Form990-PF

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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
CHAMBERS FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)800 WILLAMETTE STREET SUITE 750
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
EUGENE, OR97401
A Employer identification number

93-1266648
B Telephone number (see instructions)

(541) 484-2419
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
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$18,592,633
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.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 516,482 516,482  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,130,085
b Gross sales price for all assets on line 6a 4,963,010
7 Capital gain net income (from Part IV, line 2)... 1,130,085
8 Net short-term capital gain.........  
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)....... 157 157 0
12 Total. Add lines 1 through 11........ 1,646,724 1,646,724 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 20,970 15,728 0 5,242
15 Pension plans, employee benefits....... 1,755 1,316 0 439
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,598 1,799 0 1,799
c Other professional fees (attach schedule).... 162,806 162,806 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 29,626 6,098 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 3,443 0 0 3,443
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 222,198 187,747 0 10,923
25 Contributions, gifts, grants paid....... 933,981 933,981
26 Total expenses and disbursements. Add lines 24 and 25 1,156,179 187,747 0 944,904
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 490,545
b Net investment income (if negative, enter -0-) 1,458,977
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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............. 40,203 75,565 75,565
2 Savings and temporary cash investments......... 330,348 272,710 272,710
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   165,000 0 0
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 1,396,827 Click to see attachment2,124,931 2,103,684
b Investments—corporate stock (attach schedule)....... 8,849,651 Click to see attachment8,734,168 11,689,373
c Investments—corporate bonds (attach schedule)....... 4,035,507 Click to see attachment4,122,203 3,960,898
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 652,574 Click to see attachment628,571 489,753
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,234 Click to see attachment650 Click to see attachment650
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 15,472,344 15,958,798 18,592,633
Liabilities 17 Accounts payable and accrued expenses.......... 2,165 2,697
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)    
23 Total liabilities (add lines 17 through 22)......... 2,165 2,697
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 15,537,627 15,501,150
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds -67,448 454,951
30 Total net assets or fund balances (see instructions)..... 15,470,179 15,956,101
31 Total liabilities and net assets/fund balances (see instructions). 15,472,344 15,958,798
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
15,470,179
2
Enter amount from Part I, line 27a .....................
2
490,545
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
15,960,724
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4,623
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
15,956,101
Form 990-PF (2018)
Form 990-PF (2018)
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 PUBLICLY TRADED SECURITIES      
b CAPITAL GAIN DISTRIBUTIONS      
c
d
e
(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 4,797,277   3,832,925 964,352
b 165,733     165,733
c
d
e
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       964,352
b       165,733
c
d
e
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 1,130,085
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  
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))
2017 885,132 19,234,101 0.046019
2016 925,602 18,227,975 0.050779
2015 900,143 18,549,396 0.048527
2014 850,854 18,776,363 0.045315
2013 798,968 17,748,021 0.045017
2
Total of line 1, column (d) .....................
2
0.235657
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.047131
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
19,856,615
5
Multiply line 4 by line 3......................
5
935,862
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
14,590
7
Add lines 5 and 6........................
7
950,452
8
Enter qualifying distributions from Part XII, line 4,.............
8
944,904
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 29,180
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 29,180
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 29,180
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 17,440
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 17,440
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 462
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 12,202
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   RefundedBullet 11  
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 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    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 (2018)
    Form 990-PF (2018)
    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.CHAMBERSFAMILYFOUNDATION.COM
    14
    The books are in care ofbulletSCOTT D CHAMBERS TRUSTEE Telephone no.bullet (541) 484-2419

