THE MERRELL FAMILY FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- THE MERRELL FAMILY FOUNDATION (EIN 77-0703092)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202043189349103339
- Schema version
- 2019v5.1
- 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
- Form 990-PF
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Land Schedule2
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T16:12:32-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 753053479 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT A UNDERHILL PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 UNION STREET SUITE 3300 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770703092 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MERRELL FAMILY FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O SHANNON NAGAMINE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERR | BusinessNameControlTxt |
| Phone | 2062606002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2408 W COMMODORE WAY | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98199 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON NAGAMINE | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 2062606002 | PhoneNum |
| Signature | 2020-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JASON M HANSON | PreparerPersonNm |
| PTIN | P00407684 | PTIN |
| Phone | 2063573033 | PhoneNum |
| Preparation | 2020-11-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.98.152.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-13 | IPDt |
| IP Tm | 14:11:56 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 77B3FCAAE8B9BAF1A1846E41C3ECC8563A2EA468 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9319CF5801936E3BA643528EACE367042006B232 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,928,756 | 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 | $621 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $621 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $8,091 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $8,091 | DividendsNetInvstIncmAmt |
| Gross Rents Rev And Expnss | $53,066 | GrossRentsRevAndExpnssAmt |
| Gross Rents Net Invst Incm | $53,066 | GrossRentsNetInvstIncmAmt |
| Net Rental Income Or Loss | $5,025 | NetRentalIncomeOrLossAmt |
| Net Gain Sale Ast Rev And Expnss | $7,424 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $7,424 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $7,424 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $69,202 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $69,202 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $14,611 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $14,611 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Taxes Rev And Expnss | $12,137 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $12,137 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $5,387 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $6,818 | DeprecAndDpltnNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $30,553 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $30,553 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $62,688 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $64,119 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $90,458 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $90,458 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $153,146 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $64,119 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $90,458 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$83,944 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $5,083 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $3 | CashBOYAmt |
| Cash EOY | $1 | CashEOYAmt |
| Cash EOYFMV | $1 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $193,066 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $179,345 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $179,345 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $250,732 | CorporateStockBOYAmt |
| Corporate Stock EOY | $250,732 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $269,387 | CorporateStockEOYFMVAmt |
| Invst Land Cost Or Other Basis | $688,265 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $45,549 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $647,899 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $642,716 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $1,359,411 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $115,000 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $115,000 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $117,992 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $8,953 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,333 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $2,824 | LandBOYAmt |
| Land EOY | $2,620 | LandEOYAmt |
| Land EOYFMV | $2,620 | LandEOYFMVAmt |
| Other Assets BOY | -$43,105 | OtherAssetsBOYAmt |
| Other Assets EOY | -$17,681 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,166,419 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,172,733 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,928,756 | TotalAssetsEOYFMVAmt |
| Grants Payable EOY | $90,258 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,258 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,166,419 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,082,475 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,166,419 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,082,475 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,166,419 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,172,733 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,166,419 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$83,944 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,082,475 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,082,475 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | CAPITAL GAINS DIVIDENDS | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Gross Sales Price | $7,424 | GrossSalesPriceAmt |
| Gain Or Loss | $7,424 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $7,424 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $7,424 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | Yes (1) | LiableSection4942TaxInd |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $102 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $102 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $102 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,239 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,239 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,137 | OverpaymentAmt |
| Applied To ES Tax | $1,137 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | N/A | WebsiteAddressTxt |
| Individual With Books | SHANNON NAGAMINE | IndividualWithBooksNm |
| Phone | 2062844080 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2408 W COMMODORE WAY | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98199 | 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 | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| SHANNON NAGAMINE | ||||||||
| 2408 W COMMODORE WAY | SEATTLE | WA | 98199 | DIRECTOR | 20.00 | $14,611 | $0 | $0 |
| JAMES WITTER | ||||||||
| 2408 W COMMODORE WAY | SEATTLE | WA | 98199 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| SUSAN WITTER O'LEARY | ||||||||
| 2408 W COMMODORE WAY | SEATTLE | WA | 98199 | DIRECTOR | 0.00 | $0 | $0 | $0 |
| JENNIFER WITTER LERCH | ||||||||
| 2408 W COMMODORE WAY | SEATTLE | WA | 98199 | DIRECTOR | 0.00 | $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 | $164,195 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $262,693 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,532,157 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,959,045 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,959,045 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $29,386 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,929,659 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $96,483 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $96,483 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $102 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $102 | TotalTaxAmt |
| Distributable Before Adj | $96,381 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $96,381 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $96,381 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $90,458 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $90,458 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $90,458 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $96,381 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $90,258 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $90,458 | QualifyingDistributionsAmt |
| Applied To Year1 | $90,258 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $200 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $96,181 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BOYER CHILDREN'S CLINIC | |||||||
| 1859 BOYER AVE E | SEATTLE | WA | 98112 | NONE | 501(C)(3) | GENERAL FUND | $12,000 |
| FOOD LIFELINE | |||||||
| 1702 NE 150TH ST | SHORELINE | WA | 98155 | NONE | 501(C)(3) | GENERAL FUND | $2,258 |
| JUBILEE WOMEN'S CENTER | |||||||
| 620 18TH AVE E | SEATTLE | WA | 98112 | NONE | 501(C)(3) | GENERAL FUND | $38,000 |
| MARY'S PLACE | |||||||
| PO BOX 1711 | SEATTLE | WA | 98111 | NONE | 501(C)(3) | GENERAL FUND | $38,000 |
| NWA HIGH SCHOOL | |||||||
| 1080 WEST EWING PLACE 303 | SEATTLE | WA | 98119 | NONE | 501(C)(3) | GENERAL FUND | $200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $90,458 | 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 | $621 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $8,091 | ExclusionAmt |
Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 16 | ExclusionCd |
