| GATES FOUNDATION TRUST | KIRKLAND | $7,751,200,000 |
| GATES FOUNDATION | SEATTLE | $7,200,556,970 |
| BRISTOL-MYERS SQUIBB PATIENT ASSISTANCE FOUNDATION INC | PRINCETON | $4,391,075,903 |
| GENENTECH PATIENT FOUNDATION | S SAN FRAN | $3,634,462,791 |
| NOVARTIS PATIENT ASSISTANCE FOUNDATION | EAST HANOVER | $2,871,059,220 |
| JOHNSON & JOHNSON PATIENT ASSISTANCE FOUNDATION INC | NEW BRUNSWICK | $2,301,799,470 |
| PFIZER PATIENT ASSISTANCE FOUNDATION INC | NEW YORK | $2,040,678,841 |
| MERCK PATIENT ASSISTANCE PROGRAM INC | RAHWAY | $1,952,689,147 |
| LILLY ENDOWMENT INC | INDIANAPOLIS | $1,527,002,818 |
| BOEHRINGER INGELHEIM CARES FOUNDATION INC | RIDGEFIELD | $1,292,546,623 |
| BLOOMBERG FAMILY FOUNDATION INC | NEW YORK | $1,005,927,588 |
| BAYER US PATIENT ASSISTANCE FOUNDATION | WHIPPANY | $915,173,087 |
| GLAXOSMITHKLINE PATIENT ACCESS PROGRAMS FOUNDATION | PHILADELPHIA | $881,930,422 |
| FOUNDATION TO PROMOTE OPEN SOCIETY | NEW YORK | $836,579,235 |
| THE SUSAN THOMPSON BUFFETT FOUNDATION | OMAHA | $695,209,110 |
| VOLKSWAGEN-STIFTUNG | SALT LAKE CTY | $654,977,253 |
| WALTON FAMILY FOUNDATION INC | BENTONVILLE | $641,316,726 |
| FORD FOUNDATION | NEW YORK | $607,405,678 |
| WILLIAM & FLORA HEWLETT FOUNDATION | MENLO PARK | $605,258,937 |
| ROBERT WOOD JOHNSON FOUNDATION | PRINCETON | $551,244,399 |
| ANDREW W MELLON FOUNDATION | NEW YORK | $549,292,394 |
| HOWARD G BUFFETT FOUNDATION | DECATUR | $458,103,720 |
| LEONA M & HARRY B HELMSLEY CHARITABLE TRUST | NEW YORK | $454,329,910 |
| SERGEY BRIN FAMILY FOUNDATION | SAN FRANCISCO | $430,295,656 |
| FREEDOM TOGETHER FOUNDATION | NEW YORK | $424,004,240 |
| GORDON E AND BETTY I MOORE FOUNDATION | PALO ALTO | $408,113,771 |
| W K KELLOGG FOUNDATION | BATTLE CREEK | $406,544,164 |
| W K KELLOGG FOUNDATION TRUST-T/A 5315 | BATTLE CREEK | $377,000,000 |
| DAVID AND LUCILE PACKARD FOUNDATION | LOS ALTOS | $371,574,675 |
| GOOD VENTURES FOUNDATION | PALO ALTO | $369,384,206 |
| CHARLES AND LYNN SCHUSTERMAN FAMILY FOUNDATION | TULSA | $363,540,084 |
| THE CALIFORNIA ENDOWMENT | LOS ANGELES | $350,281,327 |
| JOHN D & CATHERINE T MACARTHUR FOUNDATION | CHICAGO | $338,504,565 |
| SIMONS FOUNDATION INC | NEW YORK | $317,075,014 |
| THE ERIC AND WENDY SCHMIDT FUND FOR STRATEGIC INNOVATION | PALO ALTO | $301,970,372 |
| CARL VICTOR PAGE MEMORIAL FOUNDATION | PALO ALTO | $285,596,584 |
| WELLSPRING PHILANTROPIC FUND INC | NEW YORK | $276,051,676 |
| ROCKEFELLER FOUNDATION | NEW YORK | $273,583,314 |
| JACK JOSEPH AND MORTON MANDEL FOUNDATION | CLEVELAND | $257,875,136 |
| GERSON BAKAR FOUNDATION | SAN FRANCISCO | $255,406,561 |
| WAVERLEY STREET FOUNDATION | PALO ALTO | $225,507,334 |
| DUKE ENDOWMENT | CHARLOTTE | $212,293,248 |
| OPEN SOCIETY INSTITUTE | NEW YORK | $210,328,203 |
| CONRAD N HILTON FOUNDATION | WESTLAKE VLG | $210,298,805 |
| THE ANNENBERG FOUNDATION | LOS ANGELES | $200,588,922 |
| SHERWOOD FOUNDATION | OMAHA | $196,929,490 |
| JPMORGAN CHASE FOUNDATION | NEW YORK | $194,393,456 |
| KNIGHT FOUNDATION | BEAVERTON | $191,354,333 |
| MARGARET A CARGILL FOUNDATION | EDEN PRAIRIE | $189,992,710 |
