2013-05-13T17:12:35-05:00 2012-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2011-10-01 061701305 HENRY M JACKSON ENDOWMENT HENR 2066828565 1501 4TH AVENUE NO 1580 SEATTLE WA 98101 LARA IGLITZIN 2066828565 2013-05-13 1 JANE M SEARING P00000565 4254544919 2013-05-07 2011 2016-02-24 21:20:13Z LARA IGLITZIN 1501 4TH AVENUE NO 1580 SEATTLE WA 98101 11710847 0 X WWW.HMJACKSON.ORG X 2002 WA THE HENRY M. JACKSON ENDOWMENT IS A SUPPORTING ORGANIZATION OF THE HENRY M. JACKSON FOUNDATION. 11 11 0 12 0 0 0 0 0 10132 827065 896629 0 0 827065 906761 501913 325704 0 0 0 0 0 0 2741 230168 190544 732081 516248 94984 390513 11282837 12528323 514113 441443 10768724 12086880 SUPPORTING ORGANIZATION UNDER I.R.C. 509(A)(3) TO THE HENRY M. JACKSON FOUNDATION. 0 0 375098 325704 10132 THE HENRY M. JACKSON ENDOWMENT AWARDS GRANTS TO NONPROFIT ORGANIZATIONS ALONG WITH PUBLIC AND PRIVATE EDUCATIONAL INSTITUTIONS IN THE UNITED STATES AND ABROAD. THESE GRANTS CARRY FORWARD THE LIFELONG INTEREST OF SENATOR HENRY M. JACKSON IN EDUCATIONAL PROGRAMS RELATING TO INTERNATIONAL AFFAIRS, PUBLIC SERVICES, AND THE ENVIRONMENT. THE ENDOWMENT SUPPORTS THE GOALS AND OBJECTIVES OF THE HENRY M. JACKSON FOUNDATION. 375098 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JELENA JURKOVIC 2066828565 1501 - 4TH AVENUE STE 1580 SEATTLE WA 98101 X HELEN H JACKSON 1.00 X X 0 0 0 JOHN HEMPELMANN 3.00 X X 0 0 0 CRAIG GANNETT 2.00 X X 0 0 0 LINDA MASON WILGIS 1.00 X X 0 0 0 DAVID ROSTOV 1.00 X X 0 0 0 ANNA MARIE LAURENCE 1.00 X X 0 0 0 JOEL C MERKEL 1.00 X 0 0 0 CHARLES R BLUMENFELD 1.00 X 0 0 0 SUSAN GOLUB 1.00 X 0 0 0 EILEEN GREVEY HILLSON 1.00 X 0 0 0 TOM LUCE 1.00 X 0 0 0 SUSAN T WICKWIRE 1.00 X 0 0 0 LARA IGLITZIN 5.00 X 0 158650 3924 TAMMY HELGESON 5.00 X 0 0 0 0 158650 3924 0 0 1 0 GOLDMAN SACHS 719 2ND AVENUE SEATTLE WA 98104 INVESTMENT ADVISORS 107875 1 RETURNED GRANT 900099 10132 10132 10132 396895 396895 11303820 10804086 499734 499734 499734 906761 10132 0 896629 261821 261821 63883 63883 4646 4646 123757 123757 9171 7062 1651 458 5475 4216 985 274 40187 30944 7234 2009 7308 7172 136 516248 375098 138409 2741 206284 326256 128372 317161 3805 3805 10898023 11688225 142228 46353 50648 11282837 12528323 268851 198442 245262 243001 514113 441443 X 768724 2086880 10000000 10000000 10768724 12086880 11282837 12528323 X 390513 927643 X 0 1 1 X 0 X X X 0 0 0 HENRY M JACKSON FOUNDATION 521313011 7 1 1 1 375098 1 375098 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART I, LINE 11H, COLUMN (VII) - AMOUNT OF SUPPORT PAID AMOUNTS FOR THE BENEFIT OF HENRY M. JACKSON FOUNDATION: 325,704 EXPENSES PAID TO HENRY M. JACKSON FOUNDATION: 49,394 TOTAL: 375,098 10768724 1834404 325704 52135 138409 12086880 11497031 3774 501913 23744 206424 10768724 10530314 955625 367913 170764 89465 96592 11497031 12965994 156458 1430212 1011899 150027 10530314 0.17270 0.82730 0.00000 0 0 0 DUE TO RELATED ORG 243001 243001 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED BY THE DONOR AND ARE HELD FOR INVESTMENT. EARNINGS FROM THE $10,000,000 ARE UNRESTRICTED AND MAY BE USED BY THE HENRY