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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
CAMPION FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1904 THIRD AVENUE 405
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98101
A Employer identification number

20-3421717
B Telephone number (see instructions)

(206) 686-5310
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$30,060,966
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 4,536,411
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 226,788 226,788  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 4,935,275
b Gross sales price for all assets on line 6a 12,019,165
7 Capital gain net income (from Part IV, line 2)... 4,935,275
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........ 9,698,474 5,162,063  
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)......... 473 237   236
b Accounting fees (attach schedule)....... 12,180 6,090   6,090
c Other professional fees (attach schedule).... 97,333 71,282   26,051
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 74,831 10,485   346
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 800 0   800
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 71,719 800   70,919
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 257,336 88,894   104,442
25 Contributions, gifts, grants paid....... 4,748,596 4,748,596
26 Total expenses and disbursements. Add lines 24 and 25 5,005,932 88,894   4,853,038
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 4,692,542
b Net investment income (if negative, enter -0-) 5,073,169
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 35,750 126,086 126,086
2 Savings and temporary cash investments......... 7,807,008 7,044,970 7,044,970
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 352,625 Click to see attachment71,402 71,402
b Investments—corporate stock (attach schedule)....... 19,052,508 Click to see attachment22,384,700 22,384,700
c Investments—corporate bonds (attach schedule)....... 991,868 Click to see attachment433,808 433,808
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 28,239,759 30,060,966 30,060,966
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 FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 28,239,759 30,060,966
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
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)..... 28,239,759 30,060,966
30 Total liabilities and net assets/fund balances (see instructions). 28,239,759 30,060,966
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
28,239,759
2
Enter amount from Part I, line 27a .....................
2
4,692,542
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
32,932,301
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,871,335
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
30,060,966
Form 990-PF (2021)
Form 990-PF (2021)
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 PUBLIC SECURITIES      
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 12,019,165   7,083,890 4,935,275
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       4,935,275
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 4,935,275
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 70,517
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 70,517
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 64,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 8,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 72,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 89
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,394
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,394 RefundedBullet 11 0
Part VI-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 the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletWA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 instructionsClick to see attachment.................
    12
    Yes
     
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.CAMPIONFOUNDATION.ORG
    14
    The books are in care ofbulletCARRIE SAVAGE Telephone no.bullet (206) 686-5313

    Located atbullet1904 THIRD AVENUE 405SEATTLEWA ZIP+4bullet98101
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    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)? ......................
    1a(5)
     
    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.) ...............
    1a(6)
     
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    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? .............
    5a(5)
     
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    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?
    7a
     
    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? .........................
    8
     