| ROBERT W WOODRUFF FOUNDATION INC | ATLANTA | $189,635,270 |
| JOHN S AND JAMES L KNIGHT FOUNDATION INC | MIAMI | $187,524,486 |
| KRESGE FOUNDATION | TROY | $185,027,660 |
| H&H EVERGREEN FOUNDATION | MENLO PARK | $183,666,500 |
| JAMES IRVINE FOUNDATION | SAN FRANCISCO | $177,075,927 |
| CHARLES STEWART MOTT FOUNDATION | FLINT | $173,381,154 |
| THE HEISING-SIMONS FOUNDATION | LOS ALTOS | $164,266,528 |
| LAURA AND JOHN ARNOLD FOUNDATION | HOUSTON | $162,949,201 |
| CRANKSTART FOUNDATION | SAN JOSE | $159,771,106 |
| CARNEGIE CORPORATION OF NEW YORK | NEW YORK | $159,585,015 |
| MOTHER CABRINI HEALTH FOUNDATION | NEW YORK | $157,344,360 |
| BEZOS FAMILY FOUNDATION | SEATTLE | $156,961,900 |
| WILLIAM PENN FOUNDATION | PHILADELPHIA | $152,349,810 |
| FIDELITY FOUNDATION | BOSTON | $146,970,213 |
| WALTER SCOTT FAMILY FOUNDATION | OMAHA | $145,640,942 |
| THE HARRY & JEANETTE WEINBERG FOUNDATION INC | OWINGS MILLS | $140,190,305 |
| THE SCHMIDT FAMILY FOUNDATION | PALO ALTO | $137,609,510 |
| THE RALPH C WILSON JR FOUNDATION | DETROIT | $137,591,395 |
| THE COLORADO HEALTH FOUNDATION | DENVER | $136,957,955 |
| NOVO FOUNDATION | HURLEY | $134,303,210 |
| BROAD FOUNDATION | LOS ANGELES | $129,246,056 |
| STEVEN & ALEXANDRA COHEN FOUNDATION INC | STAMFORD | $128,674,204 |
| JOHN TEMPLETON FOUNDATION | WEST CONSHOHOCKEN | $126,807,051 |
| BROWN FOUNDATION INC | HOUSTON | $117,902,276 |
| MCKNIGHT FOUNDATION | MINNEAPOLIS | $114,829,503 |
| SHELBY CULLOM DAVIS CHARITABLE FUND INC | WILMINGTON | $114,396,076 |
| DORIS DUKE CHARITABLE FOUNDATION INC | NEW YORK | $114,359,170 |
| OTTO BREMER TRUST | SAINT PAUL | $111,935,988 |
| ANSCHUTZ FOUNDATION | DENVER | $107,020,641 |
| MICHAEL & SUSAN DELL FOUNDATION | AUSTIN | $106,958,653 |
| BARR FOUNDATION | BOSTON | $106,878,904 |
| HOUSTON ENDOWMENT INC | HOUSTON | $105,703,678 |
| J E AND L E MABEE FOUNDATION INC | MIDLAND | $105,658,983 |
| DRUCKENMILLER FOUNDATION | NEW YORK | $102,138,000 |
| STARR FOUNDATION | NEW YORK | $94,991,490 |
| ALICE L WALTON FOUNDATION | BENTONVILLE | $94,958,378 |
| ALFRED P SLOAN FOUNDATION | NEW YORK | $93,629,022 |
| EWING MARION KAUFFMAN FOUNDATION | KANSAS CITY | $91,171,898 |
| MOODY FOUNDATION | GALVESTON | $90,155,967 |
| DOGWOOD HEALTH TRUST | ASHEVILLE | $89,889,021 |
| SURDNA FOUNDATION INC | NEW YORK | $89,679,450 |
| ARIE AND IDA CROWN MEMORIAL | CHICAGO | $89,578,087 |
| ANNIE E CASEY FOUNDATION | BALTIMORE | $83,491,462 |
| HILLMAN FAMILY FOUNDATIONS | PITTSBURGH | $83,393,067 |
| BUILDERS INITIATIVE | CHICAGO | $81,706,966 |
| SKYLINE FOUNDATION | PALO ALTO | $80,682,614 |
| M J MURDOCK CHARITABLE TRUST | VANCOUVER | $78,149,690 |
| HAROLD ALFOND FOUNDATION | PORTLAND | $76,931,912 |
| DANIELS FUND | DENVER | $67,434,251 |
| SOBRATO FAMILY FOUNDATION | MOUNTAIN VIEW | $65,635,935 |
| THE TEPPER FOUNDATION | SHORT HILLS | $65,331,679 |
| ZOOM FOUNDATION | GREENWICH | $63,196,700 |
| THE WALLACE FOUNDATION | NEW YORK | $60,895,714 |
| JEN-HSUN & LORI HUANG FOUNDATION | PALO ALTO | $59,723,672 |
| THE CALIFORNIA WELLNESS FOUNDATION | LOS ANGELES | $59,641,358 |
