2017-11-15T00:00:00-06:00 2016-12-31 941341042 FRANK RIMERMAN & CO LLP 60 S MARKET STREET SUITE 500 SAN JOSE CA 95113 990PF 2016-01-01 943165171 TOSA FOUNDATION C/O TASHIA MORGRIDGE TOSA 6508516922 3130 ALPINE ROAD PMB 705 NO 288 PORTOLA VALLEY CA 94028 JOHN MORGRIDGE DIRECTOR 6508516922 2017-11-16 1 PRERNA JAGADA P01063809 4082795566 50.206.23.118 2017-11-16 12:59:27 PS P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 385AD98FD00449C556D1DFC2CA7C77484967EC0C 2016 2018-03-14 21:41:22Z X 622566887 X 82149224 2501205 2496091 6722581 6722581 26145013 57327885 40421941 4224954 -2314558 121742977 47326055 50000 25000 25000 9875 0 0 79050 35573 35572 480 0 480 1801282 112032 0 48138 0 48138 153733 0 153733 2142558 172605 262923 51840495 51840495 53983053 172605 52103418 67759924 47153450 12652547 20206089 20206089 25459962 79023606 79023606 516273960 522952427 522952427 0 384765 384765 554386469 622566887 622566887 50201 85928 6000000 5332000 6906000 5382201 12991928 X 0 0 0 0 549004268 609574959 549004268 609574959 554386469 622566887 549004268 67759924 263697 617027889 7452930 609574959 COMMONFUND EVP IV P 1 -1 -1 COMMONFUND EVP IV P 13287 -13287 -13287 MICROVEST II P 4555 -4555 -4555 LEGACY VENTURE III P 2282 -2282 -2282 LEGACY VENTURE III P 87912 87912 87912 LEGACY VENTURES IV P 4260 4260 4260 LEGACY VENTURES IV P 353232 353232 353232 LEGACY VENTURE VI P 8945 8945 8945 LEGACY VENTURE VI P 143980 143980 143980 LEGACY VENTURE VII P 153 -153 -153 LEGACY VENTURE VII P 29867 29867 29867 OAK HILL II P 1103812 -1103812 -1103812 WINDFALL INVESTMENTS P 3709186 3709186 3709186 WINDFALL INVESTMENTS P 13203712 13203712 13203712 11,500 SHS CISCO STOCK DONATED D 2016-02-19 303658 303658 0 0 500,000 SHS CISCO STOCK DONATED D 2016-07-20 15167500 15167500 0 0 11,500 SHS CISCO STOCK DONATED D 2016-02-18 303945 303945 0 0 100,000 SHS CISCO STOCK SOLD D 2016-07-08 2919928 1000 2918928 2918928 17,797 SHS CISCO STOCK SOLD D 2016-07-11 528551 178 528373 528373 82,203 SHS CISCO STOCK SOLD D 2016-07-12 2441368 822 2440546 2440546 100,000 SHS CISCO STOCK SOLD D 2016-07-20 3019926 1000 3018926 3018926 100,000 SHS CISCO STOCK SOLD D 2016-07-21 3069925 3069925 3069925 100,000 SHS CISCO STOCK SOLD D 2016-08-09 3119924 3119924 3119924 1,700 SHS CISCO STOCK SOLD D 2016-08-29 53881 53881 53881 98,300 SHS CISCO STOCK SOLD D 2016-09-02 3116034 3116034 3116034 100,000 SHS CISCO STOCK SOLD D 2016-03-17 2821362 1000 2820362 2820362 100,000 SHS CISCO STOCK SOLD D 2016-05-25 2869929 1000 2868929 2868929 2,114 SHS GREEN DOT STOCK SOLD D 2016-07-21 50860 1751 49109 49109 40421941 0 111499790 609502537 0.182936 135999763 665315164 0.204414 106382727 694931271 0.153084 52753715 637664155 0.082730 64778893 521607463 0.124191 0.747355 0.149471 577540185 86325509 471535 86797044 52103418 943069 0 943069 0 943069 1858446 1315000 3173446 2230377 2230377 0 0 0 0 0 0 0 0 0 1 1 0 1 1 CA MA GA 1 0 0 0 1 1 N/A TOSA FOUNDATION 6508516922 3130 ALPINE RD 288 PMB 705 PORTOLA VALLEY CA 94028 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 TASHIA F MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 DIRECTOR/PRES 40.00 0 0 0 JOHN P MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 DIRECTOR/CFO 40.00 0 0 0 KATE M GRESWOLD 3130 ALPINE ROAD SUITE 288 PMB 705 PORTOLA VALLEY CA 94028 DIRECTOR/SEC 20.00 25000 0 0 JOHN D MORGRIDGE 3130 ALPINE ROAD SUITE 288 PMB 705 PORTOLA VALLEY CA 94028 DIRECTOR 20.00 25000 0 0 NONE 0 FRANK RIMERMAN & CO LLP 60 SOUTH MARKET STREET SUITE 500 SAN JOSE CA 95113 FINANCIAL ACCOUNTING & TAX PREP 79050 0 TOSA ESTABLISHED THE WISCONSIN TECHNOLOGY INITIATIVE (WTI) IN DECEMBER 2010 TO HELP MAKE 21ST CENTURY INSTRUCTIONAL TECHNOLOGY MORE ACCESSIBLE TO FORWARD-THINKING SCHOOL DISTRICTS. WTI PROVIDES GRANTS TO K-12 SCHOOLS AND OTHER EDUCATIONAL FACILITIES WHO ARE COMMITTED TO EFFECTIVELY INTEGRATING INSTRUCTIONAL TECHNOLOGY INTO LEARNING ENVIRONMENTS. THROUGH THE INCREASED AVAILABILITY OF INTERACTIVE WHITEBOARDS AND TECHNOLOGICALLY SAVVY TEACHERS, CLASSROOMS WILL HAVE THE TOOLS NECESSARY TO BECOME ENGINES OF INNOVATION THAT IMPROVE STUDENT ENGAGEMENT AND ACADEMIC ACHIEVEMENT. THE GRANTS PROVIDE FUNDING FOR SCHOOL DISTRICTS WILLING TO COMMIT TO BOTH INTEGRATING INTERACTIVE WHITEBOARDS INTO THEIR CLASSROOMS AND THE PROFESSIONAL DEVELOPMENT NECESSARY TO SUCCESSFULLY IMPLEMENT THEIR USE. GRANT RECIPIENTS WILL BE EXPECTED TO PROVIDE AN ANNUAL REPORT AND SHARE BEST PRACTICES WITH THEIR PEERS ACROSS THE STATE. 608300 0 50730729 15991290 519613194 586335213 0 0 586335213 8795028 577540185 28877009 28877009 943069 165984 1109053 27767956 0 27767956 0 27767956 52103418 0 52103418 0 52103418 27767956 0 0 39711615 21593831 72761647 104161661 82600469 320829223 52103418 0 0 0 27767956 24335462 0 0 345164685 0 0 0 0 0 0 39711615 305453070 21593831 72761647 104161661 82600469 24335462 TASHIA F MORGRIDGE JOHN P MORGRIDGE X STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94305 NONE DONOR ADVISED FUND EDUCATION 3000000 CARE ORGANIZATION - GRANT OF 11500 SHS CISCO PO BOX 7039 MERRIFIELD VA 22116 NONE PUBLIC CHARITY INTERNATIONAL 303945 FIDELITY CHARITABLE GIFT FUND - TAUPO PO BOX 770001 CINCINNATI OH 45277 NONE DONOR ADVISED FUND 9SEE STATEMENT 19 169129 SEE ATTACHED FOR NAMES AND AMOUNTS PAID - ADDRESSES AVAILABLE UPON REQUEST SEE ATTACHED PORTOLA VALLEY CA 94028 NONE PUBLIC CHARITIES SEE STATEMENT ATTACHED 27896263 THE MORGRIDGE FAMILY FOUNDATION CO FOUNDATION SOURCE 501 SILVERSIDE ROAD SUITE 123 WILMINGTON DE 19809 NONE PRIVATE FOUNDATION SEE STATEMENT 16 5000000 THE NATURE CONSERVANCY (TNC) - GRANT OF 11500 SHS CISCO 4245 NORTH FAIRFAX DRIVE SUITE 100 ARLINGTON VA 22203 NONE PUBLIC CHARITY CONSERVATION 303658 WISCONSIN ALUMNI RESEARCH FOUNDATION - GRANT OF 500000 SHS CISCO 614 WALNUT STREET 13TH FLOOR MADISON WI 53726 NONE PUBLIC CHARITY EDUCATION 15167500 51840495 0 14 2501205 14 6722581 -32373 16 -8493 531120 394382 16 3871438 320530 18 25824483 682539 38911214 0 39593753 0 0 0 0 0 0 0 0 0 0 X X 1 JOHN P & TASHIA F MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 49224 X X 2 JOHN P & TASHIA F MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 24000000 X X 3 JOHN P & TASHIA F MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 28760000 X X 4 JOHN P & TASHIA F MORGRIDGE 107 MAPACHE DRIVE PORTOLA VALLEY CA 94028 29340000 X