﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2016v3.0" xsi:schemaLocation="http://www.irs.gov/efile" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-06-08T12:25:26-07:00</ReturnTs>
    <TaxPeriodEndDt>2016-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ACTIVE TAX &amp; ACCOUNTING LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>365 NE BAKER CREEK RD</AddressLine1Txt>
        <CityNm>MCMINNVILLE</CityNm>
        <StateAbbreviationCd>OR</StateAbbreviationCd>
        <ZIPCd>971282019</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990PF</ReturnTypeCd>
    <TaxPeriodBeginDt>2016-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>460509235</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Bieze Family Foundation</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>BIEZ</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>1118 Northshore Rd</AddressLine1Txt>
        <CityNm>Lake Oswego</CityNm>
        <StateAbbreviationCd>OR</StateAbbreviationCd>
        <ZIPCd>97034</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Gerald Bieze</PersonNm>
      <PersonTitleTxt>President</PersonTitleTxt>
      <SignatureDt>2017-06-08</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Dan Chapman CPA</PreparerPersonNm>
      <PTIN>P00367540</PTIN>
      <PhoneNum>5034725010</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2016</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990PF documentId="IRS990PF" referenceDocumentId="GeneralExplanation" softwareId="16000303" softwareVersionNum="2016v3.0">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <FMVAssetsEOYAmt>0</FMVAssetsEOYAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AnalysisOfRevenueAndExpenses>
        <ContriRcvdRevAndExpnssAmt>30000</ContriRcvdRevAndExpnssAmt>
        <DividendsRevAndExpnssAmt>8635</DividendsRevAndExpnssAmt>
        <DividendsNetInvstIncmAmt>8635</DividendsNetInvstIncmAmt>
        <DividendsAdjNetIncmAmt>8635</DividendsAdjNetIncmAmt>
        <CapGainNetIncmNetInvstIncmAmt>5293</CapGainNetIncmNetInvstIncmAmt>
        <TotalRevAndExpnssAmt>38635</TotalRevAndExpnssAmt>
        <TotalNetInvstIncmAmt>13928</TotalNetInvstIncmAmt>
        <TotalAdjNetIncmAmt>8635</TotalAdjNetIncmAmt>
        <AccountingFeesRevAndExpnssAmt referenceDocumentId="AccountingFeesSchedule">550</AccountingFeesRevAndExpnssAmt>
        <AccountingFeesNetInvstIncmAmt>550</AccountingFeesNetInvstIncmAmt>
        <AccountingFeesAdjNetIncmAmt>550</AccountingFeesAdjNetIncmAmt>
        <TaxesRevAndExpnssAmt referenceDocumentId="TaxesSchedule">116</TaxesRevAndExpnssAmt>
        <TaxesNetInvstIncmAmt>116</TaxesNetInvstIncmAmt>
        <TaxesAdjNetIncmAmt>116</TaxesAdjNetIncmAmt>
        <TotOprExpensesRevAndExpnssAmt>666</TotOprExpensesRevAndExpnssAmt>
        <TotOprExpensesNetInvstIncmAmt>666</TotOprExpensesNetInvstIncmAmt>
        <TotOprExpensesAdjNetIncmAmt>666</TotOprExpensesAdjNetIncmAmt>
        <TotOprExpensesDsbrsChrtblAmt>0</TotOprExpensesDsbrsChrtblAmt>
        <ContriPaidRevAndExpnssAmt>29750</ContriPaidRevAndExpnssAmt>
        <ContriPaidDsbrsChrtblAmt>29750</ContriPaidDsbrsChrtblAmt>
        <TotalExpensesRevAndExpnssAmt>30416</TotalExpensesRevAndExpnssAmt>
        <TotalExpensesNetInvstIncmAmt>666</TotalExpensesNetInvstIncmAmt>
        <TotalExpensesAdjNetIncmAmt>666</TotalExpensesAdjNetIncmAmt>
        <TotalExpensesDsbrsChrtblAmt>29750</TotalExpensesDsbrsChrtblAmt>
        <ExcessRevenueOverExpensesAmt>8219</ExcessRevenueOverExpensesAmt>
        <NetInvestmentIncomeAmt>13262</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>7969</AdjustedNetIncomeAmt>
      </AnalysisOfRevenueAndExpenses>
      <Form990PFBalanceSheetsGrp>
        <CashBOYAmt>3301</CashBOYAmt>
        <CashEOYAmt>167</CashEOYAmt>
        <SavAndTempCashInvstBOYAmt>556992</SavAndTempCashInvstBOYAmt>
        <SavAndTempCashInvstEOYAmt>626113</SavAndTempCashInvstEOYAmt>
        <TotalAssetsBOYAmt>560293</TotalAssetsBOYAmt>
        <TotalAssetsEOYAmt>626280</TotalAssetsEOYAmt>
        <TotalAssetsEOYFMVAmt>0</TotalAssetsEOYFMVAmt>
        <TotalLiabilitiesEOYAmt>0</TotalLiabilitiesEOYAmt>
        <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
        <UnrestrictedBOYAmt>560293</UnrestrictedBOYAmt>
        <UnrestrictedEOYAmt>626280</UnrestrictedEOYAmt>
        <TotNetAstOrFundBalancesBOYAmt>560293</TotNetAstOrFundBalancesBOYAmt>
        <TotNetAstOrFundBalancesEOYAmt>626280</TotNetAstOrFundBalancesEOYAmt>
        <TotalLiabilitiesNetAstBOYAmt>560293</TotalLiabilitiesNetAstBOYAmt>
        <TotalLiabilitiesNetAstEOYAmt>626280</TotalLiabilitiesNetAstEOYAmt>
      </Form990PFBalanceSheetsGrp>
      <ChgInNetAssetsFundBalancesGrp>
        <TotNetAstOrFundBalancesBOYAmt>560293</TotNetAstOrFundBalancesBOYAmt>
        <ExcessRevenueOverExpensesAmt>8219</ExcessRevenueOverExpensesAmt>
        <OtherIncreasesAmt referenceDocumentId="OtherIncreasesSchedule">57768</OtherIncreasesAmt>
        <SubtotalAmt>626280</SubtotalAmt>
        <TotNetAstOrFundBalancesEOYAmt>626280</TotNetAstOrFundBalancesEOYAmt>
      </ChgInNetAssetsFundBalancesGrp>
      <CapGainsLossTxInvstIncmDetail>
        <CapitalGainNetIncomeAmt>5293</CapitalGainNetIncomeAmt>
      </CapGainsLossTxInvstIncmDetail>
      <QlfyUndSect4940eReducedTaxGrp>
        <LiableSection4942TaxInd>false</LiableSection4942TaxInd>
        <AdjustedQlfyDistriYr1Amt>16763</AdjustedQlfyDistriYr1Amt>
        <AdjustedQlfyDistriYr2Amt>8782</AdjustedQlfyDistriYr2Amt>
        <AdjustedQlfyDistriYr3Amt>19901</AdjustedQlfyDistriYr3Amt>
        <NetInvestmentIncomePctAmt>133</NetInvestmentIncomePctAmt>
        <AdjNonchrtblNetInvstIncmPctAmt>133</AdjNonchrtblNetInvstIncmPctAmt>
        <QualifyingDistributionsAmt>29750</QualifyingDistributionsAmt>
      </QlfyUndSect4940eReducedTaxGrp>
      <ExciseTaxBasedOnInvstIncmGrp>
        <DomesticOrgMeetingSect4940eInd>X</DomesticOrgMeetingSect4940eInd>
        <InvestmentIncomeExciseTaxAmt>133</InvestmentIncomeExciseTaxAmt>
        <SubtotalAmt>133</SubtotalAmt>
        <TaxBasedOnInvestmentIncomeAmt>133</TaxBasedOnInvestmentIncomeAmt>
        <TaxDueAmt>133</TaxDueAmt>
      </ExciseTaxBasedOnInvstIncmGrp>
      <StatementsRegardingActyGrp>
        <LegislativePoliticalActyInd>false</LegislativePoliticalActyInd>
        <MoreThan100SpentInd>false</MoreThan100SpentInd>
        <Form1120POLFiledInd>false</Form1120POLFiledInd>
        <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
        <ChangesToArticlesOrBylawsInd>false</ChangesToArticlesOrBylawsInd>
        <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
        <Form990TFiledInd>false</Form990TFiledInd>
        <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
        <Section508eRqrSatisfiedInd>false</Section508eRqrSatisfiedInd>
        <AtLeast5000InAssetsInd>true</AtLeast5000InAssetsInd>
        <Form990PFFiledWithAttyGenInd>true</Form990PFFiledWithAttyGenInd>
        <PrivateOperatingFoundationInd>false</PrivateOperatingFoundationInd>
        <NewSubstantialContributorsInd>false</NewSubstantialContributorsInd>
        <OwnControlledEntityInd>false</OwnControlledEntityInd>
        <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
        <ComplyWithPublicInspRqrInd>true</ComplyWithPublicInspRqrInd>
        <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
        <PersonsWithBooksName>
          <BusinessNameLine1Txt>Jerry Bieze</BusinessNameLine1Txt>
        </PersonsWithBooksName>
        <PhoneNum>5038071226</PhoneNum>
        <LocationOfBooksUSAddress>
          <AddressLine1Txt>1118 Northshore Rd</AddressLine1Txt>
          <CityNm>Lake Oswego</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97034</ZIPCd>
        </LocationOfBooksUSAddress>
        <ForeignAccountsQuestionInd>false</ForeignAccountsQuestionInd>
      </StatementsRegardingActyGrp>
      <StatementsRegardingActy4720Grp>
        <SaleOrExchDisqualifiedPrsnInd>false</SaleOrExchDisqualifiedPrsnInd>
        <BrrwOrLendDisqualifiedPrsnInd>false</BrrwOrLendDisqualifiedPrsnInd>
        <FurnGoodsDisqualifiedPrsnInd>false</FurnGoodsDisqualifiedPrsnInd>
        <PayCompDisqualifiedPrsnInd>false</PayCompDisqualifiedPrsnInd>
        <TransferAstDisqualifiedPrsnInd>false</TransferAstDisqualifiedPrsnInd>
        <PaymentToGovernmentOfficialInd>false</PaymentToGovernmentOfficialInd>
        <ActsFailToQlfyAsExceptionsInd>false</ActsFailToQlfyAsExceptionsInd>
        <UncorrectedPriorActsInd>false</UncorrectedPriorActsInd>
        <UndistributedIncomePYInd>false</UndistributedIncomePYInd>
        <UndistrIncmSect4942a2NotAppInd>false</UndistrIncmSect4942a2NotAppInd>
        <BusinessHoldingsInd>false</BusinessHoldingsInd>
        <ExcessBusinessHoldingsInd>false</ExcessBusinessHoldingsInd>
        <JeopardyInvestmentsInd>false</JeopardyInvestmentsInd>
        <UncorrectedPYJeopardyInvstInd>false</UncorrectedPYJeopardyInvstInd>
        <InfluenceLegislationInd>false</InfluenceLegislationInd>
        <InfluenceElectionInd>false</InfluenceElectionInd>
        <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
        <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
        <NoncharitablePurposeInd>false</NoncharitablePurposeInd>
        <TransactionsFailToQlfyAsExcInd>false</TransactionsFailToQlfyAsExcInd>
        <MaintainedExpenditureRspnsInd>false</MaintainedExpenditureRspnsInd>
        <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
        <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
        <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
        <ProceedsOrNetIncomeInd>false</ProceedsOrNetIncomeInd>
      </StatementsRegardingActy4720Grp>
      <OfficerDirTrstKeyEmplInfoGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Gerald Bieze</PersonNm>
          <USAddress>
            <AddressLine1Txt>1118 Northshore Rd</AddressLine1Txt>
            <CityNm>Lake Oswego</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97034</ZIPCd>
          </USAddress>
          <TitleTxt>President</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Sarah Bieze</PersonNm>
          <USAddress>
            <AddressLine1Txt>1118 Northshore Rd</AddressLine1Txt>
            <CityNm>Lake Oswego</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97034</ZIPCd>
          </USAddress>
          <TitleTxt>Vice President</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Kate Bieze</PersonNm>
          <USAddress>
            <AddressLine1Txt>1118 Northshore Rd</AddressLine1Txt>
            <CityNm>Lake Oswego</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97034</ZIPCd>
          </USAddress>
          <TitleTxt>Chairman</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>0</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>0</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>0</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>0</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>0</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>0</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <TaxBasedOnInvestmentIncomeAmt>133</TaxBasedOnInvestmentIncomeAmt>
        <TotalTaxAmt>133</TotalTaxAmt>
        <DistributableBeforeAdjAmt>133</DistributableBeforeAdjAmt>
        <DistributableBeforeDedAmt>133</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <QualifyingDistriPartXIIGrp>
        <ExpensesAndContributionsAmt>29750</ExpensesAndContributionsAmt>
        <QualifyingDistributionsAmt>29750</QualifyingDistributionsAmt>
        <PctSect4940eOrgNetInvstIncmAmt>133</PctSect4940eOrgNetInvstIncmAmt>
        <AdjustedQualifyingDistriAmt>29617</AdjustedQualifyingDistriAmt>
      </QualifyingDistriPartXIIGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>0</DistributableAsAdjustedAmt>
        <ExcessDistributionCyovYr3Amt>19785</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>9000</ExcessDistributionCyovYr2Amt>
        <TotalExcessDistributionCyovAmt>28785</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>29750</QualifyingDistributionsAmt>
        <TreatedAsDistriFromCorpusAmt>0</TreatedAsDistriFromCorpusAmt>
        <RemainingDistriFromCorpusAmt>29750</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>58535</TotalCorpusAmt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovToNextYrAmt>58535</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear3Amt>19785</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>9000</ExcessFromYear2Amt>
        <ExcessFromCurrentYearAmt>29750</ExcessFromCurrentYearAmt>
      </UndistributedIncomeGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ST Marys Help of Christians Parish</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 436</AddressLine1Txt>
            <CityNm>Colby</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54421</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>5000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>St Paul Parochial School</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 188 20327 Christie St</AddressLine1Txt>
            <CityNm>St Paul</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97137</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>St Anthony School</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>407 N Division St</AddressLine1Txt>
            <CityNm>Loyal</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54446</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>5000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Sacred Heart Catholic Church</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>323 N Taylor St</AddressLine1Txt>
            <CityNm>Marengo</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60152</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Jesuit High School</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>9000 SW Beaverton-Hillsdale Hwy</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97225</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Meals on Wheels</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>7710 SW 31st Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97219</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Union Gospel Mission</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>3 NW 3Rd Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97209</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>St Francis Dining Hall</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1131 SE Oak St</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97214</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Raphael House of Portland</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>4110 SE Hawthorne Blvd</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97214</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>St Stephen's Episcopal Parish</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1432 SW 13th Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97201</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>University of Illinois Found</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1305 W Green St</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61801</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>The Childrens Book Bank</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>2680 SW Ravensview Dr</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97201</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Wildlife Action Inc</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 866</AddressLine1Txt>
            <CityNm>Mullins</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29574</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>RAINN</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1220 L St NW 505</AddressLine1Txt>
            <CityNm>Washington</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Oregon humane Society</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1067 NE Columbia BLVD</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97211</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Doernbecher Children's Hosp</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1121 SW Salmon St Ste 100</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97205</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Susan G Komen</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1500 SW 1st Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97201</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Ronald McDonald House</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>2115 SW River Pkwy</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97201</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>American Cancer Society</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 34475</AddressLine1Txt>
            <CityNm>Seattle</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98124</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>L'Arche Portland</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>435 SE 85th Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97216</ZIPCd>
          </RecipientUSAddress>
          <RecipientFoundationStatusTxt>EOF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT LOCAL COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>250</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>29750</TotalGrantOrContriPdDurYrAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <DivAndIntFromSecPartVIIGrp>
          <ExclusionCd>3</ExclusionCd>
          <ExclusionAmt>8635</ExclusionAmt>
        </DivAndIntFromSecPartVIIGrp>
        <SubtotalsIncmProducingActyGrp>
          <ExclusionAmt>8635</ExclusionAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>8635</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="16000303" softwareVersionNum="2016v3.0">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorPersonNm>Jerry Bieze</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>1118 Northsore Rd</AddressLine1Txt>
          <CityNm>Lake Oswego</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97128</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>30000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="16000303" softwareVersionNum="2016v3.0">
      <AccountingFeesDetail>
        <CategoryTxt>Accounting Fees</CategoryTxt>
        <Amt>550</Amt>
        <NetInvestmentIncomeAmt>550</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>550</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="16000303" softwareVersionNum="2016v3.0">
      <TaxesDetail>
        <CategoryTxt>Corp Div</CategoryTxt>
        <Amt>50</Amt>
        <NetInvestmentIncomeAmt>50</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>50</AdjustedNetIncomeAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>State Taxes</CategoryTxt>
        <Amt>66</Amt>
        <NetInvestmentIncomeAmt>66</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>66</AdjustedNetIncomeAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>