Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
MEDINA FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)801 SECOND AVENUE NO 1300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98104
A Employer identification number

91-0745225
B Telephone number (see instructions)

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

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$89,393,951
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 282 282  
4 Dividends and interest from securities... 2,309,289 2,299,484  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 5,793,222
b Gross sales price for all assets on line 6a 88,317,264
7 Capital gain net income (from Part IV, line 2)... 5,793,222
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)....... 594 594  
12 Total. Add lines 1 through 11........ 8,103,387 8,093,582  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 196,966 21,063   175,905
14 Other employee salaries and wages...... 242,778 0   243,630
15 Pension plans, employee benefits....... 61,543 0   60,730
16a Legal fees (attach schedule)......... 6,621 0   6,621
b Accounting fees (attach schedule)....... 33,081 1,654   31,427
c Other professional fees (attach schedule).... 227,634 201,634   20,324
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 150,000 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 34,776 1,596   32,225
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 87,304 0   87,297
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,040,703 225,947   658,159
25 Contributions, gifts, grants paid....... 4,052,749 4,052,749
26 Total expenses and disbursements. Add lines 24 and 25 5,093,452 225,947   4,710,908
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,009,935
b Net investment income (if negative, enter -0-) 7,867,635
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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............. 180,079 831,641 831,641
2 Savings and temporary cash investments......... 4,697,506 1,341,644 1,341,644
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 6,893 6,726 6,726
10a Investments—U.S. and state government obligations (attach schedule) 0 Click to see attachment8,506,157 8,506,157
b Investments—corporate stock (attach schedule)....... 63,827,617 Click to see attachment57,474,049 57,474,049
c Investments—corporate bonds (attach schedule)....... 27,084,311 Click to see attachment21,152,011 21,152,011
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 54,660 Click to see attachment44,532 44,532
14 Land, buildings, and equipment: basis bullet7,200
Less: accumulated depreciation (attach schedule) bullet7,200      
15 Other assets (describe bullet) Click to see attachment292,539 Click to see attachment37,191 Click to see attachment37,191
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 96,143,605 89,393,951 89,393,951
Liabilities 17 Accounts payable and accrued expenses.......... 49,808 71,405
18 Grants payable.................. 40,000 100,000
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)......... 89,808 171,405
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 96,053,797 89,222,546
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 instructions)..... 96,053,797 89,222,546
31 Total liabilities and net assets/fund balances (see instructions). 96,143,605 89,393,951
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
96,053,797
2
Enter amount from Part I, line 27a .....................
2
3,009,935
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
99,063,732
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
9,841,186
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
89,222,546
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b CLASS ACTION INCOME 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 88,317,264   82,524,335 5,792,929
b       293
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       5,792,929
b       293
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 5,793,222
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 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))
2014 4,454,285 95,471,572 0.046656
2013 4,427,704 92,193,101 0.048026
2012 4,120,285 87,916,049 0.046866
2011 4,065,488 87,887,044 0.046258
2010 3,381,887 82,252,713 0.041116
2
Total of line 1, column (d) .....................
20.228922
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
0.045784
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
92,664,226
5
Multiply line 4 by line 3......................
5
4,242,539
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
78,676
7
Add lines 5 and 6........................
7
4,321,215
8
Enter qualifying distributions from Part XII, line 4.............
8
4,710,908
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 (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 78,676
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 78,676
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 78,676
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 172,477
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.............. 7 172,477
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 93,801
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet93,801 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see 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 2015 or the taxable year beginning in 2015 (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
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.MEDINAFOUNDATION.ORG
    14
    The books are in care ofbulletJENNIFER TEUNON Telephone no.bullet (206) 652-8780

