Form990-PF
Click to see attachment
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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
MEDINA FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)801 SECOND AVENUE 1108
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98104
A Employer identification number

91-0745225
B Telephone number (see instructions)

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

D 1. 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$109,925,093J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 107 107  
4 Dividends and interest from securities... 4,105,472 4,105,472  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,418,909
b Gross sales price for all assets on line 6a 42,972,579
7 Capital gain net income (from Part IV, line 2)... 2,418,909
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 721 3,586  
12 Total. Add lines 1 through 11........ 6,525,209 6,528,074  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 204,116 20,412   184,899
14 Other employee salaries and wages...... 320,890 0   320,890
15 Pension plans, employee benefits....... 125,494 6,275   119,938
16a Legal fees (attach schedule)......... Click to see attachment 6,049 0   6,049
b Accounting fees (attach schedule)....... Click to see attachment 29,465 5,893   23,572
c Other professional fees (attach schedule).... Click to see attachment 236,430 204,017   33,696
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 25,000 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 4,767 0   9,820
21 Travel, conferences, and meetings....... 32,713 6,543   32,670
22 Printing and publications.......... 4,032 0   5,357
23 Other expenses (attach schedule)....... Click to see attachment 58,803 623   49,422
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,047,759 243,763   786,313
25 Contributions, gifts, grants paid....... 3,528,798 3,613,798
26 Total expenses and disbursements. Add lines 24 and 25 4,576,557 243,763   4,400,111
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,948,652
b Net investment income (if negative, enter -0-) 6,284,311
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............. 301,418 637,891 637,891
2 Savings and temporary cash investments......... 355,996 431,173 431,173
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.......... 11,618 17,812 17,812
10a Investments—U.S. and state government obligations (attach schedule) 8,512,747 Click to see attachment7,116,537 7,116,537
b Investments—corporate stock (attach schedule)....... 62,519,918 Click to see attachment87,929,247 87,929,247
c Investments—corporate bonds (attach schedule)....... 23,994,680 Click to see attachment7,437,321 7,437,321
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 5,832,480 Click to see attachment6,274,283 6,274,283
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment32,955 Click to see attachment80,829 Click to see attachment80,829
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 101,561,812 109,925,093 109,925,093
Liabilities 17 Accounts payable and accrued expenses.......... 29,136 28,636
18 Grants payable................. 620,000 535,000
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 649,136 563,636
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........... 100,912,676 109,361,457
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)..... 100,912,676 109,361,457
30 Total liabilities and net assets/fund balances (see instructions). 101,561,812 109,925,093
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
100,912,676
2
Enter amount from Part I, line 27a .....................
2
1,948,652
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
6,500,129
4
Add lines 1, 2, and 3 ..........................
4
109,361,457
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
109,361,457
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 PUBLICLY TRADED 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 42,972,579   40,553,670 2,418,909
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       2,418,909
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 2,418,909
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 87,352
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 87,352
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 162,747
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 162,747
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
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 75,395
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet75,395 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 instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.MEDINAFOUNDATION.ORG
    14
    The books are in care ofbulletJENNIFER TEUNON Telephone no.bullet (206) 652-8780

    Located atbullet801 SECOND AVENUE SUITE 1108SEATTLEWA ZIP+4bullet98104
    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)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (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
     
