Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
MEDINA FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)801 SECOND AVENUE NO 1300   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98104
A Employer identification number

91-0745225
B Telephone number (see instructions)

(206) 652-8780
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E 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$97,136,470
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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)  
2 Check bullet
3 Interest on savings and temporary cash investments 33 33  
4 Dividends and interest from securities...... 2,264,524 2,264,578  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,112,052
b Gross sales price for all assets on line 6a 41,621,177
7 Capital gain net income (from Part IV, line 2)... 3,112,250
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)....... 27,615 27,615  
12 Total. Add lines 1 through 11........ 5,404,224 5,404,476  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 160,688 16,069   144,619
14 Other employee salaries and wages...... 176,906 8,845   152,254
15 Pension plans, employee benefits....... 57,432 2,872   76,458
16a Legal fees (attach schedule)......... 320 0   320
b Accounting fees (attach schedule)....... 38,951 2,000   36,819
c Other professional fees (attach schedule).... 242,439 214,639   26,469
17 Interest...............   5    
18 Taxes (attach schedule) (see instructions) 115,000 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 17,659 0   17,659
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 110,812 1,469   111,171
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 920,207 245,899   565,769
25 Contributions, gifts, grants paid........ 3,556,437 3,861,935
26 Total expenses and disbursements. Add lines 24 and 25 4,476,644 245,899   4,427,704
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 927,580
b Net investment income (if negative, enter -0-) 5,158,577
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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............... 391,862 449,187 449,187
2 Savings and temporary cash investments.......... 3,816,649 4,756,173 4,756,173
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 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........... 7,820 3,504 3,504
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 46,790,191 Click to see attachment59,696,809 59,696,809
c Investments—corporate bonds (attach schedule)........ 27,739,185 Click to see attachment31,494,875 31,494,875
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 12,393,360 Click to see attachment698,747 698,747
14 Land, buildings, and equipment: basis bullet28,720
Less: accumulated depreciation (attach schedule) bullet28,720      
15 Other assets (describe bullet) Click to see attachment30,880 Click to see attachment37,175 Click to see attachment37,175
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 91,169,947 97,136,470 97,136,470
Liabilities 17 Accounts payable and accrued expenses.......... 20,731 11,957
18 Grants payable................... 494,998 189,500
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).......... 515,729 201,457
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 90,654,218 96,935,013
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).................... 90,654,218 96,935,013
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 91,169,947 97,136,470
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 90,654,218
2 Enter amount from Part I, line 27a..................... 2 927,580
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 5,353,215
4 Add lines 1, 2, and 3.......................... 4 96,935,013
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 96,935,013
Form 990-PF (2013)
Form 990-PF (2013)
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.)
1 a PUBLICLY TRADED SECURITIES      
b ALLIANCEBERNSTEIN HOLDING L.P.      
c WEATHERLOW FUND OFFSHORE P    
d SCS OPPORTUNITIES FUND P    
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 29,437,761   27,109,125 2,328,636
b       198
c 5,692,045   5,400,000 292,045
d 6,491,371   6,000,000 491,371
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       2,328,636
b       198
c       292,045
d       491,371
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 3,112,250
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))
2012 4,120,285 87,916,049 0.046866
2011 4,065,488 87,887,044 0.046258
2010 3,381,887 82,252,713 0.041116
2009 4,706,674 70,919,281 0.066367
2008 5,086,225 93,939,352 0.054144
2 Total of line 1, column (d) ...................... 2 0.254751
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 0.050950
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 92,193,101
5 Multiply line 4 by line 3....................... 5 4,697,238
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 51,586
7 Add lines 5 and 6......................... 7 4,748,824
8 Enter qualifying distributions from Part XII, line 4.............. 8 4,427,704
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 (2013)
Form 990-PF (2013)
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 1 103,172
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 0
3 Add lines 1 and 2............................ 3 103,172
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 103,172
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 124,665
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 129,665
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
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 26,493
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet26,493 RefundedBullet 11 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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 2013 or the taxable year beginning in 2013 (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.
    10
     
    No
    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 addressbulletWWW.MEDINAFOUNDATION.ORG
    14
    The books are in care ofbulletJENNIFER TEUNON Telephone no.bullet (206) 652-8780
    Located atbullet801 SECOND AVENUE SUITE 1300SEATTLEWA ZIP+4bullet98104
    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 2013, did the foundation have an interest in or a signature or other authority over YesNo
    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 (2013)
    Form 990-PF (2013)
    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
     
    No
    .........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 2013?.............
    1c
     
    No
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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 2013 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 2013.)....................
    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 2013?
    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
     
    No
    .........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 (2013)
    Form 990-PF (2013)
    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
    ADRIENNE QUINN FORMER EXECUTIVE DIRECTOR
    40.00
    135,656 15,884 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JENNIFER TEUNON EXECUTIVE DIRECTOR
    40.00
    9,148 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    PIPER HENRY KELLER PRESIDENT
    10.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    GAIL GANT VICE PRESIDENT
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    PATRICIA HENRY SECRETARY
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JEAN GARDNER TREASURER
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    HALEH CLAPP TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JAMES N CLAPP II TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MARGARET CLAPP TRUSTEE
    10.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MATTHEW N CLAPP JR TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    TAMSIN CLAPP TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    STEPHEN GANT TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JILL GARDNER TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MARION CLAPP RAWLINSON TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    ELIZABETH WILLIAMS TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    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
    AANA LAUCKHART PROGRAM OFFICER
    40.00
    81,499 10,689 0
    801 SECOND AVE SUITE 1300
    SEATTLE,WA98104
    JESSICA CASE PROGRAM OFFICER
    40.00
    70,567 7,409 0
    801 SECOND AVE SUITE 1300
    SEATTLE,WA98104
    Total number of other employees paid over $50,000...................bullet 0
    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
    LAIRD NORTON WEALTH MANAGEMENT INVESTMENT ADVISOR & CUSTODIAN 214,639
    801 2ND AVE SUITE 1600
    SEATTLE,WA98104
    Total number of others receiving over $50,000 for professional services.............bullet0
    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 HOMELESSNESS INITIATIVE EVALUATION & PLANNING. 12,401
    2 DOMESTIC VIOLENCE INITIATIVE ($1,466) AND SITE VISIT EXPENSES. 6,829
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 0
    2 0
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    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
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    4,609,655
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    103,172
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    103,172
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,506,483
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    4,506,483
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    4,506,483
    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
     
    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
     
    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
     
    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 (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2012
    (c)
    2012
    (d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 4,506,483
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 4,217,101
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 4,427,704
    a Applied to 2012, but not more than line 2a 4,217,101
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
    0
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2013 distributable amount..... 210,603
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2013. 0 0
    (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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........
    4,295,880
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
    0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012....  
    e Excess from 2013....  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 2013, 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) 2013 (b) 2012 (c) 2011 (d) 2010
             
    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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    AANA LAUCKHART PROGRAM OFFICER
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    (206) 652-8785
    bThe form in which applications should be submitted and information and materials they should include:
    SEE STATEMENT 14 AND WWW.MEDINAFOUNDATION.ORG
    cAny submission deadlines:
    NO APPLICATION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE STATEMENT 14 AND WWW.MEDINAFOUNDATION.ORG
    Form 990-PF (2013)
    Form 990-PF (2013)
    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
    ABUSED DEAF WOMEN'S ADVOCACY SERVICES
    8623 ROOSEVELT WAY NE
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    ABUSED DEAF WOMEN'S ADVOCACY SERVICES
    8623 ROOSEVELT WAY NE
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 12,000
    ALLIANCE FOR A BETTER COMMUNITY
    PO BOX 821
    RAYMOND,WA98577
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 5,000
    ALZHEIMER'S ASSOCIATION WESTERN & CENTRAL WA
    NORTH TOWER 100 W HARRISON STREET
    N200
    SEATTLE,WA98119
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GREG BARLOW 5,000
    AMERICA SCORES SEATTLE
    2450 6TH AVE S SUITE 203
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    API CHAYA
    PO BOX 14047
    SEATTLE,WA98114
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    ARC OF KING COUNTY
    233 6TH AVE N
    SEATTLE,WA98109
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    ARTS CORPS
    4408 DELRIDGE WAY SW SUITE 110
    SEATTLE,WA981061348
    NONE PC:509(A)(1) OR (A)( CREATIVE SCHOOLS INITIATIVE 15,000
    BELLARMINE PREPARATORY SCHOOL
    2300 S WASHINGTON
    TACOMA,WA984051399
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GOVERNOR GARDNER 10,000
    BEYOND SURVIVAL
    313 SOUTH I STREET
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    BIKE WORKS SEATTLE
    3715 SOUTH HUDSON STREET SUITE 111
    SEATTLE,WA98118
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING SUPPORT 20,000
    BOY SCOUTS OF AMERICA PACIFIC HARBORS COUNCIL
    4802 SOUTH 19TH ST
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( PARTNERS FOR SUCCESS 20,000
    BOYS & GIRLS CLUB OF THE LONG BEACH PENINSULA
    PO BOX 1172
    LONG BEACH,WA98631
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    BOYS & GIRLS CLUBS OF THE OLYMPIC PENINSULA
    PO BOX 4167
    SEQUIM,WA98382
    NONE INDIVIDUAL ONE INDIVIDUAL RECEIVED A GRANT FOR THE 2013 EVANS SCHOOL NONPROFIT LEADERSHIP INSTITUTE 3,100
    BOYS & GIRLS CLUBS OF THE OLYMPIC PENINSULA
    PO BOX 4167
    SEQUIM,WA98382
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    BOYS & GIRLS CLUBS OF THURSTON COUNTY
    905 24TH WAY SW SUITE A2
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    BRIDGE DISABILITY MINISTRIES
    12356 NORTHUP WAY SUITE 103
    BELLEVUE,WA980051956
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    BRIGID COLLINS FAMILY SUPPORT CENTER
    1231 N GARDEN ST STE 200
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    BUILDING CHANGES
    2014 E MADISON STE 200
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    CASA LATINA
    317 - 17TH AVENUE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    CATHERINE PLACE
    923 SOUTH 8TH STREET
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    CCS - BENEDICT HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( BENEDICT HOUSE 25,000
    CCS - DREXEL HOUSE
    CCS SW HEADQUARTERS 1323 SOUTH
    YAKIMA AVE
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( EMERGENCY SHELTER 25,000
    CCS - FEED THE HUNGRY
    PO BOX 1734
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( FEED THE HUNGRY 8,000
    CCS - GRAYS HARBOR YOUTH CENTER
    PO BOX 1734
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( GRAYS HARBOR YOUTH CENTER 10,000
    CCS - GROUNDWORK
    CCS HEADQUARTERS 100-23RD AVE S
    SEATTLE,WA981442302
    NONE PC:509(A)(1) OR (A)( GROUNDWORK PROJECT 10,000
    CCS - HOMEARISEREACH OUT
    CCS HEADQUARTERS 100-23RD AVE S
    SEATTLE,WA981442302
    NONE PC:509(A)(1) OR (A)( HOME ARISE REACH OUT 20,000
    CCS - HOPE HOUSE
    1133 RAILROAD AVE STE 100
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    CCS - HOSPITALITY KITCHEN
    CCS SW HEADQUARTERS 1323 YAKIMA
    AVES
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( HOSPITALITY KITCHEN 10,000
    CCS - KATHERINE'S HOUSE
    CCS HEADQUARTERS 100-23RD AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( KATHERINE'S HOUSE AND RITA'S HOUSE 20,000
    CCS - LAZARUS DAY CENTER
    416 - 2ND AVENUE
    SEATTLE,WA981940741
    NONE PC:509(A)(1) OR (A)( LAZARUS DAY CENTER 10,000
    CCS - PHOENIX HOUSING NETWORK
    7050 SOUTH G STREET
    TACOMA,WA98408
    NONE PC:509(A)(1) OR (A)( PHOENIX HOUSING NETWORK 25,000
    CCS - SACRED HEART SHELTER
    232 WARREN AVENUE N
    SEATTLE,WA98109
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    CCS - SOUTHWEST WA
    100 23RD AVE S
    SEATTLE,WA981442302
    NONE INDIVIDUAL ONE INDIVIDUAL RECEIVED A GRANT FOR THE 2013 EVANS SCHOOL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE 3,100
    CCS - ST MARTIN DE PORRES SHELTER
    1561 ALASKAN WAY S
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( HOUSING CASE MANAGEMENT 47,000
    CCS - ST MARTIN DE PORRES SHELTER
    1561 ALASKAN WAY S
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( ST. MARTIN DE PORRES SHELTER 20,000
    CCS - TACOMA AVENUE SHELTER
    CCS SW HEADQUARTERS 1323 S YAKIMA
    AVE S
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( TACOMA AVENUE SHELTER 20,000
    CCS - THE COMMUNITY KITCHEN
    2940 LIMITED LANE NW
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( THE COMMUNITY KITCHEN 7,000
    CCS - YOUTH TUTORING PROGRAM
    CCS HEADQUARTERS 100 23RD AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    CCSCHS - NOEL HOUSE
    118 BELL STREET
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    CCSCHS - ROSE OF LIMA
    118 BELL STREET
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    CENTER FOR HUMAN SERVICES
    17018 15TH AVE NE
    SHORELINE,WA98155
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    CHILD CARE RESOURCES
    1225 S WELLER ST STE 300
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    CHILDREN'S HOME SOCIETY OF WASHINGTON
    3300 NE 65TH STREET
    SEATTLE,WA981150190
    NONE PC:509(A)(1) OR (A)( NORTH SEATTLE & SOUTH KING COUNTY FAMILY CENTERS 35,000
    COASTAL HARVEST
    PO BOX 616
    HOQUIAM,WA98550
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    COCOON HOUSE
    2929 PINE ST
    EVERETT,WA98201
    NONE PC:509(A)(1) OR (A)( PROJECT SAFE PILOT 30,400
    COMMUNITIES IN SCHOOLS OF WASHINGTON
    1010 S 336TH STREET SUITE 205
    FEDERAL WAY,WA98003
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 63,000
    COMMUNITY ACTION OF SKAGIT COUNTY
    330 PACIFIC PLACE
    MOUNT VERNON,WA98273
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    COMMUNITY SCHOOLS COLLABORATION
    16256 MILITARY ROAD S STE 102
    SEATAC,WA98188
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    CONGREGATIONS FOR THE HOMELESS
    2650 148TH AVE SE STE 202
    BELLEVUE,WA98007
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    CRISIS CLINIC
    9725 3RD AVENUE NE SUITE 300
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( KING COUNTY 2-1-1 25,000
    DOMESTIC VIOLENCE & SEXUAL ASSAULT SERVICES OF WHATCOM COUNTY
    1407 COMMERCIAL ST
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    EASTSIDE ACADEMY
    1717 BELLEVUE WAY NE
    BELLEVUE,WA98004
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    EXODUS HOUSING
    PO BOX 1006
    SUMNER,WA98390
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    EXPRESS ADVANTAGE
    1741 - 4TH AVE S SUITE A
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING SUPPORT 175,000
    FAMILIES UNLIMITED NETWORK
    PO BOX 65672
    UNIVERSITY PLACE,WA98464
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    FAMILYWORKS
    PO BOX 31112
    SEATTLE,WA98103
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    FIRST PLACE
    PO BOX 22536
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    FIRST STEP FAMILY SUPPORT CENTER
    331 E 6TH ST
    PORT ANGELES,WA98362
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING SUPPORT 20,000
    FRIENDS OF YOUTH
    13116 NE 132ND ST
    KIRKLAND,WA98034
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    FRIENDSHIP HOUSE
    PO BOX 517
    MT VERNON,WA982730517
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    FRIENDSHIP HOUSE
    PO BOX 517
    MT VERNON,WA982730517
    NONE PC:509(A)(1) OR (A)( HUNGER TO HOPE CAPITAL CAMPAIGN 15,000
    GARDEN RAISED BOUNTY
    2016 ELLIOTT AVE NW
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    HAND IN HAND
    14 EAST CASINO ROAD SUITE E
    EVERETT,WA98208
    NONE PC:509(A)(1) OR (A)( SAFE PLACE EXPANSION 17,500
    HEALTHY FAMILIES OF CLALLAM COUNTY
    1210 EAST FRONT STREET SUITE C
    PORT ANGELES,WA983624325
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    HEARING SPEECH & DEAFNESS CENTER
    1625 19TH AVE
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( EARLY LEARNING & LANGUAGE: INTERVENTION SERVICES FOR CHILDREN WITH COMMUNICATION CHALLENGES 15,000
    HELPING HAND HOUSE
    PO BOX 710
    PUYALLUP,WA983710184
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    HILLTOP ARTISTS IN RESIDENCE
    PO BOX 6829
    TACOMA,WA98417
    NONE PC:509(A)(1) OR (A)( ARTS CONNECT 13,000
    HOPE IN CHRIST MINISTRIES
    837 - 4TH STREET
    BREMERTON,WA98337
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    HOPELINK
    10675 WILLOWS ROAD NE 275
    REDMOND,WA98052
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 65,000
    HOPEWORKS SOCIAL ENTERPRISES
    5830 EVERGREEN WAY
    EVERETT,WA98203
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    HOSPITALITY HOUSE
    15003 14TH AVE SW
    BURIEN,WA98166
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    INTERIM COMMUNITY DEVELOPMENT ASSOCIATION
    308 6TH AVE S
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    JUMPING MOUSE CHILDREN'S CENTER
    1809 SHERIDAN STREET
    PORT TOWNSEND,WA98368
    NONE INDIVIDUAL ONE INDIVIDUAL RECEIVED A GRANT FOR THE 2013 EVANS SCHOOL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE 3,100
    KINDERING CENTER
    16120 NE 8TH ST
    BELLEVUE,WA98008
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    KING COUNTY SEXUAL ASSAULT RESOURCE CENTER
    PO BOX 300
    RENTON,WA980570300
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    KITSAP ADULT CENTER FOR EDUCATION
    616 FIFTH ST
    BREMERTON,WA98337
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    LASA
    PO BOX 98619
    LAKEWOOD,WA98496
    NONE PC:509(A)(1) OR (A)( PRAIRIE OAKS AFFORDABLE HOUSING COMPLEX & CLIENT SERVICES CENTER 25,000
    LIFEWIRE
    PO BOX 6398
    BELLEVUE,WA980080398
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    LIFEWIRE
    PO BOX 6398
    BELLEVUE,WA980080398
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    LITTLE BIT THERAPEUTIC RIDING CENTER
    18669 NE 106TH ST
    REDMOND,WA98052
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    LOPEZ ISLAND FAMILY RESOURCE CENTER
    PO BOX 732
    LOPEZ ISLAND,WA98261
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    LOW INCOME HOUSING INSTITUTE
    2407 1ST AVE STE 200
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( URBAN REST STOP (URS) CENTERS 30,000
    LUMMI YOUTH ACADEMY
    2330 LUMMI VIEW DRIVE
    BELLINGHAM,WA98226
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    LUTHERAN COMMUNITY SERVICES
    115 NE 100TH STREET SUITE 200
    SEATTLE,WA98125
    NONE PC:509(A)(1) OR (A)( PERMANENCY PLANNING FOSTER CARE 25,000
    MARY'S PLACE
    PO BOX 1711
    SEATTLE,WA98111
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    MASON COUNTY SHELTER
    216 N FIRST STREET PO BOX 1777
    SHELTON,WA98584
    NONE PC:509(A)(1) OR (A)( MASON COUNTY EMERGENCY HOMELESS SHELTER CAPITAL PROJECT 30,000
    MERCY HOUSING NORTHWEST
    2505 3RD AVE STE 204
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 55,000
    MOTHER MENTORS OF WHIDBEY ISLAND
    PO BOX 92
    LANGLEY,WA982600092
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    NATIONAL PARK FOUNDATION
    1201 EYE STREET NW 550B
    WASHINGTON,DC20005
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, EUGENE F. QUINN MEMORIAL 10,000
    NOOKSACK INDIAN TRIBE
    PO BOX 157 5016 DEMING ROAD
    DEMING,WA98244
    NONE PC:509(A)(1) OR (A)( VETERAN'S PROGRAM 2,500
    NORTH KITSAP FISHLINE
    PO BOX 1517
    POULSBO,WA98370
    NONE INDIVIDUAL ONE INDIVIDUAL RECEIVED A GRANT FOR THE 2013 EVANS SCHOOL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE 3,100
    NORTH KITSAP FISHLINE
    PO BOX 1517
    POULSBO,WA98370
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    NORTHWEST FAMILY LIFE
    11320 ROOSEVELT WAY NE
    SEATTLE,WA98125
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    NORTHWEST HARVEST
    PO BOX 12272
    SEATTLE,WA98102
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    NORTHWEST PARKINSON'S FOUNDATION
    400 MERCER ST 504
    SEATTLE,WA98109
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GOVERNOR GARDNER 20,000
    NORTHWEST YOUTH SERVICES
    1020 N STATE STREET
    BELLINGHAM,WA982255012
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    OCEAN SHORES FOOD BANK
    PO BOX 1293
    OCEAN SHORES,WA985699901
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GREG BARLOW 5,000
    OLIVE CREST
    515 116TH AVE NE STE 174
    BELLEVUE,WA98004
    NONE PC:509(A)(1) OR (A)( SAFE FAMILIES FOR CHILDREN 25,000
    OLYMPIC PENINSULA YMCA
    302 S FRANCIS STREET
    PORT ANGELES,WA98362
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    OPERATION SACK LUNCH
    PO BOX 4128
    SEATTLE,WA98194
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    PARENT TRUST FOR WASHINGTON CHILDREN
    2200 RAINIER AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    PEACE COMMUNITY CENTER
    2106 SOUTH CUSHMAN AVE
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( 21ST CENTURY CAMPAIGN 25,000
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( 2013 MEMBERSHIP 12,235
    PIERCE COUNTY ALLIANCE
    510 TACOMA AVENUE SOUTH
    TACOMA,WA98402
    NONE PC:509(A)(1) OR (A)( FOSTER YOUTH TRANSITIONAL CARE SPECIALIST 24,000
    PLYMOUTH HOUSING GROUP
    2113 3RD AVENUE
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 75,000
    PLYMOUTH HOUSING GROUP
    2113 3RD AVENUE
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF ADRIENNE QUINN 3,000
    POWERFUL SCHOOLS
    3401 RAINIER AVE S SUITE C
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    REAL CHANGE
    219 FIRST AVE S 220
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    RENTON AREA YOUTH & FAMILY SERVICES
    PO BOX 1510
    RENTON,WA98057
    NONE PC:509(A)(1) OR (A)( SPARK T.H.I.S. PROGRAM 25,000
    RESCUE MISSION
    PO BOX 1912
    TACOMA,WA984011912
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    ROTARY FIRST HARVEST
    PO BOX 94117
    SEATTLE,WA98124
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    SEATTLE ARTS AND LECTURES
    105 S MAIN ST STE 201
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( WRITERS IN THE SCHOOLS 15,000
    SHARED HOUSING SERVICES
    901 S 11TH STREET
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    SOCIAL VENTURE PARTNERS
    1601 2ND AVE STE 605
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( 2013 MEMBERSHIP 6,000
    SOLID GROUND
    1501 N 45TH ST
    SEATTLE,WA981036708
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 55,000
    SOUTHWEST YOUTH & FAMILY SERVICES
    4555 DELRIDGE WAY SW
    SEATTLE,WA981061379
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 60,000
    ST THOMAS EPISCOPAL CHURCH
    PO BOX 124
    MEDINA,WA980390124
    NONE PC:509(A)(1) OR (A)( CAPITAL CAMPAIGN FOR NEW COMMUNITY CENTER 100,000
    SUMMER SEARCH
    1109 FIRST AVE STE 205
