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
The Owens & Minor Foundation
 
% ACCOUNTING DEPARTMENT
Number and street (or P.O. box number if mail is not delivered to street address)9120 LOCKWOOD BOULEVARD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MECHANICSVILLE, VA23116
A Employer identification number

86-2820089
B Telephone number (see instructions)

(804) 723-7000
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$7,905,349
J 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      
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)....... 31,297    
12 Total. Add lines 1 through 11........ 31,297 0  
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)....        
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)....... 6,773      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 6,773 0   0
25 Contributions, gifts, grants paid....... 876,575 876,575
26 Total expenses and disbursements. Add lines 24 and 25 883,348 0   876,575
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -852,051
b Net investment income (if negative, enter -0-) 0
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............. 8,757,400 7,905,349 7,905,349
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)      
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)..........      
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) 8,757,400 7,905,349 7,905,349
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...........    
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 10,000,000 10,000,000
28 Retained earnings, accumulated income, endowment, or other funds -1,242,600 -2,094,651
29 Total net assets or fund balances (see instructions)..... 8,757,400 7,905,349
30 Total liabilities and net assets/fund balances (see instructions). 8,757,400 7,905,349
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
8,757,400
2
Enter amount from Part I, line 27a .....................
2
-852,051
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
7,905,349
5
Decreases not included in line 2 (itemize) right arrow
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
7,905,349
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.)
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 (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
b
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  
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 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.......right arrow 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   Refundedright arrow 11  
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$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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 arrowVA
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 arrowN/A
14
The books are in care ofright arrowACCOUNTING DEPARTMENT Telephone no.right arrow (804) 723-7000

Located atright arrow9120 LOCKWOOD BOULEVARDMECHANICSVILLEVA ZIP+4right arrow23116
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)
 
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
FAITH CRISTOL PRESIDENT, DIRECTOR
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
NANCY DUVAL VICE PRESIDENT & SECRETARY
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
MELINDA MITCHELL TREASURER
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
TAMARA THORNTON VICE PRESIDENT - COMMUNITY ENG
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
EDWARD PESICKA CHAIRMAN
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
HEATH GALLOWAY DIRECTOR
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
JANICE TUCCIARONE DIRECTOR
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
NEEL VADHAN DIRECTOR
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
TAMMY GOMEZ DIRECTOR
0
0 0 0
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
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 (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
 
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 (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
0
b
Average of monthly cash balances.......................
1b
8,482,272
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
8,482,272
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
8,482,272
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
127,234
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
8,355,038
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
417,752
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
417,752
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
0
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
0
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
417,752
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
417,752
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
417,752
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
876,575
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
876,575
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 7 417,752
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......  
b From 2019......  
c From 2020......  
d From 2021...... 277,994
e From 2022...... 409,083
f Total of lines 3a through e ........ 687,077
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 876,575
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..... 417,752
e Remaining amount distributed out of corpus 458,823
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 1,145,900
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) ...
 
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
1,145,900
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020....  
c Excess from 2021.... 277,994
d Excess from 2022.... 409,083
e Excess from 2023.... 458,823
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).)
NA
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.
NA
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:
THE OWENS MINOR FOUNDATION
9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116
(804) 723-7000
bThe form in which applications should be submitted and information and materials they should include:
REQUESTS FOR DONATIONS CAN BE MADE AT OWENS-MINOR.COM/ABOUT/THE-OWENS-MINOR-FOUNDATION. THE INFORMATION AND MATERIALS TO BE INCLUDED ARE OUTLINED ON THE ABOVE MENTIONED WEBSITE.
cAny submission deadlines:
SUBMISSIONS CAN BE MADE AT ANY POINT IN TIME DURING THE CALENDAR YEAR.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE OWENS & MINOR FOUNDATION IS DEDICATED TO MAKING IMPACTFUL INVESTMENTS TO CHARITABLE AND CIVIC ORGANIZATIONS IN THE COMMUNITIES WE SERVE AND WILL FOCUS PRIMARILY IN THE THREE AREAS OF ENVIRONMENT, HEALTHCARE, AND DIVERSITY & INCLUSION.
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

