Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
Moccasin Lake Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

91-1545081
B Telephone number (see instructions)

(800) 839-1754
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$84,582,824J 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) 38,723,325
2 Check right arrow.............
3 Interest on savings and temporary cash investments 758,366 758,366  
4 Dividends and interest from securities... 593,550 593,550  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -748,019
b Gross sales price for all assets on line 6a 26,853,266
7 Capital gain net income (from Part IV, line 2)... 10,643,166
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
List of Attached Documents:
// Content
13,327 13,327  
12 Total. Add lines 1 through 11........ 39,340,549 12,008,409  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
435,587 435,587    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
674,174 10,174    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,706     1,706
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
37,844 8,068   29,776
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,149,311 453,829   31,482
25 Contributions, gifts, grants paid....... 7,039,500 7,039,500
26 Total expenses and disbursements. Add lines 24 and 25 8,188,811 453,829   7,070,982
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 31,151,738
b Net investment income (if negative, enter -0-) 11,554,580
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 18,112,055 20,110,235 20,110,235
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 24,419,467 Click to see attachment
List of Attached Documents:
// Content
54,607,188 		64,472,589
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,034,163    
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 43,565,685 74,717,423 84,582,824
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 right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
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 43,565,685 74,717,423
29 Total net assets or fund balances (see instructions)..... 43,565,685 74,717,423
30 Total liabilities and net assets/fund balances (see instructions). 43,565,685 74,717,423
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
43,565,685
2
Enter amount from Part I, line 27a .....................
2
31,151,738
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
74,717,423
5
Decreases not included in line 2 (itemize) right arrow
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
74,717,423
Form 990-PF (2023)
Form 990-PF (2023)
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 26,853,266   16,210,100 10,643,166
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       10,643,166
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 10,643,166
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
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 right arrow 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) 1 160,609
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  
3 Add lines 1 and 2........................... 3 160,609
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 160,609
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 163,786
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 500
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 164,286
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment
List of Attached Documents:
// Content
8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 3,677
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow3,677 Refundedright arrow 11  
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowWA
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 2023 or the taxable year beginning in 2023? 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
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
List of Attached Documents:
// Content
.................
12
Yes
 
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
 
Website addressright arrow  
14
The books are in care ofright arrowFoundation Source Telephone no.right arrow (800) 839-1754

Located atright arrow501 Silverside Road Suite 123WilmingtonDE ZIP+4right arrow198091377
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
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)
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
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
Alex Anderson Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Emily Anderson Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Lisa P Anderson Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Michael Anderson Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Grace Gould Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Anna Kranwinkle Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Mark Kranwinkle Dir, Pres
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Gaye T Pigott Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
James C Pigott Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Madison V Pigott Dir
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Maureen Dina Pigott Dir, Sec
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Paul Pigott Dir, Treas
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
Will Pigott Dir, VP
1.0 		0 0 0
Foundation Source 501 Silverside Rd
Wilmington,DE198091377
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
 
Total number of other employees paid over $50,000...................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
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
First Washington Corp Investment MGMT 435,587
425 Walnut Street
CINCINNATI,OH45202
Total number of others receiving over $50,000 for professional services.............right arrow  
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  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
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
40,383,662
b
Average of monthly cash balances.......................
1b
18,058,018
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
58,441,680
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
 
2
Acquisition indebtedness applicable to line 1 assets..................
2
0
3
Subtract line 2 from line 1d.........................
3
58,441,680
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
876,625
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
57,565,055
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
2,878,253
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
2,878,253
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
160,609
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
160,609
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
2,717,644
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
2,717,644
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
2,717,644
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
7,070,982
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
7,070,982
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 2,717,644
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......  
b Total for prior years:2021, 2020, 2019  
3 Excess distributions carryover, if any, to 2022:
a From 2018......  
b From 2019......  
c From 2020...... 6,694,299
d From 2021......  
e From 2022...... 23,920,324
f Total of lines 3a through e ........ 30,614,623
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 7,070,982
a Applied to 2022, but not more than line 2a  
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		 
c Treated as distributions out of corpus (Election
required—see instructions)........ 		 
d Applied to 2023 distributable amount..... 2,717,644
e Remaining amount distributed out of corpus 4,353,338
5 Excess distributions carryover applied to 2023.    
(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 34,967,961
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		 
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		 
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		 
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		34,967,961
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020.... 6,694,299
c Excess from 2021....  
d Excess from 2022.... 23,920,324
e Excess from 2023.... 4,353,338
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
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).)
Gaye T Pigott
James C Pigott
MAUREEN DINA PIGOTT
PAUL PIGOTT
MARK KRANWINKLE
MICHAEL ANDERSON
LISA P ANDERSON
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
Grant Apps to Paul Pigott
1405 42nd Avenue East
Seattle,WA98112
moccasinlakefoundation@gmail.com
bThe form in which applications should be submitted and information and materials they should include:
moccasinlakefoundation.org
cAny submission deadlines:
moccasinlakefoundation.org
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
moccasinlakefoundation.org
Form 990-PF (2023)
Form 990-PF (2023)
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

1448 PROJECTS

11715 SAND POINT WAY NE
SEATTLE,WA98125 		N/A PC General & Unrestricted 9,500

AFRICATOWN COMMUNITY LAND TRUST

1437 SOUTH JACKSON STE 100
SEATTLE,WA98144 		N/A PC STEM Programs at the William Grose Center 35,000

AFTER-SCHOOL ALL-STARS

6420 WILSHIRE BLVD STE 1250 180
LOS ANGELES,CA90048 		N/A PC After-School All-Stars Puget Sound fund 25,000

APOPO US INC

712 H ST NE
WASHINGTON,DC20002 		N/A PC General & Unrestricted 2,000

ASSOCIATED RECREATION COUNCIL

300 ELLIOTT AVE W STE 100
SEATTLE,WA98119 		N/A PC General & Unrestricted 27,000

AUDIOBOOK MINISTRIES

109 SW NORMANDY RD
NORMANDY PARK,WA98166 		N/A PC Christian Audiobooks for the blind and visually impaired fund 5,000

BACKPACK BRIGADE

4111 E MADISON ST
SEATTLE,WA98112 		N/A PC General & Unrestricted 14,000

BELLEVUE BOYS & GIRLS CLUB

209 100TH AVE NE
BELLEVUE,WA98004 		N/A PC Lake Hills Clubhouse Renovation fund 50,000

BELLEVUE BOYS & GIRLS CLUB

209 100TH AVE NE
BELLEVUE,WA98004 		N/A PC Project LEARN & Social-Emotional Wellness: Nourish the minds and hearts of Bellevue's Youth in Out-of-School Time 25,000

BIKE WORKS SEATTLE

3709 S FERDINAND ST
SEATTLE,WA98118 		N/A PC Bike Works Education Programs 50,000

BIKE WORKS SEATTLE

3709 S FERDINAND ST
SEATTLE,WA98118 		N/A PC General & Unrestricted 2,000

BOOKS TO PRISONERS

92 PIKE ST
SEATTLE,WA98101 		N/A PC to purchase a property for the organization 530,000

BOOKS TO PRISONERS

92 PIKE ST
SEATTLE,WA98101 		N/A PC General & Unrestricted 13,500

BREAD OF LIFE MISSION

PO BOX 4276
SEATTLE,WA98194 		N/A PC Shelter Program & New Mattresses for Homeless Individuals fund 5,000

BYRD BARR PLACE

722 18TH AVE
SEATTLE,WA98122 		N/A PC Food Bank Market fund 30,000

CANCER LIFELINE OF KING COUNTY

6522 FREMONT AVE N
SEATTLE,WA98103 		N/A PC General & Unrestricted 4,000

CANOPY CAT RESCUE

PO BOX 563
WOODINVILLE,WA98072 		N/A PC General & Unrestricted 3,000

CAPTIVA ISLAND HISTORICAL SOCIETY

PO BOX 163
CAPTIVA,FL33924 		N/A PC General & Unrestricted 5,000

CARES OF WASHINGTON

1833 N 105TH ST STE 202
SEATTLE,WA98133 		N/A PC Cares of Washington Employment Services 2023-24 fund 5,000

CASCADIA METHOW MUSIC ASSOCIATION

PO BOX 1013
TWISP,WA98856 		N/A PC General & Unrestricted 10,000

CCA FOUNDATION INC

PO BOX 775
CAPTIVA,FL33924 		N/A PC General & Unrestricted 15,000

CHILDHAVEN

1035 SW 124TH ST
SEATTLE,WA98146 		N/A PC General & Unrestricted 4,000

CHILDS PLAY

9660 153RD AVE NE
REDMOND,WA98052 		N/A PC General & Unrestricted 5,000

CHRISTIAN HERALD ASSN INC

PO BOX 2000 THE MURRAY HILL STA
NEW YORK,NY10156 		N/A PC General & Unrestricted 13,500

