Return of Private Foundation...

AOL

form 99O-PFDepartme 'it of the Treasury

• Return of Private Foundationor Section 4947(a)(1) Trust Treated as Private Foundation

► Do not enter social security numbers on this form as it may be made public.

Information about Form 990-PF and its separate instructions is at www.Irs.gov1forrn

OMB No 1545-0052

2014Foralendaryear2014ortaxyear beginning and ending

Name of foundation A Employer identification number

r- a,M,t'DTnTT ' OTTINTnnmTOW7

1!

L7

w

20-3421717

Number and street (or P O box number if mail is not delivered to street address) Room/suite B Telephone number

1904 THIRD AVENUE 405 206-686-5310City or town, state or province, country, and ZIP or foreign postal code C It exemption application is pending, check here

SEATTLE , WA 98101

G Check all that apply: 0 Initial return 0 Initial return of a former public charity D 1. Foreign organizations, check here

0 Final return Amended return

0 Address chan g e 0 Name chan g e2. Foreign organizations meeting the 85% test,

check here and attach computation

H Check type of organization: ® Section 501(c)(3) exempt private foundation E If private foundation status was terminated

0 Section 4947 ( a )( 1 ) nonexem p t charitable trust 0 Other taxable p rivate foundation under section 507(b)(1)(A), check here

I Fair market value of all assets at end of year J Accounting method: ® Cash 0 Accrual F If the foundation is in a 60-month termination

(from Part Il, col. (c), line 16) 0 Other (specify) under section 507(b)(1)(B), check here

► $ 41329392 . (Part 1, 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

(a) Revenue andexpenses p er books

(b ) Net investmentincome

(c) Adjusted netincome

(d) Disbursementsfor charitable purposes

necessarily equal the amounts in column (a)) (cash basis only)

1 Contributions, gifts, grants, etc., received 139865002 Check It the foundation is not required to attach Sch B

3Interest

nvestmentssand temporary 326. 326. 326 . TATEMENT 2

4 Dividends and interest from securities 386825. 386825. 386825 . STATEMENT 3

5a Gross rents

b Net rental income or (loss)

6a Net gain or (loss) from sale of assets not on line 10 408131. STATEMENT 1M Gross sales price for all 19696825.b a ets on line 8ass

7 Capital gain net income (from Part IV, line 2) 16147675 .N

8 Net short-term capital gain - N/A

9 Income modificationsGross sales less returns

10a and allowances

b Less Cost of goods sold

t

^•fi-+ • • r•• + '+

c Gross profit or (loss)N'J t^ t. / L5 I-'

11 Other income

12 Total. Add lines 1 throw h 11 14781782. 1653482,6 . r 387151.13 Compensation of officers , directors , trustees , etc 8 757 . itO'' ! --` 0 . 8757 .14 Other employee salaries and wages 4108 . 0. 0 . 4108 .15 Pension plans, employee benefits 15 618 . 0. 0 . 15 618 .16a Legal fees STMT 4 419 3 . 0. 0. 419 3 .

Q b Accounting fees STMT 5 29070. 0. 0. 29070.W STMT 6c Other professional fees 62583. 0. 0. 62583.-

17 Interest

18 Taxes STMT 7 7067. 5578. 0. 1489.19 Depreciation and depletion 8 4 3 5. 0. 14073 .

E 20 Occupancy

a 21 Travel, conferences, and meetings 111875 . 0. 0 . 111875 .

c 22 Printing and publications 1610 . 0. 0 . 1610 .M 23 Other expenses STMT 8 848015. 86965. 0. 761050.M 24 Total operating and administrative

expenses . Add lines 13 through 23 1101331 . 92543. 14073. 1000353 .0 25 Contributions, gifts, grants paid 5164120 . 5164120 .

26 Total expenses and disbursements.

Add lines 24 and 25 6265451. 92543. 14073. 6164473.27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements 8516331 .b Net investment income (if negative , enter -0-) 16442283.c Adjusted net income (if negative, enter -0-) 373078. 1

42350111-24-14 LHA For Paperwork Reduction Act Notice , see instructions. F orm

1 `09150626 786765 705706 2014.03050 CAMPION FOUNDATION 705 0 _1 -

4 Lrm..., nnn nc innlA\ l421MDTrIN F(1TT Trs mT(1N 2f1-*I&21717 Pnnp9

Sheets Atlachedschedules andamountslnthedescnphonl

Beginning of year End of yearancePart II Ba column should be for end -o f-year amounts only k V lB B lk V kF M t V l(a) ueoo a (b) oo a ue arair a ue(c) e

1 Cash - non-interest-bearing

2 Savings and temporary cash investments 61630. 319301. 319301.3 Accounts receivable ►

Less: allowance for doubtful accounts ►4 Pledges receivable ►

Less: allowance for doubtful accounts ►5 Grants receivable

6 Receivables due from officers, directors, trustees, and other

disqualified persons

7 Other notes and loans receivable ►

Less: allowance for doubtful accounts ►8 Inventories for sale or use

N 9 Prepaid expenses and deferred charges

a 10a Investments -U.S. and state government obligations STMT 11 8 0 6 8 0 2 3 . 12787715. 12787715.b Investments - corporate stock STMT 12 19312694. 21457851. 21457851.c Investments - corporate bonds STMT 13 2201850. 4594928. 4594928.

11 Investments - land, buildings , and equipment basis ►

Less accumulated depreciation ►

12 Investments - mortgage loans

13 Investments - other STMT 14 1089089. 2096798. 2096798.14 Land, buildings, and equipment basis ► 2 2 2 6 5 7 .

Less accumulated depreciation STMT 1501- 161374. 1 69718. 61283. 61283.15 Other assets (describe ► STATEMENT 16 ) 186516. 11516. 11516.16 Total assets (to be completed by all filers - see the

instructions. Alsn see p a g e 1 Item 1) 30989520. 4132939 2. 329392.17 Accounts payable and accrued expenses

18 Grants payable

ca 19 Deferred revenue

20 Loans from officers, directors , trustees , and other disqualified persons

25 21 Mortgages and other notes payable

J 22 Other liabilities (describe ►

23 Total liabilities ( add lines 17 throu g h 22 ) 0 . 0.

Foundations that follow SFAS 117, check here ►and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted 30989520. 41329392.a 25 Temporarily restricted

m 26 Permanently restricted

C Foundations that do not follow SFAS 117, check here ► 0LL and complete lines 27 through 31.

y 27 Capital stock, trust principal, or current funds

y 28 Paid -in or capital surplus, or land, bldg., and equipment fund

< 29 Retained earnings, accumulated income, endowment, or other funds

Z 30 Total net assets or fund balances 30989520. 41329392.

31 Total liabilities and net assets/fund balances 30989520. 1 41329392. 1

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 30

(must agree with end-of-year figure reported on prior year's return) _ 1 3 0 9 8 9 5 2 02 Enter amount from Part I, line 27a 2 .85163313 Other increases not included in line 2 (itemize) ► UNREALI ZED GAIN 3 1940281.4 Add lines 1, 2, and 3 4 41446132.5 Decreases not included in line 2 (itemize) ► SEE STATEMENT 10 5 116740.6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b) Itne 30 6 41329392.

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209150626 786765 705706 2014.03050 CAMPION FOUNDATION

Form 990-PF (2014)

7057061

Form 990-P,F (2014) CAMP ION FOUNDATION 20-3421717 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 acquiredPurchase

D Donation

(c) Date acquired(mo., day, yr.)

(d) Date sold(mo., day, yr.)

la

b SEE ATTACHED STATEMENTCd

e

(e) Gross sales price (f) Depreciation allowed(or allowable)

(g) Cost or other basisplus expense of sale

(h) Gain or (loss)(e) plus (f) minus (g)

a

b

c

d

e 19696825. 3549150. 16147675.Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col. (h) gain minus

(i) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69

(k) Excess of col. (Qover col. (j), it any

c ol. (k), but not less than -0-) orLosses (from col. (h))

a

b

c

d

e 16147675.

2 Capital gain net income or (net capital loss)r If gain, also enter in Part I, line 7

If (loss), enter -0- in Part I, line 7 2 1.6147675.

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).If ( loss ), enter -0- in Part I line 8 3 10407484.

Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? =Yes ® No

If 'Yes," the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appro priate amount in each column for each year; see the instructions before making any entries.

Base( or axoyear

yearsCalendar year y m Adjusted qualifying distributions Net value of noncharitable-use assets

Di)divided

dedby

co(col. (b) divided by col. (c))

2013 5929291. 22725401. .2609102012 6565602. 19023514. .3451312011 7151138. 24014361. .2977862010 5983022. 29184604. .2050062009 5804572. 36052232. .161005

2 Total of line 1, column (d) 2 1. 2 6 9 8 3 83 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5,

the foundation has been in existence if less than 5 years

or by the number of years

3 .253968

4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5 4 3 0 7 0 2 6 0 0 .

5 Multiply line 4 by line 3 5 7797478.

6 Enter 1% of net investment income (1% of Part I, line 27b) 6 164423.

7 Add lines 5 and 6 7 7961901.

8 Enter qualifying distributions from Part XII, line 4 8 6164473.If line 8 is equal to or greater than line 7, check the box in Part VI , line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.

423521 11-24-14


Form 990-PF (2014)

7057061

Fbrm 990-PF (2014 ) CAMP I ON FOUNDATION 20-3421717 Pa e 4Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

la Epmpt operating foundations described in section 4940(d)(2), check here ► L-_1 and enter "N/A" on line 1.

Date of ruling or determination letter: ( attach copy of letter if necessary-see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ►0 and enter 1% 1 3 2 8 8 4 6 .of Part I, line 27b

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b).

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0.

3 Add lines 1 and 2 3 328846.4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0.

5 Tax based on investment income . Subtract line 4 from line 3. If zero or less, enter -0- 5 328846.6 Credits/Payments:

a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 3 5 7 0 0 .b Exempt foreign organizations - tax withheld at source 6b

c Tax paid with application for extension of time to file (Form 8868) 6c

d Backup withholding erroneously withheld 6d

7 Total credits and payments. Add lines 6a through 6d 7 3 5 7 0 0 .

8 Enter any penalty for underpayment of estimated tax. Check here ® If Form 2220 is attached 8 .1280.

9 Tax due If the total of lines 5 and 8 is more than line 7, enter amount owed SEE STATEMENT 17 ► 9 2 9 4 4 2 6 .10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10

11 Enter the amount of line 10 to be: Credited to 2015 estimated tax 00, Refunded Do- 11

Part VII-A Statements Regarding Activities

la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No

any political campaign? la X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for the definition)? lb X

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-POD for this year? 1c X

d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. ► $ 0. (2) On foundation managers. Jo- $ 0.

