KIANI FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- KIANI FOUNDATION (EIN 01-0956020)
- Tax period
- 2018-04-01 to 2019-03-31
- Filed
- 2020-02-12
- IRS object ID
- 202010439349100706
- Schema version
- 2018v3.1
- 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
- Accounting Fees Schedule
- Expln Of Non Filing With AG Stmt
- General Explanation Attachment
- Investments Corp Stock Schedule
- Legal Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-02-12T14:35:19-06:00 | ReturnTs |
| Tax Period End | 2019-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL BERRY CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5045 | AddressLine1Txt |
| City | CULVER CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010956020 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MASIMO FOUNDATION FOR ETHICS | BusinessNameLine1Txt |
| Business Name Line2 | INNOVATION AND COMPETITION IN HEALTHCARE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MASI | BusinessNameControlTxt |
| Phone | 9492977792 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52 DISCOVERY | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92618 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICAH YOUNG | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 9492977792 | PhoneNum |
| Signature | 2020-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL BERRY | PreparerPersonNm |
| PTIN | P00179412 | PTIN |
| Phone | 3107454027 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $7,957,949 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $2,000,495 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $88,242 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $88,242 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $80,448 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $80,448 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $191,460 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,324,460 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $191,460 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $2,360,645 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $360,150 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $158 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $158 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $12,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $12,000 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $40,687 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $20,687 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $20,000 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $8,282 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $714 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $368 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $13,980 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $13,980 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $75,107 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $21,401 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $46,506 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,045,279 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,734,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $2,120,386 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $21,401 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,780,506 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $240,259 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $338,749 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $751,670 | CashBOYAmt |
| Cash EOY | $77,444 | CashEOYAmt |
| Cash EOYFMV | $77,444 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $5,620,647 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $7,681,710 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $7,681,710 | SavAndTempCashInvstEOYFMVAmt |
| Pledges Rcvbl | $495 | PledgesRcvblAmt |
| Pledges Rcvbl EOY | $495 | PledgesRcvblEOYAmt |
| Pledges Rcvbl EOYFMV | $495 | PledgesRcvblEOYFMVAmt |
| Corporate Stock BOY | $2,540,607 | CorporateStockBOYAmt |
| Corporate Stock EOY | $198,300 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $198,300 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $590,267 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $0 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $0 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $214,313 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $0 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $9,717,504 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,957,949 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,957,949 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $5,980 | AccountsPayableBOYAmt |
| Grants Payable BOY | $782,186 | GrantsPayableBOYAmt |
| Grants Payable EOY | $193,465 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $788,166 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $193,465 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $8,929,338 | UnrestrictedBOYAmt |
| Unrestricted EOY | $7,764,484 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $8,929,338 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $7,764,484 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $9,717,504 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,957,949 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $8,929,338 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $240,259 | ExcessRevenueOverExpensesAmt |
| Other Increases | $644 | OtherIncreasesAmt |
| Subtotal | $9,170,241 | SubtotalAmt |
| Other Decreases | $1,405,757 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $7,764,484 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | MERRILL LYNCH | PropertyDesc |
| Gross Sales Price | $2,324,460 | GrossSalesPriceAmt |
| Cost Or Other Basis | $2,133,000 | CostOrOtherBasisAmt |
| Gain Or Loss | $191,460 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $191,460 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $191,460 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $3,778,275 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $12,164,736 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.310592 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $4,035,632 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $9,062,968 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.445288 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $4,031,039 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,441,799 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.171201 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,327,354 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,642,580 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.501306 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $2,755,497 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,231,013 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.526762 | DistributionYr5Rt |
| Total Distribution | 2.955149 | TotalDistributionRt |
| Average Distribution | 0.591030 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,054,486 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $4,760,443 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,387 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $4,763,830 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $2,780,506 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,775 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,775 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,775 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,791 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $7,500 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $11,291 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $4,516 | OverpaymentAmt |
| Applied To ES Tax | $4,516 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | 0 | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | Yes (1) | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | HTTP://WWW.MASIMOFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | BARNETT COMPANY | IndividualWithBooksNm |
