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
OSAIC FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)18700 N HAYDEN ROAD 255
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SCOTTSDALE, AZ852556787
A Employer identification number

92-1472515
B Telephone number (see instructions)

(602) 339-8555
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$165,568J Accounting method:
Modified Cash
(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) 802,500
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)... 0
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........ 802,500 0  
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
20,000 0   20,000
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)....... Click to see attachment
List of Attached Documents:
// Content
19,707 0   19,707
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 39,707 0   39,707
25 Contributions, gifts, grants paid....... 597,225 597,225
26 Total expenses and disbursements. Add lines 24 and 25 636,932 0   636,932
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 165,568
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.............   165,568 165,568
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) 0 165,568 165,568
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...........   165,568
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)..... 0 165,568
30 Total liabilities and net assets/fund balances (see instructions). 0 165,568
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
0
2
Enter amount from Part I, line 27a .....................
2
165,568
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
165,568
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
165,568
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 0
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 0
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 0
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 0
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 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$ 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 arrowAZ
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. Click to see attachment
List of Attached Documents:
// Content
...............................
10
Yes
 
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 arrowPKF O'CONNOR DAVIES Telephone no.right arrow (914) 381-8900

Located atright arrow500 MAMARONECK AVENUE SUITE 301HARRISONNY ZIP+4right arrow105281633
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)
Yes
 
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(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
 
No
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
LON DOLBER DIRECTOR, CHAIRMAN
4.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
ERINN FORD DIRECTOR, PRESIDENT
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
DAWN COLLIER DIRECTOR, EXECUTIVE VICE PRESIDENT
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
DAMON JOYNER DIRECTOR, EVP, BEGAN FEB 2023
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
DALCHAND LALJIT DIRECTOR, EVP, BEGAN FEB 2023
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
DIMPLE SHAH DIRECTOR, EXECUTIVE VICE PRESIDENT
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
JEFF SILLS DIRECTOR, EXECUTIVE VICE PRESIDENT
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
PATRICK BRENNAN EXECUTIVE DIRECTOR, BEGAN AUG 2023
20.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
AIYISHA ADAMS SECRETARY, BEGAN DEC 2023
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
GABRIELLE PORCH SECRETARY, THRU DEC 2023
3.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
NGOC BODINE TREASURER
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
JOSHUA DUNFORD ASSISTANT SECRETARY, BEGAN DEC 2023
2.00 		0 0 0
18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787
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
0
b
Average of monthly cash balances.......................
1b
316,304
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
316,304
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
316,304
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
4,745
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
311,559
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
15,578
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
15,578
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
 
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
15,578
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
15,578
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
15,578
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
636,932
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
636,932
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 15,578
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......  
b From 2019......  
c From 2020......  
d From 2021......  
e From 2022......  
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 636,932
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..... 15,578
e Remaining amount distributed out of corpus 621,354
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 5 621,354
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) ... 		0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		621,354
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020....  
c Excess from 2021....  
d Excess from 2022....  
e Excess from 2023.... 621,354
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 email address of the person to whom applications should be addressed:
bThe form in which applications should be submitted and information and materials they should include:
cAny submission deadlines:
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (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

