HMSA FOUNDATION: Form 990PF, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: HMSA FOUNDATION (EIN 99-0250429)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202523219349100217
Schema version: 2024v5.2
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
Form 990-PF
Accounting Fees Schedule
General Explanation Attachment
Investments Other Schedule2
Other Expenses Schedule
Other Income Schedule2
Other Increases Schedule
Other Liabilities Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T06:24:46-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	430765316	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RUBINBROWN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7676 FORSYTH BLVD SUITE 2100	AddressLine1Txt
City	SAINT LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	990250429	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HMSA FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HMSA	BusinessNameControlTxt
Phone	8089485145	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 860	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96808	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JENNIFER DIESMAN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8089485145	PhoneNum
Signature	2025-11-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIMBERLY A RYAN	PreparerPersonNm
PTIN	P00829977	PTIN
Phone	3142903300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$21,396,018	FMVAssetsEOYAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Schedule B Not Required	Yes (X)	ScheduleBNotRequiredInd
Dividends Rev And Expnss	$556,414	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$556,414	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	$69,501	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$69,501	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$69,501	CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss	$341	OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm	$341	OtherIncomeNetInvstIncmAmt
Total Rev And Expnss	$626,256	TotalRevAndExpnssAmt
Total Net Invst Incm	$626,256	TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$0	CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm	$0	CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl	$0	CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss	$123,887	OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm	$0	OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl	$0	OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss	$7,904	PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm	$0	PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl	$0	PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss	$21,624	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$0	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$0	AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss	$52,660	OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm	$11,654	OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl	$0	OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss	$15,253	TaxesRevAndExpnssAmt
Taxes Net Invst Incm	$0	TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl	$0	TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss	$1,043	OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm	$0	OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl	$0	OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss	$664	TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm	$0	TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl	$0	TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss	$31,736	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$0	OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl	$0	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$254,771	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$11,654	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$0	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$4,709,572	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$2,068,000	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$4,964,343	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$11,654	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$2,068,000	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$4,338,087	ExcessRevenueOverExpensesAmt
Net Investment Income	$614,602	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$4,984,331	CashBOYAmt
Cash EOY	$2,700,782	CashEOYAmt
Cash EOYFMV	$2,700,782	CashEOYFMVAmt
Acct Rcvbl	$29,894	AcctRcvblAmt
Acct Rcvbl BOY	$25,122	AcctRcvblBOYAmt
Acct Rcvbl EOY	$29,894	AcctRcvblEOYAmt
Acct Rcvbl EOYFMV	$29,894	AcctRcvblEOYFMVAmt
Prepaid Expenses BOY	$462,169	PrepaidExpensesBOYAmt
Prepaid Expenses EOY	$555,447	PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV	$499,207	PrepaidExpensesEOYFMVAmt
Other Investments BOY	$12,508,479	OtherInvestmentsBOYAmt
Other Investments EOY	$13,061,024	OtherInvestmentsEOYAmt
Other Investments EOYFMV	$18,165,069	OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$1,360	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$294	LandBldgEquipAccumDeprecAmt
Land BOY	$1,337	LandBOYAmt
Land EOY	$1,066	LandEOYAmt
Land EOYFMV	$1,066	LandEOYFMVAmt
Total Assets BOY	$17,981,438	TotalAssetsBOYAmt
Total Assets EOY	$16,348,213	TotalAssetsEOYAmt
Total Assets EOYFMV	$21,396,018	TotalAssetsEOYFMVAmt
Accounts Payable BOY	$61,970	AccountsPayableBOYAmt
Accounts Payable EOY	$83,317	AccountsPayableEOYAmt
Grants Payable BOY	$3,274,100	GrantsPayableBOYAmt
Grants Payable EOY	$5,915,672	GrantsPayableEOYAmt
Other Liabilities BOY	$24,694	OtherLiabilitiesBOYAmt
Other Liabilities EOY	$51,337	OtherLiabilitiesEOYAmt
Total Liabilities BOY	$3,360,764	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,050,326	TotalLiabilitiesEOYAmt
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY	$14,620,674	NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY	$10,297,887	NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY	$14,620,674	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$10,297,887	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$17,981,438	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$16,348,213	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$14,620,674	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$4,338,087	ExcessRevenueOverExpensesAmt
Other Increases	$15,300	OtherIncreasesAmt
Subtotal	$10,297,887	SubtotalAmt
Other Decreases	$0	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$10,297,887	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

