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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
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. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$33,590,070J 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) 5,945,325
2 Check bullet.............
3 Interest on savings and temporary cash investments 6,866 6,866  
4 Dividends and interest from securities... 837,540 904,069  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,192,759
b Gross sales price for all assets on line 6a 7,014,169
7 Capital gain net income (from Part IV, line 2)... 4,493,287
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)....... Click to see attachment 473,708 370,275  
12 Total. Add lines 1 through 11........ 8,456,198 5,774,497  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 7,213 0   7,213
c Other professional fees (attach schedule).... Click to see attachment 117,643 44,701   72,942
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 114,128 22,134   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,257 0   1,257
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 153,351 92,204   54,006
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 393,592 159,039   135,418
25 Contributions, gifts, grants paid....... 1,664,000 1,664,000
26 Total expenses and disbursements. Add lines 24 and 25 2,057,592 159,039   1,799,418
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 6,398,606
b Net investment income (if negative, enter -0-) 5,615,458
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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......... 685,635 237,436 237,436
3 Accounts receivable bullet2,635
Less: allowance for doubtful accounts bullet     2,635 2,635
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) 1,182,723 Click to see attachment1,850,558 1,833,761
b Investments—corporate stock (attach schedule)....... 20,335,826 Click to see attachment23,570,638 20,629,167
c Investments—corporate bonds (attach schedule)....... 851,342 Click to see attachment1,141,679 1,128,501
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 6,971,011 Click to see attachment9,622,197 9,758,570
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) 30,026,537 36,425,143 33,590,070
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 Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 30,026,537 36,425,143
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here 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)..... 30,026,537 36,425,143
31 Total liabilities and net assets/fund balances (see instructions). 30,026,537 36,425,143
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
30,026,537
2
Enter amount from Part I, line 27a .....................
2
6,398,606
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
36,425,143
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
36,425,143
Form 990-PF (2018)
Form 990-PF (2018)
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 PASS THROUGH CAPITAL GAIN      
c 57,700 SHARES PACCAR INC.      
d CAPITAL GAINS DIVIDENDS P    
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 2,880,512   2,944,646 -64,134
b       423,764
c 4,119,824     4,119,824
d 13,833     13,833
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       -64,134
b       423,764
c       4,119,824
d       13,833
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 4,493,287
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))
2017 1,581,433 27,659,688 0.057175
2016 1,052,139 18,953,394 0.055512
2015 872,242 17,473,782 0.049917
2014 571,948 17,747,518 0.032227
2013 390,291 7,579,193 0.051495
2
Total of line 1, column (d) .....................
2
0.246326
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.049265
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
35,600,417
5
Multiply line 4 by line 3......................
5
1,753,855
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
56,155
7
Add lines 5 and 6........................
7
1,810,010
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,799,418
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 112,309
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........................... 3 112,309
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- ..... 5 112,309
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 84,562
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 26,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 110,562
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 342
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,089
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 2019 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 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletWA, AR, CA, MA, NY
    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 2018 or the taxable year beginning in 2018? See the 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 (2018)
    Form 990-PF (2018)
    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 addressbulletNONE
    14
    The books are in care ofbulletFOUNDATION SOURCE Telephone no.bullet (800) 839-1754

