A TO Z IMPACT FOUNDATION: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- A TO Z IMPACT FOUNDATION (EIN 47-1982106)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-16
- IRS object ID
- 202313209349101856
- 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
- Form 990-PF
- Schedule B
- All Oth Prog Rltd Investments Sch
- Depreciation Schedule
- Expenditure Responsibility Stmt
- General Explanation Attachment
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-16T16:55:02-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 New Hyde Park Rd Ste 406 | AddressLine1Txt |
| City | New Hyde Park | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471982106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A to Z Impact Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | ATOZ | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffrey Kaplan | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2023-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jeffrey | PersonFirstNm |
| Person Last | Kaplan | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $13,045,479 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $500,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $14,522 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $14,522 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $20,219 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $20,219 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$11,524 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,556 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $229,977 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $226,132 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $70,758 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $753,194 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $260,873 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $70,758 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $335,000 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $32,899 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $302,100 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $77,548 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $6,291 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $50,495 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $3,603 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $172 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $3,431 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $9,988 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $300 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $9,688 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $7,168 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $7,168 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $13,700 | TaxesRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $30,016 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $1,791 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $28,225 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $146,023 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $105,332 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $40,378 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $623,046 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $153,953 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $434,317 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $158,280 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $158,280 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $781,326 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $153,953 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $592,597 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$28,132 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $106,920 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $70,758 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $3,101,005 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,094,461 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,094,461 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $417,717 | CorporateStockBOYAmt |
| Corporate Stock EOY | $416,088 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $383,080 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $8,518,094 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $8,314,452 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $7,602,065 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $1,838,059 | OtherAssetsBOYAmt |
