19
990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 202 return Address chan ge Name chan ge A Employer Identification number 91-6291543 B Telephone number (see page 10 of the instructions) RoonvsWta 360-757-3353 C If exemption application b pending check hale D 1 Foreign organizations, check here 2 Foreign orp meeting the 115% legit check here and attach computation E II private foundation status was terminated ion under section 507(bx7xA), check here Accrual F If the foundation Is In a 60-month termination under section 507(b)(1HB1 " check hem (d) Disbursements Uae the IRS Name of oipanlaUOn DON L . BRADLEY SCHOLARSHIP label TRUST FUND Otherwise, print Number end sheet (or P O box number II mall Is not deMered to street address) orrype 301 NORTH BURLINGTON BLVD See Specific City orlown,state aMLPcode Instructions BURLINGTON WA 98233 H Check type of organization Section 501(c)(3 exempt private foundation Section 4947 a 1 nonexem pt chantable trust Other taxable rivate bunda I Fair market value of all assets at J Accounting method ~ Cash end of year (from Part II, cot (c), [] Other (specify) line 16 ) " $ 226 , 307 1 parts column d must be oncash basis part L,' Analysis of Revenue and Expenses (The (o) Re .,nua and total o! emotion in cot (D), (c), 8 (d) may not necessarily %<Pensea per boob R b (Net rental income or (loss) ) a 6a Net pain or (loss) horn sale of assets not on line 10 Y-12V 842 b Grow sales pace for all asses on line 60,217 e 6a A 7 Capital pain net Inc (horn Part IV, line 2) STMT 1 8 Net short-term rappel gain B 9 Income modifications 10a Gross sales less returns and allowarKas b less Cast of goods sold c Gross profit or (loss) (an schedule) 17 Other income (attach schedule) 72 Total Add lines 1 throu g h 11 -2 , 6 A 73 Compensation of officers, directors, trustees, etc d m 14 Other employee salaries and wages I 75 Pension plans, employee benefits t6a Legal fees (attach schedule) r .~ b Accounting fees (attach schedule) STMT 2 7i 0s t c Other professional fees (att sch ) r r 17 Interest a 78 T tc sch (we pp 73 of the Instr ) t '-,1 19 preaa X41 fl~tmlslion v so VGIVCU ~ e 21 ~1~ I, conference,~s~, and meeUn f71 ,A E 22 mtu 9 b'f°0'nFO03 ~3 x 23 e expenses (anach schedul )= STMT 3 6 : Z B 24 oral o ^fr~'stratlva expenses n rouq .xi=' 1 , 31 ; 25 Contributions, gifts, grants paid 241 , 111 ~e "~ s 26 Total expenses and disbursements Add lines 24 and 25 25 5 27 Subtract fine 26 from line 12 a Excess of revenue roar expenses 8 disbursements c^'s, ^`- ' i8 , 2 1[ b Net Investment Income (if negative, enter -0-) C Adiutted not Inreme 0( nnnaWe . enter -0-1 I 638 ~ ~ 1,'35 9 A53~0 ,A Form 99o-K,~20z~ . z~ n, ual the amounts in column a see 70 of the mstr 1 Contributions. gifts, giants etc . Mcerved (al schedule) Check 1 R II the foundation Is not required m aft Sch B 2 Distributions horn split-interest trusts 3 Interest on sarongs 8 temporary cash investments 3' 4 Dividends and interest from securities 10 13 : Sa Gross rents (b) Net investment (c) Adjusted net for cnanbbla Income Income puryoses lash basis on 10 , 131 10 , 131 .t " s

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Page 1: STMT 4 305, 008 280,003 226 307990s.foundationcenter.org/990pf_pdf_archive/916/916291543/916291543... · DON L. BRADLEY SCHOLARSHIP label TRUST FUND Otherwise, print Number end sheet

990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation 202

return Address change Name change A Employer Identification number

91-6291543

B Telephone number (see page 10 of the instructions)

RoonvsWta 360-757-3353

C If exemption application b pending check hale

D 1 Foreign organizations, check here

2 Foreign orp meeting the 115% legit check here and attach computation

E II private foundation status was terminated

ion under section 507(bx7xA), check here

Accrual F If the foundation Is In a 60-month termination

under section 507(b)(1HB1 " check hem

(d) Disbursements

Uae the IRS Name of oipanlaUOn

DON L . BRADLEY SCHOLARSHIP label TRUST FUND

Otherwise,

print Number end sheet (or P O box number II mall Is not deMered to street address)

orrype 301 NORTH BURLINGTON BLVD See Specific

City orlown,state aMLPcode Instructions BURLINGTON WA 98233 H Check type of organization Section 501(c)(3 exempt private foundation