Field	Value	IRS element (for citing)
Property	CAPITAL GAINS DIVIDENDS	PropertyDesc
How Acquired	P	HowAcquiredCd
Gross Sales Price	$69,501	GrossSalesPriceAmt
Gain Or Loss	$69,501	GainOrLossAmt
Gains Minus Excess Or Losses	$69,501	GainsMinusExcessOrLossesAmt

Field	Value	IRS element (for citing)
Capital Gain Net Income	$69,501	CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$8,543	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$8,543	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$8,543	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$7,106	EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce	$0	ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid	$2,000	ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld	$0	BackupWithholdingWithheldAmt
Total Payments And Credits	$9,106	TotalPaymentsAndCreditsAmt
Form2220 Attached	Yes (X)	Form2220AttachedInd
Es Penalty	$57	EsPenaltyAmt
Overpayment	$506	OverpaymentAmt
Applied To ES Tax	$506	AppliedToESTaxAmt
Refund	$0	RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	0	LegislativePoliticalActyInd
More Than100 Spent	0	MoreThan100SpentInd
Form1120 POL Filed	0	Form1120POLFiledInd
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Tax Reimbursed	$0	TaxReimbursedAmt
Activities Not Previously Rpt	0	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	0	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (1)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (1)	AtLeast5000InAssetsInd
Form990 PF Filed With Atty Gen	Yes (1)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	0	PrivateOperatingFoundationInd
New Substantial Contributors	0	NewSubstantialContributorsInd
Own Controlled Entity	0	OwnControlledEntityInd
Donor Advised Fund	0	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (1)	ComplyWithPublicInspRqrInd
Website Address	WWW.HMSAFOUNDATION.ORG	WebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	RACHEL NAGLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8089485145	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 860	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96808	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	0	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	0	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	0	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	0	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	0	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	0	TransferAstDisqualifiedPrsnInd
Payment To Government Official	0	PaymentToGovernmentOfficialInd
Uncorrected Prior Acts	0	UncorrectedPriorActsInd
Undistributed Income PY	0	UndistributedIncomePYInd
Business Holdings	0	BusinessHoldingsInd
Jeopardy Investments	0	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	0	UncorrectedPYJeopardyInvstInd
Influence Legislation	0	InfluenceLegislationInd
Influence Election	0	InfluenceElectionInd
Grants To Individuals	0	GrantsToIndividualsInd
Grants To Organizations	0	GrantsToOrganizationsInd
Noncharitable Purpose	0	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 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
JENNIFER DIESMAN
PO BOX 860	HONOLULU	HI	96808	PRESIDENT	1.00	$0	$0	$0
GINA L MARTING
PO BOX 860	HONOLULU	HI	96808	TREASURER/SECRETARY (THRU 5/24)	1.00	$0	$0	$0
JASON CHANG
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
LINDA EZUKA
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
BRANDEE MENINO
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
MARK MUGIISHI
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
KENNETH NAKAMURA
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
MATTHEW SASAKI
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
RICHARD TAAFFE
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0
LESLIE WILKINS
PO BOX 860	HONOLULU	HI	96808	DIRECTOR	1.00	$0	$0	$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee BenefitsEmployeeBenefitsAmt	Expense AccountExpenseAccountAmt
MERYAM LEONG
PO BOX 860	HONOLULU	HI	96808	ADMINISTRATOR	40.00	$88,649	$5,258	$0
DAISY CHUNG
PO BOX 860	HONOLULU	HI	96808	PROGRAM OFFICER	40.00	$68,396	$2,646	$0