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    TACOMA AREA YOUTH FOR CHRIST
    PO BOX 834
    TACOMA,WA98401
    NONE PC:509(A)(1) OR (A)( TILLICUM YOUTH & FAMILY CENTER 15,000
    TECHNOLOGY ACCESS FOUNDATION
    605 SW 108TH STREET
    SEATTLE,WA98146
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    THE BOILER ROOM
    PO BOX 1659
    PORT TOWNSEND,WA98368
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    THE SEATTLE FOUNDATION
    1200 5TH AVE 1300
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GIVEBIG 25,000
    THE SHAREHOUSE
    5706 SECOND AVE SOUTH
    SEATTLE,WA98108
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    THRIVE BY FIVE WASHINGTON
    1111 THIRD AVENUE SUITE 210
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    TODDLER LEARNING CENTER
    PO BOX 633
    OAK HARBOR,WA98277
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    TOGETHER
    418 CARPENTER RD SE STE 203
    LACEY,WA98503
    NONE PC:509(A)(1) OR (A)( AFTER-SCHOOL AND TUTORING PROGRAMS 15,000
    TURNING POINTE DOMESTIC VIOLENCE SERVICES
    PO BOX 2014
    SHELTON,WA98584
    NONE INDIVIDUAL ONE INDIVIDUAL RECEIVED A GRANT FOR THE 2013 EVANS SCHOOL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE 3,100
    TURNING POINTE DOMESTIC VIOLENCE SERVICES
    PO BOX 2014
    SHELTON,WA98584
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    UNIVERSITY OF PUGET SOUND
    1500 N WARNER STREET 1080
    TACOMA,WA984161080
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GOVERNOR GARDNER 15,000
    VINE MAPLE PLACE
    PO BOX 1092
    MAPLE VALLEY,WA98038
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    VISION HOUSE
    PO BOX 2951
    RENTON,WA98059
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    WASHINGTON CONTEMPORARY BALLET
    8315 27TH STREET WEST
    UNIVERSITY PLACE,WA98466
    NONE PC:509(A)(1) OR (A)( BALLET FOR CHILDREN WITH SPECIAL NEEDS 5,000
    WASHINGTON MESA
    UNIVERSITY OF WASHINGTON 394
    SCHMITZ HALL BOX 355845
    SEATTLE,WA981955845
    NONE PC:509(A)(1) OR (A)( SEATTLE AND TACOMA/SOUTH PUGET SOUND MESA CENTERS 45,000
    WASHINGTON WOMEN'S EMPLOYMENT & EDUCATION
    3516 SOUTH 47TH ST 205
    TACOMA,WA98409
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    WELLSPRING FAMILY SERVICES
    1900 RAINIER AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    WOUNDED WARRIOR PROJECT
    4899 BELFORT ROAD STE 300
    JACKSONVILLE,FL32256
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GREG BARLOW 5,000
    YMCA OF GREATER SEATTLE
    909 FOURTH AVENUE
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( YOUTH SUMMER LEARNING PROGRAMS AT MATT GRIFFIN YMCA 30,000
    YMCA OF PIERCE & KITSAP COUNTIES
    1614 S MILDRED STREET SUITE 1
    TACOMA,WA98465
    NONE PC:509(A)(1) OR (A)( TEEN LATE NITE 25,000
    YMCA OF PIERCE & KITSAP COUNTIES
    1614 S MILDRED STREET SUITE 1
    TACOMA,WA98465
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF GOVERNOR GARDNER 5,000
    YOUNG LIFE CAPERNAUM
    PO BOX 55998
    SEATTLE,WA98155
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    YOUTHCARE
    2500 NE 54TH STREET
    SEATTLE,WA981053142
    NONE PC:509(A)(1) OR (A)( PROJECT SAFE PILOT 80,200
    YOUTHCARE
    2500 NE 54TH STREET
    SEATTLE,WA981053142
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING, IN HONOR OF ADRIENNE QUINN 3,000
    YWCA BELLINGHAM
    1026 NORTH FOREST ST
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING- HOMELESS HOUSING PROGRAM 25,000
    YWCA OF BELLINGHAM
    4120 MERIDIAN SUITE 220
    BELLINGHAM,WA98226
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    YWCA OF KITSAP COUNTY
    PO BOX 559
    BREMERTON,WA98310
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    YWCA OF OLYMPIA
    220 UNION AVE SE
    OLYMPIA,WA98501
    NONE PC:509(A)(1) OR (A)( EXPANSION OF STRATEGIC PLAN, GENERAL OPERATING 17,600
    YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
    1118 FIFTH AVENUE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( YOUNG PARENT PROGRAM 30,000
    YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
    1118 FIFTH AVENUE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    YWCA OF TACOMA & PIERCE COUNTY
    405 BROADWAY
    TACOMA,WA98402
    NONE PC:509(A)(1) OR (A)( STABLE HOUSING INITIATIVE 20,000
    ZENO
    1404 EAST YESLER WAY SUITE 204
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    Total .................................bullet 3a 3,861,935
    bApproved for future payment
    LOPEZ ISLAND FAMILY RESOURCE CENTER
    PO BOX 732
    LOPEZ ISLAND,WA98261
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    MOTHER MENTORS OF WHIDBEY ISLAND
    PO BOX 92
    LANGLEY,WA982600092
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    Total .................................bullet 3b 20,000
    Form 990-PF (2013)
    Form 990-PF (2013)
    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....          
    3
    Interest on savings and temporary cash investments ............
        14 33  
    4 Dividends and interest from securities....     14 2,267,802  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............
        18 3,112,052  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aCLASS ACTION SETTLEMENT INCOME     01 27,031  
    bCO-OP DISTRIBUTION     01 584  
    cOTHER INVESTMENT INCOME 523000 -3,278      
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. -3,278 5,407,502 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    135,404,224
    (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 (2013)
    Form 990-PF (2013)
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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 (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 38,951 2,000   36,819

