Return of Organization Exempt From Income Tax
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- Primrose Cole
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1 UNIVERSITY OF OREGON FOUNDATION PUBLIC DISCLOSURE COPY RETURN OF EEMPT ORGANIZATION YEAR ENDED JUNE 0, 01
2 Form Under setion 501(), 57, or 447(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) Department of the Treasury Internal Revenue Servie The organization may have to use a opy of this return to satisfy state reporting requirements. A For the 01 alendar year, or tax year eginning JUL 1, 01 and ending JUN 0, 01 Chek if self employed OMB No B Chek if appliale: Address hange Name hange CName of organization UNIVERSITY OF OREGON FOUNDATION Doing Business As D Employer identifiation numer Initial return Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer Terminated 170 E 1TH AVE. # Amended return City, town, or post offie, state, and ZIP ode G Gross reeipts $ Appliation EUGENE, OR H(a) Is this a group return pending F Name and address of prinipal offier: ERIKA FUNK for affiliates? Yes No SAME AS C ABOVE H() Are all affiliates inluded? Yes No I Tax exempt status: 501()() 501() ( ) (insert no.) 447(a)(1) or 57 If "No," attah a list. (see instrutions) J Wesite: H() Group exemption numer K Form of organization: Corporation Trust Assoiation Other L Year of formation: 151 M State of legal domiile: OR Part I Ativities & Governane Revenue Expenses Net Assets or Fund Balanes Sign Here 1 Paid Preparer Use Only Chek this ox if the organization disontinued its operations or disposed of more than 5% of its net assets. Numer of voting memers of the governing ody (Part VI, line 1a) ~~~~~~~~~~~~~~~~~~~~ 4 Numer of independent voting memers of the governing ody (Part VI, line 1) ~~~~~~~~~~~~~~ 4 5 Total numer of individuals employed in alendar year 01 (Part V, line a) ~~~~~~~~~~~~~~~~ 5 6 Total numer of volunteers (estimate if neessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 a Total unrelated usiness revenue from Part VIII, olumn (C), line 1 ~~~~~~~~~~~~~~~~~~~~ 7a Net unrelated usiness taxale inome from Form 0 T, line 4 7 Prior Year 8 Contriutions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ 0,01,411. Program servie revenue (Part VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ 10 Investment inome (Part VIII, olumn (A), lines, 4, and 7d) ~~~~~~~~~~~~~ 7,70, Other revenue (Part VIII, olumn (A), lines 5, 6d, 8,, 10, and 11e) ~~~~~~~~ 70,5. 1 Total revenue add lines 8 through 11 (must equal Part VIII, olumn (A), line 1) 1 Grants and similar amounts paid (Part I, olumn (A), lines 1 ) ~~~~~~~~~~~ 84,7,. 14 Benefits paid to or for memers (Part I, olumn (A), line 4) ~~~~~~~~~~~~~ 15 Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5 10) ~~~ 4,05,55. 16a Professional fundraising fees (Part I, olumn (A), line 11e) ~~~~~~~~~~~~~~ Total fundraising expenses (Part I, olumn (D), line 5),057, Part II Return of Organization Exempt From Inome Tax 0 01 Summary Briefly desrie the organization's mission or most signifiant ativities: Other expenses (Part I, olumn (A), lines 11a 11d, 11f 4e) ~~~~~~~~~~~~~ Total expenses. Add lines 1 17 (must equal Part I, olumn (A), line 5) ~~~~~~~ Revenue less expenses. Sutrat line 18 from line 1 Total assets (Part, line 16) Total liailities (Part, line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes. Sutrat line 1 from line 0 Signature Blok Beginning of Current Year Open to Puli Inspetion Current Year End of Year Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer peparer e (other than offier) is ased on all information of whih preparer has any knowledge. = = Signature of offier ERIKA FUNK, CCO Type or print name and title Print/Type preparer's name WENDY CAMPOS Firm's name Firm's address ETENSION GRANTED THROUGH 5/15/14 Preparer's signature SEE SCHEDULE O May the IRS disuss this return with the preparer shown aove? (see instrutions) Yes No LHA For Paperwork Redution At Notie, see the separate instrutions. Form 0 (01) Date Date Phone no. PTIN 14,571, , ,051, ,1,8 1,716,57. 7,04, ,01, ,87, 4,00,864. 8,16,4 5,715,685. 6,648, ,685,. 400,76. 1,15, ,661, ,7,67 87,067, ,5,84 70,54,54. 7,414,8 P MOSS ADAMS, LLP. Firm's EIN 75 OAK ST, SUITE 500 EUGENE, OR
3 Form 0 (01) Part III Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response to any question in this Part III Briefly desrie the organization's mission: SEE SCHEDULE O UNIVERSITY OF OREGON FOUNDATION Page 4 4a Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 0 or 0-EZ? If "Yes," desrie these new servies on Shedule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? ~~~~~~ If "Yes," desrie these hanges on Shedule O. Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()() and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. 16,051, ,051,174. FUNDS ARE DISBURSED FROM RESTRICTED CONTRIBUTIONS TO THE UNIVERSITY OF OREGON AT THE REQUEST OF AUTHORIZED UNIVERSITY OFFICIALS FOR THE DONOR DESIGNATED PUPOSE OF THE CONTRIBUTION: STUDENT AID; ACADEMIC MERIT AND NEEDS SCHOLARSHIPS; STUDENT ATHLETIC SCHOLARSHIPS; STUDENT LOANS AND WAGES. ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) Yes Yes No No 4,118,4.,118,4. FUNDS ARE DISBURSED FROM RESTRICTED CONTRIBUTIONS TO THE UNIVERSITY OF OREGON AT THE REQUEST OF AUTHORIZED UNIVERSITY OFFICIALS FOR THE DONOR DESIGNATED PURPOSE OF THE CONTRIBUTION: OTHER UNIVERSITY SUPPORT; SUPPLIES AND OPERATING EPENSES AND PERSONNEL EPENSES. ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) 4 75,58, ,58,475. FUNDS ARE DISBURSED FROM RESTRICTED CONTRIBUTIONS TO THE UNIVERSITY OF OREGON AT THE REQUEST OF AUTHORIZED UNIVERSITY OFFICIALS FOR THE DONOR DESIGNATED PURPOSE OF THE CONTRIBUTION: ACADEMIC FACILITIES AND EQUIPMENT; NON-ACADEMIC FACILITIES AND EQUIPMENT. ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) 4d 4e Other program servies (Desrie in Shedule O.) 14,10,08. 14,10,08. ( Expenses $ inluding grants of $ ) ( Revenue $ ) Total program servie expenses J 14,87, Form 0 (01)
4 Form 0 (01) Part IV Cheklist of Required Shedules a d e f 0a Is the organization desried in setion 501()() or 447(a)(1) (other than a private foundation)? If "Yes," omplete Shedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I Setion 501()() organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If "Yes," omplete Shedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Shedule D, Part I the environment, histori land areas, or histori strutures? If "Yes," omplete Shedule D, Part II~~~~~~~~~~~~~~ If "Yes," omplete Shedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Shedule D, Part IV Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "Yes," omplete Shedule D, Part VI assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VII Part, line 16? If "Yes," omplete Shedule D, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other liailities in Part, line 5? If "Yes," omplete Shedule D, Part ~~~~~~ If "Yes," omplete Shedule D, Part 1a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ or more? If "Yes," omplete Shedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ or entity loated outside the United States? If "Yes," omplete Shedule F, Parts II and IV loated outside the United States? If "Yes," omplete Shedule F, Parts III and IV olumn (A), lines 6 and 11e? If "Yes," omplete Shedule G, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 and 8a? If "Yes," omplete Shedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ omplete Shedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 8-1? If "Yes," omplete Shedule C, Part III ~~~~~~~~~~~~~~ Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, Did the organization maintain olletions of works of art, historial treasures, or other similar assets? Did the organization report an amount in Part, line 1, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "Yes," omplete Shedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~ If the organization's answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. UNIVERSITY OF OREGON FOUNDATION ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - other seurities in Part, line 1 that is 5% or more of its total Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - program related in Part, line 1 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes," ~~~~ Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "No" to line 1a, then ompleting Shedule D, Parts I and II is optional ~~~~~ 1 Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~ 14a Did the organization maintain an offie, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 Did the organization report on Part I, olumn (A), line, more than $5,000 of grants or assistane to any organization ~~~~~~~~~~~~~~~~~ Did the organization report on Part I, olumn (A), line, more than $5,000 of aggregate grants or assistane to individuals ~~~~~~~~~~~~~~~~~~~~~ Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 0a, did the organization attah a opy of its audited finanial statements to this return? ~~~~~~~~~~~~~~~~ a d 11e 11f 1a a a Yes Page No 0 Form 0 (01) 10
5 Form 0 (01) Part IV Cheklist of Required Shedules (ontinued) d 5a Setion 501()() and 501()(4) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~ United States on Part I, olumn (A), line 1? If "Yes," omplete Shedule I, Parts I and II ~~~~~~~~~~~~~~~~~~ olumn (A), line? If "Yes," omplete Shedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Shedule K. If "No", go to line 5 Shedule L, Part I of any of these persons? If "Yes," omplete Shedule L, Part III If "Yes," omplete Shedule L, Part II If "Yes," omplete diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~ ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Shedule N, Part I Shedule N, Part II Part V, line 1 UNIVERSITY OF OREGON FOUNDATION Did the organization report more than $5,000 of grants and other assistane to any government or organization in the Did the organization report more than $5,000 of grants and other assistane to individuals in the United States on Part I, Did the organization answer "Yes" to Part VII, Setion A, line, 4, or 5 aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? 4a Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 1, 00? If "Yes," answer lines 4 through 4d and omplete ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption? Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? If "Yes," omplete ~~~~~~~~~~~ ~~~~~~~~~~~ Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 0 or 0-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was a loan to or y a urrent or former offier, diretor, trustee, key employee, highest ompensated employee, or disqualified person outstanding as of the end of the organization's tax year? Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ~~~~~~~~~~~ ontriutor or employee thereof, a grant seletion ommittee memer, or to a 5% ontrolled entity or family memer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~~~~~~~~~~ A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~ An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, Did the organization reeive more than $5,000 in non-ash ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~ Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation Did the organization liquidate, terminate, or dissolve and ease operations? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization sell, exhange, dispose of, or transfer more than 5% of its net assets? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5a Did the organization have a ontrolled entity within the meaning of setion 51()(1)? ~~~~~~~~~~~~~~~~~~ If "Yes" to line 5a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 51()(1)? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~ Setion 501()() organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI ~~~~~~~~ Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 1? Note. All Form 0 filers are required to omplete Shedule O 1 4a 4 4 4d 5a a a Yes Page 4 No 8 Form 0 (01)
6 Form 0 (01) Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response to any question in this Part V 1a Enter the numer reported in Box of Form 106. Enter -0- if not appliale ~~~~~~~~~~~ a d e f g h a a a Enter the numer of Forms W-G inluded in line 1a. Enter -0- if not appliale ~~~~~~~~~~ 1 Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming If at least one is reported on line a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ Note. If the sum of lines 1a and a is greater than 50, you may e required to e-file (see instrutions) Organizations that may reeive dedutile ontriutions under setion 170(). Sponsoring organizations maintaining donor advised funds and setion 50(a)() supporting organizations. Sponsoring organizations maintaining donor advised funds. Setion 501()(7) organizations. Enter: Setion 501()(1) organizations. Enter: 1a Setion 447(a)(1) non-exempt haritale trusts. Is the organization filing Form 0 in lieu of Form 1041? a (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return ~~~~~~~~~~ a Did the organization have unrelated usiness gross inome of $1,000 or more during the year? ~~~~~~~~~~~~~~ If "Yes," has it filed a Form 0-T for this year? If "No," provide an explanation in Shedule O ~~~~~~~~~~~~~~~ 4a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? ~~~~~~~ If "Yes," enter the name of the foreign ountry: JSEE SCHEDULE O See instrutions for filing requirements for Form TD F 0-.1, Report of Foreign Bank and Finanial Aounts. 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor? Setion 501()() qualified nonprofit health insurane issuers. Note. See the instrutions for additional information the organization must report on Shedule O. 1a a ~~~~~~~~~~~~ Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? ~~~~~~~~~ If "Yes," to line 5a or 5, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions? If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization notify the donor of the value of the goods or servies provided? Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 88? ~~~~~~~~~~~~~~~ If "Yes," indiate the numer of Forms 88 filed during the year ~~~~~~~~~~~~~~~~ Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? 7d Did the supporting organization, or a donor advised fund maintained y a sponsoring organization, have exess usiness holdings at any time during the year? 10a 10 11a ~~~~~~~ ~~~~~~~~~ If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 88 as required? ~ If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 108-C? Did the organization make any taxale distriutions under setion 466? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization make a distriution to a donor, donor advisor, or related person? Initiation fees and apital ontriutions inluded on Part VIII, line 1 Gross reeipts, inluded on Form 0, Part VIII, line 1, for puli use of lu failities Gross inome from memers or shareholders ~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) UNIVERSITY OF OREGON FOUNDATION ~~~~~~~~~~~~~~~~~~~ ~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the amount of tax-exempt interest reeived or arued during the year Is the organization liensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves on hand ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14a Did the organization reeive any payments for indoor tanning servies during the tax year? ~~~~~~~~~~~~~~~~ If "Yes," has it filed a Form 70 to report these payments? If "No," provide an explanation in Shedule O a 4a 5a 5 5 6a 6 7a 7 7 7e 7f 7g 7h 8 a 1a 1a 14a Yes No 14 Form 0 (01) 1
7 Form 0 (01) Page 6 Part VI Governane, Management, and Dislosure For eah "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response to any question in this Part VI Setion A. Governing Body and Management 1a Enter the numer of voting memers of the governing ody at the end of the tax year a Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If "Yes," provide the names and addresses in Shedule O Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) a 16a If there are material differenes in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an exeutive ommittee or similar ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? in Shedule O how this was done ~~~~~~ ~~~~~~ Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? ~~~~~~~~~~~~~~ 4 Did the organization make any signifiant hanges to its governing douments sine the prior Form 0 was filed? ~~~~~ 5 Did the organization eome aware during the year of a signifiant diversion of the organization's assets? ~~~~~~~~~ 6 Did the organization have memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eah ommittee with authority to at on ehalf of the governing ody? 1a 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10a Did the organization have loal hapters, ranhes, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a omplete opy of this Form 0 to all memers of its governing ody efore filing the form? Desrie in Shedule O the proess, if any, used y the organization to review this Form 1a Did the organization have a written onflit of interest poliy? If "No," go to line 1 ~~~~~~~~~~~~~~~~~~~~ Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? Did the organization have a written whistlelower poliy? If "Yes," desrie Own wesite Another's wesite Upon request Other (explain in Shedule O) ~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a written doument retention and destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? The organization's CEO, Exeutive Diretor, or top management offiial Other offiers or key employees of the organization If "Yes" to line 15a or 15, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements? 16 Setion C. Dislosure 17 List the states with whih a opy of this Form 0 is required to e filed JOR,CA 18 Setion 6104 requires an organization to make its Forms 10 (or 104 if appliale), 0, and 0-T (Setion 501()()s only) availale for puli inspetion. Indiate how you made these availale. Chek all that apply. UNIVERSITY OF OREGON FOUNDATION Desrie in Shedule O whether (and if so, how), the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. State the name, physial address, and telephone numer of the person who possesses the ooks and reords of the organization: UNIVERSITY OF OREGON FOUNDATION - (541) E 1TH AVE, SUITE 410, EUGENE, OR 740 Form 0 (01) a 7 8a 8 10a 10 11a 1a a 15 16a Yes Yes No No
