2018-05-14T12:26:12-05:00 2017-12-31 911301672 SWEENEY CONRAD PS 2606 116TH AVENUE NE SUITE 200 BELLEVUE WA 980041422 990PF 2017-01-01 743070936 THE JOHN AND DEBRA BACON FAMILY FOUNDATION JOHN 4252562662 PO BOX 848 MEDINA WA 98039 MICHAEL V GRIFFITH SECRETARY 4252562662 2018-05-14 1 GREGORY N LACOMBE CPA P01226401 4256291990 2017 2022-09-23 18:48:47Z X 1944025 X 354082 539 539 45313 45313 210700 1219198 210700 56903 0 0 667537 256552 0 55528 0 0 55528 22768 0 0 22768 260 260 0 0 1960 1960 0 0 28335 9636 0 18699 1339 513 0 826 8010 0 0 8010 118200 12369 0 105831 303138 303138 421338 12369 0 408969 246199 244183 0 90438 6887 6887 46782 11017 11017 1236804 1561945 1561945 323802 364176 364176 1697826 1944025 1944025 0 0 X 0 0 0 0 1697826 1944025 1697826 1944025 1697826 1944025 1697826 246199 0 1944025 0 1944025 PUBLICLY TRADED SECURITIES - DETAIL UPON REQUEST P 268035 266712 1323 1323 PUBLICLY TRADED SECURITIES - DETAIL UPON REQUEST P 947319 741786 205533 205533 CAPITAL GAINS DIVIDENDS P 3844 3844 3844 210700 0 521867 1671681 0.312181 449958 2021669 0.222568 531874 2400083 0.221607 234051 2370445 0.098737 429334 2264299 0.189610 1.044703 0.208941 1930936 403452 2442 405894 408969 X 2442 0 2442 0 2442 1803 0 0 1803 X 0 639 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 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 13678 0 0 JOSEPH A BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 10.00 12318 0 0 ANTHONY R BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 8.00 9067 6788 0 ALISSA B BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 10.00 13678 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 = 12 303137 0 1828923 131418 0 1960341 0 0 1960341 29405 1930936 96547 96547 2442 2442 94105 0 94105 0 94105 408969 0 408969 2442 406527 94105 0 0 316948 120163 414414 349435 441173 1642133 408969 0 0 0 94105 314864 0 0 1956997 0 0 0 0 0 0 316948 1640049 120163 414414 349435 441173 314864 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 1250 BIGHORN GOLF CLUB 255 PALOWET DRIVE PALM DESERT CA 92260 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 750 BOYS AND GIRLS CLUB 209 100TH AVENUE NE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 100000 DETLEF SCHREMPF FOUNDATION 1904 THIRD AVENUE 339 SEATTLE WA 98101 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 25000 HOPELINK PO BOX 3577 REDMOND WA 98073 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 8999 JUBILEE REACH 14200 SE 13TH PL BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 30000 LAKE HILLS ELEMENTARY 14310 SE 12TH STREET BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 6344 RAINIER ATHLETES 17215 SE 29TH COURT BELLEVUE WA 98008 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 26200 SOLID GROUND 1501 N 45TH STREET SEATTLE WA 98103 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 480 STEVENSON ELEMENTARY SCHOOL 12111 NE 1ST STREET BELLEVUE WA 98005 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 11421 UNITED WAY OF KING COUNTY 720 SECOND AVENUE SEATTLE WA 98104 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 50000 FRIENDS OF YOUTH 14216 NE 21ST STREET BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 476 KATE LAVER FOUNDATION 255 PALOWET DRIVE PALM DESERT CA 92260 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 1000 BEHIND A MIRACLE 255 PALOWET DRIVE PALM DESERT CA 92260 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 200 BELLEVUE SCHOOLS FOUNDATION 12241 MAIN STREET BELLEVUE WA 98005 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 2500 RIVKIN CENTER 801 BROADWAY SUITE 701 SEATTLE WA 98112 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 250 ASIAN COUNSELING & REFERRAL SERVICE 3639 MARTIN LUTHER KING JR WAY S SEATTLE WA 98144 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 250 SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE WA 98105 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 36750 WAY BACK INN PO BOX 621 RENTON WA 98057 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 118 OLD BELLEVUE MERCHANT'S ASSOCIATION 9 103RD AVE NE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 500 VITAL VOICES 1625 MASSACHUSETTS AVE NW 300 WASHINGTON DC 20036 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 500 CATHCART PARENTS ASSOCIATION 8201 188TH STREET SE SNOHOMISH WA 98296 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 150 303138 0 14 539 14 45313 14 56903 18 210700 0 313455 0 313455 0 0 0 0 0 0 0 0 0 0 X X 1 JOHN E AND DEBRA BACON PO BOX 848 MEDINA WA 98039 80997 X 2 JOHN E AND DEBRA BACON PO BOX 848 MEDINA WA 98039 167700 X 3 JOHN E AND DEBRA BACON PO BOX 848 MEDINA WA 98039 102696 X 1 95 SHARES ALPHABET, INC. 80997 2017-03-02 2 550 SHARES UNITED HEALTH GROUP 167700 2017-03-02 3 1,000 SHARES UNITED HEALTH GROUP 102696 2017-06-22 ACCOUNTING FEES 1960 1960 0 0 JP MORGAN - US MANAGED EQUITY FUNDS 1561945 1561945 JP MORGAN - US MANAGED MUTUAL FUNDS AT COST 364176 364176 LEGAL FEES 260 260 0 0 LICENSES 1329 0 0 1329 ADMINISTRATIVE EXPENSE 6681 0 0 6681 UNREALIZED GAIN ON INVESTMENTS 56903 0 INVESTMENT ADVISOR FEES 9636 9636 0 0 CONSULTING 18000 0 0 18000 PAYROLL SERVICE FEES 699 0 0 699 JOHN DEBRA BACON PO BOX 848 MEDINA WA 98039 FOREIGN TAXES 513 513 0 0 PAYROLL TAXES 826 0 0 826