Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1536 SE 11TH AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
PORTLAND, OR97214
D Employer identification number

93-0855897
E Telephone number

G Gross receipts $ 1,261,379
F Name and address of principal officer:
DAVID ROSENFELD
1536 SE 11TH AVENUE
PORTLAND,OR97214
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.OSPIRG.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1984
M State of legal domicile: OR
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: OSPIRG TAKES ON POWERFUL INTERESTS ON BEHALF OF OREGON'S CITIZENS, WORKING TO WIN CONCRETE RESULTS FOR OUR HEALTH AND OUR WELL-BEING. WITH AN EXPERIENCED NETWORK OF RESEARCHERS, ADVOCATES, ORGANIZERS AND VOLUNTEERS ACROSS THE STATE, WE STAND UP TO POWERFUL INTERESTS ON ISSUES TO MAKE HEALTH CARE AFFORDABLE, PROTECT CONSUMERS FROM MARKETPLACE ABUSES, FIGHT POLITICAL CORRUPTION, AND BOOST CIVIC PARTICIPATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 3
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 3
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 18
6 Total number of volunteers (estimate if necessary) ............. 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,277,784 1,233,613
9 Program service revenue (Part VIII, line 2g) ......... 70,838 23,032
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -57,955 4,734
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,290,667 1,261,379
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,380 705,179
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 34,032 70,718
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet346,836    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 768,377 816,355
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 815,789 1,592,252
19 Revenue less expenses. Subtract line 18 from line 12....... 474,878 -330,873
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 6,931,111 6,654,643
21 Total liabilities (Part X, line 26)............. 579,767 502,300
22 Net assets or fund balances. Subtract line 21 from line 20..... 6,351,344 6,152,343
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: OSPIRG TAKES ON POWERFUL INTERESTS ON BEHALF OF OREGON'S CITIZENS, WORKING TO WIN CONCRETE RESULTS FOR OUR HEALTH AND OUR WELL-BEING. WITH AN EXPERIENCED NETWORK OF RESEARCHERS, ADVOCATES, ORGANIZERS AND VOLUNTEERS ACROSS THE STATE, WE STAND UP TO POWERFUL INTERESTS ON ISSUES TO MAKE HEALTH CARE AFFORDABLE, PROTECT CONSUMERS FROM MARKETPLACE ABUSES, FIGHT POLITICAL CORRUPTION, AND BOOST CIVIC PARTICIPATION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,177,102 including grants of $ 705,179 ) (Revenue $   )
