2024-04-04T15:22:22-05:00 2023-05-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2022-06-01 851496438 The Molina Healthcare Charitable Foundation % Foundation Source MOLI 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 MELISSA BUCKLEY CHAIR 8008391754 2024-03-15 true MELISSA BUCKLEY 999009999 Jeffrey D Haskell P01345770 8008391754 2022 2023-04-26 12:10:37Z X 6613897 X 5054535 18415 18415 0 5072950 18415 0 15900 0 0 15900 300 126405 33 126372 142605 33 0 142272 4339533 4333358 4482138 33 0 4475630 590812 18382 5994239 6613897 6613897 25000 3846 6023085 6613897 6613897 0 0 X 6023085 6613897 6023085 6613897 6023085 6613897 6023085 590812 6613897 6613897 256 256 256 65 0 200 265 9 9 false false false false false false true true true DE true false false false 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 Lawrence Anderson Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir 1.0 0 0 0 Jeff Barlow Foundation Source 501 Silverside Rd Wilmington DE 198091377 Sec 1.0 0 0 0 Carolyn Ingram Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Executive Dir 25.0 0 0 0 Mark Keim Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas 1.0 0 0 0 Ronald Kurtz Foundation Source 501 Silverside Rd Wilmington DE 198091377 Chair, Executive Dir 1.0 0 0 0 Foundation Source 55 Walls Drive 3rd Fl Fairfield CT 06824 Administrative 89041 0 4061212 0 4061212 0 4061212 60918 4000294 200015 200015 256 256 199759 199759 199759 4475630 0 2329 0 0 4477959 199759 2020 2019 2018 1794926 6565264 8360190 4477959 199759 4278200 12638390 0 12638390 1794926 6565264 4278200 NONE X ACUMEN FUND INC 40 WORTH ST STE 303 NEW YORK NY 10013 N/A PC Medicaid Innovation Collaborative (MIC) - Tech-enabled Innovation in Medicaid to Advance Health Equity 150000 AFTER THE PEANUT FOUNDATION NFP PO BOX 572 PLAINFIELD IL 60544 N/A PC Summer STEAM Enrichment, SAT Prep & STEAM Enrichment, Urban Agriculture 15000 ALBUQUERQUE HEALTH CARE FOR THE HOMELESS INC PO BOX 25445 ALBUQUERQUE NM 87125 N/A PC Albuquerque Health Care for the Homeless, Inc. (AHCH) 50000 ALBUQUERQUE MEALS ON WHEELS INC 5901 HARPER DR NE ALBUQUERQUE NM 87109 N/A PC Meals on Wheels food delivery program for homebound individuals 30000 ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI 309 WAVERLEY OAKS RD WALTHAM MA 02452 N/A PC Walk to End Alzheimer's 17500 AMERICAN HEART ASSOCIATION 2007 O ST SACRAMENTO CA 95811 N/A PC Social Emotional Learning Program & Random Acts of Kindness Campaign 75000 AMERICAN HEART ASSOCIATION INC - AMERICAN STROKE A 7272 GREENVILLE AVE DALLAS TX 75231 N/A PC Teen Voice Video on Vaping and Tobacco-free Schools 15000 AMERICAN RED CROSS OF KING AND KITSAP COUNTIES PO BOX 3097 SEATTLE WA 98114 N/A PC Molina Care WA Winter Outreach 2000 ARAB COMMUNITY CENTER FOR ECONOMIC & SOCIAL SERVIC 2651 SAULINO CT DEARBORN MI 48120 N/A PC Social Determinants Navigation Grant for Diverse Communities 100000 ARC OF INDIANA 143 W MARKET ST 200 INDIANAPOLIS IN 46204 N/A PC The Arc of Indiana Circles of Support 10000 BABYS BOUNTY 3400 W DESERT INN ROAD STE 24 LAS VEGAS NV 89102 N/A PC NV: Diaper bank sponsorship 5000 BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION 2601 ENTERPRISE RD RENO NV 89512 N/A PC Medications for Opioid Use Disorder 27000 BOYS & GIRLS CLUB OF ALTON INC PO BOX 532 ALTON IL 