SIMON BOLIVAR FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SIMON BOLIVAR FOUNDATION INC (EIN 20-5787382)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-13
IRS object ID
202231339349102828
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T11:50:31-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN760269860PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Blazek & VetterlingBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 Weslayan Suite 200AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77027ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205787382EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Simon Bolivar Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSIMOBusinessNameControlTxt
Foreign Phone18004950010ForeignPhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11293 Eldridge ParkwayAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77077ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMariela PoleoPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMarielaPersonFirstNm
Person LastPoleoPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKurt CoburnPreparerPersonNm
PTINP01638285PTIN
Phone7134395739PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,996,776FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,050,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$42InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$42InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss-$1OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm-$1OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$2,050,041TotalRevAndExpnssAmt
Total Net Invst Incm$41TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$53,113LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$36,865LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$57,778AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$57,778AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$81,794OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$45,294OtherProfFeesDsbrsChrtblAmt
Other Expenses Rev And Expnss$12,525OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$696OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$19,816OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$205,210TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$696TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$159,753TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,196,028ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,150,888ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,401,238TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$696TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,310,641TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,351,197ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,939,219CashBOYAmt
Cash EOY$1,164,424CashEOYAmt
Cash EOYFMV$1,164,424CashEOYFMVAmt
Sav And Temp Cash Invst BOY$277,055SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$277,095SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$277,095SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$1,278AcctRcvblAmt
Acct Rcvbl BOY$3,935AcctRcvblBOYAmt
Acct Rcvbl EOY$1,278AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$1,278AcctRcvblEOYFMVAmt
Pledges Rcvbl$2,550,000PledgesRcvblAmt
Pledges Rcvbl BOY$2,000,000PledgesRcvblBOYAmt
Pledges Rcvbl EOY$2,550,000PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$2,550,000PledgesRcvblEOYFMVAmt
Prepaid Expenses EOY$3,979PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$3,979PrepaidExpensesEOYFMVAmt
Total Assets BOY$4,220,209TotalAssetsBOYAmt
Total Assets EOY$3,996,776TotalAssetsEOYAmt
Total Assets EOYFMV$3,996,776TotalAssetsEOYFMVAmt
Accounts Payable BOY$25,888AccountsPayableBOYAmt
Accounts Payable EOY$13,210AccountsPayableEOYAmt
Grants Payable BOY$1,356,467GrantsPayableBOYAmt
Grants Payable EOY$2,496,909GrantsPayableEOYAmt
Total Liabilities BOY$1,382,355TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,510,119TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$2,837,854NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$1,486,657NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$2,837,854TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,486,657TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,220,209TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,996,776TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,837,854TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,351,197ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,486,657SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,486,657TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$87EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$87TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$87OverpaymentAmt
Applied To ES Tax$87AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved EtcYes (1)OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Org Report Or Register StateLAOrgReportOrRegisterStateCd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website Addresshttps://simonbolivarfoundation.orgWebsiteAddressTxt
Individual With BooksMs Grisell NouisIndividualWithBooksNm
Phone8324864007PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11293 Eldridge ParkwayAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77077ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionYes (1)ForeignAccountsQuestionInd
Foreign CountryVEForeignCountryCd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Mariela Poleo
1293 Eldridge ParkwayHoustonTX77070President29.90$0$0$0
Oscar Montenegro
1293 Eldridge ParkwayHoustonTX77070Treasurer1.00$0$0$0
Danny Rodriguez
1293 Eldridge ParkwayHoustonTX77070Assistant Treasurer2.50$0$0$0
Holly Chastain Nini
1293 Eldridge ParkwayHoustonTX77070Secretary12.50$0$0$0
Julie Okwara
1293 Eldridge ParkwayHoustonTX77070Assistant Secretary0.25$0$0$0
Bob Shoemaker
1293 Eldridge ParkwayHoustonTX77070Controller & Ast. Treasurer0.20$0$0$0
Gina Renee Coon
1293 Eldridge ParkwayHoustonTX77070Director2.20$0$0$0
Imgard Carolina Molleda
1293 Eldridge ParkwayHoustonTX77070External Director0.90$0$0$0
Andres Padilla
1293 Eldridge ParkwayHoustonTX77070Director1.20$0$0$0
Luisa Palacios
1293 Eldridge ParkwayHoustonTX77070Director0.40$0$0$0
Pablo Perez
1293 Eldridge ParkwayHoustonTX77070Director1.20$0$0$0
David Weaver
1293 Eldridge ParkwayHoustonTX77070Director0.20$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,746,940AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,746,940TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,746,940AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$26,204CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,720,736NetVlNoncharitableAssetsAmt
Minimum Investment Return$86,037MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$86,037MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$86,037DistributableBeforeAdjAmt
Recoveries Qualfied Distri$21,409RecoveriesQualfiedDistriAmt
Distributable Before Ded$107,446DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$107,446DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,310,641ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,310,641QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$107,446DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$14,756,862ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$11,158,236ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$12,051,363ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$4,002,061ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$3,426,199ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$45,394,721TotalExcessDistributionCyovAmt
Qualifying Distributions$2,310,641QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$107,446AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,203,195RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$47,597,916TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$14,756,862ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$32,841,054ExcessDistriCyovToNextYrAmt
