TY 2023 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CENTER FOR ADVANCED MANUFACTURING PUGET
SOUND HEALTH TRUST

Employer identification number

81-4004703

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PREMIUM PAYABLE	879,322








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	879,322
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1	18,371,217
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e	0
3	Subtract line 2e from line 1..................		3	18,371,217
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	18,371,217

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	18,085,616
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	18,085,616
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	200,621
c	Add lines 4a and 4b.....................			4c	200,621
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	18,286,237

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE PLAN RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED APRIL 13, 2022, STATING THAT THE PLAN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). THE BOARD OF TRUSTEES BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEY BELIEVE THAT THE PLAN WAS TAX-EXEMPT AS OF THE FINANCIAL-STATEMENT DATE; THEREFORE, NO PROVISION FOR INCOME TAX HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICITIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENLTY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN PREMIUM PAYABLE

Return Reference

Explanation

PART X, LINE 2:

THE PLAN RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED APRIL 13, 2022, STATING THAT THE PLAN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). THE BOARD OF TRUSTEES BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEY BELIEVE THAT THE PLAN WAS TAX-EXEMPT AS OF THE FINANCIAL-STATEMENT DATE; THEREFORE, NO PROVISION FOR INCOME TAX HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICITIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENLTY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

CHANGE IN PREMIUM PAYABLE

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTER FOR ADVANCED MANUFACTURING PUGET
SOUND HEALTH TRUST

Employer identification number

81-4004703

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KIRK DAVIS EXECUTIVE DIRECTOR, TRUSTE	(i) (ii)	0 ------------- 151,777	0 ------------- 0	0 ------------- 0	0 ------------- 9,473	0 ------------- 0	0 ------------- 161,250	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTER FOR ADVANCED MANUFACTURING PUGET
SOUND HEALTH TRUST

Employer identification number

81-4004703

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	DAY TO DAY OPERATIONS OF THE TRUST ARE DELEGATED TO A THIRD-PARTY ADMINISTRATOR, EPK & ASSOCIATES, INC. THE BOARD RETAINS ULTIMATE RESPONSIBILITY FOR THE OPERATION OF THE TRUST.
FORM 990, PART VI, SECTION B, LINE 11B	THE DRAFT IS REVIEWED AND APPROVED BY THE SIGNING TRUSTEE AND THIRD-PARTY ADMINISTRATOR BEFORE FILING.
FORM 990, PART VI, SECTION C, LINE 19	NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTER FOR ADVANCED MANUFACTURING PUGET
SOUND HEALTH TRUST

