Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
BLANCHE FISCHER FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1509 SW SUNSET BLVD NO 1-B
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PORTLAND, OR97239
A Employer identification number

93-0790099
B Telephone number (see instructions)

(503) 246-4941
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,718,851
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 25,848 25,848 25,848
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 37,459
b Gross sales price for all assets on line 6a 276,865
7 Capital gain net income (from Part IV, line 2)... 37,459
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 41,952 41,952 41,952
12 Total. Add lines 1 through 11........ 105,259 105,259 67,800
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 21,667 0 21,667 21,667
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 2,235 745 1,490 1,490
c Other professional fees (attach schedule).... 20,343 20,298 45 45
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 8,441 6,440 2,001 2,001
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 7,512 0 7,512 7,512
21 Travel, conferences, and meetings....... 1,097 0 1,097 1,097
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 4,697 0 4,697 4,697
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 65,992 27,483 38,509 38,509
25 Contributions, gifts, grants paid....... 75,012 75,012
26 Total expenses and disbursements. Add lines 24 and 25 141,004 27,483 38,509 113,521
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -35,745
b Net investment income (if negative, enter -0-) 77,776
c Adjusted net income (if negative, enter -0-)... 29,291
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 24,247 8,968 8,968
2 Savings and temporary cash investments......... 40,016 37,734 37,734
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........   1,553 1,553
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,483,915 Click to see attachment1,462,610 1,440,129
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 227,700 Click to see attachment227,700 227,700
14 Land, buildings, and equipment: basis bullet9,611
Less: accumulated depreciation (attach schedule) bullet9,611      
15 Other assets (describe bullet) Click to see attachment2,767 Click to see attachment2,767 Click to see attachment2,767
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,778,645 1,741,332 1,718,851
Liabilities 17 Accounts payable and accrued expenses.......... 4,717 1,363
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment1,786
23 Total liabilities (add lines 17 through 22)......... 4,717 3,149
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 1,773,928 1,738,183
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,773,928 1,738,183
31 Total liabilities and net assets/fund balances (see instructions). 1,778,645 1,741,332
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,773,928
2
Enter amount from Part I, line 27a .....................
2
-35,745
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,738,183
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,738,183
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 2786.076 SH PIMCO STOCK PLUS P 2011-03-07 2015-06-24
b 848.899 SH THOMAS WHITE INT'L P 2011-03-07 2015-06-24
c 1215.355 SH WELLS FARGO UTILITY P 2011-03-07 2015-06-24
d 70.297 SH ALLIANZGI NFG DIV P 2011-03-07 2015-06-24
e 1332.478 SH AMER CONT MIDCAP P 2011-03-07 2015-06-24
1835.069 SH CREDIT SWISS COMMD P 2011-03-07 2015-06-24
109.607 SH GATEWAY FUND P 2011-03-07 2015-08-17
530.505 SH JANUS GR & INC. P 2011-03-07 2015-06-24
474.549 SH NEUBERGER BERMAN RE P 2011-03-07 2015-06-24
10100.308 SH LAZARD EMERG MKT P 2013-07-22 2015-06-24
319.273 SH LOOMIS SAYLES BOND P 2014-08-19 2015-11-10
104.701 SH MERGER FUND P 2012-07-10 2015-08-17
182.037 SH LAZARD EMERG MKT P 2014-12-23 2015-10-26
688.429 SH WESTERN ASSET TOT RTN P 2014-08-19 2015-06-24
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 27,048   22,359 4,689
b 14,652   14,971 -319
c 21,391   15,124 6,267
d 1,207   836 371
e 22,458   17,246 5,212
10,570   17,887 -7,317
3,320   2,897 423
25,906   17,089 8,817
6,788   5,568 1,220
94,858   109,512 -14,654
4,390   4,935 -545
1,648   1,661 -13
1,695   1,974 -279
7,158   7,347 -189
33,776     33,776
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       4,689
b       -319
c       6,267
d       371
e       5,212
      -7,317
      423
      8,817
      1,220
      -14,654
      -545
      -13
      -279
      -189
      33,776
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 37,459
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3 -468
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 86,634 1,890,761 0.045820
2013 72,862 1,763,828 0.041309
2012 69,054 1,615,055 0.042756
2011 84,614 1,603,146 0.052780
2010 55,032 1,477,644 0.037243
2
Total of line 1, column (d) .....................
20.219908
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.043982
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,803,337
5
Multiply line 4 by line 3......................
5
79,314
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
778
7
Add lines 5 and 6........................
7
80,092
8
Enter qualifying distributions from Part XII, line 4.............
