TY 2023 Form 990PF

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2
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 ...................	3

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)	1	0
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	0
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	0
6	Credits/Payments:

a	2023 estimated tax payments and 2022 overpayment credited to 2023	6a
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	0
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.	8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......	9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...	10
11	Enter the amount of line 10 to be: Credited to 2024 estimated tax	Refunded	11

(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
Amanda Olson	Treasurer 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Javier Rodriguez	President 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Carmina Cianciulli	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Erin McHugh	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Sally Lindsley	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Jose Cantu	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Allison Howell	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Janice Edwards	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Henry Clay	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Deborah Bowles	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Nancy Martinsen	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Jennifer November	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Luis Ocasio	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Jazzie Murphy	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388
Wyatt Jackson	Trustee 1.0	0	0	0
C/O TAX DEPARTMENT PO BOX 4388 Federal Way,WA980634388

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Aidan Bartlett 9612 82nd Avenue Ct NW Gig Harbor,WA98332	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Alexa Guloy 7408 Eggshell Dr North Las Vegas,NV89084	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,443
Amanda Rodgers 1505 N Amelia St Sterling,VA20164	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Amelie Panaccione 980 Samia Avenue Boulder,CO80204	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Andie Barron 115 Ferris Dr North Prairie,WI53153	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Anna Jensen 4928 194th Ave SE Issaquah,WA98027	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,248
Arushi Tiwari 1709 Osprey Drive Audubon,PA19403	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Ashanti-Dominique Raysor 5944 Belden St Philadelphia,PA19149	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Ava Pizzuti 406 SE 3rd Street Ocala,FL34471	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Ava Robbins 3501 Plantation Drive Cookeville,TN38506	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Blez Arbolado 7103 CORNFLOWER LANE KATY,TX77494	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Brian Friedlander 22 Laura Lane Park Ridge,NJ07656	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Brianna Biniak 1261 Military West Benicia,CA94510	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,148
Brianna Falt 6710 Bright Gem Ct Eastvale,CA92880	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Buruk Ayalew 13728 Ivywood ln Silver Spring,MD20904	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,060
Casey Janelle Carreon 2015 ROSEWOOD Beaumont,TX77713	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Cassandra Pomerlee 10737 Shipley Court Cincinnati,OH45231	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Cole Crkvenac 2707 Snowbell Place New Smyrna Beach,FL32168	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,644
Dana Delmohammed 2221 San Vittorino Cir Kissimmee,FL34741	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,377
Daniel Shi 265 Litchfield Ln Houston,TX77024	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Danielle Reyes 11308 Flallon Ave Norwalk,CA90650	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Elia Gomez 3904 Diamond Loch W North Richland Hills,TX76180	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Erin Lois Arizala 620 Wolfeboro Ln Nashville,TN37221	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
FAITH ARNETT 2621 Plaza Del Amo Torrance,CA90503	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	661
Finn Garrigan 6746 S Magnolia Court Centennial,CO80112	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Gabrielle Drewry 2720 Winterbrook Ct Powhatan,VA23139	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Glancy Pat 6119 oak Bluff Way Lake Worth,FL33467	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,500
Hank Jennings 75 Prospect Terr Tenafly,NJ07670	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Hans Vladimir Relano 5419 Bison Ford Drive North Chesterfield,VA23234	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,400
Hayden Kropidlowski 2257 Count Line Rd Alden,NY14004	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Heather Jung 2621 Creekhaven Dr Flower Mound,TX75028	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Jacob Martinez 16628 Janine Dr Whittier,CA90603	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,440
Jake Riznyk 101 campbell blvd Manahawkin,NJ08050	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Jeremy Estrella 5201 CORINGA DR LOS ANGELES,CA90042	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Jessica Chen 2815 Newbury CT Pearland,TX77584	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Jillian Acosta 2716 HAULOVER BLVD DELTONA,FL32738	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Jody Araza 31 Sandpiper Drive Parlin,NJ08859	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Julia Boeyink 10909 Dautel Manor Court St Louis,MO63146	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	748
