BEVERLY J JEWELL MEMORIAL FOUNDATION: Form 990PF, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BEVERLY J JEWELL MEMORIAL FOUNDATION (EIN 20-8828495)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-06-11
IRS object ID
202501629349100900
Schema version
2024v5.1
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

FieldValueIRS element (for citing)
Return2025-06-11T09:01:22-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER DRIVEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208828495EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BEVERLY J JEWELL MEMORIAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJEWEBusinessNameControlTxt
Phone3126306000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 803878AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60680ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER MOOREPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3126306000PhoneNum
Signature2025-06-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON BELOTPreparerPersonNm
PTINP00183464PTIN
Phone3128792000PhoneNum
Preparation2025-06-11PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$10,529,249FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$322,021DividendsRevAndExpnssAmt
Dividends Net Invst Incm$322,021DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$268,068NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$698,422GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$268,068CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$411OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$411OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$590,500TotalRevAndExpnssAmt
Total Net Invst Incm$590,500TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$84,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$84,000CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,250AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,250AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$90,656OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$44,262OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$46,394OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$5,171TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,471TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$388OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$24OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$364OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$182,715TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$47,007TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$132,008TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$341,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$341,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$523,715TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$47,007TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$473,008TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$66,785ExcessRevenueOverExpensesAmt
Net Investment Income$543,493NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$257,667CashEOYAmt
Cash EOYFMV$257,667CashEOYFMVAmt
Sav And Temp Cash Invst BOY$132,286SavAndTempCashInvstBOYAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$2,514,790CorporateStockBOYAmt
Corporate Stock EOY$2,539,399CorporateStockEOYAmt
Corporate Stock EOYFMV$6,609,847CorporateStockEOYFMVAmt
Corporate Bonds BOY$3,355,785CorporateBondsBOYAmt
Corporate Bonds EOY$3,415,262CorporateBondsEOYAmt
Corporate Bonds EOYFMV$3,464,015CorporateBondsEOYFMVAmt
Other Investments BOY$236,643OtherInvestmentsBOYAmt
Other Investments EOY$94,450OtherInvestmentsEOYAmt
Other Investments EOYFMV$197,720OtherInvestmentsEOYFMVAmt
Total Assets BOY$6,239,504TotalAssetsBOYAmt
Total Assets EOY$6,306,778TotalAssetsEOYAmt
Total Assets EOYFMV$10,529,249TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$6,239,504CapitalStockBOYAmt
Capital Stock EOY$6,306,778CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$6,239,504TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,306,778TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,239,504TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,306,778TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,239,504TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$66,785ExcessRevenueOverExpensesAmt
Other Increases$7,265OtherIncreasesAmt
Subtotal$6,313,554SubtotalAmt
Other Decreases$6,776OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,306,778TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (26 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
100. ALPHABET INC CAP STK USD0.001 CL C2013-01-152024-02-26$14,028$1,807$12,221$12,221
100. ALPHABET INC CAP STK USD0.001 CL C2013-01-152024-07-19$17,955$1,807$16,148$16,148
200. APPLE COMPUTER INC2007-01-292024-02-26$36,198$614$35,584$35,584
200. APPLE COMPUTER INC2007-01-292024-05-09$36,779$614$36,165$36,165
100. APPLE COMPUTER INC2007-01-292024-07-19$22,444$307$22,137$22,137
20000. MFO DOUBLELINE FUNDS TRUST CORE FIXED INCOME I2015-05-052024-05-09$182,000$220,800-$38,800-$38,800
1000. MFC FLEXSHARES TR IBOXX 3 YR TARGET DURATION TIPS INDEX FD TR IB2012-10-022024-07-24$23,617$25,318-$1,701-$1,701
5000. MFC FLEXSHARES TR IBOXX 3 YR TARGET DURATION TIPS INDEX FD TR IB2013-08-142024-08-30$119,184$126,143-$6,959-$6,959
2000. INTEL CORP COM2006-08-162024-08-05$40,359$37,040$3,319$3,319
100. MICROSOFT CORP COM2006-08-162024-02-26$40,877$2,466$38,411$38,411
100. MICROSOFT CORP COM2006-08-162024-05-09$41,143$2,466$38,677$38,677
100. MICROSOFT CORP COM2006-08-162024-07-19$43,608$2,466$41,142$41,142
250. OTIS WORLDWIDE CORP COM USD0.01 WI2006-10-232024-02-26$23,342$8,506$14,836$14,836
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
CAPITAL GAIN DIVIDENDS$56,888P
FieldValueIRS element (for citing)
Capital Gain Net Income$268,068CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$7,555InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$7,555SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$7,555TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,694EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$2,861ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$7,555TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateWAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN TRUST COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3126306000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O PO BOX 803878AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60680ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
PETER P MOORE
PO BOX 1508RICHLANDWA99352TRUSTEE20$84,000
SCOTT MOORE
41 LIVING WATERS LNSEQUIMWA98382DIRECTOR20$0
JAMI PRIGGE
208 KRANICHWOOD CTRICHLANDWA99352DIRECTOR20$0
CYD MOORE WALLBAUM
3605 CLINTON WAYYAKIMAWA98902DIRECTOR20$0
SARA FELERICO
130 WARINGMEMPHISTN38117DIRECTOR20$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

