FIRST FEDERAL COMMUNITY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FIRST FEDERAL COMMUNITY FOUNDATION (EIN 46-3425308)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-16
- IRS object ID
- 202221369349100812
- Schema version
- 2021v4.2
- 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-PF
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Legal Fees Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T08:03:24-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910870697 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIKEN & SANDERS INC PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 S MAIN ST UNIT A | AddressLine1Txt |
| City | MONTESANO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 985634502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463425308 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST FEDERAL COMMUNITY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
| Phone | 3604173112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 WEST EIGHTH PO BOX 351 | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAN SIMON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3604173112 | PhoneNum |
| Signature | 2022-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAN | PersonFirstNm |
| Person Last | SIMON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LONNIE RICH CPA | PreparerPersonNm |
| PTIN | P00333655 | PTIN |
| Phone | 3605333370 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $11,866,719 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $6 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $6 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $6 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $150,647 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $150,647 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $150,647 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $321,499 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $733,669 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $321,499 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $472,152 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $472,152 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $150,653 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $71,867 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $71,867 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $7,036 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $7,036 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $11,979 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $11,979 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $8,662 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $8,662 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $8,684 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $8,684 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $11,614 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $11,614 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $11,043 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $11,043 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $130,885 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $130,885 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $860,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $860,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $990,885 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $990,885 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$518,733 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $472,152 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $150,653 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $185,013 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $76,817 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $76,817 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $6,240,100 | CorporateStockBOYAmt |
| Corporate Stock EOY | $5,827,930 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $11,789,902 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $6,425,113 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,904,747 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $11,866,719 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $3,887 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $2,254 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $3,887 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,254 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $6,421,226 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $5,902,493 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,421,226 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,902,493 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,425,113 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,904,747 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,421,226 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$518,733 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,902,493 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,902,493 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| FIRST NORTHWEST BANCORP 20,587 SH | 2015-03-05 | 2021-03-31 | $366,101 | $205,870 | $160,231 | $160,231 |