| Other Assets EOY | $3,021,742 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $2,965,873 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $13,874,875 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,846,743 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $13,045,479 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $13,874,875 | RetainedEarningBOYAmt |
| Retained Earning EOY | $13,846,743 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $13,874,875 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,846,743 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $13,874,875 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,846,743 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $13,874,875 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$28,132 | ExcessRevenueOverExpensesAmt |
| Subtotal | $13,846,743 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $13,846,743 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|
| Publicly-traded Securities | $4,556 | $1,629 | $2,927 | $2,927 |
| Passthrough K1 Capital Gain/(Loss) | -$14,451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$11,524 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,486 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,486 | SubtotalAmt |
| Tax Based On Investment Income | $1,486 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $9,358 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $10,100 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $19,458 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $17,972 | OverpaymentAmt |
| Applied To ES Tax | $1,500 | AppliedToESTaxAmt |
| Refund | $16,472 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (true) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| Andrea Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, VP | 1.0 | $0 | $0 | $0 |
| Jeffrey Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres, Dir, Sec, Treas | 20.0 | $0 | $0 | $0 |
| Michael Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 40.0 | $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 |
|---|---|---|---|---|---|---|---|
| ALEXANDER JOHN EVANGELIDES | |||||||
| 117 Main St | Seymour | CT | 06483 | SEN.DIR OF INVEST | 40.0 | $175,000 | $22,687 |
| MICHAEL KAPLAN | |||||||
| 117 MAIN ST | SEYMOUR | CT | 06483 | EXECUTIVE DIR | 0 | $160,000 | $32,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | WWB CAPITAL PARTNERS PRI - TO ADVANCE FINANCIAL INCLUSION FOR LOW-INCOME WOMEN GLOBALLY | Description1Txt |
| Expenses1 | $441,056 | Expenses1Amt |
| Description2 | WEST AFRICA BRIGHT FUTURE PRI - TO ACHIEVE SIGNIFICANT SOCIAL RETURNS BY HELPING TO CLOSE THE GENDER GAP | Description2Txt |
| Expenses2 | $350,000 | Expenses2Amt |
| All Other Program Rltd Invst Tot | $1,017,627 | AllOtherProgramRltdInvstTotAmt |
| Total | $1,808,683 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $392,341 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,353,671 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $6,988,396 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $9,734,408 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $9,734,408 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $146,016 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $9,588,392 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $479,420 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $479,420 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,486 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,486 | TotalTaxAmt |
| Distributable Before Adj | $477,934 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $625,000 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,102,934 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,102,934 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $592,597 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $1,808,683 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $2,401,280 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,102,934 | DistributableAsAdjustedAmt |
| Prior Year1 | 2020 | PriorYear1Yr |
| Prior Year2 | 2019 | PriorYear2Yr |
| Prior Year3 | 2018 | PriorYear3Yr |
