FOUNDATION OF DISTRICT 304: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: FOUNDATION OF DISTRICT 304 (EIN 46-1035355)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-05-17
IRS object ID: 201741379349300144
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
Form 990
Schedule A
Schedule B
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-17T18:52:11Z	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	571191415	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	H AND R BLOCK	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1238 S BURLINGTON BLVD	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98233	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	461035355	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FOUNDATION OF DISTRICT 304	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FOUN	BusinessNameControlTxt
Phone	3608547151	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2241 HOSPITAL DRIVE	AddressLine1Txt
City	SEDRO WOOLLEY	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98284	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TED BROCKMANN	PersonNm
Person Title	SUPERINTENDENT CFO	PersonTitleTxt
Phone	3608547151	PhoneNum
Signature	2017-04-26	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STELLA WALSH	PreparerPersonNm
PTIN	P01007013	PTIN
Phone	3607570978	PhoneNum
Preparation	2017-05-17	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.18.1.199	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-05-17	IPDt
IP Tm	14:00:07	IPTm
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	70B3937F2B096F46B46AA4913D66E01BD5C9BF04	AtSubmissionCreationDeviceId
At Submission Filing Device Id	70B3937F2B096F46B46AA4913D66E01BD5C9BF04	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TED BROCKMANN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2241 HOSPITAL DRIVE	AddressLine1Txt
City	Sedro Woolley	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98284	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$210,945	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	SUPPORT DISTRICT 304 TO PROMOTE HEALTH AT EVERY STAGE OF LIFE	ActivityOrMissionDesc
Voting Members Governing Body	0	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$192,293	PYContributionsGrantsAmt
CY Contributions Grants	$168,467	CYContributionsGrantsAmt
CY Program Service Revenue	$42,247	CYProgramServiceRevenueAmt
CY Investment Income	$231	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$192,293	PYTotalRevenueAmt
CY Total Revenue	$210,945	CYTotalRevenueAmt
PY Grants And Similar Paid	$169,406	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$168,515	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$31,308	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,383	PYOtherExpensesAmt
CY Other Expenses	$35,752	CYOtherExpensesAmt
PY Total Expenses	$209,097	PYTotalExpensesAmt
CY Total Expenses	$204,267	CYTotalExpensesAmt
PY Revenues Less Expenses	-$16,804	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,678	CYRevenuesLessExpensesAmt
Total Assets BOY	$213,432	TotalAssetsBOYAmt
Total Assets EOY	$139,010	TotalAssetsEOYAmt
Total Liabilities BOY	$108,231	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,131	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$105,201	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$111,879	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SUPPORT SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 OUTREACH PROGRAMS TO SUPPORT THE LOCAL COMMUNITY IN EDUCATION AND OPPORTUNITY FOR HEALTHY LIFE CHOICES AT ALL AGE GROUPS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Desc	PROVIDE BEREVAMENT CENTER FOR CHILDREN IN SEDRO WOOLLEY THROUGH THE LANDING PROGRAM. CONNECTIONS CONFERENCE WHICH IS A PROFESSIONAL DEVELOPMENT OPPORTUNITY FOR EARLY CHILDREN DEVELOPMENT THE CITY OF CONCRETE SUMMER LEARNING ADVENTURE WHICH OFFERS A SUMMER CAMP OPPORTUNITY FOR LOCAL STUDENTS PROVDING MEALS, READING AND WRITING OPPORTUNITIES TO HELP PREVENT SUMMER VACATION LEARNING SKILL LOSS.	Desc
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	false	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Tax Exempt Interest	$0	TaxExemptInterestAmt
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Governing Body Voting Members	0	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	false	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Regular Monitoring Enfrc	false	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TED BROCKMANN	PersonNm
Phone	3608547151	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	438 FIDALGO ST	AddressLine1Txt
City	Sedro Woolley	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98284	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
GREGORY C REED
DIRECTOR	Yes (X)	$0	$0	$0
TED BROCKMANN
PRESIDENT	Yes (X)	$0	$0	$0
CAROL W HAWK
SECRETARY	Yes (X)	$0	$0	$0
JERI KAUFMAN
VICE PRESIDENT	Yes (X)	$0	$0	$0
CHRIS JOHNSTON
DIRECTOR	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
All Other Contributions	$168,467	AllOtherContributionsAmt
Total Contributions	$168,467	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	CLASSES FOR PROFESSIONAL DEVELOPMENT FOR EDUCATORS	Desc
Business	999999	BusinessCd
Total Revenue Column	$42,247	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,247	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,247	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$231	TotalRevenueColumnAmt
Related Or Exempt Func Income	$231	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$210,945	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,478	RelatedOrExemptFuncIncomeAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$168,515	TotalAmt
Program Services	$168,515	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$545	TotalAmt
Program Services	$545	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,534	TotalAmt
Program Services	$13,534	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,622	TotalAmt
Program Services	$20,622	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,051	TotalAmt
Program Services	$1,051	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$204,267	TotalAmt
Program Services	$204,267	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$212,432	BOYAmt
EOY	$139,010	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,000	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$213,432	BOYAmt
EOY	$139,010	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$108,231	BOYAmt
EOY	$27,131	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,231	BOYAmt
EOY	$27,131	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$105,201	BOYAmt
EOY	$111,879	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$105,201	BOYAmt
EOY	$111,879	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$213,432	BOYAmt
EOY	$139,010	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$6,678	ReconcilationRevenueExpnssAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$10,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$192,293	CurrentTaxYearMinus1YearAmt
Current Tax Year	$168,467	CurrentTaxYearAmt
Total	$371,010	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year	$42,247	CurrentTaxYearAmt
Total	$42,247	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$10,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$192,293	CurrentTaxYearMinus1YearAmt
Current Tax Year	$210,714	CurrentTaxYearAmt
Total	$413,257	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$413,257	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year	$231	CurrentTaxYearAmt
Total	$231	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year	$231	CurrentTaxYearAmt
Total	$231	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$10,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$192,293	CurrentTaxYearMinus1YearAmt
Current Tax Year	$210,945	CurrentTaxYearAmt
Total	$413,488	TotalAmt

Field	Value	IRS element (for citing)
First5 Years509	Yes (X)	First5Years509Ind
Public Support CY509	0.99940	PublicSupportCY509Pct
Public Support PY509	0.99990	PublicSupportPY509Pct
Investment Income CY	0.00060	InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PAGE 2 PART 3 ORGANIZATIONAL MISSION	ORGANIZATION SUPPORTS THE MISSION OF SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 BY PROVIDING OUT REACH PROGRAMS TO THE LOCAL COMMUNITY IN EDUCATIONAL SUPPORT TO CREATE HEALTH LIFE STYLE CHOICES FOR ALL AGE GROUPS
PAGE 2 PART 3 LINE 4	ORGANIZATION HAS AN OUTREACH PROGRAM CALLED THE LANDING THAT SUPPORTS CHILDREN THROUGH BEVEREMENT. ORGANIZATION PROVIDES EDUCATIONAL OPERTUNTIES FOR CHILD EVELOPMENT EDUCATORS THROUGHOUT SKAIGT COUMT. ORGANIZATION PROVIDES A SUMMER PROGRAM IN THE CITY OF CONCRETE TO PROVIDE MEALS AND EDUCATIONAL OPPORTUNITES FOR CHILDREN TO BRIDGE THE LEARN GAPS DURING THE SUMMER MONTHS.