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
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
JAMES F & MARION L MILLER FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1905 SE 10TH AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PORTLAND, OR97214
A Employer identification number

03-0373895
B Telephone number (see instructions)

(503) 546-3191
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$212,393,723J 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 121,051 121,051  
4 Dividends and interest from securities... 4,302,764 4,302,764  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 9,014,589
b Gross sales price for all assets on line 6a 38,144,649
7 Capital gain net income (from Part IV, line 2)... 9,014,589
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)....... Click to see attachment 2,467 2,467  
12 Total. Add lines 1 through 11........ 13,440,871 13,440,871  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 802,986 210,279   592,707
14 Other employee salaries and wages...... 271,524 13,576   257,948
15 Pension plans, employee benefits....... 115,928 5,796   105,419
16a Legal fees (attach schedule)......... Click to see attachment 22,431 22,431   0
b Accounting fees (attach schedule)....... Click to see attachment 17,760 8,880   8,880
c Other professional fees (attach schedule).... Click to see attachment 1,015,173 1,015,173   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 267,582 93,524   0
19 Depreciation (attach schedule) and depletion... 3,412 0  
20 Occupancy.............. 116,362 5,818   110,544
21 Travel, conferences, and meetings....... 21,769 0   21,769
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 220,779 2,652   217,208
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,875,706 1,378,129   1,314,475
25 Contributions, gifts, grants paid....... 8,267,348 8,267,348
26 Total expenses and disbursements. Add lines 24 and 25 11,143,054 1,378,129   9,581,823
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,297,817
b Net investment income (if negative, enter -0-) 12,062,742
c Adjusted net income (if negative, enter -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
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 14,903,956 7,952,864 7,952,864
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 21,228 15,374 15,374
10a Investments—U.S. and state government obligations (attach schedule) 5,978,507 Click to see attachment17,927,356 17,965,760
b Investments—corporate stock (attach schedule)....... 124,211,489 Click to see attachment122,048,895 173,195,820
c Investments—corporate bonds (attach schedule)....... 227,127 0 0
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 11,366,122 Click to see attachment10,918,903 13,250,909
14 Land, buildings, and equipment: basis bullet55,942
Less: accumulated depreciation (attach schedule) bullet42,946 1,498 12,996 12,996
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 156,709,927 158,876,388 212,393,723
Liabilities 17 Accounts payable and accrued expenses.......... 5,329 5,329
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)......... 5,329 5,329
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 156,704,598 158,871,059
30 Total liabilities and net assets/fund balances (see instructions). 156,709,927 158,876,388
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
156,704,598
2
Enter amount from Part I, line 27a .....................
2
2,297,817
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
159,002,415
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
131,356
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
158,871,059
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 PUBLICLY TRADED SECURITIES P 2018-01-01 2019-12-31
b
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 38,144,649   29,130,060 9,014,589
b
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       9,014,589
b
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 9,014,589
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))
2018 13,020,967 198,151,145 0.065712
2017 12,836,015 188,780,335 0.067994
2016 10,512,639 169,722,713 0.061940
2015 11,398,644 180,856,759 0.063026
2014 12,191,684 191,992,450 0.063501
2
Total of line 1, column (d) .....................
2
0.322173
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
0.064435
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
190,590,017
5
Multiply line 4 by line 3......................
5
12,280,668
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
120,627
7
Add lines 5 and 6........................
7
12,401,295
8
Enter qualifying distributions from Part XII, line 4,.............
8
9,581,823
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 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 1 241,255
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........................... 3 241,255
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- ..... 5 241,255
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 232,000
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 16,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 248,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 1,932
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,813
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet4,813 RefundedBullet 11 0
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 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 addressbulletWWW.MILLERFOUND.ORG
    14
    The books are in care ofbulletCHARLES ROOKS Telephone no.bullet (503) 546-3191

    Located atbullet1905 SE 10TH AVEPORTLANDOR ZIP+4bullet97214
    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 2019, 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 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?.............
    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 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))?
    (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
    CHARLES H PUTNEYClick to see attachment PRESIDENT
    5.00     		0 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    ALICE MCCARTOR DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    CHARLES ROOKS DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    WILLIAM SWINDELLS DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    PETER KOEHLER DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    KALI LADD DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    SUBASHINI GANESAN DIRECTOR
    5.00     		30,000 0 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    MARTHA RICHARDS EXECUTIVE DIRECTOR
    40.00     		262,415 25,632 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    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
    PATRICIA M REYNOLDS PROGRAM MANAGER
    40.00     		99,272 15,729 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    STEPHAN HERRERA PROGRAM MANAGER
    40.00     		91,242 9,928 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    JENNIFER ALLEN PROGRAM MANAGER
    40.00     		79,036 10,716 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    LEILANI VALERA ACCOUNTING MANAGER
    40.00     		72,672 11,208 0
    1905 SE 10TH AVE
    PORTLAND,OR97214
    Total number of other employees paid over $50,000...................bullet 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
    CHARLES H PUTNEY INVESTMENT MANAGEMENT 155,855
    805 SW BROADWAY SUITE 1800
    PORTLAND,OR97205
    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 (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
    185,532,938
    b
    Average of monthly cash balances.......................