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers. ► $ 0.2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 X

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 X

4a Did the foundation have unrelated business gross income of $1,000 or more during the year? 4a X

b If "Yes; has it filed a tax return on Form 990-T for this year? N/A 4b

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 X

If "Yes, " attach the statement required by General Instruction T

6 Are the requirements of section 508(e) (relating,to sections 4941 through 4945) satisfied either:

• By language in the governing instrument, or

• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law

remain in the governing instrument? 6 X

7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes, " complete Part 11, col. (c), and Part XV 7 X

8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►

WAb 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 G2 If "No," attach explanation 8b X

9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(l)(5) for calendar

year 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)? If "Yes, " complete Part XIV 9 X

10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listin g their names and addresses STMT 18 10 XForm 990-PF (2014)

42353111-24-14

409150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

brm990-PR 2014 CAMPIUN b'UUNUA'1'1UN LU-.S4L1 /l / Na e5

Part VII-A Statements Regarding Activities (continued)

11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of

section 512(b)(13)? If'Yes, attach schedule (see instructions) 11 X

12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?

" attach statement (see instructions)If 'Yes 12 X,

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X

Website address ► WWW. CAMP IONFOUNDATION . ORG

14 The books are in care of ► LISA JAGUZNY Telephone no. ► 2 0 6- 68 6- 5 310

Located at ► 19 0 4 THIRD AVE, STE 405, SEATTLE, WA ZIP+4 ►9 810115 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ► E]

and enter the amount of tax-exempt interest received or accrued during the year ► 15 N/A

16 At any time during calendar year 2014, did the foundation have an interest in or a signature or other authority over a bank, Yes No

securities, or other financial account in a foreign country? 16 X

See the instructions for exceptions and filing requirements for FinCEN Form 114, (formerly TD F 90-22.1). If 'Yes,' enter the name of the

forei g n country

Part VII-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

la 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? Yes ® No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? Yes No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes ® No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? _ D Yes ® No

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? Yes ® 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.) Yes ® No

b If any answer is "Yes" to la(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)? N/A lb

Organizations relying on a current notice regarding disaster assistance check here ►0

c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected

before the first day of the tax year beginning in 2014? 1c X

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(1)(5)):

a At the end of tax year 2014, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning

before 2014? Yes ® No

If 'Yes,' list the years ►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.) N/A 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.

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time

during the year'? Yes ® No

b If'Yes,° did it have excess business holdings in 2014 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 2014) N/A 3b

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X

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 ieooardv before the first day of the tax year beginning in 20149 4b X

42354111-24-14


Form 990-PF (2014)

7057061

For',m990-PF"2014 CAMPION r'UUNL)A'V.LUN LU-J4L17 1 l Pa e6Wart Statements Reaardina Activities for Which Form 4720 May Be Required (continued)

5a During the year did the foundation pay or incur any amount to:

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? Yes ® No

(2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly,

any voter registration drive? 0 Yes ® No

(3) Provide a grant to an individual for travel, study, or other similar purposes? 0 Yes ® No

(4) Provide a grant to an organization other than a charitable, etc., organization described in section

4945(d)(4)(A)9 (see instructions) ® Yes = 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? 0 Yes ® 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 X

Organizations relying on a current notice regarding disaster assistance check here ►c 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? SEE STATEMENT 22 ® Yes No

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 contracts Yes ® No

b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X

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? 0 Yes ® No

b If 'Yes , ' did the foundation receive any p roceeds or have an y net income attributable to the transaction? N /A 7b

Part VIII Information About Officers , Directors, Trustees, Foundation Managers , HighlyPaid Employees, and Contractors

1 List all officers, directors , trustees, foundation managers and their compensation.

(a) Name and address(b) Title, and average

hours per week devotedto position

(c) Compensation( If not paid,enter -0 -)

(d) Contributions to

emp andedeterredplanscompensation

e) Expenseaccount, otherallowances

SEE STATEMENT 21 8757. 9757. 0.

2 Compensation of five highest-oaid emolovees (other than those included on line 1). It none. enter "NONE."

(a) Name and address of each employee paid more than $50,000(b) Title, and average

hours per weekdevoted to position

(c) Compensation

( d) Contributionstoemp l oyee benefit plans

compensation

(e)Ex p enseaccount, otherallowances

NONE

Total number of other employees paid over $50,000 ► 1 0Form 990-PF (2014)

42355111-24-14


Form 990-Pf ( 2014 ) CAMP ION FOUNDATION 20-3421717

Part VIII Information About Officers , birectors , Trustees , Foundation Managers, HighlyPaid Employees , and Contractors (continued)

3 Five highest-paid independent contractors for professional services. If none, enter " NONE."

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

NONE

Total number of others receivin g over $50 , 000 for p rofessional services ► 0

Part IX-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 thenumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc.

Expenses

1 N/A

2

3

4

Part IX-B I Summary of Program-Related InvestmentsDescribe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount

1 N/A

2

All other program-related investments. See instructions.

3

Total. Add lines 1 throug h 3 ► 0.

Form 990-PF (2014)

42358111-24-14


Form 990-Pr- 2014 CAMP ION FOUNDATION 20-3421717 Part X

Minimum Investment Return (AII 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 21369867.b Average of monthly cash balances 1b 9800285.

c Fair market value of all other assets 1c

d Total (add lines la, b, and c) 1d 31170152 .e Reduction claimed for blockage or other factors reported on lines la and

1c (attach detailed explanation) le 0.

2 Acquisition indebtedness applicable to line 1 assets 2 0 .

3 Subtract line 2 from line ld 31170152 .

4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 4 6 7 5 5 2 .5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 3 0 7 0 2 6 0 0 .

6 Minimum investment return . Enter 5% of line 5 6 1535130 .Part XI Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain

foreign organizations check here ► 0 and do not complete this part.)

1 Minimum investment return from Part X, line 6 1 1535130 .2a Tax on investment income for 2014 from Part VI, line 5 2a 3 2 8 8 4 6 .

b Income tax for 2014. (This does not include the tax from Part VI.) 2b

c Add lines 2a and 2b 2c 328846.3 Distributable amount before adjustments. Subtract line 2c from line 1 3 1206284 .

4 Recoveries of amounts treated as qualifying distributions 0 .

5 Add lines 3 and 4 5 1206284.

6 Deduction from distributable amount (see instructions) 6 0 .

7 Distributable amount as ad usted. Subtract line 6 from line 5. Enter here and on Part XIII line 1 7 1206284 .Part XII

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 la 6164473.b Program-related investments - total from Part IX-B lb 0.

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 2

3 Amounts set aside for specific charitable projects that satisfy the:

a Suitability test (prior IRS approval required) 3a

b Cash distribution test (attach the required schedule) 3b

4 Qualifying distributions . Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 _ 4 6164473.5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b 5 0.

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 6164473.Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation

4940(e) reduction of tax in those years.

qualifie s for the section

Form 990-PF (2014)

42357111-24-14


Fbrm 990-Pr- (2014) CAMP ION FOUNDATION 20-3421717

Part XIII Undistributed Income (see instructions)

1 Distributable amount for 2014 from Part XI,

line 7

2 Undistributed income, if any , as of the end of 2014

a Enter amount for 2013 only

b Total for prior years:

3 Excess distributions carryover, if any, to 2014:

a From 2009 4014063.bFrom 2010 4535438.cFrom 2011 5959402.dFrom 2012 5687094.eFrom 2013 5022303.f Total of lines 3a through e

4 Qualifying distributions for 2014 from

Part X I line 4: ► $ 6164473.

a Applied to 2013, 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 2014 distributable amount

e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2014(if an amount appears in column (d), the same amount

must be shown in column (a) )

6 Enter the net total of each column asindicated below:

a Corpus Add fines 3f , 4c, and 4e Subtract line 5

b Prior years' undistributed income. Subtract

line 4b from line 2b

c Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued, or on whichthe section 4942(a) tax has been previouslyassessed

d Subtract line 6c from line 6b. Taxable

amount - see instructions

e Undistributed income for 2013. Subtract line

4a from line 2a. Taxable amount - see mstr.

f Undistributed income for 2014. Subtract

lines 4d and 5 from line 1. This amount must

be distributed in 2015

7 Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170(b)(1)(F) or4942(g)(3) (Election

may be required - see instructions)

8 Excess distributions carryover from 2009

not applied on line 5 or line 7

9 Excess distributions carryover to 2015.

Subtract lines 7 and 8 from line 6a

10 Analysis of line 9:

a Excess from 2010 4535438.

b Excess from 2011 5959402.

c Excess from 2012 5687094.

d Excess from 2013 5022303.

e Excess from 2014 4958189.11-24-14

09150626 786765 705706

(a) (b) (c) (d)Corpus Years prior to 2013 2013 2014

1206284.

0.

0.

5218300.

0.

0.

0.

4958189. 11206284.

0. 0.

0176489.

0.

0.

0.

0.

92014.03050 CAMPION FOUNDATION

Form 990-PF (2014)

7057061

Form 990-PF (2014 Idations (see instructions and Part VII•A,

1 a lf,the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2014, enter the date of the ruling

h Check box to indicate whether the foundation is a private operating foundation described in section E:1 4942 (1)(3) or = 4942(i)(5)

20-3421717

9) N /A

2 a Enter the lesser of the adjusted net Tax year Prior 3 years

income from Part I or the minimum (a) 2014 (b) 2013 (c) 2012 (d) 2011 (e) Total

investment return from Part X for

each year listed

b 85% of line 2a

c Qualifying distributions from Part XII,

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 2c3 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 qualifyingunder section 4942(j)(3)(B)(i)

b "Endowment' alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted

c "Support alternative test - enter:

(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(f)(3)(B)(ui)

(3) Largest amount of support from

an exempt organization

( 4 ) Gros s investment incomePart XV Sunnlementarv Information (Complete this Dart only if the foundation had 55.000 or more in assets

at any time during the year-see instructions.)

1 Information Regarding Foundation Managers:

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any taxyear (but only if they have contributed more than $5,000). (See section 507(d)(2).)

b List 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 orother entity) of which the foundation has a 10% or greater interest.

NONE

2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship , etc., Programs:

Check here ►® if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

a The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

LISA JAGUZNY, 206-686-5310

1904 THIRD AVE, STE 405, SEATTLE, WA 98101b The form in which applications should be submitted and information and materials they should include:

c Any submission deadlines:

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:

NONE

423601 11 -24-14 Form 990-PF (2014)


11

3 Grants and Contrihutions Paid Durina the Year or Aooroved for Future Payment

Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or

Name and address (home or business) any foundation manageror substantial contributor

status ofrecipient

contribution Amount

a Paid during the year

BARACK H OBAMA FOUNDATION 501(C)(3) FURTHER CHARITABLE

300 EAST RANDOLPH ST, #4030 GOALS

CHICAGO IL 60601 500000.

COLOMBIA LEGAL SERVICES 501(C)(3) FURTHER CHARITABLE

101 YESLER WAY, #300 GOALS

SEATTLE WA 98104-2552 10000.

GOLDEN GATE AUDUBON SOCIETY INC 5 01(C)(3) FURTHER CHARITABLE

2530 SAN PABLO AVE G GOALS

BERKELEY CA 94702 10000.

NATIONAL AUDUBON SOCIETY, INC. 501(C)(3) FURTHER CHARITABLE

220 MONTGOMERY ST GOALS

SAN FRANCIXCO CA 94104-3402 75000.

