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
GROUSEMONT FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)511 BOREN AVENUE NORTH NO 300   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98109
A Employer identification number

91-1276047
B Telephone number (see instructions)

(206) 323-3686
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$17,317,755J 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) 10,057,250
2 Check bullet
3 Interest on savings and temporary cash investments 7,950 7,950  
4 Dividends and interest from securities...... 177,521 177,521  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 199,916
b Gross sales price for all assets on line 6a 1,277,694
7 Capital gain net income (from Part IV, line 2)... 199,916
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........ 10,442,637 385,387  
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)......... Click to see attachment 2,182 0   2,182
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 51,356 41,164   10,192
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 496 303   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 91 0   91
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 37,657 280   37,376
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 91,782 41,747   49,841
25 Contributions, gifts, grants paid........ 340,450 340,450
26 Total expenses and disbursements. Add lines 24 and 25 432,232 41,747   390,291
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 10,010,405
b Net investment income (if negative, enter -0-) 343,640
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.......... 328,195 156,125 156,125
3 Accounts receivable bullet1,611
Less: allowance for doubtful accounts bullet     1,611 1,611
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) 698,225 Click to see attachment577,767 603,277
b Investments—corporate stock (attach schedule)........ 2,606,428 Click to see attachment12,510,909 14,169,118
c Investments—corporate bonds (attach schedule)........ 1,970,267 Click to see attachment2,367,108 2,387,624
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 bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,603,115 15,613,520 17,317,755
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 5,603,115 15,613,520
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).................... 5,603,115 15,613,520
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,603,115 15,613,520
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 5,603,115
2 Enter amount from Part I, line 27a..................... 2 10,010,405
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 15,613,520
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 15,613,520
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 P    
b CAPITAL GAIN DISTRIBUTIONS P    
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 1,277,324   1,077,778 199,546
b 370     370
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       199,546
b       370
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 2 199,916
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 387,499 6,378,280 0.060753
2011 475,350 6,553,062 0.072539
2010 209,717 6,382,852 0.032856
2009 355,058 6,046,193 0.058724
2008 403,814 7,076,470 0.057064
2 Total of line 1, column (d) ...................... 2 0.281936
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 0.056387
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 7,579,193
5 Multiply line 4 by line 3....................... 5 427,368
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,436
7 Add lines 5 and 6......................... 7 430,804
8 Enter qualifying distributions from Part XII, line 4.............. 8 390,291
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 6,873
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 6,873
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 6,873
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 2,280
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 2,280
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 4,593
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)
    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.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletNONE
    14
    The books are in care ofbulletFOUNDATION SOURCE Telephone no.bullet (800) 839-1754
    Located atbullet501 SILVERSIDE ROAD SUITE 123WILMINGTONDE ZIP+4bullet198091377
    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
     
     
    .........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
    SALLY S WRIGHT PRESIDENT/DIRECTOR
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    ERIN WRIGHT DIRECTOR/TREASURER
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    KORYNNE WRIGHT DIRECTOR/SECRETARY
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    LEE ROLFE DIRECTOR
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    KATE JANEWAY DIRECTOR
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    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 NONE 0
    2  
    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
    378,960
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    6,873
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,873
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    372,087
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    372,087
    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
    372,087
    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 7 372,087
    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....... 24,883
    b From 2009....... 56,272
    c From 2010.......  
    d From 2011....... 152,173
    e From 2012....... 73,133
    fTotal of lines 3a through e......... 306,461
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 390,291
    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..... 372,087
    e Remaining amount distributed out of corpus 18,204
    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 5 324,665
    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) ...     		24,883
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		299,782
    10 Analysis of line 9:
    a Excess from 2009.... 56,272
    b Excess from 2010....  
    c Excess from 2011.... 152,173
    d Excess from 2012.... 73,133
    e Excess from 2013.... 18,204
    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
    826 SEATTLE
    8414 GREENWOOD AVE N
    SEATTLE,WA98103     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    A C T FOR MULTIPLE SCLEROSIS
    73710 FRED WARING DR STE 118
    PALM DESERT,CA92260     		N/A PC: 509(A)(1) LITERARY SALON PROGRAM 500
    A PLUS A PLUS CORPORATION
    218 MAIN ST PMB 163
    KIRKLAND,WA98033     		N/A PC: 509(A)(1) A PLUS YOUTH PROGRAM PROJECT 25,000
    ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
    4616 25TH AVE NE PMB 429
    SEATTLE,WA98105     		N/A PC: 509(A)(1) FELLOWSHOP FUND 5,000
    ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
    4616 25TH AVE NE PMB 429
    SEATTLE,WA98105     		N/A PC: 509(A)(1) ANNUAL MEMBERSHIP FINANCIAL COMMITMENT FUND 500
    BELLEVUE BOYS & GIRLS CLUB
    209 100TH AVE NE
    BELLEVUE,WA98004     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 250
    BELLEVUE BOYS & GIRLS CLUB
    209 100TH AVE NE
    BELLEVUE,WA98004     		N/A PC: 509(A)(1) PROJECT LEARN AFTER SCHOOL PROGRAMS 25,000
    BLACK HILLS AREA COMMUNITY FOUNDATION
    PO BOX 231
    RAPID CITY,SD57709     		N/A PC: 509(A)(1) RANCHER'S RELIEF FUND DIVISION 5,000
    BOYS & GIRLS CLUB OF KING COUNTY - RENTON SKYWAY BOYS & GIRLS CLUB
    603 STEWART ST STE 300
    SEATTLE,WA98101     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 5,000
    BOYS & GIRLS CLUB OF THE PENINSULA
    401 PIERCE RD
    MENLO PARK,CA94025     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    CHARLES & EMMA FRYE FREE PUBLIC ART MUSEUM INC TESTAMENTARY TRUST
    704 TERRY AVE
    SEATTLE,WA98104     		N/A EOF: 4940(D)(2) FRYE ART MUSEUM'S ART EDUCATION PROGRAM AT BAILEY GATZERT ELEMENTARY PROJECT 25,000
    CITY YEAR SEATTLEKING COUNTY
    309 23RD AVE S
    SEATTLE,WA98144     		N/A PC: 509(A)(1) WHOLE SCHOOL, WHOLE CHILD PROJECT 25,000
    COLLEGE SUCCESS FOUNDATION
    1605 NW SAMMAMISH RD STE 200
    ISSAQUAH,WA98027     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    CORPORATE COUNCIL FOR THE ARTS
    PO BOX 19780
    SEATTLE,WA98109     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    EPIPHANY PARISH
    1805 38TH AVE
    SEATTLE,WA98122     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    FARESTART
    700 VIRGINIA ST
    SEATTLE,WA98101     		N/A PC: 509(A)(2) GENERAL & UNRESTRICTED 500
    FRIENDS OF THE CULTURAL CENTER INC
    73000 FRED WARING DR
    PALM DESERT,CA92260     		N/A PC: 509(A)(2) MCCALLUM THEATRE FUND 1,000
    HOPELINK
    10675 WILLOWS RD NE STE 275
    REDMOND,WA98052     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 2,500
    HUMANE SOCIETY FOR SEATTLE-KING CO
    13212 SE EASTGATE WAY
    BELLEVUE,WA98005     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 600
    HUMANE SOCIETY FOR SEATTLE-KING CO
    13212 SE EASTGATE WAY
    BELLEVUE,WA98005     		N/A PC: 509(A)(1) CAPITAL CAMPAIGN 500
    LITTLE BIT THERAPEUTIC RIDING CENTER
    18675 NE 106TH ST
    REDMOND,WA98052     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 5,000
    MAKE-A-WISH FOUNDATION OF ALASKA & WASHINGTON
    811 1ST AVE STE 520
    SEATTLE,WA98104     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    MARYS PLACE SEATTLE
    1830 9TH AVE
    SEATTLE,WA98101     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    MEDICAL TEAMS INTERNATIONAL - REDMOND OFFICE
    9680 153RD AVE NE
    REDMOND,WA98052     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 100
    MOCKINGBIRD SOCIETY
    2100 24TH AVE S
    SEATTLE,WA98144     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 2,500
    MONASTERY OF DISCALCED CARMELITES
    1101 N RIVER RD
    DES PLAINES,IL60016     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    MUSEUM OF FLIGHT FOUNDATION
    9404 E MARGINAL WAY S
    TUKWILA,WA98108     		N/A PC: 509(A)(1) PROJECT AMELIA FUND 1,500
    MUSEUM OF FLIGHT FOUNDATION
    9404 E MARGINAL WAY S
    TUKWILA,WA98108     		N/A PC: 509(A)(1) RAISE THE PADDLE GOLDEN AGE OF AVIATION GALA FUND 500
    MUSEUM OF FLIGHT FOUNDATION
    9404 E MARGINAL WAY S
    TUKWILA,WA98108     		N/A PC: 509(A)(1) CHARITABLE EVENT 1,000
    MY BLUE DOTS
    PO BOX 60725
    PALO ALTO,CA94306     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    NEW COURSE
    4098 MATTSON PL NE
    BAINBRIDGE ISLAND,WA98110     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 5,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC: 509(A)(2) CHARITABLE EVENT 1,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC: 509(A)(2) GENERAL & UNRESTRICTED 5,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC: 509(A)(2) 2012-2013 NEW WORKS INITIATIVE TO CO-SPONSOR SWAN LAKE FUND 1,000
    PACIFIC SCIENCE CENTER FOUNDATION
    200 2ND AVE N
    SEATTLE,WA98109     		N/A PC: 509(A)(1) 50 FOR 50TH: FUTURE READY CAMPAIGN PROJECT 50,000
    PALM SPRINGS PATHFINDERS
    PO BOX 5005
    RANCHO MIRAGE,CA92270     		N/A PC: 509(A)(2) GENERAL & UNRESTRICTED 500
    RAINIER SCHOLARS
    2100 - 24TH AVE S
    SEATTLE,WA98144     		N/A PC: 509(A)(1) RAINIER SCHOLARS 14 MONTH ACADEMIC ENRICHMENT PROGRAM PROJECT 25,000
    SAFEFUTURES YOUTH CENTER
    6337 35TH AVE SW
    SEATTLE,WA98126     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 5,000
    SEATTLE AQUARIUM SOCIETY-SEAS
    1483 ALASKAN WAY
    SEATTLE,WA98101     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    SEATTLE AQUARIUM SOCIETY-SEAS
    1483 ALASKAN WAY
    SEATTLE,WA98101     		N/A PC: 509(A)(1) HARBOR SEAL CAPITAL PROJECT 50,000
    SEATTLE ART MUSEUM
    1300 1ST AVE
    SEATTLE,WA98101     		N/A PC: 509(A)(1) SAM TEEN AFTERSCHOOL PROGRAMS 30,000
    SEATTLE ART MUSEUM
    1300 1ST AVE
    SEATTLE,WA98101     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 4,500
    SEATTLE ARTISTS
    7904 35TH AVE SW
    SEATTLE,WA98126     		N/A PC: 509(A)(1) TOTAL EXPERIENCE GOSPEL CHOIR PROGRAM 1,000
    SEATTLE CHILDREN'S HOSPITAL
    PO BOX 5371 MSC RC-507
    SEATTLE,WA98145     		N/A PC: 509(A)(2) GENERAL & UNRESTRICTED 1,000
    SEATTLE REPERTORY THEATRE
    PO BOX 900923
    SEATTLE,WA98109     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,500
    SEATTLE SYMPHONY ORCHESTRA INC
    PO BOX 21906
    SEATTLE,WA98111     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    SEATTLE SYMPHONY ORCHESTRA INC
    PO BOX 21906
    SEATTLE,WA98111     		N/A PC: 509(A)(1) FRIENDS IN THE DESERT FUND 500
    ST MARGARET'S EPISCOPAL CHURCH PALM DESERT
    47 535 HWY 74
    PALM DESERT,CA92260     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    THE BARBARA SINATRA CHILDREN'S CENTER AT EISENHOWER
    39000 BOB HOPE DR
    RANCHO MIRAGE,CA92270     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    THE LIVING DESERT
    47900 PORTOLA AVE
    PALM DESERT,CA92260     		N/A PC: 509(A)(2) EXECUTIVE ASSISTANT OFFICE PLEDGE FUND 5,000
    THE LIVING DESERT
    47900 PORTOLA AVE
    PALM DESERT,CA92260     		N/A PC: 509(A)(2) CHARITABLE EVENT 5,000
    UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
    4333 BROOKLYN AVE NE BOX 359505
    SEATTLE,WA98195     		N/A PC: 509(A)(1) CORNEAL RESEARCH FUND (CORNEA) PLEDGE NUMBER 4785597 5,000
    UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
    4333 BROOKLYN AVE NE BOX 359505
    SEATTLE,WA98195     		N/A PC: 509(A)(1) DESERT DAWGS SCHOLARSHIP (UNDSCH, 82-1526) 1,000
    WASHINGTON POLICY CENTER
    3404 4TH AVE S
    SEATTLE,WA98134     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 500
    YOUTHCARE
    2500 NE 54TH ST
    SEATTLE,WA98105     		N/A PC: 509(A)(1) GENERAL & UNRESTRICTED 1,000
    Total .................................bullet 3a 340,450
    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 7,950  
    4 Dividends and interest from securities....     14 177,521  
    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 .............     		    14 199,916  
    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).. 0 385,387 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13385,387
    (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
    GROUSEMONT FOUNDATION
     