    Located atbullet511 BOREN AVENUE NORTH SUITE 300SEATTLEWA ZIP+4bullet98109
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    .........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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    KATE JANEWAY DIRECTOR/TREASURER THRU 03/18
    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
    KYLE ROLFE DIRECTOR/TREASURER FROM 04/18
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    LEE ROLFE DIRECTOR THRU 03/18
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    ERIN WRIGHT DIRECTOR
    1.00     		0 0 0
    511 BOREN AVENUE NORTH SUITE 300
    SEATTLE,WA98109
    LAUREN ROLFE 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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
    SOUND PHILANTHROPY LLC PHILANTHROPIC 65,958
    4310 BIRKLAND ROAD NE
    BAINBRIDGE ISLAND,WA98110
    FOUNDATION SOURCE ADMINISTRATIVE SERVICES 50,240
    55 WALLS DRIVE
    FAIRFIELD,CT06824
    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  
    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 instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    25,974,764
    b
    Average of monthly cash balances.......................
    1b
    409,019
    c
    Fair market value of all other assets (see instructions)................
    1c
    9,758,772
    d
    Total (add lines 1a, b, and c).........................
    1d
    36,142,555
    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
    36,142,555
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    542,138
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    35,600,417
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,780,021
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,780,021
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    112,309
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
    8,989
    c
    Add lines 2a and 2b............................
    2c
    121,298
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,658,723
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,658,723
    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
    1,658,723
    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
    1,799,418
    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
    1,799,418
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,799,418
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 1,658,723
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 18,204
    b From 2014......  
    c From 2015...... 11,249
    d From 2016...... 165,358
    e From 2017...... 311,263
    fTotal of lines 3a through e........ 506,074
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,799,418
    a Applied to 2017, 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 2018 distributable amount..... 1,658,723
    e Remaining amount distributed out of corpus 140,695
    5 Excess distributions carryover applied to 2018. 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 5 646,769
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		0