Field	Value	IRS element (for citing)
Other Employee Paid Over50k	0	OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k	0	ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$17,555,379	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$3,461,861	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$21,017,240	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$21,017,240	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$315,259	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$20,701,981	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$1,035,099	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$1,035,099	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$8,543	TaxBasedOnInvestmentIncomeAmt
Total Tax	$8,543	TotalTaxAmt
Distributable Before Adj	$1,026,556	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$1,026,556	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$1,026,556	DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$2,068,000	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$2,068,000	QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$1,026,556	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr3	$39,648	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$1,178,934	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$1,298,065	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$2,516,647	TotalExcessDistributionCyovAmt
Qualifying Distributions	$2,068,000	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$1,026,556	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$1,041,444	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$3,558,091	TotalCorpusAmt
Prior Year Undistributed Incm	$0	PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax	$0	PriorYearDeficiencyOrTaxAmt
Taxable1	$0	Taxable1Amt
Taxable2	$0	Taxable2Amt
Undistributed Income CY	$0	UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3	$0	CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5	$0	ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr	$3,558,091	ExcessDistriCyovToNextYrAmt
Excess From Year3	$39,648	ExcessFromYear3Amt
Excess From Year2	$1,178,934	ExcessFromYear2Amt
Excess From Year1	$1,298,065	ExcessFromYear1Amt
Excess From Current Year	$1,041,444	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

Field	Value	IRS element (for citing)
Recipient Person	HMSA FOUNDATION	RecipientPersonNm

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 860	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96808	ZIPCd

Field	Value	IRS element (for citing)
Recipient Phone	8089485145	RecipientPhoneNum
Form And Info And Materials	SEE STATEMENT 10	FormAndInfoAndMaterialsTxt
Submission Deadlines	NONE	SubmissionDeadlinesTxt
Restrictions On Awards	SEE STATEMENT 11	RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
AHAHUI O KAUKA ASSOCIATION OF NATIVE HAWAIIAN PHYSICIANS
677 ALA MOANA BLVD STE 1015	HONOLULU	HI	96813	N/A	PC	ALOHA AINA: HE HULIAU I KA PONO	$2,000
FIVE MOUNTAINS HAWAII
64-1035 MAMALAHOA HWY STE F	KAMUELA	HI	96743	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$100,000
FRIENDS OF HALE 'OLUEA CLUBHOUSE
1045 KILAUEA AVE STE B	HILO	HI	96720	N/A	PC	HALE 'OLUEA CLUBHOUSE FOOD PROGRAM	$20,000
FRIENDS OF THE CHILDREN'S JUSTICE CENTER OF OAHU
3019 PALI HWY	HONOLULU	HI	96817	N/A	PC	HO'OLA NA MANA'O (HOPE AND HEALING)	$20,000
HAWAII ISLAND HIVAIDS FOUNDATION DBA KUMUKAHI HEALTH WELLNESS
101 AUPUNI ST STE PH 1014-C	HILO	HI	96720	N/A	PC	WEST HAWAII PROGRAM EXPANSION	$20,000
HAWAII PRIMARY CARE ASSOCIATION
1003 BISHOP ST PAUAHI TOWER 1810	HONOLULU	HI	96813	N/A	PC	HOOLA CONFERENCE - HEALTH EQUITY - REAL TALK - REAL STORIES - REAL SOLUTIONS	$6,000
HAWAIIAN COMMUNITY ASSETS INC
310 PAOAKALANI AVE ROOM 204E	HONOLULU	HI	96815	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$65,000
ISLAND OF HAWAII YMCA
300 W LANIKAULA ST	HILO	HI	96720	N/A	PC	JUNIOR LEADER PROGRAM	$20,000
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 N SCHOOL ST	HONOLULU	HI	96819	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$100,000
KUALOA HEEIA ECUMENICAL YOUTH PROJECT
47-200 WAIHEE RD	KANEOHE	HI	96744	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$75,000
KUMANO I KE ALA
PO BOX 181	WAIMEA	HI	96796	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$60,000
MA KA HANA KA IKE BUILDING PROGRAM
PO BOX 968	HANA	HI	96713	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$75,000
MOLOKAI CHILD ABUSE PREVENTION PATHWAYS
PO BOX 1049	KAUNAKAKAI	HI	96748	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$50,000
NA WAHINE PA'ANI O PUNAHOU
300 N BERETANIA ST	HONOLULU	HI	96817	N/A	PC	THE PA'ANI CHALLENGE	$10,000
SPILL THE TEA CAFE
1034 QUEEN ST	HONOLULU	HI	96814	N/A	PC	PROVIDE EVIDENCE-BASED TREATMENTS AND SUPPORT TO ADOLESCENTS STRUGGLING WITH MENTAL HEALTH ISSUES	$20,000
THE FOOD BASKET INC
40 HOLOMUA ST	HILO	HI	96720	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$75,000
UNIVERSITY OF HAWAII FOUNDATION
1314 S KING ST STE B	HONOLULU	HI	96814	N/A	PC	BUILDING LEARNING INNOVATIONS FOR HAWAII'S FUTURE DOCTORS AND INTERPROFESSIONAL HEALTH SCIENCES EDUCATION AND SIMULATION PROGRAM	$1,200,000
WAIMANALO HEALTH CENTER
41-1347 KALANIANAOLE HWY	WAIMANALO	HI	96795	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$100,000
WE ARE OCEANIA (FORMERLY PARTNERS IN DEVELOPMENT FOUNDATION)
720 KING ST	HONOLULU	HI	96817	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$50,000

