Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 01-01-2012 , and ending 12-31-2012
Name of foundation
R&H ROSEN FAMILY FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 5003   Room/suite
City or town, state, and ZIP code
BELLEVUE, WA980095003
A Employer identification number

91-1304542
B Telephone number (see instructions)

(425) 454-3030
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$7,640,950
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,000,000
2 Check bullet
3 Interest on savings and temporary cash investments 3,418 3,418 3,418
4 Dividends and interest from securities......      
5a Gross rents.............. 1,448,650 137,725 1,448,650
b Net rental income or (loss) 192,978
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 2,452,068 141,143 1,452,068
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 751     751
b Accounting fees (attach schedule)....... 1,950 300 300 1,650
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)        
19 Depreciation (attach schedule) and depletion... 246,884 12,378 246,884
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,013,530 73,158 1,008,788 4,742
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,263,115 85,836 1,255,972 7,143
25 Contributions, gifts, grants paid........ 382,000 382,000
26 Total expenses and disbursements. Add lines 24 and 25 1,645,115 85,836 1,255,972 389,143
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 806,953
b Net investment income (if negative, enter -0-) 55,307
c Adjusted net income (if negative, enter -0-)... 196,096
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 213,125 1,184,912 1,184,912
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 6,857,745 Click to see attachment6,456,038 6,456,038
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment16,100    
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,086,970 7,640,950 7,640,950
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 7,086,970 7,640,950
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 7,086,970 7,640,950
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,086,970 7,640,950
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 7,086,970
2 Enter amount from Part I, line 27a..................... 2 806,953
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 172,664
4 Add lines 1, 2, and 3.......................... 4 8,066,587
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 425,637
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 7,640,950
Form 990-PF (2012)
Form 990-PF (2012)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2011 411,899 7,575,223 0.054375
2010 503,680 7,558,896 0.066634
2009 513,149 7,661,498 0.066978
2008      
2007      
2 Total of line 1, column (d) ...................... 2 0.187987
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.062662
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 6,901,881
5 Multiply line 4 by line 3....................... 5 432,486
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 553
7 Add lines 5 and 6......................... 7 433,039
8 Enter qualifying distributions from Part XII, line 4.............. 8 389,143
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 1,106
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 1,106
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,106
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 151
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 3,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,151
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 21
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,024
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet2,024 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
Yes
 
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletWA
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletSTANLEY G ROSEN Telephone no.bullet (425) 454-3030
    Located atbulletPO BOX 5003BELLEVUEWA ZIP+4bullet980095003
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    STANLEY ROSENClick to see attachment PRESIDENT
    2.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    MICHELE ROSENClick to see attachment VICE PRES
    2.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    JUDITH DE JONGEClick to see attachment VICE PRES
    2.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    MIRIAM ROSENClick to see attachment SECY/TREAS
    2.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    JACOB ROSENClick to see attachment DIRECTOR
    1.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    JANET GRAYClick to see attachment ADVISORY DIR
    0.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    ANSON LAYTNERClick to see attachment ADVISORY DIR
    0.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    HERB PRUZANClick to see attachment ADVISORY DIR
    0.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    NEIL ROSSClick to see attachment ADVISORY DIR
    0.00
    0 0 0
    PO BOX 5003
    BELLEVUE,WA980095003
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 GRANTS MADE TO 24 CHARITABLE 501(C)(3) ORGANIZATIONS IN KEEPING WITH THE PURPOSES OF THIS FOUNDATION 389,143
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    6,656,892
    b
    Average of monthly cash balances.......................
    1b
    348,752
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,342
    d
    Total (add lines 1a, b, and c).........................
    1d
    7,006,986
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    7,006,986
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    105,105
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,901,881
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    345,094
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    345,094
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    1,106
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,106
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    343,988
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    343,988
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    343,988
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    389,143
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    389,143
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    389,143
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2011
    (c)
    2011
    (d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 343,988
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009....... 132,141
    d From 2010....... 129,943
    e From 2011....... 34,577
    fTotal of lines 3a through e......... 296,661
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 389,143
    a Applied to 2011, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
     
    d Applied to 2012 distributable amount..... 343,988
    e Remaining amount distributed out of corpus 45,155
    5 Excess distributions carryover applied to 2012.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 341,816
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
     
