Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE ROOTS AND WINGS FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)7107 GREENWOOD AVE N SUITE A
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98103
A Employer identification number

32-0581904
B Telephone number (see instructions)

(608) 273-3100
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$410,122,097J 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) 236,129,636
2 Check bullet.............
3 Interest on savings and temporary cash investments 103,336 103,336  
4 Dividends and interest from securities... 2,846,158 2,846,158  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 10,782,953
b Gross sales price for all assets on line 6a 54,648,961
7 Capital gain net income (from Part IV, line 2)... 10,782,953
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)....... 26,612    
12 Total. Add lines 1 through 11........ 249,888,695 13,732,447  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 139,500     139,500
14 Other employee salaries and wages...... 170,145     170,145
15 Pension plans, employee benefits....... 28,154     28,154
16a Legal fees (attach schedule)......... 660     660
b Accounting fees (attach schedule)....... 37,045     37,045
c Other professional fees (attach schedule).... 1,800,791 1,752,819   47,972
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 134,981      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 95,214     95,214
21 Travel, conferences, and meetings....... 273     273
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 47,984     47,984
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,454,747 1,752,819   566,947
25 Contributions, gifts, grants paid....... 27,615,650 27,615,650
26 Total expenses and disbursements. Add lines 24 and 25 30,070,397 1,752,819   28,182,597
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 219,818,298
b Net investment income (if negative, enter -0-) 11,979,628
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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.............      
2 Savings and temporary cash investments......... 15,587,048 141,515,551 141,515,551
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
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)....... 80,651,982 174,405,348 268,590,415
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)   16,131 16,131
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 96,239,030 315,937,030 410,122,097
Liabilities 17 Accounts payable and accrued expenses.......... 17,469 18,589
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 bullet)    
23 Total liabilities (add lines 17 through 22)......... 17,469 18,589
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 96,221,561 315,918,441
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
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)..... 96,221,561 315,918,441
30 Total liabilities and net assets/fund balances (see instructions). 96,239,030 315,937,030
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
96,221,561
2
Enter amount from Part I, line 27a .....................
2
219,818,298
3
Other increases not included in line 2 (itemize) bullet
3
-121,418
4
Add lines 1, 2, and 3 ..........................
4
315,918,441
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
315,918,441
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P 2019-12-03 2021-11-09
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 54,331,354   43,866,008 10,465,346
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       10,465,346
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 10,782,953
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
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 Bullet 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)
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........................... 3 166,517
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- ..... 5 166,517
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 217,000
b Exempt foreign organizations—tax withheld at source...... 6b  
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.............. 7 217,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 68
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 50,415
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet50,415 RefundedBullet 11  
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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
bulletWI, WA
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 2021 or the taxable year beginning in 2021? 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
Form 990-PF (2021)
Form 990-PF (2021)
Page 5
Part VI-A
Statements Regarding Activities (continued)
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 addressbulletWWW.ROOTSWINGS.ORG
14
The books are in care ofbulletJOHN F SUBY & ASSOCIATES SC Telephone no.bullet (608) 273-3100

Located atbullet2901 W BELTLINE HIGHWAY SUITE 201MADISONWI ZIP+4bullet53713
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
and enter the amount of tax-exempt interest received or accrued during the year ........bullet
15
 
16 At any time during calendar year 2021, 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 bullet
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)
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 ........bullet
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 2021? .............
1d
 
 
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 2021, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2021?....................
2a
 
No
If "Yes," list the years bullet20, 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.
bullet20, 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 2021 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 2021.) .....................
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 2021? ..
4b
 
No
Form 990-PF (2021)
Form 990-PF (2021)
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 .........bullet
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
JUDITH FAULKNER PRESIDENT
1.00 		0 0 0
2901 W BELTLINE HWY STE 201
MADISON,WI53713
GORDON FAULKNER SECRETARY
1.00 		0 0 0
2901 W BELTLINE HWY STE 201
MADISON,WI53713
SHANA DALL'OSTO EXECUTIVE DI
32.00 		139,500 0 0
2901 W BELTLINE HWY STE 201
MADISON,WI53713
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
NICOLE SMITH PROGRAM OFFI
32.00 		107,986    
7107 GREENWOOD AVE N STE A
SEATTLE,WA98103
JAMIE CARROLL PROGRAM COOR
40.00 		55,108    
7107 GREENWOOD AVE N STE A
SEATTLE,WA98103
Total number of other employees paid over $50,000...................bullet  
Form 990-PF (2021)
Form 990-PF (2021)
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
PROVIDENT TRUST COMPANY INVESTMENT MGMT 1,048,878
N16 W23217 STONE RIDGE DR
STE 310
WAUKESHA,WI53188
JOHN F SUBY & ASSOCIATES SC ADVISORY 696,369
2901 WEST BELTLINE HWY
SUITE 201
MADISON,WI53713
Total number of others receiving over $50,000 for professional services.............bullet  
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 N/A  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................bullet  
Form 990-PF (2021)
Form 990-PF (2021)
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
250,362,576
b
Average of monthly cash balances.......................
1b
44,634,376
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
294,996,952
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
 
