Siviq Scores
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Balance Sheet
Assets
Flat$535,789
Flat from 2011
Net Assets
$535,789
No earlier filing loaded for comparison.
Liabilities
Down$0
Down $1 (-100%) from 2011
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$13,943
Flat from 2011
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2011 to Dec 31, 2011
- Signed
- Nov 15, 2012
- Return Version
- 2011v1.2
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| RICHARD W HOTES | Board Chair | - | $0 | - | - |
| CAROLYN BISHOP | Secretary | - | $0 | - | - |
Grants and Assistance
Foundation Grants and Related Investments
| Type | Recipient | Purpose | Status | Location | Amount |
|---|---|---|---|---|---|
| Paid Grant | - | MEDICAL CARE AND HUMANITARIAN ASSIST | - | LAKEWOOD, WA, US | $13,759 |
Filing and Contact Details
Filer
- EIN
- 01-0760063
Raw XML Appendix260 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| CompensationExplanation/Compensation/PersonName | 1 | CAROLYN BISHOP |
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| IRS990PF/ExemptPF | 0 | X |
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| IRS990PF/MethodOfAccountingCash | 0 | X |
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| IRS990PF/MinimumInvestmentReturn/AvgMonthlyFMVOfSecurities | 0 | 0 |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 0 | RICHARD W HOTES |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 0 | BOARD CHAIR |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 1 | SECRETARY |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1 | 1 | 5808 NE LK WA BLVD STE 215 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/City | 0 | KIRKLAND |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State | 1 | WA |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode | 0 | 98033 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode | 1 | 98033 |
| IRS990PF/PrivateOperatingFoundations/DateOfRuling | 0 | 2004-08-04 |
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| IRS990PF/PrivateOperatingFoundations/LessorAdjNetIncmMinInvstReturn/Total | 0 | 6266 |
| IRS990PF/PrivateOperatingFoundations/LessorAdjNetIncmMinInvstReturn/Year1 | 0 | 2401 |
| IRS990PF/PrivateOperatingFoundations/LessorAdjNetIncmMinInvstReturn/Year2 | 0 | 2352 |
| IRS990PF/PrivateOperatingFoundations/Percent85OfLessor/CurrentYear | 0 | 1286 |
| IRS990PF/PrivateOperatingFoundations/Percent85OfLessor/Total | 0 | 5326 |
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| IRS990PF/PrivateOperatingFoundations/QlfyDistriMadeDirectly/Year3 | 0 | 10010 |
| IRS990PF/PrivateOperatingFoundations/QualifyingDistributions/CurrentYear | 0 | 13905 |
| IRS990PF/PrivateOperatingFoundations/QualifyingDistributions/Total | 0 | 35713 |
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| IRS990PF/PrivateOperatingFoundations/QualifyingDistributions/Year2 | 0 | 6272 |
| IRS990PF/PrivateOperatingFoundations/QualifyingDistributions/Year3 | 0 | 10010 |
| IRS990PF/PrivateOperatingFoundations/Section4942j3 | 0 | X |
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| IRS990PF/PrivateOperatingFoundations/TotalAssetsSect4942j3Bi/Year3 | 0 | 557795 |
| IRS990PF/PrivateOperatingFoundations/TotalAssets/Total | 0 | 2198023 |
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| IRS990PF/PrivateOperatingFoundations/TotalAssets/Year3 | 0 | 557795 |
| IRS990PF/QlfyUndSect4940eForReducedTax/AdjNonchrtblAssetsAndOnePct | 0 | 11823 |
| IRS990PF/QlfyUndSect4940eForReducedTax/AdjustedNoncharitableAssets | 0 | 11808 |
| IRS990PF/QlfyUndSect4940eForReducedTax/AverageDistributionRatio | 0 | 0.022167 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear1 | 0 | 0.010159 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear2 | 0 | 0.011326 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear3 | 0 | 0.017962 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear4 | 0 | 0.035918 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear5 | 0 | 0.035470 |
| IRS990PF/QlfyUndSect4940eForReducedTax/LiableFor4942Tax | 0 | false |
| IRS990PF/QlfyUndSect4940eForReducedTax/NetNoncharitableAssets | 0 | 532663 |
| IRS990PF/QlfyUndSect4940eForReducedTax/NoncharitableAssetsYear1 | 0 | 543937 |
| IRS990PF/QlfyUndSect4940eForReducedTax/NoncharitableAssetsYear2 | 0 | 553782 |
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| IRS990PF/QlfyUndSect4940eForReducedTax/OnePercentNetInvestmentIncome | 0 | 15 |
| IRS990PF/QlfyUndSect4940eForReducedTax/QualifyingDistributions | 0 | 13905 |
| IRS990PF/QlfyUndSect4940eForReducedTax/QualifyingDistributionsYear1 | 0 | 5526 |
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| IRS990PF/QlfyUndSect4940eForReducedTax/QualifyingDistributionsYear3 | 0 | 10010 |