    No
    Part VII
    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
    TOM CAMPION FOUNDING TRUSTEE
    0.50
    0 0 0
    1904 THIRD AVE SUITE 405
    SEATTLE,WA98101
    SONYA CAMPION FOUNDING TRUSTEE
    0.50
    0 0 0
    1904 THIRD AVE SUITE 405
    SEATTLE,WA98101
    JASON PAULSEN PROFESSIONAL TRUSTEE
    0.50
    0 0 0
    1904 THIRD AVE SUITE 405
    SEATTLE,WA98101
    NEIL KORNZE CEO
    10.00
    0 0 0
    1904 THIRD AVE SUITE 405
    SEATTLE,WA98101
    CARRIE SAVAGE COO
    10.00
    0 0 0
    1904 THIRD AVE SUITE 405
    SEATTLE,WA98101
    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 (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-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 OUR EFFORTS ARE FOCUSED ON THE PROTECTION OF LARGE, INTACT ECOSYSTEMS, IN AMERICA'S ARCTIC AND ACROSS THE UNITED STATES, AS A SOLUTION TO THE CLIMATE CRISIS. 20,390
    2 TO END HOMELESSNESS, WE WORK AT THE LOCAL, STATE, AND FEDERAL LEVELS. OUR PRIORITIES ARE PREVENTING YOUTH HOMELESSNESS AND ENSURING ACCESS TO SAFE, AFFORDABLE HOUSING FOR ALL. 7,751
    3 WE ARE PROUD TO WORK WITH NONPROFIT AND PHILANTHROPIC ORGANIZATIONS TO BUILD A HEALTHY AND RESILIENT NONPROFIT SECTOR THAT CAN INCREASE IMPACT, RESPOND EFFECTIVELY TO CHALLENGES AND OPPORTUNITIES, AND FULFILL ITS OWN POTENTIAL. 6,000
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    14,827,153
    b
    Average of monthly cash balances.......................
    1b
    12,833,306
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    27,660,459
    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
    27,660,459
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    414,907
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    27,245,552
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,362,278
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,362,278
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    70,517
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    70,517
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,291,761
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,291,761
    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 XII, line 1 ...
    7
    1,291,761
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,291,761
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 3,452,989
    b From 2017...... 3,745,333
    c From 2018...... 2,425,158
    d From 2019...... 2,971,190
    e From 2020...... 2,832,206
    f Total of lines 3a through e ........ 15,426,876
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 4,853,038
    a Applied to 2020, 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 2021 distributable amount..... 1,291,761
    e Remaining amount distributed out of corpus 3,561,277
    5 Excess distributions carryover applied to 2021. 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 18,988,153
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    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 2016 not
    applied on line 5 or line 7 (see instructions) ...
    3,452,989
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    15,535,164
    10 Analysis of line 9:
    a Excess from 2017.... 3,745,333
    b Excess from 2018.... 2,425,158
    c Excess from 2019.... 2,971,190
    d Excess from 2020.... 2,832,206
    e Excess from 2021.... 3,561,277
