-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
07-01-2019
, and ending
06-30-2020
Name of foundation
LEO ADLER COMMUNITY FUND UMA
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 0634
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE
,
WI
532010634
A Employer identification number
93-6289087
B
Telephone number (see instructions)
(503) 464-3580
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
21,466,300
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
200
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
500,748
500,748
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
156,804
b
Gross sales price for all assets on line 6a
6,353,284
7
Capital gain net income (from Part IV, line 2)
...
156,804
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)
.......
136,400
56
12
Total.
Add lines 1 through 11
........
794,152
657,608
13
Compensation of officers, directors, trustees, etc.
259,878
233,890
25,988
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
32,624
0
0
32,624
b
Accounting fees (attach schedule)
.......
2,000
0
0
2,000
c
Other professional fees (attach schedule)
....
52,000
46,800
5,200
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
20,858
6,996
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,259
0
0
1,259
22
Printing and publications
..........
6,782
0
0
6,782
23
Other expenses (attach schedule)
.......
21,129
21,129
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
396,530
287,686
0
94,982
25
Contributions, gifts, grants paid
.......
1,330,165
1,330,165
26
Total expenses and disbursements.
Add lines 24 and 25
1,726,695
287,686
0
1,425,147
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-932,543
b
Net investment income
(if negative, enter -0-)
369,922
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
8,054
8,054
2
Savings and temporary cash investments
.........
876,645
1,086,694
1,086,694
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
14,471,303
1,394,079
1,607,240
c
Investments—corporate bonds (attach schedule)
.......
4,196,445
3,968,795
4,129,915
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
12,157,953
14,634,397
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
19,544,393
18,615,575
21,466,300
17
Accounts payable and accrued expenses
..........
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
19,544,393
18,615,575
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
19,544,393
18,615,575
30
Total liabilities and net assets/fund balances
(see instructions)
.
19,544,393
18,615,575
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
19,544,393
2
Enter amount from Part I, line 27a
.....................
2
-932,543
3
Other increases not included in line 2 (itemize)
3
3,725
4
Add lines 1, 2, and 3
..........................
4
18,615,575
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
18,615,575
Form
990-PF
(2019)
Form 990-PF (2019)
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
1. AMGEN INC
1911-11-11
2019-07-15
b
1. AMGEN INC
2019-07-15
2019-07-15
c
50000. TOYOTA MOTOR MTN 2.125% 7/18/19
2016-11-15
2019-07-18
d
832.264 DRIEHAUS ACTIVE INCOME FUND
2014-08-29
2019-07-19
e
5832.719 DRIEHAUS ACTIVE INCOME FUND
2011-08-26
2019-07-19
1149.568 DRIEHAUS ACTIVE INCOME FUND
2014-03-26
2019-07-19
10849.909 DRIEHAUS ACTIVE INCOME FUND
2011-08-22
2019-07-19
10122.288 EATON VANCE GLOBAL MACRO FD CL I
2014-03-26
2019-07-19
15241.204 EATON VANCE GLOBAL MACRO FD CL I
2014-03-26
2019-07-19
7026.246 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2012-09-13
2019-07-19
9727.225 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2012-09-13
2019-07-19
8597.381 NUVEEN STRATEGIC INCOME I
2010-01-12
2019-07-19
14543.009 NUVEEN STRATEGIC INCOME I
2010-01-12
2019-07-19
1298.495 AQR LONG SHORT EQUITY I
2018-03-08
2019-07-22
