2023-05-12T08:11:50-05:00 2022-12-31 274238573 KING & OLIASON PLLC 200 W MERCER ST SUITE E300 SEATTLE WA 98119 990PF 2022-01-01 916458451 WISSNER-SLIVKA FOUNDATION WISS 4254548182 PO BOX 3904 CLYDE HILL WA 980093904 LISA WISSNER-SLIVKA TRUSTEE 4254548182 2023-05-12 1 LISA WISSNER-SLIVKA 999009999 0 MARK GEGAX P01312243 2062857242 2023-05-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X 1931966 X X 32015 32015 0 32015 32015 0 0 0 450 0 450 3470 1735 1735 796 0 0 389 7 382 5105 1742 2567 201883 201883 206988 1742 204450 -174973 30273 1948205 1931966 1931966 1948205 1931966 1931966 0 158734 0 158734 X 1948205 1773232 0 0 0 0 1948205 1773232 1948205 1931966 1948205 -174973 0 1773232 0 1773232 421 0 421 0 421 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 1 1 WA 1 0 0 0 0 1 WWW.SLIVKA.ORG LISA WISSNER-SLIVKA 4254548182 PO BOX 3904 CLYDE HILL WA 980093904 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BENJAMIN W SLIVKA PO BOX 3904 CLYDE HILL WA 98009 TRUSTEE 0.75 0 0 0 LISA WISSNER-SLIVKA PO BOX 3904 CLYDE HILL WA 98009 TRUSTEE 0.75 0 0 0 MAX SLIVKA PO BOX 3904 CLYDE HILL WA 98009 TRUSTEE 0.25 0 0 0 NATHANIEL SLIVKA PO BOX 3904 CLYDE HILL WA 98009 TRUSTEE 0.25 0 0 0 LAUREN SLIVKA PO BOX 3904 CLYDE HILL WA 98009 TRUSTEE 0.25 0 0 0 NONE 0 NONE 0 N/A 0 NONE 0 0 0 0 1927232 0 1927232 0 0 1927232 28908 1898324 94916 94916 421 421 94495 0 94495 0 94495 204450 0 204450 94495 0 0 201940 356344 52757 154348 765389 204450 0 0 0 94495 109955 0 0 875344 0 0 0 0 0 0 201940 673404 356344 52757 154348 109955 BENJAMIN W SLIVKA LISA WISSNER-SLIVKA X JACQUES PEPIN FOUNDATION PO BOX 28 BARRINGTON RI 02806 N/A PC GENERAL SUPPORT 5000 KINDERING CENTER 16120 NE 8TH STREET BELLEVUE WA 98008 N/A PC GENERAL SUPPORT 30000 OVERLAKE HOSPITAL FOUNDATION 1035 116TH AVE NE BELLEVUE WA 98004 N/A PC CAMPAIGN FUTURECARE 36883 OVERLAKE HOSPITAL FOUNDATION 1035 116TH AVE NE BELLEVUE WA 98004 N/A PC BANDAGE BALL / ANNUAL AUCTION FUNDRAISER 5000 PEACE FIRST 6 LIBERTY SQUARE 2180 BOSTON MA 02109 N/A PC SUPPORT FOR YOUTH INVESTMENT FUND 25000 SEATTLE CHILDREN'S FOUNDATION M/S 818-F PO BOX 5371 SEATTLE WA 98145 N/A PC SUPPORT OF JIM OLSEN LAB 100000 201883 0 14 32015 0 32015 0 32015 0 0 0 0 0 0 0 0 0 0 ACCOUNTING AND TAX RETURN PREP 3470 1735 1735 NONE 0 REIMBURSEMENT TO DISQUALIFIED PERSONS FORM 990-PF, PART VI-B, Q. 1A(3) DURING 2022, THE FOUNDATION REIMBURSED DISQUALIFIED INDIVIDUALS FOR FOUNDATION-RELATED ADMINISTRATIVE EXPENSES NECESSARY FOR THE FOUNDATION TO CARRY ON ITS EXEMPT PURPOSE. THE AMOUNTS REIMBURSED WERE LESS THAN $400 AND FULLY SUBSTANTIATED. THESE TRANSACTIONS ARE NOT DEEMED TO BE ACTS OF SELF-DEALING UNDER IRC 4941(D)(2)(E). LEGAL FEES 450 0 450 TAXES & LICENSES 25 0 25 MISCELLANEOUS 364 7 357 TEMPORARY LIQUIDITY CASH ADVANCE 0 158734