    No
    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
    JENNIFER TEUNON EXECUTIVE DIRECTOR
    40.00     		204,116 26,600 720
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    JILL GARDNER PRESIDENT
    2.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    STEVE GANT VICE PRESIDENT
    2.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    JEAN GARDNER TREASURER
    2.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    ELIZABETH WILLIAMS SECRETARY
    2.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    GAIL GANT PAST PRESIDENT
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    EDELVEIS CLAPP DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    MARGARET CLAPP DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    MARION RAWLINSON DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    KATE WILLIAMS NUNN DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    ANDREW CLAPP DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    HENRY NETTLETON DIRECTOR
    1.00     		0 0 0
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    AANA LAUCKHART PROGRAM OFFICER
    40.00     		126,658 20,453 720
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    JESSICA CASE PROGRAM OFFICER
    40.00     		122,432 20,275 720
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    ALEXIA CASIANO GRANTS/OFFICE MANAGE
    35.00     		72,995 16,070 720
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    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
    GOLDMAN SACHS INVESTMENT ADVISORY 204,017
    401 UNION STREET SUITE 3700
    SEATTLE,WA98101
    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  
    2  
    3  
    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 N/A 0
    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
    98,991,471
    b
    Average of monthly cash balances.......................
    1b
    971,518
    c
    Fair market value of all other assets (see instructions)................
    1c
    5,852,152
    d
    Total (add lines 1a, b, and c).........................
    1d
    105,815,141
    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
    105,815,141
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    1,587,227
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    104,227,914
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    5,211,396
    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
    5,211,396
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    87,352
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    87,352
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    5,124,044
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    5,124,044
    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
    5,124,044
    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 5,124,044
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 3,327,065
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 4,400,111
    a Applied to 2020, but not more than line 2a 3,327,065
    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..... 1,073,046
    e Remaining amount distributed out of corpus 0
    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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 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 ..........     		4,050,998
    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) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    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).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    AANA LAUCKHART
    801 SECOND AVENUE SUITE 1108
    SEATTLE,WA98104
    (206) 652-8783
    bThe form in which applications should be submitted and information and materials they should include:
    SEE STATEMENT 13 AND WWW.MEDINAFOUNDATION.ORG
    cAny submission deadlines:
    NO APPLICATION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE STATEMENT 13 AND WWW.MEDINAFOUNDATION.ORG
    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
    AFRICATOWN COMMUNITY LAND TRUST
    1437 S JACKSON ST STE 100
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 52
    AMARA
    5907 MARTIN LUTHER KING JR WAY
    SOUTH
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    AMERICA SCORES SEATTLE
    12345 LAKE CITY WAY NE 377
    SEATTLE,WA98125     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    ANACORTES FAMILY CENTER
    2702 COMMERCIAL AVE
    ANACORTES,WA98221     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    ARTS CORPS
    4408 DELRIDGE WAY SW SUITE 110
    SEATTLE,WA981061348     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    ARTS CORPS
    4408 DELRIDGE WAY SW SUITE 110
    SEATTLE,WA981061348     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    ASIA PACIFIC CULTURAL CENTER
    4851 SOUTH TACOMA WAY
    TACOMA,WA98409     		  PC: 509(A)(1) OR (A) PROMISED LEADERS OF TOMORROW YOUTH PROGRAM 15,000
    ASIA PACIFIC CULTURAL CENTER
    4851 SOUTH TACOMA WAY
    TACOMA,WA98409     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    ASSET FUNDERS NETWORK
    2045 W GRAND AVE STE B 50387
    CHICAGO,IL606121577     		  PC: 509(A)(1) OR (A) AFN PUGET SOUND - 2021 MEMBER DUES 3,400
    ASSISTANCE LEAGUE OF EVERETT
    5107 EVERGREEN WAY
    EVERETT,WA98203     		  PC: 509(A)(1) OR (A) OPERATION SCHOOL BELL NEW SCHOOL CLOTHING FOR LOW-INCOME SNOHOMISH COUNTY STUDENTS 20,000
    ASSISTANCE LEAGUE OF SEATTLE
    1415 N 45TH ST
    SEATTLE,WA98103     		  PC: 509(A)(1) OR (A) OPERATION SCHOOL BELL & EMERGENCY FUND 10,000
    ASSOCIATED MINISTRIES OF TACOMA-PIERCE COUNTY
    901 S 13TH ST
    TACOMA,WA984055021     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    ATLANTIC STREET CENTER
    2103 SOUTH ATLANTIC STREET
    SEATTLE,WA981443615     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    ATLANTIC STREET CENTER
    2103 SOUTH ATLANTIC STREET
    SEATTLE,WA981443615     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BALLARD FOOD BANK
    5130 LEARY AVE NW
    SEATTLE,WA98107     		  PC: 509(A)(1) OR (A) HOPE BEYOND HUNGER CAMPAIGN 30,000
    BIG BROTHERS BIG SISTERS OF ISLAND COUNTY
    913 E WHIDBEY AVE
    OAK HARBOR,WA98277     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BIG BROTHERS BIG SISTERS OF PUGET SOUND
    1600 SOUTH GRAHAM ST
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BIG BROTHERS BIG SISTERS OF SOUTHWEST WASHINGTON
    2424 HERITAGE COURT SW 302
    OLYMPIA,WA98502     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    BIKE WORKS SEATTLE
    3715 SOUTH HUDSON STREET
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYER CHILDREN'S CLINIC
    1850 BOYER AVE EAST
    SEATTLE,WA98112     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 40,000
    BOYS & GIRLS CLUBS OF BELLEVUE
    209 100TH AVE NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    BOYS & GIRLS CLUBS OF BELLEVUE
    209 100TH AVE NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF KING CO
    220 W MERCER ST
    SEATTLE,WA98119     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 40,000
    BOYS & GIRLS CLUBS OF KING COUNTY
    220 W MERCER ST
    SEATTLE,WA98119     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF SKAGIT COUNTY
