DOVE LEWIS EMERGENCY ANIMAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DOVE LEWIS EMERGENCY ANIMAL HOSPITAL INC (EIN 93-0621534)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-14
IRS object ID
201233199349305998
Schema version
2011v1.2
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)
Timestamp2012-11-14T16:28:35-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN930418710EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELAP LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15885 MEADOWS ROAD NO 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code97035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930621534EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOVELEWIS EMERGENCY ANIMAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDOVENameControl
Phone5032287281Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11945 NW PETTYGROVEAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON MORGANName
TitleCEOTitle
Phone5032287281Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKRISTEN GRAUName
PTINP01218331PTIN
Phone5036974118Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRON MORGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11945 NW PETTYGROVEAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97209ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8266417GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.DOVELEWIS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionFOUNDED IN 1973, DOVELEWIS EMERGENCY ANIMAL HOSPITAL IS THE ONLY 24-HOUR, NON-PROFIT MEDICAL SERVICE ORGANIZATION IN THE PACIFIC NORTHWEST DEDICATED TO SUPPORTING AND ENHANCING THE ROLE ANIMALS PLAY IN OUR LIVES. DOVELEWIS IS ONE OF THE MOST UNIQUE ANIMAL MEDICAL ORGANIZATIONS IN THE UNITED STATES, PROVIDING ADVANCED EMERGENCY AND CRITICAL CARE SERVICES, AS WELL AS SEVERAL DONOR-SUPPORTED COMMUNITY PROGRAMS. DOVELEWIS TREATS APPROXIMATELY 12,500 PATIENTS EACH YEAR. THE COMMUNITY PROGRAMS REACH THOUSANDS OF PEOPLE AND ANIMALS THROUGHOUT THE PORTLAND METROPOLITAN AREA. DOVELEWIS' MISSION, IN ASSOCIATION WITH THE REGIONAL VETERINARY COMMUNITY, IS TO PROVIDE 24-HOUR EMERGENCY AND CRITICAL CARE, ALONG WITH EDUCATION AND COMMUNITY OUTREACH. HIGHLY-SKILLED PROFESSIONALS ARE DEDICATED TO IMPROVING THE CONDITION OF ANIMALS NEEDING MEDICAL TREATMENT, STRENGTHENING THE TIES WITH AND EXTENDING THE REACH OF THE VETERINARY COMMUNITY, AND PROMOTING THE WELL-BEING OF ANIMALS AND THE HUMAN-ANIMAL BOND.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees101TotalNbrEmployees
Total Nbr Volunteers462TotalNbrVolunteers
Total Gross UBI3457TotalGrossUBI
Net Unrelated Business Txbl Income2457NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1441508ContributionsGrantsPriorYear
Contributions Grants Current Year1293780ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6553513ProgramServiceRevenuePriorYear
Program Service Revenue CY6579815ProgramServiceRevenueCY
Investment Income Prior Year237068InvestmentIncomePriorYear
Investment Income Current Year19497InvestmentIncomeCurrentYear
Other Revenue Prior Year142387OtherRevenuePriorYear
Other Revenue Current Year193598OtherRevenueCurrentYear
Total Revenue Prior Year8374476TotalRevenuePriorYear
Total Revenue Current Year8086690TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5568921SalariesEtcPriorYear
Salaries Etc Current Year5661715SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year446991TotalFundrsngExpCurrentYear
Other Expense Prior Year3197928OtherExpensePriorYear
Other Expenses Current Year2674137OtherExpensesCurrentYear
Total Expenses Prior Year8766849TotalExpensesPriorYear
Total Expenses Current Year8335852TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-392373RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-249162RevenuesLessExpensesCY
Total Assets BOY8289914TotalAssetsBOY
Total Assets EOY7619378TotalAssetsEOY
Total Liabilities BOY4471432TotalLiabilitiesBOY
