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
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 10-01-2020 , and ending 09-30-2021
Name of foundation
CARL AND CAMILLA RIETMAN CHARITABLE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)3690 BROADWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NORTH BEND, OR97459
A Employer identification number

93-1221623
B Telephone number (see instructions)

(541) 269-9338
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$7,946,539
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 170,325 170,325  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 445,462
b Gross sales price for all assets on line 6a 2,032,132
7 Capital gain net income (from Part IV, line 2)... 445,462
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).......      
12 Total. Add lines 1 through 11........ 615,787 615,787  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 22,350 0   22,350
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 42,022 38,422   3,600
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 10,761 0   10,761
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 6,879 0   6,879
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 82,012 38,422   43,590
25 Contributions, gifts, grants paid....... 365,075 365,075
26 Total expenses and disbursements. Add lines 24 and 25 447,087 38,422   408,665
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 168,700
b Net investment income (if negative, enter -0-) 577,365
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
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    
2 Savings and temporary cash investments......... 131,631 15,075 15,075
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..........      
10a Investments—U.S. and state government obligations (attach schedule) 856,277 Click to see attachment716,683 761,533
b Investments—corporate stock (attach schedule)....... 3,866,993 Click to see attachment4,341,222 6,273,043
c Investments—corporate bonds (attach schedule)....... 896,030 Click to see attachment842,235 894,694
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment0 Click to see attachment2,194 Click to see attachment2,194
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,750,933 5,917,409 7,946,539
Liabilities 17 Accounts payable and accrued expenses.......... 2,224  
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 2,224 0
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 5,748,709 5,917,409
29 Total net assets or fund balances (see instructions)..... 5,748,709 5,917,409
30 Total liabilities and net assets/fund balances (see instructions). 5,750,933 5,917,409
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
5,748,709
2
Enter amount from Part I, line 27a .....................
2
168,700
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,917,409
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,917,409
Form 990-PF (2020)
Form 990-PF (2020)
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 ALIBABA GROUP HLDG LTD F SPONSORED ADR 1 ADR REPS 8 ORD SHS P 2019-02-28 2021-02-04
b AMAZON.COM INC P 2020-08-03 2021-01-15
c AMAZON.COM INC P 2018-10-01 2021-03-11
d AMETEK INC P 2020-01-14 2021-02-22
e AMGEN INC. P 2014-03-13 2021-04-28
ANALOG DEVICES INC P 2019-09-13 2021-04-30
AON PLC F CLASS A P 2020-04-16 2021-09-08
APPLE INC P 2014-01-15 2021-01-14
AVERY DENNISON CORP P 2020-02-26 2021-04-30
BAE SYSTEMS PLC F SPONSORED ADR 1 ADR REPS 4 ORD SHS P 2016-02-24 2020-11-19
BHP GROUP LTD F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2017-02-21 2021-09-08
