2019-11-15T11:25:48-06:00 2018-12-31 930928924 PERKINS & COMPANY PC 1211 SW FIFTH AVE SUITE 1000 PORTLAND OR 972043710 990PF 2018-01-01 931316345 JESSIE F RICHARDSON FOUNDATION JESS 5034084088 15900 SE 82ND DRIVE CLACKAMAS OR 97015 KEREN BROWN WILSON PRESIDENT 5034084088 2019-11-13 1 CYNTHIA P BARTHOLOMEW P01313965 5032210336 2019-11-13 52.183.24.237 2019-11-13 08:37:29 PS P 107EDC9825E31507E2C414B50C50019CDA1077BD 4C6EB5E83CE6436823ADC79CF6A1F66102F45D75 2018 2020-04-17 16:48:07Z X 670338 X 382371 2130 2130 2130 0 0 4149 0 4149 388650 2130 6279 0 0 0 0 155175 0 0 155175 8615 1723 1755 6860 61360 0 0 61360 1954 0 0 1954 38818 0 1239 37579 2332 0 0 2332 57439 0 0 57439 325693 1723 2994 322699 0 0 325693 1723 2994 322699 62957 407 3285 212968 275429 275429 392028 392291 392291 4091 292 292 5149 5149 0 2326 2326 609087 670338 670338 4206 0 2500 4206 2500 X 0 0 0 0 604881 667838 604881 667838 609087 670338 604881 62957 0 667838 0 667838 0 331580 617994 0.536542 238743 516027 0.462656 205078 426546 0.480788 240315 420596 0.571368 201161 416602 0.482861 2.534215 0.506843 645856 327348 4 327352 322699 8 0 8 0 8 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 1 1 OR 1 1 0 0 0 1 JFRFOUNDATION.ORG KEREN BROWN WILSON 5034084088 15900 SE 82ND DRIVE CLACKAMAS OR 97015 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 KEREN BROWN WILSON 15900 SE 82ND DRIVE CLACKAMAS OR 97015 CHAIR, PRESIDENT & DIRECTOR 40.00 0 0 0 GARY WITHERS 15900 SE 82ND DRIVE CLACKAMAS OR 97015 VICE CHAIR & DIRECTOR 2.00 0 0 0 KEN BURGESS 15900 SE 82ND DRIVE CLACKAMAS OR 97015 SECRETARY & DIRECTOR 2.00 0 0 0 TONY LEINWEBER 15900 SE 82ND DRIVE CLACKAMAS OR 97015 TREASURER & DIRECTOR 2.00 0 0 0 JOANNE HANDY 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 MARVIN KAISER 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 SEAN KUNI 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 CARMEN LARGAESPADA 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 DAVE CARBONEAU 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 KRISTEN CONNER 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 JAY STOWERS 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 DAVE TUPPER 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 MARY JAEGER 15900 SE 82ND DRIVE CLACKAMAS OR 97015 DIRECTOR 2.00 0 0 0 NONE 0 CONCEPTS IN COMMUNITY LIVING INC 15900 SE 82ND DRIVE CLACKAMAS OR 97015 PROGRAM MANAGEMENT SERVICES 156244 0 GLOBAL PROGRAM SUPPORT FOR INDIGENT OLDER ADULTS IN NICARAGUA:1. DEVELOPED AND CONDUCTED ELDER CARE HOME ADMINISTRATOR TRAINING AT NATIONAL ELDER TRAINING CENTER IN JINOTEPE, NICARAGUA.2. SUPPORTED AND PROVIDED TRAINING AT THE FIRST