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                                                   Charitable Activities Section                                                             
   Form                                                                                                            You can now file reports and 
        CT-12F                                  Oregon Department of Justice                                       pay by credit card using our 
    For Foreign Charities                                                                                                      online form at 
   For Accounting Periods Beginning in: 100 SW Market Street                                VOICE (971) 673-1880 
                                        Portland, OR 97201-5702                               TTY (800) 735-2900   https://justice.oregon.gov/ 
                                        Email: charitable@doj.state.or.us                   FAX   (971) 673-1882   paymentportal/Account/Login
                                        Website: https://www.doj.state.or.us                                                                                     
         2023                           Line-by-line instructions for completing the annual 
                                        report form can be found on our website. 
Section I.          General Information                                       
1.                                                                  Cross Through Incorrect Items and Correct Here: 
                                                                    (See instructions for change of name or accounting period.) 
                                                                     
                                                                    Registration #: 
                                                                     
                                                                    Organization Name: 
                                                                     
                                                                    Address: 
                                                                     
                                                                    City, State, Zip: 
                                                                     
                                                                    Phone:                                        Fax:                              Amended 
                                                                    Email:                                                                          Report? 
                                                                    Period Beginning:       /        /            Period Ending:        /        /           
 
2.  Did a certified public accountant audit your financial records? - If yes, attach a copy of the auditor’s report, financial statements, 
    accompanying notes, schedules, or other documents supplementing the report or financial statements.                                             Yes      No 
     
3.  Is the organization a party to a contract with a fundraising firm that relates to solicitations in Oregon? If yes, check the type of 
    solicitations:   in-person; direct mail; advertising;  vending machine;  telephone; or  other solicitations.                              Yes      No 
    If yes, also write the name of the fundraising firm(s) here: __________________________________________  (If you checked 
    “other solicitations”, attach an explanation.) 
     
4.  Has the organization or any of its officers, directors, trustees, or key employees ever signed a voluntary agreement with any              
    government agency or been a party to legal action in any court or administrative agency regarding charitable solicitation, 
    administration, management, or fiduciary practices? If yes, attach explanation of each such agreement or action.  See                           Yes     No 
    instructions. 
     
5.  During this reporting period, did the organization amend its articles of incorporation, bylaws, or trust documents, OR did the            
    organization receive a determination or revocation letter from the Internal Revenue Service relating to its tax-exempt status?                  Yes      No 
    If yes, attach a copy of the amended document or letter. 
     
6.  Is the organization ceasing operations in Oregon and is this the final report?  (If yes, see instructions on how to close your                  Yes      No 
    registration.) 
     
7.  Provide contact information for the person responsible for retaining the organization’s records. 
     
                     Name                          Position         Phone                            Mailing Address & Email Address                            
                                                                                                                                                              
8.  List of Officers, Directors, Trustees and Key Employees – List each person who held one of these positions at any time during the year even if they did 
    not receive compensation.  Attach additional sheets if necessary.  If an attached IRS form includes substantially the same compensation information, 
    the phrase “See IRS Form” may be entered in lieu of completing this section. 
                           (A) Name, mailing address, daytime phone number                                         (B) Title &                 (C)            
                                                 and email address                                                average weekly            Compensation 
                                                                                                                 hours devoted to             (enter $0 if 
                                                                                                                   position                position unpaid) 
    Name:                                                                                                                                                     
                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  
    Address: 
                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
    Phone: 
                  (_ _ _) _ _ _ _ _ _ _ _ _ Email:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
    Name:                                                                                                                                                     
                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  
    Address:      _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
    Phone: 
                  (_ _ _) _ _ _ _ _ _ _ _ _ Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
    Name:                                                                                                                                                     
                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  
    Address: 
                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
    Phone: 
                  (_ _ _) _ _ _ _ _ _ _ _ _ Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
                                                   Form Continued on Reverse Side 
                                                                              



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 Section II.  Fee Calculation 
                                                                                                                                                                                                      
 9.   Total Oregon Revenue .............................................................................................................  9. 
       (If Oregon revenue is unknown or cannot be reasonably estimated, write the total revenue from Part I, Line 12 (current 
      year) on Form 990; Line 9 on Form 990-EZ; or Part I, Line 12a on Form 990-PF.  If estimated, or if organization claims 
      no Oregon revenue, attach explanation.) 
                                                                                                                                                                                                       
      Revenue   Fee ...........................................................................................................................................................................       
 10.  (See chart below.  Minimum fee is $20, even if total revenue is a $0 or negative amount.)  The revenue fee is determined by the amount on line 9.                                          10.   
         Amount on Line 9       Revenue Fee                                                                                                                                                           
      $0        -      $24,999                    $20 
      $25,000   -      $49,999                    $50 
      $50,000   -      $99,999                    $90 
      $100,000  -      $249,999             $150 
      $250,000  -      $499,999             $200 
      $500,000  -      $999,999             $300 
      $1,000,000  or   more                 $400 
                                                                                                                                                                                                      
 11.  Oregon Net Assets or Fund Balances at the End of the                                           
      Reporting Period ...........................................................................  11. 
      (If the Oregon amount is unknown, write the total net assets or fund balances from 
      Part I, Line 22 (end of year) on Form 990; Line 21 on Form 990-EZ; or Part III, Line 6 
      on Form 990-PF.) 
                                                                                                                                                                                                      
 12.  Oregon Net Fixed Assets Used to Conduct Charitable Activities .                               12. 
      (If the Oregon amount is unknown, write $0.) 
                                                                                                                                                                                                      
 13.  Amount Subject to Net Assets or Fund Balances Fee...............................................................   13. 
      (Line 11 minus line 12.  If Line 11 minus Line 12 is less than $50,000, write $0.) 
                                                                                                                                                                                                      
 14.  Net Assets or Fund Balances Fee ...........................................................................................................................................                14. 
      (Line 13 multiplied by .0001.  If the fee is less than $5, enter $0.  Not to exceed $2,000.  Round cents to the nearest whole dollar.) 
      Are you filing this report late?              Yes      No ..................................................................................................................                    
 15.  (If yes, the late fee is a minimum of $20.  You may owe more depending on how late the report is.  See Instruction 15 for additional information or contact the                            15. 
      Charitable Activities Section at (971) 673-1880 to obtain late fee amount.) 
                                                                                                                                                                                                      
 16.  Total Amount Due  ...................................................................................................................................................................      16. 
      (Add Lines 10, 14, and 15.  Make check payable to the Oregon Department of Justice.) 
       
 17.  Attach a copy of the organization’s federal 990 or other return and all supporting schedules and attachments that were filed with the IRS, except that 
      Form 990 & 990EZ filers do not need to attach a copy of their Schedule B.  Also, if the organization did not file with the IRS or filed a 990-N, but had 
      Total Revenue of $50,000 or more, or Net Assets or Fund Balances of $100,000 or more, see the instructions.  Such organizations may be required to 
      complete certain IRS forms for Oregon purposes only.  If the attached return was not filed with the IRS, then mark any such return as “For Oregon 
      Purposes Only."  If your organization files IRS Form 990-N (e-Postcard) please attach a copy if available. 
       
                Under penalties of perjury, I declare that I am an officer/director of the organization.  I have examined this return, including all 
 Please         accompanying forms, schedules, and attachments, and to the best of my knowledge and belief, it is true, correct, and complete. 
 Sign Here                  _______________________________________                 _____________________                  _________________________ 
                      Signature of officer                                                               Date                                           Title 
                 
                       _______________________________________                _______________________________________________________ 
                       Officer’s name (printed)                                                          Address 
                 
                                                                                                                     _______________________________________________________ 
                                                                                                                     Phone 
 Paid 
 Preparer’s     ⇒ 
 Use Only              _______________________________________                 _____________________                  _________________________ 
                      Preparer’s signature                                                               Date                                           Phone 
                 
                       _______________________________________                 _______________________________________________________ 
                      Preparer’s name (printed)                                                          Address 
 
Line-by-line instructions for completing the annual report form can be found at https://www.doj.state.or.us/charitable-
activities/annual-reporting-for-charities/file-your-annual-report.  If you click the appropriate link for this year’s form, the 
instructions are included in that document.  If you would like us to send a copy of the instructions, please call us at 971-673-
1880 or send an email to charitable@doj.state.or.us.   



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Charitable Activities Section, Oregon Department of Justice  
 
2023 Form CT-12F Instructions 
                                                                                                                                                 
     You can now complete and file reports online at https://justice.oregon.gov/paymentportal/Account/Login 
 
                                                    than 4 months and 15 days after the end of the        
                                                    organization’s fiscal year. If the due date falls on In the  event your  request is  denied,  to avoid a 
General                                             a weekend or legal holiday, the due date is the      late fee, the annual report must be submitted by 
                                                    next business day.                                   the later of the due date or within 10 days after 
Instructions                                                                                             the organization receives notice of denial of the 
                                                    The Charitable  Activities Section does not use      requested extension. 
                                                    the postmark  date to determine whether an            
Purpose                                             organization  has filed  timely.    Instead, reports  
Oregon law charges the  Attorney General with       must be physically received by  the due date  to 
the duty and  responsibility to represent  the      not be considered late.  See Instruction 15 Late     Record Keeping 
public’s interest in charitable organizations and   Fees.                                                Please retain  a copy  of this  report and all 
in assets held or received for charitable purposes.                                                      supporting documentation for at least five years 
The Attorney General carries  out this                                                                   after the due date. 
responsibility     by    requiring    charitable    Extensions for Filing  
organizations  to register  and file periodic       Important NoteAn extension request filed 
financial reports.                                  with the IRS  or the Oregon Department of            Rounding and Blank Lines 
                                                    Revenue does  NOT act as an extension with           Round  all amounts on the report  to the  nearest 
Once submitted, this Form and  all  attachments     the Charitable Activities Section unless a copy      whole dollar. Drop amounts under 50 cents and 
become a part of the public record. Any             is  submitted to the Charitable Activities           increase amounts from 50 to 99 cents to the next 
interested person may examine or obtain a copy      Section by the due date.                             whole dollar. If the amount is zero write “$0.” 
of an annual report of a charitable organization                                                          
by contacting the Charitable Activities Section.    An organization may  apply for an extension of       Do not leave any line blank.  Your report may 
Reports  can  also be viewed on our website at      time to file.  Extension requests must be received   be treated as incomplete if you leave blank lines. 
https://justice.oregon.gov/Charities.               on or before the due date of the report to avoid a 
                                                    late fee.   The maximum  available extension 
                                                    period is 180 days.   An extension to file is also   Important Reminders 
Who Must File                                       an extension to  pay any associated  fees.           Don’t lose your tax-exempt status.   Most tax-
All organizations registered with the Charitable    Therefore, estimated payments should not be          exempt organizations other  than churches must 
Activities Section of the Oregon Department of      included with extension requests.                    file a yearly return with the IRS.  Very small 
Justice must annually file Form CT-12, CT-12F,                                                           organizations are required to file IRS Form 990-
or CT-12S unless  the  Attorney General  has        Please do not submit  an incomplete  CT-12F  if      N, also known  as the  e-Postcard.  The IRS is 
specifically exempted the organization from the     you intend to  later  supplement  or amend  your     required by law to revoke the tax-exempt status 
reporting requirements.                             report with  a  copy  of  your IRS return. Instead,  of any organization  that has failed to file  a 
                                                    file an extension request so that you can submit a   required return for three consecutive years. 
                                                    complete report by the extended due date with a       
What Form to File                                   copy of the appropriate IRS form attached.           Please refer to https://www.irs.gov/charities-and-
File Form CT-12  if the  organization is  either                                                         nonprofits  for  more information about these 
incorporated,  organized, or  headquartered  in     Extensions  may be requested through the             requirements. 
Oregon.                                             Department        of Justice       website     at     
                                                    https://justice.oregon.gov/Charities/Extensions.     Important  information regarding Social 
File Form CT-12F if the  organization is            Follow the instructions  carefully to ensure that    Security numbers (SSNs) Forms submitted 
organized and headquartered outside of Oregon.      we  receive  your request.   Please contact  our     to this office  become a public record.   In 
The Charitable Activities Section does not          office if you have any questions  or  difficulties   order to protect  the privacy of named 
accept multi-state annual report forms in lieu of   with your online request.                            individuals, you should redact any SSNs (if 
a completed Form CT-12F.                                                                                 used) from  copies of any IRS forms 
                                                    You should print and retain a copy of the online     submitted.   Although we  endeavor  to redact 
File Form CT-12S if the organization is a split-    Confirmation of Extension Request.  You should       SSNs from any forms we receive, we request 
interest trust that holds assets for the benefit of also expect to receive  an email  regarding your     your assistance      in safeguarding           this
both charitable and non-charitable beneficiaries.   online request.                                      information by not including it  in your 
                                                                                                         submission. 
If the organization does not fit within any of the  You may also submit a written request or a copy       
above categories, file Form CT-12.                  of the organization’s federal extension request 
                                                    (IRS Form 8868)      so long  as  the  Charitable 
The form year should match the starting year        Activities Section receives the request or copy      Online Filing Option 
of the fiscal period covered by the report.         before the due date of the CT-12F report.  The       The Department has  an  online filing  option if 
                                                    organization’s 4 or 5-digit registration number      you would like to complete and file your report 
                                                    should be noted on the  top  of all extension        electronically  and pay via  credit card.  For 
Due Date                                            requests.   If you would like acknowledgement        additional           information,              visit
The  form, all required attachments and             that your extension  request has been received,      https://www.doj.state.or.us/charitable-
schedules, and  payment of fees are due in the      you should enclose an  additional copy of the        activities/annual-reporting-for-charities/file-
Charitable Activities Section’s office no later     request and a self-addressed, stamped envelope.      your-annual-report/ 



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                                                    noted  here.  If the  organization is filing a final 
How to Contact the                                  report, also see the  instructions for line 6 for     5.  Amendments to Articles of 
Charitable Activities                               closing requirements.                                 Incorporation, Bylaws, or Tax-
                                                     
Section                                             Short  Year  Report—If  the organization  is          Exempt Status 
To obtain blank forms,  mailed instructions,        filing a shortened report due to a change in fiscal   Check yes if during the reporting period the 
technical  assistance  or  information about a      year,  see the instructions for line 13  for          organization amended its articles or bylaws, or if 
charitable organization,  contact the Charitable    calculation  of prorated  Net Assets  or Fund         the IRS issued a new tax-exempt status ruling for 
Activities Section or visit our website at:         Balances fee.                                         the organization, including revocation.  
                                                                                                           
