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Short Form                                                                                                                            OMB No. 1545-1150


Form      990-EZ                                          Return of Organization Exempt From Income Tax
                                                              Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
                                                                     (except black lung benefit trust or private foundation)
                                                                                                                                                                                                                    2009
                                       G   Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file Form
                                         990. All other organizations with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year
Department of the Treasury                                                                       may use this form.                                                                                              Open to Public
Internal Revenue Service                                 G The organization may have to use a copy of this return to satisfy state reporting requirements.                                                        Inspection

A     For the 2009 calendar year, or tax year beginning                                             7/01                               , 2009, and ending                   6/30                             ,   2010
B     Check if applicable:   C                                                                                                                                                            D    Employer identification number
                                Please
      Address change            use IRS      LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                                               91-1495396
      Name change               label or
                                print or     PO BOX 6754                                                                                                                                  E    Telephone number
      Initial return            type.
                                See
                                             LYNNWOOD, WA 98036-0754
      Termination               Specific
      Amended return            Instruc-
                                tions.                                                                                                                                       F Group Exemption
      Application pending                                                                                                                                                        Number. . . . . . . . . . . . G
             ?Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts                                                                       G Accounting method:         Cash X Accrual
                     must attach a completed Schedule A (Form 990 or 990-EZ).                                                                                    Other (specify) G
                                                                                                                                                               H Check G X if the organization is not
I     Website: G LYNNWOODROTARY.ORG                                                                                                                              required to attach Schedule B (Form 990,
J     Tax-exempt status (check only one) ' X 501(c) ( 3 ) H (insert no.)        4947(a)(1) or   527                                                              990-EZ, or 990-PF).
K     Check G        if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than
      $25,000. A Form 990-EZ or Form 990 return is not required, but if the organization chooses to file a return, be sure to file a complete return.
L     Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts; if $500,000 or more, file Form 990
                                                                                                                                                               G$ 290,259.
      instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part I        Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.)
         1 Contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1    4,250.
         2 Program service revenue including government fees and contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             2    4,015.
         3     Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                       3
         4     Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      4                    5,654.
         5a    Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . .                                      5a
           b   Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                             5b
 R
 E
           c   Gain or (loss) from sale of assets other than inventory (Subtract ln 5b from ln 5a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                         5c
 V       6     Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here . . . . . . . G
 E
 N         a   Gross revenue (not including $                                                           of contributions
 U
 E             reported on line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    6a
          b    Less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . . . .                                      6b
          c    Net income or (loss) from special events and activities (Subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                           6c
        7a     Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . .                                    7a                       276,340.
          b    Less: cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          7b                       299,707.
          c    Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a). . . . . . . . . . . . . . . . . . . . . . . . . . . .                                                    7c              -23,367.
        8      Other revenue (describe G                                                                                                                                                     ). .       8
        9      Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G                                   9                 -9,448.
       10      Grants and similar amounts paid (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                  10
 E
       11      Benefits paid to or for members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                11
 X
 P
       12      Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                     12                   3,146.
 E     13      Professional fees and other payments to independent contractors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                                13                   2,583.
 N
 S     14      Occupancy, rent, utilities, and maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                          14
 E
 S     15      Printing, publications, postage, and shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                          15
       16      Other expenses (describe G SEE STATEMENT 1                                                                                                                                ). . . .      16                 1,713.
       17      Total expenses. Add lines 10 through 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G                            17                 7,442.
       18      Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                     18               -16,890.
  A
N S    19
        Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year
E S     figure reported on prior year's return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19           647,460.
T E
  T 20 Other changes in net assets or fund balances (attach explanation) . . . . . . . . .SEE . .STATEMENT . .2. . . . . 20                     ....        .............   .                 25,319.
  S
    21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 21                                                 655,889.
Part II      Balance Sheets. If Total assets on line 25, column (B) are $1,250,000 or more, file Form 990 instead of Form 990-EZ.
                                        (See the instructions for Part II.)                                                                                     (A) Beginning of year (B) End of year
 22 Cash, savings, and investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                             386,159. 22         301,020.
 23 Land and buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 277,811. 23         354,674.
 24 Other assets (describe G SEE STATEMENT 3                                                                        ). . . . . . . . . . . . . . . . . . . .               5,815. 24            1,515.
 25 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           669,785. 25         657,209.
 26 Total liabilities (describe G SEE STATEMENT 4                                                                       ). . . . . . . . . . . . . . . . . .              22,325. 26            1,320.
 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . . . . . . . . . .                                     .                               647,460. 27         655,889.
BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.                                                                                                    Form 990-EZ (2009)
                                                                                                       TEEA0803L        01/30/10
Form 990-EZ (2009)          LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                      91-1495396                  Page 2
Part III         Statement of Program Service Accomplishments (See the instructions.)                                                                                Expenses
What is the organization's primary exempt purpose? COMMUNITY SERVICE                                                                                        (Required for section
                                                                                                                                                            501(c)(3) and (4)
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner,                                               organizations and section
describe the services provided, the number of persons benefited, or other relevant information for each                                                     4947(a)(1) trusts; optional
program title.                                                                                                                                              for others.)
 28 EDUCATION FOR HIGH SCHOOL STUDENTS BY CONSTRUCTING A HOUSE UNDER
       THE SUPERVISION OF HIGH SCHOOL VOCATIONAL ED TEACHERS