X 1 2,114 SHARES GREEN DOT 49224 2016-08-29 2 1,000,000 SHARES CISCO 24000000 2016-01-14 3 1,000,000 SHARES CISCO 28760000 2016-07-01 4 1,000,000 SHARES CISCO 29340000 2016-12-02 ACCOUNTING FEES 79050 35573 35572 THE MORGRIDGE FAMILY FOUNDATION CO FOUNDATION SOURCE 501 SILVERSIDE ROAD SUITE 123 WILMINGTON DE 198091377 2016-01-05 5000000 TO SUPPORT EDUCATION AND PROVIDE RESOURCES TO CLASSROOMS AND TEACHERS; TO SUPPORT HEALTH AND WELLNESS FOR LOW INCOME FAMILIES, AND TO SUPPORT ARTS AND CONSERVATION. 5000000 NO 1/5/16 2016-01-05 ALL FUNDS FROM GRANT WERE DISTRIBUTED FOR PURPOSES DESCRIBED ABOVE. QUALIFIED DISTRIBUTION TO DAF FORM 990-PF, PART VII-A, LINE 12 TOSA FOUNDATION GIFTED $169,129 TO THE TAUPO CHARITABLE GIFT FUND AS A QUALIFIED DISTRIBUTION UNDER IRC SEC. 170(C)(2)(B). THIS DISTRIBUTION WAS MADE TO ACCOMPLISH THE CHARITABLE PURPOSES OF TOSA BY LEVERAGING ADDITIONAL RESOURCES AND BY PROVIDING ADDITIONAL OUTREACH TO ORGANIZATIONS IN NEED OF FUNDS THAT TOSA OTHERWISE DOES NOT HAVE THE BANDWITH TO REACH. SEE STATEMENT ATTACHED. CISCO SYSTEMS 78931829 78931829 GREEN DOT 49784 49784 AMAZON 41993 41993 OAK HILL CAPITAL PARTNERS LP FMV 13639 13639 OAK HILL CAPITAL PARTNERS II (CAYMAN) LP FMV 410805 410805 LEGACY VENTURE III FMV 2067904 2067904 WINDFALL INVESTMENTS FMV 505384532 505384532 OAK HILL CAPITAL PARTNERS II LP FMV 231491 231491 OAK HILL CAPITAL PARTNERS (BERMUDA) LP FMV 4052 4052 COMMONFUND EVP IP FMV 78274 78274 LEGACY VENTURE IV FMV 5755548 5755548 MICROVEST II FMV 409909 409909 LEGACY VENTURE VI (QP) FMV 5812390 5812390 LEGACY VENTURE VII FMV 2516831 2516831 LEGACY VENTURE VIII FMV 267052 267052 LEGAL FEES 9875 0 0 EXCISE TAX RECEIVABLE 0 384765 384765 CY ACCRUAL TO CASH ADJUSTMENT 7452930 ADMINISTRATIVE SUPPORT 72566 0 72566 BOOKS, SUBSCRIPTIONS & MEMBERSHIPS 1007 0 1007 POSTAGE AND SHIPPING 728 0 728 TELEPHONE 6061 0 6061 OFFICE SUPPLIES 3568 0 3568 WISCONSIN TECHNOLOGY INITIATIVE 63282 0 63282 SPONSORED EVENTS 6093 0 6093 LICENSE & PERMITS 255 0 255 MISCELLANEOUS EXPENSES 173 0 173 OAK HILL CAPITAL PARTNERS LP -2667 -2667 -2667 LEGACY VENTURE IV LLC -82909 -82909 -82909 OAK HILL CAPITAL PARTNERS (BERMUDA) LP -122 -122 -122 OAK HILL CAPITAL PARTNERS II LP 255907 255907 255907 OAK HILL CAPITAL PARTNERS II (CAYMAN) LP -8068 -8068 -8068 WINDFALL INVESTMENTS LP -1400197 -1400197 -1400197 LEGACY VENTURE III LLC -44644 -44644 -44644 LEGACY VENTURE VII LLC -144202 -144202 -144202 COMMONFUND EVP IV LP -1121 -1121 -1121 BOOK/TAX DIFFERENCE FROM PASS-THROUGH -9991658 0 -9991658 NON-DEDUCTIBLE EXPENSES FROM PASSTHROUGH -16080 0 -16080 LESS: AMOUNT REPORTED ON 990-T AS UBTI -682539 -682539 -682539 LESS: AMOUNT REPORTED ON 990-T AS UBTI 682539 0 682539 MICROVEST II LP -9251 -9251 -9251 LEGACY VENTURE VI (QP) LLC -140395 -140395 -140395 K-1 AT RISK LOSS LIMITATION 16460 LEGACY VENTURE VIII LLC -29944 -29944 -29944 UNREALIZED BOOK GAIN 15881171 0 15881171 K-1 RENTAL INCOME/(LOSS) -40866 -40866 -40866 PY ACCRUAL TO CASH ADJUSTMENT REVISION 263697 DEFERRED TAX LIABILITY 5332000 6906000 COMPUTER SERVICES 480 0 480 FROM SCHEDULE K-1 - FOREIGN TAXES 112032 112032 0 FEDERAL TAXES 1675000 0 0 STATE TAXES 14250 0 0