    PO BOX 947
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    BOYS & GIRLS CLUBS OF SKAGIT COUNTY
    PO BOX 947
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF SNOHOMISH COUNTY
    8223 BROADWAY SUITE 100
    EVERETT,WA98203     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF SOUTH PUGET SOUND
    3875 S 66TH STREET
    TACOMA,WA98409     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF THE OLYMPIC PENINSULA
    PO BOX 4167
    SEQUIM,WA98382     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF THURSTON COUNTY
    2102 CARRIAGE DRIVE SW STE A-103
    OLYMPIA,WA98502     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BOYS & GIRLS CLUBS OF WHATCOM COUNTY
    1715 KENTUCKY STREET
    BELLINGHAM,WA98229     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    BRIDGE RECEIVING CENTER
    PO BOX 2930
    WOODINVILLE,WA980722930     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    BRIGID COLLINS FAMILY SUPPORT CENTER
    1231 N GARDEN ST STE 200
    BELLINGHAM,WA98225     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    BYRD BARR PLACE
    210 S HUDSON ST STE 322
    SEATTLE,WA98134     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    BYRD BARR PLACE
    210 S HUDSON ST STE 322
    SEATTLE,WA98134     		  PC: 509(A)(1) OR (A) BIPOC ED COALITION (FISCALLY SPONSORED) 25,000
    CASA LATINA
    317 - 17TH AVENUE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    CATHERINE PLACE
    923 SOUTH 8TH STREET
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    CCS - ASSET PROGRAM
    CCS HEADQUARTERS
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) ASSET PROGRAM 15,000
    CCS - BENEDICT HOUSE
    CCS - BENEDICT HOUSE
    BREMERTON,WA98312     		  PC: 509(A)(1) OR (A) BENEDICT HOUSE 25,000
    CCS - DREXEL HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) DREXEL HOUSE 25,000
    CCS - FAMILY HOUSING NETWORK
    5050 SOUTH TACOMA WAY
    TACOMA,WA98409     		  PC: 509(A)(1) OR (A) FAMILY HOUSING NETWORK 25,000
    CCS - FEED THE HUNGRY
    PO BOX 1734
    ABERDEEN,WA98520     		  PC: 509(A)(1) OR (A) FEED THE HUNGRY 13,000
    CCS - HOMEARISEREACH OUT
    CCS HEADQUARTERS
    SEATTLE,WA981442302     		  PC: 509(A)(1) OR (A) SOUTH KING COUNTY SHELTER SYSTEM 15,000
    CCS - HOPE HOUSE
    1133 RAILROAD AVE STE 100
    BELLINGHAM,WA98225     		  PC: 509(A)(1) OR (A) HOPE HOUSE 10,000
    CCS - KATHERINE'S HOUSE & RITA'S HOUSE
    CCS HEADQUARTERS
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) KATHERINE'S HOUSE & RITA'S HOUSE 20,000
    CCS - NATIVITY HOUSE
    CCS SW HEADQUARTERS
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) NATIVITY HOUSE 30,000
    CCS - NOEL HOUSE
    100 23RD AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) NOEL HOUSE 20,000
    CCS - ROSE OF LIMA
    100 23RD AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) ROSE OF LIMA 10,000
    CCS - SACRED HEART SHELTER
    232 WARREN AVENUE N
    SEATTLE,WA98109     		  PC: 509(A)(1) OR (A) SACRED HEART SHELTER 20,000
    CCS - SOCIAL SERVICES PROVIDER ACADEMY (SSPA)
    100 23RD AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) SOCIAL SERVICES PROVIDER ACADEMY 10,000
    CCS - SPIRIT JOURNEY
    100 23RD AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) SPIRIT JOURNEY 10,000
    CCS - ST MARTIN DE PORRES SHELTER
    1561 ALASKAN WAY S
    SEATTLE,WA98134     		  PC: 509(A)(1) OR (A) ST. MARTIN DE PORRES SHELTER 20,000
    CCS - THE COMMUNITY KITCHEN
    PO BOX 1104
    OLYMPIA,WA985071104     		  PC: 509(A)(1) OR (A) COMMUNITY KITCHEN 12,000
    CCS - YOUTH TUTORING PROGRAM
    CCS HEADQUARTERS
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH TUTORING PROGRAM 15,000
    CCS - YOUTH TUTORING PROGRAM
    CCS HEADQUARTERS
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY AT DAWSON PLACE
    1509 CALIFORNIA ST
    EVERETT,WA98201     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    CHILDHAVEN
    316 BROADWAY
    SEATTLE,WA981225325     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    CITY YEAR INC
    2203 - 23RD AVE S SUITE 101
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    CLIMATE SOLUTIONS
    1402 3RD AVE STE 1200
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 100
    COASTAL HARVEST
    PO BOX 616
    HOQUIAM,WA98550     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    COLLEGE POSSIBLE WA (FORMERLY COLLEGE ACCESS NOW)
    3211 MARTIN LUTHER KING JR WAY
    SOUTH SUITE A
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COLLEGE SUCCESS FOUNDATION
    15500 SE 30TH PL
    BELLEVUE,WA98007     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITIES IN SCHOOLS OF PENINSULA
    PO BOX 684
    VAUGHN,WA98394     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITIES IN SCHOOLS OF PUYALLUP
    302 SECOND STREET SE
    PUYALLUP,WA98372     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    COMMUNITIES IN SCHOOLS OF PUYALLUP
    302 SECOND STREET SE
    PUYALLUP,WA98372     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITIES IN SCHOOLS OF RENTON
    1055 SOUTH GRADY WAY
    RENTON,WA98057     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    COMMUNITIES IN SCHOOLS OF RENTON
    1055 SOUTH GRADY WAY
    RENTON,WA98057     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITIES IN SCHOOLS OF WHATCOM-SKAGIT
    PO BOX PO BOX 6071
    BELLINGHAM,WA98227     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITY ACTION OF SKAGIT COUNTY
    330 PACIFIC PLACE
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    COMMUNITY NETWORK COUNCIL
    PO BOX 23
    KENT,WA98035     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    COMMUNITY NETWORK COUNCIL
    PO BOX 23
    KENT,WA98035     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    COMMUNITY YOUTH SERVICES (CYS)
    711 STATE AVE NE
    OLYMPIA,WA98506     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    COMPASS HOUSING ALLIANCE
    220 DEXTER AVE N
    SEATTLE,WA98109     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    CONGREGATIONS FOR THE HOMELESS
    515 116TH AVE NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    CONGREGATIONS FOR THE HOMELESS
    515 116TH AVE NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 52
    CONNECT CASINO ROAD (FISCAL SPONSOR COMMUNITY FOUNDATION OF SNOHOMISH COUNT
    14 E CASINO ROAD
    EVERETT,WA98208     		  PC: 509(A)(1) OR (A) CONNECT CASINO ROAD - FISCALLY SPONSORED 30,000
    CONNECTIONS (FORMERLY CHILDREN'S ADVOCACY CENTER OF GRAYS HARBOR)
    514 BROADWAY AVE E
    MONTESANO,WA98563     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    COYOTE FOUNDATION (JEFFERSON TEEN CENTER)
    PO BOX 126
    PORT HADLOCK,WA98339     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    DEGREES OF CHANGE
    PO BOX 1573
    TACOMA,WA98401     		  PC: 509(A)(1) OR (A) SEED INTERNSHIPS 15,000
    DENISE LOUIE EDUCATION CENTER
    5333 15TH AVE S SUITE 1K
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    DENISE LOUIE EDUCATION CENTER
    5333 15TH AVE S SUITE 1K
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    DOWNTOWN EMERGENCY SERVICE CENTER (DESC)
    515 - 3RD AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    DOWNTOWN EMERGENCY SERVICE CENTER (DESC)