Excess From Year4$11,158,236ExcessFromYear4Amt
Excess From Year3$12,051,363ExcessFromYear3Amt
Excess From Year2$4,002,061ExcessFromYear2Amt
Excess From Year1$3,426,199ExcessFromYear1Amt
Excess From Current Year$2,203,195ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (31 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtAddress Line2RecipientForeignAddress/AddressLine2TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCd
Adelianny Rodriguez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$52,618
Alberto Arteaga
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for bone marrow transplant$8,959
Amanda Merhi
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for bone marrow transplant$150
Cesar Guitierrez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$16,654
Felix Marin
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$38,102
Isabella Guevara
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$56,869
Jose Gregorio Rangel
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$52,207
Luis Fernando Beltran
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$71,558
Marco Bello
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$59,762
Maria de los Angeles Amaya
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$47,056
Mauricio Andres Suarez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$42,230
Nelson Useche
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$265,965
Stephanie Milagros Rodriguez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$60
Victoria Garcia
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$106,028
Ximena Longa
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$36,152
Zulay Martinez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$376
Baylor College of Medicine
One Baylor PlazaHoustonTX770303411N/APCKnowledge and educational program$85,030
Big Little JC Organization
18235 Westridge bend LnCypressTX77433N/APCKnowledge and educational program$10,000
Cadena Foundation Inc
8900 NE 25th AveMiamiFL33180N/APCHumanitarian health program$61,737
Center for Disaster Philanthropy
One Thomas Circle NW Suite 700WashingtonDC20005N/APCKnowledge and educational program$20,000
Foundation Caring for Colombia LTD
139 W 120 th STNew YorkNY10027N/APCHumanitarian health program$69,926
Fundacion Academia Nacional de la Medicina
N/AGOVKnowledge and educational program$56Av Universidad Edif Palacio de lasAcademiasCaracasCaracasVE
GlobalGiving Foundation
One Thomas Circle NW suite 800WashingtonDC20005N/APCHumanitarian health program$282,000
International Federation of Red Cross
N/APCHumanitarian health program$250,0001209 Petit-SaconnexGeneva 19SZ
Johns Hopkins University
3400 N Charles StreetBaltimoreMD21218N/APCknowledge and educational program$74,365
Pan American Development Foundation
1889 F street NW Second FloorCoconut CreekFL33073N/APCNetworking and Education$28,500
Pan American Development Foundation
1889 F street NW Second FloorCoconut CreekFL33073N/APCHumanitarian health program$75,000
Project Hope-The people
7500 Old Georgetown Road Suite 600BethesdaMD20814N/APCHumanitarian health program$199,998
Salesian Women Association
8300 NW 53 rd Street Suite 350DoralFL33166N/APCSmall grants program$20,000
Universidad Central De Venezuela
N/AGOVSmall grants program$19,530Urbanizacion Los ChaguaramosCuidad UniversitariaCaracasVE
World Central kitchen
655 New York Ave NW 6th FloorWashingtonDC20001N/APCHumanitarian health program$100,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,150,888TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtAddress Line2RecipientForeignAddress/AddressLine2TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCd
Adelianny Rodriguez
1293 Eldridge ParkwayHoustonTX77077NoneIMedical assistance for liver transplant$135,138
Alberto Arteaga
1294 Eldridge ParkwayHoustonTX77078NoneIMedical assistance for bone marrow transplant$2,938
Amanda Merhi
1295 Eldridge ParkwayHoustonTX77079NoneIMedical assistance for bone marrow transplant$19,867
Antonio Gomez
1296 Eldridge ParkwayHoustonTX77080NoneIMedical assistance for bone marrow transplant$6,343
Edgardo Armas
1298 Eldridge ParkwayHoustonTX77082NoneIMedical assistance for bone marrow transplant$38,238
Isabella Guevara
1299 Eldridge ParkwayHoustonTX77083NoneIMedical assistance for liver transplant$161,890
Jorge Parra
1300 Eldridge ParkwayHoustonTX77084NoneIMedical assistance for bone marrow transplant$7,965
Jose Gregorio Rangel
1301 Eldridge ParkwayHoustonTX77085NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$11,944
Kelvin Lopez
1302 Eldridge ParkwayHoustonTX77086NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$25,377
Leymar Guerrero
1303 Eldridge ParkwayHoustonTX77087NoneIMedical assistance for bone marrow transplant$7,305
Luis Fernando Beltran
1304 Eldridge ParkwayHoustonTX77088NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$40,056
Marco Bello
1305 Eldridge ParkwayHoustonTX77089NoneIMedical assistance for liver transplant$117,805
Maria de los Angeles Amaya
1306 Eldridge ParkwayHoustonTX77090NoneIMedical assistance for liver transplant$133,582
Mauricio Andres Suarez
1307 Eldridge ParkwayHoustonTX77091NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$24,395
Maximo Guevara
1308 Eldridge ParkwayHoustonTX77092NoneIMedical assistance for bone marrow transplant$4,988
Nelson Useche
1309 Eldridge ParkwayHoustonTX77093NoneIMedical assistance for liver transplant$341,976
Oscar Breto
1310 Eldridge ParkwayHoustonTX77094NoneIMedical assistance for bone marrow transplant$4,922
Sebasthian Perez
1311 Eldridge ParkwayHoustonTX77095NoneIMedical assistance for bone marrow transplant$8,178
Stephanie Milagros Rodriguez
1312 Eldridge ParkwayHoustonTX77096NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$87,081
Valeria Sanchez
1313 Eldridge ParkwayHoustonTX77097NoneIMedical assistance for bone marrow transplant$4,974
Victoria Garcia
1314 Eldridge ParkwayHoustonTX77098NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$22,018
Ximena Longa
1315 Eldridge ParkwayHoustonTX77099NoneIMedical assistance for liver transplant$98,005
Zulay Martinez
1316 Eldridge ParkwayHoustonTX77100NoneIMedical assistance to patient residing in Venezuela for treament not available in Venezuela$6,350
Cadena Foundation Inc
8900 NE 25th AveMiamiFL33180N/APCHumanitarian health program$61,739
Center for Disaster Philanthropy
One Thomas Circle NW Suite 700WashingtonDC20005N/APCKnowledge and educational program$55,000
Fundacion Academia National de Medicina
N/AGOVKnowledge and educational program$5,000Av Universidad Edif Palacio de lasAcademiasCaracasCaracasVE
Fundacion Caring for Colombia
139 W 120 th STNew YorkNY10027N/APCHumanitarian health program$69,926
GlobalGiving Foundation
One Thomas Circle NW suite 800WashingtonDC20005N/APCHumanitarian health program$718,000
Pan American Development Foundation
1889 F street NW Second FloorCoconut CreekFL33073N/APCHumanitarian health program$175,000
World Central kitchen
655 New York Ave NW 6th FloorWashingtonDC20001N/APCHumanitarian health program$100,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$2,496,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$42ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescForeign exchange lossDesc
Exclusion01ExclusionCd
Exclusion-$1ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$41ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$41TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1CITGO Petroleum CorporationBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4689AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77210ZIPCd
FieldValueIRS element (for citing)
Total Contributions$2,050,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAudit, tax planning & complianceCategoryTxt
Amt$57,778Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$57,778DisbursementsCharitablePrpsAmt

