Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
DUTCH BROS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)300 NORTH VALLEY DR
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRANTS PASS, OR97526
A Employer identification number

47-4432319
B Telephone number (see instructions)

(541) 955-4700
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$13,358,852J 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) 850,527
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
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........ 850,527 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment
List of Attached Documents:
// Content
5,396 0   5,396
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
58,893 0   58,893
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion... Click to see attachment
List of Attached Documents:
// Content
278,931 0  
20 Occupancy.............. 77,399 0   77,399
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
63,554 0   60,745
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 484,173 0   202,433
25 Contributions, gifts, grants paid....... 4,225,710 4,225,710
26 Total expenses and disbursements. Add lines 24 and 25 4,709,883 0   4,428,143
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,859,356
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 8,190,538 4,573,726 4,573,726
2 Savings and temporary cash investments.........      
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis right arrow9,626,292
Less: accumulated depreciation (attach schedule) right arrow841,166 9,027,670 Click to see attachment
List of Attached Documents:
// Content
8,785,126 		8,785,126
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 17,218,208 13,358,852 13,358,852
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
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 right arrow
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 17,218,208 13,358,852
29 Total net assets or fund balances (see instructions)..... 17,218,208 13,358,852
30 Total liabilities and net assets/fund balances (see instructions). 17,218,208 13,358,852
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
17,218,208
2
Enter amount from Part I, line 27a .....................
2
-3,859,356
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
13,358,852
5
Decreases not included in line 2 (itemize) right arrow
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
13,358,852
Form 990-PF (2023)
Form 990-PF (2023)
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.)
1a
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
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
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  
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
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 right arrow 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) 1 0
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 0
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 0
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 0
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 0
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.......right arrow 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   Refundedright arrow 11  
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
Part VI-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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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:
round bullet By language in the governing instrument, or
round bullet 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 XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowOR
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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
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
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 addressright arrowN/A
14
The books are in care ofright arrowRYAN ADAMS Telephone no.right arrow (541) 955-4700

Located atright arrow300 NORTH VALLEY DRIVEGRANTS PASSOR ZIP+4right arrow97526
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-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? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
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 2023? .............
1d
 
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-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))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
Yes
 
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
No
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
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? .................
5d
Yes
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
List of Attached Documents:
// Content
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
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
JOTH RICCI PRESIDENT
1.00 		0 0 0
300 NORTH VALLEY DR
GRANTS PASS,OR97526
KEITH THOMAJAN SECRETARY/TREASURER
1.00 		0 0 0
300 NORTH VALLEY DR
GRANTS PASS,OR97526
AMBER BOERSMA DIRECTOR
1.00 		0 0 0
300 NORTH VALLEY DR
GRANTS PASS,OR97526
TRAVIS BOERSMA DIRECTOR
1.00 		0 0 0
300 NORTH VALLEY DR
GRANTS PASS,OR97526
CHRISTINE SCHMIDT DIRECTOR
1.00 		0 0 0
300 NORTH VALLEY DR
GRANTS PASS,OR97526
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 7
Part VII
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
MOSS ADAMS LLP ACCOUNTING 58,893
999 3RD AVE SUITE 2800
SEATTLE,WA98104
Total number of others receiving over $50,000 for professional services.............right arrow0
Part VIII-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 VIII-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.........................right arrow0
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
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
0
b
Average of monthly cash balances.......................
1b
5,961,192
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
5,961,192
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
5,961,192
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
89,418
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
5,871,774
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
293,589
Part X
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 IX, line 6..................
1
293,589
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
 
