2024-05-14T17:39:54-05:00 2023-12-31 760269860 Blazek & Vetterling 2900 Weslayan Suite 200 Houston TX 77027 990PF 2023-01-01 205787382 Simon Bolivar Foundation Inc SIMO 18004950010 1293 Eldridge Parkway Houston TX 77077 Mariela Poleo President 2024-05-14 1 Mariela Poleo 999009999 0 Kurt Coburn P01638285 7134395739 2024-05-14 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z X 3591933 X 7776000 41067 41067 0 7817067 41067 0 0 0 12256 0 18181 45000 0 45000 5935 0 1489 29387 6317 29110 92578 6317 93780 8095716 7021536 8188294 6317 7115316 -371227 34750 1089666 1859855 1859855 284592 296832 296832 150133 2778 150133 150133 1276000 1400000 1276000 1276000 3986 9113 9113 2781022 3591933 3591933 7791 4700 1443080 2628309 1450871 2633009 X 1330151 958924 1330151 958924 2781022 3591933 1330151 -371227 0 958924 0 958924 483 0 483 0 483 35 0 0 0 35 0 448 0 0 0 0 0 0 0 0 0 0 1 1 DE LA TX 1 0 0 0 0 1 https://simonbolivarfoundation.org Ms Grisell Nouis 8324864007 1293 Eldridge Parkway N5111 Houston TX 77077 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 Mariela Poleo 1293 Eldridge Parkway Houston TX 77070 President 40.00 0 0 0 Stephen McNabb 1293 Eldridge Parkway Houston TX 77070 Treasurer 0.10 0 0 0 Holly Chastain Nini 1293 Eldridge Parkway Houston TX 77070 Secretary 10.60 0 0 0 Yollyfrancis Castellanos 1293 Eldridge Parkway Houston TX 77070 Assistant Secretary 0.00 0 0 0 Bob Shoemaker 1293 Eldridge Parkway Houston TX 77070 Controller & Ast. Treasurer 0.10 0 0 0 Andres Padilla 1293 Eldridge Parkway Houston TX 77070 Director 0.60 0 0 0 Pablo Perez 1293 Eldridge Parkway Houston TX 77070 Director 0.60 0 0 0 David Weaver 1293 Eldridge Parkway Houston TX 77070 Director 0.60 0 0 0 NONE 0 NONE 0 0 0 1886560 0 1886560 0 0 1886560 28298 1858262 92913 92913 483 483 92430 1706 94136 0 94136 7115316 0 7115316 94136 0 0 12051363 4002061 3426199 2203195 5048835 26731653 7115316 0 0 0 94136 7021180 0 0 33752833 0 0 0 0 0 0 12051363 21701470 4002061 3426199 2203195 5048835 7021180 X Adelianny Rodriguez 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 100342 Isabella Guevara 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 77282 Luis Fernando Beltran 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance to patient residing in Venezuela for treament not available in Venezuela 37273 Marco Bello 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 76581 Maria de los Angeles Amaya 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 98313 Mauricio Andres Suarez 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance to patient residing in Venezuela for treament not available in Venezuela 4418 Nelson Useche 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 288584 Stephanie Milagros Rodriguez 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance to patient residing in Venezuela for treament not available in Venezuela 4374 Ximena Longa 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 48989 Aid for Aids 131 Varick St Suite 1006 New York NY 10013 N/A PC Small grants program 147560 Aid for Aids 131 Varick St Suite 1006 New York NY 10013 N/A PC Humanitarian health program 10000 Asociacion Cardiovascular Centro Occidental Barrio La feria Prolongacion de la Carrera 17 con calle 12 Barquisimeto Lara VE 3001 N/A NC Donation of Equipment, supplies and services to hospitals 56250 Big Little JC Organization 18235 Westridge bend Ln Cypress TX 77433 N/A PC Small Grants Program 10000 Big Little JC Organization 18235 Westridge bend Ln Cypress TX 77433 N/A PC Networking and Educational Program 15000 Cadena Foundation Inc 8900 NE 25th Ave Miami FL 33180 N/A PC Humanitarian health program 68104 Christ Clinic 25722 Kingsland Boulevard Suite 101 Katy TX 77494 N/A PC Networking and Educational Program 5000 Friends of the Children of Venezuela Inc 1333 S Miami Avenue Suite 100 Miami FL 33130 N/A PC Humanitarian health program 156250 Fundacion Caring for Colombia 139 W 120 th ST New York NY 10027 N/A PC Humanitarian health program 165000 Fundahigado America Foundation 3900 Westerre Parkway Suite 300 Richmond VA 23233 N/A PC Humanitarian health program 138935 Fundahigado America Foundation 3900 Westerre Parkway Suite 300 Richmond VA 23233 N/A PC Networking and Educational Program 8000 Global Impact 1199 North Fairfax Street Suite 300 Alexandria VA 22314 N/A PC Humanitarian health program 259426 GlobalGiving Foundation One Thomas Circle NW suite 800 Washington DC 20005 N/A PC Humanitarian health program 1332500 Hermanos de la calle 240 Crandon Blvd Suite 263 Key Biscayne FL 33149 N/A PC Small Grants Program 10000 Institute for Healthcare Improvement 53 State Street 18th Floor Boston MA 02109 N/A PC Networking and Educational Program 129895 International Federation of Red Cross 1209 Petit-Saconnex Geneva 19 SZ N/A PC Humanitarian health program 778536 International Medical Corps 12400 Wilshire Boulevard Suite 1500 Los Angeles CA 35321 N/A PC Humanitarian health program 615250 Latin Ladies Foundation of Houston 4722 Natural Bridge Dr Kingwood TX 77345 N/A PC Networking and Educational Program 5000 Latin Ladies Foundation of Houston 4722 Natural Bridge Dr Kingwood TX 77345 N/A PC Small Grants Program 5000 Local Infant Formula for Emergencies 2002 South Wayside Drive Houston TX 77023 N/A PC Networking and Educational Program 2500 MedGlobal Inc 10604 Southwest Highway Suite 107 Chicago Ridge IL 60415 N/A PC Humanitarian health program 302886 Medical Teams International 14150 SW Milton Court Tigard OR 97224 N/A PC Humanitarian health program 343750 Pan American Development Foundation 1889 F street NW Second Floor Coconut Creek FL 33073 N/A PC Humanitarian health program 437500 Project Hope - The people 7500 Old Georgetown Road Suite 600 Bethesda MD 20814 N/A PC Humanitarian health program 250000 Saludos connection 3770 Farber St Houston TX 77005 N/A PC Networking and educational program 20000 Scalabrini Intl Migration Network Inc 307 East 60th Street New York NY 100221505 N/A PC Humanitarian health program 225000 Sociedad Amigos Del HEP 9600 NW 25th Street Suite 6D Doral FL 33172 N/A PC Humanitarian health program 125000 Spring Branch Community 800 West Sam Houston Pkwy Suite 200 Houston TX 77042 N/A PC Humanitarian health program 100000 Texas Children's Hospital 1919 S Braeswood Blvd 5th Floor Houston TX 77030 N/A PC Humanitarian health program 245490 Universidad Central De Venezuela Urbanizacion Los Chaguaramos Cuidad Universitaria Caracas VE N/A GOV Networking and educational program 17548 Ven da Tu Mano Fundacion Inc 2825 South Miami Avenue Miami FL 33129 N/A PC Humanitarian health program 250000 Venezuela Now Inc PO Box 2855 Acworth GA 30102 N/A PC Humanitarian health program 50000 7021536 Adelianny Rodriguez 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 137989 Isabella Guevara 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 86955 Luis Fernando Beltran 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance to patient residing in Venezuela for treament not available in Venezuela 27453 Marco Bello 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 41466 Maria de los Angeles Amaya 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 76159 Nelson Useche 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 130235 Ximena Longa 1293 Eldridge Parkway Houston TX 77077 None I Medical assistance for liver transplant 45214 Friends of the Children of Venezuela Inc 1333 S Miami Avenue Suite 100 Miami FL 33130 N/A PC Humanitarian health program 156250 Global Impact 1199 North Fairfax Street Suite 300 Alexandria VA 22314 N/A PC Humanitarian health program 133575 International Federation of Red Cross 1209 Petit-Saconnex Geneva 19 SZ N/A PC Humanitarian health program 250000 Medical Teams International 14150 SW Milton Court Tigard OR 97224 N/A PC Humanitarian health program 218750 Pan American Development Foundation 1889 F street NW Second Floor Coconut Creek FL 33073 N/A PC Humanitarian health program 562500 Scalabrini Intl Migration Network Inc 307 East 60th Street New York NY 100221505 N/A PC Humanitarian health program 135000 Sociedad Amigos Del Hep 9600 NW 25th Street Suite 6D Doral FL 33172 N/A PC Humanitarian health program 125000 Texas Children's Hospital 1919 S Braeswood Blvd 5th Floor Houston TX 77030 N/A PC Humanitarian health program 120500 Ven da Tu Mano Fundacion Inc 2825 South Miami Avenue Miami FL 33129 N/A PC Humanitarian health program 125000 Venezuela Now Inc PO Box 2855 Acworth GA 30102 N/A PC Humanitarian health program 250000 2622046 14 41067 0 41067 0 41067 0 0 0 0 0 0 0 0 0 0 X X 1 CITGO Petroleum Corporation PO Box 4689 Houston TX 77210 7776000 X Audit, tax planning & compliance 45000 0 45000 Asociacion Cardiovascular Centro Occidental Barrio La feria Prolongacion de la Carrera 17 con calle 12 Barquisimeto Lara VE 3001 2023-01-24 56250 Donation of Equipment, supplies and services to hospitals 56250 None 2/26/24, 4/23/24 The grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made. Additional information regarding programs Part XIV, Line 3a Simon Bolivar Foundation Inc. (the "Foundation") primarily funds charitable grants to improve the health of vulnerable populations affected by disaster, conflict and poverty, with special attention to mothers and children, in and out of Venezuela, with three main objectives: i) increasing access to medicine and nutrition thereby improving the wellbeing of vulnerable populations, ii) enhancing capacity of medical professionals and caregivers to serve and treat patients in need through education and support and iii) empowerment of charitable and non-governmental organizations ("NGOs") to serve the health needs of the most vulnerable individuals in their communities. The charitable programs approved by the Foundation's Board of Directors are divided into two categories: 1. Humanitarian health grants that provide support to charitable programs and organizations that align with the Foundation's goals of expanding access to medicine and nutrition that ultimately improves the well-being of the most vulnerable individuals in and from Venezuela. These programs include strategic partnerships with renowned and long-standing 501(c)(3) not-for-profit organizations and other qualified charitable organizations with demonstrated capacity to execute humanitarian health programs in Venezuela, the United States and the Latin American region and knowledge transfer grants that aim to enhance the capacity of medical professionals and caregivers to serve and treat patients in need in Venezuela and the region; and 2. Medical grants that support critically ill patients in need. The Foundation is located in Houston, Texas. CITGO Petroleum Corporation ("CITGO") is the sole member and contributor of the Foundation at this time. During 2023 CITGO made contributions to support the charitable programs of the Foundation in the total amount of $7,776,000. Approximately 32 CITGO employees volunteer part or all of their time to the Foundation in providing services such as operational, accounting, tax, legal, procurement, audit and other services, for a total of approximately 9,595 volunteer hours. On January 28, 2019, the U.S. Department of Treasury's Office of Foreign Assets Control ("OFAC") added CITGO's ultimate parent company Petroleos de Venezuela, S.A. ("PDVSA") to the List of Specially Designated nationals and Blocked Persons generally prohibiting U.S. persons from engaging in any transaction in which PDVSA or any entity owned 50 percent or more by PDVSA has any property interest. On February 26, 2019, OFAC issued special license No. Venezuela-EO13850-2019-359230-1 authorizing the Foundation to continue to provide charitable assistance and financial support for ongoing medical treatment, medicines, medical devices, and related services to patients referred by PDVSA, as well as to cover any remaining expenses in connection with such treatment pursuant to existing grant agreements with the patients and service agreements with the patients' healthcare providers and other providers entered into prior to January 28, 2019. This special license was subsequently extended until July 31, 2025 to allow more time to transition the remaining patients to other charitable organizations and/or medical institutions that can continue to assist with their long-term medical needs. It is unclear at this time whether or when the sanctions may be lifted, or if additional sanctions may be put in place. Other charitable programs executed by the Foundation are not impacted by the sanctions explained above. General governance & counsel 12256 0 18181 Bank charges 6317 6317 0 Other patient expenses 3084 0 2157 Insurance 16744 0 21870 Advertising 3242 0 5083 Administrative services 5895 0 1449 Translation services 40 0 40