NATIONAL FISHING AND WILDLIFE O1(C)(3) FURTHER CHARITABLE

FOUNDATION GOALS

1113 15TH ST NW, #1100

WASHINGTON DC 20005 100000

Total SEE CONTINUATION SHEET S ► 3a 5164120 ,

b Approved for future payment

ALASKA WILDERNESS LEAGUE 501(C)(3) FURTHER CHARITABLE

122 C STREET NW, #240 GOALS

WASHINGTON DC 20001 1590000.

Total ► 3b 1 1590000.

423811Form 990-PF (2014)

11-24-14


rorm 990-Pt (2014) CAMP I ON FOUNDATION 20-3421717 Pane 12

Part XVI -A Analysis of Income-Producing Activities

Enter

1 Pr

a

b

c

d

e

f

9

2 Me

3 I nt

inv

4 Div

5 Ne

a

b

6 Ne

pr

7 Ot

8 Gai

tha

9 Ne

10 Gr

11 Ot

a

b

C

d

e

12 Su

nts unless otherwise indicated Unrelate d business income Exclu ded by section 512 , 513, or 514 (e).ross amou

gram service revenue:

(a)Businesscode

(b)Amount

E^c?„-5ioncode

(d)Amount

Related or exemptfunction income

Fees and contracts from government agencies

mbership dues and assessments

rest on savings and temporary cash

estments 14 3 2 6.idends and interest from securities 14 3 8 6 8 2 5.rental income or (loss) from real estate:

Debt-financed property

Not debt-financed property

rental income or (loss) from personal

perty

er investment income 01n or (loss) from sales of assets other

n inventory 18 4 0 8131 .income or (loss) from special events

ss profit or (loss) from sales of inventory

errevenue:

btotal. Add columns (b), (d), and (e) 0. 1 7 9 5 2 8 2 .

g

o

B

t

t

o

h

t

o

h

0.

13 Total. Add line 12, columns (b), (d), and (e) 13 7 9 5 2 8 2 .

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

12 -09150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

1;2414 Form 990-PF (2014)

Fbrm 990-Pf 2014 CAMP ION FOUNDATION 20-3421717 Pa e 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No

the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of

(1) Cash 1a 1 X

(2) Other assets 1a(211 X

b Other transactions:

(1) Sales of assets to a noncharitable exempt organization 1b 1 X

(2) Purchases of assets from a noncharitable exempt organization 1b 2 X

(3) Rental of facilities, equipment, or other assets 1b ( 3 ) X

(4) Reimbursement arrangements 1b ( 4 ) X

(5) Loans or loan guarantees lb ( 5 ) X

(6) Performance of services or membership or fundraising solicitations 1b ( 6 ) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees is X

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

(a) Name of organization (b) Type of organization (c) Description of relationship

CAMPION ADVOCACY FUND 501 ( C )( 4 ) SEE STATEMENT 23

Under penalti s of perjury, I declare that I have examined this return , including accompanying schedules and statements , and to the best of my knowledgeMay the IRS discuss this

Sign and bell , it is tr ct , and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledgereturn with the preparer

Here 7

Signature of officer or trustee Date

Print/Type preparer's name Prep is signature

LOREN D. HOSTEK,Paid CPArreparer Firm's name ► LOREN D. HOSTEK IF CPAUse Only

Flrm'saddress ► 4209 21ST AVE WEST, #4

42382211-24-14

09150626 786765 705706 2014.03050

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described

in section 501 ( c) of the Code ( other than section 501(c)(3)) or in section 5279 ® Yes No

h If "Yes ° cmmnlate tha fnllnwinn sr.harhile

Schedule B(Form 990, 990-EZ,or 990-PF)

Depart}nent of the AeasuryInternal Revenue Service

Name of the organization

Organization type (check one)-

Filers of: Section:

Form 990 or 990-EZ 501(c)( ) (enter number) organization

Schedule of Contributors00- Attach to Form 990, Form 990-EZ, or Form 990-PF.

10- Information about Schedule B (Form 990, 990-EZ, or 990-PF) andits instructions is at www.Irs.gov/form990 . 2014

Q 4947(a)(1) nonexempt charitable trust not treated as a private foundation

0 527 political organization

Form 990-PF ® 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

0 501(c)(3) taxable private foundation

OMB No 1545-0047

Employer identification number

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

® For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions

Special Rules

For an organization described in section 501 (c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under

sections 509(a)( 1) and 170 (b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13 , 16a, or 16b , and that received from

any one contributor , during the year , total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990 , Part VIII , line 1h,

or (u) Form 990- EZ, line 1 . Complete Parts I and II

D For an organization described in section 501 (c)(7), (8), or ( 10) filing Form 990 or 990- EZ that received from any one contributor, during the

year, total contributions of more than $1,000 exclusively for religious , charitable , scientific, literary , or educational purposes, or for

the prevention of cruelty to children or animals Complete Parts I, II, and III

0

Caution . An organization that is not covered by the General Rule and/or the Special Rules does not 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 990-PF, Part I, line 2, to

certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990, 990-EZ , or 990-PF. Schedule B (Form 990, 990-EZ , or 990 - PF) (2014)

For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the

year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box

is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc ,

purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively

religious, charitable, etc., contributions totaling $5,000 or more during the year ► $

42345111-05-14

Schedule 6 (Form 990, 990-EZ, or 990-PF

Name of organization

Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

2


(a)

No.

(b)

Name, address , and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

1 THOMAS AND SONYA CAMPION Person

1904 THIRD AVE, SUITE 405 $ 33375 00.

PayrollNoncash

SEATTLE, WA 98101

(Complete Part II fornoncash contributions.)

(a)

No.

(b)

Name , address, and ZIP + 4

(c)

Total contributions

(d)



1904 THIRD AVE, SUITE 405 $ 3485000 .Payroll

Noncash Ell

SEATTLE, WA 98101(Complete Part II fornoncash contributions.)

(a)

No.

(b)

Name , address, and ZIP + 4

(c)

Total contributions

(d)



1904 THIRD AVE, SUITE 405 $ 3454500 .Payroll

Noncash Eil

SEATTLE, WA 98101


(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)



1904 THIRD AVE, SUITE 405 $ 3709500 .

Payroll

Noncash Ef]

SEATTLE, WA 98101


(a)

No.

(b)

Name, address , and ZIP + 4

(c)

Total contributions

(d)


Person

$

Payroll Q

Noncash 0

(Complete Part II fornoncash contributions)

(a)

No.

(b)

Name, address, and ZIP + 4(C)

Total contributions

(d)


Person

$

Payroll Q

Noncash 0


423452 11-05-14 Schedule B (Form 990, 990-EZ, or 990-PF) (2014)


§chedule (Form 990,

Name of organization

or 990-P


-3421

3

Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed

No.

from

Part I

(b)Description of noncash property given

(FMV (or estimate)

(see instructions)

(d)Date received

100,000 SHARES OF ZUMIEZ INC COMMON1 STOCK

$ 3337500. 08/27/14

(a)No.

from

Part l


(c)

FMV (or estimate)

(see instructions )

(d)Date received


$ 3485000. 11/20/14

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received


$ 3454500. 12/08/14

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received


$ 3709500. 12/15/14

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

423453 11-05-14 Schedule B (Form 990, 990-EZ, or 990-PF) (2014)


,checiule IS (Form 990, 990-EZ, or 990-PF) (2014) Page 4

Name of organization Employer identification number

CAMPION'FOUNDATION 20-3421717Part 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 organizationscompleting Part III, enter the total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year (Enter this info once) 0'

I Ica di inhrata cnniae of Part III if aririrtinnal snaca is noeriari

(a) No.fromPart l

(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 Relationshi p of transferor to transferee

(a) No.fromPart I



Transferee's name , address , and ZIP + 4 Relationshi p of transferor to transferee

(a) No.fromPart I



Transferee's name , address , and ZIP + 4 Relationshi p of transferor to transferee

(a) No.fromPart l



Transferee's name, address , and ZIP + 4 Relationshi p of transferor to transferee

423454 11-05-14 Schedule B ( Form 990 , 990-EZ , or 990 - PF) (2014)


CONTINUATION FOR 990-PF, PART IV

CAMPION FOUNDATION 20-3421717 PAGE 1 OF 1J'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

D -Purchase (,Date acquired

(mo., day, yr.)(d) Date sold(mo., day, yr.)

la ZUMIEt INC - 100 , 000 SHS Pb ZUMIEZ INC - 100 , 000 SHS Pc ZUMIEZ INC - 100 , 000 SHS Pd ZUMIEZ INC - 4 , 993 SHS Pe ZUMIEZ INC - 167 , 162 SHS Pf SCHWAB #7813-4429 DETAIL ATTACHED ) PSCHWAB #7813-4429 DETAIL ATTACHED ) P

h CAPITAL GAINS DIVIDENDS

k

I

m

n

0

(e) Gross sales price (f) Depreciation allowed(or allowable)

(g) Cost or other basisplus expense of sale

(h) Gain or (loss)(e) plus (f) minus (g)

a 2969916. 2969916.b 3507485. 3507485.c 3594837. 3594837.d 189466. 189466.e 4914665. 4914665.f 973399. 827619. 145780.

3534613. 2721531. 813082.h 12444. 12444.

k

mn

0Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Losses (from col. (h))

(i) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69

(k) Excess of col. (i)over col. (I), if any

Gains (excess of col. (h) gain over col. (k),but not less than '-0")

a ** 2969916.b ** 3507485.c ** 3594837.d ** 189466.e 4914665.f ** 145780.

813082.h 12444.

k

mn

0

If gain, also enter in Part I, line 72 Capital gain net income or (net capital loss) ( If (loss) enter '-0" in Part I, line 7 f 2 16147675.,

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).If (loss), enter "-0=' in Part I, line 8 3 10407484.

42359105-01-14 ** (SHORT-TERM)


' CAMPION FOUNDATION 20-3421717Part XV Supplementary Information

3 Grants and Contributions Paid During the Year (Continuation)


Name and address (home or business) any foundation manager status of contribution Amount

or substantial contributor recipient

501 COMMONS 01(C)(3) FURTHER CHARITABLE

510 2ND AVE W GOALS

SEATTLE WA 98119-3928 50000 ,

ALASKA WILDERNESS LEAGUE 01(C)(3) FURTHER CHARITABLE

122 C STREET NW, #240 GOALS


ASSOC OF FUNDRAISING PROFESSIONAL - 01(C)(3) FURTHER CHARITABLE

WA CHAPTER GOALS

2150 N 107TH, SUITE 205

SEATTLE WA 98133 5000.

BUILDING CHANGES 01(C)(3) FURTHER CHARITABLE

2014 E. MADISON, #200 GOALS

SEATTLE WA 98122-2965 130000.

CANADIAN PARKS & WILDERNESS SOCIETY, CANADIAN FURTHER CHARITABLE

NW TERRITORIES CHAPTER ON-PROFIT GOALS

PO BOX 1934

YELLOWKNIFE, NORTHWEST TERRITORIES,

CANADA XIA 2P5 40000 ,

CANADIAN PARKS & WILDERNESS SOCIETY, CANADIAN FURTHER CHARITABLE

YUKON CHAPTER ON-PROFIT 0ALS

P 0 BOX 31095,211 MAIN ST

WHITEHORSE YUKON CANADA YIA 5P7 50000.