BOYS & GIRLS CLUB OF METRO ATLANTA

2880 DRESDEN DRIVE
CHAMBLEE,GA30341
    Boys & Girls Clubs of Metro Atlanta will create opportunities to help more kids and teens achieve great futures. Programs include: Academic & Workforce Success, Character & Leadership and Healthy Lifestyles. 10,000

RONALD MCDONALD HOUSE CHARITIES

110 NORTH CARPENTER STREET
CHICAGO,IL60607
    Ronald McDonald House (RMHC) mission is to create, find and support programs that directly improve the health and wellbeing of children. Guiding us in our mission are our core values: Lead with compassion. Focus on the critical needs of children. 500,000

UNITED NEGRO COLLEGE FUND

1805 7TH STREET NW
WASHINGTON,DC20001
    UNCF Emergency Student Aid (ESA) Program- This program helps UNCF students stay in college and complete their degrees. It makes the following six emergency aid funding options available to students attending UNCF-member institutions: Degree Completion Aid; Emergency Retention Grants; Emergency Loans; Food Insecurity Grants; Housing Insecurity Payments; Natural Disaster Relief Fund 5,000

AMERICAN CANCER SOCIETY

3380 Chastain Meadows Pkwy NW
Suite 200
Kennesaw,GA30144
    Making Strides Against Breast Cancer - By uniting our communities and raising money, we can help the American Cancer Society fund breakthrough breast cancer research, provide free information and support, and help people reduce their breast cancer risk or find it early when it may be more treatable. 5,000

MAKE-A-WISH GREATER BAY AREA

1333 Broadway
Suite 200
Oakland,CA94612
    We fulfill the wishes of children between the ages of 2 1/2 and 18 who have critical illnesses. We serve 17 counties in Northern California, from Siskiyou to Monterey. Our chapter has granted more than 9,000 wishes to date and grants around 350 life-changing wishes per year. 8,230

MAKE-A-WISH FOUNDATION NEW JERSEY

1384 Perrineville Road
Monroe Township,NJ08831
    MAKE-A-WISH FOUNDATION CREATES LIFE-CHANGING WISHES FOR CHILDREN WITH CRITICAL ILLNESSES DURING THEIR DARKEST DAYS. 9,345

SPECIAL OLYMPICS GEORGIA

6046 Financial Drive
Norcross,GA30071
    Our mission is to provide year-round sports training and athletic competition in a variety of Olympic-type sports for all children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy, and participate in the sharing of gifts, skills and friendship with their families, other Special Olympics athletes, and the community. 25,000

SPECIAL OLYMPICS WISCONSIN

6582 Ronald Reagan Ave
Madison,WI53704
    We provide year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilties. This gives them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympic athletes and the community. 5,000

AMERICAN HEART ASSOICATION

7272 Greenville Ave
Dallas,TX75231
    THE MISSION OF THE AMERICAN HEART SOCIETY IS TO BE A RELENTLESS FORCE FOR A WORLD OF LONGER, HEALTHIER LIVES AND TO ADVANCE HEALTH AND HOPE FOR EVERYONE, EVERYWHERE. 10,000

FEEDING WESTCHESTER

200 Clearbrook Road
Elmsford,NY10523
    FEEDING WESTCHESTER IS AT THE HEART OF A NETWORK THAT EXPERTLY SOURCES AND DISTRIBUTES FOOD AND RESOURCES TO PEOPLE WHO ARE HUNGRY IN TOWNS ACROSS WESTCHESTER. THEIR MISSION IS TO NOURISH THEIR NEIGHBORS IN THE FIGHT AGAINST HUNGER. 15,000

ASIAN AMERICAN LEADERSHIP EMPOWERMENT & DEVELOPMEN

14 Ridge Square NW
Suite 300
Washington,DC20016
    THE MISSION OF AALEAD IS TO EMPOWER AAPI YOUTH IN UNDERSERVED COMMUNITIES THROUGH CULTURALLY RESPONSIVE PROGRAMMING AND ADVOCACY. 6,000

ASIA MENTAL HEALTH COLLECTIVE

613 Park Lane
Friendswood,TX77546
    THE MISSION OF AMHC IS TO NORMALIZE AND DE-STIGMATIZE MENTAL HEALTH WITHIN THE ASIAN COMMUNITY. THEY INSPIRE TO MAKE MENTAL HEALTH EASILY AVAILABLE, APPROACHABLE, AND ACCESSIBLE TO ASIAN COMMUNITIES WORLDWIDE. 4,000

DRESS FOR SUCCESS

1040 Avenue of the Americas
Floor 19
New York,NY10018
    THE MISSION OF DRESS FOR SUCCESS IT TO EMPOWER WOMEN TO ACHIEVE ECONOMIC INDEPENDENCE BY PROVIDING A NETWORK OF SUPPORT, PROFESSIONAL ATTIRE, AND THE DEVELOPMENT TOOLS TO HELP WOMEN THRIVE IN WORK AND IN LIFE. THEY PROVIDE WOMEN WITH THE SERVICES, TOOLS AND PROFESSIONAL ATTIRE TO SECURE EMPLOYMENT AND ADVANCE THEIR CAREERS. THEIR PROGRAMS EQUIP WOMEN WITH CONFIDENCE AND COMMUNITY WHICH HELPS BUILD SELF-DEFINED SUCCESS AND BOTH PROFESSIONAL AND PERSONAL RENEWAL. 5,000

ENCIRCLE FAMILY & YOUTH RESOURCES

331 S 600 E
Salt Lake City,UT84102
    ENCIRCLE FAMILY & YOUTH RESOURCES ENVISIONS A WORLD WHERE LGBTQ+ YOUTH KNOW THEY ARE LOVED, LOVE THEMSELVES AND HAVE HOPE FOR A BRIGHT FUTURE. THEY PROVIDE ESSENTIAL MENTAL HEALTH SERVICES TO LGBTQ+ YOUTH,YOUNG ADULTS, & FAMILIES. THESE SERVICES PROVIDE A SAFE & SUPPORTIVE SPACE FOR LGBTQ+ YOUTH,YOUNG ADULTS, & FAMILIES TO EXPLORE THEIR IDENTITIES, NURTURE HEALTHTY SOCIAL CONNECTIONS, DEVELOP ESSENTIAL EMOTIONAL AND PSYCHOLOGICAL SKILLS, AND FOSTER POSITIVE WELL-BEING THROUGH AUTHENTICITY. 3,000

HANOVER EDUCATION FOUNDATION

200 Berkley Street
Ashland,VA23005
    THE MISSION OF THE HANOVER EDUCATION FOUNDATION IS TO DEVELOP AND SUSTAIN COMMUNITY AND BUSINESS PARTNERSHIPS, AND SERVE AS EFFECTIVE STEWARDS OF RESOURCES, TO CREATE QUALITY EDUCATIONAL OPPORUNITIES THAT PROMOTE HIGH PERFORMANCE IN ALL STUDENTS IN HANOVER COUNTY SCHOOLS. 10,000

INROADS INC

10 South Broadway
Suite 800
St Louis,MO63102
    INROADS CREATES PATHWAYS TO CAREERS FOR ETHNICALLY DIVERSE HIGH SCHOOL AND COLLEGE STUDENTS ACROSS THE COUNTRY. THEY POSITION THEIR GRADUATES TO ADVANCE IN THEIR CAREERS AND HELP EMPLOYERS FOSTER DIVERSE AND INCLUSIVE WORKPLACES. THEIR MISSION IS TO DELIVER INNOVATIVE LEADERSHIP DEVELOPMENT PROGRAMS AND CREATIVE SOLUTIONS THAT IDENTIFY, ACCELERATE, AND ELEVATE UNDERREPRESENTED TALENT THROUGHOUT THEIR CAREERS. 5,000