3
Subtract line 2 from line 1d.........................
3
294,996,952
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
4,424,954
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
290,571,998
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
14,528,600
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
14,528,600
2a
Tax on investment income for 2021 from Part V, line 5.......
2a
166,517
b
Income tax for 2021. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
166,517
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
14,362,083
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
14,362,083
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
14,362,083
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
28,182,597
b
Program-related investments—total from Part VIII-B..................
1b
 
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
28,182,597
Form 990-PF (2021)
Form 990-PF (2021)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2020 		(c)
2020 		(d)
2021
1 Distributable amount for 2021 from Part X, line 7 14,362,083
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......  
b Total for prior years:20, 20, 20  
3 Excess distributions carryover, if any, to 2021:
a From 2016......  
b From 2017......  
c From 2018......  
d From 2019......  
e From 2020...... 9,616,456
f Total of lines 3a through e ........ 9,616,456
4Qualifying distributions for 2021 from Part
XI, line 4: bullet$ 28,182,597
a Applied to 2020, but not more than line 2a  
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 2021 distributable amount..... 14,362,083
e Remaining amount distributed out of corpus 13,820,514
5 Excess distributions carryover applied to 2021.    
(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 23,436,970
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
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 ........... 		 
e Undistributed income for 2019. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
f Undistributed income for 2021. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2022 .......... 		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 2016 not
applied on line 5 or line 7 (see instructions) ... 		 
9 Excess distributions carryover to 2022.
Subtract lines 7 and 8 from line 6a ...... 		23,436,970
10 Analysis of line 9:
a Excess from 2017....  
b Excess from 2018....  
c Excess from 2019....  
d Excess from 2020.... 9,616,456
e Excess from 2021.... 13,820,514
Form 990-PF (2021)
Form 990-PF (2021)
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 2021, enter the date of the ruling ...... bullet
 
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) 2021 (b) 2020 (c) 2019 (d) 2018
         
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 bullet
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
SHANA DALL'OSTO
7107 GREENWOOD AVE N SUITE A
SEATTLE,WA98103
(608) 273-3100
bThe form in which applications should be submitted and information and materials they should include:
N/A
cAny submission deadlines:
N/A
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
N/A
Form 990-PF (2021)
Form 990-PF (2021)
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

ACCESS COMMUNITY HEALTH CENTERS

2901 WEST BELTLINE HWY
SUITE 120
MADISON,WI53713 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 250,000

ACCESS COMMUNITY HEALTH NETWORK

600 W FULTON ST
SECOND FLOOR
CHICAGO,IL60661 		NONE   STRONG KIDS, COMMUNITIES, AND MINDS 350,000

ADVOCACY AND BENEFIT COUNSELING

32 N BASSETT ST
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

AGENA

PO BOX 190
TOPPENISH,WA989480190 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 310,000

ALAMEDA HEALTH SYSTEM

350 FRANK H OGAWA
SUITE 900
OAKLAND,CA94612 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 260,000

AMERICAN ACADEMY OF PEDIATRICS

345 PARK BLVD
ITASCA,IL60143 		NONE 501(C)(3) CATCH RESIDENCY GRANTS 30,000

AMERICAN CIVIL LIBERTIES UNION

125 BROAD ST
18TH FLOOR
NEW YORK,NY10004 		NONE 501(C)(3) CRIMINAL JUSTICE REFORM AND UNRESTRI 400,500

ARC COMMUNITY SERVICES

2001 W BELTLINE HWY
STE 102
MADISON,WI537132366 		NONE 501(C)(3) UNRESTRICTED 200,000

BADGER CHILDHOOD CANCER NETWORK

2215 ATWOOD AVE
MADISON,WI53704 		NONE 501(C)(3) FINANCIAL ASSISTANCE FOR FAMILIES 20,000

BAYVIEW FOUNDATION

601 BAYVIEW
MADISON,WI53715 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

BEAM UP INC

25 W MAIN ST
FL 5
MADISON,WI537033399 		NONE 501(C)(3) GENERAL OPERATIONS 2,000

BOSTON MEDICAL CENTER CORP

ONE BOSTON MEDICAL CTR PL
BOSTON,MA02118 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 250,000