    Located atbullet800 WILLAMETTE STREET SUITE 750EUGENEOR ZIP+4bullet97401
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    SCOTT D CHAMBERS TRUSTEE
    5.00
    0 0 0
    800 WILLAMETTE STREET SUITE 750
    EUGENE,OR97401
    SILVA L CHAMBERS TRUSTEE
    2.00
    0 0 0
    800 WILLAMETTE STREET SUITE 750
    EUGENE,OR97401
    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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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  
    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 (2018)
    Form 990-PF (2018)
    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
    19,641,751
    b
    Average of monthly cash balances.......................
    1b
    513,776
    c
    Fair market value of all other assets (see instructions)................
    1c
    3,473
    d
    Total (add lines 1a, b, and c).........................
    1d
    20,159,000
    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
    20,159,000
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    302,385
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    19,856,615
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    992,831
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    992,831
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    29,180
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    29,180
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    963,651
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    963,651
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    963,651
    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
    944,904
    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
    944,904
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    944,904
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 963,651
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 928,277
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 944,904
    a Applied to 2017, but not more than line 2a 928,277
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 16,627
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 0 0
    (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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    947,024
    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) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    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) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation 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:
    CHAMBERS FAMILY FOUNDATION
    800 WILLAMETTE STREET SUITE 750
    EUGENE,OR97401
    (541) 484-2419
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATION AVAILABLE UPON REQUEST AND ATTACHED TO THIS RETURN
    cAny submission deadlines:
    MARCH 31 AND SEPTEMBER 30
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    LANE, BENTON, OR DESCHUTES COUNTY OREGON BENEFITS
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    ALS ASSOCIATION CHAPTER OF OREGON AND SW WASHINGTON
    310 SW 4TH AVENUE SUITE 630
    PORTLAND,OR97204
      PC CARE SERVICES PROGRAM SUPPORT. 5,000
    ARTS & BUSINESS ALLIANCE OF EUGENE
    1401 WILLAMETTE STREET
    EUGENE,OR97401
      PC CONTINUED SUPPORT FOR DELIVERY AND DEVELOPMENT OF SIX CREATIVE ACADEMY SEMINARS. 5,000
    ASSISTANCE LEAGUE OF EUGENE
    1149 WILLAMETTE STREET
    EUGENE,OR97401
      PC SUPPORT OF OPERATION SCHOOL BELL. REQUESTED FUNDS WILL CLOTHE 100 STUDENTS. 12,000
    BAGS OF LOVE
    710 COMMERCIAL STREET SUITE 5
    EUGENE,OR97402
      PC FUNDS TO PURCHASE NON-DONATED AGE APPROPRIATE NECESSITIES. 6,000
    BOYS & GIRLS CLUBS OF EMERALD VALLEY
    1545 W 22ND AVENUE
    EUGENE,OR97405
      PC SUPPORT TO PURCHASE NECESSARY SUPPLIES FOR FIVE NEW STEAM SPECIFIC PROJECTS. 10,950
    BRIDGEWAY HOUSE