    Located atbullet801 SECOND AVENUE SUITE 1300SEATTLEWA ZIP+4bullet98104
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    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 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 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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 2015 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 2015.)..................
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 4945(d)(4)(A)? (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 (2015)
    Form 990-PF (2015)
    Page 7
    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
    JENNIFER TEUNON EXECUTIVE DIRECTOR
    40.00
    174,451 22,515 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    PIPER HENRY KELLER PRESIDENT
    10.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    GAIL GANT VICE PRESIDENT
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    PATRICIA HENRY SECRETARY
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JEAN GARDNER TREASURER
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JILL GARDNER TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    JAMES N CLAPP II TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MARGARET CLAPP TRUSTEE
    10.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MATTHEW N CLAPP JR TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    TAMSIN CLAPP TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    STEPHEN GANT TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    MARION CLAPP RAWLINSON TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    ELIZABETH WILLIAMS TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    EDELVEIS CLAPP TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    WILLIAM HENRY TRUSTEE
    5.00
    0 0 0
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    AANA LAUCKHART PROGRAM OFFICER
    40.00
    108,349 16,879 0
    801 SECOND AVE SUITE 1300
    SEATTLE,WA98104
    JESSICA CASE PROGRAM OFFICER
    40.00
    98,117 14,976 0
    801 SECOND AVE SUITE 1300
    SEATTLE,WA98104
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    LAIRD NORTON WEALTH MANAGEMENT INVESTMENT MANAGEMENT 201,634
    801 2ND AVE SUITE 1600
    SEATTLE,WA98104
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    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
    90,437,216
    b
    Average of monthly cash balances.......................
    1b
    3,583,480
    c
    Fair market value of all other assets (see instructions)................
    1c
    54,660
    d
    Total (add lines 1a, b, and c).........................
    1d
    94,075,356
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    94,075,356
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,411,130
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    92,664,226
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,633,211
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    4,633,211
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    78,676
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    78,676
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,554,535
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    4,554,535
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    4,554,535
    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
    4,710,908
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    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
    4,710,908
    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
    78,676
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    4,632,232
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 4,554,535
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 4,541,458
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 4,710,908
    a Applied to 2014, but not more than line 2a 4,541,458
    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 2015 distributable amount..... 169,450
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    4,385,085
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    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 2015, 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) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    ALEXIA CAMERON OFFICE AND GRANTS AD
    801 SECOND AVENUE SUITE 1300
    SEATTLE,WA98104
    (206) 652-8783
    bThe form in which applications should be submitted and information and materials they should include:
    SEE STATEMENT 15 AND WWW.MEDINAFOUNDATION.ORG
    cAny submission deadlines:
    NO APPLICATION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE STATEMENT 15 AND WWW.MEDINAFOUNDATION.ORG
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    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
    501 COMMONS
    1200 12TH AVENUE SOUTH SUITE 1101
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING SUPPORT ($20,000) AND PACIFIC TOWER RELOCATION ($5,000) 25,000
    ABUSED DEAF WOMEN'S ADVOCACY SERVICES
    8623 ROOSEVELT WAY NE
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    AMARA
    5907 MARTIN LUTHER KING JR WAY
    SOUTH
    SEATTLE,WA98118
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    AMERICA SCORES SEATTLE
    2450 6TH AVE S SUITE 203
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING SUPPORT 15,000
    ANACORTES FAMILY CENTER
    PO BOX 681
    ANACORTES,WA98221
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    ASSISTANCE LEAGUE OF BELLINGHAM
    PO BOX 2998
    BELLINGHAM,WA982272998
    NONE PC:509(A)(1) OR (A)( OPERATION SCHOOL BELL 10,000
    ASSISTANCE LEAGUE OF EVERETT
    5107 EVERGREEN WAY
    EVERETT,WA98203
    NONE PC:509(A)(1) OR (A)( OPERATION SCHOOL BELL (OSB) NEW SCHOOL CLOTHING FOR LOW-INCOME SNOHOMISH COUNTY STUDENTS. 20,000
    ASSISTANCE LEAGUE OF SEATTLE
    1415 NORTH 45TH ST
    SEATTLE,WA98103
    NONE PC:509(A)(1) OR (A)( OPERATION SCHOOL BELL (OSB) 10,000
    ASSOCIATED MINISTRIES OF TACOMA-PIERCE COUNTY
    901 S 13TH ST
    TACOMA,WA984055021
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    AUBURN YOUTH RESOURCES
    1000 AUBURN WAY S
    AUBURN,WA98002
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    BELLINGHAM FOOD BANK
    1824 ELLIS STREET
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    BEYOND SURVIVAL
    313 SOUTH I STREET
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    BIG BROTHERS BIG SISTERS OF ISLAND COUNTY
    913 E WHIDBEY AVE
    OAK HARBOR,WA98277
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    BIG BROTHERS BIG SISTERS OF ISLAND COUNTY
    913 E WHIDBEY AVE
    OAK HARBOR,WA98277
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    BIG BROTHERS BIG SISTERS OF PUGET SOUND
    1600 SOUTH GRAHAM ST
    SEATTLE,WA98108
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    BIKE WORKS SEATTLE
    3715 SOUTH HUDSON STREET
    SEATTLE,WA98118
    NONE PC:509(A)(1) OR (A)( BIKE WORKS JOB SKILLS TRAINING PROGRAM 15,000
    BIRTH TO THREE DEVELOPMENTAL CENTER
    PO BOX 24269
    FEDERAL WAY,WA98093
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    BOY SCOUTS OF AMERICA PACIFIC HARBORS COUNCIL
    4802 SOUTH 19TH ST
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( SCOUTREACH 20,000
    BOYER CHILDREN'S CLINIC
    1850 BOYER AVE EAST
    SEATTLE,WA98112
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    BOYS & GIRLS CLUBS OF BELLEVUE
    209 100TH AVE NE
    BELLEVUE,WA98004
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    BOYS & GIRLS CLUBS OF BELLEVUE
    209 100TH AVE NE
    BELLEVUE,WA98004
    NONE PC:509(A)(1) OR (A)( BE GREAT BELLEVUE 30,000
    BOYS & GIRLS CLUBS OF SKAGIT COUNTY
    PO BOX 947
    MOUNT VERNON,WA98273
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATIONS 20,000
    BOYS & GIRLS CLUBS OF SNOHOMISH COUNTY
    9502 - 19TH AVE SE
    EVERETT,WA98208
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    BOYS & GIRLS CLUBS OF SOUTH PUGET SOUND
    3875 S 66TH STREET
    TACOMA,WA98409
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    BRIGID COLLINS FAMILY SUPPORT CENTER
    1231 N GARDEN ST STE 200
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    BUILDING CHANGES
    1200 12TH AVENUE SOUTH SUITE 1200
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    CASA LATINA
    317 - 17TH AVENUE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    CATHERINE PLACE
    923 SOUTH 8TH STREET
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 12,000
    CCS - BENEDICT HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( BENEDICT HOUSE 25,000
    CCS - DREXEL HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( DREXEL HOUSE EMERGENCY SHELTER 25,000
    CCS - FAMILY HOUSING NETWORK
    5050 SOUTH TACOMA WAY
    TACOMA,WA98409
    NONE PC:509(A)(1) OR (A)( FAMILY HOUSING NETWORK (FORMERLY PHOENIX HOUSING NETWORK) 25,000
    CCS - FEED THE HUNGRY
    PO BOX 1734
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( FEED THE HUNGRY 8,000
    CCS - GRAYS HARBOR YOUTH CENTER
    PO BOX 1734
    ABERDEEN,WA98520
    NONE PC:509(A)(1) OR (A)( GRAYS HARBOR YOUTH CENTER 10,000
    CCS - GROUNDWORK
    CCS HEADQUARTERS
    SEATTLE,WA981442302
    NONE PC:509(A)(1) OR (A)( THE GROUNDWORK PROJECT 15,000
    CCS - HOMEARISEREACH OUT
    CCS HEADQUARTERS
    SEATTLE,WA981442302
    NONE PC:509(A)(1) OR (A)( HOME/ARISE/REACH OUT 15,000
    CCS - HOPE HOUSE
    1133 RAILROAD AVE STE 100
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( HOPE HOUSE 10,000
    CCS - KATHERINE'S HOUSE
    CCS HEADQUARTERS
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( KATHERINE'S HOUSE 20,000
    CCS - LAZARUS DAY CENTER
    416 - 2ND AVENUE
    SEATTLE,WA981940741
    NONE PC:509(A)(1) OR (A)( LAZARUS DAY CENTER 10,000
    CCS - NATIVITY HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( NATIVITY HOUSE CAPITAL CAMPAIGN 25,000
    CCS - NATIVITY HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( NATIVITY HOUSE 30,000
    CCS - SACRED HEART SHELTER
    232 WARREN AVENUE N
    SEATTLE,WA98109
    NONE PC:509(A)(1) OR (A)( SACRED HEART SHELTER 25,000
    CCS - ST MARTIN DE PORRES SHELTER
    1561 ALASKAN WAY S
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( ST. MARTIN DE PORRES SHELTER 20,000
    CCS - THE COMMUNITY KITCHEN
    PO BOX 1104
    OLYMPIA,WA985071104
    NONE PC:509(A)(1) OR (A)( THE COMMUNITY KITCHEN 7,000
    CCS - YOUTH TUTORING PROGRAM
    CCS HEADQUARTERS
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( YOUTH TUTORING PROGRAM 15,000
    CCSCHS - NOEL HOUSE
    118 BELL STREET
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( NOEL HOUSE PROGRAMS 25,000
    CCSCHS - ROSE OF LIMA
    118 BELL STREET
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( ROSE OF LIMA 10,000
    CENTER FOR HUMAN SERVICES
    17018 15TH AVE NE
    SHORELINE,WA98155
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    CHIEF SEATTLE CLUB
    410 SECOND AVENUE EXTENSION S
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    CHIEF SEATTLE CLUB
    410 SECOND AVENUE EXTENSION S
    SEATTLE,WA98104
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    CHILDHAVEN
    316 BROADWAY
    SEATTLE,WA981225325
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    COASTAL HARVEST
    PO BOX 616
    HOQUIAM,WA98550
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    COCOON HOUSE
    2929 PINE ST
    EVERETT,WA98201
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    COMMUNITIES IN SCHOOLS OF WASHINGTON
    1010 S 336TH STREET SUITE 205
    FEDERAL WAY,WA98003
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 63,000
    COMMUNITY ACTION OF SKAGIT COUNTY
    330 PACIFIC PLACE
    MOUNT VERNON,WA98273
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    COMMUNITY FOR YOUTH
    999 3RD AVE
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    COMMUNITY YOUTH SERVICES
    711 STATE AVE NE
    OLYMPIA,WA98506
    NONE PC:509(A)(1) OR (A)( HAVEN HOUSE 10,000
    COMPASS HOUSING ALLIANCE
    77 S WASHINGTON ST
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 55,000
    CONGREGATIONS FOR THE HOMELESS
    2650 148TH AVE SE STE 202
    BELLEVUE,WA98007
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    COURAGE360 - FORMERLY WASHINGTON WOMEN'S EMPLOYMENT & EDUCATION
    3516 SOUTH 47TH ST 205
    TACOMA,WA98409
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    COYOTE FOUNDATION (JEFFERSON TEEN CENTER)
    PO BOX 126
    PORT HADLOCK,WA98339
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 7,500
    CRISIS CLINIC
    9725 3RD AVENUE NE
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( KING COUNTY 2-1-1 25,000
    DENISE LOUIE EDUCATION CENTER
    1930 SIXTH AVENUE SOUTH SUITE 401
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( KALEIDOSCOPE PLAY AND LEARN 15,000
    DOMESTIC ABUSE WOMEN'S NETWORK
    PO BOX 88007
    TUKWILA,WA98138
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    DOWNTOWN EMERGENCY SERVICE CENTER
    515 - 3RD AVE
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 75,000
    EL CENTRO DE LA RAZA
    2524 16TH AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( PLAZA ROBERTO MAESTAS 50,000
    EMERGENCY FOOD NETWORK OF TACOMA-PIERCE COUNTY
    3318 92ND ST SOUTH
    LAKEWOOD,WA98499
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATIONS 30,000
    EXODUS HOUSING
    PO BOX 1006
    SUMNER,WA98390
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    EXPRESS ADVANTAGE
    1930 - 6TH AVE SOUTH SUITE 101
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 100,000
    FAMILY EDUCATION AND SUPPORT SERVICES
    1202 BLACK LAKE BLVD SUITE B
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    FAMILYWORKS
    PO BOX 31112
    SEATTLE,WA98103
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    FARESTART
    700 VIRGINIA AVENUE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 45,000
    FRIENDSHIP HOUSE
    PO BOX 517
    MT VERNON,WA982730517
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    FUNHOUSE COMMONS
    30 PEA PATCH LANE
    EASTSOUND,WA98245
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    GARDEN RAISED BOUNTY
    2016 ELLIOTT AVE NW
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    GRANTMAKERS FOR EFFECTIVE ORGANIZATIONS
    1413 K STREET
    WASHINGTON,DC20005
    NONE PC:509(A)(1) OR (A)( 2015 MEMBERSHIP DUES 1,830
    GRAYS HARBOR COMMUNITY FOUNDATION
    PO BOX 615
    HOQUIAM,WA98550
    NONE PC:509(A)(1) OR (A)( JANUARY 2015 STORM RELIEF FUND 5,000
    GRAYS HARBOR YOUTH WORKS
    PO BOX 1786
    OCEAN SHORES,WA98569
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    GREATER MAPLE VALLEY COMMUNITY CENTER
    22010 SE 248TH ST
    MAPLE VALLEY,WA98038
    NONE PC:509(A)(1) OR (A)( MAPLE VALLEY YOUTH PROGRAM 15,000
    HAND IN HAND
    14 EAST CASINO ROAD
    EVERETT,WA98208
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    HEARING SPEECH & DEAFNESS CENTER
    1625 19TH AVE
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( EARLY LEARNING & INTERVENTION FOR CHILDREN WITH COMMUNICATION CHALLENGES 15,000
    HOPELINK
    10675 WILLOWS ROAD NE 275
    REDMOND,WA98052
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 65,000
    HOPESPARKS
    6424 N 9TH STREET
    TACOMA,WA98406
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    HOUSING HOPE
    5830 EVERGREEN WAY
    EVERETT,WA982033748
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    IMAGINE HOUSING
    10604 NE 38TH PLACE SUITE 215
    KIRKLAND,WA98033
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    INTERIM COMMUNITY DEVELOPMENT ASSOCIATION
    310 MAYNARD AVENUE S
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    KENT YOUTH AND FAMILY SERVICES
    232 2ND AVE S STE 201
    KENT,WA98032
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    KING COUNTY SEXUAL ASSAULT RESOURCE CENTER
    PO BOX 300
    RENTON,WA980570300
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    KONA KAI COFFEE
    124 4TH AVE SOUTH 180
    KENT,WA98032
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    LIFEWIRE
    PO BOX 6398
    BELLEVUE,WA980080398
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    LITTLE BIT THERAPEUTIC RIDING CENTER
    18675 NE 106TH ST
    REDMOND,WA98052
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    LOPEZ ISLAND FAMILY RESOURCE CENTER
    PO BOX 732
    LOPEZ ISLAND,WA98261
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 17,500
    LOW INCOME HOUSING INSTITUTE
    2407 1ST AVE STE 200
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( URBAN REST STOP HYGIENE AND HEALTH CENTERS FOR THE HOMELESS 30,000
    LYDIA PLACE
    PO BOX 28487
    BELLINGHAM,WA98228
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    MARKET FOUNDATION
    85 PIKE ST 500
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( IN HONOR OF ANNE SIMONS 10,000
    MARY'S PLACE
    PO BOX 1711
    SEATTLE,WA98111
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    MERCY HOUSING NORTHWEST
    2505 3RD AVE STE 204
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 60,000
    METROPOLITAN DEVELOPMENT COUNCIL
    945 FAWCETT AVENUE
    TACOMA,WA98402
    NONE PC:509(A)(1) OR (A)( YOUTH EDUCATION TO HOUSING (YE2H) 10,000
    MOCKINGBIRD SOCIETY
    2100 24TH AVE S STE 240
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    NATIONAL CENTER FOR FAMILY PHILANTHROPY
    1667 K STREET NW STE 550
    WASHINGTON,DC20006
    NONE PC:509(A)(1) OR (A)( 2015 MEMBERSHIP DUES 2,500
    NEW HORIZONS MINISTRIES
    PO BOX 2801
    SEATTLE,WA98111
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    NEW WAY MINISTRIES
    205 S BC AVE STE 117
    LYNDEN,WA98264
    NONE SO I:509(A)(3) GENERAL OPERATING 5,000
    NONPROFIT LEADERS CONFERENCE FOR COASTAL & SW WASHINGTON
    PO BOX 1843
    OCEAN SHORES,WA985691843
    NONE PC:509(A)(1) OR (A)( NONPROFIT LEADERS FOR COASTAL & SOUTHWEST WASHINGTON CONFERENCE 5,000
    NORTH KITSAP SCHOOLS FOUNDATION
    PO BOX 1702
    POULSBO,WA98370
    NONE PC:509(A)(1) OR (A)( ROLLING READER/STAR COLLEGE GRANT PROGRAM 5,714
    NORTHWEST HARVEST
    PO BOX 12272
    SEATTLE,WA98102
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    NORTHWEST YOUTH SERVICES
    1020 N STATE STREET
    BELLINGHAM,WA982255012
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    OLIVE CREST
    515 116TH AVE NE STE 174
    BELLEVUE,WA98004
    NONE PC:509(A)(1) OR (A)( SAFE FAMILIES FOR CHILDREN 25,000
    OLYMPIC VIEW COMMUNITY FOUNDATION
    720 E WASHINGTON
    SEQUIM,WA98382
    NONE PC:509(A)(1) OR (A)( ALLIANCE FOR LEADERSHIP PROGRAMS 10,000
    OPEN ARMS PERINATAL SERVICES
    2524 16TH AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    OPERATION SACK LUNCH
    PO BOX 4128
    SEATTLE,WA98194
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    OPPORTUNITY COUNCIL
    1111 CORNWALL AVE STE C
    BELLINGHAM,WA98225
    NONE PC:509(A)(1) OR (A)( WHATCOM HOMELESS SERVICE CENTER 30,000
    ORGANIZATION FOR PROSTITUTION SURVIVORS
    PO BOX 22635
    SEATTLE,WA981220635
    NONE PC:509(A)(1) OR (A)( OPS GENERAL OPERATING FUNDS 15,000
    PANZA
    3350 MOTTMAN ROAD SW
    OLYMPIA,WA98502
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    PEACE COMMUNITY CENTER
    2106 SOUTH CUSHMAN AVE
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    PEACE FOR THE STREETS BY KIDS FROM THE STREETS
    1609 19TH AVE
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( 2015 MEMBERSHIP DUES 13,355
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( PHILANTHROPIST FORUM 10,000
    PIERCE COUNTY ALLIANCE
    510 TACOMA AVENUE SOUTH
    TACOMA,WA98402
    NONE PC:509(A)(1) OR (A)( TRANSITIONAL CARE SPECIALIST 25,000
    PLYMOUTH HEALING COMMUNITIES
    1217 6TH AVE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    PLYMOUTH HOUSING GROUP
    2113 3RD AVENUE
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( IN HONOR OF ANNE SIMONS 10,000
    POTLATCH FUND
    801 SECOND AVENUE SUITE 304
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    RAINIER SCHOLARS
    2100 24TH AVE S STE 360
    SEATTLE,WA98144
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    RAINIER THERAPEUTIC RIDING
    PO BOX 2947
    YELM,WA98597
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    RALLYPOINT6
    9881 BRIDGEPORT WAY SW
    LAKEWOOD,WA98499
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    REAL CHANGE
    219 FIRST AVE S 220
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    REFUGEE WOMEN'S ALLIANCE
    4800 MARTIN LUTHER KING JR WAY
    SOUTH
    SEATTLE,WA98108
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    ROCHESTER ORGANIZATION OF FAMILIES
    PO BOX 312
    ROCHESTER,WA98579
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    ROTARY FIRST HARVEST
    PO BOX 94117
    SEATTLE,WA98124
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    SAFEFUTURES YOUTH CENTER
    6337 - 35TH AVENUE SW
    SEATTLE,WA98126
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    SCHOOL'S OUT WASHINGTON
    801 23RD AVE S SUITE A
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    SEASHARE
    600 ERICKSEN AVE NE STE 310
    BAINBRIDGE ISLAND,WA981101812
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    SEATTLE ARTS AND LECTURES
    205 S FINDLAY STREET
    SEATTLE,WA98108
    NONE PC:509(A)(1) OR (A)( WRITERS IN THE SCHOOLS (WITS) 15,000
    SEATTLE EDUCATION ACCESS
    6920 ROOSEVELT WAY NE 355
    SEATTLE,WA98115
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    SERENITY HOUSE OF CLALLAM COUNTY
    PO BOX 4047
    PORT ANGELES,WA98363
    NONE PC:509(A)(1) OR (A)( DREAMU AND HUB: BUILDING FINANCIAL AND EMPLOYABILITY SKILLS TO HELP END HOMELESSNESS 30,000
    SHARED HOUSING SERVICES
    901 S 11TH STREET
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    SOCIAL VENTURE PARTNERS
    220 2ND AVENUE S
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( 2015 MEMBERSHIP DUES 6,000
    SOCIAL VENTURE PARTNERS
    220 2ND AVENUE S
    SEATTLE,WA98104
    NONE PC:509(A)(1) OR (A)( STATEWIDE CAPACITY COLLABORATIVE 10,000
    SOLID GROUND
    1501 N 45TH ST
    SEATTLE,WA981036708
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 55,000
    SOMALI COMMUNITY SERVICES COALITION
    15027 MILITARY ROAD SOUTH SUITE 2
    SEATAC,WA98188
    NONE PC:509(A)(1) OR (A)( SUMMER ADVENTURE PROGRAM 10,000
    SOUTHWEST YOUTH & FAMILY SERVICES
    4555 DELRIDGE WAY SW
    SEATTLE,WA981061379
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 60,000
    SPRING STREET INTERNATIONAL SCHOOL
    505 SPRING STREET
    FRIDAY HARBOR,WA98250
    NONE PC:509(A)(1) OR (A)( CAPITAL CAMPAIGN 10,000
    STEP BY STEP FAMILY SUPPORT CENTER
    POBOX 488
    MILTON,WA98354
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 10,000
    SUMMER SEARCH
    1109 FIRST AVE STE 205
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    TACOMA AREA YOUTH FOR CHRIST
    PO BOX 834
    TACOMA,WA98401
    NONE PC:509(A)(1) OR (A)( CITY LIFE 20,000
    TACOMA YOUTH CHORUS
    PO BOX 64734
    TACOMA,WA98464
    NONE PC:509(A)(1) OR (A)( STUDENT SCHOLARSHIP FUND 10,000
    THE ANSWER FOR YOUTH
    PO BOX 633
    PORT ANGELES,WA98362
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 8,500
    THE SEATTLE FOUNDATION
    1200 5TH AVE 1300
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GIVEBIG 2015 25,000
    THE SEATTLE FOUNDATION
    1200 5TH AVE 1300
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( RAPID RESOURCE FUND FOR THE ROADMAP PROJECT 10,000
    THRIVE WASHINGTON - FORMERLY THRIVE BY FIVE
    1111 THIRD AVENUE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    TREEHOUSE
    2100 24TH AVE SOUTH STE 200
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 40,000
    UNITED WAY OF SAN JUAN COUNTY
    PO BOX 3181
    FRIDAY HARBOR,WA98250
    NONE PC:509(A)(1) OR (A)( YOUTH DEVELOPMENT (SJ COUNTY PIP) 5,000
    UNIVERSITY DISTRICT FOOD BANK
    4731 15TH AVE NE
    SEATTLE,WA981054404
    NONE PC:509(A)(1) OR (A)( FIGHT HUNGER, BUILD HOPE CAPITAL CAMPAIGN 45,000
    VALLEY CITIES COUNSELING
    325 W GOWE STREET
    KENT,WA98032
    NONE PC:509(A)(1) OR (A)( PHOENIX RISING 20,000
    VASHON YOUTH & FAMILY SERVICES
    PO BOX 237
    VASHON,WA98070
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    VINE MAPLE PLACE
    PO BOX 1092
    MAPLE VALLEY,WA98038
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 35,000
    WASHINGTON NONPROFITS
    120 STATE AVENUE 303
    OLYMPIA,WA98501
    NONE PC:509(A)(1) OR (A)( PACIFIC COUNTY WORKSHOPS 5,350
    WASHINGTON STATE COALITION AGAINST DOMESTIC VIOLENCE
    500 UNION STREET STE 200
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 30,000
    WELLSPRING FAMILY SERVICES
    1900 RAINIER AVE S
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 50,000
    WESTSIDE SCHOOL
    7740 34TH AVE SW
    SEATTLE,WA98126
    NONE PC:509(A)(1) OR (A)( WESTSIDE SCHOOL: HEADING HOME 50,000
    WHATCOM LITERACY COUNCIL
    PO BOX 1292
    BELLINGHAM,WA98227
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    WORKFORCE SNOHOMISH
    808 134TH ST SW
    EVERETT,WA98204
    NONE PC:509(A)(1) OR (A)( BASIC AND EMERGENCY SERVICES FUND FOR VETERANS 20,000
    YEAR UP PUGET SOUND
    2607 2ND AVENUE
    SEATTLE,WA98121
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 5,000
    YMCA OF GRAYS HARBOR
    2500 SIMPSON AVE
    HOQUIAM,WA98550
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    YMCA OF PIERCE & KITSAP COUNTIES
    4717 S 19TH STREET STE 201
    TACOMA,WA98405
    NONE PC:509(A)(1) OR (A)( YMCA COMMUNITY SCHOOLS 25,000
    YOUNG LIFE CAPERNAUM
    PO BOX 55998
    SEATTLE,WA98155
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 15,000
    YOUTH EASTSIDE SERVICES
    999 164TH AVE NE
    BELLEVUE,WA98008
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    YOUTH IN FOCUS
    2100 24TH AVENUE S SUITE 310
    SEATTLE,WA98144
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 20,000
    YOUTH IN FOCUS
    2100 24TH AVENUE S SUITE 310
    SEATTLE,WA98144
    NONE I: INDIVIDUAL NONPROFIT EXECUTIVE LEADERSHIP INSTITUTE SCHOLARSHIP 3,250
    YWCA OF KITSAP COUNTY
    PO BOX 559
    BREMERTON,WA98337
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
    1118 FIFTH AVENUE
    SEATTLE,WA98101
    NONE PC:509(A)(1) OR (A)( YWCA CHILDREN'S DOMESTIC VIOLENCE PROGRAM AND THE SHAREHOUSE 40,000
    ZENO
    1404 EAST YESLER WAY SUITE 204
    SEATTLE,WA98122
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    Total .................................bullet 3a 4,052,749
    bApproved for future payment
    EXPRESS ADVANTAGE
    1930 - 6TH AVE SOUTH SUITE 101
    SEATTLE,WA98134
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 75,000
    NW YOUTH SERVICES
    1020 N STATE STREET
    BELLINGHAM,WA982255012
    NONE PC:509(A)(1) OR (A)( GENERAL OPERATING 25,000
    Total .................................bullet 3b 100,000
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    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 ...........
        14 282  
    4 Dividends and interest from securities....     14 2,299,484 9,805
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 5,793,222  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aCO-OP DISTRIBUTION
        01 594  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 8,093,582 9,805
    13Total. Add line 12, columns (b), (d), and (e)..................
    138,103,387
    (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.)
    3 TAX-EXEMPT INTEREST
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    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 organizations?
    Yes
    No
    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) 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 name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 33,081 1,654   31,427

    TY 2015 GeneralExplanationAttachment
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Identifier Return Reference Explanation
      FORM 990-PF, PART VII-B, QUESTION 1A (3) - A DISQUALIFIED PERSON FURNISHES FACILITIES TO THEFOUNDATION FREE OF CHARGE. THIS ACTIVITY IS NOT AN ACT OFSELF-DEALING AS CODIFIED IN I.R.C. SECTION 4941(D)(2)(C).(4) - THE FOUNDATION REIMBURSES BOARD MEMBERS FOR TRAVELRELATED TO THE FOUNDATION BUSINESS. THESE SERVICES ARENECESSARY IN CARRYING OUT THE FOUNDATION'S EXEMPT PURPOSEAND ARE NOT CONSIDERED AN ACT OF SELF DEALING UNDERI.R.C. SECTION 4941(D)(2)(C).
      FORM 990-PF, PART XV, LINE 2B, 2D FUNDING GUIDELINESTHE MEDINA FOUNDATION IS A FAMILY FOUNDATION THAT FUNDS BASIC HUMAN SERVICE ORGANIZATIONS IN THE PUGET SOUND AREA. WE FOLLOW OUR FOUNDER NORTON CLAPP'S VISION TO IMPROVE THE LIVES OF THOSE IN NEED BY FOSTERING POSITIVE CHANGE AND HELPING PEOPLE ATTAIN INDEPENDENCE AND DIGNITY.TODAY, THE FAMILY CONTINUES NORTON CLAPP'S LEGACY BY FUNDING INNOVATIVE ORGANIZATIONS THAT APPROACH TOUGH PROBLEMS WITH NEW IDEAS AND SOLUTIONS, AS WELL AS PROVEN PROGRAMS THAT HAVE BEEN MEETING THE NEEDS OF THE COMMUNITY FOR MANY YEARS.OUR ACTIVITIES ARE BASED ON THE FOLLOWING SET OF SHARED VALUES:- COMPASSION- INNOVATION- INTEGRITY- STEWARDSHIP- LEADERSHIPWE LOOK FOR ORGANIZATIONS THAT ARE ADDRESSING CRITICAL COMMUNITY NEEDS, ENGAGING IN STRATEGIC PLANNING TO MEET WELL-MAPPED PROGRAMMATIC AND FINANCIAL GOALS, AND SEEING POSITIVE RESULTS THROUGH THEIR PROGRAMS. WE BELIEVE ORGANIZATIONS THAT ARE DRIVEN BY STRONG LEADERSHIP, THROUGH A DIVERSE AND ENGAGED BOARD AND A DEDICATED EXECUTIVE DIRECTOR AND STAFF, HAVE A HIGH LIKELIHOOD OF SUCCESS.GRANT AMOUNTS AWARDED REFLECT BOTH THE NEEDS OF THE NONPROFIT AND THE FOUNDATION'S DESIRE TO SEE THE PRESENCE OF OTHER SUPPORT. GENERALLY, THIS MEANS NO MORE THAN 10% OF AN OPERATING OR CAPITAL BUDGET. WE DO CONSIDER MAKING EXCEPTIONS FOR INNOVATIVE START-UPS. THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS QUALIFIED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CLASSIFIED AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTION 509(A). NO GRANTS ARE MADE TO RELIGIOUS INSTITUTIONS FOR RELIGIOUS PURPOSES OR TO POLITICAL, ARTS, HEALTHCARE-RELATED OR ENVIRONMENTAL PROGRAMS.FUNDING AREAS- FAMILY SUPPORT-PROGRAMS FOR THOSE SUFFERING FROM THE EFFECTS OF DOMESTIC VIOLENCE OR SEXUAL ASSAULT, SERVICES TO SUPPORT CHILD WELFARE, PROGRAMS PROVIDING FOR BASIC NEEDS, AND OTHER HUMAN SERVICES- HOUSING & HOMELESSNESS-HOUSING AND RELATED SERVICES TO SUPPORT THOSE IN NEED, WITH THE GOAL OF HELPING PEOPLE ACHIEVE HOUSING STABILITY- YOUTH DEVELOPMENT-ORGANIZATIONS WORKING WITH UNDERSERVED YOUTH, OFFERING MENTORING, TUTORING, OR OUT-OF-SCHOOL TIME/ENRICHMENT ACTIVITIES- ECONOMIC OPPORTUNITY-OPPORTUNITIES THAT HELP PEOPLE BECOME ECONOMICALLY SELF-SUFFICIENT, SUCH AS FINANCIAL LITERACY, ASSET BUILDING, OR SKILLS-BUILDING PROGRAMS- EDUCATION-BIRTH TO 12TH-GRADE EDUCATIONAL OPPORTUNITIES, ADULT LITERACY AND OTHER PROGRAMS THAT ENHANCE ACADEMIC SKILLS- HUNGER-EFFORTS TO ALLEVIATE HUNGER, WITH AN EMPHASIS ON DISTRIBUTION AND RURAL COMMUNITIESGEOGRAPHIC FUNDING REGIONTHE MEDINA FOUNDATION FUNDS IN THE FOLLOWING FOURTEEN GREATER PUGET SOUND COUNTIES OF WASHINGTON STATE: CLALLAM, GRAYS HARBOR, ISLAND, JEFFERSON, KING, KITSAP, MASON, PACIFIC, PIERCE, SAN JUAN, SKAGIT, SNOHOMISH, THURSTON AND WHATCOM.APPLICATION ASSISTANCE AFTER REVIEWING THE GRANT GUIDELINES, APPLICATION PROCESS AND FREQUENTLY ASKED QUESTIONS AT WWW.MEDINAFOUNDATION.ORG, FEEL FREE TO CONTACT THE FOUNDATION IF YOU NEED ASSISTANCE OR ARE STILL UNSURE WHETHER YOUR ORGANIZATION MIGHT BE ELIGIBLE FOR FUNDING.ALEXIA CAMERONOFFICE AND GRANTS ADMINISTRATOR (206) 652-8783 ALEXIA@MEDINAFOUNDATION.ORG

