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
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
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$26,499,973
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... 789,207 789,207  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 351,936
b Gross sales price for all assets on line 6a 1,335,355
7 Capital gain net income (from Part IV, line 2)... 351,936
8 Net short-term capital gain.........  
9 Income modifications........... 3,000
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)....... 3,000 0  
12 Total. Add lines 1 through 11........ 1,144,143 1,141,143 3,000
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)....... 34,756 0   34,510
c Other professional fees (attach schedule).... 23,601 0   23,601
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 4,045 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 25,405 0   25,405
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 87,807 0   83,516
25 Contributions, gifts, grants paid....... 1,216,000 1,234,545
26 Total expenses and disbursements. Add lines 24 and 25 1,303,807 0   1,318,061
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -159,664
b Net investment income (if negative, enter -0-) 1,141,143
c Adjusted net income (if negative, enter -0-)... 3,000
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
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............. 365 6,259 6,259
2 Savings and temporary cash investments.........      
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).......... 24,053,229 Click to see attachment26,493,714 26,493,714
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) 24,053,594 26,499,973 26,499,973
Liabilities 17 Accounts payable and accrued expenses.......... 4,451 4,321
18 Grants payable................. 18,545  
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)......... 22,996 4,321
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 24,030,598 26,495,652
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 24,030,598 26,495,652
30 Total liabilities and net assets/fund balances (see instructions). 24,053,594 26,499,973
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
24,030,598
2
Enter amount from Part I, line 27a .....................
2
-159,664
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,624,718
4
Add lines 1, 2, and 3 ..........................
4
26,495,652
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
26,495,652
Form 990-PF (2020)
Form 990-PF (2020)
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 1,335,355   983,419 351,936
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       351,936
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 2 351,936
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
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 15,862
c All other domestic foundations enter 1.39% 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 15,862
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 15,862
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 16,612
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 16,612
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 750
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet750 RefundedBullet 11 0
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 the instructions
for the 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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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 ofbulletAAFCPAS Telephone no.bullet (508) 366-9100

    Located atbullet50 WASHINGTON STREETWESTBOROUGHMA ZIP+4bullet01581
    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 2020, 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 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    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 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 FORMER PRESIDENT AND DIRECTOR
    0.40
    0 0 0
    ONE SCIMED PLACE
    MAPLE GROVE,MN553111566
    MEAGHAN ADAMS TREASURER AND DIRECTOR
    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 VICE PRESIDENT AND DIRECTOR
    0.40
    0 0 0
    25155 RYE CANYON LOOP
    VALENCIA,CA91355
    DAVID KNAPP PRESIDENT AND 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
    SUSIE LISA DIRECTOR
    0.40
    0 0 0
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    SHAWN WILLIAMS DIRECTOR
    0.40
    0 0 0
    300 BOSTON SCIENTIFIC WAY
    MARLBOROUGH,MA01752
    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 (2020)
    Form 990-PF (2020)
    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 (2020)
    Form 990-PF (2020)
    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
    24,071,601
    b
    Average of monthly cash balances.......................
    1b
    17,812
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    24,089,413
    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
    24,089,413
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    361,341
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    23,728,072
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,186,404
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,186,404
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    15,862
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    15,862
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,170,542
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    3,000
    5
    Add lines 3 and 4............................
    5
    1,173,542
    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
    1,173,542
    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
    1,318,061
    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
    1,318,061
    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
    1,318,061
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 1,173,542
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017...... 115,196
    d From 2018...... 10,786
    e From 2019...... 47,723
    fTotal of lines 3a through e........ 173,705
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,318,061
    a Applied to 2019, 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 2020 distributable amount..... 1,173,542
    e Remaining amount distributed out of corpus 144,519
    5 Excess distributions carryover applied to 2020. 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 5 318,224
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    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 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    318,224
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017.... 115,196
    c Excess from 2018.... 10,786
    d Excess from 2019.... 47,723
    e Excess from 2020.... 144,519
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, 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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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 15 - 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 60 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:
    SCHOLARSHIP AMERICA
    7900 INTERNATIONAL DRIVE SUITE 500
    MINNEAPOLIS,MN55425
    (800) 537-4180
    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) SUBMIT 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 A CURRENT, COMPLETE TRANSCRIPT OF GRADES. GRADE REPORTS ARE NOT ACCEPTED. 5) UNOFFICIAL OR ONLINE TRANSCRIPTS MUST DISPLAY STUDENT NAME, SCHOOL NAME, GRADES AND CREDIT HOURS FOR EACH COURSE AND TERM IN WHICH EACH COURSE WAS TAKEN. 6) SUBMIT A COPY OF THE STUDENT AID REPORT (SAR) FROM FAFSA.
    cAny submission deadlines:
    ALL RENEWAL APPLICATIONS ARE DUE BY MARCH 31ST. ALL NEW APPLICATIONS ARE DUE BY APRIL 21ST.
    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. APPLICANTS TO THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP MUST: 1) BE DEPENDENT* CHILDREN, UNDER AGE 26, OF FULL-TIME U.S. BASED BOSTON SCIENTIFIC EMPLOYEES WHO HAVE A MINIMUM OF 6 MONTHS OF EMPLOYMENT WITH THE COMPANY AS OF THE APPLICATION DEADLINE DATE. *DEPENDENT CHILDREN INCLUDE THOSE OF THE EMPLOYEE OR THEIR SPOUSE OR DOMESTIC PARTNER FOR WHOM THEY ARE FINANCIALLY RESPONSIBLE, AS WELL AS NATURAL, ADOPTED, STEP-CHILDREN AND LEGAL WARDS. 2) BE HIGH SCHOOL SENIORS OR GRADUATES OR CURRENT POST-SECONDARY UNDERGRADUATES. 3) PLAN TO ENROLL IN FULL-TIME UNDERGRADUATE STUDY AT AN ACCREDITED TWO- OR FOUR-YEAR COLLEGE OR UNIVERSITY FOR THE ENTIRE UPCOMING ACADEMIC YEAR.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    SCHOLARSHIP AMERICA
    7900 INTERNATIONAL DRIVE SUITE 500
    MINNEAPOLIS,MN55425
    (800) 537-4180
    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) SUBMIT 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) STUDENTS ARE REQUIRED TO SUBMIT AN ADDITIONAL ESSAY. 8) NO MORE THAN 3 STUDENTS WILL BE AWARDED A PETE NICHOLAS SCHOLARSHIP EACH ACADEMIC YEAR.
    cAny submission deadlines:
    ALL RENEWAL APPLICATIONS ARE DUE BY MARCH 31ST. ALL NEW APPLICATIONS ARE DUE BY APRIL 2
    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. APPLICANTS TO THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP MUST: 1) BE DEPENDENT* CHILDREN, UNDER AGE 26, OF FULL-TIME U.S. BASED BOSTON SCIENTIFIC EMPLOYEES WHO HAVE A MINIMUM OF 6 MONTHS OF EMPLOYMENT WITH THE COMPANY AS OF THE APPLICATION DEADLINE DATE. *DEPENDENT CHILDREN INCLUDE THOSE OF THE EMPLOYEE OR THEIR SPOUSE OR DOMESTIC PARTNER FOR WHOM THEY ARE FINANCIALLY RESPONSIBLE, AS WELL AS NATURAL, ADOPTED, STEP-CHILDREN AND LEGAL WARDS. 2) BE HIGH SCHOOL SENIORS OR GRADUATES OR CURRENT POST-SECONDARY UNDERGRADUATES. 3) PLAN TO ENROLL IN FULL-TIME UNDERGRADUATE STUDY AT AN ACCREDITED TWO- OR FOUR-YEAR COLLEGE OR UNIVERSITY FOR THE ENTIRE UPCOMING ACADEMIC YEAR.
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    COMMUNITY SERVINGS INC
    179 AMORY STREET
    JAMAICA PLAIN,MA02130
      PC FOOD IS MEDICINE: NUTRITION PROGRAM FOR INDIVIDUALS AND FAMILIES AFFECTED BY DIABETES AND OTHER CRITICAL & CHRONIC ILLNESSES 25,000
    FAMILY HEALTH CENTER OF WORCESTER INC
    26 QUEEN STREET
    WORCESTER,MA016102473
      PC DIABETES OUTREACH AND ENGAGEMENT (DOE) 28,000
    HEALTH CARE WITHOUT WALLS INC
    148 LINDEN STREET SUITE 208
    WELLESLEY,MA02482
      PC BRIDGES TO ELDERS 20,000
    HEALTHWORKS COMMUNITY FITNESS INC
    450 WASHINGTON STREET
    BOSTON,MA02124
      PC WOMAN BE FIT - 8 WEEK PROGRESSIVE EXERCISE INTERVENTION 25,000
    PRESIDENT AND FELLOWS OF HARVARD COLLEGE
    200 LONGWOOD AVE
    BOSTON,MA02115
      PC EXPANDING REACH TO UNDERSERVED COMMUNITIES IN SAFE SPACES 20,000
    TRI-CITY HEALTH CENTER
    40910 FREMONT BLVD
    FREMONT,CA94538
      PC PROMOTORES PROGRAM 15,000
    COMMUNITY KITCHEN OF MONROE COUNTY INC
    1515 S ROGERS STREET
    MONROE COUNTY,IN474034718
      PC BACKPACK BUDDIES 10,000
    MOTHER HUBBARDS CUPBOARD INC
    1100 W ALLEN ST
    MONROE COUNTY,IN47403
      PC GARDEN, YOUTH, AND NUTRITION EDUCATION AND TOOL SHARE 8,700
    ANNEX TEEN CLINIC
    5810 42ND AVE NORTH
    HENNEPIN COUNTY,MN55422
      PC YOUTH-DRIVEN HPV-RELATED CANCER PREVENTION CAMPAIGN 25,000
    NEIGHBORHOOD HEALTHSOURCE
    3300 FREMONT AVE N
    HENNEPIN COUNTY,MN55412
      PC NHS BREAST HEALTH EQUITY INITIATIVE 40,000
    NORTH POINT HEALTH & WELLNESS CENTER INC
    1256 PENN AVE N SUITE 5300
    HENNEPIN COUNTY,MN55411
      PC FOOD AND HOUSING SUPPORT FOR RESIDENTS OF NORTH MINNEAPOLIS AND THE SURROUNDING AREA 50,000
    OPEN CITIES HEALTH CENTER INC
    409 N DUNLAP ST
    SAINT PAUL,MN55104
      PC OPEN CITIES PANDEMIC RESPONSE 25,000
    PINKY SWEAR FOUNDATION
    5555 W 78TH STREET SUITE E
    HENNEPIN COUNTY,MN55439
      PC ALL-STAR FUND PROGRAM 25,000
    ST MARYS HEALTH CLINICS
    1884 RANDOLPH AVE
    SAINT PAUL,MN55105
      PC DIABETES EDUCATION ENHANCEMENT PROGRAM (DEEP) & CUDATE (HEART HEALTH) 25,000
    TOUCHSTONE MENTAL HEALTH
    2312 SNELLING AVE
    MINNEAPOLIS,MN55404
      PC TOUCHSTONE MENTAL HEALTH COVID RESPONSE FUND 25,000
    PROVIDENCE HEALTH & SERVICES FOUNDATION
    15031 RINALDI STREET
    LOS ANGELES,CA91346
      PC DIABETES EDUCATION AND SUPPORT FOR THE UNINSURED AND UNDERINSURED 15,000
    ASIAN HEALTH SERVICES
    101 8TH STREET SUITE 100
    OAKLAND,CA94607
      PC COVID-19 COMMUNITY HEALTH PROGRAM 25,000
    826 BOSTON INC
    3035 WASHINGTON ST
    ROXBURY,MA02119
      PC SCIENCE FAIR BOOT CAMP AND STEM LITERACY PROGRAMS 5,000
    APPALACHIAN MOUNTAIN CLUB
    10 CITY SQUARE
    BOSTON,MA02129
      PC A MOUNTAIN CLASSROOM - BOSTON PUBLIC SCHOOLS PARTNERSHIP 2021-2022 10,000
    BLESSED STEPHEN BELLESINI O S A ACADEMY INC
    94 BRADFORD ST
    LAWRENCE,MA01840
      PC STEAM ENRICHMENT PROGRAM 15,500
    BOSTON PARTNERS IN EDUCATION INC
    192 SOUTH STREET SUITE 600
    BOSTON,MA02111
      PC AIM HIGH STEM 12,300
    BOYS & GIRLS CLUBS OF METROWEST
    169 PLEASANT STREET
    MARLBOROUGH,MA01752
      PC FREIGHT FARM GREENERY - STEM EDUCATION 13,500
    BOYS AND GIRLS CLUB OF BROCKTON INC
    19 COURT STREET 2ND FLOOR
    TAUNTON,MA02780
      PC STEM PROGRAM ENHANCEMENTS - 3D PRINTER IN MARLBOROUGH CLUBHOUSE 15,000
    BREAKTHROUGH GREATER BOSTON INC
    P0 BOX 381486
    CAMBRIDGE,MA02238
      PC FULL STEAM AHEAD 20,000
    CITIZEN SCHOOLS
    1 BEACON STREET
    BOSTON,MA02210
      PC CATALYST PROGRAM: EXPANDING STEM LEARNING OPPORTUNITIES 11,000
    MASSACHUSETTS GENERAL HOSPITAL
    125 NASHUA STREET SUITE 540
    BOSTON,MA02114
      PC MASS GENERAL YOUTH SCHOLARS PROGRAM 13,500
    MYSTIC RIVER WATERSHED ASSOCIATION INC
    20 ACADEMY STREET STE 306
    ARLINGTON,MA02476
      PC STEM EDUCATION IN OUR BACKYARD 5,200
    NATIVITY SCHOOL OF WORCESTER INC
    67 LINCOLN STREET
    WORCESTER,MA01605
      PC NATIVITY WORCESTER S.T.E.M EDUCATION PROGRAM 7,500
    NORTHEASTERN UNIVERSITY
    360 HUNTINGTON AVE
    BOSTON,MA02115
      PC SMASH X NORTHEASTERN 18,500
    WENTWORTH INSTITUTE OF TECHNOLOGY
    550 HUNTINGTON AVENUE
    BOSTON,MA02115
      PC COMPUTER SCIENCE PATHWAY 10,000
    BOYS & GIRLS CLUBS OF SILICON VALLEY
    518 VALLEY WAY
    MILPITAS,CA95035
      PC SCITECH: SCIENCE & TECHNOLOGY PROGRAMS 10,000
    BOYS & GIRLS CLUB OF BLOOMINGTON
    803 N MONROE ST PO BOX 1716
    BLOOMINGTON,IN47402
      PC ACADEMIC SUPPORT AND STEM PROGRAMMING 2,594
    SEVEN OAKS CLASSICAL SCHOOL
    200 EAST ASSOCIATION STREET
    ELLETTSVILLE,IN47429
      PC STEM EDUCATION 11,031
    SOUTHWEST CENTRAL INDIANA SWE
    3667 S GLASGOW CIRCLE
    BLOOMINGTON,IN47403
      PC WOW! THAT'S ENGINEERING! 17,675
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC METRO SCRUBS CAMP 10,000
    BELL MUSEUM UNIVERSITY OF MINNESOTA FOUNDATION
    200 SE OAK STREET
    MINNEAPOLIS,MN55455
      PC BELL MUSEUM STEM SUMMER PROGRAMS 25,000
    BREAKTHROUGH TWIN CITIES (FORMERLY BREAKTHROUGH SAINT PAUL)
    2051 LARPENTEUR AVENUE EAST
    ST PAUL,MN55109
      PC SYSTEMIC CHANGE FOR UNDER-RESOURCED YOUTH 15,000
    CONSERVATION CORPS
    60 PLATO BOULEVARD
    ST PAUL,MN55107
      PC YOUTH OUTDOORS AFTERSCHOOL PROGRAM STEM TRAINING AND EDUCATION 7,500
    CRISTO REY JESUIT HIGH SCHOOL
    2924 4TH AVENUE SOUTH
    MINNEAPOLIS,MN55408
      PC COLLEGE PREPARATORY STEM PROGRAM ENHANCEMENT FOR 2020-2021 FOR TWIN CITIES YOUTH OF COLOR 15,000
    KIPP MINNESOTA
    5034 NORTH OLIVER AVENUE
    MINNEAPOLIS,MN55430
      PC AMPLIFY SCIENCE AT KIPP MINNESOTA 9,700
    LEONARDO'S BASEMENT
    150 W 60TH ST
    MINNEAPOLIS,MN55419
      PC STEM PARTNERSHIPS WITH LOW-INCOME SCHOOLS 20,000
    MINNESOTA COMPUTERS FOR SCHOOLS
    504 MALCOLM AVE SE SUITE 100
    MINNEAPOLIS,MN55414
      PC TECH FOR TEENS 15,000
    MISSISSIPPI PARK CONNECTION
    111 KELLOGG BLVD EAST SUITE 105
    SAINT PAUL,MN55101
      PC EDUCATION 10,000
    URBAN ROOTS MN
    463 MARIA ST SUITE 207
    ST PAUL,MN551064428
      PC PREPARING STUDENTS IN GRADES 7-12 FOR CAREER PATHWAYS 10,000
    WAY TO GROW
    125 WEST BROADWAY
    MINNEAPOLIS,MN55411
      PC WAY TO GROW VIRTUAL TUTORING INITIATIVE 12,800
    BOYS AND GIRLS CLUB OF SANTA CLARITA VALLEY
    24909 NEWHALL AVE
    SANTA CLARITA,CA91321
      PC PROJECT LEARN: STEAM PROGRAM 15,000
    COLLEGE OF THE CANYONS FOUNDATION THE MESA PROGRAM
    26455 ROCKWELL CANYON ROAD
    SANTA CLARITA,CA91355
      PC "MESA LAB SKILLS PROGRAM 20,000
    CANCER SUPPORT COMMUNITY
    734 15TH STREET NW SUITE 300
    WASHINGTON DC,DC20005
      PC CANCERSUPPORTSOURCE - SPANISH 125,000
    AMERICAN UNIVERSITY
    4400 MASSACHUSETTS AVE NW
    WASHINGTON,DC20016
      PC SCHOLARSHIP 5,000
    AUGSBURG UNIVERSITY
    2211 RIVERSIDE AVENUE
    MINNEAPOLIS,MN55454
      PC SCHOLARSHIP 6,000
    BAYLOR UNIVERSITY
    ONE BEAR PLACE 97048
    WACO,TX76798
      PC SCHOLARSHIP 3,000
    BETHEL UNIVERSITY
    3900 BETHEL DRIVE
    SAINT PAUL,MN55112
      PC SCHOLARSHIP 3,000
    BOISE STATE UNIVERSITY
    1910 W UNIVERSITY DR
    BOISE,ID83725
      PC SCHOLARSHIP 3,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467
      PC SCHOLARSHIP 12,000
    BOSTON UNIVERSITY
    881 COMMONWEALTH AVENUE
    BOSTON,MA02215
      PC SCHOLARSHIP 3,000
    CALIFORNIA STATE UNIVERSITY EAST BAY
    25800 CARLOS BEE BOULEVARD
    HAYWARD,CA94542
      PC SCHOLARSHIP 3,000
    CALIFORNIA STATE UNIVERSITY CHICO
    400 WEST 1ST STREET
    CHICO,CA95929
      PC SCHOLARSHIP 3,000
    CITY COLLEGE OF SAN FRANCISCO
    50 FRIDA KAHLO WAY
    SAN FRANCISCO,CA94112
      PC SCHOLARSHIP 1,000
    CSU CHANNEL ISLANDS
    1 UNIVERSITY DRIVE
    CAMARILLO,CA93012
      PC SCHOLARSHIP 3,000
    DEPAUL UNIVERSITY
    2400 N SHEFFIELD AVE
    CHICAGO,IL60614
      PC SCHOLARSHIP 3,000
    DRAKE UNIVERSITY
    2507 UNIVERSITY AVENUE
    DES MOINES,IA50311
      PC SCHOLARSHIP 3,000
    GORDON COLLEGE
    255 GRAPEVINE ROAD
    WENHAM,MA01984
      PC SCHOLARSHIP 3,000
    GUSTAVUS ADOLPHUS COLLEGE
    800 W COLLEGE AVENUE
    ST PETER,MN56802
      PC SCHOLARSHIP 3,000
    HANOVER COLLEGE
    484 BALL DRIVE
    HANOVER,IN47243
      PC SCHOLARSHIP 3,000
    INDIANA STATE UNIVERSITY
    200 N 7TH ST
    TERRE HAUTE,IN47809
      PC SCHOLARSHIP 3,000
    INDIANA UNIVERSITY BLOOMINGTON
    4648 W HARVEST LANE
    BLOOMINGTON,IN47404
      PC SCHOLARSHIP 6,000
    INDIANA UNIVERSITY PURDUE UNIVERSITY INDIANAPOLIS -IUPUI
    PO BOX 6020 CAMPUS CENTER 250
    INDIANAPOLIS,IN46206
      PC SCHOLARSHIP 3,000
    INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE
    2101 E COLISEUM BLVD
    FORT WAYNE,IN46805
      PC SCHOLARSHIP 3,000
    LOYOLA UNIVERSITY MARYLAND
    4501 NORTH CHARLES STREET
    BALTIMORE,MD21210
      PC SCHOLARSHIP 3,000
    METROPOLITAN STATE UNIVERSITY COLLEGE
    700 7TH STREET E
    SAINT PAUL,MN55106
      PC SCHOLARSHIP 3,000
    MINNEAPOLIS COLLEGE OF ART AND DESIGN
    2501 STEVENS AVENUE
    MINNEAPOLIS,MN55404
      PC SCHOLARSHIP 3,000
    NORTH CENTRAL UNIVERSITY
    910 ELLIOT AVENUE
    MINNEAPOLIS,MA55404
      PC SCHOLARSHIP 3,000
    NORTHEASTERN UNIVERSITY
    360 HUNTINGTON AVENUE
    BOSTON,MA02115
      PC SCHOLARSHIP 8,000
    NORTHERN KENTUCKY UNIVERSITY
    LOUIE B NUNN DR
    HIGHLAND HEIGHTS,KY41099
      PC SCHOLARSHIP 3,000
    OHIO STATE UNIVERSITY COLUMBUS CAMPUS
    281 W LANE AVE
    COLUMBUS,OH43210
      PC SCHOLARSHIP 3,000
    POINT LOMA NAZARENE UNIVERSITY
    3900 LOMALAND DRIVE
    SAN DIEGO,CA92106
      PC SCHOLARSHIP 3,000
    PURDUE UNIVERSITY
    610 PURDUE MALL
    WEST LAFAYETTE,IN47907
      PC SCHOLARSHIP 6,000
    RHODES COLLEGE
    2000 NORTH PKWY
    MEMPHIS,TN38112
      PC SCHOLARSHIP 3,000
    SAN DIEGO STATE UNIVERSITY
    5500 CAMPANILE DR
    SAN DIEGO,CA92182
      PC SCHOLARSHIP 3,000
    SAN JOSE STATE UNIVERSITY
    1 WASHINGTON SQUARE
    SAN JOSE,CA95192
      PC SCHOLARSHIP 6,000
    SIMMONS COLLEGE
    300 FENWAY
    BOSTON,MA02115
      PC SCHOLARSHIP 3,000
    SOUTHEASTERN UNIVERSITY
    1000 LONGFELLOW BOULEVARD
    LAKELAND,FL33801
      PC SCHOLARSHIP 3,000
    SOUTHERN UTAH UNIVERSITY
    351 W UNIVERSITY BOULEVARD
    CEDAR CITY,UT84720
      PC SCHOLARSHIP 3,000
    ST OLAF COLLEGE
    1520 ST OLAF AVENUE
    NORTHFIELD,MN55057
      PC SCHOLARSHIP 6,000
    STANFORD UNIVERSITY
    355 GALVEZ STREET
    STANFORD,CA94305
      PC SCHOLARSHIP 3,000
    STONEHILL COLLEGE
    320 WASHINGTON STREET
    NORTH EASTON,MA02357
      PC SCHOLARSHIP 3,000
    TEXAS A&M UNIVERSITY
    PO BOX 30016 1252 TAMU
    COLLEGE STATION,TX77842
      PC SCHOLARSHIP 8,000
    TEXAS TECH UNIVERSITY
    WEST HALL ROOM 205 BOX 45011
    LUBBOCK,TX79409
      PC SCHOLARSHIP 1,500
    THE UNIVERSITY OF ARKANSAS
    1 UNIVERSITY OF ARKANSAS
    FAYETTEVILLE,AR72701
      PC SCHOLARSHIP 3,000
    THE UNIVERSITY OF ARKANSAS
    1 UNIVERSITY OF ARKANSAS
    FAYETTEVILLE,AR72701
      PC SCHOLARSHIP 3,000
    TUFTS UNIVERSITY
    PO BOX 3475
    BOSTON,MA02241
      PC SCHOLARSHIP 6,000
    UNIVERSITY OF CALIFORNIA LOS ANGELES
    405 HILGARD AVENUE
    LOS ANGELES,CA90095
      PC SCHOLARSHIP 2,500
    UNIVERSITY OF CALIFORNIA SAN DIEGO
    9500 GILMAN DRIVE DEPT 0026
    LA JOLLA,CA92093
      PC SCHOLARSHIP 5,000
    UNIVERSITY OF CALIFORNIA DAVIS
    PO BOX 989062
    WEST SACRAMENTO,CA95798
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF CALIFORNIA IRVINE
    102 ALDRICH HALL
    IRVINE,CA92697
      PC SCHOLARSHIP 5,000
    UNIVERSITY OF CENTRAL FLORIDA
    4000 CENTRAL FLORIDA BLVD
    ORLANDO,FL32816
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF COLORADO COLORADO SPRINGS
    1420 AUSTIN BLUFFS PKWY
    COLORADO SPRINGS,CO80918
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF DAYTON
    ST MARYS HALL 108 300 COLLEGE PARK
    DAYTON,OH45469
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
    620 E JOHN STREET MC-303
    CHAMPAIGN,IL61820
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF MASSACHUSETTS AMHERST
    215 WHITMORE BUILDING 181 PRESIDENT
    DRIVE
    AMHERST,MA01003
      PC SCHOLARSHIP 14,000
    UNIVERSITY OF MINNESOTA DULUTH
    1049 UNIVERSITY DRIVE
    DULUTH,MN55812
      PC SCHOLARSHIP 8,000
    UNIVERSITY OF MINNESOTA TWIN CITIES
    200 FRASER HALL 106 PLEASANT STREET
    SE
    MINNEAPOLIS,MN55455
      PC SCHOLARSHIP 36,000
    UNIVERSITY OF NEW HAMPSHIRE
    105 MAIN ST
    DURHAM,NH03824
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF NORTH DAKOTA
    264 CENTENNIAL DR
    GRAND FORKS,ND58202
      PC SCHOLARSHIP 5,500
    UNIVERSITY OF NOTRE DAME
    115 MAIN BUILDING
    NOTRE DAME,IN46556
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF PITTSBURGH
    4200 FIFTH AVE
    PITTSBURGH,PA15260
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF RHODE ISLAND
    45 UPPER COLLEGE RD
    KINGSTON,RI02881
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF SOUTHERN CALIFORNIA
    3551 TROUSDALE PARKWAY
    LOS ANGELES,CA90089
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF ST THOMAS
    2116 PAGE RD
    DURHAM,NC27703
      PC SCHOLARSHIP 6,500
    UNIVERSITY OF TAMPA
    401 W KENNEDY BLVD
    TAMPA,FL33606
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF WEST FLORIDA
    11000 UNIVERSITY PKWY
    PENSACOLA,FL32514
      PC SCHOLARSHIP 3,000
    UNIVERSITY OF WISCONSIN-MADISON
    702 WEST JOHNSON STREET SUITE 1101
    MADISON,WI53715
      PC SCHOLARSHIP 9,000
    UNIVERSITY OF WISCONSIN-STOUT
    712 BROADWAY ST S
    MENOMONIE,WI54751
      PC SCHOLARSHIP 6,000
    WORCESTER POLYTECHNIC INSTITUTE
    100 INSTITUTE RD
    WORCESTER,MA01609
      PC SCHOLARSHIP 3,000
    GIRLS INC OF LYNN
    50 HIGH STREET
    LYNN,MA01902
      PC OPERATION SMART, GIRLS INC. OF LYNN'S STEM PROGRAMMING FOR MIDDLE SCHOOL AGE GIRLS 18,545
    Total .................................bullet 3a 1,234,545
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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....     14 789,207  
    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 ............
        18 351,936  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRETURNED GRANT FUNDS
            3,000
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 1,141,143 3,000
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,144,143
    (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 (2020)
    Form 990-PF (2020)
    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 instructions.
    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 (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND TAX SERVICES 34,756 0   34,510

    TY 2020 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 26,493,714 26,493,714

    TY 2020 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
    BANK FEES 1,737 0   1,737
    COMPUTER EXPENSE 23,668 0   23,668


    TY 2020 OtherIncomeSchedule2
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RETURNED GRANT FUNDS 3,000   3,000


    TY 2020 OtherIncreasesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 2,624,718


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHOLARSHIP PROGRAM MANAGEMENT 23,601 0   23,601


    TY 2020 TaxesSchedule
    Name:
    BOSTON SCIENTIFIC FOUNDATION INC
    EIN:
    04-3556844
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 3,780 0   0
    MA FORM PC FEES 265 0   0