| W M KECK FOUNDATION | LOS ANGELES | $59,628,353 |
| JOYCE FOUNDATION | CHICAGO | $59,379,627 |
| RIPPLEWORKS INC | SAN FRANCISCO | $58,579,920 |
| CHAN ZUCKERBERG INITIATIVE FOUNDATION | PALO ALTO | $57,960,663 |
| ROCKEFELLER BROTHERS FUND INC | NEW YORK | $56,073,582 |
| DAVIS FAMILY FOUNDATION | HANOVER | $55,153,500 |
| LUMINA FOUNDATION FOR EDUCATION INC | INDIANAPOLIS | $54,831,247 |
| THE ROBERT D AND PATRICIA E KERN FAMILY FOUNDATION INC | WAUKESHA | $54,002,017 |
| OVERDECK FAMILY FOUNDATION | NEW YORK | $53,464,779 |
| FRED C AND KATHERINE B ANDERSEN FOUNDATION | BAYPORT | $52,499,288 |
| PATTERSON FAMILY FOUNDATION | KANSAS CITY | $51,322,857 |
| THE AHMANSON FOUNDATION | BEVERLY HILLS | $51,151,890 |
| WILLIAM RANDOLPH HEARST FOUNDATION | NEW YORK | $50,748,729 |
| THE HEINZ ENDOWMENTS | PITTSBURGH | $48,689,957 |
| PETER AND CARMEN LUCIA BUCK FOUNDATION INC | MYSTIC | $48,328,822 |
| HENRY LUCE FOUNDATION INC | NEW YORK | $48,012,564 |
| ALLEN FAMILY PHILANTHROPIES | SEATTLE | $47,153,310 |
| ROOTS AND WINGS FOUNDATION INC | SEATTLE | $44,976,065 |
| NEGAUNEE FOUNDATION LTD | NORTHBROOK | $41,798,642 |
| JAMES M COX FOUNDATION OF GA INC | ATLANTA | $37,477,500 |
| EAGLE FOUNDATION | OMAHA | $37,416,025 |
| GOTTESMAN FUND | NEW YORK | $36,797,527 |
| CARL AND MARILYNN THOMA | DALLAS | $36,707,186 |
| XIE FOUNDATION | SUNNYVALE | $35,368,429 |
| CATENA FOUNDATION | CARBONDALE | $30,178,715 |
| GENE HAAS FOUNDATION | OXNARD | $29,532,163 |
| THE BAT HANADIV FOUNDATION NO 3 | NEW YORK | $29,129,844 |
| GEORGE S ECCLES AND DELORES DORE ECCLES FOUNDATION | SALT LAKE CTY | $27,412,943 |
| ADAM R SCRIPPS FOUNDATION | FT MITCHELL | $27,009,336 |
| ED RACHAL FOUNDATION | CORP CHRISTI | $26,869,852 |
| THE HAWKS FOUNDATION | OMAHA | $26,656,230 |
| ESSEX AVENUE FOUNDATION | WILMINGTON | $23,424,750 |
| MORRIS AND GWENDOLYN CAFRITZ FOUNDATION | WASHINGTON | $22,642,166 |
| J PAUL GETTY TRUST | LOS ANGELES | $21,448,331 |
| RYAN FOUNDATION | GREENWOOD VLG | $19,378,937 |
| CUMMINGS FOUNDATION INC | WOBURN | $18,366,000 |
| BARBARA BRUNCKHORST FOUNDATION | RICHMOND | $18,205,000 |
| ENDLESS SUCCESS FOUNDATION INC | INDIANAPOLIS | $16,982,477 |
| CHARLES AND MARY HEIDER FAMILY FOUNDATION | OMAHA | $15,598,835 |
| POSES FAMILY FOUNDATION | FLORHAM PARK | $14,380,905 |
| THE BILL GATTON FOUNDATION | BRISTOL | $9,045,000 |
| CASEY FAMILY PROGRAMS | SEATTLE | $7,687,928 |
| HUNTER FAMILY FOUNDATION | CHICAGO | $7,256,600 |
| DAVE AND CHERYL DUFFIELD FOUNDATION | INCLINE VLG | $6,695,786 |
| DENISE AND MICHAEL KELLEN FOUNDATION INC | NEW YORK | $4,031,500 |
| GLENSTONE FOUNDATION | POTOMAC | $2,824,691 |
| LOWELL S AND BETTY L DUNN FAMILY FOUNDATION | HIALEAH GDNS | $2,287,500 |
| HAPLOTACE FOUNDATION | BIRMINGHAM | $1,743,500 |
| KOHLER FOUNDATION INC | KOHLER | $1,001,603 |
| KATE MARMION CHARITABLE FOUNDATION | SAN ANTONIO | $454,549 |
| LONGWOOD GARDENS INC | KENNETT SQ | $439,702 |
| BETTY WOLD JOHNSON FOUNDATION | WEST PALM BCH | $306,000 |
| COMMUNITY FINANCE CORPORATION | TUCSON | $146,267 |
| ISENBERG FAMILY CHARITABLE FOUNDATION INC | PALM BEACH | $141,266 |