ANNA MAY FAMILY FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ANNA MAY FAMILY FOUNDATION (EIN 93-1269424)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202113169349105106
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T17:08:19-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 STEWART AVENUE SUITE 301AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN931269424EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNA MAY FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANNABusinessNameControlTxt
Phone5418571040PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11314-B CENTER DRIVE BOX 264AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY BELKINPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5416019915PhoneNum
Signature2021-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMYPersonFirstNm
Person LastBELKINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAPRIL STITHPreparerPersonNm
PTINP01245039PTIN
Phone5418571040PhoneNum
Preparation2021-11-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,445,189FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,144InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,144InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$65,082DividendsRevAndExpnssAmt
Dividends Net Invst Incm$65,082DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$59,410NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,321,419GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$59,410CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$125,636TotalRevAndExpnssAmt
Total Net Invst Incm$125,636TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$40,639CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$20,319CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$20,320CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,481AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,241AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,240AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$13,799OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$13,799OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$8,079TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,867TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$2,187TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,502OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$761OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$1,741OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$73,500TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$41,987TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$28,488TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$108,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$108,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$182,000TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$41,987TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$136,988TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$56,364ExcessRevenueOverExpensesAmt
Net Investment Income$83,649NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$133,492CashBOYAmt
Cash EOY$70,288CashEOYAmt
Cash EOYFMV$70,288CashEOYFMVAmt
Sav And Temp Cash Invst BOY$25,502SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$17,349SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$17,349SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,618,518CorporateStockBOYAmt
Corporate Stock EOY$2,636,920CorporateStockEOYAmt
Corporate Stock EOYFMV$3,357,552CorporateStockEOYFMVAmt
Total Assets BOY$2,777,512TotalAssetsBOYAmt
Total Assets EOY$2,724,557TotalAssetsEOYAmt
Total Assets EOYFMV$3,445,189TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,777,512RetainedEarningBOYAmt
