Form990-PF
Click to see attachment
Click to see attachmentClick to see attachment

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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
The Passport Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

26-1580196
B Telephone number (see instructions)

(800) 839-1754
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$95,269,285J 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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 8,363 8,363  
4 Dividends and interest from securities... 262,158 262,158  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 10,969,612
b Gross sales price for all assets on line 6a 25,559,800
7 Capital gain net income (from Part IV, line 2)... 10,969,619
8 Net short-term capital gain.........  
9 Income modifications...........  
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)....... Click to see attachment 1,862,665 1,856,105  
12 Total. Add lines 1 through 11........ 13,102,798 13,096,245  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 3,913 1,743 0 2,170
b Accounting fees (attach schedule)....... Click to see attachment 210,639 0 0 210,639
c Other professional fees (attach schedule).... Click to see attachment 190,757 46,757   144,000
17 Interest............... 2,616 2,616    
18 Taxes (attach schedule) (see instructions)... Click to see attachment 139,261 8,661    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 347     347
21 Travel, conferences, and meetings....... 1,353     1,353
22 Printing and publications.......... 309     309
23 Other expenses (attach schedule)....... Click to see attachment 1,318,995 1,154,239   154,871
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,868,190 1,214,016 0 513,689
25 Contributions, gifts, grants paid....... 2,704,357 2,604,357
26 Total expenses and disbursements. Add lines 24 and 25 4,572,547 1,214,016 0 3,118,046
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 8,530,251
b Net investment income (if negative, enter -0-) 11,882,229
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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.............      
2 Savings and temporary cash investments......... 1,194,518 5,986,597 5,986,597
3 Accounts receivable bullet161,994
Less: allowance for doubtful accounts bullet   9,084 161,994 161,994
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).......   Click to see attachment702,398 3,926,118
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).......... 38,283,095 Click to see attachment40,635,959 85,194,576
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) 100,000    
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 39,586,697 47,486,948 95,269,285
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons 630,000 Click to see attachment0
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 630,000 0
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...........    
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 38,956,697 47,486,948
29 Total net assets or fund balances (see instructions)..... 38,956,697 47,486,948
30 Total liabilities and net assets/fund balances (see instructions). 39,586,697 47,486,948
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
38,956,697
2
Enter amount from Part I, line 27a .....................
2
8,530,251
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
47,486,948
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
47,486,948
Form 990-PF (2021)
Form 990-PF (2021)
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 OFFSHORE HEDGE FUND CAPITAL GAIN DISTRIBUTIONS      
b Passthrough K1 Capital Gain/(Loss)      
c BTC-USD - BITCOIN USD P   2021-04-24
d BTC-USD - BITCOIN USD P   2021-05-13
e BTC-USD - BITCOIN USD P 2021-05-12 2021-05-17
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-03-31
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-06-30
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-09-30
DISTRIBUTED2 - DISTRIBUTED GLOBAL OFFSHORE FUND II LTD P 2018-02-28 2021-12-09
LEGION - HOLDBACK P 2020-10-01 2021-04-06
LEGPIBLP - LEGP I AIV (B) LP P 2013-06-17 2021-12-21
MAPROCK - Maple Rock Offshore Fund LP P 2015-02-03 2021-03-31
SAVAGEXHOLD - SAVAGE X HOLDING, LLC P 2012-12-31 2021-03-19
TECHSTYLEINC - TECHSTYLE, INC P 2012-12-31 2021-03-11
(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 440,873   0 440,873
b       2,523,507
c 3,000,791   1,735,099 1,265,692
d 12,915,506   8,723,280 4,192,226
e 4,318,151   5,240,763 -922,612
2,408,155   411,860 1,996,295
23,523   2,228 21,295
50,792   9,650 41,142
214,888   7,629 207,259
9,084   9,084  
1,286   19,440 -18,154
130,323   7,545 122,778
487,848   69,112 418,736
1,558,580   877,998 680,582
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       440,873
b        
c       1,265,692
d       4,192,226
e       -922,612
      1,996,295
      21,295
      41,142
      207,259
       
      -18,154
      122,778
      418,736
      680,582
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 10,969,619
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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  
3 Add lines 1 and 2........................... 3 165,163
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 165,163
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 168,131
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 168,131
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 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 2,968
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,968 RefundedBullet 11  
Part VI-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? Click to see attachment....................
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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 changesClick to see attachment....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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.Click to see attachment
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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 Click to see list of attachments.............
    11
    Yes
     
    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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    John H Burbank III Dir, Pres
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Jim Cunningham Dir, Trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Julie Kim Sec
    20.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Walther Lovato Dir, Trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Joanne Poile Treas
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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
    SUSAN CHEN PHILANTHROPIC 53,639
    277 ELDER VIEW DRIVE
    LAS VEGAS,NV89138
    Foundation Source Administrative 145,533
    55 Walls Drive 3rd Fl
    Fairfield,CT06824
    Janet Maughan Philanthropic 144,421
    428 Lagunitas Avenue
    Oakland,CA94610
    Navolio & Tallman LLP Philanthropic 135,000
    2121 N California Blvd Suite 610
    Walnut Creek,CA94596
    Total number of others receiving over $50,000 for professional services.............bullet100
    Part VIII-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 VIII-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.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    5,738,017
    b
    Average of monthly cash balances.......................
    1b
    7,904,008
    c
    Fair market value of all other assets (see instructions)................
    1c
    83,283,750
    d
    Total (add lines 1a, b, and c).........................
    1d
    96,925,775
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    96,925,775
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    1,453,887
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    95,471,888
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    4,773,594
    Part X
    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 IX, line 6..................
    1
    4,773,594
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    165,163
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    165,163
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,608,431
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    4,608,431
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    4,608,431
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 4,608,431
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 2,825,655
    b Total for prior years:2019, 2018, 2017  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 3,118,046
    a Applied to 2020, but not more than line 2a 2,825,655
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 292,391
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021.    
    (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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		4,316,040
    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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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).)
    John H Burbank III
    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 email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    ADELANTE FOUNDATION
    PO BOX 2329
    SAN FRANCISCO,CA94126     		N/A PC General & Unrestricted 500
    ADELANTE FOUNDATION
    PO BOX 2329
    SAN FRANCISCO,CA94126     		N/A PC Employee Matching 500
    ARMENIA FUND INC
    111 N JACKSON ST STE 205
    GLENDALE,CA91206     		N/A PC Employee Matching 1,000
    BREAST CANCER PREVENTION PARTNERS
    1388 SUTTER ST STE 400
    SAN FRANCISCO,CA94109     		N/A PC Clearya Seed Grant, for the activities outlined in 50,000
    BUSINESS EXECUTIVES FOR NATIONAL SECURITY
    1030 15TH ST NW STE 200 E
    WASHINGTON,DC20005     		N/A PC General & Unrestricted 25,000
    CENTER FOR ENVIRONMENTAL HEALTH
    2201 BROADWAY STE 508
    OAKLAND,CA94612     		N/A PC General Support 80,000
    CENTRO MATER FOUNDATION INC
    4970 SW 80TH ST
    MIAMI,FL33143     		N/A PC Employee Matching 10,000
    CHANGE ORG CHARITABLE FOUNDATION INC
    548 MARKET ST BOX 29993
    SAN FRANCISCO,CA94104     		N/A PC General & Unrestricted 1,647
    CHINESE HOSPITAL ASSOCIATION
    845 JACKSON ST
    SAN FRANCISCO,CA94133     		N/A PC Employee Matching 100
    CLEAN AND HEALTHY NEW YORK INC
    69 STATE ST SUITE 1400C
    ALBANY,NY12207     		N/A PC Advancing a Nontoxic, Just, Regenerative Circular 65,000
    CLEAN PRODUCTION ACTION
    1310 BROADWAY STE 101
    SOMERVILLE,MA02144     		N/A PC Demonstrating a National Model for Replacing Toxic 55,000
    CLEAN WATER FUND
    1444 EYE ST NW NO 400
    WASHINGTON,DC20005     		N/A PC Addressing California's PFAS Crisis 60,000
    COMING CLEAN INC
    28 VERNON ST STE 434
    BRATTLEBORO,VT05301     		N/A PC Campaign for Healthier Solutions 65,000
    CONTRA COSTA GOSPEL CHURCH INC
    2460 BUENA VISTA AVE
    WALNUT CREEK,CA94597     		N/A PC Employee Matching 4,000
    EARTHJUSTICE
    50 CALIFORNIA ST SUITE 500
    SAN FRANCISCO,CA94111     		N/A PC Employee Matching 5,000
    EARTHJUSTICE
    50 CALIFORNIA ST SUITE 500
    SAN FRANCISCO,CA94111     		N/A PC Protecting Communities from Toxic Chemical Exposur 100,000
    EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
    1801 VICENTE ST
    SAN FRANCISCO,CA94116     		N/A PC Employee Matching 2,505
    ENVIRONMENTAL DEFENSE FUND INCORPORATED
    257 PARK AVE SOUTH
    NEW YORK,NY10010     		N/A PC Safer Food for All 100,000
    ENVIRONMENTAL PROTECTION NETWORK
    2925 LEGATION ST NW
    WASHINGTON,DC20015     		N/A PC General Support for EPN's Work to Build the Capaci 50,000
    ENVIRONMENTAL WORKING GROUP
    1250 I ST NW STE 1000
    WASHINGTON,DC20005     		N/A PC National Campaign for Food Chemical Reform 75,000
    ENVIRONMENTAL WORKING GROUP
    1250 I ST NW STE 1000
    WASHINGTON,DC20005     		N/A PC Food Chemicals Coordinated Campaign 75,000
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE ST
    MONTGOMERY,AL36104     		N/A PC Employee Matching 1,000
    FRIENDS OF THE URBAN FOREST
    1007 GENERAL KENNEDY AVE STE 1
    SAN FRANCISCO,CA94129     		N/A PC General & Unrestricted 1,035
    GEORGE WASHINGTON UNIVERSITY
    2033 K ST STE 300
    WASHINGTON,DC20052     		N/A PC Agents of Change: Amplifying New Voices in Environ 65,000
    GOLDEN STATE WARRIORS COMMUNITY FOUNDATION
    1 WARRIORS WAY
    SAN FRANCISCO,CA94158     		N/A PC General & Unrestricted 25,000
    GREEN CORPS INC
    1543 WAZEE ST STE 400
    DENVER,CO80202     		N/A PC Green Corps and Toxic-Free Future Partnership to E 50,000
    GREEN FOOTHILLS FOUNDATION
    3921 E BAYSHORE BLVD
    PALO ALTO,CA94303     		N/A PC Employee Matching 5,000
    GREEN FOOTHILLS FOUNDATION
    3921 E BAYSHORE BLVD
    PALO ALTO,CA94303     		N/A PC General & Unrestricted 1,000
    GREEN SCIENCE POLICY INSTITUTE
    1400 SHATTUCK AVE STE 8
    BERKELEY,CA94709     		N/A PC Reducing harmful chemicals in consumer products - 75,000
    HEALTHY BUILDING NETWORK
    4911 7TH ST NW
    WASHINGTON,DC20011     		N/A PC ChemFORWARD: Safe + Circular Food Packaging 100,000
    HEALTHY BUILDING NETWORK
    4911 7TH ST NW
    WASHINGTON,DC20011     		N/A PC General Support 100,000
    INTERNATIONAL SOCIETY FOR CHILDRENS HEALTH AND THE
    1100 E WOODFIELD RD STE 350
    SCHAUMBURG,IL60173     		N/A PC The Impact of Toxic Chemicals on Brain Development 50,000
    MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT
    PO BOX 5030
    HAGERSTOWN,MD21741     		N/A PC Employee Matching 1,000
    MIRACLEFEET
    107 CONNOR DR STE 230
    CHAPEL HILL,NC27514     		N/A PC Africa proposal 250,000
    MISSION AVIATION FELLOWSHIP
    PO BOX 47
    NAMPA,ID83653     		N/A PC Employee Matching 1,450
    NATIONAL NETWORK OF ABORTION FUNDS
    9450 SW GEMINI DR PMB 16009
    BEAVERTON,OR97008     		N/A PC Employee Matching 520
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 WEST 20TH ST 11TH FLOOR
    NEW YORK,NY10011     		N/A PC General & Unrestricted 500
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 WEST 20TH ST 11TH FLOOR
    NEW YORK,NY10011     		N/A PC Protecting the Public from Toxic Chemicals 100,000
    NEWSONG COMMUNITY CHURCH OF ORANGE COUNTY
    910 W 17TH ST STE B
    SANTA ANA,CA92706     		N/A PC Employee Matching 3,000
    PACIFIC BEACH COALITION
    PO BOX 932
    PACIFICA,CA94044     		N/A PC General & Unrestricted 100
    PAN-MASSACHUSETTS CHALLENGE INC
    77 4TH AVE
    NEEDHAM,MA02494     		N/A PC Employee Matching 6,000
    PATH MINISTRIES INTERNATIONAL
    PO BOX 4010
    SEAL BEACH,CA90740     		N/A PC General & Unrestricted 10,000
    PESTICIDE ACTION NETWORK NORTH AMERICA REGIONAL CE
    2029 UNIVERSITY AVE STE 200
    BERKELEY,CA94704     		N/A PC Fumigant-Free Farming: the campaign to ban 1,3-dic 60,000
    PHYSICIANS FOR SOCIAL RESPONSIBILITY INC
    617 S OLIVE ST STE 1100
    LOS ANGELES,CA90014     		N/A PC Physicians for Social Responsibility - Los Angeles 75,000
    PLANNED PARENTHOOD FEDERATION OF AMERICA INC
    123 WILLIAMS ST 10TH FL
    NEW YORK,NY10038     		N/A PC Employee Matching 1,000
    REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE
    201 SPROUL HALL 1960
    BERKELEY,CA94720     		N/A PC General & Unrestricted 100
    REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELE
    201 SPROUL HALL 1960
    BERKELEY,CA94720     		N/A PC Employee Matching 100
    SAN FRANCISCO CASA
    2535 MISSION ST
    SAN FRANCISCO,CA94110     		N/A PC Employee Matching 500
    SAN FRANCISCO FOOD BANK
    900 PENNSYLVANIA AVE
    SAN FRANCISCO,CA94107     		N/A PC General & Unrestricted 300
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    3750 NW 87TH AVE STE 100
    DORAL,FL33178     		N/A PC Employee Matching 100
    STANFORD JAZZ WORKSHOP
    PO BOX 20454
    STANFORD,CA94309     		N/A PC General & Unrestricted 1,250
    SUSTAINABLE PURCHASING COUNCIL
    2885 SANFORD AVE SW 33539
    GRANDVILLE,MI49418     		N/A PC Toxics and Environmental Justice in Procurement 75,000
    THE ARC OF THE UNITED STATES
    1825 K ST NW STE 1200
    WASHINGTON,DC20006     		N/A PC Project TENDR (Targeting Environmental Neuro-Devel 60,000
    THE TEXAS DEMOCRACY FOUNDATION
    54 CHICON ST
    AUSTIN,TX78702     		N/A PC Public Health Watch launch Support Another Organiz 60,000
    TOXIC-FREE FUTURE
    4649 SUNNYSIDE AVE N STE 540
    SEATTLE,WA98103     		N/A PC SAFER States: Building Intersections Between Plast 30,000
    TOXIC-FREE FUTURE
    4649 SUNNYSIDE AVE N STE 540
    SEATTLE,WA98103     		N/A PC Safer Solutions Meetings 30,000
    TOXIC-FREE FUTURE
    4649 SUNNYSIDE AVE N STE 540
    SEATTLE,WA98103     		N/A PC Protecting Communities and the Environment from To 75,000
    TOXIC-FREE FUTURE
    4649 SUNNYSIDE AVE N STE 540
    SEATTLE,WA98103     		N/A PC Safer States Chemical and Plastics Campaigns 75,000
    TOXIC-FREE FUTURE
    4649 SUNNYSIDE AVE N STE 540
    SEATTLE,WA98103     		N/A PC Safer Chemicals Healthy Families/ Mind the Store 80,000
    UNIVERSITY OF CALIFORNIA SAN FRANCISCO - UC REGE
    PO BOX 45339
    SAN FRANCISCO,CA94145     		N/A PC Defending Science and Promoting Evidence-Based Dec 100,000
    UNIVERSITY OF MASSACHUSETTS FOUNDATION INC
    100 CARLSON AVE
    NEWTON CENTER,MA02459     		N/A PC Creating a compelling economic and business case f 100,000
    VALLEY OF THE MOON NATURAL HISTORY ASSOCIATION
    2400 LONDON RANCH RD
    GLEN ELLEN,CA95442     		N/A PC Employee Matching 150
    VIRGINIA ORGANIZING INC
    703 CONCORD AVE
    CHARLOTTESVILLE,VA22903     		N/A PC HEFN 2.0: Toxics Funders Expansion Project Support 50,000
    VIRGINIA ORGANIZING INC
    703 CONCORD AVE
    CHARLOTTESVILLE,VA22903     		N/A PC Healthy Baby Food for All Babies Support Another O 60,000
    PRACTICE GREENHEALTH
    12110 SUNSET HILLS RD STE 600
    RESTON,VA20190     		    PRI loan forgiveness for PRI - Practice Greenhealth in March 2021. Qualifying distribution counted in 2016 100,000
    Total .................................bullet 3a 2,704,357
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........     		    14 8,363  
    4 Dividends and interest from securities ....          
    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 ............     		525990 -7 18 10,969,619  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aK-1 Inc/Loss     		525990 -9,388 14 1,872,053  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. -9,395 13,112,193  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    13,102,798
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Audit Fees 210,639     210,639

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    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

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    TY 2021 ExpenditureResponsibilityStmt
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    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
    INTERNATIONAL POLLUTANTS ELIMINATION NET
          		BOX 7256
    GOTHENBURG   40235
    SW     		2020-06-02 75,000 SUPPORT LEVERAGING DATA ON TOXIC CHEMICALS IN PLASTICS TO ADVANCE ENVIRONMENTAL HEALTH GOALS 32,593 NO 08/30/2021, 5/25/2022   NONE NECESSARY

    TY 2021 GeneralExplanationAttachment
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Identifier Return Reference Explanation
    FORM 990-PF, PARTS I AND XIV FORM 990-PF, PARTS I AND XIV TOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $2,704,357 LESS Forgiveness of PRI: $100,000 TOTAL Part I, Line 25, Column (d): $2,604,357
    FORM 926 FORM 926 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information.
    FORMS 8865 FORM 8865 The Foundation has prepared these forms to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information.

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Name of Stock End of Year Book Value End of Year Fair Market Value
    APPLOVIN CORP 702,398 3,926,118

    TY 2021 InvestmentsOtherSchedule2
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    1KX LP   1,479,877 2,890,316
    AAF II - YASI VENTURES, L.P   232,597 294,449
    AVENTUS   437,580 287,100
    BIG LEAGUE ADVANCE FUND II, LP   410,924 410,924
    BULLPEN CAPITAL IV, L.P   417,629 1,125,465
    CH VENTURES I, L.P   183,413 270,939
    CHANGE.ORG GROWTH LLC   7,149  
    CIVILIZATION VENTURES II, L.P.   82,134 94,906
    CLOCKTOWER LATIN AMERICAN TECH   60,002 76,994
    COURTSIDE VENTURES II, L.P   321,657 628,335
    COURTSIDE VENTURES III, L.P   147,665 143,990
    CRE VENTURE CAPITAL FUND II, L   457,746 821,952
    CV 2-KREATE, L.P   118,261 126,650
    DATAMINR INC.   364,994 1,259,588
    DISTRIBUTED GLOBAL OFFSHORE FU   67,375 903,996
    ELECTRIC CAPITAL PARTNERS FRON   379,087 4,667,742
    FMZ VENTURES FUND I, L.P   394,738 530,852
    FORMATION8 PARTNERS ENTREPRENE   192,473 610,964
    FYRFLY VENTURE PARTNERS FUND I   379,461 635,235
    GLOBAL VENTURES L.P   186,147 447,116
    GOVTECH FUND I, L.P   1,280,954 2,862,156
    GOVTECH FUND II, L.P   642,615 831,348
    HAVENCREST HEALTHCARE PARTNERS   324,888 1,293,091
    HEROIC VENTURES, L.P   157,932 1,106,090
    HUAXING CAPITAL PARTNERS II, L   245,848 465,823
    HUAXING CAPITAL PARTNERS, LP   448,577 628,282
    INNOVATION WORKS DEVELOPMENT F   393,576 1,658,484
    LEARNSTART I, L.P   195,491 315,748
    LEARNSTART II, L.P.   112,644 112,370
    LEGACY CAPITAL, LP   1,563,748 1,985,748
    LEGACY HARMONY LTD   1,130,510 2,029,976
    LEVEL EQUITY GROWTH PARTNERS I   592,204 2,319,707
    LJ VENTURES FUND II, L.P   721,634 1,727,553
    MADIBA 6-2 LLC   1,035,606 1,061,980
    MASTRY FUND I, LP   64,945 64,143
    MAVEN VENTURES FUND II, L.P   437,482 4,099,024
    MAVEN VENTURES FUND III, L.P   119,182 176,336
    MERON II, L.P   146,478 243,038
    META STABLE EDGE OFFSHORE FUND     804,548
    MITHRIL II LP   854,782 898,929
    MORTAR & MASH ONE, LLC   38,441 78,000
    NEW FORM CAPITAL I, L.P.   958,658 1,643,595
    NIMBLE PARTNERS FUND I, LP   16,713,119 33,813,857
    QUIET GROWTH I, L.P   425,567 1,005,154
    REGENERATION.VC FUND 1, LP   64,726 62,578
    ROCANA VENTURE PTNRS II (US) L   189,633 289,106
    ROGUE CAPITAL PARTNERS, L.P   122,519 175,321
    RTW OFFSHORE FUND ONE LTD     61,634
    SALT FUND I, L.P.   107,101 110,416
    SILVER LAKE WATERMAN FUND, L.P   33,298 100,694
    SKY9 CAPITAL FUND III, L.P   793,492 1,370,454
    SKY9 CAPITAL FUND IV, L.P   201,850 368,168
    SKY9 CAPITAL MVP FUND, L.P   454,359 615,495
    SPHERA BIOTECH FEEDER FUND, L.   1,000,000 792,890
    SYBIL CAPITAL FUND I-B FEEDER   550,000 593,018
    TANDEM FUND II, LP   394,709 1,407,294
    TFG HOLDING, INC   137,659 191,705
    THE CXO FUND, LLC   224,916 301,395
    THERAPYDIA, INC   508,083 508,153
    UNIKOINGOLD   303,858 1,327
    VOLTA ENERGY STORAGE FUND I L.   189,365 208,109
    WILL VENTURES FUND I, L.P   335,100 489,854
    WTI FUND X LLC   99,501 94,472

    TY 2021 LegalFeesSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    General Consultations 3,913 1,743   2,170


    TY 2021 LoansFromOfficersSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196

    Item No. 1
    Lender's Name JOHN H BURBANK III
    Lender's Title  
    Original Amount of Loan 630000
    Balance Due 0
    Date of Note 2020-12
    Maturity Date 2021-01
    Repayment Terms BALANCE DUE WITHIN 30 DAYS
    Interest Rate  
    Security Provided by Borrower NONE
    Purpose of Loan CHARITABLE PURPOSES
    Description of Lender Consideration CASH OF $630,000
    Consideration FMV  


    TY 2021 OtherExpensesSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 145,531     145,531
    BANK CHARGES 130 130    
    Foundation Dues & Memberships 8,769     8,769
    K-1 Exp 1KX LP 12,286 12,286    
    K-1 Exp AAF II - YASI VENTURES 6,967 6,967    
    K-1 Exp BIG LEAGUE ADVANCE FUN 21,436 21,436    
    K-1 Exp BULLPEN CAPITAL IV, L. 13,538 13,538    
    K-1 Exp CH VENTURES I, L.P 8,317 8,317    
    K-1 Exp CIVILIZATION VENTURES 6,057 6,057    
    K-1 Exp CLOCKTOWER LATIN AMERI 5,026 5,026    
    K-1 Exp COURTSIDE VENTURES II, 11,162 11,162    
    K-1 Exp COURTSIDE VENTURES III 2,335 2,335    
    K-1 Exp CRE VENTURE CAPITAL FU 14,634 14,634    
    K-1 Exp CV 2-KREATE, L.P 6,739 6,739    
    K-1 Exp FMZ VENTURES FUND I, L 11,955 11,955    
    K-1 Exp FORMATION8 PARTNERS EN 531 531    
    K-1 Exp FYRFLY VENTURE PARTNER 14,521 14,521    
    K-1 Exp GLOBAL VENTURES L.P 7,424 7,424    
    K-1 Exp GOVTECH FUND I, L.P 4,671 4,671    
    K-1 Exp GOVTECH FUND II, L.P 22,709 22,708    
    K-1 Exp HAVENCREST HEALTHCARE 14,450 14,446    
    K-1 Exp HEROIC VENTURES, L.P 1,189 1,189    
    K-1 Exp HUAXING CAPITAL PARTNE 5,971 5,971    
    K-1 Exp HUAXING CAPITAL PARTNE 6,263 6,263    
    K-1 Exp INNOVATION WORKS DEVEL 14,449 14,449    
    K-1 Exp LEARNSTART I, L.P 6,705 4,861    
    K-1 Exp LEARNSTART II, L.P. 13,050 8,697    
    K-1 Exp LEGACY CAPITAL, LP 75,065 75,063    
    K-1 Exp LEGP I AIV (B) LP 923 923    
    K-1 Exp LEVEL EQUITY GROWTH PA 20,635 18,603    
    K-1 Exp LJ VENTURES FUND II, L 54,597 54,597    
    K-1 Exp MADIBA 6-2 LLC 26,894 26,894    
    K-1 Exp MASTRY FUND I, LP 1,055 1,055    
    K-1 Exp MAVEN VENTURES FUND II 11,466 11,466    
    K-1 Exp MAVEN VENTURES FUND II 6,658 6,658    
    K-1 Exp MERON II, L.P 11,022 11,022    
    K-1 Exp MITHRIL II LP 15,973 15,973    
    K-1 Exp MORTAR & MASH ONE, LLC 16      
    K-1 Exp NEW FORM CAPITAL I, L. 35,322 35,322    
    K-1 Exp NIMBLE PARTNERS FUND I 542,013 540,387    
    K-1 Exp QUIET GROWTH I, L.P 13,184 13,184    
    K-1 Exp REGENERATION.VC FUND 1 4,024 4,024    
    K-1 Exp ROCANA VENTURE PTNRS I 8,971 8,964    
    K-1 Exp ROGUE CAPITAL PARTNERS 17,528 17,528    
    K-1 Exp SALT FUND I, L.P. 5,449 5,449    
    K-1 Exp SKY9 CAPITAL FUND III, 25,560 25,560    
    K-1 Exp SKY9 CAPITAL FUND IV, 4,244 4,244    
    K-1 Exp SKY9 CAPITAL MVP FUND, 1,832 1,832    
    K-1 Exp TANDEM FUND II, LP 18,018 18,018    
    K-1 Exp THE CXO FUND, LLC 6,336 6,336    
    K-1 Exp VOLTA ENERGY STORAGE F 11,046 11,046    
    K-1 Exp WILL VENTURES FUND I, 13,278 13,278    
    K-1 Exp WTI FUND X LLC 500 500    
    Miscellaneous 150     150
    Postage/Delivery Service 271     271
    State or Local Filing Fees 150     150


    TY 2021 OtherIncomeSchedule2
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    K-1 Inc/Loss 1KX LP 77,240 77,240  
    K-1 Inc/Loss AAF II - YASI VENTURES, L.P 78 78  
    K-1 Inc/Loss BIG LEAGUE ADVANCE FUND II, LP 27 27  
    K-1 Inc/Loss BULLPEN CAPITAL IV, L.P 510 510  
    K-1 Inc/Loss CH VENTURES I, L.P 1,378 1,378  
    K-1 Inc/Loss CIVILIZATION VENTURES II, L.P. 92 92  
    K-1 Inc/Loss CLOCKTOWER LATIN AMERICAN TECHNOLOGIE 28 28  
    K-1 Inc/Loss COURTSIDE VENTURES II, L.P 253 253  
    K-1 Inc/Loss CRE VENTURE CAPITAL FUND II, L.P 2,840 2,840  
    K-1 Inc/Loss FMZ VENTURES FUND I, L.P -13 -13  
    K-1 Inc/Loss FORMATION8 PARTNERS ENTREPRENEURS FUN 7 7  
    K-1 Inc/Loss FYRFLY VENTURE PARTNERS FUND II, LP 1,409 1,409  
    K-1 Inc/Loss GLOBAL VENTURES L.P 24,147 24,147  
    K-1 Inc/Loss GOVTECH FUND I, L.P 993 993  
    K-1 Inc/Loss GOVTECH FUND II, L.P 2,362 2,362  
    K-1 Inc/Loss HAVENCREST HEALTHCARE PARTNERS, LP 27,874 16,552  
    K-1 Inc/Loss HEROIC VENTURES, L.P 15,698 15,698  
    K-1 Inc/Loss HUAXING CAPITAL PARTNERS II, LP 67 67  
    K-1 Inc/Loss INNOVATION WORKS DEVELOPMENT FUND, LP 1 1  
    K-1 Inc/Loss LEARNSTART I, L.P 704 704  
    K-1 Inc/Loss LEARNSTART II, L.P. 694 462  
    K-1 Inc/Loss LEGACY CAPITAL, LP 79,084 79,084  
    K-1 Inc/Loss LEVEL EQUITY GROWTH PARTNERS I, LP -10,128 5,651  
    K-1 Inc/Loss LJ VENTURES FUND II, L.P 196 196  
    K-1 Inc/Loss MAVEN VENTURES FUND III, L.P 209 209  
    K-1 Inc/Loss MITHRIL II LP 1,596 1,596  
    K-1 Inc/Loss MORTAR & MASH ONE, LLC 5,210 -6,339  
    K-1 Inc/Loss NEW FORM CAPITAL I, L.P. 579 579  
    K-1 Inc/Loss NIMBLE PARTNERS FUND I, LP 1,610,751 1,610,270  
    K-1 Inc/Loss ROCANA VENTURE PTNRS II (US) LP -832 413  
    K-1 Inc/Loss ROGUE CAPITAL PARTNERS, L.P 47 47  
    K-1 Inc/Loss SALT FUND I, L.P. 50 50  
    K-1 Inc/Loss SILVER LAKE WATERMAN FUND, L.P 13,375 13,375  
    K-1 Inc/Loss SKY9 CAPITAL FUND IV, L.P 40 40  
    K-1 Inc/Loss SKY9 CAPITAL MVP FUND, L.P 249 249  
    K-1 Inc/Loss TANDEM FUND II, LP 70 70  
    K-1 Inc/Loss THE CXO FUND, LLC 3,920 3,920  
    K-1 Inc/Loss VOLTA ENERGY STORAGE FUND I L.P. 411 411  
    K-1 Inc/Loss WILL VENTURES FUND I, L.P 1,448 1,448  
    K-1 Inc/Loss WTI FUND X LLC 1 1  


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Philanthropic Consulting Srvcs 144,000     144,000
    INVESTMENT BROKER FEES 46,757 46,757    


    TY 2021 TaxesSchedule
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 130,600      
    Foreign Tax Paid 8,661 8,661    


    TY 2021 TransfersFrmControlledEntities
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Name US /
    Foreign Address    		 EIN Description Amount
    NIMBLE PARTNERS FUND I LP 1 LETTERMAN DR BLDG A STE 4900
    SAN FRANCISCO,CA94129     		84-4303514 THIS ENTITY IS NOT AN EXCESS BUSINESS HOLDING 702,398
    Total     702,398

    TY 2021 TransfersToControlledEntities
    Name:
    The Passport Foundation
    EIN:
    26-1580196
    Name US /
    Foreign Address    		 EIN Description Amount
    NIMBLE PARTNERS FUND I LP 1 LETTERMAN DR BLDG A STE 4900
    SAN FRANCISCO,CA94129     		84-4303514 CAPITAL CONTRIBUTION TO PARTNERSHIP 9,451,369
    Total     9,451,369