8 Form 0 (01) Part VII Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Setion A. Chek if Shedule O ontains a response to any question in this Part VII Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization's tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization's urrent key employees, if any. See instrutions for definition of "key employee." List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box 5 of Form W- and/or Box 7 of Form 10-MISC) of more than $100,000 from the organization and any related organizations. List all of the organization's former offiers, key employees, and highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations. List all of the organization's former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Name and Title (1) ABBOTT J. KELLER () AMY RITTENBERG-KARI () ANDREW S. BERWICK JR (4) ANTHONY S. O. WONG (5) CHERYL D. PERRIN (6) CHERYL RAMBERG FORD (7) CHRIS A. SMITH (8) DANA L. WADE () DAVID B. TAYLOR (10) DOUGLAS W. OAS (11) DWAYNE RICHARDSON (1) EDWARD L. MALETIS (1) EDWIN J. HAGERTY (14) GINEVRA REED RALPH (15) GWENDOLYN H. LILLIS (16) IAIN E. MORE (17) J. DOUGLAS MCKAY UNIVERSITY OF OREGON FOUNDATION Average hours per week (list any hours for related organizations elow line) Position (do not hek more than one ox, unless person is oth an offier and a diretor/trustee) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former Reportale ompensation from the organization (W-/10-MISC) Reportale ompensation from related organizations (W-/10-MISC) Page 7 Estimated amount of other ompensation from the organization and related organizations Form 0 (01) 14
9 Form 0 (01) Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D) (E) (F) Name and title Average Position Reportale Reportale Estimated (do not hek more than one hours per ox, unless person is oth an ompensation ompensation amount of week offier and a diretor/trustee) from from related other (list any the organizations ompensation hours for organization (W-/10-MISC) from the related (W-/10-MISC) organization organizations and related elow organizations line) (18) J. SCOTT ANDREWS (1) JAMES WILLIAM SHEPHARD SECRETARY/TREASURER (0) JANICE M. MONTI (1) JON P. ANDERSON BOARD CHAIR () KATHERINE H. GURUN () LARRY S. BRUTON (4) MARK RICHARDS (5) MICHAEL B. WILKES (6) MICHAEL D. COUCH d Su-total~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total from ontinuation sheets to Part VII, Setion A Total (add lines 1 and 1) Individual trustee or diretor Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "Yes," omplete Shedule J for suh individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ rendered to the organization? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrators 1 and related organizations greater than $150,000? If "Yes," omplete Shedule J for suh individual ~~~~~~~~~~~~~ Institutional trustee Offier Key employee Highest ompensated employee ~~~~~~~~ Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization UNIVERSITY OF OREGON FOUNDATION For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization's tax year. Former (A) (B) (C) Name and usiness address Desription of servies Compensation GALLATIN PUBLIC AFFAIRS, 05 FIRST AVE, SUITE 1150, SEATTLE, WA 811 MOSS ADAMS LLP 75 OAK STREET, SUITE 500, EUGENE, OR 7401 ELLUCIAN SUPPORT, 1408 COLLECTIONS CTR DR., CHICAGO, IL 606 1,005,506. 4,0 1,005,506. 4,0 LOBBYING AUDIT & TA ADVANCE WEB ACCESS Yes No 5 5,5 0, , Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $100,000 of ompensation from the organization SEE PART VII, SECTION A CONTINUATION SHEETS Form 0 (01) 15
10 Form 0 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (A) (B) (C) (D) (E) (F) Name and title (7) NORMAN H. BROWN, JR. IMMEDIATE PAST CHAIR (8) RICHARD SEOW () ROHN M. ROBERTS (0) SAMMIE MCCORMACK (1) SONDRIA STEPHENS () STACY M. SQUIRES () STEVEN J. HOLWERDA BOARD CHAIR ELECT (4) STUART W. JACKSON (5) SUSIE YANCEY PAPE (6) THOMAS H. HARTFIELD (7) TIMOTHY FOO (8) VICKI J. TOYOHARA () ERIKA FUNK COO & CCO (40) JAY D. NAMYET CIO (CHIEF INVEST OFFICER) (41) R. PAUL WEINHOLD PRESIDENT/CEO (4) KARL OTTO VP INFORMATION SERVICES (4) MARK BOLME DIRECTOR APPLICATION PROGRAMMING UNIVERSITY OF OREGON FOUNDATION Average hours per week (list any hours for related organizations elow line) Position (hek all that apply) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former Reportale ompensation from the organization (W-/10-MISC) 150,88. 11,41. 4, ,67. 11,48. (ontinued) Reportale ompensation from related organizations (W-/10-MISC) Estimated amount of other ompensation from the organization and related organizations 4,85. 67, ,501. 5,076. 4,51. Total to Part VII, Setion A, line 1 1,005,506. 4,
11 Form 0 (01) Part VIII Statement of Revenue Contriutions, Gifts, Grants and Other Similar Amounts Program Servie Revenue Other Revenue 1 a d e f g Nonash ontriutions inluded in lines 1a-1f: $ h a 4 5 d e f g 6 a d d 8 a a 10 a 11 a d All other ontriutions, gifts, grants, and similar amounts not inluded aove ~~ 1a 1 1 1d 1e 1f Total. Add lines 1a-1f Total. Add lines a-f e Total. Add lines 11a-11d ~~~~~~~~~~~~~~~ 1 Total revenue. See instrutions. a a a Page Chek if Shedule O ontains a response to any question in this Part VIII (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exluded exempt funtion usiness from tax under setions 51, revenue revenue 51, or 514 Federated ampaigns Memership dues Fundraising events Related organizations ~~~~~~ ~~~~~~~~ ~~~~~~~~ ~~~~~~ Government grants (ontriutions) All other program servie revenue ~~~~~ Investment inome (inluding dividends, interest, and Business Code other similar amounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tax-exempt ond proeeds Royalties Gross rents ~~~~~~~ Less: rental expenses ~~~ Rental inome or (loss) Net rental inome or (loss) ~~ 7 a Gross amount from sales of assets other than inventory Less: ost or other asis and sales expenses ~~~ Gain or (loss) ~~~~~~~ (i) Real (ii) Personal (i) Seurities (ii) Other Net gain or (loss) Gross inome from fundraising events (not inluding $ of ontriutions reported on line 1). See Part IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~~ Net inome or (loss) from fundraising events Gross inome from gaming ativities. See Part IV, line 1 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gaming ativities Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ Net inome or (loss) from sales of inventory Misellaneous Revenue UNIVERSITY OF OREGON FOUNDATION , ,81. 48,6 148,78,41. 14,15,6. 5,588,07. All other revenue ~~~~~~~~~~~~~ 148,051, ,687,074. 4,10,10 5,000,00-87,0 Business Code 148,051, ,45,01. 11,45,01. 48,6 56,1. 1,86. 4,708,17. 4,708,17. OTHER REVENUE 000 1,046,178. 1,046,178. GIVING ASSESSMENT 000 1,77. 1,77. PARTNERSHIP FLOW THROU ,16. 18,16. 1,68, ,01,508. 1, , ,471, Form 0 (01) 17
12 Form 0 (01) Part I Statement of Funtional Expenses Setion 501()() and 501()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response to any question in this Part I Do not inlude amounts reported on lines 6, (A) (B) (C) (D) Total expenses Program servie Management and Fundraising 7, 8,, and 10 of Part VIII. expenses general expenses expenses a d e f g a d e Grants and other assistane to governments and organizations in the United States. See Part IV, line 1 Grants and other assistane to individuals in the United States. See Part IV, line ~~~ Grants and other assistane to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 ~ Benefits paid to or for memers ~~~~~~~ Compensation of urrent offiers, diretors, trustees, and key employees ~~~~~~~~ Compensation not inluded aove, to disqualified persons (as defined under setion 458(f)(1)) and persons desried in setion 458()()(B) Pension plan aruals and ontriutions (inlude ~~~ Other salaries and wages ~~~~~~~~~~ setion 401(k) and 40() employer ontriutions) Other employee enefits ~~~~~~~~~~ Payroll taxes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Management ~~~~~~~~~~~~~~~~ Legal ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professional fundraising servies. See Part IV, line 17 Investment management fees ~~~~~~~~ Other. (If line 11g amount exeeds 10% of line 5, olumn (A) amount, list line 11g expenses on Sh O.) Advertising and promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Information tehnology ~~~~~~~~~~~ Royalties ~~~~~~~~~~~~~~~~~~ Oupany ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~ Payments of travel or entertainment expenses for any federal, state, or loal puli offiials Conferenes, onventions, and meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Payments to affiliates ~~~~~~~~~~~~ Depreiation, depletion, and amortization Insurane Other expenses. Itemize expenses not overed aove. (List misellaneous expenses in line 4e. If line 4e amount exeeds 10% of line 5, olumn (A) amount, list line 4e expenses on Shedule O.) ~~ All other expenses Total funtional expenses. Add lines 1 through 4e Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. ~~ ~~~~~~~~~~~~~~~~~ UO FUNDRAISING SUPPORT MISCELLANEOUS EPENSES PROPERTY TA AND ANNUAL CULTIVATION Chek here if following SOP 8- (ASC 58-70) UNIVERSITY OF OREGON FOUNDATION ,87, 1,05,445. 1,7, , ,76 4,85. 58,67. 15,5. 4, ,74. 1, ,07. 77, ,67. 10, ,76. 64, , ,105.,057, , ,7. 51,8. 17,88 144,685,. 14,87, 1,05,445. 1,7, , ,76 4,85. 58,67. 15,5. 4, ,74. 1, ,07. 77, ,67. 10, ,76. 64, , ,105. Page 10,057, , ,7. 51,8. 17,88 14,87, 7,74,055.,057, Form 0 (01) 18
13 Form 0 (01) Part Balane Sheet Net Assets or Fund Balanes Liailities Assets UNIVERSITY OF OREGON FOUNDATION Chek if Shedule O ontains a response to any question in this Part (A) (B) Beginning of year End of year 1 Cash - non-interest-earing ~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Savings and temporary ash investments ~~~~~~~~~~~~~~~~~~ Pledges and grants reeivale, net ~~~~~~~~~~~~~~~~~~~~~ 4 5 Aounts reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Loans and other reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees. Complete 4 Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 Loans and other reeivales from other disqualified persons (as defined under setion 458(f)(1)), persons desried in setion 458()()(B), and ontriuting employers and sponsoring organizations of setion 501()() voluntary 7 8 employees' enefiiary organizations (see instr). Complete Part II of Sh L ~~ Notes and loans reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~ Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ Prepaid expenses and deferred harges ~~~~~~~~~~~~~~~~~~ 10a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D ~~~ 10a,854,148. Less: aumulated depreiation ~~~~~~ Investments - pulily traded seurities ~~~~~~~~~~~~~~~~~~~ 11 1 Investments - other seurities. See Part IV, line 11 ~~~~~~~~~~~~~~ 1 1 Investments - program-related. See Part IV, line 11 ~~~~~~~~~~~~~ 1 14 Intangile assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ Total assets. Add lines 1 through 15 (must equal line 4) Aounts payale and arued expenses ~~~~~~~~~~~~~~~~~~ Grants payale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax-exempt ond liailities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 1 Esrow or ustodial aount liaility. Complete Part IV of Shedule D ~~~~ 1 Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgages and notes payale to unrelated third parties ~~~~~~ 4 Unseured notes and loans payale to unrelated third parties ~~~~~~~~ 4 5 Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-4). Complete Part of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 Total liailities. Add lines 17 through 5 6 Organizations that follow SFAS 117 (ASC 58), hek here and omplete lines 7 through, and lines and 4. 7 Unrestrited net assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 8 Temporarily restrited net assets Permanently restrited net assets ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ 8 Organizations that do not follow SFAS 117 (ASC 58), hek here and omplete lines 0 through 4. 0 Capital stok or trust prinipal, or urrent funds ~~~~~~~~~~~~~~~ 0 1 Paid-in or apital surplus, or land, uilding, or equipment fund ~~~~~~~~ 1 Retained earnings, endowment, aumulated inome, or other funds ~~~~ Total net assets or fund alanes ~~~~~~~~~~~~~~~~~~~~~~ 4 Total liailities and net assets/fund alanes Page 11 11,758,666. 0,715,6 41,10,756. 7,17,4. 10,8,414.,,85. 67,8. 17,4,51.,180,0. 1,074, ,4,57. 40,85,01. 44,481,4. 11,407,14 1,410, ,661, ,7,67 7,851,84. 1,75,45. 5,1,01. 4,778,70 5,4,1. 58,0,75. 87,067, ,5,84 4,40,0. 10,04,86. 6,4, ,14,0 5,60,78. 6,0, ,54,54. 7,414,8 807,661, ,7,67 Form 0 (01)
14 Form 0 (01) Part I Reoniliation of Net Assets a Chek if Shedule O ontains a response to any question in this Part I Total revenue (must equal Part VIII, olumn (A), line 1) Total expenses (must equal Part I, olumn (A), line 5) Revenue less expenses. Sutrat line from line 1 Net assets or fund alanes at eginning of year (must equal Part, line, olumn (A)) Net unrealized gains (losses) on investments Donated servies and use of failities Investment expenses Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hanges in net assets or fund alanes (explain in Shedule O) ~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at end of year. Comine lines through (must equal Part, line, olumn (B)) 10 Part II Finanial Statements and Reporting Chek if Shedule O ontains a response to any question in this Part II Yes Aounting method used to prepare the Form 0: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization's finanial statements ompiled or reviewed y an independent aountant? ~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization's finanial statements audited y an independent aountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: UNIVERSITY OF OREGON FOUNDATION Separate asis Consolidated asis Both onsolidated and separate asis If "Yes" to line a or, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? ~~~~~~~~~~~~~~~ If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-1? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits a a Page 1 165,01, ,685,. 1,15,56. 70,54,54. 51,604,77. 7,414,8 No Form 0 (01)
15 SCHEDULE A (Form 0 or 0-EZ) Department of the Treasury Internal Revenue Servie e f g h Complete if the organization is a setion 501()() organization or a setion 447(a)(1) nonexempt haritale trust. Attah to Form 0 or Form 0-EZ. See separate instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) A hurh, onvention of hurhes, or assoiation of hurhes desried in A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) setion 170()(1)(A)(i). OMB No Open to Puli Inspetion Name of the organization Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital's name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 1/% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than 1/% of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 0, 175. See setion 50(a)(). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 50(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 50(a)(1) or setion 50(a)(). See setion 50(a)(). Chek the ox that desries the type of supporting organization and omplete lines 11e through 11h. a Type I Type II Type III - Funtionally integrated d Type III - Non-funtionally integrated By heking this ox, I ertify that the organization is not ontrolled diretly or indiretly y one or more disqualified persons other than foundation managers and other than one or more pulily supported organizations desried in setion 50(a)(1) or setion 50(a)(). If the organization reeived a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, hek this ox (i) (ii) (iii) Puli Charity Status and Puli Support ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sine August 17, 006, has the organization aepted any gift or ontriution from any of the following persons? A person who diretly or indiretly ontrols, either alone or together with persons desried in (ii) and (iii) elow, the governing ody of the supported organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A family memer of a person desried in (i) aove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A 5% ontrolled entity of a person desried in (i) or (ii) aove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the supported organization(s) g(i) 11g(ii) 11g(iii) Yes No (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization (v) Did you notify the (vi) Is the (vii) (desried on lines 1- in ol. (i) listed in your organization in ol. organization in ol. organization (i) organized in the aove or IRC setion governing doument? (i) of your support? U.S.? (see instrutions) ) Yes No Yes No Yes No Amount of monetary support Total LHA For Paperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ. Shedule A (Form 0 or 0-EZ)
16 Shedule A (Form 0 or 0-EZ) 01 Part II Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) Calendar year (or fisal year eginning in) Total. Add lines 1 through ~~~ 6 Puli support. Sutrat line 5 from line 4. Calendar year (or fisal year eginning in) Total support. Add lines 7 through 10 (a) 008 () 00 () 010 (d) 011 (e) 01 (f) Total (a) 008 () 00 () 010 (d) 011 (e) 01 (f) Total First five years. If the Form 0 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage (Complete only if you heked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please omplete Part III.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf ~~~~ The value of servies or failities furnished y a governmental unit to the organization without harge ~ The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds % of the amount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts from line 4 ~~~~~~~ Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on ~ Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.) ~~~~ Gross reeipts from related ativities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentage for 01 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 011 Shedule A, Part II, line 14 UNIVERSITY OF OREGON FOUNDATION ,064,0. 65,064,0. 81,74, ,74,788. ~~~~~~~~~~~~~~~~~~~~~ 16a 1/% support test If the organization did not hek the ox on line 1, and line 14 is 1/% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1/% support test If the organization did not hek a ox on line 1 or 16a, and line 15 is 1/% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10% -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, or 16, and line 14 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part IV how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 10% -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part IV how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~ Private foundation. If the organization did not hek a ox on line 1, 16a, 16, 17a, or 17, hek this ox and see instrutions Page 10,700,107. 0,01, ,051, ,8,16. 10,700,107. 0,01, ,051, ,8, ,46,08. 4,5,08. 65,064,0. 81,74, ,700,107. 0,01, ,051, ,8,16. 1,816,84.,8,871. 4,80,64. 4,15,4. 1,174,8. 6,8,01.,45,748.,177,6. 8,77. 58,175. 1,046,178. 7,880,807. 5,56,114. 7, Shedule A (Form 0 or 0-EZ) 01 % %