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    341,816
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009.... 132,141
    c Excess from 2010.... 129,943
    d Excess from 2011.... 34,577
    e Excess from 2012.... 45,155
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    STANLEY ROSEN
    JUDITH DE JONGE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:
    STAN MICHELE OR MIRIAM ROSEN
    PO BOX 5003
    BELLEVUE,WA980095003
    (425) 454-3030
    bThe form in which applications should be submitted and information and materials they should include:
    THERE IS NO PRESCRIBED FORM. APPLICATIONS SHOULD INCLUDE A DESCRIPTION OF THE ORGANIZATION, ITS MISSION AND HOW IT IS CARRIED OUT; CURRENT AND PRIOR YEAR FINANCIAL DATA, AND CURRENT AND FUTURE YEAR BUDGET. APPLICANTS MUST DEMONSTRATE 501(C)(3) STATUS.
    cAny submission deadlines:
    APPLICATIONS CAN BE MADE AT ANY TIME. THE GRANTS ARE GENERALLY DETERMINED BY NOVEMBER OF THE PRECEDI
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    RECIPIENTS MUST FURTHER THE PRIMARY PURPOSE OF THE ORGANIZATION WHICH INCLUDE PROVIDING FOR THE RELIGIOUS, SCIENTIFIC, CULTURAL AND CHARITABLE NEEDS OF JEWISH ORGANIZATIONS AND THEIR CONSTITUENTS, AS WELL AS TO OTHER ORGANIZATIONS WHICH ENHANCE THE EDUCATION AND WELL-BEING OF CHILDREN AND YOUNG ADULTS.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN JEWISH JOINT
    DISTRIBUTION
    711 - 3RD AVE 10TH FL
    NEW YORK,NY10017
    NONE TAXEXEMPT ANNUAL FUND 25,000
    AMERICAN JEWISH WORLD SVC
    45 W 36TH ST 11TH FL
    NEW YORK,NY10018
    NONE TAXEXEMPT ANNUAL FUND 20,000
    BELLEVUE ART MUSEUM
    510 BELLEVUE WAY NE
    BELLEVUE,WA98004
    NONE TAXEXEMPT FREE 1ST FRIDAY LECTURE SERIES 10,000
    BELLEVUE COLLEGE
    3000 LANDERHOLM CIRCLE SE
    BELLEVUE,WA98007
    NONE TAXEXEMPT CAPITAL CAMPAIGN 33,000
    HILLEL FOUNDATION AT UW
    4745 - 17TH AVE NE
    SEATTLE,WA98105
    NONE TAXEXEMPT ANNUAL FUND 10,000
    HILLEL FOUNDATION AT UW
    4745 - 17TH AVE NE
    SEATTLE,WA98105
    NONE TAXEXEMPT HILLEL FEST 10,000
    JEWISH DAY SCHOOL
    15749 NE 4TH
    BELLEVUE,WA98008
    NONE TAXEXEMPT ANNUAL FUND 10,000
    JEWISH FAMILY SERVICE
    1601 - 16TH AVE
    SEATTLE,WA98122
    NONE TAXEXEMPT FAMILY MATTERS CAMPAIGN 66,000
    JEWISH FEDERATION
    GREATER SEATTLE
    2031 - 3RD AVE
    SEATTLE,WA98121
    NONE TAXEXEMPT ANNUAL FUND 10,000
    JEWISH WOMENS ARCHIVE
    1 HARVARD ST
    BROOKLINE,MA02445
    NONE TAXEXEMPT FUND FOR THE FUTURE 10,000
    JUVENILE DIABETES RSRCH
    1215 - 4TH AVE 1400
    SEATTLE,WA98161
    NONE TAXEXEMPT ANNUAL FUND 15,000
    NEW ISRAEL FUND
    330 SEVENTH AVE 11TH FLR
    NEW YORK,NY10001
    NONE TAXEXEMPT EQUALITY & DIGNITY FOR WOMEN 10,000
    NW SCHOOL HEARING IMPAIR
    15303 WESTMINSTER WAY N
    SHORELINE,WA98133
    NONE TAXEXEMPT ANNUAL FUND 1,000
    PRIDE FOUNDATION
    1122 E PIKE PMB 1001
    SEATTLE,WA98122
    NONE TAXEXEMPT SCHOLARSHIP FUNDRAISER 2,500
    REPAIR THE WORLD
    555 8TH AVE 1703
    NEW YORK,NY10018
    NONE TAXEXEMPT SOCIAL JUSTICE PROGRAM 10,000
    SEATTLE ACADEMY
    1201 E UNION
    SEATTLE,WA98122
    NONE TAXEXEMPT ENDOWMENT FUND 10,000
    SEATTLE JEWISH COMMUNITY
    SCHOOL
    12351 - 8TH AVE NE
    SEATTLE,WA98125
    NONE TAXEXEMPT ANNUAL FUND 5,000
    SEATTLE JEWISH FILM
    FESTIVAL
    1402 - 3RD AVE 405
    SEATTLE,WA98101
    NONE TAXEXEMPT ANNUAL FUND 5,000
    SOLID GROUND
    1501 N 45TH
    SEATTLE,WA98103
    NONE TAXEXEMPT BROADVIEW SHELTER 10,000
    STROUM JEWISH COMMUNITY
    CENTER
    3801 E MERCER WAY
    MERCER ISLAND,WA98040
    NONE TAXEXEMPT SHALOM BABY FUND 5,000
    TEMPLE B'NAI TORAH
    15727 NE 4TH ST
    BELLEVUE,WA98008
    NONE TAXEXEMPT FINANCIAL STABILITY FUND 12,000
    UNITED WAY OF KING CNTY
    720 - 2ND AVE
    SEATTLE,WA98104
    NONE TAXEXEMPT SAFETY NET SERVICES 10,000
    UNIV OF WA JEWISH STUDIES
    THOMSON HALL BOX 353650
    SEATTLE,WA98195
    NONE TAXEXEMPT HEBREW INSTRUCTORSHIP 12,500
    URJ CAMP KALSMAN
    3805 - 108TH AVE NE 100
    BELLEVUE,WA98004
    NONE TAXEXEMPT CAPITAL CAMPAIGN 70,000
    Total .................................bullet 3a 382,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 3,418  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property...... 531120 140,789      
    bNot debt-financed property.....     16 52,189  
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory          
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 140,789 55,607  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13196,396
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2012
    Name of the organization
    R&H ROSEN FAMILY FOUNDATION
     