BHP GROUP LTD F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2020-09-08 2021-09-15
BROADCOM INC P 2019-08-12 2020-12-01
C A C I INC CLASS A P 2017-10-13 2021-02-09
CANADIAN NATURAL RES F P 2021-03-31 2021-09-08
CANADIAN PAC RAILWAY F P 2020-11-18 2021-04-28
CANADIAN PAC RAILWAY F P 2020-11-18 2021-09-08
CARRIER GLOBAL CORP P 2020-04-23 2021-09-08
CHECK PT SOFTWARE F P 2020-09-08 2021-04-20
CHUBB LTD F P 2016-06-14 2021-03-19
CREDIT SUISSE GROUP AG F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-05-09 2021-04-15
CREDIT SUISSE GROUP AG F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-04-28 2021-05-18
DANONE F SPONSORED ADR 1 ADR REPS 0.2 ORD SHS P 2020-09-08 2020-11-23
DASSAULT SYSTEM S A F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-04-21 2021-09-08
DBS GROUP HOLDINGS LIM F SPONSORED ADR 1 ADR REPS 4 ORD SHS P 2014-11-05 2021-09-08
DELL TECHNOLOGIES P 2020-07-01 2021-06-23
DEUTSCHE POST AG F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-04-28 2021-09-08
ELECTRONIC ARTS INC P 2019-01-10 2020-11-11
ERSTE GROUP BANK A G F SPONSORED ADR 1 ADR REPS 0.5 ORD SHS P 2021-05-18 2021-09-08
FACEBOOK INC CLASS A P 2019-03-05 2020-11-11
FACEBOOK INC CLASS A P 2019-03-15 2020-12-09
FERGUSON PLC NEW F P 2020-07-23 2021-08-30
FERGUSON PLC NEW F P 2020-07-23 2021-09-08
HARDING LOEVNER INSTL EM ERG MKTS I P 2019-06-10 2021-09-08
HOME DEPOT INC P 2020-03-04 2021-09-08
HONEYWELL INTL INC P 2016-12-07 2021-02-22
HOYA CORP F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2018-10-01 2020-11-30
HOYA CORP F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2018-10-01 2021-09-08
HUMANA INC P 2020-01-13 2020-11-19
ING GROEP ADR REP 1 OR F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-11-30 2021-09-08
INTERCONTL HTLS F UNSPONSORED ADR 1 ADR REPS 1 ORD SHS P 2014-02-04 2021-09-08
ISHARES MSCI EAFE SMALL CAP ETF P 2017-05-02 2021-09-08
ISHARES MSCI EAFE SMALL CAP ETF P 2018-02-12 2021-09-08
JBS S A F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2020-11-23 2021-09-08
JOHNSON & JOHNSON P 2018-07-17 2021-07-21
JPMORGAN CHASE & CO P 2018-02-09 2021-03-30
KELLOGG CO 3.125%22 **CALLED** RATE TBD EFF: 12/17/2020 P 2012-07-10 2020-12-17
KINDER MORGAN INC P 2020-01-30 2021-02-25
KINGFISHER PLC F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2020-07-29 2021-08-30
KINGFISHER PLC F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2020-07-29 2021-09-08
KONINKLIJKE PHILIPS N F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-10-23 2021-08-27
L3HARRIS TECHNOLOGIES IN P 2020-04-03 2020-12-03
LEGRAND SA F UNSPONSORED ADR 1 ADR REPS 0.2 ORD SHS P 2020-09-08 2021-04-28
LEGRAND SA F UNSPONSORED ADR 1 ADR REPS 0.2 ORD SHS P 2020-06-01 2021-09-08
MACQUARIE GROUP LIMITE F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-04-15 2021-09-08
MATTHEWS PACIFIC TIGER I NSTL P 2018-08-16 2021-08-30
MATTHEWS PACIFIC TIGER I NSTL P 2018-08-16 2021-09-08
MCDONALDS CORP P 2020-04-23 2020-12-09
MCDONALDS CORP P 2019-04-21 2020-12-18
MERCK & CO. INC. P 2015-08-26 2021-02-09
MONDELEZ INTL CLASS A P 2018-08-30 2020-12-09
MONDELEZ INTL CLASS A P 2018-08-30 2021-09-08
MORGAN STANLEY P 2020-06-05 2021-03-30
NEXTERA ENERGY INC P 2019-02-20 2020-12-21
NICE LTD F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2019-08-21 2021-02-25
NICE LTD F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-09-08 2020-03-31
NOVO-NORDISK A S F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2018-08-16 2020-11-30
NOVO-NORDISK A S F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-09-09 2021-09-08
NUANCE COMMUN INC P 2020-02-01 2020-12-09
NUANCE COMMUN INC P 2020-02-01 2021-01-15