BOYS AND GIRLS CLUB OF DANE CTY

1818 W BELTLINE HWY
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 20,000

BRADY CENTER TO PREVENT GUN VIOLENC

840 FIRST STREET NE
SUITE 400
WASHINGTON,DC20002 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

BREAD OF HEALING

1821 N 16TH ST
MILWAUKEE,WI532051626 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 100,000

BRIARPATCH YOUTH SERVICES

2720 RIMROCK RD
MADISON,WI537133337 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

BROCKTON HOSPITAL

680 CENTRE ST
BROCKTON,MA023023308 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 80,000

BROOKLYN HOSPITAL FOUNDATION

121 DEKALB AVE
BROOKLYN,NY112015425 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 375,000

CAMBRIDGE HEALTH FOUNDATION

350 MAIN STREET
5TH FLOOR
MALDEN,MA02148 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 315,000

CANOPY CENTER

2445 DARWIN ROAD
STE 15
MADISON,WI53704 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

CENTRAL CITY CONCERN

232 NW 6TH AVE
PORTLAND,OR97209 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

CENTRO HISPANO

810 W BADGER RD
MADISON,WI537132527 		NONE 501(C)(3) NEW ROUTES FOR ADULTS 50,000

CHIPPEWA VALLEY HEALTH CLINIC

1030 OAK RIDGE DR
EAU CLAIRE,WI54701 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 40,000

CLEVELAND CLINIC FOUNDATION

9500 EUCLID AVE
CLEVELAND,OH44195 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 20,000

CLINTON HEALTH ACCESS INITIATIVE

383 DORCHESTER AVE
STE 400
BOSTON,MA02127 		NONE 501(C)(3) CLOSING THE OXYGEN GAP 25,000

COLUMBIA BASIN HOSPITAL FOUNDATION

200 NAT WASHINGTON WAY
EPHRATA,WA988231982 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 30,000

COMBAT BLINDNESS INTERNATIONAL

PO BOX 5332
MADISON,WI53705 		NONE 501(C)(3) GENERAL OPERATIONS 15,000

COMMON WEALTH DEVELOPMENT

1501 WILLIAMSON ST
MADISON,WI53703 		NONE 501(C)(3) HOUSING (UNRESTRICTED) 50,000

COMMUNITY ACTION COALITION

1717 N STOUGHTON ROAD
MADISON,WI53704 		NONE 501(C)(3) GENERAL OPERATIONS 250,000

COMMUNITY COORDINATED CHILD CARE

5 ODANA CT
MADISON,WI53719 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

COMMUNITY JUSTICE INC

214 N HAMILTON ST
STE 101
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 75,000

COMMUNITY SHARES OF WISCONSIN

931 E MAIN STREET
STE 10
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

CONTRA COSTA REGIONAL HEALTH FDTN

50 DOUGLAS DR
STE 310A
MARTINEZ,CA94553 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 475,000

COUNTY OF DANE

210 MARTIN LUTHER KING JR
MADISON,WI53703 		NONE GOVT CRISIS CASE MANAGEMENT 50,000

CUMBERLAND MEMORIAL HOSPITAL

1110 7TH AVE
CUMBERLAND,WI548299138 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