    Employer identification number

    91-1304542
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    R&H ROSEN FAMILY FOUNDATION
     
    Employer identification number

    91-1304542
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
         
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    RITA ROSEN    
    PO BOX 5003
       
    BELLEVUE, WA   980095003

    $500,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
     
     

    STANLEY MICHELE ROSEN    
    PO BOX 5003
       
    BELLEVUE, WA   980095003

    $250,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
     
     

    KRIJN JUDITH DE JONGE    
    1920 - 7TH AVE W
       
    SEATTLE, WA   98119

    $250,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    R&H ROSEN FAMILY FOUNDATION
     
    Employer identification number

    91-1304542
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
         
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    R&H ROSEN FAMILY FOUNDATION
     
    Employer identification number

    91-1304542
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2012 AccountingFeesSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CPA FEES 1,950 300 300 1,650

    TY 2012 CompensationExplanation
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Person Name Explanation
    STANLEY ROSEN  
    MICHELE ROSEN  
    JUDITH DE JONGE  
    MIRIAM ROSEN  
    JACOB ROSEN  
    JANET GRAY  
    ANSON LAYTNER  
    HERB PRUZAN  
    NEIL ROSS  

    TY 2012 InvestmentsOtherSchedule2
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    REAL ESTATE LLCS & PARTNERSHIPS FMV 6,456,038 6,456,038

    TY 2012 LegalFeesSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 751     751


    TY 2012 OtherAssetsSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    STOCK PROCEEDS IN TRANSIT 16,100    


