2014-05-14T11:25:54-05:00 2013-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-07-01 911501333 BELLEVUE ROTARY FOUNDATION BELL 4259987542 PO BOX 523 BELLEVUE WA 98009 JULIE ARNEVICK 4259987542 2014-05-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2014-05-14 2012 2015-11-30 17:44:51Z JULIE ARNEVICK PO BOX 523 BELLEVUE WA 98009 681340 0 0573 X N/A X 1990 WA TO FUND VARIOUS CHARITABLE AND EDUCATIONAL ORGANIZATIONS AND ACTIVITIES WITHIN THE GREATER EASTSIDE OF LAKE WASHINGTON LOCATED IN WASHINGTON STATE. 14 14 0 200 0 0 474143 413142 0 0 340 318 -79323 -84849 395160 328611 239681 316466 0 0 0 0 0 0 21049 48376 52009 288057 368475 107103 -39864 440822 522578 361746 421682 79076 100896 X TO FUND VARIOUS CHARITABLE AND EDUCATIONAL ORGANIZATIONS AND ACTIVITIES WITHIN THE GREATER EASTSIDE OF LAKE WASHINGTON. 0 0 246654 246654 COMMUNITY GRANTS PROGRAM: PROVIDE DONATIONS AND FUNDING TO VARIOUS CHARITIES AND EDUCATIONAL ORGANIZATIONS PROVIDING SERVICES TO RESIDENTS PRIMARILY ON THE GREATER EASTSIDE OF LAKE WASHINGTON. THE FOUNDATION HAS CONTRIBUTED OVER ONE MILLION DOLLARS AND COUNTLESS VOLUNTEER HOURS TO ORGANIZATIONS IN THE BELLEVUE COMMUNITY SINCE IT WAS ESTABLISHED IN 1990. 55714 55714 WORLD COMMUNITY SERVICE:THE FOUNDATION ALSO PARTICIPATES IN A BROAD RANGE OF HUMANITARIAN, INTERCULTURAL AND EDUCATIONAL ACTIVITIES DESIGNED TO IMPROVE THE HUMAN CONDITION. HUMANITARIAN GRANTS SUPPORT PROJECTS THAT PROVIDE HEALTH CARE AND MEDICAL SUPPLIES, CLEAN WATER, FOOD, JOB TRAINING, YOUTH DEVELOPMENT, AND EDUCATION TO MILLIONS OF PEOPLE IN NEED, PARTICULARLY IN THE DEVELOPING WORLD.THE FOUNDATION ALSO PROVIDES NUMEROUS GRANTS EACH YEAR TO FUND THE WORK OF ROTARY CLUB OF BELLEVUE VOLUNTEERS, WHO TRAVEL TO PARTS OF THE WORLD WHERE THEIR TECHNICAL EXPERTISE AND KNOWLEDGE ARE MOST NEEDED TO ALLEVIATE HARDSHIP AND SOLVE PROBLEMS.IN ADDITION, THE FOUNDATION BUILDS UNDERSTANDING THROUGH INTERNATIONAL SCHOLARSHIPS, EXCHANGE PROGRAMS AND HUMANITARIAN GRANTS. THE ROTARY CENTERS FOR INTERNATIONAL STUDIES IN PEACE AND CONFLICT RESOLUTION IS AN INNOVATIVE PROGRAM DESIGNED TO EDUCATE TOMORROW'S PEACEMAKERS. HOSTED AT SEVEN LEADING UNIVERSITIES AROUND THE GLOBE, THE PROGRAM FUNDS 60 ROTARY WORLD PEACE FELLOWS FOR GRADUATE STUDIES IN INTERNATIONAL RELATIONS, CONFLICTS STUDIES AND NEGOTIATION. 14098 14098 VOCATIONAL SERVICE GRANTS: THIS PROGRAM PROVIDES DONATIONS AND FUNDING FOR YOUTH SCHOLARSHIPS, ROTARY YOUTH EXCHANGE PROGRAMS, VOCATIONAL SERVICE AWARDS, FUNDING FOR TWO ROTARACT CLUBS, AND PARTNERS FOR WORK FUNDING. 