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MOCCASIN LAKE FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MOCCASIN LAKE FOUNDATION (EIN 91-1545081)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-27
IRS object ID
202233009349100828
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-27T16:18:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911545081EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Moccasin Lake FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlMOCCBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1foundation source 501 silverside rdAddressLine1Txt
CitywilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL PIGOTTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8008391754PhoneNum
Signature2022-10-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULPersonFirstNm
Person LastPIGOTTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
Phone8008391754PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$23,867,568FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$28,974,038ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$2,992InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,992InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$106,258DividendsRevAndExpnssAmt
Dividends Net Invst Incm$106,258DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$150,996NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,502,031GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$150,996CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$29,234,284TotalRevAndExpnssAmt
Total Net Invst Incm$260,246TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Prof Fees Rev And Expnss$68,504OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$52,154OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$16,350OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,002TaxesRevAndExpnssAmt
Taxes Net Invst Incm$102TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$27,283OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$27,283OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$98,789TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$52,256TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$43,633TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$12,841,200ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$12,841,200ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$12,939,989TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$52,256TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$12,884,833TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$16,294,295ExcessRevenueOverExpensesAmt
Net Investment Income$207,990NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$3,358,555SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$14,431,328SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$14,431,328SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,129,975CorporateStockBOYAmt
Corporate Stock EOY$8,351,497CorporateStockEOYAmt
Corporate Stock EOYFMV$9,436,240CorporateStockEOYFMVAmt
Total Assets BOY$6,488,530TotalAssetsBOYAmt
Total Assets EOY$22,782,825TotalAssetsEOYAmt
Total Assets EOYFMV$23,867,568TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$6,488,530RetainedEarningBOYAmt
Retained Earning EOY$22,782,825RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$6,488,530TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$22,782,825TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,488,530TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$22,782,825TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,488,530TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$16,294,295ExcessRevenueOverExpensesAmt
Subtotal$22,782,825SubtotalAmt
Tot Net Ast Or Fund Balances EOY$22,782,825TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly-traded SecuritiesPropertyDesc
Gross Sales Price$2,502,031GrossSalesPriceAmt
Cost Or Other Basis$2,351,035CostOrOtherBasisAmt
Gain Or Loss$150,996GainOrLossAmt
