-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
KEITH & MARY KAY MCCAW FAMILY FOUND
Number and street (or P.O. box number if mail is not delivered to street address)
201 TERRY AVENUE NORTH SUITE A
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE
,
WA
981095208
A Employer identification number
91-1920617
B
Telephone number (see instructions)
(206) 282-1001
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
29,431,944
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
182,915
182,915
4
Dividends and interest from securities
...
455,892
455,892
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,422,617
b
Gross sales price for all assets on line 6a
22,642,625
7
Capital gain net income (from Part IV, line 2)
...
1,422,617
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
2,061,424
2,061,424
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
231
231
b
Accounting fees (attach schedule)
.......
3,200
3,200
c
Other professional fees (attach schedule)
....
96,477
96,477
17
Interest
...............
31
31
18
Taxes (attach schedule) (see instructions)
...
12,730
6,966
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
25
25
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
112,694
103,474
3,456
25
Contributions, gifts, grants paid
.......
1,391,000
1,391,000
26
Total expenses and disbursements.
Add lines 24 and 25
1,503,694
103,474
1,394,456
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
557,730
b
Net investment income
(if negative, enter -0-)
1,957,950
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
344,036
252,544
252,544
2
Savings and temporary cash investments
.........
803,888
2,892,320
2,892,320
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
4,218,465
2,405,185
2,405,185
b
Investments—corporate stock (attach schedule)
.......
7,561,431
15,852,294
15,852,294
c
Investments—corporate bonds (attach schedule)
.......
4,639,170
2,012,502
2,012,502
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
8,884,319
6,017,099
6,017,099
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
26,451,309
29,431,944
29,431,944
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
26,451,309
29,431,944
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
26,451,309
29,431,944
30
Total liabilities and net assets/fund balances
(see instructions)
.
26,451,309
29,431,944
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
26,451,309
2
Enter amount from Part I, line 27a
.....................
2
557,730
3
Other increases not included in line 2 (itemize)
3
2,422,905
4
Add lines 1, 2, and 3
..........................
4
29,431,944
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
29,431,944
Form
990-PF
(2019)
Form 990-PF (2019)
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
UTD STATES TREAS 1% DUE 11-30-2019
P
2012-12-12
2019-02-08
b
REORG/TWENTY-FIRST MANDATORY EXCHAN
P
2018-10-03
2019-03-19
c
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-12-20
2019-04-22
d
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2008-12-19
2019-04-22
e
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2006-01-18
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2007-05-04
2019-04-22
MFB NORTHN INTL EQTY FD
P
2007-05-23
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2006-01-18
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2015-12-17
2019-04-22
NUCOR CORP COM
P
2012-02-06
2019-05-16
QUALCOMM INC COM
P
2011-09-22
2019-05-23
WELLS FARGO & CO NEW COM STK
P
2012-03-13
2019-05-20
EBAY INC COM USD0.001
P
2019-06-10
2019-12-09
TAKEDA PHARMACEUTICAL CO LTD SPONSOR
P
2019-01-10
2019-05-16
SCHLUMBERGER LTD COM COM
P
2014-12-18
2019-05-16
MASCO CORP COM
P
2016-09-16
2019-05-16
ZILLOW GROUP INC COM USD0.0001 CLASS
P
2019-06-06
2019-11-15
AMERN HONDA FIN 2.3% DUE 09-09-2026
P
2016-09-06
2019-05-16
UNITED STATES TREAS NTS 0.75% BDS
P
2016-09-08
2019-08-15
ASTRAZENECA PLC 3.375% DUE 11-16-202
P
2016-08-19
2019-05-17
ANHEUSER-BUSCH 3.65% DUE 02-01-2026
P
2016-05-27
2019-02-11
WABTEC CORP COM
P
2019-02-26
2019-02-26
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-04-27
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2012-12-19
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2006-04-10
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-12-22
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-11-04
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2017-12-21
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2007-10-16
2019-04-22
NUCOR CORP COM
P
2015-07-24
2019-05-16
QUALCOMM INC COM
P
2015-12-11
2019-05-23
WELLS FARGO & CO NEW COM STK
P
2012-03-12
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2012-06-05
2019-10-24
SCHWAB CHARLES CORP COM NEW
P
2016-02-04
2019-09-11
SCHLUMBERGER LTD COM COM
P
2012-03-02
2019-05-16
MASCO CORP COM
P
2016-01-27
2019-05-16
ZILLOW GROUP INC COM USD0.0001 CLASS
P
2019-05-29
2019-11-15
UNITED STATES TREAS NTS DTD 07/31/20
P
2014-08-20
2019-07-31
BOEING CO 3.2% DUE 03-01-2029
P
2019-02-13
2019-05-17
BP CAP MKTS AMER INC 3.119%
P
2018-12-14
2019-05-17
FEDERAL HOME LN BKS TRANCHE 00526
P
2017-06-20
2019-03-18
REORG/SHIRE PLAN OF REORG TAKEDA 20
P
2016-06-03
2019-01-10
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2007-12-19
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2007-12-19
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2013-12-19
2019-04-22
MFB NORTHN INTL EQTY FD
P
2006-12-19
2019-04-22
MFB NORTHN INTL EQTY FD
P
2007-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2014-12-18
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2013-12-19
2019-04-22
TWITTER INC COM
P
2019-06-06
2019-11-19
QUALCOMM INC COM
P
2011-09-23
2019-05-23
WELLS FARGO & CO NEW COM STK
P
2016-06-28
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2012-06-05
2019-10-24
CIGNA CORP NEW COM
P
2012-01-25
2019-05-16
SCHLUMBERGER LTD COM COM
P
2011-02-28
2019-05-16
COSTCO WHOLESALE CORP NEW COM
P
2008-03-06
2019-10-24
CVS HEALTH CORP COM
P
2012-04-26
2019-05-23
FNMA TRANCHE 00698 1 10-24-2019
P
2017-05-23
2019-10-24
FHLB CONS BD DTD 09/02/2016 2.125
P
2016-08-22
2019-05-20
UNITED STATES TREAS NTS DTD 07/31/20
P
2016-08-12
2019-05-22
WYETH 6.45% DUE 02-01-2024
P
2018-09-18
2019-02-27
REORG/SHIRE PLAN OF REORG TAKEDA 20
P
2016-11-04
2019-01-10
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-12-20
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2014-12-18
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-10-21
2019-04-22
MFB NORTHN INTL EQTY FD
P
2008-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2008-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2012-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-12-20
2019-04-22
TWITTER INC COM
P
2017-04-27
2019-11-19
BIOGEN INC COMMON STOCK
P
2015-08-20
2019-05-16
WELLS FARGO & CO NEW COM STK
P
2010-12-03
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2014-10-29
2019-10-24
CIGNA CORP NEW COM
P
2012-11-16
2019-05-16
SCHLUMBERGER LTD COM COM
P
2012-05-07
2019-05-16
COSTCO WHOLESALE CORP NEW COM
P
2008-01-23
2019-10-24
CVS HEALTH CORP COM
P
2012-04-27
2019-05-23
FEDERAL HOME LN BKS TRANCHE 00624 1.
