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          <FormAndInfoAndMaterials>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>
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          <RestrictionsOnAwards>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>
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        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>FRIENDS OF FLORENCE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 598</AddressLine1>
            <City>FLORENCE</City>
            <State>OR</State>
            <ZIPCode>974390020</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>TO PROVIDE FREE TRANSPORTATION FOR CANCER PATIENTS</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>US TOO FLORENCE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3996 HWY 101 N</AddressLine1>
            <City>FLORENCE</City>
            <State>OR</State>
            <ZIPCode>97439</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>TO PROVIDE SUPPORT FOR PROSTATE CANCER PATIENTS</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>VOLUNTEERS IN MEDICINE CLINIC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2260 MARCOLA ROAD</AddressLine1>
            <City>SPRINGFIELD</City>
            <State>OR</State>
            <ZIPCode>97477</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>TO PROVIDE ACCESS TO MEDICAL CARE FOR LOW-INCOME UNINSURED PATIENTS</PurposeOfGrantOrContribution>
          <Amount>25000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>30000</TotGrantOrContriPaidDuringYear>
        <TotGrantOrContriApprovedFuture>0</TotGrantOrContriApprovedFuture>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <ProgramServiceRevenuePartVII>
          <Description>PROST8K</Description>
          <RelatedOrExemptFunctionIncome>10274</RelatedOrExemptFunctionIncome>
        </ProgramServiceRevenuePartVII>
        <IntOnSavingsAndTempCashInvst>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>174</ExclusionAmount>
        </IntOnSavingsAndTempCashInvst>
        <SubtotalsPartXVIA>
          <UnrelatedBusinessIncomeAmount>0</UnrelatedBusinessIncomeAmount>
          <ExclusionAmount>174</ExclusionAmount>
          <RelatedOrExemptFunctionIncome>10274</RelatedOrExemptFunctionIncome>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>10448</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <RlnOfActyToAccomOfExemptPrps>
        <RlnOfActyToAccomOfExemptPrps>
          <LineNumber>1A</LineNumber>
          <RelationshipStatement>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>
        </RlnOfActyToAccomOfExemptPrps>
      </RlnOfActyToAccomOfExemptPrps>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>0</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>0</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>0</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>0</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>0</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>0</ReimbursementArrangements>
        <LoansOrLoanGuarantees>0</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>0</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>0</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>0</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <Organization501c3ExemptPF>X</Organization501c3ExemptPF>
      <GeneralRule>X</GeneralRule>
      <ContributorInfo>
        <ContributorNumber>1</ContributorNumber>
        <ContributorNameIndividual>OREGON UROLOGY INSTITUTE PC</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>2400 HARTMAN LANE SUITE 100</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>OR</State>
          <ZIPCode>97477</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>24713</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
    </IRS990ScheduleB>
    <LegalFeesSchedule documentId="RetDoc2002100001">
      <LegalFees>
        <Category>LEGAL FEES</Category>
        <Amount>573</Amount>
        <NetInvestmentIncome>75</NetInvestmentIncome>
        <AdjustedNetIncome>92</AdjustedNetIncome>
        <DisbursementsCharitablePrps>405</DisbursementsCharitablePrps>
      </LegalFees>
    </LegalFeesSchedule>
    <OtherExpensesSchedule documentId="RetDoc2003200001">
      <OtherExpenses>
        <Description>MARKETING EXPENSE</Description>
        <RevenueAndExpensesPerBooks>900</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>900</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BANK FEES</Description>
        <RevenueAndExpensesPerBooks>76</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>76</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FILING FEES</Description>
        <RevenueAndExpensesPerBooks>53</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>53</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEALS AND ENTERTAINMENT</Description>
        <RevenueAndExpensesPerBooks>1359</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>520</AdjustedNetIncome>
        <DisbursementsCharitablePrps>839</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>POSTAGE/ MAILING</Description>
        <RevenueAndExpensesPerBooks>811</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>811</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>GENERAL SUPPLIES</Description>
        <RevenueAndExpensesPerBooks>153</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>153</DisbursementsCharitablePrps>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="RetDoc2001500001">
      <OtherIncome>
        <Description>PROST8K</Description>
        <RevenueAndExpensesPerBooks>10274</RevenueAndExpensesPerBooks>
        <AdjustedNetIncome>10274</AdjustedNetIncome>
      </OtherIncome>
    </OtherIncomeSchedule2>
    <OtherProfessionalFeesSchedule documentId="RetDoc2002300001">
      <OtherProfessionalFees>
        <Category>PROFESSIONAL FEES</Category>
        <Amount>330</Amount>
        <NetInvestmentIncome>83</NetInvestmentIncome>
        <AdjustedNetIncome>247</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
    </OtherProfessionalFeesSchedule>
  </ReturnData>
</Return>