      (Grants    $                                   ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . .
                                                                                                         .                                        G          28 a               302,032.
 29



      (Grants    $                                   ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . .
                                                                                                         .                                        G          29 a
 30



    (Grants $                        ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . G     .                                           30 a
31 Other program services (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                             .
    (Grants $                        ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . G     .                                           31 a
32 Total program service expenses (add lines 28a through 31a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 32                                302,032.
Part IV     List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instrs.)
                                             (b) Title and average hours (c) Compensation (If                                                     (d) Contributions to         (e) Expense account
          (a) Name and address                     per week devoted                                not paid, enter -0-.) employee benefit plans and and other allowances
                                                          to position                                                                           deferred compensation
JEAN HALES                                                           PAST PRESIDENT                                           0.                              0.                             0.
PO BOX 6754                                                                    1.00
LYNNWOOD, WA 98036-0754
ROB YACKEL                                                                      TREASURER                                     0.                              0.                             0.
PO BOX 6754                                                                          1.00
LYNNWOOD, WA 98036
MARILLA SARGENT                                                                   DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           1.00
LYNNWOOD, WA 98036-0754
KEN PEIRCE                                                                      SECRETARY                                     0.                              0.                             0.
PO BOX 6754                                                                          1.00
LYNNWOOD, WA 98036-0754
TODD BRUNNER                                                                      DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           5.00
LYNNWOOD, WA 98036-0754
TRAVIS SNIDER                                                                   PRESIDENT                                     0.                              0.                             0.
PO BOX 6754                                                                          3.00
LYNNWOOD, WA 98036-0754
TOM SEHRER                                                                        DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           1.00
LYNNWOOD, WA 98036-0754
JOHN FRIENDS                                                                      DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           1.00
LYNNWOOD, WA 98036-0754
TERESSA PAOLUCCI                                                                  DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           1.00
LYNNWOOD, WA 98036-0754
JIM MORINO                                                                        DIRECTOR                                    0.                              0.                             0.
PO BOX 6754                                                                           1.00
LYNNWOOD, WA 98036-0754




BAA                                                                                  TEEA0812L     01/30/10                                                           Form 990-EZ (2009)
Form 990-EZ (2009)          LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                                                                    91-1495396      Page 3
Part V                Other Information (Note the statement requirements in the instrs for Part V.)                                                                                                    SEE STATEMENT 5
                                                                                                                                                                                                                                      Yes   No

 33 Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' attach a detailed description of
    each activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   33            X
 34 Were any changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the changes . .                                                                                                       34            X
 35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T,
    attach a statement explaining why the organization did not report the income on Form 990-T.

     a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice,
       reporting, and proxy tax requirements?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a                                  X
     b If 'Yes,' has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 b

 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the
      year? If 'Yes,' complete applicable parts of Schedule N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36                                                  X
 37 a Enter amount of political expenditures, direct or indirect, as described in the instructions . G 37 a                                                                         0.
    b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 b                                                X
 38 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
      any such loans made in a prior year and still outstanding at the end of the period covered by this return? . . . . . . . . . . . . . .                                                                                   38 a          X
    b If 'Yes,' complete Schedule L, Part II and enter the total
      amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 b                                             N/A
 39 Section 501(c)(7) organizations. Enter:
    a Initiation fees and capital contributions included on line 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 a                                                                             N/A
    b Gross receipts, included on line 9, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . . 39 b                                                                                   N/A
 40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
      section 4911 G                                     0. ; section 4912 G                                                         0. ; section 4955 G                                                            0.
     b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
       transaction during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person in a
       prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If
       'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                    40 b          X
     c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization
       managers or disqualified persons during the year under sections 4912, 4955, and 4958. . . . . . . .                                                                       G                                      0.
     d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed
       by the organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        G                                      0.
   e All organizations. At any time during the tax year, was the organization a party to a prohibited tax
     shelter transaction? If 'Yes,' complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                     40 e          X
 41 List the states with which a copy of this return is filed G NONE



 42 a The organization's
      books are in care of G                  FRIENDS AND HARVEY ASSOC. INC.                                                                                                         Telephone no. G           425-670-1310
      Located at G 19721                      SCRIBER LAKE ROAD STE C LYNNWOOD WA                                                                                                          ZIP + 4 G           98036-6119

     b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a                                                                                                        Yes   No
       financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . .                                                                                      42 b         X
       If 'Yes,' enter the name of the foreign country: . . G




       See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of a Foreign Bank and Financial Accounts.
     c At any time during the calendar year, did the organization maintain an office outside of the U.S.?. . . . . . . . . . . . . . . . . . . . . .                                                                           42 c         X
       If 'Yes,' enter the name of the foreign country: . . G




 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ' Check here . . . . . . . . . . . . . . . . . . . . . .                                                                                   G     N/A
    and enter the amount of tax-exempt interest received or accrued during the tax year. . . . . . . . . . . . . . . . . . . . . G 43                                                                                                       N/A