    515 - 3RD AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 1,500
    DUWAMISH TRIBAL SERVICES
    4705 W MARGINAL WAY SW
    SEATTE,WA98106     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 229
    DUWAMISH TRIBAL SERVICES
    4705 W MARGINAL WAY SW
    SEATTE,WA98106     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 132
    DUWAMISH TRIBAL SERVICES
    4705 W MARGINAL WAY SW
    SEATTE,WA98106     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 247
    EAST AFRICAN COMMUNITY SERVICES
    7050 32ND AVE S
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    EASTSIDE ACADEMY
    1717 BELLEVUE WAY NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    EASTSIDE ACADEMY
    1717 BELLEVUE WAY NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    EASTSIDE BABY CORNER
    PO BOX 712
    ISSAQUAH,WA98027     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    ECONOMIC OPPORTUNITY INSTITUTE
    603 STEWART STREET
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 256
    EL CENTRO DE LA RAZA
    2524 16TH AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    EMERGENCY FOOD NETWORK OF TACOMA-PIERCE COUNTY
    3318 92ND ST SOUTH
    LAKEWOOD,WA98499     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    EPISCOPAL RELIEF & DEVELOPMENT
    815 SECOND AVE
    NEW YORK,NY10017     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL US DISASTER RELIEF) 100
    EXODUS HOUSING
    15318 WASHINGTON ST SUITE 102
    SUMNER,WA98390     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    FAMILIES OF COLOR SEATTLE (FISCAL SPONSOR RAINIER VALLEY CORPS)
    1544 S SNOQUALMIE ST
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) FAMILIES OF COLOR SEATTLE - FISCALLY SPONSORED 20,000
    FAMILY LAW CASA OF KING COUNTY
    16300 CHRISTENSEN RD SUITE 306
    TUKWILA,WA98188     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 10,000
    FAMILY PROMISE OF SKAGIT VALLEY
    PO BOX 335
    SEDROWOOLLEY,WA98284     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    FARESTART
    700 VIRGINIA AVENUE
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    FINANCIAL BEGINNINGS WASHINGTON
    PO BOX 58032
    TUKWILA,WA98138     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    FOOD LIFELINE
    815 S 96TH ST
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) GROCERY STORE GIFT CARD PROGRAM FUND 25,000
    FOOD LIFELINE
    815 S 96TH ST
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    FOUNDATION FOR PRIVATE ENTERPRISE EDUCATION (WA BUSINESS WEEK)
    PO BOX 1170
    RENTON,WA98057     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    FOUNDATION FOR TACOMA STUDENTS
    919 SOUTH J STREET
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 103
    FRIENDS OF THE CHILDREN (NATIONAL)
    44 NE MORRIS ST
    PORTLAND,OR97212     		  PC: 509(A)(1) OR (A) TACOMA REPLICATION PROJECT 100,000
    FRIENDS OF THE CHILDREN SEATTLE
    PO BOX 18886
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    FRIENDS OF THE CHILDREN SEATTLE
    PO BOX 18886
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    FRIENDS OF THE CHILDREN TACOMA
    7302 S PARK AVE
    TACOMA,WA98408     		  PC: 509(A)(1) OR (A) IN HONOR OF TAMMY CLAPP 15,000
    FRIENDS OF THE CHILDREN TACOMA
    7302 S PARK AVE
    TACOMA,WA98408     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 500
    FRIENDS OF THE CHILDREN TACOMA
    7302 S PARK AVE
    TACOMA,WA98408     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    FRIENDS OF YOUTH
    13116 NE 132ND STREET
    KIRKLAND,WA98034     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 40,000
    FUNHOUSE COMMONS
    30 PEA PATCH LANE
    EASTSOUND,WA98245     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    GARDEN RAISED BOUNTY (GRUB)
    2016 ELLIOTT AVE NW
    OLYMPIA,WA98502     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    GIRL SCOUTS OF WESTERN WASHINGTON
    5601 6TH AVE SOUTH SUITE 150
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    GREATER LAKES MENTAL HEALTHCARE
    MULTICARE BEHAVIORAL HEALTH
    FOUNDATION PO BOX 5296 MS 1313-3-FN
    TACOMA,WA98415     		  PC: 509(A)(1) OR (A) EMERGENCY NEEDS FUND 25,000
    HILLTOP ARTISTS IN RESIDENCE
    PO BOX 6829
    TACOMA,WA98417     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    HOLLY RIDGE CENTER
    5112 NW TAYLOR RD
    BREMERTON,WA98312     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    HOPELINK
    PO BOX 3577
    REDMOND,WA98073     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    HOPESPARKS
    6424 N 9TH STREET
    TACOMA,WA98406     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    HOUSING HOPE
    5830 EVERGREEN WAY
    EVERETT,WA982033748     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    INSTITUTE FOR ASIAN PACIFIC AMERICAN LEADERSHIP & ADVANCEMENT (APALA)
    815 16TH ST NW
    WASHINGTON,DC20006     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 103
    INTERIM CDA
    PO BOX 3363
    SEATTLE,WA98114     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    IRAQI COMMUNITY CENTER OF WASHINGTON
    10610 KENT KANGLEY RD STE 207
    KENT,WA98031     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    JEWISH FAMILY SERVICE OF SEATTLE
    1601 16TH AVE
    SEATTLE,WA981224000     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    JUMPING MOUSE CHILDREN'S CENTER
    1809 SHERIDAN STREET
    PORT TOWNSEND,WA98368     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    KANDELIA (FORMERLY VIETNAMESE FRIENDSHIP ASSOCIATION)
    3829B S EDMUND ST
    SEATTLE,WA98118     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    KENT YOUTH AND FAMILY SERVICES
    232 2ND AVE S STE 201
    KENT,WA98032     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    KENT YOUTH AND FAMILY SERVICES
    232 2ND AVE S STE 201
    KENT,WA98032     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    KINDERING
    16120 NE 8TH ST
    BELLEVUE,WA98008     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    KINDERING
    16120 NE 8TH ST
    BELLEVUE,WA98008     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 210
    LITERACY SOURCE
    3200 NE 125TH STREET
    SEATTLE,WA98125     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    LOPEZ ISLAND FAMILY RESOURCE CENTER
    PO BOX 732
    LOPEZ ISLAND,WA98261     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    LOW INCOME HOUSING INSTITUTE (LIHI)
    1253 S JACKSON STREET SUITE A
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    LUTHERAN COMMUNITY SERVICES NW
    LCSNW GENERAL LOCKBOX 1001 PO BOX
    35146
    SEATTLE,WA981245146     		  PC: 509(A)(1) OR (A) REFUGEES NORTHWEST COMMUNITY RESOURCE CENTER 20,000
    LYDIA PLACE
    PO BOX 28487
    BELLINGHAM,WA98228     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    MOTHER MENTORS OF WHIDBEY ISLAND
    PO BOX 92
    LANGLEY,WA982600092     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    MULTI-SERVICE CENTER
    PO BOX 23699
    FEDERAL WAY,WA980930699     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    NATIONAL CENTER FOR FAMILY PHILANTHROPY
    1667 K STREET NW STE 550
    WASHINGTON,DC20006     		  PC: 509(A)(1) OR (A) 2021 MEMBERSHIP DUES 2,500
    NEW HORIZONS MINISTRIES
