2017-08-01T13:36:15-05:00 2016-12-31 464357116 WELLSPRING GROUP CPAS PLLC 10885 NE 4TH ST SUITE 320 BELLEVUE WA 98004 990PF 2016-01-01 200477535 ORIN SMITH FAMILY FOUNDATION ORIN 2065251283 4963 NE 85TH STREET SEATTLE WA 981153913 KEVIN SMITH DIRECTOR 2065251283 2017-06-28 1 ALLISON Z KOLLACK P00458030 4254628220 65.132.12.210 2017-06-28 21:09:52 PD P 97FA5EC65E18F0E77506D96547CB1DBCCA9E8674 B3156B2489DA9C6C17C2BCAFD9658532A630FD7A 2016 2021-01-29 14:40:06Z X 30292109 X 0 X 646 646 390951 390951 270314 270336 270336 51727 44340 713638 706273 0 0 0 305 0 305 5862 1966 2931 148845 148845 0 59766 2729 0 158 0 158 214936 153540 3394 1263589 1263589 1478525 153540 1266983 -764887 552733 6537344 5820211 5820211 16284625 16473237 22611652 1512706 1520346 1860246 24334675 23813794 30292109 0 0 X 0 0 0 0 24334675 23813794 24334675 23813794 24334675 23813794 24334675 -764887 244235 23814023 229 23813794 CAPITAL GAINS DIVIDENDS P 270336 270336 270336 270336 0 764275 28275860 0.027029 812744 20894596 0.038897 1033462 17176917 0.060166 652075 12388294 0.052636 1563875 6781752 0.230600 0.409328 0.081866 29157284 2386990 5527 2392517 1266983 11055 0 11055 0 11055 15232 15000 30232 19177 19177 0 0 0 0 0 0 0 0 0 1 1 0 1 1 WA 1 0 0 0 0 1 N/A KEVIN SMITH 2065251283 4963 NE 85TH STREET SEATTLE WA 981153913 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ORIN SMITH 4963 NE 85TH STREET SEATTLE WA 98115 DIRECTOR 1.00 0 0 0 KEVIN SMITH 4963 NE 85TH STREET SEATTLE WA 98115 DIRECTOR 1.00 0 0 0 NONE 0 PINNACLE WEALTH MGT LLC (KEVIN SMITH) 4963 NE 85TH STREET SEATTLE WA 981153913 INVESTMENT ADVISOR 148845 0 0 21615718 6125340 1860246 29601304 0 0 29601304 444020 29157284 1457864 1457864 11055 732 11787 1446077 0 1446077 0 1446077 1266983 0 1266983 0 1266983 1446077 0 0 1225671 35815 178734 1440220 1266983 0 0 0 1266983 0 179094 179094 1261126 0 0 0 0 0 0 1046577 214549 35815 178734 ORIN SMITH X CAMPAIGN FOR FREE COLLEGE TUITION 3820 MERIDIAN AVE N SEATTLE WA 98103 NONE PC GENERAL FUND 25000 CONSERVATION INTERNATIONAL 2011 CRYSTAL DRIVE STE 500 ARLINGTON VA 22202 NONE PC GENERAL FUND 250000 INDUSTRIAL PARK AT TRANSALTA-USA 1111 BIG HANAFORD ROAD CENTRALIA WA 98531 NONE PC GENERAL FUND 25000 ISLANDWOOD 4450 BLAKELY AVENUE NE BAINBRIDGE ISLAND WA 98110 NONE PC OUTDOOR EDUCATION PROGRAMS 10000 PLYMOUTH HOUSING GROUP 2113 3RD AVENUE SEATTLE WA 98121 NONE PC ANNUAL "KEY TO HOPE" LUNCHEON CHALLENGE FUND 15000 PLYMOUTH HOUSING GROUP 2113 3RD AVENUE SEATTLE WA 98121 NONE PC SPONSORSHIP IN SUPPORT OF POP SOME TOPS 5000 SEATTLE FOUNDATION 1200 FIFTH AVENUE SUITE 1300 SEATTLE WA 981013151 NONE PC THE MOTHER HOUSE FUND 50000 THE CHEHALIS FOUNDATION PO BOX 1608 CHEHALIS WA 98532 NONE PC EDUCATION RESTRICTED 50000 THE CHEHALIS FOUNDATION PO BOX 1608 CHEHALIS WA 98532 NONE PC GENERAL OPERATING 50000 THE CHEHALIS FOUNDATION PO BOX 1608 CHEHALIS WA 98532 NONE PC BEYOND K-12 INITIATIVE 16306 UNITED WAY OF KING COUNTY 720 SECOND AVENUE SEATTLE WA 98104 NONE PC GENERAL FUND 150000 UNIVERSITY OF WASHINGTON FOUNDATION BOX 359505 SEATTLE WA 981959505 NONE PC ORIN SMITH ENDOWED DEANSHIP IN THE FOSTER SCHOOL OF BUSINESS 617283 1263589 0 14 646 14 390951 900099 7387 14 44340 18 270314 7387 706251 0 713638 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 5862 1966 2931 FROM PASS-THROUGH ENTITY PURCHASED 22 0 -22 DFA EMERGING MKTS SMALL CAP PORTFOLIO 236278 247533 DFA EMERGING MKTS VALUE PORTFOLIO 149898 127398 DFA EMERGING MKTS PORTFOLIO 220931 216611 DFA INTL SMALL CAP VALUE PORTFOLIO 270451 276616 DFA INTL SMALL COMPANY PORTFOLIO 319926 330041 DFA INTL VALUE PORTFOLIO 396273 345672 DFA LARGE CAP INTL PORTFOLIO 366042 361552 DFA REAL ESTATE SECURITIES PORTFOLIO 888950 1193086 DFA US CORE EQUITY 2 (PURCHASED) 542646 650352 DFA U.S. LARGE CAP VALUE PORTFOLIO 1098518 1680218 DFA U.S. LARGE CO PORTFOLIO 826799 1394165 DFA U.S. SMALL CAP PORTFOLIO 362349 579746 DFA U.S. SMALL CAP VALUE PORTFOLIO 307736 426158 DFA TAX MANAGED US 5-10 (CONTRIBUTED) 2428776 2649710 DFA TAX MANAGED US 5-10 (PURCHASED) 226063 246728 DFA TAX MANAGED US MARKET (CONTRIBUTED) 1822100 1940400 DFA TAX MANAGED US MARKET (PURCHASED) 111099 116027 DFA US CORE EQUITY 2 (CONTRIBUTED) 2296925 4094423 STARBUCKS CORPORATION 3601477 5735216 CELLO FIXED INCOME FUND LTD AT COST 1000000 1339900 COLUMBIA PACIFIC INCOME FUND II, LP AT COST 520346 520346 LEGAL FEES 305 0 305 PRIOR PERIOD ADJUSTMENT 229 WIRE FEES AND CHARGES 133 0 133 WASHINGTON LICENSE 25 0 25 FROM PASS-THROUGH ENTITY 44340 44340 44340 FROM PASS-THROUGH ENTITY 7387 0 7387 GRANT OF MARKETABLE SECURITIES (DIFFERENCE BETWEEN FMV AND BV) 244235 INVESTMENT FEES 148845 148845 0 FOREIGN TAX 2729 2729 0 FEDERAL EXCISE TAX 56836 0 0 STATE TAX 201 0 0