Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
BOSTON SCIENTIFIC FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)300 BOSTON SCIENTIFIC WAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MARLBOROUGH, MA01752
A Employer identification number

04-3556844
B Telephone number (see instructions)

(508) 683-4000
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$20,493,912
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 717,836 717,836  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 41,961
b Gross sales price for all assets on line 6a 1,158,647
7 Capital gain net income (from Part IV, line 2)... 41,961
8 Net short-term capital gain.........  
9 Income modifications........... 47,000
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 47,000 0  
12 Total. Add lines 1 through 11........ 806,797 759,797 47,000
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 75,935 35,783   40,152
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 12,872 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 33,150 1,340   31,810
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 121,957 37,123   71,962
25 Contributions, gifts, grants paid....... 1,078,930 1,078,930
26 Total expenses and disbursements. Add lines 24 and 25 1,200,887 37,123   1,150,892
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -394,090
b Net investment income (if negative, enter -0-) 722,674
c Adjusted net income (if negative, enter -0-)... 47,000
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. -80,117 -92,224 -92,224
2 Savings and temporary cash investments......... 69,734    
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 22,328,374 Click to see attachment20,586,136 20,586,136
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 22,317,991 20,493,912 20,493,912
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 22,317,991 20,493,912
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 22,317,991 20,493,912
31 Total liabilities and net assets/fund balances (see instructions). 22,317,991 20,493,912
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
22,317,991
2
Enter amount from Part I, line 27a .....................
2
-394,090
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
21,923,901
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,429,989
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
20,493,912
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,158,647   1,116,686 41,961
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       41,961
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 41,961
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 1,083,903 20,825,147 0.052048
2016 890,998 18,843,679 0.047284
2015 937,019 19,321,033 0.048497
2014 849,538 19,585,348 0.043376
2013 1,416,437 18,507,942 0.076531
2
Total of line 1, column (d) .....................
2
0.267736
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.053547
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
22,151,175
5
Multiply line 4 by line 3......................
5
1,186,129
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
7,227
7
Add lines 5 and 6........................
7
1,193,356
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,150,892
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 14,453
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 14,453
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 14,453
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 10,100
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,044
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,144
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 199
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,508
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.BOSTONSCIENTIFIC.COM
    14
    The books are in care ofbulletWENDY CARRUTHERS Telephone no.bullet (508) 683-4000

    Located atbullet300 BOSTON SCIENTIFIC WAYMARLBOROUGHMA ZIP+4bullet017521234
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    MARILEE GRANT PRESIDENT AND DIRECTOR
    0.40
    0 0 0
    ONE SCIMED PLACE
    MAPLE GROVE,MN553111566
    SUSAN LISA TREASURER AND DIRECTOR
    0.40
    0 0 0
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    MATT SPRAGUE ECT MEMBER AT LARGE BOARD SEAT
    0.40
    0 0 0
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    WENDY CARRUTHERS CLERK AND DIRECTOR
    0.40
    0 0 0
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    KAY ADAIR DIRECTOR
    0.40
    0 0 0
    25155 RYE CANYON LOOP
    VALENCIA,CA91355
    DAVID KNAPP DIRECTOR
    0.40
    0 0 0
    4100 HAMLINE AVENUE NORTH
    ST PAUL,MN551125798
    BRENDA BECKER DIRECTOR
    0.40
    0 0 0
    1455 PENNSYLVANIA AVENUE NW SUITE
    925
    WASHINGTON,DC20004
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    22,448,602
    b
    Average of monthly cash balances.......................
    1b
    39,901
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    22,488,503
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    22,488,503
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    337,328
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    22,151,175
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,107,559
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,107,559
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    14,453
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    14,453
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,093,106
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    47,000
    5
    Add lines 3 and 4............................