P
2017-05-18
2019-05-28
CME GROUP INC 3% DUE 03-15-2025
P
2016-09-27
2019-05-21
FFCB TRANCHE 00064 2.07
P
2016-06-01
2019-05-20
PNC BK N A PITTSBURGH PA 2.7
P
2012-10-26
2019-04-16
WALT DISNEY CO
P
2015-04-14
2019-04-29
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2006-09-01
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2013-12-19
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2006-02-02
2019-04-22
MFB NORTHN INTL EQTY FD
P
2006-02-02
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2016-12-15
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2009-12-21
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2017-12-21
2019-04-22
TWITTER INC COM
P
2015-07-30
2019-11-19
BIOGEN INC COMMON STOCK
P
2015-12-11
2019-05-16
WELLS FARGO & CO NEW COM STK
P
2009-01-16
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2012-06-06
2019-10-24
CIGNA CORP NEW COM
P
2012-01-24
2019-05-16
SCHLUMBERGER LTD COM COM
P
2014-09-30
2019-05-16
E TRADE FINL CORP FORMERLY E TRADE G
P
2017-03-16
2019-05-16
CVS HEALTH CORP COM
P
2015-10-27
2019-05-23
AMERN EXPRESS CO 3.4% 02-27-2023
P
2018-02-22
2019-05-17
MITSUBISHI UFJ FIXED 2.665% DUE
P
2017-07-20
2019-05-17
FHLB FEDERAL HOME LN BKS 1.375%
P
2017-02-15
2019-11-15
SHELL INTL FIN B V 2.875% DUE 05-10-
P
2016-05-05
2019-05-09
CIGNA CORP NEW COM
P
2012-11-16
2019-01-17
MFB NORTHERN FUNDS EMERGING MARKETS
P
2007-01-12
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2018-12-20
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2014-12-18
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-12-16
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2007-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2015-12-17
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2006-12-19
2019-04-22
TWITTER INC COM
P
2015-11-04
2019-11-19
BIOGEN INC COMMON STOCK
P
2015-10-27
2019-05-16
WELLS FARGO & CO NEW COM STK
P
2009-05-27
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2012-06-07
2019-10-24
CIGNA CORP NEW COM
P
2012-03-02
2019-05-16
SCHLUMBERGER LTD COM COM
P
2014-12-19
2019-05-16
BECTON DICKINSON & CO COM
P
2017-12-29
2019-05-16
CVS HEALTH CORP COM
P
2016-06-28
2019-05-23
BURL NORTHN SANTA 7% DUE 12-15-2025
P
2018-09-07
2019-05-16
SUMITOMO MITSUI 2.632% DUE 07-14-202
P
2016-08-19
2019-05-20
ERP OPER LTD PARTNERSHIP 3 DUE
P
2018-11-02
2019-05-16
SHELL INTL FIN B V 2.875% DUE 05-10-
P
2016-05-05
2019-05-09
FOX CORP CL A CL A
P
2019-03-19
2019-03-19
MFB NORTHERN FUNDS EMERGING MARKETS
P
2012-03-01
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2017-12-21
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-10-07
2019-04-22
MFB NORTHN INTL EQTY FD
P
2007-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2008-05-14
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2016-12-15
2019-04-22
ALLERGAN PLC. COM STK
P
2016-05-24
2019-05-16
TWITTER INC COM
P
2019-06-10
2019-11-19
STARBUCKS CORP COM
P
2012-08-08
2019-09-05
WELLS FARGO & CO NEW COM STK
P
2012-03-02
2019-05-20
INTERCONTINENTAL EXCHANGE INC COM
P
2016-06-28
2019-10-24
CIGNA CORP NEW COM
P
2017-04-26
2019-05-16
SCHLUMBERGER LTD COM COM
P
2014-10-08
2019-05-16
ALLIANCE DATA SYS CORP COM
P
2016-06-15
2019-05-16
CVS HEALTH CORP COM
P
2012-08-01
2019-05-23
U S BANCORP MEDIUM 2.375% DUE 07-22-
P
2016-07-19
2019-05-20
FNMA 1.75% 09-12-2019
P
2019-07-22
2019-09-12
UTD STATES TREAS 1.75% DUE 01-31-202
P
2016-02-16
2019-11-05
BB&T CORP SR MEDIUM TERM NTS BOOK EN
P
2013-04-11
2019-04-30
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2006-02-24
2019-04-22
MFB NORTHERN FUNDS EMERGING MARKETS
P
2006-06-01
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2014-12-18
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2006-03-09
2019-04-22
MFB NORTHN INTL EQTY FD
P
2005-01-18
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2013-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-10-31
2019-04-22
ALLERGAN PLC. COM STK
P
2016-05-03
2019-05-16
KOHLS CORP COM
P
2015-12-21
2019-05-23
STARBUCKS CORP COM
P
2012-08-09
2019-09-05
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-06-17
2019-05-16
ALEXION PHARMACEUTICALS INC COM
P
2017-04-13
2019-05-23
CIGNA CORP NEW COM
P
2012-06-21
2019-05-16
SCHLUMBERGER LTD COM COM
P
2011-04-11
2019-05-16
ALLIANCE DATA SYS CORP COM
P
2017-05-16
2019-05-16
AFLAC INC 3.625% DUE 11-15-2024
P
2017-12-20
2019-05-16
TD AMERITRADE HLDG 3.75% DUE 04-01-2
P
2018-10-30
2019-05-17
UNITED STATES TREAS NTS DTD 00424 1%
P
2016-12-27
2019-09-30
UNION PAC CORP 4.163% DUE 07-15-2022
P
2018-05-16
2019-05-16
UNITED STATES TREAS NTS DTD 00424 1%
P
2016-12-27
2019-01-15
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2007-12-19
2019-04-22
MFB NORTHERN FUNDS EMERGING MARKETS
P
2006-04-25
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2015-12-17
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2007-05-23
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-12-28
