2022-11-15T23:06:27-06:00 2021-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2021-01-01 261580196 The Passport Foundation % Foundation Source PASS 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 john burbank president 8008391754 2022-11-15 true john burbank 999009999 Jeffrey D Haskell P01345770 8008391754 2021 2022-09-23 18:48:47Z X 95269285 X 0 X 8363 8363 262158 262158 10969612 25559800 10969619 1862665 1856105 13102798 13096245 0 3913 1743 0 2170 210639 0 0 210639 190757 46757 144000 2616 2616 139261 8661 347 347 1353 1353 309 309 1318995 1154239 154871 1868190 1214016 0 513689 2704357 2604357 4572547 1214016 0 3118046 8530251 11882229 1194518 5986597 5986597 161994 9084 161994 161994 702398 3926118 38283095 40635959 85194576 100000 39586697 47486948 95269285 630000 0 630000 0 X 38956697 47486948 38956697 47486948 39586697 47486948 38956697 8530251 47486948 47486948 OFFSHORE HEDGE FUND CAPITAL GAIN DISTRIBUTIONS 440873 0 440873 440873 Passthrough K1 Capital Gain/(Loss) 2523507 BTC-USD - BITCOIN USD P 2021-04-24 3000791 1735099 1265692 1265692 BTC-USD - BITCOIN USD P 2021-05-13 12915506 8723280 4192226 4192226 BTC-USD - BITCOIN USD P 2021-05-12 2021-05-17 4318151 5240763 -922612 -922612 DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-03-31 2408155 411860 1996295 1996295 DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-06-30 23523 2228 21295 21295 DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-09-30 50792 9650 41142 41142 DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-12-09 214888 7629 207259 207259 LEGION - HOLDBACK P 2020-10-01 2021-04-06 9084 9084 LEGPIBLP - LEGP I AIV (B) LP P 2013-06-17 2021-12-21 1286 19440 -18154 -18154 MAPROCK - Maple Rock Offshore Fund LP P 2015-02-03 2021-03-31 130323 7545 122778 122778 SAVAGEXHOLD - SAVAGE X HOLDING, LLC P 2012-12-31 2021-03-19 487848 69112 418736 418736 TECHSTYLEINC - TECHSTYLE, INC P 2012-12-31 2021-03-11 1558580 877998 680582 680582 10969619 165163 165163 165163 168131 0 168131 X 0 2968 2968 false false false false false true true false true true CA true false false true false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false false false false John H Burbank III Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres 1.0 0 0 0 Jim Cunningham Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Trustee 1.0 0 0 0 Julie Kim Foundation Source 501 Silverside Rd Wilmington DE 198091377 Sec 20.0 0 0 0 Walther Lovato Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Trustee 1.0 0 0 0 Joanne Poile Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas 1.0 0 0 0 SUSAN CHEN 277 ELDER VIEW DRIVE LAS VEGAS NV 89138 PHILANTHROPIC 53639 Foundation Source 55 Walls Drive 3rd Fl Fairfield CT 06824 Administrative 145533 Janet Maughan 428 Lagunitas Avenue Oakland CA 94610 Philanthropic 144421 Navolio & Tallman LLP 2121 N California Blvd Suite 610 Walnut Creek CA 94596 Philanthropic 135000 100 5738017 7904008 83283750 96925775 