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| IRS990PF/QlfyUndSect4940eForReducedTax/QualifyingDistributionsYear5 | 0 | 20035 |
| IRS990PF/QlfyUndSect4940eForReducedTax/TotalDistributionRatio | 0 | 0.110835 |
| IRS990PF/QualifyingDistributions/AdjQualifyingDistributions | 0 | 13890 |
| IRS990PF/QualifyingDistributions/ExpensesAndContributions | 0 | 13905 |
| IRS990PF/QualifyingDistributions/OnePctSect4940eOrgNetInvstIncm | 0 | 15 |
| IRS990PF/QualifyingDistributions/QualifyingDistributions | 0 | 13905 |
| IRS990PF/RlnOfActyToAccomOfExemptPrps/RlnOfActyToAccomOfExemptPrps/LineNumber | 0 | 3 |
| IRS990PF/RlnOfActyToAccomOfExemptPrps/RlnOfActyToAccomOfExemptPrps/RelationshipStatement | 0 | INTEREST INCOME IS USED TO FURTHER THE CHARITABLE PURPOSE. |
| IRS990PF/StatementsRegardingActivities/ActivitiesNotPrevReported | 0 | false |
| IRS990PF/StatementsRegardingActivities/ApplicableInsuranceContract | 0 | false |
| IRS990PF/StatementsRegardingActivities/AtLeast5000InAssets | 0 | true |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfPersonName | 0 | CAROLYN BISHOP |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfPhoneNumber | 0 | 4258891205 |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/AddressLine1 | 0 | 5808 NE LAKE WASHINGTON BVD STE 215 |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/City | 0 | KIRKLAND |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/State | 0 | WA |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/ZIPCode | 0 | 98033 |
| IRS990PF/StatementsRegardingActivities/ComplyWithPublicInspectionRqr | 0 | true |
| IRS990PF/StatementsRegardingActivities/Form1120POLFiled | 0 | false |
| IRS990PF/StatementsRegardingActivities/Form990PFFiledWithAG | 0 | true |
| IRS990PF/StatementsRegardingActivities/InterestInControlledEntity | 0 | false |
| IRS990PF/StatementsRegardingActivities/LegislativePoliticalActivities | 0 | false |
| IRS990PF/StatementsRegardingActivities/MoreThan100Spent | 0 | false |
| IRS990PF/StatementsRegardingActivities/NewSubstantialContributors | 0 | false |
| IRS990PF/StatementsRegardingActivities/PrivateOperatingFoundation | 0 | true |
| IRS990PF/StatementsRegardingActivities/RequirementsOfSect508e | 0 | true |
| IRS990PF/StatementsRegardingActivities/StatesFiledWith | 0 | WA |
| IRS990PF/StatementsRegardingActivities/TerminationEtc | 0 | false |
| IRS990PF/StatementsRegardingActivities/UnrelatedBusIncomeOver1000 | 0 | false |
| IRS990PF/StatementsRegardingActivities/WebsiteAddress | 0 | N/A |
| IRS990PF/StatementsRegardingActy4720/ActsFailToQualifyAsExceptions | 0 | false |
| IRS990PF/StatementsRegardingActy4720/BorrowOrLendWithDsqflyPerson | 0 | false |
| IRS990PF/StatementsRegardingActy4720/BusinessHoldings | 0 | false |
| IRS990PF/StatementsRegardingActy4720/FurnishedGoodsWithDsqflyPerson | 0 | true |
| IRS990PF/StatementsRegardingActy4720/GrantsToIndividuals | 0 | false |
| IRS990PF/StatementsRegardingActy4720/GrantsToOrganizations | 0 | false |
| IRS990PF/StatementsRegardingActy4720/InfluenceElection | 0 | false |
| IRS990PF/StatementsRegardingActy4720/InfluenceLegislation | 0 | false |
| IRS990PF/StatementsRegardingActy4720/JeopardyInvestments | 0 | false |
| IRS990PF/StatementsRegardingActy4720/NoncharitablePurpose | 0 | false |
| IRS990PF/StatementsRegardingActy4720/PayCompensationToDsqflyPerson | 0 | false |
| IRS990PF/StatementsRegardingActy4720/PaymentToGovernmentOffical | 0 | false |
| IRS990PF/StatementsRegardingActy4720/PayPremiumsPrsnlBnftContract | 0 | false |
| IRS990PF/StatementsRegardingActy4720/RcvFundsToPayPrsnlBnftContract | 0 | false |
| IRS990PF/StatementsRegardingActy4720/SaleOrExchangeWithDsqflyPerson | 0 | false |
| IRS990PF/StatementsRegardingActy4720/TransferAssetsToDsqflyPerson | 0 | false |
| IRS990PF/StatementsRegardingActy4720/UncorrectedJeopardyInvestments | 0 | false |
| IRS990PF/StatementsRegardingActy4720/UncorrectedPriorActs | 0 | false |
| IRS990PF/StatementsRegardingActy4720/UndistributedIncomePriorYears | 0 | false |
| IRS990PF/SummaryOfDirectCharitableActy/Description1 | 0 | THE FOUNDATION SEEKS OUT AND STUDIES ALERNATIVE, NON-TRADITIONAL TREATMENT OPTIONS FOR RARE FORMS OF CANCER; IT PROVIDES GRANTS FOR ALTERNATIVE, NON-TRADITIONAL TREATMENTS TO PATIENTS WITH RARE FORMS OF CANCER. |
| IRS990PF/SummaryOfDirectCharitableActy/Expenses1 | 0 | 13759 |