17 Shedule A (Form 0 or 0-EZ) 01 Part III Support Shedule for Organizations Desried in Setion 50(a)() Calendar year (or fisal year eginning in) The value of servies or failities furnished y a governmental unit to the organization without harge ~ Total. Add lines 1 through 5 ~~~ 7a Amounts inluded on lines 1,, and reeived from disqualified persons Amounts inluded on lines and reeived from other than disqualified persons that exeed the greater of $5,000 or 1% of the amount on line 1 for the year ~~~~~~ Add lines 7a and 7 ~~~~~~~ 8 Puli support (Sutrat line 7 from line 6.) Calendar year (or fisal year eginning in) Amounts from line 6 ~~~~~~~ 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ (a) 008 () 00 () 010 (d) 011 (e) 01 (f) Total (a) 008 () 00 () 010 (d) 011 (e) 01 (f) Total hek this ox and stop here Setion C. Computation of Puli Support Perentage Puli support perentage from 011 Shedule A, Part III, line 15 Setion D. Computation of Investment Inome Perentage (Complete only if you heked the ox on line of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please omplete Part II.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose Gross reeipts from ativities that are not an unrelated trade or usiness under setion 51 ~~~~~ Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 0, 175 ~~~~ Add lines 10a and 10 ~~~~~~ 11 Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on ~~~~~~~ 1 Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.) ~~~~ 1 Total support. (Add lines, 10, 11, and 1.) 14 First five years. If the Form 0 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() organization, Page Puli support perentage for 01 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ 15 % Investment inome perentage for 01 (line 10, olumn (f) divided y line 1, olumn (f)) Investment inome perentage from 011 Shedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 % 1a 1/% support tests If the organization did not hek the ox on line 14, and line 15 is more than 1/%, and line 17 is not more than 1/%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ 1/% support tests If the organization did not hek a ox on line 14 or line 1a, and line 16 is more than 1/%, and line 18 is not more than 1/%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~ Private foundation. If the organization did not hek a ox on line 14, 1a, or 1, hek this ox and see instrutions Shedule A (Form 0 or 0-EZ) % %
18 Shedule B (Form 0, 0-EZ, or 0-PF) Department of the Treasury Internal Revenue Servie Name of the organization ** PUBLIC DISCLOSURE COPY ** Shedule of Contriutors Attah to Form 0, Form 0-EZ, or Form 0-PF. OMB No Employer identifiation numer Organization type (hek one): UNIVERSITY OF OREGON FOUNDATION Filers of: Setion: Form 0 or 0-EZ 501()( ) (enter numer) organization 447(a)(1) nonexempt haritale trust not treated as a private foundation 57 politial organization Form 0-PF 501()() exempt private foundation 447(a)(1) nonexempt haritale trust treated as a private foundation 501()() taxale private foundation Chek if your organization is overed y the General Rule or a Speial Rule. Note. Only a setion 501()(7), (8), or (10) organization an hek oxes for oth the General Rule and a Speial Rule. See instrutions. General Rule For an organization filing Form 0, 0-EZ, or 0-PF that reeived, during the year, $5,000 or more (in money or property) from any one ontriutor. Complete Parts I and II. Speial Rules For a setion 501()() organization filing Form 0 or 0-EZ that met the 1/% support test of the regulations under setions 50(a)(1) and 170()(1)(A)(vi) and reeived from any one ontriutor, during the year, a ontriution of the greater of (1) $5,000 or () % of the amount on (i) Form 0, Part VIII, line 1h, or (ii) Form 0-EZ, line 1. Complete Parts I and II. For a setion 501()(7), (8), or (10) organization filing Form 0 or 0-EZ that reeived from any one ontriutor, during the year, total ontriutions of more than $1,000 for use exlusively for religious, haritale, sientifi, literary, or eduational purposes, or the prevention of ruelty to hildren or animals. Complete Parts I, II, and III. For a setion 501()(7), (8), or (10) organization filing Form 0 or 0-EZ that reeived from any one ontriutor, during the year, ontriutions for use exlusively for religious, haritale, et., purposes, ut these ontriutions did not total to more than $1,00 If this ox is heked, enter here the total ontriutions that were reeived during the year for an exlusively religious, haritale, et., purpose. Do not omplete any of the parts unless the General Rule applies to this organization eause it reeived nonexlusively religious, haritale, et., ontriutions of $5,000 or more during the year ~~~~~~~~~~~~~~~~~ $ Caution. An organization that is not overed y the General Rule and/or the Speial Rules does not file Shedule B (Form 0, 0-EZ, or 0-PF), ut it must answer "No" on Part IV, line, of its Form 0; or hek the ox on line H of its Form 0-EZ or on Part I, line of its Form 0-PF, to ertify that it does not meet the filing requirements of Shedule B (Form 0, 0-EZ, or 0-PF). LHA For Paperwork Redution At Notie, see the Instrutions for Form 0, 0-EZ, or 0-PF. Shedule B (Form 0, 0-EZ, or 0-PF) (01)
19 Shedule B (Form 0, 0-EZ, or 0-PF) (01) Name of organization Employer identifiation numer Page UNIVERSITY OF OREGON FOUNDATION Part I Contriutors (see instrutions). Use dupliate opies of Part I if additional spae is needed. (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution 1 $ 85,,7. Person Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $,1,00 Person Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $,05,00 Person Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution Person Payroll Nonash Shedule B (Form 0, 0-EZ, or 0-PF) (01) 6 $ (Complete Part II if there is a nonash ontriution.)
20 Shedule B (Form 0, 0-EZ, or 0-PF) (01) Name of organization Page Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part II Nonash Property (see instrutions). Use dupliate opies of Part II if additional spae is needed. (a) No. from Part I 1 () Desription of nonash property given 1,85,01 SHS OF MISC. SECURITIES/BONDS, INFO AVAILABLE UPON REQUEST () FMV (or estimate) (see instrutions) (d) Date reeived $ 5,080,7. 1/1/1 (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived Shedule B (Form 0, 0-EZ, or 0-PF) (01) 7 $
21 Shedule B (Form 0, 0-EZ, or 0-PF) (01) Name of organization Page 4 Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part III (a) No. from Part I Exlusively religious, haritale, et., individual ontriutions to setion 501()(7), (8), or (10) organizations that total more than $1,000 for the year. Complete olumns (a) through (e) and the following line entry. For organizations ompleting Part III, enter the total of exlusively religious, haritale, et., ontriutions of $1,000 or less for the year. (Enter this information one.) $ Use dupliate opies of Part III if additional spae is needed. () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Shedule B (Form 0, 0-EZ, or 0-PF) (01) 8
22 SCHEDULE C (Form 0 or 0-EZ) Department of the Treasury Internal Revenue Servie For Organizations Exempt From Inome Tax Under setion 501() and setion 57 J Complete if the organization is desried elow. J Attah to Form 0 or Form 0-EZ. See separate instrutions. If the organization answered "Yes," to Form 0, Part IV, line, or Form 0-EZ, Part V, line 46 (Politial Campaign Ativities), then Setion 501()() organizations: Complete Parts I-A and B. Do not omplete Part I-C. Setion 501() (other than setion 501()()) organizations: Complete Parts I-A and C elow. Do not omplete Part I-B. Setion 57 organizations: Complete Part I-A only. Politial Campaign and Loying Ativities If the organization answered "Yes," to Form 0, Part IV, line 4, or Form 0-EZ, Part VI, line 47 (Loying Ativities), then Setion 501()() organizations that have filed Form 5768 (eletion under setion 501(h)): Complete Part II-A. Do not omplete Part II-B. If the organization answered "Yes," to Form 0, Part IV, line 5 (Proxy Tax), or Form 0-EZ, Part V, line 5 (Proxy Tax), then OMB No Open to Puli Inspetion Setion 501()() organizations that have NOT filed Form 5768 (eletion under setion 501(h)): Complete Part II-B. Do not omplete Part II-A. Setion 501()(4), (5), or (6) organizations: Complete Part III. Name of organization Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part I-A Complete if the organization is exempt under setion 501() or is a setion 57 organization. 1 Provide a desription of the organization's diret and indiret politial ampaign ativities in Part IV. Politial expenditures ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $ Volunteer hours ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Part I-B Complete if the organization is exempt under setion 501()(). 1 Enter the amount of any exise tax inurred y the organization under setion 455 ~~~~~~~~~~~~~ J $ Enter the amount of any exise tax inurred y organization managers under setion 455 ~~~~~~~~~~ J $ If the organization inurred a setion 455 tax, did it file Form 470 for this year? ~~~~~~~~~~~~~~~~~~~ 4a Was a orretion made? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," desrie in Part IV. Part I-C Complete if the organization is exempt under setion 501(), exept setion 501()() Enter the amount diretly expended y the filing organization for setion 57 exempt funtion ativities ~~~~ J $ Enter the amount of the filing organization's funds ontriuted to other organizations for setion 57 exempt funtion ativities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $ Total exempt funtion expenditures. Add lines 1 and. Enter here and on Form 110-POL, line 17 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $ Did the filing organization file Form 110-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No Enter the names, addresses and employer identifiation numer (EIN) of all setion 57 politial organizations to whih the filing organization made payments. For eah organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of politial ontriutions reeived that were promptly and diretly delivered to a separate politial organization, suh as a separate segregated fund or a politial ation ommittee (PAC). If additional spae is needed, provide information in Part IV. (a) Name () Address () EIN (d) Amount paid from (e) Amount of politial filing organization's ontriutions reeived and funds. If none, enter -0-. promptly and diretly delivered to a separate politial organization. If none, enter -0-. Yes Yes No No For Paperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ. Shedule C (Form 0 or 0-EZ) 01 LHA
23 Shedule C (Form 0 or 0-EZ) 01 Part II-A Complete if the organization is exempt under setion 501()() and filed Form 5768 (eletion under setion 501(h)). A B Chek Chek 1 a d e f J J if the filing organization elongs to an affiliated group (and list in Part IV eah affiliated group memer's name, address, EIN, expenses, and share of exess loying expenditures). if the filing organization heked ox A and "limited ontrol" provisions apply. Limits on Loying Expenditures (The term "expenditures" means amounts paid or inurred.) Total loying expenditures to influene puli opinion (grass roots loying) Total loying expenditures to influene a legislative ody (diret loying) Total loying expenditures (add lines 1a and 1) Other exempt purpose expenditures Total exempt purpose expenditures (add lines 1 and 1d) If the amount on line 1e, olumn (a) or () is: The loying nontaxale amount is: ~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Loying nontaxale amount. Enter the amount from the following tale in oth olumns. Not over $500,000 Over $500,000 ut not over $1,000,000 Over $1,000,000 ut not over $1,500,000 Over $1,500,000 ut not over $17,000,000 Over $17,000,000 UNIVERSITY OF OREGON FOUNDATION ~~~~~~~~~~~~~~~~~~~~ 0% of the amount on line 1e. $100,000 plus 15% of the exess over $500,00 $175,000 plus 10% of the exess over $1,000,00 $5,000 plus 5% of the exess over $1,500,00 $1,000,00 (a) Filing organization's totals 4,865. 4, ,51, ,685,. 1,000,00 () Page Affiliated group totals g h i j Grassroots nontaxale amount (enter 5% of line 1f) Sutrat line 1g from line 1a. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ Sutrat line 1f from line 1. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~ If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 470 reporting setion 411 tax for this year? 50,00 4-Year Averaging Period Under Setion 501(h) (Some organizations that made a setion 501(h) eletion do not have to omplete all of the five olumns elow. See the instrutions for lines a through f on page 4.) Yes No Loying Expenditures During 4-Year Averaging Period Calendar year (or fisal year eginning in) (a) 00 () 010 () 011 (d) 01 (e) Total a Loying nontaxale amount Loying eiling amount (150% of line a, olumn(e)) 858,11. 76,80. 1,000,00,61,.,,0 Total loying expenditures 08,1. 50,18. 4,865. 7,186. d e Grassroots nontaxale amount Grassroots eiling amount (150% of line d, olumn (e)) 14,5. 10,51. 50,00 655,484. 8,6. f Grassroots loying expenditures Shedule C (Form 0 or 0-EZ)
24 UNIVERSITY OF OREGON FOUNDATION Shedule C (Form 0 or 0-EZ) 01 Part II-B Complete if the organization is exempt under setion 501()() and has NOT filed Form 5768 (eletion under setion 501(h)). Page For eah "Yes," response to lines 1a through 1i elow, provide in Part IV a detailed desription of the loying ativity. (a) () Yes No Amount 1 a d e f g h i j d If the filing organization inurred a setion 41 tax, did it file Form 470 for this year? Part III-A Complete if the organization is exempt under setion 501()(4), setion 501()(5), or setion 501()(6). Yes 1 Did the organization agree to arry over loying and politial expenditures from the prior year? Part III-B Complete if the organization is exempt under setion 501()(4), setion 501()(5), or setion 501()(6) and if either (a) BOTH Part III-A, lines 1 and, are answered "No," OR () Part III-A, line, is answered "Yes." 1 4 a During the year, did the filing organization attempt to influene foreign, national, state or loal legislation, inluding any attempt to influene puli opinion on a legislative matter or referendum, through the use of: Volunteers? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Paid staff or management (inlude ompensation in expenses reported on lines 1 through 1i)? Media advertisements? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Mailings to memers, legislators, or the puli? Puliations, or pulished or roadast statements? Grants to other organizations for loying purposes? expenses for whih the setion 57(f) tax was paid). ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ Diret ontat with legislators, their staffs, government offiials, or a legislative ody? Rallies, demonstrations, seminars, onventions, speehes, letures, or any similar means? ~~~~ Other ativities? (do not inlude amounts of politial expenditure next year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Taxale amount of loying and politial expenditures (see instrutions) Part IV Supplemental Information ~ ~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total. Add lines 1 through 1i ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Did the ativities in line 1 ause the organization to e not desried in setion 501()()? If "Yes," enter the amount of any tax inurred under setion 41 If "Yes," enter the amount of any tax inurred y organization managers under setion 41 Were sustantially all (0% or more) dues reeived nondedutile y memers? Did the organization make only in-house loying expenditures of $,000 or less? Dues, assessments and similar amounts from memers Setion 16(e) nondedutile loying and politial expenditures Current year Carryover from last year ~~~~ ~~~~~~~~~~~~~~~~ ~~~ ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Aggregate amount reported in setion 60(e)(1)(A) noties of nondedutile setion 16(e) dues If noties were sent and the amount on line exeeds the amount on line, what portion of the exess does the organization agree to arryover to the reasonale estimate of nondedutile loying and politial ~~~~~~~~ Complete this part to provide the desriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group list); Part II-A, line ; and Part II-B, line 1. Also, omplete this part for any additional information. 1 1 a 4 5 No Shedule C (Form 0 or 0-EZ) 01 1