CATHOLIC COMMUNITY SVCS 01(C)(3) FURTHER CHARITABLE

100 23RD AVE SOUTH GOALS

SEATTLE WA 98144 27000.

CENTER FOR COMMUNITY CHANGE 501(C)(3) FURTHER CHARITABLE

1536 U STREET GOALS

WASHINGTON DC 20009-3912 15000.

CENTER ON BUDGET & POLICY PRIORITIES 01(C)(3) FURTHER CHARITABLE

820 FIRST STREET NE, SUITE 510 GOALS

WASHINGTON , DC 20002-8035 10000 ,

CONSERVATION LANDS FOUNDATION 01(C)(3) FURTHER CHARITABLE

835 E 2ND AVE, #314 GOALS

DURANGO , CO 81301 75000.

Total from continuation sheets 4469120 ,

42353105-01-14


CAMPION FOUNDATION 20-3421717I'Part XV Supplementary Information

3 Grants and Contributions Paid During the Year(Continuation)




CONSERVATION NORTHWEST 501(C)(3) FURTHER CHARITABLE

1208 BAY STREET #210 GOALS

BELLINGHAM WA 98225-4301 129825 ,

EARTHJUSTICE 501(C)(3) FURTHER CHARITABLE

50 CALIFORNIA ST, #500 GOALS

SAN FRANCISCO , CA 94111 50000 ,

ENVIRONMENTAL MINING EDUCATION CANADIAN FURTHER CHARITABLE

FOUNDATION ON-PROFIT GOALS

#401 2202 LAMBERT DR

COURTNEY, BRITISH COLUMBIA, CANADA

V9N 1Z8 50000 ,

FAITH ACTION NETWORK 501(C)(3) FURTHER CHARITABLE

6218 BEACON AVE S GOALS

SEATTLE , WA 98108 30000.

FOREST ETHICS 501(C)(3) FURTHER CHARITABLE

ONE HAIGHT STREET GOALS

SAN FRANCISCO WA 94102 200000.

FRIENDS OF SCOTCHMAN PEAKS WILDERNESS 501(C)(3) FURTHER CHARITABLE

P 0 BOX 2061 GOALS

SANDPOINT ID 83864-0900 20000 ,

GRANTS MANAGERS NETWORK 501(C)(3) FURTHER CHARITABLE

1666 K STREET NW, #440 GOALS


GRIST MAGAZINE 501(C)(3) FURTHER CHARITABLE

710 SECOND AVE, SUITE 860 GOALS

SEATTLE , WA 98104-1742 50000.

HOMESIGHT 501(C)(3) FURTHER CHARITABLE

5117 RAINIER AVE S GOALS

SEATTLE WA 98118 10000.

HOUSING CONSORTIUM - EVERTT/SNOHOMISH 501(C)(3) FURTHER CHARITABLE

COUNTY OALS

P 0 BOX 1326

EVERETT , WA 98206-1326 15000 ,

Total from continuation sheets

42363105-01-14


' CAMPION FOUNDATION 20-3421717'Part XV Supplementary Information





HOUSING DEVELOPMENT CONSORTIUM OF 01(C)(3) FURTHER CHARITABLE

SEATTLE-KING COUNTY GOALS

1402 THIRD AVE, SUITE 1230

SEATTLE WA 98101 15000.

IDAHO CONSERVATION LEAGUE 01(C)(3) FURTHER CHARITABLE

P 0 BOX 844 GOALS

BOISE ID 83701 105000.

INDEPENDENT SECTOR 01(C)(3) FURTHER CHARITABLE

1602 L ST NW, #900 GOALS


LEAGUE OF CONSERVATION VOTERS 01(C)(3) FURTHER CHARITABLE

EDUCATION FUND GOALS

1920 L ST NW, #800

WASHINGTON DC 20036-5045 200000.

MOCKINGBIRD SOCIETY 501(C)(3) FURTHER CHARITABLE

2100 24TH AVE SOUTH, #240 GOALS

SEATTLE WA 98144-4637 55000.

MONTANA WILDERNESS ASSOC 01(C)(3) FURTHER CHARITABLE

80 S WARREN STR GOALS

HELENA MT 59601-5704 205000.

NATIONAL AUDUBON SOCIETY ALASKA 01(C)(3) FURTHER CHARITABLE

431 WEST SEVENTH AVE, SUITE 101 GOALS

ANCHORAGE . AK 99501 225000.

NATIONAL LOW INCOME HOUSING COALITION 01(C)(3) FURTHER CHARITABLE

727 15TH STREET NW, 6TH FLOOR GOALS

WASHINGTON DC 20005-2168 22500.

THE NATURE CONSERVANCY, CANADA 01(C)(3) FURTHER CHARITABLE

PROGRAM GOALS

C/O MIKE PALMER,5020 52ND ST

YELLOWKNIFE, NORTHWEST TERRITORIES,

CANADA NTX1A1T4 40000.

PEW CHARITABLE TRUSTS 01(C)(3) FURTHER CHARITABLE

901 E STREET NW GOALS



42363105-01-14


' CAMPION FOUNDATION 20-3421717'Part XV Supplementary Information





RIVERS WITHOUT BORDERS 01(C)(3) FURTHER CHARITABLE

P 0 BOX 154 GOALS

CLINTON WA 98236 40000.

SEATTLE/KING CO COALITION ON 01(C)(3) FURTHER CHARITABLE

HOMELESSNESS GOALS

77 SOUTH WASHINGTON STREET

SEATTLE WA 98104-2519 35000.

SOLID GROUND WASHINGTON O1(C)(3) FURTHER CHARITABLE

1501 NORTH 45TH ST 'GOALS

SEATTLE WA 98103-6708 41000.

SPOKANE LOW INCOME HOUSING CONSORTIUM 501(C)(3) FURTHER CHARITABLE

315 W MISSION, SUITE 25B GOALS

SPOKANE WA 99201 25000.

TACOMA-PIERCE COUNTY AFFORDABLE 01(C)(3) FURTHER CHARITABLE

HOUSING CONSORTIUM GOALS

1323 SOUTH YAKIMA AVE

TACOMA WA 98405-4457 15000.

TIDES FOUNDATION CANADA CANADIAN FURTHER CHARITABLE

#400 163 W HASTINGS ST ON-PROFIT GOALS

VANCOUVER, BRITISH COLUMBIA, CANADA

V6B1H5 30000 ,

TROUT UNLIMITED, ALASKA 01(C)(3) FURTHER CHARITABLE

3105 LAKESHORE DR, #102B GOALS

ANCHORAGE AX 99517 200000 ,

TRUSTEES FOR ALASKA 01(C)(3) FURTHER CHARITABLE

1026 W 4TH, SUITE 201 GOALS

ANCHORAGE AK 99501-1980 10000.

WASHINGTON STATE COMMUNITY ACTION 501(C)(3) FURTHER CHARITABLE

PARTNERSHIP GOALS

P 0 BOX 7130

OLYMPIA WA 98507 40000 ,

WASHINGTON LOW INCOME HOUSING 01(C)(3) FURTHER CHARITABLE

ALLIANCE OALS

1411 FOURTH AVE, SUITE 850

SEATTLE WA 98101 255000 ,


42383105-01-14


CAMPION FOUNDATION 20-3421717'Part XV Supplementary Information


Recipient If recipient is an individual,•• show any relationship to Foundation Purpose of grant or



WASHINGTON NONPROFITS 501(C)(3) FURTHER CHARITABLE

120 STATE AVE, #303 GOALS

OLYMPIA WA 98501 53000.

WASHINGTON STATE BUDGET & POLICY 01(C)(3) FURTHER CHARITABLE

CENTER OALS

1402 THIRD AVE, SUITE 1215

SEATTLE WA 98101-2195 52500.

WELLSPRING FAMILY SERVICES O1(C)(3) FURTHER CHARITABLE

1900 RAINIER AVE SOUTH GOALS

SEATTLE WA 98122 5000 ,

WESTERN REGIONAL ADVOCACY PROJECT 501(C)(3) FURTHER CHARITABLE

2940 16TH STREET, SUITE 200-2 GOALS

SAN FRANCISCO CA 94103 5000.

YAAK VALLEY FOREST COUNCIL 01(C)(3) FURTHER CHARITABLE

256 RIVERVIEW DR GOALS

TROY MT 59935-9846 20000.

YOUTHCARE 01(C)(3) FURTHER CHARITABLE

2500 NE 54TH ST GOALS

SEATTLE WA 98105 5000.

YUKON CONSERVATION SOCIETY CANADIAN FURTHER CHARITABLE

302 HAWKINS STREET ON-PROFIT GOALS

WHITEHORSE YUKON CANADA Y1A1X6 80000.

YWCA ASSOC SEATTLE-KING-SNOHOMISH 501(C)(3) FURTHER CHARITABLE

COUNTIES GOALS

1118 5TH AVE

SEATTLE WA 98101-3001 25795.

NEW MEXICO WILDERNESS ALLIANCE 01(C)(3) FURTHER CHARITABLE

P 0 BOX 25464 GOALS

ALBUQUERQUE NM 87125 15000.

RENTON ECUMENICAL ASSOCIATION OF 01(C)(3) FURTHER CHARITABLE

CHURCHES GOALS

3604 NE 10TH CT

RENTON WA 98056 5000.


