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
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
BOSTON SCIENTIFIC FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)300 BOSTON SCIENTIFIC WAY
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MARLBOROUGH, MA01752
A Employer identification number

04-3556844
B Telephone number (see instructions)

(508) 683-4000
C 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$24,876,037J 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) 1,000,000
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 528,360 528,360  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 128,078
b Gross sales price for all assets on line 6a 5,989,940
7 Capital gain net income (from Part IV, line 2)... 128,078
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
118 0  
12 Total. Add lines 1 through 11........ 1,656,556 656,438  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
32,232 0   30,697
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
11,950 0   11,950
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
10,265 0   0
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
28,426 0   28,426
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 82,873 0   71,073
25 Contributions, gifts, grants paid....... 2,199,489 2,199,489
26 Total expenses and disbursements. Add lines 24 and 25 2,282,362 0   2,270,562
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -625,806
b Net investment income (if negative, enter -0-) 656,438
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 13,199 1,548,084 1,548,084
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.......... 2,500    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 22,583,125 Click to see attachment
List of Attached Documents:
// Content
23,327,953 		23,327,953
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 22,598,824 24,876,037 24,876,037
Liabilities 17 Accounts payable and accrued expenses.......... 28,092 29,629
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)......... 28,092 29,629
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........... 22,570,732 24,846,408
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)..... 22,570,732 24,846,408
30 Total liabilities and net assets/fund balances (see instructions). 22,598,824 24,876,037
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
22,570,732
2
Enter amount from Part I, line 27a .....................
2
-625,806
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
2,901,482
4
Add lines 1, 2, and 3 ..........................
4
24,846,408
5
Decreases not included in line 2 (itemize) right arrow
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
24,846,408
Form 990-PF (2023)
Form 990-PF (2023)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b CAPITAL GAINS DIVIDENDS P    
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,713,082   5,861,862 -148,780
b 276,858     276,858
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       -148,780
b       276,858
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 128,078
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
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 9,124
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 0
3 Add lines 1 and 2........................... 3 9,124
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 9,124
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 22,099
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld .......... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 22,099
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......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 12,975
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow12,975 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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? ....................
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 changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
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 arrowMA
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 2023 or the taxable year beginning in 2023? 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
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.BOSTONSCIENTIFIC.COM
14
The books are in care ofright arrowAAFCPAS INC Telephone no.right arrow (508) 366-9100

Located atright arrow50 WASHINGTON STREETWESTBOROUGHMA ZIP+4right arrow01581
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 2023, 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
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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)
Yes
 
(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
 
No
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
ALEXANDRA CANNEY TREASURER
0.40 		0 0 0
300 BOSTON SCIENTIFIC WAY
MARLBOROUGH,MA01752
WENDY CARRUTHERS CLERK AND DIRECTOR
0.40 		0 0 0
300 BOSTON SCIENTIFIC WAY
MARLBOROUGH,MA01752
KAORU LEE ADAIR PRESIDENT (AS OF 12/2023)/DIRECTOR
0.40 		0 0 0
25155 RYE CANYON LOOP
VALENCIA,CA91355
DAVID KNAPP PRESIDENT AND DIRECTOR (UNTIL 12/2023)
0.40 		0 0 0
4100 HAMLINE AVENUE NORTH
ST PAUL,MN551125798
BRENDA BECKER DIRECTOR
0.40 		0 0 0
1455 PENNSYLVANIA AVENUE NW SUITE
925
WASHINGTON,DC20004
DAVID THOMPSON DIRECTOR
0.40 		0 0 0
780 BROOKSIDE DRIVE
SPENCER,IN47460
MARGARET COMBS DIRECTOR
0.40 		0 0 0
4100 HAMLINE AVENUE NORTH
ST PAUL,MA551125798
EILEEN HUNTER DIRECTOR
0.40 		0 0 0
300 BOSTON SCIENTIFIC WAY
MARLBOROUGH,MA01752
2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a) Name and address of each employee paid more than $50,000 (b) Title, and average
hours per week
devoted to position 		(c) Compensation (d) Contributions to
employee benefit
plans and deferred
compensation 		(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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
NONE
Total number of others receiving over $50,000 for professional services.............right arrow0
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 arrow0
Form 990-PF (2023)
Form 990-PF (2023)
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
23,444,745
b
Average of monthly cash balances.......................
1b
266,919
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
23,711,664
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
0
2
Acquisition indebtedness applicable to line 1 assets..................
2
0
3
Subtract line 2 from line 1d.........................
3
23,711,664
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
355,675
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
23,355,989
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
1,167,799
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
1,167,799
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
9,124
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
9,124
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
1,158,675
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
1,158,675
6
Deduction from distributable amount (see instructions).................
6
0
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
1,158,675
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
2,270,562
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
 