Dissolution Stmt DissolutionStmt

Dissolution Information DissolutionInformationGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1See Part XIV Line 3aBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11293 Eldridge ParkwayAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77077ZIPCd
FieldValueIRS element (for citing)
Short ExplanationThe 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 listed on the schedule. Although the Foundation technically experienced a "substantial contraction," it will continue in existence and has no plans for dissolution.ShortExplanationTxt
Dissolution$2,150,888DissolutionAmt

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtResults Of VerificationResultsOfVerificationTxt
I Love Venezuela Foundation
2825 South Miami AvenueMiamiFL331292020-10-15$100,000Donation of PPE for health care professionals in Venezuela$100,000No09/02/2021The grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made.
I Love Venezuela Foundation
2826 South Miami AvenueMiamiFL331302020-05-27$50,000Food program for Venezuelan Diaspora$50,000No10/21/2020The grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made.
I Love Venezuela Foundation
2827 South Miami AvenueMiamiFL331312020-05-26$39,850Donation to PPE for health care professionals in Venezuela$39,850No07/14/2020, 08/20/2020, 04/20/2021The grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made.
I Love Venezuela Foundation
2828 South Miami AvenueMiamiFL331322020-07-27$10,150Donation to PPE for health care professionals in Venezuela$10,150No06/16/2021The grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made.

