2017-05-15T00:00:00-05:00 2016-12-31 911301672 SWEENEY CONRAD PS 2606 116TH AVENUE NE SUITE 200 BELLEVUE WA 980041422 990PF 2016-01-01 743070936 THE JOHN AND DEBRA BACON FAMILY FOUNDATION JOHN 4252562662 PO BOX 848 MEDINA WA 98039 MICHAEL V GRIFFITH SECRETARY 4252562662 2017-05-12 1 GREGORY N LACOMBE CPA P01226401 4256291990 206.169.227.26 2017-05-12 09:25:17 PD P 14931CB6B3C3DE96B1D9C765532DBFE50FC2299A B1BF4ECFB8A0E42A756CC462061CC7CAAD616190 2016 2021-01-29 14:40:06Z X 1697826 X 100000 5 5 42068 42068 121378 714641 121378 1752 0 0 265203 163451 0 62200 6220 0 55980 1344 1344 0 0 1852 1852 0 0 24712 8512 0 16200 4011 603 0 3408 457 457 0 0 94576 18988 0 75588 447724 447724 542300 18988 0 523312 -277097 144463 0 30803 90438 90438 73938 46782 46782 1554402 1236804 1236804 315780 323802 323802 1974923 1697826 1697826 0 0 X 0 0 0 0 1974923 1697826 1974923 1697826 1974923 1697826 1974923 -277097 0 1697826 0 1697826 100 SH ISHARES S&P SMALL CAP 600 GROWTH P 2015-04-15 2016-02-29 11757 13104 -1347 -1347 650 SH MORGAN STANLEY TECH ETF P 2015-04-20 2016-02-29 32152 33510 -1358 -1358 0.139 SH SELECT SECTOR SPDR TR REAL ESTATE SELECT P 2016-09-22 2016-09-22 5 5 0 0 1,000 SH ALTRIA GROUP INC P 2013-01-25 2016-10-10 61733 33520 28213 28213 650 SH CONOCOPHILLIPS P 2011-04-28 2016-07-20 27380 38807 -11427 -11427 400 SH CROWN CASTLE INTERNATIONAL CORP P 2012-08-14 2016-10-10 35411 26191 9220 9220 600 SH GENL DYNAMICS CORP P 2012-05-02 2016-10-10 91872 39845 52027 52027 305 SH ISHARES S&P MIDCAP 400 GROWTH P 2015-04-15 2016-12-31 51313 52469 -1156 -1156 400 SH ISHARES S&P SMALL CAP 600 GROWTH P 2014-11-04 2016-02-29 47029 48114 -1085 -1085 375 SH JOHNSON & JOHNSON P 2013-05-29 2016-10-10 45007 32087 12920 12920 17,267.863 SH LORD ABBETT INVESTMENT TR SHORT DURATION P 2014-06-27 2016-12-31 75000 78138 -3138 -3138 325 SH PHILLIPS 66 P 2011-04-28 2016-07-14 24866 11533 13333 13333 7,457.741 SH RS INVT TR LOW DURATION BD FD P 2013-08-07 2016-12-31 75000 75482 -482 -482 750 SH RED HAT INC P 2014-11-04 2016-10-10 58800 44961 13839 13839 900 SH MORGAN STANLEY TECH P 2014-03-07 2016-02-29 44513 42606 1907 1907 450 SH SELECT SECTOR SPDR FD HEALTH CARE P 2013-08-02 2016-12-31 32712 22891 9821 9821 CAPITAL GAINS DIVIDENDS P 91 91 91 121378 0 449958 2021669 0.222568 531874 2400083 0.221607 234051 2370445 0.098737 429334 2264299 0.189610 407062 2292593 0.177555 0.910077 0.182015 1671681 304271 1445 305716 523312 X 1445 0 1445 0 1445 3248 3248 X 1803 1803 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 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 0.50 0 0 0 JOHN D BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 0.00 0 0 0 JOSEPH A BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 0.00 0 0 0 ANTHONY R BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 25.00 62200 15050 0 ALISSA B BACON PO BOX 848 MEDINA WA 98039 DIRECTOR 0.00 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 = 14 447723 0 1615289 81849 0 1697138 0 0 1697138 25457 1671681 83584 83584 1445 1445 82139 0 82139 0 82139 523312 0 523312 1445 521867 82139 0 0 293747 316948 120163 414414 349435 1494707 523312 0 0 0 82139 441173 0 0 1935880 0 0 0 0 0 0 293747 1642133 316948 120163 414414 349435 441173 JOHN E BACON DEBRA BACON X LAKE HILLS ELEMENTARY 14310 SE 12TH STREET BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 6000 WEST SEATTLE BOOSTER CLUB 5725 SW SPOKANE STREET SEATTLE WA 98116 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 200 BIGHORN GOLF CLUB 255 PALOWET DRIVE PALM DESERT CA 92260 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 2600 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 21000 HOPELINK PO BOX 3577 REDMOND WA 98073 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 10190 STEVENSON ELEMENTARY SCHOOL 12111 NE 1ST STREET BELLEVUE WA 98005 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 2717 UNITED WAY OF KING COUNTY 720 SECOND AVENUE SEATTLE WA 98104 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 262380 UNIVERSITY OF WASHINGTON 407 GERBERDING HALL SEATTLE WA 98195 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 7076 WEST SEATTLE BOYS SOCCER PO BOX 16266 SEATTLE WA 98116 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 100 BELLEVUE BOYS LACROSSE CLUB 1121 107TH AVENUE SE BELLEVUE WA 98004 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 2500 RAINIER ATHLETES 17215 SE 29TH COURT BELLEVUE WA 98008 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 4680 JUBILEE REACH 14200 SE 13TH PL BELLEVUE WA 98007 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 27750 SOLID GROUND 1501 N 45TH STREET SEATTLE WA 98103 NONE 501(C)(3) EXEMPT ORG FUNDING OF GENERAL CHARITABLE OPERATIONS 531 447724 0 14 5 14 42068 14 1752 18 121378 0 165203 0 165203 0 0 0 0 0 0 0 0 0 0 X X 1 JOHN E AND DEBRA BACON PO BOX 848 MEDINA WA 98039 100000 X ACCOUNTING FEES 1852 1852 0 0 WELLS FARGO - US MANAGED EQUITY FUND 1236804 1236804 WELLS FARGO - US MANAGED MUTUAL FUNDS AT COST 323802 323802 LEGAL FEES 1344 1344 0 0 LICENSES 25 25 0 0 ADMINISTRATIVE EXPENSE 432 432 0 0 UNREALIZED GAIN ON INVESTMENTS 1752 0 INVESTMENT ADVISOR FEES 6712 6712 0 0 CONSULTING 18000 1800 0 16200 JOHN DEBRA BACON PO BOX 848 MEDINA WA 98039 FOREIGN TAXES 224 224 0 0 PAYROLL TAXES 3787 379 0 3408