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
2,270,562
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 1,158,675
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 10,786
b From 2019...... 47,723
c From 2020...... 144,519
d From 2021......  
e From 2022...... 942,946
f Total of lines 3a through e ........ 1,145,974
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 2,270,562
a Applied to 2022, but not more than line 2a 0
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		0
c Treated as distributions out of corpus (Election
required—see instructions)........ 		0
d Applied to 2023 distributable amount..... 1,158,675
e Remaining amount distributed out of corpus 1,111,887
5 Excess distributions carryover applied to 2023. 0 0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,257,861
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		0
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed...... 		0
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		0
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		10,786
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		2,247,075
10 Analysis of line 9:
a Excess from 2019.... 47,723
b Excess from 2020.... 144,519
c Excess from 2021....  
d Excess from 2022.... 942,946
e Excess from 2023.... 1,111,887
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, 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) 2023 (b) 2022 (c) 2021 (d) 2020
         
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).)
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 e-mail address of the person to whom applications should be addressed:
LISA STONE
300 BOSTON SCIENTIFIC WAY
MARLBOROUGH,MA01752
(508) 683-4000
bThe form in which applications should be submitted and information and materials they should include:
TO APPLY FOR A BOSTON SCIENTIFIC FOUNDATION GRANT, PLEASE SUBMIT THE FOLLOWING MATERIALS: 1) COMPLETE GRANT APPLICATION VIA OUR ONLINE APPLICATION AT WWW.BOSTONSCIENTIFIC.COM UNDER OUR CORPORATE RESPONSIBILITY SECTION. 2) ATTACH A COPY OF THE IRS LETTER DOCUMENTING THE ORGANIZATION'S 501(C)(3) TAX-EXEMPT STATUS. 3) ATTACH A COPY OF THE ORGANIZATION'S MOST RECENT AUDITED FINANCIAL STATEMENT. 4) ATTACH A COPY OF THE ORGANIZATION'S GENERAL OPERATING BUDGET AND PROGRAM BUDGET FOR WHICH THE ORGANIZATION SEEKS SUPPORT. 5) LIST OF THE ORGANIZATION'S BOARD OF DIRECTORS AND PRESIDENT.
cAny submission deadlines:
HEALTH APPLICATIONS ACCEPTED JAN 15 - MAR 15 STEM EDUCATION APPLICATIONS ACCEPTED MAY 1 - JUL 1
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ALL SUBMISSIONS MUST TARGET THE NEEDS OF ECONOMICALLY DISADVANTAGED POPULATIONS WITHIN 60 MILES OF THE GEOGRAPHIES LISTED BELOW. CALIFORNIA (SAN JOSE, VALENCIA) INDIANA (SPENCER) MASSACHUSETTS (CAMBRIDGE, MARLBOROUGH OR QUINCY) MINNESOTA (TWIN CITIES)
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
SCHOLARSHIP AMERICA
7900 INTERNATIONAL DRIVE SUITE 500
MINNEAPOLIS,MN55425
(800) 537-4180
FOUNDATION@BSCI.COM
bThe form in which applications should be submitted and information and materials they should include:
TO APPLY FOR A BOSTON SCIENTIFIC EMPLOYEE SCHOLARSHIP PROGRAM, PLEASE SUBMIT THE FOLLOWING MATERIALS: 1) COMPLETE SCHOLARSHIP APPLICATION. 2) SUBMIT ESSAY FROM QUESTION LISTED ON PAGE 5 OF APPLICATION 3) SUBMIT COPY OF RESULTS OF ANY SCHOLASTIC APTITUDE TEST (SAT-I) OR THE AMERICAN COLLEGE TEST (ACT). 4) SUBMIT A CURRENT, COMPLETE TRANSCRIPT OF GRADES. GRADE REPORTS ARE NOT ACCEPTED. 5) UNOFFICIAL OR ONLINE TRANSCRIPTS MUST DISPLAY STUDENT NAME, SCHOOL NAME, GRADES AND CREDIT HOURS FOR EACH COURSE AND TERM IN WHICH EACH COURSE WAS TAKEN. 6) SUBMIT A COPY OF THE STUDENT AID REPORT (SAR) FROM FAFSA.
cAny submission deadlines:
ALL RENEWAL APPLICATIONS ARE DUE BY MARCH 31ST. ALL NEW APPLICATIONS ARE DUE BY APRIL 21ST.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ACADEMIC ACHIEVEMENT, FINANCIAL NEED, CITIZENSHIP, LEADERSHIP QUALITIES, GENERAL PROMISE AND THE GEOGRAPHIC LOCATION OF QUALIFIED APPLICANTS WILL ALL BE CONSIDERED. APPLICANTS TO THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP MUST: 1) BE DEPENDENT* CHILDREN, UNDER AGE 26, OF FULL-TIME U.S. BASED BOSTON SCIENTIFIC EMPLOYEES WHO ARE EMPLOYED SIX MONTHS PRIOR TO THE SCHOLARSHIP APPLICATION DEADLINE. *DEPENDENT CHILDREN INCLUDE THOSE OF THE EMPLOYEE OR THEIR SPOUSE OR DOMESTIC PARTNER FOR WHOM THEY ARE FINANCIALLY RESPONSIBLE, AS WELL AS NATURAL, ADOPTED, STEP-CHILDREN AND LEGAL WARDS. 2) BE HIGH SCHOOL SENIORS OR GRADUATES OR CURRENT POST-SECONDARY UNDERGRADUATES. 3) PLAN TO ENROLL IN FULL-TIME UNDERGRADUATE STUDY AT AN ACCREDITED TWO- OR FOUR-YEAR COLLEGE OR UNIVERSITY FOR THE ENTIRE UPCOMING ACADEMIC YEAR. 4) GPA REQUIREMENTS OF 2.7 TO RENEW.
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
SCHOLARSHIP AMERICA
7900 INTERNATIONAL DRIVE SUITE 500
MINNEAPOLIS,MN55425
(800) 537-4180
FOUNDATION@BSCI.COM
bThe form in which applications should be submitted and information and materials they should include:
THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP ON-LINE FORM IS USED FOR BOTH SCHOLARSHIPS. STUDENTS APPLYING TO THE PETE NICHOLAS SCHOLARSHIP ARE REQUIRED TO: 1) COMPLETE SCHOLARSHIP APPLICATION. 2) SUBMIT ESSAY FROM QUESTION LISTED ON PAGE 5 OF APPLICATION 3) SUBMIT COPY OF RESULTS OF ANY SCHOLASTIC APTITUDE TEST (SAT-I) OR THE AMERICAN COLLEGE TEST (ACT). 4) SUBMIT SIGNED PHOTOCOPY OF MOST RECENT PARENT(S) AND STUDENT FEDERAL TAX RETURN(S). 5) SUBMIT A COPY OF THE STUDENT AID REPORT (SAR) FROM FAFSA. 6) TRANSCRIPT. 7) STUDENTS ARE REQUIRED TO SUBMIT AN ADDITIONAL ESSAY. 8) NO MORE THAN 3 STUDENTS WILL BE AWARDED A PETE NICHOLAS SCHOLARSHIP EACH ACADEMIC YEAR.
cAny submission deadlines:
ALL RENEWAL APPLICATIONS ARE DUE BY MARCH 31ST. ALL NEW APPLICATIONS ARE DUE BY APRIL 2
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ACADEMIC ACHIEVEMENT, FINANCIAL NEED, CITIZENSHIP, LEADERSHIP QUALITIES, GENERAL PROMISE AND THE GEOGRAPHIC LOCATION OF QUALIFIED APPLICANTS WILL ALL BE CONSIDERED. APPLICANTS TO THE BOSTON SCIENTIFIC FOUNDATION SCHOLARSHIP MUST: 1) BE DEPENDENT* CHILDREN, UNDER AGE 26, OF FULL-TIME U.S. BASED BOSTON SCIENTIFIC EMPLOYEES WHO ARE EMPLOYED SIX MONTHS PRIOR TO THE SCHOLARSHIP APPLICATION DEADLINE. *DEPENDENT CHILDREN INCLUDE THOSE OF THE EMPLOYEE OR THEIR SPOUSE OR DOMESTIC PARTNER FOR WHOM THEY ARE FINANCIALLY RESPONSIBLE, AS WELL AS NATURAL, ADOPTED, STEP-CHILDREN AND LEGAL WARDS. 2) BE FROM HIGH SCHOOL SENIOR TO FIRST YEAR STUDENT. 3) PLAN TO ENROLL IN FULL-TIME UNDERGRADUATE STUDY AT AN ACCREDITED TWO- OR FOUR-YEAR COLLEGE OR UNIVERSITY FOR THE ENTIRE UPCOMING ACADEMIC YEAR. 4) GPA REQUIREMENTS OF 2.7 TO RENEW.
Form 990-PF (2023)
Form 990-PF (2023)
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

APPALACHIAN MOUNTAIN CLUB

10 CITY SQUARE
BOSTON,MA02129 		  PC A MOUNTAIN CLASSROOM - BOSTON SCHOOLS PARTNERSHIP 2023-2024 10,000

BOYS & GIRLS CLUB OF LYNN

25 N COMMON STREET
LYNN,MA01902 		  PC STEAM DREAM- THE SCIENCE OF EVERYDAY! 10,000

BOYS & GIRLS CLUB OF PAWTUCKET

1 MOELLER PL
PAWTUCKET,RI02860 		  PC STEM SUPPORT - TEEN & WORKFORCE DEVELOPMENT PROGRAM 10,000

BOYS AND GIRLS CLUBS OF METRO SOUTH INC

19 COURT STREET 2ND FLOOR
TAUNTON,MA02780 		  PC STEM EDUCATION - TINKER & CREATE 18,000

CALCULUS PROJECT INC

168 POND ST
BRAINTREE,MA02368 		  PC THE CALCULUS PROJECT SUMMER ACCELERATION 10,000

CRISTO REY BOSTON HIGH SCHOOL INC

100 SAVIN HILL AVE
DORCHESTER,MA02125 		  PC CRISTO REY BOSTON STEM EDUCATION PROGRAM 11,000

DISCOVERY MUSEUMS INC

177 MAIN ST
ACTON,MA01720 		  PC TRAVELING SCIENCE WORKSHOPS: MARLBOROUGH 8,000

FRAMINGHAM STATE UNIVERSITY FOUNDATION INC

100 STATE STREET
FRAMINGHAM,MA017019101 		  PC STEM SPARKS: FIELD TRIPS FOR UNDERSERVED YOUTH IN FRAMINGHAM 9,310

GIRLS INCORPORATED OF LYNN

50 HIGH STREET
LYNN,MA01902 		  PC OPERATION SMART 15,000

HORIZONS GREATER BOSTON INC

90 SANDY VALLEY ROAD
DEDHAM,MA02026 		  PC HORIZONS GREATER BOSTON 8,000

MYSTIC RIVER WATERSHED ASSOCIATION INC

20 ACADEMY STREET STE 306
BRAINTREE,MA02476 		  PC WATERSHED EDUCATION 10,000

THE POSSIBLE PROJECT INC

31 HEATH STREET
BROOKLINE,MA02130 		  PC ADVANCED ELECTRONIC PROTOTYPING PROGRAM AND WORKSTATIONS 15,000

THOMPSON ISLAND OUTWARD BOUND EDUCATION CENTER INC

PO BOX 127
BOSTON,MA02127 		  PC THOMPSON ISLAND CONNECTIONS: INSPIRING CONFIDENCE AND CURIOSITY IN BPS MIDDLE SCHOOL STUDENTS 10,000

UNIVERSITY OF MASSACHUSETTS BOSTON

100 WILLIAM T MORRISSEY BLVD
BOSTON,MA02125 		  PC STEM WORKFORCE ALIGNMENT FOR THE URBAN SCHOLARS PROGRAM SERVING STRIVING BOSTON PUBLIC SCHOOL TEENS 15,000