Employer identification number

81-4004703

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CENTER FOR ADVANCED MANUFACTURING PUGET SOUND 6915 S 234TH ST KENT,WA98032 26-1349668	CONTROLLING INDUSTRY ORG / CONTRIBUTING EMPLOYER	WA	501(C)(6)				No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) 20 CORNERS BREWING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(2) ACCESS LASER LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(3) ADVANCED POWDER COATING NW LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(4) AFAB ENTERPRISES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(5) AK PRODUCTIONS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(6) AMERICA MEDIC & SCIENCE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(7) AMERICAN WEST INDUSTRIES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(8) ANCHORHEAD COFFEE ESPRESSO L	CONTRIBUTING EMPLOYER		N/A				No			No
(9) ANICHE CELLARS WA LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(10) ARCHITECTURAL ELEMENTS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(11) AVENUE BAKERY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(12) BADASS FARMING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(13) BAINBRIDGE ISLAND BREWING COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(14) BAJI LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(15) BELLEVUE BREWING COMPANY SPRING DISTRICT LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(16) BMT USA LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(17) COLOR CRAFT LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(18) CRABTREE BRANDS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(19) DRU BRU LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(20) EDGEMONT GROUP LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(21) EMISSOL LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(22) ENCLUME DESIGNS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(23) FAIR ISLE BREWING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(24) FAIRHAVEN HEALTH LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(25) FIRETREE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(26) FOUNDRY VINEYARDS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(27) GLOBALTECH PLASTICS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(28) IRON GOAT LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(29) ISLAND HOPPIN' LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(30) JOE'S GARAGE COFFEE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(31) K9 NATURAL FOODS USA LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(32) KEYSTONE CREATIONS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(33) LABELS PLUS PNW LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(34) LAMAR TECHNOLOGIES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(35) LIBERTY HYDRATION PRODUCTS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(36) MCNEELEY MANUFACTURING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(37) MNS MARKETING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(38) MORCHELLA WINE CELLARS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(39) OLSON'S BAKING COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(40) OLYMPUS HORTICULTURE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(41) OPEN SOURCE STEEL LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(42) ORIGIN BOOOKS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(43) OUT OF THE BOX MANUFACTURING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(44) PACIFIC OVERSEAS TREE COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(45) PETROGLYPH WINERY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(46) POLAR FUSION LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(47) REACH ISLAND LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(48) RILL FOODS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(49) ROOT SCIENCES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(50) SIGNATURE PLASTICS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(51) SLEEPING GIANT WINERY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(52) SLEIGHT OF HAND CELLARS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(53) SUPERGRAPHICS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(54) TECHNICAL TOOLING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(55) THE CENTER FOR PALLIATIVE CARE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(56) THREADY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(57) TIGER CUSTOM COMPUTERS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(58) TK MACHINE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(59) TLG AEROSPACE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(60) TML INNOVATIVE PRODUCTS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(61) TNT MACHINING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(62) TOAST GROUP LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(63) TREY MARIE VINEYARDS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(64) UNIFIED BREWING CO LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(65) URBAN FAMILY BREWING COMPANY	CONTRIBUTING EMPLOYER		N/A				No			No
(66) V&C LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(67) VT VOLANT AEROSPACE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(68) WASHINGTON WINE COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(69) WEST SEATTLE WINERY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(70) WINERY COMPLIANCE SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(71) WINMARKETING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(72) WIZARD STAFF SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(73) WOODINVILLE CUSTOM CRUSH LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(74) WOW BAKING COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) A&W BOTTLING COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(2) AEROFORM INC	CONTRIBUTING EMPLOYER		N/A						No
(3) AEROGO INC	CONTRIBUTING EMPLOYER		N/A						No
(4) AIM INTELLIGENT MACHINES INC	CONTRIBUTING EMPLOYER		N/A						No
(5) AIRWARE INC	CONTRIBUTING EMPLOYER		N/A						No
