| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING, TAX RETURN PREPARATION & CONSULTING FEES | 128,690 | 52,903 | 75,787 | |
| AUDIT FEES RELATING TO PREPARATION OF FINANCIAL STATEMENTS & GRANT REVIEW | 47,500 | 0 | 47,500 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| LAPTOP | 2015-12-01 | 1,230 | 1,230 | SL | 3.000000000000 | 0 | 0 | ||
| LAPTOP | 2017-02-01 | 1,444 | 1,444 | SL | 3.000000000000 | 0 | 0 | ||
| LAPTOP | 2018-05-01 | 1,529 | 1,020 | SL | 3.000000000000 | 509 | 0 | ||
| TECHSOUP | 2019-01-01 | 1,000 | 334 | SL | 3.000000000000 | 333 | 0 | ||
| WEBSITE DESIGN | 2016-02-01 | 11,052 | 11,052 | SL | 3.000000000000 | 0 | 0 | ||
| LAPTOP | 2020-07-19 | 1,497 | SL | 3.000000000000 | 208 | 0 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
THINKPLACE KENYA |
9TH FL UNIT CD FCB MIHRAB BUILDING JUNC RING RD PO BOX 66797 KILMANI,NAIROBI00800 KE |
2019-12-31 | 203,248 | THE PURPOSE OF THE GRANT IS TO SUPPORT THE DEVELOPMENT OF COMMUNITY LABS IN CONNECTION WITH ETHIOPIA'S SEQOTA DECLARATION IN COLLABORATION WITH THE ETHIOPIAN GOVERNMENT.THE TOTAL GRANT OF $203,248 WAS FULLY APPROVED AND SETTLED ON DECEMBER 24, 2019. | 27,005 | NO DIVERSION OF FUNDS BY GRANTEE | 2/14/19, 4/19/19, 7/3/19, 11/6/19 | ||
|
THINKPLACE KENYA |
9TH FL UNIT CD FCB MIHRAB BUILDING JUNC RING RD PO BOX 66797 KILMANI,NAIROBI00800 KE |
2020-12-31 | 36,827 | THE PURPOSE OF THE GRANT IS TO SUPPORT THE DEVELOPMENT OF THE NAMPULA BASELINE NUTRITION STUDY AND PROGRAM IN CONNECTION WITH ETHIOPIA'S SEQOTA DECLARATION IN COLLABORATION WITH THE ETHIOPIAN GOVERNMENT. | 36,827 | NO DIVERSION OF FUNDS BY GRANTEE | 4/27/20 | ||
|
ETHIOPIAN RED CROSS SOCIETY |
PO BOX 195 RAS DAMTEW AVENUE ADDIS ABABA ET |
2020-12-01 | 250,000 | TO SUPPORT VULNERABLE POPULATIONS IMPACTED BY THE CONFLICT IN TIGRAY. | 240,464 | NO DIVERSION OF FUNDS BY GRANTEE | INTERIM REPORT RECEIVED AUGUST 3, 2021 | THE ONLY VERIFICATION HAS BEEN BY CORRESPONDENCE; TIGRAY IS A WARZONE AND TRAVEL IS NOT POSSIBLE. |
| Identifier | Return Reference | Explanation |
|---|---|---|
| CONTROLLED FOREIGN PARTNERSHIP REPORTING | FORM 990-PF | INDIRECT OWNERSHIP INTEREST IN KPS SPECIAL SITUATIONS FUND V (A), LP EIN: 98-1509288THE FOLLOWING OBLIGATIONS WILL BE SATISFIED BY CA RESOURCES FUND (U.S. TAX-EXEMPT), L.P. - SERIES KPS SPECIAL SITUATIONS FUNDS V (A). THE FUND WILL ATTACH FORM 8865 TO ITS FORM 1065 WHICH WILL BE FILED WITH THE INTERNAL REVENUE SERVICE CENTER IN OGDEN, UT 84201-0011.CA RESOURCES FUND (U.S. TAX-EXEMPT), L.P. - SERIES KPS SPECIAL SITUATIONS FUNDS V (A), LP'S TAX IDENTIFICATION NUMBER IS 84-3054793 AND ITS ADDRESS IS:125 HIGH STREETBOSTON, MA 02110 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| MFC ISHARES TRUST US TREASURY 20+ YEAR BD ETF | 222,089 | 214,197 |
| MFC SPDR GOLD TR GOLD SHS | 331,921 | 391,679 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| AACP TAX EXEMPT INVESTORS V L.P | AT COST | 479,723 | 494,300 |
| ABDIEL QUALIFIED OFFSHORE PRTNR | AT COST | 3,259,390 | 10,170,554 |
| ARROWSTREET CAPITAL GLOBAL ALL COUNTRY | AT COST | 3,065,766 | 3,529,984 |
| ARROWSTREET CAPITAL GLOBAL EQUITY LONG/SHORT FUND LTD | AT COST | 2,500,000 | 2,422,207 |
| ASIA ALTERNATIVES DELAWARE V LP | AT COST | 50,893 | 53,624 |
| BIOMATICS CAPITAL PARTNERS LP | AT COST | 378,661 | 456,187 |
| CA RESOURCES FUND (U.S. TAX-EXEMPT), L.P. - SERIES ADVENT INT'L GPE IX | AT COST | 339,618 | 439,965 |
| CA RESOURCES FUND (U.S. TAX-EXEMPT), L.P. - SERIES KPS SPECIAL SITUATIONS FD | AT COST | 187,595 | 190,767 |
| CAPITAL TODAY EVERGREEN FUND LP | AT COST | 1,193,470 | 2,022,223 |
| CENTERBRIDGE PARTNERS RE FND LP | AT COST | 642,696 | 575,967 |
| CF GOBI INVESTMENT FUND LTD | AT COST | 1,000,000 | 1,339,393 |
| CF SRS PARTNERS LTD CL B | AT COST | 3,500,000 | 3,935,728 |
| CF STC-CTF DURABLE COMPANIES | AT COST | 2,847,739 | 3,114,950 |
| CF THE KILTEARN GLOBAL EQTY FUN | AT COST | 4,993,945 | 4,993,954 |
| COATUE OFFSHORE FUND | AT COST | 1 | 1 |
| DAVIDSON KEMPER INTL (BVI) LTD | AT COST | 258,587 | 258,587 |
| DIAMETER OFFSHORE FUND L.P | AT COST | 4,000,000 | 5,717,090 |
| DOUBLELINE OPPTY INCOME FND L.P | AT COST | 1,050,067 | 1,149,317 |
| ECLIPSE FUND III, LP | AT COST | 369,426 | 429,721 |
| ELLIOT INTERNATIONAL LTD | AT COST | 419,500 | 449,592 |
| FARALLON EQTY PARTNERS INTL LTD | AT COST | 3,000,000 | 4,920,590 |
| FORT GLOBAL OFFSHORE FUNDS | AT COST | 447,062 | 502,371 |
| FORTRESS CREDIT OPPORTUNITIES FUND V (B) LP | AT COST | 1,072,949 | 1,172,769 |
| FORTRESS CREDIT OPPORTUNITIES FUND V EXPANSION (B) LP | AT COST | 24,750 | 25,000 |
| HILLHOUSE FOCUSED GROWTH FUND V FEEDER, LP | AT COST | 10,795 | 8,045 |
| HILLHOUSE FUND IV FEEDER, LP | AT COST | 1,025,157 | 1,313,345 |
| HILLHOUSE FUND V FEEDER LP | AT COST | 9,163 | 7,913 |
| HILLHOUSE VENTURE FUND V FEEDER, LP | AT COST | 23,253 | 20,253 |
| HIMALAYA CAP. INVESTORS (OFF) LP | AT COST | 5,000,000 | 7,621,018 |
| HOLLYPORT SECONDARY FUND LP | AT COST | 175,000 | 256,472 |
| ISAM SYSTEMATIC TREND SPV LTD | AT COST | 1,808,543 | 1,975,870 |
| LAKEWOOD CAP. OFFSHORE FUND LTD | AT COST | 5,492,529 | 5,391,959 |
| MANGROVE PARTNERS FUND (CAYMAN) | AT COST | 5,000,000 | 3,697,752 |
| NITORUM OFFSHORE FUND LTD | AT COST | 3,748,000 | 4,735,631 |
| OVERLOOK PARTNERS FUND LP | AT COST | 4,491,599 | 5,928,669 |
| RENAISSANCE INST EQTY FUND LLC | AT COST | 3,171,932 | 3,901,277 |
| SECTION 32 FUND 3, LP | AT COST | 123,453 | 125,871 |
| SOROBAN OPPTYS CAYMAN FUN LTD | AT COST | 3,937,500 | 5,561,120 |
| SUSTAINABLE ASSET FUND II LP | AT COST | 425,840 | 478,069 |
| THE ENGINE ACCELERATOR FUND L.P | AT COST | 458,651 | 620,503 |
| THE ENGINE FUND II, LP | AT COST | 12,013 | 12,500 |
| TIGER GLOBAL LONG OPPRTY LTD | AT COST | 5,830,000 | 9,658,649 |
| TIGER GLOBAL PRIV. INVSTMNT XI LP | AT COST | 1,766,550 | 2,401,667 |
| TIGER GLOBAL PRIV. INVSTMNT XII LP | AT COST | 867,070 | 720,849 |
| TPG PUBLIC EQUITY PARTNERS LP | AT COST | 3,500,000 | 3,379,093 |
| VERSANT VENTURE CAPITAL LP | AT COST | 601,397 | 640,946 |
| VOR OPPORTUNITIES FUND LTD SER E | AT COST | 3,000,000 | 3,353,330 |
| WHITESPRUCE FUND LTD SHARE CL A SER | AT COST | 4,000,000 | 4,493,479 |
| WNDRCO, LLC | AT COST | 765,267 | 562,984 |
| XIANG HE FUND II, LP | AT COST | 488,049 | 476,975 |
| YIHENG CAP. OFFSHORE PRTNRS LTD | AT COST | 3,500,000 | 4,853,506 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| LAPTOP | 1,230 | 1,230 | 0 | |
| LAPTOP | 1,444 | 1,444 | 0 | |
| LAPTOP | 1,529 | 1,529 | 0 | |
| TECHSOUP | 1,000 | 667 | 333 | |
| WEBSITE DESIGN | 11,052 | 11,052 | 0 | |
| LAPTOP | 1,497 | 208 | 1,289 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES IN CONNECTION WITH FOUNDATION MATTERS | 19,458 | 0 | 19,458 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| SECURITY DEPOSIT | 299 | 299 | 299 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL FEES | 4,206 | 0 | 4,206 | |
| OFFICE EXPENSE | 17,421 | 0 | 17,421 | |
| INVESTMENT MANAGEMENT FEES | 411,237 | 411,237 | 0 | |
| BANK CHARGES | 4,970 | 4,970 | 0 | |
| NON-DEDUCTIBLE EXPENSES | 1,906 | 0 | 0 | |
| IT SUPPORT | 5,197 | 0 | 5,197 | |
| MISC. EXPENSES | 20,286 | 0 | 20,286 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| OTHER INVESTMENT INCOME | 181,528 | 181,528 | 181,528 |
| OTHER INCOME/LOSS FROM PARTNERSHIPS | -1,257,801 | -1,257,801 | -1,257,801 |
| PARTNERSHIP INCOME SUBJECT TO UNRELATED BUSINESS INCOME TAX | 94,522 | 0 | 94,522 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OUTSIDE CONTRACT SERVICES | 836,468 | 0 | 836,468 | |
| PROGRAM CONSULTING/TECHNICAL ADVICE | 1,780,050 | 0 | 1,780,050 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 17,576 | 0 | 17,576 | |
| FOREIGN TAXES PAID | 52,522 | 52,522 | 0 | |
| FEDERAL UNRELATED BUSINESS INCOME TAX | 110,000 | 0 | 0 | |
| OTHER FEDERAL TAXES | 185 | 0 | 0 |