2021-11-12T11:31:40-06:00 2021-06-30 943043361 ZEISLER ZEISLER RAWSON & JOHNSON LLP 901 A STREET SUITE C SAN RAFAEL CA 949013025 990EZ 2020-07-01 472603416 THE BLUE ROSE FOUNDATION INC BLUE 4152795753 PO BOX 5 GLEN ELLEN CA 95442 SARAH POLETTO PRESIDENT OF THE BOARD 4152795753 2021-11-02 1 SARAH POLETTO 999009999 ZACHARY E ZEISLER P00160867 4154511703 2021-11-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X WWW.BLUEROSESONOMA.ORG X X 157173 X 157173 157173 150945 2505 2257 155707 1466 27777 0 29243 27777 29243 27777 29243 0 0 27777 29243 X TO PROVIDE SCHOLARSHIPS FOR UNDER-PRIVILEGED CHILDREN. EDUCATIONAL SCHOLARSHIPS & GRANTS PROVIDED FOR FINANCIALLY DISADVANTAGED CHILDREN WHO WOULD OTHERWISE NOT BE ABLE TO ATTEND PRE-SCHOOL. 150945 4762 4762 SARAH POLETTO PRESIDENT OF THE BOARD 20.00 0 0 0 NED HEARN DIRECTOR 5.00 0 0 0 JENNIFER MIDDLETON DIRECTOR 5.00 0 0 0 LISA BOVE YOUNG DIRECTOR 2.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CA ZEISLER ZEISLER RAWSON & JOHNSON 901 A STREET SUITE C SAN RAFAEL CA 94901 4154511703 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 41453 57366 3633 79713 157173 339338 41453 57366 3633 79713 157173 339338 339338 339338 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: OLD ADOBE SCHOOL. GRANTEE ADDRESS: 2856 ADOBE ROAD PETALUMA, CA 94954. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/13/20. AMOUNT GIVEN: 13,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: LAUREL HILL NURSERY SCHOOL. GRANTEE ADDRESS: 401 EUCLID AVENUE SAN FRANCISCO, CA 94118. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/13/20. AMOUNT GIVEN: 13,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: BAINBRIDGE ISLAND CHILD. GRANTEE ADDRESS: 7601 HUNTLEY ST #28 SEBASTOPOL, CA 95472. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/14/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: MONMOUTH HILL NURSERY SCHOOL. GRANTEE ADDRESS: 724 KINGS HWY. EAST ATLANTIC HIGHLANDS, NJ 07716. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/13/20. AMOUNT GIVEN: 13,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SACRAMENTO LOAVES AND FISHES. GRANTEE ADDRESS: 1351 NORTH C STREET SACRAMENTO, CA 95811. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/13/20. AMOUNT GIVEN: 23,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: CALVARY NURSERY SCHOOL. GRANTEE ADDRESS: 2515 FILLMORE STREET SAN FRANCISCO, CA 94115. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/28/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: EASTERSEALS WA ANGLE LAKE CHILD DEV. GRANTEE ADDRESS: 4040 S. 188TH STREET SEATAC, WA 98188. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: JOEY GEORGUSIS CENTER. GRANTEE ADDRESS: 615 CITY PARK AVE NEW ORLEANS, LA 70119. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/30/20. AMOUNT GIVEN: 13,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: LOYOLA UNIVERSITY MD. GRANTEE ADDRESS: 4501 NORTH CHARLES STREET BALTIMORE, MD 21210. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/28/20. AMOUNT GIVEN: 24,850. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: MONTESSORI SCHOOL OF SONOMA. GRANTEE ADDRESS: 19675 8TH STREET SONOMA, CA 95476. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 02/09/21. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: OROVILLE CO-OP PRESCHOOL. GRANTEE ADDRESS: 816 JUNIPER OROVILLE, CA 98844. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: PEACOCK FAMILY SERVICES. GRANTEE ADDRESS: 305 MADISON AVE BAINBRIDGE ISLAND, WA 98110. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/14/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: RAINBOW GARDEN AT KENWOOD. GRANTEE ADDRESS: P,O, BOX 220 KENWOOD, CA 95452. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: ROWAN UNIVERSITY. GRANTEE ADDRESS: 201 MULLICA HILL ROAD GLASSBORO, NJ 08028. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/28/20. AMOUNT GIVEN: 9,095. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: ROYAL CASTLE CHILD DEVELOPMENT CTR. GRANTEE ADDRESS: 3800 EAGLE STREET NEW ORLEANS, LA 70118. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SEQUOIA PARENTS NURSERY SCHOOL. GRANTEE ADDRESS: 1839 ARROYO AVENUE SAN CARLOS, CA 94070. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SHERMAN OAKS COOPERATIVE PRESCHOOL. GRANTEE ADDRESS: P.O. BOX 57251 SHERMAN OAKS, CA 91423. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/14/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SONOMA PRESCHOOL ACADEMY. GRANTEE ADDRESS: 275 EAST SPAIN STREET SONOMA, CA 95476. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/13/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SUNSET COOPERATIVE NURSERY SCHOOL. GRANTEE ADDRESS: 4245 LAWTON STREET SAN FRANCISCO, CA 94122. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 02/09/21. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: SEATTLE CHILDRENS PLAYGROUND PRESCHOOL. GRANTEE ADDRESS: 1745 24TH AVENUE S SEATTLE, WA 98144. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/29/20. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SCHOLARSHIP/GRANT. GRANTEE NAME: JOSE MARTI CHILD DEV CENTER. GRANTEE ADDRESS: 2524 16TH AVENUE S. SEATTLE, WA 98144. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/14/20. AMOUNT GIVEN: 3,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 150,945. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: PAYMENT PROCESSING. AMOUNT: 921. DESCRIPTION: PO BOX. AMOUNT: 56. DESCRIPTION: TAXES. AMOUNT: 25. DESCRIPTION: BANK FEES. AMOUNT: 96. DESCRIPTION: INSURANCE. AMOUNT: 1,159. TOTAL TO FORM 990-EZ, LINE 16: 2,257. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.