,597$294,449
AVENTUS$437,580$287,100
BIG LEAGUE ADVANCE FUND II, LP$410,924$410,924
BULLPEN CAPITAL IV, L.P$417,629$1,125,465
CH VENTURES I, L.P$183,413$270,939
CHANGE.ORG GROWTH LLC$7,149
CIVILIZATION VENTURES II, L.P.$82,134$94,906
CLOCKTOWER LATIN AMERICAN TECH$60,002$76,994
COURTSIDE VENTURES II, L.P$321,657$628,335
COURTSIDE VENTURES III, L.P$147,665$143,990
CRE VENTURE CAPITAL FUND II, L$457,746$821,952
CV 2-KREATE, L.P$118,261$126,650
DATAMINR INC.$364,994$1,259,588
DISTRIBUTED GLOBAL OFFSHORE FU$67,375$903,996
ELECTRIC CAPITAL PARTNERS FRON$379,087$4,667,742
FMZ VENTURES FUND I, L.P$394,738$530,852
FORMATION8 PARTNERS ENTREPRENE$192,473$610,964
FYRFLY VENTURE PARTNERS FUND I$379,461$635,235
GLOBAL VENTURES L.P$186,147$447,116
GOVTECH FUND I, L.P$1,280,954$2,862,156
GOVTECH FUND II, L.P$642,615$831,348
HAVENCREST HEALTHCARE PARTNERS$324,888$1,293,091
HEROIC VENTURES, L.P$157,932$1,106,090
HUAXING CAPITAL PARTNERS II, L$245,848$465,823
HUAXING CAPITAL PARTNERS, LP$448,577$628,282
INNOVATION WORKS DEVELOPMENT F$393,576$1,658,484
LEARNSTART I, L.P$195,491$315,748
LEARNSTART II, L.P.$112,644$112,370
LEGACY CAPITAL, LP$1,563,748$1,985,748
LEGACY HARMONY LTD$1,130,510$2,029,976
LEVEL EQUITY GROWTH PARTNERS I$592,204$2,319,707
LJ VENTURES FUND II, L.P$721,634$1,727,553
MADIBA 6-2 LLC$1,035,606$1,061,980
MASTRY FUND I, LP$64,945$64,143
MAVEN VENTURES FUND II, L.P$437,482$4,099,024
MAVEN VENTURES FUND III, L.P$119,182$176,336
MERON II, L.P$146,478$243,038
META STABLE EDGE OFFSHORE FUND$804,548
MITHRIL II LP$854,782$898,929
MORTAR & MASH ONE, LLC$38,441$78,000
NEW FORM CAPITAL I, L.P.$958,658$1,643,595
NIMBLE PARTNERS FUND I, LP$16,713,119$33,813,857
QUIET GROWTH I, L.P$425,567$1,005,154
REGENERATION.VC FUND 1, LP$64,726$62,578
ROCANA VENTURE PTNRS II (US) L$189,633$289,106
ROGUE CAPITAL PARTNERS, L.P$122,519$175,321
RTW OFFSHORE FUND ONE LTD$61,634
SALT FUND I, L.P.$107,101$110,416
SILVER LAKE WATERMAN FUND, L.P$33,298$100,694
SKY9 CAPITAL FUND III, L.P$793,492$1,370,454
SKY9 CAPITAL FUND IV, L.P$201,850$368,168
SKY9 CAPITAL MVP FUND, L.P$454,359$615,495
SPHERA BIOTECH FEEDER FUND, L.$1,000,000$792,890
SYBIL CAPITAL FUND I-B FEEDER$550,000$593,018
TANDEM FUND II, LP$394,709$1,407,294
TFG HOLDING, INC$137,659$191,705
THE CXO FUND, LLC$224,916$301,395
THERAPYDIA, INC$508,083$508,153
UNIKOINGOLD$303,858$1,327
VOLTA ENERGY STORAGE FUND I L.$189,365$208,109
WILL VENTURES FUND I, L.P$335,100$489,854
WTI FUND X LLC$99,501$94,472

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryGeneral ConsultationsCategoryTxt
Legal Fees$3,913LegalFeesAmt
Net Investment Income$1,743NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,170DisbursementsCharitablePrpsAmt