    Employer identification number

    91-1276047
    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
    GROUSEMONT FOUNDATION
          		Employer identification number

    91-1276047
    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
     
     

    TY SCHEUMANN  
    511 BOREN AVE N STE 300
     
    SEATTLE, WA98109

    		$10,057,250


    (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
    GROUSEMONT FOUNDATION
          		Employer identification number

    91-1276047
    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
    1
    		 175,000 SHARES OF PACCAR INC STOCK $10,057,250 2013-12-20
    (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
    GROUSEMONT FOUNDATION
          		Employer identification number

    91-1276047
    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 InvestmentsCorpBondsSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALLERGAN INC SR NT 5.7500% 04/01/2016 (018490AM4) 41,143 38,718
    ANHEUSER BUSCH INBEV WOR - 2.500% - 07/15/2022 (03523TBP2) 49,205 46,249
    APPLE INC NOTE - 2.400% - 05/03/2023 (037833AK6) 47,214 44,692
    ARCHER DANIELS NOTES 05.450% 03/15/2018 (039483AY8) 28,826 28,258
    BECTON DICKINSON & CO - 3.250% - 11/12/2020 (075887AW9) 47,380 49,920
    BELLSOUTH CORP NT - 5.200% - 09/15/2014 (079860AG7) 49,493 51,631
    BERKSHIRE HATHAWAY INC DEL 1.90% 01/31/2017 (084670BD9) 52,085 51,151
    BLACKROCK INC NOTE - 3.500% -12/10/2014 (09247XAD3) 26,810 25,731
    BOEING CO BONDS 04.875% 02/15/2020 (097023AZ8) 35,657 33,448
    BRISTOL-MYERS SQUIBB CO - 2.000% - 08/01/2022 (110122AT5) 28,211 26,555
    CATERPILLAR FINL SVCS MTNS BE 5.450% 04/15/2018 (14912L3U3) 75,086 85,251
    CHEVRON CORP NOTES - 4.950% - 03/03/2019 (166751AJ6) 28,944 28,358
    CISCO SYSTEMS INC - 5.500% - 02/22/2016 (17275RAC6) 51,510 55,007
    COCA-COLA CO NOTES 04.87500% 03/15/2019 (191216AM2) 26,224 28,025
    CONOCOPHILLIPS BONDS 05.20% 05/15/2018 (20825CAN4) 74,054 84,630
    COSTCO WHOLESALE CORP - 5.500% - 03/15/2017 (22160KAC9) 79,510 84,247
    DEERE & CO NT - 04.375% - 10/16/2019 (244199BC8) 27,821 27,686
    DISNEY WALT CO - 1.1250% - 02/15/2017 (25468PCS3) 49,727 49,694
    DU PONT E I DE NEMOURS & CO 5.750% DUE 3/15/19 (263534BW8) 56,636 56,918
    ECOLAB INC NOTES 04.87500% 02/15/2015 (278865AH3) 74,647 78,301
    EMERSON ELEC CO NT 4.87500% 10/15/2019 (291011AY0) 54,840 55,938
    EOG RES INC-4.40%-06/01/2020 (26875PAE1) 59,217 53,885
    EOG RESOURCES INC NOTE 5.875% 09/15/2017 (26875PAA9) 17,603 17,157
    GENERAL ELECTRIC CO 02.700% 10/09/2022 (369604BD4) 49,890 46,800
    GOLDMAN SACHS GROUP INC 5.750% 10/01/2016 (38141GER1) 75,626 83,545
    HOME DEPOT INC SR NT-4.40%-04/01/2021 (437076AW2) 58,052 53,999
    HONEYWELL INTL - 5.000% - 02/15/2019 (438516AZ9) 50,568 50,564
    INTEL CORP NOTE - 3.300% - 10/01/2021 (458140AJ9) 52,718 49,675
    JOHNSON & JOHNSON NOTES - 5.150% - 07/15/2018 (478160AU8) 86,690 85,343
    KIMBERLY CLARK CORP DEB - 6.250% - 07/15/2018 (494368AT0) 29,352 29,303
    MCDONALD S CORP BONDS 5.300% 03/15/2017 (58013MEA8) 28,819 27,927
    MEDTRONIC INC SR NT 5.600% 03/15/2019 (585055AN6) 23,915 23,125
    MERCK & CO NOTE - 3.875% - 01/15/2021 (58933YAA3) 45,433 42,189
    METLIFE INC NT- 5.000% - 06/15/2015 (59156RAN8) 71,153 79,607
    MICROSOFT CORP NT 4.20% 06/01/2019 (594918AC8) 27,305 27,619
    MONSANTO CO NEW SR NT 1.850% 11/15/2018 (61166WAM3) 10,036 9,868
    MONSANTO CO NOTES - 5.125% - 04/15/2018 (61166WAF8) 28,661 28,042
    OCCIDENTAL PETROLEUMCOR NOTE - 4.100% - 02/01/2021 (674599BY0) 49,605 52,487
    ORACLE CORP - 5.250% - 01/15/2016 (68402LAC8) 27,780 27,290
    PACCAR INC NOTES 06.87500% 02/15/2014 (69373UAA5) 55,644 50,363
    PEPSICO INC - 2.750% - 03/05/2022 (713448BY3) 46,584 42,755
    STRYKER CORP - 4.375% - 01/15/2020 (863667AB7) 41,326 43,229
    SYSCO CORPORATION NOTE 05.25000% 02/12/2018 (871829AL1) 74,820 83,980
    THERMO FISHER SCIENTIFIC NT - 2.250% - 08/15/2016 (883556BA9) 52,296 51,133
    UNITED PARCEL SRVC NT - 5.500% - 01/15/2018 (911312AH9) 52,182 51,475
    UNITED TECHNOLGY 4.875% NT, 05/01/15 (913017BH1) 25,006 26,419
    UNITEDHEALTH GROUP INC NT - 6.000% - 06/15/2017 (91324PAW2) 58,167 57,380
    VERIZON COMM INC NT 5.500% 04/01/2017 (92343VAG9) 59,925 56,366
    WAL MART STORES INC NT 3.625% 07/08/2020 (931142CU5) 49,006 52,392
    WALGREEN CO 05.250% 01/15/2019 (931422AE9) 29,250 27,948
    WELLS FARGO & CO NOTE 1.500% DUE 7/1/15 (94974BFE5) 25,456 25,351

