FOUNDATION OF DISTRICT 304: Form 990EZ, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION OF DISTRICT 304 (EIN 46-1035355)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-04-15
- IRS object ID
- 201621069349200132
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-15T20:55:06Z | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 96 E COLLEGE WAY | AddressLine1Txt |
| City | MOUNT VERNON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98273 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | 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 | 2016-04-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STELLA WALSH | PreparerPersonNm |
| PTIN | P01007013 | PTIN |
| Phone | 3608489415 | PhoneNum |
| Preparation | 2016-04-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $192,293 | GrossReceiptsAmt |
| Contributions Gifts Grants Etc | $192,293 | ContributionsGiftsGrantsEtcAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Total Revenue | $192,293 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $169,406 | GrantsAndSimilarAmountsPaidAmt |
| Occupancy Rent Utlts And Maint | $31,308 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $8,383 | OtherExpensesTotalAmt |
| Total Expenses | $209,097 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$16,804 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $10,250 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $111,755 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $105,201 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,250 | BOYAmt |
| EOY | $212,432 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,000 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,250 | BOYAmt |
| EOY | $213,432 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $108,231 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,250 | BOYAmt |
| EOY | $105,201 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | SUPPORT FOR SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 SERVICES WHICH IS TO PROMOTE HEALTH AT EVERY STAGE OF LIFE FOR ALL COMMUNITY MEMBERS BY COLLABORATING WITH DIVERSE PARTNERS TO ENHANCE ACCESS TO HEALTH WELLNESS AND PREVENTION RESOURCES AND TO PROVIDE BEREAVEMENT COUNSELING FOR CHILDREN | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | ORGANIZATION WORKS WITHIN DISTRICT 304 TO EDUCATE THE COMMUNITY ON HEALTHY LIVING AT ALL AGES OF LIFE. SPECIFICALLY WORKING IN THE SCHOOL DISTRICTS TO EDUCATE ON DRUG AWARENESS AND MENTAL HEALTH ISSUES THE GROUP ATTENDS LOCAL COMMUNITY EVENTS SUCH AS CASCADE DAYS IN CONCRETE WASHINGTON TO HELP PROVIDE RESOURCES TO FAMILIES WITH FAMILY MEMBERS THAT ARE USING DRUGS OR HAVE MENTAL HEALTH ISSUES. THE ORGANISATION ALSO PROVIDES SUPPLIES FOR THE SUMMER LEARNING PROGRAM IN THE CONCRETE WASHINGTON AREA. THE LANDING IS A CHILDREN FOCUSED BEREAVEMENT PROGRAM OPPERATING IN SKAGIT COUNTY AS A FREE PROGRAM FOR ALL TO USE. | DescriptionProgramSrvcAccomTxt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| GREGORY C REED | ||
| DIRECTOR | 0.00 | $0 |
| TED W BROCKMANN | ||
| PRESIDENT | 0.00 | $0 |
| CAROL W HAWK | ||
| SECRETARY | 0.00 | $0 |
| JERI KAUFMAN | ||
| VICE PRESIDENT | 0.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TED BROCKMANN | PersonNm |
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) |
|---|---|---|
| Phone | 3608547151 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | false | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810622393 | EIN |
| Organization Type | 1 | OrganizationTypeCd |
| Governing Document Listed | false | GoverningDocumentListedInd |
| Support | $136,194 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $136,194 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,250 | CurrentTaxYearMinus1YearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Qualified | false | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | false | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Control Deciding Grnt Frgn Org | false | ControlDecidingGrntFrgnOrgInd |
| Support Foreign Org No Determ | false | SupportForeignOrgNoDetermInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Supported Org Class Designated | false | SupportedOrgClassDesignatedInd |
| Substitution Beyond Org Cntl | false | SubstitutionBeyondOrgCntlInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | false | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
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 G IRS990ScheduleG
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Labor Bingo | false | VolunteerLaborBingoInd |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabsInd |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGamingInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed | false | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | false | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GRANTS AND BENEFITS PAID LINE 10 990EZ | - |
| COMMUNITY OUTREACH MANAGED BY DISTRICT 304 | 169406 |
| OTHER EXPENSES PAID LINE 16 990EZ | - |
| OPERATING EXPENSES | 7359 |
| TRAVEL AND EDUCATIONS | 147 |
| BANK FEES | 879 |
| TOTAL OTHER EXPENSES LINE 16 990 EZ | 8384 |
| OTHER ASSETS - PAGE 2 990EZ | - |
| ACCOUNTS RECEIVABLE | 1000 |
| TOTAL OTHER ASSETS | 1000 |
| OTHER LIABILITIES - PAGE 2 OF 990EZ | - |
| ACCOUNTS PAYABLE | 108231 |
| ACCOUNTS PAYABLE TOTAL PAGE 2 990EZ | 108231 |
| OTHER CHANGES IN NET ASSTS PAGE 1 990EZ | - |
| AUXILIARY - THE LANDING TRANSFERRED INTO FOUNDATION | JAN 2015 |
| TRANSFERRED ASSETS | 122007 |