DANE COUNTY LIBRARY SERVICE

1874 S STOUGHTON RD
MADISON,WI53716 		NONE GOVT PLAY LITERACY PROJECT 10,000

DANE COUNTY PARENTS COUNCIL

2096 RED ARROW TRAIL
FITCHBURG,WI53711 		NONE 501(C)(3) GREAT BEGINNINGS, NECZ, AND OTHER 1,272,000

DANE CTY MULTI AGENCY CENTER

4026 COUNCIL CRST
MADISON,WI537112953 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

DENVER HEALTH FOUNDATION

777 BANNOCK ST
MC0111
DENVER,CO80204 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 415,000

DOCTORS WITHOUT BORDERS

PO BOX 5030
HAGERSTOWN,MD21741 		NONE 501(C)(3) GENERAL OPERATIONS 500,500

DOLLYWOOD FOUNDATION

111 DOLLYWOOD LANE
PIGEON FORGE,TN37863 		NONE 501(C)(3) DANE CTY IMAGINATION LIBRARY 350,000

DOMESTIC ABUSE INTERVENTION SERVICE

2102 FORDEM AVE
MADISON,WI53704 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

DOOR CTY MEMORIAL HOSPITAL FDTN

228 S 18TH AVE
STURGEON BAY,WI542351000 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 100,000

EAST BOSTON NEIGHBORHOOD HEALTH

10 GOVE ST
EAST BOSTON,MA021281928 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 265,000

ECONOMIC JUSTICE INSTITUTE

975 BASCOM MALL 1348
MADISON,WI537061399 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

EDGERTON HOSPITAL CAPITAL FDN

11101 N SHERMAN RD
EDGERTON,WI53534 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

EDUCATION FUND TO STOP GUN VIOLENCE

805 15TH STREET NW
SUITE 410
WASHINGTON,DC20005 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

END DOMESTIC ABUSE WISCONSIN

1400 E WASHINGTON AVE
SUITE 227
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

ESKENAZI HEALTH FOUNDATION

725 ESKENAZI AVE
FL 5
INDIANAPOLIS,IN462025189 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 260,000

EXPO OF WISCONSIN

2917 FELL RD
MADISON,WI537134782 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

FDTN FOR BLACK WOMEN'S WELLNESS

PO BOX 259831
MADISON,WI53719 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

FDTN FOR MADISON'S PUBLIC SCHOOLS

2005 W BELTLINE HWY
STE 203
MADISON,WI53713 		NONE 501(C)(3) SCHOOL-BASED BEHAVIORAL AND MENTAL 132,500

FDTN FOR UNIVERSITY HOSPITAL

150 BERGEN ST
RM D209C
NEWARK,NJ07103 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 150,000

FOCUSED INTERRUPTION

31 S MILLS ST
MADISON,WI53715 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

FOCUSED INTERRUPTION

31 S MILLS ST
MADISON,WI53715 		NONE 501(C)(3) EMPLOYEE MATCHING 5,000

FORKS COMMUNITY HOSPITAL FDN

530 BOGACHIEL WAY
FORKS,WA983319120 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 30,000

FREEDOM INC

2110 LUANN LN
MADISON,WI537133098 		NONE 501(C)(3) ABUSE PREVENTION 50,000

GERALD L IGNACE INDIAN HEALTH CTR

930 W HISTORIC MITCHELL S
MILWAUKEE,WI532043533 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

GIVE BACK FOUNDATION

2302 INTERNATIONAL LANE
MADISON,WI537046066 		NONE 501(C)(3) MADISON GUARANTEED INCOME PROGRAM 150,000

GOLDEN VALLEY HEALTH CENTERS

737 W CHILDS AVE
MERCED,CA953416805 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES AND HEALTH 90,000

GOODMAN COMMUNITY CENTER

214 WAUBESA ST
MADISON,WI53704 		NONE 501(C)(3) PRESCHOOL/EARLY CHILDHOOD 25,000

GRANDE RONDE HOSPITAL FOUNDATION

PO BOX 3290
LA GRANDE,OR97850 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 90,000

GRANT REGIONAL HEALTH CENTER

507 S MONROE ST
LANCASTER,WI538132054 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

GRAYS HARBOR COMMUNITY HOSPITAL

915 ANDERSON DR
ABERDEEN,WA985201006 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 60,000

HARRIS COUNTY HOSPITAL DISTRICT

4800 FOURNACE PLACE
7TH FLOOR
WEST BELLAIRE,TX77401 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 350,000

HEALTH CARE EDUCATION AND TRAINING

1630 N MERIDIAN ST
STE 430
INDIANAPOLIS,IN462021437 		NONE 501(C)(3) REPRODUCTIVE AND SEXUAL HEALTH IN WI 25,000

HEALTH CARE FDTN FOR VENTURA CTY

3291 LOMA VISTA ROAD
VENTURA,CA93003 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 90,000

HEALTH CARE NETWORK INC

500 WISCONSIN AVENUE
SUITE 102
RACINE,WI53403 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 60,000

HEALTHCARE FOR THE HOMELESS NETWORK

401 5TH AVE
STE 1000
SEATTLE,WA98104 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

