2017-10-27T17:00:41-05:00 2017-06-30 930570615 BOLDT CARLISLE SMITH 1255 LEE ST SE SUITE 210 SALEM OR 97302 990 2016-07-01 237060946 SALEM ROTARY FOUNDATION SALE 5033646339 PO BOX 3981 SALEM OR 97302 TIM NISSEN SECRETARY/TREASURER 5033646339 2017-10-25 1 DOUGLAS C PARHAM P00064525 5035857751 X 64.88.174.3 2017-10-25 11:32:33 PD P A15F173B698A60165EA4999973ABB5991DB8124F FA7B9DE6B8B5762155C3CAE7A4957639D09D3ACC 2016 2021-01-29 14:40:06Z DAWN BOSTICK 531 CLARMOUNT ST NW SALEM OR 97304 333387 0 X N/A X 1969 OR FOSTER, DEVELOP, PROMOTE AND ENCOURAGE THE HEALTH, EDUCATION AND THE GENERAL WELFARE OF YOUNG PEOPLE, PRINCIPALLY OF THE CITY OF SALEM, OREGON AND ITS ENVIRONS 7 7 0 0 0 0 53877 174809 0 0 52430 21705 0 0 106307 196514 19055 45408 0 0 0 0 0 0 0 5236 10166 24291 55574 82016 140940 731049 947311 0 0 731049 947311 X FOSTER, DEVELOP, PROMOTE AND ENCOURAGE THE HEALTH, EDUCATION AND THE GENERAL WELFARE OF YOUNG PEOPLE, PRINCIPALLY OF THE CITY OF SALEM, OREGON AND ITS ENVIRONS. 0 0 30000 30000 SALEM AREA TRAIL ALLIANCE - GEER BIKE PARK AND TRAIL FACILITY 4097 0 PURCHASED AND DISTRIBUTED NEW BOOKS IN ENGLISH AND SPANISH FOR LOCAL SHELTERS (ST FRANCIS SHELTER, SIMONKA PLACE, SALEM INTERFAITH HOSPITALITY NETWORK, AND CENTER FOR HOPE & SAFETY), CASA INC OF MARION COUNTY, AND THE BOYS AND GIRLS CLUB OF SALEM. 2500 2500 INDONESIA WELL PROJECT - CONSTRUCTION OF A WATER WELL IN TOLONGGERU VULLAGE, BIMA, INDONESIA. 2000 2000 CHEMEKETA COMMUNITY COLLEGE FOUNDATION - DUVALL SCHOLARSHIP 2000 2000 SALEM PUBLIC LIBRARY FOUNDATION - EDUCATIONAL TECHNOLOGY: PURCHASE OF UP TO 18 TITLES OF PLAYAWAY LAUNCHPADS THAT HAVE EDUCATIONAL GAMES GROUPED AROUND SUBJECT AREAS. 1500 1500 BOYS AND GIRLS CLUB OF SALEM - ANNUAL HEALTH FAIR: 180 BACKPACKS WITH SCHOOL SUPPLIES TO BE GIVEN AT HEALTH FAIR 1500 1500 CASA, INC OF MARION COUNTY - CASE MANAGEMENT SOFTWARE: PURCHASE OF SPECIALIZED CASE MANAGEMENT SOFTWARE FOR TRAINING AND MONITORING OF CASA VOLUNTEERS. 1500 1500 SALEM FREE CLINIC - LOW INCOME MEDICATIONS: MEDICATIONS FOR LOW INCOME PATIENTS. 1427 1427 UNITED WAY OF THE MID-WILLAMETTE VALLEY - THE SMILE DRIVE DENTAL KITS: PURCHASE OF ITEMS NEEDED TO COMPLETE 1,152 DENTAL KITS FOR YOUNG CHILDREN. 1375 1375 NORTHWEST HUMAN SERVICES - HOST YOUTH PROGRAM: DRIVERS EDUCATION TRAINING FOR 5 HOMELESS YOUTH IN HTE HOST PROGRAM WHO ARE WORKING TOWARDS STABILITY AND INDEPENDENCE. 1006 1006 MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY - MENTAL HEALTH COURT PARTICIPATION INCENTIVES: APPROPRIATE MEDICATIONS FOR YOUNG CHILDLESS ADULTS WITHOUT INSURANCE AND INCENTIVE REWARD GIFT CARDS TO REWARD TREATMENT PLAN COMPLIANCE AND SOBRIETY. 600 600 CENTER FOR HOPE AND SAFETY - ADVOCACY OFFICE TRAUMA PREVENTION: PURCHASE OF FIVE FIRE KIDS EDITION TABLETS WITH OVER-EAR HEADPHONES TO WEAR WHEN PARENT IS BEING INTERVIEWED. 12908 12908 49505 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X TIM NISSEN 5033646339 156 FRONT STREET NE 860 SALEM OR 97301 X DAWN BOSTICK PRESIDENT 1.00 X X 0 0 0 DOUG PARHAM VICE PRESIDENT 1.00 X X 0 0 0 TIM NISSEN SECRETARY/TREASURER 1.00 X X 0 0 0 TOM MCGIRR DIRECTOR 1.00 X 0 0 0 JAYNE DOWNING DIRECTOR 1.00 X 0 0 0 JOHN MCCULLEY DIRECTOR 1.00 X 0 0 0 JOHN SHIRLEY DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 174809 174809 16610 16610 141968 136873 5095 5095 5095 196514 21705 0 0 45408 45408 5579 5579 490 490 BOOKS FOR DISTRIBUTION 4097 4097 55574 49505 6069 0 53896 117508 677153 829803 731049 947311 0 0 X 0 0 0 0 731049 947311 731049 947311 731049 947311 140940 75322 0 X 0 0 0 X 107329 68506 73877 53877 174809 478398 107329 68506 73877 53877 174809 478398 478398 10929 32979 30341 52430 21705 148384 626782 0.76330 0.73480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 SALEM AREA TRAIL ALLIANCE 3887 ORCHARD HEIGHTS NW SALEM OR 97304 273185043 501(C)(3) 30000 0 FUNDING FOR THE CONSTRUCTION OF THE GEER BIKE PARK AND TRAIL FACILITY PART I, LINE 2: THE GRANTS ARE FOR SPECIFIC PROJECTS. AFTER THE GRANTS ARE AWARDED, RECIPIENTS COME AND SPEAK TO THE CLUB ABOUT THEIR PROJECTS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ARE ELECTED TO GOVERN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS VOTE TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY WAS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH BOARD MEMBER READS, COMPLETES, AND SIGNS THE CONFLICT OF INTEREST POLICY ACKNOWLEDGING ANY KNOWN CONFLICTS. AS BOARD ITEMS ARE DISCUSSED AND ACTIONS TAKEN EACH BOARD MEMBER CONSIDERS ANY CONFLICT OF INTEREST WHICH MAY NEED TO BE DISCLOSED IN ACCORDANCE WITH THE POLICY FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.