YOUNG MEN'S CHRISTIAN ASSOCIATION OF WORCESTER

766 MAIN STREET
WORCESTER,MA01610 		  PC STEM AFTERSCHOOL AT GREENDALE 5,000

EASTERN GREENE ELEMENTARY STEM

10503 E STATE ROAD 54
BLOOMFIELD,IN47424 		  PC EASTERN GREENE ELEMENTARY STEM 9,200

EASTERN GREENE HIGH SCHOOL

11064 E STATE ROAD 54
BLOOMFIELD,IN47424 		  PC STUDENT TESTING SUPPORT 1,500

LINTON-STOCKTON SCHOOL CORPORATION

801 NW 1ST ST
LINTON,IN47441 		  PC NEAR SPACE 10,000

OWEN VALLEY HIGH SCHOOL

622 STATE RD 46
SPENCER,IN47460 		  PC OWEN VALLEY ADVANCE MANUFACTURING PROGRAM 10,000

ATHLETES COMMITTED TO EDUCATING STUDENTS

1115 E HENNEPIN AVE
MINNEAPOLIS,MN55414 		  PC ACES AFTER-SCHOOL STEM PROGRAMS 10,000

BOYS AND GIRLS CLUBS OF THE TWIN CITIES

690 JACKSON ST
SAINT PAUL,MN55130 		  PC STEM PROGRAM FOR UNDERSERVED AND UNDERREPRESENTED K-12 CHILDREN AND TEENS 25,000

BREAKTHROUGH TWIN CITIES

2051 LARPENTEUR AVENUE EAST
SAINT PAUL,MN55109 		  PC SYSTEMIC CHANGE FOR UNDER-RESOURCED YOUTH 15,000

CREATEMPLS

PO BOX 8521
MINNEAPOLIS,MN55408 		  PC CM TECH PROGRAM EXPANSION, 2023-2024 20,000

GENESYS WORKS

445 MINNESOTA ST STE 720
SAINT PAUL,MN55101 		  PC GENESYS WORKS TWIN CITIES SUMMER TRAINING 20,000

GIRLS DREAM CODE

1006 SAINT JOHNS BAY
WOODBURY,MN55129 		  PC CODE YOUR PATH: A STEM EDUCATIONAL PROGRAM FOR GIRLS OF COLOR 10,000

HOPE COMMUNITY INC

611 E FRANKLIN AVE
MINNEAPOLIS,MN55404 		  PC HOPE COMMUNITY'S YOUTH LEADERSHIP AND LEARNING (YLL) PROGRAM 20,000

MINNESOTA COMPUTERS FOR SCHOOLS

504 MALCOLM AVE SE SUITE 100
MINNEAPOLIS,MN55414 		  PC IMPROVING STEM EDUCATIONAL OPPORTUNITIES FOR UNDER RESOURCED YOUTH 10,000

PROJECT SUCCESS-STUDENTS UNDERTAKING CREATIVE CONTROL

1 GROVELAND TERRACE SUITE 300
MINNEAPOLIS,MN55403 		  PC IT/CODING CAREER EXPLORATION PROGRAM 25,000

SCIENCE FROM SCIENTISTS INC

9001 EAST BLOOMINGTON FWY SUITE 139
BLOOMINGTON,MN55420 		  PC SCIENCE FROM SCIENTISTS' DURING-SCHOOL STEM EDUCATION ENRICHMENT PROGRAM IN COMO PARK ELEMENTARY AND OTHER TWIN CITIES SCHOOLS, 2023-2024 ACADEMIC YEAR 20,000

UNIVERSITY OF MINNESOTA FOUNDATION

200 OAK STREET SE SUITE 500
MINNEAPOLIS,MN554552009 		  PC SCISPARK SCHOLARS 25,000

AVALON-CARVER COMMUNITY CENTER

4920 S AVALON BLVD
LOS ANGELES,CA90011 		  PC MOBILE STEM LABS 12,500

EDUCATING YOUNG MINDS

1807 CRENSHAW BLVD
LOS ANGELES,CA90019 		  PC CLASSROOMS NOT COURTROOMS: PREVENTIVE-INTERVENTION RESOURCES FOR AT-RISK YOUTH 12,500

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC

780 ALBANY STREET
BOSTON,MA02118 		  PC WOMEN'S HEALTH INITIATIVE 10,000

COMMUNITY SERVINGS INC

179 AMORY STREET
JAMAICA PLAIN,MA02130 		  PC FOOD IS MEDICINE: MEDICALLY TAILORED NUTRITION PROGRAM FOR INDIVIDUALS AND FAMILIES AFFECTED BY DIABETES AND OTHER ILLNESSES. 10,000

