Form990-PF

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
THE BUNGIE FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)550 106TH AVE NE SUITE 207   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BELLEVUE, WA98004
A Employer identification number

27-2313989
B Telephone number (see instructions)

(425) 440-6862
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$910,389J 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) 20,120
2 Check bullet
3 Interest on savings and temporary cash investments 2,262 2,262  
4 Dividends and interest from securities......      
5a Gross rents..............      
b Net rental income or (loss)  
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)... 0
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........ 22,382 2,262  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,110 0   3,110
c Other professional fees (attach schedule).... Click to see attachment 10 0   10
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 43 0   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 3,048 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 106,732 0   106,732
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 112,943 0   109,852
25 Contributions, gifts, grants paid........ 244,234 244,234
26 Total expenses and disbursements. Add lines 24 and 25 357,177 0   354,086
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -334,795
b Net investment income (if negative, enter -0-) 2,262
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...............      
2 Savings and temporary cash investments.......... 1,247,249 839,510 839,510
3 Accounts receivable bullet44,971
Less: allowance for doubtful accounts bullet   42 44,971 44,971
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...........      
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)...........      
14 Land, buildings, and equipment: basis bullet30,480
Less: accumulated depreciation (attach schedule) bullet4,572 28,956 Click to see attachment25,908 25,908
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,276,247 910,389 910,389
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................... 31,063 0
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).......... 31,063 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 1,245,184 910,389
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,245,184 910,389
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,276,247 910,389
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 1,245,184
2 Enter amount from Part I, line 27a..................... 2 -334,795
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 910,389
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. 6 910,389
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.)
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))
2012 288,494 1,376,996 0.209510
2011 168,986 914,723 0.184740
2010 59,226 985,289 0.060110
2009      
2008      
2 Total of line 1, column (d) ...................... 2 0.454360
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 0.151453
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 1,125,599
5 Multiply line 4 by line 3....................... 5 170,475
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 23
7 Add lines 5 and 6......................... 7 170,498
8 Enter qualifying distributions from Part XII, line 4.............. 8 354,086
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 23
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 23
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 23
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 23
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet   RefundedBullet 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$ 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)
    bullet
    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 .Click to see attachment
    8b
     