    1b
    7,959,465
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    193,492,403
    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
    193,492,403
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    2,902,386
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    190,590,017
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    9,529,501
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    9,529,501
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    241,255
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    241,255
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    9,288,246
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    9,288,246
    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
    9,288,246
    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
    9,581,823
    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
    9,581,823
    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
    9,581,823
    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 9,288,246
    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...... 3,058,135
    b From 2015...... 2,589,534
    c From 2016...... 2,171,185
    d From 2017...... 3,696,342
    e From 2018...... 3,527,058
    fTotal of lines 3a through e........ 15,042,254
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 9,581,823
    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..... 9,288,246
    e Remaining amount distributed out of corpus 293,577
    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).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 15,335,831
    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) ...     		3,058,135
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		12,277,696
    10 Analysis of line 9:
    a Excess from 2015.... 2,589,534
    b Excess from 2016.... 2,171,185
    c Excess from 2017.... 3,696,342
    d Excess from 2018.... 3,527,058
    e Excess from 2019.... 293,577
    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....... 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) 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.)
    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:
    MARTHA RICHARDS EXECUTIVE DIRECTOR
    1905 SE 10TH AVE
    PORTLAND,OR97214
    (503) 546-3191
    INFO@MILLERFOUND.ORG
    bThe form in which applications should be submitted and information and materials they should include:
    PLEASE SEE APPLICATION GUIDELINES AT WWW.MILLERFOUND.ORG/APPLY
    cAny submission deadlines:
    APPLICATION DEADLINES ARE POSTED PERIODICALLY AT WWW.MILLERFOUND.ORG
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE MILLER FOUNDATION MAKES RESPONSIVE GRANTS TO REQUESTS FROM ORGANIZATIONS BASED IN OREGON WHOSE PRIMARY FOCUS IS IN THE ARTS OR EDUCATION. FOR MORE INFORMATION, PLEASE SEE APPLICATION GUIDELINES AT WWW.MILLERFOUND.ORG/APPLY
    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)
    aPaid during the year
    45TH PARALLEL
    PO BOX 12273
    PORTLAND,OR97212     		N/A PC LES BOREADES 5,000
    ALBINA HEAD START
    3417 NE 7TH AVE
    PORTLAND,OR97212     		N/A PC DEKUM REQUEST 100,000
    ALL CLASSICAL PUBLIC MEDIA INC
    211 SE CARUTHERS ST SUITE 200
    PORTLAND,OR97214     		N/A PC THURSDAYS @ THREE AND ARTISTS IN RESIDENCY PROGRAM 25,000
    ALL HANDS RAISED
    2069 NE HOYT STREET
    PORTLAND,OR97232     		N/A PC ALL HANDS RAISED PARTNERSHIP 50,000
    ALL HANDS RAISED
    2069 NE HOYT STREET
    PORTLAND,OR97232     		N/A PC IMPROVING EDUCATION OUTCOMES, ECONOMIC AND SOCIAL MOBILITY FOR MULTNOMAH COUNTY CHILDREN AND YOUTH 75,000
    ANIMA MUNDI PRODUCTIONS
    114 BRECKINRIDGE DRIVE
    PHOENIX,OR97535     		N/A PC HEART OF HUMANITY CONCERT SERIES 10,000
    APANO COMMUNITIES UNITED FUND
    8188 SE DIVISION ST
    PORTLAND,OR97206     		N/A PC EAST PORTLAND ARTS & LITERARY FESTIVAL 2019 (EPALF19) 20,000
    ARMADILLO TECHNICAL INSTITUTE
    PO BOX 1560
    PHOENIX,OR975351560     		N/A PC REAL EXPERIENCES BUILD REAL SKILLS 10,760
    ARTISTS REPERTORY THEATRE
    1515 SW MORRISON ST
    PORTLAND,OR97205     		N/A PC ARTISTS REP FY19 CAPACITY BUILDING REQUEST 70,000
    ASHOKA'S YOUTH VENTURE
    C/O JANA SEIDLOVA 1700 N MOORE ST
    SUITE 2000
    ARLINGTON,VA22209     		N/A PC ASHOKA'S YOUTH VENTURE & PARKROSE 25,000
    BAG AND BAGGAGE PRODUCTIONS
    350 E MAIN STREET
    HILLSBORO,OR97123     		N/A PC OSI RENEWAL 35,000
    BALLET FOLKLORICO RITMO ALEGRE
    P O BOX 8225
    MEDFORD,OR97501     		N/A PC CAPACITY BUILDING AND LEADERSHIP TRANSITION 10,000
    BEAVERTON ARTS FOUNDATION
    PO BOX 2
    BEAVERTON,OR97075     		N/A PC STATEOFTHEART AUDIOVISUAL EQUIPMENT FOR THE PATRICIA RESER CENTER FOR THE ARTS 106,669
    BOOM ARTS INC
    3121 SW MOODY AVE 2ND FLOOR
    PORTLAND,OR97239     		N/A PC BOOM ARTS: ACTING OUT FESTIVAL 10,000
    BRITT MUSIC & ARTS FESTIVAL
    PO BOX 1124
    MEDFORD,OR97501     		N/A PC BRITT FESTIVAL PROPOSAL FOR OSI 50,000
    BROADWAY ROSE THEATRE
    PO BOX 231004
    TIGARD,OR97281     		N/A PC BROADWAY ROSE THEATRE COMPANY - OSI APPLICATION 50,000
    CALDERA
    224 NW 13TH AVE SUITE 304
    PORTLAND,OR97209     		N/A PC CALDERA YOUTH PROGRAM GENERAL OPERATING 20,000
    CANNON BEACH ARTS ASSOC
    PO BOX 684 CANNON
    BEACH,OR97110     		N/A PC 2018-19 ARTS EXHIBITS 5,000
    CAPACES LEADERSHIP INSTITUTE
    356 YOUNG STREET
    WOODBURN,OR97071     		N/A PC TURNO YOUTH PROGRAM 20,000
    CAPPELLA ROMANA
    620 SW MAIN ST STE 714
    PORTLAND,OR97205     		N/A PC OSI RENEWAL 30,000
    CASCADE SCHOOL OF MUSIC
    510 NE 3RD STREET
    BEND,OR97701     		N/A PC SONG CATCHERS KEEPING MUSIC ALIVE IN CENTRAL OREGON 25,000
    CASCADES THEATRICAL COMPANY
    148 NW GREENWOOD AVE
    BEND,OR97703     		N/A PC CAPACITY BUILDING GRANT FOR CTC 10,000
    CHAMBER MUSIC NORTHWEST
    2300 SW 1ST AVE SUITE 103
    PORTLAND,OR97201     		N/A PC OSI RENEWAL 75,000
    CHEHALEM CULTURAL CENTER
    415 E SHERIDAN
    NEWBERG,OR97132     		N/A PC PERFORMANCE PROGRAM EXPANSION 25,000
    CHILDREN'S INSTITUTE
    1411 SW MORRISON ST SUITE 205
    PORTLAND,OR97205     		N/A PC EARLY SCHOOL SUCCESS INITIATIVE 828,000
    CINEMA PROJECT
    PO BOX 5991
    PORTLAND,OR97228     		N/A PC SPECTRUM REVERSE SPECTRUM BY MARGARET HONDA 2,000
    CLACKAMAS REPERTORY THEATRE
    19600 MOLALLA AVENUE
    OREGON CITY,OR97045     		N/A PC SOUTH PACIFIC" THE RODGERS AND HAMMERSTEIN MUSICAL 5,000
    CLASSROOM LAW PROJECT
    620 SW MAIN STREET SUITE 102
    PORTLAND,OR97205     		N/A PC OREGON CIVICS REACH PROJECT 40,000
    COHO PRODUCTIONS
    2257 NW RALEIGH STREET
    PORTLAND,OR97210     		N/A PC OSI RENEWAL 20,000
    COHO PRODUCTIONS
    2257 NW RALEIGH STREET
    PORTLAND,OR97210     		N/A PC FEASIBILITY PLANNING GRANT FOR RALEIGH STREET BUILDING PURCHASE 30,000
    COLLEGE DREAMS
    PO BOX 1407
    GRANTS PASS,OR97528     		N/A PC CHALLENGE GRANT FOR A STRONG EXECUTIVE TRANSITION 25,000
    COLLEGE POSSIBLE
    532 SE GRAND AVENUE
    PORTLAND,OR97214     		N/A PC COLLEGE POSSIBLE PROGRAMMING AND INDIVIDUAL DONOR CHALLENGE 25,000
    COLLEGE POSSIBLE
    532 SE GRAND AVENUE
    PORTLAND,OR97214     		N/A PC COLLEGE POSSIBLE PROGRAMMING AND MAJOR GIFTS CHALLENGE 50,000
    COLUMBIA CENTER FOR THE ARTS
    PO BOX 1543
    HOOD RIVER,OR97031     		N/A PC COMMUNITY OUTREACH CONSULTING STAFF SUPPORT 10,000
    COLUMBIA GORGE ORCHESTRA ASSOCIATION
    PO BOX 1019
    HOOD RIVER,OR97031     		N/A PC SINFONIETTA CELEBRATING 40 YEARS OF MUSIC! 6,500
    CONSTRUCT FOUNDATION
    3532 SE OAK STREET
    PORTLAND,OR97215     		N/A PC SCHOOL RETOOL BETA COHORT AND 2-YEAR CAPACITY BUILD 14,300
    CORNUCOPIA ARTS COUNCIL
    PO BOX 872
    HALFWAY,OR97834     		N/A PC "SCENES FROM THE OREGON TRAIL, PART V: OREGON AT LAST" 3,500
    CRATERIAN PERFORMANCES
    23 S CENTRAL AVE
    MEDFORD,OR97501     		N/A PC OSI RENEWAL 40,000
    CROSSROADS CARNEGIE ART CENTER
    2020 AUBURN AVENUE
    BAKER CITY,OR97814     		N/A PC EDUCATIONAL COORDINATOR 15,000
    CROW'S SHADOW INSTITUTE OF THE ARTS
    48004 ST ANDREWS RD
    PENDLETON,OR97801     		N/A PC CROW'S SHADOW INCREASED CAPACITY 35,000
    DAVID DOUGLAS SCHOOL DISTRICT
    11300 NE HALSEY
    PORTLAND,OR97220     		N/A PC DAVID DOUGLAS SCHOOL DISTRICT MENTORING PROGRAM 50,000
    DE LA SALLE NORTH CATHOLIC HIGH SCHOOL
    7528 N FENWICK AVE
    PORTLAND,OR972170247     		N/A PC TRANSFORMING LIVES. BUILDING DREAMS. 75,000
    DESIGN WEEK PORTLAND
    2000 NE 42ND AVE 293
    PORTLAND,OR97213     		N/A PC DESIGN WEEK PORTLAND CAPACITY GRANT 50,000
    DISABILITY ART AND CULTURE PROJECT
    3534 SE MAIN ST
    PORTLAND,OR97214     		N/A PC INCLUSIVE ARTS VIBE DANCE COMPANY 7,500
    DISJECTA
    8371 N INTERSTATE AVENUE
    PORTLAND,OR972176716     		N/A PC INCREASED EXHIBITIONS 30,000
    EASTERN OREGON REGIONAL THEATRE INC
    2101 MAIN ST SUITE 113
    BAKER CITY,OR97814     		N/A PC 2019 MUSICAL "NUNCRACKERS" 3,629
    EUGENE-SPRINGFIELD YOUTH ORCHESTRAS
    PO BOX 5666
    EUGENE,OR97405     		N/A PC ESYO STRING ACADEMIES 15,000
    EUGENE BALLET COMPANY
    1590 WILLAMETTE STREET SUITE 100
    EUGENE,OR97401     		N/A PC OSI RENEWAL 65,000
    EUGENE OPERA
    1590 WILLAMETTE STREET
    EUGENE,OR97401     		N/A PC AS ONE 30,000
    EUGENE SYMPHONY
    115 WEST 8TH AVENUE SUITE 115
    EUGENE,OR97401     		N/A PC OSI RENEWAL 65,000
    EXPERIENCE THEATRE PROJECT
    6107 SW MURRAY BLVD 320
    BEAVERTON,OR97008     		N/A PC HAIR 5,000
    FISHTRAP INC
    PO BOX 38
    ENTERPRISE,OR97828     		N/A PC OSI RENEWAL 30,000
    FOUR RIVERS CULTURAL CENTER
    676 SW 5TH AVENUE
    ONTARIO,OR97914     		N/A PC RESTORE THE MEYER MCLEAN PERFORMING ARTS THEATER 33,200
    FRIENDS OF CHAMBER MUSIC
    211 SE CARUTHERS ST SUITE 202
    PORTLAND,OR97214     		N/A PC OSI RENEWAL 30,000
    GATEWAY TO COLLEGE NATIONAL NETWORKACHIE
    ACHIEVING THE DREAM 529 SE GRAND
    AVE SUITE 300
    PORTLAND,OR97214     		N/A PC PDX BRIDGE EXPANSION 40,000
    HIGH DESERT CHAMBER MUSIC
    PO BOX 1272
    BEND,OR97709     		N/A PC RODNEY MARSALIS: COLLABORATIVE CONCERT BETWEEN HIGH DESERT CHAMBER MUSIC AND THE TOWER THEATRE 4,000
    HIGH DESERT MUSEUM
    59800 S HIGHWAY 97
    BEND,OR97202     		N/A PC CHANGING EXHIBITS/TEACHER DEVELOPMENT 40,000
    HOLLYWOOD THEATRE
    4035 NE SANDY BLVD SUITE 212
    PORTLAND,OR97212     		N/A PC OSI OPPORTUNITY GRANT 40,000
    HOLLYWOOD THEATRE
    4035 NE SANDY BLVD SUITE 212
    PORTLAND,OR97212     		N/A PC OSI RENEWAL 60,000
    IMAGO THEATRE
    PO BOX 15182
    PORTLAND,OR97293     		N/A PC OSI RENEWAL 34,000
    IN4ALL (FKA BUS EDUC COMPACT)
    4535 SW 96TH AVE
    BEAVERTON,OR97005     		N/A PC BEC - DIVERSIFY FUNDING STREAMS 30,000
    INDEPENDENT PUBLISHING RESOURCE CENTER
    318 SE MAIN ST SUITE 155
    PORTLAND,OR97214     		N/A PC COMMUNITY LIAISON CAPACITY BUILDING PROJECT 14,000
    INFLEXION
    1700 MILLRACE DRIVE
    EUGENE,OR97403     		N/A PC GRANTS PAID 06-15-19 100,000
    JOSEPHY CENTER FOR ARTS AND CULTURE
    PO BOX 949
    JOSEPH,OR97846     		N/A PC DEVELOPMENT, CAPACITY & BEGINNING A CAPITAL CAMPAIGN 30,000
    KAIROSPDX
    PO BOX 12190
    PORTLAND,OR97212     		N/A PC KAIROSPDX EDUCATION TRANSFORMATION 75,000
    KLAMATH FILM
    PO BOX 1511
    KLAMATH FALLS,OR97601     		N/A PC 2019 KLAMATH INDEPENDENT FILM FESTIVAL 5,000
    LAKEWOOD CENTER FOR THE ARTS
    368 S STATE STREET
    LAKE OSWEGO,OR97034     		N/A PC 2019- 2020 LAKEWOOD THEATRE COMPANY SEASON SUPPORT 10,000
    LIBERTY RESTORATION INC
    1203 COMMERCIAL ST
    ASTORIA,OR97103     		N/A PC CAPACITY BUILDING STAFF EXPANSION 10,000
    LINCOLN CITY CULTURAL CENTER
    540 NE HIGHWAY 101
    LINCOLN CITY,OR97367     		N/A PC CAPACITY INCREASE FOR A FULL TIME MARKETING PERSON 7,000
    LITERARY ARTS INC
    925 SW WASHINGTON
    PORTLAND,OR97205     		N/A PC OSI RENEWAL 90,000
    LIVE WIRE RADIO INC
    3606 N MISSISSIPPI AVE
    PORTLAND,OR97227     		N/A PC LIVE WIRE - OSI APPLICATION 20,000
    MARIST CATHOLIC HIGH SCHOOL
    1900 KINGSLEY ROAD
    EUGENE,OR97401     		N/A PC GENESIS SUMMER READING ACADEMY 10,000
    MCMINNVILLE FILM FESTIVAL FOUNDATION
    801 SW BAKER ST
    MCMINNVILLE,OR97128     		N/A PC MCMINNVILLE SHORT FILM FESTIVAL 5,000
    METROPOLITAN YOUTH SYMPHONY
    4500 SW MACADAM AVE SUITE 105
    PORTLAND,OR97239     		N/A PC OSI RENEWAL 23,000
    MIRACLE THEATRE GROUP
    425 SE 6TH AVE
    PORTLAND,OR97214     		N/A PC OSI RENEWAL 50,000
    MONDAY MUSICAL CLUB OF TILLAMOOK
    PO BOX 983
    TILLAMOOK,OR97141     		N/A PC 2018-19 YOUTH & COMMUNITY MUSIC PERFORMANCE & EDUCATION PROGRAM 5,000
    MUSIC WORKSHOP
    4804 SW SCHOLLS FERRY RD
    PORTLAND,OR97225     		N/A PC 20192022 MUSIC WORKSHOP CAPACITY BUILDING REQUEST 35,000
    MY VOICE MUSIC
    PO BOX 28043
    PORTLAND,OR97228     		N/A PC MVM IN EAST PORTLAND: ENHANCING ORGANIZATIONAL CAPACITY 15,000
    NATIVE AMERICAN YOUTH AND FAMILY CENTER
    5135 NE COLUMBIA BLVD
    PORTLAND,OR97218     		N/A PC EARLY COLLEGE ACADEMY IMPLEMENTING CULTURALLY RELEVANT CURRICULUM AND SUPPORTS 50,000
    NATIVE ARTS & CULTURES FOUNDATION INC
    707 SW WASHINGTON ST 11TH FLOOR
    PORTLAND,OR97205     		N/A PC 2019 OREGON MENTOR ARTIST FELLOWSHIP 35,000
    NEW EXPRESSIVE WORKS
    810 SE BELMONT SUITE 2
    PORTLAND,OR97214     		N/A PC STRENGTHEN N.E.W. BY PARTIALLY FUNDING SALARIES FOR ED & SUPPORT STAFF 20,000
    NEWPORT SYMPHONY ORCHESTRA
    PO BOX 1617
    NEWPORT,OR97365     		N/A PC EXECUTIVE DIRECTOR POSITION AT NEWPORT SYMPHONY ORCHESTRA 5,700
    NEWPORT SYMPHONY ORCHESTRA
    PO BOX 1617
    NEWPORT,OR97365     		N/A PC EXECUTIVE DIRECTOR POSITION AT NEWPORT SYMPHONY ORCHESTRA 22,300
    NORTHWEST CHILDREN'S THEATER AND SCHOOL
    1819 NW EVERETT ST
    PORTLAND,OR97209     		N/A PC OSI RENEWAL 70,000
    NORTHWEST DANCE PROJECT
    PO BOX 42488
    PORTLAND,OR97242     		N/A PC OSI RENEWAL 50,000
    NORTHWEST FILM CENTER
    1219 SW PARK AVENUE
    PORTLAND,OR97205     		N/A PC OSI RENEWAL 50,000
    OPEN SCHOOL INC
    16570 SE OAK ST
    PORTLAND,OR97233     		N/A PC OPEN SCHOOL EAST 20182020 ROLLOUT 50,000
    OREGON ARTS WATCH
    3519 NE 15TH AVE 259
    PORTLAND,OR97212     		N/A PC STATEWIDE CULTURAL NEWS COVERAGE 9,500
    OREGON BALLET THEATRE
    0720 SW BANCROFT ST
    PORTLAND,OR97239     		N/A PC OBT LARGE ARTS INITIATIVE 19 20 021 150,000
    OREGON BRAVO YOUTH ORCHESTRAS
    PO BOX 17356
    PORTLAND,OR97217     		N/A PC BRAVO SITTON - COMMUNITY IMPACT THROUGH MUSIC 20,000
    OREGON CENTER FOR THE PHOTOGRAP
    122 NW 8TH AVE BLUE SKY GALLERY
    PORTLAND,OR97209     		N/A PC OSI RENEWAL 15,000
    OREGON CHILDREN'S THEATRE
    1939 NE SANDY BLVD
    PORTLAND,OR97232     		N/A PC OSI RENEWAL 90,000
    OREGON COAST AQUARIUM
    2820 SE FERRY SLIP ROAD
    NEWPORT,OR97365     		N/A PC GENERAL OPERATING SUPPORT/EDUCATION PROGRAMS 50,000
    OREGON COMMUNITY FOUNDATION
    1221 SW YAMHILL ST SUITE 100
    PORTLAND,OR97205     		N/A PC BUILD - EARLY CHILDHOOD NETWORK FUND #12580 30,000
    OREGON COMMUNITY FOUNDATION
    1221 SW YAMHILL ST SUITE 100
    PORTLAND,OR97205     		N/A PC ECHLC FUNDER COLLABORATIVE #297611 25,000
    OREGON COMMUNITY FOUNDATION
    1221 SW YAMHILL ST SUITE 100
    PORTLAND,OR97205     		N/A PC BLACK STUDENT SUCCESS NETWORK #352556 100,000
    OREGON COMMUNITY FOUNDATION
    1221 SW YAMHILL ST SUITE 100
    PORTLAND,OR97205     		N/A PC OREGON CHILD INTEGRATED DATABASE FUND #306374 100,000
    OREGON CONTEMPORARY THEATRE
    174 WEST BROADWAY
    EUGENE,OR97401     		N/A PC OSI RENEWAL 30,000
    OREGON EAST SYMPHONY
    PO BOX 1436
    PENDLETON,OR97801     		N/A PC PLAYING FOR KEEPS 15,000
    OREGON HUMANITIES
    921 SW WASHINGTON SUITE 150
    PORTLAND,OR97205     		N/A PC OSI RENEWAL 65,000
    OREGON JEWISH MUSEUM
    724 NW DAVIS STREET
    PORTLAND,OR97209     		N/A PC BERNSTEIN AT 100! 20,000
    OREGON MUSEUM OF SCIENCE AND INDUSTRY
    1945 SE WATER AVE
    PORTLAND,OR97214     		N/A PC ADVANCING SCIENCE LEARNING INTO THE 21ST CENTURY 75,000
    OREGON PUBLIC BROADCASTING
    7140 SW MACADAM AVE
    PORTLAND,OR97219     		N/A PC OPB OPERATING SUPPORT 2019 - 2022 & SPECIAL SUPPORT FOR TECHNOLOGY TRANSFORMATION 550,000
    OREGON REPERTORY SINGERS
    1730 SW SKYLINE BLVD SUITE 123
    PORTLAND,OR97221     		N/A PC VOLUNTEER AND PROGRAM COORDINATOR STAFF CAPACITY BUILDING 12,500
    OREGON STATE POETRY ASSOCIATION
    PO BOX 14582
    PORTLAND,OR97293     		N/A PC CASCADIA STUDENT POETRY CONTEST 1,700
    OREGON SYMPHONY
    921 SW WASHINGTON SUITE 200
    PORTLAND,OR97205     		N/A PC OSA LARGE ARTS INITIATIVE 19 20 21 500,000
    OREGON SYMPHONY
    921 SW WASHINGTON SUITE 200
    PORTLAND,OR97205     		N/A PC CAPACITY SUPPORT CAPITAL CAMPAIGN 200,000
    OREGON SYMPHONY ASSOCIATION IN SALEM
    PO BOX 324
    SALEM,OR97308     		N/A PC OSAS DEVELOPMENT DIRECTOR 15,000
    PACIFIC YOUTH CHOIR
    620 SW MAIN ST SUITE 203
    PORTLAND,OR97205     		N/A PC 201920 NEIGHBORHOOD CHOIR PROGRAM 8,000
    PASSINART - A THEATRE COMPANY
    825 NE 20TH ST SUITE D
    PORTLAND,OR97228     		N/A PC PASSINART CAPACITY BUILDING 15,000
    PENTACLE THEATRE
    145 LIBERTY SY NE
    SALEM,OR97301     		N/A PC PENTACLE 2019 SEASON: REACHING OUT TO THE LGBTQ COMMUNITY 5,000
    PERFORMANCE WORKS NW
    4625 SE 67TH
    PORTLAND,OR97206     		N/A PC NEW WORK BY PWNW ARTISTIC DIRECTOR LINDA AUSTIN 6,000
    PHAME
    1631 NE BROADWAY 134
    PORTLAND,OR97232     		N/A PC PHAME ROCK OPERA 20,000
    PLAYA FOUNDATION
    47531 HIGHWAY 31
    SUMMER LAKE,OR97640     		N/A PC PLAYA PRESENTS 5,000
    POLARIS DANCE THEATRE
    1826 NW 18TH AVE
    PORTLAND,OR97209     		N/A PC POLARIS DANCE THEATRE- CAPACITY BUILDING 15,000
    PORTLAND ACTORS CONSERVATORY
    1515 SW MORRISON STREET
    PORTLAND,OR97205     		N/A PC STRATEGIC PLAN & TRANSITION EXPENSES 25,000
    PORTLAND ART MUSEUM
    1219 SW PARK AVE
    PORTLAND,OR97205     		N/A PC PAM LARGE ARTS INITIATIVE 19 20 20 250,000
    PORTLAND BAROQUE ORCHESTRA
    1020 SW TAYLOR SUITE 200
    PORTLAND,OR97205     		N/A PC OSI RENEWAL 50,000
    PORTLAND CENTER STAGE
    128 NW ELEVENTH AVE
    PORTLAND,OR97209     		N/A PC PCS LARGE ARTS INITIATIVE 19 20 21 250,000
    PORTLAND CHILDREN'S MUSEUM
    4015 SW CANYON ROAD
    PORTLAND,OR97221     		N/A PC PORTLAND CHILDREN'S MUSEUM TECHNOLOGY INFRASTRUCTURE 21,345
    PORTLAND COLUMBIA SYMPHONY
    PO BOX 6559
    PORTLAND,OR97228     		N/A PC TRANSITION FUNDING FOR CAPACITY BUILDING 20,000
    PORTLAND COMMUNITY MEDIA
    2766 NE MARTIN LUTHER KING BLVD
    PORTLAND,OR97212     		N/A PC SUSTAINABILITY THROUGH INDIVIDUAL GIVING 20,000
    PORTLAND EXPERIMENTAL THEATRE ENSEMBLE
    4241 NE 70TH AVE
    PORTLAND,OR97218     		N/A PC OUR RUINED HOUSE 10,700
    PORTLAND FESTIVAL SYMPHONY
    PO BOX 585
    PORTLAND,OR97207     		N/A PC CAPACITY REQUEST TO PARTNER IN FUNDING PAID PART-TIME ADMINISTRATOR STAFF PERSON 15,000
    PORTLAND INSTITUTE FOR CONTEMPORARY ART
    15 NE HANCOCK
    PORTLAND,OR97212     		N/A PC OSI APPLICATION 75,000
    PORTLAND INSTITUTE FOR CONTEMPORARY ART
    15 NE HANCOCK
    PORTLAND,OR97212     		N/A PC BLACK ART ECOLOGY OF PORTLAND 10,000
    PORTLAND INSTITUTE FOR CONTEMPORARY ART
    15 NE HANCOCK
    PORTLAND,OR97212     		N/A PC OSI RENEWAL 75,000
    PORTLAND JAZZ COMPOSERS ENSEMBLE
    6723 SE 16TH AVE 82752
    PORTLAND,OR97202     		N/A PC WATER SPIRIT: A TRIBUTE TO JIM PEPPER 3,000
    PORTLAND OPERA ASSOCIATION
    211 SE CARUTHERS ST
    PORTLAND,OR97214     		N/A PC POA LARGE ARTS INITIATIVE 19 20 21 250,000
    PORTLAND OPERA ASSOCIATION
    211 SE CARUTHERS ST
    PORTLAND,OR97214     		N/A PC EXECUTIVE LEADERSHIP TRANSITION SUPPORT 75,000
    PORTLAND OPPORTUNITIES INDUSTRIALIZATION
    INDUSTRIALIZATION CENTER 717 N
    KILLINGSWORTH COURT
    PORTLAND,OR97217     		N/A PC INCREASING ORGANIZATIONAL CAPACITY: STAFFING INFRASTRUCTURE 35,000
    PORTLAND PIANO INTERNATIONAL
    PO BOX 6469
    PORTLAND,OR97228     		N/A PC PORTLAND PIANO INTERNATIONAL - OSI APPLICATION 23,000
    PORTLAND PIANO INTERNATIONAL
    PO BOX 6469
    PORTLAND,OR97228     		N/A PC OSI RENEWAL 23,000
    PORTLAND PLAYHOUSE
    602 NE PRESCOTT ST
    PORTLAND,OR97211     		N/A PC OSI RENEWAL 50,000
    PORTLAND SUMMERFEST
    PO BOX 4084
    PORTLAND,OR97208     		N/A PC PORTLAND SUMMERFEST MATCHING FUNDS PROJECT 5,000
    PORTLAND SYMPHONIC CHOIR
    PO BOX 1517
    PORTLAND,OR97207     		N/A PC ARTISTIC LEADERSHIP OPERATIONAL CHANGE TO ARTISTIC LEADERSHIP CONSORTIUM 15,000
    PORTLAND TAIKO
    3728 SE 34TH AVENUE
    PORTLAND,OR97202     		N/A PC PORTLAND TAIKO'S 25TH ANNIVERSARY SEASON 5,000
    PORTLAND TAIKO
    3728 SE 34TH AVENUE
    PORTLAND,OR97202     		N/A PC NONO BOY COLLABORATION 7,500
    PORTLAND YOUTH PHILHARMONIC
    9320 SW BARBUR BLVD SUITE 140
    PORTLAND,OR97219     		N/A PC OSI RENEWAL 30,000
    PROFILE THEATRE
    PO BOX 14845
    PORTLAND,OR97293     		N/A PC PROFILE THEATRE - OSI APPLICATION 25,000
    PROFILE THEATRE
    PO BOX 14845
    PORTLAND,OR97293     		N/A PC OSI SPECIAL OPPORTUNITY GRANT 30,000
    READING RESULTS
    3115 NE SANDY BLVD SUITE 229
    PORTLAND,OR97232     		N/A PC WORKING TO MEET THE NEED IN OUR COMMUNITY 50,000
    REAP
    PO BOX 86341
    PORTLAND,OR97286     		N/A PC DEVELOPING CULTURALLY DIVERSE LEADERS 120,000
    RESONANCE ENSEMBLE
    5331 SW MACADAM AVE STE 258 PMB 530
    PORTLAND,OR97239     		N/A PC RESONANCE ENSEMBLE AFRICAN AMERICAN REQUIEM 20,000
    RIVERBEND LIVE
    PO BOX 2438
    WINSTON,OR97496     		N/A PC RIVERBEND LIVE 7,000
    ROCK N ROLL CAMP FOR GIRLS
    PO BOX 11324
    PORTLAND,OR97211     		N/A PC BOOKKEEPER/ACCOUNTANT 15,000
    ROGUE VALLEY SYMPHONY
    1875 HWY 99 SUITE 7
    ASHLAND,OR97520     		N/A PC OSI RENEWAL 40,000
    ROSS RAGLAND THEATER
    200 N 7TH STREET
    KLAMATH FALLS,OR97601     		N/A PC OSI RENEWAL 40,000
    SALEM KEIZER COALITION FOR EQUALITY
    3850 PORTLAND RD NE SUITE 100/110
    SALEM,OR97301     		N/A PC PARTNERS WITH SALEM KEIZER SCHOOLS TO INCREASE SUCCESS OF LATINO STUDENTS, K12 40,000
    SALEM ART ASSOCIATION
    600 MISSION ST SE
    SALEM,OR97302     		N/A PC SALEM ART ASSOCIATION OSI APPLICATION 35,000
    SHADOW PROJECT
    2154 NE BROADWAY 130
    PORTLAND,OR97323     		N/A PC ADVANCING EQUITY FOR CHILDREN WITH LEARNING CHALLENGES 25,000
    SHAKING THE TREE THEATRE
    823 SE GRANT ST
    PORTLAND,OR97214     		N/A PC STT CAPACITY BUILDING GRANT 44,000
    SITKA CENTER FOR ART AND ECOLOGY
    56605 SITKA DRIVE
    OTIS,OR97368     		N/A PC SITKA CENTER DEVELOPMENT DIRECTOR CAPACITY 46,000
    SOUTHERN OREGON FILM SOCIETY
    PO BOX 218
    ASHLAND,OR97520     		N/A PC DEVELOPMENT SUPPORT 6,705
    SOUTHERN OREGON FILM SOCIETY
    PO BOX 218
    ASHLAND,OR97520     		N/A PC DEVELOPMENT SUPPORT 9,000
    SOUTHERN OREGON REPERTORY SINGERS
    PO BOX 218
    ASHLAND,OR97520     		N/A PC COMMISSION AND PERFORMANCE OF CHORAL WORK BY WILL TODD 10,000
    STAND FOR CHILDREN LEADERSHIP CENTER
    2121 SW BROADWAY SUITE 111
    PORTLAND,OR97201     		N/A PC OREGON CENTER FOR HIGH SCHOOL SUCCESS 100,000
    TANANAWIT
    1136 PAIUTE AVE PO BOX 1419
    WARM SPRINGS,OR97761     		N/A PC WARM SPRINGS OUTDOOR MARKET PROJECT 8,840
    THE ASPIRE PROJECT
    PO BOX 83732
    PORTLAND,OR972830732     		N/A PC ASPIRE 10 YEAR PERFORMANCE 5,000
    THE JOHN G SHEDD INSTITUTE FOR THE ARTS
    PO BOX 1497
    EUGENE,OR97440     		N/A PC OSI RENEWAL 65,000
    THE PORTLAND BALLET
    6250 SW CAPITOL HWY
    PORTLAND,OR97239     		N/A PC OSI RENEWAL 30,000
    THE RED DOOR PROJECT
    6344 N CURTIS AVENUE
    PORTLAND,OR97217     		N/A PC EVOLVE: THEATRE AND CURRICULUM TO IMPROVE COMMUNITY AND LAW ENFORCEMENT RELATIONS 50,000
    THIRD RAIL REPERTORY THEATRE
    PO BOX 96063
    PORTLAND,OR97296     		N/A PC OSI RENEWAL 34,000
    TRIANGLE PRODUCTIONS
    1785 NE SANDY BLVD MB 2
    PORTLAND,OR97232     		N/A PC TRIANGLE PRODUCTIONS! PARTNERSHIP GRANT 15,000
    TRIANGLE PRODUCTIONS
    1785 NE SANDY BLVD MB 2
    PORTLAND,OR97232     		N/A PC DARCELLE MUSICAL 15,000
    TUALATIN VALLEY CREATES
    PO BOX 2017
    BEAVERTON,OR97075     		N/A PC PROGRAM DEVELOPMENT AND MATCHING FUNDS 2,500
    UMPQUA ACTORS COMMUNITY THEATRE
    PO BOX 839
    ROSEBURG,OR97471     		N/A PC FIR GROVE CULTURAL AND COMMUNITY SIGN PROJECT 3,000
    UMPQUA VALLEY ARTS ASSOCIATION
    1624 W HARVARD AVE
    ROSEBURG,OR97471     		N/A PC UVA COMMUNITY OUTREACH PROJECT 25,000
    WHITE BIRD
    5620 SW EDGEMONT PLACE
    PORTLAND,OR97239     		N/A PC OSI RENEWAL 79,000
    WHITESIDE THEATRE FOUNDATION
    PO BOX 1105
    CORVALLIS,OR97339     		N/A PC MOVING PERSONNEL MANAGER TO EXECUTIVE DIRECTOR 10,000
    WILSONVILLE ARTS & CULTURE COUNCIL
    PO BOX 71492
    SPRINGFIELD,OR97475     		N/A PC WFA 2019 - WILSONVILLE FESTIVAL OF ARTS 3,000
    WISDOM OF THE ELDERS INC
    3917 NE SHAVER ST
    PORTLAND,OR97212     		N/A PC DISCOVERING YIDONG XINAG EDUCATIONAL TOOLKIT 30,000
    WRITE AROUND PORTLAND
    133 SW 2ND AVE 304
    PORTLAND,OR97204     		N/A PC CELEBRATING 20 YEARS OF IMPACT WITH CHALLENGE MATCH 10,000
    YOUNG AUDIENCES OF OREGON AND SW WASH
    1200 SW MORRISON ST STE 1000
    PORTLAND,OR97205     		N/A PC CENTRAL OREGON PILOT PROJECT - PHASE 2 30,000
    YOUTH SYMPHONY OF SOUTHERN OREGON
    PO BOX 4291
    MEDFORD,OR97501     		N/A PC OSI RENEWAL 10,000
    YU CONTEMPORARY
    800 SE 10TH AVENUE
    PORTLAND,OR97214     		N/A PC YUTAKA MATSUZAWA EXHIBITION 15,000
    ASTORIA VISUAL ARTS
    PO BOX 1004
    ASTORIA,OR97103     		N/A PC CAPACITY BUILDING ORGANIZATIONAL DEVELOPMENT 9,500
    FINANCIAL BEGINNINGS OREGON
    1326 SW 12TH AVE SUITE 300
    PORTLAND,OR97201     		N/A PC BUILDING CAPACITY FOR PROGRAM EXPANSION 37,500
    PDX JAZZ
    5212 NE SACRAMENTO ST
    PORTLAND,OR97213     		N/A PC 2019 PDX JAZZ FESTIVAL 20,000
    Total .................................bullet 3a 8,267,348
    bApproved for future payment
    Total .................................bullet 3b 0
    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.)
    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 ...........     		    14 121,051  
    4 Dividends and interest from securities....     14 4,302,764  
    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.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 9,014,589  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aMISCELLANEOUS     		    18 2,467  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 13,440,871 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    13,440,871
    (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 (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? ...........
    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 (2019)
    Additional Data


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    Special Condition Description