MEALS BY GRACE

775 Sanders Road
Cumming,GA30041
    MEALS BY GRACE IS A NO-COST MEAL PROGRAM FOCUSED TO HELP FEED CHILDREN AND THEIR FAMILIES. GENERALLY THESE FAMILIES HAVE BEEN IDENTIFIED AS HAVING SPECIAL NEED BY SCHOOL SYSTEM SOCIAL WORKERS, SOCIAL WORKERS, AND OR CHURCH OR COMMUNITY LEADERS. THESE FAMILIES MAY HAVE LIMITED OR UNRELIABLE TRANSPORTATION, EXPERIENCE FREQUENT FOOD INSECURITY OR ARE WORKING TO OVERCOME A MAJOR HEALTH OR WORK LOSS EVENT. 4,000

MUTTS WITH A MISSION

2700 Shirley Landing Drive
Virginia Beach,VA23457
    THE MISSION OF MUTTS WITH A MISSION IS TO PROVIDE SELECTED, SPECIALLY TRAINED SERVICE/ASSISTANCE DOGS TO QUALIFIED VETERANS, WOUNDED WARRIORS, LAW ENFORCEMENT OFFICERS, FEDERAL WORKERS FROM AGENCIES SUPPORTING THE MILITARY OR NATIONAL SECURITY, AND FIRST RESPONDERS; TO ALLOW QUALIFIED CANDIDATES THE OPPORTUNITY TO OWNER-TRAINED QUALIFIED DOGS AS SERVICE DOGS; TO SOLICIT FUNDS FOR THE ABOVE PURPOSES; AND TO HELP THE WOUNDED WARRIORS, VETERANS, LAW ENFORCEMENT OFFICERS, FEDERAL AGENTS, AND FIRST RESPONDERS OF THE UNITED STATES OF AMERICA. 5,000

SIDE BY SIDE VA

2311 Westwood Ave
Richmond,VA23230
    SIDE BY SIDE IS DEDICATED TO CREATING SUPPORTIVE COMMUNITIES WHERE VIRGINIA'S LGBTQ+ YOUTH CAN DEFINE THEMSELVES, BELONG AND FLOURISH. 4,000

THE ATTIC YOUTH CENTER

255 South 16th Street
Philadelphia,PA19102
    THE ATTIC YOUTH CENTER CREATES OPPORTUNITIES FOR LGBTQ YOUTH TO DEVELOP INTO HEALTHY, INDEPENDENT, CIVIC-MINDED ADULTS WITHIN A SAFE AND SUPPORTIVE COMMUNITY AND PROMOTES THE ACCEPTANCE OF LGBTQ YOUTH IN SOCIETY. 3,000

WOUNDED WARRIOR PROJECT

4899 Belfort Road Suite 300
Jacksonville,FL32256
    THE WWP MISSION IS TO HONOR AND EMPOWER WOUNDED WARRIORS WHO INCURRED A PHYSICAL OR MENTAL INJURY, ILLNESS OR WOUND, CO-INCIDENT TO THEIR MILITARY SERVICE ON OR AFTER SEPTEMBER 11, 2001. FAMILY MEMBERS OR CAREGIVERS OF A WOUNDED WARRIOR MAY ALSO BE ELIGIBLE FOR THE PROGRAM. 5,000

BOYS & GIRLS CLUB OF METRO RICHMOND

100 Everett Street 1
Richmond,VA23224
    THE BOYS & GIRLS CLUB OF METRO RICHMOND IS DEEPLY CONNECTED TO ITS SURROUNDING COMMUNITY, FOCUSING ON PROVIDING THE SPECIFIC SKILLS, INTERESTS AND SUPPORT THAT BEST SUIT MEMBERS' NEEDS WHILE MEETING THE ULTIMATE GOAL OF PREPARING YOUTH TO BE LIFE-READY. THE CLUB IS A PLACE FOR ALL YOUTH TO REALIZE THEIR POTENTIAL TO SUCCEED, NO MATTER WHERE THEY COME FROM OR WHAT THEY HAVE BEEN THROUGH. 5,000

