2025-10-14T12:48:28-05:00 2024-12-31 911056739 VINE DAHLEN PLLC 3500 188TH STREET SW STE 322 LYNNWOOD WA 98037 990 2024-01-01 454354877 PUGET SOUND KIDNEY CENTERS FOUNDATION PUGE 4257402063 1019 PACIFIC AVE EVERETT WA 98201 KRISTINE DAVIS EXECUTIVE DIRECTOR 4257402063 2025-10-14 1 0 LORI L SCOTT CPA P01452038 4257716055 2025-10-13 2024 2025-03-06 01:10:19Z KRISTINE DAVIS 1019 PACIFIC AVE EVERETT WA 98201 1362379 0 X X 2011 WA TO SUPPORT THE PUGET SOUND KIDNEY CENTERS' CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PROGRAMS. 11 11 0 12 0 0 274241 700906 0 0 51132 248299 -42721 -39944 282652 909261 202882 179543 0 0 0 0 0 0 14436 34002 31811 236884 211354 45768 697907 1457688 1881134 354746 191021 1102942 1690113 PUGET SOUND KIDNEY CENTERS (PSKC) FOUNDATION IS DEDICATED TO ADVANCING PHILANTHROPIC SUPPORT OF PSKC TO FURTHER THEIR MISSION TO ENHANCE THE QUALITY OF LIFE OF THOSE WITH KIDNEY DISEASE THROUGH OUTSTANDING DIALYSIS CARE, EDUCATION AND COMMUNITY SUPPORT. 0 0 179543 179543 TO RAISE CHARITABLE SUPPORT FOR PSKC IN PROVIDING QUALITY HEALTHCARE AND SUPPORT SEVICES FOR INDIVIDUALS AND FAMILIES AFFECTED BY KIDNEY DISEASE.THE FOUNDATION, ALONG WITH PSKC AND KIDNEY AUXILIARY OF PUGET SOUND (KAPS), PROVIDE VARIOUS TYPES OF ASSISTANCE TO PATIENTS, INCLUDING NUTRITIONAL SUPPLEMENTS AND VITAMINS, TRANSPORTATION, AND LIVING EXPENSES TO HELP THEM AVOID FINANCIAL HARDSHIP WHILE RECEIVING TREATMENT. 179543 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X PUGET SOUND KIDNEY CENTERS 4252595195 1019 PACIFIC AVE EVERETT WA 98201 DANIEL BLATNIK DIRECTOR (UNTIL 11/2024) 1.00 40.00 X 0 132385 20764 JANE NAKAGAWA EXECUTIVE DIRECTOR (UNTIL 12/2024) 40.00 X 0 125193 20072 KRISTINE DAVIS EXECUTIVE DIRECTOR 40.00 X 0 4923 0 FONTELLE JONES VICE CHAIR 1.00 1.00 X X 0 1200 0 DIANNE EASLEY CHAIR 1.00 X X 0 0 0 TERESA WHARTON SECRETARY/TREASURER 1.00 X X 0 0 0 KATHY HARVEY DIRECTOR 1.00 X 0 0 0 JANE HUDSON DIRECTOR 1.00 X 0 0 0 KURT KARLSSON DIRECTOR 1.00 X 0 0 0 JESSICA LUTZ DIRECTOR 1.00 X 0 0 0 LYNN PAULSON DIRECTOR 1.00 X 0 0 0 JEANETTE REVOIR DIRECTOR 1.00 X 0 0 0 BRENDA SCHLESIGNER DIRECTOR 1.00 X 0 0 0 BILL STOTKO DIRECTOR 1.00 X 0 0 0 0 263701 40836 0 0 1 0 0 193911 506995 139294 700906 59423 59423 581211 392335 188876 188876 188876 20839 193911 60783 -39944 -39944 909261 0 0 208355 179543 179543 2300 2300 10482 10482 30 30 13053 3170 9883 4553 4553 84 84 MISC EXPENSES 1309 1309 211354 179543 17375 14436 42612 61980 400000 405183 25673 320380 6558 8420 5288 5288 0 0 982845 1085171 1457688 1881134 354746 191021 354746 191021 X 1098412 1221130 4530 468983 1102942 1690113 1457688 1881134 697907 -110736 0 X 1 X 0 0 0 X X X 1 PUGET SOUND KIDNEY CENTERS 911102033 3 1 124514 0 1 124514 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6: PUGET SOUND KIDNEY CENTERS FOUNDATION PROVIDED ASSISTANCE TO THE KIDNEY AUXILIARY OF PUGET SOUND (KAPS) OF $55,234. KAPS IS AN ORGANIZATION OF VOLUNTEERS WHOSE MAIN PURPOSE IS TO HELP PATIENTS AT PUGET SOUND KIDNEY CENTERS, THE FOUNDATION'S SUPPORTED ORGANIZATION, WITH THEIR EMERGENT FINANCIAL NEEDS. AS SUCH, IN PROVIDING SUPPORT TO KAPS, THE FOUNDATION IS PROVIDING SUPPORT TO THE CHARITABLE CLASS OF ITS SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5288 5288 0 0 X PART X, LINE 2: THE INFORMATION RETURNS ARE FILED ANNUALLY AND ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THE RETURNS ARE FILED. THE ORGANIZATION WOULD RECOGNIZE ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX PROVISIONS, IF ANY, AS PART OF SUPPORT EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES. GIFT OF LIFE AUCTION 214750 193911 20839 5000 48921 6862 214750 193911 20839 5000 48921 6862 60783 -39944 1 PUGET SOUND KIDNEY CENTERS 1019 PACIFIC AVENUE EVERETT WA 98201 911102033 501(C)(3) 124514 0 FOOD SUPPLEMENTS, EQUIPMENT, AND CKD EDUCATION PROGRAMS KIDNEY AUXILIARY OF PUGET SOUND PO BOX 2803 EVERETT WA 98213 911348518 501(C)(3) 55234 0 PROGRAM SUPPORT 2 PART I, LINE 2: WE MAINTAIN ACCOUNTING RECORDS AS PRESCRIBED BY THE APPLICABLE REQUIREMENTS. 0 0 0 0 0 0 0 0 0 DANIEL BLATNIK DIRECTOR (UNTIL 11/2024) 0 0 0 0 0 132385 0 8860 0 11904 0 153149 0 0 X 1 75428 FMV X AUCTION ITEMS 199 63327 FMV X MISC 1 539 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL OF THE BOARD MEMBERS HAVE SIGNED A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AT THE BOARD MEETING HELD IN NOVEMBER OF EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PUGET SOUND KIDNEY CENTERS 1019 PACIFIC AVENUE EVERETT WA 98201 911102033 SUPPORT ACTIVITIES OF PUGET SOUND KIDNEY CENTERS WA 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 PUGET SOUND KIDNEY CENTERS B 124514 FMV PUGET SOUND KIDNEY CENTERS O 131401 FMV