316466 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X TARA LYSTAD 4259987542 PO BOX 523 BELLEVUE WA 98009 X ROB ROSE 3.00 3.00 X X 0 0 0 ALAN FULP 2.00 2.00 X 0 0 0 JULIE ARNEVICK 3.00 3.00 X X 0 0 0 RICK TAYLOR 3.00 3.00 X X 0 0 0 KATHLEEN STEELE 3.00 3.00 X X 0 0 0 DAVID MINIKEN 3.00 3.00 X X 0 0 0 DAVID LAUB 2.00 2.00 X 0 0 0 TOM BOHMAN 2.00 2.00 X 0 0 0 JIM HOGUE 2.00 2.00 X 0 0 0 ELAINE HELLER 2.00 2.00 X 0 0 0 DIANE TEBELIUS 2.00 2.00 X 0 0 0 JOHN CAMPBELL 2.00 2.00 X 0 0 0 TJ WOOSLEY 2.00 2.00 X 0 0 0 RACHELE BOUCHAND 2.00 2.00 X 0 0 0 0 0 0 0 0 0 0 0 166745 246397 210156 413142 318 318 153842 166745 352349 -198507 -198507 13550 380 13170 13170 QUALIFIED SPONSORHIPS 900099 87500 87500 BAM ICE CREAM 900099 6365 6365 FINES AND PENALTIES 900099 4016 4016 2607 2607 100488 328611 0 0 -84531 286966 286966 6000 6000 23500 23500 11900 11900 3865 3865 15195 15195 INDIRECT FUNDRAISING 19649 19649 BAD DEBTS 1400 1400 368475 316466 30960 21049 193605 263779 218173 230860 14171 9100 14873 18839 440822 522578 40711 38296 116390 124585 200665 258801 3980 0 361746 421682 X 79076 96821 4075 79076 100896 440822 522578 X -39864 61684 X 0 0 0 X 391665 416485 344662 474143 500642 2127597 391665 416485 344662 474143 500642 2127597 7800 4100 21288 17200 56330 106718 0 7800 4100 21288 17200 56330 106718 2020879 4824 1057 5641 340 318 12180 4824 1057 5641 340 318 12180 14150 11536 15266 10381 51333 396489 431692 361839 489749 511341 2191110 0.92230 0.94300 0.00560 0.00780 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: BAM ICE CREAM - 2009 AMOUNT: $ 7,693. 2010 AMOUNT: $ 8,170. 2011 AMOUNT: $ 8,220. 2012 AMOUNT: $ 6,365. FINES AND PENALTIES - 2009 AMOUNT: $ 6,457. 2010 AMOUNT: $ 3,366. 2011 AMOUNT: $ 7,046. 2012 AMOUNT: $ 4,016. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 110390 4075 12195 126660 110700 -310 110390 105661 5039 110700 0.96780 0.03220 0 0 0 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THERE ARE TWO ENDOWMENT FUNDS. THE CAMP GOODTIMES ENDOWMENT IS INTENDED TO FUND A "CABIN" AT AN ANNUAL ONE-WEEK SUMMER FOR SICK CHILDREN. THE BELLEVUE ROTARY FOUNDATION ENDOWMENT IS INTENDED TO GROW UNTIL SUCH TIME AS IT CAN FUND THE BELLEVUE ROTARY FOUNDATION'S VARIOUS PROGRAMS. 1 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION CLEAN WATER PROJECT 1000 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION AMBULANCE FOR RURAL HOSPITAL 2500 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION INFORMATION TECHNOLOGY FOR HIV CENTER 2000 SOUTH ASIA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION CATARACT SURGERIES FOR TEN PATIENTS 1000 SOUTH ASIA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION COMPUTERS FOR TRAINING DISADVANTAGED 5000 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION BED NETS FOR MALARIA PROJECT 5000 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION EQUIPMENT FOR FOUR AMBULANCES 2000 SOUTH ASIA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION AMBULANCE FOR CHILDRENS HOSPITAL 2500 SOUTH ASIA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION BRAILLE PRINTER FOR SCHOOL FOR BLIND 1000 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION SOLAR VACCINE REFRIGERATOR 500 SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION EXPANSION OF NURSERY SCHOOL 1000 0 0 0 0 0 0 21000 2500 23500 1 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: ALL GRANT APPLICATIONS RECEIVED MUST GO THROUGH