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
0
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
293,589
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
293,589
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 XII, line 1 ...
7
293,589
Part XI
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
4,428,143
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
35,555
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 XII, line 4. .......
4
4,463,698
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 293,589
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 4,801,384
b From 2019...... 4,856,598
c From 2020...... 7,961,782
d From 2021...... 5,119,311
e From 2022...... 5,027,263
f Total of lines 3a through e ........ 27,766,338
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 4,463,698
a Applied to 2022, 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 2023 distributable amount..... 293,589
e Remaining amount distributed out of corpus 4,170,109
5 Excess distributions carryover applied to 2023. 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 31,936,447
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		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 2018 not
applied on line 5 or line 7 (see instructions) ... 		4,801,384
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		27,135,063
10 Analysis of line 9:
a Excess from 2019.... 4,856,598
b Excess from 2020.... 7,961,782
c Excess from 2021.... 5,119,311
d Excess from 2022.... 5,027,263
e Excess from 2023.... 4,170,109
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
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 IX, 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 XIV
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).)
TRAVIS BOERSMA
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
JAMIE STACEY
PO BOX 1929
GRANTS PASS,OR97528
(541) 955-4700
bThe form in which applications should be submitted and information and materials they should include:
UPON INVITATION, APPLICANTS ARE REQUIRED TO SUBMIT TAX ID NUMBER AND DESCRIPTION OF THEIR PROGRAM. NO FORM IS REQUIRED TO BE SUBMITTED.
cAny submission deadlines:
ROLLING DEADLINE - APPLICATIONS BY INVITATION ONLY.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
AWARDS ARE NOT GIVEN TO POLITICAL OR RELIGION-BASED ORGANIZATIONS. AWARDING IS FOCUSED ON THE STATES IN WHICH DUTCH BROS COFFEE OPERATES. ADDITIONALLY, AWARDS MAY INCLUDE PHILANTHROPY THAT ENCOMPASSES DUTCH BROS SOCIAL IMPACT INITIATIVES LIKE COFFEE COUNTRIES OF ORIGINS, DEI (DIVERSITY, EQUITY & INCLUSION) AND SUSTAINABILITY, WHICH ALL HAPPEN IN DIVERSE LOCATIONS.
Form 990-PF (2023)
Form 990-PF (2023)
Page 11
Part XIV
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

17 STRONG

1250 TIFFANY RANCH RD
ARROYO GRANDE,CA93421 		  PC TO ALLEVIATE HUMAN SUFFERING IN THE FACE OF EMERGENCIES 5,000

AMARILLO AREA CASA

112 SW 8TH AVE STE 101
AMARILLO,TX79101 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

AMERICAN CANCER SOCIETY

1701 W 11TH ST
EUGENE,OR97403 		  PC TO FREE THE WORLD FROM CANCER 20,000

ANIMAL HELP ALLIANCE

2840 EAST TROPICANA AVE
LAS VEGAS,NV89121 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 25,000

ANSWER ALS

2021 LAKESHORE DRIVE STE 304
NEW ORLEANS,LA70122 		  PC TO PROVIDE SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY ALS 15,000

ARIZONA COYOTES FOUNDATION

1702 W 3RD ST
TEMPE,AZ85281 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 1,500

ASIAN PACIFIC FUND

465 CALIFORNIA ST
SAN FRANCISCO,CA94104 		  PC TO STRENTHEN THE ASIAN PACIFIC ISLANDER COMMUNITY IN THE BAY AREA 100,000

ASSOCIATION OF WOMEN'S BUSINESS CENTERS

10 G ST NE STE 600
WASHINGTON,DC20002 		  PC TO SECURE ECONOMIC JUSTICE AND ENTREPRENEURIAL OPPORTUNITIES FOR WOMEN 100,000

BIG BROTHERS BIG SISTERS OF SOUTHERN ARIZONA

DANNIELLE SUAREZ
SAHUARITA,AZ85629 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 20,000

BOYS AND GIRLS CLUB OF MERCED COUNTY

4864 LANGLEY WAY
MERCED,CA95348 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

BUTTE HUMANE SOCIETY

3927 BARBADOS CT
CHICO,CA95973 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 10,000

CACHE HUMANE SOCIETY

910 N MAIN ST
LOGAN,UT84321 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 2,500

CAMP RIVER RUN INC

PO BOX 44826
BOISE,ID83711 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA FOR KIDS OF EAST TEXAS