| Excess Distribution Cyov Yr5 | $25,973 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,299,754 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $680,570 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $856,636 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $2,862,933 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,401,280 | QualifyingDistributionsAmt |
| Applied To Current Year | $1,102,934 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,298,346 | RemainingDistriFromCorpusAmt |
| Total Corpus | $4,161,279 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $25,973 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $4,135,306 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $1,299,754 | ExcessFromYear4Amt |
| Excess From Year2 | $680,570 | ExcessFromYear2Amt |
| Excess From Year1 | $856,636 | ExcessFromYear1Amt |
| Excess From Current Year | $1,298,346 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Jeffrey Kaplan | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO | |||||||
| 225 EAST CHICAGO AVE BOX 4 | CHICAGO | IL | 60611 | N/A | PC | General & Unrestricted | $300 |
| BEYOND TYPE1 | |||||||
| 400 CONCAR OFC 03-155 | SAN MATEO | CA | 94402 | N/A | PC | Charitable Event | $450 |
| CARLETON ULTIMATE FUND | |||||||
| 913 4TH ST E | NORTHFIELD | MN | 55057 | N/A | PC | General & Unrestricted | $300 |
| CONVENERS-ORG | |||||||
| 102 BAKER ST APT B | SAN FRANCISCO | CA | 94117 | N/A | PC | OC 2022 fund | $3,450 |
| COVENANT HOUSE | |||||||
| 5 PENN PLZ | NEW YORK | NY | 10001 | N/A | PC | General & Unrestricted | $2,000 |
| COVENANT HOUSE NEW JERSEY INC | |||||||
| 330 WASHINGTON ST | NEWARK | NJ | 07102 | N/A | PC | General & Unrestricted | $1,000 |
| CROHNS AND COLITIS FOUNDATION OF AMERICA | |||||||
| 3010 WESTCHESTER AVE | PURCHASE | NY | 10577 | N/A | PC | Charitable Event | $1,000 |
| ESPERANZA NY INC | |||||||
| 636 BROADWAY FL 4 | NEW YORK | NY | 10012 | N/A | PC | General & Unrestricted | $600 |
| GIRLS GARAGE | |||||||
| 2080 2ND ST | BERKELEY | CA | 94710 | N/A | PC | General & Unrestricted | $700 |
| GOATLANDIA FARM ANIMAL SANCTUARY AND EDUCATION CEN | |||||||
| 2336 OLIVET LN | SANTA ROSA | CA | 95401 | N/A | PC | General & Unrestricted | $375 |
| IMPACT EXPERIENCE INSTITUTE | |||||||
| 2323 BROADWAY 1703 | OAKLAND | CA | 94612 | N/A | PC | General & Unrestricted | $2,500 |
| INNER-CITY ARTS | |||||||
| 720 KOHLER ST | LOS ANGELES | CA | 90021 | N/A | PC | General & Unrestricted | $600 |
| INSTITUTE FOR PERSONAL RELIGION INC | |||||||
| 39 HICKORY DR | CAMPBELL HALL | NY | 10916 | N/A | PC | AFSI Parliament of World Religion's Attendance | $1,000 |
| KING BAUDOUIN FOUNDATION UNITED STATES INC | |||||||
| 551 FIFTH AVE SUITE 2400 | NEW YORK | NY | 10176 | N/A | PC | American Friends fund for Kidzcan | $10,500 |
| LANDPATHS | |||||||
| 618 4TH ST STE 200 | SANTA ROSA | CA | 95404 | N/A | PC | General & Unrestricted | $375 |
| LARKIN STREET YOUTH SERVICES | |||||||
| 134 GOLDEN GATE AVE | SAN FRANCISCO | CA | 94102 | N/A | PC | General & Unrestricted | $750 |
| LEUKEMIA & LYMPHOMA SOCIETY - CONNECTICUT WESTCHES | |||||||
| 3 LANDMARK SQ STE 330 | STAMFORD | CT | 06901 | N/A | PC | Charitable Event | $500 |
| LIFE HOUSE FOUNDATION FOR CHILDREN | |||||||
| PO BOX 1005 | GLENDORA | CA | 91740 | N/A | PC | Little Dreamers Academy, Uganda | $4,080 |
| LONG ISLAND COUNCIL OF CHURCHES | |||||||
| 230 HANSE AVE | FREEPORT | NY | 11520 | N/A | PC | The Peoples February Food Drive | $1,000 |
| LTP FOUNDATION INC | |||||||
| 195 MEADOWVIEW AVE | HEWLETT | NY | 11557 | N/A | PC | General & Unrestricted | $100,000 |
| NEIGHBORHOOD GARDENS TRUST | |||||||
| 100 NORTH 20TH ST 5TH FLOOR | PHILADELPHIA | PA | 19103 | N/A | PC | House of Grace Garden Project | $500 |
| NEW SANCTUARY MOVEMENT OF PHILADELPHIA | |||||||
| 2601 POTTER ST | PHILADELPHIA | PA | 19125 | N/A | PC | General & Unrestricted | $1,300 |
| NOVA UKRAINE | |||||||
| 3277 S WHITE RD PMB 8475 | SAN JOSE | CA | 95148 | N/A | PC | General & Unrestricted | $3,300 |
| PRIVILEGE TO SERVE INC | |||||||
| 50 HARRISON ST STE 212H | HOBOKEN | NJ | 07030 | N/A | PC | Promise Village Academy | $2,000 |
| QUEENS COMMUNITY HOUSE INC | |||||||
| 108-69 62ND DR | FOREST HILLS | NY | 11375 | N/A | PC | Charitable Event | $5,000 |
| SALESIAN BOYS CLUB INC | |||||||