2117.573 AQR LONG SHORT EQUITY I
2018-03-08
2019-07-22
4411.834 HIGHLAND LONG SHORT EQUITY Z
2011-08-22
2019-07-22
2419.674 HIGHLAND LONG SHORT EQUITY Z
2011-10-25
2019-07-22
5520.123 HIGHLAND LONG SHORT EQUITY Z
2016-01-21
2019-07-22
1143. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-07-22
2042. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-07-22
5725.469 NEUBERGER BERMAN LONG SH INS
2013-07-23
2019-07-22
8150.794 NEUBERGER BERMAN LONG SH INS
2013-07-23
2019-07-22
2085.693 NUVEEN REAL ESTATE SECS I
2014-09-30
2019-07-22
3185.91 NUVEEN REAL ESTATE SECS I
2014-03-26
2019-07-22
4839.068 ROBECO BOSTON PARTNERS L S RSRCH
2013-11-22
2019-07-22
7294.863 ROBECO BOSTON PARTNERS L S RSRCH
2013-11-22
2019-07-22
27. RAYTHEON COMPANY
2019-05-13
2019-07-22
61. RAYTHEON COMPANY
2019-05-10
2019-07-22
754. VANGUARD GLBL EX US REAL ESTATE ETF
2017-07-21
2019-07-22
1171. VANGUARD GLBL EX US REAL ESTATE ETF
2017-07-21
2019-07-22
65.425 VANGUARD 500 IDX ADML
2015-02-27
2019-07-22
399.075 VANGUARD 500 IDX ADML
2015-01-27
2019-07-22
6051.855 INVESCO OPPENHEIMER SENIOR FLOATING
2012-11-19
2019-07-29
6871.463 CAUSEWAY EMERGING MARKETS INSTL
2015-02-27
2019-07-29
6332.643 FEDERATED INST HI YLD BD FD
2015-07-09
2019-07-29
2975. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-07-29
1865. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-07-29
2101.408 NUVEEN REAL ESTATE SECS I
2014-03-26
2019-07-29
2532.512 NUVEEN REAL ESTATE SECS I
2010-01-12
2019-07-29
3117. SCHWAB U.S. TIPS ETF
2018-04-09
2019-07-29
9652.51 TIAA CREF SHORT TERM BOND FUND
2015-01-27
2019-07-29
1846.516 CAUSEWAY EMERGING MARKETS INSTL
2014-08-29
2019-09-26
967.785 CAUSEWAY EMERGING MARKETS INSTL
2015-02-27
2019-09-26
1657.001 CAUSEWAY EMERGING MARKETS INSTL
2019-05-10
2019-09-26
310.51 AMERICAN EUROPACIFIC GRTH F2
2010-08-05
2019-09-26
841. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-09-26
604. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-09-26
428. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-09-26
399. ISHARES CORE MSCI EMERGING MKTS ETF
2019-05-10
2019-09-26
272. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-09-26
25000. SIMON PROP GP 3.375% 3/15/22
2018-05-23
2019-10-07
50000. SIMON PROP GP 3.375% 3/15/22
2019-02-21
2019-10-07
2435.065 CAUSEWAY EMERGING MARKETS INSTL
2014-08-29
2019-10-28
3652.597 CAUSEWAY EMERGING MARKETS INSTL
2015-01-27
2019-10-28
921. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-10-28
4. ISHARES CORE MSCI EAFE ETF
2018-10-22
2019-10-28
582. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-10-28
873. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-10-28
2.864 NUVEEN REAL ESTATE SECS I
2016-08-08
2019-10-28
.997 VANGUARD 500 IDX ADML
2015-06-03
2019-10-28
50000. TORONTO DOMINION MTN 2.250% 11/05/19
2016-11-15
2019-11-05
25000. COMCAST CORP 3.300% 10/01/20
2018-12-11
2019-11-13
50000. COMCAST CORP 3.300% 10/01/20
2018-12-11
2019-11-13
50000. CHEVRON CORP 2.193% 11/15/19
2016-11-15
2019-11-15
3972.409 CAUSEWAY EMERGING MARKETS INSTL
2014-09-30
2019-11-20
73. CELGENE CORPORATION COM
2019-05-10
2019-11-20
41. CELGENE CORPORATION COM
2019-05-13
2019-11-20
10. CELGENE CORPORATION COM
2019-06-18
2019-11-20
30. CELGENE CORPORATION COM
2019-06-18
2019-11-20
96. CELGENE CORPORATION COM
2019-07-22
2019-11-20
217. CELGENE CORPORATION COM
2019-07-22
2019-11-20
853.254 AMERICAN EUROPACIFIC GRTH F2
2010-08-05
2019-11-20
1413. INVESCO FTSE RADI DEVELOPED ETF
2018-09-21
2019-11-20
899. ISHARES CORE MSCI EMERGING MKTS ETF
2015-07-08
2019-11-20
311. STANDARD & POORS DEPOSITARY RECEIPTS
2010-03-25
2019-11-20
6115.947 TIAA CREF SHORT TERM BOND FUND
2014-09-30
2019-11-20
22385.982 INVESCO OPPENHEIMER SENIOR FLOATING
2012-11-19
2019-12-09
28687.676 INVESCO OPPENHEIMER SENIOR FLOATING
2012-11-19
2019-12-09