1N10 INC DBA ONE N TEN

1101 N CENTRAL AVE SUITE 202
PHOENIX,AZ85004 		N/A PC GENERAL OPERATING SUPPORT 2,000

A NEED WE FEED INC

19 ROUND HILL ROAD
JACKSON,NJ08527 		N/A PC GENERAL OPERATING SUPPORT 1,500

AARON'S PRESENTS

10 KIRK STREET
LOWELL,MA01852 		N/A PC GENERAL OPERATING SUPPORT 1,500

ACHIEVE SERVICES INC

1201 89TH AVE NE 105
BLAINE,MN55434 		N/A PC GENERAL OPERATING SUPPORT 250

ALL PLAY MIRACLE BASEBALL LEAGUE

1229 N 97TH PLAZA
OMAHA,NE68114 		N/A PC GENERAL OPERATING SUPPORT 2,000

ALMOSTFREETOALL INC

PO BOX 254
AUBURN,CA95604 		N/A PC GENERAL OPERATING SUPPORT 1,000

ALT-WOOD AREA ZONTA FOUNDATION

3310 MORKEL DR
GODFREY,IL62035 		N/A PC GENERAL OPERATING SUPPORT 825

AMERICAN LEGION MANDARIN FALLEN HEROES POST 372

11250-15 OLD ST AUGUSTINE ROAD
JACKSONVILLE,FL32257 		N/A PC GENERAL OPERATING SUPPORT 2,000

AMIRA'S HOUSE

PO BOX 240
KELLER,TX76244 		N/A PC GENERAL OPERATING SUPPORT 1,000

ANDOVER MA JUNIOR FOOTBALL LEAGUE

9 BARTLETT ST 5
ANDOVER,MA01810 		N/A PC GENERAL OPERATING SUPPORT 500

ANGELS & SPARROWS

15016 N OLD STATESVILLE RD
HUNTERSVILLE,NC28070 		N/A PC GENERAL OPERATING SUPPORT 1,000

ANNE GRADY SERVICES

1525 EBER RD
HOLLAND,OH43528 		N/A PC GENERAL OPERATING SUPPORT 825

APPLETON LITTLE LEAGUE

PO BOX 234
APPLETON,WI54912 		N/A PC GENERAL OPERATING SUPPORT 1,500

ARC OF THE TREASURE COAST INC

2001 S KANNER HIGHWAY
STUART,FL34994 		N/A PC GENERAL OPERATING SUPPORT 1,000

ASSOCIATION FOR AUTISM AND NEURODIVERSITY

85 MAIN STREET
WATERTOWN,MA02472 		N/A PC GENERAL OPERATING SUPPORT 1,000

ASSOCIATION OF CHINESE AMERICANS INC

32585 CONCORD DRIVE
MADISON HEIGHTS,MI48071 		N/A PC GENERAL OPERATING SUPPORT 1,500

AUSTIN SUNSHINE CAMPS

PO BOX 161270
AUSTIN,TX78716 		N/A PC GENERAL OPERATING SUPPORT 1,360

BACK 2 SCHOOL AMERICA

1946 W IRVING PARK RD
CHICAGO,IL60613 		N/A PC GENERAL OPERATING SUPPORT 5,000

BALTIMORE HUNGER PROJECT

9596 DEERECO ROAD
TIMONIUM,MD21093 		N/A PC GENERAL OPERATING SUPPORT 2,500

BERKS COUNTY COMMUNITY FOUNDATION

237 COURT ST
READING,PA19601 		N/A PC GENERAL OPERATING SUPPORT 1,000

BEST PREP

7100 NORTHLAND CIRCLE N 120
BROOKLYN PARK,MN55428 		N/A PC GENERAL OPERATING SUPPORT 1,400

BEYOND HOUSING

6506 WRIGHT WAY
PINE LAWN,MO63121 		N/A PC GENERAL OPERATING SUPPORT 100,000

BEYOND THE SANCTUARY INC

549 CLARISSA ST
ROCHESTER,NY14608 		N/A PC GENERAL OPERATING SUPPORT 3,000

BLESSINGS OF HOPE

500 BECKER RD
LEOLA,PA17540 		N/A PC GENERAL OPERATING SUPPORT 500

BLOOM SYNDROME ASSOCIATION INC

PO BOX 727
HANOVER,NH03755 		N/A PC GENERAL OPERATING SUPPORT 1,500

BOB CRAIG YOUTH FOUNDATION

PO BOX 46
CAMP HILL,PA17001 		N/A PC GENERAL OPERATING SUPPORT 625

BOB'S BIG GIVE

55 EAST TERRACE
PORTSMOUTH,RI02871 		N/A PC GENERAL OPERATING SUPPORT 825

BONNIE BRAE

3415 VALLEY RD
LIBERTY CORNER,NJ07938 		N/A PC GENERAL OPERATING SUPPORT 2,000

BORDER PAWS DOG RESCUE

3306 EDWARDS ST
RAPID CITY,SD57701 		N/A PC GENERAL OPERATING SUPPORT 1,500

BOY SCOUTS OF AMERICA GRAND CANYON COUNCIL

8840 E CHAPARRAL ROAD SUITE 200
SCOTTSDALE,AZ85250 		N/A PC GENERAL OPERATING SUPPORT 250

BREAKFAST CLUB FOR SENIORS

1498 REVERE ROAD
YARDLEY,PA19067 		N/A PC GENERAL OPERATING SUPPORT 1,500

BREVARD SOCCER ALLIANCE INCBREVARD SOCCER ACADEMY

PO BOX 120125
MELBOURNE,FL32912 		N/A PC GENERAL OPERATING SUPPORT 625

BROOKLYN JESUIT PREP

925 EAST 37TH STREET
BROOKLYN,NY11210 		N/A PC GENERAL OPERATING SUPPORT 3,000

BUCKTAIL COUNCIL SCOUTS OF AMERICA

209 FIRST STREET
DUBOIS,PA15801 		N/A PC GENERAL OPERATING SUPPORT 500

CAMP GOOD DAYS AND SPECIAL TIMES INC

1332 PITTSFORD-MENDON RD
MENDON,NY14506 		N/A PC GENERAL OPERATING SUPPORT 1,000

CAMP HOT SHOTS

PO BOX 1731
COUNCIL BLUFFS,IA51502 		N/A PC GENERAL OPERATING SUPPORT 1,000

CAN DO CANINES

9440 SCIENCE CENTER DRIVE
NEW HOPE,MN55428 		N/A PC GENERAL OPERATING SUPPORT 1,500

CAPITOL CENTER FOR THE ARTS

44 SOUTH MAIN STREET
CONCORD,NH03301 		N/A PC GENERAL OPERATING SUPPORT 2,000

CAREGIVER VOLUNTEERS OF CENTRAL JERSEY

NORTH SUITE 201 HOOPER AVE 1ST
FLOOR
TOMS RIVER,NJ08753 		N/A PC GENERAL OPERATING SUPPORT 2,000

CARLSBAD COMMUNITY GARDENS COLLABORATIVE

3060 BLENKARNE DRIVE
CARLSBAD,CA92008 		N/A PC GENERAL OPERATING SUPPORT 1,500

CASPER FAMILY YMCA

1611 CASPER MOUNTAIN ROAD
CASPER,WY82601 		N/A PC GENERAL OPERATING SUPPORT 625

CATERINA GRACE FOUNDATION

200 BROMPTON RD
GARDEN CITY,NY11530 		N/A PC GENERAL OPERATING SUPPORT 2,000