    2709 3RD AVENUE
    SEATTLE,WA98121     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    NONPROFIT LEADERS CONFERENCE FOR COASTAL & SW WASHINGTON
    120 STATE AVENUE NE 303
    OLYMPIA,WA98501     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFTS (GENERAL OPERATING) 100
    NORTHWEST EDUCATION ACCESS (FORMERLY SEATTLE EDUCATION ACCESS)
    6920 ROOSEVELT WAY NE 355
    SEATTLE,WA98115     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    NORTHWEST EDUCATION ACCESS (FORMERLY SEATTLE EDUCATION ACCESS)
    6920 ROOSEVELT WAY NE 355
    SEATTLE,WA98115     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    NORTHWEST HARVEST
    PO BOX 12272
    SEATTLE,WA98102     		  PC: 509(A)(1) OR (A) GROCERY STORE GIFT CARD PROGRAM FUND 25,000
    NW FURNITURE BANK
    117 PUYALLUP AVE
    TACOMA,WA98421     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    OLIVE CREST
    2500 116TH AVE NE
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    OPEN ARMS PERINATAL SERVICES
    2524 16TH AVE S
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    PANORAMA GLOBAL
    2101 4TH AVE STE 2100
    SEATTLE,WA98121     		  PC: 509(A)(1) OR (A) BEHAVIORAL HEALTH INNOVATION FUND 10,000
    PARENTS AND STUDENTS IN ACTION (DBA THE YOUTH CONNECTION)
    POBOX 1021
    EATONVILLE,WA98328     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    PEACE COMMUNITY CENTER
    2106 SOUTH CUSHMAN AVENUE
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    PEACE COMMUNITY CENTER
    2106 SOUTH CUSHMAN AVENUE
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121     		  PC: 509(A)(1) OR (A) 2021 MEMBERSHIP DUES 7,405
    PHILANTHROPY NORTHWEST
    2101 4TH AVE SUITE 650
    SEATTLE,WA98121     		  PC: 509(A)(1) OR (A) PHILANTHROPIST FORUM 10,000
    POWERFUL VOICES
    1544 S SNOQUALMIE STREET
    SEATTLE,WA98108     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    R MERLE PALMER MINORITY SCHOLARSHIP FOUNDATION (DBA PALMER SCHOLARS)
    PO BOX 7119
    TACOMA,WA98417     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    RAINIER PREP
    10211 12TH AVE S
    SEATTLE,WA98168     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    RAINIER PREP
    10211 12TH AVE S
    SEATTLE,WA98168     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    RAINIER SCHOLARS
    2100 24TH AVE S STE 360
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    RAINIER SCHOLARS
    2100 24TH AVE S STE 360
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    RAINIER VALLEY CORPS
    1225 S WELLER ST SUITE 400
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (FOR SOMOS SEATTLE) 150
    RE SOURCES FOR SUSTAINABLE COMMUNITIES
    2309 MERIDIAN STREET
    BELLINGHAM,WA98225     		  PC: 509(A)(1) OR (A) RE STORE'S COMMUNITY JOBS TRAINING PROGRAM EXPANSION 20,000
    READINESS TO LEARN
    PO BOX 280
    LANGLEY,WA98260     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    REAL CHANGE
    219 FIRST AVE S 220
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    REBOUND OF WHATCOM COUNTY
    2421 RIMLAND DRIVE
    BELLINGHAM,WA98226     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    REBOUND OF WHATCOM COUNTY
    2421 RIMLAND DRIVE
    BELLINGHAM,WA98226     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    REMOTE ENERGY
    4009 N 19TH ST
    TACOMA,WA98406     		  PC: 509(A)(1) OR (A) SOLAR ENERGY TECHNICAL TRAINING PROGRAM FOR NATIVE AMERICANS AT NORTHWEST INDIAN COLLEGE 15,000
    RIP MEDICAL DEBT
    80 THEODORE FREMD AVE
    RYE,NY10580     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL MEDICAL DEBT RELIEF) 257
    ROCHESTER ORGANIZATION OF FAMILIES
    PO BOX 312
    ROCHESTER,WA98579     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    ROOTS YOUNG ADULT SHELTER
    4541 19TH AVENUE NE
    SEATTLE,WA98105     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    RYAN'S HOUSE FOR YOUTH
    19777 SR 20
    COUPEVILLE,WA98239     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    SAFEFUTURES YOUTH CENTER
    6337 - 35TH AVENUE SW
    SEATTLE,WA98126     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    SAWHORSE REVOLUTION
    801 2ND AVE 501
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    SAWHORSE REVOLUTION
    801 2ND AVE 501
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    SEASHARE
    600 ERICKSEN AVE NE STE 310
    BAINBRIDGE ISLAND,WA981101812     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    SEATTLE ARTS & LECTURES
    340 15TH AVE E SUITE 301
    SEATTLE,WA981125156     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    SEATTLE FOUNDATION
    1601 5TH AVE SUITE 1900
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) IMMIGRANT & REFUGEE FUNDER COLLABORATIVE GRANT 10,000
    SEATTLE FOUNDATION
    1601 5TH AVE SUITE 1900
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) NEIGHBOR TO NEIGHBOR FUND 15,000
    SEATTLE RECREATIVE
    8408 GREENWOOD AVE N
    SEATTLE,WA98103     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 52
    SERENITY HOUSE OF CLALLAM COUNTY
    PO BOX 4047
    PORT ANGELES,WA98363     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    SHARED HOUSING SERVICES
    901 S 11TH STREET
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    SKAGIT VALLEY FAMILY YMCA
    1901 HOAG ROAD
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) OASIS TEEN SHELTER 20,000
    SOCIAL VENTURE PARTNERS
    PO BOX 14148
    SEATTLE,WA98114     		  PC: 509(A)(1) OR (A) 2021 MEMBERSHIP DUES - STATEWIDE CAPACITY COLLABORATIVE 5,000
    SOLID GROUND
    1501 N 45TH ST
    SEATTLE,WA981036708     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    SOUND LEARNING
    PO BOX 2529
    SHELTON,WA98584     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 10,000
    SOUTH SOUND OUTREACH SERVICES
    1106 MARTIN LUTHER KING JR WAY
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    SOUTH SOUND YMCA
    2102 CARRIAGE ST SW K
    OLYMPIA,WA98502     		  PC: 509(A)(1) OR (A) ACCESS TO EDUCATIONAL SUPPORT OPPORTUNITIES 20,000
    SOUTH SOUND YMCA
    2102 CARRIAGE ST SW K
    OLYMPIA,WA98502     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    SOUTHWEST YOUTH & FAMILY SERVICES
    4555 DELRIDGE WAY SW
    SEATTLE,WA981061379     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    SOUTHWEST YOUTH & FAMILY SERVICES
    4555 DELRIDGE WAY SW
    SEATTLE,WA981061379     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    STANWOOD CAMANO FOOD BANK
    PO BOX 1285
    STANWOOD,WA98292     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    SUMMER SEARCH SEATTLE
    PO BOX 7731
    SAN FRANCISCO,CA941207731     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    TEAM READ
    PO BOX 94042
    SEATTLE,WA98124     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    TECHNOLOGY ACCESS FOUNDATION
    BETHADAY COMMUNITY LEARNING SPACE
    SEATTLE,WA98146     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    THE ANSWER FOR YOUTH
    PO BOX 633
    PORT ANGELES,WA98362     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 10,000
    THE ANSWER FOR YOUTH
    PO BOX 633
    PORT ANGELES,WA98362     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    THE BIG-BRAINED SUPERHEROES CLUB