| FIRST NORTHWEST BANCORP 20,630 SH | 2015-03-05 | 2021-09-30 | $367,568 | $206,300 | $161,268 | $161,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $321,499 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,563 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,563 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,563 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,600 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $4,600 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $1,963 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | WA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | FIRSTFEDCF.ORG | WebsiteAddressTxt |
| Individual With Books | JAN SIMON | IndividualWithBooksNm |
| Phone | 3604173112 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 WEST EIGHTH PO BOX 351 | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| CANDI AVERY | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | TREASURER | 1.00 | $0 | $0 | $0 |
| CRAIG CURTIS | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| NORMAN TONINA JR | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| CINDY FINNIE | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KAREN MCCORMICK | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JAN SIMON | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | EXECUTIVE DIRECTOR | 40.00 | $71,867 | $7,036 | $0 |
| LAURIE HAWKINS | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | SECRETARY | 1.00 | $0 | $0 | $0 |
| JOYCE RUIZ | ||||||||
| 105 WEST EIGHTH PO BOX 351 | PORT ANGELES | WA | 98362 | ASSISTANT SECRETARY | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $10,422,171 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $240,601 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $10,662,772 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $10,662,772 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $159,942 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $10,502,830 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $525,142 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $525,142 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,563 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,563 | TotalTaxAmt |
| Distributable Before Adj | $518,579 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $518,579 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $518,579 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $990,885 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $990,885 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $518,579 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $243,223 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $221,461 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $369,660 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $525,147 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,359,491 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $990,885 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $518,579 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $472,306 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,831,797 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,831,797 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $243,223 | ExcessFromYear4Amt |
| Excess From Year3 | $221,461 | ExcessFromYear3Amt |
| Excess From Year2 | $369,660 | ExcessFromYear2Amt |
| Excess From Year1 | $525,147 | ExcessFromYear1Amt |
| Excess From Current Year | $472,306 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JAN SIMON | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 WEST EIGHTH PO BOX 351 | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3604173112 | RecipientPhoneNum |
| Recipient Email Address | JAN.SIMON@FIRSTFEDCF.ORG | RecipientEmailAddressTxt |
| Form And Info And Materials | SEE: FIRSTFEDCF.ORG/GRANTS. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | SEE: FIRSTFEDCF.ORG/GRANTS. | SubmissionDeadlinesTxt |
| Restrictions On Awards | SEE: FIRSTFEDCF.ORG/GRANTS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (34 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BELLINGHAM PUBLIC SCHOOLS FOUNDATION | |||||||
| 1306 DUPONT STREET | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| CASCADE MEDICAL ADVANTAGE | |||||||
| 800 E CHESTNUT STREET SUITE 3A | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY SUPPORT | $7,500 |
| CLALLAM COUNTY YOUNG MEN'S CHRISTIAN ASSN INC DBA OLYMPIC PENINSULA YMCA | |||||||
| 675 N 5TH AVE STE 3A | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY DEVELOPMENT | $50,000 |
| COATS FOR KIDS | |||||||
| 42 QUAIL MEADOWS DR | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| COUNCIL OF THE OLYMPIC PENINSULA OF THE SOCIETY OF ST VINCENT DE PAUL | |||||||
| 30 SHEPHERDS WAY | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY DEVELOPMENT | $50,000 |
| DUNGENESS VALLEY HEALTH & WELLNESS CLINIC DBA SEQUIM FREE CLINIC | |||||||
| PO BOX 3434 | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| EAST JEFFERSON CONFERENCE OF THE SOCIETY OF ST VINCENT DE PAUL | |||||||
| PO BOX 410 | PORT TOWNSEND | WA | 98368 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| FORKS COMMUNITY FOOD BANK | |||||||
| PO BOX 1862 | FORKS | WA | 98331 | NONE | PC | COMMUNITY SUPPORT | $25,000 |
| HABITAT FOR HUMANITY OF CLALLAM COUNTY | |||||||
| PO BOX 1479 | PORT ANGELES | WA | 98362 | NONE | PC | AFFORDABLE HOUSING | $100,000 |
| HABITAT FOR HUMANITY OF EAST JEFFERSON COUNTY | |||||||
| PO BOX 658 | PORT TOWNSEND | WA | 98368 | NONE | PC | AFFORDABLE HOUSING | $50,000 |
| INVESTED | |||||||
| 606 OAKESDALE AVE SW SUITE C202 | RENTON | WA | 98057 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| JEFFERSON HEALTHCARE FOUNDATION | |||||||
| 1240 W SIMS WAY | PORT TOWNSEND | WA | 98368 | NONE | PC | HEALTHCARE. | $50,000 |
| JUMPING MOUSE CHILDREN'S CENTER | |||||||
| 1809 SHERIDAN STREET | PORT TOWNSEND | WA | 98368 | NONE | PC | TECHNOLOGY FOR ACCESSIBILITY PROJECT | $15,000 |
| KIDS IN CONCERT | |||||||
| PO BOX 11623 | BAINBRIDGE ISLAND | WA | 98110 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| KITSAP COMMUNITY FOUNDATION | |||||||
| 9657 LEVIN RD NW STE 220 | SILVERDALE | WA | 98383 | NONE | PC | COMMUNITY DEVELOPMENT. | $7,500 |
| KITSAP COMMUNITY RESOURCES | |||||||
| 845 8TH STREET | BREMERTON | WA | 98337 | NONE | PC | AFFORDABLE HOUSING | $50,000 |
| MASTER GARDENER FOUNDATION OF CLALLAM COUNTY | |||||||
| PO BOX 1596 | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| NAMI OF WHATCOM COUNTY | |||||||
| PO BOX 5571 | BELLINGHAM | WA | 98227 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| NORTH KITSAP FISHLINE | |||||||
| PO BOX 1517 | POULSBO | WA | 98370 | NONE | PC | COMMUNITY SUPPORT | $7,500 |
| OPPORTUNITY COUNCIL | |||||||
| 1419 CORNWALL AVE | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| PARKVIEW SERVICES | |||||||
| 17544 MIDVALE AVENUE N STE LL | SHORELINE | WA | 98133 | NONE | PC | COMMUNITY SUPPORT | $50,000 |
| PENINSULA BEHAVIORAL HEALTH | |||||||
| 118 EAST 8TH STREET | PORT ANGELES | WA | 98362 | NONE | PC | COMMUNITY SUPPORT | $50,000 |
| PENINSULA COLLEGE DBA PENINSULA COLLEGE FOUNDATION | |||||||
| 1502 E LAURIDSEN BLVD | PORT ANGELES | WA | 98362 | NONE | PC | COMMUNITY SUPPORT | $25,000 |
| PORT ANGELES FOOD BANK | |||||||
| 632 N OAKRIDGE DR | PORT ANGELES | WA | 98362 | NONE | PC | COMMUNITY DEVELOPMENT | $50,000 |
| PORT TOWNSEND MARINE SCIENCE CENTER | |||||||
| 532 BATTERY WAY | PORT TOWNSEND | WA | 98368 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| PUGET SOUND VOYAGING SOCIETY DBA COMMUNITY BOAT PROJECT | |||||||
| BOX 266 | NORDLAND | WA | 98358 | NONE | PC | COMMUNITY SUPPORT | $30,000 |
| SEQUIM EDUCATION FOUNDATION | |||||||
| PO BOX 3065 | SEQUIM | WA | 98382 | NONE | PC | COMMUNITY SUPPORT | $7,500 |
| SOROPTIMIST INTERNATIONAL OF THE OLYMPIC RAINFOREST | |||||||
| 7673 LA PUSH RD | FORKS | WA | 98331 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| STRONGERTOWNS DBA THE BENJI PROJECT | |||||||
| 1239 TAYLOR STREET | PORT TOWNSEND | WA | 98368 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| THE NATURE CONSERVANCY | |||||||
| 74 WALL STREET | SEATTLE | WA | 98121 | NONE | PC | ECONOMIC DEVELOPMENT | $50,000 |
| UNITY CARE NORTHWEST | |||||||
| 1616 CORNWALL AVE STE 205 | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY DEVELOPMENT | $50,000 |
| VAMOS OUTDOORS PROJECT | |||||||
| 1210 ELLIS ST | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| WESTERN WASHINGTON UNIVERSITY FOUNDATION | |||||||
| 516 HIGH ST MS 9034 | BELLINGHAM | WA | 98225 | NONE | PC | COMMUNITY SUPPORT | $65,000 |
| WILD BIRD CHARITY | |||||||
| 6910 SALASHAN PARKWAY SUITE A-1 | FERNDALE | WA | 98248 | NONE | PC | COMMUNITY SUPPORT | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $860,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $150,647 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $321,499 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $472,152 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $472,152 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $8,662 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $8,662 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | FIRST NORTHWEST BANCORP STOCK | StockNm |
| EOY Book Value | $5,827,930 | EOYBookValueAmt |
| EOYFMV | $11,789,902 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $11,979 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $11,979 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $5,727 | $0 | $0 | $5,727 |
| ADVERTISING | $3,356 | $0 | $0 | $3,356 |
| GENERAL OFFICE | $1,582 | $0 | $0 | $1,582 |
| MISCELLANEOUS EXPENSE | $351 | $0 | $0 | $351 |
| TRAVEL & CONFERENCES | $27 | $0 | $0 | $27 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OFFICE HELP-CONTRACTOR | CategoryTxt |
| Amt | $8,684 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $8,684 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| PAYROLL TAX | $6,862 | $0 | $0 | $6,862 |
| OTHER TAXES AND LICENSES | $4,752 | $0 | $0 | $4,752 |
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