HEALTHNET OF ROCK COUNTY

23 W MILWAUKEE ST
STE 201
JANESVILLE,WI53548 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 70,000

HELPLINE HOUSE

282 KNECHTEL WAY NE
BAINBRIDGE,WA98110 		NONE 501(C)(3) EMPLOYEE MATCHING 500

HENNEPIN HEALTHCARE FOUNDATION

701 PARK AVE
56
MINNEAPOLIS,MN55415 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 615,000

HENRY W GRADY FOUNDATION

192 PEACHTREE ST
SUITE 820
ATLANTA,GA30303 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 450,000

HOPE CLINIC AND CARE CENTER

1814 APPLETON RD
MENASHA,WI549521110 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 40,000

HURLEY FOUNDATION

1 HURLEY PLAZA
FLINT,MI48503 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 350,000

INTERNATIONAL COMMUNITY HEALTHSERVI

PO BOX 3007
SEATTLE,WA98114 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 50,000

JOURNEY MENTAL HEALTH CENTER

25 KESSEL CT
STE 105
MADISON,WI53711 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 120,000

KIDS FORWARD

555 W WASHINGTON AVE
STE 200
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 150,000

LA CLINICA DE LOS CAMPESINOS

400 S TOWNLINE RD
WAUTOMA,WI549826922 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 135,000

LAHAI HEALTH

19820 SCRIBER LAKE RD
STE 2
LYNWOOD,WA98036 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 55,000

LAKE AREA FREE CLINIC

856 ARMOUR RD
STE B
OCONOMOWOC,WI53066 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 65,000

LAKESHORE COMMUNITY HEALTH CARE

PO BOX 959
SHEBOYGAN,WI53082 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 75,000

LAST MILE HEALTH

24 SCHOOL ST
5TH FLOOR
BOSTON,MA02108 		NONE 501(C)(3) GENERAL OPERATIONS 75,000

LEGAL ACTION OF WISCONSIN

633 WEST WISCONSIN AVE
SUITE 2000
MILWAUKEE,WI53203 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

LITERACY NETWORK

701 DANE ST
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 15,000

LOTUS LEGAL CLINIC

2515 N 124TH ST
SUITE 201
BROOKFIELD,WI53005 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

LOWER UMPQUA HOSPITAL FDN

600 RANCH ROAD
REEDSPORT,OR97467 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 30,000

MADISON METROPOLITAN SCHOOL DISTRIC

545 WEST DAYTON STREET
MADISON,WI53703 		NONE GOVT DEPT OF EARLY LEARNING 100,000

MADISON PUBLIC LIBRARY FOUNDATION

201 W MIFFLIN ST
MADISON,WI53703 		NONE 501(C)(3) DREAM BUS BOOKMOBILE 25,000

MADISON READING PROJECT

1337 GREENWAY CROSS
STE 186
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 130,000

MADISON-AREA URBAN MINISTRY

2115 S PARK ST
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

MEDSHARE INTERNATIONAL

3240 CLIFTON SPRINGS RD
DECATUR,GA30034 		NONE 501(C)(3) GENERAL OPERATIONS 40,000

METROHEALTH FOUNDATION

2500 METROHEALTH DRIVE
TOWERS 135-A
CLEVELAND,OH44109 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 3,000,000

MID-COLUMBIA HEALTH FOUNDATION

1700 E 19TH STREET
THE DALLES,OR97058 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 100,000

MID-VALLEY HOSPITAL FOUNDATION

PO BOX 3513
OMAK,WA988413513 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 30,000