       Charitable Activities Section                                                                      Important     Note—Attach  copies         of
       Oregon Department of Justice                 Amended Reports                                       amendments to articles of incorporation bearing 
       100 SW Market Street                         If amending previously submitted information          the Secretary of State’s file stamp, signed and 
       Portland, OR 97201-5702                      for the same  accounting period, check the            dated copies of amended bylaws, and/or IRS 
       Phone:  (971)673-1880                        amended report box. Either  complete a blank          determination letters. 
       TTY:    (800)735-2900                        form that includes  the amended information or 
       Fax:      (971)673-1882                      provide a copy of the previously submitted form 
       Email: charitable@doj.state.or.us            that clearly shows what information is being             Final Report 
       Website: https://www.doj.state.or.us         amended. Submit any additional fee due with the       6.
                                                    amended report.                                       Check yes  if this is  the final report for  the 
                                                                                                          organization. 
Where to File                                                                                              
                                                                                                          If  the  foreign organization is dissolving, 
Send completed forms and corresponding fees to      2.  Independent Audit                                 discontinuing solicitations of Oregon residents, 
the above address. Do not send cash.                Check yes if the organization had  an                 no longer receiving other payments from persons 
                                                    independent audit  of its financial records           in  Oregon, or  no  longer holding  assets or 
                                                    performed by  a certified public accountant.          conducting charitable activities  in Oregon and 
                                                    Attach a copy of the auditor’s report, the            would like to  close  its registration file, the 
Line Instructions                                   financial statements, the accompanying notes,         organization must provide written notice to this 
                                                    schedules, or other documents supplementing           office in  addition  to a final report.  The  notice 
               Section I.                           the report or  financial statements.      Do not      may be provided through a letter, but the letter 
                                                    submit copies that are professionally bound.  If      must  confirm that the organization does not 
                                                    the audit  has not  been completed  prior to the      intend to  conduct further solicitations or 
 General Information                                report due date,  please note that  and the           activities  in Oregon, or receive  other payments 
                                                    estimated completion date on the CT-12F.              from  persons in Oregon and holds no assets in 
                                                                                                          the state. 
1.  Missing or Incorrect                                                                                   
Information                                         3.  Fundraising Contracts                             Organizations  are required to file  reports 
The Charitable Activities Section sends a  form     Check  yes if the  organization entered into  a       covering  all fiscal periods in  which  the 
preprinted with      name,     address      contact contract with  a  fundraising firm  that  relates  to organization was registered.   Accordingly, a 
information and  registration number to  all        solicitations  in Oregon,  including  in-person,      final report must cover the fiscal period in which 
registered organizations. If the  organization  is  direct mail, advertising, vending machine,            the written notice  requesting closure  of  the 
returning one of these preprinted forms, provide    telephone, or other solicitations made in Oregon.     registration was received. 
any  missing or corrected information. If the       Check  the type(s) of campaign to  which the           
organization is completing a blank form, provide    contract(s)  relates and  write  the name(s)  of the  Important Note—Foreign organizations which 
the requested information in this section.          fundraising firm(s) in the space provided. If you     intermittently conduct solicitations or charitable 
                                                    checked  “other  solicitations”  as  the  type of     activities  in Oregon may  wish to remain 
                                                    campaign, attach an explanation.                      registered during periods of inactivity.  
Name Changes 
If applicable, write the organization’s new legal 
name. Attach  a  copy of  the filed amended            Disclosure of Legal Action                         7.  Who Keeps the Books? 
                                                    4.
articles of incorporation that changed the                                                                Indicate the person to be contacted if the 
organization’s name.                                Check yes if  the organization or  any of its 
                                                    officers, directors,  trustees  or key employees      organization’s books  need to be accessed for 
                                                    ever signed  a  voluntary agreement  with any         information or review.  Either a business or 
Address, Email and Phone                            government agency, such  as a  state attorney         personal phone number,  email,  and mailing 
Number Changes                                      general, secretary of state, or local district        address  are acceptable.   If the person  does  not 
                                                    attorney, or been a party to legal action in any      have an email  address, please note  that on the 
If applicable, write the new address where mail     court  or  administrative agency regarding            form. 
for  the organization should be directed in the     charitable    solicitation,        administration, 
future. If  applicable, write the new daytime       management, or fiduciary practices.   This 
phone number, fax number and email address for      includes assurances  of voluntary compliance or       8.  Officers, Directors, and 
the organization.                                   discontinuance involving the organization or any      Other Key Employees 
                                                    other proceeding  in which the organization or 
                                                                                                          List  each person who was  an  officer, director, 
Accounting Year Changes                             any  current officer, director,  trustee, or key 
                                                                                                          trustee, or key employee (defined below) of the 
If applicable, write the organization’s new or      employee is subject to any injunction, order, or 
                                                                                                          organization at any time during the year even if 
short reporting period. Preprinted  forms are       pending  action relating to the solicitation of 
                                                                                                          they are  a volunteer and do  not receive any 
based upon the accounting period we have on         contributions, or administration of charitable 
                                                                                                          compensation  from the  organization. Give the 
record for the organization.  If the organization   assets.  Attach a  written explanation  of each 
                                                                                                          daytime  phone number  and preferred mailing 
has changed  its fiscal year  or  is filing a final such action or agreement, including the 
                                                                                                          address  at which officers, etc., want  the 
report for a period  less than 12  months, the      agency involved and the allegations.   Also, 
                                                                                                          Charitable Activities Section to contact them. 
shortened period covered by the report must be      attach a  copy  of any agreements or actions 
                                                    that occurred in the current reporting period. 