42363105-01-14


CAMPION FOUNDATION 20-3421717'Part XV SupDlementarv Information


Recipient•

If recipient is an individual,show any relationship to Foundation Purpose of grant or

Name and address (home or business) any foundation manageror substantial contributor

status ofrecipient

contribution Amount

SOCIAL VENTURE PARTNERS

220 2ND AVE SOUTH

SEATTLE WA 98104

01(C)(3) FURTHER CHARITABLE

GOALS

30000 ,

TAXPAYERS FOR COMMON SENSE

6510 PENNSYLVANIA AVE SE

WASHINGTON DC 20003

01(C)(3) FURTHER CHARITABLE

GOALS

25000 ,

Total from contin uat ion sheets

42383105-01-14


Schwab One@ Trust Account of

T CAMPION & S CAMPION TTEE

CAMPION FOUNDATION INV. FD.U/A DTD 08/30/2005

Account Number TAX YEAR 2014"7813-4429

YEAR-END SUMMARY

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared : February 6, 2015

The information in this and all subsequent'sections is not provided to the IRS by Charles Schwab It is provided to you as additional tax reporting information you may need to complete your tax return

REALIZED GAIN OR (LOSS)The information in the following sections include all your realized gain or (loss) transactions during the tax year They may be helpful for, but not limited to, Schedule DPlease consult with your tax advisor or financial advisor regarding specific questions

Short-Term Realized Gain or (Loss)

This section is for covered securities and corresponds to transactions reported on your 1099B as "cost basis is reported to the IRS." Report on Form 8949, Part I, with Box A checked

Description OR CUSIP Date Date (+)Wash Sale (=) RealizedOption Symbol Number Quantity /Par Acquired Sold Total Proceeds (-) Cost Basis Loss Disallowed Gain or ( Loss)

CME GROUP INC CL A CLASS A 125720105 2,000.00 09/26/13 06/10/14 $ 139,71856$ 150,308 15 $ -5,294.80 $ 294.79 )Security Subtotal $ 139,718 . 56 $ 150 , 308.15 $ 5,294 . 80 $

.(5,294.79)

EBAY INC v- ^ 278642103 5,000.00 10/21/13 09/10/14 $ 255 , 80140$ 260,258.95 $ 0 00 $ (4,457.55 )Security Subtotal $ 255,801 .40 $ 260 ,258.95 $ 0 . 00 $ (4,457.55)

ECOLAB INC 278865 100 500 00 06/27/13 02/07/14 $ 50,275.18$ 42,796.39 $ 0.00 $ 7,478.79Security Subtotal $ 50,275 . 18 $ 42 , 796.39 $ 0 . 00 $ 7,478.79

FACEBOOK INC CLASS A 30303M102 1,000 00 04/19113 02/07/14 $ 63,87541$ 25,672.98 $ 0 00 $ 38,202 43

FACEBOOK INC CLASS A 30303M102 1,000.00 04/23/13 02/07/14 $ 63,875.42 $ 25,851.64 $ 0 00 $ 38,023.78

FACEBOOK INC CLASS A 30303M102 1,500.00 04/19/13 02/20/14 $ 101,324.49 $ 38,509 48 $ 0.00 $ 62,815.01

Security Subtotal $ 229,075 . 32 $ 90 , 034.10 $ 0 . 00 $ 139 ,041.22

STARBUCKS CORP 855244109 1,00000 08/30/13 02/26/14 $ 70,415 51 $ 70,558 85 $ 0 00 $ (143 34Security Subtotal $ 70,415.51 $ 70 , 558.85 $

- --0.00 $ (143.34)

TYCO INTL LTD XXXSTOCK H89128104 2,000 00 06/21/13 02/04/14 $ 79,54987$ 64,688 95 $ 0.00 $MERGER

Security Subtotal $ 79,549.87 $ 64, 688.95 $ 0.00 $

WEYERHAEUSER CO 962166104 3,000.00 02/20/13 02/07/14 $ 89,13778$ 91,485 57 $

Please see the "Endnotes for Your Realized Gain or (Loss)" for an explanation of the codes and symbols in this Realized Gain or (Loss) section.

0 2015 Charles Schwab & Co . Inc All rights reserved Member SIPC (0114-0018)

0 00 $

Page 24 of 41

14,860 92

14,860.92

(2,347 79)

Schwab One® Trust Account of Account Number TAX YEAR 2014T CAMPION & S CAMPION TTEE 7813-4429CAMPION FOUNDATION INV. FD .

YEAR-END SUIOIMARY

U/A DTD 08/30/2005 - r.

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared: February 6, 2015

The information in this and all subsequent sections is not provided to the IRS by Charles Schwab It is provided to you as additional tax reporting information you may need to complete your tax return.

Short-Term Realized Gain or (Loss) (continued)

This section is for covered securities and corresponds to transactions reported on your 1099B as "cost basis is reported to the IRS ." Report on Form 8949, Part I, with Box A checked

Description OR CUSIP Date Date (+)Wash Safe (=)RealizedOption Symbol Number Quantity/ Par Acquired Sold Total Proceeds (-)Cost Basis Loss Disallowed Gain or (Loss)

WEYERHAEUSER CO 962166104 2,000.00 03/20/13 02/07/14 $ 59,42518$ 62,782 95 $ 0 00 $ (3,357.77)

Security Subtotal $ 148 , 562.96 $ 154,268.52 $ 0.00 $ (5,705.56)

Total Short-Term (Cost basis is reported to the IRS) $ ^^- 973,398.80 $ 832,913.91 $ 5,294 . 80 $ 145 ,779.69

Total Short-Term $ 973, 398.80 $ 832,913.91 $ 5 ,294.80 $ 145,779.69

Long-Term Realized Gain or (Loss)

This section is for covered securities and corresponds to transactions reported on your 1099B as "cost basis is reported to the IRS." Report on Form 8949, Part II, with Box D checked

Description OR CUSIP Date Date (+)Wash Sale (=) RealizedOption Symbol Number Quantity/Par Acquired Sold Total Proceeds (-) Cost Basis Loss Disallowed Gain or (Loss)

ABBVIE INC 00287Y 109 2,000 00 04/29/13 12/08/14 $ 140,95033$ 90,828 95 $ 0 00 $ 50,121 38Security Subtotal $ 140,950 .33 $ 90 , 828.95 $ 0.00 $ 50,121.38

ACCENTURE PLC CL A F G1 151C101 1,000.00 04/19/13 04/28/14 $ 78,361.08$ 74,786.95 $ 0.00 $ 3,574.13

Security Subtotal $ 78,361.08$ 74 , 786.95 $ 0.00 $ 3 , 574.13

APPLE INC 037833100 500.00 03/20/13 06/13/14 $ 45,510 19$ 32,297 96 $ 0 00 $ 13,212 23APPLE INC 037833100 200.00 03/20/13 12/08/14 $ 22,83791$ 12,919 19 $ 0 00 $ 9,918 72

APPLE INC 037833100 275 00 04/29/13 12108/14 $ 31,402.11$ 16,946 83 $ 0 00 $ 14,455.28

APPLE INC 037833100 175.00 04/30/13 12/08/14 $ 19,983.17$ 11,083.95 $ 0.00 $ 8,899 22


0 2015 Charles Schwab & Co, Inc All rights reserved Member SIPC (0114.0018) Page 25 of 41

Schwab One® Trust Account of

T CAMPION & S CAMPION TTEE

CAMPION FOUNDATION INV. FD.U/A DTD 08/30/2005

Account Number TAX YEAR 20147813-4429

YEAR-END SUMMARYr

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared. February 6, 2015

The information in this and all subsequent sections is not provided to the IRS by Charles Schwab It is provided to you as additional tax reporting information you may need to complete your tax return

Long-Term Realized Gain or (Loss) ( continued)

This section is for covered securities and corresponds to transactions reported on your 10998 as "cost basis is reported to the IRS." Report on Form 8949, Part II, with Box D checked

Description OR CUSIP Date Date (+)Wash Sale (=)RealizedOpti on Symbol Number Quantity/Pa r Acquired Sold Total Proceeds (-) C ost Basis Loss Disallowed Gain or (Loss)

APPLE INC 037833100 350.00 08/14/13 12/08/14 $ 39,966.34 $ 24,880 75 $ 0 00 $ 15,085.59Security Subtotal $ 159,699.72 $ 98 , 128.68 $ 0 . 00 $ 61 ,571.Q4

COSTCO WHSL CORP NEW 2216OK105 500 00 06/26/13 12/08/14 $ 71,094.08 $ 55,149.48 $ 0 00 $ 15,944.60Security Subtotal $ 71,094 . 08$ 55 , 149.48 $ 0 . 00 $ 15,944.60

DISNEY WALT CO 254687106 1,000.00 01/18/1302/13/14$ 77,78517$ 51,906 95 $ 0.00 $ 25,878 22

Security Subtotal $ 77,785.17$ 51,906.95 $ 0.00 $ 25,878.22

GENERAL ELECTRIC COMPANY 369604103 3,000.00 01/17/13 02/13/14 $ 76,16496$ 63,875 95 $ 0.00 $ 12,289.01

Security Subtotal $ 76,164 .96 $ 63 , 875.95 $ 0.00 $ 12,289.01

HOME DEPOT INC 437076102 3,000 00 01/05/12 09/09/14 $ 268,99957$ 129,008 95 $ 0 00 $ 139,990 62

HOME DEPOT INC 437076102 1,00000 03/20/13 09/09/14 $ 89,666.53 $ 69,175.95 $ 0.00 $ 20,490.58HOME DEPOT INC 437076102 1,000 00 04/22/13 09/09/14 $ 89,666.53 $ 73,847 95 $ 0 00 $ 15,818 58

HOME DEPOT INC

--

437076102

----^

1,00000

-

07/02/13 09/09/14 $_

W-

89, 666 53 $ 77,758 9 5 $ 0 .00 $ 11,907.58Security Subtotal $ 537,999 . 16 $ 349 , 791.80 $ 0.00 $ 188 , 207.36

PRAXAIR INC 74005P104 400 00-

0 1/18/13 02/07/14 $

^^_-50,49477 $ 44,917.58 $ 0.00 $ 5,577.19

Security Subtotal $ 50,494 .77 $ 44,917.58 $ 0.00 $ 5,577.19

QUALCOMM INC 747525103 1,000 00 03/19/12 02/07/14 $A- 74,329.76$ 66,838 17 $ 0 .00 $ 7,49159Security Subtotal $ 74 , 329.76 $ 66,838.17 $ 0.00 $ 7 ,491.59

Please see the "Endnotes for Your Realized Gain or (Loss )" for an explanation of the codes and symbols in this Realized Gain or (Loss) section.

© 2015 Charles Schwab & Co , Inc All rights reserved Member SIPC (0114-0018) Page 26 of 41

Schwab One® Trust Account of

T CAMPION & S CAMPION TTEECAMPION FOUNDATION INV. FD.U/A DTD 08/30/2005

Account Number TAX YEAR 20147813-4429

YEAR-END SUMMARY

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared : February 6, 2015


Long-Term Realized Gain or (Loss) (continued)

This section is for covered securities and corresponds to transactions reported on your 1099B as "cost basis is reported to the IRS ." Report on Form 8949, Part II, with Box D checked

Description OR CUSIP Date Date (+)Wash Sale (=)RealizedOption Symbol Number Quantity/ Par Acquired Sold Total Proceeds (-) Cost Basis Loss Disallowed Gain or (Loss)

STARBUCKS CORP 855244109 500.00 01/17/13 02/26/14 $ 35,20775$ 27.407 18 $ 0 00 $ 7,800 57

Security Subtotal $ 35,207 .75 $ 27,407.18 $ 0 . 00 $ 7,800.67

TRAVELERS COMPANIES INC 89417E109 1,000.00 04/19/13 06/17/14 $ 95,350 81 $ 84,593.75 $ 0 00 $ 10,757 06

Security Subtotal $ 95,350 . 81 $ 84 ,593.75 $ 0.00 $ 10,757.06

UNITEDHEALTH GROUP INC 91324P102 1,000 00 04/29/13 12/08/14 $ 100,569.83 $ 60,043.98 $ 000 $ 40,525.85

Security Subtotal $ 100,569 . 83 $ 60 , 043.98 $ 0.00 $ 40 , 525.85

WESTPORT INNOVATION NEWF 960908309 3,000 00 04/19/ 13 09/08/14 $ 39,957 .34$ 84,008 05 $_ 0 00 $ 44,050.71

Security Subtotal $ 39,957 . 34 $ 84 , 008.05 $ 0.00 $ (44,050.71)

Total Long-Term (Cost basis is reported to the IRS) $ 1,537,964 . 76 $ 1,152 ,277.47 $ 0.00 $ 385 , 687.29

Long-Term Realized Gain or (Loss)

This section is for noncovered securities and corresponds to transactions reported on your 1099B as "cost basis is available but not reported to the IRS." Report on Form 8949, Part II, with Box E

checked

(+)Wash Sale (=) RealizedDescription OR CUSIP Date Date (-)Cost Basis Loss Disallowed Gain or (Loss)Option Symbol Number Quantity /Par Acquired Sold Total Proceeds Adjusted (-)Market Discount Adjusted

ACCENTURE PLC CL A F G1151C101 2 ,000 00 01/31/08 04/28/14 $ 1 56, 722.17 $ 67,904.97 $ 0 00 $ 88,817.20

Security Subtotal $ 156,722.17 $ 67,904 .97 $ 0.00 $ 88,817.20


0 2015 Charles Schwab & Co , Inc All rights reserved Member SIPC (0114 -0018) Page 27 of 41

Schwab One® Trust Account of Account Number TAX YEAR 2014T CAMPION & S CAMPION TTEE 7813-4429

YEAR-END SUMMARYCAMPION FOUNDATION INV. FD.

