OREGON UROLOGY FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OREGON UROLOGY FOUNDATION INC (EIN 20-1547206)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-10-25
- IRS object ID
- 201302989349100605
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-25T17:40:17-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930623286 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AKT LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 HAWTHORNE AVE SE 140 | AddressLine1 |
| City | SALEM | City |
| State | OR | State |
| ZIP Code | 97301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201547206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OREGON UROLOGY FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OREG | NameControl |
| Phone | 5412845508 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 HARTMAN LANE NO 300 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OR | State |
| ZIP Code | 97477 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH COX | Name |
| Title | TREASURER | Title |
| Phone | 5412845508 | Phone |
| Date Signed | 2013-10-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOYLYN M ANKENEY CPA | Name |
| PTIN | P00366587 | PTIN |
| Phone | 5035857774 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 69202 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 26259 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 174 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 174 | InterestOnSavingsNetInvstIncm |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | 10274 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 0 | OtherIncomeNetInvstIncm |
| Other Income Adj Net Incm | 10274 | OtherIncomeAdjNetIncm |
| Total Revenue And Expenses | 36707 | TotalRevenueAndExpenses |
| Total Net Investment Income | 174 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 10274 | TotalAdjustedNetIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Adj Net Incm | 0 | CompOfcrDirTrstAdjNetIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 573 | LegalFeesRevAndExpnss |
| Legal Fees Net Invst Incm | 75 | LegalFeesNetInvstIncm |
| Legal Fees Adj Net Incm | 92 | LegalFeesAdjNetIncm |
| Legal Fees Dsbrs Chrtbl Prps | 405 | LegalFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 330 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 83 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Adj Net Incm | 247 | OtherProfFeesAdjNetIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 0 | OtherProfFeesDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 8585 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Net Invst Incm | 0 | TravConfMeetingNetInvstIncm |
| Trav Conf Meeting Adj Net Incm | 6085 | TravConfMeetingAdjNetIncm |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 2500 | TravConfMeetingDsbrsChrtblPrps |
| Printing And Pub Rev And Expnss | 1408 | PrintingAndPubRevAndExpnss |
| Printing And Pub Net Invst Incm | 0 | PrintingAndPubNetInvstIncm |
| Printing And Pub Adj Net Incm | 1408 | PrintingAndPubAdjNetIncm |
| Printing And Pub Dsbrs Chrtbl Prps | 0 | PrintingAndPubDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 3352 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 76 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 2284 | OtherExpensesAdjNetIncm |
| Other Expenses Dsbrs Chrtbl Prps | 992 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 14248 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 234 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 10116 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 3897 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 30000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 30000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 44248 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 234 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 10116 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 33897 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -7541 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 158 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 76743 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 69202 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 69202 | SavingsAndTempCashInvstEOYFMV |
| Total Assets BOY | 76743 | TotalAssetsBOY |
| Total Assets EOY | 69202 | TotalAssetsEOY |
| Total Assets EOYFMV | 69202 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 51743 | UnrestrictedBOY |
| Unrestricted EOY | 44202 | UnrestrictedEOY |
| Permanently Restricted BOY | 25000 | PermanentlyRestrictedBOY |
| Permanently Restricted EOY | 25000 | PermanentlyRestrictedEOY |
| Total Net Assets BOY | 76743 | TotalNetAssetsBOY |
| Total Net Assets EOY | 69202 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 76743 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 69202 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 76743 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -7541 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 69202 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 69202 | TotalNetAssetsFundBalancesEOY |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 73169 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 90198 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.811204 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 53668 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 107513 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.499177 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 104642 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 120825 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.866062 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 162783 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 116328 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 1.399345 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 10247 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 35297 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.290308 | DistributionRatioYear5 |
| Total Distribution Ratio | 3.866096 | TotalDistributionRatio |
| Average Distribution Ratio | 0.773219 | AverageDistributionRatio |
| Net Noncharitable Assets | 72188 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 55817 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 0 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 55817 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 33897 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 0 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 0 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 0 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 0 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | OR | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | WWW.THEOUF.ORG | WebsiteAddress |
| Books In Care Of Person Name | STEPHANIE KERNS | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 5412845508 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 HARTMAN LANE STE 300 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OR | State |