CLASSICAL 98 1

363 MERCER ST 200
SEATTLE,WA98109 		N/A PC General & Unrestricted 5,000

CLASSROOM IN BLOOM

PO BOX 1264
WINTHROP,WA98862 		N/A PC General & Unrestricted 2,500

CLIMATE SOLUTIONS

1402 THIRD AVE SUITE 1200
SEATTLE,WA98101 		N/A PC General & Unrestricted 3,000

COMMUNITY FOUNDATION OF NORTH CENTRAL WASHINGTON

9 S WENATCHEE AVE
WENATCHEE,WA98801 		N/A PC Methow Valley Fund 30,000

COMMUNITY HOUSE MENTAL HEALTH AGENCY

2212 S JACKSON ST
SEATTLE,WA98144 		N/A PC General & Unrestricted 20,000

COMMUNITY PASSAGEWAYS

PO BOX 28685
SEATTLE,WA98118 		N/A PC General & Unrestricted 9,000

COMMUNITY PASSAGEWAYS

PO BOX 28685
SEATTLE,WA98118 		N/A PC CP-FIT: Youth Violence Intervention fund 10,000

COMPANIS MISSION WORKERS ASSOCIATION

1111 HARVARD AVE
SEATTLE,WA98122 		N/A PC General & Unrestricted 2,000

CONGREGATIONS FOR THE HOMELESS

13668 SE EASTGATE WAY
BELLEVUE,WA98005 		N/A PC General & Unrestricted 10,000

CONSERVATION INTERNATIONAL FOUNDATION

2011 CRYSTAL DRIVE STE 600
ARLINGTON,VA22202 		N/A PC General & Unrestricted 20,000

CONSERVATION INTERNATIONAL FOUNDATION

2011 CRYSTAL DRIVE STE 600
ARLINGTON,VA22202 		N/A PC AfricaPEAT: Catalyzing African Peatlands for Natural Climate Solutions fund 100,000

COOL EARTH ACTION USA INC

1 HANSON PL APT 17D
BROOKLYN,NY11243 		N/A PC General & Unrestricted 120,000

DEFENDERS OF WILDLIFE

1130 17TH ST NW
WASHINGTON,DC20036 		N/A PC General & Unrestricted 10,000

DEGREES OF CHANGE

PO BOX 1573
TACOMA,WA98401 		N/A PC Support Local Leaders with Our Act Six & Seed Internships fund 35,000

DIGNITY FOR DIVAS

PO BOX 283
BELLEVUE,WA98009 		N/A PC Diva Dream Food Equity Program 10,000

DIVINE ALTERNATIVES FOR DADS SERVICES

411 12TH AVE STE 300
SEATTLE,WA98122 		N/A PC DADS Fatherhood Program 10,000

DUWAMISH RIVER CLEANUP COALITION-TECHNICAL ADVISOR

7400 3RD AVE S
SEATTLE,WA98108 		N/A PC cleanup efforts of the Duwamish to engage with specific fishing communities fund 27,000

EARTHJUSTICE

50 CALIFORNIA ST SUITE 500
SAN FRANCISCO,CA94111 		N/A PC General & Unrestricted 40,000

EASTER SEALS WASHINGTON

200 WEST MERCER ST
SEATTLE,WA98119 		N/A PC General & Unrestricted 5,000

ELIZABETH HOME

1604 NE 50TH ST
SEATTLE,WA98105 		N/A PC Safety and Stability for Women Experiencing Homelessness through essential needs fund 15,000

ENVIRONMENTAL DEFENSE FUND INCORPORATED

257 PARK AVE SOUTH
NEW YORK,NY10010 		N/A PC General & Unrestricted 13,500

FAMILY LAW CASA OF KING COUNTY

16300 CHRISTENSEN ROAD STE 306
TUKWILA,WA98188 		N/A PC General & Unrestricted 2,000

FARESTART

700 VIRGINIA ST
SEATTLE,WA98101 		N/A PC General & Unrestricted 19,000

FEEDING WASHINGTON

1234 E FRONT AVE
SPOKANE,WA99202 		N/A PC Hunger Relief Insights in King, Pierce, and Snohomish counties fund 10,000

FIREFIGHTERS UNITED FOR SAFETY ETHICS AND ECOLOGY

2852 WILLAMETTE ST APT 125
EUGENE,OR97405 		N/A PC Ecological Fire Management Is A Climate Solution fund 20,000

FISH OF SANIBEL-CAPTIVA INC

2430-B PERIWINKLE WAY
SANIBEL,FL33957 		N/A PC Paddleraiser fund 100,000

FOUNDATION FOR THE PRESERVATION OF THE GOVERNORS M

PO BOX 4052
OLYMPIA,WA98501 		N/A PC General & Unrestricted 500

FRIENDS OF FISHER HOUSE PUGET SOUND

PO BOX 18253
SEATTLE,WA98118 		N/A PC General & Unrestricted 5,000

FRIENDS OF SEATTLE WATERFRONT

1201 ALASKAN WAY STE 200
SEATTLE,WA98101 		N/A PC General & Unrestricted 250,000

GIRLS WHO CODE INC

PO BOX 23244
NEW YORK,NY10087 		N/A PC General & Unrestricted 13,500

GREATER MAPLE VALLEY COMMUNITY CENTER

22010 SE 248TH ST
MAPLE VALLEY,WA98038 		N/A PC Senior Nutrition fund 2,500

GREATER SEATTLE BUREAU OF FEARLESS IDEAS

8414 GREENWOOD AVE N
SEATTLE,WA98103 		N/A PC General & Unrestricted 1,000

HABITAT FOR HUMANITY INTERNATIONAL INC

16929 HWY 99 STE 100
LYNNWOOD,WA98037 		N/A PC Home Repair Program 5,000

HERITAGE UNIVERSITY

3240 FORT RD
TOPPENISH,WA98948 		N/A PC General & Unrestricted 75,000

HOPE CREEK CHARITABLE FOUNDATION

4326 148TH ST SE
MILL CREEK,WA98012 		N/A PC Backpacks of Hope fund 15,000

HOPELINK

8990 154TH AVE NE
REDMOND,WA98052 		N/A PC General & Unrestricted 4,000

IDAHO CONSERVATION LEAGUE INC

PO BOX 844
BOISE,ID83701 		N/A PC General & Unrestricted 2,000

INTERNATIONAL RESCUE COMMITTEE INC

PO BOX 6068
ALBERT LEA,MN56007 		N/A PC General & Unrestricted 5,000

JEWISH FAMILY SERVICE

1601 16TH AVE
SEATTLE,WA98122 		N/A PC Community Stabilization Services (CSS) fund 10,000

JUBILEE WOMENS CENTER

620 18TH AVE E
SEATTLE,WA98112 		N/A PC Jubilee Womens Center 10,000

JUNIOR ACHIEVEMENT USA

1610 PERIMETER RD
AUBURN,WA98001 		N/A PC JA BizTown fund 50,000

KAL ACADEMY NP

12901 181ST AVE NE
REDMOND,WA98052 		N/A PC Technical Training for Women and Minorities fund 15,000

KINDERING CENTER

16120 NE 8TH ST
BELLEVUE,WA98008 		N/A PC General & Unrestricted 10,000

KINDERING CENTER

16120 NE 8TH ST
BELLEVUE,WA98008 		N/A PC Charitable Event 3,000

LIGHTHOUSE FOR THE BLIND INC

2501 S PLUM ST
SEATTLE,WA98144 		N/A PC General & Unrestricted 6,000

LITERACY SOURCE

3200 NE 125TH ST
SEATTLE,WA98125 		N/A PC English for Speakers of Other Languages fund 25,000

LITTLE STAR SCHOOL MONTESSORI

PO BOX 608
WINTHROP,WA98862 		N/A PC General & Unrestricted 15,000

LOW INCOME HOUSING INSTITUTE

1253 S JACKSON ST STE A
SEATTLE,WA98144 		N/A PC General & Unrestricted 5,500

MEDIC ONE FOUNDATION

11747 NE 1ST ST STE 310
BELLEVUE,WA98005 		N/A PC General & Unrestricted 500

MEDICAL TEAMS INTERNATIONAL

PO BOX 4288
PORTLAND,OR97208 		N/A PC Care & Connect Mobile Health Clinics - King, Snohomish, and Pierce counties fund 30,000

MERC PLAYHOUSE SOCIETY

PO BOX 425
TWISP,WA98856 		N/A PC General & Unrestricted 10,000

METHOW ARTS ALLIANCE

PO BOX 723
TWISP,WA98856 		N/A PC General & Unrestricted 2,000

METHOW AT HOME

PO BOX 352
TWISP,WA98856 		N/A PC General & Unrestricted 5,000

METHOW FIELD INSTITUTE

210 5TH AVE
TWISP,WA98856 		N/A PC General & Unrestricted 1,000

METHOW HOUSING TR

31 W CHEWUCH RD STE 102
WINTHROP,WA98862 		N/A PC General & Unrestricted 500,000

METHOW HOUSING TR

31 W CHEWUCH RD STE 102
WINTHROP,WA98862 		N/A PC Pledge fund 1,000,000

METHOW MUSIC FESTIVAL ASSOCIATION

PO BOX 684
TWISP,WA98856 		N/A PC General & Unrestricted 15,000

METHOW VALLEY CITIZENS COUNCIL

PO BOX 774
TWISP,WA98856 		N/A PC General & Unrestricted 20,000

METHOW VALLEY COMMUNITY CENTER ASSOCIATION

201 HWY 20
TWISP,WA98856 		N/A PC General & Unrestricted 5,000

METHOW VALLEY EDUCATION FOUNDATION

PO BOX 40
WINTHROP,WA98862 		N/A PC General & Unrestricted 5,000

METHOW VALLEY FAMILY HOME CENTER ASSOCIATION

PO BOX 1260
WINTHROP,WA98862 		N/A PC Jamie's Place fund 2,500

MUSEUM OF HISTORY AND INDUSTRY

PO BOX 80816
SEATTLE,WA98108 		N/A PC General & Unrestricted 4,000

NATIONAL MULTIPLE SCLEROSIS SOCIETY

PO BOX 54879
LOS ANGELES,CA90054 		N/A PC Charitable Event 10,000

NEW BEGINNINGS

PO BOX 75125
SEATTLE,WA98175 		N/A PC 2023 Home Safe Program 10,000

NEXT CHAPTER FOUNDATION

PO BOX 8395
TACOMA,WA98419 		N/A PC Safe and Secure Shelter Support 10,000

NORTHWEST CENTER

1119 SW 7TH ST
RENTON,WA98057 		N/A PC General & Unrestricted 27,100

NORTHWEST FAMILY LIFE LEARNING AND COUNSELING CENT

12360 LAKE CITY WAY NE
SEATTLE,WA98125 		N/A PC Penny's Place Therapeutic Safehouse for Women and Children fund 5,000

NORTHWEST HARVEST E M M

PO BOX 12272
SEATTLE,WA98102 		N/A PC General & Unrestricted 25,000

NORTHWEST IMMIGRANT RIGHTS PROJECT

615 2ND AVE STE 400
SEATTLE,WA98104 		N/A PC General & Unrestricted 2,500

NORTHWEST SCHOOL FOR HEARING IMPAIRED CHILDREN

PO BOX 33666
SHORELINE,WA98133 		N/A PC Preschool through eighth-grade program for deaf and hard-of-hearing children 50,000

NW CHILDRENS FOUNDATION

2100 24TH AVE S STE 320
SEATTLE,WA98144 		N/A PC General & Unrestricted 60,000

OKANOGAN COUNTY ANIMAL FOSTER CARE ASSOCIATION

PO BOX 3385
OMAK,WA98841 		N/A PC General & Unrestricted 15,000

OKANOGAN LAND TRUST

203 2ND AVE S 120
OKANOGAN,WA98840 		N/A PC General & Unrestricted 1,000

ONE TREE PLANTED INC

145 PINE HAVEN RD 1000D
SHELBURNE,VT05482 		N/A PC General & Unrestricted 13,500

PACIFIC SCIENCE CENTER FOUNDATION

200 2ND AVE N
SEATTLE,WA98109 		N/A PC Access to Science Pipeline fund 25,000

PAGE AHEAD CHILDRENS LITERACY PRGM

1130 NW 85TH ST
SEATTLE,WA98117 		N/A PC General & Unrestricted 27,000

PIKE PLACE MARKET FOUNDATION

93 PIKE ST STE 310
SEATTLE,WA98101 		N/A PC Program: Healthy Community Model 5,000

PIONEER HUMAN SERVICES

7440 W MARGINAL WAY S
SEATTLE,WA98108 		N/A PC Roadmap to Success fund 25,000

PLANET WOMEN

9720 COPPERTOP LOOP NE STE 104
BAINBRIDGE IS,WA98110 		N/A PC General & Unrestricted 18,300

PROGRESSIVE ANIMAL WELFARE SOCIETY INC

15305 44TH AVE W
LYNNWOOD,WA98087 		N/A PC General & Unrestricted 5,000

PROTECT OUR WINTERS

4676 BROADWAY ST
BOULDER,CO80304 		N/A PC Harnessing the power of the Outdoor State - recruiting, educating, and mobilizing outdoor enthusiasts to protect common ground fund 25,000

PROVIDENCE MOUNT ST VINCENT FOUNDATION

4831 35TH AVE SW
SEATTLE,WA98126 		N/A PC Legacy Campaign celebrating 100-year anniversary 5,000

RAINIER SCHOLARS

2100 24TH AVE S STE 360
SEATTLE,WA98144 		N/A PC General & Unrestricted 5,000

REAL CHANGE HOMELESS EMPOWERMENT PROJECT

219 1ST AVE S STE 220
SEATTLE,WA98104 		N/A PC Vendor Programs 5,000

RECOVERY CAFE

2022 BOREN AVE
SEATTLE,WA98121 		N/A PC General & Unrestricted 5,000

REFUGEE WOMENS ALLIANCE

4008 MLK JR WAY
SEATTLE,WA98108 		N/A PC Safety and Recovery for Refugee and Immigrant Survivors of domestic violence 10,000

RESILIENT HEARTS ANIMAL SANCTUARY

3409 STONE WAY N STE 102
SEATTLE,WA98103 		N/A PC General & Unrestricted 13,000

ROOM ONE

PO BOX 222
TWISP,WA98856 		N/A PC General & Unrestricted 25,000

RURAL DEVELOPEMENT INSTITUTE

1424 4TH AVE STE 430
SEATTLE,WA98101 		N/A PC General & Unrestricted 10,000

SANIBEL COMMUNITY ASSOCIATION INC

2173 PERIWINKLE WAY
SANIBEL,FL33957 		N/A PC General & Unrestricted 1,000

SANIBEL PUBLIC LIBRARY FOUNDATION INC

770 DUNLOP RD
SANIBEL,FL33957 		N/A PC General & Unrestricted 1,000

SANIBEL-CAPTIVA CONSERVATION FOUNDATION INC

PO BOX 839
SANIBEL,FL33957 		N/A PC General & Unrestricted 10,000

SAVE THE CHILDREN FEDERATION INC

501 KINGS HWY EAST STE 400
FAIRFIELD,CT06825 		N/A PC General & Unrestricted 10,000

SAVE THE CHILDREN FEDERATION INC

501 KINGS HWY EAST STE 400
FAIRFIELD,CT06825 		N/A PC Save the Children's programming in Western Washington fund 500,000

SAWHORSE REVOLUTION

801 2ND AVE 501
SEATTLE,WA98104 		N/A PC Future Builders: Sawhorse Revolution Credit Attainment Program series 40,000

SEATTLE ANIMAL SHELTER

2061 15TH AVE WEST
SEATTLE,WA98119 		N/A GOV General & Unrestricted 2,000

SEATTLE AQUARIUM SOCIETY-SEAS

1483 ALASKAN WAY PIER 59
SEATTLE,WA98101 		N/A PC Charitable Event 5,000

SEATTLE AQUARIUM SOCIETY-SEAS

1483 ALASKAN WAY PIER 59
SEATTLE,WA98101 		N/A PC General & Unrestricted 250,000

SEATTLE AREA FELINE RESCUE

14717 AURORA AVE N
SHORELINE,WA98133 		N/A PC General & Unrestricted 15,000

SEATTLE CARES CIRCLE OF THE NATIONAL CARES MENTORI

1404 E YESLER WAY
SEATTLE,WA98122 		N/A PC Culturally Anchored Mentorship for Black Boys and girls fund 25,000

SEATTLE CHILDRENS HOSPITAL

PO BOX 5371 MS 818 FI
SEATTLE,WA98145 		N/A PC General & Unrestricted 20,000

SEATTLE CHILDRENS THEATRE ASSOCIATION

201 THOMAS ST
SEATTLE,WA98109 		N/A PC Bailey Gatzert Arts Program 20,000

SEATTLE CLEMENCY PROJECT

20415 72ND AVE SOUTH STE 1-415
KENT,WA98032 		N/A PC General & Unrestricted 47,300

SEATTLE DOGS HOMELESS PROGRAM

100 MELROSE AVE E APT 905
SEATTLE,WA98102 		N/A PC General & Unrestricted 12,000

SEATTLE NATIVITY SCHOOL

4200 S MEAD ST
SEATTLE,WA98118 		N/A PC two classes fund 600,000

SEATTLE PARKS FOUNDATION

PO BOX 3541
SEATTLE,WA98124 		N/A PC General & Unrestricted 10,000

SEATTLE PUBLIC LIBRARY FOUNDATION

1000 4TH AVE
SEATTLE,WA98104 		N/A PC General & Unrestricted 10,000

SEATTLES UNION GOSPEL MISSION

PO BOX 202
SEATTLE,WA98111 		N/A PC General & Unrestricted 8,000

SHEJUMPS

4760 S HIGHLAND DR STE 209
SALT LAKE CITY,UT84117 		N/A PC Creating Access to Jobs in the Outdoor Industry for women & girls in King County fund 20,000

SHUNPIKE

815 SEATTLE BLVD S STE 215
SEATTLE,WA98134 		N/A PC MAP Theatre fund 500

SPLASHFORWARD

PO BOX 417
KIRKLAND,WA98083 		N/A PC High School Lifeguard Training Program 10,000

ST FRANCIS HOUSE

PO BOX 22444
SEATTLE,WA98122 		N/A PC General & Unrestricted 3,000

SUSTAINABLE SURF

754 26TH ST
MANHATTAN BCH,CA90266 		N/A PC Sea Trees program's restoration fund 22,300