25 SCHEDULE D (Form 0) Complete if the organization answered "Yes," to Form 0, Part IV, line 6, 7, 8,, 10, 11a, 11, 11, 11d, 11e, 11f, 1a, or 1. Department of the Treasury Internal Revenue Servie Attah to Form See separate instrutions a d a (i) (ii) organization answered "Yes" to Form 0, Part IV, line 6. Total numer at end of year ~~~~~~~~~~~~~~~ Aggregate ontriutions to (during year) Aggregate grants from (during year) Aggregate value at end of year ~~~~~~~~ ~~~~~~~~~~ ~~~~~~~~~~~~~ (a) Donor advised funds Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, sujet to the organization's exlusive legal ontrol? ~~~~~~~~~~~~~~~~~~ Did the organization inform all grantees, donors, and donor advisors in writing that grant funds an e used only for haritale purposes and not for the enefit of the donor or donor advisor, or for any other purpose onferring impermissile private enefit? Part II Conservation Easements. Complete if the organization answered "Yes" to Form 0, Part IV, line 7. Purpose(s) of onservation easements held y the organization (hek all that apply). Preservation of land for puli use (e.g., rereation or eduation) Protetion of natural haitat Preservation of open spae OMB No Open to Puli Inspetion () Funds and other aounts a d Yes Yes Preservation of an historially important land area Preservation of a ertified histori struture Complete lines a through d if the organization held a qualified onservation ontriution in the form of a onservation easement on the last day of the tax year. Total numer of onservation easements Total areage restrited y onservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservation easements on a ertified histori struture inluded in (a) ~~~~~~~~~~~~ Numer of onservation easements inluded in () aquired after 8/17/06, and not on a histori struture listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservation easements modified, transferred, released, extinguished, or terminated y the organization during the tax year Numer of states where property sujet to onservation easement is loated Does the organization have a written poliy regarding the periodi monitoring, inspetion, handling of violations, and enforement of the onservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Staff and volunteer hours devoted to monitoring, inspeting, and enforing onservation easements during the year Amount of expenses inurred in monitoring, inspeting, and enforing onservation easements during the year $ Does eah onservation easement reported on line (d) aove satisfy the requirements of setion 170(h)(4)(B)(i) and setion 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ No No Held at the End of the Tax Year In Part III, desrie how the organization reports onservation easements in its revenue and expense statement, and alane sheet, and inlude, if appliale, the text of the footnote to the organization's finanial statements that desries the organization's aounting for onservation easements. Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 0, Part IV, line 8. 1a If the organization eleted, as permitted under SFAS 116 (ASC 58), not to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide, in Part III, the text of the footnote to its finanial statements that desries these items. If the organization eleted, as permitted under SFAS 116 (ASC 58), to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide the following amounts relating to these items: Revenues inluded in Form 0, Part VIII, line 1 Assets inluded in Form 0, Part ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the organization reeived or held works of art, historial treasures, or other similar assets for finanial gain, provide the following amounts required to e reported under SFAS 116 (ASC 58) relating to these items: Revenues inluded in Form 0, Part VIII, line 1 Assets inluded in Form 0, Part Supplemental Finanial Statements Name of the organization Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Aounts. Complete if the ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ $ 01 Yes Yes No No LHA For Paperwork Redution At Notie, see the Instrutions for Form Shedule D (Form 0) 01
26 Shedule D (Form 0) 01 Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets 4 5 a d e f d e If "Yes," explain the arrangement in Part III. Chek here if the explanation has een provided in Part III Part V Endowment Funds. Complete if the organization answered "Yes" to Form 0, Part IV, line 1 d e f g a (i) (ii) 4 Desrie in Part III the intended uses of the organization's endowment funds. Part VI Land, Buildings, and Equipment. See Form 0, Part, line 1 1a d (a) Current year () Prior year () Two years ak (d) Three years ak (e) Four years ak 1 1d 1e 1f Yes Yes a(i) a(ii) (a) Cost or other () Cost or other () Aumulated (d) Book value asis (investment) asis (other) depreiation e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 0, Part, olumn (B), line 10().) (ontinued) Using the organization's aquisition, aession, and other reords, hek any of the following that are a signifiant use of its olletion items (hek all that apply): Puli exhiition Sholarly researh Preservation for future generations Loan or exhange programs Provide a desription of the organization's olletions and explain how they further the organization's exempt purpose in Part III. During the year, did the organization soliit or reeive donations of art, historial treasures, or other similar assets to e sold to raise funds rather than to e maintained as part of the organization's olletion? Yes Part IV Esrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 0, Part IV, line, or reported an amount on Form 0, Part, line 1. 1a Is the organization an agent, trustee, ustodian or other intermediary for ontriutions or other assets not inluded on Form 0, Part? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other If "Yes," explain the arrangement in Part III and omplete the following tale: Beginning alane Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Distriutions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ending alane ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Did the organization inlude an amount on Form 0, Part, line 1? 1a Beginning of year alane Contriutions ~~~~~~~~~~~~~~ Net investment earnings, gains, and losses Grants or sholarships Other expenditures for failities and programs Administrative expenses End of year alane ~~~~~~~ ~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~~ Provide the estimated perentage of the urrent year end alane (line 1g, olumn (a)) held as: Board designated or quasi-endowment Permanent endowment % % Temporarily restrited endowment % The perentages in lines a,, and should equal 100%. ~~~~~~~~~~~~~~~~~~~~~~~~~ a Are there endowment funds not in the possession of the organization that are held and administered for the organization y: unrelated organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ related organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to a(ii), are the related organizations listed as required on Shedule R? Desription of property Land ~~~~~~~~~~~~~~~~~~~~ Buildings ~~~~~~~~~~~~~~~~~~ Leasehold improvements ~~~~~~~~~~ Equipment ~~~~~~~~~~~~~~~~~ UNIVERSITY OF OREGON FOUNDATION ,60,86. 1,51,00. 55,00,04. 4,674,44. 7,68,7. 5,17,87. 40,885, ,0, ,477,11. 15,710,. 5,88,071. 4,5,118. 1,05,511.,87,. 440,60,86. 88,45,01. 17,0,. 5,05,1. 4,411,16.,1,65.,6,. 440,477,11 ~~~~~~~~~~~~~~~~~~~~~~ 84, ,08. 68,010,57. 5,576,187. 1,6,56.,8,54. 8,777,65.,5,0. 88,45,01. 61,76. 60,86. Amount Yes Page No No No No Shedule D (Form 0) 01 45,06,16. 6,810, ,8,457. 4,46,88. 8,86,657.,5,68. 68,010,57. 8,0,715. 0, ,445.,180,
27 Shedule D (Form 0) 01 Page Part VII Investments - Other Seurities. See Form 0, Part, line 1. (a) Desription of seurity or ategory (inluding name of seurity) () Book value () Method of valuation: Cost or end-of-year market value (1) () () Total. (Col. () must equal Form 0, Part, ol. (B) line 1.) Part VIII Investments - Program Related. See Form 0, Part, line 1. (a) Desription of investment type () Book value () Method of valuation: Cost or end-of-year market value Total. (Col. () must equal Form 0, Part, ol. (B) line 1.) Part I Other Assets. See Form 0, Part, line 15. (a) Desription Total. (Column () must equal Form 0, Part, ol. (B) line 15.) Part Other Liailities. See Form 0, Part, line (a) Desription of liaility () Book value Finanial derivatives Closely-held equity interests Other (A) (B) (C) (D) (E) (F) (G) (H) (I) (1) () () (4) (5) (6) (7) (8) () (10) (1) () () (4) (5) (6) (7) (8) () (10) (1) () () (4) (5) (6) (7) (8) () (10) (11) Federal inome taxes ~~~~~~~~~~~~~~~ ~~~~~~~~~~~ INVESTMENT IN LIMITED PARTNERSHIPS UNIVERSITY OF OREGON FOUNDATION DEPOSITS HELD IN CUSTODY OBLIGATIONS TO BENEFICIARIES UNDER SPLIT-INTERST AGREEMENTS 44,481,4. 44,481,4. Total. (Column () must equal Form 0, Part, ol. (B) line 5.) END-OF-YEAR MARKET VALUE 16,400,741. 4,50, ,0,75. () Book value FIN 48 (ASC 740) Footnote. In Part III, provide the text of the footnote to the organization's finanial statements that reports the organization's liaility for unertain tax positions under FIN 48 (ASC 740). Chek here if the text of the footnote has een provided in Part III Shedule D (Form 0) 01 4
28 Shedule D (Form 0) 01 Part I Reoniliation of Revenue per Audited Finanial Statements With Revenue per Return 1 4 a d e a Add lines a through d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Sutrat line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 0, Part VIII, line 1, ut not on line 1: Add lines 4a and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 5 Total revenue. Add lines and 4. (This must equal Form 0, Part I, line 1.) 5 Part II Reoniliation of Expenses per Audited Finanial Statements With Expenses per Return 1 4 a d e a Total revenue, gains, and other support per audited finanial statements Amounts inluded on line 1 ut not on Form 0, Part VIII, line 1: Net unrealized gains on investments Donated servies and use of failities Reoveries of prior year grants Other (Desrie in Part III.) Add lines a through d ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment expenses not inluded on Form 0, Part VIII, line 7 Other (Desrie in Part III.) Sutrat line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 0, Part I, line 5, ut not on line 1: ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Total expenses and losses per audited finanial statements Amounts inluded on line 1 ut not on Form 0, Part I, line 5: Donated servies and use of failities Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Part III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~ Add lines 4a and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total expenses. Add lines and 4. (This must equal Form 0, Part I, line 18.) Part III Supplemental Information a d 4a 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment expenses not inluded on Form 0, Part VIII, line 7 Other (Desrie in Part III.) ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Complete this part to provide the desriptions required for Part II, lines, 5, and ; Part III, lines 1a and 4; Part IV, lines 1 and ; Part V, line 4; Part, line ; Part I, lines d and 4; and Part II, lines d and 4. Also omplete this part to provide any additional information. PART V, LINE 4: TO SUPPORT THE UNIVERSITY OF OREGON. UNIVERSITY OF OREGON FOUNDATION a d 4a 4 51,604,77. 84,18. 84, e 4 5 Page 4 16,657,05. 51,604, ,05,5. 84, ,01, ,86, ,86, , ,685,. PART, LINE : THE FOUNDATION RECOGNIZES THE TA BENEFIT FROM UNCERTAIN TA POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TA POSITIONS WILL BE SUSTAINED ON EAMINATION BY THE TA AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TA BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION HAD NO UNRECOGNIZED TA Shedule D (Form 0)
29 Shedule D (Form 0) 01 Part III Supplemental Information (ontinued) UNIVERSITY OF OREGON FOUNDATION Page 5 BENEFITS WHICH WOULD REQUIRE AN ADJUSTMENT TO THE JULY 1, 01 BEGINNING BALANCE OF NET ASSETS AND HAD NO UNRECOGNIZED TA BENEFITS AT JUNE 0, 01. THE FOUNDATION FILES AN EEMPT ORGANIZATION RETURN AND APPLICABLE UNRELATED BUSINESS INCOME TA RETURN IN THE U.S. FEDERAL JURISDICTION AND APPLICABLE STATE AGENCIES. GENERALLY, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TA EAMINATIONS BY TAING AUTHORITIES FOR YEARS BEFORE 00 FOR ITS FEDERAL AND STATE FILINGS. PART I LINE 8 AND PART II LINE D: REPRESENTS NET INVESTMENT GAINS/LOSSES REALIZED AND REPORTED IN FORM 0 IN FISCAL YEAR 01 BUT REPORTED IN PRIOR YEARS' AUDITED FINANCIAL STATEMENTS, LESS NET UNREALIZED INVESTMENT GAINS/LOSSES RECOGNIZED IN FISCAL YEAR 01 AUDITED FINANCIAL STATEMENTS BUT NOT REPORTED IN FORM Shedule D (Form 0) 01 6
30 SCHEDULE F (Form 0) Department of the Treasury Internal Revenue Servie Name of the organization Statement of Ativities Outside the United States Complete if the organization answered "Yes" to Form 0, Part IV, line 14, 15, or 16. Attah to Form See separate instrutions. OMB No Open to Puli Inspetion Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part I General Information on Ativities Outside the United States. Complete if the organization answered "Yes" to Form 0, Part IV, line For grantmakers. Does the organization maintain reords to sustantiate the amount of its grants and other assistane, the grantees' eligiility for the grants or assistane, and the seletion riteria used to award the grants or assistane? ~~ Yes No For grantmakers. Desrie in Part V the organization's proedures for monitoring the use of its grants and other assistane outside the United States. Ativities per Region. (The following Part I, line tale an e dupliated if additional spae is needed.) (a) Region () Numer of () Numer of (d) Ativities onduted in region (e) If ativity listed in (d) (f) Total offies in the region employees, agents, and independent ontrators in region (y type) (e.g., fundraising, program servies, investments, grants to reipients loated in the region) is a program servie, desrie speifi type of servie(s) in region expenditures for and investments in region CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 18,04,00 a LHA Su-total ~~~~~~ Total from ontinuation sheets to Part I ~~~ Totals (add lines a and ) ,04, ,04,00 For Paperwork Redution At Notie, see the Instrutions for Form Shedule F (Form 0)
31 Shedule F (Form 0) 01 UNIVERSITY OF OREGON FOUNDATION Part II Grants and Other Assistane to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 0, Part IV, line 15, for any reipient who reeived more than $5,00 Part II an e dupliated if additional spae is needed. Page 1 (a) Name of organization () IRS ode setion and EIN (if appliale) () Region (d) Purpose of (e) Amount (f) Manner of (g) Amount of (h) Desription (i) Method of non-ash of non-ash valuation (ook, FMV, grant of ash grant ash disursement assistane assistane appraisal, other) Enter total numer of reipient organizations listed aove that are reognized as harities y the foreign ountry, reognized as tax-exempt y the IRS, or for whih the grantee or ounsel has provided a setion 501()() equivaleny letter ~~~~~~~~~~~~~~~~~~~~~~~ Enter total numer of other organizations or entities Shedule F (Form 0)
32 Shedule F (Form 0) 01 Part III Grants and Other Assistane to Individuals Outside the United States. Part III an e dupliated if additional spae is needed. (a) Type of grant or assistane UNIVERSITY OF OREGON FOUNDATION () Region Complete if the organization answered "Yes" to Form 0, Part IV, line 16. () Numer of (d) Amount of (e) Manner of (f) Amount of (g) Desription of (h) Method of reipients ash grant ash disursement non-ash non-ash assistane valuation assistane (ook, FMV, appraisal, other) Page Shedule F (Form 0)
33 Shedule F (Form 0) 01 Part IV Foreign Forms UNIVERSITY OF OREGON FOUNDATION Page 4 1 Was the organization a U.S. transferor of property to a foreign orporation during the tax year? If "Yes," the organization may e required to file Form 6, Return y a U.S. Transferor of Property to a Foreign Corporation (see Instrutions for Form 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may e required to file Form 50, Annual Return to Report Transations with Foreign Trusts and Reeipt of Certain Foreign Gifts, and/or Form 50-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instrutions for Forms 50 and 50-A) [[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[ Yes No Did the organization have an ownership interest in a foreign orporation during the tax year? If "Yes," the organization may e required to file Form 5471, Information Return of U.S. Persons With Respet To Certain Foreign Corporations. (see Instrutions for Form 5471) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No 4 Was the organization a diret or indiret shareholder of a passive foreign investment ompany or a qualified eleting fund during the tax year? If "Yes," the organization may e required to file Form 861, Information Return y a Shareholder of a Passive Foreign Investment Company or Qualified Eleting Fund. (see Instrutions for Form 861) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No 5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may e required to file Form 8865, Return of U.S. Persons With Respet To Certain Foreign Partnerships. (see Instrutions for Form 8865) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No 6 Did the organization have any operations in or related to any oyotting ountries during the tax year? If "Yes," the organization may e required to file Form 571, International Boyott Report. (see Instrutions for Form 571) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No Shedule F (Form 0)
34 Shedule F (Form 0) 01 Part V Supplemental Information UNIVERSITY OF OREGON FOUNDATION Page 5 Complete this part to provide the information required y Part I, line (monitoring of funds); Part I, line, olumn (f) (aounting method; amounts of investments vs. expenditures per region); Part II, line 1 (aounting method); Part III (aounting method); and Part III, olumn () (estimated numer of reipients), as appliale. Also omplete this part to provide any additional information Shedule F (Form 0) 01 41
35 SCHEDULE I (Form 0) Department of the Treasury Internal Revenue Servie Name of the organization Part I 1 UNIVERSITY OF OREGON FOUNDATION General Information on Grants and Assistane Grants and Other Assistane to Organizations, Governments, and Individuals in the United States Complete if the organization answered "Yes" to Form 0, Part IV, line 1 or. Attah to Form Does the organization maintain reords to sustantiate the amount of the grants or assistane, the grantees' eligiility for the grants or assistane, and the seletion riteria used to award the grants or assistane? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ OMB No Open to Puli Inspetion Employer identifiation numer Desrie in Part IV the organization's proedures for monitoring the use of grant funds in the United States. Part II Grants and Other Assistane to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 0, Part IV, line 1, for any 01 reipient that reeived more than $5,00 Part II an e dupliated if additional spae is needed. 1 (a) Name and address of organization () EIN () IRC setion (d) Amount of (e) Amount of (f) Method of (g) Desription of (h) Purpose of grant valuation (ook, or government if appliale ash grant non-ash non-ash assistane or assistane FMV, appraisal, assistane other) UNIVERSITY OF OREGON 178 UNIVERSITY OF OREGON EUGENE, OR UNIVERSITY OF OREGON 178 UNIVERSITY OF OREGON EUGENE, OR GOVERNMENTAL GOVERNMENTAL 16,051,174.,118, Yes STUDENT AID, ACADEMIC MERIT AND NEEDS SCHOLARSHIPS, STUDENT ATHLETIC SCHOLARSHIPS, UNIVERSITY SUPPORT, SUPPLIES AND OPERATING EPENSES AND PERSONNEL EPENSES. No UNIVERSITY OF OREGON 178 UNIVERSITY OF OREGON EUGENE, OR GOVERNMENTAL 75,58,475. ACADEMIC FACILITIES AND EQUIPMENT AND NONACADEMIC FACILITIES AND EQUIPMENT. UNIVERSITY OF OREGON 178 UNIVERSITY OF OREGON EUGENE, OR GOVERNMENTAL 14,10,08. INSTRUCTIONAL AND RESEARCH PROGRAMS AND OTHER FACULTY SUPPORT. LHA Enter total numer of setion 501()() and government organizations listed in the line 1 tale Enter total numer of other organizations listed in the line 1 tale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For Paperwork Redution At Notie, see the Instrutions for Form Shedule I (Form 0) (01) SEE PART IV FOR COLUMN (H) DESCRIPTIONS 1.