Section 4947 a 1 nonexempt chantable trust Other taxable rivate bunda I Fair market value of all assets at J Accounting method ~ Cash

end of year (from Part II, cot (c), [] Other (specify) line 16 ) " $ 226 , 3071 parts column d must be oncash basis

part L,' Analysis of Revenue and Expenses (The (o) Re.,nua and total o! emotion in cot (D), (c), 8 (d) may not necessarily %<Pensea per

boob

R b (Net rental income or (loss) ) a 6a Net pain or (loss) horn sale of assets not on line 10 Y-12V 842

b Grow sales pace for all asses on line 60,217 e 6a A 7 Capital pain net Inc (horn Part IV, line 2) STMT 1

8 Net short-term rappel gain

B 9 Income modifications 10a Gross sales less returns and allowarKas

b less Cast of goods sold

c Gross profit or (loss) (an schedule) 17 Other income (attach schedule) 72 Total Add lines 1 through 11 -2 , 6

A 73 Compensation of officers, directors, trustees, etc d m 14 Other employee salaries and wages I 75 Pension plans, employee benefits

t6a Legal fees (attach schedule) r.~ b Accounting fees (attach schedule) STMT 2 7i 0s

t c Other professional fees (att sch ) r r 17 Interest

a 78 T tc sch (we pp 73 of the Instr ) t '-,1 19 preaa X41 fl~tmlslion

v so VGIVCU ~

e 21 ~1~ I, conference,~s~, and meeUn f71 ,A E 22 mtu 9 b'f°0'nFO03 ~3 x 23 e expenses (anach schedul )= STMT 3 6: Z B 24 oral o ^fr~'stratlva expenses

n rouq .xi=' 1 , 31 ; 25 Contributions, gifts, grants paid 241 , 111

~e "~ s 26 Total expenses and disbursements Add lines 24 and 25 25 5

27 Subtract fine 26 from line 12 a Excess of revenue roar expenses 8 disbursements c^'s, ^`-' i8 , 2 1[ b Net Investment Income (if negative, enter -0-) C Adiutted not Inreme 0( nnnaWe . enter -0-1

I

638 ~ ~ 1,'35

9 A53~0 ,A

Form 99o-K,~20z~. z~ n,

ual the amounts in column a see 70 of the mstr

1 Contributions. gifts, giants etc . Mcerved (al schedule) Check 1 R II the foundation Is not required m aft Sch B

2 Distributions horn split-interest trusts

3 Interest on sarongs 8 temporary cash investments 3' 4 Dividends and interest from securities 10 13 : Sa Gross rents

(b) Net investment (c) Adjusted net for cnanbbla Income Income puryoses

lash basis on

10 , 131 10 , 131

.t

" s

Page 2: STMT 4 305, 008 280,003 226 307990s.foundationcenter.org/990pf_pdf_archive/916/916291543/916291543... · DON L. BRADLEY SCHOLARSHIP label TRUST FUND Otherwise, print Number end sheet

Patt 11 , Balance Sheets Attached schedules and amounts In the description column should he for end-0l-year amounts only (See Instructions )

7 Cash-non-interest-bea ring 2 Savings and temporary cash investments 3 Accounts receivable 1

Less allowance for doubtful accounts 4 Pledges receivable 10,

Less allowance for doubtful accounts 1 5 Grants receivable 6 Recervables due from officers, directors . trustees, and other

disqualified persons (attach schedule) (see page 15 0l the instructions)

A 7 Other notes 8 loans receivable 1 Less allowance for doubtful accounts 1

s e 8 Inventories for sale or use t 9 Prepaid expenses and deterred charges

70a InvestrnentsL S and state government obligations (an. schedule)

b Investments-corporate stock (attach schedule)

c Investments-corporate bonds (attach schedule) 11 Investrnents-IanO, buildings, 8 equipment basis 10.

Less accumulated depreaaUOn 1 72 Investments-mortgage loans 13 Investrnents-other(anach schedule) 14 Land, buildings, and equipment basis 1

Less accumulated depreciation 111~ 75 Other assets (describe " SEE STMT 5 ) 18 Total assets (to be completed by all filers-see page 16 of

STMT 4 305 , 008 280,003 226 307

2 , 820

Fart 1~ ̀ Analysis of Changes in Net Assets or Fund Balances

7 Total net assets or land balances at beginning of year-Pan II, column (a), line 30 (must agree with end-of-year figure reported on error year's return)

2 Enter amount from Part I, line 27a 3 Other Increases not Inducted in line 2 (itemize) 1 4 Add lines 1, 2, and 3 5 Decreases not included In line 2 (Itemize) 1

Fomn 990-PF (2ooz) ore

17 Accounts payable and accrued expenses 78 Gents payable ` a

n 19 Deferred revenue <` t , ~, 20 Loans from officers. directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (att. srh ) I 22 Other liabihtes (describe

I `

s 23 Total liabilities add lines 17 through 22 0 0 n .., N Organizations that follow SFAS 717, check here U a t and complete lines 24 through 26 and lines 30 and 31 A 24 Unrestricted s 25 Temporarily restricted ,'. < j 26 Permanently resincted

Organizations that do not follow SFAS 117, cheek here i and complete lines 27 through 31 F 27 Capital stock,trust pnnGpal,orcurrent funds 308,203 280 , 003 ̀ ,- a 28 Paid-in or capital surplus, or land, bldg , and equipment fund A 0 29 Retained earnings, accumulated income, endowment, or other funds a 30 Total net assets or fund balances (see page 16 of the , a instructions) 308 , 203 280,003 c 37 Total liabilities and net assets/fund balances (see page 16 of

30A Ana pan . one " , :. .' .,

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

Was the organization liable for the section 4942 fax on we distnbutable amount of any year in the base period? Yes No

If "Yes," the organization does not gualilV under section 4940(e) Do not complete this part 4 cnror one onn..,ndarw nmnunr m nark rnhmrin knr earh vearsee mans 17 of we instructions before making any entries

(b) I (C) Adjusted quall(rrgOISMWtions Net value ofronUUMabla-useassets

8 Enter qualifying distributions from Part X11, line 4 I e I L 9 , i o a

If line 8 Is equal to or greater wan line 7, check we box in Part VI, line 1b, and complete that part using a 1 % tax rate See

the Part VI instructions on page 17 Fpm, 990-PF (zooz) ow

orms90-PF1(2o02) DON L . BRADLEY SCHOLARSHIP 91-6291543 Pag Part !V- Ca pital Gams and Losses for Tax on Investment Income

(e'2-shirybrick ewswarehouse a oomonsebrk200shi~MLCCO~ (b~PHPUrcha~s ~ (G)(mo dayN,y~r)d (lmoDEay yr) D-0onaCOn

0 to 112 .108 SH OPPENHEIMER MAIN STREET O P 1 /10 /02 8 /06 / 0 b 31 .813 SH OPPENHEIMER MAIN STREET OP P 1/10/02 8 /15 / 0 c 1977 .076 SH OPPENHEIMER GROWTH FD A P VARIOUS 1 /10 /

d e

(h) Gain a (bss) (n Depredation allowed (9) Cast a other basis (e) Gross saes Pros In, p��,,,hlw1 plus expense of sale (e) plus fil minus (o)

Complete on (or assets showin gain in column h and owned b the foundation on 12/31/69 (I) Gams (Col (h) pain minus

Q) Adjusted basis (k) Excess of ml (i) ml (k) but not less than -0-) or (I) F M V as of 771dt/69

as of 1?1d7/69 war Col , H an Lose! (from Col n

a

b -12

d

e r

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

L II (loss), enter -0- m Pa A I, line 7 J 2 -12

3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)

I( gam, also enter m Pan I, line 8, column (c) (see pages 72 and 17 of the instructions)

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

2 Total of line 1, column (d) 3 Average disinbuhon ratio for we 5-year base penod-0rvlde we total online 2 by 5, or by

the number of years the foundation has been In existence if less than 5 years

4 Enter the net value of nonchanlable"use assets for 2002 from Part X, line 5 L

5 Multiply line 4 by line 3

6 Enter 1% of net investment Income (1% of Part I, line 27b)

7 Add lines 5 and 6 L

Page 4: STMT 4 305, 008 280,003 226 307990s.foundationcenter.org/990pf_pdf_archive/916/916291543/916291543... · DON L. BRADLEY SCHOLARSHIP label TRUST FUND Otherwise, print Number end sheet

Part Vll-A , Statements Re ardor Activities 1a During the tax year, did the organization attempt to influence any national, state, or local legislation or did Yes No

It participate or Intervene In any political campaign? Is X b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page

19 of we Instructors; for definition)? 1b X IF the answer Is -Yes" to to or tb, attach a detailed description of the activities and copies of any materials published or distributed by the organization in connection with the acUVNes

c Did the organization file Form 1120-POL for this yeah Ic ~ X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year

(1) On we organization 1 $ (2) On organization managers " $ e Enter the reimbursement (if any) paid by the organization during the year for political expenditure lax imposed

on organization managers " E 2 Has the organization engaged in any activities that have not previously been reported to we IRS? , Z XY

If 'Yes,' attach a detailed description of the activities 3 Has the organization made any changes, not previously reported to the IRS, in Its governing instrument, artldes w ,

of Incorporation, or bylaws, or other similar instruments? If 'Yes .* attach a conformed copy of we changes 3' X 4a Did the organization have unrelated business gross income of $1,000 or more during the year? 4a X b If 'Yes,' has it filed a tax return on Form 990-T for this year? N/A 4b 5 Was there a liquidation . termination . dissolution, or substantial oonNactlon during we year? 5 X