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-07-27
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-10-21
2019-04-22
ALLERGAN PLC. COM STK
P
2016-07-13
2019-05-16
KOHLS CORP COM
P
2015-12-18
2019-05-23
WORKDAY INC CL A COM USD0.001
P
2019-05-29
2019-11-19
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-06-12
2019-05-16
ALEXION PHARMACEUTICALS INC COM
P
2017-06-07
2019-05-23
CIGNA CORP NEW COM
P
2012-01-23
2019-05-16
PFIZER INC COM
P
2019-06-06
2019-07-30
ALLIANCE DATA SYS CORP COM
P
2016-07-13
2019-05-16
DEERE JOHN CAP CORP MEDIUM TERM 3.1
P
2018-09-05
2019-05-17
MFRS & TRADERS TR 2.9% DUE 02-06-202
P
2015-02-11
2019-05-16
INTL BUSINESS 7% DUE 10-30-2025
P
2018-06-25
2019-05-16
BB&T CORP MEDIUM TERM NTS 3.05%
P
2019-03-11
2019-05-16
UNITED STATES TREAS NTS DTD 00424 1%
P
2012-10-12
2019-01-15
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2006-01-18
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2008-05-14
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2018-12-20
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2013-12-19
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-10-05
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2014-12-18
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2012-12-19
2019-04-22
DUKE ENERGY CORP NEW COM NEW COM NEW
P
2015-12-23
2019-05-16
KOHLS CORP COM
P
2015-06-19
2019-05-23
WORKDAY INC CL A COM USD0.001
P
2019-09-11
2019-11-19
DICKS SPORTING GOODS INC OC-COM OC-C
P
2015-06-04
2019-05-16
PALO ALTO NETWORKS INC COM USD0.0001
P
2017-04-13
2019-05-16
REORG/RED HAT CASH MERGER
P
2016-02-17
2019-07-10
ZIMMER BIOMET HLDGS INC COM
P
2014-08-07
2019-05-16
REORG/CELGENE CORP CASH AND STOCK M
P
2016-02-25
2019-05-16
PHILIP MORRIS INTL 2.875% DUE 05-01-
P
2019-04-29
2019-05-17
FFCB TRANCHE 00073 2.23 06-06-2024
P
2016-06-02
2019-11-26
TARGET CORP FIXED 3.375% 04-15-2029
P
2019-03-18
2019-05-17
PEPSICO INC 2.375% DUE 10-06-2026
P
2016-10-04
2019-05-21
APPLE INC 3.2% DUE 05-11-2027
P
2017-09-08
2019-02-14
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2006-12-19
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2013-12-19
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2015-12-17
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-10-25
2019-04-22
MFB NORTHN INTL EQTY FD
P
2005-01-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-04-06
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-10-07
2019-04-22
OCCIDENTAL PETROLEUM CORP
P
2019-06-10
2019-12-09
KOHLS CORP COM
P
2016-06-07
2019-05-23
WORKDAY INC CL A COM USD0.001
P
2019-10-10
2019-11-19
DICKS SPORTING GOODS INC OC-COM OC-C
P
2015-10-15
2019-05-16
ORACLE CORP COM
P
2019-05-14
2019-12-17
REORG/RED HAT CASH MERGER
P
2016-02-18
2019-07-10
ZIMMER BIOMET HLDGS INC COM
P
2014-07-31
2019-05-16
REORG/CELGENE CORP CASH AND STOCK M
P
2016-09-16
2019-05-16
METLIFE INC STEP CPN 3.048% DUE
P
2012-09-28
2019-05-16
CATERPILLAR FINL SVCS CORP MEDIUM TE
P
2018-09-04
2019-05-17
GOLDMAN SACHS 3.625% DUE 02-20-2024
P
2019-02-13
2019-05-17
PEPSICO INC 2.375% DUE 10-06-2026
P
2016-10-04
2019-05-21
PPG INDS INC 3.6% DUE 11-15-2020
P
2018-03-20
2019-05-09
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-10-21
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2007-10-16
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-10-28
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-11-03
2019-04-22
MFB NORTHN INTL EQTY FD
P
2004-12-07
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2007-01-12
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2008-12-19
2019-04-22
OCCIDENTAL PETROLEUM CORP
P
2019-06-28
2019-12-09
FOX CORP CL A CL A
P
2019-03-19
2019-05-16
WORKDAY INC CL A COM USD0.001
P
2019-06-10
2019-11-19
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-06-13
2019-05-16
ORACLE CORP COM
P
2010-10-04
2019-12-17
REORG/RED HAT CASH MERGER
P
2016-09-16
2019-07-10
ZIMMER BIOMET HLDGS INC COM
P
2014-07-30
2019-05-16
ESTEE LAUDER COMPANIES INC CL A
P
2017-04-17
2019-05-23
SANTANDER UK PLC 3.75% DUE 11-15-202
P
2018-11-07
2019-05-16
PNC FINL SVCS GROUP INC 3.45% DUE
P
2019-04-16
2019-05-16
FFCB TRANCHE 00074 2.44
P
2016-05-27
2019-09-13
FHLMC PREASSIGN 00049 3.75 03-27-201
P
2009-11-05
2019-03-27
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2006-12-19
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2017-12-21
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2008-01-30
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2005-10-31
2019-04-22
MFB NORTHN INTL EQTY FD
P
2006-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2018-12-20
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2009-12-21
2019-04-22
OCCIDENTAL PETROLEUM CORP
P
2019-05-14
2019-12-09
GRAINGER W W INC COM
P
2016-11-16
2019-05-16
WORKDAY INC CL A COM USD0.001
P
2019-10-24
2019-11-19
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-06-16
2019-05-16
ORACLE CORP COM
P
2017-01-12
2019-12-17
EOG RESOURCES INC COM
P
2019-05-14
2019-10-10
ZIMMER BIOMET HLDGS INC COM
P
2015-03-18
2019-05-16
ESTEE LAUDER COMPANIES INC CL A
P
2017-04-13
2019-05-23
AMERIPRISE FINL 4% DUE 10-15-2023
P
2015-05-08
2019-05-16
WESTPAC BKG CORP 4.875% DUE 11-19-20
P
2019-01-15
2019-11-19
UTD STATES TREAS 1% DUE 11-30-2019
P
2012-12-12
2019-12-02
UTD STATES TREAS .75% DUE 02-15-2019
P
2017-07-11
2019-02-15
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-07-27
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2007-12-19
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2014-12-18
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2019-04-22
2019-04-22
MFB NORTHN INTL EQTY FD
P
2013-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2005-12-20
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2018-12-20
2019-04-22
OCCIDENTAL PETROLEUM CORP
P
2019-05-20
2019-12-09
GRAINGER W W INC COM
P
2017-01-12
2019-05-16
WELLS FARGO & CO NEW COM STK
P
2005-02-22
2019-05-20
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-08-28
2019-05-16
ORACLE CORP COM
P
2017-01-27
2019-12-17
EOG RESOURCES INC COM
P
2015-08-20
2019-10-10
ZIMMER BIOMET HLDGS INC COM
P
2015-06-04
2019-05-16
ARISTA NETWORKS INC COM
P
2019-07-16
2019-10-10
COMCAST CORP NEW 2.35% DUE 01-15-202
P
2016-07-14
2019-05-16
GEN DYNAMICS CORP 1.875% DUE 08-15-2
P
2016-08-09
2019-05-16
MORGAN STANLEY 3.875% DUE 04-29-2024
P
2015-01-29
2019-05-17
TAKEDA PHARMACEUTICAL CO LTD SPONSOR
P
2019-01-10
2019-01-24
MFB NORTHERN EQUITY INDEX FUNDS INT
P
2005-08-24
2019-04-22
MFB NORTHERN FUNDS SMALL CAP INDEX F
P
2016-12-15
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2006-01-26
2019-04-22
MFB NORTHERN HIGH YIELD FIXED INCOME
P
2012-03-01
2019-04-22
MFB NORTHN INTL EQTY FD
P
2006-09-01
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2006-12-19
2019-04-22
MFB NORTHERN EQUITY INDEX FUNDS MID
P
2007-12-19
2019-04-22
NUCOR CORP COM
P
2012-03-02
2019-05-16
QUALCOMM INC COM
P
2017-04-27
2019-05-23
WELLS FARGO & CO NEW COM STK
P
2006-02-24
2019-05-20
DICKS SPORTING GOODS INC OC-COM OC-C
P
2014-09-04
2019-05-16
EBAY INC COM USD0.001
P
2019-07-16
2019-09-11
EOG RESOURCES INC COM
P
2019-06-11
2019-10-10
WABTEC CORP COM
P
2019-02-26
2019-05-16
ARISTA NETWORKS INC COM
P
2019-07-09
2019-10-10
DISNEY WALT CO NEW NT 3.75 DUE
P
2012-07-31
2019-05-16
UNITED STATES TREAS NTS 1.875% 12-31
P
2018-04-26
2019-12-31
PUBLIC SERVICE CO OF COLORADO 2.25 D
P
2012-09-04
2019-05-17
(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
79,044
79,607
-563
b
67,094
40,840
26,254
c
1,889
1,702
187
d
188,493
79,770
108,723
e
166,250
200,750
-34,500
65,696
81,996
-16,300
7,971
11,986
-4,015
40,925
25,448
15,477
5,890
5,027
863
31,399
25,685
5,714
22,134
16,087
6,047
10,669
7,467
3,202
44,322
48,894
-4,572
67,061
72,676
-5,615
8,883
18,634
-9,751
21,785
19,006
2,779
98,920
117,585
-18,665
113,412
119,638
-6,226
225,000
224,250
750
126,519
131,207
-4,688
121,241
129,307
-8,066
20
22
-2
396,738
312,700
84,038
10,757
7,952
2,805
43,112
51,994
-8,882
92,823
100,000
-7,177
58,413
60,000
-1,587
113,201
118,913
-5,712
114,171
81,710
32,461
45,360
35,593
9,767
37,848
26,099
11,749
36,659
25,282
11,377
26,564
7,001
19,563
98,787
57,881
40,906
1,394
2,698
-1,304
114,704
78,010
36,694
197,840
210,112
-12,272
150,000
149,971
29
74,910
73,870
1,040
124,704
125,000
-296
115,000
115,000
111,310
114,387
-3,077
3,022
3,436
-414
1,681
1,268
413
3,289
3,699
-410
92,814
125,691
-32,877
211,615
254,292
-42,677
70,394
66,499
3,895
41,219
36,679
4,540
41,098
51,212
-10,114
23,270
16,773
6,497
35,017
35,098
-81
72,234
19,265
52,969
7,037
8,158
-1,121
14,061
32,717
-18,656
68,386
13,945
54,441
43,141
36,388
6,753
175,000
175,000
96,375
100,000
-3,625
97,715
100,106
-2,391
80,823
79,391
1,432
30,442
27,089
3,353
73
66
7
66,994
64,421
2,573
82,918
100,250
-17,332
126,824
77,128
49,696
72,460
26,932
45,528
33,447
24,010
9,437
3,201
1,921
1,280
67,019
37,434
29,585
64,943
80,709
-15,766
25,762
16,249
9,513
3,728
1,631
2,097
13,266
15,378
-2,112
9,082
16,034
-6,952
62,440
13,998
48,442
19,854
16,928
2,926
75,000
75,000
100,838
103,951
-3,113
118,212
120,000
-1,788
123,791
125,184
-1,393
19
14
5
421,902
437,489
-15,587
57,032
53,975
3,057
26,689
32,348
-5,659
52,633
66,877
-14,244
95,247
92,973
2,274
7
3
4
9,107
9,567
-460
48,202
51,555
-3,353
24,817
28,172
-3,355
56,083
23,038
33,045
102,992
28,233
74,759
15,568
18,047
-2,479
1,633
4,204
-2,571
79,671
59,093
20,578
6,970
13,783
-6,813
152,634
149,864
2,770
74,295
75,036
-741
100,000
99,507
493
56,985
57,311
-326
9
9
75,802
66,877
8,925
195,496
165,467
30,029
26,962
28,503
-1,541
93,548
100,000
-6,452
49,115
31,340
17,775
114,486
97,713
16,773
16,740
10,709
6,031
28,328
28,579
-251
23,194
26,263
-3,069
14,363
7,921
6,442
12,117
3,334
8,783
1,147
1,330
-183
5,577
11,940
-6,363
20,182
19,074
1,108
18,112
32,156
-14,044
61,773
59,687
2,086
96,011
99,636
-3,625
75,863
73,281
2,582
56,985
57,311
-326
24
27
-3
199,834
200,000
-166
89,056
97,676
-8,620
99,998
120,750
-20,752
63,092
75,816
-12,724
397,657
262,156
135,501
438
427
11
21,256
34,544
-13,288
91,002
117,488
-26,486
144,433
34,197
110,236
4,560
3,140
1,420
79,225
41,892
37,333
24,252
28,115
-3,863
3,705
9,474
-5,769
54,849
77,541
-22,692
28,303
23,872
4,431
119,509
124,085
-4,576
14,000
14,000
5,017
5,037
-20
125,000
128,082
-3,082
188,046
179,709
8,337
414,654
311,850
102,804
4,730
4,548
182
282,625
340,425
-57,800
92,823
100,000
-7,177
8,856
7,880
976
147,501
84,995
62,506
64,612
99,379
-34,767
9,684
8,544
1,140
71,930
17,047
54,883
5,716
7,030
-1,314
60,439
57,543
2,896
2,907
3,370
-463
17,328
39,483
-22,155
19,315
32,226
-12,911
129,738
129,429
309
129,883
124,724
5,159
75,000
75,000
104,018
102,082
1,936
24,730
24,730
13,799
15,691
-1,892
174,526
144,715
29,811
85,520
74,300
11,220
7,980
9,972
-1,992
7,238
7,934
-696
95,710
56,242
39,468
133,239
74,825
58,414
15,766
27,353
-11,587
17,840
15,590
2,250
149,572
181,867
-32,295
19,788
24,208
-4,420
44,215
36,207
8,008
21,001
24,345
-3,344
14,121
15,506
-1,385
20,347
29,012
-8,665
35,404
34,989
415
124,776
124,378
398
92,179
88,560
3,619
35,264
34,999
265
24,730
24,864
-134
160,739
148,070
12,669
995,478
733,468
262,010
17,217
14,573
2,644
31,523
35,457
-3,934
137,295
135,000
2,295
5,479
5,176
303
2,881
2,068
813
55,340
46,010
9,330
63,560
79,602
-16,042
99,715
103,658
-3,943
10,925
16,327
-5,402
138,746
70,585
68,161
176,700
61,856
114,844
6,676
6,089
587
87,445
92,943
-5,498
74,716
74,585
131
125,000
125,000
40,660
39,996
664
14,393
15,012
-619
49,459
51,132
-1,673
12,697
13,823
-1,126
5,896
5,579
317
6,048
5,255
793
83,021
100,250
-17,229
46,774
50,000
-3,226
268,578
145,000
123,578
175,919
100,225
75,694
67,398
86,041
-18,643
48,830
36,261
12,569
99,715
104,485
-4,770
15,374
19,895
-4,521
95,327
98,257
-2,930
49,210
17,310
31,900
28,849
24,453
4,396
18,046
20,271
-2,225
100,800
100,639
161
40,420
39,969
451
51,001
49,939
1,062
105,546
110,088
-4,542
50,665
50,465
200
60,900
50,600
10,300
332,447
300,000
32,447
83,542
100,250
-16,708
83,021
99,750
-16,729
93,548
100,000
-6,452
59,753
38,841
20,912
8,183
3,041
5,142
67,398
90,049
-22,651
62,439
67,067
-4,628
99,715
128,960
-29,245
19,354
23,704
-4,350
131,340
67,538
63,802
59,470
23,077
36,393
60,321
51,559
8,762
59,294
30,769
28,525
76,409
74,796
1,613
50,378
49,920
458
110,000
110,000
175,000
172,739
2,261
7,430
8,089
-659
10,883
11,936
-1,053
210,563
239,694
-29,131
83,125
99,750
-16,625
12,457
16,869
-4,412
150,812
126,836
23,976
1
1
116,075
169,819
-53,744
71,675
60,557
11,118
116,334
110,614
5,720
11,395
13,932
-2,537
39,402
28,967
10,435
40,993
57,047
-16,054
22,054
21,666
388
133,535
69,222
64,313
104,800
104,019
781
90,000
90,000
50,000
49,754
246
100,000
100,000
96,653
78,640
18,013
27,224
20,538
6,686
8,338
8,815
-477
8,910
8,910
4,208
4,265
-57
152
91
61
7,692
6,469
1,223
56,165
80,102
-23,937
39,023
34,715
4,308
18,238
11,898
6,340
2,315
2,894
-579
46,181
35,160
11,021
70,099
79,578
-9,479
26,584
25,336
1,248
181,549
220,077
-38,528
70,763
74,972
-4,209
145,277
148,974
-3,697
129,475
129,244
231
16
15
1
92,242
77,550
14,692
53,020
54,038
-1,018
266,331
322,000
-55,669
181,199
200,000
-18,801
323,563
437,503
-113,940
11,824
7,564
4,260
4,244
2,708
1,536
2,483
1,963
520
45,270
35,220
10,050
7,159
5,078
2,081
5,679
7,042
-1,363
586,458
586,996
-538
40,993
52,410
-11,417
2,352
2,616
-264
272,323
324,740
-52,417
127,900
128,990
-1,090
150,000
150,000
123,256
124,878
-1,622
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
-563
b
26,254
c
187
d
108,723
e
-34,500
-16,300
-4,015
15,477
863
5,714
6,047
3,202
-4,572
-5,615
-9,751
2,779
-18,665
-6,226
750
-4,688
-8,066
-2
84,038
2,805
-8,882
-7,177
-1,587
-5,712
32,461
9,767
11,749
11,377
19,563
40,906
-1,304
36,694
-12,272
29
1,040
-296
-3,077
-414
413
-410
-32,877
-42,677
3,895
4,540
-10,114
6,497
-81
52,969
-1,121
-18,656
54,441
6,753
-3,625
-2,391
1,432
3,353
7
2,573
-17,332
49,696
45,528
9,437
1,280
29,585
-15,766
9,513
2,097
-2,112
-6,952
48,442
2,926
-3,113
-1,788
-1,393
5
-15,587
3,057
-5,659
-14,244
2,274
4
-460
-3,353
-3,355
33,045
74,759
-2,479
-2,571
20,578
-6,813
2,770
-741
493
-326
8,925
30,029
-1,541
-6,452
17,775
16,773
6,031
-251
-3,069
6,442
8,783
-183
-6,363
1,108
-14,044
2,086
-3,625
2,582
-326
-3
-166
-8,620
-20,752
-12,724
135,501
11
-13,288
-26,486
110,236
1,420
37,333
-3,863
-5,769
-22,692
4,431
-4,576
-20
-3,082
8,337
102,804
182
-57,800
-7,177
976
62,506
-34,767
1,140
54,883
-1,314
2,896
-463
-22,155
-12,911
309
5,159
1,936
-1,892
29,811
11,220
-1,992
-696
39,468
58,414
-11,587
2,250
-32,295
-4,420
8,008
-3,344
-1,385
-8,665
415
398
3,619
265
-134
12,669
262,010
2,644
-3,934
2,295
303
813
9,330
-16,042
-3,943
-5,402
68,161
114,844
587
-5,498
131
664
-619
-1,673
-1,126
317
793
-17,229
-3,226
123,578
75,694
-18,643
12,569
-4,770
-4,521
-2,930
31,900
4,396
-2,225
161
451
1,062
-4,542
200
10,300
32,447
-16,708
-16,729
-6,452
20,912
5,142
-22,651
-4,628
-29,245
-4,350
63,802
36,393
8,762
28,525
1,613
458
2,261
-659
-1,053
-29,131
-16,625
-4,412
23,976
1
-53,744
11,118
5,720
-2,537
10,435
-16,054
388
64,313
781
246
18,013
6,686
-477
-57
61
1,223
-23,937
4,308
6,340
-579
11,021
-9,479
1,248
-38,528
-4,209
-3,697
231
1
14,692
-1,018
-55,669
-18,801
-113,940
4,260
1,536
520
10,050
2,081
-1,363
-538
-11,417
-264
-52,417
-1,090
-1,622
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
1,422,617
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
...................
3
-282,654
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?
Yes
No
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))
2018
1,420,014
28,625,360
0.049607
2017
1,397,234
28,368,856
0.049252
2016
1,326,123
27,123,997
0.048891
2015
1,121,565
27,968,346
0.040101
2014
1,410,100
28,659,878
0.049201
2
Total
of line 1, column (d)
.....................
2
0.237052
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
0.047410
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
28,300,981
5
Multiply line 4 by line 3
......................
5
1,341,750
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
19,580
7
Add lines 5 and 6
........................
7
1,361,330
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,394,456
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
19,580
here
and 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
3
Add lines 1 and 2
...........................
3
19,580
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
19,580
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
9,000
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
22,000
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
31,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
4
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11,416
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
11,416
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
WA
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
N/A
14
The books are in care of
DEBRA TAWNEY STROH
Telephone no.
(206) 282-1001
Located at
201 TERRY AVENUE NORTH SUITE A
SEATTLE
WA
ZIP+4
98109
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
MARY KAY MCCAW
PRESIDENT &
5.00
0
0
0
201 TERRY AVENUE NORTH SUITE A
SEATTLE
,
WA
98109
DEBRA TAWNEY STROH
VICE PRESIDE
10.00
0
0
0
201 TERRY AVENUE NORTH SUITE A
SEATTLE
,
WA
98109
JOSEPH D WEINSTEIN
SECRETARY
2.00
0
0
0
1201 THIRD AVENUE 2200
SEATTLE
,
WA
98101
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
...................
Form
990-PF
(2019)
Form 990-PF (2019)
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
MORGAN STANLEY
INVESTMENT MGRS
67,299
601 UNION ST 5200
SEATTLE
,
WA
98101
Total
number of others receiving over $50,000 for professional services
.............
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
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
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
23,678,153
b
Average of monthly cash balances
.......................
1b
5,053,807
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
28,731,960
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
28,731,960
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
430,979
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
28,300,981
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,415,049
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,415,049
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
19,580
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
19,580
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,395,469
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,395,469
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,395,469
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
1,394,456
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,394,456
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
19,580
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,374,876
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,395,469
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
3,822
b
From 2015
......
c
From 2016
......
d
From 2017
......
501
e
From 2018
......
6,274
f
Total
of lines 3a through e
........
10,597
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,394,456
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
1,394,456
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
1,013
1,013
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
9,584
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
2,809
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
6,775
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
501
d
Excess from 2018
....
6,274
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
AMERICAN RED CROSS
P O BOX 3097
SEATTLE
,
WA
981143097
NONE
509(A)(1)
DISASTER RELIEF ASSISTANCE
20,000
ARBORETUM FOUNDATION
2300 ARBORETUM DR E
SEATTLE
,
WA
98112
NONE
509(A)(1)
LAND CONSERVATION
1,000
BEHIND THE BADGE FOUNDATION
8309165TH AVENUE NE SUITE
REDMOND
,
WA
98052
NONE
509(A)(1)
LINE OF DUTY FAMILY SUPPORT FOR LAW
5,000
CANINE COMPANIONS FOR INDEPENDENCE
P O BOX 446
SANTA ROSA
,
CA
954020446
NONE
509(A)(1)
COMPANION ANIMAL TRAINING
5,000
CHILD FUND INTERNATIONAL
P O BOX 26511
RICHMOND
,
VA
232868818
NONE
509(A)(2)
THIRD-WORLD CHILD ASSISTANCE
5,000
CHILDHAVEN
316 BROADWAY
SEATTLE
,
WA
981225325
NONE
509(A)(1)
SHELTER/CARE FOR CHILDREN
5,000
CHILDREN'S HOSPITAL FOUNDATION
PO BOX 50020-S-200
SEATTLE
,
WA
981455020
NONE
509(A)(1)
BIO-CHEMICAL GENETIC DEPARTMENT
10,000
COCOON HOUSE
3530 COLBY AVENUE
EVERETT
,
WA
98201
NONE
509(A)(1)
AT RISK HOMELESS YOUTH ASSISTANCE
1,000
CONSERVATION INTERNATIONAL
2011 CRYSTAL DRIVE 500
ARLINGTON
,
VA
22202
NONE
509(A)(1)
LAND CONSERVATION
250,000
CORNISH COLLEGE OF THE ARTS
1000 LENORA STREET
SEATTLE
,
WA
98121
NONE
509(A)(1)
SCHOLARSHIP FUND
5,000
CYSTIC FIBROSIS FOUNDATION
4550 MONTGOMERY AVE1100N
BETHESADA
,
MD
20814
NONE
509(A)(1)
MEDICAL RESEARCH
20,000
DIRECT RELIEF
610 WALLACE BECKNELL RD
SANTA BARBARA
,
CA
93117
NONE
509(A)(1)
DISASTER RELIEF
20,000
DOCTORS WITHOUT BORDERS
333 SEVENTH AVENUE 2ND F
NEW YORK
,
NY
10001
NONE
509(A)(1)
MEDICAL CARE IN 3RD WORLD COUNTRIES
10,000
EPIPHANY SCHOOL
3710 EAST HOWELL STREET
SEATTLE
,
WA
98122
NONE
509(A)(1)
ANNUAL FUND
20,000
EVERY MOTHER COUNTS
180 VARICK ST RM 1116
NEW YORK
,
NY
10014
NONE
509(A)(1)
ESSENTIAL MATERNITY CARE
5,000
FRED HUTCHINSON CANCER RESEARCH INS
P O BOX 19024
SEATTLE
,
WA
981091024
NONE
509(A)(1)
CANCER RESEARCH
10,000
GUIDE DOG FOUNDATION FOR THE BLIND
371 E MAINT STREET JERIC
SMITHTOWN
,
NY
117879897
NONE
509(A)(1)
GUIDE DOGS FOR THE BLIND ASSIST
5,000
HABITAT FOR HUMANITY
560 NACHES AVENUE SW 110
RENTON
,
WA
98057
NONE
509(A)(1)
ASSISTED HOUSING FOR KING COUNTY
10,000
HEREDITARY DISEASE FOUNDATION
601 W 168TH ST SUITE 54
NEW YORK
,
NY
10032
NONE
509(A)(1)
MEDICAL RESEARCH
5,000
HOPELINK
8990 154TH AVENUE NE
REDMOND
,
WA
98052
NONE
509(A)(1)
FAMILY ASSISTANCE PROGRAM
5,000
JUVENILE DIABETES RESEARCH FNDN
1215 FOURTH AVENUE 1400
SEATTLE
,
WA
98101
NONE
509(A)(1)
JUVENILE DIABETES RESEARCH
50,000
KETCHUMSUN VALLEY VOLUNTEER FIREFI
P O BOX 966
KETCHUM
,
ID
83340
NONE
509(A)(1)
PROGRAMS FOR VOLUNTEER FIREFIGHTERS
1,000
LAKESIDE SCHOOL
14050 FIRST AVENUE NE
SEATTLE
,
WA
98103
NONE
509(A)(1)
ANNUAL FUND
5,000
LEUKEMIA & LYMPHOMA SOCIETY
5601 6TH AVENUE S 182
SEATTLE
,
WA
98108
NONE
509(A)(1)
CANCER RESEARCH
5,000
LIFEWIRE
P O BOX 6398
BELLEVUE
,
WA
980080398
NONE
509(A)(1)
DOMESTIC VIOLENCE SHELTER
40,000
LITTLEBIT THERAPEUTIC RIDING CENTER
18675 NE 106TH ST
REDMOND
,
WA
98052
NONE
509(A)(1)
THERAPEUTIC RIDING
1,000
MAKE A WISH OF IDAHO
310 W IDAHO STREET
BOISE
,
ID
83702
NONE
509(A)(1)
GRANTING WISHES OF ILL CHILDREN
1,000
MOUNTAIN HUMANE
P O BOX 1496
HAILEY
,
ID
83340
NONE
509(A)(2)
ANIMAL SHELTER & EDUCATION
5,000
NOAH ANIMAL ADOPTION CENTER
31300 BRANDSTROM ROAD
STANWOOD
,
WA
98292
NONE
509(A)(2)
ANIMAL SHELTER CARE
5,000
NORTHWEST HARVEST
P O BOX 12272
SEATTLE
,
WA
98101
NONE
509(A)(1)
FOOD BANK
40,000
PACIFIC NORTHWEST BALLET
301 MERCER STREET
SEATTLE
,
WA
98109
NONE
509(A)(1)
PERFORMING ARTS
5,000
PATH
P O BOX 900922
SEATTLE
,
WA
98109
NONE
509(A)(1)
MEDICAL RESEARCH
5,000
PLYMOUTH HOUSING GROUP
2113 THIRD AVE
SEATTLE
,
WA
98121
NONE
509(A)(1)
HOMELESS CARE AND HOUSING
10,000
PRATT FINE ARTS CENTER
1902 S MAIN
SEATTLE
,
WA
98144
NONE
509(A)(1)
ARTS SCHOOL - ENDOWMENT FUND
5,000
PURRFECT PALS CAT SHELTER & SANCTUA
230 MCRAE ROAD NE
ARLINGTON
,
WA
98223
NONE
509(A)(1)
ANIMAL SHELTER
1,000
SEATTLE AQUARIUM SOCIETY
1415 WESTERN AVE STE 505
SEATTLE
,
WA
981012051
NONE
509(A)(1)
MARINE LIFE AQUARIUM ED. & PRESERVAT
70,000
SEATTLE ART MUSEUM
1300 FIRST AVENUE
SEATTLE
,
WA
98101
NONE
509(A)(1)
PERFORMANING ARTS
50,000
SEATTLE CHILDREN'S THEATRE
201 THOMAS STREET
SEATTLE
,
WA
981094535
NONE
509(A)(1)
PERFORMANCE ARTS - EXPANSION
50,000
SEATTLE UNION GOSPEL MISSION
P O BOX 202
SEATTLE
,
WA
981119945
NONE
509(A)(1)
HOMELESS SHELTER
5,000
SEATTLE UNIVERSITY
P O BOX 222000
SEATTLE
,
WA
981221090
NONE
509(A)(1)
YOUTH INITIATIVE PROGRAM
10,000
SMILE TRAIN
633 THIRD AVENUE
9TH FLOOR
NEW YORK
,
NY
10017
NONE
509(A)(1)
MEDICAL CARE FOR CLEFT LIPS
5,000
SMILES FOREVER
P O BOX 217
RENTON
,
WA
98057
NONE
509(A)(1)
WOMEN IN PROVERTY ASSISTANCE
5,000
SNOW LEOPARD'S TRUST
4649 SUNNYSIDE AVENUE N
SEATTLE
,
WA
981039986
NONE
509(A)(1)
PROTECTION FOR SNOW LEOPARDS
5,000
SR3 SEALIFE RESPONSE REHABILITATION
2255 HARBOR AVE SW 101
MUKILTEO
,
WA
98275
NONE
509(A)(1)
SEALIFE REHABILITATION & RESEARCH
50,000
ST JAMES CATHEDRAL
804 NINTH AVENUE
SEATTLE
,
WA
98104
NONE
509(A)(3)
ANNUAL FUND
5,000
SUN VALLEY SKI EDUCATION FOUNDATION
POST OFFICE BOX 203
SUN VALLEY
,
ID
83353
NONE
509(A)(2)
EDUCATION PROGRAM
25,000
SUSAN G KOMEN BREAST CANCER FNDTN
P O BOX 650309
DALLAS
,
TX
752650309
NONE
509(A)(2)
BREAST CANCER RESEARCH
5,000
SWEDISH MEDICAL CENTER FOUNDATION
PO BOX 22100
SEATTLE
,
WA
981229946
NONE
509(A)(1)
MEDICAL FOUNDATION
5,000
TEAM SURVIVOR NORTHWEST
200 NE PACIFIC STREET SU
SEATTLE
,
WA
98105
NONE
509(A)(1)
FITNESS & HEALTH EDUCATION PROGRAMS
5,000
THE SALVATION ARMY
PO BOX 60004
PRESCOTT
,
AZ
86304
NONE
509(A)(1)
HOME/FOOD SERVICES
5,000
THE SAN JUAN PRESERVATION TRUST
PO BOX 327
LOPEZ ISLAND
,
WA
98261
NONE
509(A)(1)
PRESERVING SAN JUAN ISLANDS
5,000
THE STANFORD FUND
PO BOX 20466
STANFORD
,
CA
94309
NONE
509(A)(1)
UNDERGRADUATE EDUCATION FUND
50,000
THE USO
P O BOX 96860
WASHINGTON
,
DC
200777677
NONE
509(A)(1)
MILITARY MORALE SUPPORT
5,000
TREEHOUSE
2100 - 24TH AVENUE S 20
SEATTLE
,
WA
981444632
NONE
509(A)(1)
FOSTER CHILDREN ASSISTANCE
5,000
UNIVERSITY OF WASHINGTON FOUNDATION
BOX 359505
SEATTLE
,
WA
981959505
NONE
509(A)(3)
BEHAVIORAL HEALTH INSTITUTE
260,000
US SKI AND SNOWBOARD TEAM FOUNDATIO
1 VICTORY LANE
PARK CITY
,
UT
840600100
NONE
509(A)(3)
US SKI & SNOWBOARD TEAM
5,000
VANDERBILT UNIVERSITY
2301 VANDERBILT PLACE PB
NASHVILLE
,
TN
372406310
NONE
509(A)(1)
UNDERGRADUATE EDUCATION FUND
50,000
WOODLAND PARK ZOO
601 N 59TH STREET
SEATTLE
,
WA
98103
NONE
509(A)(1)
JUNE FUNDRAISER ENDOWMENT FUND
50,000
WORLD VISION
175 STRATFORD AVE STE 1
WAYNE
,
PA
19087
NONE
509(A)(2)
MALAWI MICROLOAN FUND DONATION
50,000
WORLD WILDLIFE FUND
1250 24TH STREET NW
WASHINGTON
,
DC
20037
NONE
509(A)(1)
ENDANGERED SPECIES FUND
5,000
YMCA PARTNERS WITH YOUTH
909 FOURTH AVE
SEATTLE
,
WA
98104
NONE
509(A)(2)
YOUTH ASSISTANCE PROGRAM
5,000
YWCA
1118 FIFTH AVENUE
SEATTLE
,
WA
98101
NONE
509(A)(2)
CHILDREN'S ASSISTANCE
5,000
Total
.................................
3a
1,391,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
182,915
4
Dividends and interest from securities
....
14
455,892
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
1,422,617
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
2,061,424
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,061,424
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description