36 UNIVERSITY OF OREGON FOUNDATION Shedule I (Form 0) (01) Part III Grants and Other Assistane to Individuals in the United States. Complete if the organization answered "Yes" to Form 0, Part IV, line. Part III an e dupliated if additional spae is needed. Page (a) Type of grant or assistane () Numer of () Amount of (d) Amount of nonash assistane (ook, FMV, appraisal, (e) Method of valuation (f) Desription of non-ash assistane reipients ash grant other) Part IV Supplemental Information. Complete this part to provide the information required in Part I, line, Part III, olumn (), and any other additional information. SCHEDULE I, PART I, LINE : ALL FUNDS RECEIVED BY THE FOUNDATION FROM A DONOR ARE ADMINISTERED IN ACCORDANCE WITH THE WRITTEN INTENT OF THE DONOR. ORIGINAL GIFT DOCUMENTS ARE RETAINED IN ACCORDANCE WITH THE FOUNDATION'S RECORDS MANAGEMENT POLICY. IN ORDER TO ENSURE COMPLIANCE WITH DONOR INTENT, THE FOUNDATION PLACES ALL ASSETS INTO IDENTIFIABLE FUNDS. IT IS THE ROLE OF THE FOUNDATION TO ONLY APPROVE THOSE EPENDITURES THAT ARE IN ALIGNMENT WITH DONOR INTENT. EACH EPENDITURE REQUEST MUST BE SIGNED BY AN AUTHORIZED SIGNER ON THE SOURCE OF FUNDS EQUITY. THIS SIGNATURE AUTHORIZES THE FOUNDATION TO RELEASE THE FUNDS AND ATTESTS THAT THE EPENDITURE IS Shedule I (Form 0) (01)
37 Shedule I (Form 0) Part IV Supplemental Information UNIVERSITY OF OREGON FOUNDATION Page CONSISTENT WITH ALL RESTRICTIONS ON THE USE OF THE EQUITY AND HAS NOT BEEN PAID FROM ANY OTHER SOURCE. THE FOUNDATION SHALL DENY A REQUEST IF IT IS DETERMINED UPON REVIEW THAT THE EPENDITURE DOES NOT MATCH THE DONOR INTENT. PART II, LINE 1, COLUMN (H): NAME OF ORGANIZATION OR GOVERNMENT: UNIVERSITY OF OREGON (H) PURPOSE OF GRANT OR ASSISTANCE: STUDENT AID, ACADEMIC MERIT AND NEEDS SCHOLARSHIPS, STUDENT ATHLETIC SCHOLARSHIPS, STUDENT LOANS AND WAGES Shedule I (Form 0) 44
38 SCHEDULE J (Form 0) Department of the Treasury Internal Revenue Servie Name of the organization Part I 1a For ertain Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" to Form 0, Part IV, line. Attah to Form See separate instrutions. Chek the appropriate ox(es) if the organization provided any of the following to or for a person listed in Form 0, Part VII, Setion A, line 1a. Complete Part III to provide any relevant information regarding these items. UNIVERSITY OF OREGON FOUNDATION Questions Regarding Compensation First-lass or harter travel Travel for ompanions Tax indemnifiation and gross-up payments Disretionary spending aount Compensation Information Housing allowane or residene for personal use Payments for usiness use of personal residene Health or soial lu dues or initiation fees Personal servies (e.g., maid, hauffeur, hef) OMB No Open to Puli Inspetion Employer identifiation numer Yes No If any of the oxes on line 1a are heked, did the organization follow a written poliy regarding payment or reimursement or provision of all of the expenses desried aove? If "No," omplete Part III to explain ~~~~~~~~~~~ Did the organization require sustantiation prior to reimursing or allowing expenses inurred y all offiers, diretors, trustees, and the CEO/Exeutive Diretor, regarding the items heked in line 1a? ~~~~~~~~~~~~~~~~~~~~~ 1 Indiate whih, if any, of the following the filing organization used to estalish the ompensation of the organization's CEO/Exeutive Diretor. Chek all that apply. Do not hek any oxes for methods used y a related organization to estalish ompensation of the CEO/Exeutive Diretor, ut explain in Part III. Compensation ommittee Independent ompensation onsultant Form 0 of other organizations Written employment ontrat Compensation survey or study Approval y the oard or ompensation ommittee 4 a During the year, did any person listed in Form 0, Part VII, Setion A, line 1a, with respet to the filing organization or a related organization: Reeive a severane payment or hange-of-ontrol payment? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Partiipate in, or reeive payment from, a supplemental nonqualified retirement plan? ~~~~~~~~~~~~~~~~~~~~ Partiipate in, or reeive payment from, an equity-ased ompensation arrangement? ~~~~~~~~~~~~~~~~~~~~ If "Yes" to any of lines 4a-, list the persons and provide the appliale amounts for eah item in Part III. 4a a a LHA Only setion 501()() and 501()(4) organizations must omplete lines 5-. For persons listed in Form 0, Part VII, Setion A, line 1a, did the organization pay or arue any ompensation ontingent on the revenues of: The organization? Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 5a or 5, desrie in Part III. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For persons listed in Form 0, Part VII, Setion A, line 1a, did the organization pay or arue any ompensation ontingent on the net earnings of: The organization? Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 6a or 6, desrie in Part III. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For persons listed in Form 0, Part VII, Setion A, line 1a, did the organization provide any non-fixed payments not desried in lines 5 and 6? If "Yes," desrie in Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Were any amounts reported in Form 0, Part VII, paid or arued pursuant to a ontrat that was sujet to the initial ontrat exeption desried in Regulations setion (a)()? If "Yes," desrie in Part III If "Yes" to line 8, did the organization also follow the reuttale presumption proedure desried in ~~~~~~~~~~~ Regulations setion ()? For Paperwork Redution At Notie, see the Instrutions for Form Shedule J (Form 0) 01 5a 5 6a
39 UNIVERSITY OF OREGON FOUNDATION Shedule J (Form 0) 01 Part II Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees. Use dupliate opies if additional spae is needed. For eah individual whose ompensation must e reported in Shedule J, report ompensation from the organization on row (i) and from related organizations, desried in the instrutions, on row (ii). Do not list any individuals that are not listed on Form 0, Part VII. Note. The sum of olumns (B)(i)-(iii) for eah listed individual must equal the total amount of Form 0, Part VII, Setion A, line 1a, appliale olumn (D) and (E) amounts for that individual. Page (A) Name and Title (B) Breakdown of W- and/or 10-MISC ompensation (C) Retirement and (D) Nontaxale (E) Total of olumns (F) Compensation other deferred enefits (B)(i)-(D) reported as deferred (i) Base (ii) Bonus & (iii) Other ompensation inentive reportale ompensation in prior Form 0 ompensation ompensation (1) ERIKA FUNK (i) 150,88. 7,8. 6,4. 185,1. COO & CCO (ii) () JAY D. NAMYET (i) 11,41. 45,80,017. 7,758. CIO (CHIEF INVEST OFFICER) (ii) () R. PAUL WEINHOLD (i) 0,5. 4,84. 45,80 18,701. 8,17. PRESIDENT/CEO (ii) (4) MARK BOLME (i) 11,48. 1,66. 0, ,4. DIRECTOR APPLICATION PROGRAMMING (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) Shedule J (Form 0) 01
40 Shedule J (Form 0) 01 Part III Supplemental Information UNIVERSITY OF OREGON FOUNDATION Complete this part to provide the information, explanation, or desriptions required for Part I, lines 1a, 1,, 4a, 4, 4, 5a, 5, 6a, 6, 7, and 8, and for Part II. Also omplete this part for any additional information. Page PART I, LINE 1A: THE PRESIDENT/CEO WAS REIMBURSED FOR SPOUSAL TRAVEL, THAT DID NOT MEET THE IRS REQUIREMENT FOR BUSINESS PURPOSE AND FOR RECEIPT OF A GIFT. BOTH BENEFITS WERE TREATED AS TAABLE COMPENSTATION. THE REIMBURSEMENT AND TREATEMENT AS COMPENSATION WAS APPROVED BY THE BOARD FOR $4,84. Shedule J (Form 0)
41 SCHEDULE M (Form 0) Department of the Treasury Internal Revenue Servie Art - Works of art Art - Historial treasures ~~~~~~~~~~~~~ ~~~~~~~~~ Art - Frational interests ~~~~~~~~~~ Books and puliations ~~~~~~~~~~ Clothing and household goods ~~~~~~ Cars and other vehiles ~~~~~~~~~~ Boats and planes ~~~~~~~~~~~~~ Intelletual property Seurities - Pulily traded ~~~~~~~~~~~ ~~~~~~~~ Seurities - Closely held stok ~~~~~~~ Seurities - Partnership, LLC, or trust interests Seurities - Misellaneous ~~~~~~~~~~~~~~ Qualified onservation ontriution - Histori strutures ~~~~~~~~ ~~~~~~~~~~~~ Qualified onservation ontriution - Other~ Real estate - Residential Real estate - Commerial Real estate - Other ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~~~~ Colletiles ~~~~~~~~~~~~~~~~ Food inventory Drugs and medial supplies ~~~~~~~~ Taxidermy Historial artifats Sientifi speimens ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ (a) () () (d) Numer of Nonash ontriution ontriutions or amounts reported on items ontriuted Form 0, Part VIII, line 1g Chek if appliale Arheologial artifats ~~~~~~~~~~ Other J ( ) Other J ( ) Other J ( ) Other J ( ) Numer of Forms 88 reeived y the organization during the tax year for ontriutions for whih the organization ompleted Form 88, Part IV, Donee Aknowledgement ~~~~ 0a During the year, did the organization reeive y ontriution any property reported in Part I, lines 1-8 that it must hold for at least three years from the date of the initial ontriution, and whih is not required to e used for exempt purposes for the entire holding period? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ OMB No J Complete if the organizations answered "Yes" on Form 0, Part IV, lines or Open to Puli J Attah to Form Inspetion Name of the organization Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Part I Types of Property Method of determining nonash ontriution amounts If "Yes," desrie the arrangement in Part II. Does the organization have a gift aeptane poliy that requires the review of any non-standard ontriutions? ~~~~~~ a Does the organization hire or use third parties or related organizations to soliit, proess, or sell nonash LHA ontriutions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," desrie in Part II. If the organization did not report an amount in olumn () for a type of property for whih olumn (a) is heked, desrie in Part II. Nonash Contriutions ,687,074. AVERGE HIGH/LOW QUOTE For Paperwork Redution At Notie, see the Instrutions for Form Shedule M (Form 0) (01) 0a 1 a Yes No
42 UNIVERSITY OF OREGON FOUNDATION Shedule M (Form 0) (01) Page Part II Supplemental Information. Complete this part to provide the information required y Part I, lines 0,, and, and whether the organization is reporting in Part I, olumn (), the numer of ontriutions, the numer of items reeived, or a omination of oth. Also omplete this part for any additional information. SCHEDULE M, LINE B: THE FOUNDATION RECEIVES GIFTS OF NONCASH CONTRIBUTIONS MOST COMMONLY IN THE FORM OF MARKETABLE SECURITIES AND REAL PROPERTY. IT IS THE FOUNDATION'S POLICY TO CONVERT GIFTS INTO CASH AS SOON AS PRACTICALLY AND PRUDENTLY POSSIBLE TO MEET THE NEEDS AND DIRECTIVES OF DONORS. THIRD PARTIES MAY FACILITATE THE ACCEPTANCE PROCESS AND SALE OF NONCASH GIFTS BY (1) PROVIDING EPERT INFORMATION AND SERVICES ON MARKET VALUE AND MARKETABILITY, () PROVIDING TITLE SEARCH, APPRAISALS, ENVIRONMENTAL AUDITS, AND OTHER PROFESSIONAL REPORTS, AND () COMPLETION OF RELATED LEGAL DOCUMENTS Shedule M (Form 0) (01) 4
43 SCHEDULE O (Form 0 or 0-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 0 or 0-EZ Complete to provide information for responses to speifi questions on Form 0 or 0-EZ or to provide any additional information. Attah to Form 0 or 0-EZ. OMB No Open to Puli Inspetion Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION FORM 0, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE PURPOSE AND MISSION OF THE FOUNDATION ARE, ACTING ON ITS OWN OR THROUGH AFFILIATES, TO SUPPORT AND ASSIST THE UNIVERSITY OF OREGON IN ITS ACTIVITIES BY MANAGEMENT AND ADMINISTRATION OF FOUNDATION ASSETS REPRESENTING PRIVATELY DONATED FUNDS, BY LEADING ADVOCACY FOR THE UNIVERSITY, AND BY DEVELOPING, FINANCING, CONSTRUCTION, ACQUIRING AND OPERATION FACILITIES FOR OR ON BEHALF OF THE UNIVERSITY. FORM 0, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: IN SUPPORT OF THE FOUNDATION'S MISSION, STAFF ENDEAVORS TO POSITIVELY IMPACT SOCIETY BY SUPPORTING THE UNIVERSITY OF OREGON'S MISSION OF EDUCATION, RESEARCH AND ENTREPRENEURSHIP THROUGH EEMPLARY STEWARDSHIP OF RELATIONSHIPS AND RESOURCES. FORM 0, PART III, LINE 4D, OTHER PROGRAM SERVICES: FUNDS ARE DISBURSED FROM CONTRIBUTIONS TO THE UNIVERSITY OF OREGON AT THE REQUEST OF AUTHORIZED UNIVERSITY OFFICIALS FOR THE DONOR DESIGNATED PURPOSE OF THE CONTRIBUTION: INSTRUCTIONAL AND RESEARCH PROGRAMS; OTHER FACULTY SUPPORT. EPENSES $ 14,10,08. INCLUDING GRANTS OF $ 14,10,08. REVENUE $ FORM 0, PART V, LINE 4B, LIST OF FOREIGN COUNTRIES: CAYMAN ISLANDS, BRITISH VIRGIN IS, BERMUDA FORM 0, PART VI, SECTION B, LINE 11: THE AUDIT COMMITTEE MEETS TO REVIEW AND APPROVE THE 0 PRIOR TO FILING. A REPORT IS MADE AT THE FOLLOWING LHA For Paperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ. Shedule O (Form 0 or 0-EZ) (01) 50
44 Shedule O (Form 0 or 0-EZ) (01) Page Name of the organization FULL BOARD MEETING. A COPY OF THE FORM 0 IS MADE AVAILABLE ELECTRONICALLY TO ALL S PRIOR TO FILING. THE FOUNDATION ANNUALLY PROVIDES TRAINING TO THE S TO UNDERSTAND THE CONTENT OF THE FORM 0 BOTH IN GENERAL AND AS TO SPECIFIC INFORMATION FOR THE CURRENT FILING YEAR. Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION FORM 0, PART VI, SECTION B, LINE 1C: THE REVIEW OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS DOCUMENTED IN THE MANAGEMENT OF DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST STATEMENT POLICY. BOTH S AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY AND UPON OCCURRENCE OF A MATERIAL CHANGE IN THE INFORMATION DISCLOSED. ALL FORMS ARE LOGGED AND REVIEWED TO IDENTIFY THOSE WHO HAVE INDICATED A POTENTIAL CONFLICT. A DESIGNATED EECUTIVE MANAGEMENT GROUP REVIEWS THOSE WITH POTENTIAL CONFLICTS TO DETERMINE IF THERE TRULY IS A CONFLICT OF INTEREST. FOR S, A CONFLICT OF INTEREST LOG IS MAINTAINED AND AVAILABLE FOR REFERENCE AT ALL BOARD MEETINGS. PRIOR TO VOTE, THE BOARD CHAIR WILL IDENTIFY ANY INDIVIDUALS WHO MUST ABSTAIN FROM VOTING DUE TO A CONFLICT OF INTEREST. FOR EMPLOYEES, ANY TRUE CONFLICTS ARE DISCUSSED WITH THE EMPLOYEE AND HUMAN RESOURCES AND THE EMPLOYEE WILL BE RESTRICTED FROM PARTICIPATION IN A TRANSACTION DIRECTLY RELATED TO THE CONFLICT. FORM 0, PART VI, SECTION B, LINE 15A: THE BOARD OF 'S EECUTIVE COMPENSATION COMITTEE DEVELOPS AND RECOMMENDS FOR BOARD APPROVAL A COMPENSATION PHILOSOPHY AND THE PRESIDENT/CEO TOTAL COMPENSATION PACKAGE IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS, AND REVIEWS AND APPROVES MEASURABLE GOALS AND OBJECTIVES FOR THE PRESIDENT/CEO. FORM 0, PART VI, SECTION C, LINE 1: THE FOUNDATION WEBSITE, PROVIDES THE PUBLIC WITH ACCESS TO VIEW AND PRINT THE Shedule O (Form 0 or 0-EZ) (01) 51
45 Shedule O (Form 0 or 0-EZ) (01) Page Name of the organization MOST RECENT FIVE ANNUAL REPORTS, THE MOST RECENT 0, CONFIDENTIALITY, WHISTLEBLOWER, CONFLICT OF INTEREST AND OTHER GOVERNANCE POLICIES. ADDITIONALLY, ALL S HAVE ACCESS TO, VIA THE WEBSITE, THE ARTICLES OF INCORPORATION, BYLAWS, COMMITTEE CHARTERS, ALL COMMITTEE AND FULL BOARD MEETING MINUTES, AND MEMO OF UNDERSTANDING WITH THE UNIVERSITY. THE FOUNDATION ALSO PROVIDES HARDCOPIES OF THE ANNUAL REPORTS UPON REQUEST. Employer identifiation numer UNIVERSITY OF OREGON FOUNDATION Shedule O (Form 0 or 0-EZ) (01) 5