If "Yes,' attach the statement required by General Instruction T 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either

By language In the governing instrument or a By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the stale law remain in the governing instrument? ' 6 X

7 Did the organization have at least $5,000 In assets at any Hme during the year? If 'Yes; complete Part II, ml (c), and Part 7N 7 X

Be Enter we states to which the foundation reports or with which It is registered (see page 19 of the

Instructions) 10 WA b If the answer is 'Yes" to line 7, has the organization furnished a copy of Form 990.PF to the Attorney General

(or designate) of each stale as required by General Instruction G7 If 'No," all explanation YBb X } ' 9 Is the organization claiming status as a private operating foundation within the meaning o! section 49420(3)

or 4942(1)(5) for calendar year 2002 or the taxable year beginning m 2002 (see Instructions for Pan )(IV on . .

page 25)7 If 'Yes,* complete Part XIV ' 9 V X

10 Did airy persons become substantial contributors during the tan year? If'Yes ; an a uh IISLrq their names 8 aGdr 70

71 Did the org comply with we public inspection requirements (or its annual returns and exemption application? 11 X Web site address " NONE

12 The books are in pre of t JIM CLEM Telephone no " 360-757-3353 Lootedat t 301 N BURLINGTON BLVD, BURLINGTON, WA ZAP+4 t 98233

13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990.PF In lieu of Forth 1047 -Check here and enter the amount of tax-exempt Interest received or accrued during the year , . . _ . _ _ . . . _ . . . . 1 1 73

onn TOT 95 Fom 990-PF (zoo2)

7a Exempt operating foundations described in section 4940(d)(2), check here 1 Lf and enter 'N/A" on line 1

Date of ruling letter (attach copy of ruling letter H necessary-see Instructions) ,w y . ' . `

b Domestic organizations that meet the section 4940(e) requirements in Part V, check ,1 � , 95

here " ~ and enter 1% of Part 1, line27b

t All other domestic orpanvatlons enter 276 of line 27D Exempt foreign organizations ewer d% of Part I, line 72, ml (b)

Z Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) ^ Y V

3 Add lines 1 and 2 3 95 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4

5 Tax based on Investment Income Subtract line 4 from line 3 If zero or less, enter-0- 5 95

6 Credits/Payments

a 2002 estimated tax payments and 2001 overpayment credited to 2002 6a

b Exempt foreign organizations-tax withheld al source 6b

c Tax paid with application (or extension of time to file (Form 8868) Be

d Backup pwithholding erroneously withheld 6d , �

7 Total credits and payments Add lines 6a through 6d

8 Enter any penalty far underpayment of estimated tax Check here ~ if Form 2220,s attached 8 9 Tax due If the total of lines 5 and B is more wan line 7, enter amount owed 1 9~ 9$

10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid " ~ 10 I

11 Enter the amount of line 10 to be Credited to 2003 estimated tax 1 ~ Refunded 1 11

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DPA

File Form 4720 If any Item Is checked In the "Yes" column, unless an exception applies Yes No 1a During the year did the organization (either directly or indirectly)

(t) Engage In the sale or exchange, or leasing of property with a disqualified person? O Yes 9 No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) '

a disqualified person? Yes No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes No (4) Pay compensation lo, or pay or reimburse the expenses of, a disqualified person? Yes No (5) Transfer any Income or assets to a disqualified person (or make any of enter available

for the benefit or use of a disqualified person)? O Yes ~ No (6) Agree to pay money or property to a government official? (Exception Check *No'

if the organization agreed to make a grant to or to employ the official for a period ' after termination of government service, if terminating within 90 days ) a Yes 0 No

b If any answer is'Yes' W 1 all }(6), did any of the ads fail to quaky under the exceptions described in Regulations section 53 4941(d}3 or m a curtent notce regarding disaster assistance (see page 19 of the Instructions)? N/A its Organizations relying on a anent notice regarding disaster assistance check here " Q

c Did the organization engage in a prior year in any of the acts described in 1a, other than excepted acts, � that were not corrected before the first day a the tax year beginning in 20021 N/A 1c'

7-7 2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private

operating foundation defined in section 49420(3) or 4942Q)(5)) a At the end of tax year 2002, did the organization have any undistributed income (lines 6d

and tie, Pan XIII) for tax year(s) beginning before 20029 ~ Yes ~ No I! 'Yes,' list the years 1 20 , 20 , 79 , 19

b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2) - (relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) , to all years listed, answer'No' and attach statement-see page 19 of the instructions N/A 2b

c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here , 1 20 , 20 , 19 , 19

3a Did the organization hold more wan a 2% direct or indirect interest in any business enterprise at any time during the year? 0 Yes 9 No �t',

b If 'Yes,* did It have excess business holdings in 2002 as a result of (1) any purchase by the organization °- or disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of the 10., 15, or 20-year first phase holding period? (Use Schedule C, Forth 4720, to determine Hi w if the organization had excess business holdings in 2002 ) N/A 3b'