62002 N/A PC Economic Stability Education 4000 BRONX CHAMBER OF COMMERCE FOUNDATION INC 1200 WATERS PL STE 106 BRONX NY 10461 N/A PC Fire Victim Disaster Relief 15000 CASA DE PEREGRINOS INC 999 W AMADOR AVE STE F LAS CRUCES NM 88005 N/A PC Community of Hope (shelter, housing and support services) 20000 CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND OH 44106 N/A PC Scholarship Fund To provide annual tuition-based scholarships for a total of four students in each of the academic years commencing fall of 2021, 2022, 2023, and 2024, respectively 300000 CHARITABLE ASSISTANCE TO COMMUNITYS HOMELESS 503 S AMERICANA BLVD BOISE ID 83702 N/A PC Rapid-response housing to reduce homelessness 5000 CHARLES DREW UNIVERSITY OF MEDICINE & SCIENCE 1731 EAST 120TH ST AP DEPT COBB LOS ANGELES CA 90059 N/A PC MolinaCares Health Equity Challenge - Step Up, Stand Down: A Mental Health De-Escalation Toolkit for Providers 50000 CHELAN-DOUGLAS COUNTY COMMUNITY ACTION COUNCIL INC 620 LEWIS ST WENATCHEE WA 98801 N/A PC Molina Cares WA Winter Outreach 2000 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 N/A PC Intimate partner violence (IPV) program; perinatal mental health training; tele-behavioral health program 21580 CHIEF SEATTLE CLUB 410 2ND AVE EXT S SEATTLE WA 98104 N/A PC Molina Cares WA Winter Outreach 2000 CHILDRENS HOSPITAL & MEDICAL CENTER FOUNDATION 8200 DODGE ST OMAHA NE 68114 N/A PC Helmets for Patients 50000 CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI OH 45229 N/A PC Project Search in New Mexico 20000 CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI OH 45229 N/A PC Project SEARCH (Bexar County, TX) - integrated employment for I/DD population 20000 CHILDRENS HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 53201 N/A PC Children's Emergency Department Food Insecurity Screening Program 20000 CHILDRENS TRUST FUND OF SOUTH CAROLINA 1330 LADY ST STE 310 COLUMBIA SC 29201 N/A PC Child Abuse Prevention Programming 30000 COASTLINE ELDERLY SERVICES INC 863 BELLEVILLE AVE NEW BEDFORD MA 02745 N/A PC Coastline Breakfast for Tripp Tower residents 10920 COCOON HOUSE 3530 COLBY AVE EVERETT WA 98201 N/A PC Molina Cares WA Winter Outreach 2000 COMMONWEALTH OF KENTUCKY 500 MERO ST 218-NC FRANKFORT KY 40601 N/A GOV Team Eastern Kentucky Flood Relief Fund 25000 COMMUNITY ACTION OF GREATER INDIANAPOLIS INC 3266 N MERIDIAN ST INDIANAPOLIS IN 46208 N/A PC Community Action Agency of Greater Indianapolis 10000 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA F 3350 10TH ST GERING NE 69341 N/A SO I NE - Community Action Partnership of Western Nebraska Youth Programs 15000 COMMUNITY BASED CONNECTIONS 1021 NW 6TH ST FT LAUDERDALE FL 33311 N/A PC General & Unrestricted 10000 COMMUNITY FOUNDATION OF NORTHWEST MISSISSIPPI INC 315 LOSHER ST 100 HERNANDO MS 38632 N/A PC MS Delta Food Insecurity Program 50000 COMMUNITY FOUNDATION OF WASHINGTON COUNTY INC PO BOX 5910 GREENVILLE MS 38704 N/A PC Washington County Food Access Improvement Fund 50000 COMMUNITY HEALTH DEVELOPMENT INC 908 EVANS ST STE A UVALDE TX 78801 N/A PC School Based Partnership in Response to Robb Elementary School Disaster (Uvalde) 50000 COMMUNITY ROOTS COLLABORATIVE 13801 NW 20TH CT VANCOUVER WA 98685 N/A PC Molina Cares WA Winter Outreach 2000 COOKING WITH KIDS INC PO BOX 6113 