    No
    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 addressbulletN/A
    14
    The books are in care ofbulletSHAWN TAYLOR Telephone no.bullet (425) 440-6862
    Located atbullet550 106TH AVENUE NE SUITE 207BELLEVUEWA ZIP+4bullet98004
    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
    HAROLD RYAN PRESIDENT
    0.50     		0 0 0
    550 106TH AVENUE NE SUITE 207
    BELLEVUE,WA98004
    BRENT ABRAHAMSEN SECRETARY
    0.50     		0 0 0
    550 106TH AVENUE NE SUITE 207
    BELLEVUE,WA98004
    ONDRAUS JENKINS DIRECTOR
    0.50     		0 0 0
    550 106TH AVENUE NE SUITE 207
    BELLEVUE,WA98004
    PETE PARSONS DIRECTOR
    0.50     		0 0 0
    550 106TH AVENUE NE SUITE 207
    BELLEVUE,WA98004
    ZACH RUSSELL DIRECTOR
    0.50     		0 0 0
    550 106TH AVENUE NE SUITE 207
    BELLEVUE,WA98004
    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 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
    NONE
    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 IPADS FOR KIDS PROGRAM AT SEATTLE CHILDRENS HOSPITAL LAUNCHED IN 2012. IN 2013, THE IPADS FOR KIDS PROGRAM SERVED APPROXIMATELY 450 PATIENTS IN THE FOLLOWING UNITS: SURGICAL, ICU, CANCER CARE, REHABILITATION, AND DIALYSIS. WE HAVE ALSO SUPPORTED THE FOLLOWING EMPLOYEE GROUPS, WHO UTILIZE THE PROGRAM TO WORK ONE ON ONE WITH THEIR PATIENTS EACH DAY: CHILD LIFE, MUSIC THERAPY, ART THERAPY, AND RECREATION THERAPY. 93,699
    2 THE BUNGIE FOUNDATION PURCHASED A PONTOON BOAT IN 2012 TO SOLELY BE USED BY CHARITY CHILDREN'S CAMPS AFFILIATED WITH CHILDREN'S HOSPITAL AND ASSOCIATED FOUNDATIONS. IN 2013, THE BOAT PROGRAM WAS USED AT THE SEATTLE CHILDREN'S STANLEY STAMM SUMMER CAMP FOR DISABLED AND SICK KIDS AND SERVED APPROXIMATELY 150 CHILDREN. 10,520
    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  
    2  
    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
    56,280
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    23
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    23
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    56,257
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    56,257
    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
    56,257
    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 56,257
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    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....... 53,839
    d From 2011....... 123,332
    e From 2012....... 219,730
    fTotal of lines 3a through e......... 396,901
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 354,086
    a Applied to 2012, but not more than line 2a 0
    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..... 56,257
    e Remaining amount distributed out of corpus 297,829
    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 5 694,730
    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 ..........     		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) .............     		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 ......     		694,730
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010.... 53,839
    c Excess from 2011.... 123,332
    d Excess from 2012.... 219,730
    e Excess from 2013.... 297,829
    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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    ACLU
    901 FIFTH AVE SUITE 630
    SEATTLE,WA98164     		NONE PC GENERAL SUPPORT 200
    ADOPTION MINISTRY OF YWAM
    731 W PIONEER
    PUYALLUP,WA98371     		NONE PC GENERAL SUPPORT 1,500
    AFRICAN MOTHER'S HEALTH INITIATIVE
    6808 BELFORD DRIVE
    TAKOMA PARK,MD20912     		NONE PC GENERAL SUPPORT 200
    AFRICAN WILDLIFE FUND
    1400 SIXTEENTH STREET NW SUITE 120
    WASHINGTON,DC20036     		NONE PC GENERAL SUPPORT 50
    AGAINST MALARIA FOUNDATION
    310 W 20TH STREET SUITE 300
    KANSAS CITY,MO64108     		NONE PC GENERAL SUPPORT 500
    ALLIANCE FOR EDUCATION - KNHC
    509 OLIVE WAY SUITE 500
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 100
    ALS ASSOCIATION
    19115 68TH AVENUE S SUITE H-105
    KENT,WA98032     		NONE PC GENERAL SUPPORT 225
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET NW
    ATLANTA,GA30303     		NONE PC GENERAL SUPPORT 50
    AMERICAN FOUNDATION FOR SUICIDE PREVENTION
    120 WALL STREET 29TH FLOOR
    NEW YORK,NY10005     		NONE PC GENERAL SUPPORT 50
    AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC
    822 JOHN STREET
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 500
    AMERICAN RED CROSS
    2025 E STREET NW
    WASHINGTON,DC20006     		NONE PC GENERAL SUPPORT 1,500
    ARCHDIOCESE OF SEATTLE
    710 9TH AVENUE
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 500
    ASPCA
    424 E 92ND STREET
    NEW YORK,NY10128     		NONE PC GENERAL SUPPORT 260
    ASSOCIATED FRIENDS OF ROOSEVELT DRAMA
    PO BOX 15886
    SEATTLE,WA98115     		NONE PC GENERAL SUPPORT 1,020
    AVON WALK FOR BREAST CANCER
    1 AVON PLAZA
    RYE,NY10580     		NONE PC GENERAL SUPPORT 125
    AZEOTROPE THEATER VIA ACT THEATER
    700 UNION STREET
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 250
    BARBELLS FOR BOOBS
    2777 S BRISTOL UNIT E
    COSTA MESA,CA92626     		NONE PC GENERAL SUPPORT 100
    BELLEVUE BOYS & GIRLS CLUB
    1402 3RD AVENUE 830
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 5,100
    BELLEVUE PRESBYTERIAN CHURCH
    1717 BELLEVUE WAY NE
    BELLEVUE,WA98003     		NONE PC GENERAL SUPPORT 4,355
    BENNETT ELEMENTARY PTSA
    17900 NE 16TH STREET
    BELLEVUE,WA98008     		NONE PC GENERAL SUPPORT 250
    BIKE WORKS
    3709 S FERDINARD STREET
    SEATTLE,WA98118     		NONE PC GENERAL SUPPORT 200
    BOTHELL FAMILY COOPERATIVE PRESCHOOL (FORMERLY LAKE FOREST PARK PRESCHOOL)
    17836 92ND AVENUE NE
    BOTHELL,WA98011     		NONE PC GENERAL SUPPORT 100
    BUCKY BEAVER PRESCHOOL
    13803 115TH AVENUE NE
    KIRKLAND,WA98034     		NONE PC GENERAL SUPPORT 1,300
    BURKE MUSEUM ASSOCIATION
    BOX 353010 UNIVERSITY OF WASHINGTON
    SEATTLE,WA98195     		NONE PC GENERAL SUPPORT 100
    CANCER RESEARCH INSTITUTE
    ONE EXCHANGE PLAZA 55 BROADWAY
    SUITE 1802
    NEW YORK,NY10006     		NONE PC GENERAL SUPPORT 150
    CFC
    PO BOX 729
    EASTSOUND,WA98245     		NONE PC GENERAL SUPPORT 5,000
    CHARITY WATER
    200 VARICK STREET SUITE 201
    NEW YORK,NY10014     		NONE PC GENERAL SUPPORT 425
    CHICAGO PUBLIC MEDIA
    848 EAST GRAND AVENUE NAVY PIER
    CHICAGO,IL60611     		NONE PC GENERAL SUPPORT 100
    CHILD'S PLAY CHARITY
    8040 161ST AVENUE NE PMB 418
    REDMOND,WA98052     		NONE PC GENERAL SUPPORT 10,525
    CHILD'S PLAY CHARITY
    8040 161ST AVENUE NE PMB 418
    REDMOND,WA98052     		NONE PC AUCTION ITEMS 267
    CHILDHAVEN
    316 BROADWAY
    SEATTLE,WA98122     		NONE PC GENERAL SUPPORT 250
    CHILDREN'S MIRACLE NETWORK
    205 W 700 S
    SALT LAKE CITY,UT84101     		NONE PC GENERAL SUPPORT 350
    COMMUNICATION INTEGRATION
    2601 NW 26TH STREET SUITE 408
    MIAMI,FL33142     		NONE PC GENERAL SUPPORT 1,000
    COMPASSION INTERNATIONAL
    12290 VOYAGER PARKWAY
    COLORADO SPRINGS,CO80997     		NONE PC GENERAL SUPPORT 500
    CONSERVATION FUND
    1655 N FORT MYER DRIVE SUITE 1300
    ARLINGTON,VA22209     		NONE PC GENERAL SUPPORT 10
    COYOTE CENTRAL
    2300 E CHERRY STREET
    SEATTLE,WA98122     		NONE PC GENERAL SUPPORT 100
    CROHNS & COLITIS FOUNDATION OF AMERICA
    386 PARK AVENUE SOUTH 14TH FLOOR
    NEW YORK,NY10016     		NONE PC GENERAL SUPPORT 1,300
    CYSTIC FIBROSIS FOUNDATION
    6931 ARLINGTON ROAD 2ND FLOOR
    BETHESDA,MD20814     		NONE PC GENERAL SUPPORT 500
    DEMOCRACY NOW
    207 W 25TH STREET FLOOR 11
    NEW YORK,NY10001     		NONE PC GENERAL SUPPORT 1,000
    DESC
    515 THIRD AVENUE
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 10
    DIRECT RELIEF
    27 S LA PATERA LANE
    SANTA BARBARA,CA93117     		NONE PC GENERAL SUPPORT 50
    DOCTORS WITHOUT BORDERS
    333 7TH AVENUE 2ND FLOOR
    NEW YORK,NY10001     		NONE PC GENERAL SUPPORT 1,545
    EARTHJUSTICE
    50 CALIFORNIA STREET SUITE 500
    SAN FRANCISCO,CA94111     		NONE PC GENERAL SUPPORT 500
    EASTSIDE BABY CORNER
    PO BOX 712
    ISSAQUAH,WA98027     		NONE PC GENERAL SUPPORT 250
    ELECTRONIC FRONTIER FOUNDATION
    815 EDDY STREET
    SAN FRANCISCO,CA94109     		NONE PC GENERAL SUPPORT 1,500
    EVERGREEN HEALTH FOUNDATION
    12040 NE 128TH STREET MS-5
    KIRKLAND,WA98034     		NONE PC GENERAL SUPPORT 150
    FAIR
    104 W 27TH STREET SUITE 10B
    NEW YORK,NY10001     		NONE PC GENERAL SUPPORT 500
    FERNWOOD PTSA
    3933 JEWELL ROAD
    BOTHELL,WA98012     		NONE PC GENERAL SUPPORT 530
    FOSTER KINSHIP
    S PARADISE ROAD SUITE A118
    LAS VEGAS,NV89119     		NONE PC GENERAL SUPPORT 12,050
    FRED HUTCHINSON CANCER RESEARCH CENTER
    1100 FAIRVIEW AVE N
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 350
    FUTUREWISE
    814 2ND AVE SUITE 500
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 100
    GEORGIA TECH ALUMNI ASSOCIATION
    190 NORTH AVENUE
    ATLANTA,GA30313     		NONE PC GENERAL SUPPORT 150
    GIVE DIRECTLY
    CHURCH STREET STATION PO BOX 3221
    NEW YORK,NY10008     		NONE PC GENERAL SUPPORT 100
    GLOBAL GIVING
    1023 15TH STREET NW 12TH FLOOR
    WASHINGTON,DC20005     		NONE PC GENERAL SUPPORT 105
    GRAND RIDGE ELEMENTARY PTSA
    1739 NE PARK DRIVE
    ISSAQUAH,WA98029     		NONE PC GENERAL SUPPORT 50
    GSBA SCHOLARSHIP FUND
    400 E PINE STREET
    SEATTLE,WA98122     		NONE PC GENERAL SUPPORT 300
    GUIDING EYES FOR THE BLIND
    611 GRANITE SPRINGS ROAD
    YORKTOWN HEIGHTS,NY10598     		NONE PC GENERAL SUPPORT 20
    HALO
    2416 SECOND AVENUE N
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 150
    HEIFER INTERNATIONAL
    1 WORLD AVENUE
    LITTLE ROCK,AR72202     		NONE PC GENERAL SUPPORT 75
    HOPELINK
    10675 WILLOWS ROAD NE SUITE 275
    REDMOND,WA98052     		NONE PC GENERAL SUPPORT 1,000
    HOUSING HOPE
    5830 EVERGREEN WAY
    EVERETT,WA98203     		NONE PC GENERAL SUPPORT 500
    HYDROCEPHALUS ASSOCIATION
    4340 EAST WEST HIGHWAY SUITE 905
    BETHESDA,MD20814     		NONE PC GENERAL SUPPORT 50
    INTERLAKE CHILD CARE
    4927 GREEN LAKE WAY NORTH
    SEATTLE,WA98103     		NONE PC GENERAL SUPPORT 700
    INTERNATIONAL COMMUNITY SCHOOL PTSA
    11133 NE 65TH STREET
    KIRKLAND,WA98033     		NONE PC GENERAL SUPPORT 200
    INTERNATIONAL RESCUE COMMITTEE
    122 EAST 42ND STREET
    NEW YORK,NY10168     		NONE PC GENERAL SUPPORT 250
    ISSAQUAH FOOD & CLOTHING BANK
    179 1ST AVENUE SE
    ISSAQUAH,WA98027     		NONE PC GENERAL SUPPORT 200
    ISSAQUAH SCHOOLS FOUNDATION
    PO BOX 835
    ISSAQUAH,WA98027     		NONE PC GENERAL SUPPORT 400
    JDRF WALK TO CURE DIABETES
    26 BROADWAY
    NEW YORK,NY10004     		NONE PC GENERAL SUPPORT 500
    KCTS TELEVISION
    401 MERCER STREET
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 75
    KCTS TELEVISION
    401 MERCER STREET
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 100
    KEXP
    113 DEXTER AVENUE N
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 515
    KING COUNTY LIBRARY SYSTEM FOUNDATION
    960 NEWPORT WAY NW
    ISSAQUAH,WA98027     		NONE PC GENERAL SUPPORT 200
    KING FM
    10 HARRISON STREET SUITE 401
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 220
    KIRKLAND FITNESS FOUNDATION
    1015 7TH AVENUE SUITE 140
    KIRKLAND,WA98033     		NONE PC GENERAL SUPPORT 100
    KUOW PUGET SOUND PUBLIC RADIO
    4518 UNIVERSITY WAY NE SUITE 310
    SEATTLE,WA98105     		NONE PC GENERAL SUPPORT 100
    KUOW PUGET SOUND PUBLIC RADIO
    4518 UNIVERSITY WAY NE SUITE 310
    SEATTLE,WA98105     		NONE PC GENERAL SUPPORT 275
    LAKE WASHINGTON SCHOOLS FOUNDATION
    16250 NE 74TH STREET
    REDMOND,WA98052     		NONE PC GENERAL SUPPORT 500
    LISTEN AND TALK
    8610 8TH AVENUE NE
    SEATTLE,WA98115     		NONE PC GENERAL SUPPORT 100
    MAKE-A-WISH ALASKA & WASHINGTON
    811 FIRST AVE SUITE 520
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 51,409
    MAKE-A-WISH ALASKA & WASHINGTON
    811 FIRST AVE SUITE 520
    SEATTLE,WA98104     		NONE PC HOSTING SICK CHILDREN AND FULFILLING WISHES 22,569
    MAKE-A-WISH
    4742 N 24TH ST SUITE 400
    PHOENIX,AZ85016     		NONE PC GENERAL SUPPORT 500
    MALALA FUND
    1201 CONNECTICUT AVE NW SUITE 300
    WASHINGTON,DC20036     		NONE PC GENERAL SUPPORT 35
    MERCY CORPS
    PO BOX 2669 DEPT W
    PORTLAND,OR97208     		NONE PC GENERAL SUPPORT 1,800
    MOTLEY ZOO
    23316 NE REDMOND FALL CITY ROAD PMB
    522
    REDMOND,WA98053     		NONE PC GENERAL SUPPORT 425
    MOUNT BAKER THEATRE
    104 N COMMERCIAL STREET
    BELLINGHAM,WA98225     		NONE PC GENERAL SUPPORT 100
    NATIONAL MS SOCIETY
    192 NICKERSON STREET SUITE 100
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 50
    NATIONAL PARKS FOUNDATION
    1201 EYE STREET NW SUITE 550B
    WASHINGTON,DC20005     		NONE PC GENERAL SUPPORT 20
    NEONATAL INTENSIVE CARE UNIT OVERLAKE HOSPITAL FOUNDATION
    1035 116TH AVENUE NE
    BELLEVUE,WA98004     		NONE PC GENERAL SUPPORT 1,000
    NO KID HUNGRY SHARE OUR STRENGTH
    1030 15TH STREET NW SUITE 1100 W
    WASHINGTON,DC20005     		NONE PC GENERAL SUPPORT 200
    NORTHWEST HARVEST
    711 CHERRY STREET
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 850
    NORTHWEST ORGANIZATION FOR ANIMAL HELP (NOAH)
    31300 BRANDSTROM ROAD
    STANWOOD,WA98292     		NONE PC GENERAL SUPPORT 1,000
    NORTHWEST SCHOONER SOCIETY
    PO BOX 75421
    SEATTLE,WA98175     		NONE PC GENERAL SUPPORT 1,000
    ONTARIO HIGH SCHOOL ENTERTAINMENT CORPS
    901 W FRANCIS STREET
    ONTARIO,CA91762     		NONE PC GENERAL SUPPORT 500
    OPEN ARMS PERINATAL SERVICES
    2524 16TH AVENUE S SUITE 207A
    SEATTLE,WA98144     		NONE PC GENERAL SUPPORT 500
    OUTDOORS FOR ALL
    6344 NE 74TH STREET SUITE 102
    SEATTLE,WA98115     		NONE PC GENERAL SUPPORT 200
    PACIFIC CASCADE MIDDLE SCHOOL PTSA
    24635 SE ISSAQUAH FALL CITY ROAD
    ISSAQUAH,WA98029     		NONE PC GENERAL SUPPORT 100
    PACIFIC NORTHWEST BALLET
    301 MERCER STREET
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 100
    PACIFIC SCIENCE CENTER
    200 SECOND AVENUE N
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 1,200
    PANTHERA
    8 WEST 40TH STREET 18TH FLOOR
    NEW YORK,NY10018     		NONE PC GENERAL SUPPORT 1,000
    PEACETREES VIETNAM
    1301 5TH AVENUE SUITE 2500
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 100
    PKD FOUNDATION
    PO BOX 871847
    KANSAS CITY,MO64187     		NONE PC GENERAL SUPPORT 25
    PLANNED PARENTHOOD
    434 WEST 33RD STREET
    NEW YORK,NY10001     		NONE PC GENERAL SUPPORT 745
    PROGRAM FOR EARLY PARENT SUPPORT
    4649 SUNNYSIDE AVENUE N SUITE 324
    SEATTLE,WA98103     		NONE PC GENERAL SUPPORT 550
    REED COLLEGE
    3203 SE WOODSTOCK BOULEVARD
    PORTLAND,OR97202     		NONE PC GENERAL SUPPORT 225
    RONALD MCDONALD HOUSE CHARITIES
    5130 40TH AVENUE NE
    SEATTLE,WA98105     		NONE PC GENERAL SUPPORT 38,124
    SEATTLE CHILDREN'S HOSPITAL FOUNDATION
    M/S S-200 PO BOX 5371
    SEATTLE,WA98145     		NONE PC GENERAL SUPPORT 10,000
    SEATTLE CHILDREN'S HOSPITAL
    4800 SAND POINT WAY NE
    SEATTLE,WA98105     		NONE PC GENERAL SUPPORT 100
    SEATTLE CHILDREN'S HOSPITAL
    4800 SAND POINT WAY NE
    SEATTLE,WA98105     		NONE PC EQUIPMENT DONATIONS TO AUTISM CENTER 13,297
    SEATTLE PUBLIC LIBRARY FOUNDATION
    1000 4TH AVENUE
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 100
    SEATTLE PUBLIC THEATER
    7312 W GREEN LAKE DRIVE N
    SEATTLE,WA98103     		NONE PC GENERAL SUPPORT 1,140
    SEATTLE SHAKESPEARE COMPANY
    305 HARRISON STREET
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 6,295
    SELF DESIGN
    1807 MCKENZIE AVENUE
    BELLINGHAM,WA98225     		NONE PC GENERAL SUPPORT 150
    SENIOR SERVICES (MEALS ON WHEELS)
    2208 SECOND AVENUE SUITE 100
    SEATTLE,WA98121     		NONE PC GENERAL SUPPORT 27
    SHRINERS HOSPITALS FOR CHILDREN
    2900 ROCKY POINT DRIVE
    TAMPA,FL33607     		NONE PC GENERAL SUPPORT 50
    SIERRA CLUB
    85 2ND STREET SUITE 750
    SAN FRANCISCO,CA94105     		NONE PC GENERAL SUPPORT 39
    SIGHTLINE INSTITUTE
    1402 THIRD AVENUE SUITE 500
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 100
    SOCIAL VENTURE PARTNERS
    220 2ND AVENUE SOUTH 3RD FLOOR
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 6,000
    SOLID ROCK FOUNDATION
    4250 E CAMELBACK RD SUITE K260
    PHOENIX,AZ85018     		NONE PC GENERAL SUPPORT 900
    SPARROW FOUNDATION
    1110 EAST MICHIGAN AVENUE
    LANSING,MI48823     		NONE PC GENERAL SUPPORT 200
    ST JUDE'S CHILDRENS RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		NONE PC GENERAL SUPPORT 1,000
    ST THOMAS SCHOOL
    8300 NE 12TH STREET
    MEDINA,WA98039     		NONE PC GENERAL SUPPORT 500
    SUSAN G KOMEN
    5005 LBJ FREEWAY SUITE 250
    DALLAS,TX75244     		NONE PC GENERAL SUPPORT 645
    SUSQUEHANNA UNIVERSITY
    514 UNIVERSITY AVENUE
    SELINSGROVE,PA17870     		NONE PC GENERAL SUPPORT 50
    SUSTAINABLE SEATTLE
    1402 THIRD AVENUE SUITE 430
    SEATTLE,WA98101     		NONE PC GENERAL SUPPORT 100