THE PROCESS OF APPLICATION AND APPROVAL BY OUR WORLD COMMUNITY SERVICE COMMITTEE AND ALSO BE APPROVED BY THE BELLEVUE ROTARY FOUNDATION BOARD OF DIRECTORS. PART II HAS NOT BEEN COMPLETED BECAUSE THERE WERE NO GRANT RECIPIENTS THAT RECEIVED MORE THAN $5,000 FROM THE FOUNDATION. SCHEDULE F, PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN IRC SEC. 6038B(A)(1)(A). AUCTION 320587 166745 153842 102720 8992 240637 320587 166745 153842 102720 8992 240637 352349 -198507 1 ROTACARE FREE CLINIC - BELLEVUE PO BOX 50133 BELLEVUE WA 98015 911811292 501(C)(3) 14307 GENERAL SUPPORT THE ROTARY FOUNDATION 14280 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 363245072 501(C)(3) 31985 GENERAL SUPPORT ROTARY FIRST HARVEST PO BOX 94117 SEATTLE WA 98124 911229941 501(C)(3) 6000 GENERAL SUPPORT BELLEVUE LIFESPRING PO BOX 53203 BELLEVUE WA 98015 910656331 501(C)(3) 7170 GENERAL SUPPORT JUBILEE REACH 14200 SE 13TH PLACE BELLEVUE WA 98007 204074712 501(C)(3) 168809 GENERAL SUPPORT 5 0 SCHOLARSHIPS FOR COLLEGE STUDENTS 3 6000 BOOK SCHOLARSHIP PAID DIRECTLY TO THE COLLEGE INSTITUTION PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANT APPLICANTS MUST GO THROUGH THE PROCESS OF APPLICATION WITH EITHER OUR COMMUNITY GRANTS COMMITTEE OR OUR WORLD COMMUNITY SERVICE COMMITTEE. THOSE TWO COMMITTEES REQUEST VARIOUS REPORTS FROM EACH POTENTIAL GRANTEE AND THEN REVIEW AND PROPOSE THEIR LIST OF RECOMMENDED GRANTS TO THE FOUNDATION'S BOARD OF DIRECTORS, WHICH HAS THE ULTIMATE RESPONSIBILITY FOR APPROVING THE GRANTS. GRANT RECIPIENTS ARE ASKED TO REPORT BACK ON THEIR USE OF THE FUNDS. X AUCTION ITEMS 430 210156 FAIR MARKET VALUE 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): COLUMN B IS BASED ON THE NUMBER OF ITEMS CONTRIBUTED TO THE AUCTION. FORM 990, PART I, LINE 6: THE VOLUNTEERS REPRESENT THE BOARD MEMBERS, WHO EACH VOLUNTEER MANY HOURS OF THEIR TIME TO SUPPORT THE FOUNDATION'S PURPOSES. THE NUMBER OF HOURS THOSE VOLUNTEERS SERVED APPROXIMATES 100 HOURS/YEAR PER VOLUNTEER (ON AVERAGE), WHICH INCLUDES MONTHLY BOARD MEETINGS AND OTHER TIME SPENT SUPPORTING THE ORGANIZATION. THE VOLUNTEERS ALSO REPRESENT THE ROTARY CLUB OF BELLEVUE MEMBERS WHO VOLUNTEERED THEIR TIME AT THE ANNUAL AUCTION FUNDRAISING EVENT. FORM 990, PART VI, SECTION A, LINE 2 THE TREASURER OF THE BOARD DISCUSSED FAMILY AND BUSINESS RELATIONSHIPS AS WELL AS OTHER CONFLICT OF INTEREST ISSUES WITH THE ENTIRE BOARD AT A REGULARLY SCHEDULED MEETING AND NO BOARD MEMBERS INDICATED THAT ANY OF THESE RELATIONSHIPS EXIST. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND INITIALLY REVIEWED BY THE TREASURER. THE ENTIRE BOARD THEN MEETS TOGETHER WITH THE CPA TO GO THROUGH AND DISCUSS THE RETURN PRIOR TO FILING IT WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ADJUSTMENT FOR SPECIAL EVENT INCOME REPORTED ON PRIOR FORM 990 61,684. ROTARY CLUB OF BELLEVUE PO BOX 523 BELLEVUE WA 98009 916054983 SOCIAL WELFARE WA 501(C)(4) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0