| Exclusion | $5,025 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $7,424 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $21,161 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $21,161 | 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 |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (30 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| BUILDING | 2010-07-16 | $212 | $42 | SL | 39.000000000000 | $5 | $5 |
| LAND | 2010-07-16 | $354,246 | L | $0 | $0 | ||
| DOCK | 2010-07-16 | $72 | $72 | 200DB | 7.000000000000 | $0 | $0 |
| DOCK | 2010-07-16 | $836 | $514 | 150DB | 15.000000000000 | $50 | $56 |
| DOCK | 2010-07-16 | $8,542 | $5,263 | 150DB | 15.000000000000 | $504 | $569 |
| SCANNER | 2010-07-16 | $7 | $7 | 200DB | 5.000000000000 | $0 | $0 |
| COMPUTER | 2010-07-16 | $15 | $15 | 200DB | 5.000000000000 | $0 | $0 |
| FORKLIFT | 2010-07-16 | $69 | $69 | 200DB | 7.000000000000 | $0 | $0 |
| WINDOWS | 2010-07-16 | $319 | $67 | SL | 39.000000000000 | $8 | $8 |
| PAINT | 2010-07-16 | $43 | $8 | SL | 39.000000000000 | $1 | $1 |
| TENANT IMP - THIRD FLOOR | 2010-07-16 | $621 | $135 | SL | 39.000000000000 | $16 | $16 |
| LAND | 2010-07-16 | $132,687 | L | $0 | $0 | ||
| BUILDING | 2010-07-16 | $82,079 | $17,717 | SL | 39.000000000000 | $2,105 | $2,105 |
| TENANT IMP - CARPET | 2010-07-16 | $645 | $645 | SL | 7.000000000000 | $0 | $0 |
| ROOF MEMBRANE | 2010-07-16 | $4,590 | $993 | SL | 39.000000000000 | $118 | $118 |
| ENTERTAINMENT CENTER | 2010-10-15 | $46 | $46 | 200DB | 5.000000000000 | $0 | $0 |
| FIREPROOF SAFE | 2010-08-30 | $115 | $115 | 200DB | 5.000000000000 | $0 | $0 |
| VAV UNIT | 2010-12-10 | $3,377 | $703 | SL | 39.000000000000 | $87 | $87 |
| REFRIGERATOR | 2010-06-08 | $96 | $96 | 200DB | 7.000000000000 | $0 | $0 |
| BLINDS | 2011-01-26 | $537 | 200DB | 7.000000000000 | $0 | $0 | |
| WINDOW | 2011-07-13 | $2,006 | $383 | SL | 39.000000000000 | $51 | $51 |
| HVAC | 2012-07-01 | $21,328 | $3,555 | SL | 39.000000000000 | $547 | $547 |
| STORAGE CONTAINER | 2012-07-01 | $2,300 | $2,197 | 200DB | 7.000000000000 | $103 | $103 |
| TOYOTA TUNDRA | 2009-04-01 | $1,779 | $445 | SL | 5.000000000000 | $0 | $0 |
| STORAGE CONTAINER | 2013-06-01 | $2,254 | $976 | 200DB | 7.000000000000 | $101 | $322 |
| TENANT IMP - CARPET | 2014-09-22 | $415 | $251 | SL | 7.000000000000 | $59 | $59 |
| TENANT IMP - VARGAS PAINTING | 2014-09-22 | $453 | $276 | SL | 7.000000000000 | $65 | $65 |
| GLASS DOOR | 2016-09-23 | $2,713 | $157 | SL | 39.000000000000 | $70 | $70 |
| TENAMT IMPROVEMENTS | 2017-03-23 | $10,956 | $2,849 | 200DB | 5.000000000000 | $1,052 | $2,191 |
| SIDING | 2017-08-09 | $17,357 | $630 | SL | 39.000000000000 | $445 | $445 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| EDWARD JONES | $16,831 | $26,462 |
| PRUDENTIAL FINANCIAL | $4,647 | $6,634 |
| US BANK #7299 | $229,254 | $236,291 |
Investments Land Schedule2 InvestmentsLandSchedule2
Investment Land InvestmentLandGrp (30 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| BUILDING | $212 | $47 | $165 |
| LAND | $354,246 | $0 | $354,246 |
| DOCK | $72 | $72 | $0 |
| DOCK | $836 | $564 | $272 |
| DOCK | $8,542 | $5,767 | $2,775 |
| SCANNER | $7 | $7 | $0 |
| COMPUTER | $15 | $15 | $0 |
| FORKLIFT | $69 | $69 | $0 |
| WINDOWS | $319 | $75 | $244 |
| PAINT | $43 | $9 | $34 |
| TENANT IMP - THIRD FLOOR | $621 | $151 | $470 |
| LAND | $132,687 | $0 | $132,687 |
| BUILDING | $82,079 | $19,822 | $62,257 |
| TENANT IMP - CARPET | $645 | $645 | $0 |
| ROOF MEMBRANE | $4,590 | $1,111 | $3,479 |
| ENTERTAINMENT CENTER | $46 | $46 | $0 |
| FIREPROOF SAFE | $115 | $115 | $0 |
| VAV UNIT | $3,377 | $790 | $2,587 |
| REFRIGERATOR | $96 | $96 | $0 |
| BLINDS | $537 | $537 | $0 |
| WINDOW | $2,006 | $434 | $1,572 |
| HVAC | $21,328 | $4,102 | $17,226 |
| STORAGE CONTAINER | $2,300 | $2,300 | $0 |
| TOYOTA TUNDRA | $1,779 | $445 | $1,334 |
| STORAGE CONTAINER | $2,254 | $2,204 | $50 |
| TENANT IMP - CARPET | $415 | $310 | $105 |
| TENANT IMP - VARGAS PAINTING | $453 | $341 | $112 |
| GLASS DOOR | $2,713 | $227 | $2,486 |
| TENAMT IMPROVEMENTS | $10,956 | $9,379 | $1,577 |
| SIDING | $17,357 | $1,075 | $16,282 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | ANNUITY | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $115,000 | BookValueAmt |
| EOYFMV | $117,992 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOOK/TAX DIFFERENCE | Desc |
| BOY Book Value | -$43,105 | BOYBookValueAmt |
| EOY Book Value | -$17,681 | EOYBookValueAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OFFICE SUPPLIES | $14 | $14 | $0 |
| CLEANING | $6 | $6 | $0 |
| REPAIRS AND MAINTENANCE | $42 | $42 | $0 |
| UTILITIES | $6,730 | $6,730 | $0 |
| SUPPLIES | $21 | $21 | $0 |
| OTHER EXPENSES | $5,673 | $5,673 | $0 |
| INSURANCE | $189 | $189 | $0 |
| CLEANING | $2,307 | $2,307 | $0 |
| REPAIRS AND MAINTENANCE | $2,260 | $2,260 | $0 |
| SUPPLIES | $302 | $302 | $0 |
| UTILITIES | $5,222 | $5,222 | $0 |
| OTHER EXPENSES | $7,787 | $7,787 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PROPERTY TAXES - FAIRVIEW TRIANGLE | $22 | $22 | $0 |
| REAL ESTATE TAXES | $8,662 | $8,662 | $0 |
| REAL ESTATE TAXES | $3,453 | $3,453 | $0 |
Comments