2023-02-14T11:29:14-06:00 2022-03-31 MICHAEL BERRY CPA PO BOX 5045 CULVER CITY CA 902315045 990PF 2021-04-01 010956020 THE MASIMO FOUNDATION FOR ETHICS INNOVATION AND COMPETITION IN HEALTHCARE MASI 9492977792 52 DISCOVERY IRVINE CA 92618 MICAH YOUNG TREASURER 9492977792 2023-02-14 1 MICAH YOUNG 999009999 MICHAEL BERRY P00179412 3108382204 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z X 3919226 X 1000100 1351 1351 -980 2510490 0 1000471 1351 0 0 0 4283 0 4283 9540 0 9540 25000 0 25000 75 0 75 2250 0 2250 41148 0 41148 2991066 2399030 3032214 0 2440178 -2031743 1351 151113 1541725 1541725 5111041 2375066 2375066 8385 2135 2135 0 300 300 5270539 3919226 3919226 7052 580 585856 1273892 592908 1274472 X 4677631 2644754 4677631 2644754 5270539 3919226 4677631 -2031743 0 2645888 1134 2644754 MERRILL LYNCH P 2510490 2511470 -980 -980 -980 19 0 19 0 19 2135 0 0 0 2135 0 2116 2116 0 0 0 0 0 0 0 0 0 0 0 1 1 CA DE 0 0 0 0 1 1 HTTP://WWW.MASIMOFOUNDATION.ORG BARNETT COMPANY 9492663040 30212 TOMAS SUITE 200 RANCHO SANTA MARGARITA CA 92688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 JOE KIANI 52 DISCOVERY IRVINE CA 92618 CHAIRMAN 0.50 0 0 0 FREDERICK HARRIS 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 SARAH KIANI 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 STEVE JENSEN 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 MARY KIANI 52 DISCOVERY IRVINE CA 92618 DIRECTOR (LEFT OCT 2021) 0.15 0 0 0 TOM MCCLENAHAN 52 DISCOVERY IRVINE CA 92618 SECRETARY 0.05 0 0 0 MICAH YOUNG 52 DISCOVERY IRVINE CA 92618 TREASURER 0.10 0 0 0 NONE 0 NONE 0 0 0 3873856 0 3873856 0 0 3873856 58108 3815748 190787 190787 19 19 190768 96000 286768 0 286768 2440178 0 2440178 286768 0 0 3584859 3173706 2384557 2217749 2263205 13624076 2440178 0 0 0 286768 2153410 0 0 15777486 0 0 0 0 0 0 3584859 12192627 3173706 2384557 2217749 2263205 2153410 THE MASIMO FOUNDATION ATTN GLENN PA 52 DISCOVERY IRVINE CA 92618 9492977792 GLENNPARRISH@MASIMOFOUNDATION.ORG THE 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. NONE NONE T'RUAH FOUNDATION 266 WEST 37TH STREET ROOM 803 NEW YORK NY 10018 NONE PC GENERAL OPERATIONS 20000 ONEOC 1901 E 4TH STREET SUITE 100 SANTA ANA CA 92705 NONE PC GENERAL OPERATIONS 500000 CALIFORNIA INSTITUE OF TECHNOLOGY 1200 EAST CALIFORNIA BOULEVARD PASADENA CA 91125 NONE PC FUNDING FOR SCHOLARSHIPS 260530 JEWISH VOICE FOR PEACE PO BOX 589 BERKELEY CA 94701 NONE PC GENERAL OPERATIONS 20000 AMERICAN CIVIL LIBERTIES UNION 1313 W 8TH ST 200 LOS ANGELES CA 90017 NONE PC GENERAL OPERATIONS 300000 SYRIAN FORUM USA 10S410 KINGERY HIGHWAY 5 WILLOWBROOK IL 60527 NONE PC GENERAL OPERATIONS 50000 AYENEH