Total Liabilities EOY4050058TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3818482NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3569320NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDOVELEWIS EMERGENCY ANIMAL HOSPITAL, IN ASSOCIATION WITH THE REGIONAL VETERINARY COMMUNITY, PROVIDES 24-HOUR EMERGENCY, CRITICAL CARE, EDUCATION AND COMMUNITY OUTREACH. OUR HIGHLY-SKILLED PROFESSIONALS ARE DEDICATED TO IMPROVING THE CONDITION OF ANIMALS NEEDING EMERGENCY AND CRITICAL CARE, STRENGTHENING THE TIES WITH, AND EXTENDING THE REACH OF, THE VETERINARY COMMUNITY, AND PROMOTING THE WELL-BEING OF ANIMALS AND THE HUMAN-ANIMAL BOND THROUGHOUT THE COMMUNITY AT LARGE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6845871Expense
Grants0Grants
Revenue6551006Revenue
DescriptionPROGRAM ACCOMPLISHMENT - EMERGENCY ANIMAL HOSPITALDOVELEWIS WORKS CLOSELY WITH THE REGIONAL VETERINARY COMMUNITY TO PROVIDE ADVANCED 24-HOUR EMERGENCY AND CRITICAL CARE SERVICES TO ANIMALS IN NEED. DOVELEWIS TREATS APPROXIMATELY 12,500 PATIENTS PER YEAR. DOVELEWIS' STAFF OF 100 EMPLOYEES FEATURES SEVERAL BOARD-CERTIFIED SPECIALISTS, INCLUDING THE MOST BOARD-CERTIFIED CRITICAL CARE SPECIALISTS IN THE STATE. DOVELEWIS ALSO SERVES AS A NATIONALLY-ACCREDITED TEACHING HOSPITAL, OFFERING UNIQUE TRAINING FOR VETERINARIANS AND VETERINARY STUDENTS IN EMERGENCY AND CRITICAL CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense203757Expense
Grants0Grants
Revenue28809Revenue
DescriptionPROGRAM ACCOMPLISHMENT - EDUCATION SERVICESIN 2011, DOVELEWIS DEVELOPED AN ONLINE EDUCATION PROGRAM CALLED ON THE FLOOR AT DOVE, DESIGNED TO FURTHER DOVELEWIS' TEACHING MISSION AND PROVIDE AFFORDABLE EDUCATIONAL RESOURCES TO VETERINARY COMMUNITIES ALL OVER THE WORLD. ON THE FLOOR AT DOVE IS A SUBSCRIPTION SERVICE THAT INCLUDES VIDEOS ON MEDICAL PROCEDURES, CONTINUING EDUCATION LECTURES, TRAINING PROTOCOLS AND BUSINESS MANAGEMENT DISCUSSIONS. ON THE FLOOR AT DOVE CURRENTLY HAS OVER 3,000 ACTIVE MEMBERS SPANNING SEVEN DIFFERENT COUNTRIES. BY THE END OF 2013, DOVELEWIS EXPECTS TO HAVE OVER 8,000 ONLINE MEMBERS. IN ADDITION TO THE EXTENSIVE EDUCATIONAL OPPORTUNITIES FOR VETERINARY PROFESSIONALS, THE EDUCATIONAL SERVICES PROGRAM OFFERS MANY LOCAL SEMINARS AND CLASSES FOR PET OWNERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense161571Expense
DescriptionPROGRAM ACCOMPLISHMENT - STRAY ANIMAL & WILDLIFETHE DOVELEWIS STRAY ANIMAL & WILDLIFE PROGRAM PROVIDES EMERGENCY MEDICAL CARE TO INJURED STRAYS, LOST PETS AND WOUNDED WILD ANIMALS. THESE ANIMALS COME TO DOVELEWIS FROM COUNTY SHELTERS, GOOD SAMARITAN CITIZENS, POLICE OFFICERS AND FIREFIGHTERS. DURING THE LAST YEAR, DOVELEWIS TREATED 714 STRAY DOMESTIC ANIMALS AND 405 WILD ANIMALS, AT A TOTAL COST OF $159,000. DOVELEWIS MAKES EVERY EFFORT TO REUNITE STRAY ANIMALS WITH THEIR OWNERS VIA MICROCHIP SCANNING AND BY OPERATING ONE OF THE MOST COMPREHENSIVE LOST AND FOUND DATABASES IN THE LOCAL AREA. IN THE EVENT THAT AN OWNER CANNOT BE LOCATED, DOVELEWIS WORKS WITH LOCAL COUNTY SHELTERS, AND COMPLIES WITH THEIR PROTOCOLS REGARDING STRAY ANIMALS. DOVELEWIS RECEIVES MINIMAL REIMBURSEMENT FOR EMERGENCY MEDICAL CARE FROM THE SURROUNDING COUNTIES AND ANIMAL CONTROL AGENCIES, AND THEREFORE RELIES ON SUPPORT FROM THE COMMUNITY.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseDescriptionDescription
148110PROGRAM ACCOMPLISHMENT - BLOOD BANK DOVELEWIS' BLOOD BANK IS ONE OF THE LARGEST COMMUNITY-BASED ANIMAL BLOOD BANKS IN THE NATION. THERE ARE 101 ACTIVE VOLUNTEER CANINE DONORS AND 22 ACTIVE FELINE DONORS IN THE PROGRAM. MANY OF THE FELINE DONORS WERE ORIGINALLY STRAY ANIMALS RESCUED BY DOVELEWIS. DOVELEWIS CONTINUES TO MEET THE DEMAND FOR BLOOD PRODUCTS FOR VETERINARIANS THROUGHOUT THE PORTLAND METROPOLITAN AREA, SUPPLYING OVER 100 UNITS OF BLOOD TO 30 DIFFERENT LOCAL ANIMAL HOSPITALS. DOVELEWIS PERFORMED APPROXIMATELY 300 DOG AND CAT BLOOD TRANSFUSIONS LAST YEAR.
129653PROGRAM ACCOMPLISHMENT - ASSISTANCE ALMOST ONE THOUSAND HOSPITAL CLIENTS RECEIVED FINANCIAL AID THROUGH THE DOVELEWIS VELVET FINANCIAL ASSISTANCE PROGRAM. THIS DONOR-SUPPORTED FUND HELPS QUALIFIED LOW-INCOME CLIENTS PAY FOR ALL OR A PORTION OF THEIR VETERINARY BILLS FOR EMERGENCY OUTPATIENT CARE. THE VELVET FUND ALSO COVERS THE COST OF HUMANE EUTHANASIA FOR CLIENTS WHOSE ANIMALS COME TO US IN GRAVE CONDITION WITH NO CHANCE FOR SURVIVAL. LAST YEAR, THE PROGRAM AWARDED $129,000 IN ASSISTANCE TO CLIENTS IN NEED.
90693PROGRAM ACCOMPLISHMENT - PET LOSSTHE DOVELEWIS PET LOSS SUPPORT PROGRAM IS A FREE SERVICE AVAILABLE TO HELP GRIEVING PEOPLE NAVIGATE THE LOSS OF A BELOVED PET. THE PROGRAM WAS FOUNDED IN 1986 BY ENID TRAISMAN, LICENSED GRIEF COUNSELOR AND MSW. 340 PEOPLE TOOK ADVANTAGE OF THIS UNIQUE, FREE SERVICE LAST YEAR BY ATTENDING ONE OR MORE GROUP SESSIONS. SUPPORT IS ALSO AVAILABLE VIA PHONE -- 1,302 TELEPHONE CONVERSATIONS TOOK PLACE LAST YEAR WITH GRIEVING PET OWNERS. THE PROGRAM ALSO OFFERS COMMUNITY MEMORIAL ART THERAPY. 180 PEOPLE UTILIZED THIS FREE WORKSHOP LAST YEAR TO CREATE ART WORK IN MEMORY OF THEIR BELOVED PETS.
39436PROGRAM ACCOMPLISHMENT - ANIMAL ASSISTED THERAPY AND EDUCATION PROGRAM.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp407892TotalOfOtherProgramServiceExp
Total Program Service Expense7619091TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees101NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RONA AMADON CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9712255922TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11945 NW PETTYGROVEAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97209ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
G MARK NORMAN
BOARD PRESIDENT2.00X000
ADRIANNE FAIRBANKS
BOARD VICE PRESIDENT1.50X000
SCOTT ASPHAUG
BOARD SECRETARY1.00X000
MICHAEL REMSING
BOARD FINANCE COMMITTEE1.50X000
DAVID SYMES
BOARD MEMBER1.00X000
STEVE SKINNER
BOARD MEMBER1.00X000
JON PLANT
BOARD MEMBER1.00X000
JULIE PODUCH
BOARD MEMBER1.00X000
KALI WILSON
BOARD MEMBER1.00X000
COURTNEY ANDERS
BOARD MEMBER1.00X000
TIM MUNJAR
BOARD MEMBER1.00X000
LYNETTE XANDERS
BOARD MEMBER1.00X000
RON MORGAN
CHIEF EXECUTIVE OFFICER60.00220602013667X
RONA AMADON
CHIEF FINANCIAL OFFICER45.0010688400X
LEE HEROLD
CHIEF MEDICAL OFFICER50.00169672011657X
ASHLEY MAGEE
SURGEON40.0013524800X
MARINA RICHTER
SURGEON40.0013739200X
LADAN MOHAMMAD-ZADEH
CRITICALIST40.0013443300X
KATHERINE EARL
DVM40.0011191800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1016149TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25324TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DR ALAN LIPMAN
6750 SE WOODWARD STPORTLANDOR97206RADIOLOGY SERVICES271458
DR WILLIAM RAUSCH
2631 SE 43RD AVEPORTLANDOR97206CARDIOLOGY SERVICES198855
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events123479FundraisingEvents
All Other Contributions1170301AllOtherContributions
Noncash Contributions20027NoncashContributions
Total Contributions1293780TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionVETERINARY SERVICE FEEDescription
Business Code541900BusinessCode
Total Revenue Column6551006TotalRevenueColumn
Related Or Exempt Function Income6551006RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column28809TotalRevenueColumn
Related Or Exempt Function Income28809RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6579815TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1893TotalRevenueColumn
Exclusion$1,893ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56861Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2197Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real54664Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column54664TotalRevenueColumn
Related Or Exempt Function Income56360RelatedOrExemptFunctionIncome
Unrelated Business Revenue-1696UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other19064Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1460Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other17604Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17604TotalRevenueColumn
Related Or Exempt Function Income17604RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events285425GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events123479CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses164724FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column120701TotalRevenueColumn
Exclusion$120,701ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming16305GrossIncomeGaming
Gaming Direct Expenses9258GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column7047TotalRevenueColumn
Related Or Exempt Function Income7047RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory5556GrossSalesOfInventory
Cost Of Goods Sold2088CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3468TotalRevenueColumn
Unrelated Business Revenue3468UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
ADVERTISING INCOME54180016851685
VENDING INCOME900099782$782

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5251TotalRevenueColumn
Related Or Exempt Function Income5251RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7718TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8086690TotalRevenueColumn
Related Or Exempt Function Income6666077RelatedOrExemptFunctionIncome
Unrelated Business Revenue3457UnrelatedBusinessRevenue
Exclusion$123,376ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total497157Total
Program Services441485ProgramServices
Management And General36023ManagementAndGeneral
Fundraising19649Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4093138Total
Program Services3780481ProgramServices
Management And General60604ManagementAndGeneral
Fundraising252053Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total656174Total
Program Services546275ProgramServices
Management And General84136ManagementAndGeneral
Fundraising25763Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total415246Total
Program Services381798ProgramServices
Management And General8256ManagementAndGeneral
Fundraising25192Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6314Total
Program Services6314ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46248Total
Program Services46248ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total71437Total
Program Services51176ProgramServices
Management And General8336ManagementAndGeneral
Fundraising11925Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total241934Total
Program Services178997ProgramServices
Fundraising62937Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total97973Total
Program Services83058ProgramServices
Management And General9506ManagementAndGeneral
Fundraising5409Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11788Total
Program Services11762ProgramServices
Management And General19ManagementAndGeneral
Fundraising7Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total204557Total
Program Services187260ProgramServices
Management And General12225ManagementAndGeneral
Fundraising5072Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total264683Total
Program Services244298ProgramServices
Management And General13759ManagementAndGeneral
Fundraising6626Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total24799Total
Program Services22691ProgramServices
Management And General1488ManagementAndGeneral
Fundraising620Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES731236731236
CONTRACTED SERVICES307035307035
BANK FEES1552441488666378
UTILITIES138803124222318911392

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total372086Total
Program Services325889ProgramServices
Management And General24026ManagementAndGeneral
Fundraising22171Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8335852Total
Program Services7619091ProgramServices
Management And General269770ManagementAndGeneral
Fundraising446991Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1491375BOY
EOY1420631EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2750BOY
EOY8770EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY95773EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42862BOY
EOY47380EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY306399BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY111967BOY
EOY83446EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY88485BOY
EOY45965EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7888761LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2246154LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5897810BOY
EOY5642607EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY96450EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY338266BOY
EOY178356EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8289914BOY
EOY7619378EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY498485BOY
EOY443836EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY49504BOY
EOY69516EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3667099BOY
EOY3536706EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY256344BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4471432BOY
EOY4050058EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2790294BOY
EOY2676230EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1028188BOY
EOY893090EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3818482BOY
EOY3569320EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8289914BOY
EOY7619378EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-249162ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1912437CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2375507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1793404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1441508CurrentTaxYearMinus1Year
Current Tax Year1293780CurrentTaxYear
Total8816636Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7726738CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7423424CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6663688CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6553513CurrentTaxYearMinus1Year
Current Tax Year6579815CurrentTaxYear
Total34947178Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9639175CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9798931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8457092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7995021CurrentTaxYearMinus1Year
Current Tax Year7873595CurrentTaxYear
Total43763814Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years225917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192085CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105994CurrentTaxYearMinus1Year
Current Tax Year22099CurrentTaxYear
Total621095Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years319226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years768155CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years590430CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year498014CurrentTaxYearMinus1Year
Current Tax Year360581CurrentTaxYear
Total2536406Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years394226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years994072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years782515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year604008CurrentTaxYearMinus1Year
Current Tax Year382680CurrentTaxYear
Total3157501Total
FieldValueIRS element (for citing)
Public Support Total50940606313PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78241CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45131CurrentTaxYearMinus1Year
Current Tax Year58755CurrentTaxYear
Total324563Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78241CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45131CurrentTaxYearMinus1Year
Current Tax Year58755CurrentTaxYear
Total324563Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years717CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2610CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1315CurrentTaxYearMinus1Year
Current Tax Year2956CurrentTaxYear
Total10820Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-47996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95984CurrentTaxYearMinus1Year
Current Tax Year133781CurrentTaxYear
Total306921Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9694823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9929429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8575328CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8137451CurrentTaxYearMinus1Year
Current Tax Year8069087CurrentTaxYear
Total44406118Total
FieldValueIRS element (for citing)
Public Support Percentage5090.91440PublicSupportPercentage509
Prior Year Support Percentage0.91190PriorYearSupportPercentage
Investment Income Percentage0.00730InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00900PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis896982OtherCostOrOtherBasis
Book Value896982BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5477784OtherCostOrOtherBasis
Depreciation827845Depreciation
Book Value4649939BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis65399OtherCostOrOtherBasis
Depreciation55438Depreciation
Book Value9961BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1327035OtherCostOrOtherBasis
Depreciation1251771Depreciation
Book Value75264BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis121561OtherCostOrOtherBasis
Depreciation111100Depreciation
Book Value10461BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5642607TotalOfBookValueLandBuildings
Total Revenue8086690TotalRevenue
Total Expenses8335852TotalExpenses
Excess Or Deficit For Year-249162ExcessOrDeficitForYear
Excess Or Deficit Per FS-249162ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8277995TotRevenueEtcAuditedFinclStmt
Other Revenues191305OtherRevenues
Revenue Not Rptd F990191305RevenueNotRptdF990
Revenue Subtotal8086690RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908086690TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8527157TotExpensesEtcAuditedFinclStmt
Other Expenses Included191305OtherExpensesIncluded
Expenses Not Rptd F990191305ExpensesNotRptdF990
Expenses Subtotal8335852ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908335852TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD ON PRODUCT SALES 2,088. SPECIAL EVENTS EXPENSE 164,725. COSTS RELATED TO UBTI RENTAL ACTIVITY 2,195. EXPENSE RELATED TO UBTI ADVERTISING ACTIVITY 315. EXPENSE RELATED TO INKIND CONTRIBUTIONS 12,724. RAFFLE EVENTS EXPENSE 9,258.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD ON PRODUCT SALES 2,088. SPECIAL EVENTS EXPENSE 164,725. COSTS RELATED TO UBTI RENTAL ACTIVITY 2,195. EXPENSE RELATED TO UBTI ADVERTISING ACTIVITY 315. EXPENSE RELATED TO INKIND CONTRIBUTIONS 12,724. FAFFLE EVENTS EXPENSE 9,258.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOIREENameOfEvent1
Gross Receipts Event1290813GrossReceiptsEvent1
Charitable Contributions Event1120472CharitableContributionsEvent1
Gross Revenue Event1170341GrossRevenueEvent1
Non Cash Prizes Event153713NonCashPrizesEvent1
Rent Facility Costs Event124877RentFacilityCostsEvent1
Other Direct Expenses Event132867OtherDirectExpensesEvent1
Name Of Event2RUN 4 LOVENameOfEvent2
Gross Receipts Event241057GrossReceiptsEvent2
Charitable Contributions Event21430CharitableContributionsEvent2
Gross Revenue Event239627GrossRevenueEvent2
Non Cash Prizes Event23482NonCashPrizesEvent2
Rent Facility Costs Event22364RentFacilityCostsEvent2
Other Direct Expenses Event211184OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events77034GrossReceiptsOtherEvents
Charitable Contrib Other Events1577CharitableContribOtherEvents
Gross Revenue Other Events75457GrossRevenueOtherEvents
Non Cash Prizes Other Events6551NonCashPrizesOtherEvents
Rent Facility Costs Other Events17152RentFacilityCostsOtherEvents
Other Direct Expenses Other Events12534OtherDirectExpensesOtherEvents
Gross Receipts Total408904GrossReceiptsTotal
Charitable Contributions Total123479CharitableContributionsTotal
Gross Revenue Total Events285425GrossRevenueTotalEvents
Non Cash Prizes Total Events63746NonCashPrizesTotalEvents
Rent Facility Costs Total Events44393RentFacilityCostsTotalEvents
Other Direct Expenses Total Events56585OtherDirectExpensesTotalEvents
Direct Expense Summary Events164724DirectExpenseSummaryEvents
Net Income Summary120701NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming16305GrossRevenueOtherGaming
Cash Prizes Other Gaming853CashPrizesOtherGaming
Non Cash Prizes Other Gaming8155NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming250OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Gross Revenue Total Gaming16305GrossRevenueTotalGaming
Cash Prizes Total Gaming853CashPrizesTotalGaming
Non Cash Prizes Total Gaming8155NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming250OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming9258DirectExpenseSummaryGaming
Net Gaming Income Summary7047NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedORStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonRONA AMADONNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11945 NW PETTYGROVEAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97209ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Charitable Distrib Required0CharitableDistribRequired

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RON MORGAN
2056020150000006185074820234269000
LEE HEROLD
162372025000480004726069310181329000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STEVE SKINNER
BOARD MEMBER AND OUTSIDE SPECIALIST (NEUROLOGIST)30835NEUROLOGY SERVICES0
MICHAEL REMSING
BOARD MEMBER AND MORE THAN 50% OWNER OF ENTITY84952CREMATION AND DEATH SERVICES FOR DOVELEWIS CLIENTS0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2OTHER BOARD MEMBERS WHO OWN VETERINARY CLINICS USE DIGNIFIED PET SERVICES (OWNED BY MICHAEL REMSING, BOARD MEMBER) FOR CREMATION SERVICES.
FORM 990, PART VI, SECTION A, LINE 6DOVELEWIS EMERGENCY ANIMAL HOSPITAL HAS ONE CLASS OF VOTING STOCK
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE PORTLAND VETERINARY MEDICAL ASSOCIATION (PVMA) ARE THE MEMBERS OF DOVELEWIS AND HAVE THE RIGHT TO VOTE IN NEW BOARD MEMBERS. THEY EACH HAVE ONE EQUAL VOTE.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBERS OF DOVELEWIS APPROVE CHANGES TO THE BYLAWS. THEY EACH HAVE ONE VOTING RIGHT.
FORM 990, PART VI, SECTION B, LINE 11THE CEO AND CFO REVIEW THE 990 BEFORE IT IS FILED. THE FORM 990 IS PRESENTED TO THE BAORD MEMBERS PRIOR TO FILING FOR REVIEW. NO CHANGES HAVE BEEN MADE TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ONCE PER YEAR DOVELEWIS REQUIRES EACH OF THEM TO SUBMIT IN WRITING A DESCRIPTION OF ANY AND ALL CONFLICTS. EACH EXISTING CONFLICT IS REVIEWED ON A CASE-BY-CASE BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO IS ON A CONTRACT ESTABLISHED BY THE BOARD OF DIRECTORS. INDUSTRY DATA WAS USED TO DETERMINE COMPENSATION. THE EXECUTIVE COMMITTEE DRAFTED THE CONTRACT AND SENT IT TO THE FULL BOARD FOR APPROVAL. OTHER OFFICERS AND KEY EMPLOYEES ARE NOT ON CONTRACT. INDUSTRY DATA WAS USED TO DETERMINE INITIAL COMPENSATION, WHICH IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE ONLY AVAILABLE FOR INTERNAL USE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
DOVE AMERICAN LLC
1945 NW PETTYGROVEPORTLANDOR97209203796494OWNS THE BUILDING AND LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL OPERATESOR6361235DOVELEWIS EMERGENCY ANIMAL HOSPITAL
DOVE AMERICAN II LLC
1945 NW PETTYGROVEPORTLANDOR97209204677491OWNS LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL HOLDS FOR INVESTMENT PURPOSESOR0DOVELEWIS EMERGENCY ANIMAL HOSPITAL

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