1. MAKING HEALTH CARE WORK FOR OREGON AS THE COST OF INSURING AN AVERAGE FAMILY OF FOUR HIT 20,000 A YEAR, ACCORDING TO ONE ESTIMATE, ANOTHER RECENT STUDY CONFIRMED THAT AT LEAST 30% OF ALL HEALTH CARE SPENDING IS WASTED ON UNNECESSARY PROCEDURES AND INEFFICIENCY. OSPIRG IS WORKING TO ENSURE THAT THE HEALTH CARE INDUSTRY DOES MORE TO CUT UNNECESSARY WASTE AND FOCUS ON PREVENTIVE CARE THAT GETS RESULTS, RATHER THAN PASSING THE COSTS OF THIS WASTE ONTO CONSUMERS. CONTINUED ON SCHEDULE O. IN PARTNERSHIP WITH OSPIRG FOUNDATION, WE CONTINUED CONDUCTING IN-DEPTH ANALYSIS OF SIGNIFICANT HEALTH INSURANCE RATE HIKE PROPOSALS, AS PART OF OREGON'S RATE REVIEW PROCESS. IN APRIL, WE ALSO ORGANIZED OVER ONE THOUSAND OREGONIANS TO CONTACT STATE OFFICIALS ABOUT A NUMBER OF REQUESTS BY INSURERS TO HIKE PREMIUMS. SINCE 2010, ADDITIONAL SCRUTINY BY STATE OFFICIALS HAS CUT OVER 155 MILLION IN WASTE FROM HEALTH INSURANCE PREMIUMS FOR INDIVIDUALS AND SMALL BUSINESSES. OSPIRG ALSO BUILT PUBLIC AND POLICYMAKING SUPPORT FOR REQUIRING INSURERS TO MORE CLEARLY QUANTIFY THEIR PROGRESS IN LOWERING COSTS AND BOOSTING PREVENTION, AND HOLDING INSURERS ACCOUNTABLE TO STRONG BENCHMARKS. IN PARTNERSHIP WITH OSPIRG FOUNDATION, OSPIRG RELEASED RESEARCH MAKING THE CASE FOR POLICIES TO SEE THIS THROUGH AND SHARED THE RESEARCH WITH STATE OFFICIALS; EDUCATED OVER 70,000 OREGONIANS FACE-TO-FACE ABOUT THIS EFFORT; GATHERED OVER 20,000 PETITION SIGNATURES TO GOVERNOR KITZHABER AND STATE OFFICIALS; AND DISTRIBUTED INFORMATION TO 100,000 HOUSEHOLDS ABOUT OPTIONS AVAILABLE UNDER THE NEW HEALTH CARE LAW. IN JULY, WE SAW OUR EFFORTS ADVANCE, WHEN THE GOVERNOR ANNOUNCED HIS ADMINISTRATION WOULD CONSIDER OUR PROPOSAL AND MAKE A FINAL RECOMMENDATION ON HOW TO PROCEED IN NOVEMBER 2013. 2. NO SECRET MONEY IN SALEM HOW GOVERNMENT COLLECTS AND SPENDS MONEY IS CRITICALLY IMPORTANT. TAX AND BUDGETING DECISIONS ARE THE MOST CONCRETE WAY THAT GOVERNMENT DECLARES ITS PUBLIC PRIORITIES AND BALANCES BETWEEN COMPETING VALUES. TAX DOLLARS SHOULD ONLY BE USED TO PROMOTE THE PUBLIC INTEREST. WHEN TAX DOLLARS ARE GIVEN TO PRIVATE INTERESTS, TO STIMULATE ECONOMIC DEVELOPMENT FOR EXAMPLE, IT IS CRITICAL THAT THE PUBLIC CAN CLEARLY SEE WHETHER OR NOT THEY ARE GETTING THEIR MONEY'S WORTH. YET, UNTIL RECENTLY, THE DETAILS OF OVER 600 MILLION IN STATE CORPORATE TAX SUBSIDIES WERE KEPT OUT OF REACH FROM THE PUBLIC. AS A RESULT THE PUBLIC HAD VIRTUALLY NO WAY TO EVALUATE THESE SUBSIDIES. OSPIRG HELPED PRY OPEN CRITICAL DETAILS FROM SOME OF THESE PROGRAMS AFTER A SERIES OF PUBLIC RECORDS REQUESTS TO THE STATE THAT CULMINATED IN AN OREGON DEPARTMENT OF JUSTICE ORDER TO DISCLOSE THE INFORMATION. SHORTLY AFTER, GOVERNOR KITZHABER'S ADMINISTRATION COMMITTED TO DISCLOSING MOST OF THE REMAINING CRITICAL DETAILS OF ALL THE MAJOR ECONOMIC DEVELOPMENT SUBSIDY PROGRAMS ON OREGON'S TRANSPARENCY WEBSITE BY THE CLOSE OF 2013. 