0 96925775 1453887 95471888 4773594 4773594 165163 165163 4608431 4608431 4608431 3118046 0 0 0 0 3118046 4608431 2825655 2019 2018 2017 3118046 2825655 292391 0 0 4316040 0 0 John H Burbank III X ADELANTE FOUNDATION PO BOX 2329 SAN FRANCISCO CA 94126 N/A PC General & Unrestricted 500 ADELANTE FOUNDATION PO BOX 2329 SAN FRANCISCO CA 94126 N/A PC Employee Matching 500 ARMENIA FUND INC 111 N JACKSON ST STE 205 GLENDALE CA 91206 N/A PC Employee Matching 1000 BREAST CANCER PREVENTION PARTNERS 1388 SUTTER ST STE 400 SAN FRANCISCO CA 94109 N/A PC Clearya Seed Grant, for the activities outlined in 50000 BUSINESS EXECUTIVES FOR NATIONAL SECURITY 1030 15TH ST NW STE 200 E WASHINGTON DC 20005 N/A PC General & Unrestricted 25000 CENTER FOR ENVIRONMENTAL HEALTH 2201 BROADWAY STE 508 OAKLAND CA 94612 N/A PC General Support 80000 CENTRO MATER FOUNDATION INC 4970 SW 80TH ST MIAMI FL 33143 N/A PC Employee Matching 10000 CHANGE ORG CHARITABLE FOUNDATION INC 548 MARKET ST BOX 29993 SAN FRANCISCO CA 94104 N/A PC General & Unrestricted 1647 CHINESE HOSPITAL ASSOCIATION 845 JACKSON ST SAN FRANCISCO CA 94133 N/A PC Employee Matching 100 CLEAN AND HEALTHY NEW YORK INC 69 STATE ST SUITE 1400C ALBANY NY 12207 N/A PC Advancing a Nontoxic, Just, Regenerative Circular 65000 CLEAN PRODUCTION ACTION 1310 BROADWAY STE 101 SOMERVILLE MA 02144 N/A PC Demonstrating a National Model for Replacing Toxic 55000 CLEAN WATER FUND 1444 EYE ST NW NO 400 WASHINGTON DC 20005 N/A PC Addressing California's PFAS Crisis 60000 COMING CLEAN INC 28 VERNON ST STE 434 BRATTLEBORO VT 05301 N/A PC Campaign for Healthier Solutions 65000 CONTRA COSTA GOSPEL CHURCH INC 2460 BUENA VISTA AVE WALNUT CREEK CA 94597 N/A PC Employee Matching 4000 EARTHJUSTICE 50 CALIFORNIA ST SUITE 500 SAN FRANCISCO CA 94111 N/A PC Employee Matching 5000 EARTHJUSTICE 50 CALIFORNIA ST SUITE 500 SAN FRANCISCO CA 94111 N/A PC Protecting Communities from Toxic Chemical Exposur 100000 EDGEWOOD CENTER FOR CHILDREN AND FAMILIES 1801 VICENTE ST SAN FRANCISCO CA 94116 N/A PC Employee Matching 2505 ENVIRONMENTAL DEFENSE FUND INCORPORATED 257 PARK AVE SOUTH NEW YORK NY 10010 N/A PC Safer Food for All 100000 ENVIRONMENTAL PROTECTION NETWORK 2925 LEGATION ST NW WASHINGTON DC 20015 N/A PC General Support for EPN's Work to Build the Capaci 50000 ENVIRONMENTAL WORKING GROUP 1250 I ST NW STE 1000 WASHINGTON DC 20005 N/A PC National Campaign for Food Chemical Reform 75000 ENVIRONMENTAL WORKING GROUP 1250 I ST NW STE 1000 WASHINGTON DC 20005 N/A PC Food Chemicals Coordinated Campaign 75000 EQUAL JUSTICE INITIATIVE 122 COMMERCE ST MONTGOMERY AL 36104 N/A PC Employee Matching 1000 FRIENDS OF THE URBAN FOREST 1007 GENERAL KENNEDY AVE STE 1 SAN FRANCISCO CA 94129 N/A PC General & Unrestricted 1035 GEORGE WASHINGTON UNIVERSITY 2033 K ST STE 300 WASHINGTON DC 20052 N/A PC Agents of Change: Amplifying New Voices in Environ 65000 GOLDEN STATE WARRIORS COMMUNITY FOUNDATION 1 WARRIORS WAY SAN FRANCISCO CA 94158 