8
113,521
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 778
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 778
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 778
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 4,040
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,040
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,262
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet800 RefundedBullet 11 2,462
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletOR
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.BFF.ORG
    14
    The books are in care ofbulletMICHAEL BRADEN Telephone no.bullet (503) 246-4941

    Located atbullet1509 SW SUNSET BLVD 1-BPORTLANDOR ZIP+4bullet97239
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    AARON JOINER PRESIDENT
    2.00
    0 0 0
    C/O BLANCHE FISCHER FDN 1509 SW
    SUNSET BLVD 1-B
    PORTLAND,OR97239
    MICHAEL BRADEN TREASURER
    4.00
    0 0 0
    C/O BLANCHE FISCHER FDN 1509 SW
    SUNSET BLVD 1-B
    PORTLAND,OR97239
    GINNY BAYNES SECRETARY
    2.00
    0 0 0
    C/O BLANCHE FISCHER FDN 1509 SW
    SUNSET BLVD 1-B
    PORTLAND,OR97239
    CATHY SANDERS GRANT CHAIR
    2.00
    0 0 0
    C/O BLANCHE FISCHER FDN 1509 SW
    SUNSET BLVD 1-B
    PORTLAND,OR97239
    STACEY HASSEL DIRECTOR
    1.00
    0 0 0
    C/O BLANCHE FISCHER FDN 1509 SW
    SUNSET BLVD 1-B
    PORTLAND,OR97239
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 CHARITABLE ACTIVITIES CONSIST SOLELY OF GIVING MONEY TO OR FOR DISABLED OR PHYSICALLY HANDICAPPED PEOPLE SHOWING FINANCIAL NEED IN THE STATE OF OREGON. 38,509
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,544,273
    b
    Average of monthly cash balances.......................
    1b
    55,879
    c
    Fair market value of all other assets (see instructions)................
    1c
    230,647
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,830,799
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,830,799
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    27,462
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,803,337
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    90,167
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
     
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    113,521
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    113,521
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    778
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    112,743
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
     
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
    29,291 37,647 36,952 16,218 120,108
    b 85% of line 2a ......... 24,897 32,000 31,409 13,785 102,092
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    113,521 86,634 72,862 69,054 342,071
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
    0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    113,521 86,634 72,862 69,054 342,071
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
    60,111 63,025 58,794 53,835 235,765
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    BLANCHE FISCHER FOUNDATION
    1509 SW SUNSET BLVD 1-B
    PORTLAND,OR97239
    (503) 246-4941
    bThe form in which applications should be submitted and information and materials they should include:
    PER APPLICATION - SEE COPY OF APPLICATION ATTACHED
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    APPLICANTS MUST HAVE DISABILITIES OF A PHYSICAL NATURE AND DEMONSTRATE FINANCIAL NEED WHILE RESIDING IN THE STATE OF OREGON.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ALBRECHT ROBIN
    POB 1108 ACP0051-13
    SALEM,OR97308
    NONE N/A TUITION 882
    ANDRES-GUENTNER AUVIE
    6692 LANHAM LN NE
    SILVERTON,OR97381
    NONE N/A JOGGING STROLLER 648