    1223 8TH AVE W
    SEATTLE,WA98119     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    THE GREATER SEATTLE BUREAU OF FEARLESS IDEAS
    PO BOX 30764
    SEATTLE,WA98113     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    THE GREATER SEATTLE BUREAU OF FEARLESS IDEAS
    PO BOX 30764
    SEATTLE,WA98113     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    THE MOCKINGBIRD SOCIETY
    2100 24TH AVE S STE 210
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    THE SOPHIA WAY
    11061 NE 2ND STREET SUITE 223
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    THE SOPHIA WAY
    11061 NE 2ND STREET SUITE 223
    BELLEVUE,WA98004     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 50
    TURNING POINTE SURVIVOR ADVOCACY CENTER
    PO BOX 2014
    SHELTON,WA98584     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    UNITED WAY OF KING COUNTY
    720 SECOND AVENUE
    SEATTLE,WA981041702     		  PC: 509(A)(1) OR (A) EMPLOYEE MATCHING GIFT (GENERAL OPERATING) 300
    UNITED WAY OF PIERCE COUNTY
    1501 PACIFIC AVE SUITE 400
    TACOMA,WA98402     		  PC: 509(A)(1) OR (A) SOUTH SOUND 211 25,000
    VASHON YOUTH & FAMILY SERVICES
    20110 VASHON HWY SW
    VASHON,WA98070     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    VASHON YOUTH & FAMILY SERVICES
    20110 VASHON HWY SW
    VASHON,WA98070     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    VINE MAPLE PLACE
    PO BOX 1092
    MAPLE VALLEY,WA98038     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    WASHINGTON NONPROFITS
    1265 S MAIN STREET 206
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) 2021 MEMBERSHIP DUES 1,000
    WAY BACK INN FOUNDATION
    PO BOX 621
    RENTON,WA98057     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    WE ACT PRESENT PERFORM (FISCAL SPONSOR SHUNPIKE)
    815 SEATTLE BLVD S
    SEATTLE,WA98134     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    WESTSIDE BABY
    10002 14TH AVE SW
    SEATTLE,WA98146     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    WHATCOM COMMUNITY FOUNDATION
    1500 CORNWALL AVE STE 202
    BELLINGHAM,WA98225     		  PC: 509(A)(1) OR (A) RESILIENCE FUND 20,000
    WHATCOM FAMILY YMCA
    1256 N STATE STREET
    BELLINGHAM,WA98225     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    WHATCOM LITERACY COUNCIL
    PO BOX 1292
    BELLINGHAM,WA98227     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    WONDERLAND CHILD & FAMILY SERVICES
    2402 NW 195TH PLACE
    SHORELINE,WA98177     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    YEAR UP PUGET SOUND
    PO BOX 412812
    BOSTON,MA02241     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    YMCA OF GRAYS HARBOR
    2500 SIMPSON AVE
    HOQUIAM,WA98550     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    YMCA OF GREATER SEATTLE
    909 FOURTH AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) HOST HOMES 15,000
    YMCA OF GREATER SEATTLE
    909 FOURTH AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) ARCADIA YOUNG ADULT SHELTER & DROP-IN CENTER 25,000
    YMCA OF PIERCE & KITSAP COUNTIES
    4717 S 19TH STREET STE 201
    TACOMA,WA98405     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    YOUTH IN FOCUS
    2100 24TH AVENUE S SUITE 310
    SEATTLE,WA98144     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    YOUTHCARE
    2500 NE 54TH ST
    SEATTLE,WA981053142     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 40,000
    YOUTHNET
    PO BOX 217
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    ZENO
    1404 EAST YESLER WAY SUITE 204
    SEATTLE,WA98122     		  PC: 509(A)(1) OR (A) YOUTH DEVELOPMENT RECOVERY GRANT 5,000
    Total .................................bullet 3a 3,613,798
    bApproved for future payment
    ARTS CORPS
    4408 DELRIDGE WAY SW SUITE 110
    SEATTLE,WA981061348     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    BOYS & GIRLS CLUBS OF SKAGIT COUNTY
    PO BOX 947
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    BYRD BARR PLACE
    210 S HUDSON ST STE 322
    SEATTLE,WA98134     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    COMMUNITY ACTION OF SKAGIT COUNTY
    330 PACIFIC PLACE
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    COMPASS HOUSING ALLIANCE
    220 DEXTER AVE N
    SEATTLE,WA98109     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    CONNECTIONS (FORMERLY CHILDREN'S ADVOCACY CENTER OF GRAYS HARBOR)
    514 BROADWAY AVE E
    MONTESANO,WA98563     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    DOWNTOWN EMERGENCY SERVICE CENTER (DESC)
    515 - 3RD AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 25,000
    FAMILY PROMISE OF SKAGIT VALLEY
    PO BOX 335
    SEDROWOOLLEY,WA98284     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    FARESTART
    700 VIRGINIA AVENUE
    SEATTLE,WA98101     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 50,000
    HOPESPARKS
    6424 N 9TH STREET
    TACOMA,WA98406     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    LUTHERAN COMMUNITY SERVICES NW
    LCSNW GENERAL LOCKBOX 1001 PO BOX
    35146
    SEATTLE,WA981245146     		  PC: 509(A)(1) OR (A) REFUGEES NORTHWEST COMMUNITY RESOURCE CENTER 20,000
    MULTI-SERVICE CENTER
    PO BOX 23699
    FEDERAL WAY,WA980930699     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 35,000
    NW FURNITURE BANK
    117 PUYALLUP AVE
    TACOMA,WA98421     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    READINESS TO LEARN
    PO BOX 280
    LANGLEY,WA98260     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 15,000
    ROOTS YOUNG ADULT SHELTER
    4541 19TH AVENUE NE
    SEATTLE,WA98105     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    SAWHORSE REVOLUTION
    801 2ND AVE 501
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    SKAGIT VALLEY FAMILY YMCA
    1901 HOAG ROAD
    MOUNT VERNON,WA98273     		  PC: 509(A)(1) OR (A) OASIS TEEN SHELTER 20,000
    SOUND LEARNING
    PO BOX 2529
    SHELTON,WA98584     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 10,000
    THE ANSWER FOR YOUTH
    PO BOX 633
    PORT ANGELES,WA98362     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 10,000
    THE GREATER SEATTLE BUREAU OF FEARLESS IDEAS
    PO BOX 30764
    SEATTLE,WA98113     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 20,000
    YEAR UP PUGET SOUND
    PO BOX 412812
    BOSTON,MA02241     		  PC: 509(A)(1) OR (A) GENERAL OPERATING 30,000
    YMCA OF GREATER SEATTLE
    909 FOURTH AVE
    SEATTLE,WA98104     		  PC: 509(A)(1) OR (A) ARCADIA YOUNG ADULT SHELTER & DROP-IN CENTER 25,000
    Total .................................bullet 3b 520,000
    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 ...........     		    14 107  
    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 2,418,909  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aCO-OP DISTRIBUTION     		    01 721  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 6,525,209 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    6,525,209
    (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
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See 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

    TY 2021 AccountingFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 29,465 5,893   23,572

    TY 2021 GeneralExplanationAttachment
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Identifier Return Reference Explanation
      FORM 990-PF, PART VI-B, QUESTION 1A (3) - A DISQUALIFIED PERSON FURNISHES FACILITIES TO THEFOUNDATION FREE OF CHARGE. THIS ACTIVITY IS NOT AN ACT OFSELF-DEALING AS CODIFIED IN I.R.C. SECTION 4941(D)(2)(C).(4) - THE FOUNDATION REIMBURSES BOARD MEMBERS FOR TRAVELRELATED TO THE FOUNDATION BUSINESS. THESE SERVICES ARENECESSARY IN CARRYING OUT THE FOUNDATION'S EXEMPT PURPOSEAND ARE NOT CONSIDERED AN ACT OF SELF DEALING UNDERI.R.C. SECTION 4941(D)(2)(C).
      FORM 990-PF, PART XV, LINE 2B, 2D FUNDING GUIDELINESTHE MEDINA FOUNDATION IS A FAMILY FOUNDATION THAT FUNDS BASIC HUMAN SERVICE ORGANIZATIONS IN THE PUGET SOUND AREA. WE FOLLOW OUR FOUNDER NORTON CLAPP'S VISION TO IMPROVE THE LIVES OF THOSE IN NEED BY FOSTERING POSITIVE CHANGE AND HELPING PEOPLE ATTAIN INDEPENDENCE AND DIGNITY.TODAY, THE FAMILY CONTINUES NORTON CLAPP'S LEGACY BY FUNDING INNOVATIVE ORGANIZATIONS THAT APPROACH TOUGH PROBLEMS WITH NEW IDEAS AND SOLUTIONS, AS WELL AS PROVEN PROGRAMS THAT HAVE BEEN MEETING THE NEEDS OF THE COMMUNITY FOR MANY YEARS.OUR ACTIVITIES ARE BASED ON THE FOLLOWING SET OF SHARED VALUES:- COMPASSION- INNOVATION- INTEGRITY- STEWARDSHIP- LEADERSHIPWE LOOK FOR ORGANIZATIONS THAT ARE ADDRESSING CRITICAL COMMUNITY NEEDS, ENGAGING IN STRATEGIC PLANNING TO MEET WELL-MAPPED PROGRAMMATIC AND FINANCIAL GOALS, AND SEEING POSITIVE RESULTS THROUGH THEIR PROGRAMS. WE BELIEVE ORGANIZATIONS THAT ARE DRIVEN BY STRONG LEADERSHIP, THROUGH A DIVERSE AND ENGAGED BOARD AND A DEDICATED EXECUTIVE DIRECTOR AND STAFF, HAVE A HIGH LIKELIHOOD OF SUCCESS.GRANT AMOUNTS AWARDED REFLECT BOTH THE NEEDS OF THE NONPROFIT AND THE FOUNDATION'S DESIRE TO SEE THE PRESENCE OF OTHER SUPPORT. GENERALLY, THIS MEANS NO MORE THAN 10% OF AN OPERATING OR CAPITAL BUDGET. WE DO CONSIDER MAKING EXCEPTIONS FOR INNOVATIVE START-UPS. THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS QUALIFIED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CLASSIFIED AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTION 509(A). NO GRANTS ARE MADE TO RELIGIOUS INSTITUTIONS FOR RELIGIOUS PURPOSES OR TO POLITICAL, ARTS, HEALTHCARE-RELATED OR ENVIRONMENTAL PROGRAMS.FUNDING AREAS- FAMILY SUPPORT-PROGRAMS FOR THOSE SUFFERING FROM THE EFFECTS OF DOMESTIC VIOLENCE OR SEXUAL ASSAULT, SERVICES TO SUPPORT CHILD WELFARE, PROGRAMS PROVIDING FOR BASIC NEEDS, AND OTHER HUMAN SERVICES- HOUSING & HOMELESSNESS-HOUSING AND RELATED SERVICES TO SUPPORT THOSE IN NEED, WITH THE GOAL OF HELPING PEOPLE ACHIEVE HOUSING STABILITY- YOUTH DEVELOPMENT-ORGANIZATIONS WORKING WITH UNDERSERVED YOUTH, OFFERING MENTORING, TUTORING, OR OUT-OF-SCHOOL TIME/ENRICHMENT ACTIVITIES- ECONOMIC OPPORTUNITY-OPPORTUNITIES THAT HELP PEOPLE BECOME ECONOMICALLY SELF-SUFFICIENT, SUCH AS FINANCIAL LITERACY, ASSET BUILDING, OR SKILLS-BUILDING PROGRAMS- EDUCATION-BIRTH TO 12TH-GRADE EDUCATIONAL OPPORTUNITIES, ADULT LITERACY AND OTHER PROGRAMS THAT ENHANCE ACADEMIC SKILLS- HUNGER-EFFORTS TO ALLEVIATE HUNGER, WITH AN EMPHASIS ON DISTRIBUTION AND RURAL COMMUNITIESGEOGRAPHIC FUNDING REGIONTHE MEDINA FOUNDATION FUNDS IN THE FOLLOWING FOURTEEN GREATER PUGET SOUND COUNTIES OF WASHINGTON STATE: CLALLAM, GRAYS HARBOR, ISLAND, JEFFERSON, KING, KITSAP, MASON, PACIFIC, PIERCE, SAN JUAN, SKAGIT, SNOHOMISH, THURSTON AND WHATCOM.APPLICATION ASSISTANCE AFTER REVIEWING THE GRANT GUIDELINES, APPLICATION PROCESS AND FREQUENTLY ASKED QUESTIONS AT WWW.MEDINAFOUNDATION.ORG, FEEL FREE TO CONTACT THE FOUNDATION IF YOU NEED ASSISTANCE OR ARE STILL UNSURE WHETHER YOUR ORGANIZATION MIGHT BE ELIGIBLE FOR FUNDING.AANA LAUCKHART(206) 652-8783