Retained Earning EOY$2,724,557RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,777,512TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,724,557TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,777,512TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,724,557TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,777,512TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$56,364ExcessRevenueOverExpensesAmt
Other Increases$5,021OtherIncreasesAmt
Subtotal$2,726,169SubtotalAmt
Other Decreases$1,612OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,724,557TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS - PUBLICLY TRADED SECURITIESP2020-12-31$197,084$201,729-$4,645-$4,645
UBS - PUBLICLY TRADED SECURITIESP2020-12-31$1,118,348$1,060,280$58,068$58,068
UBS - DISALLOWED WASH SALE LOSSP2020-12-31$1,612$1,612$1,612
CAPITAL GAINS DIVIDENDSP$4,375$4,375$4,375
FieldValueIRS element (for citing)
Capital Gain Net Income$59,410CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,163InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,163SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,163TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,680EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,680TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$3EsPenaltyAmt
Overpayment$1,514OverpaymentAmt
Applied To ES Tax$1,514AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateOROrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksAMY BELKIN EXECUTIVE DIRECTORIndividualWithBooksNm
Phone5418571040PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11314-B CENTER DRIVE BOX 264AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
WILL BRAKE
1314-B CENTER DRIVE NO 264MEDFORDOR97501PRESIDENT0.50$0$0$0
BELLE SHEPARD
1314-B CENTER DRIVE NO 264MEDFORDOR97501VICE-PRESIDENT0.50$0$0$0
APRIL STITH
1314-B CENTER DRIVE NO 264MEDFORDOR97501TREASURER0.50$0$0$0
CHARLEY BOHEN
1314-B CENTER DRIVE NO 264MEDFORDOR97501DIRECTOR0.50$0$0$0
MARK MEYER
1314-B CENTER DRIVE NO 264MEDFORDOR97501DIRECTOR0.50$0$0$0
MARY-CURTIS GRAMLEY
1314-B CENTER DRIVE NO 264MEDFORDOR97501DIRECTOR0.50$0$0$0
STACY BRUBAKER
1314-B CENTER DRIVE NO 264MEDFORDOR97501DIRECTOR0.50$0$0$0
AMY BELKIN
1314-B CENTER DRIVE NO 264MEDFORDOR97501EXECUTIVE DIRECTOR & SECRE20.00$40,639$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,959,740AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$159,450AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,119,190TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,119,190AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$46,788CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,072,402NetVlNoncharitableAssetsAmt
Minimum Investment Return$153,620MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$153,620MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,163TaxBasedOnInvestmentIncomeAmt
Total Tax$1,163TotalTaxAmt
Distributable Before Adj$152,457DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$152,457DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$152,457DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$136,988ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$136,988QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$136,988AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$152,457DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$483ExcessDistributionCyovYr4Amt
Total Excess Distribution Cyov$483TotalExcessDistributionCyovAmt
Qualifying Distributions$136,988QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$136,988AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$483ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$483ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$14,986UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonAMY BELKINRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11314-B CENTER DRIVE BOX 264AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5416019915RecipientPhoneNum
Form And Info And MaterialsWRITTENFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsDISTRIBUTIONS WILL BE MADE WHICH PRIMARILY BENEFIT OR HAVE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN JACKSON, JOSEPHINE AND KLAMATH COUNTIES OF OREGON. SECONDARY CONSIDERATION WILL BE GIVEN TO THOSE THAT BENEFIT OR HAVE CHARITABLE, EDUCATIONAL & SCIENTIFIC PURPOSES WITHIN CURRY, LAKE, DOUGLAS, DESCHUTES AND COOS COUNTIES OF OREGON.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (38 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALS ASSOCIATION OREGON AND SW WASHINGTON CHAPTER
700 NE MULTNOMAH ST 210PORTLANDOR97232NONEPCALS FAMILY SUPPORT PROGRAM$2,000
ASHLAND EMERGENCY FOOD BANK
560 CLOVER LANEASHLANDOR97520NONEPCEMERGENCY FOOD DISTRIBUTION$2,000
BOYS & GIRLS CLUB
203 S E 9TH STREETGRANTS PASSOR97540NONEPCTRIPLE PLAY PROGRAM$2,500
CASA OF JACKSON COUNTY
613 MARKET STREETMEDFORDOR97504NONEPCBUSINESS OUTREACH PROGRAM$2,500
COMMUNITY VOLUNTEER NETWORK
1 W MAIN ST STE 303MEDFORDOR97501NONEPCFOSTER GRANDPARENT PROGRAM OF SOUTHERN OREGON$3,000
COMMUNITY WORKS INC
2594 E BARNETT RDMEDFORDOR97504NONEPCSAFETY, EDUCATION AND SUPPORT OF LOCAL FAMILIES IN NEED$2,000
COMPASS HOUSE INC
332 W 6TH STMEDFORDOR97501NONEPCCLUBHOUSE FOR THOSE WITH MENTAL HEALTH ISSUES. MEMBER EMERGENCY FUND$4,000
FAMILY NURTURING CENTER
212 N OAKDALE AVEMEDFORDOR97501NONEPCFARM AND FOOD PROGRAM$4,000
HEARTS WITH A MISSION
521 EDWARDS STMEDFORDOR97501NONEPCH.E.A.R.T PROGRAM FOR YOUTH$3,000
HOPE EQUESTRIAN
PO BOX 396EAGLE POINTOR97524NONEPCADOPT A RIDER FUND$2,000
JACKSON COUNTY SEXUAL ASSAULT RESPONSE TEAM
2305 ASHLAND STREET C-418ASHLANDOR97520NONEPCSEXUAL ASSAULT ACUTE RESPONSE PROGRAM$3,000
JOSEPHINE COUNTY FOUNDATION
PO BOX 673MURPHYOR97533NONEPCVISION CLINIC IN ROGUE RIVER$2,000
KAIROS
715 SW RAMSEY AVENUEGRANTS PASSOR97527NONEPCTHE SCHOOL COMMUNITY TEAM MENTORING INTEGRATION PROJECT$2,500
KIDS UNLIMITED
812 N RIVERSIDEMEDFORDOR97501NONEPCSUMMER CAMP SCHOLARSHIPS$2,500
MAGDALENE HOME
12 BLACK OAK DRIVEMEDFORDOR97501NONEPCRESIDENT ESSENTIAL NEEDS FUNDS$2,000
MEDFORD SCHOOL DISTRICT 549C
500 MONROEMEDFORDOR97501NONEGOVEMERGENCY FUNDS FOR BASIC NEEDS/EMERGENCY GRANT$10,000
OASIS CENTER OF THE ROGUE VALLEY
1025 EAST MAIN ST SUITE 108MEDFORDOR97504NONEPCFAMILY ACTIVITIES TO SUPPORT CHILD DEVELOPMENT AND RELATIONSHIPS$2,000
ONTRACK INC
300 W MAIN STREETMEDFORDOR97501NONEPCBREAKING FREE DOMESTIC VIOLENCE PROGRAM$2,000
OREGON CONSERVATORY OF PERFORMING ARTS
PO BOX 1359MEDFORDOR97501NONEPCOCPA SCHOLARSHIP PROGRAM$1,500
ROGUE COMMUNITY COLLEGE
3345 REDWOOD HWYGRANTS PASSOR97527NONEPCHOLA (HELPING OREGON LATINOS ADVANCE)$1,500
ROGUE GALLERY & ART CENTER
40 SO BARTLETTMEDFORDOR97501NONEPCELEMENTARY SCHOOL ARTS OUTREACH PROGRAM$1,500
ROGUE POWERPACK CHARITABLE FOUNDATION
PO BOX 8369MEDFORDOR97501NONEPCFOOD FOR BACKPACKS FOR CHILDREN SUFFERING FROM FOOD INSECURITY$2,000
ROGUE RETREAT
1410 W 8TH STREETMEDFORDOR97501NONEPCSTANDING STRONG$3,000
ROGUE VALLEY COUNCIL OF GOVERNMENT
155 N 1ST STRCENTRAL POINTOR97502NONEPCEMERGENCY FUND/EMERGENCY GRANT$4,500
ROGUE VALLEY SMART
670 SUPERIOR CT STE 108MEDFORDOR97504NONEPCRV SMART READING PROGRAM FOR CHILDREN IN ELEMENTARY SCHOOL$3,000
ROGUE VALLEY SYMPHONY ASSOCIATION
1875 HWY 99N STE 7ASHLANDOR97520NONEPCLINK UP MUSIC INSTRUCTION PROGRAM IN THE SCHOOLS$1,500
ROOTS AND WINGS CHILD DEVELOPMENT
3703 INTERNATIONAL WAY STE BMEDFORDOR97504NONEPCEQUAL ACCESS FOR EARLY CHILDHOOD EDUCATION$3,000
SANCTUARY ONE
13195 UPPER APPLEGATE RDJACKSONVILLEOR97530NONEPCRESCUED ANIMALS EDUCATION PROGRAM$2,000
ST VINCENT DE PAUL SOCIETY
2424 NORTH PACIFIC HWYMEDFORDOR97501NONEPCEMERGENCY FUND/EMERGENCY GRANT$5,000
UNITED WAY OF JACKSON COUNTY
711 E MAIN STE 17MEDFORDOR97504NONEPCFOR HOPE (HELPING OUT PEOPLE EVERY DAY) CHEST, AN EMERGENCY ASSISTANCE FUND/BIG IDEA HIGH SCHOOL COM$7,500
YMCA ROGUE VALLEY FAMILY YMCA
522 WEST SIXTH STREETMEDFORDOR97501NONEPCFINANCIAL ASSISTANCE FOR CHILD CARE PROJECT$4,000
ARC OF JACKSON COUNTY
121 N CENTRAL AVEMEDFORDOR97501NONEPCKEN EONDERLY MEMORIAL EMERGENCY FUND$2,500
BOY SCOUTS OF AMERICA
3039 HANLEY RDCENTRAL POINTOR97502NONEPCSCOUTREACH CLUB SUPPORT CAMPING$1,500
FIRST PHEONIX COMMUNITY CENTER
121 W 2ND STREETPHOENIXOR97535NONEPCHIGHER QUALITY PROTEIN PURCHASES$1,500
JUNIOR ACHIEVEMENT OF OREGON & SW WA
7830 FOSTER RDPORTLANDOR97206NONEPCCAREER READINESS AND FINANCIAL LITERACY$2,000
OPTIONS FOR HOMELESS RESIDENTS OF ASHLAND
611 SISKIYOU BLVD UNIT 4ASHLANDOR97520NONEPCJOB MATCH PROGRAM$2,000
COMMUNITY HEALTH CENTER
19 MYRTLE STMEDFORDOR97504NONEPCEMERGENCY PRESCRIPTION MEDICATION ASSISTANCE/EMERGENCY GRANT$5,000
JACKSON COUNTY SCHOOL DISTRICT #6
300 ASH STCENTRAL POINTOR97502NONEPCPLANNING FOR THE FUTURE TRANSITION PROGRAM$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$108,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,144ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$65,082ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$59,410ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$125,636ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$125,636TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$8,481Amt
Net Investment Income$4,241NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,240DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (108 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACCENTRUE PLC IRELAND CL A -7239$8,237$10,971
AIA GROUP LTD SPON ADR -7239$5,617$7,664
AIR PROD & CHEMICAL INC -7233$11,238$13,115
AKZO NOBEL NV SPON ADR -7239$6,236$7,861
ALCON INC CHF -7239$5,900$6,796
ALIBABA GROUP HLDG LTD SPON SDR -4823$6,287$20,015
ALPHABET INC CL A -4823$4,124$12,268
ALPHABET INC CL C -4823$4,402$12,263
ALPHABET INC LC C -7233$12,897$24,526
ALTRIA GROUP INC -7233$15,937$13,161
AMAZON.COM INC -4823$1,672$29,312
AMER FUNDS EUROPACIFIC GROWTH FUND CLASS F2 -2444$207,868$278,169
APPLE INC -7233$6,194$30,386
ASSA ABLOY AB ADR -7239$6,261$6,691
AUTODESK INC -4823$3,931$22,595
AUTOMATIC DATA PROCESSING INC -4823$1,485$2,995
BERKSHIRE HATHAWAY INC NEW -7233$14,953$27,361
BLACKROCK INC -7233$6,320$15,874
BRISTOL MYERS SQUIBB CO -7233$5,486$7,071
BROOKFIELD ASSET MANAGEMENT -7239$8,670$9,616
CAMECO CORP CANADA CAD -7239$2,281$3,203
CARMAX INC -7233$6,791$13,791
CARNICAL CORP NEW (PAIRED STOCK) -7239$4,594$2,469
CERNER CORP -4823$4,773$6,828
CISCO SYSTEMS -4823$4,525$7,115
CISCO SYSTEMS -7233$5,423$9,890
CITRIX SYSTEMS INC -7233$10,061$11,449
CLOSE BROS GROUP 25 P ORD ADR -7239$4,798$5,226
COCA COLA EUROPEAN PARTNERS EUR -7239$6,150$6,279
COLGATE PALMOLIVE CO -4823$5,351$6,413
COMPASS GROUP PLC SPON ADR -7239$7,878$5,937
DASSAULT SYSTEMS S A SPON ADR -7239$6,515$8,554
DBS GROUP HLDGS LTD. SPON ADR -7239$4,617$5,856
DEERE AND CO -4823$5,544$16,143
DOLLAR TREE INC -7233$5,947$9,291
ERSTE GROUP BANK AG SPON ADR -7239$5,024$4,366
EXPEDITORS INTL WASH INC -4823$5,033$9,891
EXPERIAN PLC SPON ADR -7239$5,735$6,719
FACEBOOK INC CL A -4823$5,456$24,311
FACTSET RESH SYSTEMS INC -4823$3,024$6,318
FEDEX CORP -7233$10,750$17,395
FOX CORP CL A -7233$10,804$8,357
HEINEKEN NV SPON ADR -7239$7,076$7,873
HOME DEPOT INC -7233$9,991$15,140
ING GROEP N V NL SPON ADR -7239$8,071$7,363
JOHNSON & JOHNSON COM -7233$11,097$11,804
KDDI CORP ADR -7239$6,515$6,678
KUBOTA CORP ADR JAPAND ADR -7239$5,308$7,613
LOWES COMPANIES INC -7233$2,149$7,865
LVMH MOET HENNESSY LOUIS NEW ADR -7239$6,178$8,856
MAGNA INTL INC CL A SUB CTG CANADA ORD -7239$6,111$8,142
MARTIN MARIETTA MATERIALS INC -7233$10,073$13,915
MARUI LTD ADR NEW JAPAN ADR -7239$6,508$4,754
MICROSOFT CORP -4823$3,819$17,571
MONSTER BEVERAGE CORP NEW COM -4823$4,424$15,167
NESTLE S A SPONSORED ADR REPSTG REG SHS SWITZ ADR -7233$10,633$14,843
NEWMARKET CORP -7233$10,713$12,347
NIDEC CORP ADR -7239$6,463$11,032
NORFOLK STHN CORP -7233$5,149$15,682
NOVARTIS AG SPON ADR -4823$12,256$14,070
NOVARTIS AG SPON ADR -7239$5,658$5,949
NOVO NORDISK ADR DENMARK ADR -4823$2,115$3,981
NVIDIA CORP -4823$5,606$19,844
O REILLY AUTOMOTIVE INC -7233$7,649$13,577
ORACLE CORP -4823$9,554$16,431
PFIZER INC -7233$10,049$8,871
PIMCO INCOME FUND CLASS I -5850$307,332$321,703
PIMCO LOW DURATION INSTL CLASS -5850$314,301$308,097
PROGRESSIVE CORP OHIO -7233$4,543$12,360
QUALCOMM INC -4823$3,990$12,035
RECKITT BENCKISER PLC SPON ADR -7239$4,936$5,672
REGENERON PHARMACEUTICLS INC -4823$7,666$10,628
ROCHE HLDG LTD SPONS ADR SWITZ ADR -4823$9,100$10,828
SAFRAN SA ADR -7239$8,358$7,588
SCHLUMBERGER LTD NETHERLANDS ANTILLES -4823$11,055$4,846
SCHWAB CHARLES CORP NEW -7233$14,334$17,662
SEI INVESTMENTS CO -4823$5,486$6,437
SONY CORP ADR NEW JAPAN ADR -7239$7,247$11,930
STARBUCKS CORP -4823$6,516$11,019
SYMRISE AG ADR -7239$4,914$6,786
TOTAL S.A. FRANCE SPON ADR -7239$6,345$5,071
UBS GROUP AG CHF -7239$4,207$5,044
UNILEVER NV N Y SHS NEW NETHERLANDS SPON SPON ADR -7239$6,506$6,881
VANGUARD MID-CAP GORWTH INDEX ADMIRAL -7237$89,025$182,244
VANGUARD MID-CAP VALUE INDEX ADM -7236$133,882$176,527
VANGUARD SMALL CAP INDEX FUND ADMIRAL -7238$143,867$188,927
VERIZON COMMUNICATIONS INC -7233$11,055$12,455
VISA INC CL A -4823$4,862$24,498
VISA INC CL A -7233$3,968$17,936
YUM CHINA HLDGS INC -4823$1,661$3,882
YUMI BRANDS INC -4823$2,675$5,428
STORE CAP CORP REIT -7233$10,874$17,466
TEXAS INSTRUMENTS -7233$11,450$16,413
ASHTEAD GROUP PLC ORD -7239$6,713$9,475
CREDICORP LTD -7239$6,116$8,365
FANUC CORP ADR -7239$6,338$8,691
MICHELIN COMPAGNIE GENERALE ADR -7239$6,916$6,944
OTSUKA HLDGS CO LTD UNSPONSORED ADR -7239$5,072$5,529
RENTOKIL INITIAL PLC SPON ADR -7239$6,590$7,547
BOEING COMPANY -4823$13,467$18,195
ILLUMINA INC -4823$7,197$9,250
INTUITIVE SURGICAL INC NEW -4823$3,367$5,727
SALESFORCE.COM INC -4823$10,462$16,022
WALT DISNEY CO (HOLDING CO) -4823$10,765$15,400
WORKDAY INC CL A -4823$3,443$6,230
VANGUARD HIGH YIELD CORP FUND ADMIRAL -5850$155,094$159,354
WESTERN ASSET CORE BOND FUND CLASS I -5850$453,769$464,245
INVESCO DEVELOPING MARKETS FUND CLASS Y -2444$153,502$182,336

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescWASH SALE LOSSES DISALLOWEDDesc
Amt$1,612Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DUES & SUBSCRIPTIONS$763$381$382
INSURANCE$750$375$375
OFFICE EXPENSE$979$0$979
BANK SERVICE CHARGES$10$5$5

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescNON-TAXABLE DISTRUBTIONSDesc
Amt$5,021Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryADVISORY FEESCategoryTxt
Amt$13,799Amt
Net Investment Income$13,799NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OREGON STATE TAX$428$0$428
FOREIGN TAX$1,107$1,107$0
PAYROLL TAXES$3,519$1,760$1,759
FEDERAL TAXES PAID$3,025$0$0

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