SANTA FE NM 87502 N/A PC Cooking with Kids 'BIG little Project' 35000 DARE TO CARE INC 5803 FERN VALLEY RD LOUISVILLE KY 40228 N/A PC Mobile Market Program 15000 DOWNTOWN STREETS INC 1671 THE ALAMEDA STE 301 SAN JOSE CA 95126 N/A PC Downtown Streets Team Committed 2 Care 75000 FAMILY SCHOLAR HOUSE INC 403 REG SMITH CIR LOUISVILLE KY 40208 N/A PC MyKY.info Program 35000 FAMILY SCHOLAR HOUSE INC 403 REG SMITH CIR LOUISVILLE KY 40208 N/A PC Houston Family Scholar House 75000 FAMILY SERVICE ASSOCIATION 21250 BOX SPRINGS RD STE 211 MORENO VALLEY CA 92557 N/A PC Early Education Workforce Development Program 25000 FARM SHARE INC 14125 SW 320TH ST HOMESTEAD FL 33033 N/A PC Hurricane Ian Relief 100000 FARM SHARE INC 14125 SW 320TH ST HOMESTEAD FL 33033 N/A PC Farm Share food distribution events 30000 FEEDING AMERICA KENTUCKYS HEARTLAND INC PO BOX 821 ELIZABETHTOWN KY 42702 N/A PC Rx Pantry Program - Food Distribution 25800 FILL A HEART 4 KIDS INC 400 E ILLINOIS RD LAKE FOREST IL 60045 N/A PC Food distribution fund 15000 FIRST GENESIS BAPTIST CHURCH INC 292 HUDSON AVE ROCHESTER NY 14605 N/A PC Just Across the River fund 40000 FOOD FINDERS FOOD BANK INC 1204 GREENBUSH ST LAFAYETTE IN 47904 N/A PC General Support for Mobile Pantry and Senior Grocery programs 10000 FOUNDATION FOR APPALACHIAN KENTUCKY INC 420 MAIN ST HAZARD KY 41701 N/A PC Eastern Kentucky Flood Relief 75000 FOUNDATION OF THE ROTARY CLUB OF BONITA SPRINGS IN PO BOX 474 BONITA SPGS FL 34133 N/A PC Hurricane Ian Relief 5000 FREE SPIRIT MISSIONARY BAPTIST CHURCH PO BOX 517 BUFFALO NY 14240 N/A PC Buffalo Tragedy Food Relief 15000 FREE SPIRIT MISSIONARY BAPTIST CHURCH PO BOX 517 BUFFALO NY 14240 N/A PC Helping Buffalo Food Disparity 40000 FRIENDSHIP PLACE INC 1423 FRONT ST GEORGETOWN SC 29440 N/A PC Riverside Behavioral and Learning Collaborative (RBLC) 21000 GATEWAY CENTER 24 7 INC 275 PRYOR ST SW ATLANTA GA 30303 N/A PC General & Unrestricted 10000 GLEANERS FOOD BANK OF INDIANA INC 3737 WALDEMERE AVE INDIANAPOLIS IN 46241 N/A PC Gleaners Food Bank of Indiana - Senior Hunger Initiative 10000 GOODWILL INDUSTRIES OF KENTUCKY INC 1325 S 4TH ST LOUISVILLE KY 40208 N/A PC Second Chance fund 21000 GULF COAST COMMUNITY FOUNDATION INC 601 TAMIAMI TRAIL S VENICE FL 34285 N/A PC Combatting Childhood Obesity and Promoting Healthy Lifestyles Program 35000 HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC 3760 FOWLER ST FORT MYERS FL 33901 N/A PC FL: Harry Chapin Food Bank - Food Distribution 10000 HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC 3760 FOWLER ST FORT MYERS FL 33901 N/A PC Hurricane Ian Relief - Food Distribution 25000 HEADING HOME PO BOX 27636 ALBUQUERQUE NM 87125 N/A PC HEADING HOME fund 50000 HEALTHY MOTHERS-HEALTHY BABIES COALITION OF BROWAR 3810 INVERRARY BLVD STE 305 LAUDERHILL FL 33319 N/A PC General & Unrestricted 20000 HOPE IN CHRIST MINISTRIES DBA THE COFFEE OASIS 837 4TH ST BREMERTON WA 98337 N/A PC Molina Cares WA Winter Outreach 2000 IDAHO FOODBANK WAREHOUSE 3630 E COMMERCIAL CT MERIDIAN ID 83642 N/A PC A Chefs' Affair program for food distribution 2500 IDAHO FOODBANK WAREHOUSE 3630 E COMMERCIAL CT MERIDIAN ID 83642 N/A PC Hope for the Holidays - Mobile Food Pantries 5500 INCLUSIVE PUBLIC SERVICE COMMUNITIES 945 LAKEWOOD DR ROCKFORD IL 61102 N/A PC General & Unrestricted 30000 IOWA HEALTH CARE ASSOCIATION FOUNDATION 1775 90TH ST WDM IA 50266 N/A PC Scholarships fund for students pursuing degrees in healthcare such as nurses, CNA, etc. 20000 JADENS VOICE INC 1109 PRISTINE PL ALPHARETTA GA 30022 N/A PC General & Unrestricted 10000 JEWELS HELPING HANDS 5128 N JEFFERSON ST SPOKANE WA 99205 N/A PC Molina Cares WA Winter Outreach 2000 JUSTICE IN AGING 1444 EYE ST SUITE 1100 WASHINGTON DC 20005 N/A PC Inequities in Aging and Disability Policy Primer 150000 KITCHEN ANGELS INC 1222 SILER RD SANTA FE NM 87507 N/A PC Meals that Matter fund 15000 LATINO LEADERSHIP INC 8617 E COLONIAL DR STE 1600 ORLANDO FL 32817 N/A PC Hurricane Ian relief efforts 25000 LIFETIME RESOURCES INC 13091 BENEDICT DR DILLSBORO IN 47018 N/A PC Community Paramedicine Pilot Project 40000 LINKS TO SUCCESS 907 S ORANGE AVE ARCADIA FL 34266 N/A PC Hurricane Ian Relief 5000 LITTLE SMILES INC 3569 91ST ST N STE 4 PALM BCH GDNS FL 33403 N/A PC Project SMILE 20000 MANY MOTHERS PO BOX 23222 SANTA FE NM 87502 N/A PC Pre and post-natal wraparound services 25000 MAVEN PROJECT PO BOX 156781 SAN FRANCISCO CA 94115 N/A PC General & Unrestricted 75000 MAVEN PROJECT PO BOX 156781 SAN FRANCISCO CA 94115 N/A PC Expanding Access to Specialty Care in NM 75000 MISSISSIPPI CHILDRENS MUSEUM PO BOX 55409 JACKSON MS 39296 N/A PC Happy Healthy Families 35000 MUHAMMAD ALI MUSEUM AND EDUCATION 144 N 6TH ST LOUISVILLE KY 40202 N/A PC Muhammad Ali Humanitarian Award Sponsorship 25000 MULTIPLYING GOOD INC 348 WEST 57TH ST 115 NEW YORK NY 10019 N/A PC Multiplying Good Jefferson Awards 10000 NEIGHBORHOOD FOOD PANTRIES 123 FREMONT ST WEST CHICAGO IL 60185 N/A PC Food Pantry Support 10000 NEVADA P E P INC 7211 WEST CHARLESTON BLVD LAS VEGAS NV 89117 N/A PC Family Peer Support Services 20000 NEW MEXICO ALLIANCE FOR SCHOOL BASED HEALTH CARE 3301-R COORS BLVD NW STE 288 ALBUQUERQUE NM 87120 N/A PC Expanding NM School-Based Health Center Services 50000 NEW MEXICO CAREGIVERS COALITION PO BOX 297 BERNALILLO NM 87004 N/A PC Caregiver Basic Needs Program 40000 NEW MEXICO COMMUNITY CAPITAL 219 CENTRAL AVE NW STE 201 ALBUQUERQUE NM 87102 N/A PC Native Women Lead fund 2000 NORTH THURSTON EDUCATION FOUNDATION PO BOX 3312 LACEY WA 98509 N/A PC Molina Cares WA Winter Outreach 2000 NORTHEAST MISSISSIPPI COMMUNITY COLLEGE DEVELOPMEN 101 CUNNINGHAM BLVD BOONEVILLE MS 38829 N/A PC Health Care Workforce Training Scholarships fund 37500 NORTHWEST INDIANA COMMUNITY ACTION CORP 5240 FOUNTAIN DR CROWN POINT IN 46307 N/A PC Northwest Area Agency on Aging Community Project/Broadway Lofts Housing Development Program 20000 OMAHA BETTER BIRTH PROJECT 6232 N 104TH ST OMAHA NE 68134 N/A PC Omaha Better Birth Project to support maternal and child health 15000 OMAHA HEALTHY KIDS ALLIANCE 1425 S 13TH ST OMAHA NE 68108 N/A PC Healthy Housing Omaha Asthma in Home Response (AIR) 20000 OPERATION WARM INC PO BOX 822431 PHILADELPHIA PA 19182 N/A PC Operation Warm Coat 50000 OPERATION WARM INC PO BOX 822431 PHILADELPHIA PA 19182 N/A PC Molina HOPE Coat Giveaways - Flint and Muskegon 40500 OPERATION WARM INC PO BOX 822431 PHILADELPHIA PA 19182 N/A PC Chicago Housing Authority Coat Gifting and Resource Fair 10000 OPERATION WARM INC PO BOX 822431 PHILADELPHIA PA 19182 N/A PC Operation Warm and MHT Shoes for School