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierAdditional information regarding programsIdentifierTxt
Form And Line ReferencePart XIV, Line 3aFormAndLineReferenceDesc
Medium ExplanationSimon Bolvar Foundation Inc. primarily funds charitable grants to improve the health of vulnerable populations affected by disaster, conflict and poverty, with special attention to mothers and children, in and out of Venezuela, with three main objectives: i) increasing access to medicine and nutrition thereby improving the wellbeing of vulnerable populations, ii) enhancing capacity of medical professionals and caregivers to serve and treat patients in need through education and support and iii) empowerment of charitable and non-governmental organizations (NGOs) to serve the health needs of the most vulnerable individuals in their communities. The programs approved by the Foundation's Board of Directors are divided into two categories: -Humanitarian Health grants that provide support to charitable programs and organizations that align with the Foundation's goals of expanding access to medicine and nutrition that ultimately improves the well-being of the most vulnerable individuals in and from Venezuela. These programs include strategic partnerships with renowned and long-standing 501(c)(3) not-for-profit organizations and other qualified charitable organizations with demonstrated capacity to execute humanitarian health programs in Venezuela and the Latin American region and knowledge transfer grants that aim to enhance the capacity of medical professionals and caregivers to serve and treat patients in need in Venezuela and the region.-Medical grants that support critically ill patients in need. The Foundation is located in Houston, Texas. CITGO Petroleum Corporation ("CITGO") is the sole member and contributor of the Foundation at this time. During 2021 CITGO made contributions to support the programs of the Foundation in the amount of $2,050,000. Approximately 40 - 50 CITGO employees volunteer their time to the Foundation in providing services such as operational, accounting, tax, legal, procurement, audit and other services, for a total of approximately 16,590 volunteer hours. On January 28, 2019, the U.S. Department of Treasury's Office of Foreign Assets Control ("OFAC") added CITGO's ultimate parent company Petroleos de Venezuela, S.A. (PDVSA) to the List of Specially Designated nationals and Blocked Persons ("SDN List"), generally prohibiting U.S. persons from engaging in any transaction in which PDVSA or any entity owned 50 percent or more by PDVSA has any property interest. On February 26, 2019, OFAC issued special license No. Venezuela-EO13850-2019-359230-1 authorizing the Foundation to continue to provide charitable assistance and financial support for ongoing medical treatment, medicines, medical devices, and related services to patients referred by PDVSA, as well as to cover any remaining expenses in connection with such treatment pursuant to existing grant agreements with the patients and service agreements with the patients' healthcare providers and other providers entered into prior to January 28, 2019. This special license was subsequently extended until July 31, 2023. The Foundation has encountered significant obstacles primarily due to delays and other complications in providing medical services relating to the COVID-19 pandemic and to transition them to other charitable organizations and medical institutions that can continue to assist with their long-term medical needs. It is unclear at this time whether or when the sanctions may be lifted or if additional sanctions may be put in place.MediumExplanationTxt

Liquidation Explanation Stmt LiquidationExplanationStmt

FieldValueIRS element (for citing)
ExplanationThe following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: 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 listed on the schedule. During this tax year, the Foundation paid grants in an amount representing more than 25% of the Foundation's net assets of $2,837,854 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2021. Although the Foundation technically experienced a "substantial contraction," it will continue in existence and has no plans for dissolution.ExplanationTxt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryGeneral governance & counselCategoryTxt
Legal Fees$53,113LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$36,865DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Bank charges$696$696$0
Other patient expenses$5,820$0$9,828
Insurance$5,629$0$9,608
Postage & freight$380$0$380

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescForeign exchange lossDesc
Revenue And Expenses Per Books-$1RevenueAndExpensesPerBooksAmt
Net Investment Income-$1NetInvestmentIncomeAmt
Adjusted Net Income-$1AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Administrative services$79,254$0$42,754
Translation services$2,540$0$2,540

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.