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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).)
    TOM CAMPION
    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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    ALASKA WILDERNESS LEAGUE
    122 C ST NW SUITE 240
    WASHINGTON,DC20001
      PC GENERAL OPERATING SUPPORT & SUPPORT FOR ARDC 781,096
    BACKCOUNTRY HUNTERS & ANGLERS
    725 W ALDER STREET SUITE 11
    MISSOULA,MT59802
      PC SUPPORT FOR PROTECTING PUBLIC LANDS 50,000
    BUILDING CHANGES
    1200 12TH AVENUE S SUITE 1200
    SEATTLE,WA98144
      PC GENERAL OPERATING SUPPORT & SUPPORT FOR LEC, WE ARE IN, & LEADERSHIP 470,000
    CENTER FOR AMERICAN PROGRESS
    1333 H ST NW 10TH FLOOR
    WASHINGTON,DC200054746
      PC SUPPORT FOR PROTECTING PUBLIC LANDS 157,500
    CENTER ON BUDGET AND POLICY PRIORITIES
    1275 FIRST STREET NE SUITE 1200
    WASHINGTON,DC20002
      PC SUPPORT FOR NATIONAL COALITION FOR HOUSING JUSTICE 50,000
    CHAPIN HALL CENTER FOR CHILDREN
    1313 EAST 60TH ST
    CHICAGO,IL60637
      PC GENERAL OPERATING SUPPORT 50,000
    CHIEF SEATTLE CLUB
    410 2ND AVE EXT S
    SEATTLE,WA98104
      PC GENERAL OPERATING SUPPORT 15,000
    CONSERVATION LANDS FOUNDATION
    835 E 2ND AVE 314
    DURANGO,CO813015664
      PC SUPPORT FOR WESTERN ARCTIC AND WESTERN OPPORTUNITIES FUND 100,000
    CONSERVATION NW
    1829 10TH AVE W STE B
    SEATTLE,WA98119
      PC GENERAL OPERATING SUPPORT 50,000
    CORPORATION FOR SUPPORTIVE HOUSING
    61 BROADWAY SUITE 2300
    NEW YORK,NY10006
      PC SUPPORT FOR WA'S PRESCRIPTION FOR A HOME 10,000
    ENTERPRISE COMMUNITY PARTNERS
    11000 BROKEN LAND PARKWAY 7TH FLOOR
    COLUMBIA,MD21044
      PC SUPPORT FOR WA'S PRESCRIPTION FOR A HOME 5,000
    FOUNDATION FOR YOUTH RESILIENCY AND ENGAGEMENT
    729 OKOMA DRIVE
    OMAK,WA98841
      PC GENERAL OPERATING SUPPORT 1,000
    FUNDERS TOGETHER TO END HOMELESSNESS
    89 SOUTH ST STE 803
    BOSTON,MA021112672
      PC GENERAL OPERATING SUPPORT 25,000
    HIGH COUNTRY NEWS
    PO BOX 1090
    PAONIA,CO81428
      PC SUPPORT FOR WESTERN LANDS REPORTING FUND 150,000
    HOUSING DEVELOPMENT CONSORTIUM OF SEATTLE KING COUNTY
    1402 THIRD AVENUE SUITE 1230
    SEATTLE,WA98101
      PC GENERAL OPERATING SUPPORT 15,000
    IDAHO CONSERVATION LEAGUE
    PO BOX 844
    BOISE,ID83701
      PC GENERAL OPERATING SUPPORT 50,000
    INDEPENDENT SECTOR
    1602 L STREET NORTHWEST SUITE 900
    WASHINGTON,DC20036
      PC PROJECT SUPPORT GRANT TO SUPPORT CAMPAIGN TO ESTABLISH OFFICE OF THE NONPROFIT SECTOR 100,000
    LEAGUE OF CONSERVATION VOTERS EDUCATION FUND
    740 15TH STREET NW SUITE 700
    WASHINGTON,DC20005
      PC GENERAL OPERATING SUPPORT 100,000
    METHOW HOUSING TRUST
    31 WEST CHEWUCH ROAD SUITE 102
    WINTHROP,WA98862
      PC GENERAL OPERATING SUPPORT 2,000
    NATIONAL ALLIANCE TO END HOMELESSNESS
    1518 K ST NW 2ND FL
    WASHINGTON,DC20005
      PC GENERAL OPERATING SUPPORT 30,000
    NATIONAL AUDUBON SOCIETY
    225 VARICK STREET 7TH FLOOR
    NEW YORK,NY10014
      PC SUPPORT FOR AUDUBON ALASKA FOR MULTIPLE CONSERVATION CAMPAIGNS 275,000
    NATIONAL LOW INCOME HOUSING COALITION
    1000 VERMONT AVE NW SUITE 500
    WASHINGTON,DC20005
      PC GENERAL OPERATING SUPPORT & SUPPORT FOR GRASSROOTS ADVOCACY 350,000
    NATIONAL NETWORK FOR YOUTH
    741 8TH ST SE