HANOVER & KING WILLIAM HABITAT FOR HUMANITY

PO Box 2604
Mechanicsville,VA23116
    HABITAT FOR HUMANITY IS DRIVEN BY THE VISION OF A WORLD WHERE EVERYONE HAS A DECENT PLACE TO LIVE. THEY SEEK TO PUT GOD'S LOVE INTO ACTION BY BRINGING PEOPLE TOGETHER TO BUILD HOMES, COMMUNITIES & HOPE. THE TWO PROGRAMS OFFERED ARE HOMEOWNERSHIP AND CRITICAL REPAIRS. THEY PARTNER WITH INDIVIDUALS AND FAMILIES FROM THE APPLICATION THROUGH CONSTRUCTION UNTIL THE KEYS ARE HANDED OVER. THEIR REPAIR PROGRAM OFFERS REDUCED COST REPAIRS TO LOCAL HOMEOWNERS TO MAKE THEIR HOUSES ACCESSIBLE, LIVABLE, AND ENERGY EFFICIENT. 5,000

THE DOORWAYS

612 East Marshall Street
Richmond,VA23219
    THE DOORWAYS PROVIDES A HEALING, EMOTIONALLY SUPPORTIVE ENVIRONMENT FOR THOSE WHO NEED TO BE CLOSE TO THE HOSPITAL BUT NOT FAR FROM THE FEELING OF "HOME". THEY ARE RICHMOND'S PREMIER PROVIDER OF TEMPORARY LODGING AND NON-MEDICAL SERVICES TO PATIENTS AND THEIR FAMILIES REFERRED THROUGH OUR PARTICIPATING RICHMOND-AREA HOSPITAL PARTNERS. 5,000

CHATTAHOOCHEE RIVERKEEPER

6020 River View Road SE
Suite 100
Smyrna,GA30126
    THE MISSION OF CHATTAHOOCHEE RIVERKEEPER IS TO EDUCATE, ADVOCATE AND SECURE THE PROTECTION AND STEWARDSHIP OF THE CHATTAHOOCHEE RIVER, INCLUDING ITS LAKES, TRIBUTARIES, AND WATERSHED, IN ORDER TO RESTORE AND CONSERVE THEIR ECOLOGICAL HEALTH FOR THE PEOPLE AND WILDLIFE THAT DEPEND ON THE RIVER SYSTEM AND IN RECOGNITION OF THE IMPORTANT ECOSYSTEM FUNCTIONS PROVIDED THROUGHOUT THE REGION AND PLANET. 20,000

THE CONSERVATION FOUNDATION

105404 Knoch Knolls Road
Naperville,IL60565
    THE MISSION OF THE CONSERVATION FOUNDATION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PRESERVING AND RESTORING NATURAL AREAS AND OPEN SPACE, PROTECTING RIVERS AND WATERSHEDS, AND PROMOTING STEWARDSHIP OF THE ENVIRONMENT. 20,000

FRIENDS OF GREAT SALT LAKE

150 South 600 East
Suite 5D
Salt Lake City,UT84102
    THE MISSION OF FRIENDS IS TO PRESERVE AND PROTECT THE GREAT SALT LAKE ECOSYSTEM AND TO INCREASE PUBLIC AWARENESS AND APPRECIATION OF THE LAKE THROUGH EDUCATION, RESEARCH, ADVOCACY AND THE ARTS. THEIR LONG-TERM VISION IS TO ACHIEVE COMPREHENSIVE WATERSHED-BASED RESTORATION AND PROTECTION FOR THE GREAT SALT LAKE ECOSYSTEM. 20,000

LOS ANGELES WATERKEEPER

360 E 2nd Street
Suite 250
Los Angeles,CA90012
    THE LOS ANGELES WATERKEEPER'S MISSION IS TO FIGHT FOR THE HEALTH OF THE REGION'S WATERWAYS, AND FOR SUSTAINABLE, EQUITABLE, AND CLIMATE-FRIENDLY WATER SUPPLIES. THEY ENVISION THE LOS ANGELES REGION AS AN INTERNATIONAL LEADER ON INTEGRATED, SUSTAINABLE AND EQUITABLE WATER MANAGEMENT; A REGION THAT IS WATER SELF-SUFFCIENT, AND WHERE ALL WATERWAYS THROUGHOUT THE COUNTY ARE SAFE, HEALTHY AND ACCESSIBLE TO THE PUBLIC. 20,000