U/A DTD 08/30/2005 -

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared: February 6, 2015The information in this and all subsequent sections is not provided to the IRS by Charles Schwab It is provided to you as additional tax reporting information you may need to complete your tax return


This section is for noncovered securities and corresponds to transactions reported on your 1099B as "cost basis is available but not reported to the IRS ." Report on Form 8949, Part II, with Box Echecked

(+)Wash Sale (=)RealizedDescription OR CUSIP Date Date (-)Cost Basis Loss Disallowed Gain or (Loss)Option Symbol Number Quantity/Par Acquired Sold Total Proceeds Adjusted (-) Market Discount AdjustedBATN ROUG LA SL 5 125%17TAX EXIT071268AG1 40,000.00 02/06/08 08/01/14 $ 40,00000$ 41,461 20 $ 0 00 $ (1,461 20)DUE 08/0 1/17 $ 40,000.00 $ 0.00 $ 0.00bSecurity Subtotal $ 40,000 . 00$ 41 ,461.20 $ 0.00 $ (1,461.20)

$ 40,000. 00 $ 0.00 $ 0.00b

CORNELL UNIV NY 4 35%14 219207AA5 265,000.00 04/08/09 02/01/14 $ 265,00000$ 271,949 75 $ 0.00 $ (6,949.75)DUE 02/01/14 --- - -^--_ - - -- _

- -

____ $_ 265,00000 $ 0 00 $ 0.00bSecurity Subtotal $

_

265,000 . 00 $

__

271 ,949.75 $ 0.00 $ (6 , 949.75)$ 265,000.00 $ 0.00 $ 0.00b

COSTCO WHSL CORP NEW 2216OK105 500 00 11/22/05 02/07/14 $ 57,14968$ 24,754 70a $ 0 00 $ 32,394 98

COSTCO WHSL CORP NEW 2216OK105 500 00 06/17/09 02/07/14 $ 57,14968 $ 23 ,397.4 8 $ 0 00 $ 33,752 20Security Subtotal $ 114,299.36 $ 48,152.18 $ 0.00 $ 66,147.18

DISCOVER BK 25469JU56 41,000.00 04/19/13 10/22/14 $ 41,000.00$ 42,729 79 $ 0.00 $ (1,729.79)3 55XXX"MATURED" $ 41,000.00 $ 0 00 $ 0 00bSecurity Subtotal $ 41 ,000.00 $ 42,729.79 $ 0.00 $ (1,729.79)

$ 41,000. 00 $ 0.00 $ 0.00b

DISNEY WALT CO 254687106 700.00 01/31/08 02/13/14 $ 54,44962$ 20,381.64 $ 0 00 $ 34,067.98DISNEY WALT CO 254687106 300.00 03/24/08 02/13/14 $ 23,335.55 $ 9,582.30 $__ 0.00 $___ 13,753 25Security Subtotal $ 77,785. 17$ 29 ,963.94 $ 0 . 00 $ 47 , 821.23

GENERAL ELECTRIC COMPANY 369604 103 1,000 00

-

03/19/09 02/1 3/ 14 $ 25, 388.32 $ 10,521.79 $ 0.00 $ 14,866.53Security Subtotal $ 25,388 . 32 $ 10 , 521.79 $ 0.00 $ 14 ,866.53

Please see the "Endnotes for Your Realized Gain or (Loss )" for an explanation of the codes and symbols in this Realized Gain or (Loss) section

0 2015 Charles Schwab & Co. Inc All rights reserved Member SIPC (0114-0018 ) Page 28 of 41

Schwab One@ Trust Account of Account Number TAX YEAR 2014T CAMPION & S CAMPION TTEE 7813-4429


U/A DTD 08/30/2005

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS.Date Prepared: February 6, 2015




checked

(+)Wash Sale (=)Realized

Description OR CUSIP Date Date (-)Cost Basis Loss Disallowed Gain or (Loss)

Option Symbol Number Quantity /Par Acquired Sold Total Proceeds Adjusted (-)Market Discount Adjusted

GOLDMAN SACHS BK 1 2%14CD FDIC3814264M4 50,000 00 04/19/13 09/02/14 $ 50,00000$ 50,499 00 $ 0 00 $ (499 00)

INS DUE 09/02/1 4 $ 50,000.00 $ 0 00 $ 0.00b

Security Subtotal $ 50,000 . 00 $1

50 ,499.00 $ 0 .00 $ (499.00)

$ 50,000. 00 $ 0.00 $ 0.006

GOOGLE INC CLASS A VTG VOTING 38259P508 75 00 11/22/05 02/07/14 $ 87,72533$ 30,672 75a $ 0 00 $ 57,052 58

SHARES

GOOGLE INC CLASS A VTG VOTING 38259P508 25 00 11130/05 02/07114 $ 29,241.78$ 10,113 25a $ 0 00 $ 19,128.53SHARES

Security Subtotal $ 116,967 . 11 $ 40,786.00 $ 0.00 $ 76,181.11

LOS GATOS-ETC H 54554NBPO 85,000.00 07/28/08 11/01/14 $ 85,000.00 $ 86,017 45 $ 0.00 $ (1,017 45)

5 375XXX**MATURED" $ 85,000 00 $ 0 00 $ 0 00b

Security Subtotal $ 85,000 . 00 $ 86,017.45 $ 0.00 $ (1,017.45)

$ 85,000. 00 $ 0.00 $ 0.006

OR SCH BD ASSN 686053CD9 300,000 00 01/30/09 06/30/14 $ 300,00000$ 243,488.00 $ 0.00 $ 56,512.00

OXXX* MATURED" $ 300,000 00 $ 0 00 $ _ 0 006

Security Subtotal - - -- $ 300,000 .00 $ 243 ,488.00 $ 0.00 $ 56,512.00

$ 300,000.00 $ 0.00 $ 0.006

PACCARINC 693718108 54.00 02/04/08 02/07/14 $ 3,176.67$ 2,434.43 $ 0.00 $ 742 24

PACCAR INC 693718108 100.00 02/04/08 02/07/14 $ 5,882.71 $ 4,508.20 $ 0.00 $ 1,374 51

PACCAR INC 693718108 100 00 02/04/08 02/07/14 $ 5,88271$ 4,508 20 $ 0 00 $ 1,374.51

PACCAR INC 693718108 100 00 02/04/08 02/07/14 $ 5,882.71 $ 4,50820 $ 0 00 $ 1,374.51

PACCAR INC 693718108 646.00 02/04/08 02/07/14 $ 38,002.33 $ 29,127.47 $ 0 00 $ 8,874.86

Security Subtotal $ 58,827.13$ 45 , 086.50 $ 0 . 00 $ 13,740.63

Please see the "Endnotes for Your Realized Gain or (Loss)" for an explanation of the codes and symbols in this Realized Gain or (Loss) section

O 2015 Charles Schwab & Co. Inc All rights reserved Member SIPC (0114-0018)Page 29 of 41



U/A DTD 08/30/2005

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared. February 6, 2015




checked


Description OR CUSIP Date Date (-) Cost Basis Loss Disallowed Gain or (Loss)

Option Symbol Number Total ProceedsQuantity/Par Acquired S old Adjusted (-)Market Discount Adjusted

PACCAR INC 6 875%14 DUE 69373UAA5

_

250,000.00 03/20/09 02/15/14 $ 250,000.00 $ 264,557.50 $ 0 00 $ (14,557.50)

02/15/14 $ 250,000.00 $ 0.00 $ 0 00b

Security Subtotal $ 250,000.00 $ 264 ,557.50 $ 0. 00 $ (14 ,557.50)$ 250, 000.00 $ 0.00 $ 0.006

PASADENA CA PEN 7 28%15GO LTX 70227NAN9 60,000 00 11/17/08 05/15/14 $ 60,00000$ 62,607 20 $ 0 00 $ (2,607 20)

DUE 05/15/15 $ 60,475 30 $ 0 00 $ (475 30)b

Security Subtotal $ 60,000.00 $ 62,607.20 $ 0 . 00 $ (2,607.20)$ 60,475. 30 $ 0.00 $ (475.30)6

SALLIE MAE BANK 3 65%14CD FDIC 795450MP7 125,000 00 04/19/13 06/17/14 $ 125,00000$ 129,630 00 $ 0 00 $ (4,630 00)

INS DUE 06/17/14 $ 125,000.00 $ 0 00 $ 0 006

Security Subtotal $ 125,000 . 00 $ 129 , 630.00 $ 0 . 00 $ (4,630.00)$ 125,000. 00 $ 0.00 $ 0.006

TRAVELERS COMPANIES INC 89417E109 525 00 01/11/06 06/17/14 $ 50,05918$ 24,795.75a $ 0 00 $ 25,263.43

TRAVELERS COMPANIES INC 89417E109 425.00 02/04/08 06/17/14 $ 40,524.09 $ 20,814.92 $ 0.00 $ 19,709 17

TRAVELERS COMPANIES INC 89417E109 1,050 00 07/23/08 06/17/14 $ 100,11835$ 48,041 67 $ 0.00 $ 52,076.68

Security Subtotal $ 190,701 .62 $ 93,652.34 $ 0 .00 $ 97 ,049.28

Please see the "Endnotes for Your Realized Gain or (Loss)" for an explanation of the codes and symbols in this Realized Gain or (Loss ) section.