    TECHNOLOGY ACCESS FOUNDATION
    605 SW 108TH STREET
    SEATTLE,WA98146     		NONE PC GENERAL SUPPORT 1,000
    THE ANNA SCHINDLER FOUNDATION
    6700 S STATELINE ROAD
    POST FALLS,ID83854     		NONE PC GENERAL SUPPORT 5,000
    THE BREAST CANCER RESEARCH FOUNDATION
    60 EAST 56TH STREET 8TH FLOOR
    NEW YORK,NY10022     		NONE PC GENERAL SUPPORT 200
    THE LEUKEMIA & LYMPHOMA SOCIETY - BIG CLIMB
    123 NW 36TH STREET 100
    SEATTLE,WA98107     		NONE PC GENERAL SUPPORT 500
    THE LEUKEMIA AND LYMPHOMA SOCIETY
    530 DEXTER AVENUE N SUITE 300
    SEATTLE,WA98109     		NONE PC GENERAL SUPPORT 1,400
    THE SAMARYA CENTER
    1806 EAST YESLER WAY
    SEATTLE,WA98122     		NONE PC GENERAL SUPPORT 1,000
    THE SIERRA CLUB FOUNDATION
    85 SECOND STREET
    SAN FRANCISCO,CA94105     		NONE PC GENERAL SUPPORT 150
    THIS AMERICAN LIFE
    153 W 27TH STREET SUITE 1104
    NEW YORK,NY10001     		NONE PC GENERAL SUPPORT 100
    US FUND FOR UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE PC GENERAL SUPPORT 100
    UNION GOSPEL MISSION
    3800 SOUTH OTHELLO STREET
    SEATTLE,WA98118     		NONE PC GENERAL SUPPORT 150
    UNION OF CONCERNED SCIENTISTS
    2 BRATTLE SQUARE
    CAMBRIDGE,MA02138     		NONE PC GENERAL SUPPORT 510
    UNITED WAY OF KING COUNTY
    720 2ND AVENUE
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 10
    WASHINGTON TRAILS ASSOCIATION
    705 2ND AVENUE SUITE 300
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 100
    WHITTIER PTA GIVE & GROW CAMPAIGN
    1320 NW 75TH STREET
    SEATTLE,WA98117     		NONE PC GENERAL SUPPORT 250
    WIKIMEDIA FOUNDATION
    149 NEW MONTGOMERY STREET FLOOR 6
    SAN FRANCISCO,CA94105     		NONE PC GENERAL SUPPORT 100
    WILDER PTSA
    22130 NE 133RD STREET
    WOODINVILLE,WA98077     		NONE PC GENERAL SUPPORT 100
    WILDLIFE CONSERVATION NETWORK
    25745 BASSETT LANE
    LOS ALTOS,CA94022     		NONE PC GENERAL SUPPORT 100
    WNYC RADIO
    PO BOX 1550
    NEW YORK,NY10116     		NONE PC GENERAL SUPPORT 100
    WOLF HAVEN INTERNATIONAL
    3111 OFFUT LAKE ROAD SE
    TENINO,WA98589     		NONE PC GENERAL SUPPORT 100
    WOODINVILLE FAMILY PRESCHOOL
    PO BOX 125
    WOODINVILLE,WA98072     		NONE PC GENERAL SUPPORT 200
    WOODLAND PARK ZOO
    601 N 59TH STREET
    SEATTLE,WA98103     		NONE PC GENERAL SUPPORT 100
    WORLD VISION
    PO BOX 9716
    FEDERAL WAY,WA98063     		NONE PC GENERAL SUPPORT 2,690
    WORLD WILDLIFE FUND
    1250 24TH STREET NW
    WASHINGTON,DC20037     		NONE PC GENERAL SUPPORT 222
    WSU FOUNDATION
    255 E MAIN STREET SUITE 201
    PULLMAN,WA99164     		NONE PC GENERAL SUPPORT 500
    ZERO WASTE WASHINGTON
    911 WESTERN AVENUE SUITE 588
    SEATTLE,WA98104     		NONE PC GENERAL SUPPORT 50
    Total .................................bullet 3a 244,234
    bApproved for future payment
    Total .................................bullet 3b 0
    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 2,262  
    4 Dividends and interest from securities....          
    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 .............     		         
    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).. 0 2,262 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,262
    (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
    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.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    THE BUNGIE FOUNDATION
     