Gains Minus Excess Or Losses$150,996GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$150,996CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,891InvestmentIncomeExciseTaxAmt
Subtotal$2,891SubtotalAmt
Tax Based On Investment Income$2,891TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,362EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$600ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$2,962TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$71OverpaymentAmt
Applied To ES Tax$71AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcYes (true)OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Emily Anderson
foundation source 501 silverside rdwilmingtonDE198091377Dir1.0$0$0$0
Lisa P Anderson
foundation source 501 silverside rdwilmingtonDE198091377Dir1.0$0$0$0
Michael Anderson
foundation source 501 silverside rdwilmingtonDE198091377Dir, Treas1.0$0$0$0
Mark Kranwinkle
foundation source 501 silverside rdwilmingtonDE198091377Dir, VP1.0$0$0$0
Gaye T Pigott
foundation source 501 silverside rdwilmingtonDE198091377Dir1.0$0$0$0
James C Pigott
foundation source 501 silverside rdwilmingtonDE198091377Dir1.0$0$0$0
Maureen Dina Pigott
foundation source 501 silverside rdwilmingtonDE198091377Dir, Sec1.0$0$0$0
Paul Pigott
foundation source 501 silverside rdwilmingtonDE198091377Dir, Pres1.0$0$0$0
Will Pigott
foundation source 501 silverside rdwilmingtonDE198091377Dir1.0$0$0$0

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1First Washington corpBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 Walnut StreetAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Service TypeInvestment MgmtServiceTypeTxt
Compensation$52,154CompensationAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,791,051AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,398,003AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,189,054TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,189,054AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$122,836CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,066,218NetVlNoncharitableAssetsAmt
Minimum Investment Return$403,311MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$403,311MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,891TaxBasedOnInvestmentIncomeAmt
Total Tax$2,891TotalTaxAmt
Distributable Before Adj$400,420DistributableBeforeAdjAmt
Distributable Before Ded$400,420DistributableBeforeDedAmt
Distributable As Adjusted$400,420DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$12,884,833ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$12,884,833QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$400,420DistributableAsAdjustedAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Excess Distribution Cyov Yr5$9,370,130ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$11,193,846ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr1$6,694,299ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$27,258,275TotalExcessDistributionCyovAmt
Qualifying Distributions$12,884,833QualifyingDistributionsAmt
Applied To Current Year$400,420AppliedToCurrentYearAmt
Remaining Distri From Corpus$12,484,413RemainingDistriFromCorpusAmt
Total Corpus$39,742,688TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$28,974,038CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov To Next Yr$10,768,650ExcessDistriCyovToNextYrAmt
Excess From Year4$4,074,351ExcessFromYear4Amt
Excess From Year1$6,694,299ExcessFromYear1Amt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGaye T PigottContributingManagerNm
Contributing ManagerJames C PigottContributingManagerNm
Contributing ManagerMAUREEN DINA PIGOTTContributingManagerNm
Contributing ManagerPAUL PIGOTTContributingManagerNm
Contributing ManagerMARK KRANWINKLEContributingManagerNm
Contributing ManagerMICHAEL ANDERSONContributingManagerNm
Contributing ManagerLISA P ANDERSONContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient Persongrant apps to paul pigottRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11405 42nd avenue eastAddressLine1Txt
CityseattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98112ZIPCd
FieldValueIRS element (for citing)
Recipient Email Addressmoccasinlakefoundation@gmail.comRecipientEmailAddressTxt
Form And Info And Materialsmoccasinlakefoundation.orgFormAndInfoAndMaterialsTxt
Submission Deadlinesmoccasinlakefoundation.orgSubmissionDeadlinesTxt
Restrictions On Awardsmoccasinlakefoundation.orgRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (172 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
1448 PROJECTS
11715 SAND POINT WAY NESEATTLEWA98125N/APCGeneral & Unrestricted$8,000
350ORG
PO BOX 843004BOSTONMA02284N/APCfor work in South Africa$100,000
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI
19031 33RD AVE W STE 301LYNNWOODWA98036N/APCGeneral & Unrestricted$2,500
ARTSFUND
PO BOX 19780SEATTLEWA98109N/APCGeneral & Unrestricted$40,000
ASIA PACIFIC CULTURAL CENTER
4851 S TACOMA WAYTACOMAWA98409N/APCIn support of PLOT (Promised Leaders of Tomorrow)$35,000
ATWORK
1935 152ND PL NEBELLEVUEWA98007N/APCGeneral Operations$5,000
BACKPACK BRIGADE
4111 E MADISON STSEATTLEWA98112N/APCGeneral & Unrestricted$2,500
BACKPACK BRIGADE
4111 E MADISON STSEATTLEWA98112N/APCto purchase Food$2,500
BARRIER ISLAND GROUP FOR THE ARTS
900 DUNLOP RDSANIBELFL33957N/APCAnnual Angel Gift fund, fine arts exhibits, annual benefit$85,000
BIKE WORKS SEATTLE
3709 S FERDINAND STSEATTLEWA98118N/APCGeneral & Unrestricted$1,000
BREAD OF LIFE MISSION
PO BOX 4276SEATTLEWA98194N/APCTo support new flooring on the second and third floors of the charity building$5,000
CANCER LIFELINE OF KING COUNTY
6522 FREMONT AVE NSEATTLEWA98103N/APCGeneral & Unrestricted$4,000
CAPTIVA ISLAND HISTORICAL SOCIETY
PO BOX 163CAPTIVAFL33924N/APCGeneral & Unrestricted$16,200
CAPTIVA ISLAND PROPERTY OWNERS ASSOCIATION INC
PO BOX 72CAPTIVAFL33924N/APCFor the Captiva Community Panel$5,000
CASCADIA METHOW MUSIC ASSOCIATION
PO BOX 1013TWISPWA98856N/APCGeneral & Unrestricted$10,000
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
100 23RD AVE SSEATTLEWA98144N/APCin support of St. Martin De Porres Shelter$3,000
CCA FOUNDATION INC
PO BOX 775CAPTIVAFL33924N/APCGeneral & Unrestricted$81,000
CHILDHAVEN
1035 SW 124TH STSEATTLEWA98146N/APCGeneral & Unrestricted$5,000
CHILDREN AND YOUTH JUSTICE CENTER
300 ELLIOTT AVE W STE 360SEATTLEWA98119N/APCfor Girls Court$50,000
CLASSROOM IN BLOOM
PO BOX 1264WINTHROPWA98862N/APCGeneral & Unrestricted$2,500
CLIMATE SOLUTIONS
1402 THIRD AVE SUITE 1305SEATTLEWA98101N/APCGeneral & Unrestricted$18,000
COALITION FOR RAINFOREST NATIONS SECRETARIAT
52 VANDERBILT AVE 14TH FLNEW YORKNY10017N/APCGeneral & Unrestricted$7,500
COLLABORATIVE EFFORT INC
2304 JEFFERSON AVETACOMAWA98402N/APCin support of RAIN Incubator$30,000
COLLEGE SUCCESS FOUNDATION
15500 SE 30TH PL STE 200BELLEVUEWA98007N/APCGeneral & Unrestricted$30,000
COMMUNITY FOUNDATION OF NORTH CENTRAL WASHINGTON
9 S WENATCHEE AVEWENATCHEEWA98801N/APCthe Methow Valley Community Fund$30,000
CONFLUENCE GALLERY AND ART CENTER
104 GLOVER ST S 104 GLOVER STTWISPWA98856N/APCGeneral & Unrestricted$5,000
CONGREGATIONS FOR THE HOMELESS
515 116TH AVE NE STE 150BELLEVUEWA98004N/APCGeneral & Unrestricted$20,000
CONSERVATION INTERNATIONAL FOUNDATION
2011 CRYSTAL DRIVE STE 600ARLINGTONVA22202N/APCCharitable Event$25,000
CONSERVATION INTERNATIONAL FOUNDATION
2011 CRYSTAL DRIVE STE 600ARLINGTONVA22202N/APCin support of Pacific Oceanscape work$1,000,000
DEFENDERS OF WILDLIFE
1130 17TH ST NWWASHINGTONDC20036N/APCGeneral & Unrestricted$10,000
DEGREES OF CHANGE
PO BOX 1573TACOMAWA98401N/APCAct Six and Seed programs$25,000
DING DARLING WILDLIFE SOCIETY INC
1 WILDLIFE DRSANIBELFL33957N/APCin support of land acquisition$25,000
DING DARLING WILDLIFE SOCIETY INC
1 WILDLIFE DRSANIBELFL33957N/APCGeneral & Unrestricted$5,000
EASTSIDE BABY CORNER
PO BOX 712ISSAQUAHWA98027N/APCStrong Foundations For Every Kid$2,500
EASTSIDE BABY CORNER
PO BOX 712ISSAQUAHWA98027N/APCGeneral & Unrestricted$2,500
ELIZABETH HOME
1604 NE 50TH STSEATTLEWA98105N/APCGeneral & Unrestricted$10,000
EPIPHANY SCHOOL
3611 E DENNY WAYSEATTLEWA98122N/APCGeneral & Unrestricted$5,000
FACING HOMELESSNESS
4001 9TH AVE NESEATTLEWA98105N/APCJust Say Hello Programs$15,000
FACING HOMELESSNESS
4001 9TH AVE NESEATTLEWA98105N/APCGeneral & Unrestricted$4,000
FAMILY LAW CASA OF KING COUNTY
16300 CHRISTENSEN ROAD STE 306TUKWILAWA98188N/APCGeneral & Unrestricted$2,000
FARESTART
700 VIRGINIA STSEATTLEWA98101N/APCGeneral & Unrestricted$10,000
FIRST CHANCE INDUSTRIES
1615 43RD AVE E APT 301SEATTLEWA98112N/APCGeneral & Unrestricted$5,000
FISH OF SANIBEL-CAPTIVA INC
2430-B PERIWINKLE WAYSANIBELFL33957N/APCin support of the Angel Fish Society$1,000
FISH OF SANIBEL-CAPTIVA INC
2430-B PERIWINKLE WAYSANIBELFL33957N/APCGeneral & Unrestricted$400,000
FOUNDATION FOR EDMONDS SCHOOL DISTRICT
PO BOX 390LYNNWOODWA98046N/APCGeneral & Unrestricted$20,000
FRIENDS OF SEATTLE WATERFRONT
PO BOX 21272SEATTLEWA98111N/APCGeneral & Unrestricted$250,000
GLOBAL PARTNERSHIPS
1932 1ST AVE STE 400SEATTLEWA98101N/APCGeneral & Unrestricted$50,000
GRACE FOUNDATION FOR JESUIT EDUCATION IN RWANDA
8425 NE 20TH STCLYDE HILLWA98004N/APCSt. Ignatius School$100,000
GREATER MAPLE VALLEY COMMUNITY CENTER
22010 SE 248TH STMAPLE VALLEYWA98038N/APCGeneral & Unrestricted$5,000
GREATER WASHINGTON EDUCATIONAL TELECOMMUNICATIONS
3939 CAMPBELL AVEARLINGTONVA22206N/APCIn support of PBS NewsHour$5,000
HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC
3760 FOWLER STFORT MYERSFL33901N/APCGeneral & Unrestricted$100,000
HARVEST AGAINST HUNGER
1201 1ST AVE S STE 327SEATTLEWA98134N/APCGeneral & Unrestricted$7,500
HEIGHTS FOUNDATION INC
15570 HAGIE DRFT MYERSFL33908N/ASO IGeneral & Unrestricted$100,000
HERITAGE UNIVERSITY
3240 FORT RDTOPPENISHWA98948N/APCCharitable Event$75,000
HISTORICAL SOCIETY OF SEATTLE & KING COUNTY
PO BOX 80816SEATTLEWA98108N/APCGeneral & Unrestricted$4,000
HOPELINK
8990 154TH AVE NEREDMONDWA98052N/APCGeneral & Unrestricted$4,000
IDAHO CONSERVATION LEAGUE INC
710 N 6TH STBOISEID83702N/APCGeneral & Unrestricted$1,000
INTERNATIONAL COMMUNITY HEALTH SERVICES
720 BTH AVE SSEATTLEWA98104N/APCthe seattle world school's spanish speaking, highly qualified behavioral health counselor$100,000
JUBILEE WOMENS CENTER
620 18TH AVE ESEATTLEWA98112N/APCGeneral & Unrestricted$10,000
JUNIOR ACHIEVEMENT OF WASHINGTON
1610 PERIMETER RDAUBURNWA98001N/APCGeneral & Unrestricted$15,000
KAL ACADEMY NP
12901 181ST AVE NEREDMONDWA98052N/APCGeneral & Unrestricted$5,000
KINDERING CENTER
16120 NE 8TH STBELLEVUEWA98008N/APCGeneral & Unrestricted$26,000
LEGAL COUNSEL FOR YOUTH AND CHILDREN
PO BOX 28629SEATTLEWA98118N/APCTo support legal services for homeless youth$20,000
LIFEWIRE
PO BOX 6398BELLEVUEWA98008N/APCGeneral & Unrestricted$10,000
LIGHTHOUSE FOR THE BLIND INC
2501 S PLUM STSEATTLEWA98144N/APCGeneral & Unrestricted$6,000
LITERACY SOURCE
3200 NE 125TH STSEATTLEWA98125N/APCSupport for ESOL classes$10,000
LITTLE STAR SCHOOL MONTESSORI
PO BOX 608WINTHROPWA98862N/APCGeneral & Unrestricted$25,000
LOW INCOME HOUSING INSTITUTE
1253 S JACKSON ST STE ASEATTLEWA98144N/APCUrban Rest Stop (URS)$17,500
MAYO CLINIC
200 1ST ST SWROCHESTERMN55905N/APCGeneral & Unrestricted$10,000
MEDIC ONE FOUNDATION
11747 NE 1ST ST STE 310BELLEVUEWA98005N/APCGeneral & Unrestricted$500
MERC PLAYHOUSE SOCIETY
PO BOX 425TWISPWA98856N/APCGeneral & Unrestricted$10,000
MERCY HOUSING NORTHWEST
6930 MARTIN LUTHER KING JR WAY SSEATTLEWA98118N/APCGeneral & Unrestricted$5,000
METHOW ARTS ALLIANCE
PO BOX 723TWISPWA98856N/APCGeneral & Unrestricted$2,000
METHOW CONSERVANCY
PO BOX 71WINTHROPWA98862N/APCGeneral & Unrestricted$275,000
METHOW FIELD INSTITUTE
PO BOX 771TWISPWA98856N/APCGeneral & Unrestricted$1,000
METHOW HOUSING TR
31 W CHEWUCH RD STE 102WINTHROPWA98862N/APCGeneral & Unrestricted$500,000
METHOW RECYCLES
PO BOX 1057TWISPWA98856N/APCGeneral & Unrestricted$10,000
METHOW SALMON RECOVERY FOUNDATION