    WASHINGTON,DC20003
      PC GENERAL OPERATING SUPPORT 15,000
    NATIVE MOVEMENT
    PO BOX 83467
    FAIRBANKS,AK99709
      PC GENERAL OPERATING SUPPORT 20,000
    NEW VENTURE FUND
    1201 CONNECTICUT AVE NW STE 300
    WASHINGTON,DC20036
      PC SUPPORT FOR SALMON STATE 125,000
    ROOM ONE
    PO BOX 222
    TWISP,WA98856
      PC GENERAL OPERATING SUPPORT 2,000
    SEATTLE FOUNDATION
    1601 5TH AVE STE 1900
    SEATTLE,WA98101
      PC PROJECT SUPPORT FOR HOMELESSNESS AND PUBLIC LANDS CAUSES 380,000
    SEATTLE KING COUNTY COALITION ON HOMELESSNESS
    85 S WASHINGTON ST STE 310
    SEATTLE,WA98104
      PC GENERAL OPERATING SUPPORT 25,000
    SITKA CONSERVATION SOCIETY
    PO BOX 6533
    SITKA,AK99835
      PC GENERAL OPERATING SUPPORT 25,000
    SOLID GROUND
    1501 NORTH 45TH STREET
    SEATTLE,WA98103
      PC SUPPORT FOR STATEWIDE POVERTY ACTION NETWORK 20,000
    THE MOCKINGBIRD SOCIETY
    2100 24TH AVE S STE 240
    SEATTLE,WA98144
      PC GENERAL OPERATING SUPPORT 65,000
    THE NATURE CONSERVATORY - ALASKA
    4245 FAIRFAX DRIVE SUITE 100
    ARLINGTON,VA22203
      PC GENERAL OPERATING SUPPORT 25,000
    THIRD SECTOR NEW ENGLAND MISSIONWORKS
    89 SOUTH STREET SUITE 700
    BOSTON,MA02111
      PC SUPPORT FOR A WAY HOME WASHINGTON & A WAY HOME AMERICA 360,000
    TROUT UNLIMITED ALASKA
    3105 LAKESHORE DRIVE SUITE 102B
    ANCHORAGE,AK99517
      PC SUPPORT FOR PROTECTING ALASKA'S WILD SALMON ECOSYSTEMS 100,000
    TRUE COLORS UNITED
    311 WEST 43RD STREET 12TH FLOOR
    NEW YORK,NY10036
      PC GENERAL OPERATING SUPPORT 40,000
    TRUSTEES FOR ALASKA
    1026 W 4TH AVENUE SUITE 201
    ANCHORAGE,AK99501
      PC GENERAL OPERATING SUPPORT 90,000
    TYPE MEDIA
    116 EAST 16TH STREET 8TH FLOOR
    NEW YORK,NY10014
      PC SUPPORT FOR MEDIA COVERAGE OF PUBLIC LANDS ISSUES 40,000
    WASHINGTON BUDGET & POLICY CENTER
    1402 3RD AVE SUITE 1215
    SEATTLE,WA98101
      PC GENERAL OPERATING SUPPORT 37,500
    WASHINGTON LOW INCOME HOUSING ALLIANCE
    100 WEST HARRISON STREET NORTH
    TOWER N220
    SEATTLE,WA98119
      PC GENERAL OPERATING SUPPORT & SUPPORT FOR HB1590 IMPLEMENTATION & RENTER CAMPAIGN 342,500
    WASHINGTON WILD
    305 N 83RD STREET
    SEATTLE,WA98103
      PC GENERAL OPERATING SUPPORT 10,000
    WILDERNESS SOCIETY
    1615 M STREET NW
    WASHINGTON,DC20036
      PC SUPPORT FOR THE IMAGO INITIATIVE 150,000
    YOUTH COLLABORATORY INC
    106 ISABELLA STREET SUITE 100
    PITTSBURGH,PA15212
      PC GENERAL OPERATING SUPPORT 20,000
    YOUTHCARE
    2500 NE 54TH STREET
    SEATTLE,WA98105
      PC GENERAL OPERATING SUPPORT 20,000
    Total .................................bullet 3a 4,748,596
    bApproved for future payment
    ALASKA WILDERNESS LEAGUE
    122 C ST NW SUITE 240
    WASHINGTON,DC20001
      PC 2022 GENERAL OPERATING SUPPORT GRANT 650,000
    SEATTLE FOUNDATION
    1601 5TH AVE STE 1900
    SEATTLE,WA98101
      PC PROJECT SUPPORT FOR PUBLIC LANDS CAUSES 126,000
    Total .................................bullet 3b 776,000
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 4,935,275  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 5,162,063 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    5,162,063
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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
    Yes
     