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCENTURE PLC (ACN) 28,810 41,932
    ACTAVIS INC, CORONA, CASHS (ACT) 32,059 72,240
    ALLERGAN INC. (AGN) 32,272 38,545
    AMAZON COM (AMZN) 7,351 36,689
    AMERICAN TOWER REIT INC (AMT) 19,090 41,506
    ANHEUSER BUSCH COS INC (BUD) 10,429 17,885
    APPLE INC. (AAPL) 8,000 89,763
    AT&T CORP COM NEW (T) 22,123 22,889
    BERKSHIRE HATHAWAY INC. CLASS B (BRK-B) 36,534 52,759
    BLACKROCK INC (BLK) 25,442 47,471
    BOEING CO (BA) 33,710 53,231
    CELGENE CORP (CELG) 21,071 36,329
    CERNER CORPORATION (CERN) 33,608 47,769
    CHEVRON CORP (CVX) 34,758 46,217
    CISCO SYSTEMS INC (CSCO) 31,333 37,032
    CITIGROUP INC (C) 35,763 40,125
    COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION - CLASS (CTSH) 16,322 61,093
    COLGATE-PALMOLIVE COMPANY (CL) 34,926 36,518
    COSTCO WHOLESALE CORP NEW (COST) 17,717 61,890
    COVIDIEN LTD (COV) 16,162 24,448
    DANAHER CORP (DHR) 20,139 20,844
    DISCOVER FINL SVCS COM (DFS) 27,909 60,146
    EATON CORP PLC (ETN) 28,527 32,123
    EBAY INC. (EBAY) 22,883 34,568
    ECOLAB INC (ECL) 9,658 56,306
    EMC CORP-MASS (EMC) 30,951 32,167
    EOG RESOURCES INC (EOG) 25,210 40,282
    EXXON MOBIL CORP (XOM) 34,777 44,528
    FEDEX CORPORATION (FDX) 30,695 48,163
    FIDELITY NATIONAL INFORMATION SERVICES INC (FIS) 22,375 45,896
    FORD MOTOR COMPANY (F) 35,705 39,347
    GENERAL ELECTRIC CO (GE) 28,824 60,545
    GENERAL MILLS INC (GIS) 25,355 42,923
    GILEAD SCIENCES INC (GILD) 27,114 33,044
    GOOGLE INC CL A (GOOG) 18,269 72,846
    HESS CORP (HES) 19,747 21,165
    HOME DEPOT INC. (HD) 17,076 42,817
    HONEYWELL INTERNATIONAL INC. (HON) 31,736 45,685
    INTEL CORP (INTC) 17,012 21,002
    ISHARES MSCI PACIFIC EX-JAPAN (EPP) 55,930 57,712
    ISHARES RUSSELL MIDCAP VALUE (IWS) 20,953 22,999
    ISHARES S&P SMALLCAP 600 GROWTH INDEX FD (IJT) 7,216 8,303
    ISHARES TR S & P MIDCAP 400 INDEX FD (IJH) 54,927 60,884
    ISHARES TRUST MSCI EAFE INDEX FUND (EFA) 286,668 283,498
    JOHNSON & JOHNSON (JNJ) 37,216 54,954
    JP MORGAN CHASE & CO (JPM) 32,508 42,983
    KRAFT FOODS GROUP, INC. (KRFT) 18,215 26,578
    LINKEDIN CORPORATION (LNKD) 22,136 49,871
    MARATHON OIL CORP COM (MRO) 18,699 23,298
    MARRIOTT INTERNATIONAL INC. CL A (MAR) 23,770 34,792
    MARSH AND MCLENNAN COMPANIES INC (MMC) 16,502 32,885
    METLIFE INC. (MET) 38,601 52,033
    MICROSOFT CORPORATION (MSFT) 27,879 50,129
    MONDELEZ INTERNATIONAL INC (MDLZ) 16,594 30,888
    NATL OILWELL VARCO (NOV) 24,884 27,438