    PO BOX 10639
    EUGENE,OR97440
      PC FUNDS TO PROVIDE SCHOLARSHIPS FOR LOW INCOME FAMILIES WITHOUT INSURANCE. 10,000
    CAMP TAMARACK
    19696 SUNSHINE WAY
    BEND,OR97702
      PC FUNDS REQUESTED TOWARDS REPLACEMENT COSTS OF THEIR SEPTIC SYSTEM. 5,000
    CASA
    174 DEADMOND FERRY ROAD
    SPRINGFIELD,OR97477
      PC OPERATIONAL SUPPORT. 20,000
    CASA-VOICES FOR CHILDREN
    129 NW 4TH STREET SUITE B
    CORVALLIS,OR97330
      PC OPERATIONAL SUPPORT TO CONTINUE TO SERVE 100% OF ABUSED & NEGLECTED CHILDREN IN LEGAL CUSTODY OF THE STATE. 5,000
    CASCADE FOOTHILLS LIBRARY
    PO BOX 12
    DEXTER,OR97431
      PC SUPPORT FOR WEEKLY STORY TIME PROGRAM DURING THE SCHOOL YEAR AND THE 2018 SUMMER READING PROGRAM. 3,200
    CENTRO LATINO AMERICANO
    944 W 5TH AVENUE
    EUGENE,OR97402
      PC SUPPORT TO PROVIDE THEIR BETTER CHOICES-LIFESKILLS TRAINING PROGRAM IN EUGENE/SPRINGFIELD. 14,850
    CHARITABLE PARTNERSHIP FUND
    PO BOX 5715
    EUGENE,OR97405
      PC OPERATIONAL SUPORT FOR KESEY FARM PROJECT. 5,000
    CHILDREN'S MIRACLE NETWORK
    PO BOX 10905
    EUGENE,OR97440
      PC OPERATIONAL SUPPORT. 500
    CORVALLIS LION'S CLUB
    1849 NW 9TH AVENUE SUITE 8
    CORVALLIS,OR97330
      PC 2018 LIVESTOCK AUCTION. 5,487
    CRESWELL HERITAGE FOUNDATION
    PO BOX 1092
    CRESWELL,OR97426
      PC FUNDS TO TO REPLACE THE FOUNDATION AND PORCH ON CRESWELL'S HISTORIC OLD SCHOOLHOUSE. 5,000
    DIRECTION SERVICE
    1144 GATEWAY LOOP SUITE 20
    SPRINGFIELD,OR97477
      PC SUPPORT OF PROJECT RESOURCE ACCESS BY FUNDING STAFFING COSTS FOR THE RESOURCE DEVELOPER POSITION. 5,000
    DAISY CHAIN
    997 W 7TH AVENUE
    EUGENE,OR97402
      PC FUNDS TO SUPPORT NURSING NOOK: A WALK-IN BREAKFEADING SUPPORT/EDUCATION. 9,941
    DEXTER RURAL FIRE PROTECTION DISTRICT
    PO BOX 69
    DEXTER,OR97431
      GOV EDUCATIONAL SUPPORT FOR THREE VOLUNTEERS TO ATTEND EMERGENCY MEDICAL TECHNICIAN TRAINING. 5,000
    EDUCATION FOUNDATION FOR BEND-LA PINE SCHOOLS
    PO BOX 1436
    BEND,OR97709
      PC SUPPORT FOR INNOVATIVE STEAM CLASSROOM GRANTS FOR K-12 TEACHERS IN THE BEND-LA PINE SCHOOL DISTRICT. 10,000
    EUGENE CHRISTIAN SCHOOL
    2895 CHAD DRIVE
    EUGENE,OR97408
      PC FUND TO COVER ANNUAL SUBSCRIPTION TO IXL.COM, 22 GOOGLE CHROMEBASES, AND THREE STEM HANDS-ON CLASSROOM KITS. 10,000
    EUGENE CIVIC ALLIANCE
    PO BOX 5338
    EUGENE,OR97405
      PC CAPITAL CAMPAIGN SUPPORT FOR CIVIC PARK PROJECT. 300,000
    EUGENE CONCERT CHOIR
    1590 WILLAMETTE STREET SUITE 400
    EUGENE,OR97401
      PC FUNDS TO SUPPORT PRODUCTION COSTS FOR THE DICKENS OF A CHRISTMAS CONCERT AT THE HULT CENTER. 5,000
    EUGENE MISSION
    PO BOX 1149
    EUGENE,OR97440
      PC FUNDS TOWARDS PURCHASING 250 CHAIRS TO REPLACE THOSE NOW IN USE IN THE MEN'S DAYROOM. 15,000
    EUGENE SCIENCE CENTER
    2300 LEO HARRIS PARKWAY
    EUGENE,OR97401
      PC FUNDS TO ASSIST WITH THE PURCHASE & INSTALLATION OF NEW PLANETARIUM EQUIPMENT AND EDUCATIONAL SOFTWARE. 10,000
    EUGENE SYMPHONY ASSOCIATION
    115 W 8TH AVENUE SUITE 115
    EUGENE,OR97401
      PC 2018 FREE SUMMER OUTDOOR CONCERT AT THE CUTHBERT AMPHITHEATER ON 7/21/18. 30,000
    EVERY CHILD LANE COUNTY)
    375 COBURG ROAD SUITE B
    EUGENE,OR97401
      PC OPERATIONAL SUPPORT. 28,000
    FAMILY RELIEF NURSERY-SOUTH LANE
    PO BOX 1207
    COTTAGE GROVE,OR97424
      PC SUPPORT FOR THEIR THERAPEUTIC EARLY CHILDHOOD PROGRAM. 10,000
    FOOD FOR LANE COUNTY
    770 BAILEY HILL ROAD
    EUGENE,OR97402
      PC OPERATIONAL SUPPORT. 20,000
    FRIENDS OF BUFORD PARK & MT PISGAH
    PO BOX 5266
    EUGENE,OR97405
      PC TO PROVIDE FLEXIBLE FUNDING TOWARDS THREE PROJECTS IN 2019. 15,000
    HABITAT FOR HUMANITY OF CENTRAL LANE
    1210 OAK PATCH ROAD
    EUGENE,OR97402
      PC FUNDS FOR DIRECT BUILDING COSTS ASSOCIATED WITH THE CONSTRUCTION OF SIX "TANDEM HOUSES". 15,000
    HABITAT FOR HUMANITY LA PINE SUNRIVER
    PO BOX 3364
    SUNRIVER,OR97707
      PC FUNDS TO PROVIDE INFRASTRURE PLANNING, APPROVALS, PERMITS AND CONSTRUCTION ON DONATED LAND. 10,000
    HEALTHY MOVES
    PO BOX 11348
    EUGENE,OR97440
      PC SUPPORT TO EXPAND THEIR TRAINER-IN-RESIDENCE PROGRAM IN PARTICIPATING SCHOOLS WHERE PE IS LACKING. 5,000
    HIGH DESERT CHAMBER MUSIC
    PO BOX 1272
    BEND,OR97709
      PC SUPPORT TO RECORD AND PRODUCE THE 2018-19 CONCERT SERIES LIVE PERFORMANCES FOR BROADCAST ON KWAX. 4,000
    HIGH DESERT MUSEUM
    59800 S HIGHWAY 97
    BEND,OR97702
      PC KIDS CURATE PROGRAM SUPPORT. 10,000
    HIV ALLIANCE
    1195A CITY VIEW STREET
    EUGENE,OR97402
      PC ALLIANCE FOR COMMUNITY WELLNESS PROGRAM SUPPORT FOR CLIENTS ENROLLED IN THEIR LGBTQ+ PROGRAM. 10,000
    EMERALD KIDSPORTS FOUNDATION
    2190 POLK STREET
    EUGENE,OR97405
      PC SCHOLARSHIPS FOR CHILDREN IN NEED OF FINANCIAL ASSISTANCE WANTING TO PARTICIPATE IN SPORTS. 10,000
    LANE ARTS COUNCIL
    1590 WILLAMETTE STREET SUITE 200
    EUGENE,OR97401
      PC SUPPORT TO PROVIDE IN-SCHOOL ARTIST RESIDENCIES TO RURAL & LOW INCOME SCHOOLS IN LANE COUNTY. 5,000
    LANE COUNTY YOUTH AUCTION
    119 BALLARD EXTENSION HALL
    CORVALLIS,OR97331
      PC 2018 LIVESTOCK AUCTION. 3,153
    LOOKING GLASS COMMUNITY SERVICES
    1790 W 11TH AVENUE SUITE 200
    EUGENE,OR97402
      PC FUNDS TOWARDS THE HVAC REPLACEMENT AT MCKAY LODGE, WHICH HOUSES THEIR STEPPING STONE PROGRAM. 10,000
    MAMA I'M LOW
    PO BOX 5173
    EUGENE,OR97405
      PC SUPPORT TO ORGANIZE FIVE SUMMER DAY CAMPS EXCULSIVELY FOR LANE CTY FAMILIES WITH CHILDREN WITH TYPE 1 DIABETIES. 5,000
    MARY'S RIVER GLEANERS ASSOCIATION
    PO BOX 2309
    CORVALLIS,OR97339
      PC FUNDS FOR A NEW FENCE PERIMETER AROUND THE SITE, STRUCTURAL REPAIRS TO THE STORAGE SHACK AND OPERATIONS. 5,000
    MID LANE CARES
    PO BOX 344
    VENETA,OR97487
      PC SUPPORT OF TWO MAIN PROGRAMS: LOVE PROJECT EMERGENCY FOOD PANTRY AND EMERGENCY ASSISTANCE. 8,000
    MIDDLE FORK WILLAMETTE WATERSHED COUNCIL
    PO BOX 27
    LOWELL,OR97452
      PC SUPPORT OF THEIR WATERSHED EDUCATION PROGRAM (WEP) REACHING STUDENTS IN COMMUNITIES ALONG THE HIGHWAY 58. 10,000
    MIDORI BOUTIQUE
    3792 JULIA LOOP
    EUGENE,OR97404
      PC FUNDS TO HELP PURCHASE UNDERWEAR, SOCKS, CLOTHING ITEMS AND COATS FOR TEENAGERS AND SCHOOL SUPPLIES. 3,500
    MOUNTAINSTAR FAMILY RELIEF NURSERY
    2125 NE DAGGETT LANE
    BEND,OR97701
      PC FUNDS WILL BE USED FOR STAFF & PROGRAM COSTS ASSOCIATED WITH THEIR THERAPEUTIC EARLY CHILDHOOD PROGRAM. 7,500
    NAMI LANE COUNTY
    2411 MARTIN LUTHER KING JR
    BOULEVARD
    EUGENE,OR97401
      PC SUPPORT TO EXPAND THEIR EXISITING FAMILY EDUCATION AND SUPPORT PROGRAMMING TO RURAL LANE COUNTY COMMUNITIES. 6,000
    NATURE CONSERVANCY-OREGON CHAPTER
    87200 RATHBONE ROAD
    EUGENE,OR97402
      PC FUNDS FOR REMOVAL OF THE CONCRETE AND TOWARDS THE SEARCH FOR A NEW MANAGER OF THE SITE ON THE RIVER CHANNEL. 5,000
    NORTHWEST ASSOCIATION FOR BLIND ATHLETES
    PO BOX 65265
    VANCOUVER,WA98665
      PC FUNDS TO EXPAND THEIR FREE PROGRAMS IN LANE COUNTY FROM AN OCCASIONAL 1-DAY SPORTS/PHYSICAL ACTIVITY CLINIC. 6,000
    OLD MILL CENTER FOR CHILDREN AND FAMILIES
    1650 SW 45TH PLACE
    CORVALLIS,OR97333
      PC FUNDING TOWARDS THE DIRECT COST TO TRAIN 8 CLINICIANS TO TREAT YOUTH USING THE EVIDENCE BASED PRACTICE OF EMDR. 9,000
    ONE HOPE
    2500 W 18TH AVENUE
    EUGENE,OR97402
      PC TO HELP UNDERWRITE THE COSTS OF DAY #2 OF PROJECT HOPE'S KIDS' FAIR ON 8/27/2018. 16,250
    OPERATION WARM
    PO BOX 822431
    CHADDS FORD,OR19182
      PC FUNDS TO PROVIDE 375 ECONOMICALLY DISADVANTAGED K-12 STUDENTS IN LANE COUNTY WITH A BRAND NEW WINTER COAT. 7,500
    OPHELIA'S PLACE
    1577 PEARL STREET SUITE 100
    EUGENE,OR97401
      PC SUPPORT OF THEIR RURAL SCHOOL PARTNERSHIPS TO EMPOWER YOUTH PROJECT. 10,000
    OREGON MUSEUM OF SCIENCE & INDUSTRY
    1945 SE WATER AVENUE
    PORTLAND,OR97214
      PC FUNDS TO INCREASE THE ACCESSABILITY OF OMSI'S EDUCATIONAL PROGRAMS TO YOUTH THROUGH FINANCIAL AID SCHOLORSHIPS. 5,000
    OREGON STATE UNIVERSITY FOUNDATION
    850 SW 35TH STREET
    CORVALLIS,OR97333
      PC FUNDS TOWARDS PROVIDE HOUSING SCHOLARSHIPS FOR STUDENTS IN SUBSTANCE ABUSE RECOVERY. 5,000
    OREGON SYMPHONY ASSOCIATION
    PO BOX 324
    SALEM,OR97301
      PC SUPPORT FOR 235 BENTON COUNTY STUDENTS, GRADES 3-5, TO ATTEND THEIR YOUTH CONCERT MAY 2019. 3,000
    PARENTING NOW
    86 CENTENNIAL LOOP
    EUGENE,OR97401
      PC SUPPORT OF PARENTING: THE FIRST 3 YEARS AND THE FREE CONCURRENT CHILDREN'S PROGRAM. 5,000
    PLEASANT HILL EDUCATION FOUNDATION
    PO BOX 636
    PLEASANT HILL,OR97455
      PC HOLIDAY DONATIONS OF $500 FOR 10 FAMILIES IN NEED WITHIN THE PLEASANT HILL SCHOOL DISTRICT. 5,000
    PLEASANT HILL HIGH SCHOOL
    36386 HIGHWAY 58
    PLEASANT HILL,OR97455
      GOV CONTINUED SUPPORT OF THEIR ANNUAL JAZZ FESTIVAL, APRIL 2019. 6,000
    PLEASANT HILL LUTHERAN CHURCH
    84421 GAUPP LANE
    PLEASANT HILL,OR97455
      PC GENERAL OPERATING SUPPORT. 10,000
    PRESBYTERIAN PRESCHOOL & CHILD CARE CENTER
    114 SW 8TH STREET
    CORVALLIS,OR97333
      PC PURCHASED NEW AND RECYCLED SUPPLIES AND COVERED INSTALLATION OF A "MUSIC CENTER" ON THE PRESCHOOL'S PLAYGROUND. 2,400
    PRO-BONE-O
    PO BOX 1823
    EUGENE,OR97440
      PC FUNDS TOWARDS VARIOUS VETERINARY MEDICAL AND SURGICAL PROCEDURES. 5,000
    RELIEF NURSERY
    1720 W 25TH AVENUE
    EUGENE,OR97405
      PC FUNDS TO SUPPORT ONE FULL-TIME CHILD CARE WORKER WHO WILL PROVIDE RESPITE CHILD-CARE SERVICES TO CHILDREN & THEIR FAMILIES. 20,000
    SACRED HEART MEDICAL CENTER FOUNDATION
    PO BOX 10905
    EUGENE,OR97440
      PC FUNDS TO HELP COVER THE CONSTRUCTION COSTS OF A NEW GUEST HOUSE ON THE CAMPUS OF SACRED HEART MEDICAL CENTER. 2,750
    SCHOOL GARDEN PROJECT OF LANE COUNTY
    PO BOX 30072
    EUGENE,OR97403
      PC SUPPORT TO MAINTAIN EXISTING PROGRAMS IN 19 LOCAL SCHOOLS AND SUPPORT SERVICES FOR AN ADDITIONAL 20 EDUCATIONAL GARDENS. 10,000
    SHELTERCARE
    499 WEST 4TH AVENUE
    EUGENE,OR97401
      PC SUPPORT OF THEIR SAHALIE PERMANENT HOUSING PROJECT AIMING TO COMBAT HOMELESSNESS. 10,000
    VERY LITTLE THEATRE
    2350 HILYARD
    EUGENE,OR97405
      PC FUNDS TO OFFSET FEES FOR ON-LINE TICKETING AND TOWARDS PRODUCTIONS COSTS, DURING THE 2018-2019 SEASON. 10,000
    VOLUNTEERS IN MEDICINE CLINIC
    2260 MARCOLA ROAD
    SPRINGFIELD,OR97477
      PC GENERAL OPERATIONAL SUPPORT TO PROVIDE A FULL COMPLEMENT OF HEALTH CARE SERVICES. 30,000
    WOMENSPACE
    PO BOX 50127
    EUGENE,OR97405
      PC FUNDS TOWARDS PERSONNEL COSTS OF THE YOUTH SERVICES ASSTANT MANAGER & 2-YOUTH GROUP ASSISTANTS. 20,000
    YOUNG LIFE MID-VALLEY
    922 NW CIRCLE BOULEVARD SUITE 16
    CORVALLIS,OR97330
      PC OPERATIONAL SUPPORT - FALL 2018 MATCHING GRANT. 10,000
    YOUNG LIFE OREGON CASCADES
    PO BOX 66868
    PORTLAND,OR97290
      PC SMALL TOWN INITIATIVE SUPPORT TO CONTINUE MINISTRY DEVELOPMENT IN TRIANGLE LAKE & MARCOLA. 8,000
    Total .................................bullet 3a 933,981
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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....     14 516,482  
    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.....     14 157  
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 1,130,085  
    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 1,646,724 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,646,724
    (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.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 3,598 1,799 0 1,799

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN TOWER CORP 42,312 41,332
    AMGEN INC 140,874 139,597
    APPLE INC 91,925 96,693
    BANK AMER CORP MTN 100,028 99,981
    BANK OF NOVA SCOTIA MTN 99,828 99,842
    BNSF, LLC 51,628 49,609
    DOUBLELINE TOTAL RETURN BOND 100,000 99,493
    DUKE ENERGY CORP 54,288 50,122
    FEDERATED INST HI YLD BD FD - FIHBX 517,347 483,967
    FEDEX CORPORATION 44,107 40,560
    GENERAL ELEC CAP CORP MTN 108,426 105,271
    GEORGEIA PWR CO 44,202 44,237
    GOLDMAN SACHS GRP INC MTN 102,724 102,236
    HOME DEPOT INC 99,999 98,966
    HONEYWELL INTL 47,485 47,452
    HSBC HLDGS PLC 44,123 41,287
    INTEL CORPORATION 37,699 39,295
    INVESCO EMERGING MARKETS SOVEREIGN - PCY 335,061 293,923
    ISHARES TIPS BOND - TIP 268,165 252,530
    JOHNSON & JOHNSON 54,149 50,833
    JPMORGAN CHASE & CO 38,208 39,607
    LAM RESEARCH CORP NOTE 99,589 99,060
    LIFE TECHNOLOGIES CORP NOTE 103,065 102,799
    NUVEEN PREFERRED SECS & INC FD CL I - NPSRX 826,754 789,328
    NV ENERGY INC 108,389 105,066
    ORACLE CORP 132,362 126,693
    SHELL INTERNATIONAL 45,251 40,400
    SIMON PPTY GRP 39,553 39,971
    SPDR BLMBG BARCLAYS INTL TRS BD - BWX 192,057 196,832
    UNITED PARCEL 59,199 53,324
    VERIZON COMMUNICA 50,162 49,702
    WASTE MANAGEMENT 43,244 40,890

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Name of Stock End of Year Book Value End of Year Fair Market Value
    A T & T INC 67,875 62,788
    ABBVIE INC 72,784 69,143
    ALL STATE CORP 39,329 33,052
    ALLERGAN PLC.COM 142,086 80,196
    ALPHABET INC CAPT STK CL C 182,633 412,173
    ALPHABET INC CL A 25,934 102,406
    AMAZON COM INC 37,146 300,394
    AMGEN INC 169,391 214,137
    APPLE INC 160,242 463,756
    BANK OF NY MELLON CO 12,899 11,768
    BERKSHIRE HATHAWAY CL B 164,712 464,510
    BHP BILLITON LTD 25,037 18,833
    BOEING CO 39,684 48,375
    BRISTOL MYERS SQUIBB 149,002 135,148
    CANADIAN NATL RAILWY 19,992 18,528
    CENTENNIAL RESOURCE 40,467 29,974
    CHEVRON CORPORATION 45,863 46,780
    CISCO SYSTEMS INC 37,314 101,392
    CITIGROUP INC 41,882 31,236
    COCA COLA CO 134,537 170,460
    D B S GROUP HOLDINGS 31,360 36,954
    DISCOVERY COMMUNICATIONS INC 137,586 113,092
    DISNEY WALT CO 131,552 153,510
    EMERSON ELECTRIC CO 26,977 23,303
    ENTERGY CORP 32,988 35,289
    FRANKLIN RES INC COM 131,299 77,116
    GENERAL DYNAMICS CO 24,537 20,437
    GENERAL ELECTRIC CO 109,858 45,420
    GILEAD SCIENCES INC 195,228 121,973
    HALLIBURTON CO HOLDINGS 50,336 27,643
    HOME DEPOT INC 57,626 189,002
    HONEYWELL INTL INC 58,126 59,454
    ILLINOIS TOOL WORKS 48,644 41,808
    INTERCONTL HTLS 11,167 10,918
    INVESCO QQQ TRUST - QQQ 483,362 793,976
    ISHARES EDGE MSCI MIN VOL USA - USMV 481,577 471,783
    JOHNSON & JOHNSON 16,372 32,263
    JOHNSON CONTROLS INTERNATIONAL PLC 141,479 106,740
    JPMORGAN CHASE & CO 32,738 90,787
    KEY CORPORATION INC 45,467 31,038
    KT CORPORATION 22,610 19,481
    LILLY ELI & CO 28,878 40,502
    LYONDELLBASELL INDS 33,133 26,611
    MCKESSON CORP 145,929 110,470
    MERCK & CO INC 53,436 61,128
    MICROSOFT CORPORATION 206,153 192,983
    MONDELEZ INTERNATIONAL 53,680 50,038
    MS&AD GRP HLDGS 34,105 28,130
    NESTLE SE 87,958 143,704
    NIKE INC CLASS B 146,179 207,592
    NIPPON TELEG&TELEPH 28,332 23,571
    NOVARTIS AG 66,490 94,820
    NUVEEN SANTA BARBARA DIV GROWTH FD I - NSBRX 481,151 701,306
    OCCIDENTAL PETROL CO 48,484 49,104
    PACKAGING CORPORATION OF AMERICA 8,818 6,677
    PFIZER INC 212,497 501,975
    PROCTER & GAMBLE 187,221 238,992
    QUALCOMM INC 126,921 119,511
    RAYTHEON CO 29,436 23,003
    ROYAL BANK OF CANADA 69,539 88,391
    SANOFI SPOND 70,987 86,820
    SCHLUMBERGER LIMITED 64,726 50,512
    SONY CORPORATION 26,956 33,796
    SOUTH32 LTD 4,680 6,110
    STERICYCLE INC 140,599 62,373
    SUNTRUST BANKS INC 43,151 30,264
    T ROWE PRICE MID CAP GROWTH FD #64 - RPMGX 202,888 278,216
    T ROWE PRICE SC STOCK - OTCFX 140,040 173,600
    TAIWAN SEMICONDUCTR 27,650 73,820
    THERMO FISHER SCIENTIFIC 92,517 89,516
    TJX COS INC 145,333 187,908
    TRACTOR SUPPLY CO 154,533 233,632
    TRANSOCEAN INC 29,354 17,350
    UNION PACIFIC CORP 128,335 234,991
    UNITED HEALTH GRP INC 48,397 49,824
    UNITED TECHNOLOGIES 169,327 292,820
    VANGUARD 500 INDEX ADMIRAL - VFIAX 343,921 401,067
    VANGUARD EQUITY INCOME ADM - VEIRX 564,827 794,441
    VISA INC 27,663 118,746
    VODAFONE GROUP 139,142 107,968
    WELLS FARGO BK NA 170,022 271,872
    WISDOMTREE JAPAN HEDGED 24,003 21,339
    XILINX INC 47,079 46,844

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    US Government Securities - End of Year Book Value:

    1,821,046
    US Government Securities - End of Year Fair Market Value:

    1,798,771
    State & Local Government Securities - End of Year Book Value:


    303,885
    State & Local Government Securities - End of Year Fair Market Value:


    304,913


    TY 2018 InvestmentsOtherSchedule2
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FREDDIE MAC AT COST 38,344 35,105
    HARDING LOEVNER INST AT COST 100,000 90,809
    NUVEEN REAL ESTATE SECS I - FARCX AT COST 490,227 363,839

    TY 2018 OtherAssetsSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DEPOSITS 650 650 650
    PURCHASED INTEREST 1,584 0 0


    TY 2018 OtherDecreasesSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Description Amount
    ACCRUAL TO CASH ADJUSTMENT 4,623


    TY 2018 OtherExpensesSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK CHARGES 138 0 0 138
    OFFICE SUPPLIES 1,358 0 0 1,358
    STATE TAXES & FEES 1,947 0 0 1,947


    TY 2018 OtherIncomeSchedule2
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISCELLANEOUS INCOME 157 157  


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 162,806 162,806 0 0


    TY 2018 TaxesSchedule
    Name:
    CHAMBERS FAMILY FOUNDATION
    EIN:
    93-1266648
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON INVESTMENT INCOME 6,098 6,098 0 0
    TAXES & LICENSES 23,528 0 0 0