CENTERFORCE

5204 SOLBERG DR SW
LAKEWOOD,WA98499 		N/A PC GENERAL OPERATING SUPPORT 2,000

CENTRAL VIRGINIA LIONS HEARING AID BANK

10286 STAPLES MILL ROAD 131
GLEN ALLEN,VA23060 		N/A PC GENERAL OPERATING SUPPORT 4,000

CHICAGO ZOOLOGICAL SOCIETY

3300 GOLF ROAD
BROOKFIELD,IL60513 		N/A PC GENERAL OPERATING SUPPORT 1,000

CHILD JUSTICE INC

8720 GEORGIA AVENUE
SILVER SPRING,MD20910 		N/A PC GENERAL OPERATING SUPPORT 2,500

CHILDREN'S HOMES OF IREDELL COUNTY

134 E WATER STREET
STATESVILLE,NC28677 		N/A PC GENERAL OPERATING SUPPORT 2,000

COAST TO COAST LEGAL AID OF SOUTH FLORIDA

491 NORTH STATE ROAD 7 2ND FLOOR
PLANTATION,FL33317 		N/A PC GENERAL OPERATING SUPPORT 1,000

COCO'S HEART DOG RESCUE

449 COUNTY RD VV
SOMERSET,WI54025 		N/A PC GENERAL OPERATING SUPPORT 250

COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER DBA LIFEPATH SYSTEMS

1515 HERITAGE DRIVE
MCKINNEY,TX75069 		N/A PC GENERAL OPERATING SUPPORT 1,500

COMMUNITY BOATING INC

21 DAVID G MUGAR WAY
BOSTON,MA02114 		N/A PC GENERAL OPERATING SUPPORT 700

CONNECTICUT STATE GRANGE FOUNDATION FBO WALLINGFORD GRANGE #33

PO BOX 3
WINCHESTER CENTER,CT06094 		N/A PC GENERAL OPERATING SUPPORT 500

CROSSROADS4HOPE

3 CROSSROADS DRIVE
BEDMINSTER,NJ07921 		N/A PC GENERAL OPERATING SUPPORT 5,000

CTK LIFE RECOVERY

1700 E PENNSYLVANIA AVE
COEUR DALENE,ID83814 		N/A PC GENERAL OPERATING SUPPORT 1,360

CYT PHOENIX

13832 N 32ND STREET SUITE 162
PHOENIX,AZ85032 		N/A PC GENERAL OPERATING SUPPORT 1,000

DEB'S CLAWS AND PAWS RESCUE

1191 RAILROAD AVENUE
YUBA CITY,CA95991 		N/A PC GENERAL OPERATING SUPPORT 500

DOGWOOD RANCH CORP

2689 PARCH CORN RD
ROGERSVILLE,MO65742 		N/A PC GENERAL OPERATING SUPPORT 1,500

DONNA STREET COMMUNITY CENTER

2627 DONNA STREET
NORTH LAS VEGAS,NV89030 		N/A PC GENERAL OPERATING SUPPORT 680

EAST MONTGOMERY COUNTY SWIM TEAM

17349 NORTHCREST CIR
NEW CANEY,TX77357 		N/A PC GENERAL OPERATING SUPPORT 625

EAST RIDGE FACE OFF CLUB

3070 EAGLE VALLEY DRIVE
WOODBURY,MN55129 		N/A PC GENERAL OPERATING SUPPORT 250

ELIZABETH'S CLOSET

13143 BURNINGWOOD DR
WASHINGTON,MI48094 		N/A PC GENERAL OPERATING SUPPORT 1,000

ERIE COUNTY LAW ENFORCEMENT FOUNDATION INC

PO BOX 974
ORCHARD PARK,NY14127 		N/A PC GENERAL OPERATING SUPPORT 2,500

EXPERIENCE CAMPS

136 MAIN ST SUITE 206
WESTPORT,CT06880 		N/A PC GENERAL OPERATING SUPPORT 10,000

EXTRA SPECIAL PEOPLE

189 VFW DRIVE
WATKINSVILLE,GA30677 		N/A PC GENERAL OPERATING SUPPORT 1,000

FOP FOUNDATION FOR CAPITAL CITY LODGE #9

6800 SCHROCK HILL CT
COLUMBUS,OH43229 		N/A PC GENERAL OPERATING SUPPORT 1,500

F3 OMAHA FOUNDATION

1721 NORTH 127TH STREET
OMAHA,NE68154 		N/A PC GENERAL OPERATING SUPPORT 1,000

FAMILIES FIRST

50 HUNT STREET SUITE 320
WATERTOWN,MA02472 		N/A PC GENERAL OPERATING SUPPORT 2,500

FAMILY RESCUE CENTER

22103 VANOWEN ST
CANOGA PARK,CA91303 		N/A PC GENERAL OPERATING SUPPORT 825

FARGO AREA SPORTS

1892 17TH AVE S
FARGO,ND58103 		N/A PC GENERAL OPERATING SUPPORT 1,500

FEED MY STARVING CHILDREN

1345 S ALMA SCHOOL ROAD
MESA,AZ85210 		N/A PC GENERAL OPERATING SUPPORT 500

FEED MY STARVING CHILDREN

401 93RD AVE NW
COON RAPIDS,MN55433 		N/A PC GENERAL OPERATING SUPPORT 3,000

FERNCARE

751 E NINE MILE RD SUITE 2
FERNDALE,MI48220 		N/A PC GENERAL OPERATING SUPPORT 1,000

FIDOS FOR FREEDOM

1200 SANDY SPRING ROAD
LAUREL,MD20707 		N/A PC GENERAL OPERATING SUPPORT 7,500

FLORIDA ELKS CHILDREN'S THERAPY SERVICES

PO BOX 49
UMATILLA,FL32784 		N/A PC GENERAL OPERATING SUPPORT 1,000

FOOD BANK FOR THE HEARTLAND

10525 J STREET
OMAHA,NE68127 		N/A PC GENERAL OPERATING SUPPORT 900

FOSTERING CHANGE INC

197 SPRUCE ST APT 5
LEOMINSTER,MA01453 		N/A PC GENERAL OPERATING SUPPORT 800

FRATERNAL ORDER OF THE UMBRELLA INC DBA THE UMBRELLA CLUB

PO BOX 112238
STAMFORD,CT06911 		N/A PC GENERAL OPERATING SUPPORT 10,000

FRED DOUGLASS COMMUNITY DEVELOPMENT CORPORATION

PO BOX 8194
JACKSONVILLE,TX75766 		N/A PC GENERAL OPERATING SUPPORT 825

FREE ARTS FOR ABUSED CHILDREN

11099 S LA CIENEGA BLVD SUITE 235
LOS ANGELES,CA90045 		N/A PC GENERAL OPERATING SUPPORT 2,500

FRESH START WOMEN'S FOUNDATION

1130 E MCDOWELL RD
PHOENIX,AZ85310 		N/A PC GENERAL OPERATING SUPPORT 2,000

FRIENDS OF JUPITER BEACH

PO BOX 791
JUPITER,FL33468 		N/A PC GENERAL OPERATING SUPPORT 2,000

GLD FOUNDATION

5974 W DRAKE CT
CHANDLER,AZ85226 		N/A PC GENERAL OPERATING SUPPORT 2,000

GABBY KRAUSE FOUNDATION

3406 N 190TH PLAZA
ELKHORN,NE68022 		N/A PC GENERAL OPERATING SUPPORT 2,500

GABLESTAGE INC

1200 ANASTASIA AVE STE 230
CORAL GABLES,FL33134 		N/A PC GENERAL OPERATING SUPPORT 500

GEMINI ROTTWEILER AND PITBULL RESCUE

2092 HWY 75
MADISON,MN56256 		N/A PC GENERAL OPERATING SUPPORT 1,360

GIGI'S PLAYHOUSE OF LAS VEGAS

7345 S DURANGO DR B107 BOX 342
LAS VEGAS,NV89113 		N/A PC GENERAL OPERATING SUPPORT 340

GIGI'S PLAYHOUSE TINLEY PARK

15954 S HARLEM AVE
TINLEY PARK,IL60477 		N/A PC GENERAL OPERATING SUPPORT 2,500

GIRL SCOUTS ARIZONA - CACTUS PINE COUNCIL

119 E CORONADO ROAD
PHOENIX,AZ85004 		N/A PC GENERAL OPERATING SUPPORT 250

GIRL SCOUTS OF EASTERN SOUTH CAROLINA

7257 CROSS COUNTY ROAD
N CHARLESTON,SC29418 		N/A PC GENERAL OPERATING SUPPORT 625

GIRLS ON THE RUN OF SUSSEX COUNTY DBA GIRLS ON THE RUN NEW JERSEY NORTH

PO BOX 195
SPARTA,NJ07871 		N/A PC GENERAL OPERATING SUPPORT 1,000

GIRLS ON THE RUN SIERRAS

100 CALIFORNIA AVE 210
RENO,NV89509 		N/A PC GENERAL OPERATING SUPPORT 1,320

GIRLS ON THE RUN HAMPTON ROADS

5817 WESLEYAN DRIVE
VIRGINIA BEACH,VA23455 		N/A PC GENERAL OPERATING SUPPORT 1,000

GRAYSLAKE YOUTH BASEBALL ASSOCIATION

1862 E BELVIDERE RD 222
GRAYSLAKE,IL60030 		N/A PC GENERAL OPERATING SUPPORT 625

GREATER LAWRENCE FAMILY HEALTH CENTER

1 GRIFFIN BROOK DRIVE STE 209
METHUEN,MA01844 		N/A PC GENERAL OPERATING SUPPORT 2,000

GREENHOUSE MINISTRIES

307 S ACADEMY STREET
MURFREESBORO,TN37130 		N/A PC GENERAL OPERATING SUPPORT 1,360

GROVE PARK RENEWAL

1566 DONALD LEE HOLLOWELL PKWY NW
SUITE 101
ATLANTA,GA30318 		N/A PC GENERAL OPERATING SUPPORT 7,000

GWEN L KOSINSKI FOUNDATION INC

318 ROANOKE AVENUE
RIVERHEAD,NY11901 		N/A PC GENERAL OPERATING SUPPORT 1,500

HABITAT FOR HUMANITY OF OMAHA

PO BOX 8455
OMAHA,NE68103 		N/A PC GENERAL OPERATING SUPPORT 2,000

HANDS HEARTS AND PAWS

4828 WILLIAM ST
OMAHA,NE68106 		N/A PC GENERAL OPERATING SUPPORT 1,000

HARRIS CENTER FOR CONSERVATION EDUCATION

83 KINGS HIGHWAY
HANCOCK,NH03449 		N/A PC GENERAL OPERATING SUPPORT 1,500

HARVEST HOUSE

1439 E 71ST STREET
TULSA,OK74136 		N/A PC GENERAL OPERATING SUPPORT 500

HAYWARD YOUTH & RESCUE INC

16052 W US HWY 63 BOX 1138
HAYWARD,WI54843 		N/A PC GENERAL OPERATING SUPPORT 1,500

HEARTFELT HELP FOUNDATION

625 TULARE STREET
PETALUMA,CA94954 		N/A PC GENERAL OPERATING SUPPORT 500

HELPING HANDS OF VEGAS VALLEY

3640 N 5TH ST SUITE 130
NORTH LAS VEGAS,NV89032 		N/A PC GENERAL OPERATING SUPPORT 340

HELPING MAMAS KNOXVILLE

121 S DAVID LANE SUITE 1
KNOXVILLE,TN37922 		N/A PC GENERAL OPERATING SUPPORT 2,500

HILLELS OF THE FLORIDA SUNCOAST

13101 USF SYCAMORE DRIVE
TAMPA,FL33620 		N/A PC GENERAL OPERATING SUPPORT 4,500

HILLSBORO CHARTER ACADEMY

37110 CHARLES TOWN PIKE
PURCELLVILLE,VA20132 		N/A PC GENERAL OPERATING SUPPORT 1,360

HMONG AMERICAN PARTNERSHIP

394 UNIVERSITY AVE W 2ND FLOOR
SAINT PAUL,MN55103 		N/A PC GENERAL OPERATING SUPPORT 1,200

ILLINOIS VALLEY REGIONAL FIRE TRAINING FACILITY ORGANIZATION

1227 5TH STREET
LASALLE,IL61301 		N/A PC GENERAL OPERATING SUPPORT 1,500

INCLUSIVE SPORTS AND FITNESS

5004 VETERANS MEMORIAL HWY
HOLBROOK,NY11741 		N/A PC GENERAL OPERATING SUPPORT 500

ISAIAH 117 HOUSE ANDERSON COUNTY

215 HOWARD ST
CLINTON,TN37716 		N/A PC GENERAL OPERATING SUPPORT 2,500

JAMBOS

115 E MAIN STQ UNIT EB1A
BUFORD,GA30518 		N/A PC GENERAL OPERATING SUPPORT 1,000

JEWISH COMMUNITY CENTER OF GREATER BUFFALO

2640 NORTH FOREST ROAD
GETZVILLE,NY14068 		N/A PC GENERAL OPERATING SUPPORT 625

JOEY SUDO MEMORIAL FUND INC

1616 TRAWLER LANE
ANNAPOLIS,MD21409 		N/A PC GENERAL OPERATING SUPPORT 825

JOHN BURCH PARK SUPPORTERS

108 4TH STREET NORTH
CANNON FALLS,MN55009 		N/A PC GENERAL OPERATING SUPPORT 825

JONES VALLEY TEACHING FARM

PO BOX 320230
BIRMINGHAM,AL35232 		N/A PC GENERAL OPERATING SUPPORT 1,360

JOSHUA'S TRACT CONSERVATION AND HISTORIC TRUST-JOSHUA'S TRUST

624 WORMWOOD HILL ROAD
MANSFIELD CENTER,CT06250 		N/A PC GENERAL OPERATING SUPPORT 1,500

JUNIOR ACHIEVEMENT OF MAINE

565 CONGRESS STREET
PORTLAND,ME04101 		N/A PC GENERAL OPERATING SUPPORT 2,000

JUNIOR ACHIEVEMENT

1745 UNIVERSITY AVE W
SAINT PAUL,MN55104 		N/A PC GENERAL OPERATING SUPPORT 1,200

KAMP KIWANIS CHILDRENS FOUNDATION INC

PO BOX 1951
LEXINGTON,NC27293 		N/A PC GENERAL OPERATING SUPPORT 2,000

KANSAS BIG BROTHERS BIG SISTERS

624 W DOUGLAS AVE
WICHITA,KS67203 		N/A PC GENERAL OPERATING SUPPORT 10,000

