ISLAM FAMILY FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ISLAM FAMILY FOUNDATION (EIN 02-0683054)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201833199349102193
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T09:04:16-08:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911433436 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE KENNEDY MCCULLOCH CPAS PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 CAINES ST STE A | AddressLine1Txt |
| City | FRIDAY HARBOR | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 982500971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020683054 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ISLAM FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ISLA | BusinessNameControlTxt |
| Phone | 3603730453 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 CHERRY AVE STE 109 | AddressLine1Txt |
| City | BREMERTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98310 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC ISLAM | PersonNm |
| Person Title | VP/SECRETARY | PersonTitleTxt |
| Phone | 3603730453 | PhoneNum |
| Signature | 2018-11-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRED MCCULLOCH | PreparerPersonNm |
| PTIN | P00957796 | PTIN |
| Phone | 3603782496 | PhoneNum |
| Preparation | 2018-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-15 | IPDt |
| IP Tm | 11:04:16 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1F31D711E1231415FC74687426E4360E821302FC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1E25781F0F1534497275C14FE0209DCF254A9315 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,754,807 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $5,359 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $5,359 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $5,359 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $47,473 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $47,473 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $47,473 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $162,963 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $897,285 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $162,963 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $16,662 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $1,252 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,252 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $1,252 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $217,047 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $217,047 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $70,746 | TotalAdjNetIncmAmt |
| Other Prof Fees Rev And Expnss | $30,268 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $30,268 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $1,092 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,092 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $75 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $75 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $31,435 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $31,435 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $135,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $135,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $166,935 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $31,435 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $135,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $50,112 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $185,612 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $70,746 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $27,025 | CashBOYAmt |
| Cash EOY | $22,224 | CashEOYAmt |
| Cash EOYFMV | $22,224 | CashEOYFMVAmt |
| Sav And Temp Cash Invst EOY | $89,399 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $89,399 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $665 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $895 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $895 | PrepaidExpensesEOYFMVAmt |
| US Government Obligations BOY | $159,776 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $180,162 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $179,675 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $1,891,621 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,842,019 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,462,614 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $2,079,087 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,134,699 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,754,807 | TotalAssetsEOYFMVAmt |
| Grants Payable BOY | $130,000 | GrantsPayableBOYAmt |
| Grants Payable EOY | $135,500 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $130,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $135,500 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,949,087 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,999,199 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,949,087 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,999,199 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,079,087 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,134,699 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,949,087 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $50,112 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,999,199 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,999,199 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (16 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| WELLS FARGO AVAILABLE UPON REQUEST | P | 2017-06-01 | 2017-12-31 | $117,464 | $110,004 | $7,460 | $7,460 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $171 | $109 | $62 | $62 |
| WELLS FARGO AVAILABLE UPON REQUEST | P | 2016-10-31 | 2017-12-31 | $177,068 | $149,314 | $27,754 | $27,754 |
| TCW FDS INC EMERGING MKTS | P | 2011-08-05 | 2017-03-08 | $3,000 | $3,183 | -$183 | -$183 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2017-01-01 | 2017-12-31 | $5,135 | $5,083 | $52 | $52 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $22,118 | $20,487 | $1,631 | $1,631 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2011-12-31 | 2017-12-31 | $22,284 | $20,095 | $2,189 | $2,189 |
| MORGAN STANLEY AVAILABLE UPON REQUE | P | 2017-01-01 | 2017-12-31 | $87,527 | $87,800 | -$273 | -$273 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $88,023 | $74,355 | $13,668 | $13,668 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $49,345 | $19,400 | $29,945 | $29,945 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2017-01-01 | 2017-12-31 | $45,166 | $42,694 | $2,472 | $2,472 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $158,702 | $94,411 | $64,291 | $64,291 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $5,320 | $2,561 | $2,759 | $2,759 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2017-01-01 | 2017-12-31 | $68,463 | $61,593 | $6,870 | $6,870 |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2017-01-01 | 2017-12-31 | $81 | $81 | $81 | |
| MORGAN STANLEY AVAILABLE UPON REQUES | P | 2016-10-31 | 2017-12-31 | $45,076 | $43,233 | $1,843 | $1,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $162,963 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $16,662 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $130,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,799,729 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.046433 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $126,915 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,450,664 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.051788 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $126,358 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,475,159 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.051050 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $118,847 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,308,482 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.051483 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $108,120 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,110,215 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.051236 | DistributionYr5Rt |
| Total Distribution | 0.251990 | TotalDistributionRt |
| Average Distribution | 0.050398 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,563,101 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $129,175 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,856 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $131,031 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $135,500 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,856 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $1,856 | SubtotalAmt |
| Tax Based On Investment Income | $1,856 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,800 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $2,800 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $58 | EsPenaltyAmt |
| Overpayment | $886 | OverpaymentAmt |
| Applied To ES Tax | $886 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MARC ISLAM | IndividualWithBooksNm |
| Phone | 3603730453 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 CHERRY AVE STE 109 | AddressLine1Txt |
| City | BREMERTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98310 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOYCE SMITH | ||||||||
| PO BOX 31757 | BELLINGHAM | WA | 98228 | DIRECTOR | 000.00 | $0 | $0 | $0 |
| HILARY HARTER | ||||||||
| PO BOX 6440 | KETCHUM | ID | 83340 | PRESIDENT/TR | 000.00 | $0 | $0 | $0 |
| MARC ISLAM | ||||||||
| 221 GOLF COURSE RD | FRIDAY HARBOR | WA | 98250 | VP/SECRETARY | 000.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,577,508 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $24,625 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,602,133 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $2,602,133 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $39,032 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,563,101 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $128,155 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $128,155 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,856 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,856 | TotalTaxAmt |
| Distributable Before Adj | $126,299 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $126,299 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $126,299 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $135,500 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $135,500 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,856 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $133,644 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $126,299 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr3 | $4,284 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $6,552 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $10,836 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $135,500 | QualifyingDistributionsAmt |
| Applied To Current Year | $126,299 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $9,201 | RemainingDistriFromCorpusAmt |
| Total Corpus | $20,037 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $20,037 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $4,284 | ExcessFromYear3Amt |
| Excess From Year2 | $6,552 | ExcessFromYear2Amt |
| Excess From Current Year | $9,201 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ACWWMARY SUMMER | |||||||
| 24 TUFTON ST | TACOMA | WA | 98447 | NONE | 501 (C) (3) | STUDENT EDUCATION | $16,000 |
| BELLARMINE PREP HIGH SCHOOL | |||||||
| 2300 S WASHINGTON | TACOMA | WA | 98405 | NONE | 501 (C) (3) | STUDENT EDUCATION | $4,000 |
| BREMERTON CTRL LIONS CHARITABLE FOU | |||||||
| PO BOX 707 | BREMERTON | WA | 98337 | NONE | 501 (C) (3) | STUDENT EDUCATION | $3,000 |
| BREMERTON SCHOOL DISTRICT | |||||||
| 134 N MARION | BREMERTON | WA | 98312 | NONE | 501 (C) (3) | STUDENT EDUCATION | $3,500 |
| HARBOR MONTESSORI | |||||||
| 5414 COMTE DR NW | GIG HARBOR | WA | 98385 | NONE | 501 (C) (3) | STUDENT EDUCATION | $7,000 |
| MARY BRIDGE CHILDREN'S FOUNDATION | |||||||
| 311 S L STREET | TACOMA | WA | 98415 | NONE | 501 (C) (3) | STUDENT EDUCATION | $4,000 |
| OREGON STATE UNIVERSITY FOUNDATION | |||||||
| 707 SE WASHINGTON STE 500 | PORTLAND | OR | 97205 | NONE | 501 (C) (3) | STUDENT EDUCATION | $1,500 |
| PRAIRIE HIGH SCHOOL | |||||||
| 115 NE 17TH AVE | VANCOUVER | WA | 98604 | NONE | 501 (C) (3) | STUDENT SCHOLARSHIPS | $17,000 |
| ROTARY SCHOLARSHIP FUND | |||||||
| PO BOX 2142 | BREMERTON | WA | 98310 | NONE | 501 (C) (3) | STUDENT SCHOLARSHIPS | $8,000 |
| SAN JUAN ISLAND SCHOOL DISTRICT | |||||||
| 45 BLAIR AVENUE | FRIDAY HARBOR | WA | 98250 | NONE | 501 (C) (3) | STUDENT EDUCATION | $1,000 |
| SILVERWOOD SCHOOL | |||||||
| 14000 CENTRAL VALLEY ROAD | BREMERTON | WA | 98311 | NONE | 501 (C) (3) | STUDENT EDUCATION | $5,000 |
| SPRINGSTREET INTERNATIONAL SCHOOL | |||||||
| 505 SPRING STREET | FRIDAY HARBOR | WA | 98250 | NONE | 501 (C) (3) | STUDENT EDUCATION | $16,000 |
| THE SAGE SCHOOL | |||||||
| 171 MECHANIC ST | FOXSBOROUGH | MA | 02035 | NONE | 501 (C) (3) | STUDENT SCHOLARSHIPS | $5,000 |
| TURKISH EDUCTIONAL FOUNDATION | |||||||
| 111 B SLADKY AVE | MOUNTAIN VIEW | CA | 94040 | NONE | 501 (C) (3) | STUDENT EDUCATION | $7,500 |
| UNIVERSITY OF OREGON | |||||||
| 360 E 10TH AVE SUITE 202 | EUGENE | OR | 97401 | NONE | 501 (C) (3) | STUDENT EDUCATION | $7,000 |
| UNIVERSITY OF PUGET SOUND | |||||||
| 1500 N WARNER ST 1087 | TACOMA | WA | 98416 | NONE | 501 (C) (3) | STUDENT EDUCATION | $15,500 |
| UNIVERSITY OF WASHINGTON | |||||||
| 620 UNIVERSITY ROAD | FRIDAY HARBOR | WA | 98250 | NONE | 501(C)(3) | STUDENT EDUCATION | $8,000 |
| WASHINGTON STATE UNIVERSITY | |||||||
| LIGHTY SVS 260 | PULLMAN | WA | 99164 | NONE | 501 (C) (3) | STUDENT EDUCATION | $1,500 |
| YMCS PIERCE AND KITSAP COUNTY | |||||||
| 4717 S 19TH SUITE 201 | TACOMA | WA | 98405 | NONE | 501 (C) (3) | STUDENT EDUCATION | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $135,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $5,359 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $47,473 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,252 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,342 | ExclusionAmt |
| Related Or Exempt Function Incm | $160,621 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $56,426 | ExclusionAmt |
| Related Or Exempt Function Incm | $160,621 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $217,047 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | CORPORATE STOCKS | StockNm |
| EOY Book Value | $1,842,019 | EOYBookValueAmt |
| EOYFMV | $2,462,614 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $180,162 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $179,675 | USGovtObligationsEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| BANK CHARGES | $75 | $75 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Revenue And Expenses Per Books | $1,252 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $1,252 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $1,252 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (6 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| SB BROKER FEES | $2,038 | $2,038 |
| WELLS FARGO BROKER FEES | $11,757 | $11,757 |
| SB BROKER FEES | $9,350 | $9,350 |
| SB BROKER FEES | $5,350 | $5,350 |
| SB BROKER FEES | $1,773 | $1,773 |
| SB BROKER FEES |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| CORPORATION LICENSE | $50 | $50 |
| FOREIGN TAXES | $1,042 | $1,042 |