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Use an attachment if there are more persons to        of  Total Oregon Revenue is known or readily 
list than there are lines available.                  available.                                            10.  Revenue Fee 
                                                                                                            Use the total Oregon revenue figure from line 9 
A failure to fully complete this part can subject     The Charitable  Activities Section has adopted        to calculate the  revenue  fee according  to the 
the organization to late fees or civil penalties for  the definition  for “Total  Revenue” used by the      following schedule. 
filing an incomplete form.                            Internal Revenue Service. If  the organization         
                                                      completed an IRS Form for this reporting period,                      Revenue Fee Schedule 
Officers include  those officers required by          the Total Revenue figure should come from the                                
applicable state law, such as president, secretary,   line number listed:                                      Amount on Line 9             Revenue Fee 
or  treasurer, and also  includes  the  person(s)      •     IRS Form 990, Part I, line 12 (current         $             0 -  $   24,999        $   20 
elected or appointed to implement the decisions              year)                                            25,000        -     49,999              50 
                                                                                                              50,000        -     99,999              90 
of  the governing  body  or  for supervising  the      •     IRS Form 990-EZ, Part I, line 9                 100,000        -     249,999           150 
management, administration, or operation of the        •     IRS Form 990-PF, Part I, line 12a               250,000        -     499,999           200 
organization, regardless of title or the amount of                                                           500,000        -     999,999           300 
compensation received.  The CEO or  Executive         If the organization was not required to                1,000,000      or    more              400 
Director is an officer for purposes of this form.     complete one of these IRS  Forms, or filed an          
The top financial official may also be an officer     IRS Form 990-N, a summary of what constitutes         The maximum amount subject to a revenue fee is 
if they are responsible for  managing the             Total Revenue is provided within these                $1,000,000. The maximum revenue fee is $400. 
organization’s finances.                              instructions. A  more detailed definition can  be     The minimum revenue fee is $20, even if total 
                                                      found in the  IRS instructions for  forms listed      revenue is a zero or negative amount. 
A "key employee" is any person, other than an         above. 
officer, director,   or    trustee,  who  has          
responsibilities  over the organization  that  are    “Total Revenue” includes such items as:               11.  Oregon Net Assets or 
similar to those  of  its officers, directors,  or     •     Contributions, gifts, grants                   Fund Balances at the End of 
trustees.  If  the  organization  attaches a  990  or  •     donated real property 
990EZ, it may rely on the IRS definition of key                                                             the Reporting Period 
employee in the corresponding IRS instructions         •     donated thrift items 
for purposes of this form.                             •     membership dues & assessments                  Enter the  amount of Net Assets or  Fund 
                                                       •     program service revenue                        Balances at the end of the reporting period which 
                                                                                                            were held in Oregon. If the organization does not 
                Column (C)                             •     government fees & contracts 
                                                                                                            have a  method for identifying or reasonably 
                                                       •     interest or dividend income                    estimating Oregon Net Assets or Fund Balances 
If an IRS form is attached that includes complete      •     gross rental income less rental expense        at end of year, enter the organization’s total Net 
and  accurate compensation information,  the           •     other investment income                        Assets or Fund Balances.  If the Oregon portion 
phrase “See IRS Form” may be entered in lieu of        •     gain or loss on sales of assets other than     reported was  calculated using a reasonable 
completing this section.                                     inventory                                      estimate, note on the form that an estimate was 
                                                       •     gain or loss from special events &             used and identify the method that was used. 
Otherwise, for each person listed, report the total          activities which may include bingo,             
amount of  compensation paid  or deferred for                raffles, and Monte Carlo events                The Charitable  Activities Section has adopted 
payment to a later date, including  salary, fees,      •     gain or loss on sale of inventory              the definitions for “Net Assets”  and  “Fund 
bonuses,  benefits, taxable  allowances  or            •     all other sources of revenue.                  Balances” used by the Internal Revenue Service. 
reimbursements,    the    value      of noncash                                                             If the organization  completed one of the 
compensation, and severance payments.                 To report contributions received in a form other      following  IRS  forms for this  reporting period, 
                                                      than cash, use the market value as of the date of     the Net Assets  or  Fund Balances figure should 
Enter a zero in column (C) if the person was a        the contribution. When market  value  cannot be       come from the line number listed: 
volunteer and was not paid or did not accrue any      readily determined, use  an  appraised or              • IRS Form 990, Part I, line 22 (end of 
compensation during the reporting year.               estimated value.                                         year) 
                                                                                                             • IRS Form 990-EZ, Part I, line 21 
The organization may provide an attachment to         To determine  the amount of  any noncash               • IRS Form 990-PF, Part III, line 6 
explain the entire compensation package for any       contribution  that is subject to  an outstanding       
person listed in this part, including whether the     debt, subtract  the debt from  the property’s fair    If the organization was not required to complete 
compensation includes the payment of amounts          market value in assigning a value to the revenue      one of these IRS forms, or filed an IRS Form 
previously deferred.                                  received.   “Fair  market value”  is the amount a     990-N, a summary of what constitutes Net 
                                                      reasonable person would pay for the item at the       Assets or Fund Balances is provided below. A 
                                                      time it was donated to the organization.              more detailed definition can be found in the IRS 
                                                                                                            instructions for the forms listed above. 
                                                      Important Note—Do not include the value of             
         Section II.                                  services donated to  the  organization, or items      Net  Assets and Fund Balances refer  to the 
                                                      such as the free use of materials, equipment, or      organization’s assets minus liabilities. 
         Fee Calculation                              facilities in reporting Total Revenue.                “Assets” are items of value to the organization, 
                                                                                                            such as cash, receivables less any allowance for 
                                                      Important  Note—If  Oregon  Revenue is zero,          doubtful  accounts, inventory,  prepaid expenses, 
9.  Total Oregon Revenue                              attach an explanation of why Oregon Revenue is        investments, land, buildings  &  equipment less 
Enter the Total Revenue earned from persons or        zero and indicate whether the organization plans      any accumulated depreciation if the organization 
businesses located in Oregon. If the organization     to continue operations in Oregon. See the             records depreciation. 
does not have a  method for identifying or            instructions for line 6 if this is the organization’s  
reasonably estimating the Oregon portion, enter       final report.                                         “Liabilities”  are the amount  of  debts and 
the organization’s Total Revenue.  If the Oregon                                                            obligations owed by the organization, such as 
portion reported was  calculated using  a                                                                   accounts  payable, accrued expenses,  deferred 
reasonable  estimate, note  on the  Form  that an                                                           revenue, loans, and mortgages.  
estimate was used and identify the method that 
was used.  Do not use an estimate if the amount 



