ORIN SMITH FAMILY FOUNDATION: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ORIN SMITH FAMILY FOUNDATION (EIN 20-0477535)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-24
- IRS object ID
- 201302059349100315
- Schema version
- 2012v2.1
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-24T18:25:55-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912083338 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSPRING GROUP PS CPAS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10885 NE 4TH ST SUITE 320 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200477535 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORIN SMITH FAMILY FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ORIN | NameControl |
| Phone | 2065251283 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4963 NE 85TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981153913 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN SMITH | Name |
| Title | SECRETARY/TREASURER | Title |
| Phone | 2065251283 | Phone |
| Date Signed | 2013-07-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARIE E NOURSE | Name |
| PTIN | P00312565 | PTIN |
| Phone | 4254628220 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 15750311 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 3030975 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 320 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 320 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 176418 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 176418 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 71174 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 71174 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 71174 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 3278887 | TotalRevenueAndExpenses |
| Total Net Investment Income | 247912 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 305 | LegalFeesRevAndExpnss |
| Legal Fees Net Invst Incm | 0 | LegalFeesNetInvstIncm |
| Legal Fees Dsbrs Chrtbl Prps | 305 | LegalFeesDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 3490 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 1745 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 1745 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 1704 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 1679 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 25 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 86738 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 86738 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 0 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 92237 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 90162 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 2075 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 650000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 650000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 742237 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 90162 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 652075 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 2536650 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 157750 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 3601596 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 2861361 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 2861361 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 7659744 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 10936629 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 11748317 | InvestmentsCorpStockEOYFMV |
| Investments Other BOY | 1000000 | InvestmentsOtherBOY |
| Investments Other EOY | 1000000 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 1140633 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 12261340 | TotalAssetsBOY |
| Total Assets EOY | 14797990 | TotalAssetsEOY |
| Total Assets EOYFMV | 15750311 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 12261340 | RetainedEarningsBOY |
| Retained Earnings EOY | 14797990 | RetainedEarningsEOY |
| Total Net Assets BOY | 12261340 | TotalNetAssetsBOY |
| Total Net Assets EOY | 14797990 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 12261340 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 14797990 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 12261340 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 2536650 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 14797990 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 14797990 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | CAPITAL GAINS DIVIDENDS | DescriptionOfAsset |
| How Acquired | P | HowAcquired |
| Gross Sales Price | 71174 | GrossSalesPrice |
| Gain Or Loss | 71174 | GainOrLoss |
| Gains Minus Excess Or Losses | 71174 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 71174 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 1563875 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 6781752 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.230600 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 2737614 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 8694479 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.314868 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 3760516 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 10034916 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.374743 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 2018453 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 17964285 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.112359 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 3052952 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 23519159 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.129807 | DistributionRatioYear5 |
| Total Distribution Ratio | 1.162377 | TotalDistributionRatio |
| Average Distribution Ratio | 0.232475 | AverageDistributionRatio |
| Net Noncharitable Assets | 12388294 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 2879969 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 1578 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 2881547 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 652075 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 3155 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 3155 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 3155 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 7784 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 7784 | TotalCreditsAndPayments |
| Overpayment | 4629 | Overpayment |
| Amount Credited To Next Year | 4629 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | WA | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | KEVIN SMITH | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 2065251283 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4963 NE 85TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981153913 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 1 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | 0 | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINNACLE WEALTH MGT LLC (KEVIN SMITH) | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4963 NE 85TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981153913 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Service | INVESTMENT ADVISOR | TypeOfService |