0 2015 Charles Schwab & Co. Inc All rights reserved Member SIPC (0114-0018)Page 30 of 41



U/A DTD 08/30/2005

YEAR-END SUMMARY INFORMATION IS NOT PROVIDED TO THE IRS. Date Prepared: February 6, 2015




checked


Description OR CUSIP Date Date (-)Cost Basis Loss Disallowed Gain or (Loss)

Option Symbol Number Quantity/Par Acqu ired Sold Total Proceeds Adjusted (-) Market Discount Adjusted

WESTPORT INNOVATION NEWF 960908309 3,000.00 02/06/09 09/08/14 $ 39,957.34 $ 16,710 89 $ 0 00 $ 23,246.45

Security Subtotal $ 39,957. 34 $ 16,710.89 $ 0 . 00 $ 23,246.45

Total Long-Term (Cost basis is available but not reported to the IRS) 1,996,648.22 $ 1,545,718.50 $ 0.00 $ 450,929.72

$ 1,569,253.91 $ 0.00 $ 427,394.31b

Total Long-Term $ 3,534,612.98 $ 2 ,697,995 .97 $ 0.00 $ 836,617.01

$ 2,721,531.38 $ 0.00 $ 813,081.60b

0 2015 Charles Schwab & Co , Inc All rights reserved Member SIPC (0114-0018 )Page 31 of 41

CMPIO FOUNDATION 20-3421717

FORM 990-Pr' GAIN OR (LOSS) FROM SALE OF ASSETS STATEMENT 1

(A)DESCRIPTION OF PROPERTY

ZUMIEZ INC - 100,000 SHS

(B)GROSS

SALES PRICE

(C)COST OR

OTHER BASIS

2969916. 3337500.

MANNER DATEACQUIRED ACQUIRED DATE SOLD

PURCHASED

(D) (E) (F)EXPENSE OF

SALE DEPREC. GAIN OR LOSS

0. 0. -367584.



(B)GROSS

SALES PRICE

3507485.



(B)GROSS

SALES PRICE

3594837.

(C)COST OR

OTHER BASIS

3485000.

(C)COST OR

OTHER BASIS

3454500. 0. 0. 140337.




0. 0. 22485.

MANNER DATE



30 STATEMENT(S) 1


C,AMPIQN FOUNDATION



(B) (C)GROSS COST OR

SALES PRICE OTHER BASIS

189466. 185240.

20-3421717


PURCHASED



0. 0. 4226.



(B) (C)GROSS COST OR

SALES PRICE OTHER BASIS

4914665. 5277304. 0. 0. -362639.

(A) MANNER DATE

DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD

SCHWAB #7813-4429(DETAIL ATTACHED) PURCHASED

(B) (C) (D) (E) (F)GROSS COST OR EXPENSE OF

SALES PRICE OTHER BASIS SALE DEPREC. GAIN OR LOSS

973399. 827619. 0. 0. 145780.

(A) MANNER DATE

DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD

SCHWAB #7813-4429(DETAIL ATTACHED) PURCHASED

(B) (C) (D) (E) (F)

GROSS COST OR EXPENSE OFSALES PRICE OTHER BASIS SALE DEPREC. GAIN OR LOSS

3534613. 2721531. 0. 0. 813082.

CAPITAL GAINS DIVIDENDS FROM PART IV

TOTAL TO FORM 990-PF, PART I, LINE 6A

MANNER DATE



12444.

408131.

31 STATEMENT(S) 1


CAMPIQN FOUNDATION 20-3421717

FORM 990-Pp INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS STATEMENT 2

SOURCE

KEY BANK

TOTAL TO PART I, LINE 3

(A) (B) (C)REVENUE NET INVESTMENT ADJUSTED

PER BOOKS INCOME NET INCOME

326.

326.

326.

326.

326.

326.

FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 3

CAPITAL (A) (B) (C)GROSS GAINS REVENUE NET INVEST- ADJUSTED

SOURCE AMOUNT DIVIDENDS PER BOOKS MENT INCOME NET INCOME

SCHWAB#3455/FULCRUM -DIVIDENDS 474. 0. 474. 474. 474.SCHWAB#4429/FULCRUM -DIVIDENDS 334019. 12444. 321575. 321575. 321575.SCHWAB#4429/FULCRUM -INT/OID 64760. 0. 64760. 64760. 64760.WELLS FARGO#5189-3028 16. 0. 16. 16. 16.

TO PART I, LINE 4 399269. 12444. 386825. 386825. 386825.

FORM 990-PF LEGAL FEES STATEMENT 4

(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLE

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

LEGAL FEES 4193. 0. 0. 4193.

TO FM 990 -PF, PG 1, LN 16A 4193. 0. 0. 4193.

32 STATEMENT(S) 2, 3, 409150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

CAMPIQ'N FOUNDATION

FORM 990-PF ACCOUNTING FEES STATEMENT 5



ACCOUNTING 29070. 0. 0. 29070.

TO FORM 990-PF, PG 1, LN 16B 29070. 0. 0. 29070.

FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 6

DESCRIPTION

PROGRAM RELATED CONSULTING

TO FORM 990-PF, PG 1, LN 16C 62583. 0. 0. 62583.

FORM 990-PF TAXES STATEMENT 7

DESCRIPTION

PAYROLL TAXESFOREIGN TAXES PAID

(A) (B) (C)EXPENSES NET INVEST- ADJUSTEDPER BOOKS MENT INCOME NET INCOME

1489. 0. 0.5578. 5578. 0.

TO FORM 990-PF, PG 1, LN 18 7067. 5578. 0. 1489.

FORM 990-PF OTHER EXPENSES STATEMENT 8



PAYROLL PROCESSING EXP. 832. 0. 0. 832.

TELECOMMUNICATIONS 19339. 0. 0. 19339.

COMPUTER EXPENSES 20022. 0. 0. 20022.OFFICE & ADMIN EXPENSES 1531. 0. 0. 1531.INVESTMENTS MGMT FEES 86965. 86965. 0. 0.

PROF ORG. DUES 58057. 0. 0. 58057.

20-3421717

(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLEPER BOOKS MENT INCOME NET INCOME PURPOSES

62583. 0. 0. 62583.

(D)CHARITABLEPURPOSES

1489.0.

33 STATEMENT(S) 5, 6, 7, 8


CAMPIQN FOUNDATION

BOOKS & SUBSCRIPTIONSLICENSE FEESTRUSTEE EXPENSESAMERICA'S ARTIC FILM PROJECT

EXPENSES

TO FORM 990-PF, PG 1, LN 23

20-3421717

4105. 0. 0. 4105.150. 0. 0. 150.

1805. 0. 0. 1805.

655209. 0. 0. 655209.

848015. 86965. 0. 761050.

FOOTNOTES STATEMENT 9

THE PAYROLL REFLECTED IN THE 2014 RETURNWAS FOR THE PERIOD 12/21/13-12/31/13.DURING THE 2014 CALENDAR YEAR THEFOUNDATION NO LONGER HAD ANY PAID STAFF.THE STAFF ARE NOW EMPLOYED BY THECAMPION ADVOCACY FUND, A 501(C)(4).

34 STATEMENT(S) 8, 909150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061


FORM 990-PF OTHER DECREASES IN NET ASSETS OR FUND BALANCES STATEMENT 10

DESCRIPTION

2013 ADJUSTMENTS TO EXPENSEPRIOR YEARS' TAX PAIDPAYMENT OF 2013 ESTIMATED TAX

TOTAL TO FORM 990-PF, PART III, LINE 5

AMOUNT

2535.78505.35700.

116740.

FORM 990-PF U.S. AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 11

U.S. OTHER

DESCRIPTION GOV'T GOV'T

SCHWAB - CASH EQUIVALENTS X

TOTAL U.S. GOVERNMENT OBLIGATIONS

BOOK VALUE

12787715.

12787715.

FAIR MARKETVALUE

12787715.

12787715.

TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS

TOTAL TO FORM 990-PF, PART II, LINE 10A 12787715. 12787715.

FORM 990-PF CORPORATE STOCK STATEMENT 12

FAIR MARKET

DESCRIPTION BOOK VALUE VALUE

SCHWAB- EQUITIES 17787731. 17787731.ZUMIEZ STOCK 3670120. 3670120.

TOTAL TO FORM 990-PF, PART II, LINE 10B 21457851. 21457851.

FORM 990-PF CORPORATE BONDS STATEMENT 13

FAIR MARKET

DESCRIPTION BOOK VALUE VALUE

SCHWAB - FIXED INCOME 4594928. 4594928.

TOTAL TO FORM 990-PF, PART II, LINE 10C 4594928. 4594928.

35 STATEMENT(S) 10, 11, 12, 1309150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

C;AMPICN FOUNDATION 20-3421717

FORM .990-PF OTHER INVESTMENTS STATEMENT 14

DESCRIPTION

PROGRAM INVESTMENT MACGILLIVRAYFREEMANSCHWAB - OTHER INVESTMENTS

TOTAL TO FORM 990-PF, PART II, LINE 13

VALUATIONMETHOD BOOK VALUE

FMV

13180.FNV 2083618.

2096798.

FORM 990-PF DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 15

DESCRIPTION

LEASEHOLD IMPROVEMENTSLEASEHOLD IMPROVEMENTSOFFICE FURNITURE & FIXTURESLEASEHOLD IMPROVEMENTSOFFICE FURNITURE & FIXTURESMANAGEMENT SOFTWARECOMPUTER EQUIPMENTOFFICE CABINET/BOOKCASECOMPUTER SERVER - BACKUP TAPECOMPUTER EQUIPMENTCOMPUTER EQUIPMENT - 2 HP SB8300SOFTWARE - INTUIT QUICKBOOKS

TOTAL TO FM 990 -PF, PART II, LN 14

COST OROTHER BASIS

35556.6674.

71808.29494.30544.22400.5833.1382.1711.

14751.

1803.701.

222657.

FORM 990-PF OTHER ASSETS STATEMENT 16

DESCRIPTION

SECURITY DEPOSITSNOTES RECEIVABLE

TO FORM 990-PF, PART II, LINE 15

BEGINNING OF END OF YEAR FAIR MARKETYR BOOK VALUE BOOK VALUE VALUE

ACCUMULATEDDEPRECIATION BOOK VALUE

7410. 28146.1275. 5399.

71808. 0.5072. 24422.

29862. 682.22400. 0.5833. 0.1382. 0.1711. 0.

12627. 2124.

1370. 433.624. 77.

161374. 61283.

FAIR MARKETVALUE

13180.2083618.

2096798.

11516. 11516. 11516.175000. 0. 0.

186516. 11516. 11516.

36 STATEMENT(S) 14, 15, 1609150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061


FORM 990-PF INTEREST AND PENALTIES STATEMENT 17

TAX DUE FROM FORM 990-PF, PART VI 293146.UNDERPAYMENT PENALTY 1280.LATE PAYMENT INTEREST 1110.LATE PAYMENT PENALTY 2931.

TOTAL AMOUNT DUE 298467.

FORM 990-PF LIST OF SUBSTANTIAL CONTRIBUTORS STATEMENT 18PART VII-A, LINE 10

NAME OF CONTRIBUTOR ADDRESS

THOMAS & SONYA CAMPION 1904 THIRD AVE, SUITE 405SEATTLE, WA 98101

FORM 990 -PF LATE PAYMENT PENALTY STATEMENT 19

DESCRIPTION DATE AMOUNT BALANCE

TAX DUE 05/15/15DATE FILED 06/30/15

TOTAL LATE PAYMENT PENALTY

293146. 293146.293146.