| IRS990PF/SumOfProgramRelatedInvestments/Description1 | 0 | N/A |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/FormAndInfoAndMaterials | 0 | WRITTEN REQUESTS AND APPROPRIATE SUPPORTING INFORMATION THAT INCLUDE SPECIFIC PATIENT ASSISTANCE INFORMATION THAT MEET THE OBJECTIVES OF THE FOUNDATION FOR ELIGIBLE INDIVIDUALS. |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientName | 0 | CAROLYN BISHOP |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientPhoneNumber | 0 | 4258891205 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/AddressLine1 | 0 | 5808 NE LK WA BLVD STE 215 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/City | 0 | KIRKLAND |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/State | 0 | WA |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/ZIPCode | 0 | 98033 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RestrictionsOnAwards | 0 | THE FOUNDATION SEEKS OUT AND STUDIES ALTERNATIVE, NON-TRADITIONAL TREATMENT OPTIONS FOR RARE FORMS OF CANCER; IT PROVIDES GRANTS FOR ALTERNATIVE, NON-TRADITIONAL TREATMENTS TO PATIENTS WITH RARE FORMS OF CANCER. |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/SubmissionDeadlines | 0 | NONE |
| IRS990PF/SupplementaryInformation/ContributingManager | 0 | RICHARD W HOTES |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount | 0 | 13759 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution | 0 | MEDICAL CARE AND HUMANITARIAN ASSIST |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientPersonName | 0 | RAMONA WIMBERLY |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientRelationship | 0 | NONE |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1 | 0 | REDACTED |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City | 0 | LAKEWOOD |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State | 0 | WA |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode | 0 | 98409 |
| IRS990PF/SupplementaryInformation/TotGrantOrContriPaidDuringYear | 0 | 13759 |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/LoansOrLoanGuarantees | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PerformanceOfServicesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PurchaseAssetsNoncharitableEO | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/ReimbursementArrangements | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RelationshipsNoncharitableEOs | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RentalOfFacilitiesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SalesOrExchangesOfAssets | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SharingOfFacilitiesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOfCashToNoncharitableEO | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOthAssetsNoncharitableEO | 0 | false |
| LegalFeesSchedule/LegalFees/Amount | 0 | 108 |
| LegalFeesSchedule/LegalFees/Category | 0 | LEGAL FEES |
| OtherExpensesSchedule/OtherExpenses/AdjustedNetIncome | 0 | 38 |
| OtherExpensesSchedule/OtherExpenses/Description | 0 | EXPENSES |
| OtherExpensesSchedule/OtherExpenses/Description | 1 | BANK FEES AND FINANCE CHARGES |
| OtherExpensesSchedule/OtherExpenses/DisbursementsCharitablePrps | 0 | 38 |
| OtherExpensesSchedule/OtherExpenses/NetInvestmentIncome | 0 | 38 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 0 | 76 |
| ReturnHeader/BuildTS | 0 | 2016-02-24 21:20:13Z |
| ReturnHeader/Filer/EIN | 0 | 010760063 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | JANICE A LARSEN |
| ReturnHeader/Filer/Name/BusinessNameLine2 | 0 | FOUNDATION |
| ReturnHeader/Filer/NameControl | 0 | JANI |
| ReturnHeader/Filer/Phone | 0 | 4258895892 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 5808 NE LAKE WASHINGTON BLVD |
| ReturnHeader/Filer/USAddress/AddressLine2 | 0 | ROOM/SUITE 215 |
| ReturnHeader/Filer/USAddress/City | 0 | KIRKLAND |
| ReturnHeader/Filer/USAddress/State | 0 | WA |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 98033 |
| ReturnHeader/Officer/DateSigned | 0 | 2012-11-15 |
| ReturnHeader/Officer/Name | 0 | CAROLYN BISHOP |
| ReturnHeader/Officer/Phone | 0 | 4258895892 |
| ReturnHeader/Officer/Title | 0 | SECRETARY |
| ReturnHeader/Preparer/DatePrepared | 0 | 2012-11-15 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | RYAN & WETMORE PC |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 8484 GEORGIA AVE STE 920 |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | SILVER SPRING |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | MD |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 20910 |
| ReturnHeader/Preparer/Name | 0 | PETER T RYAN CPA |
| ReturnHeader/Preparer/Phone | 0 | 3015850506 |
| ReturnHeader/ReturnType | 0 | 990PF |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2011-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2011-12-31 |
| ReturnHeader/TaxYear | 0 | 2011 |
| ReturnHeader/Timestamp | 0 | 2012-11-15T17:41:36-06:00 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2011 • Form 990PFDetailed filing. Detailed filing data is available for this year.
- Assets
- $535,789
- Liabilities
- $0
- Net assets
- $535,789
- Revenue
- -
- Expenses
- $13,943
- Net income
- -