    BARRY DANIELLE
    765 SE MOUNT HOOD HWY 183
    GRESHAM,OR97080
    NONE N/A ART SUPPLIES 153
    BENNETT NORMAN
    POB 682
    CANNON BEACH,OR97110
    NONE N/A RENT ASSISTANCE 400
    BISCHOFF JAMES
    650 NW IRVING ST
    PORTLAND,OR97209
    NONE N/A BATTERY CHARGER 106
    BIYAZIN SAMRAWIT
    0650 SW LOWELL 228
    PORTLAND,OR97239
    NONE N/A LAPTOP COMPUTER 447
    BIYAZIN SAMRAWIT
    0650 SW LOWELL 228
    PORTLAND,OR97239
    NONE N/A TALKING CALCULATOR 365
    BIYAZIN SAMRAWIT
    0650 SW LOWELL 228
    PORTLAND,OR97239
    NONE N/A SPEAKERS 41
    BLACKBURN JANICE
    1955 3RD ST 105
    SPRINGFIELD,OR97477
    NONE N/A PRESCRIBED TRMT 420
    BOOSE BARBARA
    2607 NE PRESCOTT
    PORTLAND,OR97211
    NONE N/A PICK-SAFE LOCKS FOR 2 OUTSIDE DOORS 790
    BORTH KERRY
    777 STANTON BLVD
    ONTARIO,OR97914
    NONE N/A EYEGLASSES 193
    BRADFORD PATRICIA
    2845 HUGHES LANE 52
    BAKER CITY,OR97814
    NONE N/A ART SUPPLIES FOR SELF EMP 637
    BRADFORD PATRICIA
    2845 HUGHES LN 52
    BAKER CITY,OR97814
    NONE N/A CHAIR, AWNING 336
    BRADLEY JACQUELINE
    14640 SW 6TH ST
    BEAVERTON,OR97007
    NONE N/A 1/2 MONTH RENT 500
    BRIGHT VELDA
    1955 3RD ST 115
    SPRINGFIELD,OR97477
    NONE N/A COMPRESSION STOCKINGS 249
    BROWN COLLEEN
    GENERAL DELIVERY
    SALEM,OR97301
    NONE N/A 2 PAIR BIFOCAL GLASSES 360
    BUCE NINA MARIE
    1380 SE CLAY ST NE
    SALEM,OR97301
    NONE N/A SCOOTER 858
    BURKE ELI
    1132 NW OGDEN
    BEND,OR97701
    NONE N/A IPAD, COVER, GEEK SQUAD 1,090
    BURWELL MICHAEL
    116 SE 8TH 13
    TROUTDALE,OR97060
    NONE N/A IPHONE, CASE, INS. 775
    CARPENTER MOLLY
    738 JANUS ST
    SPRINGFIELD,OR97477
    NONE N/A IPAD, COVER, APPLECARE, ITUNES 727
    CHATTERTON THOMAS L
    2190 S GROVE
    SEASIDE,OR97138
    NONE N/A SNOW 7" HD VIDEO MAGNIFER 529
    COCKERAM SCOTTY J
    465 NW 2ND AVE
    ONTARIO,OR97914
    NONE N/A COLLECTION 1,000
    COKER MARY
    650 SE 162ND AVE 13
    PORTLAND,OR97233
    NONE N/A RENT ASSISTANCE 780
    COURIER JOHN
    13090 SW WATKINS AVE
    TIGARD,OR97223
    NONE N/A GLASSES 70
    CRAWFORD HOLLY
    6105 SE 20TH AVE
    PORTLAND,OR97202
    NONE N/A TIRES 366
    CRAWFORD HOLLY
    6105 SE 20TH AVE
    PORTLAND,OR97202
    NONE N/A WILLAMETTE EXPRESS 476
    CURTIS SANDI I
    3585 KINSROW 107
    EUGENE,OR97401
    NONE N/A DENTURES 1,000
    DENMARK GREGORY
    2616 SE PARK AVE
    MILWAUKIE,OR97222
    NONE N/A HELP PAYING BILLS 404
    DOOLITTLE DONNA
    1330 OAK PATCH RD 71
    EUGENE,OR97402
    NONE N/A VAN RETROFIT 1,200
    ESHETE DAGNE
    2934 SW 32ND TERR
    GRESHAM,OR97080
    NONE N/A IPHONE + ONE YR. SVC 900
    ESHETE DAGNE
    2934 SW 32ND TERR
    GRESHAM,OR97080
    NONE N/A LAPTOP COMPUTER 160
    EVANS JENNIFER
    1125 NE 58TH AVE
    PORTLAND,OR97213
    NONE N/A COMPUTER, PRINTER, GEEK SQUAD 810
    FLYNN MARY LOUISE
    4624 S PACIFIC HWY 35
    PHOENIX,OR97535
    NONE N/A ORTHOPEDIC SHOES 1,200
    FUJIKAWA DARREN
    127 NW 6TH AVE
    PORTLAND,OR97219
    NONE N/A TELEVISION SET 298
    FULLER MARTI
    913 NE 122ND AVE 2
    PORTLAND,OR97203
    NONE N/A PARTIAL DENTURES 1,000
    GAINES SPENCER
    41087 SE FALLCREEK RD
    ESTACADA,OR97023
    NONE N/A HIPPOTHERAPY 1,000
    GORDON SPENCER
    PO BOX 2327
    NYSSA,OR97913
    NONE N/A IPAD, ETC. 792
    GORDAN VANCE
    PO BOX 2327
    NYSSA,OR97913
    NONE N/A IPAD, ETC. 792
    GOREE BARBARA
    750 NW LAVA RD 200
    BEND,OR97701
    NONE N/A COMPRESSION GARMENTS 995
    GRAGG JORDAN
    5670 SW 163RD AVE
    BEAVERTON,OR97007
    NONE N/A DRAGON PROGRAM 107
    HALL LAURIE
    1973 SE 122ND 55
    PORTLAND,OR97233
    NONE N/A GYM MEMBERSHIP 429
    HAMBLIN ROY
    SID 3265584
    ONTARIO,OR97914
    NONE N/A TV, GUITAR 30