3616 W WAY ST
TYLER,TX75703 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA FOR KIDS INC

315 W 6TH AVE
STILLWATER,OK74074 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA HOPE FOR CHILDREN INC

305 S RUSK ST
WEATHERFORD,TX76086 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF BELL & CORYELL COUNTIES

112 N MAIN ST
BELTON,TX76513 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF CENTRAL TEXAS INC

1619 E COMMON ST STE 301
NEW BRAUNFELS,TX78130 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF COLLIN COUNTY

101 E DAVIS ST
MCKINNEY,TX75069 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CASA OF DENTON COUNTY

614 N BELL AVE
DENTON,TX76209 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF EL PASO INC

221 N KANSAS ST STE 1501
EL PASO,TX79901 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CASA OF GRAYSON COUNTY

101 E JONES ST
SHERMAN,TX75090 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF HIDALGO COUNTY

1001 S 10TH AVE
EDINBURG,TX78539 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF MCLENNAN COUNTY

1208 N 5TH ST
WACO,TX76707 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF OKLAHOMA COUNTY

1608 NW EXPRESSWAY STE 101
OKLAHOMA CITY,OK73118 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CASA OF RUTHERFORD COUNTY

123 E MAIN ST
MURFREESBORO,TN37130 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF TARRANT COUNTY

101 SUMMIT AVE
FORT WORTH,TX76102 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 20,000

CASA OF THE SOUTH PLAINS

4601 S LOOP 289 STE 25
LUBBOCK,TX79424 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CASA OF TRAVIS COUNTY

7600 CHEVY CHASE DR
AUSTIN,TX78752 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CASA OF WILLIAMSON COUNTY TEXAS

2100 SCENIC DR
GEORGETOWN,TX78626 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CASA INC

340 21ST AVE N
NASHVILLE,TN37203 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CHILD ADVOCATES OF FORT BEND

5403 AVE N
ROSENBERG,TX77471 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CHILD ADVOCATES OF MONTGOMERY COUNTY

505 N MAIN ST
CONROE,TX77301 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CHILD ADVOCATES SAN ANTONIO

1956 S WW WHITE RD
SAN ANTONIO,TX78222 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 10,000

CHILD ADVOCATES INC

3701 KIRBY DR
HOUSTON,TX77098 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

CHILDREN'S ADVOCACY CENTER OF THE SOUTH PLAINS INC

5203 39TH ST
LUBBOCK,TX79414 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 10,000

CHILDREN'S HEALTH FOUNDATION

5901 S MACADAM AVE
PORTLAND,OR97239 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 25,000

CITY OF LOS BANOS

4864 LANGLEY WAY
MERCED,CA95348 		  GOV TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 2,500

CITY OF MADERA

4864 LANGLEY WAY
MERCED,CA95348 		  GOV TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 2,500

CLASSIC ELITE SOCCER ACADEMY

1600 E BITTERS RD
SAN ANTONIO,TX78216 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 2,500

COUNTY OF WEBER

910 N MAIN ST
LOGAN,UT84321 		  GOV TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 2,500

COURT APPOINTED SPECIAL ADVOCATES CASA OF LIBERTYCHAMBERS COUNTIES

2015 SCOUT ST
LIBERTY,TX77575 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

CROWLEY HIGH SCHOOL

PO BOX 688
CROWLEY,TX76036 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

DALLAS CASA

2757 SWISS AVE
DALLAS,TX75204 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

EUGENE LITTLE LEAGUE

PO BOX 22936
EUGENE,OR97402 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 10,000

FAMILIES IN CRISIS

1305 E RANCIER AVE
KILLEEN,TX76541 		  PC TO ELIMINATE DOMESTIC ABUSE BY HELPING INDIVIDUALS MAKE POSITIVE LIFE CHANGES 2,500