KANSAS GAMMA ALUMNI ASSOCIATION

PO BOX 7050
OVERLAND PARK,KS66207 		N/A PC GENERAL OPERATING SUPPORT 625

KC ACADEMY SULPHUR INC

2516 RILEY STREET
SULPHUR,LA70663 		N/A PC GENERAL OPERATING SUPPORT 1,500

KINDNESS OVER MUSCULAR DYSTROPHY

13 SPRUCEWOOD LANE
RIDGEFIELD,CT06877 		N/A PC GENERAL OPERATING SUPPORT 500

LA VISTA COMMUNITY FOUNDATION

8116 PARK VIEW BLVD
LA VISTA,NE68128 		N/A PC GENERAL OPERATING SUPPORT 2,500

LAKE PLAINS PLAYERS

94 JESSON PARKWAY
LOCKPORT,NY14094 		N/A PC GENERAL OPERATING SUPPORT 825

LAKELAND EMERGENCY SQUAD

221 US HIGHWAY 206 PO BOX 311
ANDOVER,NJ07821 		N/A PC GENERAL OPERATING SUPPORT 3,000

LE3 INC - TONAWANDA

855 ENGLEWOOD AVE
TONAWANDA,NY14213 		N/A PC GENERAL OPERATING SUPPORT 1,000

LE3 INC - WILLIAMSVILLE

6024 MAIN STREET
WILLIAMSVILLE,NY14221 		N/A PC GENERAL OPERATING SUPPORT 825

LIFE A DEMENTIA FRIENDLY FOUNDATION

PO BOX 117
OBERLIN,OH44074 		N/A PC GENERAL OPERATING SUPPORT 825

LIGHTNING WARRIORS INC

200 EXECUTIVE DR UNIT D
EDGEWOOD,NY11717 		N/A PC GENERAL OPERATING SUPPORT 500

LILLIE MAE FRANCES FOUNDATION INC

7218 PARKS TRAILS
ATLANTA,GA30213 		N/A PC GENERAL OPERATING SUPPORT 4,000

LILY PAD SANE CENTER INC

PO BOX 70938
ALBANY,GA31701 		N/A PC GENERAL OPERATING SUPPORT 1,000

LINCOLNSHIRE ROTARY CHARITABLE FUND INC

PO BOX 755
LINCOLNSHIRE,IL60069 		N/A PC GENERAL OPERATING SUPPORT 1,500

LOMBARD DISTRICT 44 EDUCATION FOUNDATION

150 W MADISON ST
LOMBARD,IL60148 		N/A PC GENERAL OPERATING SUPPORT 1,000

LONG BEACH CITY COLLEGE FOUNDATION

4901 E CARSON ST B-12
LONG BEACH,CA90808 		N/A PC GENERAL OPERATING SUPPORT 625

LONG ISLAND CARES THE HARRY CHAPIN REGIONAL FOOD BANK

75 DAVIDS DRIVE
HAUPPAUGE,NY11788 		N/A PC GENERAL OPERATING SUPPORT 625

LUTHER CIVIC CLUB

PO BOX 215
LUTHER,OK73054 		N/A PC GENERAL OPERATING SUPPORT 1,000

LYNN SHELTER ASSOCIATION

91 LIBERTY ST
LYNN,MA01902 		N/A PC GENERAL OPERATING SUPPORT 3,500

MAJESTY OUTDOORS

555 N CARANCAHUA ST STE 130
CORPUS CHRISTI,TX78401 		N/A PC GENERAL OPERATING SUPPORT 625

MAKE-A-WISH FOUNDATION OF CONNECTICUT

56 COMMERCE DRIVE
TRUMBULL,CT06611 		N/A PC GENERAL OPERATING SUPPORT 1,300

MARKLUND CHILDREN'S HOME

1 S450 WYATT DRIVE
GENEVA,IL60134 		N/A PC GENERAL OPERATING SUPPORT 2,000

MASSAPEQUA INTERNATIONAL LITTLE LEAGUE INC

PO BOX 103
MASSAPEQUA PARK,NY11762 		N/A PC GENERAL OPERATING SUPPORT 625

MEMORIES FOR KIDS

PO BOX 540216
OMAHA,NE68154 		N/A PC GENERAL OPERATING SUPPORT 500

MERCY HOUSE LIVING CENTERS

PO BOX 1905
SANTA ANA,CA92702 		N/A PC GENERAL OPERATING SUPPORT 7,500

METRO UNITED WAY INC

334 E BROADWAY
LOUISVILLE,KY40202 		N/A PC GENERAL OPERATING SUPPORT 10,560

MICHELLES MEMORIAL INC

5432 ROYALTON CENTER ROAD
MIDDLEPORT,NY14105 		N/A PC GENERAL OPERATING SUPPORT 825

MIDLANDS COMMUNITY FOUNDATION

217 NORTH JEFFERSON STREET
PAPILLION,NE68046 		N/A PC GENERAL OPERATING SUPPORT 1,900

MILKWORKS

5930 S 58TH STREET
LINCOLN,NE68516 		N/A PC GENERAL OPERATING SUPPORT 900

MINNESOTA MILITARY FAMILY FOUNDATION

10900 WAYZATA BLVD
MINNETONKA,MN55305 		N/A PC GENERAL OPERATING SUPPORT 2,000

MOORE FREE AND CHARITABLE CLINIC

211 TRIMBLE PLANT ROAD
SOUTHERN PINES,NC28387 		N/A PC GENERAL OPERATING SUPPORT 500

MOXXIE MENTORING FOUNDATION

107 WOHSEEPEE DRIVE
BRIGHTWATERS,NY11718 		N/A PC GENERAL OPERATING SUPPORT 625

MT DORA CHILDREN'S HOME

301 W 13TH AVENUE
MT DORA,FL32757 		N/A PC GENERAL OPERATING SUPPORT 1,000

MULTI-SPORT 360

PO BOX 862
MONTESANO,WA98563 		N/A PC GENERAL OPERATING SUPPORT 2,000

MUST MINISTRIES

PO BOX 1717
MARIETTA,GA30061 		N/A PC GENERAL OPERATING SUPPORT 5,000

MY GOOD DEED DBA 911 NATIONAL DAY OF SERVICE

5151 CALIFORNIA AVE SUITE 100
IRVINE,CA92617 		N/A PC GENERAL OPERATING SUPPORT 8,000

MY VERY OWN BED

34 13TH AVE NE SUITE 106
MINNEAPOLIS,MN55413 		N/A PC GENERAL OPERATING SUPPORT 500

NAVAL OFFICERS' SPOUSES CLUB OF SAN DIEGO

941 ORANGE AVENUE BOX 233
CORONADO,CA92118 		N/A PC GENERAL OPERATING SUPPORT 2,500

NEBRASKA COMMUNITY FOUNDATION

PO BOX 85
STUART,NE68780 		N/A PC GENERAL OPERATING SUPPORT 1,000

NEBRASKA MUSIC EDUCATION ASSOCIATION

PO BOX 576
BOYSTOWN,NE68010 		N/A PC GENERAL OPERATING SUPPORT 1,000

NEMO SENIOR CITIZENS SERVICES INC

PO BOX 203
KIRKSVILLE,MO63501 		N/A PC GENERAL OPERATING SUPPORT 625

NEW COMMUNITY OUTREACH

3627 S COTTAGE GROVE
CHICAGO,IL60653 		N/A PC GENERAL OPERATING SUPPORT 2,500

NEW LIFE FURNITURE BANK OF MA

PO BOX 573
MEDFIELD,MA02052 		N/A PC GENERAL OPERATING SUPPORT 825

NEW VISIONS HOMELESS SERVICES - VETERANS CAMPUS

1425 NO 18TH ST
OMAHA,NE68102 		N/A PC GENERAL OPERATING SUPPORT 2,500

NOROTON FIRE DEPARTMENT INC

1873 POST ROAD
DARIEN,CT06820 		N/A PC GENERAL OPERATING SUPPORT 10,000

NORTH COUNTRY ANIMAL LEAGUE

16 MOUNTAIN VIEW MEADOW RD
MORRISVILLE,VT05661 		N/A PC GENERAL OPERATING SUPPORT 1,360

NORTHERN NEW JERSEY COUNCIL BOY SCOUTS OF AMERICA

25 RAMAPO VALLEY RD
OAKLAND,NJ07436 		N/A PC GENERAL OPERATING SUPPORT 4,000

NOURISHPHX

501 S 9TH AVENUE
PHOENIX,AZ85007 		N/A PC GENERAL OPERATING SUPPORT 10,500

NOVEM FOUNDATION

350 LINDEN OAKS SUITE 140
ROCHESTER,NY14625 		N/A PC GENERAL OPERATING SUPPORT 1,500

OAK VALLEY MUSIC BOOSTERS

16055 WINECREEK RD
SAN DIEGO,CA92127 		N/A PC GENERAL OPERATING SUPPORT 500

OLD GLORY HONOR FLIGHT INC

PO BOX 482
MENASHA,WI54952 		N/A PC GENERAL OPERATING SUPPORT 2,000

ONE ATTA TIME

11215 HUNTSMAN LEAP
TRUCKEE,CA96161 		N/A PC GENERAL OPERATING SUPPORT 825

OPERA OMAHA INC

1850 FARNAM STREET
OMAHA,NE68102 		N/A PC GENERAL OPERATING SUPPORT 625

OUTFITTERS INC

880 S PENDLETON AVE
PENDLETON,IN46064 		N/A PC GENERAL OPERATING SUPPORT 825

OUTLOOK NE

4125 S 72ND ST
OMAHA,NE68127 		N/A PC GENERAL OPERATING SUPPORT 1,000

OZARKS LITERACY COUNCIL

397 EAST CENTRAL STREET
SPRINGFIELD,MO65802 		N/A PC GENERAL OPERATING SUPPORT 1,000

PARENTING MATTERS

602 3RD STREET EAST
BRADENTON,FL34208 		N/A PC GENERAL OPERATING SUPPORT 1,000

PARTY IN KINDNESS

PO BOX 331
ALAMO,CA94507 		N/A PC GENERAL OPERATING SUPPORT 625

PATCHOGUE ARTS COUNCIL INC

20 TERRY ST
PATCHOGUE,NY11772 		N/A PC GENERAL OPERATING SUPPORT 1,000

PENNS VALLEY YOUTH CENTER

106 SCHOOL STREET PO BOX 175
SPRING MILLS,PA16875 		N/A PC GENERAL OPERATING SUPPORT 1,500

PEPPER RAYFIELD HOPE FOUNDATION

PO BOX 5775
ALBANY,NY12205 		N/A PC GENERAL OPERATING SUPPORT 1,360

PHOENIX AMERICAN HEART ASSOCIATION

1910 W UNIVERSITY DR SUITE 205
TEMPE,AZ85281 		N/A PC GENERAL OPERATING SUPPORT 500

PLACE OF HOPE AT THE LEIGHAN AND DAVID RINKER CAMPUS

21441 BOCA RIO RD
BOCA RATON,FL33433 		N/A PC GENERAL OPERATING SUPPORT 2,500

PLATTSBURGH LITTLE LEAGUE

121 BRIDGE ST
PLATTSBURGH,NY12901 		N/A PC GENERAL OPERATING SUPPORT 1,500

PREPARE AND PROSPER

2610 UNIVERSITY AVE W SUITE 450
ST PAUL,MN55114 		N/A PC GENERAL OPERATING SUPPORT 1,200

PROJECT 34

3743 E AUSTIN DRIVE
GILBERT,AZ85296 		N/A PC GENERAL OPERATING SUPPORT 2,000

PROJECT YES DBA YES INSTITUTE

5275 SUNSET DRIVE
MIAMI,FL33143 		N/A PC GENERAL OPERATING SUPPORT 2,000

RAINBOW VILLAGE

3427 DULUTH HIGHWAY SUITE 120
DULUTH,GA30096 		N/A PC GENERAL OPERATING SUPPORT 5,000

RAISING SPECIAL KIDS

5025 E WASHINGTON ST STE 204
PHOENIX,AZ85034 		N/A PC GENERAL OPERATING SUPPORT 2,000

RAPTOR CONSERVATION ALLIANCE

27320 ADAMS STREET
ELMWOOD,NE68349 		N/A PC GENERAL OPERATING SUPPORT 500

RECLIF COMMUNITY INC

3200 POINTE PARKWAY STE 200
PEACHTREE CORNERS,GA30092 		N/A PC GENERAL OPERATING SUPPORT 2,000

ROMANS 828 - LIVING IN PURPOSE

9033 BASELINE RD STE C
RANCHO CUCAMONGA,CA91730 		N/A PC GENERAL OPERATING SUPPORT 1,500

RONALD MCDONALD HOUSE CHARITIES OF GREATER LAS VEGAS

2323 POTOSI STREET
LAS VEGAS,NV89146 		N/A PC GENERAL OPERATING SUPPORT 1,320

RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST OHIO INC

10415 EUCLID AVENUE
CLEVELAND,OH44106 		N/A PC GENERAL OPERATING SUPPORT 500

RONALD MCDONALD HOUSE CHARITIES OMAHA

620 SOUTH 38TH AVE
OMAHA,NE68105 		N/A PC GENERAL OPERATING SUPPORT 1,000

ROSEMOUNT HIGH SCHOOL BAND

3335 142ND ST W
ROSEMOUNT,MN55068 		N/A PC GENERAL OPERATING SUPPORT 250

ROSWELL HIGH SCHOOL ROBOTICS BOOSTER CLUB INC

11595 KING RD
ROSWELL,GA30075 		N/A PC GENERAL OPERATING SUPPORT 625

ROTARY CLUB OF LAKEVILLE FOUNDATION SCOUT TROOP 9235

PO BOX 433
LAKEVILLE,MN55044 		N/A PC GENERAL OPERATING SUPPORT 500

ROY-HART MUSIC PARENTS CLUB

3366 STONE ROAD
MIDDLEPORT,NY14105 		N/A PC GENERAL OPERATING SUPPORT 825

SCHOLAR ATHLETES GLOBALLY EMERGING INC

900 FULTON AVE SUITE 100-9
SACRAMENTO,CA95825 		N/A PC GENERAL OPERATING SUPPORT 2,000

SCHROON LAKE CENTRAL SCHOOL

1125 US ROUTE 9
SCHROON LAKE,NY12870 		N/A PC GENERAL OPERATING SUPPORT 1,000

SCHROON LAKE PTSO

PO BOX 338
SCHROON LAKE,NY12870 		N/A PC GENERAL OPERATING SUPPORT 1,500

SEZARC (SOUTH-EAST ZOO ALLIANCE FOR REPRODUCTION & CONSERVATION)

581705 WHITE OAK RD
YULEE,FL32097 		N/A PC GENERAL OPERATING SUPPORT 500

SHARE THE TABLE INC

12395 NC-50
HAMPSTEAD,NC28443 		N/A PC GENERAL OPERATING SUPPORT 1,000

SHELTER FRIENDS - ST CHARLES MO

2784 KETTERING DRIVE
ST CHARLES,MO63303 		N/A PC GENERAL OPERATING SUPPORT 1,000

SIENA FRANCIS HOUSE

PO BOX 217
OMAHA,NE68101 		N/A PC GENERAL OPERATING SUPPORT 900

SINGLE TRACK ARIZONA RIDERS FOUNDATION

18924 NORTH 43RD WAY
PHOENIX,AZ85050 		N/A PC GENERAL OPERATING SUPPORT 625

SMILOW CANCER HOSPITAL & YALE CANCER CENTER CLOSER TO FREE FUND

YALE NEW HAVEN HOSPITAL PO BOX 1849
NEW HAVEN,CT06508 		N/A PC GENERAL OPERATING SUPPORT 1,000

SOARING SPIRITS

2828 COCHRAN STREET 194
SIMI VALLEY,CA93065 		N/A PC GENERAL OPERATING SUPPORT 1,500

SOFA-THE SOCIETY FOR FINANCIAL AWARENESS

100 N BARRANCA ST STE 810
WEST COVINA,CA91791 		N/A PC GENERAL OPERATING SUPPORT 1,500

SOFT BONES INC THE US HYPOPHOSPHATASIA FOUNDATION

141 HAWKINS PLACE 267
BOONTON,NJ07005 		N/A PC GENERAL OPERATING SUPPORT 1,000

SOMERVILLE HIGH SCHOOL MUSIC BOOSTERS ASSOCIATION

222 DAVENPORT ST
SOMERVILLE,NJ08876 		N/A PC GENERAL OPERATING SUPPORT 1,000

SOMWA FOUNDATION

228 EAST 135TH STREET APT 1601-S
BRONX,NY10451 		N/A PC GENERAL OPERATING SUPPORT 1,000

SOROPTIMIST INTERNATIONAL TO THE AMERICAS INC

PO BOX 285
MARYLHURST,OR97036 		N/A PC GENERAL OPERATING SUPPORT 1,000

SOUL SURVIVOR INC

4545 N 36TH ST STE 111
PHOENIX,AZ85018 		N/A PC GENERAL OPERATING SUPPORT 2,500

SPCA OF TAMPA BAY

9099 130TH AVE N
LARGO,FL33773 		N/A PC GENERAL OPERATING SUPPORT 1,000

SPECIAL OLYMPICS MINNESOTA

900 2ND AVE SUITE 300
MINNEAPOLIS,MN55402 		N/A PC GENERAL OPERATING SUPPORT 250

SPECIAL OLYMPICS PENNSYLVANIA

2570 BOULEVARD OF THE GENERALS
SUITE 124
NORRISTOWN,PA19403 		N/A PC GENERAL OPERATING SUPPORT 2,000

SPECIAL TREASURES OF IREDELL COUNTY INC

214 N CENTER ST
STATESVILLE,NC28677 		N/A PC GENERAL OPERATING SUPPORT 2,000

ST MARY'S FOOD BANK

2831 N 31ST AVENUE
PHOENIX,AZ85009 		N/A PC GENERAL OPERATING SUPPORT 500

STAR HOUSE FOUNDATION

981 CANTON STREET
ROSWELL,GA30075 		N/A PC GENERAL OPERATING SUPPORT 1,000

STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION

201 EDWARD CURRY AVENUE SUITE 103
STATEN ISLAND,NY10314 		N/A PC GENERAL OPERATING SUPPORT 500

SUFFOLK COUNTY POLICE ATHLETIC LEAGUE

PO BOX 26
YAPHANK,NY11980 		N/A PC GENERAL OPERATING SUPPORT 2,500

TAKE ROOT INC

810 KNOX ST
BIRMINGHAM,MI48098 		N/A PC GENERAL OPERATING SUPPORT 2,000

TAMAQUA AREA BASEBALL ASSOCIATION

PO BOX 381
TAMAQUA,PA18252 		N/A PC GENERAL OPERATING SUPPORT 500

TEAMMATES MENTORING OF MILLARD

13737 INDUSTRIAL ROAD
OMAHA,NE68137 		N/A PC GENERAL OPERATING SUPPORT 1,000

TEXAS GRANDPARENTS RAISING GRANDKIDS (TXGRG)