Loans From Officers Schedule LoansFromOfficersSchedule

Loans From Officer LoansFromOfficerGrp

FieldValueIRS element (for citing)
Lender PersonJOHN H BURBANK IIILenderPersonNm
Loan Original$630,000LoanOriginalAmt
Balance Due$0BalanceDueAmt
Note2020-12NoteDt
Loan Maturity2021-01LoanMaturityDt
Repayment TermsBALANCE DUE WITHIN 30 DAYSRepaymentTermsTxt
Security Provided BorrowerNONESecurityProvidedBorrowerTxt
Loan PurposeCHARITABLE PURPOSESLoanPurposeTxt
Lender ConsiderationCASH OF $630,000LenderConsiderationDesc

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (56 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$145,531$145,531
BANK CHARGES$130$130
Foundation Dues & Memberships$8,769$8,769
K-1 Exp 1KX LP$12,286$12,286
K-1 Exp AAF II - YASI VENTURES$6,967$6,967
K-1 Exp BIG LEAGUE ADVANCE FUN$21,436$21,436
K-1 Exp BULLPEN CAPITAL IV, L.$13,538$13,538
K-1 Exp CH VENTURES I, L.P$8,317$8,317
K-1 Exp CIVILIZATION VENTURES$6,057$6,057
K-1 Exp CLOCKTOWER LATIN AMERI$5,026$5,026
K-1 Exp COURTSIDE VENTURES II,$11,162$11,162
K-1 Exp COURTSIDE VENTURES III$2,335$2,335
K-1 Exp CRE VENTURE CAPITAL FU$14,634$14,634
K-1 Exp CV 2-KREATE, L.P$6,739$6,739
K-1 Exp FMZ VENTURES FUND I, L$11,955$11,955
K-1 Exp FORMATION8 PARTNERS EN$531$531
K-1 Exp FYRFLY VENTURE PARTNER$14,521$14,521
K-1 Exp GLOBAL VENTURES L.P$7,424$7,424
K-1 Exp GOVTECH FUND I, L.P$4,671$4,671
K-1 Exp GOVTECH FUND II, L.P$22,709$22,708
K-1 Exp HAVENCREST HEALTHCARE$14,450$14,446
K-1 Exp HEROIC VENTURES, L.P$1,189$1,189
K-1 Exp HUAXING CAPITAL PARTNE$5,971$5,971
K-1 Exp HUAXING CAPITAL PARTNE$6,263$6,263
K-1 Exp INNOVATION WORKS DEVEL$14,449$14,449
K-1 Exp LEARNSTART I, L.P$6,705$4,861
K-1 Exp LEARNSTART II, L.P.$13,050$8,697
K-1 Exp LEGACY CAPITAL, LP$75,065$75,063
K-1 Exp LEGP I AIV (B) LP$923$923
K-1 Exp LEVEL EQUITY GROWTH PA$20,635$18,603
K-1 Exp LJ VENTURES FUND II, L$54,597$54,597
K-1 Exp MADIBA 6-2 LLC$26,894$26,894
K-1 Exp MASTRY FUND I, LP$1,055$1,055
K-1 Exp MAVEN VENTURES FUND II$11,466$11,466
K-1 Exp MAVEN VENTURES FUND II$6,658$6,658
K-1 Exp MERON II, L.P$11,022$11,022
K-1 Exp MITHRIL II LP$15,973$15,973
K-1 Exp MORTAR & MASH ONE, LLC$16
K-1 Exp NEW FORM CAPITAL I, L.$35,322$35,322
K-1 Exp NIMBLE PARTNERS FUND I$542,013$540,387
K-1 Exp QUIET GROWTH I, L.P$13,184$13,184
K-1 Exp REGENERATION.VC FUND 1$4,024$4,024
K-1 Exp ROCANA VENTURE PTNRS I$8,971$8,964
K-1 Exp ROGUE CAPITAL PARTNERS$17,528$17,528
K-1 Exp SALT FUND I, L.P.$5,449$5,449
K-1 Exp SKY9 CAPITAL FUND III,$25,560$25,560
K-1 Exp SKY9 CAPITAL FUND IV,$4,244$4,244
K-1 Exp SKY9 CAPITAL MVP FUND,$1,832$1,832
K-1 Exp TANDEM FUND II, LP$18,018$18,018
K-1 Exp THE CXO FUND, LLC$6,336$6,336
K-1 Exp VOLTA ENERGY STORAGE F$11,046$11,046
K-1 Exp WILL VENTURES FUND I,$13,278$13,278
K-1 Exp WTI FUND X LLC$500$500
Miscellaneous$150$150
Postage/Delivery Service$271$271
State or Local Filing Fees$150$150