(6) AMERICAN RIFLE COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(7) APTLY TECHNOLOGY CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(8) ASCENDX CONCEPTS INC	CONTRIBUTING EMPLOYER		N/A						No
(9) ATLAS AGRO NORTH AMERICA CORP	CONTRIBUTING EMPLOYER		N/A						No
(10) ATOMIC SCREEN PRINTING & EMBRO	CONTRIBUTING EMPLOYER		N/A						No
(11) BAKER'S BREAKFAST COOKIES INC	CONTRIBUTING EMPLOYER		N/A						No
(12) BONANZA PULL-TABS INC	CONTRIBUTING EMPLOYER		N/A						No
(13) BOTANICAL INVESTMENT GROUP INC	CONTRIBUTING EMPLOYER		N/A						No
(14) CAF INC	CONTRIBUTING EMPLOYER		N/A						No
(15) CAMARDA CORP INC	CONTRIBUTING EMPLOYER		N/A						No
(16) CANNON MACHINE PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(17) CASCADE PRINT MEDIA INC	CONTRIBUTING EMPLOYER		N/A						No
(18) CHUCKANUT BAY DISTILLERY INC	CONTRIBUTING EMPLOYER		N/A						No
(19) COLOR GRAPHICS SCREENPRINTING INC	CONTRIBUTING EMPLOYER		N/A						No
(20) CONFIDENCE ANALYTICS INC	CONTRIBUTING EMPLOYER		N/A						No
(21) CRITTENDEN CONVERSION CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(22) DATAWORKS DEVELOPMENT INC	CONTRIBUTING EMPLOYER		N/A						No
(23) DITCO INC	CONTRIBUTING EMPLOYER		N/A						No
(24) DIVERS STREET RODS INC	CONTRIBUTING EMPLOYER		N/A						No
(25) DYNAMIC SYSTEMS TECHONOLOGIES INC	CONTRIBUTING EMPLOYER		N/A						No
(26) ELEVEN WINERY INC	CONTRIBUTING EMPLOYER		N/A						No
(27) EUROINSOLES INCORPORATED	CONTRIBUTING EMPLOYER		N/A						No
(28) EXTREME COATINGS INC	CONTRIBUTING EMPLOYER		N/A						No
(29) FAB-TECH INC	CONTRIBUTING EMPLOYER		N/A						No
(30) FIDALGO BAY COFFEE INC	CONTRIBUTING EMPLOYER		N/A						No
(31) FINALREV INCORPORATED	CONTRIBUTING EMPLOYER		N/A						No
(32) FIRSTAR DENTAL COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(33) GORDON BROTHERS CELLARS INC	CONTRIBUTING EMPLOYER		N/A						No
(34) GTR TECHNOLOGIES INC	CONTRIBUTING EMPLOYER		N/A						No
(35) HARBOR ISLAND MACHINE WORKS I	CONTRIBUTING EMPLOYER		N/A						No
(36) HERITAGE DISTILLING COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(37) HEST CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(38) ID INTEGRATION INC	CONTRIBUTING EMPLOYER		N/A						No
(39) IMPERATIVE GROUP INC	CONTRIBUTING EMPLOYER		N/A						No
(40) IMPRESSIONS WORLDWIDE INC	CONTRIBUTING EMPLOYER		N/A						No
(41) J TUTTLE INC	CONTRIBUTING EMPLOYER		N/A						No
(42) JAVA JAVA COFFEE CO INC	CONTRIBUTING EMPLOYER		N/A						No
(43) JET CITY LASER INC	CONTRIBUTING EMPLOYER		N/A						No
(44) JOLLY FAMILY CORP	CONTRIBUTING EMPLOYER		N/A						No
(45) JOSEPH DESIGN INC	CONTRIBUTING EMPLOYER		N/A						No
(46) KANOA INC	CONTRIBUTING EMPLOYER		N/A						No
(47) KOOAPPS INC	CONTRIBUTING EMPLOYER		N/A						No
(48) LAUNCH PAD TECHNOLOGIES INC	CONTRIBUTING EMPLOYER		N/A						No
(49) LES BOULANGERS ASSOCIES INC	CONTRIBUTING EMPLOYER		N/A						No
(50) LEWIS PUBLISHING COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(51) LIGHTHOUSE UNIFORMS INC	CONTRIBUTING EMPLOYER		N/A						No
(52) LOWDEN SCHOOLHOUSE CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(53) MANUFACTURING SERVICES INC	CONTRIBUTING EMPLOYER		N/A						No
(54) MCBROWN INC	CONTRIBUTING EMPLOYER		N/A						No
(55) MEMBRION INC	CONTRIBUTING EMPLOYER		N/A						No
(56) MEYER SIGN CO INC	CONTRIBUTING EMPLOYER		N/A						No
(57) MID-MOUNTAIN MATERIALS INC	CONTRIBUTING EMPLOYER		N/A						No
(58) MIKE LULL'S GUITAR WORKS INC	CONTRIBUTING EMPLOYER		N/A						No
(59) MITERCRAFT INC	CONTRIBUTING EMPLOYER		N/A						No
(60) NICHOLS BROS STONEWORKS LTD	CONTRIBUTING EMPLOYER		N/A						No
(61) NORPLEX INC	CONTRIBUTING EMPLOYER		N/A						No
(62) NORSTAR INDUSTRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(63) NORTH FIRST INDUSTRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(64) NORTHWEST LED LIGHTING INC	CONTRIBUTING EMPLOYER		N/A						No
(65) OMEGA NUTRITION USA INC	CONTRIBUTING EMPLOYER		N/A						No
(66) PACIFIC AIR CARGO TRANSFER SYSTEMS INC	CONTRIBUTING EMPLOYER		N/A						No
(67) PACIFIC WESTERN AGENCIES INC	CONTRIBUTING EMPLOYER		N/A						No
(68) PASEK CELLARS WINERY INC	CONTRIBUTING EMPLOYER		N/A						No
(69) PHILIP J BOREN INC	CONTRIBUTING EMPLOYER		N/A						No
(70) PIONEER AEROFAB COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(71) POINT ROBERTS PRESS INC	CONTRIBUTING EMPLOYER		N/A						No
(72) QUALITY STAMPING & MACHINING INC	CONTRIBUTING EMPLOYER		N/A						No
(73) RENE HERSE CYCLES LTD	CONTRIBUTING EMPLOYER		N/A						No
(74) ROBERTS PRECISION MACHINE INC	CONTRIBUTING EMPLOYER		N/A						No
(75) SAN GENNARO FOODS INC	CONTRIBUTING EMPLOYER		N/A						No
(76) SEA LEVEL COFFEE INC	CONTRIBUTING EMPLOYER		N/A						No
(77) SEAKAMP ENGINEERING INC	CONTRIBUTING EMPLOYER		N/A						No
(78) SHAREWAY INDUSTRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(79) SOUND DISTRIBUTIONS INC	CONTRIBUTING EMPLOYER		N/A						No
(80) STRATUS AUTOMATION CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(81) TACTILE INC	CONTRIBUTING EMPLOYER		N/A						No
(82) TECHNICAL SYSTEMS INC	CONTRIBUTING EMPLOYER		N/A						No
(83) THE FOUNDRY CLOTHING COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(84) TRITON HOLDINGS INC	CONTRIBUTING EMPLOYER		N/A						No
(85) TWIN SISTERS BREWING COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(86) UNITED MANUFACTURING PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(87) WARMOTH GUITAR PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(88) WINEMAKERS DEPOT INC	CONTRIBUTING EMPLOYER		N/A						No
(89) YAKIMA ORTHOTICS & PROSTHETICS PC	CONTRIBUTING EMPLOYER		N/A						No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH AND OTHER BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	19,167,585	18,315,103
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	17,717	56,114
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	19,185,302	18,371,217
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	17,443,268	17,784,203
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	486,373	502,034
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	17,929,641	18,286,237
19	Revenue less expenses. Subtract line 18 from line 12.......	1,255,661	84,980
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,734,699	3,020,300
21	Total liabilities (Part X, line 26).............	678,701	879,322
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,055,998	2,140,978