46 OMB No SCHEDULE R (Form 0) 01 Complete if the organization answered "Yes" to Form 0, Part IV, line, 4, 5, 6, or 7. Department of the Treasury Open to Puli Internal Revenue Servie Attah to Form See separate instrutions. Inspetion Name of the organization UNIVERSITY OF OREGON FOUNDATION Related Organizations and Unrelated Partnerships Employer identifiation numer Part I Identifiation of Disregarded Entities (Complete if the organization answered "Yes" to Form 0, Part IV, line.) Part II (a) () () (d) (e) (f) Name, address, and EIN (if appliale) of disregarded entity Primary ativity Legal domiile (state or foreign ountry) NATIONAL CHAMPIONSHIP PROPERTIES, LLC , C/O UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410, TO FACILITATE THE CONSTRUCTION OF A NEW BASKETBALL ARENA OREGON. OREGON FUTURE EPANSION II, LLC TO ACQUIRE CERTAIN REAL C/O UNIVERSITY OF OREGON FOUNDATION, 170 E PROPERTY INTENDED FOR THE EUGENE, OR 740 OREGON FUTURE EPANSION III, LLC , C/O UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410, PHIT, LLC USE BY THE UO TO ACQUIRE CERTAIN REAL PROPERTY INTENDED FOR THE USE BY THE UO TO EPEDITE RENOCATION AND OREGON OREGON 6, ,1. C/O UNIVERSITY OF OREGON FOUNDATION, 170 E CONSTRCUTION OF FACILITIES EUGENE, OR 740 FOR THE UO OREGON 77,10,8. Total inome End-of-year assets Diret ontrolling entity Identifiation of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 0, Part IV, line 4 eause it had one or more related tax-exempt organizations during the tax year.) (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) UNIVERSITY OF OREGON,4 FOUNDATION UNIVERSITY OF OREGON 800,16. FOUNDATION UNIVERSITY OF OREGON 4,6,. FOUNDATION UNIVERSITY OF OREGON 0,1,60. FOUNDATION Diret ontrolling entity Setion 51()(1) ontrolled entity? Yes No For Paperwork Redution At Notie, see the Instrutions for Form Shedule R (Form 0) LHA SEE PART VII FOR CONTINUATIONS
47 Shedule R (Form 0) UNIVERSITY OF OREGON FOUNDATION Part I Continuation of Identifiation of Disregarded Entities (a) () () (d) (e) (f) Name, address, and EIN of disregarded entity Primary ativity Legal domiile (state or foreign ountry) Total inome End-of-year assets Diret ontrolling entity OREGON FUTURE EPANSION PK, LLC TO FACILITATE FUNDING FOR C/O UNIVERSITY OF OREGON FOUNDATION, 170 E THE EPANSION OF THE UNIVERSITY OF OREGON EUGENE, OR 740 BASEBALL FACILITIES OREGON,585.,0,518. FOUNDATION OREGON FUTURE EPANSION FRANKLIN, LLC - TO ACQUIRE CERTAIN REAL , C/O UNIVERSITY OF OREGON PROPERTY INTENDED FOR THE UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410, USE BY THE UO OREGON 48,164.,074,85 FOUNDATION PHIT TOO, LLC TO ACQUIRE CERTAIN REAL C/O UNIVERSITY OF OREGON FOUNDATION, 170 E PROPERTY INTENDED FOR THE UNIVERSITY OF OREGON EUGENE, OR 740 USE BY THE UO OREGON 8,05,084.,75,15. FOUNDATION
48 Shedule R (Form 0) 01 Part III Identifiation of Related Organizations Taxale as a Partnership (Complete if the organization answered "Yes" to Form 0, Part IV, line 4 eause it had one or more related organizations treated as a partnership during the tax year.) (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Legal Primary ativity Diret ontrolling Predominant inome Share of total Share of Disproportionate alloations? amount in ox Code V-UBI General or domiile managing (state or entity (related, unrelated, inome end-of-year partner? foreign exluded from tax under assets 0 of Shedule ountry) setions ) Yes No K-1 (Form 1065) Yes No Name, address, and EIN of related organization UNIVERSITY OF OREGON FOUNDATION Page Perentage ownership Part IV Identifiation of Related Organizations Taxale as a Corporation or Trust (Complete if the organization answered "Yes" to Form 0, Part IV, line 4 eause it had one or more related organizations treated as a orporation or trust during the tax year.) (a) () () (d) (e) (f) (g) (h) (i) Name, address, and EIN of related organization 6 CHARITABLE REMAINDER ANNUITY TRUST 170 E 1TH AVE., SUITE 410 EUGENE, OR CHARITABLE REMAINDER TRUST 170 E 1TH AVE., SUITE 410 EUGENE, OR POOLED INCOME FUND 170 E 1TH AVE., SUITE 410 EUGENE, OR Primary ativity ANNUNITY TRUST REMAINDER TRUST INCOME FUND Legal domiile (state or foreign ountry) OR OR OR Diret ontrolling entity Type of entity (C orp, S orp, or trust) TRUST TRUST TRUST Share of total inome Share of end-of-year assets Perentage ownership Setion 51()(1) ontrolled entity? Yes No Shedule R (Form 0) 01
49 Shedule R (Form 0) 01 UNIVERSITY OF OREGON FOUNDATION Page Part V Transations With Related Organizations (Complete if the organization answered "Yes" to Form 0, Part IV, line 4, 5, or 6.) Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this shedule. Yes No 1 a d e During the tax year, did the organization engage in any of the following transations with one or more related organizations listed in Parts II-IV? Reeipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a ontrolled entity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Gift, grant, or apital ontriution to related organization(s) Gift, grant, or apital ontriution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees y related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 1d 1e f g h i j Dividends from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sale of assets to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Purhase of assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exhange of assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Lease of failities, equipment, or other assets to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1f 1g 1h 1i 1j k Lease of failities, equipment, or other assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ l Performane of servies or memership or fundraising soliitations for related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ m Performane of servies or memership or fundraising soliitations y related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ n Sharing of failities, equipment, mailing lists, or other assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ o Sharing of paid employees with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1k 1l 1m 1n 1o p q Reimursement paid to related organization(s) for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Reimursement paid y related organization(s) for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1p 1q r s Other transfer of ash or property to related organization(s) Other transfer of ash or property from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the answer to any of the aove is "Yes," see the instrutions for information on who must omplete this line, inluding overed relationships and transation thresholds. (a) () () (d) Name of other organization Transation Amount involved Method of determining amount involved type (a-s) 1r 1s (1) () () (4) (5) (6) Shedule R (Form 0) 01
50 Shedule R (Form 0) 01 UNIVERSITY OF OREGON FOUNDATION Page 4 Part VI Unrelated Organizations Taxale as a Partnership (Complete if the organization answered "Yes" to Form 0, Part IV, line 7.) Provide the following information for eah entity taxed as a partnership through whih the organization onduted more than five perent of its ativities (measured y total assets or gross revenue) that was not a related organization. See instrutions regarding exlusion for ertain investment partnerships. (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Are all Primary ativity partners se. Share of Share of Disproportionate amount in ox 0 managing Code V-UBI General or 501()() orgs.? total end-of-year alloations? partner? Name, address, and EIN of entity Legal domiile (state or foreign ountry) Predominant inome (related, unrelated, exluded from tax under setion ) of Shedule K-1 Yes No inome assets Yes No (Form 1065) Yes No Perentage ownership Shedule R (Form 0)
51 Shedule R (Form 0) 01 Part VII Supplemental Information UNIVERSITY OF OREGON FOUNDATION Complete this part to provide additional information for responses to questions on Shedule R (see instrutions). Page 5 PART I, IDENTIFICATION OF DISREGARDED ENTITIES: NAME, ADDRESS, AND EIN OF DISREGARDED ENTITY: NATIONAL CHAMPIONSHIP PROPERTIES, LLC EIN: C/O UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410 EUGENE, OR 740 NAME, ADDRESS, AND EIN OF DISREGARDED ENTITY: OREGON FUTURE EPANSION III, LLC EIN: C/O UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410 EUGENE, OR 740 NAME, ADDRESS, AND EIN OF DISREGARDED ENTITY: OREGON FUTURE EPANSION FRANKLIN, LLC EIN: C/O UNIVERSITY OF OREGON FOUNDATION, 170 E 1TH AVE, SUITE 410 EUGENE, OR Shedule R (Form 0) 01 58
52 Form Department of the Treasury Internal Revenue Servie A B C For alendar year 01 or other tax year eginning JUL 1, 01, and ending JUN 0, 01 Exempt under setion Print 501( )( ) or Numer, street, and room or suite no. If a P.O. ox, see instrutions. Type 408(e) 0(e) 170 E 1TH AVE. #410 OMB No Open to Puli Inspetion for 501()() Organizations Only D Employer identifiation numer (Employees' trust, see instrutions.) E Unrelated usiness ativity odes (See instrutions) F Group exemption numer (see instrutions) G Chek organization type 501() orporation 501() trust 401(a) trust Other trust H Desrie the organization's primary unrelated usiness ativity. I During the tax year, was the orporation a susidiary in an affiliated group or a parent-susidiary ontrolled group? If "Yes," enter the name and identifying numer of the parent orporation. ~~~~~~ Yes No J The ooks are in are of UNIVERSITY OF OREGON FOUNDATION Telephone numer (541) Part I Unrelated Trade or Business Inome (A) Inome (B) Expenses (C) Net Less returns and allowanes Balane ~~~ 1 Total. Comine lines through 1 1 Part II Dedutions Not Taken Elsewhere (see instrutions for limitations on dedutions) (exept for ontriutions, dedutions must e diretly onneted with the unrelated usiness inome) T Chek ox if address hanged Name of organization ( 408A 50(a) City or town, state, and ZIP ode 5(a) Book value of all assets at end of year 878,7, a Gross reeipts or sales Cost of goods sold (Shedule A, line 7) ~~~~~~~~~~~~~~~~~ Gross profit. Sutrat line from line 1 ~~~~~~~~~~~~~~~~ 4 a Capital gain net inome (attah Shedule D) ~~~~~~~~~~~~~~~ Net gain (loss) (Form 477, Part II, line 17) (attah Form 477) ~~~~~~ Capital loss dedution for trusts ~~~~~~~~~~~~~~~~~~~~ Inome (loss) from partnerships and S orporations (attah statement) ~~~ Rent inome (Shedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelated det-finaned inome (Shedule E) ~~~~~~~~~~~~~~ Interest, annuities, royalties, and rents from ontrolled organizations (Sh. F)~ Investment inome of a setion 501()(7), (), or (17) organization (Shedule G) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exploited exempt ativity inome (Shedule I) ~~~~~~~~~~~~~~ Advertising inome (Shedule J) ~~~~~~~~~~~~~~~~~~~~ Other inome (see instrutions; attah statement) ~~~~~~~~~~~~ STATEMENT Compensation of offiers, diretors, and trustees (Shedule K) Salaries and wages Repairs and maintenane Chek ox if name hanged and see instrutions.) Total dedutions. Add lines 14 through 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 4a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest (attah statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT Taxes and lienses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitale ontriutions (see instrutions for limitation rules) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STATEMENT 6 SEE STATEMENT 4 Depreiation (attah Form 456) Less depreiation laimed on Shedule A and elsewhere on return Depletion Contriutions to deferred ompensation plans Exempt Organization Business Inome Tax Return ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess exempt expenses (Shedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess readership osts (Shedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other dedutions (attah statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 5 Unrelated usiness taxale inome efore net operating loss dedution. Sutrat line from line 1 ~~~~~~~~~~~~ Net operating loss dedution (limited to the amount on line 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 7 Unrelated usiness taxale inome efore speifi dedution. Sutrat line 1 from line 0 Speifi dedution (generally $1,000, ut see instrutions for exeptions) (and proxy tax under setion 60(e)) UNIVERSITY OF OREGON FOUNDATION EUGENE, OR UNRELATED BUSINESS INCOME FROM PARTNER INVESTMENTS 1,8,41. -1,1, ,144. 0,5. 814,16 1 a STMT 1 7,77. ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~ 17,75. 17, ,8,41. -1,1, ,1. 0,5. 76, ,44. 7,77. 16,7. 611,70 184, ,707. 1,00 4 Unrelated usiness taxale inome. Sutrat line from line. If line is greater than line, enter the smaller of zero or line LHA For Paperwork Redution At Notie, see instrutions. Form 0-T (01) 5
53 Form 0 T (01) Part III 5 Organizations taxale as orporations (see instrutions for tax omputation). Controlled group memers (setions 1561 and 156) hek here See instrutions and: a Enter your share of the $50,000, $5,000, and $,5,000 taxale inome rakets (in that order): (1) $ () $ () $ Enter organization's share of: (1) Additional 5% tax (not more than $11,750) () Additional % tax (not more than $100,000) ~~~~~~~~~~~~~ $ $ Inome tax on the amount on line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Part IV 40a d e 41 UNIVERSITY OF OREGON FOUNDATION Tax Computation Trusts taxale at trust rates (see instrutions for tax omputation). Inome tax on the amount on line 4 from: Tax rate shedule or Shedule D (Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Proxy tax (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total. Add lines 7 and 8 to line 5 or 6, whihever applies Tax and Payments Foreign tax redit (orporations attah Form 1118; trusts attah Form 1116) ~~~~~~~~ 40a Other redits (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 40 General usiness redit. Attah Form 800 ~~~~~~~~~~~~~~~~~~~~~~ 40 Credit for prior year minimum tax (attah Form 8801 or 887) ~~~~~~~~~~~~~~ 40d Total redits. Add lines 40a through 40d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sutrat line 40e from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Other taxes. Chek if from: Form 455 Form 8611 Form 867 Form 8866 Other (attah statement) 4 4 Total tax. Add lines 41 and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 44 a Payments: A 011 overpayment redited to 01 ~~~~~~~~~~~~~~~~~~~ 44a 01 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 d Foreign organizations: Tax paid or withheld at soure (see instrutions) ~~~~~~~~~~ 44d e Bakup withholding (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~ 44e f Credit for small employer health insurane premiums (Attah Form 841) ~~~~~~~~ 44f g Other redits and payments: Form 4 Form 416 Other Total 44g 45 Total payments. Add lines 44a through 44g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Estimated tax penalty (see instrutions). Chek if Form 0 is attahed ~~~~~~~~~~~~~~~~~~~ Tax due. If line 45 is less than the total of lines 4 and 46, enter amount owed ~~~~~~~~~~~~~~~~~~~ Overpayment. If line 45 is larger than the total of lines 4 and 46, enter amount overpaid ~~~~~~~~~~~~~~ 48 4 Enter the amount of line 48 you want: Credited to 01 estimated tax Refunded 4 (see instrutions) Part V Statements Regarding Certain Ativities and Other Information 1 At any time during the 01 alendar year, did the organization have an interest in or a signature or other authority over a finanial aount (ank, Yes No seurities, or other) in a foreign ountry? If "Yes," the organization may have to file Form TD F 0.1, Report of Foreign Bank and Finanial Aounts. If "Yes," enter the name of the foreign ountry here VIRGIN ISLANDS/CAYMAN/BERMUDA During the tax year, did the organization reeive a distriution from, or was it the grantor of, or transferor to, a foreign trust? If "Yes," see instrutions for other forms the organization may have to file. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of tax exempt interest reeived or arued during the tax year $ Enter method of inventory valuation N/A 1 Inventory at eginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ 6 Purhases ~~~~~~~~~~~ 7 Cost of goods sold. Sutrat line 6 Cost of laor~~~~~~~~~~~ from line 5. Enter here and in Part I, line ~~~~ 7 4 a Additional setion 6A osts (att. statement) 4a 8 Do the rules of setion 6A (with respet to Yes No Other osts (attah statement) ~~~ 4 property produed or aquired for resale) apply to 5 Total. Add lines 1 through 4 5 the organization? Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. e. Delaration of preparer (other than taxpayer) is ased on all information of whih preparer has any knowledge. May the IRS disuss this return with CCO the preparer shown elow (see = Signature of offier Date = Title instrutions)? Yes No Print/Type preparer's name Preparer's signature Date Chek if PTIN self employed Shedule A Cost of Goods Sold. Sign Here Paid Preparer Use Only WENDY CAMPOS P Firm's name MOSS ADAMS, LLP. Firm's EIN OAK ST, SUITE 500 Firm's address EUGENE, OR 7401 Phone no T Form (01) e 41 Page
54 1. Desription of property UNIVERSITY OF OREGON FOUNDATION Form 0-T (01) Shedule C - Rent Inome (From Real Property and Personal Property Leased With Real Property) Page (see instrutions) (1) () () (4) (1) () () (4) Total (a). From personal property (if the perentage of rent for personal property is more than 10% ut not more than 50%) Rent reeived or arued () From real and personal property (if the perentage of rent for personal property exeeds 50% or if the rent is ased on profit or inome) Total () Total inome. Add totals of olumns (a) and (). Enter () Total dedutions. Enter here and on page 1, here and on page 1, Part I, line 6, olumn (A) Part I, line 6, olumn (B) (see instrutions) Shedule E - Unrelated Det-Finaned Inome () () (4) (1) () () (4) Totals 1. Desription of det-finaned property. Gross inome from or alloale to detfinaned property Dedutions diretly onneted with the inome in olumns (a) and () (attah statement) Dedutions diretly onneted with or alloale to det-finaned property Straight line depreiation (attah statement) () Other dedutions (attah statement) 4. Amount of average aquisition 5. Average adjusted asis 6. Column 4 divided 7. Gross inome 8. Alloale dedutions det on or alloale to det-finaned of or alloale to y olumn 5 reportale (olumn (olumn 6 x total of olumns property (attah statement) det-finaned property x olumn 6) (a) and ()) (attah statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter here and on page 1, Part I, line 7, olumn (A). Total dividends-reeived dedutions inluded in olumn 8 Shedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instrutions) Enter here and on page 1, Part I, line 7, olumn (B). 1. Name of ontrolled organization Part of olumn 4 that is 6. Dedutions diretly Employer identifiation numer Net unrelated inome (loss) (see instrutions) Total of speified payments made inluded in the ontrolling organization's gross inome onneted with inome in olumn 5 % % % % Exempt Controlled Organizations (a). (a) STATEMENT 8 (1) OF FRANKLIN PROPERTY 74, ,75.,05,6.,05, , ,75. 74, ,75. (1) () () (4) Nonexempt Controlled Organizations 7. Taxale Inome 8. Net unrelated inome (loss). Total of speified payments 1 Part of olumn that is inluded 11. Dedutions diretly onneted (see instrutions) made in the ontrolling organization's with inome in olumn 10 gross inome (1) () () (4) Add olumns 5 and 1 Enter here and on page 1, Part I, line 8, olumn (A). Add olumns 6 and 11. Enter here and on page 1, Part I, line 8, olumn (B). Totals J Form 0-T (01) 61
55 Form 0-T (01) Shedule G - Investment Inome of a Setion 501()(7), (), or (17) Organization (see instrutions) (1) () () (4) 1. Desription of exploited ativity 1. Desription of inome. Amount of inome. Gross unrelated usiness inome from trade or usiness Enter here and on page 1, Part I, line 10, ol. (A).. Expenses diretly onneted with prodution of unrelated usiness inome Enter here and on page 1, Part I, line 10, ol. (B). Enter here and on page 1, Part I, line, olumn (A). Totals Shedule I - Exploited Exempt Ativity Inome, Other Than Advertising Inome (see instrutions) (1) () () (4) UNIVERSITY OF OREGON FOUNDATION 4. Net inome (loss) from unrelated trade or usiness (olumn minus olumn ). If a gain, ompute ols. 5 through 7. Totals Shedule J - Advertising Inome (see instrutions) Part I Inome From Periodials Reported on a Consolidated Basis Dedutions Total dedutions diretly onneted 4. Set-asides 5. and set-asides (attah statement) (attah statement) (ol. plus ol. 4) 5. Gross inome from ativity that 6. Expenses attriutale to is not unrelated olumn 5 usiness inome Enter here and on page 1, Part I, line, olumn (B). 7. Exess exempt expenses (olumn 6 minus olumn 5, ut not more than olumn 4). Enter here and on page 1, Part II, line 6. Page 4 1. Name of periodial. Gross Diret advertising. advertising osts inome 4. Advertising gain or (loss) (ol. minus ol. ). If a gain, ompute ols. 5 through Cirulation 6. inome Readership osts 7. Exess readership osts (olumn 6 minus olumn 5, ut not more than olumn 4). (1) () () (4) Totals (arry to Part II, line (5)) Part II Inome From Periodials Reported on a Separate Basis (For eah periodial listed in Part II, fill in olumns through 7 on a line-y-line asis.) (1) () () (4) Totals from Part I Name of periodial 1. Name. Gross Diret advertising. advertising osts inome Enter here and on page 1, Part I, line 11, ol. (A). Enter here and on page 1, Part I, line 11, ol. (B). 4. Advertising gain or (loss) (ol. minus ol. ). If a gain, ompute ols. 5 through 7. Totals, Part II (lines 1-5) Shedule K - Compensation of Offiers, Diretors, and Trustees (1) () () (4). Title 5. Cirulation 6. inome Readership osts (see instrutions). Perent of 4. time devoted to usiness Total. Enter here and on page 1, Part II, line 14 % % % % 7. Exess readership osts (olumn 6 minus olumn 5, ut not more than olumn 4). Enter here and on page 1, Part II, line 7. Compensation attriutale to unrelated usiness Form 0-T (01) 6
56 UNIVERSITY OF OREGON FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T INCOME (LOSS) FROM PARTNERSHIPS STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} PARTNERSHIP ,011. PARTNERSHIP ,476. PARTNERSHIP ,401. PARTNERSHIP ,6 PARTNERSHIP ,11. PARTNERSHIP ,57. PARTNERSHIP ,706. PARTNERSHIP ,. PARTNERSHIP ,5 PARTNERSHIP ,65. PARTNERSHIP ,05. PARTNERSHIP ,11. PARTNERSHIP ,17. PARTNERSHIP PARTNERSHIP ,51. PARTNERSHIP ,67. PARTNERSHIP ,07. PARTNERSHIP ,68. PARTNERSHIP ,75. PARTNERSHIP PARTNERSHIP ,688. PARTNERSHIP PARTNERSHIP ,45. PARTNERSHIP ,08. PARTNERSHIP ,46. PARTNERSHIP ,88. PARTNERSHIP ,4. PARTNERSHIP ,778. PARTNERSHIP ,71. PARTNERSHIP ,56. PARTNERSHIP ,6. PARTNERSHIP ,48. PARTNERSHIP ,006. PARTNERSHIP PARTNERSHIP ,784. PARTNERSHIP ,8. PARTNERSHIP ,45. PARTNERSHIP ,4. PARTNERSHIP }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 5-1,1,817. ~~~~~~~~~~~~~~ 6 STATEMENT(S) 1
57 UNIVERSITY OF OREGON FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T OTHER INCOME STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} INTEREST INCOME ,64. INTEREST INCOME INTEREST INCOME ,81. INTEREST INCOME ,8. INTEREST INCOME INTEREST INCOME INTEREST INCOME INTEREST INCOME ,78. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 1 0,5. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T INTEREST PAID STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} INVESTMENT INTEREST FOR PORTFOLIO INCOME 44,44. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 18 44,44. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T CONTRIBUTIONS STATEMENT 4 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION/KIND OF PROPERTY METHOD USED TO DETERMINE FMV AMOUNT }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}}}} PASSTHROUGH CHARITABLE CONTRIBUTIONS N/A 60. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE ~~~~~~~~~~~~~~ 64 STATEMENT(S),, 4
58 UNIVERSITY OF OREGON FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T OTHER DEDUCTIONS STATEMENT 5 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} UBI PORTFOLIO DEDUCTIONS 16,7. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 8 16,7. ~~~~~~~~~~~~~~ 65 STATEMENT(S) 5
59 UNIVERSITY OF OREGON FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} FORM 0-T CONTRIBUTIONS SUMMARY STATEMENT 6 QUALIFIED CONTRIBUTIONS SUBJECT TO 100% LIMIT CARRYOVER OF PRIOR YEARS UNUSED CONTRIBUTIONS FOR TA YEAR 007 FOR TA YEAR FOR TA YEAR FOR TA YEAR FOR TA YEAR TOTAL CARRYOVER 1,88 TOTAL CURRENT YEAR 10% CONTRIBUTIONS 60 TOTAL CONTRIBUTIONS AVAILABLE,47 TAABLE INCOME LIMITATION AS ADJUSTED 0 ECESS 10% CONTRIBUTIONS,47 ECESS 100% CONTRIBUTIONS 0 TOTAL ECESS CONTRIBUTIONS,47 ALLOWABLE CONTRIBUTIONS DEDUCTION 0 TOTAL CONTRIBUTION DEDUCTION 0 66 STATEMENT(S) 6
60 UNIVERSITY OF OREGON FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T NET OPERATING LOSS DEDUCTION STATEMENT 7 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} LOSS PREVIOUSLY LOSS AVAILABLE TA YEAR LOSS SUSTAINED APPLIED REMAINING THIS YEAR }}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} 06/0/8 7,764. 1,18 6,584. 6, /0/ /0/00 5,48. 5,48. 5,48. 06/0/0 6,55. 6,55. 6,55. 06/0/0 1,8. 1,8. 1,8. 06/0/05 4,66. 4,66. 4,66. 06/0/06 81,. 81,. 81,. 06/0/07 1,787,741. 1,787,741. 1,787, /0/08 1,5,1. 1,5,1. 1,5,1. 06/0/0,15,1.,15,1.,15,1. 06/0/10,14,16.,14,16.,14,16. 06/0/11 1,818,08. 1,818,08. 1,818,08. 06/0/1 1,445,8. 1,445,8. 1,445,8. }}}}}}}}}}}}}} }}}}}}}}}}}}}} NOL CARRYOVER AVAILABLE THIS YEAR 11,0,. 11,0,. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T SCHEDULE E - OTHER DEDUCTIONS STATEMENT 8 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} ACTIVITY DESCRIPTION NUMBER AMOUNT TOTAL }}}}}}}}}}} }}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}} PROPERTY TAES 8,474. OTHER EPENSES,7. - SUBTOTAL ,75. }}}}}}}}}}}}} TOTAL OF FORM 0-T, SCHEDULE E, COLUMN (B) 17,75. ~~~~~~~~~~~~~ 67 STATEMENT(S) 7, 8
61 SCHEDULE D (Form 110) Department of the Treasury Internal Revenue Servie Name Capital Gains and Losses Attah to Form 110, 110-C, 110-F, 110-FSC, 110-H, 110-IC-DISC, 110-L, 110-ND, 110-PC, 110-POL, 110-REIT, 110-RIC, 110-SF, or ertain Forms 0-T. Information aout Shedule D (Form 110) and its separate instrutions is at OMB No Employer identifiation numer Part I Complete Form 84 efore ompleting line 1,, or. This form may e easier to omplete if you round off ents to whole dollars ox A heked in Part I ox B heked in Part I ox C heked in Part I (d) Proeeds (sales prie) (e) Cost or other asis from (g) Adjustments to gain (h) Gain or (loss). Sutrat from Form(s) 84, Part I, Form(s) 84, Part I, or loss from Form(s) 84, olumn (e) from olumn (d) and line, olumn (d) line, olumn (e) Part I, line, olumn (g) omine the result with olumn (g) 7 Net short-term apital gain or (loss). Comine lines 1 through 6 in olumn h 7 Part II Long-Term Capital Gains and Losses - Assets Held More Than One Year Complete Form 84 efore ompleting line 8,, (d) Proeeds (sales prie) (e) Cost or other asis from (g) Adjustments to gain (h) Gain or (loss). Sutrat or 1 This form may e easier to omplete if you from Form(s) 84, Part II, Form(s) 84, Part II, or loss from Form(s) 84, olumn (e) from olumn (d) and round off ents to whole dollars. line 4, olumn (d) line 4, olumn (e) Part II, line 4, olumn (g) omine the result with olumn (g) 8 10 Long-term totals from all Forms 84 with ox A heked in Part II ox B heked in Part II ox C heked in Part II 15 Net long-term apital gain or (loss). Comine lines 8 through 14 in olumn h Part III Summary of Parts I and II UNIVERSITY OF OREGON FOUNDATION Short-Term Capital Gains and Losses - Assets Held One Year or Less Short-term totals from all Forms 84 with Short-term totals from all Forms 84 with Short-term totals from all Forms 84 with Short-term apital gain from installment sales from Form 65, line 6 or 7 ~~~~~~~~~~~~~~~~~~~~~~ Short-term apital gain or (loss) from like-kind exhanges from Form 884 ~~~~~~~~~~~~~~~~~~~~~~ Unused apital loss arryover (attah omputation) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Long-term totals from all Forms 84 with Long-term totals from all Forms 84 with 5,58. 5,58. Enter gain from Form 477, line 7 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Long-term apital gain from installment sales from Form 65, line 6 or 7 ~~~~~~~~~~~~~~~~~~~~~~ Long-term apital gain or (loss) from like-kind exhanges from Form 884 ~~~~~~~~~~~~~~~~~~~~~~ Capital gain distriutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter exess of net short-term apital gain (line 7) over net long-term apital loss (line 15) ~~~~~~~~~~~~~~~~ Net apital gain. Enter exess of net long-term apital gain (line 15) over net short-term apital loss (line 7) ~~~~~~~~ Add lines 16 and 17. Enter here and on Form 110, page 1, line 8, or the proper line on other returns ~~~~~~~~~~~ ( ) 5,58. 85,5. -85,5. 1,866,575. 1,780,8. 5,58. 1,780,8. 1,8,41. Note. If losses exeed gains, see Capital losses in the instrutions. JWA For Paperwork Redution At Notie, see the Instrutions for Form 11 Shedule D (Form 110) (01)
62 Form Department of the Treasury Internal Revenue Servie () Name(s) shown on return Information aout Form 84 and its separate instrutions is at File with your Shedule D to list your transations for lines 1,,, 8,, and 10 of Shedule D. Attahment Sequene No. Soial seurity numer or taxpayer identifiation no. You must hek Box A, B, or C elow. Chek only one ox. If more than one ox applies for your short-term transations, omplete a separate Form (A) Short-term transations reported on Form(s) 10-B showing asis was reported to the IRS (B) Short-term transations reported on Form(s) 10-B showing asis was not reported to the IRS OMB No Most rokers issue their own sustitute statement instead of using Form 10-B. They also may provide asis information (usually your ost) to you on the statement even if it is not reported to the IRS. Before you hek Box A, B, or C elow, determine whether you reeived any statement(s) and, if so, the transations for whih asis was reported to the IRS. Brokers are required to report asis to the IRS for most stok you ought in 011 or later. Part I Short-Term. Transations involving apital assets you held one year or less are short-term. For long-term transations, see page. 84, page 1, for eah appliale ox. If you have more short-term transations than will fit on this page for one or more of the oxes, omplete as many forms with the same ox heked as you need. Sales and Other Dispositions of Capital Assets UNIVERSITY OF OREGON FOUNDATION (C) Short-term transations not reported to you on Form 10-B 1 (a) () () (d) (e) Adjustment, if any, to gain or (h) loss. If you enter an amount Desription of property Date aquired Date sold or Proeeds Cost or other Gain or (loss). in olumn (g), enter a ode in (Example: 100 sh. YZ Co.) (Mo., day, yr.) disposed (sales prie) asis. See the Sutrat olumn (e) olumn (f). See instrutions. (Mo., day, yr.) Note elow and from olumn (d) and see Column (e) in (f) (g) omine the result the instrutions Code(s) Amount of adjustment with olumn (g) PARTNERSHIP PASSTHROUGH SHORT-TERM CAPITAL GAIN VARIOUS VARIOUS 5,58. 5,58. 1A Totals. Add the amounts in olumns (d), (e), (g) and (h) (sutrat negative amounts). Enter eah total here and inlude on your Shedule D, line 1 (if Box A aove is heked), line (if Box B aove is heked), or line (if Box C aove is heked) 5,58. 5,58. Note. If you heked Box A aove ut the asis reported to the IRS was inorret, enter in olumn (e) the asis as reported to the IRS, and enter an adjustment in olumn (g) to orret the asis. See Column (g) in the separate instrutions for how to figure the amount of the adjustment LHA For Paperwork Redution At Notie, see separate instrutions. Form 84 (01) 6