Kaitlyn Eng 2913 Adon Springs Ln Celina,TX75009	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Kambryn Dukes 4611 Hickory Dr Evans,GA30809	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Karsyn Leach 12491 Lakeside Drive Conneaut Lake,PA16316	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,608
Kateri Trujillo 1622 Willow Street Brighton,CO80602	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Katherine Hanner 2231 NE 43 Street Lighthouse Point,FL33064	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Kellyn Hemmert 4421 Chukbuk Court Hilliard,OH43026	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Kevin Bobby 325 Anna AVe Lewisville,TX75056	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Kiele Zacher 6607 159th St E Puyallup,WA98375	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Kirsten Zimmermann 1009 Lemira Cir Waukesha,WI53188	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	864
Luke Em 811 Blessing Creek Drive Euless,TX76039	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,500
Luke Lombardo 33 Auldwood Road Stamford,CT06902	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Lydia Valentino 409 Stearns Way Wake Forest,NC27587	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Maria Eckrich 10170 Chancery Ln St Louis,MO63123	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Maya Barron 115 Ferris Dr North Prairie,WI53153	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Melanie Schleis E2079 County Road A Luxemburg,WI54217	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,912
Merflor Reia Hernando 2093 Nogales Avenue Perris,CA92571	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,902
Nathalia Gaytan 4674 E Dwight way Fresno,CA93702	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Nathan Harrison 4434 N 8th St Tacoma,WA98406	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Nicole Renner 6308 s 298th Place Auburn,WA98001	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	7,000
Olivia Hunter 501 Olympia Avenue Longmont,CO80504	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Parker Brumleve 11401 Whitney Hill Road Louisville,KY40299	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Paxton Henley 211 Wood Bridge Victoria,TX77904	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Payton Bethmann 94 West Street Warwick,NY10990	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	649
Pietro Maloney 132 Heathfield Drive Sarver,PA16055	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,108
Rohan Kondapalli 2210 Terra Nova Lane San Jose,CA95121	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Sarah Tunink 2782 N David Ct Oregon,IL61061	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Sophia Danielle Bailey 24414 Ranchwood Springs Lane KATY,TX77494	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	695
Tatiana Reyes 3715 E Traditions Court Houston,TX77713	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,194
Tessa Lapradez 13425 Raceland Rd La Mirada,CA90638	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	736
Trinity Kolka 1930 N Airway Dr Sanford,MI48657	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Vaughn Summers 3601 Glen Park Rd Oakland,CA94602	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
William Flickinger 13871 West 57th Terrace Shawnee,KS66216	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Yifan (Catherine) Liu 22523 Crescent Cove ct KATY,TX77494	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,000
Angela Parks 1751 Santa Delora Walk Saint Louis,MO63138	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,102
Comfort Deh 2141 Aurelius Rd Holt,MI48842	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,015
Danielle Paul 13035 Echo Landing Dr Houston,TX77070	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	4,654
De'Seana Flowers 724 Water ST Brownsville,PA15417	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Kiarra Richardson 7602 N Chestnut Ave Kansas City,MO64119	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Nicole Robinson 2603 Eagle Canyon Dr N Kissimmee,FL34746	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	802
Patriece Henry 37 Barrows Terrace Stratford,CT06614	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Tacoya Heard 930 Folks street Waycross,GA31501	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,600
Tenecuqua White 9104 E Mansfield Ave Denver,CO80237	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Thomas Hill 3257 Patty Ann Dr Stow,OH44224	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Varlene Cooper 3042 Avenue V Apt 6A Brooklyn,NY11229	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,627
Guadalupe Aguilar 812 12th ave SE Apt S6 Puyallup,WA98372	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,178
Crystal Churn 6248 Suzy Dr Cane Ridge,TN37013	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,379
Isaac Kwakye 379 Chadwick Avenue UNIT 3 NEWARK,NJ07112	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	5,000
Laura Pino 6451 Burns Allen Ave 103 Las Vegas,NV89122	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,870
Alexandria Stephenson 10490 Palmadora St Las Vegas,NV89178	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,335
Karen Valenti 405 Beach 128th street Rockaway Park,NY11694	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,770
Janell Woodard 7978 Nolpark Ct Apt 304 Glen Burnie,MD21061	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	574
Olivia Barnes 2802 S Edison Pl Kennewick,WA99338	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,471
Alexus Charay 12636 Sun Cove Ave El Paso,TX79938	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,414
Hayden Newton 22601 NE Utah Rd Garnett,KS66032	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	2,257
Victoria Phillips 850 County Highway 36 Sycamore,OH44882	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	3,000
Jacob Luis Martinez 16628 Janine Dr Whittier,CA90603	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	1,500
Sharlene Faye Manlongat 9655 N Karlov Ave Skokie,IL60076	Child/Grandchild of DaVita Employee	I	For college education expenses: tuition, room, or board	828
Total ................................. 3a				302,213

