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        <AddressLine1>12330 NE 8TH STREET SUITE 101</AddressLine1>
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    <Filer>
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        <BusinessNameLine1>RICK PANKOW FOUNDATION</BusinessNameLine1>
      </Name>
      <NameControl>RICK</NameControl>
      <Phone>4254745168</Phone>
      <USAddress>
        <AddressLine1>18654 NW BERNINA COURT</AddressLine1>
        <City>ISSAQUAH</City>
        <State>WA</State>
        <ZIPCode>980277881</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DAVE BRASHER</Name>
      <Title>PRESIDENT</Title>
      <Phone>4254745168</Phone>
      <DateSigned>2012-08-24</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>S SCOTT KRAHLING CPA</Name>
      <Phone>4258275622</Phone>
      <DatePrepared>2012-08-24</DatePrepared>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <WebSite>WWW.RICKPANKOWFOUNDATION.ORG</WebSite>
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      <InfoInScheduleOPartI>X</InfoInScheduleOPartI>
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      <InvestmentIncome>961</InvestmentIncome>
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      <SpecialEventsDirectExpenses>8824</SpecialEventsDirectExpenses>
      <SpecialEventsNetIncomeLoss>11201</SpecialEventsNetIncomeLoss>
      <TotalRevenue>37881</TotalRevenue>
      <GrantsAndSimilarAmountsPaid>14443</GrantsAndSimilarAmountsPaid>
      <FeesAndOthPymtToIndContractors>460</FeesAndOthPymtToIndContractors>
      <OtherExpensesTotal>5039</OtherExpensesTotal>
      <TotalExpenses>19942</TotalExpenses>
      <ExcessOrDeficitForYear>17939</ExcessOrDeficitForYear>
      <NetAssetsOrFundBalancesBOY>198915</NetAssetsOrFundBalancesBOY>
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        <EOY>216854</EOY>
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      <PrimaryExemptPurpose>SEE ATTACHED SCHEDULE</PrimaryExemptPurpose>
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        <DescriptionProgramServiceAccom>PROVIDED FINANCIAL SUPPORT TO INDIVIDUALS (NOT A DISQUALIFIED PERSON) WHO INCURRED SUBSTANTIAL UNINSURED MEDICAL EXPENSES.</DescriptionProgramServiceAccom>
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      <ProgramServiceAccomplishment>
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          <State>WA</State>
          <ZIPCode>98296</ZIPCode>
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        <AddressUS>
          <AddressLine1>215 LESTER WAY</AddressLine1>
          <City>SEQUIM</City>
          <State>WA</State>
          <ZIPCode>98382</ZIPCode>
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        <Title>PRESIDENT</Title>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">LINDA PANKOW</PersonName>
        <AddressUS>
          <AddressLine1>13204 NE 117TH WAY</AddressLine1>
          <City>REDMOND</City>
          <State>WA</State>
          <ZIPCode>98052</ZIPCode>
        </AddressUS>
        <Title>DIRECTOR</Title>
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        <Compensation>0</Compensation>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">CHUCK BURGET</PersonName>
        <AddressUS>
          <AddressLine1>27310 - 145TH COURT SE</AddressLine1>
          <City>KENT</City>
          <State>WA</State>
          <ZIPCode>98042</ZIPCode>
        </AddressUS>
        <Title>DIRECTOR</Title>
        <AvgHoursPerWkDevotedToPosition>1.31</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">CINDI NORDNESS</PersonName>
        <AddressUS>
          <AddressLine1>535 14TH AVENUE WEST</AddressLine1>
          <City>KIRKLAND</City>
          <State>WA</State>
          <ZIPCode>98033</ZIPCode>
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        <Title>DIRECTOR</Title>
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        <Compensation>0</Compensation>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">DARIN BENSON</PersonName>
        <AddressUS>
          <AddressLine1>13618 - 179TH AVE NE</AddressLine1>
          <City>REDMOND</City>
          <State>WA</State>
          <ZIPCode>98052</ZIPCode>
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        <Title>SECRETARY</Title>
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        <PersonName referenceDocumentId="RetDoc1">SHELLY DUBOIS</PersonName>
        <AddressUS>
          <AddressLine1>PO BOX 77645</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98177</ZIPCode>
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        <Title>TREASURER</Title>
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        <Compensation>0</Compensation>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">MARTY BASK</PersonName>
        <AddressUS>
          <AddressLine1>18654 NW BERNINA CT</AddressLine1>
          <City>ISSAQUAH</City>
          <State>WA</State>
          <ZIPCode>98027</ZIPCode>
        </AddressUS>
        <Title>DIRECTOR</Title>
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        <Compensation>0</Compensation>
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      <MadeChangesToOrgnzngEtcDoc>false</MadeChangesToOrgnzngEtcDoc>
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      <OrganizationDissolvedEtc>false</OrganizationDissolvedEtc>
      <DidOrgFileForm1120POLThisYear>false</DidOrgFileForm1120POLThisYear>
      <MadeLoansToFromOfficers>false</MadeLoansToFromOfficers>
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          <ZIPCode>98177</ZIPCode>
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        <TelephoneNumber>4247475168</TelephoneNumber>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ForeignOffice>false</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>false</MaintainAnyDonorAdvisedFunds>
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      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
      <OperatingSchool>false</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>false</TrnsfrsExemptNonCharRelatedOrg>
      <PartVIOfCompOfHighestPaidEmpl>NONE</PartVIOfCompOfHighestPaidEmpl>
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        <CurrentTaxYearMinus1Year>24775</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25732</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>28400</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>20962</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24775</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25732</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>3539</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3306</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2042</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>961</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>5432</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16775</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14450</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10201</CurrentTaxYear>
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      <TotalSupport>218351</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>961</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.60210</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.58980</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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        <CharitableContributionsEvent1>9405</CharitableContributionsEvent1>
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      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 16</ReturnReference>
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        <PersonName>CHRIS ENGSTROM</PersonName>
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        <PersonName>LINDA PANKOW</PersonName>
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      <Compensation>
        <PersonName>CHUCK BURGET</PersonName>
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        <PersonName>CINDI NORDNESS</PersonName>
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        <PersonName>SHELLY DUBOIS</PersonName>
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      <Compensation>
        <PersonName>MARTY BASK</PersonName>
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