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GROUSEMONT FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GROUSEMONT FOUNDATION (EIN 91-1276047)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349101320
Schema version
2016v3.0
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)
Return2017-11-14T11:17:27-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911276047EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GROUSEMONT FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGROUBusinessNameControlTxt
Phone2063233686PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1511 BOREN AVENUE NORTH NO 300AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98109ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSALLY WRIGHTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2063233686PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANE M SEARINGPreparerPersonNm
PTINP00000565PTIN
Phone4254544919PhoneNum
Preparation2017-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.158.230.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-09IPDt
IP Tm09:33:13IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEE9472A6866F5D2CC65667176191C38BB98995E0AtSubmissionCreationDeviceId
At Submission Filing Device IdFD58FABAE5F74259F68711CC562BAA49AD14424EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$24,137,223FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$5,252,475ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$103InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$103InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$478,051DividendsRevAndExpnssAmt
Dividends Net Invst Incm$527,467DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$107,403NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,236,748GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,911,740CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$299,740OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$211,713OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$6,137,772TotalRevAndExpnssAmt
Total Net Invst Incm$2,651,023TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$3,398LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$3,398LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$620AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$620AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$88,015OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$23,838OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$64,177OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$57,781TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,531TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$778TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$778TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$155,362OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$87,945OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,183OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$305,954TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$114,314TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$128,156TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$949,350ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$949,350ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,255,304TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$114,314TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,077,506TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$4,882,468ExcessRevenueOverExpensesAmt
Net Investment Income$2,536,709NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$51,694SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$483,644SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$483,644SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$754,619USGovernmentObligationsBOYAmt
US Government Obligations EOY$741,443USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$734,686USGovtObligationsEOYFMVAmt
Corporate Stock BOY$10,483,018CorporateStockBOYAmt
Corporate Stock EOY$14,305,756CorporateStockEOYAmt
Corporate Stock EOYFMV$15,895,295CorporateStockEOYFMVAmt
Corporate Bonds BOY$516,806CorporateBondsBOYAmt
Corporate Bonds EOY$567,070CorporateBondsEOYAmt
Corporate Bonds EOYFMV$546,175CorporateBondsEOYFMVAmt
Other Investments BOY$5,740,180OtherInvestmentsBOYAmt
Other Investments EOY$6,330,872OtherInvestmentsEOYAmt
Other Investments EOYFMV$6,477,423OtherInvestmentsEOYFMVAmt
Total Assets BOY$17,546,317TotalAssetsBOYAmt
Total Assets EOY$22,428,785TotalAssetsEOYAmt
Total Assets EOYFMV$24,137,223TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$17,546,317UnrestrictedBOYAmt
Unrestricted EOY$22,428,785UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$17,546,317TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$22,428,785TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,546,317TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$22,428,785TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,546,317TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$4,882,468ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$22,428,785SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$22,428,785TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES$377,991$381,123-$3,132-$3,132
PASS THROUGH CAPITAL GAIN$56,115$56,115P
31,839 SHS PACCAR INC.$1,858,537$1,858,537$1,858,537
CAPITAL GAINS DIVIDENDS$220$220$220P
FieldValueIRS element (for citing)
Capital Gain Net Income$1,911,740CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$872,242AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$17,473,782NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049917DistributionYr1Rt
Adjusted Qlfy Distri Yr2$571,948AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$17,747,518NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.032227DistributionYr2Rt
Adjusted Qlfy Distri Yr3$390,291AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$7,579,193NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.051495DistributionYr3Rt
Adjusted Qlfy Distri Yr4$387,499AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$6,378,280NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.060753DistributionYr4Rt
Adjusted Qlfy Distri Yr5$475,350AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$6,553,062NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.072539DistributionYr5Rt
Total Distribution0.266931TotalDistributionRt
Average Distribution0.053386AverageDistributionRt
Net Vl Noncharitable Assets$18,953,394NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,011,846AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$25,367NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,037,213AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,077,506QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$25,367InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$25,367SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$25,367TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$50,830EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$1,500AppliedToEsTaxAmt
Total Payments And Credits$52,330TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$26,963OverpaymentAmt
Applied To ES Tax$26,963AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWAOrgReportOrRegisterStateCd
Org Report Or Register StateAROrgReportOrRegisterStateCd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressNONEWebsiteAddressTxt
Individual With BooksFOUNDATION SOURCEIndividualWithBooksNm
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1511 BOREN AVENUE NORTH SUITE 300AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98109ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business HoldingsYes (1)BusinessHoldingsInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SALLY S WRIGHT
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109PRESIDENT/DIRECTOR1.00$0$0$0
KATE JANEWAY
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109DIRECTOR/TREASURER1.00$0$0$0
KORYNNE WRIGHT
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109DIRECTOR/SECRETARY1.00$0$0$0
KYLE ROLFE
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109DIRECTOR1.00$0$0$0
LEE ROLFE
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109DIRECTOR1.00$0$0$0
ERIN LEE WRIGHT
511 BOREN AVENUE NORTH SUITE 300SEATTLEWA98109DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SOUND PHILANTHROPY LLC
4310 BIRKLAND ROAD NEBAINBRIDGE ISLANDWA98110PHILANTHROPIC$63,125
