KIANI FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- KIANI FOUNDATION (EIN 01-0956020)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2017-01-09
- IRS object ID
- 201710099349100501
- Schema version
- 2015v3.0
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-09T10:15:18-06:00 | ReturnTs |
| Tax Period End | 2016-03-31 | 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 | 2015-04-01 | 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 | Mark De Raad | PersonNm |
| Person Title | Secretary & Treasurer | PersonTitleTxt |
| Phone | 9492977792 | PhoneNum |
| Signature | 2017-01-09 | 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 | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $7,076,041 | 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 | $6,250,100 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $8 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $8 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $76,657 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $76,657 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $142,982 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $921,578 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $142,982 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $6,469,747 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $219,647 | 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 | $3,565 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $3,565 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $13,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $13,000 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $65,272 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $25,272 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $40,000 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $6,409 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $199 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $140 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $10,286 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $10 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $10,276 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $98,532 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $25,481 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $66,981 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,374,311 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,966,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,472,843 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $25,481 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,032,981 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $2,996,904 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $194,166 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $389,490 | CashBOYAmt |
| Cash EOY | $1,177,978 | CashEOYAmt |
| Cash EOYFMV | $1,177,978 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $1,569,528 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $4,033,634 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $4,033,634 | SavAndTempCashInvstEOYFMVAmt |
| Grants Receivable BOY | $300,000 | GrantsReceivableBOYAmt |
| Corporate Stock BOY | $1,540,942 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,119,537 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,119,537 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $796,533 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $582,430 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $582,430 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $258,973 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $161,632 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $161,632 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $830 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $830 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,855,466 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,076,041 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,076,041 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $1,836 | AccountsPayableEOYAmt |
| Grants Payable BOY | $2,398,534 | GrantsPayableBOYAmt |
| Grants Payable EOY | $1,806,845 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $2,398,534 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,808,681 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $2,456,932 | UnrestrictedBOYAmt |
| Unrestricted EOY | $5,267,360 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,456,932 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,267,360 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,855,466 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,076,041 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,456,932 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $2,996,904 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,453,836 | SubtotalAmt |
| Other Decreases | $186,476 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,267,360 | 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 | $921,578 | GrossSalesPriceAmt |
| Cost Or Other Basis | $778,596 | CostOrOtherBasisAmt |
| Gain Or Loss | $142,982 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $142,982 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $142,982 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $2,327,354 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,642,580 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.501306 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $2,755,497 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,231,013 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.526762 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,378,452 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $7,744,061 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.178001 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,424,252 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $9,118,553 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.265859 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $968,698 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $9,681,072 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.100061 | DistributionYr5Rt |
