2026-02-12T17:49:29-06:00 2025-03-31 MICHAEL BERRY CPA PO BOX 5045 CULVER CITY CA 902315045 990PF 2024-04-01 010956020 KIANI FOUNDATION KIAN 9497615900 121 THEORY IRVINE CA 92617 GERRY HAMMARTH TREASURER 9497615900 2026-02-12 1 0 MICHAEL BERRY P00179412 3108382204 X 2024 2025-03-06 01:10:19Z X X X 1789613 X 1500630 0 1500630 0 0 0 0 10460 0 10460 28750 0 28750 225 0 225 6300 0 6300 814 0 814 46549 0 46549 541444 590000 587993 0 636549 912637 0 926552 1778713 1778713 7150 10900 10900 933702 1789613 1789613 8170 108556 60000 116726 60000 X 816976 1729613 816976 1729613 933702 1789613 816976 912637 0 1729613 0 1729613 0 0 0 0 0 900 0 0 0 900 0 900 900 0 0 0 0 0 0 0 0 1 0 0 1 1 CA DE 0 0 0 0 0 1 HTTPS://WWW.KIANIFOUNDATION.ORG/ BARNETT COMPANY 9492663040 30212 TOMAS SUITE 200 RANCHO SANTA MARGARITA CA 92688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 JOE KIANI 121 THEORY IRVINE CA 92617 CHAIRMAN 0.50 0 0 0 FREDERICK HARRIS 121 THEORY IRVINE CA 92617 DIRECTOR 0.25 0 0 0 SARAH KIANI 121 THEORY IRVINE CA 92617 DIRECTOR 0.25 0 0 0 STEVE JENSEN 121 THEORY IRVINE CA 92617 SEE STATEMENT 0.25 0 0 0 TOM MCCLENAHAN 121 THEORY IRVINE CA 92617 SECRETARY (LEFT JAN 9, 2025) 0.05 0 0 0 MICAH YOUNG 121 THEORY IRVINE CA 92617 TREASURER (LEFT JAN 9, 2025) 0.10 0 0 0 GERRY HAMMARTH 121 THEORY IRVINE CA 92617 TREASURER (START JAN 9, 2025) 0.10 0 0 0 NONE 0 NONE 0 0 0 1612869 0 1612869 0 0 1612869 24193 1588676 79434 79434 0 79434 0 79434 0 79434 636549 0 636549 79434 0 0 2217749 2263205 2153410 2319061 3360178 12313603 636549 0 0 0 79434 557115 0 0 12870718 0 0 0 0 0 0 2217749 10652969 2263205 2153410 2319061 3360178 557115 KIANI FOUNDATION ATTN GLENN PARRISH UCI UNIVERSITY PARK 121 THEORY IRVINE CA 92617 9497615900 GLENN.PARRISH@KIANIFOUNDATION.ORG THE LETTER SHOULD PROVIDE INFORMATION NECESSARY FOR THE FOUNDATION TO DETERMINE WHETHER THE GRANT REQUEST MEETS ITS GUIDELINES AND SUPPORTS ITS MISSION, INCLUDING A DESCRIPTION OF THE PROJECT TO B E FUNDED, THE TOTAL PROJECT BUDGET, THE AMOUNT REQUESTED FROM THE FOUNDATION, AND BACKGROUND INFORMATION ABOUT THE APPLYING ORGANIZATION, INCLUDING ITS HISTORY, PURPOSE AND ACTIVITIES. REVIEW THE LETTER OF INQUIRY CHECKLIST FOR MORE DETAILS WHICH CAN BE FOUND AT HTTPS://WWW.KIANIFOUNDATION.ORG/ THE FOUNDATION CONSIDERS ALL LETTERS OF INQUIRY AND ACKNOWLEDGES THEIR RECEIPT BY EMAIL. IF THE FOUNDATION DETERMINES THAT THE REQUESTOR'S FUNDING NEEDS ARE CONSISTENT WITH THE FOUNDATION'S ELIGIBILITY REQUIREMENTS, THE REQUESTOR WILL BE INVITED TO APPLY AND PROVIDE THE NECESSARY FORMS AND DETAILS TO SUBMIT A COMPREHENSIVE APPLICATION. NONE NONE T'RUAH 266 W 37TH STREET SUITE 803 NEW YORK NY 10018 NONE PC GENERAL OPERATING SUPPORT 20000 JEWISH VOICE FOR PEACE PO BOX 589 BERKELEY CA 94701 NONE PC GENERAL OPERATING SUPPORT 20000 THE VOICES PROJECT 594 DEAN STREET FLOOR 2 SUITE 22 BROOKLYN NY 11238 NONE PC GENERAL OPERATING SUPPORT 100000 INTERNATIONAL CHILDREN'S ADVISORY NETWORK 147 MAXWELL AVE SW MARIETTA GA 30064 NONE PC GENERAL OPERATING SUPPORT 10000 ST MARY AND ALL ANGELS CHRISTIAN SCHOOL 7 PURSUIT ALISO VIEJO CA 92656 NONE PC SCHOLARSHIPS 35000 ST MARY AND ALL ANGELS CHRISTIAN SCHOOL 7 PURSUIT ALISO VIEJO CA 92656 NONE PC SCHOLARSHIPS 75000 THE CARTER CENTER 453 JOHN LEWIS FREEDOM PARKWAY NE ATLANTA GA 30307 NONE PC GENERAL OPERATING SUPPORT 100000 ANAHEIM COMMUNITY FOUNDATION 200 SOUTH ANAHEIM BOULEVARD SUITE 433 ANAHEIM CA 92805 NONE PC ANAHEIM HEALTH FAIR 20000 UCI FOUNDATION 510 EAST PELTASON DRIVE SUITE 5000 IRVINE CA 926975600 NONE PC HEALTHCARE RESEARCH 150000 PATIENT SAFETY WATCH 5 TECHNOLOGY PARK COLINDEEP LANE LONDON LONDON UK NONE NC PATIENT SAFETY RESEARCH 60000 590000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X X 1 MASIMO CORPORATION 52 DISCOVERY IRVINE CA 92618 1500630 X ACCOUNTING 10460 0 10460 PATIENT SAFETY WATCH- SEE STATEMENT 9 5 TECHNOLOGH PARK COLINDEEP LANE LONDON LONDON UK 2024-05-13 60000 PATIENT SAFETY RESEARCH 60000 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED JANUARY 8, 2025 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. SHARESAFE SOLUTIONS LLC 182 ST FRANCIS ST 302 MOBILE AL 36602 2023-09-25 250000 CREATION OF VIDEO SERIES ON PATIENT SAFETY AND PREVENTION OF HOSPITAL ACQUIRED CONDITIONS. FUNDS SPENT IN EXCESS OF GRANT AMOUNT (20,800) CAME FROM OTHER SOURCES. 270800 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED AUGUST 13, 2024; FEBRUARY 5,2026 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. DELAWARE DOES NOT REQUIRE A COPY OF FORM 990-PF. PART VI-B, LINES 5(A)(4) AND LINE 5(C) & STATEMENT 7 ON FEBRUARY 22,2023, THE ORGANIZATION ENTERED INTO AN EXPENDITURE RESPONSIBILITY AGREEMENT WITH PATIENT SAFETY WATCH, A UNITED KINGDOM CHARITY AS INDICATED IN STATEMENT 7. THE GRANT IS A THREE-YEAR GRANT TOTALING $180,000. THE FIRST INSTALLMENT IN THE AMOUNT OF $60,000 WAS MADE ON APRIL 27, 2023; THE SECOND INSTALLMENT WAS MADE IN CURRENT YEAR ON MAY 13,2024; FINAL INSTALLMENT OF $60,000 WAS MADE SUBSEQUENT TO CURRENT YEAR END ON APRIL 15,2025. INTERIM REPORTS WERE RECEIVED MAY 4, 2024, JANUARY 8,2025, AND FEBRUARY 3,2026. PART VII DIRECTOR STEVE JENSEN SERVED AS A DIRECTOR FOR FULL YEAR. IN ADDITION, HE SERVED AS SECRETARY STARTING IN JANUARY, 9, 2025. PART VI-A, LINE 3 ON APRIL 9,2025, THE ORGANIZATION CHANGED ITS NAME FROM THE MASIMO FOUNDATION FOR ETHICS, INNOVATION AND COMPETITION IN HEALTHCARE TO KIANI FOUNDATION. ATTACHED IS A COPY OF CERTIFICATE OF AMENDMENT FILED WITH STATE OF DELAWARE. INSURANCE 814 0 814 ADMINISTRATIVE AND CONSULTING 28750 0 28750 FILING FEES 225 0 225