3.STOP SUBSIDIZING OBESITY OUR TAX DOLLARS SHOULD ONLY GO TO THINGS THAT SERVE THE PUBLIC GOOD, YET WE'RE HANDING OUT TAXPAYER SUBSIDIES TO BIG AGRIBUSINESSES TO HELP SUBSIDIZE JUNK FOOD. HUGE, PROFITABLE CORPORATIONS LIKE CARGILL AND MONSANTO ARE POCKETING TENS OF BILLIONS IN TAXPAYER DOLLARS, AND TURNING SUBSIDIZED CROPS INTO JUNK FOOD INGREDIENTS - INCLUDING HIGH FRUCTOSE CORN SYRUP. THESE TAXPAYER GIVEAWAYS ARE ALL THE MORE ABSURD AT A TIME WHEN ONE IN THREE KIDS IS OVERWEIGHT OR OBESE, AND OBESITY-RELATED DISEASES LIKE DIABETES ARE TURNING INTO AN EPIDEMIC. OSPIRG CONTINUED TO LEAD A NATIONAL CAMPAIGN TO CALL FOR THE END TO WASTEFUL AGRICULTURAL SUBSIDIES. TOGETHER, WE SPOKE FACE-TO-FACE WITH OVER 1.5 MILLION PEOPLE, COORDINATED AN ONLINE CAMPAIGN THAT GENERATED 200,000 PUBLIC COMMENTS INTO MEMBERS OF CONGRESS, LOBBIED TOGETHER WITH GROUPS FROM ACROSS THE POLITICAL SPECTRUM AND RELEASED RESEARCH TO PROMPT MEDIA COVERAGE OF THE ISSUE. 4. CLOSING CORPORATE TAX LOOPHOLES IN JUNE, THE OREGON LEGISLATURE TOOK AN INITIAL STEP TOWARD ENDING OFFSHORE TAX HAVEN ABUSE, CLOSING ONE LOOPHOLE THAT WILL KEEP AN ESTIMATED 18 MILLION IN OREGON IN 2014, AND MORE IN FUTURE YEARS. FOR YEARS, COMPANIES HAVE GONE TO GREAT LENGTHS TO SHIRK TAX RESPONSIBILITIES. OSPIRG RESEARCH FOUND THAT OREGON'S STATE BUDGET LOSES AN ESTIMATED 283 MILLION IN ANNUAL REVENUE AS A RESULT OF THE ABUSE OF OFFSHORE TAX HAVENS BY MULTINATIONAL CORPORATIONS. AFTER REVIEWING THIS RESEARCH, OSPIRG ADVOCATE CELESTE MEIFFREN AND EXECUTIVE DIRECTOR DAVE ROSENFELD DECIDED THAT OREGON COULDN'T WAIT FOR CONGRESS TO ACT. THEY BRAINSTORMED WAYS OREGON COULD CRACK DOWN ON MULTINATIONAL TAX DODGERS THAT PROFIT FROM OUR RESIDENTS. CELESTE AND DAVE PRESENTED THEIR IDEAS TO SEVERAL LAWMAKERS. THE IDEA TOOK HOLD, AND GOT CRAFTED INTO A BILL THAT ULTIMATELY WON UNANIMOUS APPROVAL BY THE LEGISLATURE. 5. WALL STREET REFORM IN ITS SECOND YEAR, THE NEW CONSUMER FINANCIAL PROTECTION BUREAU (CFPB) DEMONSTRATED THE POSITIVE IMPACT THAT A FULL TIME FEDERAL CONSUMER WATCHDOG CAN HAVE FOR CONSUMERS WHO ARE MISLED OR CHEATED BY THE FINANCIAL INDUSTRY. CONGRESS CREATED THE CFPB IN 2010, AFTER AN EPIC BATTLE BETWEEN WALL STREET BANKS AND CONSUMER ADVOCATES, INCLUDING OSPIRG AND OUR FEDERATION OF PIRGS IN 23 STATES. "THE HILL," THE CONGRESSIONAL NEWSPAPER, NAMED THE PIRG FEDERATION'S WORK TO REIN IN WALL STREET AS ONE OF THE YEAR'S TEN BIGGEST LOBBYING VICTORIES. KEY STEPS THE CFPB TOOK THIS YEAR: "FIRST OF THREE ENFORCEMENT ACTIONS AGAINST CREDIT CARD COMPANIES-AMERICAN EXPRESS, DISCOVER AND CAPITOL ONE-FOR DECEIVING THEIR CUSTOMERS. THOSE ENFORCEMENT ACTIONS RESULTED IN NEARLY HALF A BILLION DOLLARS IN FEES BEING RETURNED TO CONSUMERS. "AFFIRMED ITS AUTHORITY TO WATCHDOG CREDIT BUREAUS-THE GATEKEEPERS OF FINANCIAL AND EMPLOYMENT OPPORTUNITY THAT HAVE SEEN LITTLE TO NO OVERSIGHT. OVER 10,000 PIRG MEMBERS WEIGHED IN TO THE CFPB IN FAVOR OF TAKING THIS STEP. "ISSUED A NEW REPORT FINDING ERRORS IN AT LEAST 1 IN 5 CONSUMER CREDIT SCORES THAT COULD CAUSE SERIOUS DAMAGE TO CONSUMERS' CREDIT RATINGS. THESE FINDINGS CONFIRM LONGSTANDING OSPIRG RESEARCH, AND HELP SET THE STAGE FOR FURTHER CFPB ACTIONS TO HELP FIX AND REDUCE THE LARGE NUMBER OF DAMAGING CREDIT REPORT ERRORS. "MOVED TO END KICKBACKS BY MORTGAGE INSURERS, ISSUING OVER 15 MILLION IN TOTAL PENALTIES. ILLEGAL KICKBACKS RESULT IN MANY HOMEOWNERS PAYING MORE FOR MORTGAGE INSURANCE, ESPECIALLY THOSE WHO CAN ONLY MAKE RELATIVELY SMALL DOWN PAYMENTS. 6. STANDING UP TO BIG MONEY IN POLITICS IN JULY, IN THE WAKE OF A STATEWIDE ADVOCACY AND ORGANIZING EFFORT, OREGON BECAME THE 16TH STATE TO CALL FOR A CONSTITUTIONAL AMENDMENT TO UPHOLD THE RIGHT OF THE AMERICAN PEOPLE TO STOP BIG MONEY FROM DISTORTING OUR POLITICAL SYSTEM. TO PASS THE BILL, OSPIRG'S EVAN PRESTON WORKED WITH LEADERS AND ACTIVISTS FROM ACROSS THE STATE. EVAN'S PARTICULAR FOCUS WAS TO ENSURE THAT THE BILL PASSED BY BIPARTISAN CONSENSUS, REACHING OUT TO GROUPS FROM ALL ENDS OF THE POLITICAL SPECTRUM, SUCH AS COMMON CAUSE, MOVE TO AMEND, AND LOCAL REPUBLICAN AND TEA PARTY CHAPTERS. 7. PROTECTING OREGON CONSUMERS FOR THE 27TH YEAR, OSPIRG RELEASED OUR ANNUAL "TROUBLE IN TOYLAND" TOY SAFETY REPORT, TO COINCIDE WITH BLACK FRIDAY SHOPPING. DESPITE STRICT LIMITS ON CHEMICALS SUCH AS PHTHALATES AND LEAD IN CHILDREN'S PRODUCTS, WE FOUND AN ACTION FIGURE, "MORPHOBOT," THAT CONTAINS ALMOST TWICE THE LEGAL LIMIT OF LEAD-A POTENT NEUROTOXIN THAT HAS BEEN BANNED IN PAINT AND GASOLINE SINCE 1977. OSPIRG RESEARCHERS ALSO FOUND TOYS AND PARTS OF TOYS ON STORE SHELVES THAT COULD BE POTENTIAL CHOKING HAZARDS. PARENTS CAN USE AN EMPTY TOILET PAPER ROLL TO DETERMINE IF A TOY POSES A CHOKING HAZARD-IF A TOY OR PART OF A TOY FITS INTO THE TOILET PAPER ROLL, IT IS TOO DANGEROUS FOR A CHILD UNDER THREE. CONSUMERS CAN USE THIS AND OTHER SHOPPING TIPS AND RESOURCES ON OSPIRG'S TOY SAFETY APP, AT WWW.TOYSAFETY.MOBI, TO SHOP FOR SAFE TOYS. IN ADDITION, OSPIRG'S RENTERS' HANDBOOK MARKED ITS 40TH ANNIVERSARY THIS YEAR. SINCE OSPIRG STUDENT VOLUNTEERS PRODUCED THE FIRST EDITION IN 1973, THE HANDBOOK HAS PROVIDED HARD-TO-FIND INFORMATION ABOUT HOW TO KEEP A SECURITY DEPOSIT, GET THAT TOILET FIXED, DEAL WITH A DIFFICULT LANDLORD AND MORE. TODAY, THE HANDBOOK IS AVAILABLE ONLINE FOR FREE ON OSPIRG'S WEBSITE, AND WAS VIEWED BY THOUSANDS LAST YEAR.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,177,102
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
18
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
Yes
 
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
3
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
3
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletALYSSA ROMANE1536 SE 11TH AVEPORTLANDOR97214 (503) 231-4181
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) IVAN FRISHBERG........................................................................
SECRETARY
 1.00
.......................   		X   X       0 0 0
(2) RYAN MOECKLY........................................................................
CHAIR
 1.00
.......................   		X   X       0 0 0
(3) SONJA NASH MURRAY........................................................................
TREASURER
 1.00
.......................   		X   X       0 0 0
(4) DAVE ROSENFELD
 
EXEC DIRECTO
 20.00
.......................   		    X       13,503 0 3,671
(5) JEREMY GRAY........................................................................
ADMINISTRATO
 10.00
.......................   		    X       2,336 0 370
(6) ALYSSA ROMANE........................................................................
ADMINISTRATO
 10.00
.......................   		    X       0 0 0






















Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,839   4,041
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
FUND FOR PUBLIC INTEREST, 44 WINTER STREET 4TH FLOORBOSTONMA02108 OUTREACH 662,386
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,233,613
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,233,613
Program Service Revenue Business Code
2a BUILDING RENTAL 531120 23,032     23,032
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 23,032
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 4,734     4,734
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 1,261,379     27,766
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 705,179 705,179
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 31,199 26,761 1,364 3,074
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 32,239 27,651 1,411 3,177
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 142 122 6 14
9 Other employee benefits ....... 2,741 2,351 120 270
10 Payroll taxes ........... 4,397 3,772 192 433
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 12,895   12,895  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 646,311 270,085 42,913 333,313
12 Advertising and promotion ....        
13 Office expenses ....... 13,520 11,596 592 1,332
14 Information technology ...... 695 597 29 69
15 Royalties ..        
16 Occupancy ........... 25,293 21,695 1,106 2,492
17 Travel ............ 3,744 3,211 164 369
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,137 1,137    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 22,527 19,322 985 2,220
23 Insurance .............. 5,568   5,568  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a COALITION & MOVEMENT DUES 82,981 82,981    
b FILING FEES 875   875  
c MISCELLANEOUS 749 642 34 73
d BANK CHARGES 60   60  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,592,252 1,177,102 68,314 346,836
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 452,751 246,451   206,300
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .............   1  
2 Savings and temporary cash investments ......... 3,119,229 2 2,283,355
3 Pledges and grants receivable, net ........... 37,803 3 3,429
4 Accounts receivable, net ............. 834,684 4 482,371
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 175 9 599
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,214,066
b Less: accumulated depreciation ..... 10b 196,302 203,961 10c 1,017,764
11 Investments—publicly traded securities .......... 2,735,259 11 2,867,125
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 6,931,111 16 6,654,643
Liabilities 17 Accounts payable and accrued expenses ......... 578,429 17 502,170
18 Grants payable ................. 1,338 18 130
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 579,767 26 502,300
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 6,313,541 27 6,148,914
28 Temporarily restricted net assets ........... 37,803 28 3,429
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 6,351,344 33 6,152,343
34 Total liabilities and net assets/fund balances ........ 6,931,111 34 6,654,643
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,261,379
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,592,252
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-330,873
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
6,351,344
5
Net unrealized gains (losses) on investments ...............
5
131,872
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
6,152,343
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Employer identification number

93-0855897
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP 		Employer identification number

93-0855897
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP 		Employer identification number

93-0855897
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP 		Employer identification number

93-0855897
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Employer identification number

93-0855897
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   50,000 50,000
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................   1,164,066 196,302 967,764
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,017,764
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,393,251
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 131,872
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 131,872
3 Subtract line 2e from line 1..................... 3 1,261,379
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,261,379
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 1,592,252
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 1,592,252
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,592,252
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Employer identification number
93-0855897
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ENVIRONMENT OREGON
1536 SE 11TH AVE SUITE B
PORTLAND,OR97214 		20-8786506 4 35,000       ENVIRONMENT SUPPORT
(2) US PIRG INC
218 D ST SE
WASHINGTON,DC20003 		04-2790740 4 665,000       PUBLIC INTEREST




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 WE MONITOR THROUGH GRANT AGREEMENTS AND WORKING CLOSELY WITH GRANT RECIPIENTS.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Employer identification number

93-0855897
Identifier Return Reference Explanation
ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION OSPIRG TAKES ON POWERFUL INTERESTS ON BEHALF OF OREGON'S CITIZENS, WORKING TO WIN CONCRETE RESULTS FOR OUR HEALTH AND OUR WELL-BEING. WITH AN EXPERIENCED NETWORK OF RESEARCHERS, ADVOCATES, ORGANIZERS AND VOLUNTEERS ACROSS THE STATE, WE STAND UP TO POWERFUL INTERESTS ON ISSUES TO MAKE HEALTH CARE AFFORDABLE, PROTECT CONSUMERS FROM MARKETPLACE ABUSES, FIGHT POLITICAL CORRUPTION, AND BOOST CIVIC PARTICIPATION.
FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A IN PARTNERSHIP WITH OSPIRG FOUNDATION, WE CONTINUED CONDUCTING IN-DEPTH ANALYSIS OF SIGNIFICANT HEALTH INSURANCE RATE HIKE PROPOSALS, AS PART OF OREGON'S RATE REVIEW PROCESS. IN APRIL, WE ALSO ORGANIZED OVER ONE THOUSAND OREGONIANS TO CONTACT STATE OFFICIALS ABOUT A NUMBER OF REQUESTS BY INSURERS TO HIKE PREMIUMS. SINCE 2010, ADDITIONAL SCRUTINY BY STATE OFFICIALS HAS CUT OVER 155 MILLION IN WASTE FROM HEALTH INSURANCE PREMIUMS FOR INDIVIDUALS AND SMALL BUSINESSES. OSPIRG ALSO BUILT PUBLIC AND POLICYMAKING SUPPORT FOR REQUIRING INSURERS TO MORE CLEARLY QUANTIFY THEIR PROGRESS IN LOWERING COSTS AND BOOSTING PREVENTION, AND HOLDING INSURERS ACCOUNTABLE TO STRONG BENCHMARKS. IN PARTNERSHIP WITH OSPIRG FOUNDATION, OSPIRG RELEASED RESEARCH MAKING THE CASE FOR POLICIES TO SEE THIS THROUGH AND SHARED THE RESEARCH WITH STATE OFFICIALS; EDUCATED OVER 70,000 OREGONIANS FACE-TO-FACE ABOUT THIS EFFORT; GATHERED OVER 20,000 PETITION SIGNATURES TO GOVERNOR KITZHABER AND STATE OFFICIALS; AND DISTRIBUTED INFORMATION TO 100,000 HOUSEHOLDS ABOUT OPTIONS AVAILABLE UNDER THE NEW HEALTH CARE LAW. IN JULY, WE SAW OUR EFFORTS ADVANCE, WHEN THE GOVERNOR ANNOUNCED HIS ADMINISTRATION WOULD CONSIDER OUR PROPOSAL AND MAKE A FINAL RECOMMENDATION ON HOW TO PROCEED IN NOVEMBER 2013. 2. NO SECRET MONEY IN SALEM HOW GOVERNMENT COLLECTS AND SPENDS MONEY IS CRITICALLY IMPORTANT. TAX AND BUDGETING DECISIONS ARE THE MOST CONCRETE WAY THAT GOVERNMENT DECLARES ITS PUBLIC PRIORITIES AND BALANCES BETWEEN COMPETING VALUES. TAX DOLLARS SHOULD ONLY BE USED TO PROMOTE THE PUBLIC INTEREST. WHEN TAX DOLLARS ARE GIVEN TO PRIVATE INTERESTS, TO STIMULATE ECONOMIC DEVELOPMENT FOR EXAMPLE, IT IS CRITICAL THAT THE PUBLIC CAN CLEARLY SEE WHETHER OR NOT THEY ARE GETTING THEIR MONEY'S WORTH. YET, UNTIL RECENTLY, THE DETAILS OF OVER 600 MILLION IN STATE CORPORATE TAX SUBSIDIES WERE KEPT OUT OF REACH FROM THE PUBLIC. AS A RESULT THE PUBLIC HAD VIRTUALLY NO WAY TO EVALUATE THESE SUBSIDIES. OSPIRG HELPED PRY OPEN CRITICAL DETAILS FROM SOME OF THESE PROGRAMS AFTER A SERIES OF PUBLIC RECORDS REQUESTS TO THE STATE THAT CULMINATED IN AN OREGON DEPARTMENT OF JUSTICE ORDER TO DISCLOSE THE INFORMATION. SHORTLY AFTER, GOVERNOR KITZHABER'S ADMINISTRATION COMMITTED TO DISCLOSING MOST OF THE REMAINING CRITICAL DETAILS OF ALL THE MAJOR ECONOMIC DEVELOPMENT SUBSIDY PROGRAMS ON OREGON'S TRANSPARENCY WEBSITE BY THE CLOSE OF 2013. 3.STOP SUBSIDIZING OBESITY OUR TAX DOLLARS SHOULD ONLY GO TO THINGS THAT SERVE THE PUBLIC GOOD, YET WE'RE HANDING OUT TAXPAYER SUBSIDIES TO BIG AGRIBUSINESSES TO HELP SUBSIDIZE JUNK FOOD. HUGE, PROFITABLE CORPORATIONS LIKE CARGILL AND MONSANTO ARE POCKETING TENS OF BILLIONS IN TAXPAYER DOLLARS, AND TURNING SUBSIDIZED CROPS INTO JUNK FOOD INGREDIENTS - INCLUDING HIGH FRUCTOSE CORN SYRUP. THESE TAXPAYER GIVEAWAYS ARE ALL THE MORE ABSURD AT A TIME WHEN ONE IN THREE KIDS IS OVERWEIGHT OR OBESE, AND OBESITY-RELATED DISEASES LIKE DIABETES ARE TURNING INTO AN EPIDEMIC. OSPIRG CONTINUED TO LEAD A NATIONAL CAMPAIGN TO CALL FOR THE END TO WASTEFUL AGRICULTURAL SUBSIDIES. TOGETHER, WE SPOKE FACE-TO-FACE WITH OVER 1.5 MILLION PEOPLE, COORDINATED AN ONLINE CAMPAIGN THAT GENERATED 200,000 PUBLIC COMMENTS INTO MEMBERS OF CONGRESS, LOBBIED TOGETHER WITH GROUPS FROM ACROSS THE POLITICAL SPECTRUM AND RELEASED RESEARCH TO PROMPT MEDIA COVERAGE OF THE ISSUE. 4. CLOSING CORPORATE TAX LOOPHOLES IN JUNE, THE OREGON LEGISLATURE TOOK AN INITIAL STEP TOWARD ENDING OFFSHORE TAX HAVEN ABUSE, CLOSING ONE LOOPHOLE THAT WILL KEEP AN ESTIMATED 18 MILLION IN OREGON IN 2014, AND MORE IN FUTURE YEARS. FOR YEARS, COMPANIES HAVE GONE TO GREAT LENGTHS TO SHIRK TAX RESPONSIBILITIES. OSPIRG RESEARCH FOUND THAT OREGON'S STATE BUDGET LOSES AN ESTIMATED 283 MILLION IN ANNUAL REVENUE AS A RESULT OF THE ABUSE OF OFFSHORE TAX HAVENS BY MULTINATIONAL CORPORATIONS. AFTER REVIEWING THIS RESEARCH, OSPIRG ADVOCATE CELESTE MEIFFREN AND EXECUTIVE DIRECTOR DAVE ROSENFELD DECIDED THAT OREGON COULDN'T WAIT FOR CONGRESS TO ACT. THEY BRAINSTORMED WAYS OREGON COULD CRACK DOWN ON MULTINATIONAL TAX DODGERS THAT PROFIT FROM OUR RESIDENTS. CELESTE AND DAVE PRESENTED THEIR IDEAS TO SEVERAL LAWMAKERS. THE IDEA TOOK HOLD, AND GOT CRAFTED INTO A BILL THAT ULTIMATELY WON UNANIMOUS APPROVAL BY THE LEGISLATURE. 5. WALL STREET REFORM IN ITS SECOND YEAR, THE NEW CONSUMER FINANCIAL PROTECTION BUREAU (CFPB) DEMONSTRATED THE POSITIVE IMPACT THAT A FULL TIME FEDERAL CONSUMER WATCHDOG CAN HAVE FOR CONSUMERS WHO ARE MISLED OR CHEATED BY THE FINANCIAL INDUSTRY. CONGRESS CREATED THE CFPB IN 2010, AFTER AN EPIC BATTLE BETWEEN WALL STREET BANKS AND CONSUMER ADVOCATES, INCLUDING OSPIRG AND OUR FEDERATION OF PIRGS IN 23 STATES. "THE HILL," THE CONGRESSIONAL NEWSPAPER, NAMED THE PIRG FEDERATION'S WORK TO REIN IN WALL STREET AS ONE OF THE YEAR'S TEN BIGGEST LOBBYING VICTORIES. KEY STEPS THE CFPB TOOK THIS YEAR: "FIRST OF THREE ENFORCEMENT ACTIONS AGAINST CREDIT CARD COMPANIES-AMERICAN EXPRESS, DISCOVER AND CAPITOL ONE-FOR DECEIVING THEIR CUSTOMERS. THOSE ENFORCEMENT ACTIONS RESULTED IN NEARLY HALF A BILLION DOLLARS IN FEES BEING RETURNED TO CONSUMERS. "AFFIRMED ITS AUTHORITY TO WATCHDOG CREDIT BUREAUS-THE GATEKEEPERS OF FINANCIAL AND EMPLOYMENT OPPORTUNITY THAT HAVE SEEN LITTLE TO NO OVERSIGHT. OVER 10,000 PIRG MEMBERS WEIGHED IN TO THE CFPB IN FAVOR OF TAKING THIS STEP. "ISSUED A NEW REPORT FINDING ERRORS IN AT LEAST 1 IN 5 CONSUMER CREDIT SCORES THAT COULD CAUSE SERIOUS DAMAGE TO CONSUMERS' CREDIT RATINGS. THESE FINDINGS CONFIRM LONGSTANDING OSPIRG RESEARCH, AND HELP SET THE STAGE FOR FURTHER CFPB ACTIONS TO HELP FIX AND REDUCE THE LARGE NUMBER OF DAMAGING CREDIT REPORT ERRORS. "MOVED TO END KICKBACKS BY MORTGAGE INSURERS, ISSUING OVER 15 MILLION IN TOTAL PENALTIES. ILLEGAL KICKBACKS RESULT IN MANY HOMEOWNERS PAYING MORE FOR MORTGAGE INSURANCE, ESPECIALLY THOSE WHO CAN ONLY MAKE RELATIVELY SMALL DOWN PAYMENTS. 6. STANDING UP TO BIG MONEY IN POLITICS IN JULY, IN THE WAKE OF A STATEWIDE ADVOCACY AND ORGANIZING EFFORT, OREGON BECAME THE 16TH STATE TO CALL FOR A CONSTITUTIONAL AMENDMENT TO UPHOLD THE RIGHT OF THE AMERICAN PEOPLE TO STOP BIG MONEY FROM DISTORTING OUR POLITICAL SYSTEM. TO PASS THE BILL, OSPIRG'S EVAN PRESTON WORKED WITH LEADERS AND ACTIVISTS FROM ACROSS THE STATE. EVAN'S PARTICULAR FOCUS WAS TO ENSURE THAT THE BILL PASSED BY BIPARTISAN CONSENSUS, REACHING OUT TO GROUPS FROM ALL ENDS OF THE POLITICAL SPECTRUM, SUCH AS COMMON CAUSE, MOVE TO AMEND, AND LOCAL REPUBLICAN AND TEA PARTY CHAPTERS. 7. PROTECTING OREGON CONSUMERS FOR THE 27TH YEAR, OSPIRG RELEASED OUR ANNUAL "TROUBLE IN TOYLAND" TOY SAFETY REPORT, TO COINCIDE WITH BLACK FRIDAY SHOPPING. DESPITE STRICT LIMITS ON CHEMICALS SUCH AS PHTHALATES AND LEAD IN CHILDREN'S PRODUCTS, WE FOUND AN ACTION FIGURE, "MORPHOBOT," THAT CONTAINS ALMOST TWICE THE LEGAL LIMIT OF LEAD-A POTENT NEUROTOXIN THAT HAS BEEN BANNED IN PAINT AND GASOLINE SINCE 1977. OSPIRG RESEARCHERS ALSO FOUND TOYS AND PARTS OF TOYS ON STORE SHELVES THAT COULD BE POTENTIAL CHOKING HAZARDS. PARENTS CAN USE AN EMPTY TOILET PAPER ROLL TO DETERMINE IF A TOY POSES A CHOKING HAZARD-IF A TOY OR PART OF A TOY FITS INTO THE TOILET PAPER ROLL, IT IS TOO DANGEROUS FOR A CHILD UNDER THREE. CONSUMERS CAN USE THIS AND OTHER SHOPPING TIPS AND RESOURCES ON OSPIRG'S TOY SAFETY APP, AT WWW.TOYSAFETY.MOBI, TO SHOP FOR SAFE TOYS. IN ADDITION, OSPIRG'S RENTERS' HANDBOOK MARKED ITS 40TH ANNIVERSARY THIS YEAR. SINCE OSPIRG STUDENT VOLUNTEERS PRODUCED THE FIRST EDITION IN 1973, THE HANDBOOK HAS PROVIDED HARD-TO-FIND INFORMATION ABOUT HOW TO KEEP A SECURITY DEPOSIT, GET THAT TOILET FIXED, DEAL WITH A DIFFICULT LANDLORD AND MORE. TODAY, THE HANDBOOK IS AVAILABLE ONLINE FOR FREE ON OSPIRG'S WEBSITE, AND WAS VIEWED BY THOUSANDS LAST YEAR.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION PROVIDES A DRAFT 990 TO ALL BOARD MEMBERS AND GIVES THEM AN OPPORTUNITY TO REVIEW AND MAKE CHANGES IF NECESSARY. EXECUTIVE DIRECTOR AND ADMINISTRATOR REVIEW IN DETAIL.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES THE BOARD MEMBERS AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST POLICY AT THE BEGINNING OF EACH FISCAL YEAR AND REPORT ANY SUBSEQUENT CONFLICTS THAT MAY ARISE DURING THE YEAR.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION COMMITTEE WILL ESTABLISH ACCEPTABLE COMPENSATION PACKAGES AFTER REVIEWING AT LEAST ONE OF THE FOLLOWING: 1) INFORMATION ABOUT COMPENSATION PAID BY SIMILARLY SITUATED TAX-EXEMPT ORGANIZATIONS FOR SIMILAR SERVICES; 2) CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; OR 3) ACTUAL WRITTEN OFFERS FROM SIMILARLY SITUATED ORGANIZATIONS.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION COMMITTEE WILL ESTABLISH ACCEPTABLE COMPENSATION PACKAGES AFTER REVIEWING AT LEAST ONE OF THE FOLLOWING: 1) INFORMATION ABOUT COMPENSATION PAID BY SIMILARLY SITUATED TAX-EXEMPT ORGANIZATIONS FOR SIMILAR SERVICES; 2) CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; OR 3) ACTUAL WRITTEN OFFERS FROM SIMILARLY SITUATED ORGANIZATIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S FORM 990 AND EXEMPT APPLICATIONS ARE KEPT IN OUR OFFICE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONSULTANT 14,555 42,913 0 CITIZEN OUTREACH PROGRAM 255,530 0 333,313
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
OREGON STATE PUBLIC INTEREST
RESEARCH GROUP
Employer identification number

93-0855897
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) NATL ASSN OF ORGS IN THE PUBLIC INT

44 WINTER ST 4TH FLOOR

BOSTON,MA02108
04-3119807 		ADVOCACY MA 501C4   NA
 
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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