    TY 2012 OtherDecreasesSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Description Amount
    FEDERAL INCOME TAX 25,000
    UNREALIZED LOSSES, BOOK 400,637


    TY 2012 OtherExpensesSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BONNEY LAKE VILLAGE 12%        
    SCHEDULE ATTACHED 107,708   107,708  
    EASTLAKE BUSINESS PK 17.5%        
    SCHEDULE ATTACHED 76,711   76,711  
    HILLSIDE PLAZA 2.703%        
    SCHEDULE ATTACHED 26,143   26,143  
    KENT BUSINESS CAMPUS 14%        
    SCHEDULE ATTACHED 166,350   166,350  
    KENT BUSINESS CAMPUS 2.5%        
    SCHEDULE ATTACHED 29,705   29,705  
    KIRKLAND WAY 8%        
    SCHEDULE ATTACHED 18,756   18,756  
    LYNNWOOD EAST 11%        
    SCHEDULE ATTACHED 55,634   55,634  
    LYNNWOOD BUSINESS CTR 5%        
    SCHEDULE ATTACHED 12,501   12,501  
    QUAD 95 5%        
    SCHEDULE ATTACHED 21,605   21,605  
    PARK HEIGHTS 2.9195%        
    SCHEDULE ATTACHED 5,338   5,338  
    WILLOWS PARK 2.9195%        
    SCHEDULE ATTACHED 6,783   6,783  
    STEVENS HLTH CENTER 5%        
    SCHEDULE ATTACHED 11,735   11,735  
    RH LYNNWOOD CORPORATE 1.5%        
    SCHEDULE ATTACHED 15,591   15,591  
    DELTA BUSINESS PK 5.375%        
    SCHEDULE ATTACHED 20,189   20,189  
    ROSEN BEL-KIRK BLDG 5%        
    SCHEDULE ATTACHED 89,303   89,303  
    SMOKEY PT SHOPPING 3.2204%        
    SCHEDULE ATTACHED 21,735   21,735  
    SMOKEY PT SHOPPING .8475%        
    SCHEDULE ATTACHED 5,720   5,720  
    SIXTH AVE PLAZA 1.9802%        
    SCHEDULE ATTACHED 26,313   26,313  
    STEVENS HEALTH CTR 25.7143%        
    SCHEDULE ATTACHED 57,994   57,994  
    SHANE PLAZA 4.5%        
    SCHEDULE ATTACHED 31,785   31,785  
    WILLOWS 124 3.254246%        
    SCHEDULE ATTACHED 22,730   22,730  
    WOODINVILLE WAREHOUSE 5%        
    SCHEDULE ATTACHED 22,608   22,608  
    INTERBAY BLDG 3.575017%        
    SCHEDULE ATTACHED 430   430  
    MT SI SHOPPING CTR 13.4328%        
    SCHEDULE ATTACHED 72,022   72,022  
    MARYMOOR WAREHOUSE 6.25%        
    SCHEDULE ATTACHED 112 112 112  
    MILITARY ROAD SOUTH 10%        
    SCHEDULE ATTACHED 50,529 50,529 50,529  
    BEAR CREEK PLAZA 6.25%        
    SCHEDULE ATTACHED 12,981 12,981 12,981  
    NORTHCREEK BUSINESS PARK 5%        
    SCHEDULE ATTACHED 9,536 9,536 9,536  
    SEAPROP BUILDING 8%        
    SCHEDULE ATTACHED 10,241   10,241  
    EXPENSES        
    BANK CHARGES 499     499
    INSURANCE 4,008     4,008
    STATE LICENSES 35     35
    OFFICE SUPPLIES 200     200


    TY 2012 OtherIncreasesSchedule
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Description Amount
    BOOK/TAX DIFFERENCE IN RENTAL INCOME 172,664


    TY 2012 SubstantialContributorsSch
    Name:
    R&H ROSEN FAMILY FOUNDATION
    EIN: 91-1304542
    Name Address
    STANLEY MICHELE ROSEN PO BOX 5003
    BELLEVUE,WA980095003
    KRIJN JUDITH DE JONGE 1920 - 7TH AVE W
    SEATTLE,WA98119