M. JACKSON ENDOWMENT TO SUPPORT OPERATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS RECEIVED FAVORABLE DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE (IRS) AS TO ITS TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION CONTINUES TO FULFILL THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAX HAS BEEN PROVIDED FOR IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FILES INCOME TAX RETURNS WITH THE U.S. GOVERNMENT. THE ORGANIZATION IS SUBJECT TO INCOME TAX EXAMINATIONS FOR THE CURRENT YEAR AND CERTAIN PRIOR YEARS BASED ON THE APPLICABLE LAWS AND REGULATIONS. 1 RUSSIA & THE NEWLY INDEPENDENT STATES - 0 0 GRANTS MADE TO CHARITABLE ORGANIZATIONS LOCATED IN RUSSIA NOT APPLICABLE 63883 0 0 0 0 0 0 63883 0 63883 RUSSIA & THE NEWLY INDEPENDENT STATES - HUMAN RIGHTS 10000 WIRE TRANSFER RUSSIA & THE NEWLY INDEPENDENT STATES - HUMAN RIGHTS 14793 WIRE TRANSFER RUSSIA & THE NEWLY INDEPENDENT STATES - HUMAN RIGHTS 19000 WIRE TRANSFER RUSSIA & THE NEWLY INDEPENDENT STATES - HUMAN RIGHTS 20090 WIRE TRANSFER 4 0 1 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: GRANT AGREEMENTS INCLUDE A REQUIREMENT TO REPORT BACK TO THE HENRY M. JACKSON ENDOWMENT ON THE USE OF GRANT FUNDS. REPORTING IS DONE ON AN ANNUAL BASIS UNLESS OTHERWISE STIPULATED. GRANT REPORTS (FROM GRANTEES) ARE REVIEWED, MONITORED AND DISCUSSED WITH GRANTEES IF DEEMED NECESSARY. REVIEW IS DONE BY A STAFF PROGRAM OFFICER AND, UPON OCCASION, THE EXECUTIVE DIRECTOR. 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 I.R.C. SEC. 6038(A)(1)(A). 1 UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 7839 N/A N/A SUPPORT RUSSIAN FELLOWSHIP STUDIES UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 32681 N/A N/A SUPPORT JACKSON SCHOOL OF INT'L STUDIES, HUMAN RIGHTS ASSISTANT UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 10000 N/A N/A SUPPORT HELEN H. JACKSON CHAIR, JACKSON SCHOOL OF INT'L STUDIES - SPEAKER SERIES UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 5313 N/A N/A SUPPORT CHINESE FELLOWSHIP STUDIES UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 7500 N/A N/A GSPA ENVIRONMENTAL FELLOWSHIP SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 15000 N/A N/A S. MUNRO SCHOLARSHIP PROGRAM SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION UNIV OF WA PO BOX 353650 SEATTLE WA 98105 943079432 501(C)(3) 35000 N/A N/A DC ROUNDTABLE DISCUSSION HISTORY LINK 1411 4TH AVENUE SUITE 803 SEATTLE WA 98101 911872538 501(C)(3) 15230 N/A N/A ENVIRONMENTAL KENNAN INSTITUTE 1300 PENNSYLVANIA AVENUE WASHINGTON DC 20004 521067541 501(C)(3) 46729 N/A N/A HUMAN RIGHTS NATIONAL BUREAU OF ASIAN RESEARCH 1414 NE 42ND STREET SUITE 300 SEATTLE WA 98105 911444105 501(C)(3) 35000 N/A N/A INTERNATIONAL STUDIES BIPARTISAN POLICY CENTER 1225 I STREET NW WASHINGTON DC 20005 731628382 501(C)(3) 26529 N/A N/A SUPPORT OF LEADERSHIP SPEAKER SERIES NORTH CASCADES INSTITUTE 810 STATE ROUTE 20 SEDROWOOLLEY WA 98284 911327775 501(C)(3) 25000 N/A N/A YOUTH LEADERSHIP CONFERENCE 6 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANT AGREEMENTS INCLUDE A REQUIREMENT TO REPORT BACK TO THE HENRY M. JACKSON ENDOWMENT ON THE USE OF GRANT FUNDS. REPORTING IS DONE ON AN ANNUAL BASIS UNLESS OTHERWISE STIPULATED. GRANT REPORTS (FROM GRANTEES) ARE REVIEWED, MONITORED AND DISCUSSED WITH GRANTEES IF DEEMED NECESSARY. REVIEW IS DONE BY A STAFF PROGRAM OFFICER AND, UPON OCCASION, BY THE EXECUTIVE DIRECTOR. 