110.242 INVESCO OPPENHEIMER SENIOR FLOATING
2014-04-02
2019-12-11
8979. ISHARES IBONDS DEC 2019 TERM ETF
2017-03-22
2019-12-19
12151. ISHARES IBONDS DEC 2019 TERM ETF
2017-03-22
2019-12-19
838. ISHARES CORE MSCI EAFE ETF
2015-12-07
2020-01-23
13. APPLE COMPUTER INC
2019-07-22
2020-01-24
24. APPLE COMPUTER INC
2019-07-22
2020-01-24
22. ARISTA NETWORKS INC
2019-07-22
2020-01-24
34. ARISTA NETWORKS INC
2019-07-22
2020-01-24
89. CENTENE CORP COM
2019-05-13
2020-01-24
149. CENTENE CORP COM
2019-05-10
2020-01-24
112. CITIGROUP INC
2019-06-18
2020-01-24
194. CITIGROUP INC
2019-06-18
2020-01-24
19. MICROSOFT CORP COM
2019-07-22
2020-01-24
424. PARSLEY ENERGY INC-CLASS A
2019-05-13
2020-01-24
664. PARSLEY ENERGY INC-CLASS A
2019-05-10
2020-01-24
11. RINGCENTRAL INC
2019-07-22
2020-01-24
17. S P GLOBAL INC
2019-07-22
2020-01-24
34. S P GLOBAL INC
2019-07-22
2020-01-24
67. SQUARE INC A
2019-05-13
2020-01-24
139. SQUARE INC A
2019-05-10
2020-01-24
17. TYLER TECHNOLOGIES INC
2019-06-18
2020-01-24
17. UNITEDHEALTH GRP INC COM
2019-07-22
2020-01-24
34. UNITEDHEALTH GRP INC COM
2019-07-22
2020-01-24
95. WESTERN DIGITAL CORP COM
2019-07-22
2020-01-24
114. WESTERN DIGITAL CORP COM
2019-07-22
2020-01-24
25000. ADOBE SYS INC 4.750% 2/01/20
2019-07-23
2020-02-01
50000. ADOBE SYS INC 4.750% 2/01/20
2019-07-23
2020-02-01
25000. KIMBERLY CLARK CORP 1.850% 3/01/20
2019-07-24
2020-03-01
25000. AMERICAN EXPRESS MTN 2.375% 5/26/20
2018-05-23
2020-04-27
25000. BOEING CO 2.125% 3/01/22
2018-05-21
2020-05-05
50000. BOEING CO 2.125% 3/01/22
2018-05-21
2020-05-05
147. BRISTOL MYERS SQUIBB RT 3/31/21
2019-11-20
2020-05-05
320. BRISTOL MYERS SQUIBB RT 3/31/21
2019-11-20
2020-05-05
25000. OCCIDENTAL PETE 3.125% 2/15/22
2018-05-21
2020-05-05
50000. OCCIDENTAL PETE 3.125% 2/15/22
2018-05-21
2020-05-05
11172.23 CAMBIAR INTL EQUITY FUND INS
2015-12-07
2020-05-21
19972.862 CAMBIAR INTL EQUITY FUND INS
2015-12-07
2020-05-21
381.694 CAUSEWAY EMERGING MARKETS INSTL
2015-02-27
2020-05-21
1725.242 CAUSEWAY EMERGING MARKETS INSTL
2020-01-23
2020-05-21
60000. JPM 24M EEM 1.5X LBR 5/29/20
2018-05-29
2020-05-29
100000. JPM 24M EEM 1.5X LBR 5/29/20
2018-05-29
2020-05-29
90000. RBC 24M SPX 1.5X LBR 6/03/20
2018-05-29
2020-06-03
75000. RBC 24M EFA 1.5X LBR 6/03/20
2018-05-29
2020-06-03
25000. GOLDMAN SACHS BANK 3.200% 6/05/20
2019-07-23
2020-06-05
50000. GOLDMAN SACHS BANK 3.200% 6/05/20
2019-07-23
2020-06-05
40. TC ENERGY CORP
2019-06-18
2020-06-29
60. TC ENERGY CORP
2019-06-18
2020-06-29
102. TC ENERGY CORP
2019-07-22
2020-06-29
CAPITAL GAIN 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
17
17
b
33
33
c
50,000
50,484
-484
d
7,748
8,897
-1,149
e
54,303
61,244
-6,941
10,702
12,346
-1,644
101,013
114,358
-13,345
88,570
94,181
-5,611
133,361
141,809
-8,448
68,506
70,878
-2,372
94,840
98,146
-3,306
91,218
88,421
2,797
154,301
149,793
4,508
14,387
18,205
-3,818
23,463
29,688
-6,225
51,530
46,899
4,631
28,262
26,350
1,912
64,475
60,059
4,416
46,020
50,338
-4,318
82,245
89,930
-7,685
82,790
69,052
13,738
117,861
97,572
20,289
44,655
46,634
-1,979
68,210
67,955
255
74,812
68,374
6,438
112,779
102,980
9,799
4,843
4,774
69
10,923
10,837
86
44,781
43,641
1,140
69,558
67,777
1,781
18,035
12,743
5,292
110,009
74,767
35,242
46,962
49,928
-2,966
84,794
82,664
2,130
62,123
62,766
-643
119,771
131,019
-11,248
94,833
83,235
11,598
45,559
44,823
736
54,905
37,304
17,601
174,891
170,842
4,049
100,000
99,095
905
22,121
24,189
-2,068
11,594
11,642
-48
19,851
20,000
-149
16,128
11,830
4,298
33,340
37,038
-3,698
23,944
26,600
-2,656
21,130
19,074
2,056
19,698
19,957
-259
13,428
12,139
1,289
25,974
24,968
1,006
51,948
50,652
1,296
30,122
31,301
-1,179
45,183
43,782
1,401
37,763
40,561
-2,798
252
239
13
30,022
25,937
4,085
45,033
38,962
6,071
66
73
-7
280
195
85
50,000
50,582
-582
25,338
25,031
307
50,677
50,063
614
50,000
50,666
-666
49,496
47,819
1,677
7,886
6,925
961
4,429
3,873
556
1,080
975
105
3,241
2,926
315
10,371
8,618
1,753
23,443
19,469
3,974
46,519
32,509
14,010
58,313
62,229
-3,916
46,496
40,065
6,431
96,840
36,557
60,283
63,484
63,738
-254
166,104
184,937
-18,833
212,863
236,673
-23,810
820
914
-94
223,351
224,106
-755
302,254
303,652
-1,398
54,854
46,710
8,144
4,165
2,680
1,485
7,689
4,943
2,746
5,213
6,320
-1,107
8,057
9,774
-1,717
6,062
4,844
1,218
10,149
8,230
1,919
8,890
7,804
1,086
15,399
13,514
1,885
3,177
2,628
549
7,201
7,699
-498
11,277
12,445
-1,168
2,197
1,343
854
5,074
4,083
991
10,147
8,168
1,979
4,712
4,584
128
9,775
9,873
-98
5,303
3,773
1,530
5,075
4,351
724
10,151
8,704
1,447
6,769
5,171
1,598
8,122
6,214
1,908
25,000
25,313
-313
50,000
50,625
-625
25,000
25,000
25,000
25,000
24,177
24,177
48,354
48,354
651
313
338
1,418
682
736
23,266
24,886
-1,620
46,532
49,772
-3,240
233,388
278,099
-44,711
417,233
489,137
-71,904
4,160
4,592
-432
18,805
22,652
-3,847
60,000
60,000
100,000
100,000
103,500
90,000
13,500
75,000
75,000
25,000
25,201
-201
50,000
50,401
-401
1,678
1,977
-299
2,517
2,974
-457
4,279
5,190
-911
129,898
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
17
b
33
c
-484
d
-1,149
e
-6,941
-1,644
-13,345
-5,611
-8,448
-2,372
-3,306
2,797
4,508
-3,818
-6,225
4,631
1,912
4,416
-4,318
-7,685
13,738
20,289
-1,979
255
6,438
9,799
69
86
1,140
1,781
5,292
35,242
-2,966
2,130
-643
-11,248
11,598
736
17,601
4,049
905
-2,068
-48
-149
4,298
-3,698
-2,656
2,056
-259
1,289
1,006
1,296
-1,179
1,401
-2,798
13
4,085
6,071
-7
85
-582
307
614
-666
1,677
961
556
105
315
1,753
3,974
14,010
-3,916
6,431
60,283
-254
-18,833
-23,810
-94
-755
-1,398
8,144
1,485
2,746
-1,107
-1,717
1,218
1,919
1,086
1,885
549
-498
-1,168
854
991
1,979
128
-98
1,530
724
1,447
1,598
1,908
-313
-625
338
736
-1,620
-3,240
-44,711
-71,904
-432
-3,847
13,500
-201
-401
-299
-457
-911
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
156,804
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
...................
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?
Yes
No
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))
2018
1,510,758
21,960,850
0.068793
2017
1,487,533
23,426,106
0.063499
2016
1,412,061
22,413,795
0.063
2015
1,630,242
22,181,170
0.073497
2014
1,534,515
10,626,642
0.144403
2
Total
of line 1, column (d)
.....................
2
0.413192
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
0.082638
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
21,234,873
5
Multiply line 4 by line 3
......................
5
1,754,807
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
3,699
7
Add lines 5 and 6
........................
7
1,758,506
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,425,147
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
7,398
here
and 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
7,398
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
7,398
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
20,257
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
7
Total credits and payments. Add lines 6a through 6d
..............
7
20,257
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
12,859
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
7,400
Refunded
11
5,459
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
OR
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
14
The books are in care of
US BANK
Telephone no.
(503) 464-3580
Located at
555 SW OAK
PORTLAND
OR
ZIP+4
97204
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
No
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
U S BANK
TRUSTEE
1
259,878
PO BOX 3168
PORTLAND
,
OR
97208
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
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
.............
0
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
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
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
20,760,488
b
Average of monthly cash balances
.......................
1b
797,759
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
21,558,247
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
21,558,247
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
323,374
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
21,234,873
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,061,744
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,061,744
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
7,398
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
7,398
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,054,346
4
Recoveries of amounts treated as qualifying distributions
................
4
136,344
5
Add lines 3 and 4
............................
5
1,190,690
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
1,190,690
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
1,425,147
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
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,425,147
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
1,425,147
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,190,690
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
1,029,689
b
From 2015
......
393,901
c
From 2016
......
159,110
d
From 2017
......
227,903
e
From 2018
......
320,499
f
Total
of lines 3a through e
........
2,131,102
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,425,147
a
Applied to 2018, but not more than line 2a
0
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 2019 distributable amount
.....
1,190,690
e
Remaining amount distributed out of corpus
234,457
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
2,365,559
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
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 2014 not
applied on line 5 or line 7 (see instructions)
...
1,029,689
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
1,335,870
10
Analysis of line 9:
a
Excess from 2015
....
393,901
b
Excess from 2016
....
159,110
c
Excess from 2017
....
227,903
d
Excess from 2018
....
320,499
e
Excess from 2019
....
234,457
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
MICHAEL SULLIVAN CO US BANK
PO BOX 7928
BOISE
,
ID
83707
(208) 383-7217
b
The form in which applications should be submitted and information and materials they should include:
FORMS, INFORMATION AND MATERIALS: CONTACT ABOVE AVAILABLE UPON REQUEST
c
Any submission deadlines:
NOT APPLICABLE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SCHOLARSHIPS TO WORTHY STUDENTS WHO ARE GRADUATES OF HIGH SCHOOLS IN BAKER COUNTY, OREGON GRANTS TO TAX EXEMPT ORGANIZATIONS IN THE BAKER COUNTY OREGON AREA
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
BAKER COMMUNITY CHOIR INC
1055 IDLEWOOD DR
BAKER CITY
,
OR
97814
NONE
PC
GENERAL SUPPORT
1,500
GRANDE RONDE SYMPHONY ASSOCIATION
P O BOX 824
LA GRANDE
,
OR
97850
NONE
PC
GENERAL SUPPORT
3,000
BURNT RIVER SCHOOL DIST 30J
201 S 1ST AVE
UNITY
,
OR
97884
NONE
PC
GENERAL SUPPORT
4,000
BAKER COUNTY COMMUNITY LITERACY
2400 RESORT STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL SUPPORT
3,500
SPECIAL OLYMPICS OREGON
PO BOX 508
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
4,000
NORTH POWDER CITY LIBRARY
PO BOX 309
NORTH POWDER
,
OR
97867
NONE
PC
GENERAL SUPPORT
2,500
CENTRAL OREGON COMMUNITY COLLEGE
2600 NW COLLEGE WAY
BEND
,
OR
97703
NONE
I
SCHOLARSHIP
22,200
ADLER HOUSE MUSEUM
2480 GROVE STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
3,000
BEL-REA INSTITUTE
1681 S DAYTON STREET
DENVER
,
CO
80247
NONE
I
SCHOLARSHIP
3,200
COLUMBIA BASIN COLLEGE
2600 N 20TH AVE
PASCO
,
WA
99301
NONE
I
SCHOLARSHIP
3,200
CORBAN UNIVERSITY
5000 DEER PARK DRIVE SE
SALEM
,
OR
97317
NONE
I
SCHOLARSHIP
4,000
KEATING RURAL FIRE PROTECTION
26488 KEATING GRANGE LANE
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
8,000
CHEMEKETA COMMUNITY COLLEGE
PO BOX 14007
SALEM
,
OR
97309
NONE
I
SCHOLARSHIP
4,000
UNITED METHODIST CHURCH
1919 2ND BAKER ST
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
EASTERN OREGON UNIVERSITY
ONE UNIVERSITY BLVD
LA GRANDE
,
OR
97850
NONE
I
SCHOLARSHIP
151,067
CROSSROADS CREATIVE & PERFORMING ART
2020 AUBURN AVE
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
11,000
COLLEGE OF WESTERN IDAHO
PO BOX 3010
NAMPA
,
ID
83653
NONE
I
SCHOLARSHIP
2,400
BOISE STATE UNIVERSITY
1910 W UNIVERSITY DR
BOISE
,
ID
83725
NONE
I
SCHOLARSHIP
35,800
THE SALVATION ARMY
2505 BROADWAY
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
10,000
CHURCH OF NAZARENE
1250 HUGHES LN
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
LDS CHURCH
2625 HUGHES LANE
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
COLLEGE OF THE SISKIYOUS
800 COLLEGE AVE
WEED
,
CA
96094
NONE
I
SCHOLARSHIP
4,800
OREGON HISTORICAL SOCIETY
1200 SW PARK AVENUE
PORTLAND
,
OR
97205
NONE
PC
GENERAL OPERATING
1,500
ROBISON JEWISH SOCIETY
6125 SW BOUNDARY STREET
PORTLAND
,
OR
97221
NONE
PC
GENERAL OPERATING
1,500
CITY OF BAKER CITY
PO BOX 650
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
92,488
ST STEPHENS EPISCOPAL CHURCH
PO BOX 1146
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
ST FRANCIS CATHOLIC CHURCH
2235 FIRST STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
OREGON MUSEUM OF SCIENCE AND INDUSTRY
1945 SE WATER AVE
PORTLAND
,
OR
97214
NONE
PC
GENERAL OPERATING
5,500
FIRST PRESBYTERIAN CHURCH
1995 FOURTH STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
FIRST CHRISTIAN CHURCH
675 HIGHWAY 7
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
BAKER CITY FIREMAN'S FUND
PO BOX 650
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
600
NORTH POWDER FOOD BANK
740 5TH STREET
NORTH POWDER
,
OR
97867
NONE
PC
GENERAL OPERATING
2,000
FIRST LUTHERAN CHURCH
1734 THIRD STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
MT HOOD COMMUNITY COLLEGE
26000 SE STARK ST
GRESHAM
,
OR
97030
NONE
I
SCHOLARSHIP
4,800
GEORGETOWN UNIVERSITY
3700 O ST NW
WASHINGTON
,
DC
20057
NONE
I
SCHOLARSHIP
4,800
BAKER CITY ROTARY
PO BOX 1011
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
2,625
CARROLL COLLEGE
1601 N BENTON AVE
HELENA
,
MT
59625
NONE
I
SCHOLARSHIP
4,000
BRIGHAM YOUNG UNIVERSITY
525 S CENTER ST
REXBURG
,
ID
83460
NONE
I
SCHOLARSHIP
67,400
OREGON INSTITUTE OF TECHNOLOGY
3201 CAMPUS DR
KLAMATH FALLS
,
OR
97601
NONE
I
SCHOLARSHIP
12,800
KANSAS STATE UNIVERSITY
1601 VATTIER STREET
MANHATTAN
,
KS
66506
NONE
I
SCHOLARSHIP
12,200
BAKER SWIM TEAM
P O BOX 452
BAKER CITY
,
OR
97814
NONE
PC
GENERAL SUPPORT
4,000
SHRINER FOOD CARAVAN
2790 MAIN STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
150
EASTERN OREGON MUSEUM
14514 MUDDY CREEK LN
HAINES
,
OR
97833
NONE
PC
GENERAL OPERATING
12,500
PAUL MITCHELL THE SCHOOL RICHLAND
71 GAGE BLVD
RICHLAND
,
WA
99352
NONE
I
SCHOLARSHIP
4,000
NORTH POWDER COMMUNITY PARTNERS
333 G STREET
NORTH POWDER
,
OR
97867
NONE
PC
GENERAL OPERATING
3,000
RANDOLPH-MACON COLLEGE
PO BOX 5005
ASHLAND
,
VA
23005
NONE
I
SCHOLARSHIP
2,400
BAKER LITTLE LEAGUE
PO BOX 505
BAKER CITY
,
OR
97814
NONE
PC
GENERAL SUPPORT
8,500
RED ROCKS COMMUNITY COLLEGE
13300 W 6TH AVE FRONTAGE RD
LAKEWOOD
,
CO
80228
NONE
I
SCHOLARSHIP
4,000
RENAISSANCE ACADEMIE
COSMETOLOGY AND ESTHETICS
1460 MOON RIVER DRIVE
PROVO
,
UT
84604
NONE
I
SCHOLARSHIP
4,000
SIMMONS UNIVERSITY
300 FENWAY
BOSTON
,
MA
02115
NONE
I
SCHOLARSHIP
34,800
SOUTH DAKOTA STATE UNIVERSITY
BOX 2201 SAD 136
BROOKINGS
,
SD
57007
NONE
I
SCHOLARSHIP
5,400
SUNY PURCHASE COLLEGE
735 ANDERSON HILL RD
PURCHASE
,
NY
10577
NONE
I
SCHOLARSHIP
4,800
UNIVERSITY OF CALIFORNIA LOS ANGELES
PO BOX 957089
LOS ANGELES
,
CA
90095
NONE
I
SCHOLARSHIP
3,200
UNIVERSITY OF HAWAII AT MANOA
2500 CAMPUS RD
HONOLULU
,
HI
96822
NONE
I
SCHOLARSHIP
4,000
UNIVERSITY OF NEVADA RENO
1664 N VIRGINIA ST
RENO
,
NV
89557
NONE
I
SCHOLARSHIP
3,200
UNIVERSITY OF WASHINGTON BOTHELL
BOX 358500
BOTHELL
,
WA
98011
NONE
I
SCHOLARSHIP
3,200
UNIVERSITY OF WYOMING
1000 E UNIVERSITY AVE
LARAMIE
,
WY
82071
NONE
I
SCHOLARSHIP
5,400
UTAH STATE UNIVERSITY
1800 OLD MAIN HILL
LOGAN
,
UT
84322
NONE
I
SCHOLARSHIP
11,000
UNIVERSITY OF IDAHO
875 PERIMETER DRIVE
MOSCOW
,
ID
83844
NONE
I
SCHOLARSHIP
20,800
OKLAHOMA STATE UNIVERSITY
119 STUDENT UNION
STILLWATER
,
OK
74078
NONE
I
SCHOLARSHIP
4,000
LINN BENTON COMMUNITY COLLEGE
6500 PACIFIC BLVD SW
ALBANY
,
OR
97321
NONE
I
SCHOLARSHIP
34,466
GRAND CANYON UNIVERSITY
PO BOX 11097
PHOENIX
,
AZ
85017
NONE
I
SCHOLARSHIP
2,400
LAMAR COMMUNITY COLLEGE
2401 S MAIN STREET
LAMAR
,
CO
81052
NONE
I
SCHOLARSHIP
4,000
BLUE MOUNTAIN COMMUNITY COLLEGE
PO BOX 100
PENDLETON
,
OR
97801
NONE
I
SCHOLARSHIP
65,966
NORTHERN WYOMING COMMUNITY COLLEGE
PO BOX 1500
SHERIDAN
,
WY
82801
NONE
I
SCHOLARSHIP
4,000
OLIVER FINLEY ACADEMY OF COSMETOLOGY
10222 W FAIRVIEW AVE
BOISE
,
ID
83704
NONE
I
SCHOLARSHIP
2,400
PAUL MITCHELL THE SCHOOL NAMPA
16803 N MARKETPLACE BLVD
NAMPA
,
ID
83687
NONE
I
SCHOLARSHIP
2,400
BAKER COUNTY SENIOR CITIZENS
2810 CEDAR STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
29,918
CALVARY BAPTIST CHURCH
2130 4TH STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,500
OREGON STATE UNIVERSITY
1500 SW CHANDLER AVE
BEND
,
OR
97702
NONE
I
SCHOLARSHIP
114,700
BAKER COUNTY FAIR
2600 EAST ST
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
38,000
OLD DOMINION UNIVERSITY
5115 HAMPTON BLVD
NORFOLK
,
VA
23529
NONE
I
SCHOLARSHIP
4,000
ST ALPHONSUS FOUNDATION
3325 POCHAHONTAS ROAD
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
16,445
ST LUKES REGIONAL MEDICAL CENTER
190 EAST BANNOCK
BOISE
,
ID
83712
NONE
PC
GENERAL OPERATING
15,000
FRIENDS OF PINE VALLEY FAIRGROUNDS
36410 VALLEY VIEW LANE
HALFWAY
,
OR
97834
NONE
PC
GENERAL OPERATING
10,000
BOY SCOUTS OF AMERICA
2301 ADAMS RD
LAGRANDE
,
OR
97850
NONE
PC
GENERAL OPERATING
4,000
MONTANA STATE UNIVERSITY
PO BOX 174160
BOZEMAN
,
MT
59717
NONE
I
SCHOLARSHIP
20,200
NORTHWEST CHRISTIAN UNIVERSITY
828 E 11TH AVE
EUGENE
,
OR
97401
NONE
I
SCHOLARSHIP
2,200
NORTHWEST LINEMAN COLLEGE
7600 S MERIDIAN RD
MERIDIAN
,
ID
83642
NONE
I
SCHOLARSHIP
9,600
PAUL MITCHELL THE SCHOOL BOISE
1270 S VINNELL WAY
BOISE
,
ID
83709
NONE
I
SCHOLARSHIP
4,000
WALLA WALLA COMMUNITY COLLEGE
500 TAUSICK WAY
WALLA WALLA
,
WA
99362
NONE
I
SCHOLARSHIP
3,200
WESTERN GOVERNORS UNIVERSITY
4001 S 700 EAST SUITE 700
SALT LAKE CITY
,
UT
84107
NONE
I
SCHOLARSHIP
4,800
WESTERN OREGON UNIVERSITY
345 N MONMOUTH AVE
MONMOUTH
,
OR
97361
NONE
I
SCHOLARSHIP
6,400
WHITWORTH UNIVERSITY
300 W HAWTHORNE RD
SPOKANE
,
WA
99251
NONE
I
SCHOLARSHIP
4,800
WILLAMETTE UNIVERSITY
900 STATE STREET
SALEM
,
OR
97301
NONE
I
SCHOLARSHIP
3,200
NORTHWEST NAZARENE UNIVERSITY
623 UNIVERSITY BLVD
NAMPA
,
ID
83686
NONE
I
SCHOLARSHIP
10,200
PACIFIC UNIVERSITY
2043 COLLEGE WAY
FOREST GROVE
,
OR
97116
NONE
I
SCHOLARSHIP
19,600
PORTLAND STATE UNIVERSITY
1825 SW BROADWAY
PORTLAND
,
OR
97201
NONE
I
SCHOLARSHIP
20,000
SOUTHERN OREGON UNIVERSITY
1250 SISKIYOU BLVD
ASHLAND
,
OR
97520
NONE
I
SCHOLARSHIP
52,400
PRESBYTERIAN CHURCH USA
1995 FOURTH STREET
BAKER CITY
,
OR
97814
NONE
I
SCHOLARSHIP
6,000
TREASURE VALLEY COMMUNITY COLLEGE
650 COLLEGE BLVD
ONTARIO
,
OR
97914
NONE
I
SCHOLARSHIP
3,466
UNIVERSITY OF OREGON
1585 E 13TH AVE
EUUGENE
,
OR
97403
NONE
I
SCHOLARSHIP
18,800
WASHINGTON STATE UNIVERSITY
LIGHTY STUDENT SERVICES BLDG RM 380
PULLMAN
,
WA
99164
NONE
I
SCHOLARSHIP
15,600
JOHNSON UNIVERSITY
ATTN FINANCIAL AID
7900 JOHNSON DRIVE
KNOXVILLE
,
TN
37998
NONE
I
SCHOLARSHIP
2,400
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK RD
PORTLAND
,
OR
97239
NONE
I
SCHOLARSHIP
4,800
SOUTHWEST BAPTIST UNIVERSITY
1600 UNIVERSITY
BOLIVAR
,
MO
65613
NONE
I
SCHOLARSHIP
4,800
CALIFORNIA POLYTECHNIC STATE UNIVERSITY
ADMINISTRATION BUILDING ROOM 212
SAN LUIS OBISPO
,
CA
93407
NONE
I
SCHOLARSHIP
3,200
OTTERBEIN UNIVERSITY
1 GROVE STREET
WATERVILLE
,
OH
43081
NONE
I
SCHOLARSHIP
4,800
PIONEER PACIFIC COLLEGE
3800 SPORTS WAY
BEAVERTON
,
OR
97005
NONE
I
SCHOLARSHIP
3,200
CENTRAL WASHINGTON UNIVERSITY
400 EAST UNIVERSITY WAY
ELLENSBURG
,
WA
98926
NONE
I
SCHOLARSHIP
2,400
VOLTA
9817 NE 54TH ST SUITE 101
VANCOUVER
,
WA
98662
NONE
I
SCHOLARSHIP
2,400
FORDHAM UNIVERSITY
441 E FORDHAM ROAD
NEW YORK
,
NY
10458
NONE
I
SCHOLARSHIP
4,800
PINE EAGLE CHARTER SCHOOL
375 MAIN STREET
HALFWAY
,
OR
97834
NONE
PC
GENERAL OPERATING
7,500
CHAMBERLAIN UNIVERSITY
2149 W DUNLAP AVE
PHOENIX
,
AZ
85021
NONE
I
SCHOLARSHIP
3,200
EASTERN OREGON REGIONAL THEATER INC
2101 MAIN STREET STE 221
BAKER CITY
,
OR
97814
NONE
PC
GENERAL SUPPORT
3,000
NEW HOPE FOR EASTERN OREGON ANIMALS
PO BOX 146
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,000
CASA OF EASTERN OREGON
1937 WASHINGTON AVE
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
9,000
BAKER COUNTY SHERIFF SEARCH & RESCUE
3375 K STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
16,000
BAKER COUNTY DEVELOPMENT CORPORATION
1995 THIRD ST
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
20,000
BAKER COMMUNITY SPORTS COMPLEX
2790 MAIN STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
20,000
BAKER COUNTY 4-H
2790 MAIN STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
1,274
BAKER HERITAGE MUSEUM
2480 GROVE STREET
BAKER CITY
,
OR
97814
NONE
PC
GENERAL OPERATING
15,000
Total
.................................
3a
1,330,165
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees 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
500,748
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
156,804
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
OTHER NI INCOME
1
56
b
GRANT RECOVERIES
1
136,344
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
793,952
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
793,952
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description