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CHUCKANUT HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHUCKANUT HEALTH FOUNDATION (EIN 91-1192943)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201723149349303622
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)
Return2017-11-10T14:34:42-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARCHER HALLIDAY PS CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11621 CORNWALL AVEAddressLine1Txt
CityBELLINGHAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP982254634ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911192943EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHUCKANUT HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHUCBusinessNameControlTxt
Phone3606713349PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5641AddressLine1Txt
CityBELLINGHAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98227ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRYANT ENGEBRETSONPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBERNADETTE HALLIDAYPreparerPersonNm
PTINP00081611PTIN
Phone3607561010PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$945,114GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHUCKANUTHEALTHFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO FURTHER CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES THAT STRENGTHEN & ADVANCE INDIVIDUAL & COMMUNITY HEALTH IN WHATCOM COUNTYActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$172,507PYContributionsGrantsAmt
CY Contributions Grants$135,008CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$567,690PYInvestmentIncomeAmt
CY Investment Income$393,197CYInvestmentIncomeAmt
PY Other Revenue$45,150PYOtherRevenueAmt
CY Other Revenue$42,687CYOtherRevenueAmt
PY Total Revenue$785,347PYTotalRevenueAmt
CY Total Revenue$570,892CYTotalRevenueAmt
PY Grants And Similar Paid$504,324PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$420,842CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$154,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$171,406CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,203CYTotalFundraisingExpenseAmt
PY Other Expenses$188,049PYOtherExpensesAmt
CY Other Expenses$210,454CYOtherExpensesAmt
PY Total Expenses$846,507PYTotalExpensesAmt
CY Total Expenses$802,702CYTotalExpensesAmt
PY Revenues Less Expenses-$61,160PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$231,810CYRevenuesLessExpensesAmt
Total Assets BOY$13,779,611TotalAssetsBOYAmt
Total Assets EOY$14,092,889TotalAssetsEOYAmt
Total Liabilities BOY$330,243TotalLiabilitiesBOYAmt
Total Liabilities EOY$305,496TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,449,368NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,787,393NetAssetsOrFundBalancesEOYAmt
MissionTO FURTHER CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES THAT STRENGTHEN & ADVANCE INDIVIDUAL & COMMUNITY HEALTH IN WHATCOM COUNTYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$724,232ExpenseAmt
Grant$420,842GrantAmt
DescCHUCKANUT HEALTH FOUNDATION HAS GRANTED OVER $16 MILLION TO WHATCOM COUNTY HEALTH RELATED NONPROFIT PROJECTS SINCE 1982 TO SUPPORT THE MAINTENANCE AND EXPANSION OF EMERGENCY MEDICAL SERVICES, EQUIPMENT FOR HOSPITAL AND PRE-HOSPITAL CARE SERVICES, SUPPORT FOR IMPROVING HEALTH CARE ACCESS, ELDER SERVICES SUPPORT AND HEALTH PROFESSIONAL TRAINING, AND SUPPORT FOR HEALTHY CHILDREN & FAMILIES OF THE $802,702 IN EXPENSES, $420,842 IS RELATED TO GRANTS, $76,213 ARE PROGRAM FUND EXPENSES ASSOCIATED WITH SUPPORT OF LAURENDEAU CANCER FUND CLIENTS, JBT FUND, AND WHATCOM COUNTY COUNCIL ON AGING SENIOR NUTRITION. $305,647 ARE EXCLUSIVELY OPERATING EXPENSES.Desc
Total Program Service Expenses$724,232TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUE SHARPEPersonNm
Phone3606713349PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 CORNWALL AVE SUITE 201AddressLine1Txt
CityBELLINGHAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98225ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
GREG BAKER
Director1.000.00Yes (X)$0$0$0
SUSAN GIVEN-SEYMOUR
GRANTS CHAIR1.000.00Yes (X)$0$0$0
JEANNE BROTHERTON
Director1.000.00Yes (X)$0$0$0
MATT ROSE
FNNC CO CHAIR1.000.00Yes (X)$0$0$0
SUE COLE
MARKETING CHAIR1.000.00Yes (X)$0$0$0
MIKE HAMMES
Director1.000.00Yes (X)$0$0$0
SUSAN HOLSTINE DO
Director1.000.00Yes (X)$0$0$0
BETTY MILLER
Director1.000.00Yes (X)$0$0$0
ABBE ROLNICK
Director1.000.00Yes (X)$0$0$0
BRUCE SMITH
Director1.000.00Yes (X)$0$0$0
CHAO-YING WU MD
Director1.000.00Yes (X)$0$0$0
GREG WINTER
Director1.000.00Yes (X)$0$0$0
ASTRID NEWELL MD
Director1.000.00Yes (X)$0$0$0
BRANDI DAMON
Director1.000.00Yes (X)$0$0$0
LESLIE FARRIS
Past President1.000.00$0$0$0Yes (X)
BRYANT ENGEBRETSON
Treasurer1.000.00$0$0$0Yes (X)
DAVE LYNCH MD
President1.000.00$0$0$0Yes (X)
TIM MCEVOY
Vice President1.000.00$0$0$0Yes (X)
SUE SHARPE
EXECUTIVE DIRECTOR40.000.00$86,953$0$2,609Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$86,953TotalReportableCompFromOrgAmt
Total Other Compensation$2,609TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$135,008AllOtherContributionsAmt
Noncash Contributions$5,720NoncashContributionsAmt
Total Contributions$135,008TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,665TotalRevenueColumnAmt
Exclusion$328,665ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$434,927SecuritiesAmt