Oa Did the organization Invest during the year any amount m a manner that would jeopardize its charitable purposes? 4a X b Did the organization make any investment In a prior year (but after December 31, 1969) That could jeopardize its charitable

` 11

1,

purpose that had not been removed from jeopardy before the first day of the fax year beginning in 2002? 411 5a During the year did the organization pay or Incur any amount to

(7) Carry on propaganda, or otherwise attempt to influence legislation (sermon 4945(e))? 0 Yes R No (2) Influence the outcome of any specific public election (see section 4955), or to carry ?

on, directly or indirectly, any voter registration drive? Yes No (3) Provide a grant to an individual for travel, study, or other similar purposes 8 Yes ~ No (4) Provide a grant to an organization other than a charitable . etc , organization described ,

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? 0 Yes R No � (5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or (or the prevention of cruelty to children or animals? O Yes ~ No ' " b If any answer Is 'Yes" to Sa(1 )-(5), did any of the transactions fail to qualify under the excepUOns described in

RepulaLOns section 53 4945 or In a anent noUce regarding disaster assistance (see page 20 of the instructions)? N/A 5b Orpan¢aUons relying on a current notice regarding disaster assistance check here " O

c If the answer Is 'Yes'to question Sa(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grant? N/A 0 Yes 0 No `~r , If "Yes; attach the statement required by Regulations section 53 49455(d)

6a Did the organization . during the year, receive any funds, directly or Indirectly, to pay premiums on a personal benefit convad7 ~ Yes ~ No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6~b `XY~ If you answered 'Yes' to 6b. also file Form 8870

Fog 990-PF (2ooz)

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Form 990-PF(2002) DON L . BRADLEY SCHOLARSHIP 91-6291543 Pane B Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, ,it vw,,

11 and Contractors 7 List all officers. directors trustees, foundation managers and their compensation (see page 20 of the Instructions )

(n) Title, and average (cl Compensation (d) conme w

dawled mployea benefit (e) Expense accwnt

(e) Name end address hourspe rwcek (If not paid, enter bans and 6ef rted other allowances topos~Wn -0") � ~�f�

DR . RICHARD O . JONES TRUSTEE

TRUSTEE JOHN lU1RSTAD

,i, m ; ;PBrt 1X"A~Summary of Direct Charitable Activities

Llat the foundation's four largest Elrecl CuAtaGIe xUvlllea during the tar year Include relevant statistical information such as the number

at orpanhellons and other Denefldanes served conferences convened, research pagan produced ft

PROVIDING SCHOLARSHIPS TO ELIGIBLE STUDENTS

Expenses

2

3

4

DAA Form `J.̀!U-F'F (2002)

JIM CI.EM TRUSTEE

2 Compensation of Me highes4pald employees (other than those Included online 7-sea page 20 of the Instructions) If none. enter "NONE "

(b) Me end average (d) Contributions b (s) Name and address of each employee geld more than $50.000 I furspe r week I I empbyae benefit I e E

devoted position (c) ComPensatlon ( 1 ~nseacoount to plans an0 delerteA other allovanfas

compensation

NONE

11. 3 Five highest-pald Independent contractors for professional services-isee papa 20 of the Instructions) If nom, enter

NONE

Page 7: STMT 4 305, 008 280,003 226 307990s.foundationcenter.org/990pf_pdf_archive/916/916291543/916291543... · DON L. BRADLEY SCHOLARSHIP label TRUST FUND Otherwise, print Number end sheet

Form 990-P 'Part p(" Desalbe N

N/

z~

-6291 L

Investment 27 of the in<_

part'Vl :; Qualifying Distributions (see page 23 of the instructions)

7 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes a Expenses, contributions, gifts, etc-total from Part 1, column (d), line 26 to 24 169 , b Program-related investments-Total from Part IX-B 7b 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,

purposes 2 3 Amounts set aside for specific chantable projects that satisfy the a Suitability test (prior IRS approval required) '3a V b Cash distribution test (attach the required schedule) 3b 4 Qualifying distributions Add lines to through 3b Enter here and on Part V, line B, and Part XIII, line 4 d 2 4 , 168 5 Organizations that qualify under section 4940(e) for the reduced rate of hex on net investment

Income Enter 1 % of Part I, line 27b (seepage 24 of the instructions) 5 95 6 Adjusted qualifying distributions Subtract line 5 from line 4 ~ 8 24,073

Note The amount on line 6 volt be used In Part V, column (b), in subsequent years when calculating whether we foundation qualifies for the section 4940(e) reduction of fax in (hose years

DAA Form 99O-PF (2002)

An piper Dm9~relatad ImestrneMS See papa 2t of tie hnWCllons

3

1 Fart market value of assets not used (or held for use) directly In carrying out charitable, etc , purposes

a Average monthly fair market value of sewntles b Average of monthly cash balances c Fair market value of all other assets (see page 22 of the instructions) d Total (add lines 1 a, b, and c) e Reduction claimed far blockage or other factors reported on lines to and

1 c (attach detailed explanation) 1e 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line 1d 4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, sea page 22

of the instructions) 5 Net value of noncharttablerise asset Subtract line 4 from line 3 Enter here and on Part V, line 4

,,,~y Distributable Amount (see page 23 of the instructions) ,'pad M' i... ...d ..6 ...... ..-d ....J...~. f......... ....~ ..... ....6 ...... ..L... .. L 6.. .

1 Minimum Investment velum from Part X, line 6 2a Tax on Investment income for 2002 from Part VI, line 5 b Income tax for 2002 (This does not include we tax from Part VI e Add lines 2a and 2b 3 Dlstnbutable amount before adjustments Subtract line 2c from line 1 4a Recoveries of amounts treated as qualifying distributions b Income disNbutlons from section 4947(a)(2) vests e Add lines 4a and 4b 5 Add lines 3 and 4c 6 DeducLOn from disNbutable amount (see page 23 of the instructions) 7 Dlstributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,

and 0x5) private operating

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Form 990.PF(2002) DON L . BRADLEY SCHOLARSHIP 91-6291543 Page e

~ PartXlll,~ Undistributed Income (see page 24 of the instructions)

(a) (b) (c) (d)

1 Distnbutable amount for 2002 from Part XI, line 7

2 Undistributed income, ii any, as of the end of 2001 a Enter amount for 2001 only b Total for prior years 20 . 19_ . 19_

3 Excess distributions carryover, if any, to 2002 a From 1997 b From 1998 c From 1999 d From 2000 e From 2001 f Total of lines 3a through e

4 qualifying distribubons for 2002 from Part xil, line a K 24,168

a Applied to 2001, but not more wan line 2a b Applied b undistributed income of poor years

(Election required-see page 24 of the instructions) e Treated as distributions out of corpus (Election

required-see page 24 of the instructions) d Applied to 2002 disinbutable amount e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2002 (It an amount appears in column (d), the same amount must be shown in column (a)

6 Enter the oat total of each column as Indicated below

a Corpus Add lines 3f, 4c, and 4e Subtract line 5 b Prior years' undistributed income Subtract

line 4b from line 2b e Enter the amount of prior years' undistributed

income for which a nonce of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed

d Subtract line 6c from line 6b Taxable amount-see page 24 of the instructions

e Undistributed Income for 2001 Subtract line 4a from line 2a Taxable amount-see page 24 of the Instructions

f Undistributed income for 2002 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2003

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (see page 24 of the instructions)

8 Excess distributions carryover from 1997 riot applied on line 5 or line 7 (see page 25 of the instructions)

8 Excess distributions carryover to 2003 Subtract lines 7 and 8 from line 6a

70 Analysis of line 9

a Excess from 1998

b Excess from 1999

e Excess from 2000

d Excess from 2001

e Excess from 2002

DAA

11 717

73 , 324 , ``

Form 990-PF (2002)

72 915

.` .E

` - ~ 12 , 042 ~i2~ izs .

k .. `

85 . 041 , . . . ',

x ~ ' ~ '

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c My submission deadlines SEE STMT 7

d My restrictions of hmitahons on awards, such as by geographical areas, charitable fields, kinds of institutions, or other (actors SEE STMT 8

DM Form 95-0-VF (2007)

to If the foundation has received a ruling or determination letter that it Is a private operating foundation, and the ruling is effective for 2002, enter the date of the ruling 1

b Check box to indicate whether the organ ¢ahon is a ovate o e2hn foundation described in section 2a Enter we lesser of the adjusted net lax r Prior 7 n

income from Part 1 Of the minimum a 2002 6 2001 e 2000

investment return horn Part X for

each year tided b 85% of line 2a c Qualifying distributions from Part XII,

line 4 for each year listed d AmounL7Included ln line h not used directly

for same conduct of exempt activities e Qualifying distributions made directly

(or active conduct of exempt actlv-ities Subtract line 2d from line 2c

3 Complete 3a, b, or clor the alternative test relied upon

a 'Assets' alternative test-enter (1) Value of all assets (2) Value of asset qualifying under

section a9420)(3)(B)(i) b 'Endowment- allema4ve leshEnter

213 of min Investment return shown in Part X, line 6 for each year listed

c 'Support alternative test-enter (1) Total support other than gross

Investment Income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)

(2) Support from general public and 5 or more exempt organizations as provided in section a94zU)(3)(B)(hq

(3) Largest amount of support horn an exempt organization

�~Part %Y ; ; Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year-see page 25 of the instructions .)

1 Information Regarding Foundation Managers a List any managers of we foundation who have contributed more than 2% of we total coninbuhons received by the foundation

before the close of any tax year (but only A they have contributed more than E5,000) (See section 507(d)(2) )

b List any managers of the foundation who own 10% or more of the stork of a corporation (or an equally large portion of the ownership of a partnership or other envy) of which the foundation has a 10% or greater Interest

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs Check here " O if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds If the organization makes gifts, grants, etc (seepage 25 of we instructions) to individuals or organizations under other conditions, complete items 2a b, c and d

a The name, address, and telephone number of the person [o whom applications should be addressed JIM CI.EM, 301 N . BURLINGTON BLVD ., BURLINGTON, WA 98233 360-757-4074

6 The torte in which appllcaUons should be submitted and information and matertals they should include

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II reUpieM Is an IndMdual I FouMatbn 5howanyrelall0n5hipto status of Purposeolerentor aryfounda4onmaraper recipient mnWbu6on a substan0al conblbutor

(2002) Form

DM

Recipient

a Paid during the year SEE STATEMENT 9

b Approved (or future payment N/A

Amount

24,168

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Enter gross amounts unless otherwise indicated Unrelated duiness income Excluded sec 512. 513 or sia (e) Related or exempt

(a) (b) 1c) (d) function Income Business Amount xduslo Amount (See papa 26 al coda code

t Program service revenue the instructions I a b

c d e

12 Subtotal Add columns (b), (d), and (e) 13 Total Add line 12, columns (b) . (d), and (e) 73

Form tp%pu-rr (2002) DM

c d e f g Fees and contracts from government agencies

2 Membership dues and assessments 3 Interest on savings and temporary cash investments 4 Dividends end interest from securities S Net rental income or (loss) Born real estate

a Debt-financed property b Not debt-financed property

6 Net rental income or (loss) horn personal property 7 Other investment income 8 Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) horn special events 70 Gross profit or (loss) from sales of Inventory 17 Other revenue a

b

'e wOfKSnee[ m line 1,i Inswaons on page to [o yenry, piqliauons I

part XYl "6 ° Relationshi p of Activities to the Accomplishment of Exempt Purposes

Line No Plain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to

the accomplishment of the organlzaUOri s exempt purposes (other than by providing lands for suds purposes) (See

- N/A

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Form 990-PF(2002) DON L . BRADLEY SCHOLARSHIP 91-6291543 Page 12 � . part'XV11~ Information Regarding Transfers To and Transactions and Relationships With Noncharitable

1 Did the organization directly or indirectly engage In any of the following with any other organization Aesrnbed In section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting organization to a nonchanta6le exempt organization of, (1) Cash (2) Other assets

b Other Transactions (7) Sales of assets to a nonchantable exempt organization (2) Purchases of assets from a nonchantabla exempt organization (3) Rental of facilities, equipment, or other assets (4) Reimbursement arrangements (5) Loans or loan guarantees (6) Performance of services or membership or fundraising solicitations

c Sharing of facilities. equipment, mailing lists, other assets, or paid employees d If the answer W any of we above is 'Yes,' complete we following schedule Column (b) should always show the fair market

value of we goods, other assets, a services given by we repoAm9 organization If we organization received less than fair market value in any transaction or shanng arrangement, show in column (d) the value of the goods, other assets, or services

2a Is the organization directly or Indirectly affiliated with. or related to, one or more fax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 5277 ~ Yes 9 No

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2-3

is

Statement 2 - Form 990-PF, Part I, Line 16b - Accounting Fees

Net Adjusted Charitable Description Total Investment Net Purpose

TAX PREPARATION FEES $ 720 $ $ 720 $ TOTAL $ 720 $ 0 $ 720 $ 0

Statement 3 - Form 990-PF. Part I . Line 23 - Other Expenses

Net Adjusted Charitable Description Total Investment Net Purpose

S S S S EXPENSES

MISCELLANEOUS 637 637 637 ROUNDING 1 1 1

TOTAL $ 638 $ 638 $ 638 $ 0

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91-621543

Statement 4 - Form 990-PF. Part II, Line 10b - Corporate Stock Investments

Beginning End of Basis of of Year Year Valuation

$ 14,197 $ 3,983 COST 52,357 52,357 COST 71,992 COST 166,962 166,313 COST

57,350 COST $ 305,008 $ 280,003

Description

OPPENHEIMER CASH RESERVES A OPPENHEIMER GLOBAL FUND A OPPENHEIMER GROWTH FUND A OPPENHEIMER STRATEGIC INCOME FUND A OPPENHEIMER MAIN STREET OPP FUND A

TOTAL

Statement 5 - Form 990-PF, Part II . Line 15 - Other Assets

Beginning End of Description of Year Year

UNDEPOSITED MOVIES $ 375 $ $ 375 $ 0 TOTAL

4-5

Federal Statements

Fair Market Value

3,983 94,379

130,559 97,396

$ 226,307

Fair Market Value

$ 0

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GRADUATION FROM OR ACCOMPLISHED EQUIVALENT OF A DIPLOMA FROM BURLINGTON-EDISON HIGH SCHOOL AND PARTICIPATED IN HIGH SCHOOL SPORTS .

6$

s1-s2sisa3 Federal Statements

Statement 6 - Form 990-PF. Part XV, Line 2b -Apulication Format and Required Contents

WRITTEN APPLICATION ON PRESCRIBED FORM WITH SUPPORTING LETTER .

Statement 7 - Form 990-PF. Part XV, Line 2c - Submission Deadlines

APRIL 1ST OF EACH YEAR .

Statement 8 - Form 990-PF, Part XV. Line 2d -Award Restrictions or Limitations

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Statement 9 - Form 990-PF. Part XV - Grants and Contributions Paid During the Year

Address Relationship DAVID ANDERSON

BOW, WA NONE JENNIFER BERGHUIS

BURLINGTON, WA NONE CODY BORMUTH

BELLINGHAM, WA NONE TYSON BOSTON

BURLINGTON, WA NONE JEANEEN BRESTER

BURLINGTON, WA NONE JUSTIN BRESTER

BURLINGTON, WA NONE KARIN CARPENTER

BURLINGTON, WA NONE ZACH CLEM

BURLINGTON, WA SON OF TRUSTEE ROBERT COOPERSMITH

BURLINGTON, WA NONE TYSON DODD

BOW WA NONE NENA DODGE

BOW, WA NONE GENEVIEVE DOYLE

BURLINGTON, WA NONE MARIELA GUANTE

BURLINGTON, WA NONE JACOB HADDOCK

BURLINGTON, WA NONE BEN HALL

BURLINGTON, WA NONE ERIC HOLMKVIST

BURLINGTON, WA NONE NICK JOHNSON

BURLINGTON, WA NONE KIP JONES

BURLINGTON, WA SON OF TRUSTEE TYLER KERLEE

BOW, WA NONE

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

SCHOLARSHIP

9

91-6291543 Federal Statements

Status Purpose Amount

89

500

750

375

375

750

375

375

89

500

750

250

1,000

375

250

250

500

375

375

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Name

ROBYN KILBURN ANACORTES, WA

STEPHANIE KNUTZEN BURLINGTON, WA

ANGELA KYLE BOW, WA

TONY KYLE BOW, WA

TOM LAMONTE BURLINGTON, WA

LUKE LOMSDALEN BURLINGTON, WA

HEIDI LONGNECKER BURLINGOTN, WA

BARRY MILLER SEDRO WOOLLEY, WA

BRIAN MILLER SEDRO WOOLLEY, WA

JASON MILLER SEDRO WOOLLEY, WA

LAURA NASH BOW, WA

TORE NELSEN HOW, WA

CRYSTAL PADGETT BOW, WA

SCOTT PETERSON BURLINGTON, WA

TRAVIS RADICH BOW, WA

RYAN BAWLS BURLINGTON, WA

JON REEHOORN BURLINGTON, WA

NIKKI RICHTER BURLINGTON, WA

WILLIAM BOBBINS BELLINGHAM, WA

9

91-6291543 Federal Statements

Statement 9 - Form 990-PF, Part XV - Grants and Contributions Paid During the Year (continued)

Address Relationship Status Purpose Amount

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 625

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 1,000

NONE SCHOLARSHIP 750

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 1,000

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 1,000

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Statement 9 - Form 990-PF. Part XV - Grants and Contributions Paid During the Year (continued)

BYRAN RYBERG MOUNT VERNON, WA

DIANE SCHENK BURLINGTON, WA

KELLEN SCHIMKE BURLINGTON, WA

ROBERT SIMMONS MOUNT VERNON, WA

JOEY SLOTEMAKER BURLINGTON, WA

VANCE TATE BURLINGTON, WA

MACKENZIE WARREN SEDRO WOOLLEY, WA

CLAIRE WHITFIELD BOW, WA

CHAD WILLIAMS BURLINGTON, WA

STACIE WYMAN HOW, WA

TOTAL

9

91-6291543 Federal Statements

Name Address Relationship Status Purpose Amount

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 500

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 1,000

NONE SCHOLARSHIP 625

NONE SCHOLARSHIP 750

NONE SCHOLARSHIP 375

NONE SCHOLARSHIP 1,000

NONE SCHOLARSHIP 250

NONE SCHOLARSHIP 1,000

29,168