0 0 0 0 0 0 0 0 0 LARA IGLITZIN 0 158650 0 0 0 0 0 0 0 3924 0 162574 0 0 SUPPLEMENTAL INFORMATION PART III THE ORGANIZATION RELIED ON THE COMPENSATION AS DETERMINED BY THE RELATED ORGANIZATION, HENRY M. JACKSON FOUNDATION. COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE. ANY ADJUSTMENTS TO SALARIES MUST BE VOTED ON AND APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART I, LINE 6 THE BOARD OF GOVERNORS IS COMPRISED OF VOLUNTEERS, 12 INDIVIDUALS SERVED THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION A, LINE 2 HELEN H. JACKSON AND ANNA MARIE LAURENCE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ENDOWMENT PAYS A MANAGEMENT COMPANY FOR THE SERVICES OF ITS CFO. FORM 990, PART VI, SECTION B, LINE 11 BOARD MEMBERS ARE PROVIDED WITH A COPY OF FORM 990, FIRST IN DRAFT FORM AND AGAIN ONCE THE EXECUTIVE COMMITTEE AND THE FINANCE COMMITTEE MEMBERS HAVE PERFORMED THEIR REVIEW AND THE RETURN IS FINALIZED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, AT THE BOARD OF DIRECTORS MEETING, ALL OFFICERS ARE REQUIRED TO SIGN A NEW CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS. THE ENDOWMENT MAINTAINS, ON FILE, THE SIGNED COPIES FROM THE BOARD MEMBERS. GUIDELINES ARE DISCUSSED AT THAT MEETING AND ALL BOARD MEMBERS ARE MADE AWARE OF THE IMPORTANCE OF THIS POLICY. THE EXECUTIVE COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. IF A CONFLICT ARISES, THE CONFLICTED BOARD MEMBER RECUSES HIMSELF/HERSELF FROM VOTING ON THE MATTER. THE EXECUTIVE DIRECTOR'S SALARY IS PAID AND DETERMINED BY THE HENRY M. JACKSON FOUNDATION. COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE. ANY ADJUSTMENTS TO SALARIES MUST BE VOTED ON AND APPROVED BY THE EXECUTIVE COMMITTEE. SALARIES ARE COMPARED TO BUDGET DURING THE YEAR TO ENSURE CORRECTNESS OF PAY. THIS IS DONE AT THE BEGINNING OF EACH FISCAL YEAR AS PART OF THE BUDGETING PROCESS. OUTSIDE DATA FROM UNITED WAY AND SEVERAL OTHER SOURCES WAS UTILIZED IN THE FISCAL YEAR 2012 BUDGET PLANNING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII AVERAGE NUMBER OF HOURS WORKED PER WEEK BY PERSONS DISCLOSED IN PART VII, SECTION A, AT A RELATED ORGANIZATION: LARA IGLITZIN - 40 HOURS TAMMY HELGESON - 3 HOURS HELEN H. JACKSON - 2 HOURS JOHN HEMPELMANN - 6 HOURS CRAIG GANNETT - 4 HOURS LINDA MASON WILGIS - 2 HOURS DAVID ROSTOV - 2 HOURS ANNA MARIE LAURENCE - 2 HOURS JOEL C. MERKEL - 2 HOURS CHARLES R. BLUMENFELD - 2 HOURS SUSAN GOLUB - 2 HOURS EILEEN GREVEY HILLSON - 2 HOURS TOM LUCE - 2 HOURS SUSAN T. WICKWIRE - 2 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 927,643. HENRY M JACKSON FOUNDATION 1501- 4TH AVE SUITE 1580 SEATTLE WA 98101 521313011 SUPPORT EDUCATIONAL PROGRAMS DC 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0