2022-02-04T19:20:34-06:00 2021-03-31 MICHAEL BERRY CPA PO BOX 5045 CULVER CITY CA 90230 990PF 2020-04-01 010956020 THE MASIMO FOUNDATION FOR ETHICS INNOVATION AND COMPETITION IN HEALTHCARE MASI 9492977792 52 DISCOVERY IRVINE CA 92618 MICAH YOUNG TREASURER 9492977792 2022-02-04 1 MICAH YOUNG 999009999 MICHAEL BERRY P00179412 3107454027 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 5270539 X 200 X 19081 19081 -1339681 0 -1320400 19081 0 0 0 6527 0 6527 22220 0 22220 25000 0 25000 5525 0 160 2140 0 2140 61412 0 56047 2624009 2513000 2685421 0 2569047 -4005821 19081 9077 151113 151113 7790621 5111041 5111041 13750 8385 8385 20727 0 0 7834175 5270539 5270539 7052 474847 585856 474847 592908 X 7359328 4677631 7359328 4677631 7834175 5270539 7359328 -4005821 1324124 4677631 0 4677631 ENDOLOGIX, INC.-MISSION RELATED INVESTMENT 2017-05-18 2020-10-01 1339681 -1339681 -1339681 -1339681 265 0 265 0 265 2400 0 0 0 2400 0 2135 2135 0 0 0 0 0 0 0 0 0 0 0 1 1 CA DE 0 0 0 0 0 1 HTTP://WWW.MASIMOFOUNDATION.ORG BARNETT COMPANY 9492163458 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 0.25 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 6641 6208732 0 6215373 0 0 6215373 93231 6122142 306107 306107 265 265 305842 0 305842 0 305842 2569047 0 2569047 0 2569047 305842 0 0 3862833 3584859 3173706 2384557 2217749 15223704 2569047 0 0 0 305842 2263205 0 0 17486909 0 0 0 0 0 0 3862833 13624076 3584859 3173706 2384557 2217749 2263205 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 AMERICAN CIVIL LIBERTIES UNION 125 BROAD STREET 18TH FLOOR NEW YORK NY 10004 NONE PC GENERAL SUPPORT 300000 AYENEH FOUNDATION PO BOX 17490 ENCINO CA 91314 NONE PC GENERAL SUPPORT 100000 EASTERN CONGO INITIATIVE 615 1ST AVENUE NE - SUITE 500 MINNEAPOLIS MN 55413 NONE PC GENERAL SUPPORT 5000 INSTITUTE FOR CIVIC LEADERSHIP 291 CENTRAL PARK W NEW YORK NY 10024 NONE PC GENERAL SUPPORT 192000 PATIENT SAFETY MOVEMENT FOUNDATION 15776 LAGUNA CANYON RD IRVINE CA 92618 NONE PC GENERAL SUPPORT 1000000 THE BEAU BIDEN FOUNDATION C/O DELAWARE COMMUNITY FOUNDATIONPO BOX 1636 WILMINGTON DE 19899 NONE PC GENERAL SUPPORT 125000 THE BRETT TASHMAN FOUNDATION 1723 BRENTWOOD AVE UPLAND CA 91784 NONE PC GENERAL SUPPORT 25000 THE CARTER CENTER ONE COPENHILL 453 FREEDOM PARKWAY ATLANTA GA 30307 NONE PC GENERAL SUPPORT 96000 IBEROAMERICAN SOCIETY OF NEONATOLOGY INC 30 COLUMBIA TURNPIKE FLORHAM PARK NJ 17932 NONE PC GENERAL SUPPORT 70000 THE BARACK OBAMA FOUNDATION 5235 S HARPER CT STE 1140 CHICAGO IL 60615 NONE PC GENERAL SUPPORT 500000 CHAPMAN UNIVERSITY ONE UNIVERSITY DRIVE ORANGE CA 92866 NONE PC 10TH INSTALLMENT FOR INTERDISCIPLINARY SCIENCE COMPLEX AT SCHMID COLLEGE OF SCIENCE AND TECHNOLOGY 100000 2513000 IBEROAMERICAN SOCIETY OF NEONATOLOGY INC 30 COLUMBIA TURNPIKE FLORHAM PARK NJ 17932 NONE PC GENERAL SUPPORT 210000 210000 14 19081 18 -1339681 0 -1320600 0 -1320600 0 0 0 0 0 0 0 0 0 0 ACCOUNTING & AUDITING 22220 0 22220 USA TODAY 7950 JONES BRANCH DRIVE MCLEAN VA 22107 2020-03-04 136500 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. 136500 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED MARCH 25,2021 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 10. THE GRANT IS A THREE-YEAR GRANT TOTALING $515,000- THE FIRST INSTALLMENT IN THE AMOUNT OF $136,500 WAS MADE IN THE PREVIOUS TAX YEAR, MARCH 4, 2020. THE SECOND INSTALLMENT WAS MADE SUBSEQUENT TO THE TAX YEAR IN THE AMOUNT OF $186,500. AN INTERIM REPORT COVERING THE 2020 CALENDAR YEAR WAS PROVIDED BY USA TODAY MARCH 25,2021.NOTE THAT LINE 5(A)(4) OF PART VII-B WAS ANSWERED YES (THAT INDICATES A GRANT WAS MADE TO AN ORGANIZATION NOT DESCRIBED IN IRC 4945(D)(4)(A) DURING THE YEAR. THE ANSWER SHOULD BE NO (AS ALL GRANTS DURING THE YEAR WERE MADE TO ORGANIZATIONS DESCRIBED IN 4945(D)(4)(A). DUE TO TAX SOFTWARE LIMITATIONS, THE QUESTION HAD TO BE ANSWERED YES IN ORDER TO GENERATE THE REQUIRED EXPENDITURE RESPONSIBILITY STATEMENT (STATEMENT 10). LEGAL 6527 0 6527 OFFICE 33 0 33 INSURANCE 741 0 741 BANK AND BROKERAGE FEES 1366 0 1366 CHANGE IN UNREALIZED GAINS AND LOSSES 1324124 ADMINISTRATIVE AND CONSULTING 25000 0 25000 FILING FEES 160 0 160 EXCISE TAXES 5365 0 0