BACON FAMILY FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BACON FAMILY FOUNDATION (EIN 74-3070936)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-05
IRS object ID
201601269349100825
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-05T14:46:19-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208746654PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILLIAMSON & LACOMBE CPA'S PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13927 LAKE WASHINGTON BLVD NEAddressLine1Txt
CityKIRKLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980337867ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN743070936EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE JOHN AND DEBRA BACON FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone4252562662PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 848AddressLine1Txt
CityMEDINACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98039ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL V GRIFFITHPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone4252562662PhoneNum
Signature2016-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY N LACOMBEPreparerPersonNm
PTINP01226401PTIN
Phone4258221996PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,974,923FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$200,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$43,506DividendsRevAndExpnssAmt
Dividends Net Invst Incm$43,506DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$4,026NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$754,274GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$4,026CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$247,532TotalRevAndExpnssAmt
Total Net Invst Incm$47,532TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$61,578CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$6,158CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$55,420CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$456LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$456LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,919AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,919AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$26,143OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$9,943OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$16,200OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,881TaxesRevAndExpnssAmt
Taxes Net Invst Incm$476TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$3,405TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss$1,152OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$115OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$1,037OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$71,035OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$465OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$166,164TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$19,532TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$76,062TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$374,176ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$374,176ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$540,340TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$19,532TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$450,238TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$292,808ExcessRevenueOverExpensesAmt
Net Investment Income$28,000NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$332CashBOYAmt
Cash EOY$30,803CashEOYAmt
Cash EOYFMV$30,803CashEOYFMVAmt
Sav And Temp Cash Invst BOY$13,034SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$73,938SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$73,938SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,503,364CorporateStockBOYAmt
Corporate Stock EOY$1,554,402CorporateStockEOYAmt
Corporate Stock EOYFMV$1,554,402CorporateStockEOYFMVAmt
Other Investments BOY$751,001OtherInvestmentsBOYAmt
Other Investments EOY$315,780OtherInvestmentsEOYAmt
Other Investments EOYFMV$315,780OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,267,731TotalAssetsBOYAmt
Total Assets EOY$1,974,923TotalAssetsEOYAmt
Total Assets EOYFMV$1,974,923TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,267,731RetainedEarningBOYAmt
Retained Earning EOY$1,974,923RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,267,731TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,974,923TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,267,731TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,974,923TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,267,731TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$292,808ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,974,923SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,974,923TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (16 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
GOLDMAN SACHS TR MLP ENERGYP2014-08-052015-04-01$34,973$36,591-$1,618-$1,618
LORD ABBETT INVESTMENT TR SHORT DURATIONP2014-06-052015-02-24$55,000$56,337-$1,337-$1,337
INVESCO LTDP2014-11-042015-07-28$29,604$32,018-$2,414-$2,414
CONOCOPHILLIPSP2011-04-282015-07-28$25,892$29,887-$3,995-$3,995
GENL DYNAMICS CORPP2012-03-132015-12-23$27,963$14,362$13,601$13,601
GOLDMAN SACHS TR MLP ENERGYP2014-03-312015-04-01$179,932$186,160-$6,228-$6,228
INTEL CORPP2013-07-192015-04-02$60,449$43,924$16,525$16,525
JOHNSON & JOHNSONP2012-08-142015-07-28$34,544$23,847$10,697$10,697
LORD ABBETT INVESTMENT TR SHORT DURATIONP2014-06-272015-07-13$65,000$66,829-$1,829-$1,829
PHILLIPS 66P2011-04-282015-07-28$19,427$8,882$10,545$10,545
QUALCOMM INCP2013-01-082015-07-29$23,973$25,130-$1,157-$1,157
RS INVT TR LOW DRUATION BD FDP2013-07-312015-07-13$140,000$141,193-$1,193-$1,193
ENERGY SELECT SECTOR SPDRP2013-10-082015-07-28$34,660$41,640-$6,980-$6,980
SEADRILL LTDP2011-05-112015-04-01$9,903$34,931-$25,028-$25,028
QUALCOMM INCP2010-10-152015-07-29$11,986$8,517$3,469$3,469
CAPITAL GAINS DIVIDENDSP$968$968$968
FieldValueIRS element (for citing)
Capital Gain Net Income$4,026CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$531,874AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,400,083NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.221607DistributionYr1Rt
Adjusted Qlfy Distri Yr2$234,051AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,370,445NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.098737DistributionYr2Rt
Adjusted Qlfy Distri Yr3$429,334AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,264,299NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.189610DistributionYr3Rt
Adjusted Qlfy Distri Yr4$407,062AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,292,593NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.177555DistributionYr4Rt
Adjusted Qlfy Distri Yr5$368,341AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,567,174NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.235035DistributionYr5Rt
Total Distribution0.922544TotalDistributionRt
Average Distribution0.184509AverageDistributionRt
Net Vl Noncharitable Assets$2,021,669NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$373,016AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$280NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$373,296AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$450,238QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$280InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$280SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$280TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,528EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$3,528TotalPaymentsAndCreditsAmt
Overpayment$3,248OverpaymentAmt
Applied To ES Tax$3,248AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateWAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksMIKE GRIFFITHIndividualWithBooksNm
Phone4252562662PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O PAR 4 LLC - PO BOX 848AddressLine1Txt
CityMEDINACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98039ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN E BACON
PO BOX 848MEDINAWA98039PRESIDENT2.00$0$0$0
DEBRA BACON
PO BOX 848MEDINAWA98039VICE PRESIDENT1.00$0$0$0
MICHAEL V GRIFFITH
PO BOX 848MEDINAWA98039SECRETARY/TREASURER0.50$0$0$0
JOHN D BACON
PO BOX 848MEDINAWA98039DIRECTOR0.00$0$0$0
JOSEPH A BACON
PO BOX 848MEDINAWA98039DIRECTOR0.00$0$0$0
ANTHONY R BACON
PO BOX 848MEDINAWA98039DIRECTOR25.00$61,578$14,428$0
ALISSA B BACON
PO BOX 848MEDINAWA98039DIRECTOR0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE JOHN AND DEBRA BACON FAMILY FOUNDATION PROVIDES SUPPORT TO OTHER QUALIFIED 501(C)(3) ORGANIZATIONS ALLOWING THEM TO CARRY OUT CHARITABLE ACTIVITIES. ORGANIZATIONS SERVED = 18Description1Txt
Expenses1$374,176Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,993,096AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$59,360AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,052,456TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,052,456AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$30,787CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,021,669NetVlNoncharitableAssetsAmt
Minimum Investment Return$101,083MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$101,083MinimumInvestmentReturnAmt
Tax Based On Investment Income$280TaxBasedOnInvestmentIncomeAmt
Total Tax$280TotalTaxAmt
Distributable Before Adj$100,803DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$100,803DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$100,803DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$450,238ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$450,238QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$280PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$449,958AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$100,803DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$290,354ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$293,747ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$316,948ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$120,163ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$414,414ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,435,626TotalExcessDistributionCyovAmt
Qualifying Distributions$450,238QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$100,803AppliedToCurrentYearAmt
Remaining Distri From Corpus$349,435RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,785,061TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$290,354ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,494,707ExcessDistriCyovToNextYrAmt
Excess From Year4$293,747ExcessFromYear4Amt
Excess From Year3$316,948ExcessFromYear3Amt
Excess From Year2$120,163ExcessFromYear2Amt
Excess From Year1$414,414ExcessFromYear1Amt
Excess From Current Year$349,435ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJOHN E BACONContributingManagerNm
Contributing ManagerDEBRA BACONContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BELLEVUE HIGH SCHOOL FOOTBALL BOOSTER CLUB
10416 WOLVERINE WY SEBELLEVUEWA98004NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$2,170
BELLEVUE SCHOOLS FOUNDATION
PO BOX 40644BELLEVUEWA98015NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$500
BOYS AND GIRLS CLUB
209 100TH AVENUE NEBELLEVUEWA98004NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$100
DETLEF SCHREMPF FOUNDATION
1904 THIRD AVENUE 339SEATTLEWA98101NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$34,400
GIRLS GIVING BACK
9805 NE 116TH STREET PMB A-171KIRKLANDWA98034NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$500
HOPELINK
PO BOX 3577REDMONDWA98073NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$11,919
JUBILEE REACH
14200 SE 13TH PLBELLEVUEWA98007NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$4,621
PINK GENE FOUNDATION
18707 SOUTHEAST NEWPORT WAY APT 109ISSAQUAHWA98027NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$3,000
MEDINA PTA
PO BOX 247MEDINAWA98039NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$1,000
SOLID GROUND
1501 N 45TH STREETSEATTLEWA98103NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$539
STEVENSON ELEMENTARY SCHOOL
12111 NE 1ST STREETBELLEVUEWA98005NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$1,194
UNITED WAY OF KING COUNTY
720 SECOND AVENUESEATTLEWA98104NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$296,000
UNIVERSITY OF WASHINGTON
407 GERBERDING HALLSEATTLEWA98195NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$7,147
BIGHORN GOLF CLUB
255 PALOWET DRIVEPALM DESERTCA92260NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$5,000
HAITIBABI
220 2ND AVENUE SOUTH 217SEATTLEWA98104NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$456
DANCE FOR A CURE
5 DAVIDS LANEHILLSBOROUGHNJ08844NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$5,000
AIDS WALK
PO BOX 80547SEATTLEWA98108NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$500
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122NONE501(C)(3) EXEMPT ORGFUNDING OF GENERAL CHARITABLE OPERATIONS$130
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$374,176TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$43,506ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$4,026ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$47,532ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$47,532TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonJOHN E AND DEBRA BACONContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 848AddressLine1Txt
CityMEDINACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98039ZIPCd
FieldValueIRS element (for citing)
Total Contributions$200,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,919Amt
Net Investment Income$1,919NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockWELLS FARGO - US MANAGED EQUITY FUNDStockNm
EOY Book Value$1,554,402EOYBookValueAmt
EOYFMV$1,554,402EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemWELLS FARGO - US MANAGED MUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$315,780BookValueAmt
EOYFMV$315,780EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$456LegalFeesAmt
Net Investment Income$456NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
LICENSES$25$25$0$0
ADMINISTRATIVE EXPENSE$440$440$0$0
UNREALIZED LOSS ON INVESTMENTS$70,570$0$0$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT ADVISOR FEES$8,143$8,143$0$0
CONSULTING$18,000$1,800$0$16,200

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonJOHN DEBRA BACONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 848AddressLine1Txt
CityMEDINACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98039ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$98$98$0$0
PAYROLL TAXES$3,783$378$0$3,405

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