FOUNDATION PO BOX 17490 ENCINO CA 91314 NONE PC GENERAL OPERATIONS 100000 US SOCCER FEDERATION INC 1801 S PRAIRIE AVENUE CHICAGO IL 60616 NONE PC GENERAL OPERATIONS 10000 THE DRAGON KIM FOUNDATION 5151 CALIFORNIA AVENUE STE 100 IRVINE CA 92617 NONE PC GENERAL OPERATIONS 50000 UNLV FOUNDATION 4505 MARYLAND PARKWAY LAS VEGAS NV 89119 NONE PC GENERAL OPERATIONS 75000 SYRIAN INSTITUTE FOR PROGRESS 27472 PORTOLA PARKWAY STE 205 FOOTHILL RANCH CA 92610 NONE PC GENERAL OPERATIONS 25000 TALLER SAN JOSE HOPE BUILDERS 801 N BROADWAY SANTA ANA CA 92701 NONE PC GENERAL OPERATIONS 50000 THE CARTER CENTER ONE COPENHILL 453 FREEDOM PARKWAY ATLANTA GA 30307 NONE PC GENERAL OPERATIONS 97000 ST MARY SCHOOL 7 PURSUIT ALISO VIEJO CA 92656 NONE PC FUNDING FOR SCHOLARSHIPS 25000 ONEOC 1901 E 4TH STREET SUITE 100 SANTA ANA CA 92705 NONE PC GENERAL OPERATIONS 500000 BEAU BIDEN FOUNDATION C/O DELAWARE COMMUNITY FOUNDATIONPO BOX 1636 WILMINGTON DE 19899 NONE PC GENERAL OPERATIONS 50000 GUIDE DOGS OF AMERICA 13445 GLENOAKS BOULEVAARD SYLMAR CA 91342 NONE PC GENERAL OPERATIONS 10000 IBERO-AMERICAN SOCIETY OF NEONATOLOGY INC 30 COLUMBIA TPKE STE 204 FLORHAM PARK NJ 07932 NONE PC GENERAL OPERATIONS 70000 USA TODAY 7950 JONES BRANCH DRIVE MCLEAN VA 22107 NONE NC REPORTING ON PATIENT SAFETY MATTERS 186500 2399030 CALIFORNIA INSTITUE OF TECHNOLOGY 1200 EAST CALIFORNIA BOULEVARD PASADENA CA 91125 NONE PC FUNDING FOR SCHOLARSHIPS 960980 960980 14 1351 18 -980 0 371 0 371 0 0 0 0 0 0 0 0 0 0 X X 1 MASIMO CORPORATION 52 DISCOVERY IRVINE CA 92618 1000060 X ACCOUNTING 9540 0 9540 USA TODAY 7950 JONES BRANCH DRIVE MCLEAN VA 22107 2021-04-19 186500 TO 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. 186500 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED NOVEMBER 15,2022 THE 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. DELAWARE DOES NOT REQUIRE A COPY OF FORM 990-PF. PART VII-B, LINES 5(A)(4) AND LINE 5(C) & STATEMENT 10 ON MARCH 4, 2020, THE ORGANIZATION ENTERED INTO AN EXPENDITURE RESPONSIBILITY AGREEMENT WITH USA TODAY AS INDICATED IN STATEMENT 13. THE GRANT IS 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 CURRENT YEAR ON APRIL 19, 2021. THE FINAL PAYMENT TOTALING $192,000 WAS MADE SUBSEQUENT TO THE MARCH 31,2022 FISCAL YEAR IN DECEMBER 2022. INTERIM REPORTS WERE RECEIVED MARCH 25,2021 AND NOVEMBER 15, 2022. ENDOLOGIX, INC.- MISSION RELATED INVESTMENT 300 300 LEGAL 4283 0 4283 CHANGE IN UNREALIZED GAINS AND LOSSES 595 PRIOR PERIOD ADJUSTMENT 539 INSURANCE 741 0 741 BANK AND BROKERAGE FEES 1633 0 1633 REIMBURSED PRIOR YEAR EXPENSE -124 0 -124 ADMINISTRATIVE AND CONSULTING 25000 0 25000 FILING FEES 75 0 75