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Name of Bond End of Year Book Value End of Year Fair Market Value
    223087 SHS BLACKROCK STRATEGIC INCOME OPP 2,179,558 2,179,558
    403115 SHS METROPOLITAN WEST BOND FUND 4,281,084 4,281,084
    72619 SHS PIMCO FLOATING INCOME FUND 565,704 565,704
    135814 SHS RIDGEWORTH SEIX FLOATING FUND 1,121,826 1,121,826
    198908 SHS JOHN HANCOCK GI ABS FUND 2,068,639 2,068,639
    178665 SHS DRIEHAUS ACTIVE INCOME FUND 1,777,719 1,777,719
    140186 SHS WILLIAM BLAIR BOND FUND 1,435,501 1,435,501
    300798 SHS GS ENHANCED INCOME FUND 2,818,476 2,818,476
    355172 SHS EATON VANCE GROUP 1,917,931 1,917,931
    210125 SHS FEDERATED HIGH YIELD BOND MUT FUND 1,910,040 1,910,040
    138958 SHS TCW EMERGING MARKETS LOCAL CURRENCY INC FUND 1,075,533 1,075,533

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ASTON/LAKE PARTNERS LASSO 0 0
    ISHARES RUSSELL 2000 GROWTH 0 0
    16655 SHS LONGLEAF PARTNERS SMALL CAP FUND 449,344 449,344
    PIMCO COMMODITY RR 0 0
    19719 SHS TORTOISE MLP & PIPELINE 198,570 198,570
    52521 SHS VANGUARD INST'L INDEX FUND 9,801,407 9,801,407
    74151 SHS VANGUARD MID-CAP INDEX FUND 2,435,854 2,435,854
    486772 SHS WILLIAM BL DIR MULTIALT-INST 4,770,370 4,770,370
    210259 SHS WILIMINGTON MULT MANAG ALT-I 2,140,439 2,140,439
    5142 SHS WISDOMTREE INT'L SMALL CAP 298,750 298,750
    65350 SHS ABERDEEN EMERGING MKTS 742,379 742,379
    29517 SHS DRIEHAUS INT'L SMALL CAP GTH 297,530 297,530
    38371 SHS EATON VANCE PARAMETRIC 1,458,089 1,458,089
    HARBOR INT'L FUND #11 0 0
    77678 SHS TORTOISE SELECT OPPORTUNITIES 615,987 615,987
    68965 SHS WILLIAM BLAIR EMERGING MKTS 755,858 755,858
    AFLAC INC 0 0
    AXA ADR 0 0
    METTLER-TOLEDO INTERNATIONAL INC 0 0
    PHILIP MORRIS INTERNATIONAL 0 0
    FUJI HEAVY INDUS UNSPONS ADR 0 0
    HONDA MTR LTD ADR 0 0
    INDITEX UNSPONS ADR 0 0
    MAGNA INTERNATIONAL INC CL A 0 0
    VOLKSWAGEN AG SPONS ADR 0 0
    WAL MART DE MEXICO SPONS ADR 0 0
    CARREFOUR SA SPONS ADR 0 0
    COCA-COLA HELLENIC BTTLG SPONS ADR 0 0
    COMPASS GROUP PLC SPONS ADR 0 0
    DIAGEO PLC ADR 0 0
    HENKEL AG & CO KGAA SPONS ADR 0 0
    LOREAL CO UNSPONS ADR 0 0
    NESTLE SA SPONS ADR FOR REG 0 0
    RECKITT BENCKISER GROUP SPONS ADR 0 0
    SABMILLER PLC SPONS ADR 0 0
    CANADIAN NATURAL RESOURCES 0 0
    ENBRIDGE INCORPORATED 0 0
    IMPERIAL OIL LTD 0 0
    ROYAL DUTCH SHELL PLC-SPONS ADR 0 0
    WOODSIDE PETROLEUM SPONS ADR 0 0
    ALLIANZ SE SPONS ADR 0 0
    BANCOLOMBIA SPONS ADR 0 0
    BARCLAYS PLC ADR 0 0
    BNP PARIBAS ADR 0 0
    CREDICORP LIMITED 0 0
    HSBC HOLDINGS PLC-SPONS ADR 0 0
    MUENCHENER UNSPONS ADR 0 0
    PRUDENTIAL PLC-ADR 0 0
    TURKIYE GARANTI BANKASI SPONS ADR 0 0
    UNITED OVERSEAS BANK-SPONS ADR 0 0
    CSL LTD SPONS ADR 0 0
    ESSILOR INTL ADR 0 0
    INDIVIOR PLS SPONS ADR 0 0
    MERCK KGAA UNSPONS ADR 0 0
    NOVARTIS AG SPONSORED ADR 0 0
    NOVO-NORDISK A S SPONS ADR 0 0
    ROCHE HLDG LTD SPONS ADR 0 0
    SMITH & NEPHEW PLC-ADR 0 0
    AAC TECH HLDGS UNSPONS ADR 0 0
    ABB LTD-SPON ADR 0 0
    ADECCO SA UNSPONS ADR 0 0
    CONTINENTAL AG SPONS ADR 0 0
    FANUC CORP UNSPONS ADR 0 0
    GIVAUDAN SA UNSPONS ADR 0 0
    JGC CORP UNSPONS ADR 0 0
    KOMATSU LTD SPONS ADR 0 0
    LVMH MOET HENNESSY LOUIS UNSPONS ADR 0 0
    YANAIR HLDGS PLC SPONS ADR 0 0
    SANDVIK AB ADR 0 0
    SIEMENS A G SPONSORED ADR 0 0
    SKF AB SPONS ADR 0 0
    TECHNIP ADR 0 0
    WPP PLC SPONS ADR 0 0
    DASSAULT SYS S A SPNS ADR 0 0
    GEMALTO SPONS ADR 0 0
    NXP SEMICONDUCTORS 0 0
    SAP SE SPONS ADR 0 0
    SINGAPORE TELECOM SPONS ADR 0 0
    TAIWAN SEMICONDUCTOR SPONS ADR 0 0
    TOKYO ELECTRON LTD UNSPONS ADR 0 0
    MTN GROUP LTD SPONS ADR 0 0
    BASF SE SPONS ADR 0 0
    BAYER AG ADR 0 0
    BHP BILLITON LTD ADR 0 0
    KUBOTA LTDSPONSD SDR 0 0
    L'AIR LIQUIDE ADR 0 0
    NITTO DENKO CORP-UNSPONS ADR 0 0
    SVENSKA CELLULOSA AB-SPONS ADR 0 0
    SYNGENTA AG ADR 0 0
    42917 SHS HARBOR S/C GROW OPPORT-INST 436,034 436,034
    74189 SHS JOHCM INT'L SEL-I 1,318,332 1,318,332
    50830 SHS TWEEDY BROWNE GLOBAL VALUE FUND 1,243,306 1,243,306
    221137 VANGUARD DEV MKTS INDX-INST 2,616,046 2,616,046
    264 SHS ABERCROMBIE & FITCH 7,128 7,128
    178 SHS ABM INDUSTRIES INC 5,068 5,068
    154 SHS ACTUANT CORP CMN CLASS A 3,690 3,690
    233 SHS AEGION CORP 4,499 4,499
    104 AIR LEASE CORP 3,482 3,482
    487 SHS AMERICAN EAGLE OUTFITTERS 7,549 7,549
    250 SHS AMERICAN RESIDENTIAL PROPERTIE CMN 4,725 4,725
    88 SHS AMSURG CORP 6,688 6,688
    53 SHS ANIXTER INT'L INC 3,201 3,201
    320 SHS APOLLO INVESTMENT CORP 1,670 1,670
    582 SHS ASCENA RETAIL GROUP INC 5,733 5,733
    145 SHS ASSURED GUARANTY LTD 3,832 3,832
    148 SHS BELDEN INC 7,057 7,057
    246 SHS BMC STOCK HOLDINGS INC 4,121 4,121
    155 SHS BOOZ ALLEN HAMILTON HOLDING CORP 4,782 4,782
    65 SHS BRINK'S COMPANY 1,876 1,876
    252 SHS BRISTOW GROUP INC 6,527 6,527
    186 SHS BROOKS AUTOMATION INC 1,986 1,986
    87 SHS CABOT CORP 3,557 3,557
    75 SHS CHEMED CORP 11,235 11,235
    555 SHS CLOUD PEAK ENERGY INC 1,154 1,154
    192 SHS CLUBCORP HOLDINGS INC 3,508 3,508
    51 SHS COHERENT INC 3,321 3,321
    158 SHS COLUMBIA BKG SYS INC 5,136 5,136
    92 SHS CONVERGYS CORP 2,290 2,290
    156 SHS CUBIC CORP 7,371 7,371
    62 SHS CURTISS-WRIGHT CORP 4,247 4,247
    158 SHS DREW INDUSTRIES INC 9,621 9,621
    32 SHS DRIL-QUIP INC 1,895 1,895
    182 SHS ENERSYS CMN 10,179 10,179
    200 SHS ESSENT GROUP LTD 4,378 4,378
    258 SHS FERROGLOBE PLC CMN 2,773 2,773
    394 SHS FIFTH STREET FINANCE CORP 2,514 2,514
    381 SHS FINISH LINE INC 6,888 6,888
    291 SHS FIRST AMERICAN FIN CORP 10,447 10,447
    105 SHS FIRST CASH FINANCIAL SERVICE INC 3,930 3,930
    22 SHS FIRST CITIZENS BANKSHARES 5,680 5,680
    150 SHS FORUM ENERGY TECHNOLOGIES INC 1,869 1,869
    143 SHS FTD COMPANIES INC 3,742 3,742
    123 SHS FTI CONSULTING INC 4,263 4,263
    58 SHS G&K SERVICES INC 3,648 3,648
    145 SHS GRANITE CONSTRUCTION INC 6,222 6,222
    1105 SHS GRAPHIC PACKAGING 14,177 14,177
    89 SHS GROUP 1 AUTO INC 6,737 6,737
    157 SHS HANGER INC 2,583 2,583
    100 SHS HANOVER INSURANCE GROUP INC 8,134 8,134
    138 SHS HEIDRICK & STRUGGLES INC 3,756 3,756
    698 SHS HELIX ENERGY SOLUTNS GROUP INC 3,671 3,671
    62 SHS HIBBETT SPORTS INC 1,875 1,875
    149 SHS HILLENBRAND INC 4,415 4,415
    64 SHS HUNTINGTON INGALLS INDUSTRIES INC 8,118 8,118
    43 SHS INFINITY PPTY & CAS CORP 3,536 3,536
    166 SHS INSIGHT ENTERPRISES INC 4,170 4,170
    102 SHS INTEGRA LIFESCIENCES HOLDING CORP 6,914 6,914
    95 SHS INTL SPEEDWAY CORP-CL A 3,203 3,203
    231 SHS KAR AUCTION SERVICES INC 8,554 8,554
    302 SHS KINDRED HEALTHCARE INC 3,597 3,597
    163 SHS KNOLL INC 3,064 3,064
    106 SHS KORN/FERRY INT'L 3,517 3,517
    31 SHS LANDSTAR SYSTEM INC 1,818 1,818
    78 SHS LIFEPOINT HEALTH INC 5,725 5,725
    257 SHS LIVE NATION ENTERTAINMENT INC 6,314 6,314
    556 SHS MAIDEN HOLDINGS LTD 8,290 8,290
    114 SHS MAXIMUS INC 6,412 6,412
    365 SHS MENS WAREHOUSE INC 5,358 5,358
    65 SHS MINERALS TECH INC 2,981 2,981
    249 SHS MRC GLOBAL INC 3,212 3,212
    66 SHS MUELLER INDUSTRIES INC 1,789 1,789
    173 SHS MULTI PACKAGING SOLUTIONS INTL LTD 3,002 3,002
    283 SHS NATIONSTAR MTG HOLDINGS 3,784 3,784
    463 SHS NAVIGANT CONSULTING INC 7,436 7,436
    33 SHS NAVIGATORS GROUP INC 2,831 2,831
    207 SHS NELNET, INC 6,949 6,949
    102 SHS NETGEAR INC 4,275 4,275
    93 SHS NU SKIN ENTERPRISES INC 3,524 3,524
    184 SHS OWENS & MINOR INC 6,620 6,620
    78 SHS PAREXEL INT'L CORP 5,313 5,313
    350 SHS PARSLEY ENERGY INC 6,457 6,457
    350 SHS PHH CORP 5,670 5,670
    118 SHS PNM RESOURCES INC 3,607 3,607
    472 SHS RADIAN GROUP INC 6,320 6,320
    164 SHS RENT-A-CENTER INC 2,455 2,455
    374 SHS RPX CORP 4,114 4,114
    258 SHS RSP PERMIAN INC 6,293 6,293
    36 SHS SAFETY INSURANCE GROUP INC 2,030 2,030
    127 SHS SCHWEITZER-MAUDUIT INTERNATION 5,333 5,333
    323 SHS SELECT MEDICAL HOLDINGS CORP 3,847 3,847
    33 SHS SENSIENT TECH CORP 2,073 2,073
    959 SLM CORP 6,253 6,253
    50 SHS STANCORP FINANCIAL CORP 5,694 5,694
    174 SHS STARZ CMN CLASS A 5,829 5,829
    206 SHS STEVEN MADDEN LTD 6,225 6,225
    314 SHS SYKES ENTERPRISEES INC 9,665 9,665
    280 SHS SYMETRA FINANCIAL CORP 8,896 8,896
    179 SHS SYNNEX CORP 16,097 16,097
    242 SHS TELETECH HOLDINGS INC 6,754 6,754
    190 SHS TERADYNE INC 3,927 3,927
    304 SHS TEREX CORP 5,618 5,618
    180 SHS TETRA TECH INC 4,684 4,684
    221 SHS THOR INDUSTRIES INC 12,409 12,409
    146 SHS TUTOR PERINI CORP 2,444 2,444
    61 SHS UNIVERSAL CORP 3,421 3,421
    343 SHS WALKER & DUNLOP INC 9,882 9,882
    256 SHS WASHINGTON FEDERAL INC 6,100 6,100
    166 SHS WESCO INT'L INC 7,251 7,251
    164 SHS WESTERN REFINING INC 5,842 5,842
    517 SHS WORLD FUEL SERVICES CORP 19,884 19,884
    104 SHS AMERICAN CAPITAL MTG INV CORP 1,452 1,452
    440 SHS ANWORTH MTG ASSET CORP 1,914 1,914
    375 SHS ARED COMMERCIAL REAL ESTATE CO 4,290 4,290
    200 SHS CHATHAM LODGING TR 4,096 4,096
    84 SHS COLONY CAPITAL INC 1,636 1,636
    781 SHS CYS INVESTMENTS INC 5,569 5,569
    327 SHS HATTERAS FINANCIAL CORP 4,300 4,300
    1012 SHS MFA FINANCIAL INC 6,679 6,679
    150 SHS SILVER BAY REALTY TRUST CORP 2,349 2,349
    921 SHS TWO HARBORS INVESTMENT CORP 7,460 7,460
    83 SHS GLOBAL INDEMNITY PLC 2,409 2,409
    80 SHS ICON PUBLIC LTD COMPANY 6,216 6,216
    45901 SHS BLACKROCK S&P 500 INDEX FUND 11,223,535 11,223,535
    91796 SHS INVESCO SMALL CAP EQUITY FUND 1,263,113 1,263,113
    16836 SHS DJ WILSHIRE REIT ETF 1,542,683 1,542,683
    344284 SHS MULTI-MANAGER INT'L EQUITY FUND 3,215,613 3,215,613
    351674 SHS STATE STREET HEDGED INT'L DEVELOPED EQUITY FUND 3,168,584 3,168,584
    188936 SHS STATE STREET EMERGING MKTS EQUITY FUND 1,887,469 1,887,469
    37311 SHS SPDR DJ WILSHIRE INT'L REAL ESTATE ETF 1,459,606 1,459,606
    361212 GS TACTICAL TILT IMPLEMENTATION FUND 3,493,889 3,493,889
    BOSTON PARTNERS SMALL CAP VALUE FUND 18,682 18,682

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    US Government Securities - End of Year Book Value:

    8,506,157
    US Government Securities - End of Year Fair Market Value:

    8,506,157
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    GAM US INSTITUTIONAL DIVERSITY FMV 44,532 44,532

    TY 2015 LegalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 6,621 0   6,621


    TY 2015 OtherAssetsSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS & INTEREST RECEIVABLE 292,539 37,191 37,191


    TY 2015 OtherDecreasesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 9,781,186
    ACCRUAL TO CASH ADJ FOR GRANTS IN PART I, COLUMN A 60,000


    TY 2015 OtherExpensesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 15,069 0   15,062
    INSURANCE 5,342 0   5,342
    COMMUNICATIONS 18,650 0   18,650
    PARKING EXPENSE 12,063 0   12,063
    TECHNOLOGY EXPENSE 10,635 0   10,635
    PROGRAM EXPENSE 25,545 0   25,545


    TY 2015 OtherIncomeSchedule2
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CO-OP DISTRIBUTION 594 594 594


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 26,000 0   20,324
    INVESTMENT FEES 201,634 201,634   0


    TY 2015 TaxesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 150,000 0   0