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$2,068,000	TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt
HOA AINA O MAKAHA
84-225 ALA NA AUAO PL	WAIANAE	HI	96792	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
HUI MALAMA I KE ALA ULILI (HUIMAU)
PO BOX 6	PAAUILO	HI	96776	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
I OLA LAHUI
1441 KAPIOLANI BLVD STE 1802	HONOLULU	HI	96814	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
KAHUMANA
86-660 LUALUALEI HOMESTEAD RD	WAIANAE	HI	96792	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
KUKULU KUMUHANA O ANAHOLA (KKOA)
PO BOX 30891	ANAHOLA	HI	96703	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
NOHONA HEALTH
95 MAHALANI ST ROOM 28-1A	WAILUKU	HI	96793	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
PALAMA SETTLEMENT
810 N VINEYARD BLVD	HONOLULU	HI	96817	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
STRAUB FOUNDATION
55 MERCHANT ST STE 2600	HONOLULU	HI	96813	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$1,000,000
THE MAUI FARM
PO BOX 1776	MAKAWAO	HI	96768	N/A	PC	OPERATIONAL EXPENSES (HUI PARTNER)	$500,000
UNIVERSITY OF HAWAII FOUNDATION
3114 S KING ST STE B	HONOLULU	HI	96815	N/A	PC	ESTABLISH THE LEARNING INNOVATIONS ENDOWMENT TO SUPPORT THE UNIVERSITY OF HAWAII AT MANOA JOHN A. BURNS SCHOOL OF MEDICINE IT ITS EFFORTS TO DEVELOP AND IMPLEMENT INNOVATIVE CURRICULUM INITIATIVES, WITH THE ULTIMATE GOAL OF ENHANCED RECRUITMENT, TRAINING, AND RETENTION OF THE MOST CAPABLE AND COMMITTED FUTURE PHYSICIANS FOR HAWAII. SUPPORT THE UNIVERSITY OF HAWAII AT MANOA SCHOOL OF NURSING & DENTAL HYGIENE 1) INTERPROFESSIONAL HEALTH SCIENCES EDUCATION AND SIMULATION PROGRAM ("HIPE PROGRAM") AND 2) ENDOWED PROFESSORSHIP TO RECRUIT AND RETAIN FACULTY OF THE HIGHEST CALIBER IN THE AREA OF INTERPROFESSIONAL EDUCATION AND TECHNOLOGY SUPPORTED LEARNING.	$1,500,000

Field	Value	IRS element (for citing)
Total Grant Or Contri Apprv Fut	$6,500,000	TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$556,414	ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$341	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$69,501	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$0	UnrelatedBusinessTaxblIncmAmt
Exclusion	$626,256	ExclusionAmt
Related Or Exempt Function Incm	$0	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$626,256	TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	0	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	0	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	0	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	0	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	0	ReimbursementArrangementsInd
Loans Or Loan Guarantees	0	LoansOrLoanGuaranteesInd
Performance Of Services Etc	0	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	Yes (1)	RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail (2 entries)

Organization TypeOrganizationTypeDesc	Relationship DescriptionRelationshipDescriptionTxt
HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)
501(C)(4)	THE FOUNDATION IS ORGANIZED AND OPERATED FOR THE PRIMARY PURPOSE OF ENGAGING IN HEALTH PROMOTION, EDUCATION AND RESEARCH ACTIVITIES WITHIN THE MEANING OF IRC SECTION 170(C)(2).
HAWAII MEDICAL SERVICE ASSOCIATION RETIREE HEALTH BENEFITS TRUST
501(C)(9)	THE TRUST WAS ESTABLISHED BY HMSA ("EMPLOYER") TO FUND THE COST OF POST-RETIREMENT MEDICAL BENEFITS FOR ELIGIBLE EMPLOYEES AND DEPENDENTS.

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	CategoryTxt
Amt	$21,624	Amt
Net Investment Income	$0	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	Medium ExplanationMediumExplanationTxt
PART XV, LINE 2B:	THE FORM IN WHICH APPLICATIONS SHOULD BE SUBMITTED AND INFORMATION ANDMATERIALS THEY SHOULD INCLUDE:1. REGISTRATION INFORMATION * ORGANIZATION INFORMATION * CONTACT INFORMATION2. PROPOSAL ON ORGANIZATION'S LETTERHEAD (NO MORE THAN EIGHT PAGES).INCLUDE THE FOLLOWING: * STATEMENT OF NEED. WHAT IS THE DESIRED LONG-TERM EFFECT OF THEPROJECT AND WHY IS IT SO IMPORTANT THAT IT HAVE THIS EFFECT? ACTIVITIES.WHAT WOULD BE THE KEY ACTIONS OR EVENTS DURING THE GRANTPERIOD? OUTPUTS.WHAT ARE THE PRODUCTS OF THOSE ACTIONS OR EVENTS? OUTCOMES.WHAT KEY CHANGES IN SKILLS, KNOWLEDGE, VALUES, ATTITUDES,BEHAVIORS, CONDITIONS, ETC. WILL RESULT FROM THE ACTIVITIES? INDICATORS. INDICATORS, SOMETIMES CALLED EVALUATION, ARE OBSERVABLEAND MEASURABLE DATA THAT CAN BE COLLECTED TO TRACK THE SUCCESS INACHIEVING THE OUTCOMES. * DESCRIPTION OF THE ORGANIZATION AND ITS QUALIFICATIONS. * BUDGET. INDICATE THE AMOUNT REQUESTED, THE PROPOSED USE OF FUNDSAND OTHER SOURCES OF FUNDING CURRENTLY BEING SOUGHT.3. COPY OF THE ORGANIZATION'S CURRENT IRS DETERMINATION LETTERINDICATING 50L(C)(3) TAX-EXEMPT STATUS OR LETTER STATING STATUS AS AUNIT OF GOVERNMENT.4. LIST OF THE ORGANIZATION'S OFFICERS AND DIRECTORS AND THEIRAFFILIATIONS.5. MOST RECENT IRS FORM 990 AND ANNUAL FINANCIAL STATEMENTS OF THEORGANIZATION.6. RELEVANT LETTERS OF SUPPORT.7. OTHER RELEVANT APPENDICES (QUALIFICATIONS OF KEY STAFF, SAMPLEPROGRAM MATERIALS, ETC.)
PART XV, LINE 2D:	ANY RESTRICTIONS OR LIMITATIONS ON AWARDS, SUCH AS BY GEOGRAPHICALAREAS, CHARITABLE FIELDS, KINDS OF INSTITUTIONS, OR OTHER FACTORS:IN GENERAL, THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS THAT ARETAX-EXEMPT BECAUSE 1) THEY ARE A UNIT OF GOVERNMENT OR 2) THEY ARE A501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE FOUNDATIONDOES NOT MAKE GRANTS TO INDIVIDUALS. ALL APPLICANT ORGANIZATIONS AREREQUIRED TO SUBMIT PROOF OF THEIR TAX-EXEMPT STATUS BEFORE THEIRPROPOSAL WILL BE CONSIDERED.THE FOUNDATION DOES NOT GENERALLY SUPPORT REQUESTS FOR ENDOWMENTS,CAPITAL CAMPAIGNS, SCHOLARSHIP FUNDS LOBBYING, OR VOTER REGISTRATIONFUNDS. A MAXIMUM FLAT RATE OF 5 PERCENT OF TOTAL BUDGET WILL BE ALLOWEDFOR INDIRECT COSTS.ALL PROJECTS MUST PRIMARILY BENEFIT PEOPLE WITHIN THE STATE OF HAWAII.FUNDING AMOUNTS AND GRANT PERIODS SHOULD BE COMMENSURATE WITH THE SIZEAND SCOPE OF THE ACTIVITY.

