2019-11-05T11:08:09-06:00 2019-06-30 475010417 FORBES ANDERSON PLLC PO BOX 1268 EVERETT WA 982061268 990EZ 2018-07-01 911654238 MILL CREEK ROTARY FOUNDATION MILL 4256104058 PO BOX 13727 MILL CREEK WA 98082 DANIELLE PRATT PRESIDENT 4256104058 2019-10-22 1 ALBERT C CHANG CPA P01389782 4252583173 96.93.118.153 2019-10-22 17:17:22 PD P 6BA40844815C8B8F813D1FB70A0982FC989238D9 9C4EA2B86990ADDFBAE24933E9065708A02865A6 2018 2020-03-31 21:24:44Z X X N/A X X 150855 X 68650 3436 78769 39131 39638 111724 95997 4031 100028 11696 223592 0 235288 223592 235288 223592 235288 0 0 223592 235288 X FUNDING LOCAL, REGIONAL AND INTERNATIONAL PROJECTS FOR HEALTH, EDUCATION, COMMUNITY SERVICES AND ARTS. FUNDING HEALTH AND HUNGER SERVICES, INCLUDING LOCAL AND INTERNATIONAL PROJECTS. 27347 27347 FUNDING COMMUNITY PROGRAMS AND SERVICES, INCLUDING ARTS AND SENIOR SERVICES. 57401 57401 FUNDING EDUCATION PROGRAMS AND SCHOARSHIPS 11250 11250 95998 DANIELLE PRATT PRESIDENT 5.00 0 0 0 FRANK SIMONS PRESIDENT ELECT 3.00 0 0 0 SUE GREENFIELD PAST-PRESIDENT 2.00 0 0 0 SID SIEGEL TREASURER 1.00 0 0 0 SUE GREENFIELD SECRETARY 1.00 0 0 0 JEFF BRENNAN DIRECTOR 1.00 0 0 0 AMADA EFFERTZ DIRECTOR 1.00 0 0 0 BARB ATHANAS DIRECTOR 1.00 0 0 0 DAVE GUNTER PRESIDENT ELECT 1.00 0 0 0 RICK FERREL DIRECTOR 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WA THE ORGANIZATION PO BOX 13737 MILL CREEK WA 98082 4256104058 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 57726 54516 81476 73363 68650 335731 55707 65798 76203 80166 78769 356643 113433 120314 157679 153529 147419 692374 0 0 0 692374 1633 1871 2291 2554 3435 11784 1633 1871 2291 2554 3435 11784 115066 122185 159970 156083 150854 704158 0.98330 0.98510 0.01670 0.01490 X X AUCTION 129070 50301 78769 25108 14023 129070 50301 78769 25108 14023 39131 39638 FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST AND DIVIDEND INCOME. AMOUNT: 3,436. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: TAPROOT THEATRE. GRANTEE ADDRESS: 204 N 85TH ST SEATTLE, WA 98103. AMOUNT GIVEN: 5,399. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: SID SIEGEL. GRANTEE RELATIONSHIP: BOARD MEMBER. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: AUBURN ROTARY FOUNDATION. GRANTEE ADDRESS: PO BOX 38 AUBURN, WA 98071. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: SEATTLE ROTARY FOUNDATION. GRANTEE ADDRESS: 1326 5TH AVE SEATTLE, WA 98101. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: BELLEVUE ROTARY FOUNDATION. GRANTEE ADDRESS: PO BOX 523 BELLEVUE, WA 98009. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: LAKE UNION ROTARY FOUNDATION. GRANTEE ADDRESS: 117 E LOUISA ST SEATTLE, WA 98102. AMOUNT GIVEN: 1,050. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: FEDERAL WAY ROTARY SERVICE FOUNDATION. GRANTEE ADDRESS: PO BOX 23444 FEDERAL WAY, WA 98093. AMOUNT GIVEN: 2,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: UNIVERSITY SUNRISE ROTARY FOUNDATION. GRANTEE ADDRESS: 401 NE NORTHLAKE WAY SEATTLE, WA 98105. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: CHILD PASSPORT TO HEALTH. GRANTEE ADDRESS: PO BOX 446 BOTHELL, WA 98041. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: HEALING THE CHILDREN. GRANTEE ADDRESS: PO BOX 9065 SPOKANE, WA 99209. AMOUNT GIVEN: 2,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: HEALING THE CHILDREN. GRANTEE ADDRESS: PO BOX 9065 SPOKANE, WA 99209. PROPERTY DESCRIPTION: MEDICAL SUPPLIES AND TRAVEL. AMOUNT GIVEN: 9,773. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: PAUL HARRIS SOCIETY. GRANTEE ADDRESS: 1560 SHERMAN AVE EVANSTON, IL 60201. GRANTEE RELATIONSHIP: ROTARY INTERNATIONAL PROJECT. AMOUNT GIVEN: 2,800. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: SEATTLE CHILDRENS FOUNDATION & GUILD. GRANTEE ADDRESS: 4800 SAND PT WAY NE SEATTLE, WA 98115. AMOUNT GIVEN: 800. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: PARADISE ROTARY FOUNDATION. GRANTEE ADDRESS: PO BOX 820 PARADISE, CA 95967. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: IMAGINE CHILDRENS MUSEUM. GRANTEE ADDRESS: 1502 WALL EVERETT, WA 98201. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: ROTARY FIRST HARVEST. GRANTEE ADDRESS: PO BOX 4098 SEATTLE, WA 98194. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: YWCA. GRANTEE ADDRESS: 1118 FIFTH AVE SEATTLE, WA 98101. AMOUNT GIVEN: 168. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: YMCA. GRANTEE ADDRESS: 2720 ROCKEFELLER EVERETT, WA 98201. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: SCHOLARSHIPS. GRANTEE ADDRESS: PO BOX 13727 MILL CREEK, WA 98012. AMOUNT GIVEN: 6,750. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: PERORIA HOME. GRANTEE ADDRESS: 3331 BROADWAY EVERETT, WA 98201. PROPERTY DESCRIPTION: CONSTRUCTION MATERIALS. AMOUNT GIVEN: 7,401. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: ARC OF SNOHOMISH COUNTY. GRANTEE ADDRESS: 2500 HEWITT AVE EVERETT, WA 98201. AMOUNT GIVEN: 36,875. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: PROVIDENCE HOSPICE & HOME CARE FOUNDATION. GRANTEE ADDRESS: 2731 WETMORE EVERETT, WA 98201. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: ARCH BISHOP MURPHY HIGH SCHOOL. GRANTEE ADDRESS: 12911 39TH AVE SE EVERETT, WA 98208. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: WOODSIDE ELEMENTARY. GRANTEE ADDRESS: 17000 23RD AVE SE BOTHELL, WA 98012. AMOUNT GIVEN: 3,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: MILL CREEK POLICE FOUNDATION. GRANTEE ADDRESS: PO BOX 12006 MILL CREEK, WA 98082. AMOUNT GIVEN: 1,906. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: COCOON HOUSE. GRANTEE ADDRESS: 3530 COLBY EVERETT, WA 98201. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: EVERETT PUBLIC SCHOOLS FOUNDATION. GRANTEE ADDRESS: 3900 BROADWAY EVERETT, WA 98201. AMOUNT GIVEN: 1,250. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY. GRANTEE NAME: PATHWAYS FOR WOMEN. GRANTEE ADDRESS: 6027 208TH ST SW LYNNWOOD, WA 98036. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HEALTH. GRANTEE NAME: ROTARY FOUNDATION - POLIO PLUS. GRANTEE ADDRESS: 1560 SHERMAN AVE EVANSTON, IL 60201. GRANTEE RELATIONSHIP: ROTARY INTERNATIONAL PROJECT. AMOUNT GIVEN: 1,325. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 95,997. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: CONFERENCE. AMOUNT: 1,883. DESCRIPTION: LICENSES. AMOUNT: 50. DESCRIPTION: STUDENT LUNCH. AMOUNT: 1,343. DESCRIPTION: SUPPLIES. AMOUNT: 221. DESCRIPTION: MISCELLANEOUS. AMOUNT: 28. DESCRIPTION: PRINTING. AMOUNT: 506. TOTAL TO FORM 990-EZ, LINE 16: 4,031. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.