N/A PC General & Unrestricted 25000 GREEN CORPS INC 1543 WAZEE ST STE 400 DENVER CO 80202 N/A PC Green Corps and Toxic-Free Future Partnership to E 50000 GREEN FOOTHILLS FOUNDATION 3921 E BAYSHORE BLVD PALO ALTO CA 94303 N/A PC Employee Matching 5000 GREEN FOOTHILLS FOUNDATION 3921 E BAYSHORE BLVD PALO ALTO CA 94303 N/A PC General & Unrestricted 1000 GREEN SCIENCE POLICY INSTITUTE 1400 SHATTUCK AVE STE 8 BERKELEY CA 94709 N/A PC Reducing harmful chemicals in consumer products - 75000 HEALTHY BUILDING NETWORK 4911 7TH ST NW WASHINGTON DC 20011 N/A PC ChemFORWARD: Safe + Circular Food Packaging 100000 HEALTHY BUILDING NETWORK 4911 7TH ST NW WASHINGTON DC 20011 N/A PC General Support 100000 INTERNATIONAL SOCIETY FOR CHILDRENS HEALTH AND THE 1100 E WOODFIELD RD STE 350 SCHAUMBURG IL 60173 N/A PC The Impact of Toxic Chemicals on Brain Development 50000 MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT PO BOX 5030 HAGERSTOWN MD 21741 N/A PC Employee Matching 1000 MIRACLEFEET 107 CONNOR DR STE 230 CHAPEL HILL NC 27514 N/A PC Africa proposal 250000 MISSION AVIATION FELLOWSHIP PO BOX 47 NAMPA ID 83653 N/A PC Employee Matching 1450 NATIONAL NETWORK OF ABORTION FUNDS 9450 SW GEMINI DR PMB 16009 BEAVERTON OR 97008 N/A PC Employee Matching 520 NATURAL RESOURCES DEFENSE COUNCIL INC 40 WEST 20TH ST 11TH FLOOR NEW YORK NY 10011 N/A PC General & Unrestricted 500 NATURAL RESOURCES DEFENSE COUNCIL INC 40 WEST 20TH ST 11TH FLOOR NEW YORK NY 10011 N/A PC Protecting the Public from Toxic Chemicals 100000 NEWSONG COMMUNITY CHURCH OF ORANGE COUNTY 910 W 17TH ST STE B SANTA ANA CA 92706 N/A PC Employee Matching 3000 PACIFIC BEACH COALITION PO BOX 932 PACIFICA CA 94044 N/A PC General & Unrestricted 100 PAN-MASSACHUSETTS CHALLENGE INC 77 4TH AVE NEEDHAM MA 02494 N/A PC Employee Matching 6000 PATH MINISTRIES INTERNATIONAL PO BOX 4010 SEAL BEACH CA 90740 N/A PC General & Unrestricted 10000 PESTICIDE ACTION NETWORK NORTH AMERICA REGIONAL CE 2029 UNIVERSITY AVE STE 200 BERKELEY CA 94704 N/A PC Fumigant-Free Farming: the campaign to ban 1,3-dic 60000 PHYSICIANS FOR SOCIAL RESPONSIBILITY INC 617 S OLIVE ST STE 1100 LOS ANGELES CA 90014 N/A PC Physicians for Social Responsibility - Los Angeles 75000 PLANNED PARENTHOOD FEDERATION OF AMERICA INC 123 WILLIAMS ST 10TH FL NEW YORK NY 10038 N/A PC Employee Matching 1000 REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE 201 SPROUL HALL 1960 BERKELEY CA 94720 N/A PC General & Unrestricted 100 REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE 201 SPROUL HALL 1960 BERKELEY CA 94720 N/A PC Employee Matching 100 SAN FRANCISCO CASA 2535 MISSION ST SAN FRANCISCO CA 94110 N/A PC Employee Matching 500 SAN FRANCISCO FOOD BANK 900 PENNSYLVANIA AVE SAN FRANCISCO CA 94107 N/A PC General & Unrestricted 300 ST JUDE CHILDREN'S RESEARCH HOSPITAL 3750 NW 87TH AVE STE 100 DORAL FL 33178 N/A PC Employee Matching 100 STANFORD JAZZ WORKSHOP PO BOX 20454 STANFORD CA 94309 N/A PC General & Unrestricted 1250 SUSTAINABLE PURCHASING COUNCIL 2885 SANFORD AVE SW 33539 GRANDVILLE MI 49418 N/A PC Toxics and Environmental Justice in Procurement 75000 THE ARC OF THE UNITED STATES 1825 K ST NW STE 1200 WASHINGTON DC 20006 N/A PC Project TENDR (Targeting Environmental Neuro-Devel 60000 THE TEXAS DEMOCRACY FOUNDATION 54 CHICON ST AUSTIN TX 78702 N/A PC Public Health Watch launch Support Another Organiz 60000 TOXIC-FREE FUTURE 4649 SUNNYSIDE AVE N STE 540 SEATTLE WA 98103 N/A PC SAFER States: Building Intersections Between Plast 30000 TOXIC-FREE FUTURE 4649 SUNNYSIDE AVE N STE 540 SEATTLE WA 98103 N/A PC Safer Solutions Meetings 30000 TOXIC-FREE FUTURE 4649 SUNNYSIDE AVE N STE 540 SEATTLE WA 98103 N/A PC Protecting Communities and the Environment from To 75000 TOXIC-FREE FUTURE 4649 SUNNYSIDE AVE N STE 540 SEATTLE WA 98103 N/A PC Safer States Chemical and Plastics Campaigns 75000 TOXIC-FREE FUTURE 4649 SUNNYSIDE AVE N STE 540 SEATTLE WA 98103 N/A PC Safer Chemicals Healthy Families/ Mind the Store 80000 UNIVERSITY OF CALIFORNIA SAN FRANCISCO - UC REGE PO BOX 45339 SAN FRANCISCO CA 94145 N/A PC Defending Science and Promoting Evidence-Based Dec 100000 UNIVERSITY OF MASSACHUSETTS FOUNDATION INC 100 CARLSON AVE NEWTON CENTER MA 02459 N/A PC Creating a compelling economic and business case f 100000 VALLEY OF THE MOON NATURAL HISTORY ASSOCIATION 2400 LONDON RANCH RD GLEN ELLEN CA 95442 N/A PC Employee Matching 150 VIRGINIA ORGANIZING INC 703 CONCORD AVE CHARLOTTESVILLE VA 22903 N/A PC HEFN 2.0: Toxics Funders Expansion Project Support 50000 VIRGINIA ORGANIZING INC 703 CONCORD AVE CHARLOTTESVILLE VA 22903 N/A PC Healthy Baby Food for All Babies Support Another O 60000 PRACTICE GREENHEALTH 12110 SUNSET HILLS RD STE 600 RESTON VA 20190 PRI loan forgiveness for PRI - Practice Greenhealth in March 2021. Qualifying distribution counted in 2016 100000 2704357 14 8363 14 262158 525990 -7 18 10969619 K-1 Inc/Loss 525990 -9388 14 1872053 -9395 13112193 13102798 false false false false false false false false false false Audit Fees 210639 210639 INTERNATIONAL POLLUTANTS ELIMINATION NET BOX 7256 GOTHENBURG SW 40235 2020-06-02 75000 SUPPORT LEVERAGING DATA ON TOXIC CHEMICALS IN PLASTICS TO ADVANCE ENVIRONMENTAL HEALTH GOALS 32593 NO 08/30/2021, 5/25/2022 NONE NECESSARY FORM 990-PF, PARTS I AND XIV FORM 990-PF, PARTS I AND XIV TOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $2,704,357 LESS Forgiveness of PRI: $100,000 TOTAL Part I, Line 25, Column (d): $2,604,357 FORM 926 FORM 926 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information. FORMS 8865 FORM 8865 The 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. APPLOVIN CORP 702398 3926118 1KX LP 1479877 2890316 AAF II - YASI VENTURES, L.P 232597 294449 AVENTUS 437580 287100 BIG LEAGUE ADVANCE FUND II, LP 410924 410924 BULLPEN CAPITAL IV, L.P 417629 1125465 CH VENTURES I, L.P 183413 270939 CHANGE.ORG GROWTH LLC 7149 CIVILIZATION VENTURES II, L.P. 82134 