FieldValueIRS element (for citing)
PersonNORTHERN TRUST COMPANYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 803878AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60680ZIPCd
FieldValueIRS element (for citing)
Service TypeADVISORY FEESServiceTypeTxt
Compensation$61,859CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$10,466,083AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$10,466,083TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$10,466,083AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$156,991CashDeemedCharitableAmt
Net Vl Noncharitable Assets$10,309,092NetVlNoncharitableAssetsAmt
Minimum Investment Return$515,455MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$515,455MinimumInvestmentReturnAmt
Tax Based On Investment Income$7,555TaxBasedOnInvestmentIncomeAmt
Total Tax$7,555TotalTaxAmt
Distributable Before Adj$507,900DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$507,900DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$507,900DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$473,008ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$473,008QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$507,900DistributableAsAdjustedAmt
Undistributed Income PY$335,617UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$473,008QualifyingDistributionsAmt
Applied To Year1$335,617AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$137,391AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$370,509UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNAContributingManagerNm
Shareholder ManagerNAShareholderManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonPETER P MOORERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1508AddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99352ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5095515210RecipientPhoneNum
Form And Info And MaterialsINFORMATION REGARDING THE ASSOCIATION AMOUNT REQUESTEDFormAndInfoAndMaterialsTxt
Submission DeadlinesNOVEMBER 1, 2022SubmissionDeadlinesTxt
Restrictions On AwardsORGANIZATIONS PROVIDING MEDICAL CARE MEDICAL RESEARCH, ETC FOR CHILDREN'S MEDICAL NEEDSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
KADLEC MEDICAL CENTER
888 SWIFT BLVDRichlandWA99352NONEPCGENERAL SUPPORT$40,000
SHINER'S HOSPITAL FOR CHILDREN
2900 N ROCKY POINT DRIVETampaFL33607NONEPCGENERAL SUPPORT$40,000
MARY BRIDGE CHILDREN'S FOUNDATION
311 S L STTacomaWA98405NONEPCGENERAL SUPPORT$40,000
ST JUDE'S CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMemphisTN38105NONEPCGENERAL SUPPORT$45,000
CITY OF REFUGE
1300 JOSEPH E BOONE BLVD NWAtlantaGA30314NONEPCGENERAL SUPPORT$20,000
CHILDREN'S DEVELOPMENTAL CENTER
1549 GEORGIA AVERichlandWA99352NONEPCGENERAL SUPPORT$20,000
OKIZU FOUNDATION
16 DIGITAL DRNovatoCA94949NONEPCGENERAL SUPPORT$24,000
OPERATION SMILE
3641 FACULTY BLVDVirginia BeachVA23453NONEPCGENERAL SUPPORT$24,000
CAMP PRIME TIME
6 S 2ND ST STE 815YakimaWA98901NONEPCGENERAL SUPPORT$24,000
PETER DOMOTO FUND FOR CHILDREN
6222 NE 74TH STSeattleWA98115NONEPCGENERAL SUPPORT$24,000
LEBONHEUR CHILDRENS HOSPITAL
PO BOX 41817MemphisTN381741817NONEPCGENERAL SUPPORT$40,000FOUNDATION
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$341,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$322,021ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$268,068ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (6 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
MFO BLACKROCK FDS14$67
MFO BLACKROCK FUND14$63
MFO DFA INVT DIMEN14$13
MFO DOUBLELINE FUN14$45
HARDING LOEVNER IN14$62
MFO NEUBERGER BERM14$161

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$590,500ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$590,500TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$2,500Amt
Net Investment Income$1,250NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,250DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (15 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEE ATTACHMENT
C78463V107 MFC SPDR GOLD TR GO$142,193$314,769
C09260B630 MFO BLACKROCK FDS V$372,640$338,486
C09260B747 MFO BLACKROCK FUNDS$324,980$316,818
C258620301 MFO DOUBLELINE FUND$244,588$214,152
C46429B267 MFC ISHARES U.S. TR$135,265$137,880
C665162467 MFB NORTHN FDS ULTR$344,934$351,812
C693390841 MFO PIMCO FDS PAC I$152,288$139,813
C922031737 MFO VANGUARD INFLAT$183,138$165,003
C33939L886 MFC ETF FLEXSHARES$149,170$150,342
C464287226 MFC ISHARES TRUST C$193,350$193,800
C464287242 MFC ISHARES TR IBOX$291,263$267,100
C464288638 MFC ISHARES TRUST I$213,024$206,040
C464288646 MFC ISHARES TR 1-5$414,305$413,600
C46429B655 MFC ISHARES TR FLOA$254,124$254,400

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (42 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEE ATTACHMENT
C002824100 ABBOTT LAB COM$21,115$101,799
C00287Y109 ABBVIE INC COM USD0$17,792$124,390
C02079K107 ALPHABET INC CAP ST$14,455$152,352
C02079K305 ALPHABET INC CAPITA$16,359$170,370
C023135106 AMAZON COM INC COM$6,473$329,085
C030420103 AMERICAN WTR WKS CO$22,782$74,694
C031162100 AMGEN INC COM$23,030$91,224
C037833100 APPLE INC COM STK$5,220$425,714
C110122108 BRISTOL MYERS SQUIB$16,595$28,280
C12572Q105 CME GROUP INC COM S$32,247$69,669
C14448C104 CARRIER GLOBAL CORP$6,082$34,130
C166764100 CHEVRON CORP COM$34,760$43,452
C20825C104 CONOCOPHILLIPS COM$22,631$44,627
C22160K105 COSTCO WHOLESALE CO$19,475$366,508
C235851102 DANAHER CORP COM$10,914$114,775
C254687106 WALT DISNEY CO$14,990$55,675
C46625H100 JPMORGAN CHASE & CO$26,058$215,739
C478160104 JOHNSON & JOHNSON C$32,280$72,310
C580135101 MC DONALDS CORP COM$35,998$115,956
C59156R108 METLIFE INC COM STK$25,197$49,128
C594918104 MICROSOFT CORP COM$19,728$337,200
C654106103 NIKE INC CL B$7,012$30,268
C655844108 NORFOLK SOUTHN CORP$34,555$117,350
C68389X105 ORACLE CORP COM$32,720$166,640
C713448108 PEPSICO INC COM$22,190$53,221
C742718109 PROCTER & GAMBLE CO$21,746$58,678
C75513E101 RTX CORPORATION COM$17,952$57,860
C855244109 STARBUCKS CORP COM$19,268$73,000
C89417E109 TRAVELERS COS INC C$26,799$120,445
C902973304 US BANCORP$27,152$66,962
C92343V104 VERIZON COMMUNICATI$30,802$39,990
CG29183103 EATON CORP PLC COM$20,190$182,529
C233203413 MFO DFA INVT DIMENS$116,180$276,568
C33939L407 MFC FLEXSHARES TR M$211,287$218,160
C412295107 MFO HARDING LOEVNER$275,234$299,601
C46090E103 MFC INVESCO QQQ TRU$57,950$255,615
C464288372 MFC ISHARES TR GLOB$220,727$261,350
C641224811 MFO NEUBERGER BERMA$555,134$627,320
C665130100 MFB NORTHERN EQUITY$193,709$354,486
C665162723 MFB NORTHERN FUNDS$185,811$248,587
C81369Y100 MFC SELECT SECTOR S$38,800$84,140

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemC78464A607 SPDR DOW JONES REITCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$94,450BookValueAmt
EOYFMV$197,720EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
COST BASIS ADJUSTMENT$201
2024 TRANSACTION POSTED IN 2025$6,575

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OTHER CHARITABLE MISC EXPENSE$364$0$364
CLASS ACTION FILING FEES$24$24$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
MFO BLACKROCK FDS V HIGH YIELD BD PORT I$67$67
MFO BLACKROCK FUNDS V FLTG RATE INCOME P$63$63
MFO DFA INVT DIMENSIONS GROUP INC U S CO$13$13
MFO DOUBLELINE FUNDS TRUST CORE FIXED IN$45$45
HARDING LOEVNER INTERNATIONAL EQUITY POR$62$62
MFO NEUBERGER BERMAN EQUITY FDS INTL INS$161$161

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
Desc2023 TRANSACTION POSTED IN 2024Desc
Amt$7,265Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
NT ADVISORY FEES$61,859$15,465$46,394
NT INVESTMENT MANAGEMENT FEES$28,797$28,797

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ESTIMATED TAX PAYMENTS$3,700$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,325$1,325$0
FOREIGN TAXES ON NONQUALIFIED$146$146$0

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