MIDDLETON OUTREACH MINISTRY

3502 PARAMETER ST
MIDDLETON,WI53562 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

MILE BLUFF MEDICAL CENTER

1050 DIVISION ST
MAUSTON,WI53948 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 115,000

MILWAUKEE HEALTH SERVICES INC

2555 N MLK JR DR
8200 W SILVER SPRING DR
MILWAUKEE,WI53212 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 120,000

MORE SMILES WISCONSIN

630 E WASHINGTON AVE
MADISON,WI53703 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 25,000

MULTNOMAH COUNTY

619 NW 6TH AVENUE
7TH FLOOR
PORTLAND,OR97209 		NONE GOVT STRONG KIDS, COMMUNITIES, AND MINDS 85,000

MUSLIM COMMUNITY AND HEALTH CENTER

803 W LAYTON AVENUE
MILWAUKEE,WI53221 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 55,000

NEW COMMUNITY CLINIC

622 BODART ST
GREEN BAY,WI54301 		NONE 501(C)(3) STRONG KIDS, COMMUNTIES, AND MINDS 35,000

NATIONAL NETWORK OF ABORTION FUNDS

PO BOX 473
EAU CLAIRE,WI547020473 		NONE 501(C)(3) GENERAL OPERATIONS 10,000

NATIONAL NETWORK OF ABORTION FUNDS

PO BOX 92
MARSHFIELD,WI544490092 		NONE 501(C)(3) GENERAL OPERATIONS 15,000

NEHEMIAH CENTER FOR URBAN LEADERSHI

655 W BADGER RD
MADISON,WI537132013 		NONE 501(C)(3) INCREASE HOUSING SUPPORT 50,000

NEIGHBORCARE HEALTH

1200 12TH AVE S
STE 901
SEATTLE,WA98144 		NONE 501(C)(3) STRONG MINDS, STRONG COMMUNITIES 90,000

NEIGHBORHOOD HEALTH CENTER

7320 SW HUNZIKER RD
SUITE 102
PORTLAND,OR97223 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

NEW VENTURE FUND

1201 CONNECTICUT AVE NW
STE 300
WASHINGTON,DC20036 		NONE 501(C)(3) PROJECT UNLOADED 150,000

NEW VENTURE FUND

1201 CONNECTICUT AVE NW
STE 300
WASHINGTON,DC20036 		NONE 501(C)(3) FUND FOR A SAFER FUTURE 75,000

NORTH BY NORTHEAST COMMUNITY HEALTH

714 NE ALBERTA STREET
PORTLAND,OR97211 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES AND MINDS 30,000

NORTHLAKES COMMUNITY CLINIC

7665 US HIGHWAY 2
IRON RIVER,WI54847 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 155,000

NORTHWEST CHILDREN'S FOUNDATION

2100-24TH AVE S
SUITE 320
SEATTLE,WA98144 		NONE 501(C)(3) EMPLOYEE MATCHING 500

NYC HEALTH HOSPITALS

50 WATER ST
17TH FLOOR
NEW YORK,NY10004 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 350,000

ONE BROOKLYN HEALTH SYSTEMS

1 BROOKDALE PLZ
BROOKLYN,NY112123139 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 345,000

ONE CITY SCHOOLS

2012 FISHER ST
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 75,000

OPEN ARMS FREE CLINIC

PO BOX 678
ELKHORN,WI53121 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 50,000

OREGON PRIMARY CARE ASSOCIATION

333 SW 5TH AVE
STE 250
PORTLAND,OR972041747 		NONE 501(C)(3) GENERAL OPERATIONS 10,000

OSCEOLA COMMUNITY HEALTH

PO BOX 218
OSCEOLA,WI540204370 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