63 Form 84 (01) Attahment Sequene No. 1A Page Name(s) shown on return. (Name and SSN or taxpayer identifiation no. not required if shown on other side.) Soial seurity numer or taxpayer identifiation no. Most rokers issue their own sustitute statement instead of using Form 10-B. They also may provide asis information (usually your ost) to you on the statement even if it is not reported to the IRS. Before you hek Box A, B, or C elow, determine whether you reeived any statement(s) and, if so, the transations for whih asis was reported to the IRS. Brokers are required to report asis to the IRS for most stok you ought in 011 or later. Part II Long-Term. Transations involving apital assets you held more than one year are long term. For short-term transations, see page 1. You must hek Box A, B, or C elow. Chek only one ox. If more than one ox applies for your long-term transations, omplete a separate Form 84, page, for eah appliale ox. If you have more long-term transations than will fit on this page for one or more of the oxes, omplete as many forms with the same ox heked as you need. UNIVERSITY OF OREGON FOUNDATION (A) Long-term transations reported on Form(s) 10-B showing asis was reported to the IRS (B) Long-term transations reported on Form(s) 10-B showing asis was not reported to the IRS (C) Long-term transations not reported to you on Form 10-B (a) () () (d) (e) Adjustment, if any, to gain or (h) loss. If you enter an amount Desription of property Date aquired Date sold or Proeeds Cost or other Gain or (loss). in olumn (g), enter a ode in (Example: 100 sh. YZ Co.) (Mo., day, yr.) disposed (sales prie) asis. See the Sutrat olumn (e) olumn (f). See instrutions. (Mo., day, yr.) Note elow and from olumn (d) and see Column (e) in (f) (g) omine the result the instrutions Code(s) Amount of adjustment with olumn (g) PARTNERSHIP PASSTHROUGH LONG-TERM CAPITAL LOSS VARIOUS VARIOUS 85,5. <85,5.> 4 Totals. Add the amounts in olumns (d), (e), (g) and (h) (sutrat negative amounts). Enter eah total here and inlude on your Shedule D, line 8 (if Box A aove is heked), line (if Box B aove is heked), or line 10 (if Box C aove is heked) 85,5. <85,5.> Note. If you heked Box A aove ut the asis reported to the IRS was inorret, enter in olumn (e) the asis as reported to the IRS, and enter an adjustment in olumn (g) to orret the asis. See Column (g) in the separate instrutions for how to figure the amount of the adjustment Form 84 (01) 70
64 Form 456 Depreiation and Amortization (Inluding Information on Listed Property) OMB No Department of the Treasury Attahment Internal Revenue Servie () See separate instrutions. Attah to your tax return. Sequene No. 17 Name(s) shown on return Business or ativity to whih this form relates Identifying numer 0-T 01 UNIVERSITY OF OREGON FOUNDATION Part I FORM 0-T PAGE Eletion To Expense Certain Property Under Setion 17 Note: If you have any listed property, omplete Part V efore you omplete Part I. 1 Maximum amount (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Total ost of setion 17 property plaed in servie (see instrutions) ~~~~~~~~~~~~~~~~~~~~~ Threshold ost of setion 17 property efore redution in limitation ~~~~~~~~~~~~~~~~~~~~~~ 4 Redution in limitation. Sutrat line from line. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~ 4 5 Dollar limitation for tax year. Sutrat line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instrutions 5 6 (a) Desription of property () Cost (usiness use only) () Eleted ost 500,00,000,00 500, Carryover of disallowed dedution to 01. Add lines and 10, less line 1 1 Note: Do not use Part II or Part III elow for listed property. Instead, use Part V. Part II Speial Depreiation Allowane and Other Depreiation (Do not inlude listed property. ) Tentative dedution. Enter the smaller of line 5 or line 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16 Other depreiation (inluding ACRS) Part III MACRS Depreiation (Do not inlude listed property. ) (See instrutions.) Setion A a d e f g h i MACRS dedutions for assets plaed in servie in tax years eginning efore 01 ~~~~~~~~~~~~~~ 17 If you are eleting to group any assets plaed in servie during the tax year into one or more general asset aounts, hek here J Setion B - Assets Plaed in Servie During 01 Tax Year Using the General Depreiation System () Month and () Basis for depreiation (a) Classifiation of property year plaed (usiness/investment use (d) Reovery (e) Convention (f) Method (g) Depreiation dedution in servie only - see instrutions) period Residential rental property / 7.5 yrs. MM S/L / 7.5 yrs. MM S/L Nonresidential real property / yrs. MM S/L / MM S/L Setion C - Assets Plaed in Servie During 01 Tax Year Using the Alternative Depreiation System 0a Class life 1-year 40-year Part IV Summary (See instrutions.) 1 Listed property. Enter amount from line 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Listed property. Enter the amount from line ~~~~~~~~~~~~~~~~~~~ Total eleted ost of setion 17 property. Add amounts in olumn (), lines 6 and 7 Carryover of disallowed dedution from line 1 of your 011 Form 456 Business inome limitation. Enter the smaller of usiness inome (not less than zero) or line 5 Setion 17 expense dedution. Add lines and 10, ut do not enter more than line 11 Total. Add amounts from line 1, lines 14 through 17, lines 1 and 0 in olumn (g), and line 1. 7 ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~ Speial depreiation allowane for qualified property (other than listed property) plaed in servie during the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Property sujet to setion 168(f)(1) eletion -year property 5-year property 7-year property 10-year property 15-year property 0-year property ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5-year property 5 yrs. S/L Enter here and on the appropriate lines of your return. Partnerships and S orporations - see instr. For assets shown aove and plaed in servie during the urrent year, enter the portion of the asis attriutale to setion 6A osts / 1 yrs. 40 yrs. MM S/L S/L S/L , ,00 7,77. LHA For Paperwork Redution At Notie, see separate instrutions. Form 456 (01) 71 7,77.
65 Form 456 (01) Page Part V Listed Property (Inlude automoiles, ertain other vehiles, ertain omputers, and property used for entertainment, rereation, or amusement.) Note: For any vehile for whih you are using the standard mileage rate or deduting lease expense, omplete only 4a, 4, olumns (a) through () of Setion A, all of Setion B, and Setion C if appliale. Setion A - Depreiation and Other Information (Caution: See the instrutions for limits for passenger automoiles. ) 4a Do you have evidene to support the usiness/investment use laimed? Yes No 4 If "Yes," is the evidene written? Yes No (a) Type of property (list vehiles first ) () () (d) (e) (f) (g) (h) (i) Business/ Basis for depreiation investment Cost or Reovery (usiness/investment Method/ Depreiation use perentage other asis use only) period Convention dedution 8 Add amounts in olumn (h), lines 5 through 7. Enter here and on line 1, page 1 ~~~~~~~~~~~~ 8 Add amounts in olumn (i), line 6. Enter here and on line 7, page year ( do not inlude ommuting miles) ~~~~~~ Setion B - Information on Use of Vehiles (a) () () (d) (e) (f) Yes No Yes No Yes No Yes No Yes No Yes No Setion C - Questions for Employers Who Provide Vehiles for Use y Their Employees Answer these questions to determine if you meet an exeption to ompleting Setion B for vehiles used y employees who are not more than 5% owners or related persons Do you meet the requirements onerning qualified automoile demonstration use? ~~~~~~~~~~~~~~~~~~~~~~~ Note: If your answer to 7, 8,, 40, or 41 is "Yes," do not omplete Setion B for the overed vehiles. Part VI Amortization (a) () () (d) (e) (f) Desription of osts Date amortization egins Amortizale amount Code setion Amortization period or perentage Amortization for this year 4 4 Date plaed in servie Speial depreiation allowane for qualified listed property plaed in servie during the tax year and used more than 50% in a qualified usiness use Property used more than 50% in a qualified usiness use:!! % Property used 50% or less in a qualified usiness use:!! Total usiness/investment miles driven during the % % % % % Complete this setion for vehiles used y a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehiles to your employees, first answer the questions in Setion C to see if you meet an exeption to ompleting this setion for those vehiles. Total ommuting miles driven during the year ~ Total other personal (nonommuting) miles driven~~~~~~~~~~~~~~~~~~~~~ Total miles driven during the year. Add lines 0 through ~~~~~~~~~~~~ Was the vehile availale for personal use during off-duty hours? ~~~~~~~~~~~~ Was the vehile used primarily y a more than 5% owner or related person? ~~~~~~ Is another vehile availale for personal use? 44 Total. Add amounts in olumn (f). See the instrutions for where to report Form 456 (01) 7 S/L - S/L - S/L Eleted setion 17 ost Vehile Vehile Vehile Vehile Vehile Vehile Do you maintain a written poliy statement that prohiits all personal use of vehiles, inluding ommuting, y your employees?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Do you maintain a written poliy statement that prohiits personal use of vehiles, exept ommuting, y your employees? See the instrutions for vehiles used y orporate offiers, diretors, or 1% or more owners ~~~~~~~~~~~~ Do you treat all use of vehiles y employees as personal use? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Do you provide more than five vehiles to your employees, otain information from your employees aout the use of the vehiles, and retain the information reeived? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amortization of osts that egins during your 01 tax year: UNIVERSITY OF OREGON FOUNDATION !! Amortization of osts that egan efore your 01 tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No
66 OMB No (Also Involuntary Conversions and Reapture Amounts Form Under Setions 17 and 80F()()) Attah to your tax return. Department of the Treasury Attahment Internal Revenue Servie () Information aout Form 477 and its separate instrutions is at Sequene No. 7 Name(s) shown on return Identifying numer 1 Enter the gross proeeds from sales or exhanges reported to you for 01 on Form(s) 10-B or 10-S (or sustitute statement) that you are inluding on line, 10, or 0 1 Part I Sales or Exhanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft-Most Property Held More Than 1 Year (see instrutions) Sales of Business Property UNIVERSITY OF OREGON FOUNDATION (a) Desription () Date aquired () Date sold (d) Gross sales of property (mo., day, yr.) (mo., day, yr.) prie (e) Depreiation allowed or allowale sine aquisition (f) Cost or other asis, plus improvements and expense of sale (g) Gain or (loss) Sutrat (f) from the sum of (d) and (e) PARTNERSHIP PASSTHROUGH GAIN VARIOUS VARIOUS 1,41,. 1,41, Partnerships (exept eleting large partnerships) and S orporations. Report the gain or (loss) following the instrutions for Form 1065, Shedule K, line 10, or Form 110S, Shedule K, line. Skip lines 8,, 11, and 1 elow. Individuals, partners, S orporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 elow and skip lines 8 and. If line 7 is a gain and you did not have any prior year setion 11 losses, or they were reaptured in an earlier year, enter the gain from line 7 as a long-term apital gain on the Shedule D filed with your return and skip lines 8,, 11, and 1 elow. Part II Gain, if any, from Form 4684, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 11 gain from installment sales from Form 65, line 6 or 7~~~~~~~~~~~~~~~~~~~~~~ Setion 11 gain or (loss) from like-kind exhanges from Form 884 ~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line, from other than asualty or theft ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Comine lines through 6. Enter the gain or (loss) here and on the appropriate line as follows: ~~~~~~~~~~ Nonreaptured net setion 11 losses from prior years (see instrutions) ~~~~~~~~~~~~~~~~~~~~ Sutrat line 8 from line 7. If zero or less, enter -0-. If line is zero, enter the gain from line 7 on line 1 elow. If line is more than zero, enter the amount from line 8 on line 1 elow and enter the gain from line as a long-term apital gain on the Shedule D filed with your return (see instrutions) Ordinary Gains and Losses (see instrutions) ,176. 1,866,575. 1,866, Ordinary gains and losses not inluded on lines 11 through 16 (inlude property held 1 year or less): a LHA Loss, if any, from line 7 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 7 or amount from line 8, if appliale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 1~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net gain or (loss) from Form 4684, lines 1 and 8a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ordinary gain from installment sales from Form 65, line 5 or 6 ~~~~~~~~~~~~~~~~~~~~~~~~ Ordinary gain or (loss) from like-kind exhanges from Form 884 ~~~~~~~~~~~~~~~~~~~~~~~~~ Comine lines 10 through 16 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For all exept individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and elow. For individual returns, omplete lines a and elow: If the loss on line 11 inludes a loss from Form 4684, line 5, olumn ()(ii), enter that part of the loss here. Enter the part of the loss from inome-produing property on Shedule A (Form 1040), line 8, and the part of the loss from property used as an employee on Shedule A (Form 1040), line. Identify as from "Form 477, line 18a." See instrutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Redetermine the gain or (loss) on line 17 exluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14 For Paperwork Redution At Notie, see separate instrutions. Form 477 (01) a
67 Form 477 (01) UNIVERSITY OF OREGON FOUNDATION Part III Gain From Disposition of Property Under Setions 145, 150, 15, 154, and 155 (see instrutions) Page 1 (a) Desription of setion 145, 150, 15, 154, or 155 property: A B C D () Date aquired (mo., day, yr.) () Date sold (mo., day, yr.) PARTNERSHIP PASSTHROUGH GAIN VARIOUS VARIOUS These olumns relate to the properties on lines 1A through 1D. Property A Property B Property C Property D Gross sales prie ( Note: See line 1 efore ompleting.) 0 Cost or other asis plus expense of sale If setion 145 property: ~~~~ Depreiation (or depletion) allowed or allowale ~ Adjusted asis. Sutrat line from line 1 ~~ Total gain. Sutrat line from line 0 a Depreiation allowed or allowale from line ~ Enter the smaller of line 4 or 5a 6 If setion 150 property: If straight line depreiation was used, enter -0- on line 6g, exept for a orporation sujet to setion a 5 454, ,176. a Additional depreiation after 175 (see instrutions) ~ Appliale perentage multiplied y the smaller of line 4 or line 6a (see instrutions) ~~~~~ Sutrat line 6a from line 4. If residential rental property or line 4 is not more than line 6a, skip lines 6d and 6e ~~~~~~~~~~~~~~~ d Additional depreiation after 16 and efore 176 ~~ e Enter the smaller of line 6 or 6d ~~~~~~ 6a 6 6 6d 6e f g 7 a 6f Add lines 6, 6e, and 6f 6g If setion 15 property: Skip this setion if you did not dispose of farmland or if this form is eing ompleted for a partnership (other than an eleting large partnership). Soil, water, and land learing expenses ~~~~~ 7a Line 7a multiplied y appliale perentage ~~~~~ 7 Enter the smaller of line 4 or 7 8 If setion 154 property: a Intangile drilling and development osts, expenditures for development of mines and other natural deposits, mining exploration osts, and depletion (see instrutions) Enter the smaller of line 4 or 8a If setion 155 property: a Appliale perentage of payments exluded from inome under setion 16 (see instrutions) Enter the smaller of line 4 or a (see instrutions) 0 Setion 1 amount (orporations only) Summary of Part III Gains. ~~~~ 7 8a 8 a Complete property olumns A through D through line efore going to line Total gains for all properties. Add property olumns A through D, line 4 ~~~~~~~~~~~~~~~~~~~~~ 0 454, from other than asualty or theft on Form 477, line 6 Part IV Reapture Amounts Under Setions 17 and 80F()() When Business Use Drops to 50% or Less (see instrutions) 4 Add property olumns A through D, lines 5, 6g, 7, 8, and. Enter here and on line 1 Setion 17 expense dedution or depreiation allowale in prior years ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~ Sutrat line 1 from line Enter the portion from asualty or theft on Form 4684, line. Enter the portion Reomputed depreiation (see instrutions) 4 (a) Setion ,176. () Setion 80F()() 5 Reapture amount. Sutrat line 4 from line. See the instrutions for where to report Form 477 (01) 74
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