FIREFIGHTERS BURN INSTITUTE

3101 STOCKTON BLVD
SACRAMENTO,CA95820 		  PC FOR THE PURPOSE OF ESTABLISHING A LOCALBURNTREATMENT FACILITY 10,000

FUNDACION CARCAFE

80 W 46TH ST
NEW YORK,NY11101 		  NC PHASE III- COLOMBIA PROJECT 40,000

FUNDACION CARCAFE

80 W 46TH ST
NEW YORK,NY11101 		  NC PHASE IV- COLOMBIA PROJECT 200,000

GALAXY SOCCER CLUB INC

530 W 5TH AVE
NAPERVILLE,IL60563 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 5,000

GENERATEHOPE INC

4025 CAMINO DEL RIO S STE 300
SAN DIEGO,CA92108 		  PC TO ELIMINATE DOMESTIC ABUSE BY HELPING INDIVIDUALS MAKE POSITIVE LIFE CHANGES 20,000

GLASSWING INTERNATIONAL

199 WATER ST
NEW YORK,NY10038 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 72,024

GRANTS PASS HIGH SCHOOL BOOSTER CLUB

830 NE 9TH ST
GRANTS PASS,OR97526 		  PC INGRAM FIELD RENOVATION 20,000

GREATER CYPRESS SPORTS LEAGUE INCORPORATED

16635 SPRING CYPRESS RD PO BOX 1283
CYPRESS,TX77429 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 5,000

HIDDEN TREASURES SANCTUARY AND RESCUE

3927 BARBADOS COURT
CHICO,CA95973 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 2,500

HISPANIC HERITAGE FOUNDATION

1001 PENNSYLVANIA AVE NW STE 7111
WASHINGTON,DC20004 		  PC TO IDENTIFY, INSPIRE, PREPARE, AND CONNECT LATINO LEADERS IN THE COMMUNITY, CLASSROOM, AND WORKFORCE 100,000

HOOVER TYLER LITTLE LEAGUE

WISCONSIN AVE PRINCETON AVE
STOCKTON,CA95215 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 2,500

HOPE HOUSE

PO BOX 740568
ARVADA,CO80006 		  PC TO PROVIDE EMERGENCY SHELTER, INTERVENTION AND OUTREACH SERVICES TO HOMELESS YOUTH 5,000

HUMANE SOCIETY OF NORTHERN UTAH

910 N MAIN ST
LOGAN,UT84321 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 2,500

HUNGRY HEARTS FOUNDATION

9623 32ND ST SE
LAKE STEVENS,WA98258 		  PC TO FIGHT HUNGER IN COMMUNITIES THROUGH SUPPORT OF LOCAL FOOD BANKS 2,500

LAKEWAY CASA INC

1609 WALTERS STATE COMMUNITY
COLLEGE DR STE 3
MORRISTOWN,TN37813 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

LONGMONT HUMANE SOCIETY INC

9595 NELSON RD
LONGMONT,CO80501 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 2,500

MAKE A WISH FOUNDATION OF OREGON INC

2991 SE 73RD AVE
HILLSBORO,OR97123 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 25,000

MAKE-A-WISH ALASKA & WASHINGTON

811 1ST AVE STE 620
SEATTLE,WA98104 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 25,000

MAKE-A-WISH FOUNDATION OF COLORADO INC

7951 E MAPLEWOOD AVE
GREENWOOD VILLAGE,CO80111 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 25,000

MAKE-A-WISH FOUNDATION OF NEW MEXICO

4765 PULSAR AVE
LAS CRUCES,NM88012 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 5,000

MAKE-A-WISH FOUNDATION OF SOUTHERN NEVADA INC

2840 E TROPICANA AVE
LAS VEGAS,NV89121 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 15,000

MAKE-A-WISH FOUNDATION OF UTAH INC

811 S 800 E
OREM,UT84097 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 22,500

MAKE-A-WISH NEVADA

2840 E TROPICANA AVE
LAS VEGAS,NV89124 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 10,000

MARY GRAHAM CHILDREN'S FOUNDATION

PO BOX 792
STOCKTON,CA95201 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

MODESTO YOUTH SOCCER ASSOCIATION

3509 COFFEE RD STE D8
MODESTO,CA95355 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 10,000

MORRISON CHILD AND FAMILY SERVICES

11035 NE SANDY BLVD
PORTLAND,OR97220 		  PC TO ELIMINATE DOMESTIC ABUSE BY HELPING INDIVIDUALS MAKE POSITIVE LIFE CHANGES 10,000

MUSCULAR DYSTROPHY ASSOCIATION

PO BOX 7410354
CHICAGO,IL60674 		  PC DISTRIBUTION OF FUNDS FOR "DRINK ONE FOR DANE" FUNDRAISER 2,500,000

NEIGHBORHOOD SPORTS

2000 WINDY TERRACE STE 7B
CEDAR PARK,TX78613 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 5,000

NIEMAN ELEMENTARY PTA

10917 W 67TH ST
SHAWNEE MISSION,KS66203 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

OREGON ADAPTIVE SPORTS

1143 NE 3RD ST
BEND,OR97701 		  PC TO PROVIDE LIFE-CHANGING OUTDOOR RECREATION EXPERIENCES TO INDIVIDUALS WITH DISABILITIES 10,000

OREGON STATE UNIVERSITY FOUNDATION

4238 SW RESEARCH WAY
CORVALLIS,OR97333 		  PC TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 5,600

OREGON TECH FOUNDATION INC

735 COMMERCIAL ST
KLAMATH FALLS,OR97601 		  PC TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 5,000

PANCREATIC CANCER ACTION NETWORK INC

1500 ROSECRANS AVE STE 200
MANHATTAN BEACH,CA90266 		  PC TO ALLEVIATE HUMAN SUFFERING IN THE FACE OF EMERGENCIES 2,500

PROJECT SOL FLOWER

11662 W 39TH PLACE
WHEAT RIDGE,CO80033 		  PC TO FULFILL FULFILL THE WISHES OF CHILDREN WITH A CRITICAL ILLNESS 2,500

RIO DELL FIRE DEPARTMENT

2516 CALIFORNIA ST
EUREKA,CA95501 		  GOV TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 10,000

RONALD MCDONALD HOUSE CHARITIES OF GREATER LAS VEGAS INC

2323 POTOSI ST
LAS VEGAS,NV89146 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 20,000

SACRAMENTO CITY UNIFIED SCHOOL DISTRICT

9090 UNION PARK WAY
ELK GROVE,CA95624 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

SACRAMENTO SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS

6201 FLORIN PERKINS RD
SACRAMENTO,CA95828 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 2,500

SALEM HILLS HIGH

150 SKYHAWK BLVD
SALEM,UT84653 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

SAN JOAQUIN CHILD ABUSE PREVENTION COUNCIL

3095 RUTLEDGE WAY
STOCKTON,CA95219 		  PC TO ELIMINATE DOMESTIC ABUSE BY HELPING INDIVIDUALS MAKE POSITIVE LIFE CHANGES 1,000

SONOMA CHARTER SCHOOL

17202 SONOMA HIGHWAY
SONOMA,CA95476 		  GOV TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

SPARROW CLUBS USA

1143 NE
BEND,OR97701 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

SPECIAL OLYMPICS ARIZONA INC

2455 N CITRUS RD
GOODYEAR,AZ85395 		  PC TO PROVIDE OLYMPIC-TYPE SPORTS FOR CHILDREN/ADULTS WITH INTELLECTUAL DISABILITIES 20,000

SPECIAL OLYMPICS COLORADO

12450 E ARAPAHOE RD
CENTENNIAL,CO80112 		  PC TO PROVIDE OLYMPIC-TYPE SPORTS FOR CHILDREN/ADULTS WITH INTELLECTUAL DISABILITIES 20,000

SPECIAL OLYMPICS IDAHO

199 E 52ND ST
GARDEN CITY,ID83714 		  PC TO PROVIDE OLYMPIC-TYPE SPORTS FOR CHILDREN/ADULTS WITH INTELLECTUAL DISABILITIES 2,500

SPECIAL OLYMPICS NORTHERN CALIFORNIA INC

3480 BUSKIRK AVE
PLEASANT HILL,CA94523 		  PC TO PROVIDE OLYMPIC-TYPE SPORTS FOR CHILDREN/ADULTS WITH INTELLECTUAL DISABILITIES 20,000

SPECIAL OLYMPICS OREGON INC

8313 SW CIRRUS DR
BEAVERTON,OR97008 		  PC TO PROVIDE OLYMPIC-TYPE SPORTS FOR CHILDREN/ADULTS WITH INTELLECTUAL DISABILITIES 20,000

SPECIAL OLYMPICS TEXAS INC

13400 IMMANUEL RD
PFLUGERVILLE,TX78660 		  PC TO ELIMINATE DOMESTIC ABUSE BY HELPING INDIVIDUALS MAKE POSITIVE LIFE CHANGES 20,000

SUMNER COUNTY CASA INC

182 W FRANKLIN ST
GALLATIN,TN37066 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500

THE ALS ASSOCIATION OF NEW MEXICO

2309 RENARD PL SE STE 105
ALBUQUERQUE,NM87106 		  PC TO PROVIDING SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY ALS 15,000

TOWN OF PARADISE

3927 BARBADOS CT
CHICO,CA95973 		  PC TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 2,500

TREVOR PROJECT INC

PO BOX 69232
WEST HOLLYWOOD,CA90069 		  PC TO END SUICIDE AMONG (LGBTQ) YOUNG PEOPLE. 100,000

TULSA CASA INC

700 S BOSTON AVE STE 230
TULSA,OK94119 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

US CHAMBER OF COMMERCE FOUNDATION

1615 H ST NW
WASHINGTON,DC200622000 		  PC TO STRENGTHENING AMERICAS LONG-TERM COMPETITIVENESS 100,000

VALLEY COMMUNITY OUTREACH

3333 W CALDWELL AVE
VISALIA,CA93277 		  PC TO RESPOND TO IMMEDIATE, CRITICAL NEEDS THAT ARISE IN THE COMMUNITY 10,000

VOICES FOR CHILDREN INC

2851 MEADOW LARK DR
SAN DIEGO,CA92123 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 5,000

VOLCAFE

535 MADISON AVE 34TH FLOOR
NEW YORK,NY10022 		  NC CONSTRUCTION OF A SPORT'S COURT AT THE BELA VISTA SCHOOL 85,585

WATERFALL COMMUNITY HEALTH CENTER

1890 WAITE ST
NORTH BEND,OR97459 		  PC TO PROMOTE ACCESS TO QUALITY INTEGREATED HEALTH SERVICES FOR INDIVIDIDUALS'S NEEDS 5,000

WESTERN HILLS LITTLE LEAGUE

7600 CALMONT AVE
FORT WORTH,TX76121 		  PC TO PROVIDE AND IMPROVE RECREATIONAL ACTIVITIES FOR YOUTH BY DEVELOPING LEADERS, TEAM PLAYERS 10,000

YAVAPAI HUMANE SOCIETY

1625 SUNDOG RANCH RD
PRESCOTT,AZ86301 		  PC TO FIND ALL ADOPTABLE ANIMALS A LOVING HOME 5,000

YMCA OF SAN JOAQUIN COUNTY

2105 W MARCH LANE STE 1
STOCKTON,CA95207 		  PC TO FULFILL YOUNG PEOPLES' EDUCATIONAL EXPERIENCE AND PROMOTE THEIR WELLBEING 2,500
Total .................................right arrow 3a 4,148,209
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-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 ....          
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 ............ 		         
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 0 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
0
(See worksheet in line 13 instructions to verify calculations.)
Part XV-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 XV-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 (2023)
Form 990-PF (2023)
Page 13
Part XVI
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
DUTCH BROS FOUNDATION
 
Employer identification number

47-4432319
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
DUTCH BROS FOUNDATION
  		Employer identification number
47-4432319
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
1
PRODUCERS DAIRY FOODS INC
 
250 E BELMONT AVE
 
FRESNO, CA93701

$ 10,000


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
2
TALKING RAIN
 
30520 SE 84TH ST
 
PRESTON, WA98050

$ 19,098


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
3
TORANI
 
2000 MARINA BLVD
 
SAN LEANDRO, CA94577

$ 568,929


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
DUTCH BROS FOUNDATION
  		Employer identification number

47-4432319
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
DUTCH BROS FOUNDATION
  		Employer identification number

47-4432319
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING FEES 58,893 0   58,893

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2023 DepreciationSchedule
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
Life (# of years)		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
SOCCER FIELDS 2020-09-19 5,115,490 460,395 SL 25.000000000000 204,620 0    
INFIELD BUILDINGS 2020-09-19 571,887 32,994 SL 39.000000000000 14,664 0    
LAND IMPROVEMENTS 2020-09-19 2,476,622   L   0 0    
SOLAR PANELS 2020-09-19 26,156 11,770 SL 5.000000000000 5,231 0    
SOCCER FIELD - FIELD #6 2021-09-19 1,089,078 54,454 SL 25.000000000000 43,563 0    
LAND IMPROVEMENTS 2021-09-19 48,458   L   0 0    
SOCCER FIELD - FIELD #7 2022-09-19 262,214 2,622 SL 25.000000000000 10,489 0    
SOCCER FIELD - FIELD #8 2023-09-19 36,387   SL 25.000000000000 364 0    

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2023 ExpenditureResponsibilityStmt
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
FUNDACION CARCAFE
  		CARRERA 11A NO 5-167
CARTAGO,VALLE DEL CAUCA  
CO 		2023-05-09 200,000 PHASE 3 PROJECT EXTENSION: COLOMBIA COFFEE ORIGINS PROJECT. 1) GROWING COFFEE WITH CARBON FOOTPRINT REDUCTION STRATEGY 2) CONSOLIDATION OF AGROFORESTRY SYSTEMS AS CARBON POOLS 200,000 NONE 15TH OF MONTH FROM 7/15/21 TO 5/15/23    
FUNDACION CARCAFE
  		CARRERA 11A NO 5-167
CARTAGO,VALLE DEL CAUCA  
CO 		2023-09-18 200,000 PHASE 4 PROJECT EXTENSION: COLOMBIA COFFEE ORIGINS PROJECT 1) GROWING COFFEE WITH CARBON FOOTPRINT REDUCTION STRATEGY 2) CONSOLIDATION OF AGROFORESTRY SYSTEMS AS CARBON POOLS 200,000 NONE 9/15/23, 10/15/23, 11/15/23    
VOLCAFE
  		22 FREI GASPAR STREET 2ND AND 3RD
FLOOR
SANTOS SP   11010-090
BR 		2023-11-14 85,585 ED&F MAN VOLCAFE BRASIL LTDA - CONSTRUCTION OF A SPORT'S COURT AT THE BELA VISTA SCHOOL 85,585 NONE NONE    

TY 2023 LandEtcSchedule2
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
SOCCER FIELDS 5,115,490 665,015 4,450,475 4,450,475
INFIELD BUILDINGS 571,887 47,658 524,229 524,229
LAND IMPROVEMENTS 2,476,622 0 2,476,622 2,476,622
SOLAR PANELS 26,156 17,001 9,155 9,155
SOCCER FIELD - FIELD #6 1,089,078 98,017 991,061 991,061
LAND IMPROVEMENTS 48,458 0 48,458 48,458
SOCCER FIELD - FIELD #7 262,214 13,111 249,103 249,103
SOCCER FIELD - FIELD #8 36,387 364 36,023 36,023


TY 2023 LegalFeesSchedule
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
LEGAL FEES 5,396 0   5,396


TY 2023 OtherExpensesSchedule
Name:
DUTCH BROS FOUNDATION
EIN:
47-4432319
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INSURANCE 61,827 0   59,018
REPAIRS AND MAINTENANCE 365 0   365
LICENSE & FEES 1,312 0   1,312
DUES AND SUBSCRIPTIONS 50 0   50