| Compensation | 86663 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 8236114 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 3200201 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 1140633 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 12576948 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 12576948 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 188654 | CashDeemedCharitable |
| Net Noncharitable Assets | 12388294 | NetNoncharitableAssets |
| Minimum Investment Return | 619415 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 619415 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 3155 | TaxBasedOnInvestmentIncome |
| Total Tax | 3155 | TotalTax |
| Distributable Amount Before Adj | 616260 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 616260 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 616260 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 652075 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 652075 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 652075 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 616260 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year5 | 1898164 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 1125453 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 3260062 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 2303932 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 1225671 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 9813282 | TotalExcessDistriCarryover |
| Qualifying Distributions | 652075 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 616260 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 35815 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 9849097 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 1898164 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 7950933 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 1125453 | ExcessFromYear4 |
| Excess From Year3 | 3260062 | ExcessFromYear3 |
| Excess From Year2 | 2303932 | ExcessFromYear2 |
| Excess From Year1 | 1225671 | ExcessFromYear1 |
| Excess From Current Year | 35815 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | ORIN SMITH | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (11 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| CENTRALIA COLLEGE FOUNDATION | |||||||
| 600 CENTRALIA COLLEGE BLVD | CENTRALIA | WA | 98531 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $45,000 |
| CONSERVATION INTERNATIONAL | |||||||
| 2011 CRYSTAL DRIVE STE 500 | ARLINGTON | VA | 22202 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $250,000 |
| CREIGHTON UNIVERSITY | |||||||
| 2500 CALIFORNIA PLAZA | OMAHA | NE | 68178 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $20,000 |
| GLOBAL HEALTH NEXUS | |||||||
| 1900 9TH AVE FLOOR 10 | SEATTLE | WA | 98101 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $5,000 |
| GREATER CHEHALIS FOOD BANK | |||||||
| 2100 N NATIONAL AVENUE | CHEHALIS | WA | 98532 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $15,000 |
| PLYMOUTH HOUSING | |||||||
| 2113 3RD AVENUE | SEATTLE | WA | 98121 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $125,000 |
| SEE YOUR IMPACT | |||||||
| 220 2ND AVENUE S | SEATTLE | WA | 981043491 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $25,000 |
| THE CHEHALIS FOUNDATION | |||||||
| PO BOX 1608 | CHEHALIS | WA | 98532 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $25,000 |
| UNITED WAY OF KING COUNTY | |||||||
| 720 SECOND AVENUE | SEATTLE | WA | 98104 | NONE | PUBLIC CHARITY-501-C | SEATTLE FOUNDATION - MOTHER HOUSE FUND | $50,000 |
| UNITED WAY OF KING COUNTY | |||||||
| 720 SECOND AVENUE | SEATTLE | WA | 98104 | NONE | PUBLIC CHARITY-501-C | HOMELESSNESS | $50,000 |
| WAKE FOREST UNIVERSITY | |||||||
| 1834 WAKE FOREST ROAD | WISTONSALEM | NC | 27106 | NONE | PUBLIC CHARITY-501-C | GENERAL FUND | $40,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 650000 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $320 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $176,418 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $71,174 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $247,912 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 247912 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | ORIN C SMITH | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4963 NE 85TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98115 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 3030975 | AggregateContributions |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number From Part I | 1 | ContributorNumberFromPartI |
| Noncash Property Description | 57,000 SHARES STARBUCKS CORPORATION | NoncashPropertyDescription |
| Fair Market Value | 3030975 | FairMarketValue |
| Date Received | 2012-12-27 | DateReceived |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | Category |
| Amount | $3,490 | Amount |
| Net Investment Income | 1745 | NetInvestmentIncome |
| Disbursements Charitable Prps | 1745 | DisbursementsCharitablePrps |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (14 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| DFA EMERGING MKTS SMALL CAP PORTFOLIO | 198644 | 240623 |
| DFA EMERGING MKTS VALUE PORTFOLIO | 136167 | 142332 |
| DFA EMERGING MKTS PORTFOLIO | 202052 | 241053 |
| DFA INTL SMALL CAP VALUE PORTFOLIO | 227816 | 195805 |
| DFA INTL SMALL COMPANY PORTFOLIO | 257138 | 246651 |
| DFA INTL VALUE PORTFOLIO | 348281 | 297212 |
| DFA LARGE CAP INTL PORTFOLIO | 323742 | 315466 |
| DFA REAL ESTATE SECURITIES PORTFOLIO | 759780 | 802103 |
| DFA U.S. LARGE CAP VALUE PORTFOLIO | 3011521 | 3501183 |
| DFA U.S. SMALL CAP PORTFOLIO | 889947 | 948134 |
| DFA U.S. SMALL CAP VALUE PORTFOLIO | 1031616 | 1189491 |
| DFA U.S. LARGE CO PORTFOLIO | 280572 | 326742 |
| DFA US CORE EQUITY 2 | 238378 | 244612 |
| STARBUCKS CORPORATION | 3030975 | 3056910 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | CELLO FIXED INCOME FUND LTD | CategoryOrItem |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMV |
| Book Value | 1000000 | BookValue |
| EOYFMV | 1140633 | EOYFMV |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | Category |
| Amount | $305 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 305 | DisbursementsCharitablePrps |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| BANK CHARGES | 75 | 75 | 0 |
| INVESTMENT FEES | 86663 | 86663 | 0 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| WASHINGTON USER FEE | $25 | 0 | 25 |
| FOREIGN TAX | $1,679 | 1679 | 0 |
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