| Phone | 9492163458 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30212 TOMAS SUITE 200 | AddressLine1Txt |
| City | RANCHO SANTA MARGARITA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92618 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|
| 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 |
| DAVID VAN RAMSHORST | ||||||||
| 52 DISCOVERY | IRVINE | CA | 92618 | ASST SECRETARY AND TREASUR | 0.75 | $0 | $0 | $0 |
| TOM MCCLENAHAN | ||||||||
| 52 DISCOVERY | IRVINE | CA | 92618 | SEE STATEMENT | 0.05 | $0 | $0 | $0 |
| MICAH YOUNG START JUNE 2018 | ||||||||
| 52 DISCOVERY | IRVINE | CA | 92618 | TREASURER | 0.10 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,760,855 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $6,416,288 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,177,143 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,177,143 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $122,657 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,054,486 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $402,724 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $402,724 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,775 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,775 | TotalTaxAmt |
| Distributable Before Adj | $395,949 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $395,949 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $395,949 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,780,506 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,780,506 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $2,780,506 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $395,949 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $2,497,721 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $2,100,559 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $3,862,833 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $3,584,859 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $3,173,706 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $15,219,678 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,780,506 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $395,949 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,384,557 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $17,604,235 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $2,497,721 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $15,106,514 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $2,100,559 | ExcessFromYear4Amt |
| Excess From Year3 | $3,862,833 | ExcessFromYear3Amt |
| Excess From Year2 | $3,584,859 | ExcessFromYear2Amt |
| Excess From Year1 | $3,173,706 | ExcessFromYear1Amt |
| Excess From Current Year | $2,384,557 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | THE MASIMO FOUNDATION ATTN GLENN PA | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52 DISCOVERY | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92618 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9492977792 | RecipientPhoneNum |
| Recipient Email Address | GLENNPARRISH@MASIMOFOUNDATION.ORG | RecipientEmailAddressTxt |
| Form And Info And Materials | 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. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| WISDOM SPRING | ||||||||
| 4470 W SUNSET BLVD 90161 | LOS ANGELES | CA | 90027 | NONE | PC | WALK FOR WATER DONATION | $2,500 | |
| PARTNERS IN HEALTH | ||||||||
| 800 BOYLSTON ST STE 300 | BOSTON | MA | 02199 | NONE | PC | GENERAL SUPPORT | $25,000 | |
| ANESTHESIA PATIENT SAFETY FOUNDATION | ||||||||
| 8007 S MERIDIAN ST STE 2 | INDIANAPOLIS | IN | 46217 | NONE | PC | ANNUAL SPONSORSHIP | $20,000 | |
| PHYSICIANS FOR REFORM FOUNDATION | ||||||||
| 1126 10TH ST LN NW | HICKORY | NC | 28601 | NONE | PC | DONATION TO SUPPORT THEIR TOWN HALL EFFORTS | $2,500 | |
| BEAU BIDEN FOUNDATION FOR THE PROTECTION | ||||||||
| C/O DELAWARE COMMUNITY FOUNDATION | WILMINGTON | DE | 19899 | NONE | PC | GENERAL SUPPORT | $100,000 | PO BOX 1636 |
| ACLU FOUNDATION | ||||||||
| 125 BROAD ST 18TH FLOOR | NEW YORK | NY | 10004 | NONE | PC | GENERAL SUPPORT | $250,000 | |
| THE CARTER CENTER | ||||||||
| ONE COLOPENHILL 453 FREEDOM PARKWAY | ATLANTA | GA | 30307 | NONE | PC | GENERAL SUPPORT | $94,000 | |
| ANAHEIM COMMUNITY FOUNDATION | ||||||||
| 200 S ANAHEIM BLVD STE 433 | ANAHEIM | CA | 92805 | NONE | PC | SUPPORT ANNUAL HEALTH FAIR | $20,000 | |
| UCLA FOUNDATION | ||||||||
| 619 CHARLES E YOUNG DRIVE EAT STE | LOS ANGELES | CA | 90095 | NONE | PC | DONATION FOR SENATOR REID'S BOOK PROJECT | $10,000 | 300 |
| ONEOC | ||||||||
| 1901 E 4TH ST STE 100 | SANTA ANA | CA | 90095 | NONE | PC | SEE STATEMENT 12 | $1,000,000 | |
| THE OBAMA FOUNDATION | ||||||||
| 5235 S HARPER CT STE 1140 | CHICAGO | IL | 60615 | NONE | PC | GENERAL SUPPORT | $500,000 | |
| PANDA FOUNDATION | ||||||||
| 3302 69TH ST W | BRADENTON | FL | 34209 | NONE | PC | DONATION FOR THE BOLLETTIERI TENNIS AND LEARNING PROJECT | $10,000 | |
| WILLIAM J CLINTON FOUNDATION | ||||||||
| 1271 AVE OF THE AMERICAS 41ST FL | NEW YORK | NY | 10020 | NONE | PC | GENERAL SUPPORT | $500,000 | |
| CHAPMAN UNIVERSITY | ||||||||
| ONE UNIVERSITY DR | ORANGE | CA | 92866 | NONE | PC | 8TH INSTALLMENT FOR INTERDISCIPLINARY SCIENCE COMPLEX AT SCHMID COLLEGE OF SCIENCE AND TECHNOLOGY | $100,000 | |
| UCSD SCHOOL OF ENGINEERING | ||||||||
| 9500 GILMAN DRIVE | LA JOLLA | CA | 92993 | NONE | PC | SUPPORT FOR ENGINEERING PROGRAM | $100,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,734,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $88,242 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $80,448 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $191,460 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $360,150 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $360,150 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | 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 Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASIMO CORPORATION | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52 DISCOVERY | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92618 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $2,000,495 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $12,000 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $12,000 | DisbursementsCharitablePrpsAmt |
Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | DELAWARE DOES NOT REQUIRE A COPY OF FORM 990-PF. | ExplanationTxt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART VIII | FormAndLineReferenceDesc |
| Medium Explanation | TOM MCCLENAHAN SERVED AS SECRETARY FOR THE FULL YEAR AS WELL AS SERVED AS TREASURER FROM START OF FISCAL YEAR UNTIL JUNE 7, 2018. | MediumExplanationTxt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | ENDOLOGIX INC. | StockNm |
| EOY Book Value | $198,300 | EOYBookValueAmt |
| EOYFMV | $198,300 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $158 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $158 | DisbursementsCharitablePrpsAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CHANGE IN UNREALIZED GAINS AND LOSSES | $1,305,757 |
| PRIOR PERIOD ADJUSTMENT- FOR MARCH 31,2018 GRANT NOT RECORDED ON BOOKS | $100,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OFFICE | $6 | $0 | $6 |
| INSURANCE | $774 | $0 | $774 |
| ADVERTISING | $12,600 | $0 | $12,600 |
| DUES AND SUBSCRIPTIONS | $600 | $0 | $600 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REVERSAL OF DISALLOWENCE OF WASH SALES - MARCH 2018 | Desc |
| Amt | $644 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| ADMINISTRATIVE AND CONSULTING | $20,000 | $0 | $20,000 |
| INVESTMENT | $20,687 | $20,687 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $7,200 | $0 | $0 |
| FOREIGN TAXES | $714 | $714 | $0 |
| FILING FEES | $368 | $0 | $368 |
Comments