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (40 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
K-1 Inc/Loss 1KX LP$77,240$77,240
K-1 Inc/Loss AAF II - YASI VENTURES, L.P$78$78
K-1 Inc/Loss BIG LEAGUE ADVANCE FUND II, LP$27$27
K-1 Inc/Loss BULLPEN CAPITAL IV, L.P$510$510
K-1 Inc/Loss CH VENTURES I, L.P$1,378$1,378
K-1 Inc/Loss CIVILIZATION VENTURES II, L.P.$92$92
K-1 Inc/Loss CLOCKTOWER LATIN AMERICAN TECHNOLOGIE$28$28
K-1 Inc/Loss COURTSIDE VENTURES II, L.P$253$253
K-1 Inc/Loss CRE VENTURE CAPITAL FUND II, L.P$2,840$2,840
K-1 Inc/Loss FMZ VENTURES FUND I, L.P-$13-$13
K-1 Inc/Loss FORMATION8 PARTNERS ENTREPRENEURS FUN$7$7
K-1 Inc/Loss FYRFLY VENTURE PARTNERS FUND II, LP$1,409$1,409
K-1 Inc/Loss GLOBAL VENTURES L.P$24,147$24,147
K-1 Inc/Loss GOVTECH FUND I, L.P$993$993
K-1 Inc/Loss GOVTECH FUND II, L.P$2,362$2,362
K-1 Inc/Loss HAVENCREST HEALTHCARE PARTNERS, LP$27,874$16,552
K-1 Inc/Loss HEROIC VENTURES, L.P$15,698$15,698
K-1 Inc/Loss HUAXING CAPITAL PARTNERS II, LP$67$67
K-1 Inc/Loss INNOVATION WORKS DEVELOPMENT FUND, LP$1$1
K-1 Inc/Loss LEARNSTART I, L.P$704$704
K-1 Inc/Loss LEARNSTART II, L.P.$694$462
K-1 Inc/Loss LEGACY CAPITAL, LP$79,084$79,084
K-1 Inc/Loss LEVEL EQUITY GROWTH PARTNERS I, LP-$10,128$5,651
K-1 Inc/Loss LJ VENTURES FUND II, L.P$196$196
K-1 Inc/Loss MAVEN VENTURES FUND III, L.P$209$209
K-1 Inc/Loss MITHRIL II LP$1,596$1,596
K-1 Inc/Loss MORTAR & MASH ONE, LLC$5,210-$6,339
K-1 Inc/Loss NEW FORM CAPITAL I, L.P.$579$579
K-1 Inc/Loss NIMBLE PARTNERS FUND I, LP$1,610,751$1,610,270
K-1 Inc/Loss ROCANA VENTURE PTNRS II (US) LP-$832$413
K-1 Inc/Loss ROGUE CAPITAL PARTNERS, L.P$47$47
K-1 Inc/Loss SALT FUND I, L.P.$50$50
K-1 Inc/Loss SILVER LAKE WATERMAN FUND, L.P$13,375$13,375
K-1 Inc/Loss SKY9 CAPITAL FUND IV, L.P$40$40
K-1 Inc/Loss SKY9 CAPITAL MVP FUND, L.P$249$249
K-1 Inc/Loss TANDEM FUND II, LP$70$70
K-1 Inc/Loss THE CXO FUND, LLC$3,920$3,920
K-1 Inc/Loss VOLTA ENERGY STORAGE FUND I L.P.$411$411
K-1 Inc/Loss WILL VENTURES FUND I, L.P$1,448$1,448
K-1 Inc/Loss WTI FUND X LLC$1$1

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Philanthropic Consulting Srvcs$144,000$144,000
INVESTMENT BROKER FEES$46,757$46,757

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
990-PF Estimated Tax for 2021$130,600
Foreign Tax Paid$8,661$8,661

Transfers Frm Controlled Entities TransfersFrmControlledEntities

Transfers From Controlled Ent TransfersFromControlledEntGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIMBLE PARTNERS FUND I LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 LETTERMAN DR BLDG A STE 4900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94129ZIPCd
FieldValueIRS element (for citing)
EIN844303514EIN
DescTHIS ENTITY IS NOT AN EXCESS BUSINESS HOLDINGDesc
Amt$702,398Amt
FieldValueIRS element (for citing)
Total$702,398TotalAmt

Transfers To Controlled Entities TransfersToControlledEntities

Transfers To Controlled Ent TransfersToControlledEntGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIMBLE PARTNERS FUND I LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 LETTERMAN DR BLDG A STE 4900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94129ZIPCd
FieldValueIRS element (for citing)
EIN844303514EIN
DescCAPITAL CONTRIBUTION TO PARTNERSHIPDesc
Amt$9,451,369Amt
FieldValueIRS element (for citing)
Total$9,451,369TotalAmt