    TY 2013 GeneralExplanationAttachment
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Identifier Return Reference Explanation
      FORM 990-PF, PART VII-B, QUESTION 1A (3) - A DISQUALIFIED PERSON FURNISHES FACILITIES TO THEFOUNDATION FREE OF CHARGE. THIS ACTIVITY IS NOT AN ACT OFSELF-DEALING AS CODIFIED IN I.R.C. SECTION 4941(D)(2)(C).(4) - THE FOUNDATION REIMBURSES BOARD MEMBERS FOR TRAVELRELATED TO THE FOUNDATION BUSINESS. THESE SERVICES ARENECESSARY IN CARRYING OUT THE FOUNDATION'S EXEMPT PURPOSEAND ARE NOT CONSIDERED AN ACT OF SELF DEALING UNDERI.R.C. SECTION 4941(D)(2)(C).
      FORM 990-PF, PART XV, LINE 2B, 2D FUNDING GUIDELINESTHE MEDINA FOUNDATION IS A FAMILY FOUNDATION THAT WORKS TO FOSTER POSITIVE CHANGE IN THE GREATER PUGET SOUND AREA. IN HONORING THE VISION OF OUR FOUNDER, NORTON CLAPP, THE MEDINA FOUNDATION ASPIRES TO IMPROVE LIVES BY FUNDING HUMAN SERVICE ORGANIZATIONS THAT PROVIDE DIRECT SUPPORT TO PUGET SOUND RESIDENTS.OUR ACTIVITIES ARE BASED ON THE FOLLOWING SET OF SHARED VALUES:- COMPASSION- INNOVATION- INTEGRITY- STEWARDSHIP- LEADERSHIP THE MEDINA FOUNDATION TAKES INTO CONSIDERATION MANY QUALITIES OF AN ORGANIZATION WHEN CONDUCTING GRANT REVIEWS.WE LOOK FOR ORGANIZATIONS THAT BOTH ENGAGE IN STRATEGIC PLANNING TO MEET WELL-MAPPED ORGANIZATIONAL GOALS AND SHOW POSITIVE RESULTS THROUGH THEIR PROGRAMS. WE FEEL ORGANIZATIONS THAT ARE DRIVEN BY STRONG LEADERSHIP, AN ENGAGED BOARD AND A DEDICATED EXECUTIVE DIRECTOR AND STAFF, HAVE A HIGH LIKELIHOOD OF SUCCESS.GRANT AMOUNTS AWARDED REFLECT BOTH THE NEEDS OF THE NONPROFIT AND THE FOUNDATION'S DESIRE TO SEE A DIVERSIFIED FUNDING BASE. TYPICALLY, THIS MEANS THAT OUR GRANTS ARE NO MORE THAN 10% OF AN OPERATING OR CAPITAL BUDGET. WE DO CONSIDER MAKING EXCEPTIONS FOR INNOVATIVE START-UPS. SINCE GRANT SIZES VARY WIDELY, PLEASE REVIEW THE GRANTS LIST TO GET A SENSE OF THE SIZE AND TYPES OF GRANTS THAT WE HAVE RECENTLY AWARDED. THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS QUALIFIED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CLASSIFIED AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTION 509(A). NO GRANTS ARE MADE TO RELIGIOUS INSTITUTIONS FOR RELIGIOUS PURPOSES OR TO ARTS, HEALTH CARE RELATED OR ENVIRONMENTAL PROGRAMS. FUNDING AREASWE FOCUS ON IMPROVING THE LIVES OF PUGET SOUND RESIDENTS BY FUNDING PROGRAMS THAT HELP PEOPLE ACHIEVE SELF-SUFFICIENCY. OUR PRIMARY AREAS OF FUNDING INCLUDE:- HOUSING & HOMELESSNESS - HOUSING AND RELATED SERVICES TO SUPPORT THOSE IN NEED, INCLUDING PROGRAMS THAT HELP PEOPLE BECOME SELF-SUFFICIENT - YOUTH DEVELOPMENT - PROGRAMS WORKING WITH AT-RISK YOUTH, SUCH AS MENTORING AND TUTORING- HUNGER - PROGRAMS WORKING TO ALLEVIATE HUNGER- EDUCATION - BIRTH TO 12TH-GRADE EDUCATIONAL OPPORTUNITIES, ADULT LITERACY AND OTHER PROGRAMS THAT ENHANCE ACADEMIC SKILLS- FAMILY SUPPORT - PROGRAMS FOR THOSE SUFFERING FROM THE EFFECTS OF DOMESTIC VIOLENCE, SERVICES FOR THOSE WITH DISABILITIES, SUBSTANCE ABUSE PREVENTION AND TREATMENT PROGRAMS, AND OTHER HUMAN SERVICES - ECONOMIC DEVELOPMENT - PROGRAMS WORKING TO HELP PEOPLE BECOME ECONOMICALLY SELF-SUFFICIENTGEOGRAPHIC FUNDING REGIONTHE MEDINA FOUNDATION FUNDS IN THE FOLLOWING GREATER PUGET SOUND COUNTIES OF WASHINGTON STATE: CLALLAM, GRAYS HARBOR, ISLAND, JEFFERSON, KING, KITSAP, MASON, PACIFIC, PIERCE, SAN JUAN, SKAGIT, SNOHOMISH, THURSTON AND WHATCOM.APPLICATION ASSISTANCEAFTER REVIEWING THE GRANT GUIDELINES, APPLICATION PROCESS AND FREQUENTLY ASKED QUESTIONS, FEEL FREE TO CONTACT THE FOUNDATION IF YOU NEED ASSISTANCE OR ARE STILL UNSURE WHETHER YOUR ORGANIZATION MIGHT BE ELIGIBLE FOR FUNDING.AANA LAUCKHARTPROGRAM OFFICER(206) 652-8785INFO@MEDINAFOUNDATION.ORG

    TY 2013 InvestmentsCorpBondsSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BLACKROCK STRATEGIC INCOME OPP 4,119,204 4,119,204
    PIMCO FLOATING INCOME FUND 1,055,389 1,055,389
    RIDGEWORTH SEIX FLOATING FUND 2,132,419 2,132,419
    ARTIO GLOBAL HIGH INCOME 0 0
    DRIEHAUS ACTIVE INCOME FUND 3,339,978 3,339,978
    EATON VANCE MULTI STRATEGY 10,419,239 10,419,239
    PIMCO TOTAL RETURN BOND FUND 7,821,420 7,821,420
    WILLIAM BLAIR BOND FUND 2,607,226 2,607,226

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Name of Stock End of Year Book Value End of Year Fair Market Value
    93 SHS ASTON RIVER RD FUND 1,256 1,256
    929309 SHS ASTON/LAKE PARTNERS LASSO 12,517,797 12,517,797
    53097 SHS GOLDMAN SACHS COMMODITY STRATEGY 301,062 301,062
    7947 SHS ISHARES MSCI EAFE INDEX FUND 0 0
    8400 SHS ISHARES RUSSELL 2000 GROWTH 1,138,284 1,138,284
    29450 SHS LONGLEF PARTNERS SMALL CAP FUND 955,961 955,961
    4522 SHS PIMCO COMMODITY RR 24,830 24,830
    120686 SHS VANGUARD INST'L INDEX FUND 20,429,769 20,429,769
    186965 SHS VANGUARD MID-CAP INDEX FUND 5,623,898 5,623,898
    13023 SHS VANGUARD SMALL CAP ETF 0 0
    8934 SHS WISDOMTREE INT'L SMALL CAP 562,931 562,931
    109924 SHS ABERDEEN EMERGING MKTS 1,590,594 1,590,594
    47353 SHS DRIEHAUS INT'L SMALL CAP 513,302 513,302
    68140 SHS EATON VANCE PARAMETRIC 3,324,573 3,324,573
    70513 SHS HARBOR INT'L FUND 5,007,156 5,007,156
    121831 SHS U.S. GLOBAL RESOURCES FUND 1,133,026 1,133,026
    124783 SHS WILLIAM BLAIR EMERGING MKTS 1,669,599 1,669,599
    355 SHS SCHLUMBERGER LTD 0 0
    1657 SHS AFLAC INC 110,688 110,688
    4329 SHS AXA ADR 120,736 120,736
    263 SHS METTLER-TOLEDO INTERNATIONAL INC 63,801 63,801
    861 SHS PHILIP MORRIS INTERNATIONAL 75,019 75,019
    868 SHS ADIDAS AG SPONS ADR 55,752 55,752
    1582 SHS FUJI HEAVY INDUS UNSPONS ADR 90,997 90,997
    1987 SHS GRUPO TELEVISA SA DE CV ADR 0 0
    4901 SHS HENNES & MAURITZ AB- UNSPONS ADR 0 0
    1568 SHS HONDA MTR LTD ADR 64,837 64,837
    3128 SHS INDITEX UNSPONS ADR 103,287 103,287
    948 SHS MAGNA INTERNATIONAL INC CL A 77,793 77,793
    675 SHS NASPERS LTD SPONS ADR 0 0
    1640 SHS SWATCH GROUP AG UNSPONS ADR 54,448 54,448
    649 SHS TOYOTA MTR CORP SPONSD ADR 79,126 79,126
    1362 SHS VOLKSWAGEN AG SPONS ADR 76,871 76,871
    1553 SHS WAL MART DE MEXICO SPONS ADR 40,564 40,564
    207 SHS BRITISH AMERN TOB PLC SPNS ADR 22,236 22,236
    7659 SHS CARREFOUR SA SPONS ADR 60,353 60,353
    1867 SHS COCA-COLA HELLENIC BTTLG SPONS ADR 54,460 54,460
    860 SHS COMPANHIA DE BEBIDAS PR SPONS ADR 0 0
    2986 SHS COMPASS GROUP PLC SPONS ADR 48,161 48,161
    298 SHS DIAGEO PLC ADR 39,461 39,461
    800 SHS HENKEL AG & CO KGAA SPONS ADR 93,344 93,344
    815 SHS L'OREAL CO UNSPONS ADR 28,647 28,647
    1403 SHS KONINKLIJKE AHOLD SPONS ADR 0 0
    902 SHS NESTLE SA SPONS ADR FOR REG 66,378 66,378
    1569 SHS RECKITT BENCKISER GROUP SPONS ADR 25,245 25,245
    1196 SHS SABMILLER PLC SPONS ADR 61,331 61,331
    1042 SHS CANADIAN NATURAL RESOURCES 35,261 35,261
    403 SHS ECOPETROL SPONS ADR 0 0
    1941 SHS ENBRIDGE INCORPORATED 84,783 84,783
    888 SHS IMPERIAL OIL LTD 39,276 39,276
    664 SHS ROYAL DUTCH SHELL PLC-SPONS ADR 49,873 49,873
    1087 SHS WOODSIDE PETROLEUM SPONS ADR 37,745 37,745
    4009 SHS ALLIANZ SE SPONS ADR 72,683 72,683
    3458 SHS BANCO BILBAO VIZCAYA-SPONS ADR 0 0
    1992 SHS BANCO SANTANDER CHILE SPONS ADR 0 0
    938 SHS BANCOLOMBIA SPONS ADR 45,981 45,981
    4545 SHS BARCLAYS PLC ADR 82,401 82,401
    2990 SHS BNP PARIBAS ADR 117,208 117,208
    1988 SHS HSBC HOLDINGS PLC-SPONS ADR 109,598 109,598
    3278 SHS MUENCHENER UNSPONS ADR 72,896 72,896
    4208 SHS PRUDENTIAL PLC-ADR 189,360 189,360
    10670 SHS TURKIYE GARANTI BANKASI SPONS ADR 0 0
    1885 SHS UNITED OVERSEAS BANK-SPONS ADR 63,374 63,374
    1373 SHS ZURICH INSURANCE GROUP SPONS ADR 0 0
    1064 SHS COVIDIEN PLC 72,458 72,458
    2701 SHS CSL LTD UNSPONS ADR 83,110 83,110
    761 SHS ESSILOR INTL ADR 40,736 40,736
    1106 SHS FRESENIUS MEDICAL CARE AG AND CO ADR 0 0
    954 SHS LUXOTTICA GROUP SPA 51,440 51,440
    981 SHS MERCK KGAA UNSPONS ADR 58,811 58,811
    445 SHS NOVARTIS AG SPONSORED ADR 35,769 35,769
    250 SHS NOVO-NORDISK A S SPONS ADR 46,190 46,190
    1203 SHS ROCHE HLDG LTD SPONS ADR 84,451 84,451
    848 SHS SMITH & NEPHEW PLC-ADR 60,836 60,836
    326 SHS AAC TECH HLDGS UNSPONS ADR 15,961 15,961
    2644 SHS ABB LTD-SPON ADR 70,225 70,225
    1338 SHS ADECCO SA UNSPONS ADR 53,293 53,293
    594 SHS EMBRAER SA ADR 0 0
    3131 SHS FANUC CORP UNSPONS ADR 96,153 96,153
    1845 SHS GIVAUDAN SA UNSPONS ADR 52,804 52,804
    982 SHS JGC CORP UNSPONS ADR 76,694 76,694
    3155 SHS KOMATSU LTD SPONS ADR 64,930 64,930
    1354 SHS LVMH MOET HENNESSY LOUIS UNSPONS ADR 49,556 49,556
    1029 SHS RYANAIR HLDGS PLC SPONS ADR 48,291 48,291
    3151 SHS SANDVIK AB ADR 44,555 44,555
    504 SHS SIEMENS A G SPONSORED ADR 69,809 69,809
    1793 SHS SKF AB SPONS ADR 47,407 47,407
    1133 SHS TECHNIP ADR 27,373 27,373
    364 SHS WPP PLC SPONS ADR 41,809 41,809
    505 SHS DASSAULT SYS S A SPNS ADR 62,772 62,772
    3457 SHS FLEXTRONICS INTL LTD 26,861 26,861
    639 SHS GEMALTO SPONS ADR 35,516 35,516
    835 SHS SAP AKTIENGESELLSCHAFT SPNS ADR 72,762 72,762
    2356 SHS SINGAPORE TELECOM SPONS ADR 68,560 68,560
    3817 SHS TAIWAN SEMICONDUCTOR SPONS ADR 66,568 66,568
    3971 SHS TOKYO ELECTRON LTD UNSPONS ADR 54,919 54,919
    3584 SHS MTN GROUP LTD SPONS ADR 75,264 75,264
    4343 SHS TURKCELL ILETISIM HIZM SPONS ADR 57,979 57,979
    581 SHS BASF SE SPONS ADR 62,626 62,626
    712 SHS BAYER AG ADR 101,104 101,104
    784 SHS BHP BILLITON LTD ADR 53,469 53,469
    1593 SHS ISRAEL CHEMICALS LTD UNSPONS ADR 0 0
    1191 SHS KUBOTA LTDSPONSD SDR 99,568 99,568
    1748 SHS L'AIR LIQUIDE ADR 49,591 49,591
    2543 SHS NITTO DENKO CORP-UNSPONS ADR 54,242 54,242
    337 SHS RIO TINTO PLC SPNSD ADR 19,017 19,017
    528 SHS SOCIEDAD QUIMICA MINERA SPONS ADR 0 0
    2570 SHS SVENSKA CELLULOSA AB-SPONS ADR 79,362 79,362
    700 SHS SYNGENTA AG ADR 55,956 55,956
    2375 SHS VODAFONE GROUP ADR 0 0

    TY 2013 InvestmentsOtherSchedule2
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    GAM US INSTITUTIONAL DIVERSITY FMV 66,297 66,297
    SCS OPPORTUNITIES FUND FMV 632,450 632,450
    WEATHERLOW FUND FMV 0 0

    TY 2013 LegalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 320 0   320


    TY 2013 OtherAssetsSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS & INTEREST RECEIVABLE 30,880 37,175 37,175


    TY 2013 OtherExpensesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 5,626 0   5,626
    OFFICE EXPENSES 25,716 0   26,695
    TECHNOLOGY 17,026 0   17,026
    TRUSTEES EXPENSE 29,382 1,469   28,762
    PARKING EXPENSE 13,832 0   13,832
    PROGRAM EXPENSE 19,230 0   19,230


    TY 2013 OtherIncomeSchedule2
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ADJUSTMENT TO REVENUE PER BOOKS 3,278 0 3,278
    CLASS ACTION SETTLEMENT INCOME 27,031 27,031 27,031
    CO-OP DISTRIBUTION 584 584 584
    OTHER INVESTMENT INCOME -3,278   -3,278


    TY 2013 OtherIncreasesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 5,353,215


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 27,800 0   26,469
    INVESTMENT FEES 214,639 214,639   0


    TY 2013 TaxesSchedule
    Name:
    MEDINA FOUNDATION
    EIN: 91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 115,000 0   0