| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 13,000 | 6,500 | 6,500 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| NORTH BEND BUILDING | 2019-10-04 | 1,750,680 | 11,222 | SL | 39.000000000000 | 44,889 | 0 | ||
| ORGANIZATION COSTS | 2012-01-01 | 3,700 | 1,976 | SL | 15.000000000000 | 247 | 0 | ||
| 228 REMODEL-J-3 CONTRACTING | 2020-06-30 | 77,806 | SL | 39.000000000000 | 998 | 0 | |||
| 228 REMODEL-EXCEPTIONAL SERVICE | 2020-06-30 | 34,035 | SL | 39.000000000000 | 436 | 0 | |||
| 228 REMODEL-CITY OF NORTH BEND | 2020-06-08 | 1,149 | SL | 39.000000000000 | 17 | 0 | |||
| 228 REMODEL-LARRY SHAW | 2020-06-30 | 19,455 | SL | 39.000000000000 | 249 | 0 | |||
| 228 REMODEL-PAVRIK SHAHIJANI | 2020-02-25 | 3,100 | SL | 39.000000000000 | 66 | 0 | |||
| 228 REMODEL-KRUGER ARCHITECTURE | 2020-06-30 | 34,660 | SL | 39.000000000000 | 444 | 0 | |||
| 228 REMODEL-DAVE MORGAN | 2020-06-04 | 10,000 | SL | 39.000000000000 | 150 | 0 | |||
| 228 REMODEL-TRISTAN NORMAN-JOHNSON | 2020-08-26 | 800 | SL | 39.000000000000 | 7 | 0 | |||
| 228 REMODEL - NW ROOFCARE | 2020-06-26 | 49,833 | SL | 39.000000000000 | 639 | 0 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
LISTEN & TALK FOUNDATION |
8610 8TH AVE NE SEATTLE,WA98115 |
2020-03-21 | 10,000 | THE FOUNDATION PROVIDES GRANT FUNDS TO PROVIDE ASSISTANCE TO THE LISTEN & TALK FOUNDATION. THE FUNDS ARE USED TO SUPPORT THEIR SERVICES. THE REQUESTED GRANT WILL HELP SPECIALLY TRAINED STAFF TEACH FAMILIES HOW TO MAKE SOUND AND SPOKEN LANGUAGE MEANINGFUL FOR THEIR CHILD. | 10,000 | NO FUNDS HAVE BEEN DIVERTED TO ANY OTHER PURPOSE | 2021-01-01 | GRANTEE IS A CALENDAR YEAR TAXPAYER THAT RECEIVED FUNDS IN 2020. AS SUCH, NO REPORT IS DUE UNTIL MARCH 15, 2021. GRANTEE PROVIDED THE REPORT IN JANUARY 2021 AND AFFIRMATIVE VERIFICATION OF THE REPORT WAS MADE. | |
|
SALLAL GRANGE AND COMMUNITY CENTER |
PO BOX 1688 NORTH BEND,WA98045 |
2019-03-16 | 15,000 | THE FOUNDATION PROVIDES GRANT FUNDS TO PROVIDE ASSISTANCE TO THE SALLAL GRANGE AND COMMUNITY CENTER. THE FUNDS ARE USED TO SUPPORT THE COMMUNITY PROJECTS AND EXPAND THEIR SERVICES. THE REQUESTED GRANT WILL IMPROVE THEIR MISSION TO BRING PEOPLE TOGETHER AND PROVIDE SUPPORT AND COMFORT TO THOSE IN NEED IN SNOQUALMIE VALLEY. | 4,190 | NO FUNDS HAVE BEEN DIVERTED TO ANY OTHER PURPOSE. | 2020-02-04 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CHINA HIGH PRECISION AUTOMATION GROUP LTD COM | 9,569 | 2,029 |
| BLACKSTONE REAL ESTATE | 1,000,000 | 1,101,505 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HINES GLOBAL INCOME TRUST T SHARES | AT COST | 939,714 | 939,713 |
| DELAWARE LIFE INSURANCE COMPANY | AT COST | 1,000,000 | 946,593 |
| EAGLE LIFE INSURANCE COMPANY | AT COST | 1,000,000 | 946,275 |
| GLOBAL ATLANTIC FINANCIAL GROUP | AT COST | 1,000,000 | 774,401 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| NORTH BEND BUILDING | 1,750,680 | 56,111 | 1,694,569 | 1,694,569 |
| 228 REMODEL-J-3 CONTRACTING | 77,806 | 998 | 76,808 | 76,808 |
| 228 REMODEL-EXCEPTIONAL SERVICE | 34,035 | 436 | 33,599 | 33,599 |
| 228 REMODEL-CITY OF NORTH BEND | 1,149 | 17 | 1,132 | 1,132 |
| 228 REMODEL-LARRY SHAW | 19,455 | 249 | 19,206 | 19,206 |
| 228 REMODEL-PAVRIK SHAHIJANI | 3,100 | 66 | 3,034 | 3,034 |
| 228 REMODEL-KRUGER ARCHITECTURE | 34,660 | 444 | 34,216 | 34,216 |
| 228 REMODEL-DAVE MORGAN | 10,000 | 150 | 9,850 | 9,850 |
| 228 REMODEL-TRISTAN NORMAN-JOHNSON | 800 | 7 | 793 | 793 |
| 228 REMODEL - NW ROOFCARE | 49,833 | 639 | 49,194 | 49,194 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 1,080 | 540 | 540 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| ORGANIZATION COSTS | 1,724 | 1,477 | 1,477 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SUPPLIES | 5,540 | 780 | 4,760 | |
| REPAIRS | 6,557 | 3,519 | 3,038 | |
| MISCELLANEOUS | 32,824 | 0 | 32,824 | |
| 228 REMODEL | 6,168 | 0 | 6,168 | |
| EQUIPMENT RENTAL | 20,434 | 121 | 20,313 |
| Description | Amount |
|---|---|
| PRIOR PERIOD DIFFERENCE | 297,364 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| U.S. TRUST INVESTMENT MANAGEMENT FEES | 5,270 | 5,270 | 0 | |
| OTHER PROFESSIONAL FEES | 3,149 | 3,149 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INCOME TAXES | 12,719 | 0 | 0 | |
| PROPERTY TAXES | 4,530 | 0 | 0 |