| Total Distribution | 1.571989 | TotalDistributionRt |
| Average Distribution | 0.314398 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $3,441,799 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,082,095 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,942 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,084,037 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $4,032,981 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,942 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,942 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,942 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,772 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $1,200 | AppliedToEsTaxAmt |
| Total Payments And Credits | $3,972 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $6 | EsPenaltyAmt |
| Overpayment | $2,024 | OverpaymentAmt |
| Applied To ES Tax | $2,024 | 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 | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | http://www.masimofoundation.org | WebsiteAddressTxt |
| Individual With Books | OneOC | IndividualWithBooksNm |
| Phone | 7149535757 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E 4th Street 100 | AddressLine1Txt |
| City | Santa Ana | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92705 | 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 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 | 1.00 | $0 | $0 | $0 |
| James Bergman | ||||||||
| 52 Discovery | Irvine | CA | 92618 | Director | 0.25 | $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 |
| Mark De Raad | ||||||||
| 52 Discovery | irvine | CA | 92618 | Secretary & Treasurer | 1.00 | $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 |
| 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 | $1,970,519 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,523,693 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,494,212 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,494,212 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $52,413 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,441,799 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $172,090 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $172,090 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,942 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,942 | TotalTaxAmt |
| Distributable Before Adj | $170,148 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $170,148 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $170,148 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,032,981 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $4,032,981 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,942 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $4,031,039 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $170,148 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $485,374 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,968,812 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $999,685 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $2,497,721 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $2,100,559 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $8,052,151 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $4,032,981 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $170,148 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $3,862,833 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $11,914,984 | 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 | $485,374 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $11,429,610 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $1,968,812 | ExcessFromYear4Amt |
| Excess From Year3 | $999,685 | ExcessFromYear3Amt |
| Excess From Year2 | $2,497,721 | ExcessFromYear2Amt |
| Excess From Year1 | $2,100,559 | ExcessFromYear1Amt |
| Excess From Current Year | $3,862,833 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | The Masimo Foundation Co OneOC Attn | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 East Fourth Street Suite 100 | AddressLine1Txt |
| City | Santa Ana | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 7149535757 | RecipientPhoneNum |
| Recipient Email Address | Masimo@oneoc.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 (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| Patient Safety Movement Foundation | |||||||
| 51 Discovery | Irvine | CA | 92618 | PC | General support | $2,850,000 | |
| Children's Hospital Boston | |||||||
| 300 Longwood Ave | Boston | MA | 02115 | PC | Support Dr. P. Hickey's work to improve the quality & safety of care to pediactric patients | $50,000 | |
| Anesthesia Patient Safety Foundation | |||||||
| 8007 S Meridian St Bldg One 2 | Indianapolis | IN | 46217 | PC | Corporate sponsorship (2015) | $25,000 | |
| Anaheim Community Foundation | |||||||
| 200 S Anaheim Blvd 433 | Anaheim | CA | 92805 | PC | 2015 Anaheim Health Fair | $20,000 | |
| Chapman University Economic Science Institute | |||||||
| One University Drive | Orange | CA | 92866 | PC | Program use only (overhead free) | $75,000 | |
| Beau Biden Foundation for the Protection of Children | |||||||
| c/o Delaware Comm Foundation PO Box | Wilmington | DE | 19899 | PC | General support | $20,000 | 1636 |
| William J Clinton Foundation | |||||||
| 77 Water St | New York | NY | 10005 | PC | For the Foundation's unrestricted endowment | $500,000 | |
| The Carter Center | |||||||
| 453 Freedom Parkway | Atlanta | GA | 30307 | PC | General Operations | $190,000 | |
| The Carter Center | |||||||
| 453 Freedom Parkway | Atlanta | GA | 30307 | PC | General support:In honor of Jimmy Carter's 91st birthday | $91,000 | |
| Project HOPE | |||||||
| 255 Carter Hall Lane PO Box 250 | Millwood | VA | 22646 | PC | Annual Gala | $25,000 | |
| Chapman University | |||||||
| university advancement One | Orange | CA | 92866 | PC | Science complex at Schmid College of Science & Technology | $100,000 | university Drive |
| Anaheim Community Foundation | |||||||
| 200 S Anaheim Blvd 433 | Anaheim | CA | 92805 | PC | Anekant Community Center for Anaheim Health Fair | $20,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,966,000 | 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 | $8 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $76,657 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $142,982 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $219,647 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $219,647 | 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 | $6,250,100 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Accounting & Audit | CategoryTxt |
| Amt | $13,000 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $13,000 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| Blackrock Us Mortgage Portfolio Instl CL | $186,009 | $186,009 |
| Blackrock Multi Asset Income Portfolio Instl | $135,711 | $135,711 |
| Blackrock Global Allocation FD Inc Instl | $74,292 | $74,292 |
| Blackrock Total Return Fund Institutional Class | $186,418 | $186,418 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (82 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| Abbott Labs | $0 | $0 |
| Aetna Inc New | $15,057 | $15,057 |
| American International Group Inc | $17,242 | $17,242 |
| Abbvie Inc SHS | $7,654 | $7,654 |
| Amer Express Company | $3,070 | $3,070 |
| BHP Billition LTD ADR | $0 | $0 |
| Bristol-Myers Squibb Co | $7,282 | $7,282 |
| Comcast CRP New CL A SPL | $17,286 | $17,286 |
| CMS Energy Group | $10,950 | $10,950 |
| Chevron Corp | $12,784 | $12,784 |
| Conocophillips | $5,920 | $5,920 |
| CME Group Inc | $10,277 | $10,277 |
| Citigroup Inc Com New | $28,265 | $28,265 |
| California Resources Corp SHS | $31 | $31 |
| Chubb Corp | $0 | $0 |
| Coca Cola Com | $16,561 | $16,561 |
| Diageo PLC SPSD ADR New | $7,659 | $7,659 |
| Dominion Res Inc New VA | $18,630 | $18,630 |
| Dollar General Corp | $27,306 | $27,306 |
| DOW Chemical Co | $11,494 | $11,494 |
| Du Pont E I DE Nemours | $20,389 | $20,389 |
| Exxon Mobil Corp COM | $29,758 | $29,758 |
| Exelon Corporation | $9,862 | $9,862 |
| Eversource Energy COM | $4,842 | $4,842 |
| Fifth Third Bandcorp | $0 | $0 |
| Gap Inc Delaware | $13,259 | $13,259 |
| Goldman Sachs Group Inc | $9,733 | $9,733 |
| General Electric | $43,552 | $43,552 |
| Honeywell Intl Inc Del | $18,600 | $18,600 |
| Hess Corp | $10,741 | $10,741 |
| Home Dept Inc | $25,218 | $25,218 |
| Intel Corp | $31,347 | $31,347 |
| INTL Business Machines Corp IBM | $0 | $0 |
| INTL Paper Co | $9,891 | $9,891 |
| JPMorgan Chase & Co | $45,836 | $45,836 |
| Johnson and Johnson Com | $21,640 | $21,640 |
| Kroger Co | $16,065 | $16,065 |
| Lockheed Martin Co | $13,955 | $13,955 |
| Morgan Stanley | $20,058 | $20,058 |
| MetLife Inc COM | $11,776 | $11,776 |
| Marathon Oil Corp | $2,562 | $2,562 |
| Merck and Co Inc SHS | $23,175 | $23,175 |
| Motorola Solutions Inc | $9,690 | $9,690 |
| Marathon Petroleum Corp | $10,633 | $10,633 |
| Mondelez International Inc | $7,984 | $7,984 |
| McDonalds Corp COM | $12,945 | $12,945 |
| Microsoft Corp | $28,996 | $28,996 |
| Nextera Energy Inc SHS | $19,999 | $19,999 |
| Northrup Grumman Corp | $19,394 | $19,394 |
| Occidental Pete Corp Cal | $22,513 | $22,513 |
| Oracle Corp $0.01 DEL | $21,764 | $21,764 |
| Prudential Financial Inc | $14,588 | $14,588 |
| Philip Morris Intl Inc | $9,320 | $9,320 |
| Phillips 66 SHS | $0 | $0 |
| Pfizer Inc | $36,190 | $36,190 |
| Praxair Inc | $5,608 | $5,608 |
| Proctor & Gamble Co | $23,211 | $23,211 |
| Quest Diagnostics Inc | $11,718 | $11,718 |
| PUB SVC Enterprise Group | $9,569 | $9,569 |
| Qualcomm Inc | $14,166 | $14,166 |
| Raytheon Co Delaware New | $21,951 | $21,951 |
| Reynolds American Inc | $9,911 | $9,911 |
| Sempra Energy | $0 | $0 |
| Schlumberger LTD | $8,629 | $8,629 |
| Anthem Inc | $14,872 | $14,872 |
| Suntrust BKS Inc COM | $22,261 | $22,261 |
| Total S.A. SP ADR | $14,671 | $14,671 |
| 3M Company | $10,164 | $10,164 |
| Travelers Co | $13,655 | $13,655 |
| Tyco Intl PLC SHS | $0 | $0 |
| Unilever NV NY Reg SHS | $3,619 | $3,619 |
| United Parcel SVC CL B | $12,129 | $12,129 |
| UnitedHealth Group Inc | $15,726 | $15,726 |
| US Bancorp (New) | $15,302 | $15,302 |
| Union Pacific Corp | $8,273 | $8,273 |
| United Techs Corp Com | $5,906 | $5,906 |
| V F Corperation | $0 | $0 |
| Verizon Communicatns Com | $19,631 | $19,631 |
| Ace Limited | $0 | $0 |
| Wal-Mart Stores Inc | $0 | $0 |
| Weyerhaeuser Co | $8,117 | $8,117 |
| Wells Fargo & Co New Del | $36,705 | $36,705 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Blackrock Multi Asset Income Portfolio Instl | FMV | $50,195 | $50,195 |
| Blackrock Global Allocation FD Inc Instl | FMV | $111,437 | $111,437 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Legal | CategoryTxt |
| Legal Fees | $3,565 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,565 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Excise Tax Receivable | Desc |
| EOY Book Value | $830 | EOYBookValueAmt |
| EOYFMV | $830 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Change in unrealized gains and losses | Desc |
| Amt | $186,476 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Bank and credit card charges | $4,481 | $10 | $4,471 |
| office | $6 | $0 | $6 |
| Insurance | $5,799 | $0 | $5,799 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Administrative and Consulting | $40,000 | $0 | $40,000 |
| Investment | $25,272 | $25,272 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| excise tax | $6,070 | $0 | $0 |
| foreign taxes | $199 | $199 | $0 |
| filing fees | $140 | $0 | $140 |
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