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	450,000
2	Check .............
3	Interest on savings and temporary cash investments	6		6
4	Dividends and interest from securities...
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10
b	Gross sales price for all assets on line 6a
7	Capital gain net income (from Part IV, line 2)...
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).......
12	Total. Add lines 1 through 11........	450,006		6
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)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......	List of Attached Documents: // Content	14,721	6	14,715
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	14,721		6	14,715
25	Contributions, gifts, grants paid.......	302,213			302,213
26	Total expenses and disbursements. Add lines 24 and 25	316,934		6	316,928
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	133,072
b	Net investment income (if negative, enter -0-)			0
c	Adjusted net income (if negative, enter -0-)...

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	107,101	240,172	240,172
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	107,101	240,172	240,172
	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 )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		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	107,100	240,172
	29	Total net assets or fund balances (see instructions).....	107,100	240,172
	30	Total liabilities and net assets/fund balances (see instructions).	107,100	240,172

(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.)
1a
b
c
d
e

(e) Gross sales price		(f) Depreciation allowed (or allowable)	(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
b
c
d
e


(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...................

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

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	THE FOUNDATION WAS FUNDED ON 12/21/2000. DURING THE YEAR SCHOLARSHIPS WERE PAID TO CHILDREN/GRANDCHILDREN OF DAVITA EMPLOYEES AND TO DAVITA TEAMMATES.	302,213
2


3


4

		(a) Corpus	(b) Years prior to 2022	(c) 2022	(d) 2023
1 Distributable amount for 2023 from Part X, line 7					17,023
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......				0
b Total for prior years:2021, 2020, 2019			0
3 Excess distributions carryover, if any, to 2022:
a From 2018......	146,292
b From 2019......	125,694
c From 2020......	114,860
d From 2021......	28,495
e From 2022......	327,532
f Total of lines 3a through e ........		742,873
4Qualifying distributions for 2023 from Part
XI, line 4: $ 316,928
a Applied to 2022, 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 2023 distributable amount.....					17,023
e Remaining amount distributed out of corpus		299,905
5 Excess distributions carryover applied to 2023.
(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		1,042,778
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 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) .......
8 Excess distributions carryover from 2018 not applied on line 5 or line 7 (see instructions) ...		146,292
9 Excess distributions carryover to 2024. Subtract lines 7 and 8 from line 6a ......		896,486
10 Analysis of line 9:
a Excess from 2019....	125,694
b Excess from 2020....	114,860
c Excess from 2021....	28,495
d Excess from 2022....	327,532
e Excess from 2023....	299,905

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	(e) Total

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

bApproved for future payment
See Statement PO Box 4388 Federal Way,WA98063	I	For college education expenses: tuition, room, or board.	0
Total ................................. 3b			127,561

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	(e) Related or exempt function income (See instructions.)
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	6
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..				6

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Name of organization DaVita Children's Foundation

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	DaVita Inc PO Box 4388 Federal Way, WA98003	$ 50,000	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
2	Davita Inc PO Box 4388 Federal Way, WA98003	$ 400,000	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Name of organization DaVita Children's Foundation		Employer identification number 33-0932587

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)

Software ID:
Software Version:


Name of organization DaVita Children's Foundation			Employer identification number 33-0932587
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.) $ Use duplicate copies of Part III if additional space is needed.

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
BANK CHARGES	696	6	690
REGISTRY OF CHARITABLE TRUST	100		100
SERVICE CHARGE - ISTS ADMINIST	13,925		13,925