    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
    1c 0 CAMPION ADVOCACY FUND THE USE OF FACILITIES AND VARIOUS EQUIPMENT AND FURNITURE ASSETS WERE PROVIDED TO THE FOUNDATION BY CAMPION ADVOCACY FUND AT NO COST.
    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
    CAMPION ADVOCACY FUND 501(C)(4) COMMON TRUSTEES/DIRECTORS
    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 instructions.
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    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
    2021
    Name of the organization
    CAMPION FOUNDATION
     
    Employer identification number

    20-3421717
    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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    CAMPION FOUNDATION
     
    Employer identification number
    20-3421717
    Part I
    Contributors
    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
    TOM CAMPION
    1904 THIRD AVENUE NO 405
     
    SEATTLE, WA98101

    $ 4,536,411


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    CAMPION FOUNDATION
     
    Employer identification number

    20-3421717
    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 STOCK $ 4,536,411 2021-12-22
    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    CAMPION FOUNDATION
     
    Employer identification number

    20-3421717
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 12,180 6,090   6,090

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AT&T INC. 6,092 6,092
    THE WALT DISNEY 6,112 6,112
    MORGAN STANLEY 7,683 7,683
    CIGNA CORP 10,408 10,408
    COMCAST CORP 12,014 12,014
    ROYAL BANK OF CA4.65%26F 12,162 12,162
    ABBVIE INC 12,697 12,697
    BANK OF AMERICA C 13,088 13,088
    AMERICAN EXPRESS 13,088 13,088
    CITIGROUP INC. 13,126 13,126
    AMGEN INC 13,304 13,304
    AMERICAN TOWER 13,584 13,584
    NEXTERA ENERGY 13,930 13,930
    APPLE INC. 13,959 13,959
    INTERNTNL BK FO1.25%31F 19,428 19,428
    INTL BK RECON & 1.75%23F 22,335 22,335
    INTERNTNL BK FO0.75%30F 28,068 28,068
    INTL BK RECON & 2.5%25F 34,544 34,544
    INTL BK RECON & 2.5%27F 34,942 34,942
    INTER-AMERN DEV3.125%28F 37,487 37,487
    INTL BK RECON 1.875%26F 38,977 38,977
    INTER-AMERN DE 56,780 56,780

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ZUMIEZ INC 6,181,448 6,181,448
    APPLE INC 556,149 556,149
    MICROSOFT CORP 479,592 479,592
    BLACKSTONE PRIVATE CREDIT 432,164 432,164
    AMAZON.COM INC 393,452 393,452
    ADOBE 344,772 344,772
    MASTERCARD INC 331,652 331,652
    PAYPAL HOLDINGS INCO 316,814 316,814
    ALPHABET INC CLASS A 312,880 312,880
    NVIDIA CORP 283,816 283,816
    ZOETIS INC 266,237 266,237
    ULTA BEAUTY INC. 261,424 261,424
    EDWARDS LIFESCIENCES 261,043 261,043
    TRANE TECHNOLOGIES PLC F 258,396 258,396
    ABBOTT LABORATORIES 255,021 255,021
    PEPSICO INCORPORATED 251,185 251,185
    STARBUCKS CORP 249,263 249,263
    WASTE MANAGEMENT INC 243,674 243,674
    UNITEDHEALTH GRP INC 242,031 242,031
    S&P GLOBAL 238,797 238,797
    J P MORGAN CHASE & CO 217,731 217,731
    WALT DISNEY CO 212,199 212,199
    BEST BUY INC 191,922 191,922
    D R HORTON CO 186,534 186,534
    PROCTER & GAMBLE 177,811 177,811
    LINDE PLC 165,940 165,940
    PARKER-HANNIFIN CORP 164,150 164,150
    ECOLAB INC 163,978 163,978
    ELECTRONIC ARTS INC 163,556 163,556
    CME GROUP INC 163,349 163,349
    BLACKROCK INC 152,899 152,899
    XYLEM INC 143,664 143,664
    FIRST SOLAR INC 116,097 116,097
    TESLA INC 73,975 73,975
    BAIRD INTERMEDIATE BOND 57,071 57,071
    ISHARES S&P MID CAP 400 1,369,958 1,369,958
    ISHARS ESG ADV HGH YLD 189,121 189,121
    PIONEER ILS INTERVAL FD 515,802 515,802
    SPDR MSCI EAFE FSL FUEL 3,343,678 3,343,678
    SPDR MSCI EMRG MRKT FSL 1,741,853 1,741,853
    SPDR S&P BIOTECH ETF 202,760 202,760
    VERSUS CAP MULTI MNGR 510,842 510,842

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    US Government Securities - End of Year Book Value:

    36,547
    US Government Securities - End of Year Fair Market Value:

    36,547
    State & Local Government Securities - End of Year Book Value:


    34,855
    State & Local Government Securities - End of Year Fair Market Value:


    34,855


    TY 2021 LegalFeesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 473 237   236


    TY 2021 OtherDecreasesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Description Amount
    UNREALIZED GAIN/LOSS 2,871,335


    TY 2021 OtherExpensesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MEMBERSHIP FEES 38,736 0   38,736
    GRANT MANAGEMENT SYSTEMS 18,699 0   18,699
    BANK FEES 800 800   0
    PROFESSIONAL DEVELOPMENT AND TRAINING 3,000 0   3,000
    MISCELLANEOUS EXPENSES 10,484 0   10,484


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 71,282 71,282   0
    CONSULTANT FEES 26,051 0   26,051


    TY 2021 TaxesSchedule
    Name:
    CAMPION FOUNDATION
    EIN:
    20-3421717
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 64,000 0   0
    FOREIGN TAXES 10,485 10,485   0
    STATE AND LOCAL EXCISE TAX 346 0   346