FOUNDATION SOURCE
55 WALLS DRIVEFAIRFIELDCT06824ADMINISTRATIVE SERVICES$52,626
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$12,342,733AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$421,867AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$6,477,424FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$19,242,024TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$19,242,024AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$288,630CashDeemedCharitableAmt
Net Vl Noncharitable Assets$18,953,394NetVlNoncharitableAssetsAmt
Minimum Investment Return$947,670MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$947,670MinimumInvestmentReturnAmt
Tax Based On Investment Income$25,367TaxBasedOnInvestmentIncomeAmt
Income Tax$10,155IncomeTaxAmt
Total Tax$35,522TotalTaxAmt
Distributable Before Adj$912,148DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$912,148DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$912,148DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,077,506ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,077,506QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$25,367PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,052,139AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$912,148DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$14,374ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$18,204ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr1$11,249ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$43,827TotalExcessDistributionCyovAmt
Qualifying Distributions$1,077,506QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$912,148AppliedToCurrentYearAmt
Remaining Distri From Corpus$165,358RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$209,185TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$209,185ExcessDistriCyovToNextYrAmt
Excess From Year4$14,374ExcessFromYear4Amt
Excess From Year3$18,204ExcessFromYear3Amt
Excess From Year1$11,249ExcessFromYear1Amt
Excess From Current Year$165,358ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (60 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
4616 25TH AVE NESEATTLEWA98105N/APCFELLOWSHIP FUND$2,500
ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
4616 25TH AVE NESEATTLEWA98105N/APCGENERAL & UNRESTRICTED$1,000
ARTS CORPS
4408 DELRIDGE WAY SW STE 110SEATTLEWA98106N/APCARTS INTEGRATION THROUGH TEACHING ARTIST RESIDENCIES PROJECT$25,000
ARTSFUND
PO BOX 19780SEATTLEWA98109N/APCGENERAL & UNRESTRICTED$2,500
BOOK-IT REPERTORY THEATRE
SEATTLE CENTER 305 HARRISON STSEATTLEWA98109N/APCARTS & EDUCATION PROGRAM PROJECT$25,000
BOY SCOUT OF AMERICA
990 N ADAMS AVEBUFFALOWY82834N/APCGENERAL & UNRESTRICTED$2,500
CHARLES & EMMA FRYE FREE PUBLIC ART MUSEUM INC TESTAMENTARY TRUST
704 TERRY AVESEATTLEWA98104N/AEOFYOUTH ART EDUCATION PROGRAMS PREK-12 PROJECT$25,000
CHILDREN AND YOUTH JUSTICE CENTER
615 2ND AVE STE 275SEATTLEWA98104N/APCGENERAL & UNRESTRICTED$15,000
COACHELLA VALLEY VOLUNTEERS IN MEDICINE
82915 AVE 48INDIOCA92201N/APCGENERAL & UNRESTRICTED$2,500
COLLEGE SUCCESS FOUNDATION
1605 NW SAMMAMISH RD STE 200ISSAQUAHWA98027N/APCGENERAL & UNRESTRICTED$500
COOPERATIVE FOR EDUCATION
2300 MONTANA AVE STE 301CINCINNATIOH45211N/APCGENERAL & UNRESTRICTED$1,000
DESERT COMMUNITY FOUNDATION
75105 MERLE DR STE 300PALM DESERTCA92211N/APCTHUNDERBIRD COUNTRY CLUB EMPLOYEE SCHOLARSHIP$1,000
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DRRANCHO MIRAGECA92270N/APCGENERAL & UNRESTRICTED$1,000
FORTERRA NW
901 5TH AVE STE 2200SEATTLEWA98164N/APCGENERAL & UNRESTRICTED$1,000
FRED HUTCHINSON CANCER RESEARCH CENTER
PO BOX 19024 J5-200SEATTLEWA98109N/APCGENERAL & UNRESTRICTED$2,750
FRED HUTCHINSON CANCER RESEARCH CENTER
PO BOX 19024 J5-200SEATTLEWA98109N/APCPROJECT VIOLET$25,000
FRIENDS OF THE CULTURAL CENTER INC
73000 FRED WARING DRPALM DESERTCA92260N/APCMCCALLUM THEATRE FUND$500
FRIENDS OF THE PALM SPRINGS ANIMAL SHELTER
4575 E MESQUITE AVEPALM SPRINGSCA92264N/APCGENERAL & UNRESTRICTED$500
HUMANE SOCIETY FOR SEATTLE-KING CO
13212 SE EASTGATE WAYBELLEVUEWA98005N/APCGENERAL & UNRESTRICTED$3,000
LIFEMOVES
181 CONSTITUTION DRMENLO PARKCA94025N/APCGENERAL & UNRESTRICTED$1,000
MADEIRA SCHOOL INC
8328 GEORGETOWN PIKEMCLEANVA22102N/APCSTEAM BUILDING PROJECT$250,000
MAKE-A-WISH FOUNDATION OF ALASKA & WASHINGTON
811 1ST AVE STE 520SEATTLEWA98104N/APCGENERAL & UNRESTRICTED$500
MARYS PLACE SEATTLE
1830 9TH AVESEATTLEWA98101N/APCGENERAL & UNRESTRICTED$1,000
MOCKINGBIRD SOCIETY
2100 24TH AVE SSEATTLEWA98144N/APCGENERAL & UNRESTRICTED$15,000
MONASTERY OF DISCALCED CARMELITES
1101 N RIVER RDDES PLAINESIL60016N/APCGENERAL & UNRESTRICTED$500
MUSEUM OF FLIGHT FOUNDATION
9404 E MARGINAL WAY STUKWILAWA98108N/APCGENERAL & UNRESTRICTED$500
NEW COURSE
4098 MATTSON PL NEBAINBRIDGE ISWA98110N/APCGENERAL & UNRESTRICTED$5,000
PACIFIC NORTHWEST BALLET ASSOCIATION
301 MERCER STSEATTLEWA98109N/APCDISCOVER DANCE RESIDENCIES PROJECT$25,000
PACIFIC NORTHWEST BALLET ASSOCIATION
301 MERCER STSEATTLEWA98109N/APCGENERAL & UNRESTRICTED$5,500
PACIFIC NORTHWEST BALLET ASSOCIATION
301 MERCER STSEATTLEWA98109N/APCNEW WORKS (NUTCRACKER) INITIATIVE$2,000
PALM SPRINGS PATHFINDERS
PO BOX 5005RANCHO MIRAGECA92270N/APCGENERAL & UNRESTRICTED$500
PROGRAM FOR EARLY PARENT SUPPORT
4649 SUNNYSIDE AVE N STE 324SEATTLEWA98103N/APCGENERAL & UNRESTRICTED$1,000
PUGET SOUND EDUCATIONAL SERVICE DISTRICT
800 OAKSDALE AVE SWRENTONWA98057N/AGOVARTS IMPACT: EARLY LEARNING IN THE ARTS PROJECT$25,000
RWANDA GIRLS INITIATIVE
1653 RAMBLING LNMEDINAWA98039N/APCSCHOLARSHIPS FOR TWO RGI STUDENTS OVER THREE YEARS (ADDITIONAL FUNDING TO SUPPORT GENERAL OPERATIONS) AS PART OF THE SCHOLARSHIP PROGRAM OTHER$10,000
SAMARITAN HOUSE
4031 PACIFIC BLVDSAN MATEOCA94403N/APCGENERAL & UNRESTRICTED$1,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCSAM SCHOOL PARTNERSHIP PROGRAM PROJECT$25,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCGENERAL & UNRESTRICTED$1,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCRENOVATION AND ENHANCEMENT OF THE SAM ASIAN ART MUSEUM PROJECT$300,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCSEATTLE ART MUSEUM SUPPORTERS FALL DONATION DIVISION$5,000
SEATTLE ART MUSEUM
1300 1ST AVESEATTLEWA98101N/APCGENERAL & UNRESTRICTED$5,000
SEATTLE CHILDRENS HOSPITAL FOUNDATION
MAIL STOP S-200 PO BOX 5371SEATTLEWA98145N/APCSEATTLE SPORTS CONCUSSION PROGRAM$25,000
SEATTLE CHILDRENS HOSPITAL FOUNDATION
MAIL STOP S-200 PO BOX 5371SEATTLEWA98145N/APCGENERAL & UNRESTRICTED$1,000
SEATTLE PARKS FOUNDATION
105 S MAIN ST 235SEATTLEWA98104N/APCGENERAL & UNRESTRICTED$2,500
SEATTLE REPERTORY THEATRE
PO BOX 900923SEATTLEWA98109N/APCGENERAL & UNRESTRICTED$1,000
SEATTLE SYMPHONY ORCHESTRA INC
PO BOX 21906SEATTLEWA98111N/APCGENERAL & UNRESTRICTED$1,000
SEATTLE TILTH ASSOCIATION INC
4649 SUNNYSIDE AVE N STE 100SEATTLEWA98103N/APCCOMMUNITY FOOD PRODUCTION AND NUTRITION PROGRAMS FOR YOUTH.$25,000
SEATTLE UNIVERSITY
901 12TH AVESEATTLEWA98122N/APCREDHAWK SCULPTURE PROJECT$10,000
SEATTLES UNION GOSPEL MISSION
PO BOX 202SEATTLEWA98111N/APCTHANKSGIVING DINNER PROJECT$100
SOUND MENTAL HEALTH
1600 E OLIVE STSEATTLEWA98122N/APCMIDDLE SCHOOL SUPPORT PROJECT$30,000
ST MARGARETS EPISCOPAL CHURCH PALM DESERT
47 535 HWY 74PALM DESERTCA92260N/APCGENERAL & UNRESTRICTED$1,000
ST MARKS PARISH
1245 10TH AVE ESEATTLEWA98102N/APCLIVING STONES CAPITAL CAMPAIGN$1,000
STOLENYOUTH
PO BOX 296SEATTLEWA98111N/APCGENERAL & UNRESTRICTED$2,500
TEEN FEED
4740 UNIVERSITY WAY NE BSEATTLEWA98105N/APCGENERAL & UNRESTRICTED$15,000
THE LIVING DESERT
47900 PORTOLA AVEPALM DESERTCA92260N/APCGENERAL & UNRESTRICTED$2,500
UNIVERSITY OF WASHINGTON
PO BOX 24967SEATTLEWA98124N/AGOVTHE HARING CENTER EXPERIMENTAL EDUCATION UNIT FUND$2,500
UNIVERSITY OF WASHINGTON
PO BOX 24967SEATTLEWA98124N/AGOVFOSTER SCHOOL OF BUSINESS (DESERT DAWGS) UNDERGRADUATE SCHOLARSHIP (UNDSCH, 82-1526) FUND$1,000
UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
4333 BROOKLYN AVE NE BOX 359505SEATTLEWA98195N/APCCORNEAL RESEARCH (CORNEA) FUND$5,000
UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
4333 BROOKLYN AVE NE BOX 359505SEATTLEWA98195N/APCEYE INSTITUTE GIFTS FUND (EYEINS)$1,000
VIRGINIA MASON MEDICAL CENTER
1100 9TH AVESEATTLEWA98101N/APCGENERAL & UNRESTRICTED$5,000
YWCA OF SEATTLE-KING COUNTY- SNOHOMISH COUNTY
1118 5TH AVESEATTLEWA98101N/APCGENERAL & UNRESTRICTED$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$949,350TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$103ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$478,051ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business900000BusinessCd
Unrelated Business Taxbl Incm$25,450UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$81,953ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescBusinessBusinessCdUnrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmtExclusionExclusionCdExclusionExclusionAmtRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
PASS THRU INVESTMENT INC525990$35,35014$261,129
PASS THRU TAX-EXEMPT INT$3,261

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$60,800UnrelatedBusinessTaxblIncmAmt
Exclusion$821,236ExclusionAmt
Related Or Exempt Function Incm$3,261RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$885,297TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11BLineNumberTxt
Relationship StatementTAX-EXEMPT INTEREST EXCLUDED UNDER IRC SECTION 103RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonTY SCHEUMANNContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1511 BOREN AVE N SUITE 300AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98109ZIPCd
FieldValueIRS element (for citing)
Total Contributions$5,252,475TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyPUBLICLY TRADED SECURITIESNoncashPropertyDesc
Fair Market Value$5,252,475FairMarketValueAmt
Received2016-10-05ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$620Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$620DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (17 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBOTT LABS - 2.900% - 11/30/2021 (002824BD1)$32,090$31,909
AFLAC INC SR NT - 2.400% - 03/16/2020 (001055AN2)$40,009$40,178
AMERICAN INTL GROUP INC - 5.850% - 01/16/2018 (02687QDG0)$45,062$41,703
AMERICAN TOWER CORP - 4.500% - 01/15/2018 (029912BD3)$43,350$42,078
BEAR STEARNS COS - 6.400% - 10/02/2017 (073902PR3)$46,787$41,438
BERKSHIRE HATHAWAY NOTE - 0.022% - 03/15/2021 (084670BQ0)$28,107$27,942
FED RETAIL HOLD CO GURNT - 5.900% - 12/01/2016 (314275AA6)$0$0
HCP INC NOTE - 2.625% - 02/01/2020 (40414LAH2)$39,613$39,977
MONSANTO CO - 1.850% - 11/15/2018 (61166WAM3)$10,036$9,969
MONSANTO CO NOTES - 5.125% - 04/15/2018 (61166WAF8)$28,661$26,008
NASDAQ OMX GROUP - 5.250% - 01/16/2018 (631103AE8)$43,874$41,392
NATIONAL CITY BK INDIANAPOLIS - 4.250% - 07/01/2018 (63536SAA7)$54,328$51,652
ROPER INDS INC - 2.050% - 10/01/2018 (776696AF3)$40,165$40,136
STATE STREET - 2.550% - 08/18/2020 (857477AS2)$0$0
VERIZON COMMUNICATIONS - 4.600% - 04/01/2021 (92343VAX2)$33,510$32,167
WELLS FARGO - 3.000% - 01/22/2021 (94974BFR6)$41,057$40,543
WESTPAC BANKING CORP - 0.021% - 05/13/2021 (961214CV3)$40,421$39,083

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PACCAR INC (PCAR)$13,905,706$15,500,031
VANGUARD SHORT-TERM BOND INDEX FD ADMIRAL SHS (VBIRX)$400,050$395,264

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$619,961USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$613,054USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$121,482StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$121,632StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
COLUMBIA PACIFIC INCOME FUND II, L.P (CPINCFND2)AT COST$2,598,574$2,552,420
COLUMBIA PACIFIC OPPORTUNITY FUND LP (CPOPPFD)AT COST$872,386$983,751
CP ENDOWMENT FUND, LP (CPENDOW)AT COST$2,507,822$2,636,984
CP MULTI-ASSET FUND LP (CPMULTIFND)AT COST$352,090$304,268

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$3,398LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,398DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
LICENSES AND FEES$2,560$0$2,560
BANK CHARGES$250$250$0
ADMINISTRATIVE FEES$52,626$0$52,626
WEBSITE DESIGN/MAINTENANCE$240$0$240
INSURANCE$2,749$0$2,749
DUES & MEMBERSHIPS$1,000$0$1,000
OFFICE EXPENSE$8$0$8
PASS THROUGH EXPENSES$95,929$87,695$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
PASS THRU INVESTMENT INC$296,479$211,713$296,479
PASS THRU TAX-EXEMPT INT$3,261$3,261

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$23,838$23,838$0
PROFESSIONAL CONSULTING SERVICES$64,177$0$64,177

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STATE TAXES$2,531$2,531$0
EXCISE TAXES$55,250$0$0