    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
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		18,204
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		628,565
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015.... 11,249
    c Excess from 2016.... 165,358
    d Excess from 2017.... 311,263
    e Excess from 2018.... 140,695
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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 email address 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 (2018)
    Form 990-PF (2018)
    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
    ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
    4616 25TH AVE NE
    SEATTLE,WA98105     		N/A PC ARCS FELLOWSHIP SCHOLARSHIP 5,000
    ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
    4616 25TH AVE NE
    SEATTLE,WA98105     		N/A PC DOROTHY SIMPSON ARCS LEADERSHIP AWARD FUND 500
    ACHIEVEMENT REWARDS FOR COLLEGE SCIENTISTS SEATTLE CHAPTER
    4616 25TH AVE NE
    SEATTLE,WA98105     		N/A PC GENERAL & UNRESTRICTED 1,500
    AMARA
    5907 MARTIN LUTHER KING JR WAY S
    SEATTLE,WA98118     		N/A PC GENERAL & UNRESTRICTED 30,000
    AMIGOS DE SANTA CRUZ FOUNDATION
    2226 EASTLAKE AVE E 319
    SEATTLE,WA98102     		N/A PC EDUCATING THE NEXT GENERATION IN SANTA CRUZ PROJECT 10,000
    ASSOCIATED RECREATION COUNCIL
    8061 DENSMORE AVE N
    SEATTLE,WA98103     		N/A PC GREEN LAKE COMMUNITY BOATHOUSE 25,000
    BALLARD HIGH SCHOOL FOUNDATION
    PO BOX 17626
    SEATTLE,WA98127     		N/A PC GAINS PROGRAM 50,000
    BELLEVUE BOYS & GIRLS CLUB
    209 100TH AVE NE
    BELLEVUE,WA98004     		N/A PC GENERAL & UNRESTRICTED 250
    BURKE MUSEUM ASSOCIATION
    PO BOX 353010
    SEATTLE,WA98195     		N/A PC THE NEW BURKE 250,000
    CALIFORNIA COMMUNITY FOUNDATION
    221 S FIGUEROA ST STE
    LOS ANGELES,CA90012     		N/A PC WILDFIRE RELIEF FUND 10,000
    CAMP KOREY
    24880 BROTHERHOOD RD
    MOUNT VERNON,WA98274     		N/A PC GENERAL & UNRESTRICTED 2,000
    CASCADE PUBLIC MEDIA
    401 MERCER ST
    SEATTLE,WA98109     		N/A PC GENERAL & UNRESTRICTED 667
    CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
    100 23RD AVE S
    SEATTLE,WA98144     		N/A PC NEW BETHLEHEM PROJECT - PERMANENT SHELTER CAMPAIGN 60,000
    CHILD CARE RESOURCES
    1225 S WELLER ST STE 300
    SEATTLE,WA98144     		N/A PC HOMELESS CHILD CARE PROGRAM 25,000
    CHILDREN AND YOUTH JUSTICE CENTER
    615 2ND AVE STE 275
    SEATTLE,WA98104     		N/A PC LAWYERS FOSTERING INDEPENDENCE 30,000
    COLECTIVA LEGAL DEL PUEBLO
    201 SW 153RD ST
    BURIEN,WA98166     		N/A PC WASHINGTON IMMIGRANT SOLIDARITY NETWORK BOND FUND 27,500
    COMMON HOPE INC
    1400 ENERGY PARK DR STE 23
    SAINT PAUL,MN55108     		N/A PC NEW HOPE SECONDARY EDUCATION PROJECT 10,000
    COOPERATIVE FOR EDUCATION
    2300 MONTANA AVE STE 301
    CINCINNATI,OH45211     		N/A PC THOUSAND GIRLS INITIATIVE 25,000
    DESERT COMMUNITY FOUNDATION
    75105 MERLE DR STE 300
    PALM DESERT,CA92211     		N/A PC THUNDERBIRD COUNTRY CLUB EMPLOYEES SCHOLARSHIP 1,000