ANNUAL AGING CONGRESS OF NICARAGUA.3. CONTINUED PROVIDING SCHOLARSHIPS FUNDING FOR STUDENTS PERFORMING SERVICE LEARNING FROM AMERICAN AND NICARAGUAN UNIVERSITIES IN ALLIED HEALTH (INCLUDING NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, PHYSICIAN ASSISTANTS, PHARMACY, PSYCHOLOGY, COMMUNITY HEALTH, GERONTOLOGY).4. CONTINUED SUPPORT OF NICARAGUAN AGING ADVISORY COUNCIL IN DEVELOPMENT OF NATIONAL STRATEGIC PLAN AND ADVOCACY FOR DEVELOPMENT OF CARE STANDARDS.5. RECRUITED AND TRAINED 2 COMMUNITY LIAISONS THROUGHOUT NICARAGUA TO INCREASE VISIBILITY OF AND BRING RESOURCES TO ELDER CARE HOMES THROUGHOUT NICARAGUA. 108523 EDUCATION/TRAINING/RESEARCH/POLICY:1. PLANNED AND ORGANIZED SERVICE LEARNING TRIPS AND CLINICAL FIELDWORK FOR STUDENTS FROM PACIFIC UNIVERSITY, QUINNIPIAC UNIVERSITY, ELIZABETHTOWN COLLEGE, NORTHLAND COMMUNITY COLLEGE, UNIVERSITY OF NEW HAMPSHIRE, OSU, UNIVERSITY OF MONTANA, PORTLAND STATE AND OREGON HEALTH SCIENCES UNIVERSITY TOTALING 28 STUDENTS AND 3 FACULTY.2. FUNDED 8 SCHOLARSHIPS AND 2 COMMUNITY AWARDS TOTALING $12,000.3. SIGNED AGREEMENTS WITH 3 NICARAGUAN UNIVERSITIES TO INCORPORATE GERIATRIC-SPECIFIC CURRICULUM INTO THEIR HEALTH-RELATED COURSES 4. REVAMPED THE LEAP (LIFE ENRICHMENT ACTIVITY PROGRAM) FOR ASSISTED LIVING RESIDENT5. CONDUCTED SURVEY OF 20 ELDER CARE HOMES AND 3 FEEDING SITES IN NICARAGUA TO DETERMINE STRENGTHS AND AREAS OF NEED.CONTINUED ON NEXT STATEMENT. 0 CHARITABLE ACTIVITY #2, EDUCATION/TRAINING/RESEARCH/POLICY, CONT'D:6. LAUNCHED WEBSITE AND ONLINE SUPPORT GROUP FOR THE TIES THAT BIND PROGRAM FOR GRANDPARENTS AND KINSHIP CAREGIVERS RAISING CHILDREN THAT FILLS THE UNMET NEED FOR TRAINING, PEER SUPPORT AND RESOURCES DEDICATED TO THIS 7. CONTINUED WORKING WITH THE PUBLIC AND PRIVATE UNIVERSITY SYSTEMS IN NICARAGUA TO INTRODUCE PRINCIPLES OF CARE FOR OLDER ADULTS IN HEALTH CARE FIELD CURRICULUM. 10549 INCREASE AWARENESS AND SUPPORT FOR VERY LOW INCOME ADULTS IN US:1. PRODUCED ANNUAL AGELESS AWARDS EVENT2. SUPPORTED ACTIVITIES OF OREGON AGING PROGRAMS, SPECIFICALLY, MEALS ON WHEELS AND ELDERS IN ACTION.3. AUTHORED AND DESIGNED 3 NEW WHITEPAPERS TO INCREASE AWARENESS OF THE EXPECTED DRAMATIC CHANGES IN OREGON'S AGE STRUCTURE, THE LACK OF FINANCIAL SECURITY AMONG THE GROWING POPULATION OF OLDER ADULTS AND THE HOUSING NEEDS OF OLDER ADULTS.OTHER ACTIVITIES: BUILD AND STRENGTHEN CAPACITY OF LOCAL COMMUNITIES TO BETTER SERVE LOW INCOME OLDER ADULTS IN US:1. BEGAN DEVELOPMENT OF A NEW MODEL OF AFFORDABLE HOUSING AND SERVICES FOR LOW INCOME OLDER ADULTS IN THE COLUMBIA GORGE AREA.2. PARTICIPATED IN COALITION BUILDING EFFORTS AMONG METRO AREAS SERVICE PROVIDERS TO EXPAND AWARENESS AND RESOURCES FOR LOW INCOME OLDER ADULTS 116246 0 0 655691 0 655691 0 0 655691 9835 645856 32293 X 322699 0 322699 0 322699 2002-02-12 X 3285 20987 313 1039 25624 2792 17839 266 883 21780 322699 331580 238743 205078 1098100 0 0 0 0 0 322699 331580 238743 205078 1098100 0 0 21529 20600 17201 14218 73548 0 0 0 0 KEREN BROWN WILSON KEN BURGESS SEAN KUNI KEREN BROWN WILSON 15900 SE 82ND DRIVE CLACKAMAS OR 97015 5034084088 NONE SPECIFIED AT THIS TIME NONE SPECIFIED AT THIS TIME NONE SPECIFIED AT THIS TIME 0 0 14 2130 TRAINING & SPEAKER FEES 4149 0 2130 4149 6279 11A PROVIDED SPEAKER FOR EDUCATIONAL PROGRAMS, COORDINATED AND PROVIDED OTHER TRAINING AND LEARNING OPPORTUNITIES TO EDUCATE PARTICIPANTS ON ELDER CARE AND ADMINISTRATION OF ELDER CARE HOMES, AND TO PROVIDE SUPPORT TO THE AGING. 0 0 0 0 0 0 0 0 0 0 X X 1 ENCORE REHABILITATION SERVICES 33533 WEST 12 MILE RD FARMINGTON HILLS MI 48331 5000 X 2 TRIDENTCARERX LLC 910 TATE BLVD SE HICKORY NC 28602 5000 X 3 MARIE LAMFROM CHARITABLE FOUNDATION 9740 SW HILLMAN CT WILSONVILLE OR 97070 5000 X 4 KEN BURGESS 3580 LONESOME PINE RD WHITAKERS NC 27891 10000 X 5 DAVE CARBONEAU 1229 SE 55TH AVE PORTLAND OR 97215 5500 X 6 OREGON HEALTH CARE ASSOCIATION 11740 SW 68TH PARKWAY SUITE 250 PORTLAND OR 97223 5000 X 7 CHERYL CLAPP COLEMAN 5321 SOLAR PL GREENSBORO SC 274068130 5000 X 8 CLAPPS CONVALESCENT NURSING HOME CLAPPS MOUNTAIN 500 MOUNTAIN TOP DR ASHEBORO NC 27203 5000 X 9 HAROLD & ARLENE SCHNITZER CARE FOUNDATION PO BOX 2708 PORTLAND OR 97208 5000 X 10 SEAN KUNI 8612 NW 21ST AVE VANCOUVER WA 98665 10000 X 11 LARRY AND DEBORAH LOLLIS FAMILY FUND 1089 PARK WEST BLVD GREENVILLE SC 29611 10000 X 12 SOUTHERN PHARMACY 1776 PEACHTREE ST NW STE 500S ATLANTA GA 30309 5000 X 13 MAYBELLE CLARK MACDONALD FUND PO BOX 1496 BEND OR 97709 25000 X 14 RESER FAMILY FOUNDATION 15570 SW JENKINS RD BEAVERTON OR 97006 17000 X 15 MEYER MEMORIAL TRUST 425 NW 10TH AVE PORTLAND OR 97209 60000 X 16 CARRON SUDDRETH 1414 NC HWY 268 LENOIR NC 28645 5000 X 17 KEREN BROWN WILSON 12523 SE 131ST CT CLACKAMAS OR 97015 71000 X ACCOUNTING & BOOKKEEPING 8615 1723 1755 6860 ORGANIZATIONAL COST 16679 16679 16679 LESS: ACCUMULATED AMORTIZATION -16679 -16679 -16679 DUE FROM AGE + US 0 2326 2326 SCHOLARSHIP FUNDS 5775 0 0 5775 PROGRAM SUPPLIES 12738 0 0 12738 INSURANCE 3297 0 0 3297 MEETINGS AND EVENTS 31670 0 0 31670 BANK FEES 3447 0 0 3447 OREGON CHARITABLE FEE 260 0 0 260 OREGON CORPORATE FEE 50 0 0 50 EDUCATION & TRAINING 190 0 0 190 POSTAGE 12 0 0 12 TRAINING & SPEAKER FEES 4149 4149 PREPAID SPONSORSHIP 0 2500 INFORMATION TECHNOLOGY 895 0 0 895 CONTRACTED SERVICES 42740 0 0 42740 OTHER 17725 0 0 17725