Other$3,827OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$374,222SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$60,705SecuritiesAmt
Other$3,827OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,532TotalRevenueColumnAmt
Exclusion$64,532ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MANAGEMENT FEES$42,680$42,680
OTHER INCOME$7$7
FieldValueIRS element (for citing)
Other Revenue Total$42,687OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$570,892TotalRevenueColumnAmt
Exclusion$435,884ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$404,342TotalAmt
Program Services$404,342ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,500TotalAmt
Program Services$16,500ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$86,953TotalAmt
Program Services$69,562ProgramServicesAmt
Management And General$13,043ManagementAndGeneralAmt
Fundraising$4,348FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,621TotalAmt
Program Services$46,428ProgramServicesAmt
Management And General$5,166ManagementAndGeneralAmt
Fundraising$3,027FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,942TotalAmt
Program Services$3,351ProgramServicesAmt
Management And General$394ManagementAndGeneralAmt
Fundraising$197FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,188TotalAmt
Program Services$8,660ProgramServicesAmt
Management And General$1,019ManagementAndGeneralAmt
Fundraising$509FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,702TotalAmt
Program Services$13,347ProgramServicesAmt
Management And General$1,570ManagementAndGeneralAmt
Fundraising$785FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,664TotalAmt
Program Services$19,832ProgramServicesAmt
Management And General$19,832ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,542TotalAmt
Program Services$7,261ProgramServicesAmt
Management And General$854ManagementAndGeneralAmt
Fundraising$427FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,261TotalAmt
Program Services$9,572ProgramServicesAmt
Management And General$1,126ManagementAndGeneralAmt
Fundraising$563FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,904TotalAmt
Program Services$10,968ProgramServicesAmt
Management And General$1,290ManagementAndGeneralAmt
Fundraising$646FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,618TotalAmt
Management And General$12,618ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,242TotalAmt
Program Services$1,621ProgramServicesAmt
Management And General$1,621ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
WHATCOM COUNCIL ON AGING$50,396$50,396
LAURENDEAU$19,714$19,714
RENT EXPENSE$12,762$10,848$1,914
INTERN/CONTRACTOR$10,251$8,713$1,538

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$29,100TotalAmt
Program Services$23,117ProgramServicesAmt
Management And General$5,282ManagementAndGeneralAmt
Fundraising$701FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$802,702TotalAmt
Program Services$724,232ProgramServicesAmt
Management And General$67,267ManagementAndGeneralAmt
Fundraising$11,203FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$558,622BOYAmt
EOY$358,636EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$57BOYAmt
EOY$475EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$122,163LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,576LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$100,159BOYAmt
EOY$92,587EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,120,773BOYAmt
EOY$13,641,191EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,779,611BOYAmt
EOY$14,092,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,928BOYAmt
EOY$9,590EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$323,431BOYAmt
EOY$289,320EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,884BOYAmt
EOY$6,586EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$330,243BOYAmt
EOY$305,496EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,077,439BOYAmt
EOY$11,436,303EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$339,813BOYAmt
EOY$308,474EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,032,116BOYAmt
EOY$2,042,616EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,449,368BOYAmt
EOY$13,787,393EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,779,611BOYAmt
EOY$14,092,889EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$231,810ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$569,835NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$625,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$192,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,507CurrentTaxYearMinus1YearAmt
Current Tax Year$129,288CurrentTaxYearAmt
Total$1,439,058TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$625,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$192,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,507CurrentTaxYearMinus1YearAmt
Current Tax Year$129,288CurrentTaxYearAmt
Total$1,439,058TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$1,439,058PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$324,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$311,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$339,560CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$310,349CurrentTaxYearMinus1YearAmt
Current Tax Year$332,492CurrentTaxYearAmt