| ZIP Code | 97477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JACKMAN WILSON | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | PRESIDENT | 0.50 | 0 | 0 | 0 |
| PAUL WEINHOLD | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | VICE PRESIDENT | 0.50 | 0 | 0 | 0 |
| JOSEPH COX | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | TREASURER | 0.50 | 0 | 0 | 0 |
| DENNIS ELLISON MD | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| KAREN RUTAN | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| PATRICK LUEDTKE | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| DEREK JOHNSON | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| MARY ANNE MCMURREN | ||||||||
| 2400 HARTMAN LANE 300 | SPRINGFIELD | OR | 97477 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | FATHER'S DAY PROST8K RACE: ON JUNE 16, 2013, OREGON UROLOGY FOUNDATION ORGANIZED AN 8K RUN AND A 5K WALK TO RAISE PROSTATE CANCER AWARENESS. THE EVENT INCLUDED 335 SURVIVORS/RUNNERS/WALKERS AND OVER 30 VOLUNTEERS. PROCEEDS FROM THE RACE WENT TO FUND OREGON UROLOGY FOUNDATION'S ANNUAL FREE PROSTATE CANCER SCREENING EVENT. | Description1 |
| Expenses1 | 9771 | Expenses1 |
| Description2 | ANNUAL FREE PROSTATE CANCER SCREENING EVENT: ON JULY 10 AND JULY 11,2012, THE OREGON UROLOGY FOUNDATION SPONSORED A FREE SCREENING EVENT IN WHICH MEN RECEIVED A PHYSICAL AND BLOOD DRAW FREE OF CHARGE. APPROXIMATELY 1,000 MEN WERE SCREENED IN THE TWO DAYS. | Description2 |
| Expenses2 | 840 | Expenses2 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 0 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 73287 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 73287 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 73287 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 1099 | CashDeemedCharitable |
| Net Noncharitable Assets | 72188 | NetNoncharitableAssets |
| Minimum Investment Return | 3609 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 3609 | MinimumInvestmentReturn |
| Total Tax | 0 | TotalTax |
| Distributable Amount Before Adj | 3609 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 3609 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 3609 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 33897 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 33897 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 33897 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 3609 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year5 | 8494 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 156987 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 98613 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 48297 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 68659 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 381050 | TotalExcessDistriCarryover |
| Qualifying Distributions | 33897 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 3609 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 30288 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 411338 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 8494 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 402844 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 156987 | ExcessFromYear4 |
| Excess From Year3 | 98613 | ExcessFromYear3 |
| Excess From Year2 | 48297 | ExcessFromYear2 |
| Excess From Year1 | 68659 | ExcessFromYear1 |
| Excess From Current Year | 30288 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | STEPHANIE KERNS | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 HARTMAN LANE SUITE 300 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OR | State |
| ZIP Code | 97477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 5414840221 | RecipientPhoneNumber |
| Form And Info And Materials | OREGON UROLOGY FOUNDATION PROVIDES A GRANT APPLICATION ON THEIR WEBSITE. THE APPLICATION ASKS FOR CONTACT INFORMATION, TAX ID NUMBER, REQUESTED GRANT AMOUNT, POPULATION DESCRIPTION AND PROPOSAL INFORMATION. | FormAndInfoAndMaterials |
| Submission Deadlines | N/A | SubmissionDeadlines |
| Restrictions On Awards | THE BOARD OF DIRECTORS REQUEST THAT APPLICANTS APPLY FOR GRANTS BETWEEN $10,000 AND $25,000. THEY ALSO PREFER THE INTENDED USE OF THE GRANT BE USED TO PROVIDE UROLOGIC CARE TO PATIENTS. | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (3 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| FRIENDS OF FLORENCE | |||||||
| PO BOX 598 | FLORENCE | OR | 974390020 | NONE | PUBLIC | TO PROVIDE FREE TRANSPORTATION FOR CANCER PATIENTS | $2,500 |
| US TOO FLORENCE | |||||||
| 3996 HWY 101 N | FLORENCE | OR | 97439 | NONE | PUBLIC | TO PROVIDE SUPPORT FOR PROSTATE CANCER PATIENTS | $2,500 |
| VOLUNTEERS IN MEDICINE CLINIC | |||||||
| 2260 MARCOLA ROAD | SPRINGFIELD | OR | 97477 | NONE | PUBLIC | TO PROVIDE ACCESS TO MEDICAL CARE FOR LOW-INCOME UNINSURED PATIENTS | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 30000 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Program Service Revenue Part VII ProgramServiceRevenuePartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROST8K | Description |
| Related Or Exempt Function Income | 10274 | RelatedOrExemptFunctionIncome |
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $174 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $174 | ExclusionAmount |
| Related Or Exempt Function Income | 10274 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 10448 | TotalPartXVIA |
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 1A | LineNumber |
| Relationship Statement | REVENUE RECEIVED FROM THE ORGANIZATION'S ANNUAL FATHER'S DAY PROST8K RACE. REVENUES FROM THE RACE ARE CONDUCTED TO FURTHER OREGON UROLOGY FOUNDATION'S MISSION OF PROVIDING FREE UROLOGICAL HEALTH CARE SERVICES AT ITS ANNUAL PROSTATE CANCER SCREENING EVENT IN JULY. | RelationshipStatement |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | OREGON UROLOGY INSTITUTE PC | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 HARTMAN LANE SUITE 100 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OR | State |
| ZIP Code | 97477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 24713 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | Category |
| Amount | $573 | Amount |
| Net Investment Income | 75 | NetInvestmentIncome |
| Adjusted Net Income | 92 | AdjustedNetIncome |
| Disbursements Charitable Prps | 405 | DisbursementsCharitablePrps |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (6 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| MARKETING EXPENSE | 900 | 0 | 900 | 0 |
| BANK FEES | 76 | 76 | 0 | 0 |
| FILING FEES | 53 | 0 | 53 | 0 |
| MEALS AND ENTERTAINMENT | 1359 | 0 | 520 | 839 |
| POSTAGE/ MAILING | 811 | 0 | 811 | 0 |
| GENERAL SUPPLIES | 153 | 0 | 0 | 153 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROST8K | Description |
| Revenue And Expenses Per Books | 10274 | RevenueAndExpensesPerBooks |
| Adjusted Net Income | 10274 | AdjustedNetIncome |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | Category |
| Amount | $330 | Amount |
| Net Investment Income | 83 | NetInvestmentIncome |
| Adjusted Net Income | 247 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |