CLARK LEWIS FAMILY FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CLARK LEWIS FAMILY FOUNDATION (EIN 20-3839795)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-11
- IRS object ID
- 201741319349102969
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T17:04:06-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 455284006 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FELLNER & KUHN | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SW 5TH AVE STE 1815 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 972041227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203839795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARKLEWIS FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 5032353685 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SE SPOKANE STREET RM/STE 7 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CANDACE C HOLZGRAFE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5032353685 | PhoneNum |
| Signature | 2017-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS A LACHER CPA | PreparerPersonNm |
| PTIN | P01232140 | PTIN |
| Phone | 5032270443 | PhoneNum |
| Preparation | 2017-05-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 8C7CBD04BF0866775D5EEE92295AAE53CE630D3A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 24EE6C22EAD48E369D099071F3F4655F8DDD45CD | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $68,652 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $240,969 | ContriRcvdRevAndExpnssAmt |
| Total Rev And Expnss | $240,969 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $1,610 | AccountingFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $82 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $10,688 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $12,380 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $226,157 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $226,157 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $238,537 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $226,157 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $2,432 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $66,220 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $68,652 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $68,652 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $66,220 | TotalAssetsBOYAmt |
| Total Assets EOY | $68,652 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $68,652 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $66,220 | UnrestrictedBOYAmt |
| Unrestricted EOY | $68,652 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $66,220 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $68,652 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $66,220 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $68,652 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $66,220 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $2,432 | ExcessRevenueOverExpensesAmt |
| Subtotal | $68,652 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $68,652 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $143,178 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $47,863 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 2.991413 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $140,121 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $90,635 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 1.545992 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $143,950 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $89,095 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.615691 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $103,975 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $74,401 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 1.397495 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $98,535 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $27,744 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 3.551579 | DistributionYr5Rt |
| Total Distribution | 11.102170 | TotalDistributionRt |
| Average Distribution | 2.220434 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $66,424 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $147,490 | AdjNetVlNoncharitableAssetsAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $147,490 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $226,157 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | OR | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | CANDACE C HOLZGRAFE | IndividualWithBooksNm |
| Phone | 5032353685 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SE SPOKANE 7 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|---|
| CANDACE C HOLZGRAFE | |||||||||
| 300 SE SPOKANE | SUITE 7 | PORTLAND | OR | 97202 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| JON R HOLZGRAFE | |||||||||
| 300 SE SPOKANE | SUITE 7 | PORTLAND | OR | 97202 | SECRETARY | 1.00 | $0 | $0 | $0 |
| ANTHONY BEBER | |||||||||
| 17426 SW SARALA ST | BEAVERTON | OR | 97007 | DIRECTOR | 1.00 | $0 | $0 | $0 | |
| TRACEY BEBER | |||||||||
| 17426 SW SARALA ST | BEAVERTON | OR | 97007 | DIRECTOR | 1.00 | $0 | $0 | $0 | |
| BRETT BEBER | |||||||||
| 6206 SW VIEWPOINT LANE | PORTLAND | OR | 97239 | DIRECTOR | 1.00 | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $67,436 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $67,436 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $67,436 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,012 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $66,424 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,321 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,321 | MinimumInvestmentReturnAmt |
| Distributable Before Adj | $3,321 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $3,321 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $3,321 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $226,157 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $226,157 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $226,157 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,321 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $97,148 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $100,255 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $139,495 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $135,589 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $140,785 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $613,272 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $226,157 | QualifyingDistributionsAmt |
| Applied To Current Year | $3,321 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $222,836 | RemainingDistriFromCorpusAmt |
| Total Corpus | $836,108 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $97,148 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $738,960 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $100,255 | ExcessFromYear4Amt |
| Excess From Year3 | $139,495 | ExcessFromYear3Amt |
| Excess From Year2 | $135,589 | ExcessFromYear2Amt |
| Excess From Year1 | $140,785 | ExcessFromYear1Amt |
| Excess From Current Year | $222,836 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | CANDACE C HOLZGRAFE | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | CANDACE HOLZGRAFE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SE SPOKANE APT 7 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5032353685 | RecipientPhoneNum |
| Recipient Email Address | CANDIHOLZGRAFE@AOL.COM | RecipientEmailAddressTxt |
| Form And Info And Materials | NO PRESCRIBED FORM | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (38 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| AFRICAN SPORTS OUTREACH | ||||||||
| 2859 SW CEDAR HILLS BLVD | BEAVERTON | OR | 97005 | NONE | SUPPORT CHILDRENS SOCCER TEAMS | $500 | ||
| ALBERTA KERR | ||||||||
| 424 NE 22ND AVENUE | PORTLAND | OR | 97232 | NONE | PROGRAM SUPPORT | $5,000 | ||
| ASSISTANCE LEAGUE OF THE COLUMBIA | ||||||||
| PO BOX 596 | ASTORIA | OR | 97103 | NONE | PROGRAM SUPPORT | $500 | ||
| BIG BROTHERS BIG SISTERS OF THE DES | ||||||||
| 42-600 COOK STREET | PALM DESERT | CA | 92211 | NONE | PROGRAM SUPPORT | $425 | SUITE 110 | |
| BOYS AND GIRLS CLUBS OF COACHELLA V | ||||||||
| 42600 COOK STREET | PALM DESERT | CA | 92211 | NONE | PROGRAM SUPPORT | $500 | STE 120 | |
| CANNON BEACH HISTORY CENTER & MUSEU | ||||||||
| PO BOX 1005 | CANNON BEACH | OR | 97110 | NONE | PROGRAM SUPPORT | $5,000 | ||
| CHILDRENS CENTER | ||||||||
| 1713 PENN LANE | OREGON CITY | OR | 97045 | NONE | PROGRAM SUPPORT | $5,000 | ||
| CITY OF HOPE | ||||||||
| 1500 E DUARTE RD | DUARTE | CA | 91010 | NONE | PROGRAM SUPPORT | $515 | ||
| CLATSOP COUNTY ANIMAL CONTROL & SHE | ||||||||
| 1315 SE 19TH ST | WARRENTON | OR | 97146 | NONE | PROGRAM SUPPORT | $500 | ||
| COASTER THEATRE FOUND | ||||||||
| 9770 SW SUNSHINE CT | BEAVERTON | OR | 97005 | NONE | PROGRAM SPONSOR | $4,908 | ||
| DE LA SALLE NORTH CATHOLIC | ||||||||
| 7528 N FENWICK AVENUE | PORTLAND | OR | 97217 | NONE | PROGRAM SUPPORT | $5,000 | ||
| DESERT COMMUNITY FOUNDATION | ||||||||
| 75-105 MERLE DRIVE SUITE | PALM DESERT | CA | 92211 | NONE | PROGRAM SUPPORT | $1,000 | TED ROBINSON SCHOLARSHIP FUND | |
| DESERT FRIENDS OF JOHN TRACY CLINIC | ||||||||
| 6807 - 52 AVE NE | SEATTLE | WA | 98115 | NONE | PROGRAM SUPPORT | $369 | ||
| FOREST PARK CONSERVANCY | ||||||||
| 210 NW 17TH AVE | PORTLAND | OR | 97209 | NONE | PROGRAM SUPPORT | $2,000 | SUITE 201 | |
| FRIENDLY HOUSE | ||||||||
| 2617 NW SAVIER STREET | PORTLAND | OR | 97210 | NONE | PROGRAM SUPPORT | $10,000 | ||
| JESUIT HIGH SCHOOL | ||||||||
| 9000 SW BEAVERTON-HILLSDA | PORTLAND | OR | 97225 | NONE | PROGRAM SUPPORT | $25,000 | ||
| JOHN TRACY CLINIC | ||||||||
| 806 W ADAMS BLVD | LOS ANGELES | CA | 90007 | NONE | PROGRAM SUPPORT | $10,000 | ||
| KAPPA KAPPA GAMMA FOUNDATION | ||||||||
| PO BOX 38 | COLUMBUS | OH | 43216 | NONE | PROGRAM SUPPORT | $1,500 | ||
| LEUKEMIA & LYMPHOMA SOCIETY | ||||||||
| 9320 SW BARBUR BLVD | PORTLAND | OR | 97219 | NONE | PROGRAM SUPPORT | $3,000 | SUITE 350 | |
| MAYBELLE CENTER FOR COMMUNITY | ||||||||
| 121 NW 6TH AVE | PORTLAND | OR | 97209 | NONE | PROGRAM SUPPORT | $5,000 | ||
| MCCALLUM THEATRE | ||||||||
| 73000 FRED WARING DRIVE | PALM DESERT | CA | 92260 | NONE | PROGRAM SUPPORT | $2,210 | ||
| OREGON PUBLIC BROADCASTING | ||||||||
| 7140 SW MACADAM AVENUE | PORTLAND | OR | 97219 | NONE | PROGRAM SUPPORT | $3,000 | ||
| OREGON ZOO FOUNDATION | ||||||||
| 4001 SW CANYON ROAD | PORTLAND | OR | 97221 | NONE | PROGRAM SPONSORSHIP | $10,000 | ||
| PLAYWRIGHT INC | ||||||||
| PO BOX 13420 | PORTLAND | OR | 97213 | NONE | PROGRAM SUPPORT | $1,000 | ||
| REBUILDING AMERICA'S WARRIORS | ||||||||
| PO BOX 1931 | RANCHO MIRAGE | CA | 92270 | NONE | PROGRAM SUPPORT | $7,200 | ||
| RIVERSIDE CO FIREFIGHTES BENEVOLENT | ||||||||
| PO BOX 1131 | RIVERSIDE | CA | 92502 | NONE | PROGRAM SUPPORT | $1,000 | ||
| SALVATION ARMY | ||||||||
| 211 NE 18TH AVE | PORTLAND | OR | 97232 | NONE | PROGRAM SUPPORT | $7,000 | ||
| SOUTHRIDGE HIGH SCHOOL | ||||||||
| 9625 SW 125TH AVENUE | BEAVERTON | OR | 97008 | NONE | PROGRAM SUPPORT | $1,000 | ||
| ST ALEXANDER CHURCH | ||||||||
| PO BOX 644 | CORNELIUS | OR | 97113 | NONE | PROGRAM SUPPORT | $10,000 | ||
| ST MARY'S ACADEMY | ||||||||
| 1615 SW 5TH AVENUE | PORTLAND | OR | 97201 | NONE | TUITION ASSISTANCE FUND | $10,000 | ||
| THE CHILDRENS COURSE | ||||||||
| 19825 RIVER ROAD | GLADSTONE | OR | 97027 | NONE | PROGRAM SUPPORT | $1,000 | ||
| THE GOOD SAMARITAN HOME OF QUINCY | ||||||||
| 2130 HARRISON STREET | QUINCY | IL | 62301 | NONE | PROGRAM SUPPORT | $6,000 | ||
| THE LIVING DESERT | ||||||||
| 47-900 PORTSIDE AVE | PALM DESERT | CA | 92263 | NONE | PROGRAM SUPPORT | $54,980 | ||
| VARIETY | ||||||||
| 74-040 HWY 111 | PALM DESERT | CA | 92260 | NONE | PROVIDING BIKES/HELMETS TO CHILDREN | $5,000 | ||
| WOMEN'S FOUNDATION OF OREGON | ||||||||
| 221 NW SECOND AVENUE | PORTLAND | OR | 97209 | NONE | PROGRAM SUPPORT | $20,000 | SUITE 302 | |
| WAVERLY HISTORIC FOUNDATION | ||||||||
| 1100 SE WAVERLY DR | PORTLAND | OR | 97222 | NONE | PROGRAM SUPPORT | $50 | ||
| QUINCY SENIOR HIGH SCHOOL | ||||||||
| 3322 MAINE ST | QUINCY | IL | 62301 | NONE | PROGRAM SUPPORT | $500 | ||
| ST HELENS BIBLE CHURCH | ||||||||
| 35031 MILLARD RD | WARREN | OR | 97053 | NONE | PROGRAM SUPPORT | $500 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $226,157 | TotalGrantOrContriPdDurYrAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | CANDACE HOLZGRAFE | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SE SPOKANE STREET | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $240,969 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INDIRECT ACCOUNTING FEES | CategoryTxt |
| Amt | $1,610 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt |
|---|---|
| EXPENSES | |
| FEES | $125 |
| CHARITABLE EVENTS | $10,563 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OR DEPARTMENT OF JUSTICE | CategoryTxt |
| Amt | $82 | Amt |
Comments