    EISENHOWER MEDICAL CENTER
    39000 BOB HOPE DR
    RANCHO MIRAGE,CA92270     		N/A PC GENERAL & UNRESTRICTED 1,000
    FAMILY LAW CASA OF KING COUNTY
    810 3RD AVE STE 700
    SEATTLE,WA98104     		N/A PC CHILD ADVOCACY 20,000
    FORTERRA NW
    901 5TH AVE STE 2200
    SEATTLE,WA98164     		N/A PC GENERAL & UNRESTRICTED 1,000
    FORTERRA NW
    901 5TH AVE STE 2200
    SEATTLE,WA98164     		N/A PC GENERAL & UNRESTRICTED 1,000
    FRED HUTCHINSON CANCER RESEARCH CENTER
    PO BOX 19024 J5-200
    SEATTLE,WA98109     		N/A PC PEDIATRIC BRAIN TUMOR RESEARCH 250
    FRED HUTCHINSON CANCER RESEARCH CENTER
    PO BOX 19024 J5-200
    SEATTLE,WA98109     		N/A PC OBLITERIDE PROGRAM 3,000
    FRIENDS OF KEXP
    472 1ST AVE N
    SEATTLE,WA98109     		N/A PC GENERAL & UNRESTRICTED 667
    FRIENDS OF THE CULTURAL CENTER INC
    73000 FRED WARING DR
    PALM DESERT,CA92260     		N/A PC GENERAL & UNRESTRICTED 1,000
    FRIENDS OF YOUTH
    13116 NE 132ND ST
    KIRKLAND,WA98034     		N/A PC STREET OUTREACH AND DROP-IN; REDMOND YOUTH SERVICE CENTER 30,000
    GREATER SEATTLE BUREAU OF FEARLESS IDEAS
    PO BOX 30764
    SEATTLE,WA98113     		N/A PC CREATING A COMMUNITY OF YOUNG WRITERS: OUT-OF-SCHOOL LEARNING AND COLLEGE READINESS FOR UNDERSERVED K-12 STUDENTS PROJECT 10,000
    HOPELINK
    PO BOX 3577
    REDMOND,WA98073     		N/A PC HOPELINK GENERAL OPERATING 30,000
    IMPERIAL COLLEGE FOUNDATION INC
    PO BOX 80526
    ATLANTA,GA30366     		N/A PC SCHISTOSOMIASIS CONTROL INITIATIVE 1,000
    KITSAP IMMIGRANT ASSISTANCE CENTER
    PO BOX 1276
    BREMERTON,WA98337     		N/A PC PARALEGAL AND ADMINISTRATIVE SUPPORT 500
    KITSAP IMMIGRANT ASSISTANCE CENTER
    PO BOX 1276
    BREMERTON,WA98337     		N/A PC SUPPORT PARALEGAL HELP 52,000
    KUOW-PUGET SOUND PUBLIC RADIO
    4518 UNIVERSITY WAY NE STE 310
    SEATTLE,WA98105     		N/A PC GENERAL & UNRESTRICTED 666
    LEGAL COUNSEL FOR YOUTH AND CHILDREN
    PO BOX 28629
    SEATTLE,WA98118     		N/A PC GENERAL & UNRESTRICTED 30,000
    LEGAL COUNSEL FOR YOUTH AND CHILDREN
    PO BOX 28629
    SEATTLE,WA98118     		N/A PC PROVIDE ADDITIONAL ADMINISTRATIVE SUPPORT 25,000
    MEDICAL TEAMS INTERNATIONAL
    14150 SW MILTON COURT
    TIGARD,OR97224     		N/A PC MATERNAL, NEWBORN AND CHILD HEALTH - CHICAMAN, GUATEMALA PROJECT 30,000
    MOCKINGBIRD SOCIETY
    2100 24TH AVE S
    SEATTLE,WA98144     		N/A PC MOCKINGBIRD SOCIETY'S YOUTH PROGRAMS 30,000
    NATURE CONSERVANCY - WASHINGTON
    74 WALL ST
    SEATTLE,WA98121     		N/A PC FROM INNOVATION TO LEGACY: BUILDING SUSTAINABILITY IN PUGET SOUND PROJECT 200,000
    NATURE CONSERVANCY - WASHINGTON
    74 WALL ST
    SEATTLE,WA98121     		N/A PC GENERAL & UNRESTRICTED 10,000
    NEW COURSE
    710 JOHN NELSON DR NE
    BAINBRIDGE IS,WA98110     		N/A PC MOTHER AND CHILD HEALTH FOR EDUCATION PROJECT 27,500
    NPH-USA
    134 N LA SALLE ST 500
    CHICAGO,IL60602     		N/A PC EDUCATION FOR GUATEMALAN COMMUNITY CHILDREN PROJECT 25,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC ANNUAL FUND 5,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC GEORGE BALANCHINE'S THE NUTCRACKER FUND 2,000