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Name of Bond End of Year Book Value End of Year Fair Market Value
    GOLDMAN SACHS - CORPORATE BONDS 7,437,321 7,437,321

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Name of Stock End of Year Book Value End of Year Fair Market Value
    GOLDMAN SACHS - CORPORATE STOCK 87,929,247 87,929,247

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    US Government Securities - End of Year Book Value:

    7,116,537
    US Government Securities - End of Year Fair Market Value:

    7,116,537
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    HEDGE FUND MANAGERS (STRATEGIC) LTD FMV 6,133,491 6,133,491
    ARES DIRECT LENDING OPPORTUNITIES ACCESS PARALLEL FMV 140,792 140,792

    TY 2021 LegalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 6,049 0   6,049


    TY 2021 OtherAssetsSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS RECEIVABLE 32,955 80,829 80,829


    TY 2021 OtherExpensesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 28,588 0   24,836
    INSURANCE 7,164 0   5,994
    EQUIPMENT EXPENSE 13,092 0   8,633
    PROGRAM EXPENSE 9,959 0   9,959
    DEDUCTIONS FROM PARTNERSHIP INVESTMENTS 0 623   0


    TY 2021 OtherIncomeSchedule2
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    INCOME FROM PARTNERSHIP INVESTMENTS   2,865  
    CO-OP DISTRIBUTION 721 721 721


    TY 2021 OtherIncreasesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 6,500,129


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 32,413 0   33,696
    INVESTMENT FEES 204,017 204,017   0


    TY 2021 TaxesSchedule
    Name:
    MEDINA FOUNDATION
    EIN:
    91-0745225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 25,000 0   0