| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
BURMA CHILDREN MEDICAL FUND |
PO BOX 109 THA SAI LUAT,MAE SOT DISTRICT63110 TH |
2024-12-11 | 35,000 | TO SUPPORT A PATIENT SAFE HOUSE | 35,000 | ||||
|
DRUG AND ALCOHOL RECOVERY AND EDUCATION NETWORK |
95/3 MOO 5 BAN RAI,MAE HONG SON58110 TH |
2024-12-16 | 37,000 | TO SUPPORT HUMANITARIAN ASSISTANCE FOR DRUG AND ALCOHOL ADDICTION IN INDIGENOUS COMMUNITIES IN MYANMAR. | 37,000 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| GRANT APPLICATION PROCESS | FORM 990PF, PART XV, LINE 2B: | THE APPLICATION SHOULD BE IN WRITTEN FORM AND SENT TO THE FOUNDATION. IT SHOULD STATE THE OBJECTIVE OF THE ORGANIZATION, AMOUNT REQUESTED AND THE NAMES OF THE PRINCIPAL MANAGERS OF THE ORGANIZATION. TO ENSURE SUITABILITY, THE FOUNDATION RESERVES THE RIGHT TO REQUEST ADDITIONAL INFORMATION FROM EACH APPLICANT ON A PROJECT BY PROJECT BASIS. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| GOLDMAN SACHS #841- SEE ATTACHED STMT | 4,675,824 | 7,861,953 |
| GOLDMAN SACHS #660- SEE ATTACHED STMT | 209,273 | 311,332 |
| GOLDMAN SACHS #678- SEE ATTACHED STMT | 169,775 | 217,952 |
| GOLDMAN SACHS #589- SEE ATTACHED STMT | 4,291,077 | 5,348,065 |
| GOLDMAN SACHS #713- SEE ATTACHED STMT | 2,579,954 | 2,521,538 |
| GOLDMAN SACHS #192- SEE ATTACHED STMT | 4,265,595 | 7,495,742 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NON-DEDUCTIBLE EXPENSE FROM PASSTHROUGH | 11,125 | 0 | 0 | |
| PAYROLL TAXES AND INSURANCE | 33,194 | 6,639 | 26,555 | |
| MEDICAL INSURANCE | 22,474 | 4,495 | 17,979 | |
| PROGRAM EXPENSES | 8,363 | 0 | 8,363 | |
| GOLDMAN SACHS - CARIBBEAN REAL ESTATE OPPORTUNITY FUND - ORDINARY LOSSES | 627 | 627 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| GOLDMAN SACHS #6589 - CASH IN LIEU | 81 | 81 | 81 |
| GOLDMAN SACHS - CARIBBEAN REAL ESTATE OPPORTUNITY FUND 2005 (NON PORTFOLIO ) | 661 | 661 | 661 |
| GOLDMAN SACHS #9713 - (OTHER INCOME) | 18 | 18 | 18 |
| GOLDMAN SACHS - WILLIAM BLAIR K-1 (OTHER INCOME) | 397 | 397 | 397 |
| GOLDMAN SACHS - LSV (OTHER PORTFOLIO INCOME) | 834 | 834 | 834 |
| GOLDMAN SACHS - GS PARTNERS VI | 47 | 47 | 47 |
| GOLDMAN SACHS - #2841 - SETTLEMENT INCOME | 21 | 21 | 21 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MANAGEMENT FEES - BROKERAGE ACCOUNTS | 155,612 | 155,612 | 0 | |
| MANAGEMENT FEES FROM WILLIAM BLAIR K-1 | 36,791 | 36,791 | 0 | |
| MANAGEMENT FEES FROM LSV K-1 | 38,864 | 38,864 | 0 |
| Name | Address |
|---|---|
| LAY K KAY |
1325 HOWARD AVE 949 BURLINGAME,CA94010 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX - BROKERAGE ACCOUNTS | 1,768 | 1,768 | 0 | |
| FOREIGN TAX - LSV K-1 | 11,688 | 11,688 | 0 | |
| FOREIGN TAX - GS CAPITAL PARTNERS VI PARALLEL | 2,885 | 2,885 | 0 | |
| FOREIGN TAX - WILLIAM BLAIR | 6,981 | 6,981 | 0 |