Form And Line ReferenceFormAndLineReferenceDesc

Medium ExplanationMediumExplanationTxt

PART XV, LINE 2B:

THE FORM IN WHICH APPLICATIONS SHOULD BE SUBMITTED AND INFORMATION ANDMATERIALS THEY SHOULD INCLUDE:1. REGISTRATION INFORMATION * ORGANIZATION INFORMATION * CONTACT INFORMATION2. PROPOSAL ON ORGANIZATION'S LETTERHEAD (NO MORE THAN EIGHT PAGES).INCLUDE THE FOLLOWING: * STATEMENT OF NEED. WHAT IS THE DESIRED LONG-TERM EFFECT OF THEPROJECT AND WHY IS IT SO IMPORTANT THAT IT HAVE THIS EFFECT? *ACTIVITIES.WHAT WOULD BE THE KEY ACTIONS OR EVENTS DURING THE GRANTPERIOD? *OUTPUTS.WHAT ARE THE PRODUCTS OF THOSE ACTIONS OR EVENTS? *OUTCOMES.WHAT KEY CHANGES IN SKILLS, KNOWLEDGE, VALUES, ATTITUDES,BEHAVIORS, CONDITIONS, ETC. WILL RESULT FROM THE ACTIVITIES? * INDICATORS. INDICATORS, SOMETIMES CALLED EVALUATION, ARE OBSERVABLEAND MEASURABLE DATA THAT CAN BE COLLECTED TO TRACK THE SUCCESS INACHIEVING THE OUTCOMES. * DESCRIPTION OF THE ORGANIZATION AND ITS QUALIFICATIONS. * BUDGET. INDICATE THE AMOUNT REQUESTED, THE PROPOSED USE OF FUNDSAND OTHER SOURCES OF FUNDING CURRENTLY BEING SOUGHT.3. COPY OF THE ORGANIZATION'S CURRENT IRS DETERMINATION LETTERINDICATING 50L(C)(3) TAX-EXEMPT STATUS OR LETTER STATING STATUS AS AUNIT OF GOVERNMENT.4. LIST OF THE ORGANIZATION'S OFFICERS AND DIRECTORS AND THEIRAFFILIATIONS.5. MOST RECENT IRS FORM 990 AND ANNUAL FINANCIAL STATEMENTS OF THEORGANIZATION.6. RELEVANT LETTERS OF SUPPORT.7. OTHER RELEVANT APPENDICES (QUALIFICATIONS OF KEY STAFF, SAMPLEPROGRAM MATERIALS, ETC.)