DETECTOGETHER INC

53 OTIS STREET
WESTBOROUGH,MA01581 		  PC 3 STEPS DETECT PROGRAM: EARLY CANCER DETECTION IN THE COMMUNITY 10,000

EMMA PENDLETON BRADLEY HOSPITAL

1011 VETERANS MEMORIAL PARKWAY
EAST PROVIDENCE,RI02915 		  PC ADDRESSING THE CONTINUING MENTAL HEALTH CRISIS IN THE PANDEMICS AFTERMATH: BRADLEY LEARNING EXCHANGE MENTAL AND BEHAVIORAL HEALTH TRAININGS FOR ECONOMICALLY-DISADVANTAGED COMMUNITIES 9,800

FRANCISCAN HOSPITAL FOR CHILDREN

30 WARREN STREET
BRIGHTON,MA02135 		  PC FRANCISCAN CHILDREN'S WELLNESS INITIATIVE 8,000

HEART BROTHERS FOUNDATION INC

225 CEDAR HILL STREET SUITE 200
MARLBOROUGH,MA017525900 		  PC TEAM HEARTBROTHERS AMBASSADORS: PEER HEALTH EDUCATION FOR ECONOMICALLY DISADVANTAGED HEART FAILURE PATIENTS 10,000

HEART OF A GIANT FOUNDATION

15 UNION AVE
MILTON,MA021861411 		  PC THE HEALTHY HEART COMMUNITIES (2HC) PROGRAM 10,000

METROWEST FREE MEDICAL PROGRAM

246 MAPLE STREET
MARLBOROUGH,MA01752 		  PC HYPERTENSION CLINIC FOR THE UNINSURED AND UNDERINSURED IN METROWEST 18,879

SOCIEDAD LATINA

1530 TREMONT STREET
ROXBURY,MA02120 		  PC HEALTH EDUCATORS EN ACCION 6,000

SOUTHWEST BOSTON SENIOR SERVICES DBA ETHOS

555 AMORY STREET
JAMAICA PLAIN,MA02130 		  PC MENTAL HEALTH SERVICES 5,000

ST MARY'S CENTER FOR WOMEN AND CHILDREN

90 CUSHING AVENUE
DORCHESTER,MA02125 		  PC TRAUMA-INFORMED BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES FOR FAMILIES EXPERIENCING HOMELESSNESS 8,000

THE ELLIE FUND

200 RESERVOIR STREET SUITE 300
NEEDHAM,MA02494 		  PC EQUITABLE PATHWAYS TO BREAST CANCER CARE IN MASSACHUSETTS 10,000

THE OPEN DOOR CAPE ANN FOOD PANTRY INC

28 EMERSON AVE
GLOUCESTER,MA01930 		  PC MEDICALLY TAILORED GROCERIES (NUTRITION EDUCATION & COUNSELING) 5,000

CANCER SUPPORT COMMUNITY - CENTRAL INDIANA INC

1719 W 3RD ST
BLOOMINGTON,IN47404 		  PC SUPPLIES FOR CANCER PATIENTS & PROGRAMS 10,000

OWEN COUNTY COMMUNITY FITNESS TRAIL BOARD

1111 W HWY 46
SPENCER,IN47460 		  PC OWEN COUNTY FAMILY YMCA EQUIPMENT UPGRADES 14,300

AVENUES FOR YOUTH

1708 OAK PARK AVENUE NORTH
MINNEAPOLIS,MN55411 		  PC AVENUES FOR YOUTH INTEGRATIVE HEALTH & WELLNESS 15,000

CARE CLINIC

906 COLLEGE AVE DOOR 1
RED WING,MN55066 		  PC IMPROVING THE HEALTH OF HISPANIC IMMIGRANT FAMILIES: DISEASE PREVENTION, SCREENING, MANAGEMENT, AND EDUCATION 25,000

EPILEPSY FOUNDATION OF MINNESOTA INC

7760 FRANCE AVE S SUITE 210
BLOOMINGTON,MN55435 		  PC LAUNCHING THE LATINE COMMUNITY HEALTH WORKER STRATEGY 15,000

FREMONT COMMUNITY HEALTH SERVICES INC

3300 FREMONT AVE N
MINNEAPOLIS,MN55412 		  PC NHS CANCER SCREENING EQUITY PROJECT 20,000

PARK NICOLLET FOUNDATION

6500 EXCELSIOR BLVD
ST LOUIS PARK,MN55426 		  PC MAMMO-A-GO-GO COMMUNITY OUTREACH PROGRAM 20,000

RAICES SAGRADAS COMMUNITY MENTAL HEALTH

1515 E LAKE ST SUITE 211
MINNEAPOLIS MN,MN55407 		  PC DROP-IN MENTAL HEALTH CLINIC PILOT 15,000

SOUTHSIDE COMMUNITY HEALTH SERVICES

4243 4TH AVENUE S
MINNEAPOLIS,MN55409 		  PC HEALTH 25,000

VOLUNTEERS OF AMERICA OF MINNESOTA

7625 METRO BOULEVARD
MINNEAPOLIS,MN55439 		  PC COMMUNITY HEALTH WORKER SERVICES WITHIN MINNEAPOLIS PUBLIC HOUSING 20,000

WASHBURN CHILD GUIDANCE CENTER

1100 GLENWOOD AVENUE
MINNEAPOLIS,MN55405 		  PC ENSURING ACCESS TO CHILDREN'S MENTAL HEALTH CARE FOR FAMILIES FACING FINANCIAL INSTABILITY SO CHILDREN THRIVE AT HOME, SCHOOL AND COMMUNITY 20,000

CHILD & FAMILY CENTER

21545 CENTRE POINTE PARKWAY
SANTA CLARITA,CA91350 		  PC MENTAL HEALTH SERVICES FOR CLIENTS WITHOUT MEDICAL INSURANCE 15,000

CITY OF HOPE

1500 E DUARTE ROAD
DUARTE,CA91010 		  PC THE CITY OF HOPE PATIENT ASSISTANCE FUND: ALLEVIATING FINANCIAL BARRIERS TO CARE FOR CANCER PATIENTS AND THEIR FAMILIES 15,000

PROJECT HOPE

1220 19TH STREET NW SUITE 800
WASHINGTON,DC20036 		  PC HUMANITARIAN HELP FOR ISRAEL/GAZA 1,000,000

SCHOLARSHIP AMERICA

ONE SCHOLARSHIP WAY
ST PETER,MN56082 		  PC MULTIPLE SCHOLARSHIPS 429,500
Total .................................right arrow 3a 2,199,489
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
Form 990-PF (2023)
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 ........... 		         
4 Dividends and interest from securities ....     14 528,360  
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 ............ 		    18 128,078  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aCLASS ACTION SETTLEMENT PROCEEDS 		    01 118  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 656,556 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
656,556
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
BOSTON SCIENTIFIC FOUNDATION INC
 
Employer identification number

04-3556844
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
BOSTON SCIENTIFIC FOUNDATION INC
  		Employer identification number
04-3556844
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
1
BOSTON SCIENTIFIC CORPORATION
 
300 BOSTON SCIENTIFIC WAY
 
MARLBOROUGH, MA01752

$ 1,000,000


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
BOSTON SCIENTIFIC FOUNDATION INC
  		Employer identification number

04-3556844
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
BOSTON SCIENTIFIC FOUNDATION INC
  		Employer identification number

04-3556844
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING AND TAX SERVICES 32,232 0   30,697

TY 2023 InvestmentsOtherSchedule2
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
MUTUAL FUNDS FMV 23,327,953 23,327,953

TY 2023 OtherExpensesSchedule
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK FEES 1,338 0   1,338
COMPUTER EXPENSE 25,088 0   25,088
COMMUNICATIONS 2,000 0   2,000


TY 2023 OtherIncomeSchedule2
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
CLASS ACTION SETTLEMENT PROCEEDS 118   118


TY 2023 OtherIncreasesSchedule
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Description Amount
UNREALIZED GAIN ON INVESTMENTS 2,901,482


TY 2023 OtherProfessionalFeesSchedule
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
SCHOLARSHIP PROGRAM MANAGEMENT 11,950 0   11,950


TY 2023 TaxesSchedule
Name:
BOSTON SCIENTIFIC FOUNDATION INC
EIN:
04-3556844
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FEDERAL EXCISE TAXES 10,000 0   0
MA FORM PC FEES 250 0   0
MA ANNUAL REPORT FEE 15 0   0