                                                                                                                                                                                                                                      Yes   No
 44 Did the organization maintain any donor advised funds? If 'Yes,' Form 990 must be completed instead
    of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        44            X
 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If 'Yes,'
    Form 990 must be completed instead of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45         X
BAA                                                             TEEA0812L 01/30/10                                                                                             Form 990-EZ (2009)
Form 990-EZ (2009)       LYNNWOOD ROTARY COMMUNITY FOUNDATION                                    91-1495396           Page 4
Part VI            Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section
                   501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions
                   46-49b and complete the tables for lines 50 and 51.
                                                                                                                                                                                                       Yes       No
 46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates
      for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     46               X
 47 Did the organization engage in lobbying activities? If 'Yes,' complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                      47               X
 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . .  .                                             48               X
 49 a Did the organization make any transfers to an exempt non-charitable related organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . .                                          49 a             X
    b If 'Yes,' was the related organization a section 527 organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                49 b

 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
    employees) who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.'
                                                                                  (b) Title and average               (c) Compensation            (d) Contributions to employee                  (e) Expense
            (a) Name and address of each employee paid                               hours per week                                                      benefit plans and                      account and
                       more than $100,000                                          devoted to position                                                deferred compensation                   other allowances

NONE




    f Total number of other employees paid over $100,000 . . . . . . . G
                                                        .


 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of
    compensation from the organization. If there is none, enter 'None.'

                      (a) Name and address of each independent contractor paid more than $100,000                                                  (b) Type of service                        (c) Compensation

NONE




    d Total number of other independent contractors each receiving over $100,000 . . . . . . . . . . . .                                      G

                 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
                 true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.



Sign
Here            G Signature of officer                                                                                                                 Date

                      TRAVIS SNIDER                                                                                                               PRESIDENT
                G Type or print name and title.
                                                                                                                              Date                                                Preparer's Identifying Number
                                                                                                                                                           Check if               (See instructions)
Paid             Preparer's
                 signature       G JOHN      W FRIENDS, CPA                                                                   10/09/10
                                                                                                                                                           self-
                                                                                                                                                           employed      G        P00166522
Pre-
parer's          Firm's name (or        FRIENDS AND HARVEY ASSOCIATES, INC
                 yours if self-
Use              employed),      G      19721 SCRIBER LAKE ROAD, STE C                                                                              G 20-3587891
                                                                                                                                                           EIN
                 address, and
Only             ZIP + 4                LYNNWOOD, WA 98036                                                                                        (425) 670-1310
                                                                                                                                                           Phone no.   G
May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X Yes
                                                                               .                                                                                    No
BAA                                                                                                                                                                                     Form 990-EZ (2009)




                                                                                              TEEA0812L       01/30/10
OMB No. 1545-0047

SCHEDULE A
(Form 990 or 990-EZ)                                                Public Charity Status and Public Support                                                                                                          2009
                                               Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)
                                                                            nonexempt charitable trust.
                                                                                                                                                                                                                  Open to Public
Department of the Treasury                                                                                                                                                                                         Inspection
Internal Revenue Service                                       G Attach to Form 990 or Form 990-EZ. G See separate instructions.
Name of the organization                                                                                                                                                          Employer identification number

LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                 91-1495396
Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
  1      A church, convention of churches or association of churches described in section 170(b)(1)(A)(i).
  2      A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
  3      A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii).
  4      A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's
         name, city, and state:
  5      An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section
         170(b)(1)(A)(iv). (Complete Part II.)
  6      A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
  7      An organization that normally receives a substantial part of its support from a governmental unit or from the general public described
         in section 170(b)(1)(A)(vi). (Complete Part II.)
  8      A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
  9 X An organization that normally receives: (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts
         from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3 % of its support from gross
         investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after
         June 30, 1975. See section 509(a)(2). (Complete Part III.)
 10      An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
 11      An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or
         more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that
         describes the type of supporting organization and complete lines 11e through 11h.
         a      Type I                         b          Type II                             c          Type III ' Functionally integrated                                                         d             Type III' Other
    e    By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other
         than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section
         509(a)(2).
    f    If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization,
         check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    g    Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
                                                                                                                                                                                                                                      Yes No
         (i)    a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii)
                below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (i)
         (ii) a family member of a person described in (i) above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (ii)
         (iii) a 35% controlled entity of a person described in (i) or (ii) above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (iii)
    h    Provide the following information about the supported organizations.
             (i) Name of Supported                           (ii) EIN                     (iii) Type of organization                 (iv) Is the     (v) Did you notify       (vi) Is the                       (vii) Amount of Support
                   Organization                                                            (described on lines 1-9             organization in col. the organization in organization in col.
                                                                                             above or IRC section                (i) listed in your      col. (i) of    (i) organized in the
                                                                                              (see instructions))                    governing         your support?            U.S.?
                                                                                                                                    document?

                                                                                                                                 Yes           No          Yes           No          Yes          No




Total
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.                                                                            Schedule A (Form 990 or 990-EZ) 2009




                                                                                                           TEEA0401L        02/05/10
LYNNWOOD ROTARY COMMUNITY FOUNDATION
Schedule A (Form 990 or 990-EZ) 2009                                                  91-1495396                                                                                                                         Page 2
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
              (Complete only if you checked the box on line 5, 7, or 8 of Part I.)
Section A. Public Support
Calendar year (or fiscal year                                     (a) 2005                   (b) 2006                   (c) 2007                   (d) 2008                    (e) 2009                    (f) Total
beginning in) G
  1 Gifts, grants, contributions and
     membership fees received. (Do
     not include 'unusual grants.') . .
  2 Tax revenues levied for the
     organization's benefit and
     either paid to it or expended
     on its behalf. . . . . . . . . . . . . . . . . .
  3 The value of services or
     facilities furnished to the
     organization by a governmental
     unit without charge. Do not
     include the value of services or
     facilities generally furnished to
     the public without charge. . . . . .
  4 Total. Add lines 1-through 3 . . .
  5 The portion of total
     contributions by each person
     (other than a governmental
     unit or publicly supported
     organization) included on line 1
     that exceeds 2% of the amount
     shown on line 11, column (f). . .
   6 Public support. Subtract line 5
     from line 4 . . . . . . . . . . . . . . . . . . .
Section B. Total Support
Calendar year (or fiscal year                                     (a) 2005                   (b) 2006                   (c) 2007                   (d) 2008                    (e) 2009                    (f) Total
beginning in) G
   7 Amounts from line 4 . . . . . . . . . .
  8 Gross income from interest,
    dividends, payments received
    on securities loans, rents,
    royalties and income form
    similar sources . . . . . . . . . . . . . . .
  9 Net income from unrelated
    business activities, whether or
    not the business is regularly
    carried on . . . . . . . . . . . . . . . . . . . .
 10 Other income. Do not include
    gain or loss from the sale of
    capital assets (Explain in
    Part IV.). . . . . . . . . . . . . . . . . . . . . .
 11 Total support. Add lines 7
    through 10. . . . . . . . . . . . . . . . . . . .
 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                     12
 13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
    organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                 .                                                                                                                                                                       G
Section C. Computation of Public Support Percentage
 14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f). . . . . . . . . . . . . . . . . . . . . . . . . . . .                                            14                               %
 15 Public support percentage from 2008 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              15                               %

 16 a 33-1/3 support test ' 2009. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box
      and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G

     b 33-1/3 support test ' 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box
       and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G

 17 a 10%-facts-and-circumstances test ' 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%
      or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how
      the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization.. . . . . . . . .                                                                       G

   b 10%-facts-and-circumstances test ' 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%
     or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the
     organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization.. . . . . . . . . . . . G
 18 Private foundation. If the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . G .

BAA                                                                                                     Schedule A (Form 990 or 990-EZ) 2009

                                                                                                   TEEA0402L       10/08/09
Schedule A (Form 990 or 990-EZ) 2009      LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                           91-1495396                               Page 3
Part III           Support Schedule for Organizations Described in Section 509(a)(2)
                   (Complete only if you checked the box on line 9 of Part I.)
Section A. Public Support
Calendar year (or fiscal yr beginning in)G                       (a) 2005                   (b) 2006                   (c) 2007                  (d) 2008                   (e) 2009                     (f) Total
  1 Gifts, grants, contributions and
     membership fees received. (Do
     not include 'unusual grants.') . .                              3,170.                   88,970.                   66,404.                      2,497.                     4,250.                   165,291.
  2 Gross receipts from
     admissions, merchandise sold
     or services performed, or
     facilities furnished in a activity
     that is related to the
     organization's tax-exempt
     purpose . . . . . . . . . . . . . . . . . . . . . .         495,387.                  495,884.                   388,921.                  455,156.                   276,334.                 2,111,682.
  3 Gross receipts from activities that are
     not an unrelated trade or business
     under section 513. . . . . . . . . . . . . . . . .                                                                                                                                                                 0.
  4 Tax revenues levied for the
     organization's benefit and
     either paid to or expended on
     its behalf. . . . . . . . . . . . . . . . . . . . .                                                                                                                                                                0.
  5 The value of services or
     facilities furnished by a
     governmental unit to the
     organization without charge. . . .                                                                                                                                                                     0.
   6 Total. Add lines 1 through 5 . . .                          498,557.                  584,854.                   455,325.                  457,653.                   280,584.                 2,276,973.
   7 a Amounts included on lines 1,
       2, 3 received from disqualified
       persons . . . . . . . . . . . . . . . . . . . . . .                     0.                         0.                         0.                        0.                         0.                            0.
     b Amounts included on lines 2
       and 3 received from other than
       disqualified persons that
       exceed the greater of 1% of
       the amount on line 13 for the
       year. . . . . . . . . . . . . . . . . . . . . . . . . .                 0.                         0.                         0.                        0.                         0.                            0.
     c Add lines 7a and 7b. . . . . . . . . . .                                0.                         0.                         0.                        0.                         0.                            0.
   8 Public support (Subtract line
       7c from line 6.) . . . . . . . . . . . . . . .                                                                                                                                               2,276,973.
Section B. Total Support
Calendar year (or fiscal yr beginning in) G                (a) 2005    (b) 2006                         (c) 2007                        (d) 2008                         (e) 2009                           (f) Total
  9 Amounts from line 6 . . . . . . . . . .                498,557.   584,854.                        455,325.                         457,653.                         280,584. 2,276,973.
 10 a Gross income from interest,
      dividends, payments received
      on securities loans, rents,
      royalties and income form
      similar sources . . . . . . . . . . . . . . .         16,659.      23,757.                         10,729.                             6,574.                           5,654.                           63,373.
    b Unrelated business taxable
      income (less section 511
      taxes) from businesses
      acquired after June 30, 1975. . .                                                                                                                                                                                    0.
    c Add lines 10a and 10b . . . . . . . .
                                         .                  16,659.      23,757.                         10,729.                             6,574.                           5,654.                           63,373.
 11 Net income from unrelated business
      activities not included inline 10b,
      whether or not the business is
      regularly carried on . . . . . . . . . . . . . . .                                                                                                                                                                   0.
 12 Other income. Do not include
      gain or loss from the sale of
      capital assets (Explain in
      Part IV.). . . . . . . . . . . . . . . . . . . . . .                                                                                                                                                                 0.
 13 Total support. (add lns 9, 10c, 11, and 12.)                                                                                                                                                      2,340,346.
 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
      organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
                                                                .

Section C. Computation of Public Support Percentage
 15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . .                                          15                  97.3 %
 16 Public support percentage from 2008 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                           16                  97.2 %
Section D. Computation of Investment Income Percentage
 17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17                    2.7 %
 18 Investment income percentage from 2008 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18   2.8 %
 19 a 33-1/3 support tests ' 2009. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not
      more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . G X
    b 33-1/3 support tests ' 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18
      is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . G       .

 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . G
BAA                                                                                              TEEA0403L       02/15/10                                        Schedule A (Form 990 or 990-EZ) 2009
Schedule A (Form 990 or 990-EZ) 2009 LYNNWOOD ROTARY COMMUNITY FOUNDATION                     91-1495396            Page 4
Part IV   Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
          Part II, line 17a or 17b; and Part III, line 12. Provide any other additional information. See instructions.




BAA                                                  TEEA0404L   02/05/10               Schedule A (Form 990 or 990-EZ) 2009
2009                                                                        FEDERAL STATEMENTS                                                                                                   PAGE 1
CLIENT 4                                                    LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                                 91-1495396
5/26/11                                                                                                                                                                                              10:36AM

  STATEMENT 1
  FORM 990-EZ, PART I, LINE 16
  OTHER EXPENSES

  DEPRECIATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $       505.
  GAINS (LOSSES). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             899.
  OFFICE EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               309.
                                                                                                                                                                              TOTAL $             1,713.



  STATEMENT 2
  FORM 990-EZ, PART I, LINE 20
  OTHER CHANGES IN NET ASSETS OR FUND BALANCES

  PRIOR PERIOD ADJUSTMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $                            25,319.
                                                                                                                                                      TOTAL $                                    25,319.



  STATEMENT 3
  FORM 990-EZ, PART II, LINE 24
  OTHER ASSETS

                                                                                                                                                                      BEGINNING                 ENDING
  FURNITURE AND FIXTURES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $                                       0. $               1,515.
  PREPAIDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         2,316.                     0.
  RECEIVABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               3,499.                     0.
                                                                                                                                                     TOTAL $                5,815. $               1,515.



  STATEMENT 4
  FORM 990-EZ, PART II, LINE 26
  TOTAL LIABILITIES

                                                                                                                                                                      BEGINNING                 ENDING
  ACCOUNTS PAYABLE AND ACCRUED EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $                                                               22,325. $                1,320.
                                                                                           TOTAL $                                                                        22,325. $                1,320.



  STATEMENT 5
  FORM 990-EZ, PART V
  REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS

  (A) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR
  INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?. . . . . . . . . . . . . . . . . . . . . . . . . . .                                                                                  NO
  (B) DID THE ORGANIZATION, DURING THE YEAR, PAY PREMIUMS, DIRECTLY OR
  INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                                  NO
2009                                                                          FEDERAL WORKSHEETS                                                                                                          PAGE 1
CLIENT 4                                                       LYNNWOOD ROTARY COMMUNITY FOUNDATION                                                                                                      91-1495396
5/26/11                                                                                                                                                                                                      10:36AM

  COMPUTATION OF COST OF GOODS SOLD (FORM 990-EZ)

  1.      INVENTORY AT START OF YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                           0.
  2.      PURCHASES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   299,707.
  3.      COST OF LABOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 0.
  4.      ADDITIONAL 263A COSTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                 0.
  5.      OTHER COSTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             0.
  6.      TOTAL (ADD LINES 1 THROUGH 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                           299,707.
  7.      INVENTORY AT END OF YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                       0.
  8.      COST OF GOODS SOLD (SUBTRACT LINE 7 FROM LINE 6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                                                                  299,707.