program 25000 PEACE LEARNING CENTER INC 6040 DELONG RD INDIANAPOLIS IN 46254 N/A PC Peace and Healthcare fund 10000 PENCIL INC 30 WEST 26TH ST 5TH FLOOR NEW YORK NY 10010 N/A PC PENCIL School Partnership Program 20000 PRISMA HEALTH - UPSTATE 300 E MCBEE AVESUITE 302 GREENVILLE SC 29601 N/A PC Wheels to Wellness - Bike Skills Program 30000 PUBLIC HEALTH DISTRICT IV 707 N ARMSTRONG PL BOISE ID 83704 N/A GOV Western Idaho Community Health Collaborative (WICHC) 10000 REACH OUT AND READ INC 89 S ST STE 201 BOSTON MA 02111 N/A PC Reach Out and Read fund 5000 REACH OUT WEST END 1126 W FOOTHILL BLVD STE 250 UPLAND CA 91786 N/A PC Reach Out West End - Mamas y Bebes 125000 REACH SERVICES INC 6157 31ST AVE N ST PETERSBURG FL 33710 N/A PC Reach St. Pete Mobile Grocery Store 12000 REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES 1125 MURPHY HALL 405 HILGARD AVE LOS ANGELES CA 90095 N/A PC Health Equity Challenge Phase II 100000 RON FOLEY PANCREATIC CANCER FOUNDATION INC 1000 FARMINGTON AVE STE 108A WEST HARTFORD CT 06107 N/A PC Work on early detection for pancreatic cancer and family support 2500 SALVATION ARMY 16130 NORTHLAND DR SOUTHFIELD MI 48075 N/A PC General & Unrestricted (SEE GENERAL EXPLANATION) 3846 SANTA FE COMMUNITY FOUNDATION PO BOX 1827 SANTA FE NM 87504 N/A PC Wildfire Relief Efforts 50000 SECOND HELPINGS INC 1121 SOUTHEASTERN AVE INDIANAPOLIS IN 46202 N/A PC Second Helpings Culinary Job Training 10000 SHIELDS FOR FAMILIES 11601 S WESTERN AVE LOS ANGELES CA 90047 N/A PC SHIELDS Health Equity 50000 SOUTHEAST GEORGIA COMMUNITIES PROJECT INC 300 S STATE ST LYONS GA 30436 N/A PC General & Unrestricted 10000 SPRINGBOARD TO SUCCESS INC 60 E VAN BUREN ST STE 1100 CHICAGO IL 60605 N/A PC Springboard to Success - Scholarship Fund 25000 SPRINGBOARD TO SUCCESS INC 60 E VAN BUREN ST STE 1100 CHICAGO IL 60605 N/A PC Essentials needs for college Scholarship Fund 20000 SURVIVORS PATHWAY CORPORATION 33 SW 2ND AVE STE 901 MIAMI FL 33130 N/A PC MolinaCares Food Pantry 750 TARGET HUNGER 1260 SHOTWELL ST HOUSTON TX 77020 N/A PC Senior Day Site Program food distribution 10000 TEXAS TECH FOUNDATION INC PO BOX 45025 LUBBOCK TX 79409 N/A PC Texas Tech - Rural Telepsych for Youth 75000 THE GREATER BOSTON FOOD BANK INC 70 S BAY AVE BOSTON MA 02118 N/A PC Greater Boston Food Bank food distribution 12500 THE OHIO STATE UNIVERSITY FOUNDATION 660 ACKERMAN ROAD RM 637 COLUMBUS OH 43218 N/A PC The Molina Healthcare Dental Scholarship Fund 222808 THE RESCUE MISSION PO BOX 1912 TACOMA WA 98401 N/A PC Molina Cares WA Winter Outreach 2000 THE SALVATION ARMY 1424 NE EXPY NE BROOKHAVEN GA 30329 N/A PC Hurricane Ian Relief 5000 TUKWILA SCHOOL DISTRICT 4640 S 144TH ST TUKWILA WA 98168 N/A GOV Molina Cares WA Winter Outreach 2000 UNITED NEGRO COLLEGE FUND INC 1805 7TH ST NW WASHINGTON DC 20001 N/A PC The Health Care Navigator Scholars Program 15000 UNITED WAY OF CENTRAL NEW MEXICO 2340 ALAMO AVE SE 2ND FL ALBUQUERQUE NM 87106 N/A PC Ride United fund 15000 UNITED WAY OF GREATER RICHMOND 7814 CAROUSEL LN STE 400 RICHMOND VA 23294 N/A PC WomenRise Child Care Scholarship fund 50000 UNITED WAY OF THE MIDLANDS 2201 FARNAM ST STE 200 OMAHA NE 68102 N/A PC Women United Mental Health Initiative: United in Heart and Mind 25000 UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 