NUANCE COMMUN INC P 2020-02-10 2021-04-14
NUANCE COMMUN INC P 2020-02-10 2021-04-30
NUTRIEN LTD F P 2021-02-25 2021-09-08
NXP SEMICONDUCTORS F P 2018-08-03 2021-02-25
NXP SEMICONDUCTORS F P 2018-09-13 2021-04-20
NXP SEMICONDUCTORS F P 2018-09-13 2021-09-08
ORIX CORP F SPONSORED ADR 1 ADR REPS 5 ORD SHS P 2021-03-22 2021-09-08
PETROLEO BRASILEIRO F SPONSORED ADR 1 ADR REPS 2 ORD SHS P 2020-12-18 2021-03-05
PHILIP MORRIS INTL P 2020-01-06 2021-10-26
PROCTER & GAMBLE P 2019-01-10 2021-01-15
QUALCOMM INC P 2020-09-03 2021-03-25
QUALCOMM INC P 2020-09-03 2021-06-23
RAYTHEON TECHNOLOGIES CO P 2014-10-23 2020-10-29
RECRUIT CO., LTD. F UNSPONSORED ADR 1 ADR REPS 0.2 ORD SHS P 2020-10-09 2021-09-08
ROCHE HLDG AG F SPONSORED ADR 1 ADR RE 0.125 ORD SHS P 2015-03-26 2020-10-23
ROCHE HLDG AG F SPONSORED ADR 1 ADR RE 0.125 ORD SHS P 2015-03-26 2021-09-08
ROCKWELL AUTOMATION P 2020-12-03 2021-06-15
RWE AG ORD F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2019-12-17 2021-09-08
S&P GLOBAL INC P 2020-03-26 2021-02-08
SAFRAN F SPONSORED ADR 1 ADR REP 0.25 ORD SHS P 2017-12-18 2020-10-09
SAP SE F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-09-08 2020-11-18
SHIN ETSU CHEMICAL CO F SPONSORED ADR 1 ADR REP 0.25 ORD SHS P 2020-03-05 2021-09-08
SONIC HEALTHCARE LTD F SPONSORED ADR 1 ADR REPS ORD SHS P 2021-08-30 2021-09-08
SONY CORP F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-09-08 2020-10-09
SONY GROUP CORP F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2017-05-02 2021-09-08
SSE PLC F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-02-05 2021-09-08
SUMITOMO MITSUI FINL F SPONSORED ADR 1 ADR REPS 0.2 ORD SHS P 2019-01-15 2020-12-21
T F I INTERNTNL INC 0 F P 2020-10-09 2021-09-08
TENCENT HOLDINGS F UNSPONSORED ADR 1 ADR REPS 1 ORD SHS P 2019-01-15 2021-01-25
TENCENT HOLDINGS F UNSPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-03-31 2021-08-02
THERMO FISHER SCNTFC P 2016-05-12 2021-02-25
THERMO FISHER SCNTFC P 2020-03-04 2021-05-28
TORONTO-DOMINION BK F P 2018-08-24 2021-09-08
TOTALENERGIES SE F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2015-08-05 2021-09-08
UNILEVER PLC F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2019-03-22 2020-12-18
UNILEVER PLC F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2020-09-08 2021-03-31
US TREASU NT 2.375%08/24 UST NOTE DUE 08/15/24 P 2018-02-02 2021-03-02
US TREASU NT 2.375%08/24 UST NOTE DUE 08/15/24 P 2018-05-14 2021-03-02
VERIZON COMMUNICATN P 2019-08-07 2021-02-17
VISA INC CLASS A P 2018-02-26 2021-09-13
VIVENDI SA F SPONSORED ADR 1 ADR REPS 1 ORD SHS P 2021-08-03 2021-09-08
WALT DISNEY CO P 2019-04-12 2021-04-20
WELLS FARGO & CO 4.6%21 DUE 04/01/21 P 2015-02-10 2021-04-01
(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 13,331   10,960 2,371
b 24,913   25,282 -369
c 37,077   28,653 8,424
d 19,211   16,278 2,933
e 41,415   20,844 20,571
25,338   19,251 6,087
2,878   1,840 1,038
35,005   5,381 29,624
27,777   15,684 12,093
8,946   9,183 -237
3,047   2,038 1,009
14,399   10,908 3,491
32,343   22,184 10,159
24,253   14,344 9,909
3,710   3,384 326
3,744   3,380 364
1,442   1,352 90
34,544   9,581 24,963
6,553   4,371 2,182
7,998   6,223 1,775
12,714   12,075 639
11,349   9,495 1,854
10,548   12,180 -1,632
2,303   1,849 454
2,681   1,774 907
37,730   20,802 16,928
3,451   2,955 496
15,563   11,748 3,815
2,467   2,519 -52
13,786   8,497 5,289
18,128   11,046 7,082
4,966   3,077 1,889
728   440 288
31,943   21,657 10,286
47,679   33,958 13,721
22,403   12,165 10,238
7,960   3,570 4,390
5,904   2,082 3,822
32,887   28,485 4,402
4,122   2,935 1,187
1,880   1,367 513
8,595   6,276 2,319
3,616   3,006 610
2,947   2,104 843
40,633   32,364 8,269
10,813   7,542 3,271
51,954   50,373 1,581
18,767   24,610 -5,843
4,966   3,315 1,651
859   585 274
6,729   7,500 -771
45,239   45,195 44
13,059   9,771 3,288
2,746   1,629 1,117
2,631   2,427 204
10,000   8,209 1,791
13,202   10,580 2,622
16,708   16,029 679
22,475   20,719 1,756
50,739   41,207 9,532
18,479   13,582 4,897
22,720   15,917 6,803
22,141   19,068 3,073
34,011   21,342 12,669
6,920   4,639 2,281
6,588   5,857 731
12,094   8,610 3,484
2,519   1,455 1,064
14,907   7,851 7,056
17,564   8,076 9,488
23,458   9,982 13,476
16,719   7,066 9,653
2,422   2,245 177
7,246   3,811 3,435
7,750   3,670 4,080
3,122   1,376 1,746
2,916   2,710 206
10,246   14,277 -4,031
29,236   34,071 -4,835
18,925   18,169 756
18,815   21,898 -3,083
28,492   23,682 4,810
37,372   35,645 1,727
2,220   1,454 766
7,777   7,502 275
4,849   3,428 1,421
45,346   39,681 5,665
3,106   2,369 737
38,869   28,852 10,017
14,560   15,348 -788
10,658   10,849 -191
3,591   2,227 1,364
1,227   1,253 -26
8,173   8,423 -250
8,618   2,770 5,848
2,471   2,239 232
12,201   13,439 -1,238
2,741   1,202 1,539
7,661   3,367 4,294
15,376   16,532 -1,156
11,272   3,727 7,545
44,800   22,099 22,701
3,252   3,021 231
2,630   2,958 -328
8,828   8,937 -109
12,899   13,441 -542
106,958   98,582 8,376
111,332   97,643 13,689
29,892   29,296 596
50,656   38,730 11,926
3,090   2,742 348
56,623   40,322 16,301
50,000   50,000 0
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       2,371
b       -369
c       8,424
d       2,933
e       20,571
      6,087
      1,038
      29,624
      12,093
      -237
      1,009
      3,491
      10,159
      9,909
      326
      364
      90
      24,963
      2,182
      1,775
      639
      1,854
      -1,632
      454
      907
      16,928
      496
      3,815
      -52
      5,289
      7,082
      1,889
      288
      10,286
      13,721
      10,238
      4,390
      3,822
      4,402
      1,187
      513
      2,319
      610
      843
      8,269
      3,271
      1,581
      -5,843
      1,651
      274
      -771
      44
      3,288
      1,117
      204
      1,791
      2,622
      679
      1,756
      9,532
      4,897
      6,803
      3,073
      12,669
      2,281
      731
      3,484
      1,064
      7,056
      9,488
      13,476
      9,653
      177
      3,435
      4,080
      1,746
      206
      -4,031
      -4,835
      756
      -3,083
      4,810
      1,727
      766
      275
      1,421
      5,665
      737
      10,017
      -788
      -191
      1,364
      -26
      -250
      5,848
      232
      -1,238
      1,539
      4,294
      -1,156
      7,545
      22,701
      231
      -328
      -109
      -542
      8,376
      13,689
      596
      11,926
      348
      16,301
      0
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 2 445,462
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
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 8,025
c All other domestic foundations enter 1.39% 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 8,025
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 8,025
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 10,219
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 10,219
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,194
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet2,194 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 the instructions
for the 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
     
    No
    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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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.rietmanscholarship.org
    14
    The books are in care ofbulletJOHN S BURLES Telephone no.bullet (541) 297-3522

    Located atbullet1784 KOOS BAY BLVDCOOS BAYOR ZIP+4bullet97420
    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 2020, 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
     
     
    ........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 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    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 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    AL WALSH TRUSTEE
    2.00
    10,400 0 0
    280 N COLLIER
    COQUILLE,OR97423
    JOHN BURLES TRUSTEE
    3.00
    11,950 0 0
    1784 KOOSBAY BLVD
    COOS BAY,OR97420
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 61 SCHOLARSHIPS OF $3750 EACH AWARDED TO STUDENTS AND FORMER STUDENTS OF COQUILLE HIGH SCHOOL,COQUILLE, OR, FOR THE SCHOOL YEAR BEGINNING 9/2021. REFUNDS BY SCHOOLS FOR UNUSED SCHOLARSHIP FUNDS ARE INCLUDED IN TOTAL. 228,284
    2 CHARITABLE CONTRIBUTION PER THE TRUST INSTRUMENT TO ST JAMES EPISCOPAL CHURCH IN COQUILLE, OR 91,134
    3 CHARITABLE CONTRIBUTION PER THE TRUST INSTRUMENT TO COQUILLE VALLEY HOSPITAL, COQUILLE, OR 45,657
    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 (2020)
    Form 990-PF (2020)
    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
    7,680,489
    b
    Average of monthly cash balances.......................
    1b
    140,515
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    7,821,004
    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
    7,821,004
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    117,315
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    7,703,689
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    385,184
    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
    385,184
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    8,025
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,025
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    377,159
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    377,159
    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
    377,159
    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
    408,665
    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
    408,665
    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
    408,665
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 377,159
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017...... 4,038
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........ 4,038
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 408,665
    a Applied to 2019, 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 2020 distributable amount..... 377,159
    e Remaining amount distributed out of corpus 31,506
    5 Excess distributions carryover applied to 2020. 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 35,544
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    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 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    35,544
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017.... 4,038
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020.... 31,506
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, 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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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:
    ALFRED C WALSH JR
    280 N COLLIER
    COQUILLE,OR97423
    (541) 396-2169
    info@rietmanshcholarship.org
    bThe form in which applications should be submitted and information and materials they should include:
    SCHOLARSHIP APPLICATION FORM COMPLETELY FILLED OUT WITH REFERENCES ATTACHED.
    cAny submission deadlines:
    APRIL 15TH OF THE YEAR TO BE AWARDED.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SCHOLARSHIP RECIPIENTS MUST BE GRADUATES OF COQUILLE HIGH SCHOOL, COQUILLE, OREGON. 62.5% OF ANNUAL DISTRIBUTIONS GO TO SCHOLARSHIPS. ALL SCHOLARSHIP FUNDS ARE PAID FBO AWARDED STUDENT DIRECTLY TO THE INSTITUTION TO BE ATTENDED. INSTITUTIONS DIRECTLY REFUND ANY UNUSED SCHOLARSHIP FUNDS DUE TO NON ATTENDANCE. 25% OF ANNUAL DISTRIBUTIONS GO TO ST JAMES EPISCOPAL CHURCH IN COQUILLE. 12.5% OF ANNUAL DISTRIBUTIONS GO TO COQUILLE VALLEY HOSPITAL IN COQUILLE.
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    Brigham Young University Idaho
    525 S Center St
    Rexburg,ID83460
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Cedarville University
    251 N Main Street
    Cedarville,OH45314
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Clackamas Community College
    19600 Molalla Ave
    Oregon City,OR97045
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Chemeketa Community College
    4000 Lancaster Dr NE
    Salem,OR97305
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Coquille Valley Hospital
    940 E 5th
    Coquille,OR97423
      N/A Charitable Donation 45,657
    George Fox University
    414 N Meridian St
    Newberg,OR97132
      N/A College Scholarship paid fbo student directly to Institution 850
    Oregon Coast Culinary Institute
    1988 Newmark Ave
    Coos Bay,OR97420
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Lane Community College
    4000 E 30th Ave
    Eugene,OR97405
      N/A College Scholarship paid fbo student directly to Institution 18,750
    Linn Benton Community College
    6500 Pacific Blvd SW
    Albany,OR97321
      N/A College Scholarship paid fbo student directly to Institution 2,784
    New St Andrews University
    400 S Main St
    Moscow,ID83843
      N/A College Scholarship paid fbo student directly to Institution 7,500
    Northwest Lineman School
    7600 S Meridian Rd
    Meridian,ID83642
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Oregon Institute of Technology
    3201 Campus Dr
    Klamath Falls,OR97601
      N/A College Scholarship paid fbo student directly to Institution 18,750
    Oregon State University
    PO Box 1086
    Corvallis,OR97339
      N/A College Scholarship paid fbo student directly to Institution 37,500
    Phagans Cosmetology College Refund
    1565 SW 53rd St
    Corvallis,OR97333
      N/A College Scholarship paid fbo student directly to Institution -2,900
    Portland Community College Refund
    PO Box 19000
    Portland,OR97280
      N/A College Scholarship paid fbo student directly to Institution -2,900
    Portland State University
    PO Box 751
    Portland,OR97207
      N/A College Scholarship paid fbo student directly to Institution 15,000
    Southern Oregon University
    1250 Siskiyou Blvd
    Ashland,OR97520
      N/A College Scholarship paid fbo student directly to Institution 10,283
    Southwest Oregon Community College
    1988 Newmark Ave
    Coos Bay,OR97420
      N/A College Scholarship paid fbo student directly to Institution 48,750
    St James Episcopal Church
    210 E 3rd
    Coquille,OR97423
      N/A Charitable DonationCharitable Donation 91,134
    Texas A&M University
    PO Box 30016
    College Station,TX77842
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Umpqua Community College
    1140 Umpqua College Rd
    Roseburg,OR97470
      N/A College Scholarship paid fbo student directly to Institution 3,750
    University of Oregon
    1278 Univ of Oregon St
    Eugene,OR97403
      N/A College Scholarship paid fbo student directly to Institution 5,567
    Western Oregon Governors University
    PO Box 30015
    Salt Lake City,UT84130
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Western Oregon University
    345 N Monmouth Ave
    Monmouth,OR97361
      N/A College Scholarship paid fbo student directly to Institution 11,250
    Whitworth University Refund
    300 W Hawthorne Rd
    Spokane,WA99251
      N/A College Scholarship paid fbo student directly to Institution -2,900
    OHSU
    3181 SW Jackson Park Road
    Portland,OR97239
      N/A College Scholarship paid fbo student directly to Institution 11,250
    PIMA Medical Institute
    3333 E Flamingo Rd
    Las Vegas,NV89121
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Think Big NW CAT Service Tech School
    545 One Five Oaks Dr
    Hillsboro,OR97124
      N/A College Scholarship paid fbo student directly to Institution 3,750
    University of Texas at Dallas
    800 W Campbell Road
    Richardson,TX75080
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Western New England University
    1215 Wilbraham Road
    Springfield,MA01119
      N/A College Scholarship paid fbo student directly to Institution 3,750
    Total .................................bullet 3a 365,075
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 170,325  
    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 ............
        14 445,462  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 615,787 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    615,787
    (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 (2020)
    Form 990-PF (2020)
    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 instructions.
    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 (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    Name of Bond End of Year Book Value End of Year Fair Market Value
      842,235 894,694

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    Name of Stock End of Year Book Value End of Year Fair Market Value
      4,341,222 6,273,043

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    US Government Securities - End of Year Book Value:

    716,683
    US Government Securities - End of Year Fair Market Value:

    761,533
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2020 OtherAssetsSchedule
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PREPAID FEDERAL EXCISE TAX 0 2,194 2,194


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    JUDGING 3,600 0   3,600
    INVESTMENT MANAGEMENT 38,422 38,422   0


    TY 2020 TaxesSchedule
    Name:
    CARL AND CAMILLA RIETMAN CHARITABLE
     
    FOUNDATION
    EIN:
    93-1221623
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 8,025 0   8,025
    OREGON FOUNDATION EXCISE TAX 875 0   875
    FOREIGN TAXES 1,861 0   1,861