94906 CLOCKTOWER LATIN AMERICAN TECH 60002 76994 COURTSIDE VENTURES II, L.P 321657 628335 COURTSIDE VENTURES III, L.P 147665 143990 CRE VENTURE CAPITAL FUND II, L 457746 821952 CV 2-KREATE, L.P 118261 126650 DATAMINR INC. 364994 1259588 DISTRIBUTED GLOBAL OFFSHORE FU 67375 903996 ELECTRIC CAPITAL PARTNERS FRON 379087 4667742 FMZ VENTURES FUND I, L.P 394738 530852 FORMATION8 PARTNERS ENTREPRENE 192473 610964 FYRFLY VENTURE PARTNERS FUND I 379461 635235 GLOBAL VENTURES L.P 186147 447116 GOVTECH FUND I, L.P 1280954 2862156 GOVTECH FUND II, L.P 642615 831348 HAVENCREST HEALTHCARE PARTNERS 324888 1293091 HEROIC VENTURES, L.P 157932 1106090 HUAXING CAPITAL PARTNERS II, L 245848 465823 HUAXING CAPITAL PARTNERS, LP 448577 628282 INNOVATION WORKS DEVELOPMENT F 393576 1658484 LEARNSTART I, L.P 195491 315748 LEARNSTART II, L.P. 112644 112370 LEGACY CAPITAL, LP 1563748 1985748 LEGACY HARMONY LTD 1130510 2029976 LEVEL EQUITY GROWTH PARTNERS I 592204 2319707 LJ VENTURES FUND II, L.P 721634 1727553 MADIBA 6-2 LLC 1035606 1061980 MASTRY FUND I, LP 64945 64143 MAVEN VENTURES FUND II, L.P 437482 4099024 MAVEN VENTURES FUND III, L.P 119182 176336 MERON II, L.P 146478 243038 META STABLE EDGE OFFSHORE FUND 804548 MITHRIL II LP 854782 898929 MORTAR & MASH ONE, LLC 38441 78000 NEW FORM CAPITAL I, L.P. 958658 1643595 NIMBLE PARTNERS FUND I, LP 16713119 33813857 QUIET GROWTH I, L.P 425567 1005154 REGENERATION.VC FUND 1, LP 64726 62578 ROCANA VENTURE PTNRS II (US) L 189633 289106 ROGUE CAPITAL PARTNERS, L.P 122519 175321 RTW OFFSHORE FUND ONE LTD 61634 SALT FUND I, L.P. 107101 110416 SILVER LAKE WATERMAN FUND, L.P 33298 100694 SKY9 CAPITAL FUND III, L.P 793492 1370454 SKY9 CAPITAL FUND IV, L.P 201850 368168 SKY9 CAPITAL MVP FUND, L.P 454359 615495 SPHERA BIOTECH FEEDER FUND, L. 1000000 792890 SYBIL CAPITAL FUND I-B FEEDER 550000 593018 TANDEM FUND II, LP 394709 1407294 TFG HOLDING, INC 137659 191705 THE CXO FUND, LLC 224916 301395 THERAPYDIA, INC 508083 508153 UNIKOINGOLD 303858 1327 VOLTA ENERGY STORAGE FUND I L. 189365 208109 WILL VENTURES FUND I, L.P 335100 489854 WTI FUND X LLC 99501 94472 General Consultations 3913 1743 2170 JOHN H BURBANK III 630000 0 2020-12 2021-01 BALANCE DUE WITHIN 30 DAYS NONE CHARITABLE PURPOSES CASH OF $630,000 Administrative Fees 145531 145531 BANK CHARGES 130 130 Foundation Dues & Memberships 8769 8769 K-1 Exp 1KX LP 12286 12286 K-1 Exp AAF II - YASI VENTURES 6967 6967 K-1 Exp BIG LEAGUE ADVANCE FUN 21436 21436 K-1 Exp BULLPEN CAPITAL IV, L. 13538 13538 K-1 Exp CH VENTURES I, L.P 8317 8317 K-1 Exp CIVILIZATION VENTURES 6057 6057 K-1 Exp CLOCKTOWER LATIN AMERI 5026 5026 K-1 Exp COURTSIDE VENTURES II, 11162 11162 K-1 Exp COURTSIDE VENTURES III 2335 2335 K-1 Exp CRE VENTURE CAPITAL FU 14634 14634 K-1 Exp CV 2-KREATE, L.P 6739 6739 K-1 Exp FMZ VENTURES FUND I, L 11955 11955 K-1 Exp FORMATION8 PARTNERS EN 531 531 K-1 Exp FYRFLY VENTURE PARTNER 14521 14521 K-1 Exp GLOBAL VENTURES L.P 7424 7424 K-1 Exp GOVTECH