    HANSON NICOLE
    PO BOX 645
    SILVERTON,OR97381
    NONE N/A BATHROOM VANITY 1,000
    HELLMAN GLADYS D
    4258 WEATHERS ST NE
    SALEM,OR97301
    NONE N/A PORTABLE RAMP 373
    HENDRICKS JOSLYN
    PO BOX 62
    MYRTLE POINT,OR97458
    NONE N/A UPPER DENTURE 1,200
    HICKSM ASPIN
    POB 120
    REDMOND,OR97756
    NONE N/A STOVE/OVEN TIMER 379
    HOUSE CHERYL D
    100 E 11TH 406
    EUGENE,OR97401
    NONE N/A LIFT RECLINER 1,000
    JAENTSCH DEBORAH
    14290 MARJORIE LN 1086
    OREGON CITY,OR97045
    NONE N/A GLASSES 212
    JARQUIN FRANCISCO
    17358 SE PINSET
    PORTLAND,OR97233
    NONE N/A VAN CO-PAY 1,200
    JOHANSEN NANCY
    38667 STRAWBRIDGE PKWY
    SANDY,OR97055
    NONE N/A VAN REPAIRS 1,200
    KRAAL TERRY
    440 21ST ST
    SPRINGFIELD,OR97477
    NONE N/A DENTURES 1,200
    LAHEY AIMEE
    1530 TAMARACK 100
    SWEET HOME,OR97386
    NONE N/A DOWN PAYMENT 1,000
    LANG TIMOTHY L
    2395 REDWOOD AVE
    GRANTS PASS,OR97527
    NONE N/A RAMP MATERIALS 661
    LECKBAND DEBRA
    5232 SW COMMON WAY
    CORVALLIS,OR97333
    NONE N/A ELECTRIC BILL 200
    LECKBAND DEBRA
    5232 SW COMMON WAY
    CORVALLIS,OR97333
    NONE N/A USED POWER CHAIR 400
    LECKBAND DEBRA
    5232 SW COMMON WAY
    CORVALLIS,OR97333
    NONE N/A TENS UNIT SUPPLIES 86
    LECKBAND DEBRA
    5232 SW COMMON WAY
    CORVALLIS,OR97333
    NONE N/A CHAIR DELIVERY 66
    LOGES JODY
    29863 S MOLALLA AVE
    MOLALLA,OR97038
    NONE N/A PNEUMATIC WHEELS FOR WALKER 80
    LOPEZ JESUSITA
    17804 NE GLISAN 8
    PORTLAND,OR97230
    NONE N/A PORTABLE RAMP 335
    LOPEZ LINDA
    1813 E JACKSON ST
    MEDFORD,OR97504
    NONE N/A RENT ASSISTANCE 600
    LUTZ WILLIAM
    310 N HOLLADAY DR
    SEASIDE,OR97138
    NONE N/A REPAIR ROTTING PORCH 1,200
    MAYFIELD ROXIE
    4410 CATALINA ST
    EUGENE,OR97402
    NONE N/A VAN REPAIRS 1,200
    MCADAM KEITH
    2298 IRONWOOD
    SWEET HOME,OR97386
    NONE N/A 3 WHEEL BRAKE 427
    MCLAUGHLIN BRUCE WILLIAM
    523 SW 13TH AVE 501
    PORTLAND,OR97205
    NONE N/A WHEELCHAIR COPAY 142
    MIKELS MICHAEL GLENN
    3735 BELL AVE
    EUGENE,OR97402
    NONE N/A UPPER DENTURE 1,000
    MILLER MIKE
    414 72ND ST
    SPRINGFIELD,OR97478
    NONE N/A COMPRESSION WRAPS 634
    MINOR MELVIN
    777 STANTON BLVD
    ONTARIO,OR97914
    NONE N/A GLASSES 163
    APSEL NISI
    1040 NW 10TH AVE 183
    PORTLAND,OR97209
    NONE N/A COMPRESSION HOSE 181
    AVILA AGUILAR MARIA
    2907 E MAIN ST
    HILLSBORO,OR97123
    NONE N/A ORTHOPEDIC SHOES 228
    BARRY DANIELLE
    765 SE MOUNT HOOD HWY 183
    GRESHAM,OR97080
    NONE N/A RENT ASSISTANCE 1,000
    MITCHELL WILLIAM
    598 N BROADWAY
    COOS BAY,OR97420
    NONE N/A DENTURES 1,200
    MOHAMED ABDI
    120 SW EDGEWAY DR 145
    BEAVERTON,OR97006
    NONE N/A VAN COPAY 1,200
    MORSE RON
    6036 NE AINSWORTH ST
    PORTLAND,OR97218
    NONE N/A RENT ASSISTANCE 1,100
    NEWMAN RIVKA
    13819 NE BEECH CT
    PORTLAND,OR97230
    NONE N/A IPAD AIR 2, COVER, APPLECARE 777
    NEWMAN RAY
    105 SE MAST AVE 86
    LINCOLN CITY,OR97367
    NONE N/A LIFE RECLINER 500
    NICHOLS BARRY
    17600 NE MULTNOMAH DR
    PORTLAND,OR97230
    NONE N/A GRAB BARS & KNEELER 116
    NICHOLS BARRY
    17600 NE MULTNOMAH DR
    PORTLAND,OR97230
    NONE N/A INSTALL GRAB BARS 20
    NORED MARK
    917 PRESCOTT LANE
    SPRINGFIELD,OR97477
    NONE N/A RENT ASSISTANCE 1,200
    NORED SCOTT
    2940 CRESCENT AVE 205A
    EUGENE,OR97409
    NONE N/A RENT ASSISTANCE 1,200
    PREWITT JENNIFER
    23900 SE STARK 143
    GRESHAM,OR97030
    NONE N/A ELECTRIC BILL 288
    PRINCE KATHY
    100 E 11TH 307
    EUGENE,OR97401
    NONE N/A VOICE NOTE OR BRAILLE NOTE 1,200
    PRUITT MARIANE
    20449 SW T-V HWY 345
    ALOHA,OR97003
    NONE N/A DENTURES 715
    RAINSBURY KATHERINE
    20333 NW ANZALONE DR 357
    ALOHA,OR97006
    NONE N/A BATTERY FOR HER CAR 135
    RAINSBURY KATHERINE
    20333 NW ANZALONE DR 357
    ALOHA,OR97006
    NONE N/A RENT ASSISTANCE 785
    ROBINSON OWEN
    1703 ANTELOPE CIRCLE SW
    ALBANY,OR97321
    NONE N/A EAGEL EYES COMPUTER ACCESS SYSTEM 1,191
    RUNDLE BRAD
    POB 66
    EAGLE POINT,OR97524
    NONE N/A SCOOTER BATTERIES 440
    RUNDLE BRAD
    POB 66
    EAGLE POINT,OR97524
    NONE N/A PU/DELIVER SCOOTER 30
    RUNDLE BRAD
    POB 66
    EAGLE POINT,OR97524
    NONE N/A RAMP 817
    RUSSELL CHAVEZ JESSE
    12030 NW KEARNEY ST
    PORTLAND,OR97224
    NONE N/A IPAD MINI, COVER, APPLECARE 788
    SAFFOLD RONALD GENE
    920 NE KEARNEY 403
    PORTLAND,OR97209
    NONE N/A AIR CONDITIONER 300
    SANDERS RHONDA
    PO BOX 1138
    MARCOLA,OR97454
    NONE N/A WHEELCHAIR COPAY 1,000
    SCHALOW LORI
    101 N MORRIS 306
    PORTLAND,OR97227
    NONE N/A COMPRESSION STOCKINGS 360
    SCHILL MIKE
    1120 THRIFTYWAY 3
    ONTARIO,OR97914
    NONE N/A DECK/RAMP 519
    SCHLEIGER CHRIS
    27894 SILETZ HWY
    SILETZ,OR97380
    NONE N/A LODGING AT CONFERENCE 348
    SCHLEIGER CHRIS
    27894 SILETZ HWY
    SILETZ,OR97380
    NONE N/A MEALS AND TRANSPORT 303
    SHERRETT ARLENE
    2524 SE LAKE RD 6
    MILWAUKIE,OR97222
    NONE N/A GRAB BARS 75
    SMALL JESSIE
    2101 SW LURADEL
    PORTLAND,OR97219
    NONE N/A RETROFIT BATH 1,000
    SNEGIREV ALEX
    710 N PERSHING F
    MT ANGEL,OR97362
    NONE N/A COLORADO CONFERENCE 1,200
    STARCHER DONNA
    3682 HOOKER RD
    ROSEBURG,OR97470
    NONE N/A EYE EXAM 99
    STARCHER DONNA
    3682 HOOKER RD
    ROSEBURG,OR97470
    NONE N/A GLASSES 486
    STOKES PAULETTE
    910 SW PARK 201
    PORTLAND,OR97205
    NONE N/A IPAD MINI, COVER, APPLECARE 877
    STOKES PAULETTE
    910 SW PARK 201
    PORTLAND,OR97205
    NONE N/A KEYBOARD 90
    STOVER KURT
    2603 VIRGINIA AVE
    NORTH BEND,OR97459
    NONE N/A LOWER DENTURE 675
    STREIFEL RONALD
    2648 NE 201ST AVE 5
    FAIRVIEW,OR97024
    NONE N/A RAMP INTO MOBILE HOME 1,127
    STURGESS SUSAN
    390 MARY NEAL LANE
    CRESWELL,OR97426
    NONE N/A COPAY ON VAN/CHAIR 1,200
    SUTER KATHLEEN
    10535 SE 53RD PL
    MILWAUKIE,OR97222
    NONE N/A DYING WISH TO STAY AT BEACH 1,124
    TAYLOR ROBERT
    1589 ADELMAN LP
    EUGENE,OR97402
    NONE N/A BRAKES AND GASKET 1,038
    VAN HOUTE LAURA
    15950 SE ALDERMAN RD
    DAYTON,OR97114
    NONE N/A UPPER DENTURE 750
    WALLING EVELYN
    345 N STARR ST T
    SUBLIMITY,OR97385
    NONE N/A PORTABLE RAMP 990
    WARD LORA
    8975 SW SWEET DR 213
    TUALATIN,OR97062
    NONE N/A FIRST/LAST/DEPOSIT 1,170
    WEATHERLY TIEA
    547 SE AKINS DR
    PRINEVILLE,OR97754
    NONE N/A GLASSES 368
    WEILAND SUSAN
    1008 VILLARD AVE
    COTTAGE GROVE,OR97424
    NONE N/A SHARK FLOOR MOP 168
    WELCH ANDREW
    3914 SANTIAM PASS WAY NE 105
    SALEM,OR97305
    NONE N/A GLASSES 283
    WELCH-OLIPHANT NATHAN
    4804 NE VOYAGE AVE B4
    LINCOLN CITY,OR97367
    NONE N/A IPAD AIR 2, COVER, APPLECARE 877
    WILDER NAN
    1040 NW 10TH AVE 10
    PORTLAND,OR97209
    NONE N/A HONEYWELL AC 388
    WILLIAMS KIYAUNA
    10028 SE DIVISION 301
    PORTLAND,OR97266
    NONE N/A RENT ASSISTANCE 816
    WITT JANET
    1023 57TH ST
    SPRINGFIELD,OR97478
    NONE N/A DOCTORS CARE & EYE HEALTH VITAMINS 797
    WYATT RODERICK
    17675 SW FARMINGTON RD PMB 128
    ALOHA,OR97087
    NONE N/A STORAGE 1,200
    Total .................................bullet 3a 75,012
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....         25,848
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....         41,952
    8
    Gain or (loss) from sales of assets other than inventory ............
            37,459
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 0 105,259
    13Total. Add line 12, columns (b), (d), and (e)..................
    13105,259
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    3 THIS ORGANIZATION ENGAGES IN NO SERVICE PER SE, AND SEEKS NO
    4 CONTRIBUTIONS. IT MAINTAINS ITS INVESTMENTS AND FROM THAT SOURCE
    7 OBTAINS THE FUNDS THAT IT PAYS OUT TO OR FOR QUALIFYING APPLICANTS
    11 AND CHARITABLE ORGANIZATIONS, WHICH ALSO HAVE 501(C) (3) STATUS.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    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 taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 2,235 745 1,490 1,490

    TY 2015 GeneralExplanationAttachment
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Identifier Return Reference Explanation
    INVESTMENTS IN CORPORATE STOCK FORM 990-PF PART II LINE 10B SCHEDULE A BEG OF YEAR END OF YEARPART II LINE 10B, INVESTMENTS IN CORPORATE STOCK BOOK VALUE BOOK VALUE MKT. VALUE ALLIANZGI EMERGING MKTS OPP 0.00 76686.27 69701.47 ALLIANZGI NFJ DIVIDEND VALUE FD 80089.80 81762.48 103106.86 AMERICAN CENTURY MID CAP VALUE 93773.43 85746.05 90860.89 ARTISAN INTERNATIONAL INVESTOR 115697.00 133948.84 144888.78 CREDIT SUISSE COMMD RTRN STRTGY 132686.71 114799.80 63772.41 GATEWAY FUND 65377.15 88364.26 93658.45 INVESCO SMALL CAP GROWTH 34740.53 43257.31 43019.27 JANUS GROWTH AND INCOME 108056.64 104000.41 134751.64 LAZARD EMERG MRKT EQUITY BLEND 111485.43 0.00 0.00 MERGER FUND 71074.54 80914.62 78114.24 NEUBERGER BERMAN REAL ESTATE 45048.39 43803.96 49423.30 PIMCO STOCKSPLUS TOTAL RETURN 179468.81 165862.62 164308.60 THOMAS WHITE INTERNATIONL 185203.61 172128.23 146641.98 WELLS FARGO UTILITY & TELECOMM 59554.28 45761.56 60667.53 LOOMIS SAYLES BOND RETAIL 108769.47 124593.31 103384.67 TEMPLETON GLOBAL BOND 21592.59 34618.40 30950.95 WESTERN ASSET TOTAL RTN 71296.36 66361.56 62877.74 1483914.74 1462609.68 1440128.78
    SUPPLEMENTARY INFORMATION - COPY OF APPLICATION FORM 990-PF PART XV LINE 2B BLANCHEFISCHERFOUNDATION1509 S.W. SUNSET BLVD., SUITE 1-BPORTLAND, OR 97239PHONE: 503.819.8205E-MAIL: BFF@BFF.ORG WEB: WWW.BFF.ORGTHE BLANCHE FISCHER FOUNDATION IS A PRIVATE, NONPROFIT CHARITABLE INSTITUTION FOUNDED IN 1981 FOR THE PURPOSE OF ASSISTING PERSONS WHO HAVE A DISABILITY THAT CHALLENGES THEM PHYSICALLY AND WHO HAVE FINANCIAL NEED. THERE ARE THREE CRITERIA FOR CONSIDERATION FOR A GRANT FROM THE FOUNDATION:1. YOU MUST BE AN OREGON RESIDENT;2. YOU MUST HAVE A DISABILITY OF A PHYSICAL NATURE; AND3. YOU MUST DEMONSTRATE FINANCIAL NEED.APPLICANTS MAY APPLY FOR FINANCIAL AID FOR EDUCATION, SPECIAL EQUIPMENT OR FOR SUCH OTHER PURPOSES AS THE FOUNDATION FINDS APPROPRIATE.PLEASE NOTE.. THE APPLICATION MUST BE FILLED OUT COMPLETELY AND SIGNED BY THE APPLICANT OR APPLICANT'S LEGAL GUARDIAN... MEDICAL OR OTHER SATISFACTORY VERIFICATION OF DISABILITY (LETTER FROM PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL) IS REQUIRED... WE DO NOT ACCEPT FAXED APPLICATIONS. YOU MUST MAIL THE ORIGINAL, ALONG WITH DOCUMENTATION, TO THE FOUNDATION. THIS IS NECESSARY FOR THE FOUNDATION TO COMPLY WITH STATE AND FEDERAL REQUIREMENTS.GRANT APPLICATIONNAME OF APPLICANT (PERSON FOR WHOM ASSISTANCE IS REQUESTED):ADDRESS:STREET NO. APT./UNIT CITY ZIPTELEPHONE/TTY: ( ) E-MAIL:AP090102.DOC PAGE 1 OF 4I. INFORMATION ABOUT YOUR DISABILITY1. BRIEFLY DESCRIBE YOUR DISABILITY:2. HOW LONG HAS THIS CONDITION EXISTED?3. IS YOUR CONDITION PERMANENT? YES NOIF NO, EXPECTED DURATION:4. HOW DOES THIS AFFECT YOUR DAILY LIFE AND INDEPENDENCE?5. FOR WHAT PURPOSE ARE YOU REQUESTING FUNDING?6. HOW MUCH DOES IT COST? $7. HOW MUCH DO YOU NEED THE BLANCHE FISCHER FOUNDATION TO CONTRIBUTE? $8. HOW WILL THIS GRANT IMPROVE YOUR QUALITY OF LIFE?9. NAME AND ADDRESS OF VENDOR OR SUPPLIER (ATTACH COPY OF PRICE QUOTE OR ORDER INFORMATION):YES, IT'S ATTACHED!10. HAVE YOU APPLIED FOR GRANTS FROM ANY OTHER SOURCE(S)? YES NOFROM WHOM? HOW MUCH? $11. HAVE ANY BEEN APPROVED? YES NOBY WHOM? IN WHAT AMOUNT(S)? $12. HAVE YOU EVER RECEIVED VOCATIONAL TRAINING? YES NO13. FROM WHOM (STATE AGENCY, FEDERAL, PRIVATE ORGANIZATION)?WHEN?DID THIS TRAINING RESULT IN EMPLOYMENT? YES NO14. ATTACH A LETTER OR REPORT FROM YOUR DOCTOR OR OTHER LICENSED HEALTH CARE PROFESSIONAL (SOCIAL WORKER, CASE MANAGER, ETC.) VERIFYING YOUR DISABILITY. YES, IT'S ATTACHED! AP090102.DOC PAGE 2 OF 4II. APPLICATION FOR BENEFITNOTE: ALL HOUSEHOLD MEMBERS MUST BE CONSIDERED IN REPLYING TO INCOME-RELATED QUESTIONS.GENERAL INFORMATIONAPPLICANT'S BIRTH DATEIF A MINOR, NAME OF PARENT(S) OR GUARDIAN(S):AGE OF EACH CHILD IN HOUSEHOLD:NUMBER AND RELATIONSHIP (PARENT, SPOUSE, CAREGIVER, ETC.) OF ADULTS IN HOUSEHOLD:NUMBER OF WAGE EARNERS IN HOUSEHOLD:OCCUPATION(S):EMPLOYER(S) NAME(S):WORK PHONE (IF APPLICABLE): ( )INCOME AND EXPENSESA. MONTHLY INCOME SALARY AND WAGES:1. PRIMARY WAGE-EARNER:GROSS MONTHLY SALARY: $MONTHLY TAKE-HOME PAY: $2. SECOND WAGE-EARNER:GROSS MONTHLY SALARY: $MONTHLY TAKE-HOME PAY: $B. MONTHLY INCOME OTHERSOCIAL SECURITY $CHILD SUPPORT $FOOD STAMPS/OREGON TRAIL $OTHER (DESCRIBE): $C. MONTHLY EXPENSESCATEGORY MONTHLY PAYMENT BALANCE OWEDFOOD $CLOTHING $UTILITIES $HEALTH CARE (MEDICAL, DENTAL,VISION, PRESCRIPTIONS, ETC.) $ $INSURANCE $PAYMENTS (CREDIT CARDS,CAR PAYMENTS, LOANS, ETC.) $ $OTHER (DESCRIBE):$ $D. WHAT KIND OF MEDICAL INSURANCE, IF ANY, DO YOU HAVE? CHECK ALL APPLICABLE RESPONSES:NONEPRIVATE HEALTH INSURANCE YES NOMEDICARE YES NOOREGON HEALTH PLAN YES NOOTHER (DESCRIBE): YES NOAP090102.DOC PAGE 3 OF 4E. ASSETSDO YOU RENT OR OWN YOUR RESIDENCE? RENT OWNWHAT IS YOUR MONTHLY PAYMENT? $DO YOU OWN ANY OTHER REAL PROPERTY? YES NOIF YES, PLEASE DESCRIBE:AUTOMOBILE(S):AUTOMOBILE 1MAKE AND YEAR: VALUE $AUTOMOBILE 2MAKE AND YEAR: VALUE $AMOUNT OF CASH IN BANK ACCOUNTS AND ANY STOCKS, BONDS OR SECURITIES, INCLUDING RETIREMENT PLANS AND LIVING TRUSTS:DESCRIBE:VALUE $III. OTHER INFORMATION YOU MAY WISH US TO CONSIDER (ATTACH LETTER, IF DESIRED):ALL GRANTS MADE ASSUME THE ACCURACY OF THIS APPLICATION. I UNDERSTAND THAT IF A GRANT IS AWARDED, PAYMENT CAN BE MADE ONLY TO THE SUPPLIER OF GOODS OR SERVICES. I FURTHER UNDERSTAND THAT ALL DECISIONS AS TO ELIGIBILITY AND GRANTS ARE MADE AT THE SOLE DISCRETION OF THE BLANCHE FISCHER FOUNDATION AND THAT ITS DECISIONS ARE FINAL.I UNDERSTAND THAT ALL GRANTS AWARDED BY THE BLANCHE FISCHER FOUNDATION MUST BE REPORTED ON THE FOUNDATION'S FEDERAL AND STATE TAX RETURNS, AND AS SUCH, GRANTEES' NAMES, ADDRESSES AND GRANT AMOUNTS ARE A MATTER OF PUBLIC RECORD.SIGNATURE(S):APPLICANT PARENT/GUARDIAN (CIRCLE WHICHEVER IS APPROPRIATE)DATE PARENT/GUARDIAN (CIRCLE WHICHEVER IS APPROPRIATE)YOUR RESPONSE TO THE FOLLOWING QUESTION WILL NOT INFLUENCE IN ANY WAY THE OUTCOME OF THIS GRANT APPLICATION:WOULD YOU LIKE US TO SEND YOU A VOTER REGISTRATION CARD, ALONG WITH THE NAMES OF YOUR STATE SENATOR, REPRESENTATIVE AND U.S. CONGRESSIONAL REPRESENTATIVE? YES NOBEFORE MAILING THIS APPLICATION . . .1. ARE ALL SECTIONS COMPLETE?2. HAVE YOU ATTACHED DOCUMENTATION FROM A MEDICAL OR OTHER PROFESSIONAL VERIFYING DISABILITY?3. HAVE YOU ATTACHED A COPY OF YOUR VENDOR'S PRICE QUOTE?MAIL THE COMPLETED APPLICATION AND DOCUMENTATION TO:BLANCHE FISCHER FOUNDATION1509 S.W. SUNSET BLVD., SUITE 1-BPORTLAND, OR 97239 AP090102.DOC PAGE 4 OF 4

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VARIOUS MUTUAL FUNDS 1,462,610 1,440,129

    TY 2015 InvestmentsOtherSchedule2
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ROCK QUARRY AT COST 227,700 227,700

    TY 2015 OtherAssetsSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ARTIFACTS AND PAINTINGS, DRIFTWOOD LIBRARY 2,767 2,767 2,767


    TY 2015 OtherExpensesSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSES & FEES 50 0 50 50
    OFFICE AND TELEPHONE 2,574 0 2,574 2,574
    BANK CHARGES & FEES 21 0 21 21
    INSURANCE 1,712 0 1,712 1,712
    DUES & REGISTRATIONS 340 0 340 340


    TY 2015 OtherIncomeSchedule2
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    SALE OF ROCK IN PLACE FROM QUARRY 41,952 41,952 41,952


    TY 2015 OtherLiabilitiesSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Description Beginning of Year - Book Value End of Year - Book Value
    PAYROLL TAX WITHHELD 0 1,786


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OUTSIDE SERVICES 45 0 45 45
    INVESTMENT FESS 20,298 20,298 0 0


    TY 2015 TaxesSchedule
    Name:
    BLANCHE FISCHER FOUNDATION
    EIN:
    93-0790099
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 2,001 0 2,001 2,001
    INTERNAL REVENUE SERVICE 5,591 5,591 0 0
    OREGON DEPT OF JUSTICE 252 252 0 0
    FOREIGN TAXES 597 597 0 0