BETA

KIANI FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KIANI FOUNDATION (EIN 01-0956020)
Tax period
2022-04-01 to 2023-03-31
Filed
2024-02-15
IRS object ID
202440469349101514
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-02-15T15:29:30-06:00ReturnTs
Tax Period End2023-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL BERRY CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5045AddressLine1Txt
CityCULVER CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP902315045ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010956020EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MASIMO FOUNDATION FOR ETHICSBusinessNameLine1Txt
Business Name Line2INNOVATION AND COMPETITION IN HEALTHCAREBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMASIBusinessNameControlTxt
Phone9492977792PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 DISCOVERYAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICAH YOUNGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9492977792PhoneNum
Signature2024-02-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICAHPersonFirstNm
Person LastYOUNGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL BERRYPreparerPersonNm
PTINP00179412PTIN
Phone3108382204PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,498,606FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,000,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$43InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$43InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$50,487DividendsRevAndExpnssAmt
Dividends Net Invst Incm$50,487DividendsNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,050,530TotalRevAndExpnssAmt
Total Net Invst Incm$50,530TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$11,882AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$11,882AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$25,000OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$25,000OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$971TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$250TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,089OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$20OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1,069OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$38,942TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$38,201TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,811,019ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,433,050ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,849,961TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,471,251TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$799,431ExcessRevenueOverExpensesAmt
Net Investment Income$50,510NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,541,725CashBOYAmt
Cash EOY$564,803CashEOYAmt
Cash EOYFMV$564,803CashEOYFMVAmt
Sav And Temp Cash Invst BOY$2,375,066SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,926,139SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,926,139SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$2,135PrepaidExpensesBOYAmt
Prepaid Expenses EOY$7,664PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$7,664PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$300CorporateStockBOYAmt
Corporate Stock EOY$0CorporateStockEOYAmt
Corporate Stock EOYFMV$0CorporateStockEOYFMVAmt
Total Assets BOY$3,919,226TotalAssetsBOYAmt
Total Assets EOY$2,498,606TotalAssetsEOYAmt
Total Assets EOYFMV$2,498,606TotalAssetsEOYFMVAmt
Accounts Payable BOY$580AccountsPayableBOYAmt
Accounts Payable EOY$1,160AccountsPayableEOYAmt
Grants Payable BOY$1,273,892GrantsPayableBOYAmt
Grants Payable EOY$651,860GrantsPayableEOYAmt
Total Liabilities BOY$1,274,472TotalLiabilitiesBOYAmt
Total Liabilities EOY$653,020TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$2,644,754NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$1,845,586NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$2,644,754TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,845,586TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,919,226TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,498,606TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,644,754TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$799,431ExcessRevenueOverExpensesAmt
Other Increases$263OtherIncreasesAmt
Subtotal$1,845,586SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,845,586TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$702InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$702SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$702TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,116EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,116TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,414OverpaymentAmt
Applied To ES Tax$1,414AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Form990 PF Filed With Atty Gen0Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressHTTP://WWW.MASIMOFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksBARNETT COMPANYIndividualWithBooksNm
Phone9492663040PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line130212 TOMAS SUITE 200AddressLine1Txt
CityRANCHO SANTA MARGARITACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92688ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOE KIANI
52 DISCOVERYIRVINECA92618CHAIRMAN0.50$0$0$0