| 680 FILBERT ST | SAN FRANCISCO | CA | 94133 | N/A | PC | Easter/Spring Appeal | $600 |
| SOUND MIND LIVE INC | |||||||
| 451 WARBURTON AVE APT 3 | HASTINGS HDSN | NY | 10706 | N/A | PC | Un-Heard Mentality Event & Campaign | $750 |
| TERRA FIRMA NATIONAL INC | |||||||
| 853 LONGWOOD AVE | THE BRONX | NY | 10459 | N/A | PC | General & Unrestricted | $10,000 |
| THE LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| PO BOX 22445 | NEW YORK | NY | 10087 | N/A | PC | General & Unrestricted | $1,000 |
| UC BERKELEY FOUNDATION - HAAS SCHOOL OF BUSINESS | |||||||
| 1995 UNIVERSITY AVE STE 400 | BERKELEY | CA | 94704 | N/A | PC | Haas Social Impact Fund | $375 |
| VERMONT WORKS FOR WOMEN INC | |||||||
| 32 MALLETTS BAY AVE | WINOOSKI | VT | 05404 | N/A | PC | General & Unrestricted | $600 |
| WEST RIVER COMMUNITY PROJECT COMPANY | |||||||
| PO BOX 1066 | W TOWNSHEND | VT | 05359 | N/A | PC | General & Unrestricted | $375 |
| WORLD VEGAN VISION INC | |||||||
| 238 LINDBERGH PL STE 2 | PATERSON | NJ | 07503 | N/A | PC | Charitable Event | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $158,280 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $14,522 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $20,219 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$11,524 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp (3 entries)
| DescDesc | BusinessBusinessCd | Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt | ExclusionExclusionCd | ExclusionExclusionAmt | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|---|---|---|---|
| K-1 Inc/Loss | 525990 | $1,558 | 14 | $155,374 | |
| Federal Tax Refund | 01 | $2,287 | |||
| INTEREST INCOME FROM PRIS | $70,758 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $1,558 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $180,878 | ExclusionAmt |
| Related Or Exempt Function Incm | $70,758 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $253,194 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (9 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, COMMUNITY INVESTMENT 5YR - TO ADDRESS THE SOCIAL AND ECONOMIC HEALTH NEEDS OF THE DISADVANTAGED BRIDGE FINANCING WHILE WAITING FOR COMMITTED FUNDING |
| 11 | Interest income from program related investment, OPEN ROAD IMPACT FUND 2%- TO PROVIDE FINANCIAL PRODUCTS & Services TO SOCIAL ENTERPRISES AND NON-PROFITS WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITED FUNDS |
| 11 | Interest income from program related investment, OPEN ROAD IMPACT FUND 4% - TO PROVIDE FINANCIAL PRODUCTS AND SERVICES TO ESTABLISHED SOCIAL ENTERPRISES AND NON-PROFITS, DOMESTICALLY AND INTERNATIONALLY, WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITTED FUNDING |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, ONE ACRE FUND - TO PROVIDE FARM FAMILES WITH TOOLS AND FINANCING TO GROW THEIR WAY OUT OF HUNGER AND POVERTY BY OFFERING BASIC AGRICULTURAL TRAINING IN SUB-SAHARAN AFRICA |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, WM Zumi - See Part VIII-B for a description of this program-related investment |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, My Agro Farms - TO FUND EXPENSES DIRECTLY RELATED TO RELIEVING POVERTY BY TRANSFORMING THE LIVES OF SMALL-SCALE FARMERS |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, Nesst SElf - See Part VIII-B for a description of this program-related investment |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, Bridges to prosperity - See Part VIII-B for a description of this program-related investment |
| 11 | INTEREST INCOME FROM PROGRAM RELATED INVESTMENT, MDaas Global - See Part VIII-B for a description of this program-related investment |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | Kaplan Jeffrey | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 MAIN ST | AddressLine1Txt |
| City | Seymour | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06483 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $500,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| BRIDGES TO PROSPERITY PRI - TO PROVIDE SUBSTANTIAL QUALITY OF LIFE IMPROVEMENTS TO LOW-INCOME INDIVIDUALS IN RURAL COMMUNITIES | $200,000 |
| COLLAB FUND PRI - TO PROVIDE ACCESS TO CAPITAL TO UNDERRESSOURCED & UNDERNETWORKED BLACK BUSINESS OWNERS WITH RESPECT TO VENTURE CAPITAL & GROWTH OPPORTUNITIES IN USA | $133,167 |
| GLOBAL PTN/ELEOS SOCAL VENTURE PRI - TO EXPAND OPPORTUNITY FOR PEOPLE LIVING IN POVERTY | $19,210 |
| KWANZA TUKULE PRI -TO IMPROVE ACCESSIBILITY & AFFODABILITY OF FOOD TO LOW-INCOME AREAS IN KENYA,AND TO INCREASE INCOMES OF THOSE MICROENTREPRENEURS WHO SUPPLY SAID FOOD | $200,000 |
| MDAAS GLOBAL PRI - TO PROVIDE SUBSTANTIAL QUALITY OF LIFE IMPROVEMENTS TO LOW-INCOME INDIVIDUALS IN NIGERIA | $97,250 |
| NESST SELF PRI - TO LEND TO SOCIAL ENTERPRISES SUPPORTING JOB CREATION FOR VULNERABLE GROUPS IN SOUTH AFRICA | $168,000 |
| ONE ACRE FUND PRI - TO PROVIDE FARM FAMILIES WITH TOOLS AND FINANCING TO GROW THEIR WAY OUT OF HUNGER AND POVERTY BY OFFERING BASIC AGRICULTURAL TRAINING IN SUB-SAHARAN AFRICA | $75,000 |
| WM ZUMI PRI - TO INCREASE THE INCOME AND QUALITY OF LIFE OF THE LOW-INCOME MICROENTREPRENEURS FROM VULNERABLE GROUPS IN AFRICA | $125,000 |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | GrantGrantDt | GrantGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Any Diversion By GranteeAnyDiversionByGranteeTxt | Dates Of Reports By GranteeDatesOfReportsByGranteeTxt | Results Of VerificationResultsOfVerificationTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RH CAPITAL FUND II LP | |||||||||||||
| 47 KEARNY STREET | SAN FRANCISCO | CA | 94108 | 2021-02-09 | $175,000 | PRI INVEST-SEE GEN EXP FOR PURPOSE & ADDTL DATES & DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | SEE GENERAL EXPLANATION FOR REPORT DATES | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| COLLAB FUND I LLC | |||||||||||||
| 384 Northyards Blvd NW | Atlanta | GA | 30313 | 2021-03-25 | $299,667 | PRI INVEST-SEE GEN EXP FOR PURPOSE & ADDTL DATES & DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| Open Road Impact Fund LLC | |||||||||||||
| 301 Commerce Street Suite 301 | Fort Worth | TX | 76102 | 2021-11-09 | $150,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | |||||
| OPEN ROAD IMPACT FUND LLC | |||||||||||||
| 301 Commerce Street Suite 301 | Fort Worth | TX | 76102 | 2021-11-09 | $350,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| WWB CAPITAL PARTNERS II LP | |||||||||||||
| 122 East 42nd St 42nd FL | New York | NY | 10168 | 2022-04-07 | $441,056 | PRI INVEST-SEE GEN EXP FOR PURPOSE & ADDTL DATES & DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| WM ZUMI LIMITED | |||||||||||||
| 2022-02-24 | $125,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | NONE Necessary | 7th FL Muthangari Dr POBOX 60141 | Nairobi | KE | 00200 | ||||
| KWANZA TUKULE FOOD LTD | |||||||||||||
| 2022-02-23 | $200,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | NONE NECESSARY | WareHse 11 lunga lunga rd | nairobi | KE | |||||
| MDaaS Global Corp | |||||||||||||
| 1 Valley Road | Dover | MA | 02030 | 2022-10-28 | $97,250 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | NONE NECESSARY | ||||
| West Africa Bright Future Fund CV | |||||||||||||
| 2022-12-13 | $350,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | NONE NECESSARY | Grote Marktstraat 43B | The Hague | NL | 2511BH | ||||
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp (10 entries)
| IdentifierIdentifierTxt | Form And Line ReferenceFormAndLineReferenceDesc | Medium ExplanationMediumExplanationTxt |
|---|---|---|
| OPEN RD 150K FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | OPEN RD 150K FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: OPEN ROAD IMPACT FUND LLC DATE OF PRI: 11/9/2021 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $150,000 PURPOSE OF PRI: TO PROVIDE FINANCIAL PRODUCTS AND SERVICES TO ESTABLISHED SOCIAL ENTERPRISES AND NON-PROFITS, DOMESTICALLY AND INTERNATIONALLY, WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITTED FUNDING. REPORTS OF AMOUNTS EXPENDED: RECIPIENT SUBMITTED A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT: 01/19/2023 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| OPEN RD 350K FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | OPEN RD 350K FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: OPEN ROAD IMPACT FUND LLC DATE OF PRI: 11/9/2021 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $350,000 PURPOSE OF PRI: TO PROVIDE FINANCIAL PRODUCTS AND SERVICES TO ESTABLISHED SOCIAL ENTERPRISES AND NON-PROFITS, DOMESTICALLY AND INTERNATIONALLY, WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITTED FUNDING. REPORTS OF AMOUNTS EXPENDED: RECIPIENT SUBMITTED A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT: 01/19/2023 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| RH CAP FUND FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | RH CAP FUND FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: RH CAPITAL FUND II, L.P. DATES AND AMOUNTS OF PRI: 02/09/2021 - $50,000 03/09/2021 - $75,000 11/03/2021 - $50,000 TOTAL PRI AMOUNT SHOWN REPORTED ON FORM 990-PF, PART VI-B, LINE 5D-EXPENDITURE RESPONSIBILITY STATEMENT: $175,000 THE TOTAL PRI AMOUNT REPRESENTS THE AGGREGATE OF SEVERAL DISBURSEMENTS, LISTED BELOW, MADE UNDER A SINGLE PRI INSTRUMENT. PURPOSE OF PRI: TO ACCELERATE INNOVATION AND INCREASE THE AVAILABILITY OF REPRODUCTIVE HEALTH SOLUTIONS FOR ALL WOMEN, AND IN PARTICULAR FOR WOMEN IN UNDERSERVED COMMUNITIES, WOMEN OF COLOR, MEDICAID PATIENTS AND LOW-INCOME WOMEN. REPORTS OF AMOUNTS EXPENDED: RECIPIENT SUBMITTED A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT: 10/13/2022 FOR FYE 12/31/2021 DATE OF REPORT: 06/13/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | COLLAB FUND I FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: COLLAB FUND I, LLC DATES AND AMOUNTS OF PRI: 03/25/2021 $166,500 01/13/2022 $66,667 07/06/2022 $66,500 TOTAL PRI AMOUNT SHOWN REPORTED ON FORM 990-PF, PART VI-B, LINE 5D-EXPENDITURE RESPONSIBILITY STATEMENT: $299,667 THE TOTAL PRI AMOUNT REPRESENTS THE AGGREGATE OF SEVERAL DISBURSEMENTS, LISTED BELOW, MADE UNDER A SINGLE PRI INSTRUMENT. PURPOSE OF PRI: TO PROVIDE ACCESS TO CAPITAL TO BLACK BUSINESS OWNERS WHO HAVE HISTORICALLY BEEN UNDER-RESOURCED AND UNDER-NETWORKED WITH RESPECT TO VENTURE CAPITAL FUNDING AND GROWTH OPPORTUNITIES IN THE UNITED STATES. REPORTS OF AMOUNTS EXPENDED: RECIPIENT SUBMITTED A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT: 10/12/2022 FOR FYE 12/31/2021 DATE OF REPORT: 06/13/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | WWB CAP FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: WWB Capital Partners II, L.P. DATES AND AMOUNTS OF PRI: 04/07/2022 $78,138 05/31/2022 $195,714 07/15/2022 $53,929 11/15/2022 $113,275 TOTAL PRI AMOUNT SHOWN REPORTED ON FORM 990-PF, PART VI-B, LINE 5D-EXPENDITURE RESPONSIBILITY STATEMENT: $441,056 THE TOTAL PRI AMOUNT REPRESENTS THE AGGREGATE OF SEVERAL DISBURSEMENTS, LISTED BELOW, MADE UNDER A SINGLE PRI INSTRUMENT. PURPOSE OF PRI: To advance financial inclusion for low-income women globally. REPORTS OF AMOUNTS EXPENDED: RECIPIENT SUBMITTED A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT: 06/27/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| WM Zumi FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: WM ZUMI LIMITED DATE OF PRI: 02/24/2022 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $125,000 PURPOSE OF PRI: To increase the income and quality of life of the low-income microentrepreneurs. REPORTS OF AMOUNTS EXPENDED: RECIPIENT IS EXPECTED TO SUBMIT A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT IN 2023. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| KWANZA TUKULE FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: Kwanza Tukule Foods Limited DATE OF PRI: 02/23/2022 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $200,000 PURPOSE OF PRI: To improve the accessibility and affordability of food to low-income areas in Kenya, and to increase the incomes of those microentrepreneurs who supply said food. REPORTS OF AMOUNTS EXPENDED: RECIPIENT IS EXPECTED TO SUBMIT A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT IN 2023. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| MDaaS Global Corp. | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: MDaaS Global Corp. DATE OF PRI: 10/28/2022 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $97,250 PURPOSE OF PRI: To provide substantial quality of life improvements to low-income individuals in Nigeria. REPORTS OF AMOUNTS EXPENDED: RECIPIENT IS EXPECTED TO SUBMIT A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT IN 2023. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| West Africa Bright Future Fund C.V. | West Africa Bright Future Fund C.V. | PRI RECIPIENT: West Africa Bright Future Fund C.V. DATE OF PRI: 12/13/2022 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $350,000 PURPOSE OF PRI: To achieve significant social returns by helping to close the gender gap. REPORTS OF AMOUNTS EXPENDED: RECIPIENT IS EXPECTED TO SUBMIT A FULL AND COMPLETE FINANCIAL REPORT OF THE TYPE ORDINARILY REQUIRED BY COMMERCIAL INVESTORS UNDER SIMILAR CIRCUMSTANCES AND A STATEMENT THAT IT HAS COMPLIED WITH THE TERMS OF THE INVESTMENT IN 2023. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. DIVERSIONS: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| Form 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. |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | MAINSTAY SHORT DURATION HIGH Y | StockNm |
| EOY Book Value | $416,088 | EOYBookValueAmt |
| EOYFMV | $383,080 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (10 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CONTEXT PARTNERS OFFSHORE, L.P | $1,000,000 | $1,504,740 |
| DEERFIELD PARTNERS, L.P | $5,206,203 | $3,132,032 |
| ELEVAR EQUITY IV, L.P | $344,542 | $990,994 |
| ELEVAR INDIA V, L.P | $88,177 | $129,664 |
| ILLUMEN CAPITAL LP | $235,310 | $331,657 |
| IMPACT VENTURES IV, LP | $181,511 | $227,051 |
| KAPOR CAPITAL III, L.P | $232,110 | $232,737 |
| LENDABLE MSME FINTECH CREDIT F | $750,000 | $750,000 |
| SPRING B FUND I, LP | $150,635 | $153,359 |
| VENTURES PLATFORM IV LP | $125,964 | $149,831 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (3 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Document Review/Drafting | $2,380 | $2,380 | |
| Foundation Formation/1023 Prep | $308 | $308 | |
| General Consultations | $915 | $743 | $172 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (14 entries)
| DescDesc | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| PRI - BRIDGES TO PROSPERITY IN | $200,000 | $200,000 |
| PRI - COLLAB FUND I, LLC - 0% | $299,667 | $299,667 |
| PRI - COMMUNITY INVESTMENT NOT | $250,000 | $250,000 |
| PRI - GLOBAL PTN/ELEOS SOCIAL | $80,769 | $80,679 |
| PRI - KWANZA TUKULE FOODS LIMI | $200,000 | $200,000 |
| PRI - MDAAS GLOBAL CORP - 9.45 | $97,250 | $100,000 |
| PRI - NESST SELF LLC - 5% - 09 | $168,000 | $168,000 |
| PRI - ONE ACRE FUND - 2% - 05/ | $135,000 | $135,000 |
| PRI - OPEN ROAD IMPACT FUND LL | $150,000 | $150,000 |
| PRI - OPEN ROAD IMPACT FUND SU | $350,000 | $350,000 |
| PRI - RH CAPITAL FUND II, L.P. | $175,000 | $131,782 |
| PRI - WEST AFRICA BRIGHT FUTUR | $350,000 | $350,000 |
| PRI - WM ZUMI LIMITED - 12% - | $125,000 | $125,000 |
| PRI - WWB CAPITAL PARTNERS II, | $441,056 | $425,745 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (20 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $27,894 | $27,894 | |
| Bank Charges | $925 | $925 | |
| Cell Phone Expense | $2,675 | $2,455 | $220 |
| Computers/Electronic Devices | $692 | $573 | $119 |
| Digital Subscriptions | $408 | $399 | $9 |
| Foundation Dues & Memberships | $6,000 | $6,000 | |
| Insurance Premiums | $116 | $94 | $22 |
| K-1 Exp DEERFIELD PARTNERS, L. | $12,492 | $12,417 | |
| K-1 Exp ELEVAR EQUITY IV, L.P | $9,326 | $9,326 | |
| K-1 Exp ELEVAR INDIA V, L.P | $17,764 | $17,764 | |
| K-1 Exp ILLUMEN CAPITAL LP | $17,135 | $16,897 | |
| K-1 Exp IMPACT VENTURES IV, LP | $11,012 | $11,012 | |
| K-1 Exp KAPOR CAPITAL III, L.P | $391 | $391 | |
| K-1 Exp SPRING B FUND I, LP | $19,150 | $19,150 | |
| K-1 Exp VENTURES PLATFORM IV L | $17,056 | $17,056 | |
| Office Supplies | $1,297 | $1,287 | $10 |
| Payroll Processing Fees | $1,394 | $1,394 | |
| Postage/Delivery Service | $14 | $14 | |
| State or Local Filing Fees | $25 | $25 | |
| Website Hosting/Support | $257 | $257 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (8 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| K-1 Inc/Loss DEERFIELD PARTNERS, L.P | $155,669 | $154,107 | |
| K-1 Inc/Loss ELEVAR INDIA V, L.P | $441 | $441 | |
| K-1 Inc/Loss ILLUMEN CAPITAL LP | $836 | $840 | |
| K-1 Inc/Loss IMPACT VENTURES IV, LP | $112 | $112 | |
| K-1 Inc/Loss KAPOR CAPITAL III, L.P | $1 | $1 | |
| K-1 Inc/Loss VENTURES PLATFORM IV LP | -$127 | -$127 | |
| Federal Tax Refund | $2,287 | ||
| Interest Income from PRIs | $70,758 | $70,758 | $70,758 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Investment Management Services | $300 | $300 | |
| Website Development | $9,688 | $9,688 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| 990-PF Estimated Tax for 2022 | $8,300 |
| 990-PF Extension for 2021 | $5,400 |
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