FUND I, L.P 4671 4671 K-1 Exp GOVTECH FUND II, L.P 22709 22708 K-1 Exp HAVENCREST HEALTHCARE 14450 14446 K-1 Exp HEROIC VENTURES, L.P 1189 1189 K-1 Exp HUAXING CAPITAL PARTNE 5971 5971 K-1 Exp HUAXING CAPITAL PARTNE 6263 6263 K-1 Exp INNOVATION WORKS DEVEL 14449 14449 K-1 Exp LEARNSTART I, L.P 6705 4861 K-1 Exp LEARNSTART II, L.P. 13050 8697 K-1 Exp LEGACY CAPITAL, LP 75065 75063 K-1 Exp LEGP I AIV (B) LP 923 923 K-1 Exp LEVEL EQUITY GROWTH PA 20635 18603 K-1 Exp LJ VENTURES FUND II, L 54597 54597 K-1 Exp MADIBA 6-2 LLC 26894 26894 K-1 Exp MASTRY FUND I, LP 1055 1055 K-1 Exp MAVEN VENTURES FUND II 11466 11466 K-1 Exp MAVEN VENTURES FUND II 6658 6658 K-1 Exp MERON II, L.P 11022 11022 K-1 Exp MITHRIL II LP 15973 15973 K-1 Exp MORTAR & MASH ONE, LLC 16 K-1 Exp NEW FORM CAPITAL I, L. 35322 35322 K-1 Exp NIMBLE PARTNERS FUND I 542013 540387 K-1 Exp QUIET GROWTH I, L.P 13184 13184 K-1 Exp REGENERATION.VC FUND 1 4024 4024 K-1 Exp ROCANA VENTURE PTNRS I 8971 8964 K-1 Exp ROGUE CAPITAL PARTNERS 17528 17528 K-1 Exp SALT FUND I, L.P. 5449 5449 K-1 Exp SKY9 CAPITAL FUND III, 25560 25560 K-1 Exp SKY9 CAPITAL FUND IV, 4244 4244 K-1 Exp SKY9 CAPITAL MVP FUND, 1832 1832 K-1 Exp TANDEM FUND II, LP 18018 18018 K-1 Exp THE CXO FUND, LLC 6336 6336 K-1 Exp VOLTA ENERGY STORAGE F 11046 11046 K-1 Exp WILL VENTURES FUND I, 13278 13278 K-1 Exp WTI FUND X LLC 500 500 Miscellaneous 150 150 Postage/Delivery Service 271 271 State or Local Filing Fees 150 150 K-1 Inc/Loss 1KX LP 77240 77240 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 1378 1378 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 2840 2840 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 1409 1409 K-1 Inc/Loss GLOBAL VENTURES L.P 24147 24147 K-1 Inc/Loss GOVTECH FUND I, L.P 993 993 K-1 Inc/Loss GOVTECH FUND II, L.P 2362 2362 K-1 Inc/Loss HAVENCREST HEALTHCARE PARTNERS, LP 27874 16552 K-1 Inc/Loss HEROIC VENTURES, L.P 15698 15698 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 79084 79084 K-1 Inc/Loss LEVEL EQUITY GROWTH PARTNERS I, LP -10128 5651 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 1596 1596 K-1 Inc/Loss MORTAR & MASH ONE, LLC 5210 -6339 K-1 Inc/Loss NEW FORM CAPITAL I, L.P. 579 579 K-1 Inc/Loss NIMBLE PARTNERS FUND I, LP 1610751 1610270 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 13375 13375 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 3920 3920 K-1 Inc/Loss VOLTA ENERGY STORAGE FUND I L.P. 411 411 K-1 Inc/Loss WILL VENTURES FUND I, L.P 1448 1448 K-1 Inc/Loss WTI FUND X LLC 1 1 Philanthropic Consulting Srvcs 144000 144000 INVESTMENT BROKER FEES 46757 46757 990-PF Estimated Tax for 2021 130600 Foreign Tax Paid 8661 8661 NIMBLE PARTNERS FUND I LP 1 LETTERMAN DR BLDG A STE 4900 SAN FRANCISCO CA 94129 844303514 THIS ENTITY IS NOT AN EXCESS BUSINESS HOLDING 702398 702398 NIMBLE PARTNERS FUND I LP 1 LETTERMAN DR BLDG A STE 4900 SAN FRANCISCO CA 94129 844303514 CAPITAL CONTRIBUTION TO PARTNERSHIP 9451369 9451369