    PACIFIC NORTHWEST BALLET ASSOCIATION
    301 MERCER ST
    SEATTLE,WA98109     		N/A PC GEORGE BALANCHINE'S JEWELS - NEW WORKS INITIATIVE 2,000
    PALM SPRINGS PATHFINDERS
    PO BOX 5005
    RANCHO MIRAGE,CA92270     		N/A PC GENERAL & UNRESTRICTED 1,000
    PATH
    2201 WESTLAKE AVE STE 200
    SEATTLE,WA98121     		N/A PC CATALYST FUND/GENERAL OPERATING SUPPORT 25,000
    PROGRAM FOR EARLY PARENT SUPPORT
    4649 SUNNYSIDE AVE N STE 324
    SEATTLE,WA98103     		N/A PC GENERAL & UNRESTRICTED 1,000
    PROGRAM FOR EARLY PARENT SUPPORT
    4649 SUNNYSIDE AVE N STE 324
    SEATTLE,WA98103     		N/A PC GENERAL & UNRESTRICTED 500
    RWANDA GIRLS INITIATIVE
    1653 RAMBLING LN
    MEDINA,WA98039     		N/A PC OPPORTUNITY FUND 10,000
    SANDY HOOK PROMISE FOUNDATION
    PO BOX 3489
    NEWTOWN,CT06470     		N/A PC GENERAL & UNRESTRICTED 3,000
    SAVE THE CHILDREN FEDERATION INC
    501 KINGS HWY E STE 400
    FAIRFIELD,CT06825     		N/A PC EDUCATION FOR INDIGENOUS GUATEMALANS PROJECT 30,000
    SEATTLE AQUARIUM SOCIETY-SEAS
    1483 ALASKAN WAY PIER 59
    SEATTLE,WA98101     		N/A PC SEATTLE AQUARIUM OCEAN PAVILION 100,000
    SEATTLE ART MUSEUM
    1300 1ST AVE
    SEATTLE,WA98101     		N/A PC GENERAL & UNRESTRICTED 5,000
    SEATTLE ART MUSEUM
    1300 1ST AVE
    SEATTLE,WA98101     		N/A PC SEATTLE ASIAN ART MUSEUM CAPITAL CAMPAIGN WITH BUILDERS CLUB PROJECT 10,000
    SEATTLE CLEMENCY PROJECT
    1126 34TH AVE STE 208
    SEATTLE,WA98122     		N/A PC GENERAL & UNRESTRICTED 500
    SEATTLE OPERA
    363 MERCER ST
    SEATTLE,WA98109     		N/A PC SEATTLE OPERA AT THE CENTER PROJECT 75,000
    SEATTLE REPERTORY THEATRE
    PO BOX 900923
    SEATTLE,WA98109     		N/A PC GENERAL & UNRESTRICTED 2,000
    SEATTLE SYMPHONY ORCHESTRA INC
    PO BOX 21906
    SEATTLE,WA98111     		N/A PC GENERAL & UNRESTRICTED 1,000
    SEATTLES UNION GOSPEL MISSION
    PO BOX 202
    SEATTLE,WA98111     		N/A PC CATALYST ANNUAL GALA PROGRAM 5,000
    SOUND
    6400 SOUTHCENTER BLVD
    TUKWILA,WA98188     		N/A PC MIDDLE SCHOOL SUPPORT PROJECT 30,000
    ST MARGARETS EPISCOPAL CHURCH PALM DESERT
    47 535 HWY 74
    PALM DESERT,CA92260     		N/A PC GENERAL & UNRESTRICTED 1,000
    ST MARKS PARISH
    1245 10TH AVE E
    SEATTLE,WA98102     		N/A PC LIVING STONES BUILDING FOR MINISTRY CAMPAIGN 1,000
    TEEN FEED
    4740 B UNIVERSITY WAY NE
    SEATTLE,WA98105     		N/A PC TEEN FEED MEAL PROGRAM, STREET OUTREACH SERVICES 30,000
    THE FISTULA FOUNDATION
    1922 THE ALAMEDA STE 302
    SAN JOSE,CA95126     		N/A PC GENERAL & UNRESTRICTED 2,000
    THE FISTULA FOUNDATION
    1922 THE ALAMEDA STE 302
    SAN JOSE,CA95126     		N/A PC GENERAL & UNRESTRICTED 8,000
    THE INTERNATIONAL WILDERNESS LEADERSHIP FOUNDATION INC
    717 POPLAR AVE
    BOULDER,CO80304     		N/A PC FOR THE BENEFIT OF SEALEGACY 500
    THE LIVING DESERT
    47900 PORTOLA AVE
    PALM DESERT,CA92260     		N/A PC GENERAL & UNRESTRICTED 2,500
    THE LIVING DESERT