SAVE THE SOUND

127 Church Street 2nd Floor
New Haven,CT06510
    THE MISSION OF SAVE THE SOUND IS TO PROTECT AND IMPROVE THE LAND, AIR AND WATER OF CONNECTICUT AND LONG ISLAND SOUND. THEY USE LEGAL AND SCIENTIFIC EXPERTISE AND BRING PEOPLE TOGETHER TO ACHIEVE RESULTS THAT BENEFIT THE ENVIRONMENT FOR CURRENT AND FUTURE GENERATIONS. 20,000

HOMES FOR OUR TROOPS

6 Main Street
Taunton,MA02780
    THE MISSION OF HOMES FOR OUR TROOPS IS TO BUILD AND DONATE SPECIALLY ADAPTED CUSTOM HOMES NATIONWIDE FOR SEVERELY INJURED POST-9/11 VETERANS, TO ENABLE THEM TO REBUILD THEIR LIVES. 10,000

MAUI STRONG FUND

444 Hana Hwy
Suite 201
Kahului,HI96732
    THE MAUI STRONG FUND IS PROVIDING FINANCIAL RESOURCES TO SUPPORT THE IMMEDIATE AND LONG-TERM RECOVERY NEEDS FOR THE PEOPLE AND PLACES AFFECTED BY THE DEVASTATING MAUI WILDFIRES. 10,000

HOPE FOR THE WARRIORS

8003 Forbes Place
Suite 320
Springfield,VA22151
    HOPE FOR THE WARRIORS PROVIDES COMPREHENSIVE SUPPORT PROGRAMS FOR SERVICE MEMBERS, VETERANS, AND MILITARY FAMILIES THAT ARE FOCUSED ON TRANSITION, HEALTH AND WELLNESS, PEER ENGAGEMENT, AND CONNECTIONS TO COMMUNITY RESOURCES. 90,000

CANDLELIGHTERS CHILDHOOD CANCER FOUNDATION

8990 Spanish Ridge Ave
Suite 100
Las Vegas,NV89148
    THE MISSION OF CANDLELIGHTERS IS TO PROVIDE EMOTIONAL SUPPORT, QUALITY OF LIFE PROGRAMS, AND FINANCIAL ASSISTANCE FOR CHILDREN AND THEIR FAMILIES AFFECTED BY CHILDHOOD CANCER WITH THE GOAL OF ALLOWING THEM TO FOCUS ON THE JOURNEY, AND MOST IMPORTANTLY, LOVING THEIR CHILD. 2,500

HUNTINGTON'S DISEASE SOCIETY OF AMERICA

505 EIGHTH AVENUE
SUITE 1402
NEW YORK,NY10018
    THE MISSION OF THE HUNTINGTON'S DISEASE SOCIETY OF AMERICA IS TO IMPROVE THE LIVES OF EVERYONE AFFECTED BY HUNTINGTON'S DISEASE AND THEIR FAMILIES. 2,500
Total .................................right arrow 3a 876,575
bApproved for future payment
Total ................................. right arrow 3b  
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 ....          
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:
aREIMBURSEMENT OF BANK FEES
        31,297
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..     31,297
13Total. Add line 12, columns (b), (d), and (e)..................
13
31,297
(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

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

TY 2023 DepreciationSchedule
Name:
The Owens & Minor Foundation
EIN:
86-2820089
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 2023 OtherExpensesSchedule
Name:
The Owens & Minor Foundation
EIN:
86-2820089
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK FEES 6,773      


TY 2023 OtherIncomeSchedule2
Name:
The Owens & Minor Foundation
EIN:
86-2820089
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
REIMBURSEMENT OF BANK FEES 31,297