    Employer identification number

    27-2313989
    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 its Form 990PF, Part I, line 2, 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) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    THE BUNGIE FOUNDATION
          		Employer identification number

    27-2313989
    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
     
     

    BUNGIE INC  
    550 106TH AVE NE STE 207
     
    BELLEVUE, WA98004

    		$20,120


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    THE BUNGIE FOUNDATION
          		Employer identification number

    27-2313989
    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) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    THE BUNGIE FOUNDATION
          		Employer identification number

    27-2313989
    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) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 AccountingFeesSchedule
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 3,110 0   3,110

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2013 DepreciationSchedule
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    PONTOON BOAT 2012-07-01 30,480 1,524 SL 10.000000000000 3,048 0    

    TY 2013 ExplnOfNonFilingWithAGStmt
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Statement:
    WASHINGTON STATE REQUIRES FILING FOR PRIVATE FOUNDATIONS WHEN INVESTMENT ASSETS ARE $250,000 OR GREATER. SINCE THE BUNGIE FOUNDATION ONLY HOLDS CASH AND ACCOUNTS RECEIVABLE, IT IS BELOW THIS FILING THRESHOLD. AS A RESULT, NO FILING IS REQUIRED WITH THE STATE THIS YEAR.

    TY 2013 LandEtcSchedule2
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    PONTOON BOAT 30,480 4,572 25,908 25,908


    TY 2013 OtherExpensesSchedule
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROGRAM ACTIVITIES 21,288 0   21,288
    CONTRACT LABOR 16,881 0   16,881
    ALLOCATED STAFFING 52,758 0   52,758
    INSURANCE 9,286 0   9,286
    MISCELLANEOUS 6,519 0   6,519


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 10 0   10


    TY 2013 TaxesSchedule
    Name:
    THE BUNGIE FOUNDATION
    EIN: 27-2313989
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 43 0   0