    47900 PORTOLA AVE
    PALM DESERT,CA92260     		N/A PC GENERAL & UNRESTRICTED 2,500
    THE LIVING DESERT
    47900 PORTOLA AVE
    PALM DESERT,CA92260     		N/A PC GENERAL & UNRESTRICTED 5,000
    THE MOUNTAINS TO SOUND GREENWAY TR
    2701 1ST AVE STE 240
    SEATTLE,WA98121     		N/A PC GENERAL & UNRESTRICTED 10,000
    THE YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER SEATTLE
    909 4TH AVE
    SEATTLE,WA98104     		N/A PC YMCA OF GREATER SEATTLE, HOST HOMES PROGRAM 30,000
    THIRD SECTOR NEW ENGLAND INC
    89 S ST STE 700
    BOSTON,MA02111     		N/A PC TSNE MISSIONWORKS, A WAY HOME WASHINGTON (AWHWA) 50,000
    TREEHOUSE
    2100 24TH AVE S STE 200
    SEATTLE,WA98144     		N/A PC GRADUATION SUCCESS 30,000
    UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
    4333 BROOKLYN AVE NE BOX 359505
    SEATTLE,WA98195     		N/A PC ENDOWED PROFESSORSHIP FOR CORNEA RESEARCH (CRSCHR) FUND 5,000
    UNIVERSITY OF WASHINGTON FOUNDATION - SEATTLE
    4333 BROOKLYN AVE NE BOX 359505
    SEATTLE,WA98195     		N/A PC EYE INSTITUTE GIFTS FUND (EYEINS) 1,000
    URBAN ARTWORKS
    923 S BAYVIEW ST UNIT C
    SEATTLE,WA98134     		N/A GOV GENERAL & UNRESTRICTED 500
    VIEWLANDS ELEMENTARY PTSA
    10525 3RD AVE NW
    SEATTLE,WA98177     		N/A GOV 5TH GRADE CAMP FUND 500
    VILLAGE VOLUNTEERS
    5100 S DAWSON ST STE 105
    SEATTLE,WA98118     		N/A GOV GENERAL & UNRESTRICTED 10,000
    VIRGINIA MASON MEDICAL CENTER
    1100 9TH AVE
    SEATTLE,WA98101     		N/A PC GENERAL & UNRESTRICTED 1,000
    VIRGINIA MASON MEDICAL CENTER
    1100 9TH AVE
    SEATTLE,WA98101     		N/A PC THORACIC SURGERY QUALITY INITIATIVE 2,500
    YEAR UP INC - SEATTLE CHAPTER
    2607 2ND AVE
    SEATTLE,WA98121     		N/A PC GENERAL OPERATING SUPPORT PROJECT 10,000
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH CO
    1118 5TH AVE
    SEATTLE,WA98101     		N/A PC ACCELERATOR Y/HOST HOMES PROGRAM 30,000
    YOUTHCARE
    2500 NE 54TH ST
    SEATTLE,WA98105     		N/A PC COMPREHENSIVE SERVICES FOR HOMELESS YOUTH 30,000
    Total .................................bullet 3a 1,664,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 6,866  
    4 Dividends and interest from securities....     14 837,540  
    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 ............     		525990 15,491 18 1,177,268  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPASS THRU INVESTMENT INC     		525990 33,936 14 436,727  
    bPASS THRU TAX-EXEMPT INT         668
    cLITIGATION INCOME     01 77  
    dSTATE TAX REFUND     01 2,300  
    e
    12 Subtotal. Add columns (b), (d), and (e).. 49,427 2,460,778 668
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,510,873
    (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.)
    11B TAX-EXEMPT INTEREST EXCLUDED UNDER IRC SECTION 103
    Form 990-PF (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    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 Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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 SUITE 300
     