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                                                                                                                     Late Fee Schedule 
12.  Oregon Net Fixed Assets                         Example #1 line 11 $ 100,000                          Fiscal   Late        Late            Late 
                                                                line 12      (25,000)                      Year     Report      Report          Report 
Used to Conduct Charitable                                                   75,000                        End      Received    Received        Received 
Activities                                                      line 13               $ 75,000             Dates    Before      Between         After This 
                                                                                                                    This        These           Date 
Enter the amount of the organization’s Net Fixed     Example #2 line 11 $ 100,000                                   Date        Dates 
Assets that were held  in Oregon for use in the                 line 12      (80,000)                      Late                                  
operation of charitable activities at the end of the                         20,000                        Fee:     $20         $50             $100 
reporting period. If  the organization does  not                line 13               $         0          12/31/23 2/1/25      2/1/25-         4/30/25 
have a method for identifying Oregon net fixed                                                                                  4/30/25 
assets used to conduct charitable activities, enter  Important Note—If the organization is filing          1/31/24  3/1/25      3/1/25          5/31/25 
$0.                                                  a short report  of less than one year due to  a                            5/31/25 
                                                     change in  accounting periods, the amount             2/28/24  4/1/25      4/1/25-         6/30/25 
Important NoteYou should not include                entered on line 13 should be  prorated by the                              6/30/25 
any cash, bank  accounts, stock  holdings,           number  of months  covered by the report. To          3/31/24  5/1/25      5/1/25-         7/31/25 
                                                                                                                                7/31/25 
investment accounts, or other liquid assets in       determine the prorated amount,  divide the            4/30/24  6/1/25      6/1/25-         8/31/25 
Line 12.  Line 12 should only include  fixed         amount determined above by 12 and multiply by                              8/31/25 
assets that are used for charitable purposes, such   the  number of months covered by the short            5/31/24  7/1/25      7/1/25-         9/30/25 
as land, buildings, or equipment  that are used      report. No similar proration  should  be made if                           9/30/25 
directly for charitable purposes.                    the short report  is due  to the  initial or  final   6/30/24  8/1/25      8/1/25-         10/31/25 
                                                     reporting period.                                                          10/31/25 
The following instructions provide guidance on                                                             7/31/24  9/1/25      9/1/25-         11/30/25 
how to calculate Net Fixed Assets and where the                                                                                 11/30/25 
amount may be located on the organization’s tax                                                            8/31/24  10/1/25     10/1/25-        12/31/25 
return.                                                                                                                         12/31/25 
                                                                                                           9/30/24  11/1/25     11/1/25-        1/31/26 
                                                                                                                                1/31/26 
The Charitable Activities Section defines “Net                                                             10/31/24 12/1/25     12/1/25-        2/28/26 
Fixed Assets”  as the  organization’s book value     14.  Net Assets or Fund                                                    2/28/26 
(cost   or    other basis    less  accumulated                                                             11/30/24 1/1/26      1/1/26-         3/31/26 
depreciation) of all owned land, buildings, or       Balances Fee                                                               3/31/26 
equipment that are used directly for charitable      Multiply the amount subject to a Net Assets or        
purposes.  For example, if the charity owns and      Fund  Balances fee  from  line 13 by .0001 and       The above  late fees apply automatically  and 
operates a museum, the building that houses the      enter this figure on line 14. Round to the nearest   cannot be waived.   The Department has  the 
museum  is a net fixed asset.  However,              whole dollar. If the result is less than $5 enter    authority to  obtain additional  civil penalties 
undeveloped land, a building owned and used for      $0.  If the  result  is  more than $2,000 enter      against the  organization and  its officers and 
rental income, or any other fixed asset used for     $2,000.                                              directors or  take other  administrative  action in 
investment purposes should not  be  included in                                                           connection with the  failure  to file timely  and 
Line 12.  Accordingly, the net fixed assets used                                                          complete reports.  
for charitable purposes on Line 12 may be less        
than the organization’s total net fixed assets.       
                                                                                                          16.  Total Amount Due 
If the organization  completed one of the 
following IRS  Forms for  this reporting  period     15.  Late Fees                                       Add lines 10, 14 and 15. This is the total amount 
                                                                                                          due. Make check or money order payable to the 
and all its Net Fixed Assets are held for use in     If the report is not filed or the fee is not paid by “Oregon Department of Justice”. Do not send 
conducting  charitable activities, the figure        the due date (or the extended due date), an initial  cash.  Mail payment together with the report to: 
should come from the line number listed:             late fee of $20 will be due.   If the report or       
 •      IRS Form 990, Part X, line 10c (end of       payment  remains outstanding more than 13                    Charitable Activities Section 
        year)                                        months past the end of the fiscal year covered by            Oregon Department of Justice  
 •      IRS Form 990-EZ, Part II, line 23B           the report, the late fee will increase to  $50.   If         100 SW Market Street 
        and/or 24B to the extent 24B includes        the  delinquency is not corrected within 16                  Portland, Oregon 97201-5702 
        equipment or similar assets used for         months of the end of the fiscal year covered by       
        charitable programs.                         the report, the late fee increases to $100.          Important Note—Indicate on the  check the 
 •      IRS Form 990-PF, Part II, line 14b                                                                organization’s  4 or 5-digit Oregon Department 
                                                     Please refer to the following late fee schedule:     of Justice  registration  number. The registration 
If the organization was not required to complete                                                          number is  located on line 1 of the preprinted 
one of these IRS Forms, or filed an IRS Form                                                              Form CT-12F or can be obtained by contacting 
990-N, this figure will need to be calculated                                                             the  Charitable Activities Section or looking up 
from the organization’s accounting records, but                                                           the   charity      on  our     website        at
the 990/990EZ can be used as worksheets to                                                                https://justice.oregon.gov/Charities. 
determine the amount to report.                       
                                                      