TEENS IN PUBLIC SERVICE

2900 NE BLAKELEY ST STE B
SEATTLE,WA98105 		N/A PC TIPS 2023 Summer Internship Program 30,000

TERRAPRAXIS INC

120 LAKE VIEW AVE
CAMBRIDGE,MA02138 		N/A PC General & Unrestricted 120,000

THE BARACK OBAMA FOUNDATION

5235 S HARPER CT STE 1140
CHICAGO,IL60615 		N/A PC Girls Opportunity Alliance fund 1,000

THE COVE

206 GLOVER ST S
TWISP,WA98856 		N/A PC General & Unrestricted 5,000

THE EVERGLADES FOUNDATION INC

18001 OLD CUTLER RD STE 625
PALMETTO BAY,FL33157 		N/A PC General & Unrestricted 50,000

THE SALVATION ARMY

111 QUEEN ANNE AVE N STE 300
SEATTLE,WA98109 		N/A PC General & Unrestricted 3,000

THE SANIBEL HISTORICAL MUSEUM AND VILLAGE INC

950 DUNLOP RD
SANIBEL,FL33957 		N/A PC General & Unrestricted 3,000

THE SEATTLE FOUNDATION

1601 5TH AVE STE 1900
SEATTLE,WA98101 		N/A PC Moccasin Lake Foundation Fund 153,000

TWISPWORKS FOUNDATION

PO BOX 264
TWISP,WA98856 		N/A PC General & Unrestricted 30,000

UNION OF CONCERNED SCIENTISTS INC

2 BRATTLE SQ SUITE 6
CAMBRIDGE,MA02138 		N/A PC General & Unrestricted 120,000

WA THERAPY FUND FOUNDATION

4501 15TH AVE S STE 102
SEATTLE,WA98108 		N/A PC General & Unrestricted 10,000

WASHINGTON HEALTHCARE ACCESS ALLIANCE

PO BOX 7242
TACOMA,WA98417 		N/A PC Volunteer and Retired Providers Program 10,000

WASHINGTON KIDS IN TRANSITION

19721 SCRIBER LAKE RD STE B
LYNNWOOD,WA98036 		N/A PC Homeless and Low-Income Students fund 10,000

WASHINGTON WILDLIFE AND RECREATION COALITION

6716 E SIDE DR NE 1-302
TACOMA,WA98422 		N/A PC General & Unrestricted 1,000

WELLSPRING FAMILY SERVICES

1900 RAINIER AVE S
SEATTLE,WA98144 		N/A PC General & Unrestricted 2,000

WEST SEATTLE FOOD BANK

3419 SW MORGAN ST
SEATTLE,WA98126 		N/A PC Emergency Rent & Utility Assistance fund 5,000

WEST SEATTLE FOOD BANK

3419 SW MORGAN ST
SEATTLE,WA98126 		N/A PC General & Unrestricted 15,000

WESTSIDE BABY

10002 14TH AVE SW
SEATTLE,WA98146 		N/A PC General & Unrestricted 13,500

WETA

3939 CAMPBELL AVE
ARLINGTON,VA22206 		N/A PC The PBS News Hour fund 20,000

WHITE CENTER EMERGENCY FOOD ASSOCIATION

10829 8TH AVE SW
SEATTLE,WA98146 		N/A PC General & Unrestricted 45,000

WOODLAND PARK ZOOLOGICAL SOCIETY

5500 PHINNEY AVE N
SEATTLE,WA98103 		N/A PC General & Unrestricted 10,000

WORLD WILDLIFE FUND INC

1250 24TH ST NW
WASHINGTON,DC20037 		N/A PC rhino horn demand reduction campaign 500,000

YOUTHCARE

PO BOX 15258
SEATTLE,WA98115 		N/A PC General & Unrestricted 4,000

YOUTHCARE

PO BOX 15258
SEATTLE,WA98115 		N/A PC YouthCare's Workforce Development Programs: Employment & Education 100,000

YWCA OF SEATTLE-KING COUNTY- SNOHOMISH COUNTY

1118 FIFTH AVE
SEATTLE,WA98101 		N/A PC General & Unrestricted 11,000

Z GIRLS FOUNDATION

3600 136TH PL SE STE 300
BELLEVUE,WA98006 		N/A PC ZGiRLS Confidence Program 25,000
Total .................................right arrow 3a 7,039,500
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
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 ........... 		    14 758,366  
4 Dividends and interest from securities ....     14 593,550  
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 -748,019  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aK-1 Inc/Loss 		    14 13,327  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   617,224  
13Total. Add line 12, columns (b), (d), and (e)..................
13
617,224
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
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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
2023
Name of the organization
Moccasin Lake Foundation
 
Employer identification number

91-1545081
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
Moccasin Lake Foundation
  		Employer identification number
91-1545081
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
James C Pigott 2005 CLAT
1405 42nd Avenue East
 
Seattle, WA98112

$ 429,941


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
2
James C Pigott 2005 CLUT
1405 42nd Avenue East
 
Seattle, WA98112

$ 109,883


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
3
James C Pigott 2012 CLUT
1405 42nd Avenue East
 
Seattle, WA98112

$ 2,907,502


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
4
Gaye T Pigott
1405 42nd Avenue East
 
Seattle, WA98112

$ 600,000


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
5
James C Pigott
1405 42nd Avenue East
 
Seattle, WA98112

$ 34,676,000


(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) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
Moccasin Lake Foundation
  		Employer identification number

91-1545081
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
5
 PACCAR INC PCAR, 400000 sh. $ 34,176,000 2023-08-14
(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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
Moccasin Lake Foundation
  		Employer identification number

91-1545081
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) (2023)
Additional Data


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TY 2023 DepreciationSchedule
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
Life (# of years)		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

TY 2023 GeneralExplanationAttachment
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Identifier Return Reference Explanation
Form 8865 Form 8865 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information.

TY 2023 InvestmentsCorpStockSchedule
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Name of Stock End of Year Book Value End of Year Fair Market Value
ADVANCED MICRO DEVICES INC 267,684 548,218
ALASKA AIR GROUP INC 995,979 937,797
ALPHABET INC CL A 310,392 444,075
AMAZON COM 658,485 945,219
APPLE INC 489,705 609,743
ASXFY 351,145 322,570
BANK OF AMERICA CORP 1,587,066 1,946,058
BOEING CO 455,915 641,224
CANTALOUPE, INC 484,855 742,163
CBOE HOLDINGS INC 372,791 522,645
CHARGEPOINT HOLDINGS CL A 949,063 297,704
CLIFFS NATURAL RESOURCES INC. 655,718 837,567
CME GROUP, INC 555,826 639,171
COSTCO WHOLESALE CORPORATION 742,423 1,008,602
CROWDSTRIKE HOLDINGS, INC 147,947 292,341
DARLING INGREDIENTS INC 761,261 592,996
DEUTSCHE BOERSE ADR 413,253 480,219
DEVON ENERGY CORPORATION 329,251 267,904
DYCOM INDS INC 631,189 805,170
ENERGY VAULT HOLDINGS, INC. 446,946 312,295
EQT CORPORATION 381,638 440,260
EURONEXT NV 360,705 393,649
FIVE9 INC 407,659 472,061
FORD MOTOR COMPANY 1,180,573 1,209,150
GE HEALTHCARE TECHNOLOGIES INC 685,814 797,710
GENERAC HOLDING INC 360,355 450,531
GRANITE CONSTRUC INC 768,649 1,036,832
HONG KONG EX&CL UNSP/ADR 509,302 387,368
IDACORP INC HLDG CO 791,951 763,258
INTERCONTINENTAL EXCHANGE, INC 537,512 628,922
INVESCO QQQ TRUST 248,901 277,245
JAPAN EXCHANGE GROUP INC 362,726 521,958
LANDSEA HOMES CORP 709,810 1,323,842
LENNAR CORP 365,608 611,660
LONDON STK EXCHANGE GROUP 469,515 584,602
MACY'S INC 662,657 1,104,508
MARVELL TECHNOLOGY, INC 267,280 303,902
MASTEC INC 885,709 905,384
MEDTRONIC PLC 519,381 524,349
MICROSOFT CORP 1,171,186 1,715,871
NASDAQ OMX GROUP 399,488 363,084
NEURONETICS INC 351,854 202,684
NLIGHT INC 616,037 739,139
NORTHWEST NAT GAS CO 825,737 824,399
PACCAR INC 22,784,029 26,040,032
QUALCOMM INC 236,629 286,078
SINGAPORE EXCHANGE L 378,732 411,340
SNOWFLAKE INC 280,403 398,796
SUMMIT MATERIALS INC 866,407 1,006,498
TENABLE HOLDINGS INC 518,699 635,628
TMX GROUP LTD 346,306 404,227
UBER 393,532 896,398
VERICEL ORD SHS 568,350 792,358
VIKING THERAPEUTICS INC 460,398 827,177
WASHINGTON FED INC 1,409,399 1,715,964
ZSCALER INC 283,932 405,012
ZUMIEZ INC 27,380 34,924
ZUORA INC 606,051 842,108

TY 2023 OtherExpensesSchedule
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
Administrative Fees 24,675     24,675
Bank Charges 7,579 7,579    
Computers/Electronic Devices 882     882
Equipment Maintenance 132     132
Indemnification Insurance 3,264     3,264
K-1 Exp LAZARD LTD 489 489    
Office Supplies 69     69
Postage/Delivery Service 380     380
State or Local Filing Fees 85     85
Website Hosting/Support 289     289


TY 2023 OtherIncomeSchedule2
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
K-1 Inc/Loss LAZARD LTD 13,327 13,327  


TY 2023 OtherProfessionalFeesSchedule
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
Investment Management Services 435,587 435,587    


TY 2023 TaxesSchedule
Name:
Moccasin Lake Foundation
EIN:
91-1545081
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
990-PF Estimated Tax for 2023 163,700      
990-PF Extension for 2022 500,300      
Foreign Tax Paid 10,174 10,174