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Form 990-EZ Short Form

  • 1. Short Form OMB No. 1545-1150 Form 990-EZ Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) 2009 G Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file Form 990. All other organizations with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year Department of the Treasury may use this form. Open to Public Internal Revenue Service G The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection A For the 2009 calendar year, or tax year beginning 7/01 , 2009, and ending 6/30 , 2010 B Check if applicable: C D Employer identification number Please Address change use IRS LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Name change label or print or PO BOX 6754 E Telephone number Initial return type. See LYNNWOOD, WA 98036-0754 Termination Specific Amended return Instruc- tions. F Group Exemption Application pending Number. . . . . . . . . . . . G ?Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts G Accounting method: Cash X Accrual must attach a completed Schedule A (Form 990 or 990-EZ). Other (specify) G H Check G X if the organization is not I Website: G LYNNWOODROTARY.ORG required to attach Schedule B (Form 990, J Tax-exempt status (check only one) ' X 501(c) ( 3 ) H (insert no.) 4947(a)(1) or 527 990-EZ, or 990-PF). K Check G if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A Form 990-EZ or Form 990 return is not required, but if the organization chooses to file a return, be sure to file a complete return. L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts; if $500,000 or more, file Form 990 G$ 290,259. instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) 1 Contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4,250. 2 Program service revenue including government fees and contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 4,015. 3 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5,654. 5a Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . . 5a b Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b R E c Gain or (loss) from sale of assets other than inventory (Subtract ln 5b from ln 5a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c V 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here . . . . . . . G E N a Gross revenue (not including $ of contributions U E reported on line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a b Less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . . . . 6b c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c 7a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . 7a 276,340. b Less: cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 299,707. c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a). . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c -23,367. 8 Other revenue (describe G ). . 8 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 9 -9,448. 10 Grants and similar amounts paid (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 E 11 Benefits paid to or for members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X P 12 Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 3,146. E 13 Professional fees and other payments to independent contractors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2,583. N S 14 Occupancy, rent, utilities, and maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 E S 15 Printing, publications, postage, and shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other expenses (describe G SEE STATEMENT 1 ). . . . 16 1,713. 17 Total expenses. Add lines 10 through 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 7,442. 18 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 -16,890. A N S 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year E S figure reported on prior year's return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 647,460. T E T 20 Other changes in net assets or fund balances (attach explanation) . . . . . . . . .SEE . .STATEMENT . .2. . . . . 20 .... ............. . 25,319. S 21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 21 655,889. Part II Balance Sheets. If Total assets on line 25, column (B) are $1,250,000 or more, file Form 990 instead of Form 990-EZ. (See the instructions for Part II.) (A) Beginning of year (B) End of year 22 Cash, savings, and investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 386,159. 22 301,020. 23 Land and buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277,811. 23 354,674. 24 Other assets (describe G SEE STATEMENT 3 ). . . . . . . . . . . . . . . . . . . . 5,815. 24 1,515. 25 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669,785. 25 657,209. 26 Total liabilities (describe G SEE STATEMENT 4 ). . . . . . . . . . . . . . . . . . 22,325. 26 1,320. 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . . . . . . . . . . . 647,460. 27 655,889. BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form 990-EZ (2009) TEEA0803L 01/30/10
  • 2. Form 990-EZ (2009) LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Page 2 Part III Statement of Program Service Accomplishments (See the instructions.) Expenses What is the organization's primary exempt purpose? COMMUNITY SERVICE (Required for section 501(c)(3) and (4) Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, organizations and section describe the services provided, the number of persons benefited, or other relevant information for each 4947(a)(1) trusts; optional program title. for others.) 28 EDUCATION FOR HIGH SCHOOL STUDENTS BY CONSTRUCTING A HOUSE UNDER THE SUPERVISION OF HIGH SCHOOL VOCATIONAL ED TEACHERS (Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . G 28 a 302,032. 29 (Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . G 29 a 30 (Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . G . 30 a 31 Other program services (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . G . 31 a 32 Total program service expenses (add lines 28a through 31a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 32 302,032. Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instrs.) (b) Title and average hours (c) Compensation (If (d) Contributions to (e) Expense account (a) Name and address per week devoted not paid, enter -0-.) employee benefit plans and and other allowances to position deferred compensation JEAN HALES PAST PRESIDENT 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 ROB YACKEL TREASURER 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036 MARILLA SARGENT DIRECTOR 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 KEN PEIRCE SECRETARY 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 TODD BRUNNER DIRECTOR 0. 0. 0. PO BOX 6754 5.00 LYNNWOOD, WA 98036-0754 TRAVIS SNIDER PRESIDENT 0. 0. 0. PO BOX 6754 3.00 LYNNWOOD, WA 98036-0754 TOM SEHRER DIRECTOR 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 JOHN FRIENDS DIRECTOR 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 TERESSA PAOLUCCI DIRECTOR 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 JIM MORINO DIRECTOR 0. 0. 0. PO BOX 6754 1.00 LYNNWOOD, WA 98036-0754 BAA TEEA0812L 01/30/10 Form 990-EZ (2009)
  • 3. Form 990-EZ (2009) LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Page 3 Part V Other Information (Note the statement requirements in the instrs for Part V.) SEE STATEMENT 5 Yes No 33 Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' attach a detailed description of each activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 X 34 Were any changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the changes . . 34 X 35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, attach a statement explaining why the organization did not report the income on Form 990-T. a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice, reporting, and proxy tax requirements?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a X b If 'Yes,' has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 b 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If 'Yes,' complete applicable parts of Schedule N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 X 37 a Enter amount of political expenditures, direct or indirect, as described in the instructions . G 37 a 0. b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 b X 38 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the period covered by this return? . . . . . . . . . . . . . . 38 a X b If 'Yes,' complete Schedule L, Part II and enter the total amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 b N/A 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 a N/A b Gross receipts, included on line 9, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . . 39 b N/A 40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 G 0. ; section 4912 G 0. ; section 4955 G 0. b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 b X c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958. . . . . . . . G 0. d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 0. e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If 'Yes,' complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 e X 41 List the states with which a copy of this return is filed G NONE 42 a The organization's books are in care of G FRIENDS AND HARVEY ASSOC. INC. Telephone no. G 425-670-1310 Located at G 19721 SCRIBER LAKE ROAD STE C LYNNWOOD WA ZIP + 4 G 98036-6119 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a Yes No financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . 42 b X If 'Yes,' enter the name of the foreign country: . . G See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of a Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside of the U.S.?. . . . . . . . . . . . . . . . . . . . . . 42 c X If 'Yes,' enter the name of the foreign country: . . G 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ' Check here . . . . . . . . . . . . . . . . . . . . . . G N/A and enter the amount of tax-exempt interest received or accrued during the tax year. . . . . . . . . . . . . . . . . . . . . G 43 N/A Yes No 44 Did the organization maintain any donor advised funds? If 'Yes,' Form 990 must be completed instead of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 X 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If 'Yes,' Form 990 must be completed instead of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 X BAA TEEA0812L 01/30/10 Form 990-EZ (2009)
  • 4. Form 990-EZ (2009) LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Page 4 Part VI Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 46-49b and complete the tables for lines 50 and 51. Yes No 46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 X 47 Did the organization engage in lobbying activities? If 'Yes,' complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 X 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . . . 48 X 49 a Did the organization make any transfers to an exempt non-charitable related organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 a X b If 'Yes,' was the related organization a section 527 organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 b 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' (b) Title and average (c) Compensation (d) Contributions to employee (e) Expense (a) Name and address of each employee paid hours per week benefit plans and account and more than $100,000 devoted to position deferred compensation other allowances NONE f Total number of other employees paid over $100,000 . . . . . . . G . 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' (a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation NONE d Total number of other independent contractors each receiving over $100,000 . . . . . . . . . . . . G Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here G Signature of officer Date TRAVIS SNIDER PRESIDENT G Type or print name and title. Date Preparer's Identifying Number Check if (See instructions) Paid Preparer's signature G JOHN W FRIENDS, CPA 10/09/10 self- employed G P00166522 Pre- parer's Firm's name (or FRIENDS AND HARVEY ASSOCIATES, INC yours if self- Use employed), G 19721 SCRIBER LAKE ROAD, STE C G 20-3587891 EIN address, and Only ZIP + 4 LYNNWOOD, WA 98036 (425) 670-1310 Phone no. G May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X Yes . No BAA Form 990-EZ (2009) TEEA0812L 01/30/10
  • 5. OMB No. 1545-0047 SCHEDULE A (Form 990 or 990-EZ) Public Charity Status and Public Support 2009 Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Open to Public Department of the Treasury Inspection Internal Revenue Service G Attach to Form 990 or Form 990-EZ. G See separate instructions. Name of the organization Employer identification number LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 X An organization that normally receives: (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) 10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. a Type I b Type II c Type III ' Functionally integrated d Type III' Other e By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). f If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? Yes No (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (i) (ii) a family member of a person described in (i) above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (ii) (iii) a 35% controlled entity of a person described in (i) or (ii) above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (iii) h Provide the following information about the supported organizations. (i) Name of Supported (ii) EIN (iii) Type of organization (iv) Is the (v) Did you notify (vi) Is the (vii) Amount of Support Organization (described on lines 1-9 organization in col. the organization in organization in col. above or IRC section (i) listed in your col. (i) of (i) organized in the (see instructions)) governing your support? U.S.? document? Yes No Yes No Yes No Total BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2009 TEEA0401L 02/05/10
  • 6. LYNNWOOD ROTARY COMMUNITY FOUNDATION Schedule A (Form 990 or 990-EZ) 2009 91-1495396 Page 2 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I.) Section A. Public Support Calendar year (or fiscal year (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total beginning in) G 1 Gifts, grants, contributions and membership fees received. (Do not include 'unusual grants.') . . 2 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf. . . . . . . . . . . . . . . . . . 3 The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge. . . . . . 4 Total. Add lines 1-through 3 . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f). . . 6 Public support. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . Section B. Total Support Calendar year (or fiscal year (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total beginning in) G 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form similar sources . . . . . . . . . . . . . . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 11 Total support. Add lines 7 through 10. . . . . . . . . . . . . . . . . . . . 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Section C. Computation of Public Support Percentage 14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f). . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 % 15 Public support percentage from 2008 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 % 16 a 33-1/3 support test ' 2009. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G b 33-1/3 support test ' 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 a 10%-facts-and-circumstances test ' 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization.. . . . . . . . . G b 10%-facts-and-circumstances test ' 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization.. . . . . . . . . . . . G 18 Private foundation. If the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . G . BAA Schedule A (Form 990 or 990-EZ) 2009 TEEA0402L 10/08/09
  • 7. Schedule A (Form 990 or 990-EZ) 2009 LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Page 3 Part III Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I.) Section A. Public Support Calendar year (or fiscal yr beginning in)G (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total 1 Gifts, grants, contributions and membership fees received. (Do not include 'unusual grants.') . . 3,170. 88,970. 66,404. 2,497. 4,250. 165,291. 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in a activity that is related to the organization's tax-exempt purpose . . . . . . . . . . . . . . . . . . . . . . 495,387. 495,884. 388,921. 455,156. 276,334. 2,111,682. 3 Gross receipts from activities that are not an unrelated trade or business under section 513. . . . . . . . . . . . . . . . . 0. 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . . . . 0. 5 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 0. 6 Total. Add lines 1 through 5 . . . 498,557. 584,854. 455,325. 457,653. 280,584. 2,276,973. 7 a Amounts included on lines 1, 2, 3 received from disqualified persons . . . . . . . . . . . . . . . . . . . . . . 0. 0. 0. 0. 0. 0. b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1% of the amount on line 13 for the year. . . . . . . . . . . . . . . . . . . . . . . . . . 0. 0. 0. 0. 0. 0. c Add lines 7a and 7b. . . . . . . . . . . 0. 0. 0. 0. 0. 0. 8 Public support (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . 2,276,973. Section B. Total Support Calendar year (or fiscal yr beginning in) G (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total 9 Amounts from line 6 . . . . . . . . . . 498,557. 584,854. 455,325. 457,653. 280,584. 2,276,973. 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form similar sources . . . . . . . . . . . . . . . 16,659. 23,757. 10,729. 6,574. 5,654. 63,373. b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. . . 0. c Add lines 10a and 10b . . . . . . . . . 16,659. 23,757. 10,729. 6,574. 5,654. 63,373. 11 Net income from unrelated business activities not included inline 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . . . 0. 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 0. 13 Total support. (add lns 9, 10c, 11, and 12.) 2,340,346. 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G . Section C. Computation of Public Support Percentage 15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . 15 97.3 % 16 Public support percentage from 2008 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 97.2 % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17 2.7 % 18 Investment income percentage from 2008 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 2.8 % 19 a 33-1/3 support tests ' 2009. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . G X b 33-1/3 support tests ' 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . G . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . G BAA TEEA0403L 02/15/10 Schedule A (Form 990 or 990-EZ) 2009
  • 8. Schedule A (Form 990 or 990-EZ) 2009 LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 Page 4 Part IV Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Provide any other additional information. See instructions. BAA TEEA0404L 02/05/10 Schedule A (Form 990 or 990-EZ) 2009
  • 9. 2009 FEDERAL STATEMENTS PAGE 1 CLIENT 4 LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 5/26/11 10:36AM STATEMENT 1 FORM 990-EZ, PART I, LINE 16 OTHER EXPENSES DEPRECIATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 505. GAINS (LOSSES). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 899. OFFICE EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309. TOTAL $ 1,713. STATEMENT 2 FORM 990-EZ, PART I, LINE 20 OTHER CHANGES IN NET ASSETS OR FUND BALANCES PRIOR PERIOD ADJUSTMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,319. TOTAL $ 25,319. STATEMENT 3 FORM 990-EZ, PART II, LINE 24 OTHER ASSETS BEGINNING ENDING FURNITURE AND FIXTURES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0. $ 1,515. PREPAIDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,316. 0. RECEIVABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,499. 0. TOTAL $ 5,815. $ 1,515. STATEMENT 4 FORM 990-EZ, PART II, LINE 26 TOTAL LIABILITIES BEGINNING ENDING ACCOUNTS PAYABLE AND ACCRUED EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 22,325. $ 1,320. TOTAL $ 22,325. $ 1,320. STATEMENT 5 FORM 990-EZ, PART V REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS (A) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?. . . . . . . . . . . . . . . . . . . . . . . . . . . NO (B) DID THE ORGANIZATION, DURING THE YEAR, PAY PREMIUMS, DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO
  • 10. 2009 FEDERAL WORKSHEETS PAGE 1 CLIENT 4 LYNNWOOD ROTARY COMMUNITY FOUNDATION 91-1495396 5/26/11 10:36AM COMPUTATION OF COST OF GOODS SOLD (FORM 990-EZ) 1. INVENTORY AT START OF YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 2. PURCHASES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,707. 3. COST OF LABOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 4. ADDITIONAL 263A COSTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 5. OTHER COSTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 6. TOTAL (ADD LINES 1 THROUGH 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,707. 7. INVENTORY AT END OF YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 8. COST OF GOODS SOLD (SUBTRACT LINE 7 FROM LINE 6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,707.