FREDERICK HARRIS
52 DISCOVERYIRVINECA92618DIRECTOR0.25$0$0$0
SARAH KIANI
52 DISCOVERYIRVINECA92618DIRECTOR0.25$0$0$0
STEVE JENSEN
52 DISCOVERYIRVINECA92618DIRECTOR0.25$0$0$0
TOM MCCLENAHAN
52 DISCOVERYIRVINECA92618SECRETARY0.05$0$0$0
MICAH YOUNG
52 DISCOVERYIRVINECA92618TREASURER0.10$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,104,403AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,104,403TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,104,403AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$46,566CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,057,837NetVlNoncharitableAssetsAmt
Minimum Investment Return$152,892MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$152,892MinimumInvestmentReturnAmt
Tax Based On Investment Income$702TaxBasedOnInvestmentIncomeAmt
Total Tax$702TotalTaxAmt
Distributable Before Adj$152,190DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$152,190DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$152,190DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,471,251ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,471,251QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$152,190DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$3,173,706ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,384,557ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,217,749ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,263,205ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$2,153,410ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$12,192,627TotalExcessDistributionCyovAmt
Qualifying Distributions$2,471,251QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$152,190AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,319,061RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$14,511,688TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$3,173,706ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$11,337,982ExcessDistriCyovToNextYrAmt
Excess From Year4$2,384,557ExcessFromYear4Amt
Excess From Year3$2,217,749ExcessFromYear3Amt
Excess From Year2$2,263,205ExcessFromYear2Amt
Excess From Year1$2,153,410ExcessFromYear1Amt
Excess From Current Year$2,319,061ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTHE MASIMO FOUNDATION ATTN GLENN PARecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line152 DISCOVERYAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9492977792RecipientPhoneNum
Recipient Email AddressGLENNPARRISH@MASIMOFOUNDATION.ORGRecipientEmailAddressTxt
Form And Info And MaterialsTHE LETTER SHOULD PROVIDE INFORMATION NECESSARY FOR THE FOUNDATION TO DETERMINE WHETHER THE GRANT REQUEST MEETS ITS GUIDELINES AND SUPPORTS ITS MISSION, INCLUDING A DESCRIPTION OF THE PROJECT TO BE FUNDED, THE TOTAL PROJECT BUDGET, THE AMOUNT REQUESTED FROM THE FOUNDATION, AND BACKGROUND INFORMATION ABOUT THE APPLYING ORGANIZATION, INCLUDING ITS HISTORY, PURPOSE AND ACTIVITIES. REVIEW THE LETTER OF INQUIRY CHECKLIST FOR MORE DETAILS WHICH CAN BE FOUND AT HTTP://WWW.MASIMOFOUNDATION.ORG. THE FOUNDATION CONSIDERS ALL LETTERS OF INQUIRY AND ACKNOWLEDGES THEIR RECEIPT BY EMAIL. IF THE FOUNDATION DETERMINES THAT THE REQUESTOR'S FUNDING NEEDS ARE CONSISTENT WITH THE FOUNDATION'S ELIGIBILITY REQUIREMENTS, THE REQUESTOR WILL BE INVITED TO APPLY AND PROVIDE THE NECESSARY FORMS AND DETAILS TO SUBMIT A COMPREHENSIVE APPLICATION.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCd
T'RUAH
266 WEST 37TH STREET ROOM 803NEW YORKNY10018NONEPCGENERAL OPERATIONS$20,000
ST MARY AND ALL ANGELS CHRISTIAN SCHOOL
7 PURSUITALISO VIEJOCA92656NONEPCGENERAL OPERATIONS$35,000
JEWISH VOICE FOR PEACE
PO BOX 589BERKELEYCA94701NONEPCGENERAL OPERATIONS$20,000
CHOC FOUNDATION
1201 WEST LA VETA AVENUEORANGECA92686NONEPCGENERAL OPERATIONS$100,000
AYENEH FOUNDATION
PO BOX 17490ENCINOCA91314NONEPCGENERAL OPERATIONS$100,000
ANAHEIM COMMUNITY FOUNDATION
200 S ANAHEIM BOULEVARD SUITE 433ANAHEIMCA92805NONEPCGENERAL OPERATIONS$40,000
THE DRAGON KIM FOUNDATION
5151 CALIFORNIA AVENUE STE 100IRVINECA92617NONEPCGENERAL OPERATIONS$50,000
THE CARTER CENTER
ONE COPENHILL 453 FREEDOM PARKWAYATLANTAGA30307NONEPCGENERAL OPERATIONS$100,000
FOUNDATION FOR ANESTHESIA EDUCATION & RESEARCH
1061 AMERICAN LANESCHAUMBERGIL60173NONEPCGENERAL OPERATIONS$50,000
ONEOC
1901 E 4TH STREET SUITE 100SANTA ANACA92705NONEPCGENERAL OPERATIONS$500,000
PENINGTON INSTITUTE
NONENCCOMMUNITY EDUCATION RE OPIOID CRISIS IN UNITED STATES$50,00095 DRUMMOND STCARLTONVICTORIAAS
THE BRETT TASHMAN FOUNDATION
1723 BRENTWOOD AVENUEUPLANDCA91784NONEPCGENERAL OPERATIONS$25,000
THE VOICES PROJECT
6809 ARMISTEAD STREETLAS VEGASNV89149NONEPCGENERAL OPERATIONS$100,000
JUVENILE DIABETES RESEARCH FOUNDATION
1391 WARNER AVENUE SUITE DTUSTINCA92780NONEPCGENERAL OPERATIONS$25,000
ONEOC
1901 E 4TH STREET SUITE 100SANTA ANACA92705NONEPCGENERAL OPERATIONS$500,000
IBERO-AMERICAN SOCIETY OF NEONATOLOGY INC
30 COLUMBIA TPKE STE 204FLORHAM PARKNJ07932NONEPCGENERAL OPERATIONS$70,000
CALIFORNIA INSTITUTES OF TECHNOLOGY
1200 EAST CALIFORNIA BOULEVARDPASADENACA91125NONEPCFUNDING FOR SCHOLARSHIPS$456,050
USA TODAY
7950 JONES BRANCH DRIVEMCLEANVA22107NONENCREPORTING ON PATIENT SAFETY MATTERS$192,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,433,050TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PATIENT SAFETY WATCHBusinessNameLine1Txt

Recipient Foreign Address RecipientForeignAddress

FieldValueIRS element (for citing)
Address Line15 TECHNOLOGY PARKAddressLine1Txt
CityLONDONCityNm
Province Or StateLONDONProvinceOrStateNm
CountryUKCountryCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusNCRecipientFoundationStatusTxt
Grant Or Contribution PurposePATIENT SAFETY RESEARCHGrantOrContributionPurposeTxt
Amt$180,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$180,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$43ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$50,487ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$50,530ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$50,530TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1MASIMO CORPORATIONBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line152 DISCOVERYAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,000,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$11,882Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$11,882DisbursementsCharitablePrpsAmt

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtResults Of VerificationResultsOfVerificationTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCd
USA TODAY
7950 JONES BRANCH DRIVEMCLEANVA221072022-12-15$192,000TO EXPAND USA TODAY'S CAPACITY TO PRODUCE UNIQUE, GROUNDBREAKING JOURNALISM INITITIATIVE FOCUS ON THE FOLLOWING TWO AREAS:A) EXPANDING ISSUES RELATED TO PREVENTABLE HARMS AND DEATHS.B) SHINING LIGHT ON SOLUTIONS THAT CAN IMPROVE CARE.$192,000TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTEDFEBRURAY 9, 2024THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE.
PENINGTON INSTITUTE
2022-11-22$50,000DEVELOP A SET OF COMMUNITY EDUCATION AND CAPACITY BUILDING TOOLS TO ADDRESS THE UNITED STATES DEEPENING OPIOID CRISIS. NOTE- THERE IS A 14 FOREIGN TRANSLATION ADJUSTMENT.$50,014TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTEDDECEMBER 11, 2023THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE.95 DRUMMOND STREETCARLTONVICTORIAAS

Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt

FieldValueIRS element (for citing)
ExplanationDELAWARE DOES NOT REQUIRE A COPY OF FORM 990-PF.ExplanationTxt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART VII-B, LINES 5(A)(4) AND LINE 5(C) & STATEMENT 11FormAndLineReferenceDesc
Medium ExplanationON MARCH 4, 2020, THE ORGANIZATION ENTERED INTO AN EXPENDITURE RESPONSIBILITY AGREEMENT WITH USA TODAY AS INDICATED IN STATEMENT 11. THE GRANT WAS A THREE-YEAR GRANT TOTALING $515,000- THE FIRST INSTALLMENT IN THE AMOUNT OF $136,500 WAS MADE IN THE FISCAL YEAR ENDING MARCH 31,2020 (PAYMENT MADE MARCH 4, 2020). THE SECOND INSTALLMENT IN THE AMOUNT OF $186,500 WAS MADE DURING THE FISCAL YEAR ENDING MARCH 31,2022 (PAYMENT MADE APRIL 19, 2021). THE FINAL PAYMENT TOTALING $192,000 WAS MADE DURING THE CURRENT YEAR ON DECEMBER 15, 2022. INTERIM REPORTS WERE RECEIVED MARCH 25, 2021 AND NOVEMBER 15, 2022 AND A FINAL REPORT WAS RECEIVED FEBRURAY 9, 2024.MediumExplanationTxt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$814$0$814
BANK AND BROKERAGE FEES$275$20$255

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescCHANGE IN UNREALIZED GAINS AND LOSSESDesc
Amt$263Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryADMINISTRATIVE AND CONSULTINGCategoryTxt
Amt$25,000Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$25,000DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FILING FEES$250$0$250
EXCISE TAXES$721$0$0

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