                                                                                                          17.  IRS Forms, Schedules, 
                                                                                                          and Attachments 
13.  Amount Subject to Net                            
                                                                                                          All organizations must attach a complete copy 
Assets or Fund Balances Fee                                                                               of all forms, supporting schedules, and 
Subtract line 12 from line 11. If the result is less                                                      attachments filed with the IRS, except 
than $50,000 enter $0 on line 13. If the result is                                                        publicly supported charities are not required 
more than $20,000,000 enter $20,000,000.                                                                  to attach Schedule B, Listing of Contributors. 
                                                                                                           
Please see the following examples:                                                                        Even if your organization is not required to file a 
                                                                                                          Form 990, 990-EZ, or 990-PF  with the IRS, if 



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the organization’s revenues or net assets exceed     request  your assistance in safeguarding  this 
certain  thresholds,  it may  be required to         information by not including it in your 
complete  one of these forms for Oregon              submission. 
purposes to meet the Charitable  Activities 
Section’s filing requirements. 
                                                      Signature Block 
In general, if your organization’s total revenues    To  complete the  return,  an authorized officer 
are at least $50,000, or its assets are more than    must  sign in the space provided. For  a 
$100,000, you  may be  asked to complete  a          corporation  this officer may  be the president, 
990EZ or 990 for Oregon purposes only.  If the       vice president, treasurer, chief executive officer, 
organization has not filed the form with the IRS,    executive  director,  chief financial officer, or 
it should note on the form that it is for Oregon     other corporate  officer, such as tax officer. 
purposes only.                                       Power of Attorney signature is not accepted. 
                                                      
Additional  instructions are provided below  for     In the paid preparer’s  information section, 
990-N filers and for organizations that do not file  include the name, daytime phone number, and 
any type of 990 with the IRS.                        address of any person who  was  paid  by the 
                                                     organization to complete this report. 
For 990-N Filers—If your organization  does           
not complete an IRS Form 990 or 990-EZ 
because it files an IRS form 990-N, the 
Charitable Activities Section will  consider 
suspending the requirement to file a Form 990 or 
990-EZ for Oregon purposes upon request. 
 
CT-12F filers that file a 990-N should include a 
copy of their 990-N to facilitate processing of 
their reports and to assist in limiting requests for 
additional information. 
 
If the organization  files an IRS Form  990-N 
because its gross receipts are normally $50,000 
or less, but its  assets are more  than $100,000, 
please contact this office in writing if you would 
like the Charitable Activities Section to consider 
suspending the requirement to file an IRS Form 
990  or 990-EZ for Oregon purposes.   The 
amount  of  assets in  excess of $100,000  is 
material to consideration of suspension requests.  
Please include a balance sheet or similar 
statement listing your assets to expedite review 
of your request. 
 
For organizations  that  do  not  file a 
990/990-EZ/990-N  with  the  IRS.   Please 
attach to your CT-12F a copy of your Form 1120 
or other return your organization has filed with 
the IRS for the reporting period.  We will contact 
you if  this office determines  that  a 990-EZ or 
990 is required for Oregon purposes. 
 
Important Note—Organizations that file Form 
990 or 990-EZ with the IRS are not required to 
attach  Schedule B listing of  contributors to 
filings with  the Charitable Activities Section. 
However, if voluntarily submitted, the schedule 
of contributors may be made available for public 
inspection. 
 
This exclusion does  not apply to  Form  990-PF 
filers  who  must submit  their schedule of 
contributors (Schedule B). 
 
Important        Note      for CPAs/Paid 
Preparers/Beneficiaries  –     Forms submitted 
to this office become a public record.  In order to 
protect  the privacy of named  individuals, you 
should redact Social Security Numbers (if used) 
from the copy of the IRS Form 990/990-EZ/990-
PF/5227/1041-A (Schedule K) submitted to this 
office.   Although we endeavor to  redact social 
security numbers from any forms we receive, we 



- 8 -
       Contact the Following Agencies for Assistance 
 
   Charitable Activities                          Internal Revenue Service                   Oregon Secretary of State 
                                                 
             Section                            Phone:  (877)829-5500                            Corporation Division 
Oregon Department of Justice                    Website: https://www.irs.gov/charities-and-  
100 SW Market Street                            nonprofits                                  Public Service Building 
Portland, Oregon 97201-5702                                                                 255 Capitol Street NE, Suite 151 
Phone:  (971)673-1880                                                                       Salem, OR 97310-1327 
TTY:       (800)735-2900                        Issues                                      Phone:  (503)986-2200 
Fax:     (971)673-1882                           • Obtaining federal tax identification     Fax:     (503)378-4381 
Email:   charitable@doj.state.or.us                number or federal tax-exempt status      Website:  https://sos.oregon.gov/business/ 
Website: https://www.doj.state.or.us             • Completing federal tax forms             Pages/default.aspx 

Issues                                          Forms                                       Issues 
 •     Questions about annual reports for        • 990, Return of Organization Exempt        •   Forming a new corporation 
       charitable organizations-Forms CT-12,       From Income Tax                           •   Merging nonprofit corporations 
       CT-12F, and CT-12S                        • 990-EZ, Short Form - Return of            •   Dissolving nonprofit corporations 
 •     Registration of charitable organizations    Organization Exempt From Income Tax       •   Amending articles of incorporation 
       and trusts                                • 990-PF, Return of Private Foundation      •   Obtaining copies of filed articles of 
 •     Merging nonprofit organizations           • 990-T, Exempt Organization Business           incorporation and amendments 
 •     Dissolving nonprofit organizations          Income Tax Return 
 •     Reporting illegal activity by nonprofit   • 990-W, Estimated Tax on Unrelated        Forms 
       organizations                               Business Taxable Income for Tax-          •   Articles of Incorporation 
 •     Serving as a board member of a nonprofit    Exempt Organizations                      •   Assumed Business Name Registration 
       organization                              • 1023/1023-EZ, Application for             •   Articles of Amendment 
 •     Information about charitable                Recognition of Exemption Under 
       organizations and copies of annual          §501(c)(3)                                •   Restated Articles 
       reports                                   • 1024, Application for Recognition of      •   Articles of Dissolution 
 •     Questions about raffles and other           Exemption Under §501(a)                   •   Revocation of Dissolution 
       charitable gaming                         • 1041, U.S. Income Tax Return for          •   Application of Authority to Transact 
                                                   Estates and Trusts                            Business 
                                                 •
Forms                                              1041-A, U.S. Information Return - Trust 
                                                   Accumulation of Charitable Amounts       Publications 
 •     RF-C, Registration Form for Charitable    • 1128, Application to Adopt, Change, or    •   Oregon Business Guide 
       Organizations                               Retain a Tax Year                              
 •     RF-T, Registration Form for Trusts        • 4720, Return of Certain Excise Taxes on 
 •     CT-12, Annual Report Form for  Oregon       Charities and Other Persons                   Oregon Department 
       Charities                                 • 5227, Split-Interest Trust Return 
                                                                                                      of Revenue 
 •     CT-12F, Annual Report Form for            • 5768, Election/Revocation of Election by  
       Foreign Charities                           an Eligible Section 501(c)(3)            Revenue Building 
 •     CT-12S, Annual Report Form for Split-       Organization to Make Expenditures to     955 Center St. NE 
       Interest Trusts                             Influence Legislation                    Salem, OR 97301 
 •     Closing Form                              • 8822, Change of Address                  Phone:  (503)378-4988 and (800)356-4222 
                                                 • 8868, Application for Extension of Time  Website:  https://www.oregon.gov/DOR 
Publications                                       to File an Exempt Organization Return 
                                                 •
 •     Oregon Wise Giving Guide                    8976, Notice of Intent to Operate Under 
                                                   Section 501(c)(4)                        Issues 
 •     A Guide to Non-Profit Board Service in                                                •   State taxation and filing requirements 
       Oregon 
                                                Publications 
Oregon Revised Statutes                          • Pub. 526, Charitable Contributions       Forms 
 •     Chapter #65, Nonprofit Corporations         Pub. 538, Accounting Periods and          •   20, Oregon Corporation Excise Tax 
                                                 •
                                                   Methods                                       Return 
 •     Chapter #128, Trusts; Charitable          • Pub. 557, Tax-Exempt Status for Your      •   41, Oregon Fiduciary Income Tax Return 
       Activities                                                                            
                                                   Organization 
 •     Chapter #130, Uniform Trust Code          • Pub. 583, Starting a Business and 
 •     Chapter #464, Charitable Gaming                                                               State of Oregon  
                                                   Keeping Records 
                                                                                             
 •     Chapter #646, Trade Practices &           • Pub. 598, Tax on Unrelated Business      Website:  https://www.oregon.gov 
       Antitrust Regulation 
                                                   Income of Exempt Organizations 
                                                 • Pub. 3079, Gaming Publication for Tax-
Oregon Administrative Rules                        Exempt Organizations 
 •     Chapter #137-010-0005 et seq.             • Pub. 4220, Applying for 501(c)(3) Tax-
                                                   Exempt Status 
                                                 • Pub. 4221, Compliance Guide for 
                                                   501(c)(3) Organizations 
                                                  






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