PART XV, LINE 2D:

ANY RESTRICTIONS OR LIMITATIONS ON AWARDS, SUCH AS BY GEOGRAPHICALAREAS, CHARITABLE FIELDS, KINDS OF INSTITUTIONS, OR OTHER FACTORS:IN GENERAL, THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS THAT ARETAX-EXEMPT BECAUSE 1) THEY ARE A UNIT OF GOVERNMENT OR 2) THEY ARE A501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE FOUNDATIONDOES NOT MAKE GRANTS TO INDIVIDUALS. ALL APPLICANT ORGANIZATIONS AREREQUIRED TO SUBMIT PROOF OF THEIR TAX-EXEMPT STATUS BEFORE THEIRPROPOSAL WILL BE CONSIDERED.THE FOUNDATION DOES NOT GENERALLY SUPPORT REQUESTS FOR ENDOWMENTS,CAPITAL CAMPAIGNS, SCHOLARSHIP FUNDS LOBBYING, OR VOTER REGISTRATIONFUNDS. A MAXIMUM FLAT RATE OF 5 PERCENT OF TOTAL BUDGET WILL BE ALLOWEDFOR INDIRECT COSTS.ALL PROJECTS MUST PRIMARILY BENEFIT PEOPLE WITHIN THE STATE OF HAWAII.FUNDING AMOUNTS AND GRANT PERIODS SHOULD BE COMMENSURATE WITH THE SIZEAND SCOPE OF THE ACTIVITY.

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxt	Listed At Cost Or FMVListedAtCostOrFMVCd	Book ValueBookValueAmt	EOYFMVEOYFMVAmt
DOUBLELINE TOTAL RETURN FUND	FMV	$2,846,553	$2,315,684
PIMCO TOTAL RETURN FUND	FMV	$2,847,309	$2,312,146
VANGUARD DEVELOPED MARKETS	FMV	$4,558,589	$4,766,833
VANGUARD INDEX MID CAP FUND	FMV	$614,938	$1,785,442
VANGUARD INSTITUTIONAL INDEX	FMV	$1,643,513	$1,605,715
VANGUARD SMALL CAP FUND	FMV	$550,122	$5,379,249

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (10 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Net Investment IncomeNetInvestmentIncomeAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DISCRETIONARY EMPLOYEE MEALS	$33	$0	$0
DUES & SUBSCRIPTIONS	$263	$0	$0
EMPLOYEE RECOGNITION - MEALS	$55	$0	$0
FAS 158 ADJUSTENT	-$23,558	$0	$0
FEDERAL EXCISE TAX PROVISION	$25,706	$0	$0
MEALS - NON TRAVEL	$1,230	$0	$0
MISCELLANEOUS EXPENSES	$79	$0	$0
NON-DEDUCTIBLE BUSINESS PROMOTION	$14,544	$0	$0
POSTAGE & FREIGHT	$53	$0	$0
PROFESSIONAL ASSOCIATIONS	$13,331	$0	$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

Field	Value	IRS element (for citing)
Desc	REFUND OF INVESTMENT FEES	Desc
Revenue And Expenses Per Books	$341	RevenueAndExpensesPerBooksAmt
Net Investment Income	$341	NetInvestmentIncomeAmt
Adjusted Net Income	$341	AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

Field	Value	IRS element (for citing)
Desc	PRIOR PERIOD ADJUSTMENT	Desc
Amt	$15,300	Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDesc	BOY Book ValueBOYBookValueAmt	EOY Book ValueEOYBookValueAmt
DEFERRED TAX LIABILITY	$24,364	$50,946
WITHHELD PAYROLL	$330	$391

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxt	AmtAmt	Net Investment IncomeNetInvestmentIncomeAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTING FEES	$36,000	$0	$0
INVESTMENT MANAGEMENT FEES	$11,654	$11,654	$0
OTHER PROFESSIONAL FEES	$5,006	$0	$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	PAYROLL TAXES	CategoryTxt
Amt	$15,253	Amt
Net Investment Income	$0	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt