Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
For calendar year 2022, or tax year beginning 01-01-2022 , and ending 12-31-2022
Name of foundation
MUTUAL OF OMAHA FOUNDATION
 
% CORPORATE TAX
Number and street (or P.O. box number if mail is not delivered to street address)MUTUAL OF OMAHA PLAZA
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OMAHA, NE68175
A Employer identification number

20-2176636
B Telephone number (see instructions)

(866) 663-8665
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$101,203,542J 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 right arrow.............
3 Interest on savings and temporary cash investments 137 137  
4 Dividends and interest from securities... 675,260 675,260  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,439,649
b Gross sales price for all assets on line 6a 88,368,526
7 Capital gain net income (from Part IV, line 2)... 3,206,945
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
List of Attached Documents:
// Content
157,038 357,096  
12 Total. Add lines 1 through 11........ 3,272,084 4,239,438  
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).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
487,317 487,317    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
36,516      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
670 670    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 524,503 487,987   0
25 Contributions, gifts, grants paid....... 6,199,194 6,199,194
26 Total expenses and disbursements. Add lines 24 and 25 6,723,697 487,987   6,199,194
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,451,613
b Net investment income (if negative, enter -0-) 3,751,451
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2022)
Form 990-PF (2022)
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............. 2,724,058 5,229,613 5,229,613
2 Savings and temporary cash investments.........      
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 11,453,352 Click to see attachment
List of Attached Documents:
// Content
9,889,377 		9,889,377
b Investments—corporate stock (attach schedule)....... 4,569,851 Click to see attachment
List of Attached Documents:
// Content
3,801,969 		3,801,969
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 102,108,733 Click to see attachment
List of Attached Documents:
// Content
82,199,295 		82,199,295
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
43,804 		Click to see attachment
List of Attached Documents:
// Content
83,288 		Click to see attachment
List of Attached Documents:
// Content
83,288
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 120,899,798 101,203,542 101,203,542
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 120,899,798 101,203,542
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
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)..... 120,899,798 101,203,542
30 Total liabilities and net assets/fund balances (see instructions). 120,899,798 101,203,542
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
120,899,798
2
Enter amount from Part I, line 27a .....................
2
-3,451,613
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
117,448,185
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
16,244,643
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
101,203,542
Form 990-PF (2022)
Form 990-PF (2022)
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 MARKETABLE INVESTMENTS P    
b PASS-THRU: KHP STRATEGIC 9, LP P    
c PASS-THRU: MANULIFE PRIVATE EQUITY PARTNERS LP P    
d PASS-THRU: ORBIS INSTITUTIONAL GLOBAL EQUITY, LP P    
e PASS-THRU: HEARD HIGH CONVICTION LONG ONLY FUND LLC P    
PASS-THRU: DAVIDSON KEMPNER INSTITUTIONAL PARTNERS L.P. P    
PASS-THRU: US RESEARCH EQUITY EXTENDED FUND, L.P. P    
PASS-THRU: PARAMETRIC GLOBAL DEFENSIVE EQUITY FUND P    
PASS-THRU: STEPSTONE VC GLOBAL PARTNERS IV-B P    
PASS-THRU: DOVER STREET X P    
PASS-THRU: KLINE HILL PARTNERS FUND P    
PASS-THRU: CORE INDUSTRIAL PARTNERS FUND II, LP P    
PASS-THRU: CA INTERNAIONAL EQUITY CEF FUND P    
PASS-THRU: KHP STRATEGIC 9, LP P    
PASS-THRU: MANULIFE PRIVATE EQUITY PARTNERS LP P    
PASS-THRU: ORBIS INSTITUTIONAL GLOBAL EQUITY, LP P    
PASS-THRU: RUBICON TECHNOLOGY PARTNERS II, LP P    
PASS-THRU: LEVEL EQUITY OPPORTUNITIES FUND 2018, LP P    
PASS-THRU: HEARD HIGH CONVICTION LONG ONLY FUND LLC P    
PASS-THRU: DAVIDSON KEMPNER INSTITUTIONAL PARTNERS L.P. P    
PASS-THRU: US RESEARCH EQUITY EXTENDED FUND, L.P. P    
PASS-THRU: FULL IN PARTNERS FUND I P    
PASS-THRU: STEPSTONE VC GLOBAL PARTNERS IV-B P    
PASS-THRU: DOVER STREET X P    
PASS-THRU: KLINE HILL PARTNERS FUND P    
PASS-THRU: CA INTERNAIONAL EQUITY CEF FUND P    
PASS-THRU: MANULIFE PRIVATE EQUITY PARTNERS LP 1256 ST P    
PASS-THRU: MANULIFE PRIVATE EQUITY PARTNERS LP 1256 LT P    
PASS-THRU: DAVIDSON KEMPNER INSTITUTIONAL PARTNERS L.P. 1256 ST P    
PASS-THRU: DAVIDSON KEMPNER INSTITUTIONAL PARTNERS L.P. 1256 LT P    
PASS-THRU: PARAMETRIC GLOBAL DEFENSIVE EQUITY FUND 1256 ST P    
PASS-THRU: PARAMETRIC GLOBAL DEFENSIVE EQUITY FUND 1256 LT P    
PASS-THRU: DOVER STREET X 1256 ST P    
PASS-THRU: DOVER STREET X 1256 LT P    
PASS-THRU: CA INTERNAIONAL EQUITY CEF FUND 1256 ST P    
PASS-THRU: CA INTERNAIONAL EQUITY CEF FUND 1256 LT P    
(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 87,360,065   84,920,416 2,439,649
b 301     301
c 213     213
d     18,214 -18,214
e 1,044     1,044
11,612     11,612
9,415     9,415
61,470     61,470
818     818
    234 -234
38     38
26,786     26,786
18,480     18,480
33,272     33,272
84,655     84,655
110,805     110,805
181,660     181,660
47,252     47,252
7,201     7,201
2,496     2,496
3,915     3,915
35,425     35,425
78,409     78,409
17,036     17,036
90,617     90,617
155,504     155,504
38     38
56     56
6,325     6,325
9,487     9,487
    88,822 -88,822
    133,234 -133,234
2     2
1     1
    264 -264
    397 -397
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       2,439,649
b       301
c       213
d       -18,214
e       1,044
      11,612
      9,415
      61,470
      818
      -234
      38
      26,786
      18,480
      33,272
      84,655
      110,805
      181,660
      47,252
      7,201
      2,496
      3,915
      35,425
      78,409
      17,036
      90,617
      155,504
      38
      56
      6,325
      9,487
      -88,822
      -133,234
      2
      1
      -264
      -397
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 3,206,945
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 (2022)
Form 990-PF (2022)
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 right arrow 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) 1 52,145
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 52,145
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 52,145
6 Credits/Payments:
a 2022 estimated tax payments and 2021 overpayment credited to 2022 6a 104,325
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.............. 7 104,325
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2221 is attached. Click to see attachment
List of Attached Documents:
// Content
8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 52,180
11 Enter the amount of line 10 to be: Credited to 2023 estimated taxright arrow52,180 Refundedright arrow 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
List of Attached Documents:
// Content
....................
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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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 changesClick to see attachment
List of Attached Documents:
// Content
....
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
List of Attached Documents:
// Content
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowNE
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 2022 or the taxable year beginning in 2022? 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 (2022)
Form 990-PF (2022)
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 .............
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 addressright arrowWWW.MUTUALOFOMAHAFOUNDATION.ORG
14
The books are in care ofright arrowCORPORATE TAX Telephone no.right arrow (402) 351-8944

Located atright arrowMUTUAL OF OMAHA PLAZAOMAHANE ZIP+4right arrow68175
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2022, 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 right arrow
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
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2022? .............
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 2022, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2022?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2022 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 2022.) .....................
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 2022? ..
4b
 
No
Form 990-PF (2022)
Form 990-PF (2022)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
GAIL A GRAEVE PRESIDENT/SECRETARY/DIRECTOR
20.0 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
MICHAEL A LECHTENBERGER VICE-PRESIDENT/DIRECTOR
0.5 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
ELIZABETH A MAZZOTTA TREASURER/DIRECTOR
0.5 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
BRAD BUECHLER DIRECTOR
0.5 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
RICHARD R HRABCHAK DIRECTOR
0.5 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
Shonna Dorsey Director
0.5 		0 0 0
MUTUAL OF OMAHA PLAZA
OMAHA,NE68175
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...................right arrow  
Form 990-PF (2022)
Form 990-PF (2022)
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
CAMBRIDGE ASSOCIATES INVESTMENT MGMT 416,681
125 HIGH STREET
BOSTON,MA021102112
Total number of others receiving over $50,000 for professional services.............right arrow  
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.........................right arrow  
Form 990-PF (2022)
Form 990-PF (2022)
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
108,233,059
b
Average of monthly cash balances.......................
1b
2,524,595
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
110,757,654
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
110,757,654
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
1,661,365
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
109,096,289
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
5,454,814
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
5,454,814
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
52,145
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
52,145
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
5,402,669
4
Recoveries of amounts treated as qualifying distributions................
4
150,000
5
Add lines 3 and 4............................
5
5,552,669
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
5,552,669
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
6,199,194
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
6,199,194
Form 990-PF (2022)
Form 990-PF (2022)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2021 		(c)
2021 		(d)
2022
1 Distributable amount for 2022 from Part X, line 7 5,552,669
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2021 only....... 0
b Total for prior years:2020, 2019, 2018 0
3 Excess distributions carryover, if any, to 2022:
a From 2017......  
b From 2018......  
c From 2019...... 31,960
d From 2020......  
e From 2021...... 332,361
f Total of lines 3a through e ........ 364,321
4Qualifying distributions for 2022 from Part
XI, line 4: right arrow$ 6,199,194
a Applied to 2021, but not more than line 2a 0
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 2022 distributable amount..... 5,552,669
e Remaining amount distributed out of corpus 646,525
5 Excess distributions carryover applied to 2022.    
(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 1,010,846
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...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		0
e Undistributed income for 2021. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2022. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2023 .......... 		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) ....... 		 
8 Excess distributions carryover from 2017 not
applied on line 5 or line 7 (see instructions) ... 		 
9 Excess distributions carryover to 2023.
Subtract lines 7 and 8 from line 6a ...... 		1,010,846
10 Analysis of line 9:
a Excess from 2018....  
b Excess from 2019.... 31,960
c Excess from 2020....  
d Excess from 2021.... 332,361
e Excess from 2022.... 646,525
Form 990-PF (2022)
Form 990-PF (2022)
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 2022, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2022 (b) 2021 (c) 2020 (d) 2019
         
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).)
NONE
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 right arrow
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 (2022)
Form 990-PF (2022)
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

100 Black Men of Omaha

2221 North 24th Street
Omaha,NE68110 		N/A PC General Support 15,000

AIM Institute

1905 Harney St Ste 700
Omaha,NE68102 		N/A PC Program Support 2,500

Angels Among Us

3858 Jones Street Suite A
Omaha,NE68105 		N/A PC General Support 6,000

At Ease USA

10605 Burt Circle
Omaha,NE68114 		N/A PC General Support 15,000

Autism Action Partnership

10909 Mill Valley Rd 205
Omaha,NE68154 		N/A PC General Support 10,000

Banister's Leadership Academy

PO Box 4002
Omaha,NE68104 		N/A PC General Support 7,500

Big Brothers Big Sisters Of The Midlands

1209 Harney Street Suite 110
Omaha,NE68102 		N/A PC General Support 35,000

Black Men United

PO Box 6627
Omaha,NE68106 		N/A PC General Support 10,000

Boy Scouts Of America Mid-America Council

12401 W Maple Rd
Omaha,NE68164 		N/A PC Program Support 20,000

Boys and Girls Clubs of the Midlands

2610 Hamilton St
Omaha,NE68131 		N/A PC General Support 50,000

Caroles House Of Hope Inc

7815 Harney St
Omaha,NE68114 		N/A PC Program Support 20,000

CASA for Douglas County

2412 St Marys Avenue
Omaha,NE68105 		N/A PC General Support 50,000

Catholic Charities

9223 Bedford Ave
Omaha,NE68134 		N/A PC Program Support 15,000

CATHOLIC COUNCIL FOR SOCIAL CONCERN INC

601 Grand Ave
DES MOINES,IA50309 		N/A PC General Support 10,000

CHI Health FoundationAlegent Health Foundation

12809 West Dodge Road
OMAHA,NE68154 		N/A PC Program Support 50,000

Child Saving Institute Inc

4545 Dodge Street
Omaha,NE68132 		N/A PC General Support, Capital Campaign Support 540,000

Children's Hospital & Medical Center Foundation

8404 Indian Hills Drive Ste 650
Omaha,NE68114 		N/A PC Program Support 25,000

Christian Home Association Childrens Square U S A

PO Box 8c
Council Bluffs,IA51502 		N/A PC Program Support 15,000

City Of Omaha Public Library Foundation

215 S 15 St
Omaha,NE68102 		N/A PC Program Support 5,000

City Sprouts Inc

PO Box 31593
Omaha,NE68131 		N/A PC General Support 10,000

College Possible

755 Prior Ave N Suite 210
Saint Paul,MN55104 		N/A PC General Support 25,000

Community Alliance Inc

4001 Leavenworth St
Omaha,NE68105 		N/A SO III FI Program Support, Capital Campaign Support 275,000

Completely KIDS

2566 St Marys Ave
Omaha,NE68105 		N/A PC General Support 40,000

Conference for Inclusive Communities

6400 University Dr S
Omaha,NE68182 		N/A PC Program Support 10,000

Council Bluffs Schools Foundation

300 W Broadway Suite 212
Council Bluffs,IA51503 		N/A PC Program Support, Capital Campaign Support 135,000

Creighton University

2500 California Plz
Omaha,NE68154 		N/A PC Program Support, Capital Campaign Support 290,000

Economic Empowerment Center

4706 S 24th St
Omaha,NE68107 		N/A PC General Support 25,000

Employee Financial Assistance Fund

Mutual of Omaha Plaza
Omaha,NE68175 		N/A PC Matching Gift Program, General Support 84,144

Family Housing Advisory Services

2401 Lake St
Omaha,NE68111 		N/A PC General Support 35,000

Father Flanagan's Boys' Home aka Boys Town

14100 Crawford St - Mod 1
Boys Town,NE68010 		N/A PC Program Support 15,000

Food Bank for the Heartland

10525 J Street
Omaha,NE68127 		N/A PC General Support 150,000

Girl Scouts Spirit of Nebraska

2121 S 44th Street
Omaha,NE68105 		N/A PC Program Support 20,000

Girls Incorporated in Omaha

2811 N 45th St
Omaha,NE68104 		N/A PC General Support 50,000

Goodwill Industries Inc

4805 North 72nd Street
Omaha,NE68134 		N/A PC General Support 25,000

Greater Omaha Attendance and Learning Services (GO

3535 Harney Street
Omaha,NE68131 		N/A PC General Support 10,000

Grief's Journey aka The Collective for Hope (Grief

7811 Farnam Drive
Omaha,NE68114 		N/A PC General Support 25,000

Habitat for Humanity of Council Bluffs

1228 South Main St
Council Bluffs,IA51503 		N/A PC General Support 15,000

Habitat for Humanity of Omaha

1701 N 24th St
Omaha,NE68110 		N/A PC General Support 50,000

Harbor House dba Hospice House

12809 W Dodge Rd
Omaha,NE68154 		N/A PC General Support 10,000

Heart Ministry Center

2222 Binney St
Omaha,NE68110 		N/A PC General Support 60,000

Heartland Equine Therapeutic Riding Academy Inc

10130 S 222nd Street
Gretna,NE68028 		N/A PC Program Support 5,000

Heartland Family Service

2101 S 42nd St
Omaha,NE681052909 		N/A PC General Support 75,000

Heartland Hope Mission

2021 U Street
Omaha,NE68107 		N/A PC General Support 35,000

Heartland Workers Center

4923 S 24th Street Ste 101
Omaha,NE681072763 		N/A PC Program Support 15,000

Ho-Chunk Development Corp

509 Hochunk Plaza N
Winnebago,NE51104 		N/A PC General Support 25,000

Holy Name Housing Corporation

4324 Fort St
Omaha,NE68111 		N/A PC General Support 20,000

Hope Center for Kids Inc

2200 North 20th Street
Omaha,NE68110 		N/A PC General Support 30,000

inCOMMON Community Development

1340 Park Ave
Omaha,NE68105 		N/A PC General Support 10,000

Intercultural Senior Center

5545 Center Street
Omaha,NE68106 		N/A PC General Support 40,000

International Council for Refugees and Immigrants

6901 Dodge St Ste 104
Omaha,NE68132 		N/A PC General Support 25,000

Iowa Jag Inc

1111 9th St
Des Moines,IA503142527 		N/A PC Program Support 10,000

Iowa Legal Aid

666 Walnut St Floor 25
Des Moines,IA50309 		N/A PC Program Support 20,000

Jennie Edmundson Hospital Foundation

933 East Pierce Street
Council Bluffs,IA51503 		N/A PC Program Support 15,000

Joslyn Art Museum

2200 Dodge St
Omaha,NE68102 		N/A PC Capital Support 250,000

Justice For Our Neighbors - Nebraska dba Immigran

4223 Center St
Omaha,NE68105 		N/A PC General Support 25,000

Kids Can Community Center

4768 Q St
Omaha,NE68117 		N/A PC General Support 40,000

Knights of AK-SAR-BEN Foundation

7101 Mercy Rd Ste 320
Omaha,NE68106 		N/A PC Program Support 25,000

Latino Center of the Midlands

4821 S 24th Street
Omaha,NE68107 		N/A PC General Support 30,000

Legal Aid Of Nebraska

209 South 19th St Ste 200
Omaha,NE68102 		N/A PC General Support 40,000

Lutheran Family Services of Nebraska Inc

124 S 24th St Ste 230
Omaha,NE68102 		N/A PC General Support 75,000

Magdalene Omaha Inc

4383 Nicholas Street Suite 303
Omaha,NE68131 		N/A PC General Support 20,000

Mental Health Innovation Foundation

1550 Mike Fahey St
Omaha,NE68102 		N/A PC Capital Campaign Support 750,000

Mercy Housing Midwest

1600 Broadway Suite 2000
Denver,CO80202 		N/A PC General Support 25,000

Methodist Hospital Foundation

8701 West Dodge Road Suite 450
Omaha,NE68114 		N/A PC Program Support 50,000

Metro Area Continuum of Care for the Homeless

6002 Dodge Street Suite 117D
Community Engagement Center
Omaha,NE68182 		N/A PC Program Support 25,000

Metropolitan Community College Foundation

PO Box 3777
Omaha,NE68103 		N/A PC Program Support 25,000

MICAH House Corporation

1415 Avenue J
Council Bluffs,IA51501 		N/A PC General Support 40,000

Midlands Latino Community Development Corporation

Development Corp 4923 S 24th St Sui
Omaha,NE68107 		N/A PC Program Support 10,000

Nebraska 4-H Foundation

PO Box 4500
Lincoln,NE68504 		N/A PC Program Support 7,500

Nebraska AIDS Project

250 S 77th St A
Omaha,NE68114 		N/A PC General Support, Capital Campaign Support 60,000

Nebraska Appleseed

PO Box 83613
Lincoln,NE685013613 		N/A PC General Support 35,000

NEBRASKA CENTER FOR WORKFORCE DEVELOPMENT AND EDUC

6001 Grover St Ste 2
Omaha,NE68106 		N/A PC Program Support 10,000

Nebraska Children and Families Foundation

215 Centennial Mall S Ste 200
Lincoln,NE68508 		N/A PC Program Support 30,000

Nebraska Childrens Home Society

4939 S 118th St
Omaha,NE68137 		N/A PC Program Support 25,000

Nebraska Coalition to End Sexual and Domestic Viol

245 S 84th St Ste 200
Lincoln,NE68510 		N/A PC General Support 10,000

Neola Betterment Corporation

PO Box 143
Neola,IA51559 		N/A PC Program Support 5,000

New Visions Homeless Services

1435 N 15th Street
Council Bluffs,IA51501 		N/A PC General Support 30,000

No More Empty Pots

8511 North 30th St
Omaha,NE68112 		N/A PC General Support 25,000

NorthStar Foundation

4242 N 49th Ave
Omaha,NE68104 		N/A PC General Support 25,000

Offutt Advisory Council

PO Box 13229
Offutt Afb,NE68113 		N/A PC General Support 5,000

Omaha Healthy Kids Alliance

1425 South 13th Street
Omaha,NE68108 		N/A PC General Support 10,000

Omaha Home For Boys

4343 N 52nd Street
Omaha,NE68104 		N/A PC Program Support 25,000

Omaha Municipal Land Bank

1141 N 11th St Fl 1
Omaha,NE68102 		N/A PC General Support 25,000

One Tree Planted Inc

145 Pine Haven Shores Road Suite 1
Shelburne,VT05482 		N/A PC Program Support 100,000

OneWorld Community Health Center

4920 South 30th Street Suite 103
Omaha,NE68107 		N/A PC Program Support 65,000

Outlook Enrichment

4125 S 72nd St
Omaha,NE681271802 		N/A PC Program Support 10,000

Owlish

824 N 50th Ave
Omaha,NE68132 		N/A PC General Support 5,000

Partnership 4 Kids

1004 Farnam Street Suite 200
Omaha,NE68102 		N/A SO I General Support 35,000

Project Harmony Child Advocacy Center

11949 Q St
Omaha,NE68137 		N/A PC General Support 60,000

Project Houseworks

2316 South 24th Street
Omaha,NE68108 		N/A PC General Support 20,000

Rabble Mill

2005 Y St
Lincoln,NE68503 		N/A PC Program Support 2,500

Refugee Empowerment Center

3610 Dodge St Ste 100
Omaha,NE68131 		N/A PC General Support 25,000

Refugee Women Rising

3902 Gavenport Street
Omaha,NE68131 		N/A PC General Support 10,000

Restoring Dignity

10818 J Street
Omaha,NE68137 		N/A PC General Support 10,000

Rise (formerly Defy Nebraska)

3555 Farnam Street Suite 209
Omaha,NE68131 		N/A PC General Support 15,000

Ronald McDonald House Charities in Omaha Inc

620 S 38th Ave
Omaha,NE68105 		N/A PC General Support 25,000

Santa Monica Inc

401 S 39TH St
Omaha,NE68131 		N/A PC Program Support 20,000

Saving Grace Perishable Food Rescue Inc

4611 S 96th St Ste 112
Omaha,NE68127 		N/A PC General Support 30,000

Seventy-Five North Revitalization Corporation

2112 N 30th St Ste 200
Omaha,NE68111 		N/A PC Program Support 25,000

SHARE Omaha

6825 Pine Street M/S B3
Omaha,NE68106 		N/A PC General Support 25,000

Siena Francis House

PO Box 217 DTS
Omaha,NE68101 		N/A PC General Support 75,000

Southside Redevelopment Corporation

2411 O St
Omaha,NE68107 		N/A PC General Support 25,000

Special Olympics Nebraska

9427 F St
Omaha,NE68127 		N/A PC Program Support 5,000

St Augustine Indian Mission School

705 South Mission Drive PO Box 766
Winnebago,NE68071 		N/A PC General Support 30,000

Stephen Center Inc

2723 Q Street
Omaha,NE68107 		N/A PC General Support 50,000

TeamMates Mentoring Program

6801 O St
La Vista,NE68510 		N/A PC Program Support 25,000

The American Red Cross

431 18th St Nw
Washington,DC20006 		N/A PC Program Support, General Support 125,000

The Big Garden

5602 READ ST
Omaha,NE68152 		N/A PC Program Support 15,000

The Blackbaud Giving Fund

65 Fairchild Street
Daniel Island,SC29492 		N/A PC Matching Gift Program 119,050

The Furniture Project Omaha (TFP)

10808 J Street
Omaha,NE68137 		N/A PC General Support 10,000

The Salvation Army - Omaha

5550 Prairie Stone Parkway
Hoffman Estates,IL60192 		N/A PC Program Support 50,000

The Simple Foundation

3157 Farnam Street Suite 7104
Omaha,NE68131 		N/A PC General Support 10,000

Together Inc of Metropolitan Omaha

812 S 24th Street
Omaha,NE68108 		N/A PC General Support 65,000

University of Nebraska Foundation

1010 Lincoln Mall Suite 300
Lincoln,NE68508 		N/A PC Program Support, Capital Campaign Support 525,000

Urban League of Nebraska

3040 Lake Street
Omaha,NE68111 		N/A PC General Support 35,000

Visiting Nurse Health Services

12565 W CENTER RD
Omaha,NE68144 		N/A PC General Support 50,000

Women's Center for Advancement

3801 Harney St
Omaha,NE68131 		N/A PC General Support 75,000

YMCA Of Greater Omaha

430 South 20th Street
Omaha,NE68102 		N/A PC General Support 20,000

Youth Care & Beyond Inc

15418 Weir Street 317
Omaha,NE68137 		N/A PC General Support 10,000

Youth Emergency Services

2566 Farnam St Suite 301
Omaha,NE68131 		N/A PC General Support 45,000

YouTurn

4344 N 34th Ave
Omaha,NE68111 		N/A PC Program Support 10,000
Total .................................right arrow 3a 6,199,194
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2022)
Form 990-PF (2022)
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 ........... 		    14 137  
4 Dividends and interest from securities ....     14 675,260  
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 2,439,649  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aMISCELLANEOUS INCOME 		    01 71  
bREFUND OF PRIOR YEAR GRANTS PAID     01 150,000  
cCAMBRIDGE MISCELLANEOUS INCOME     01 6,967  
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   3,272,084  
13Total. Add line 12, columns (b), (d), and (e)..................
13
3,272,084
(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 (2022)
Form 990-PF (2022)
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.
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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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
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Form 990-PF (2022)
Additional Data


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Form 990PF - Special Condition Description:
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TY 2022 DepreciationSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
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

TY 2022 GeneralExplanationAttachment
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Identifier Return Reference Explanation
Part XIV Line 2d Part XIV Line 2d The Foundation requires a grant agreement which i.) specifies the respective responsibilities of the Foundation and the recipient; ii.) obligates the recipient to use the grant funds only for the purposes for which the grant was made; III.) indicates how and when any grant reports regarding the use of the grant funds should be provided; and iv.) acknowledges the authority of Mutual of Omaha Foundation to withhold and/or recover grant funds in case such funds are, or appear to be, misused. The Foundation provides grants to organizations which are exempt from taxation under Section 501(c)(3) and may also use its funds to engage directly in Section 501(c)(3) exempt activities. The Foundation's mission is to break the cycle of poverty for families in the Omaha metropolitan area and invest in civic projects that strengthen the community. The Foundation's focus is in the following areas: . Basic Needs: Homeless prevention, affordable housing, community health, food, and emergency shelter . Adult Self-Sufficiency: workforce development, financial education, literacy and language, domestic violence, parenting classes . Youth Development: mentoring, out-of-school programs, teen parenting, college and career prep, abuse and neglect . Disaster Relief . Civic Initiatives

TY 2022 InvestmentsCorpStockSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Name of Stock End of Year Book Value End of Year Fair Market Value
ACTIVISION BLIZZARD INC. 0 0
ALPHABET INC. 244,451 244,451
APPLE INC. 0 0
BEST BUY CO INC. 0 0
BOOKING HOLDINGS INC. 137,039 137,039
COCA COLA COMPANY 133,581 133,581
CONSTELLATION BRANDS INC A 0 0
DICKS SPORTING GOODS INC. 246,595 246,595
DOMINOS PIZZA INC. 0 0
HOME DEPOT INC 94,758 94,758
INTEL CORP 81,272 81,272
META PLATFORMS INC. 99,281 99,281
LAUDER ESTEE 75,674 75,674
LOCKHEED MARTIN CORP COM 162,974 162,974
KELLOGG CO 0 0
MARRIOTT INTL INC 163,779 163,779
MCDONALDS CORP 106,730 106,730
MICROSOFT CORP 244,616 244,616
MONDELEZ INTERNATIONAL W I 163,293 163,293
NIKE 105,309 105,309
PEPSICO INC 112,913 112,913
PROCTER & GAMBLE CO. 0 0
QUALCOMM INC 0 0
RALPH LAUREN CORP. 253,608 253,608
SONOS INC 0 0
STARBUCKS CORP 84,320 84,320
TARGET CORP 0 0
UNITED PARCEL SERVICE INC 232,076 232,076
VISA INC COM. CL A 155,820 155,820
WALMART INC 0 0
WILLIAMS SONOMA, INC. 225,243 225,243
YUM BRANDS INC COM 160,100 160,100
DIAGEO PLC SPONSORED ADR 131,861 131,861
HEINEKEN NV SPON A D R 96,391 96,391
NESTLE SA SPONSORED ADR 95,156 95,156
SCHLUMBERGER LTD COM STK 195,129 195,129

TY 2022 InvestmentsGovtObligationsSch
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
US Government Securities - End of Year Book Value:

9,889,377
US Government Securities - End of Year Fair Market Value:

9,889,377
State & Local Government Securities - End of Year Book Value:


 
State & Local Government Securities - End of Year Fair Market Value:


 


TY 2022 InvestmentsOtherSchedule2
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
ITE RAIL FEED FUND LP AT COST 189,420 189,420
LINDEN CAPITAL PARTNERS V-A LP AT COST 139,108 139,108
LINDEN CO-INVESTMENT V-A LP AT COST 48,872 48,872
KLINE HILL PTR OFF FUND IV AT COST 192,759 192,759
KLINE HILL PTR SOL OFF FUND AT COST 61,001 61,001
FULL IN PARTNERS II, LP AT COST 100,480 100,480
RUBICON TECH PARTNERS IV L.P. AT COST 80,352 80,352
CENTER ROCK CAP PTR FUND II AT COST 88,228 88,228
SURGOCAP OFFSHORE FUND LP AT COST 500,000 500,000
THE A PLUS FUND LTD AT COST 2,515,890 2,515,890
ARROWST ACWI EX US ALPHA EXT U AT COST 3,840,100 3,840,100
DOVER STREET X, LP AT COST 558,707 558,707
MANULIFE PVT EQT PARTNERS LP AT COST 689,385 689,385
TRUEBRIDGE CAP PTR FUND VI LP AT COST 1,269,183 1,269,183
LFP GLOBAL EQUITY LP AT COST 2,968,666 2,968,666
JUNIPERUS INSURANCE OPP FD AT COST 789,009 789,009
FULL IN PARTNRS FUND I AT COST 521,150 521,150
PIMCO STOCKSPLUS LP B AT COST 0 0
RUBICON TECH PARTNERS III L.P AT COST 500,488 500,488
ASPEX GLOBAL FUND AT COST 1,286,134 1,286,134
KLINE HILL PRTNRS OPP. OFF III AT COST 311,048 311,048
KLINE HILL PRTNRS OFF FUND III AT COST 970,874 970,874
KPS SPECIAL FND V (A), LP AT COST 378,279 378,279
PARAMETRIC GLBL DEF EQ FND LLC AT COST 530,753 530,753
ATALAN OFFSHORE FUND, LTD. AT COST 1,379,598 1,379,598
JUNIPERUS INSURANCE OPP FUND AT COST 245,146 245,146
SAMLYN OFFSHORE, LTD. AT COST 1,582,801 1,582,801
MC PRIVATE EQUITY PARTNERS I-A AT COST 217,122 217,122
MIC CAP PTRIII PA CAY LP AT COST 198,977 198,977
C-BRIDGE HLTHCARE FUND V, L.P AT COST 390,637 390,637
PEAK ROCK CAPITAL FUND III LP AT COST 179,261 179,261
DAVIDSON KEMPNER INDST PTRS LP AT COST 2,398,872 2,398,872
PRESERVER LP AT COST 1,700,000 1,700,000
JUNIPERUS INSURANCE OPP L P AT COST 448,552 448,552
CORE INDST PTRS FD II LP AT COST 524,741 524,741
RECOGNIZE PARTNERS I-A, L.P. AT COST 165,477 165,477
TRUEBRIDGE CAPL PARTNER FD VII AT COST 369,526 369,526
ARROWST EMERGING MKT TRUST FD AT COST 0 0
VVP ALL CAP FUND, LLC AT COST 2,134,458 2,134,458
LEVEL EQTY GROWTH PTRS V LP AT COST 107,899 107,899
LEVEL EQUITY OPP FD 2021 LP AT COST 113,152 113,152
HEARD HIGH CONV LNG ONLY FD AT COST 1,308,163 1,308,163
SENTINEL CONT. FUND I, LP AT COST 9,856 9,856
LEVEL EQUITY OPP FD 2018 LP AT COST 307,862 307,862
CORE INDUSTRIAL PARTNERS FD I AT COST 857,777 857,777
STEPSTONE VC GLB PTRS IV-B LP AT COST 556,979 556,979
GREENSPRING GLB PTRS IV LP AT COST 0 0
KHP STRATEGIC 9 LP AT COST 468,529 468,529
SIRIS PARTNERS IV, L.P AT COST 338,489 338,489
RIVERSIDE FUND VI-B L.P AT COST 633,937 633,937
ORBIS INST GLOBAL EQUITY LP AT COST 2,653,594 2,653,594
WHALE ROCK FLAGSHIP FUND AT COST 583,894 583,894
RWC HORIZON EQUITY FD LTD AT COST 2,495,982 2,495,982
KLINE HILL PARTNERS AT COST 888,615 888,615
BAXTER STREET OFFSHORE FUND AT COST 3,297,139 3,297,139
STONE CASTLE AT COST 4,255 4,255
HBK MULTI-STRATEGY OFFSHORE AT COST 2,801,729 2,801,729
TWO SIGMA ACTIVE EXTENSION AT COST 4,609,596 4,609,596
ENR PARTNERS II AT COST 473,211 473,211
CITY OF LONDON INTL EQUITY AT COST 3,279,826 3,279,826
PEAK ROCK CAPITAL FUND II AT COST 139,861 139,861
CASTLELAKE AVN III STBL YIELD AT COST 381,129 381,129
RUBICON TECH PARTNERS II LP AT COST 481,671 481,671
RWC HORIZON EQUITY FUND AT COST 735,941 735,941
TRUEBRIDGE CAPITAL PTRS FUND V AT COST 1,680,235 1,680,235
FVP OVERSEAS LTD AT COST 45,664 45,664
PEAK ROCK CPTL CREDIT FD II LP AT COST 35,074 35,074
CENTER ROCK CAPITAL PARTNERS I AT COST 900,830 900,830
US RESEARCH EQTY EXT. FUND LP AT COST 6,121,860 6,121,860
KLINE HILL PTRS OFFSHORE FD II AT COST 1,061,286 1,061,286
C-BRIDGE HEALTHCARE FUND IV AT COST 574,303 574,303
TR IN COURSE OF SETTLEMENT AT COST 0 0
BNYM MELL CF NSL DYN US EQ FD AT COST 4,074,258 4,074,258
ARROWST EMERGING MRKT TRUST FD AT COST 3,409,402 3,409,402
VANGUARD DEVELOPED ETF AT COST 827,942 827,942
VANGUARD TTL WORLD STK IN ETF AT COST 510,676 510,676
VANGUARD EMERGING MARKETS ETF AT COST 1,752,034 1,752,034
VANGUARD S&P 500 AT COST 723,058 723,058
VANGUARD SHORT-TERM INFLATION AT COST 2,488,533 2,488,533

TY 2022 OtherAssetsSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
EXCISE TAX RECOVERABLE 43,804 83,288 83,288


TY 2022 OtherDecreasesSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Description Amount
UNREALIZED LOSSES 16,244,643


TY 2022 OtherExpensesSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK FEES 670 670    


TY 2022 OtherIncomeSchedule2
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
Income from Partnerships   200,058  
Miscellaneous Income 71 71  
refund of PRIOR YEAR grants paid 150,000 150,000  
Cambridge miscellaneous income 6,967 6,967  


TY 2022 OtherProfessionalFeesSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
CAMBRIDGE 416,681 416,681    
US BANK 29,773 29,773    
CITIBANK - HS MANAGEMENT 28,743 28,743    
CITIZENS BANK - BRECKINRIDGE 8,111 8,111    
NEWTON INVESTMENT MANAGEMENT 3,981 3,981    
NESTLE SA SPONSORED A D R 18 18    
DIAGEO PLC SPONSORED A D R 10 10    


TY 2022 TaxesSchedule
Name:
MUTUAL OF OMAHA FOUNDATION
EIN:
20-2176636
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FEDERAL EXCISE TAX 36,516