PO BOX 755TWISPWA98856N/APCthe Methow Beaver Project$3,000
METHOW VALLEY CITIZENS COUNCIL
PO BOX 774TWISPWA98856N/APCGeneral & Unrestricted$10,000
METHOW VALLEY COMMUNITY CENTER ASSOCIATION
PO BOX 565TWISPWA98856N/APCGeneral & Unrestricted$5,000
METHOW VALLEY EDUCATION FOUNDATION
PO BOX 40WINTHROPWA98862N/APCGeneral & Unrestricted$10,000
METHOW VALLEY FAMILY HOME CENTER ASSOCIATION
109 NORFOLK RDWINTHROPWA98862N/APCfor Jaime's Place$25,000
METHOW VALLEY HOME HEALTH AGENCY
PO BOX 66TWISPWA98856N/APCAero Methow Rescue Service$150,000
METHOW WATERSHED FOUNDATION
PO BOX 1212TWISPWA98856N/APCGeneral & Unrestricted$2,000
MORNINGSIDE
PO BOX 7936OLYMPIAWA98507N/APCGeneral & Unrestricted$30,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY
192 NICKERSON ST STE 100SEATTLEWA98109N/APCCharitable Event$10,000
NIA TERO FOUNDATION
501 E PINE STSEATTLEWA98122N/APCfor the fight against mine permits on the Sepik River, png$100,000
NORTH HELPLINE
12736 33RD AVE NE STE 100SEATTLEWA98125N/APCGeneral & Unrestricted$10,000
NORTH SNOHOMISH COUNTY OUTREACH
PO BOX 3339ARLINGTONWA98223N/APCBasic Needs Program$10,000
NORTHWEST CENTER
1119 SW 7TH STRENTONWA98057N/APCGeneral & Unrestricted$5,000
NORTHWEST FAMILY LIFE LEARNING AND COUNSELING CENT
12360 LAKE CITY WAY NESEATTLEWA98125N/APCPenny's Place Domestic Violence Safe House$5,000
NORTHWEST SCHOOL FOR HEARING IMPAIRED CHILDREN
PO BOX 33666SHORELINEWA98133N/APCGeneral operating fund$7,500
NW CHILDRENS FOUNDATION
2100 24TH AVE S STE 320SEATTLEWA98144N/APCGeneral & Unrestricted$60,000
OKANOGAN COUNTY ANIMAL FOSTER CARE ASSOCIATION
PO BOX 3385OMAKWA98841N/APCFor cages at the cat shelter$11,500
OKANOGAN COUNTY ANIMAL FOSTER CARE ASSOCIATION
PO BOX 3385OMAKWA98841N/APCGeneral & Unrestricted$10,000
OKANOGAN LAND TRUST
PO BOX 325OKANOGANWA98840N/APCGeneral & Unrestricted$1,000
OLIVE CREST - SEATTLE BRANCH
2500 116TH AVE NE STE 1BELLEVUEWA98004N/APCGeneral & Unrestricted$20,000
OPERATION NIGHTWATCH
PO BOX 21181SEATTLEWA98111N/APCGeneral & Unrestricted$4,000
PACIFIC LEGAL FOUNDATION
555 CAPITOL MALL STE 1290SACRAMENTOCA95814N/APCGeneral & Unrestricted$15,000
PACIFIC SCIENCE CENTER FOUNDATION
200 2ND AVE NSEATTLEWA98109N/APCGeneral & Unrestricted$100,000
PATH
2201 WESTLAKE AVE STE 200SEATTLEWA98121N/APCGeneral & Unrestricted$10,000
PLYMOUTH HOUSING GROUP
2113 3RD AVESEATTLEWA98121N/APCGeneral & Unrestricted$25,000
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA98126N/APCGeneral & Unrestricted$4,000
PUBLIC SCHOOL FUNDING ALLIANCE
PO BOX 695WINTHROPWA98862N/APCGeneral & Unrestricted$15,000
PURNELL SCHOOL
PO BOX 500POTTERSVILLENJ07979N/APCGeneral & Unrestricted$10,000
RAINFOREST TRUST
PO BOX 841WARRENTONVA20188N/APCGeneral & Unrestricted$7,500
RAINIER SCHOLARS
2100 24TH AVE S STE 360SEATTLEWA98144N/APCGeneral & Unrestricted$5,000
RECOVERY CAFE
2022 BOREN AVESEATTLEWA98121N/APCGeneral & Unrestricted$5,000
REWILD
PO BOX 129AUSTINTX78767N/APCin support of End the Trade$15,000
ROOM ONE
PO BOX 222TWISPWA98856N/APCGeneral & Unrestricted$205,000
RURAL DEVELOPEMENT INSTITUTE
1424 4TH AVE STE 430SEATTLEWA98101N/APCGeneral & Unrestricted$20,000
SAFE HARBOR FREE CLINIC
7209 265TH ST NW STE 204STANWOODWA98292N/APCTo support patient visits at the eight free clinics$5,000
SANCTUARY GOLF CLUB FOUNDATION INC
2801 WULFERT RDSANIBELFL33957N/APCCharitable Event$1,000
SANIBEL COMMUNITY ASSOCIATION INC
2173 PERIWINKLE WAYSANIBELFL33957N/APCGeneral & Unrestricted$1,000
SANIBEL PUBLIC LIBRARY FOUNDATION INC
770 DUNLOP RDSANIBELFL33957N/APCGeneral & Unrestricted$1,000
SANIBEL-CAPTIVA CONSERVATION FOUNDATION INC
PO BOX 839SANIBELFL33957N/APCGeneral & Unrestricted$260,000
SAVE THE CHILDREN FEDERATION INC
501 KINGS HWY EAST STE 400FAIRFIELDCT06825N/APCGeneral & Unrestricted$5,000
SAVE THE REDWOODS LEAGUE
111 SUTTER ST 11TH FLOORSAN FRANCISCOCA94104N/APCGeneral & Unrestricted$15,000
SCHOOLS OUT WASHINGTON
801 23RD AVE S STE ASEATTLEWA98144N/APCthriving leaders program of Youth Development Executives of King County$7,500
SEATTLE AQUARIUM SOCIETY-SEAS
1483 ALASKAN WAY PIER 59SEATTLEWA98101N/APCGeneral & Unrestricted$280,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCGeneral & Unrestricted$25,000
SEATTLE CARES CIRCLE OF THE NATIONAL CARES MENTORI
1404 E YESLER WAYSEATTLEWA98122N/APCTutoring for Black Students in Seattle$10,000
SEATTLE CHILDRENS HOSPITAL
PO BOX 5371 MSC 818-SSEATTLEWA98145N/APCThe We Believe Guild$7,500
SEATTLE CHILDRENS HOSPITAL FOUNDATION
PO BOX 5371 MAIL STOP 818-FSEATTLEWA98145N/APCIn support of the Underrepresented Minority Students in research internship program$25,000
SEATTLE CHILDRENS HOSPITAL FOUNDATION
PO BOX 5371 MAIL STOP 818-FSEATTLEWA98145N/APCGeneral & Unrestricted$15,000
SEATTLE CHILDRENS THEATRE ASSOCIATION
201 THOMAS STSEATTLEWA98109N/APCBailey Gatzert Elementary School$20,000
SEATTLE CLEMENCY PROJECT
1126 34TH AVE STE 208SEATTLEWA98122N/APCGeneral & Unrestricted$100,000
SEATTLE MILK FUND
1631 15TH AVE W STE 116SEATTLEWA98119N/APCGeneral & Unrestricted$3,000
SEATTLE NATIVITY SCHOOL
4200 S MEAD STSEATTLEWA98118N/APCInterior painting of the school building and classroom improvements$100,000
SEATTLE PARKS FOUNDATION
105 SOUTH MAIN ST 235SEATTLEWA98104N/APCGeneral & Unrestricted$10,000
SEATTLE PUBLIC LIBRARY FOUNDATION
1000 4TH AVESEATTLEWA98104N/APCGeneral & Unrestricted$10,000
SEATTLE UNIVERSITY
901 12TH AVESEATTLEWA98122N/APCin support of the legal aid work led by Professor Deirdre Bowen$5,000,000
SEATTLES UNION GOSPEL MISSION
PO BOX 202SEATTLEWA98111N/APCGeneral & Unrestricted$8,000
SHARED HOPE INTERNATIONAL
PO BOX 1907VANCOUVERWA98668N/APCAssistance for trafficking victims$5,000
SHARED HOPE INTERNATIONAL
PO BOX 1907VANCOUVERWA98668N/APCGeneral & Unrestricted$500,000
SHELL MUSEUM AND EDUCATIONAL FOUNDATION INC
3075 SANIBEL CAPTIVA RDSANIBELFL33957N/APCGeneral & Unrestricted$5,000
SHUNPIKE ARTS COLLECTIVE dba SHUNPIKE
815 SEATTLE BLVD S STE 215SEATTLEWA98134N/APCMAP Theatre Co.$500
SOLID GROUND WASHINGTON
1501 N 45TH STSEATTLEWA98103N/APCGeneral & Unrestricted$25,000
SPARK NORTHWEST
1402 3RD AVE STE 901SEATTLEWA98101N/APCGeneral & Unrestricted$20,000
ST FRANCIS HOUSE
PO BOX 22444SEATTLEWA98122N/APCGeneral & Unrestricted$4,000
ST JUDE CHILDRENS RESEARCH HOSPITAL INC
501 ST JUDE PLMEMPHISTN38105N/APCGeneral & Unrestricted$500
STEP BY STEP FAMILY SUPPORT CENTER
PO BOX 488MILTONWA98354N/APCCrisis and Emergency Services Program$10,000
STOLENYOUTH
PO BOX 296SEATTLEWA98111N/APCto Support Sexually Trafficked Youth in Okanogan county$37,500
SWAN VOCATIONAL ENTERPRISES
PO BOX 353WHITE SWANWA98952N/APCGeneral & Unrestricted$30,000
TEENS IN PUBLIC SERVICE
2900 NE BLAKELEY ST STE BSEATTLEWA98105N/APCGeneral & Unrestricted$20,000
THE COVE
PO BOX 895TWISPWA98856N/APCGeneral & Unrestricted$5,000
THE EVERGLADES FOUNDATION INC
18001 OLD CUTLER RD STE 625PALMETTO BAYFL33157N/APCGeneral & Unrestricted$50,000
THE FRIENDSHIP CIRCLE OF WASHINGTON
2737 77TH AVE SE STE 101MERCER ISLANDWA98040N/APCFriendship Circle of Washington$5,000
THE FRIENDSHIP CIRCLE OF WASHINGTON
2737 77TH AVE SE STE 101MERCER ISLANDWA98040N/APCGeneral & Unrestricted$2,500
THE SALVATION ARMY
111 QUEEN ANNE AVE N STE 300SEATTLEWA98109N/APCGeneral & Unrestricted$3,000
THE SANIBEL HISTORICAL MUSEUM AND VILLAGE INC
PO BOX 413SANIBELFL33957N/APCCharitable Event$3,000
THE SEATTLE ACADEMY OF ARTS AND SCIENCES
1201 E UNION STSEATTLEWA98122N/APCthe South Park project$20,000
THE SEATTLE FOUNDATION
1601 5TH AVE STE 1900SEATTLEWA98101N/APCFor the Moccasin Lake Foundation Fund$154,000
THEATRE22
16901 22ND AVE NESHORELINEWA98155N/APCGeneral & Unrestricted$3,500
TISCH MULTIPLE SCLEROSIS RESEARCH CENTER OF NEW YO
521 WEST 57TH ST 4TH FLNEW YORKNY10019N/APCGeneral & Unrestricted$450,000
TWISPWORKS FOUNDATION
PO BOX 264TWISPWA98856N/APCFor the design and construction of the Auto Tech Program building on twispworks' property$375,000
TWISPWORKS FOUNDATION
PO BOX 264TWISPWA98856N/APCGeneral & Unrestricted$30,000
TWISPWORKS FOUNDATION
PO BOX 264TWISPWA98856N/APCfor the TwispWorks' Bunkhouse$50,000
UNION OF CONCERNED SCIENTISTS INC
2 BRATTLE SQ SUITE 6CAMBRIDGEMA02138N/APCModern Grid$100,000
UNITED WAY OF LEE COUNTY INC
7273 CONCOURSE DRFORT MYERSFL33908N/APCGeneral & Unrestricted$25,000
VINE MAPLE PLACE
PO BOX 1092MAPLE VALLEYWA98038N/APCTo support the signature Stable Families model$15,000
WASHINGTON HEALTHCARE ACCESS ALLIANCE
PO BOX 7242TACOMAWA98417N/APCVolunteer and Retired Providers Program$5,000
WASHINGTON KIDS IN TRANSITION
19721 SCRIBER LAKE RD STE BLYNNWOODWA98036N/APCGeneral & Unrestricted$10,000
WASHINGTON STATE CHARTER SCHOOLS ASSOCIATION
506 2ND AVE STE 630SEATTLEWA98104N/APCTrue Measure Collaborative$20,000
WELLSPRING FAMILY SERVICES
1900 RAINIER AVE SSEATTLEWA98144N/APCGeneral & Unrestricted$2,000
WILD SALMON CENTER
721 NW NINTH AVE STE 300PORTLANDOR97209N/APCGeneral & Unrestricted$10,000
WOODLAND PARK ZOOLOGICAL SOCIETY
5500 PHINNEY AVE NSEATTLEWA98103N/APCGeneral & Unrestricted$10,000
WORK FORCE DEVELOPMENT CENTER A RESOURCE CENTER FO
11400 AIRPORT RD STE 100EVERETTWA98204N/APCthe Vocational Training and Job Placement program$10,000
WORLD AFFAIRS COUNCIL
2200 ALASKAN WAY STE 450SEATTLEWA98121N/APCGeneral & Unrestricted$6,000
WORLD WILDLIFE FUND INC
1250 24TH ST NWWASHINGTONDC20037N/APCGeneral & Unrestricted$15,000
YOUR MONEY MATTERS
12113 SE 304TH CTAUBURNWA98092N/APCGeneral & Unrestricted$30,000
YWCA OF SEATTLE-KING COUNTY- SNOHOMISH COUNTY
1118 FIFTH AVESEATTLEWA98101N/APCGeneral & Unrestricted$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$12,841,200TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,992ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$106,258ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$150,996ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$260,246ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$260,246TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (5 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
James C Pigott 2005 CLAT
11405 42nd avenue eastSeattleWA98112$375,000Yes (X)
James C Pigott 2005 CLUT
21405 42nd avenue eastSeattleWA98112$245,907Yes (X)
James C Pigott 2012 CLUT
31405 42nd avenue eastSeattleWA98112$2,890,131Yes (X)
Pigott Gaye T
41405 42nd Ave ESeattleWA98112$1,900,000Yes (X)
Pigott James C
51405 42nd Ave ESeattleWA98112$23,563,000Yes (X)Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor5ContributorNum
Noncash PropertyPACCAR INC PCAR, 60000 sh.NoncashPropertyDesc
Fair Market Value$5,058,000FairMarketValueAmt
Received2021-12-22ReceivedDt

Depreciation Schedule DepreciationSchedule

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierForm 990-PF, Part XII, Line 7IdentifierTxt
Form And Line ReferenceForm 990-PF, Line XII, Line 7FormAndLineReferenceDesc
Medium ExplanationElection to Treat Unused Prior Year Corpus Distributions as Current Year Corpus Distributions Pursuant to Treasury Regulations Section 53.4942(a)-3(c)(2)(iv), Moccasin Lake Foundation hereby elects to treat, as a current distribution out of corpus, the following unused prior year's' distributions that were treated as corpus distributions under Treasury Regulations Section 53.4942(a)-3(d)(1)(iii) in such prior tax years: Tax Year: 2016 Amount: $9,370,130 Tax Year: 2017 Amount: $11,193, 846 Tax Year: 2020 Amount: $6,694,299 Total: $27,258,275 By: [CONFORMED SIGNATURE WILL BE ENTERED BEFORE E-FILING THE RETURN] Title: [TITLE WILL BE ENTERED BEFORE E-FILING THE RETURN] Amount Treated as Distributions out of Corpus to Satisfy Section 170(b)(1)(F)(ii) The Moccasin Lake Foundation (the "Foundation") hereby elects to satisfy the requirements of Internal Revenue Code ("Code") Section 170(b)(1)(F)(ii) in respect of contributions of $23,916,038 cash and publicly traded securities with a value of $5,058,000 for a total of $28,974,038 received in the taxable year ending December 31, 2021 (the "Conduit Election Year"). To satisfy the requirements of Code Section 170(b)(1)(F)(ii), a private non-operating foundation must: (A) by the end of the Conduit Election Year, distribute any undistributed income from the year immediately preceding the Conduit Election Year; (B) distribute, in the absence of an election under Code Section 4942(h)(2), any undistributed income from the Conduit Election Year by the end of the Conduit Election Year; and (C) make qualifying distributions treated as distributions out of corpus by no later than the 15th day of the third month of the taxable year following the Conduit Election Year in an amount equal to 100 percent of the contributions received by such foundation in the Conduit Election Year. A. Satisfaction of Minimum Distribution Requirement for the Conduit Election Year. As reported on Part XII, Line 2, column (c), the undistributed income for the year immediately preceding the Conduit Election Year is $0. In other words, the Foundation had no undistributed income for 2020. B. Timely Satisfaction of Minimum Distribution Requirement for the Taxable Year following the Conduit Election Year. As reported on Part XII, Line 6f, column (d), the undistributed income for the Conduit Election Year is $0. In other words, the Foundation had no undistributed income for 2021. C. Sufficient Timely Qualified Distributions Made Out of Corpus. To satisfy the requirements of Internal Revenue Code Section 170(b)(1)(F)(ii), the Foundation had until March 15, 2022, the 15th day of the third month of the taxable year following the Conduit Election Year, to make distributions out of corpus in an amount equal to 100 percent of the contributions received by it in the Conduit Election Year, $28,974,038.24. 1. As reported on Part XII, Line 4, the Foundation made 2021 qualifying distributions of $12,884,833, of which $400,420 was applied to the 2021 distributable amount, as reflected on Part XII, Line 4d, column (d), leaving a remainder of $12,484,413 distributed out of corpus (the "Remaining 2021 Corpus Distribution"), as reflected on Part XII, Line 4e, column (a) ($12,884,833-$400,420). 2. As reported on Part XII, Line 7, the Foundation is treating $28,974,038 ($1,715,763 of the Remaining 2021 Corpus Distribution + $27,258,275, its total unused prior year's corpus distributions) as a current distribution out of corpus in full satisfaction of the requirements of Code Section 170(b)(1)(F)(ii) in respect of the Conduit Election Year. The Foundation has attached the necessary election, pursuant to Treasury Regulations Section 53.4942(a)-3(c)(2)(iv), to treat $27,258,275, its total unused prior year's corpus distributions, as a current distribution out of corpus.MediumExplanationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AIR PRODS & CHEM INC$74,722$84,584
BLACKROCK SCIENCE AND TECHNOLO$144,461$138,967
HANNON ARMSTRONG SUST INFRAST$69,297$68,950
PACCAR INC$8,046,803$9,124,495
XEROX HOLDINGS CORPORATION$16,214$19,244

Liquidation Explanation Stmt LiquidationExplanationStmt

FieldValueIRS element (for citing)
ExplanationAs explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2021, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $12,841,200. This amount represents 25% or more of the Foundation's net assets of $7,282,450 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2021. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XIV, Line 3a; each such grant was made solely for the charitable purpose specified therein.ExplanationTxt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Administrative Fees$24,000$24,000
Equipment Maintenance$41$41
Indemnification Insurance$2,090$2,090
Office Supplies$108$108
Postage/Delivery Service$700$700
State or Local Filing Fees$35$35
Website Hosting/Support$309$309

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Investment Management Services$52,154$52,154
Philanthropic Consulting Srvcs$15,000$15,000
Website Development$1,350$1,350

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
990-PF Estimated Tax for 2021$2,300
990-PF Extension for 2020$600
Foreign Tax Paid$102$102