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 18,286,237 including grants of $ ) (Revenue $ )
	THE PLAN PROVIDES HEALTH AND OTHER BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS ACCORDING TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses18,286,237

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) KIRK DAVIS...................................................................... EXECUTIVE DIRECTOR, TRUSTE	1.00 ................. 40.00	X	X	0	151,777	9,473
(2) SINA VAN SCOYOC...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	0	0
(3) DEANNA HELLAND...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	151,777	9,473

(A) Name and business address	(B) Description of services	(C) Compensation
EPK & ASSOCIATES INC 15375 SE 30TH PLACE 380 BELLEVUE,WA98007	ADMINISTRATIVE SERVICE PROVIDER	396,097




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	CONTRIBUTIONS	900099	18,150,644	18,150,644
b	COBRA CONTRIBUTIONS	900099	164,459	164,459
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		18,315,103

3 Investment income (including dividends, interest, and othersimilar amounts) ......			56,114			56,114
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			18,371,217	18,315,103	0	56,114

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	17,784,203	17,784,203
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	396,097	396,097
b	Legal .........	24,000	24,000
c	Accounting ...........	23,000	23,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	39,072	39,072
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	6,500	6,500
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	12,288	12,288
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	WA STATE UNCLAIMED PROP	1,077	1,077
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	18,286,237	18,286,237	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		250,000	1	250,000
2	Savings and temporary cash investments .........		2,392,256	2	2,538,483
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		92,443	4	231,817
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		2,734,699	16	3,020,300

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	678,701	25	879,322
26	Total liabilities. Add lines 17 through 25..	678,701	26	879,322

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	2,055,998	31	2,140,978
32	Total net assets or fund balances ...........	2,055,998	32	2,140,978
33	Total liabilities and net assets/fund balances ........	2,734,699	33	3,020,300