    5
    1,140,106
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,140,106
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,150,892
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,150,892
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,150,892
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 1,140,106
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 467,553
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017...... 115,196
    fTotal of lines 3a through e........ 582,749
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,150,892
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 1,140,106
    e Remaining amount distributed out of corpus 10,786
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 593,535
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    467,553
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    125,982
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017.... 115,196
    e Excess from 2018.... 10,786
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    LISA STONE
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    (508) 683-4000
    bThe form in which applications should be submitted and information and materials they should include:
    TO APPLY FOR A BOSTON SCIENTIFIC FOUNDATION GRANT, PLEASE SUBMIT THE FOLLOWING MATERIALS: 1) COMPLETE GRANT APPLICATION VIA OUR ONLINE APPLICATION AT WWW.BOSTONSCIENTIFIC.COM UNDER OUR CORPORATE RESPONSIBILITY SECTION. 2) ATTACH A COPY OF THE IRS LETTER DOCUMENTING THE ORGANIZATION'S 501(C)(3) TAX-EXEMPT STATUS. 3) ATTACH A COPY OF THE ORGANIZATION'S MOST RECENT AUDITED FINANCIAL STATEMENT. 4) ATTACH A COPY OF THE ORGANIZATION'S GENERAL OPERATING BUDGET AND PROGRAM BUDGET FOR WHICH THE ORGANIZATION SEEKS SUPPORT. 5) LIST OF THE ORGANIZATION'S BOARD OF DIRECTORS AND PRESIDENT.
    cAny submission deadlines:
    HEALTH APPLICATIONS ACCEPTED JAN 1 - MAR 15 STEM EDUCATION APPLICATIONS ACCEPTED MAY 1 - JUL 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ALL SUBMISSIONS MUST TARGET THE NEEDS OF ECONOMICALLY DISADVANTAGED POPULATIONS WITHIN 30 MILES OF THE GEOGRAPHIES LISTED BELOW. CALIFORNIA (SAN JOSE, VALENCIA) INDIANA (SPENCER) MASSACHUSETTS (CAMBRIDGE, MARLBOROUGH OR QUINCY) MINNESOTA (TWIN CITIES)
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    LISA STONE
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    (508) 683-4000
    FOUNDATION@BSCI.COM
    bThe form in which applications should be submitted and information and materials they should include:
    TO APPLY FOR A BOSTON SCIENTIFIC EMPLOYEE SCHOLARSHIP PROGRAM, PLEASE SUBMIT THE FOLLOWING MATERIALS: 1) COMPLETE SCHOLARSHIP APPLICATION. 2) ATTACH ESSAY FROM QUESTION LISTED ON PAGE 5 OF APPLICATION 3) SUBMIT COPY OF RESULTS OF ANY SCHOLASTIC APTITUDE TEST (SAT-I) OR THE AMERICAN COLLEGE TEST (ACT). 4) SUBMIT SIGNED PHOTOCOPY OF MOST RECENT PARENT(S) AND STUDENT FEDERAL TAX RETURN(S). 5) SUBMIT A COPY OF THE STUDENT AID REPORT (SAR) FROM FAFSA. 6) TRANSCRIPT. 7) TWO RECOMMENDATIONS.
    cAny submission deadlines:
    APPLICATIONS MUST BE SUBMITTED BY APRIL OF EACH YEAR AND ARE CONSIDERED ON AN ANNUAL BASIS.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ACADEMIC ACHIEVEMENT, FINANCIAL NEED, CITIZENSHIP, LEADERSHIP QUALITIES, GENERAL PROMISE AND THE GEOGRAPHIC LOCATION OF QUALIFIED APPLICANTS WILL ALL BE CONSIDERED. ONLY COLLEGE BOUND CHILDREN OF US-BASED BOSTON SCIENTIFIC EMPLOYEES ARE ELIGIBLE TO APPLY. APPLICANTS MUST BE CHILDREN OF ACTIVE, FULL-TIME, REGULAR, UNITED STATES EMPLOYEES OF BOSTON SCIENTIFIC AS OF THE DATE OF THE SCHOLARSHIP AWARD. THE BOSTON SCIENTIFIC EMPLOYEE MUST HAVE BEEN EMPLOYED BY BOSTON SCIENTIFIC FOR THE SIX CONSECUTIVE MONTH PERIOD PRIOR TO THE DATE OF THE AWARD.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    LISA STONE
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    (508) 683-4000
    FOUNDATION@BSCI.COM
    bThe form in which applications should be submitted and information and materials they should include:
    THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP ON-LINE FORM IS USED FOR BOTH SCHOLARSHIPS. STUDENTS APPLYING TO THE PETE NICHOLAS SCHOLARSHIP ARE REQUIRED TO: 1) COMPLETE SCHOLARSHIP APPLICATION. 2) ATTACH ESSAY FROM QUESTION LISTED ON PAGE 5 OF APPLICATION 3) SUBMIT COPY OF RESULTS OF ANY SCHOLASTIC APTITUDE TEST (SAT-I) OR THE AMERICAN COLLEGE TEST (ACT). 4) SUBMIT SIGNED PHOTOCOPY OF MOST RECENT PARENT(S) AND STUDENT FEDERAL TAX RETURN(S). 5) SUBMIT A COPY OF THE STUDENT AID REPORT (SAR) FROM FAFSA. 6) TRANSCRIPT. 7) TWO RECOMMENDATIONS. 8) STUDENTS ARE REQUIRED TO SUBMIT AN ADDITIONAL ESSAY. 9) NO MORE THAN 3 STUDENTS WILL BE AWARDED A PETE NICHOLAS SCHOLARSHIP EACH ACADEMIC YEAR.
    cAny submission deadlines:
    APPLICATIONS MUST BE SUBMITTED BY APRIL EACH YEAR AND ARE CONSIDERED ON AN ANNUAL BASIS.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ACADEMIC ACHIEVEMENT, FINANCIAL NEED, CITIZENSHIP, LEADERSHIP QUALITIES, GENERAL PROMISE AND THE GEOGRAPHIC LOCATION OF QUALIFIED APPLICANTS WILL ALL BE CONSIDERED. ONLY COLLEGE BOUND CHILDREN OF US-BASED BOSTON SCIENTIFIC EMPLOYEES ARE ELIGIBLE TO APPLY. APPLICANTS MUST BE CHILDREN OF ACTIVE,
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN DIABETES ASSOCIATION
    8000 WEST 78TH ST SUITE 175
    EDINA,MN55439
      PC CAMP NEEDLEPOINT/DAYPOINT AND DIABUDDIES 25,000
    APPALACHIAN MOUNTAIN CLUB
    10 CITY SQUARE
    BOSTON,MA02129
      PC A MOUNTAIN CLASSROOM - BOSTON PUBLIC SCHOOLS PARTNERSHIP 10,000
    ATHLETES COMMITTED TO EDUCATING STUDENTS
    1115 E HENNEPIN AVENUE
    MINNEAPOLIS,MN55414
      PC ACES SPORTS-THEMED MATH AND STEM PROGRAMMING 10,000
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVE BOX 142
    MINNEAPOLIS,MN55454
      PC SCRUBS CAMP 10,000
    BELL MUSEUM UNIVERSITY OF MINNESOTA FOUNDATION
    200 OAK STREET SE SUITE 500
    MINNEAPOLIS,MN55455
      PC 2019 STEM SUMMER CAMPS 30,000
    BLESSED STEPHEN BELLESINI O S A ACADEMY INC
    94 BRADFORD STREET
    LAWRENCE,MA01840
      PC AFTER-SCHOOL STEM PROGRAMS 15,860
    BOYS & GIRLS CLUBS OF METROWEST
    169 PLEASANT STREET
    MARLBOROUGH,MA01752
      PC S.T.E.M. GIRLS ONLY 11,000
    BOYS & GIRLS CLUBS OF SILICON VALLEY
    518 VALLEY WAY
    MILPITAS,CA95035
      PC SCITECH: SCIENCE & TECHNOLOGY EDUCATION ENRICHMENT PROGRAM 10,550
    BOYS AND GIRLS CLUB OF SANTA CLARITA VALLEY
    24909 NEWHALL AVENUE
    SANTA CLARITA,CA91321
      PC PROJECT LEARN STEM PROGRAM 10,000
    BREAKTHROUGH GREATER BOSTON INC
    PO BOX 381486
    CAMBRIDGE,MA02238
      PC BREAKING THROUGH TO SOMERVILLE 15,000
    BRIGHAM & WOMEN'S HOSPITAL INC
    75 FRANCIS STREET
    BOSTON,MA02115
      PC SCIENCE IN THE CLASSROOM 25,075
    CIRCLE OF HOPE
    23033 LYONS AVENUE SUITE 3
    NEWHALL,CA91321
      PC HOPE'S HAVEN CANCER WELLNESS CENTER 10,000
    COMMUNITY HARVEST PROJECT
    37 WHEELER ROAD
    N GRAFTON,MA01536
      PC VOLUNTEER FARMING FOR HUNGER RELIEF (HEALTHCARE CENTER DISTRIBUTIONS) 5,000
    COMPASSIONATE CARE ALS
    21 MILK ST
    BOSTON,MA02109
      PC ALS PATIENT, FAMILY AND CAREGIVER PROGRAM 10,000
    CONSERVATION CORPS
    60 PLATO BLVD E
    ST PAUL,MN55107
      PC YOUTH OUTDOORS AFTERSCHOOL PROGRAM STEM TRAINING AND EDUCATION 11,000
    CRISTO REY JESUIT HIGH SCHOOL
    2924 4TH AVENUE SOUTH
    MINNEAPOLIS,MN55408
      PC COLLEGE PREPARATORY STEM PROGRAM ENHANCEMENT FOR 2018-2019 10,000
    DANA-FARBER CANCER INSTITUTE
    450 BROOKLINE AVE
    BROOKLINE,MA02115
      PC DANA-FARBERS MOBILE HEALTH PROGRAM 10,000
    DEVELOPMENTAL EVALUATION AND ADJUSTMENT FACILITIES INC
    215 BRIGHTON AVE
    ALLSTON,MA02134
      PC DEAF-ACCESSIBLE MEDICAL CASE MANAGEMENT AND ACCESS TO HEALTH 15,000
    EMERGENCY MEDICINE FOUNDATION
    4950 WEST ROYAL LANE
    IRVING,TX75063
      PC EMERGENCY DEPARTMENT INTERVENTIONS TO ADDRESS THE OPIOID EPIDEMIC 98,000
    FOUNDATION OF MONROE COUNTY COMMUNITY SCHOOLS
    315 NORTH DRIVE
    BLOOMINGTON,IN47401
      PC STEM TO THEM 50,000
    FREMONT COMMUNITY HEALTH SERVICES INC
    3300 FREMONT AVENUE NORTH
    MINNEAPOLIS,MN55412
      PC NHS BREAST CANCER PREVENTION INITIATIVE 25,000
    GLOBAL ACADEMY
    4065 CENTRAL AVE NE
    COLUMBIA HEIGHTS,MN55421
      PC GLOBAL ACADEMYS STEP UP TO STEM HANDS-ON SCIENCE PROGRAM 15,000
    GOOD SAMARITAN HOSPITAL
    1225 WILSHIRE BLVD
    LOS ANGELES,CA90017
      PC ONCOLOGY PATIENT NAVIGATOR 15,000
    HEALTH CARE WITHOUT WALLS
    148 LINDEN STREET SUITE 208
    WELLESLEY,MA02482
      PC BRIDGES TO ELDERS 20,000
    HEBREW SENIORLIFE INC
    1200 CENTRE STREET
    BOSTON,MA02131
      PC RIGHT CARE, RIGHT PLACE, RIGHT TIME: EFFECTIVELY INTEGRATING SENIOR CARE AND HOUSING 10,000
    KIPP MINNESOTA
    5034 NORTH OLIVER AVENUE
    MINNEAPOLIS,MN55430
      PC AMPLIFYING SCIENCE AT KIPP MINNESOTA 10,000
    LEONARDO'S BASEMENT
    150 W 60TH ST
    MINNEAPOLIS,MN55419
      PC WORKSHOP FIELD TRIPS FOR LOW-INCOME STUDENTS 30,000
    LOWELL COMMUNITY CHARTER SCHOOL FRIENDS INC
    206 JACKSON STREET
    LOWELL,MA01852
      PC ELEMENTARY SCIENCE PROGRAM 10,000
    MANET COMMUNITY HEALTH CENTER INC
    110 WEST SQUANTUM STREET
    NORTH QUINCY,MA02171
      PC CHRONIC DISEASE MANAGEMENT OF RESPIRATORY ILLNESS 15,000
    MASSACHUSETTS GENERAL HOSPITAL
    55 FRUIT STREET
    BOSTON,MA02114
      PC MGH CHELSEA HEALTHCARE CENTER: EXPANSION OF DIABETES FOCUSED COMMUNITY HEALTH WORK 5,000
    MINNESOTA COMPUTERS FOR SCHOOLS
    970 PICKETT STREET NORTH
    BAYPORT,MN55003
      PC MCFS TECH FOR TEENS PROGRAM 15,000
    MISSISSIPPI PARK CONNECTION
    111 KELLOGG BLVD E SUITE 105
    SAINT PAUL,MN55101
      PC YOUTH EDUCATION ON THE MISSISSIPPI RIVER 10,000
    MYSTIC RIVER WATERSHED ASSOCIATION INC
    20 ACADEMY STREET SUITE 306
    ARLINGTON,MA02143
      PC HERRING EDUCATION PROJECT 10,000
    NATIONAL KIDNEY FOUNDATION
    1970 OAKCREST AVE SUITE 208
    ST PAUL,MN55113
      PC KEEP HEALTHY KIDNEY SCREENING PROGRAM AND KIDNEY HEALTH COMMUNITY OUTREACH 10,000
    NORTH METRO PEDIATRICS PA
    10081 DOGWOOD ST NW STE 100
    COON RAPIDS,MN55448
      PC 2018 CARE COORDINATION INITIATIVE 20,000
    PINE MANOR COLLEGE
    400 HEATH STREET
    BROOKLINE,MA02467
      PC COLLEGE BOUND EXPLORERS 10,865
    PROSPECT HILL ACADEMY CHARTER SCHOOL
    50 ESSEX STREET
    CAMBRIDGE,MA02139
      PC EARLY CHILDHOOD PHAB LAB 16,330
    REVE ACADEMY
    807 BROADWAY ST NE SUITE 160
    MINNEAPOLIS,MN55413
      PC STUDENT-RUN BUSINESSES 15,000
    SILICON VALLEY EDUCATION FOUNDATION
    1400 PARKMOOR AVENUE SUITE 200
    SAN JOSE,CA95126
      PC CLOSING THE ACHIEVEMENT GAP OF STUDENTS FROM LOW SOCIOECONOMIC BACKGROUNDS THROUGH EXTENDED LEARNING PROGRAM IN MATH 10,550
    SOUTH COUNTY COMMUNITY HEALTH CENTER INC
    1885 BAY ROAD
    EAST PALO ALTO,CA94303
      PC DIABETES EDUCATION AND MANAGEMENT PROGRAM 10,100
    ST MARY'S HEALTH CLINICS
    1884 RANDOLPH AVENUE
    ST PAUL,MN55105
      PC DEEP/CUIDATE/MAKING HEALTHY CONNECTIONS 25,000
    THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
    450 SERRA MALL BUILDING 160
    STANFORD,CA94305
      PC FUTURE ADVANCERS OF SCIENCE AND TECHNOLOGY (FAST) 15,000
    TIBURCIO VASQUEZ HEALTH CENTER INC
    22331 MISSION BLVD
    HAYWARD,CA94541
      PC COLORECTAL CANCER PREVENTION PROJECT 10,000
    UNITED FAMILY PRACTICE HEALTH CENTER
    1026 WEST 7TH STREET
    SAINT PAUL,MN55102
      PC DIABETIC NURSE EDUCATION INITIATIVE 15,000
    WILLIAM S HART EDUCATION FOUNDATION (WISH)
    24343 MAGIC MOUNTAIN PARKWAY
    VALENCIA,CA91355
      PC THE HART HIGH SCHOOL BIOMEDICAL PATHWAY-CAREER AND TECHNICAL EDUCATION (CTE) PROGRAM 20,000
    YOUTH DETERMINED TO SUCCEED INC
    3333 NORTH 4TH STREET
    MINNEAPOLIS,MN55337
      PC FAMILY4HEALTH SERVICES & PROGRAM (OBESITY & DIABETES PATIENT-CENTERED INTERVENTION) 25,000
    YOUTH DEVELOPMENT ORGANIZATION INC
    15 UNION STREET 563
    LAWRENCE,MA01840
      PC YDO STEM OPPORTUNITY PIPELINE 13,000
    ZONTA CLUB OF THE SANTA CLARITA VALLEY FOUNDATION
    23742 LYONS AVE 220117
    SANTA CLARITA,CA91350
      PC GIRLS' ROBOTICS 2,500
    COMMUNITY SERVINGS INC
    18 MARBURY TERRACE
    ROXBURY,MA02119
      PC NUTRITION PROGRAM 10,000
    AMERICAN ACADEMY OF ADDICTION PSYCHIATRY
    400 MASSASOIT AVE SUITE 307
    EAST PROVIDENCE,RI02914
      PC TO SUPPORT A NATIONAL TRAINING AND MENTORING PROJECT DEVELOPED IN RESPONSE TO THE PRESCRIPTION OPIOID OVERDOSE EPIDEMIC. 15,000
    ZEPHYR EDUCATION FOUNDATION
    54 WIDGEON ROAD
    FALMOUTH,MA03540
      PC OCEAN SCIENCE FIELD TRIPS FOR GREATER BOSTON STUDENTS 7,000
    GENX
    215 FOREST HILLS
    JAMAICA PLAIN,MA02130
      PC THE MATH AND SCIENCE SCHOLARS PROGRAM 7,500
    HEALTH RESOURCES IN ACTION INC
    95 BERKELEY STREET
    BOSTON,MA02116
      PC THE LEADERS THROUGH EDUCATION, ACTION, AND HOPE (LEAH) PROJECT 15,000
    BRIDGE TO HOME SANTA CLARITY VALLEY
    24901 ORCHARD VILLAGE ROAD
    SANTA CLARITA,CA91355
      PC HEALTHY LIVES PROGRAM 10,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 2,000
    ST OLAF COLLEGE
    1520 ST OLAF AVENUE
    NORTHFIELD,MN55057
      PC SCHOLARSHIP 2,000
    PURDUE UNIVERSITY
    610 PURDUE MALL
    WEST LAFAYETTE,IN47907
      PC SCHOLARSHIP 2,000
    SAINT CLOUD STATE UNIVERSITY
    720 FOURTH AVENUE SOUTH
    ST CLOUD,MN56301
      PC SCHOLARSHIP 1,500
    UNIVERSITY OF SAINT THOMAS
    2115 SUMMIT AVENUE
    ST PAUL,MN55105
      PC SCHOLARSHIP 5,000
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 5,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF SAINT THOMAS
    2115 SUMMIT AVENUE
    ST PAUL,MN55105
      PC SCHOLARSHIP 2,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 2,000
    ENDICOTT COLLEGE
    376 HALE STREET
    BEVERLY,MA02149
      PC SCHOLARSHIP 2,000
    UC IRVINE
    102 ALDRICH HALL
    IRVINE,CA92697
      PC SCHOLARSHIP 2,000
    STANFORD UNIVERSITY
    355 GALVEZ STREET
    STANFORD,CA943056101
      PC SCHOLARSHIP 2,000
    ST CLOUD STATE UNIVERSITY
    720 FOURTH AVENUE SOUTH
    ST CLOUD,MN56301
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF WASHINGTON
    PO BOX 24967
    SEATTLE,WA981241967
      PC SCHOLARSHIP 2,000
    ST CLOUD STATE UNIVERSITY
    720 FOURTH AVENUE SOUTH
    ST CLOUD,MN56301
      PC SCHOLARSHIP 2,000
    INDIANA UNIVERSITY
    4648 W HARVEST LANE
    BLOOMINGTON,IN47404
      PC SCHOLARSHIP 2,000
    GORDON COLLEGE
    255 GRAPEVINE ROAD
    WENHAM,MA01984
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF CALIFORNIA SAN DIEGO
    9500 GILMAN DRIVE DEPT 0026
    LA JOLLA,CA920930026
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA DULUTH
    1049 UNIVERSITY DRIVE
    DULUTH,MN55812
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF WISCONSIN RIVER FALLS
    410 S 3RD STREET
    RIVER FALLS,WI54022
      PC SCHOLARSHIP 2,000
    PURDUE UNIVERSITY
    610 PURDUE MALL
    WEST LAFAYETTE,IN47907
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA
    106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    INDIANA UNIVERSITY PURDUE UNIVERSITY INDIANAPOLIS (IUPUI)
    PO BOX 6020 CAMPUS CENTER 250
    INDIANAPOLIS,IN462066020
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    TEXAS TECH UNIVERSITY
    WEST HALL ROOM 205 BOX 45011
    LUBBOCK,TX794095011
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
    620 E JOHN STREET MC-303
    CHAMPAIGN,IL61820
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF CALIFORNIA IRVINE
    102 ALDRICH HALL
    IRVINE,CA92697
      PC SCHOLARSHIP 2,000
    THE UNIVERSITY OF ALABAMA
    106 STUDENT SERVICES CENTER BOX
    TUSCALOOSA,AL35487
      PC SCHOLARSHIP 2,000
    COLLEGE OF SAINT BENEDICT
    37 SOUTH COLLEGE AVENUE
    ST JOSEPH,MN56374
      PC SCHOLARSHIP 2,000
    PURDUE UNIVERSITY
    610 PURDUE MALL
    WEST LAFAYETTE,IN47907
      PC SCHOLARSHIP 2,000
    BETHEL UNIVERSITY
    3900 BETHEL DRIVE
    SAINT PAUL,MN55112
      PC SCHOLARSHIP 2,000
    UC BERKELEY
    18 SPROUL HALL 1960
    BERKELEY,CA947201960
      PC SCHOLARSHIP 1,800
    UNIVERSITY OF PENNSYLVANIA
    100 FRANKLIN BUILDING 3451 WALNUT
    STREET
    PHILADELPHIA,PA19104
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA- TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    BETHEL UNIVERSITY
    3900 BETHEL DRIVE
    SAINT PAUL,MN55112
      PC SCHOLARSHIP 2,000
    GUSTAVUS ADOLPHUS COLLEGE
    800 W COLLEGE AVENUE
    ST PETER,MN56802
      PC SCHOLARSHIP 1,800
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT ST SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA DULUTH
    1049 UNIVERSITY DRIVE
    DULUTH,MN55812
      PC SCHOLARSHIP 2,000
    MICHIGAN TECHNOLOGICAL UNIVERSITY
    1400 TOWNSEND DRIVE
    HOUGHTON,MI49931
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA DULUTH
    1049 UNIVERSITY DRIVE
    DULUTH,MN55812
      PC SCHOLARSHIP 2,000
    DRAKE UNIVERSITY
    2507 UNIVERSITY AVE
    DES MOINES,IA50311
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF CALIFORNIA SANTA BARBARA
    2103 SAASB
    SANTA BARBARA,CA931073180
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA DULUTH
    1049 UNIVERSITY DRIVE
    DULUTH,MN55812
      PC SCHOLARSHIP 5,000
    DRAKE UNIVERSITY
    2507 UNIVERSITY AVE
    DES MOINES,IA50311
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF WISCONSIN MADISON
    333 E CAMPUS MALL 10501
    MADISON,WI53715
      PC SCHOLARSHIP 2,000
    GEORGETOWN UNIVERSITY
    3700 O ST NW
    WASHINGTON,DC20057
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF SAN DIEGO
    5998 ALCALA PARK
    SAN DIEGO,CA92110
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF WISCONSIN - MADISON
    333 E CAMPUS MALL 10501
    MADISON,WI53715
      PC SCHOLARSHIP 2,000
    ST OLAF COLLEGE
    1520 ST OLAF AVENUE
    NORTHFIELD,MN55057
      PC SCHOLARSHIP 2,000
    ARIZONA STATE UNIVERSITY
    PO BOX 870412
    TEMPE,AZ852870412
      PC SCHOLARSHIP 2,000
    CASE WESTERN RESERVE UNIVERSITY
    10900 EUCLID AVENUE
    CLEVELAND,OH44106
      PC SCHOLARSHIP 5,000
    BAYLOR UNIVERSITY
    ONE BEAR PLACE 97048
    WACO,TX767987048
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF RHODE ISLAND
    50 UPPER COLLEGE ROAD
    KINGSTON,RI02881
      PC SCHOLARSHIP 2,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 2,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 2,000
    POINT LOMA NAZARENE UNIVERSITY
    3900 LOMALAND DRIVE
    SAN DIEGO,CA92106
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MASSACHUSETTS AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MASSACHUSETTS AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MASSACHUSETTS AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 5,000
    UNIVERSITY OF MASSACHUSETTS-AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MASSACHUSETTS AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 2,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 2,000
    HERZING UNIVERSITY
    435 FORD ROAD
    ST LOUIS PARK,MN56802
      PC SCHOLARSHIP 1,500
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC SCHOLARSHIP 2,000
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF ST THOMAS
    2115 SUMMIT AVENUE
    ST PAUL,MN55105
      PC SCHOLARSHIP 2,000
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF CALIFORNIA IRVINE
    102 ALDRICH HALL
    IRVINE,CA92697
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF PITTSBURGH
    139 UNIVERSITY PLACE
    PITTSBURGH,PA15260
      PC SCHOLARSHIP 2,000
    HOLY CROSS COLLEGE
    54515 IN-933
    NOTRE DAME,IN46556
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF DAYTON
    ST MARYS HALL 108 300 COLLEGE PARK
    DAYTON,OH45469
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF NOTRE DAME
    115 MAIN BUILDING
    NOTRE DAME,IN46556
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF WISCONSIN-STOUT
    712 BROADWAY ST S
    MENOMONIE,WI54751
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF NORTH DAKOTA
    264 CENTENNIAL DR STOP 8371 TWAMLEY
    HALL RM 216
    GRAND FORKS,ND582028371
      PC SCHOLARSHIP 2,000
    NORTH CENTRAL UNIVERSITY
    910 ELLIOT AVE
    MINNEAPOLIS,MA55404
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF CALIFORNIA DAVIS
    PO BOX 989062
    WEST SACRAMENTO,CA957989062
      PC SCHOLARSHIP 2,000
    REGIS UNIVERSITY
    3333 REGIS BLVD A-8
    DENVER,CO802211099
      PC SCHOLARSHIP 2,000
    TUFTS UNIVERSITY
    PO BOX 3475
    BOSTON,MA022413475
      PC SCHOLARSHIP 2,000
    LOYOLA UNIVERSITY MARYLAND
    4501 NORTH CHARLES STREET
    BALTIMORE,MD21210
      PC SCHOLARSHIP 2,000
    MINNEAPOLIS COLLEGE OF ART AND DESIGN
    2501 STEVENS AVENUE
    MINNEAPOLIS,MN55404
      PC SCHOLARSHIP 2,000
    CONCORDIA UNIVERSITY ST PAUL
    1282 CONCORDIA AVENUE
    ST PAUL,MN55104
      PC SCHOLARSHIP 2,000
    TEXAS A&M UNIVERSITY
    PO BOX 30016 1252 TAMU
    COLLEGE STATION,TX778423016
      PC SCHOLARSHIP 2,000
    CALIFORNIA STATE UNIVERSITY CHICO
    400 WEST 1ST STREET
    CHICO,CA959290705
      PC SCHOLARSHIP 2,000
    WPI
    100 INSTITUTE ROAD
    WORCESTER,MA01609
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF MINNESOTA ROCHESTER
    111 S BROADWAY 300
    ROCHESTER,MN55904
      PC SCHOLARSHIP 2,000
    UNIVERSITY OF KANSAS
    1450 JAYHAWK BLVD
    LAWRENCE,KS66045
      PC SCHOLARSHIP 2,000
    ST CATHERINE UNIVERSITY
    2004 RANDOLPH AVENUE
    ST PAUL,MN55105
      PC SCHOLARSHIP 2,000
    A LITTLE EASIER RECOVERY INC
    1 PARKER STREET SUITE 2F
    LAWRENCE,MA01843
      PC A LITTLE EASIER RECOVERY INITIATIVE 10,000
    ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC
    7900 WEST 78TH STREET SUITE 100
    EDINA,MN55439
      PC DIVERSITY AND INCLUSION PROGRAM: ADVANCING HEALTH EQUITY FOR UNDERSERVED POPULATIONS 10,000
    Total .................................bullet 3a 1,078,930
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 717,836  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 41,961  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRETURNED GRANT FUNDS
            47,000
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 759,797 47,000
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    806,797
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    11 RETURNED GRANT FUNDS
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 InvestmentsOtherSchedule2
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS FMV 20,586,136 20,586,136

    TY 2018 OtherDecreasesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 1,429,989


    TY 2018 OtherExpensesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 1,340 1,340   0
    COMPUTER EXPENSE 31,795 0   31,795
    MA ANNUAL REPORT FEE 15 0   15


    TY 2018 OtherIncomeSchedule2
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RETURNED GRANT FUNDS 47,000   47,000


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CONSULTING EXPENSE 75,935 35,783   40,152


    TY 2018 TaxesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 12,872 0   0