    NEXTERA ENERGY, INC (NEE) 22,063 32,536
    OCCIDENTAL PETROLEUM CORP (OXY) 32,956 38,516
    ORACLE CORP (ORCL) 20,571 33,478
    PACCAR INC (PCAR) 10,057,250 10,354,750
    PEPSICO INC (PEP) 21,708 42,714
    PFIZER INC. (PFE) 30,536 48,549
    POWERSHARES FTSE RAFI US 1500 SMALL MID PORTFOLIO (PRFZ) 43,675 49,842
    PRAXAIR INC. (PX) 10,170 47,071
    PRICELINE.COM INCORPORATED (PCLN) 20,471 48,821
    QUALCOMM INC (QCOM) 29,553 61,256
    RIO TINTO PLC SPONSORED ADR (RIO) 30,819 27,086
    ROPER INDUSTRIES NEW COMMON (ROP) 23,281 43,268
    SCHLUMBERGER LTD (SLB) 19,481 42,802
    SPDR S&P EMERGING ASIA PACIFIC ETF (GMF) 30,433 28,546
    STARBUCKS CORP COM (SBUX) 31,622 50,013
    STERICYCLE INC (SRCL) 11,134 34,270
    THERMO FISHER SCIENTIFIC INC (TMO) 17,770 55,118
    TIME WARNER INC. (TWX) 24,689 46,434
    UNION PACIFIC (UNP) 23,563 42,000
    UNITED TECHNOLOGIES CORP (UTX) 32,997 61,452
    US BANCORP DEL NEW (USB) 22,806 36,885
    V F CORP (VFC) 23,656 44,635
    VANGUARD FTSE ALL-WLD EX-US SMCP IDX (VSS) 50,215 60,734
    VANGUARD MSCI EMERGING MARKETS ETF (VWO) 45,850 50,190
    VANGUARD SM-CAP ETF (VB) 14,772 16,492
    VERIZON COMMUNICATIONS (VZ) 14,131 26,043
    VISA INC (V) 35,085 63,685
    WALT DISNEY HOLDINGS CO. (DIS) 28,072 31,476
    WELLS FARGO & CO. (WFC) 28,777 45,853
    WHOLE FOODS MARKET, INC. (WFM) 21,934 20,240
    WISCONSIN ENERGY CP (WEC) 16,729 24,390

    TY 2013 InvestmentsGovtObligationsSch
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    US Government Securities - End of Year Book Value:

    577,767
    US Government Securities - End of Year Fair Market Value:

    603,277
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2013 LegalFeesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,182 0   2,182


    TY 2013 OtherExpensesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSES AND FEES 35 0   35
    FOUNDATION DUES AND MEMBERSHIP 1,655 0   1,655
    BANK CHARGES 280 280   0
    ADMINISTRATIVE FEES 35,447 0   35,446
    WEBSITE DESIGN/MAINTENANCE 240 0   240


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CONSULTING FEES 10,192 0   10,192
    INVESTMENT MANAGEMENT FEES 41,164 41,164   0


    TY 2013 SubstantialContributorsSch
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Name Address
    TY SCHEUMANN 511 BOREN AVE N SUITE 300
    SEATTLE,WA98109


    TY 2013 TaxesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN: 91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 303 303   0
    EXCISE TAXES 193 0   0