359505 SEATTLE WA 98195 N/A PC Reinforcing the Safety Net Program 200000 VOLUNTEER FLORIDA FOUNDATION INC 1545 RAYMOND DIEHL RD STE 250 TALLAHASSEE FL 32308 N/A SO I Hurricane Ian Relief 150000 VOLUNTEER INTERFAITH CAREGIVERS SOUTHWEST 9600 S GESSNER RD HOUSTON TX 77071 N/A PC Senior Rides and More transportation assistance 10000 WOMEN IN DISTRESS OF BROWARD COUNTY INC PO BOX 50187 LIGHTHOUSE PT FL 33074 N/A PC Women in Distress fund 10000 YOUNG MENS CHRISTIAN ASSOCIATION OF WAYNESBORO VIR 648 S WAYNE AVE WAYNESBORO VA 22980 N/A PC GENERAL & UNRESTRICTED 30000 YWCA METROPOLITAN CHICAGO 1 N LA SALLE ST STE 1150 CHICAGO IL 60602 N/A PC Support for homeless families 6000 FREE SPIRIT MISSIONARY BAPTIST CHURCH PO Box 517 Buffalo NY 14240 N/A PC General & Unrestricted (See General Explanation) 2329 4339533 14 18415 18415 18415 false false false false false false false false false false X X 1 Health Network One LLC 2001 South Andrews Avenue Fort Lauderdale FL 33316 15000 X 2 Molina Healthcare Inc 200 Oceangate Suite 100 Long Beach CA 90802 5039535 X Audit Fees 15900 15900 IN-KIND GRANTS PART I LINE 25 AND PART XIV LINE 3A DISTRIBUTIONS OF PROPERTY VALUE AT FAIR MARKET VALUE AT DATE OF DISTRIBUTION METHOD FOR DETERMINING VALUE OF TOTE BAGS: PURCHASE PRICE TOTAL FAIR MARKET VALUE OF PROPERTY: $6,175 TOTAL BOOK VALUE OF PROPERTY: $6,175 TOTAL CASH PORTION OF GRANTS: $- TOTAL AMOUNT OF GRANTS: $6,175 FORM 990-PF, PART III, LINE 3 - OTHER INCREASES/DECREASES: $- DETAILS OF ITEMS GRANTED: DESCRIPTION OF PROPERTY: Tote Bags UNITS: 200 DATE OF DISTRIBUTION: 1/19/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $518 BOOK VALUE OF PROPERTY: $518 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $518 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 200 DATE OF DISTRIBUTION: 2/28/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $518 BOOK VALUE OF PROPERTY: $518 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $518 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 500 DATE OF DISTRIBUTION: 5/5/2023 GRANT RECIPIENT: Free Spirit Missionary Baptist Church FMV OF PROPERTY: $1,294 BOOK VALUE OF PROPERTY: $1,294 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $1,294 DESCRIPTION OF PROPERTY: Tote Bags UNITS: 3,000 DATE OF DISTRIBUTION: 12/18/2022 GRANT RECIPIENT: SALVATION ARMY FMV OF PROPERTY: $3,846 BOOK VALUE OF PROPERTY: $3,846 CASH PORTION OF GRANT: $- TOTAL AMOUNT OF GRANT: $3,846 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: $4,339,533 Less amount counted as a qualifying distribution on Part XI, Line 2: $2,329 Less amount counted as a qualifying distribution in 2021: $3,846 TOTAL Part I, Line 25, Column (d): $4,333,358 As explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending May 31, 2023, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $4,339,533. This amount represents 25% or more of the Foundation's net assets of $6,023,085 (as measured by fair market value) at the beginning of the Foundation's taxable year ending May 31, 2023. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XIV, Line 3a; each such grant was made solely for the charitable purpose specified therein. Administrative Fees 89041 89041 Bank Charges 33 33 EVENT SUPPLIES 37261 37261 Postage/Delivery Service 70 70 990-PF Extension for 2022 300