Total$1,618,320TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,535CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,157CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,150CurrentTaxYearMinus1YearAmt
Current Tax Year$42,688CurrentTaxYearAmt
Total$286,639TotalAmt
FieldValueIRS element (for citing)
Total Support$3,344,017TotalSupportAmt
Public Support CY1700.43030PublicSupportCY170Pct
Public Support PY1700.44130PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,032,116BeginningYearBalanceAmt
Contributions$10,500ContributionsAmt
End Year Balance$2,042,616EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,027,116BeginningYearBalanceAmt
Contributions$6,500ContributionsAmt
Grants Or Scholarships$1,500GrantsOrScholarshipsAmt
End Year Balance$2,032,116EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,008,216BeginningYearBalanceAmt
Contributions$20,400ContributionsAmt
Grants Or Scholarships$1,500GrantsOrScholarshipsAmt
End Year Balance$2,027,116EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,002,466BeginningYearBalanceAmt
Contributions$5,750ContributionsAmt
End Year Balance$2,008,216EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,998,446BeginningYearBalanceAmt
Contributions$5,520ContributionsAmt
Grants Or Scholarships$1,500GrantsOrScholarshipsAmt
End Year Balance$2,002,466EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$98,135OtherCostOrOtherBasisAmt
Depreciation$20,667DepreciationAmt
Book Value$77,468BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,028OtherCostOrOtherBasisAmt
Depreciation$8,909DepreciationAmt
Book Value$15,119BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$92,587TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$6,586Amt
FieldValueIRS element (for citing)
Total Liability$6,586TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,140,727TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$569,835NetUnrealizedGainsInvstAmt
Revenue Not Reported$569,835RevenueNotReportedAmt
Revenue Subtotal$570,892RevenueSubtotalAmt
Total Revenue Per Form990$570,892TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$802,702TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$802,702ExpensesSubtotalAmt
Total Expenses Per Form990$802,702TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
WAHA
800 E CHESTNUT STBELLINGHAMWA98225810677295$70,000$0GENERAL SUPPORT
LYDIA PLACE
PO BOX 28487BELLINGHAMWA98228943111948$18,000$0GENERAL SUPPORT
UNITED WAY OF WHATCOM COUNTY
1511 CORNWALL AVENUEBELLINGHAMWA98225910570788$6,000$0GENERAL SUPPORT
MEDICAL TEAMS INTERNATIONAL
9680 153RD AVE NEREDMONDWA98052930878944$7,500$0GENERAL SUPPORT
NORTHWEST YOUTH SERVICES
1020 N STATE STREETBELLINGHAMWA98225910970561$30,000$0GENERAL SUPPORT
WHATCOM CO COUNCIL ON AGING
315 HALLECK STREETBELLINGHAMWA98225910784024$20,000$0GENERAL SUPPORT
WHATCOM FAMILY YMCA
1256 N STATE STREETBELLINGHAMWA98225910482690$11,216$0GENERAL SUPPORT
WILD WHATCOM
PO BOX 4457BELLINGHAMWA98227900791289$13,150$0GENERAL SUPPORT
BELLINGHAM FOOD BANK
1824 ELLIS STREETBELLINGHAMWA98225910918619$10,000$0GENERAL SUPPORT
BELLINGHAM MOUNTAIN RESCUE CN
PO BOX 292BELLINGHAMWA98227911203122$7,000$0GENERAL SUPPORT
BELLINGHAM TECHNICAL COLLEGE
3028 LINDBERGH AVEBELLINGHAMWA98225911658027$10,000$0GENERAL SUPPORT
CENTER FOR SPIRITUAL LIVING
2224 YEW STREET ROADSEATTLEWA98229452479174$10,000$0GENERAL SUPPORT
OPPORTUNITY COUNCIL
1111 CORNWALL AVE STE 200BELLINGHAMWA98225910787820$94,800$0GENERAL SUPPORT
OPHI OREGON PUB HEALTH INST
310 SW 4TH AVE STE 900PORTLANDOR97204931259522$8,819$0GENERAL SUPPORT
SEAN HUMPHREY HOUSE
1630 H STREETBELLINGHAMWA98225911573874$12,000$0GENERAL SUPPORT
OUR TREEHOUSE
PO BOX 456BELLINGHAMWA98227911948513$8,000$0GENERAL SUPPORT
WHATCOM COMMUNITY COLLEGE FND
237 W KELLOGG ROADBELLINGHAMWA98226943064448$8,000$0GENERAL SUPPORT
WHATCOME COUNTY FIRE DISTRICT
PO BOX 37ACMEWA98220810564379$30,000$0GENERAL SUPPORT
WHIN REACH
155 NE 100TH STREET STE 500SEATTLEWA98125911443685$12,500$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient9RecipientCnt
Cash Grant$16,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS POLICIES SET IN PLACE TO ENSURE ALL GRANTS AND SCHOLARSHIPS ARE ISSUED TO QUALIFYING INDIVIDUALS AND ORGANIZATIONS. DURING THE APPLICATION REVIEW PROCESS, THE ORGANIZATION VERIFIES THE USE OF THE FUNDS GRANTED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessFINANCE COMMITTEE RECEIVES A DRAFT COPY OF 990 AND REVIEWS, MAKING ADJUSTMENTS IF NECESSARY.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD REVIEWS POLICY AND DISCLOSURE ANNUALLY TO DETERMINE COMPLIANCE
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD APPROVES MANAGEMENT COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableBOARD RESPONDS TO REQUEST FOR INFORMATION ON INDIVIDUAL BASIS

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ELEANOR AND HENRY JANSEN FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 E CHESTNUTAddressLine1Txt
CityBELLINGHAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98227ZIPCd
FieldValueIRS element (for citing)
EIN911680839EIN
Primary ActivitiesSUPPORTING ACTIVITIES OF CHUCKANUT HEALTPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status107(b)(1)(a)(vi)PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ELEANOR AND HENRY JANSEN FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeqTransactionTypeTxt
Involved$41,543InvolvedAmt
Method Of Amount DeterminationACTUALMethodOfAmountDeterminationTxt