    SEATTLE, WA98109

    		$ 5,945,325


    (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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    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
    		 PUBLICLY TRADED SECURITIES $ 5,945,325 2018-04-19
    (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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    GROUSEMONT FOUNDATION
          		Employer identification number

    91-1276047
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 7,213 0   7,213

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS - 2.900% - 11/30/2021 (002824BD1) 73,716 73,357
    AT&T INC NOTE - 2.850% - 02/14/2023 (00206REK4) 74,167 74,036
    BANK NEW YORK MELLONCORP MTN BOND - 2.661% - 05/16/2023 (06406RAC1) 76,457 73,982
    BANK OF AMERICA SR NOTE - 2.250% - 04/21/2020 (06051GFN4) 73,242 73,209
    BERKSHIRE HATHAWAY NOTE - 2.200% - 03/15/2021 (084670BQ0) 75,201 74,763
    CAPITAL ONE FINL CORP NOTE - 2.500% - 05/12/2020 (14040HBP9) 73,308 73,000
    CATHOLIC HEALTH INITIATIVES - 2.950% - 11/01/2022 (14916RAC8) 63,493 63,577
    GENERAL MTRS FINL CO INC - 3.150% - 01/15/2020 (37045XAR7) 66,652 64,448
    HCP INC NOTE - 2.625% - 02/01/2020 (40414LAH2) 73,513 73,473
    IBRD - 1.625% - 03/09/2021 (459058EW9) 111,741 112,725
    INTL BK FOR REC & DEV - 2.500% - 11/25/2024 (459058DX8) 82,909 84,006
    JPMORGAN CHASE & CO - 4.350% - 08/15/2021 (46625HJC5) 77,361 73,630
    KINDER MORGAN ENER PT BD - 2.650% - 02/01/2019 (494550BR6) 32,650 31,978
    KINDER MORGAN INC - 3.020% - 12/01/2019 (49456BAE1) 35,504 34,798
    WELLS FARGO - 3.000% - 01/22/2021 (94974BFR6) 75,808 73,625
    WESTPAC BANKING CORP - 2.100% - 05/13/2021 (961214CV3) 75,957 73,894

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DFA EMERGING MARKETS CORE EQ PRTFL MUTUAL FUND (DFCEX) 301,884 268,376
    DFA GLOBAL ALLOCATION 60/40 I (DGSIX) 1,775,300 1,626,369
    DFA INTERNATIONAL CORE EQUITY FUND (DFIEX) 483,864 399,941
    DFA U S CORE EQUITY 1 PORTFOLIO (DFEOX) 454,947 390,297
    DFA U.S. LARGE CAP VALUE PORTFOLIO (DFLVX) 105,056 87,420
    PACCAR INC (PCAR) 20,449,587 17,856,764

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    US Government Securities - End of Year Book Value:

    1,573,324
    US Government Securities - End of Year Fair Market Value:

    1,554,575
    State & Local Government Securities - End of Year Book Value:


    277,234
    State & Local Government Securities - End of Year Fair Market Value:


    279,186


    TY 2018 InvestmentsOtherSchedule2
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    COLUMBIA PACIFIC INCOME FUND II, L.P (CPINCFND2) AT COST 6,597,862 6,574,539
    COLUMBIA PACIFIC OPPORTUNITY FUND LP (CPOPPFD) AT COST 261,665 115,597
    CP ENDOWMENT FUND, LP (CPENDOW) AT COST 2,732,632 3,068,434
    CP MULTI-ASSET FUND LP (CPMULTIFND) AT COST 30,038 0

    TY 2018 OtherExpensesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEES 20 0   20
    BANK CHARGES 743 740   0
    ADMINISTRATIVE FEES 50,000 0   50,000
    WEBSITE DESIGN/MAINTENANCE 240 0   240
    INSURANCE 2,694 0   2,694
    DUES & MEMBERSHIPS 1,000 0   1,000
    PENALTY 52 0   52
    PASS THROUGH EXPENSES 98,602 91,464   0


    TY 2018 OtherIncomeSchedule2
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PASS THRU INVESTMENT INC 470,663 370,198 470,663
    PASS THRU TAX-EXEMPT INT 668   668
    LITIGATION INCOME 77 77 77
    STATE TAX REFUND 2,300   2,300


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT 44,701 44,701   0
    PHILANTHROPIC CONSULTING 65,958 0   65,958
    ADMINISTRATION FEE 6,984 0   6,984


    TY 2018 TaxesSchedule
    Name:
    GROUSEMONT FOUNDATION
    EIN:
    91-1276047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE TAXES 22,003 22,003   0
    EXCISE TAXES 76,000 0   0
    INCOME TAX 16,125 0   0
    FOREIGN TAX PAID 0 131   0