2023-11-16T16:55:02-06:00 2022-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2022-01-01 471982106 A to Z Impact Foundation % Foundation Source ATOZ 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Jeffrey Kaplan President 8008391754 2023-11-16 true Jeffrey Kaplan 999009999 Jeffrey D Haskell P01345770 8008391754 2022 2023-04-26 12:10:37Z X 13045479 X 500000 14522 14522 20219 20219 -11524 4556 0 229977 226132 70758 753194 260873 70758 0 335000 32899 302100 77548 6291 50495 3603 172 0 3431 9988 300 9688 7168 7168 13700 30016 1791 28225 146023 105332 40378 623046 153953 0 434317 158280 158280 781326 153953 0 592597 -28132 106920 70758 3101005 2094461 2094461 417717 416088 383080 8518094 8314452 7602065 1838059 3021742 2965873 13874875 13846743 13045479 0 0 X 13874875 13846743 13874875 13846743 13874875 13846743 13874875 -28132 13846743 13846743 Publicly-traded Securities 4556 1629 2927 2927 Passthrough K1 Capital Gain/(Loss) -14451 -11524 1486 1486 1486 9358 0 10100 19458 X 0 17972 1500 16472 false false false false false true true false true true DE true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false true true false false false false false false false false false false false true false false true false false false false 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 ALEXANDER JOHN EVANGELIDES 117 Main St Seymour CT 06483 SEN.DIR OF INVEST 40.0 175000 22687 MICHAEL KAPLAN 117 MAIN ST SEYMOUR CT 06483 EXECUTIVE DIR 0 160000 32789 WWB CAPITAL PARTNERS PRI - TO ADVANCE FINANCIAL INCLUSION FOR LOW-INCOME WOMEN GLOBALLY 441056 WEST AFRICA BRIGHT FUTURE PRI - TO ACHIEVE SIGNIFICANT SOCIAL RETURNS BY HELPING TO CLOSE THE GENDER GAP 350000 1017627 1808683 392341 2353671 6988396 9734408 0 9734408 146016 9588392 479420 479420 1486 1486 477934 625000 1102934 1102934 592597 1808683 0 0 0 2401280 1102934 2020 2019 2018 25973 1299754 680570 856636 2862933 2401280 1102934 1298346 4161279 0 25973 4135306 1299754 680570 856636 1298346 Jeffrey Kaplan X 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 3450 COVENANT HOUSE 5 PENN PLZ NEW YORK NY 10001 N/A PC General & Unrestricted 2000 COVENANT HOUSE NEW JERSEY INC 330 WASHINGTON ST NEWARK NJ 07102 N/A PC General & Unrestricted 1000 CROHNS AND COLITIS FOUNDATION OF AMERICA 3010 WESTCHESTER AVE PURCHASE NY 10577 N/A PC Charitable Event 1000 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 2500 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 1000 KING BAUDOUIN FOUNDATION UNITED STATES INC 551 FIFTH AVE SUITE 2400 NEW YORK NY 10176 N/A PC American Friends fund for Kidzcan 10500 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 4080 LONG ISLAND COUNCIL OF CHURCHES 230 HANSE AVE FREEPORT NY 11520 N/A PC The Peoples February Food Drive 1000 LTP FOUNDATION INC 195 MEADOWVIEW AVE HEWLETT NY 11557 N/A PC General & Unrestricted 100000 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 1300 NOVA UKRAINE 3277 S WHITE RD PMB 8475 SAN JOSE CA 95148 N/A PC General & Unrestricted 3300 PRIVILEGE TO SERVE INC 50 HARRISON ST STE 212H HOBOKEN NJ 07030 N/A PC Promise Village Academy 2000 QUEENS COMMUNITY HOUSE INC 108-69 62ND DR FOREST HILLS NY 11375 N/A PC Charitable Event 5000 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 10000 THE LEUKEMIA & LYMPHOMA SOCIETY PO BOX 22445 NEW YORK NY 10087 N/A PC General & Unrestricted 1000 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 1000 158280 14 14522 14 20219 18 -11524 K-1 Inc/Loss 525990 1558 14 155374 Federal Tax Refund 01 2287 INTEREST INCOME FROM PRIS 70758 1558 180878 70758 253194 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 false false false false false false false false false false X X 1 Kaplan Jeffrey 117 MAIN ST Seymour CT 06483 500000 X BRIDGES TO PROSPERITY PRI - TO PROVIDE SUBSTANTIAL QUALITY OF LIFE IMPROVEMENTS TO LOW-INCOME INDIVIDUALS IN RURAL COMMUNITIES 200000 COLLAB FUND PRI - TO PROVIDE ACCESS TO CAPITAL TO UNDERRESSOURCED & UNDERNETWORKED BLACK BUSINESS OWNERS WITH RESPECT TO VENTURE CAPITAL & GROWTH OPPORTUNITIES IN USA 133167 GLOBAL PTN/ELEOS SOCAL VENTURE PRI - TO EXPAND OPPORTUNITY FOR PEOPLE LIVING IN POVERTY 19210 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 200000 MDAAS GLOBAL PRI - TO PROVIDE SUBSTANTIAL QUALITY OF LIFE IMPROVEMENTS TO LOW-INCOME INDIVIDUALS IN NIGERIA 97250 NESST SELF PRI - TO LEND TO SOCIAL ENTERPRISES SUPPORTING JOB CREATION FOR VULNERABLE GROUPS IN SOUTH AFRICA 168000 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 75000 WM ZUMI PRI - TO INCREASE THE INCOME AND QUALITY OF LIFE OF THE LOW-INCOME MICROENTREPRENEURS FROM VULNERABLE GROUPS IN AFRICA 125000 RH CAPITAL FUND II LP 47 KEARNY STREET SAN FRANCISCO CA 94108 2021-02-09 175000 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 299667 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 150000 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 350000 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 441056 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 7th FL Muthangari Dr POBOX 60141 Nairobi KE 00200 2022-02-24 125000 PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION NO See General Explanation for Report Dates NONE Necessary KWANZA TUKULE FOOD LTD WareHse 11 lunga lunga rd nairobi KE 2022-02-23 200000 PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION NO See General Explanation for Report Dates NONE NECESSARY MDaaS Global Corp 1 Valley Road Dover MA 02030 2022-10-28 97250 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 Grote Marktstraat 43B The Hague NL 2511BH 2022-12-13 350000 PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION NO See General Explanation for Report Dates NONE NECESSARY 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. MAINSTAY SHORT DURATION HIGH Y 416088 383080 CONTEXT PARTNERS OFFSHORE, L.P 1000000 1504740 DEERFIELD PARTNERS, L.P 5206203 3132032 ELEVAR EQUITY IV, L.P 344542 990994 ELEVAR INDIA V, L.P 88177 129664 ILLUMEN CAPITAL LP 235310 331657 IMPACT VENTURES IV, LP 181511 227051 KAPOR CAPITAL III, L.P 232110 232737 LENDABLE MSME FINTECH CREDIT F 750000 750000 SPRING B FUND I, LP 150635 153359 VENTURES PLATFORM IV LP 125964 149831 Document Review/Drafting 2380 2380 Foundation Formation/1023 Prep 308 308 General Consultations 915 172 743 PRI - BRIDGES TO PROSPERITY IN 200000 200000 PRI - COLLAB FUND I, LLC - 0% 299667 299667 PRI - COMMUNITY INVESTMENT NOT 250000 250000 PRI - GLOBAL PTN/ELEOS SOCIAL 80769 80679 PRI - KWANZA TUKULE FOODS LIMI 200000 200000 PRI - MDAAS GLOBAL CORP - 9.45 97250 100000 PRI - NESST SELF LLC - 5% - 09 168000 168000 PRI - ONE ACRE FUND - 2% - 05/ 135000 135000 PRI - OPEN ROAD IMPACT FUND LL 150000 150000 PRI - OPEN ROAD IMPACT FUND SU 350000 350000 PRI - RH CAPITAL FUND II, L.P. 175000 131782 PRI - WEST AFRICA BRIGHT FUTUR 350000 350000 PRI - WM ZUMI LIMITED - 12% - 125000 125000 PRI - WWB CAPITAL PARTNERS II, 441056 425745 Administrative Fees 27894 27894 Bank Charges 925 925 Cell Phone Expense 2675 220 2455 Computers/Electronic Devices 692 119 573 Digital Subscriptions 408 9 399 Foundation Dues & Memberships 6000 6000 Insurance Premiums 116 22 94 K-1 Exp DEERFIELD PARTNERS, L. 12492 12417 K-1 Exp ELEVAR EQUITY IV, L.P 9326 9326 K-1 Exp ELEVAR INDIA V, L.P 17764 17764 K-1 Exp ILLUMEN CAPITAL LP 17135 16897 K-1 Exp IMPACT VENTURES IV, LP 11012 11012 K-1 Exp KAPOR CAPITAL III, L.P 391 391 K-1 Exp SPRING B FUND I, LP 19150 19150 K-1 Exp VENTURES PLATFORM IV L 17056 17056 Office Supplies 1297 10 1287 Payroll Processing Fees 1394 1394 Postage/Delivery Service 14 14 State or Local Filing Fees 25 25 Website Hosting/Support 257 257 K-1 Inc/Loss DEERFIELD PARTNERS, L.P 155669 154107 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 2287 Interest Income from PRIs 70758 70758 70758 Investment Management Services 300 300 Website Development 9688 9688 990-PF Estimated Tax for 2022 8300 990-PF Extension for 2021 5400