2020-11-10T17:38:15-06:00 2019-12-31 911301672 SWEENEY CONRAD PS 10210 NE POINTS DRIVE SUITE 300 KIRKLAND WA 98033 990PF 2019-01-01 743070936 THE JOHN AND DEBRA BACON FAMILY FOUNDATION JOHN 4252562662 PO BOX 848 MEDINA WA 98039 MICHAEL V GRIFFITH SECRETARY 4252562662 2020-11-10 1 GREGORY N LACOMBE CPA P01226401 4256291990 2020-11-10 206.169.227.26 2020-11-10 06:25:54 PS P 9F1D6B3507F8B270CF2F195B56B20F4558041FE7 F48F239868F89481CA9CC8879EE4A07900ED5872 2019 2021-04-22 16:20:28Z X 2182533 X 285000 410 410 58748 58748 10773 170321 10773 393066 0 0 747997 69931 0 40000 0 0 40000 2415 2415 0 0 34027 15923 0 18104 5812 872 0 3204 3943 0 0 3943 86197 19210 0 65251 259864 259864 346061 19210 0 325115 401936 50721 0 38382 7614 7614 9890 57010 57010 1483987 1885229 1885229 248339 232680 232680 1780598 2182533 2182533 5 4 5 4 X 0 0 0 0 1780593 2182529 1780593 2182529 1780598 2182533 1780593 401936 0 2182529 0 2182529 PUBLICLY TRADED SECURITIES - DETAIL UPON REQUEST P 58085 50140 7945 7945 PUBLICLY TRADED SECURITIES - DETAIL UPON REQUEST P 112212 109408 2804 2804 CAPITAL GAINS DIVIDENDS P 24 24 24 10773 0 401358 1942973 0.206569 406527 1930936 0.210534 521867 1671681 0.312181 449958 2021669 0.222568 531874 2400083 0.221607 1.173459 0.234692 1988740 466741 507 467248 325115 1014 0 1014 0 1014 2800 0 0 2800 X 0 1786 1786 0 0 0 0 0 0 0 0 0 0 0 1 1 WA 1 0 1 0 0 1 N/A MIKE GRIFFITH 4252562662 C/O PAR 4 LLC - PO BOX 848 MEDINA WA 98039 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN E BACON PO BOX 848 MEDINA WA 98039 PRESIDENT 2.00 0 0 0 DEBRA BACON PO BOX 848 MEDINA WA 98039 VICE PRESIDENT 1.00 0 0 0 MICHAEL V GRIFFITH PO BOX 848 MEDINA WA 98039 SECRETARY/TREASURER 1.00 0 0 0 JOHN D BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 10.00 20000 0 0 JOSEPH A BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 10.00 0 0 0 ANTHONY R BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 8.00 0 0 0 ALISSA B BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 10.00 0 0 0 NONE 0 NONE 0 THE JOHN AND DEBRA BACON FAMILY FOUNDATION PROVIDES SUPPORT TO OTHER QUALIFIED 501(C)(3) ORGANIZATIONS ALLOWING THEM TO CARRY OUT CHARITABLE ACTIVITIES. ORGANIZATIONS SERVED = 20 259864 0 1975479 43546 0 2019025 0 0 2019025 30285 1988740 99437 99437 1014 1014 98423 0 98423 0 98423 325115 0 325115 0 325115 98423 0 0 414414 349435 441173 314864 306645 1826531 325115 0 0 0 98423 226692 0 0 2053223 0 0 0 0 0 0 414414 1638809 349435 441173 314864 306645 226692 JOHN E BACON DEBRA BACON X BELLEVUE BOYS LACROSSE CLUB 1121 107TH AVENUE SE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 2500 BELLEVUE SCHOOLS FOUNDATION 12241 MAIN STREET BELLEVUE WA 98005 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 6563 BOYS AND GIRLS CLUB 209 100TH AVENUE NE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 100000 BRIDGE RECEIVING CENTER 9900 WILLOWS RD REDMOND WA 98052 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 24000 HOPELINK PO BOX 3577 REDMOND WA 98073 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 7289 JUBILEE REACH 14200 SE 13TH PLACE BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 10000 MEDINA PTA PO BOX 247 MEDINA WA 98039 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 1215 RAINIER ATHLETES 17215 SE 29TH COURT BELLEVUE WA 98008 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 31000 SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE WA 98105 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 42000 THE RUBY ROOM 827 BELLEVUE WAY NE 205 BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 1506 UNIVERSITY OF WASHINGTON BOX 359505 SEATTLE WA 98195 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 9156 BELLEVUE HIGH SCHOOL 10416 SE WOLVERINE WAY BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 5000 LIFEWIRE PO BOX 6398 BELLEVUE WA 98008 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 346 SPECIAL OLYMPICS OREGON 8313 SW CIRRUS DR BEAVERTON OR 97008 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 250 EASTSIDE ACADEMY 1800 100TH AVE NE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 10000 SWEDISH MEDICAL CENTER FOUNDATION 747 BROADWAY SEATTLE WA 98122 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 200 HEALING HEARTS MINISTRIES INTERNATIONAL PO BOX 44670 RIO RANCHO NM 87174 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 250 SOLID GROUND 1501 N 45TH STREET SEATTLE WA 98103 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 478 STEVENSON ELEMENTARY SCHOOL 12111 NE 1ST STREET BELLEVUE WA 98005 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 7611 PLYMOUTH HOUSING 2113 3RD AVE SEATTLE WA 98121 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 500 259864 0 14 410 14 58748 18 10773 UNREALIZED GAIN ON INVESTMENTS 14 393066 0 462997 0 462997 0 0 0 0 0 0 0 0 0 0 X X 1 JOHN E AND DEBRA BACON PO BOX 848 MEDINA WA 98039 285000 X ACCOUNTING FEES 2415 2415 0 0 JP MORGAN - US MANAGED EQUITY FUNDS 1885229 1885229 JP MORGAN - US MANAGED MUTUAL FUNDS AT COST 232680 232680 LICENSES 11 0 0 11 ADMINISTRATIVE EXPENSE 3932 0 0 3932 UNREALIZED GAIN ON INVESTMENTS 393066 0 PAYROLL LIABILTIES 5 4 INVESTMENT ADVISOR FEES 15923 15923 0 0 CONSULTING FEES 16500 0 0 16500 PAYROLL SERVICE FEES 1604 0 0 1604 JOHN DEBRA BACON PO BOX 848 MEDINA WA 98039 FOREIGN TAXES 872 872 0 0 PAYROLL TAXES 3204 0 0 3204 IRS EXCISE TAXES 1736 0 0 0