MONTHS PENALTY

2 2931.

Ly.51.

FORM 990-PF LATE PAYMENT INTEREST STATEMENT 20

DESCRIPTION DATE AMOUNT

TAX DUE 05/15/15DATE FILED 06/30/15

TOTAL LATE PAYMENT INTEREST

293146.

BALANCE RATE DAYS INTEREST

293146. .0300 46 1110.294256.

1110.

37 STATEMENT(S) 17, 18, 19, 2009150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

CAMPI(N FOUNDATION 20-3421717

FORM 990-PP PART VIII - LIST OF OFFICERS, DIRECTORS STATEMENT 21TRUSTEES AND FOUNDATION MANAGERS

NAME AND ADDRESS

THOMAS D. CAMPION1904 THIRD AVE SUITE 405SEATTLE, WA 98101

SONYA CAMPION1904 THIRD AVE SUITE 405SEATTLE, WA 98101

LISA JAGUZNY1904 THIRD AVE SUITE 405SEATTLE, WA 98101

DON ANDRE1904 THIRD AVE SUITE 405SEATTLE, WA 98101

MELANIE MATTHEWS1904 THIRD AVE SUITE 405SEATTLE, WA 98101

JASON PAULSEN1904 THIRD AVE SUITE 405SEATTLE, WA 98101

EMPLOYEETITLE AND COMPEN- BEN PLAN EXPENSE

AVRG HRS/WK SATION CONTRIB ACCOUNT

FOUNDING TRUSTEE0.50 0. 0. 0.

FOUNDING TRUSTEE0.50 0. 0. 0.

EXECUTIVE DIRECTOR0.00 3939. 4389. 0.

ASSOC DIRECTOR0.00 2890. 3220. 0.

DIR. OF CAPACITY BUILDING0.00 1928. 2148. 0.

PROFESSIONAL TRUSTEE2.00 0. 0. 0.

TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII 8757. 9757. 0.

38 STATEMENT(S) 2109150626 786765 705706 2014.03050 CAMPION FOUNDATION 7057061

( MPIQN FOUNDATION 20-3421717

FORM 290-PF EXPENDITURE RESPONSIBILITY STATEMENT STATEMENT 22PART VII-B, LINE 5C

GRANTEE'S NAME

CANADIAN PARKS WILDERNESS SOCIETY-YUKON CHAPTER

GRANTEE'S ADDRESS

P 0 BOX 31095,211 MAIN STWHITEHORSE, YUKON, CANADA, Y1A 5P7

GRANT AMOUNT

50000.

PURPOSE OF GRANT

DATE OF GRANT AMOUNT EXPENDED

05/15/14

HELP PROTECT 17.5 MILLION ACRE PEEL WATERSHED IN YUKON TERRITORY, CANADA.

DATES OF REPORTS BY GRANTEE

DECEMBER 23, 2014, APRIL 1, 2015, JUNE 30, 2015

ANY DIVERSION BY GRANTEE

NO DIVERSIONS


C NPIIN FOUNDATION

GRANTEE'S NAME

YUKON CONSERVATION SOCIETY

GRANTEE'S ADDRESS

302 HAWKINS STWHITEHORSE, YUKON, CANADA, Y1A1X6

GRANT AMOUNT

80000.

PURPOSE OF GRANT


05/15/14

20-3421717

HELP PROTECT 17.5 MILLION ACRE PEEL WATERSHED IN YUKON TERRITORY, CANADA.


DECEMBER 23, 2014 AND MARCH 31, 2015


NO DIVERSIONS

09150626 786765 70570640

2014.03050 CAMPION FOUNDATIONSTATEMENT(S) 22

7057061

GCMPI¢N FOUNDATION

GRANT9E'S NAME

ENVIRONMENTAL MINING EDUCATION FOUNDATION

GRANTEE'S ADDRESS

#402 2202 LAMBERT DR

COURTNEY, BRITISH COLUMBIA, CANADA, V9N 1Z8

GRANT AMOUNT DATE OF GRANT AMOUNT EXPENDED

50000. 08/18/14

PURPOSE OF GRANT

SUPPORT FOR CORE PROGRAMS, INCLUDING WORK TO ADVANCE MINING REFORMS


SEPTEMBER 30, 2015


NO DIVERSIONS

20-3421717

41 STATEMENT(S) 22


CAMPI()N FOUNDATION

• GRANTI^E ' S NAME

CANADIAN PARKS WILDERNESS SOCIETY-NW TERRITORIES

GRANTEE'S ADDRESS

BOX 1934YELLOWKNIFE, NT, CANADA, NT X1A 2P5

GRANT AMOUNT

40000.

PURPOSE OF GRANT


08/18/14

20-3421717

GENERAL SUPPORT FOR CORE PROGRAMS, INCLUDING WORK TO CREATE THAIDENE NENENATIONAL PARK.


MARCH 2, 2015 AND JUNE 30,2015


NO DIVERSIONS


CAMP I CON FOUNDATION

GRANTgE ' S FAME

TIDES CANADA FOUNDATION

GRANTEE'S ADDRESS

#400-163 W HASTINGS STVANCOUVER, BC, CANADA, V6B1H5

GRANT AMOUNT DATE OF GRANT AMOUNT EXPENDED

30000. 08/18/14

PURPOSE OF GRANT

20-3421717

PROJECT SUPPORT FOR WORK TO DEVELOP NORTHERN CONSERVATION TOOLS IN REGION.REPORTS: MARCH 3, 2015AND AUGUST 31,2015


MARCH 3 ,2015 AND AUGUST 31, 2015


NO DIVERSIONS


( MPIQN FOUNDATION 20-3421717

990-Pg' AFFILIATION WITH TAX-EXEMPT ORGANIZATIONS STATEMENT 23PART XVII, LINE 2, COLUMN (C)

NAME OF AFFILIATED OR RELATED ORGANIZATION

CAMPION ADVOCACY FUND

DESCRIPTION OF RELATIONSHIP WITH AFFILIATED OR RELATED ORGANIZATION

COMMON TRUSTEES/DIRECTORS


2014 DEPRECIATION AND AMORTIZATION REPORT

FORM 990-PF PAGE 1 990-PF

AssetNo Description

DateAcquired Method Life

LineNo

UnadjustedCost Or Basis

Bus %Excl

Reduction InBasis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Currit YearDeduction

LEASEHOLD1 IMPROVEMENTS 11 01 06 SL 39.00 17 35556. 35556. 6498. 912.

LEASEHOLD4 IMPROVEMENTS 07 01 07 S L 39.00 17 6674. 6674. 1104. 171.

OFFICE FURNITURE &6 FIXTURES 07 01 07 200D 7.00 17 71808. 71808. 68604. 3204.

LEASEHOLD7 1MPROVEMENTS 04 02 08 SL 39.00 17 29494. 29494. 4316. 756.

OFFICE FURNITURE &

8 FIXTURES 02 15 08 200D 7.00 17 30544. 15272. 15272. 13226. 1364.

10 MANAGEMENT SOFTWAR 03 30 09 200D 3.00 17 22400. 11200. 11200. 11200. 0.

11 COMPUTER EQUIPMENT 07 01 09 200D 5.00 17 5833. 2917. 2916. 2748. 168.OFFICE

12 ABINET/BOOKCASE 09 20 10 200D 7.00 17 1382. 1382,. 0.OMPUTER SERVER -

13 BACKUP TAPE 12 07 10 200D 5.00 17 1711. 1711. 0.

14 COMPUTER EQUIPMENT 07 01 12 2001 5.00 17 14751. 7376. 7375. 3835. 1416.OMPUTER EQUIPMENT

15 - 2 HP SB 8300 01 28 13 2001 5.00 17 1803. 902. 901. 180. 288.

SOFTWARE - INTUIT

16 UICKBOOKS 01 15 13 2001 3.00 17 701. 351. 350. 117. 156.

* TOTAL 990-PF PG 1EPR 222657. 41111. 181546. 111828. 0. 8435.

4291020e-01-14 (D) - Asset disposed ' ITC, Section 179 , Salvage, Bonus, Commercial Revitalization Deduction

45

Form 1 8868 Application for Extension of Time To File an(Rev. January 2014) Exempt Organization Return

• OMB No. 1545.1709

Dertment of a Treasury► File a separate application for each return.

Internal Revenu Service ► Information about Form 8868 and its instructions is at www.Irs.gov/form8868

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ► Lx]• If you are filing for an Additional (Not Automatic ) 3-Month Extension , complete only Part 11 (on page 2 of this form)

Do not complete Part /I unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

Electronic filing (e -file) . You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation

required to file Form 990-7), or an additional (not automatic) 3-month extension of time You can electronically file Form 8868 to request an extension

of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With CertainPersonal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form,visit www irs. ov/efde and click on e-file for Chanties & Nonprofits.

Part I Automatic 3-Month Extension of Time. Only submit original (no copies needed).A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and completePart I only ►All other corporations (including 1120-C filers), partnerships, REM/Cs, and trusts must use Form 7004 to request an extension of timeto file income tax returns.

-Type or-Name-of exempt organization-or-other-filer,-see-instructions. -_

print

CAMPION FOUNDATIONFile by the

due date for Number, street , and room or suite no If a P.O. box, see instructionsfiling your 19 0 4 THIRD AVENUE , NO. 405return Seeinstructions I City, town or post office, state , and ZIP code For a foreign address, see instructions

ployer-Identification-number-(]=IN)-or-- - - --

20-3421717Social security number (SSN)

Enter the Return code for the return that this application is for (file a separate application for each return) - - - - FO-F41

Application

Is For

Return

Code

Application

Is For

Return

CodeForm 990 or Form 990-EZ 01 Form 990-T (corporation ) 07

Form 990-BL 02 Form 1041-A 08

Form 4720 (individual) 03 Form 4720 (other than individual ) 09Form 990-PF 04 Form 5227 10

Form 990-T (sec. 401 a or 408 (a) trust) 05 Form 6069 11Form 990-T (trust other than above) 06 Form 8870 12

LISA JAGUZNY - 1904 THIRD AVE, STE 405 - SEATTLE, WA• The books are in the care of ► 9 8101

Telephone No ► 206 - 686-5310 Fax No ►• If the organization does not have an office or place of business in the United States , check this box ►• If this is for a Group Return, enter the organization ' s four digit Group Exemption Number (GEN) . If this is for the whole group , check this

box ► = . If it is for part of the group , check this box ►0 and attach a list with the names and EINs of all members the extension is for.

1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until

AUGUST 15, 2015 , to file the exempt organization return for the organization named above The extension

is for the organization ' s return for.

►0 calendar year or

►® tax year beginning , and ending

2 If the tax year entered in line 1 is for less than 12 months, check reason : Initial return Final return

= Change in accounting penod

3a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax, less any

nonrefundable credits See instructions.

b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and

estimated tax payments made Include any prior year overpayment allowed as a credit.

c Balance due . Subtract line 3b from line 3a. Include your payment with this form, if required,

Caution . If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for paymentinstructions

LHA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev 1-2014)42384105-01-14

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