ANNA MAY FAMILY FOUNDATION: Form 990PF, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- ANNA MAY FAMILY FOUNDATION (EIN 93-1269424)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-08-25
- IRS object ID
- 202612379349100411
- Schema version
- 2025v4.2
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-25T11:12:23-05:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 STEWART AVENUE SUITE 301 | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931269424 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNA MAY FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANNA | BusinessNameControlTxt |
| Phone | 5418571040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314-B CENTER DRIVE BOX 264 | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97501 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY BELKIN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5416019915 | PhoneNum |
| Signature | 2026-08-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | APRIL STITH | PreparerPersonNm |
| PTIN | P01245039 | PTIN |
| Phone | 5418571040 | PhoneNum |
| Preparation | 2026-08-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,356,278 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $86,949 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $86,949 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $107,941 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $535,271 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $107,941 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $194,890 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $194,890 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $63,455 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $31,727 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $31,728 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $8,309 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $4,155 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $4,154 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $6,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,125 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $3,125 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $12,689 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $12,689 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,232 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,232 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $10,406 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $9,656 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $103,341 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $53,928 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $48,663 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $120,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $120,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $223,341 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $53,928 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $168,663 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$28,451 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $140,962 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $110,962 | CashBOYAmt |
| Cash EOY | $141,690 | CashEOYAmt |
| Cash EOYFMV | $141,690 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $3,573 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,027 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,027 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $48,518 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $41,805 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $41,805 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $2,754,744 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,703,417 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,171,756 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $2,917,797 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,887,939 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,356,278 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $2,917,797 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,887,939 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,917,797 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,887,939 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,917,797 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,887,939 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,917,797 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$28,451 | ExcessRevenueOverExpensesAmt |
| Other Increases | $20 | OtherIncreasesAmt |
| Subtotal | $2,889,366 | SubtotalAmt |
| Other Decreases | $1,427 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,887,939 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $508,766 | $427,330 | $81,436 | $81,436 | |
| WASH SALE ADJUST | $448 | $448 | $448 | ||
| CAPITAL GAINS DIVIDENDS | $26,057 | $26,057 | $26,057 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $107,941 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,959 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,959 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,959 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,600 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $3,600 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,641 | OverpaymentAmt |
| Applied To ES Tax | $1,641 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | OR | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | AMY BELKIN EXECUTIVE DIRECTOR | IndividualWithBooksNm |
| Phone | 5418571040 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314-B CENTER DRIVE BOX 264 | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| AMY BELKIN | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | EXECUTIVE DIRECTOR & SECRETARY | 20.00 | $63,455 | $0 | $0 |
| CHARLEY BOLEN | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | PRESIDENT | 0.50 | $0 | $0 | $0 |
| JULIE BARRY | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | VICE-PRESIDENT | 0.50 | $0 | $0 | $0 |
| APRIL STITH | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | TREASURER | 0.50 | $0 | $0 | $0 |
| PENNY GARRETT | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| AARON HOEFLING | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| BELLE SHEPHERD | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| POLLY WILLIAMS | ||||||||
| 1314-B CENTER DRIVE NO 264 | MEDFORD | OR | 97501 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,081,512 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $133,354 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,214,866 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,214,866 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $48,223 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,166,643 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $158,332 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $158,332 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,959 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,959 | TotalTaxAmt |
| Distributable Before Adj | $156,373 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $156,373 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $156,373 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $168,663 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $168,663 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $156,373 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $19,554 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $45,904 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $29,937 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $95,395 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $168,663 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $156,373 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $12,290 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $107,685 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $107,685 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $19,554 | ExcessFromYear3Amt |
| Excess From Year2 | $45,904 | ExcessFromYear2Amt |
| Excess From Year1 | $29,937 | ExcessFromYear1Amt |
| Excess From Current Year | $12,290 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | AMY BELKIN | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314-B CENTER DRIVE BOX 264 | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5416019915 | RecipientPhoneNum |
| Form And Info And Materials | WRITTEN | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | DISTRIBUTIONS WILL BE MADE WHICH PRIMARILY BENEFIT OR HAVE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN JACKSON, JOSEPHINE AND KLAMATH COUNTIES OF OREGON. SECONDARY CONSIDERATION WILL BE GIVEN TO THOSE THAT BENEFIT OR HAVE CHARITABLE, EDUCATIONAL & SCIENTIFIC PURPOSES WITHIN CURRY, LAKE, DOUGLAS, DESCHUTES AND COOS COUNTIES OF OREGON. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (32 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ACCESS | ||||||
| P O BOX 4666 | MEDFORD | OR | 97501 | PC | FOOD DISTIBUTION TO THOSE IN NEED | $2,500 |
| ALS ASSOCIATION OREGON AND SW WASHINGTON CHAPTER | ||||||
| 700 NE MULTNOMAH ST 210 | PORTLAND | OR | 97232 | PC | ALS FAMILY SUPPORT PROGRAM | $2,500 |
| ASHLAND EMERGENCY FOOD BANK | ||||||
| 560 CLOVER LANE | ASHLAND | OR | 97520 | PC | EMERGENCY FOOD DISTRIBUTION | $2,500 |
| ASHLAND HIGH ARTS ADVOCATES | ||||||
| 201 SOUTH MOUNTAIN AVENUE | ASHLAND | OR | 97520 | PC | K-12 ASHLAND ARTS | $2,000 |
| BOYS & GIRLS CLUB | ||||||
| 203 S E 9TH STREET | GRANTS PASS | OR | 97540 | PC | TRIPLE PLAY PROGRAM | $4,000 |
| COLLEGE DREAMS INC DBA PROJECT YOUTH | ||||||
| PO BOX 1407 | GRANTS PASS | OR | 97528 | PC | PROGRAM SUPPLIES | $4,000 |
| COMMUNITY VOLUNTEER NETWORK | ||||||
| 1 W MAIN ST STE 303 | MEDFORD | OR | 97501 | PC | FOSTER GRANDPARENT PROGRAM OF SOUTHERN OREGON | $3,000 |
| COMMUNITY WORKS INC | ||||||
| 2594 E BARNETT RD | MEDFORD | OR | 97504 | PC | SAFETY, EDUCATION AND SUPPORT OF LOCAL FAMILIES IN NEED - PROJECT DOVE | $6,000 |
| COMPASS HOUSE INC | ||||||
| 332 W 6TH ST | MEDFORD | OR | 97501 | PC | EMPLOYMENT PROGRAM | $4,000 |
| CONSUMER CREDIT COUNSELING | ||||||
| 820 CRATER LAKE AVE 202 | MEDFORD | OR | 97504 | PC | COMMUNITY FINANCIAL EDUCATION WITH ADDITIONAL NEED DUE TO COVID | $4,000 |
| FIRST PHEONIX COMMUNITY CENTER | ||||||
| 121 W 2ND STREET | PHOENIX | OR | 97535 | PC | HIGHER QUALITY PROTEIN PURCHASES | $3,000 |
| FREEDOM FARMS | ||||||
| 575 SCHIEFFELIN GULCH RD | GOLD HILL | OR | 97525 | PC | PROGRAM SUPPLIES | $2,000 |
| GIRLS BUILD | ||||||
| PO BOX 11893 | PORTLAND | OR | 97211 | PC | PROGRAM SUPPLIES | $3,500 |
| HOPE EQUESTRIAN | ||||||
| PO BOX 396 | EAGLE POINT | OR | 97524 | PC | ADOPT A RIDER FUND | $3,000 |
| JACKSON COUNTY SEXUAL ASSAULT RESPONSE TEAM | ||||||
| 2305 ASHLAND STREET C-418 | ASHLAND | OR | 97520 | PC | SEXUAL ASSAULT ACUTE RESPONSE PROGRAM | $6,000 |
| KINDRED MATTERS | ||||||
| PO BOX 466 | SALEM | OR | 97308 | PC | SCHOLARSHIP FUNDS TO FOSTER FAMILIES IN JACKSON COUNTY. | $3,000 |
| MAGDALENE HOME | ||||||
| 12 BLACK OAK DRIVE | MEDFORD | OR | 97501 | PC | RESIDENT ESSENTIAL NEEDS FUNDS | $2,000 |
| MAKE A WISH FOUNDATION OF OREGON INC | ||||||
| 5901 S MACADAM AVE 200 | PORTLAND | OR | 97239 | PC | PROGRAM SUPPLIES | $1,500 |
| MEDFORD SCHOOL DISTRICT 549C | ||||||
| 500 MONROE | MEDFORD | OR | 97501 | GOV | EMERGENCY FUNDS FOR BASIC NEEDS/EMERGENCY GRANT | $10,000 |
| NATIONAL INVENTORS HALL OF FAME | ||||||
| 3701 HIGHLAND PARK NW | NORTH CANTON | OH | 44720 | PC | SCHOLARSHIP PROGRAM FUNDS | $2,000 |
| ONTRACK INC | ||||||
| 300 W MAIN STREET | MEDFORD | OR | 97501 | PC | BREAKING FREE DOMESTIC VIOLENCE PROGRAM | $3,500 |
| RIDING BEYOND | ||||||
| PO BOX 1281 | ASHLAND | OR | 97520 | PC | YOUTH SUPPORT PROGRAM | $2,000 |
| ROGUE COMMUNITY HEALTH | ||||||
| 19 MYRTLE STREET | MEDFORD | OR | 97504 | PC | EMERGENCY PRESCRIPTION MEDICATION ASSISTANCE/EMERGENCY GRANT | $5,000 |
| ROGUE GALLERY & ART CENTER | ||||||
| 40 SO BARTLETT | MEDFORD | OR | 97501 | PC | ELEMENTARY SCHOOL ARTS OUTREACH PROGRAM | $2,000 |
| ROGUE VALLEY COUNCIL OF GOVERNMENT | ||||||
| 155 N 1ST STR | CENTRAL POINT | OR | 97502 | PC | EMERGENCY FUND/EMERGENCY GRANT | $5,000 |
| ROGUE VALLEY FAMILY YMCA | ||||||
| 522 WEST SIXTH STREET | MEDFORD | OR | 97501 | PC | FINANCIAL ASSISTANCE FOR CHILD CARE PROJECT | $4,000 |
| SMART READING | ||||||
| 670 SUPERIOR CT STE 108 | MEDFORD | OR | 97504 | PC | RV SMART READING PROGRAM FOR CHILDREN IN ELEMENTARY SCHOOL | $5,000 |
| SOUTHERN OREGON HISTORICAL SOCIETY | ||||||
| 106 N CENTRAL AVENUE | MEDFORD | OR | 97501 | PC | PROGRAM SUPPLIES | $2,500 |
| ST VINCENT DE PAUL SOCIETY | ||||||
| 2424 NORTH PACIFIC HWY | MEDFORD | OR | 97501 | PC | EMERGENCY FUND/EMERGENCY GRANT | $5,000 |
| TALENT MAKER CITY | ||||||
| PO BOX 164 | TALENT | OR | 97540 | PC | PROGRAM SUPPLIES | $3,000 |
| THE CREST | ||||||
| 658 SHALE CITY RD | ASHLAND | OR | 97520 | PC | PROGRAM SUPPLIES | $2,500 |
| UNITED WAY OF JACKSON COUNTY | ||||||
| 60 HAWTHORNE ST | MEDFORD | OR | 97504 | PC | BIG IDEA NEXT: FOCUSING ON STUDENTS WHO ARE NOT GOING TO GRADUATE | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $120,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $86,949 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $107,941 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $194,890 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $194,890 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $6,250 | Amt |
| Net Investment Income | $3,125 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,125 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (12 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| DODGE & COX INCOME FUND CLASS I - 5850 | $478,518 | $470,941 |
| DODGE & COX INTERNATIONAL STOCK FUND CLASS I - 5850 | $244,384 | $296,306 |
| DODGE & COX STOCK FUND CLASS I - 5850 | $255,267 | $261,101 |
| JOHN HANCOCK INTL GROWTH - 5850 | $227,682 | $284,852 |
| PIMCO INCOME FUND CLASS I -5850 | $293,091 | $288,766 |
| PIMCO SHORT ASSET INVESTMENT FUND CLASS INST | $149,135 | $151,164 |
| VANGUARD S&P 500 ETF - 5850 | $332,189 | $497,314 |
| VANGUARD TOTAL INTL STOCK INDEX FUND ETF - 5850 | $225,857 | $285,918 |
| VANGUARD MID-CAP VALUE INDEX ADM -5850 | $106,904 | $130,460 |
| VANGUARD RUSSELL 1000 GROWTH ETF -5850 | $182,474 | $241,309 |
| VANGUARD SMALL CAP INDEX FUND ADMIRAL -5850 | $78,765 | $131,613 |
| SIM HIGH YIELD OPPORTUNITIES FUND CLASS R5 | $129,151 | $132,012 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $41,805 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $41,805 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| WASH SALE LOSSES DISALLOWED | $448 |
| FEDERAL INCOME TAXES | $979 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OFFICE EXPENSE | $9,015 | $0 | $9,015 |
| OREGON ANNUAL FILING FEES | $492 | $0 | $492 |
| BANK SERVICE CHARGE | $126 | $0 | $126 |
| INSURANCE EXPENSE | $750 | $0 | $0 |
| WEBSITE | $23 | $0 | $23 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-TAXABLE DISTRUBTIONS | Desc |
| Amt | $20 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ADVISORY FEES | CategoryTxt |
| Amt | $12,689 | Amt |
| Net Investment Income | $12,689 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX | CategoryTxt |
| Amt | $2,232 | Amt |
| Net Investment Income | $2,232 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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