OUTREACH COMMUNITY HEALTH CENTERS

711 W CAPITOL DR
MILWAUKEE,WI532063336 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 55,000

OUTSIDE IN

1132 SW 13TH AVE
PORTLAND,OR97205 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

PARKLAND FOUNDATION

1341 W MOCKINGBIRD LN
NUMBER 1100E
DALLAS,TX75247 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 350,000

PARTNERS IN HEALTH

800 BOLYSTON ST
SUITE 300
BOSTON,MA02199 		NONE 501(C)(3) GENERAL OPERATIONS 150,000

PHILANTHROPY NORTHWEST

2101-4TH AVE
SUITE 650
SEATTLE,WA98121 		NONE 501(C)(3) EMPLOYEE MATCHING 1,000

PHYSICIANS FOR HUMAN RIGHTS

256 W 38TH ST
9TH FLOOR
NEW YORK,NY10018 		NONE 501(C)(3) GENERAL OPERATIONS 100,250

PLANNED PARENTHOOD

PO BOX 97166
WASHINGTON DC,DC200907166 		NONE 501(C)(3) EMPLOYEE MATCHING 500

PLANNED PARENTHOOD OF WISCONSIN

302 NORTH JACKSON ST
MILWAUKEE,WI532025904 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 1,000,000

PLAYING FIELD

3910 MINERAL POINT RD
MADISON,WI537055124 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

PORCHLIGHT INC

306 N BROOKS ST
MADISON,WI53715 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

PUBLIC HEALTH MADISON AND DANE CTY

210 MARTIN LUTHER KING JR
ROOM 507
MADISON,WI53703 		NONE GOVT NURSE-FAMILY PARTNERSHIP PROGRAM 100,000

RAPE CRISIS CENTER

2801 COHO ST
STE 301
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

REACH OUT AND READ INC

89 SOUTH STREET
BOSTON,MA02111 		NONE 501(C)(3) GENERAL OPERATIONS 500,000

RED CABOOSE CHILD CARE CENTER

654 WILLIAMSON ST
MADISON,WI53703 		NONE 501(C)(3) SCHOLARSHIP FUND 50,000

REEDSBURG AREA MEDICAL CENTER

2030 RIDGEVIEW DR
REEDSBURG,WI539592234 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 70,000

RISE WISCONSIN

2120 FORDEM AVE
MADISON,WI53704 		NONE 501(C)(3) GENERAL OPERATIONS 303,000

RIVERSIDE UNIVERSITY HEALTH SYSTEM

26520 CACTUS AVE
MORENO VALLEY,CA925553911 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 120,000

RWHC HEALTHY WISCONSIN

880 INDEPENDENCE LN
SAUK CITY,WI535831381 		NONE 501(C)(3) GENERAL OPERATIONS 15,000

SAUK PRAIRIE HEALTHCARE FOUNDATION

PO BOX 39
CASHTON,WI54619 		NONE 501(C)(3) HONORARIUM 150

SCENIC BLUFFS HEALTH CENTER

1040 S HENDERSON
SEATTLE,WA98108 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 45,000

SEA MAR COMMUNITY HEALTH CENTER

611 12TH AVE S
SEATTLE,WA98144 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 200,000

SEATTLE FOUNDATION

LB 1069
PO BOX 35146
SEATTLE,WA98124 		NONE 501(C)(3) ALL IN WA CHILDCARE INIT. EMPL MATCH 375

SECOND HARVEST FOODBANK

2802 DAIRY DR
MADISON,WI53718 		NONE 501(C)(3) GENERAL OPERATIONS 200,000

SHARE OUR STRENGTH

PO BOX 75475
BALTIMORE,MD21275 		NONE 501(C)(3) NO KID HUNGRY CAMPAIGN 200,000

SIMPSON STREET FREE PRESS

PO BOX 6307
MONONA,WI537130307 		NONE 501(C)(3) GENERAL OPERATIONS 6,000

SIXTEENTH ST COMMUNITY HEALTH CTR

1337 S CESAR E CHAVEZ DR
MILWAUKEE,WI53204 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 300,000

SKY LAKES MEDICAL CENTER

2865 DAGGETT AVE
KLAMATH FALLS,OR976011106 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 125,000

SOLACE FRIENDS INC

PO BOX 5587
MADISON,WI53705 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

ST CROIX REGIONAL MEDICAL CENTER

235 E STATE STREET
ST CROIX FALLS,WI540244417 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 110,000

ST VINCENT DE PAUL

PO BOX 259686
MADISON,WI53725 		NONE 501(C)(3) GENERAL OPERATIONS 75,000

SUNSHINE PLACE

18 RICKLE RD
PO BOX 307
SUN PRAIRIE,WI53590 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

TENANT RESOURCE CENTER

1202 WILLIAMSON ST
MADISON,WI53703 		NONE 501(C)(3) EVICTION PREVENTION 100,000

THE COOPER FOUNDATION

3 COOPER PLAZA
SUITE 500
CAMDEN,NJ08103 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 315,000

THE INHEALTH COMMUNITY WELLNESS

109 E BLUFF ST
BOSCOBEL,WI53805 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 25,000

THE INSTITUTE FOR FAMILY HEALTH

2006 MADISON AVE
NEW YORK,NY10038 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 265,000

THE METHODIST HOSPITAL FOUNDATION

600 GRANT ST
GARY,IN464026001 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 250,000

THE RAINBOW PROJECT

831 E WASHINGTON AVE
MADISON,WI537032935 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

THE ROAD HOME DANE COUNTY

890 W WINGRA DR
MADISON,WI53715 		NONE 501(C)(3) GENERAL OPERATIONS 250,000

THREE RIVERS HOSPITAL FOUNDATION

PO BOX 455
BREWSTER,WA988129636 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 30,000

US FUNDS FOR UNICEF

125 MAIDEN LN
NEW YORK,NY10038 		NONE 501(C)(3) GENERAL OPERATIONS 250,525

UMC FOUNDATION

1800 W CHARLESTON BLVD
STE 508
LAS VEGAS,NV89102 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 325,000

UNIDOS AGAINST DOMESTIC VIOLENCE

2005 W BELTLINE HWY
SUITE 211
MADISON,WI53713 		NONE 501(C)(3) GENERAL OPERATIONS 50,000

UNITED WAY OF DANE COUNTY

PO BOX 7548
MADISON,WI53707 		NONE 501(C)(3) BORN LEARNING INITIATIVE 200,000

UNIVERSITY HEALTH FOUNDATIONTRUMAN

2310 HOLMES
SUITE 735
KANSAS CITY,MO64108 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 200,000

UNIVERSITY OF MISSISSIPPI FOUNDATIO

406 UNIVERSITY AVE
OXFORD,MS38655 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 300,000

UNIVERSITY OF NEW MEXICO FOUNDATION

700 LOMAS BLVD
STE 108
ALBUQUERQUE,NM871022568 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 345,000

UNIVERSITY OF WISCONSIN FOUNDATION

US BANK LOCKBOX 78807
MILWAUKEE,WI532780807 		NONE 501(C)(3) GREATEST NEEDS FND, ODYSSEY, & WAISM 555,000

VALLEY MEDICAL CENTER FOUNDATION

2400 CLOVE DR
SAN JOSE,CA95128 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 450,000

VALLEYWISE HEALTH FOUNDATION

2901 E CAMELBACK RD
STE 202
PHOENIX,AZ85016 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 330,000

VERA COURT NEIGHBORHOOD CENTER

614 VERA CT
MADISON,WI537041938 		NONE 501(C)(3) LOS NINOS PRIMERO 45,000

VIRTUA HEALTH FOUNDATION

303 LIPPINCOTT DRIVE
4TH FLOOR
MARLTON,NJ08053 		NONE 501(C)(3) PEDIATRIC REHAB SERVICES 100,000

W A V E EDUCATIONAL FUND

PO BOX 170393
MILWAUKEE,WI53223 		NONE 501(C)(3) UNRESTRICTED 50,000

WACO FAMILY PRACTICE FOUNDATION

1600 PROVIDENCE DR
WACO,TX767072261 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 175,000

WASHINGTON ASSOCIATION FOR COMMUNIT

101 CAPITOL WAY
SUITE 200
OLYMPIA,WA98501 		NONE 501(C)(3) GENERAL OPERATIONS 10,000

WASHINGTON HEALTHCARE ACCESS ALLIAN

PO BOX 7242
TACOMA,WA98417 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

WAUKESHA FREE CLINIC

237 WASHINGTON AVE
STE 200
WAUKESHA,WI53186 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 35,000

WELLSPRING FAMILY SERVICES

1900 RANIER AVE S
SEATTLE,WA98144 		NONE 501(C)(3) EMPLOYEE MATCHING 250

WESTERN WISCONSIN HEALTH

1100 BERGSLIEN ST
BALDWIN,WI540022600 		NONE 501(C)(3) STRONG KIDS, COMMUNITIES, AND MINDS 45,000

WESTSIDE BABY

10002-14TH AVE SW
SEATTLE,WA98146 		NONE 501(C)(3) EMPLOYEE MATCHING 100

WI ALLIANCE FOR INFANT HEALTH

6213 MIDDLETON SPRINGS DR
STE 204
MIDDLETON,WI53562 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

WISCONSIN ASSOCIATION OF FREE CLINI

1256 CAPITOL DR
SUITE 700 210
PEWAUKEE,WI53072 		NONE 501(C)(3) GENERAL OPERATIONS 25,000

WISCONSIN COMMUNITY ACTION PROGRAM

30 W MIFFLIN ST
STE 406
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

WISCONSIN EARLY CHILDHOOD ASSOCIATI

2908 MARKETPLACE DR
STE 101
FITCHBURG,WI537195318 		NONE 501(C)(3) GENERAL OPERATING SUPPORT 200,000

WISCONSIN JUDICARE INCORPORATED

401 N 5TH ST
STE 200
WAUSAU,WI544035468 		NONE 501(C)(3) GENERAL OPERATIONS 100,000

WISCONSIN MEDICAL PROJECT INC

1217 SEMINOLE HWY
MADISON,WI537113726 		NONE 501(C)(3) GENERAL OPERATIONS 5,000

WISCONSIN PRIMARY HEALTH CARE ASSOC

5202 EASTPARK BLVD
MADISON,WI537182150 		NONE 501(C)(3) GENERAL OPERATIONS 10,000

WOMEN'S MEDICAL FUND

PO BOX 248
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 75,000

YWCA MADISON

101 E MIFFLIN ST
STE 100
MADISON,WI53703 		NONE 501(C)(3) GENERAL OPERATIONS 150,000
Total ................................. bullet3a 27,615,650
bApproved for future payment
Total .................................bullet 3b  
Form 990-PF (2021)
Form 990-PF (2021)
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     14 2,846,158  
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		    14 103,336  
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 ............ 		    18 10,782,953  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aOTHER INCOME 		        26,612
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   13,732,447 26,612
13Total. Add line 12, columns (b), (d), and (e)..................
13
13,759,059
(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 (2021)
Form 990-PF (2021)
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.
Bullet Bullet
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 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2021)
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