7719 BARHILL POST
SAN ANTONIO,TX78254 		N/A PC GENERAL OPERATING SUPPORT 500

THE ACCORD SCHOOL

74 ACCORD PARK DRIVE
NORWELL,MA02061 		N/A PC GENERAL OPERATING SUPPORT 2,500

THE ANIMAL PAD

4620 AVOCADO BLVD
LA MESA,CA91941 		N/A PC GENERAL OPERATING SUPPORT 1,000

THE ARC OF LOUDOUN

601 CATOCTIN CIRCLE NE
LEESBURG,VA20176 		N/A PC GENERAL OPERATING SUPPORT 2,000

THE BELIEVE FOUNDATION

1907 WAYZATA BLVD SUITE 180
WAYZATA,MN55391 		N/A PC GENERAL OPERATING SUPPORT 1,360

THE BUTTERFLY EFFECT PROJECT

1018 NORTHVILLE TURNPIKE
RIVERHEAD,NY11901 		N/A PC GENERAL OPERATING SUPPORT 12,500

THE CENTER FOR DISCOVERY

PO BOX 840
HARRIS,NY12742 		N/A PC GENERAL OPERATING SUPPORT 4,000

THE CENTER FOR HEARING & DEAF SERVICES INC

1945 FIFTH AVENUE
PITTSBURGH,PA15219 		N/A PC GENERAL OPERATING SUPPORT 3,000

THE CHILDREN'S ADVOCACY CENTER OF THE PIKES PEAK REGION DBA SAFE PASSAGE

2335 ROBINSON STREET
COLORADO SPRINGS,CO80904 		N/A PC GENERAL OPERATING SUPPORT 1,000

THE FLOW INITIATIVE

321 ROUTE 440 STE 3 130
JERSEY CITY,NJ07305 		N/A PC GENERAL OPERATING SUPPORT 1,000

THE GIBRALTAR NEIGHBORHOOD ASSOCIATION

241 5TH AVE
COUNCIL BLUFFS,IA51503 		N/A PC GENERAL OPERATING SUPPORT 250

THE HISTORIC GENERAL DODGE HOUSE

621 THIRD STREET
COUNCIL BLUFFS,IA51503 		N/A PC GENERAL OPERATING SUPPORT 500

THE HOBOKEN SHELTER

300 BLOOMFIELD STREET
HOBOKEN,NJ07030 		N/A PC GENERAL OPERATING SUPPORT 1,000

THE HOPE CENTER - HOUSE OF HOPE OF OCEAN COUNTY INC

253 CHESTNUT STREET
TOMS RIVER,NJ08753 		N/A PC GENERAL OPERATING SUPPORT 2,500

THE JP4 FOUNDATION

3200 LABORE RD SUITE 102
VADNAIS HEIGHTS,MN55110 		N/A PC GENERAL OPERATING SUPPORT 1,360

THE NATIONAL COUNCIL OF THE UNITED STATES SOCIETY OF ST VINCENT DE PAUL

2900 E MAIN ST
ST CHARLES,IL60174 		N/A PC GENERAL OPERATING SUPPORT 500

THE SAFE HOUSE PROJECT

107 S WEST STREET SUITE 720
ALEXANDRIA,VA22314 		N/A PC GENERAL OPERATING SUPPORT 1,500

THE SOUP KITCHEN OF MUNCIE

920 E CHARLES ST
MUNCIE,IN47305 		N/A PC GENERAL OPERATING SUPPORT 1,000

THE WARREN-PRESCOTT FOUNDATION

50 SCHOOL STREET
CHARLESTOWN,MA02129 		N/A PC GENERAL OPERATING SUPPORT 1,360

THE WINNER'S CLUB OF CALHOUN

958 SUGAR VALLEY RD PO BOX 1263
CALHOUN,GA30703 		N/A PC GENERAL OPERATING SUPPORT 1,500

THEATRE DEVELOPMENT FUND INC

520 EIGHTH AVENUE SUITE 801
NEW YORK,NY10018 		N/A PC GENERAL OPERATING SUPPORT 2,000

THERAPY RANCH

68490 WOLCOTT RD
RAY TOWNSHIP,MI48096 		N/A PC GENERAL OPERATING SUPPORT 625

TITAN BAND BOOSTERS

PO BOX 460611
PAPILLION,NE68046 		N/A PC GENERAL OPERATING SUPPORT 1,360

TODAY IS A GOOD DAY

1511 BETHLEHEM PIKE
FLOURTOWN,PA19031 		N/A PC GENERAL OPERATING SUPPORT 2,000

TONYSTRONG FOUNDATION

2052 NAOMI AVENUE
GLASSPORT,PA15045 		N/A PC GENERAL OPERATING SUPPORT 1,500

TOYS FOR TOTS

5808 N 30TH STREET
OMAHA,NE68111 		N/A PC GENERAL OPERATING SUPPORT 900

TUCSON-HABBJACH DOLLARS FOR SCHOLARS

15152 E WESTRIDGE DR
FOUNTAIN HILLS,AZ85268 		N/A PC GENERAL OPERATING SUPPORT 625

TWIN CITIES HABITAT FOR HUMANITY

1954 UNIVERSITY AVE W
ST PAUL,MN55104 		N/A PC GENERAL OPERATING SUPPORT 5,000

UCP OF LONG ISLAND

250 MARCUS BLVD
HAUPPAUGE,NY11788 		N/A PC GENERAL OPERATING SUPPORT 5,000

UNDERDOG PET RESCUE OF WISCONSIN INC

PO BOX 6181
MONONA,WI53716 		N/A PC GENERAL OPERATING SUPPORT 4,500

UNITED WAY OF DOUGLAS & POPE COUNTIES

503 HAWTHORNE STREET SUITE 131 PO
BOX 1148
ALEXANDRIA,MN56308 		N/A PC GENERAL OPERATING SUPPORT 1,000

UNITED WAY OF NORTHWEST GEORGIA

816 S THORNTON AVE
DALTON,GA30720 		N/A PC GENERAL OPERATING SUPPORT 825

UNIVERSITY OF THE PHILIPPINES SILAK SILAB FOUNDATION

2000 CENTER DR
HOFFMAN ESTATES,IL60192 		N/A PC GENERAL OPERATING SUPPORT 1,500

UPPER VALLEY HUMANE SOCIETY

PO BOX 789
LEBANON,NH03766 		N/A PC GENERAL OPERATING SUPPORT 1,360

VIRTUAL ENTERPRISES INTERNATIONAL INC

122 AMSTERDAM AVE
NEW YORK,NY10023 		N/A PC GENERAL OPERATING SUPPORT 10,000

VOICES FOR CASA CHILDREN

4300 N MILLER RD SUITE 116
SCOTTSDALE,AZ85251 		N/A PC GENERAL OPERATING SUPPORT 1,360

WAKE TECHNICAL COMMUNITY COLLEGE FOUNDATION

9101 FAYETTEVILLE RD
RALEIGH,NC27603 		N/A PC GENERAL OPERATING SUPPORT 2,000

WARRIOR DOG RESCUE

12585 RHODE ISLAND AVENUE
SAVAGE,MN55378 		N/A PC GENERAL OPERATING SUPPORT 250

WASHINGTON AREA HUMANE SOCIETY

1527 ROUTE 136
EIGHTY FOUR,PA15330 		N/A PC GENERAL OPERATING SUPPORT 1,000

WASHINGTON HEALTH SYSTEM FOUNDATION

155 WILSON AVENUE
WASHINGTON,PA15301 		N/A PC GENERAL OPERATING SUPPORT 1,000

WATCHMEN OF THE STREETSHABIT MISSIONS

732 LAVALE DR
CLEMMONS,NC27012 		N/A PC GENERAL OPERATING SUPPORT 1,000

WAYZATA WALLEYE YOUTH BASEBALLPIRATES

16735 56TH PLACE NORTH
PLYMOUTH,MN55446 		N/A PC GENERAL OPERATING SUPPORT 250

WEST HILLS ELEMENTARY SCHOOL WOLF PACK FOUNDATION

PO BOX 32191
KNOXVILLE,TN37930 		N/A PC GENERAL OPERATING SUPPORT 2,000

WEST SIDE CENTER FOR COMMUNITY LIFE INC

263 WEST 86TH STREET
NEW YORK,NY10024 		N/A PC GENERAL OPERATING SUPPORT 2,500

WHEELS OVER MICHIGAN BIKE-A-THON

173 HATCH AVE
COLDWATER,MI49036 		N/A PC GENERAL OPERATING SUPPORT 500

WICHITA WAGONMASTERS

PO BOX 1106
WICHITA,KS67201 		N/A PC GENERAL OPERATING SUPPORT 1,500

WOMEN'S ECONOMIC SELF-SUFFICIENCY TEAM DBA WESST

609 BROADWAY BLVD NE
ALBUQUERQUE,NM87102 		N/A PC GENERAL OPERATING SUPPORT 2,500

YESHIVA KETANA OF PHILADELPHIA

5900 DREXEL ROAD
PHILADELPHIA,PA19131 		N/A PC GENERAL OPERATING SUPPORT 1,500

YMCA OF SOUTH FLORIDA

20201 SADDLE CLUB ROAD
WESTON,FL33327 		N/A PC GENERAL OPERATING SUPPORT 2,000

YOUNG INVESTORS SOCIETY

31248 OAK CREST DR SUITE 100
WESTLAKE VILLAGE,CA91361 		N/A PC GENERAL OPERATING SUPPORT 1,500

YUBA CITY CHARTER SCHOOL

256 WILBUR AVE
YUBA CITY,CA95991 		N/A PC GENERAL OPERATING SUPPORT 625

ZONTA CARES OF TALLAHASSEE

3018 SOUTHSHORE CIRCLE
TALLAHASSEE,FL32312 		N/A PC GENERAL OPERATING SUPPORT 7,500

ZONTA SERVICE FOUNDATION OF COLUMBUS

PO BOX 941
WORTHINGTON,OH43085 		N/A PC GENERAL OPERATING SUPPORT 2,500
Total .................................right arrow 3a 597,225
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 ....          
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) .. 0 0 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
0
(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


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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
OSAIC FOUNDATION INC
 
Employer identification number

92-1472515
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
OSAIC FOUNDATION INC
  		Employer identification number
92-1472515
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
OSAIC
 
18700 N HAYDEN ROAD SUITE 255
 
SCOTTSDALE, AZ852556787

$ 802,500


(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
OSAIC FOUNDATION INC
  		Employer identification number

92-1472515
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
OSAIC FOUNDATION INC
  		Employer identification number

92-1472515
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:
OSAIC FOUNDATION INC
EIN:
92-1472515
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING, TAX RETURN PREPARATION AND ADMINISTRATION 20,000 0   20,000

TY 2023 OtherExpensesSchedule
Name:
OSAIC FOUNDATION INC
EIN:
92-1472515
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK CHARGES 289 0   289
INSURANCE 1,773 0   1,773
OFFICE AND OTHER EXPENSES 17,645 0   17,645


TY 2023 SubstantialContributorsSch
Name:
OSAIC FOUNDATION INC
EIN:
92-1472515
Name Address
OSAIC 18700 N HAYDEN ROAD SUITE 255
SCOTTSDALE,AZ852556787