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Form                                                                                                                              For Accounting Periods  
                                Charitable Activities Section                                                                     Beginning in: 
                                Oregon Department of Justice 
                               
                              100 SW Market Street                                 VOICE        (971) 673-1880 
 CT-12S                       Portland, OR 97201-5702                               TTY         (800) 735-2900 
    For Split-Interest Trusts Email: charitable@doj.state.or.us                   FAX      (971) 673-1882 
                              Website: https://www.doj.state.or.us 
                              Line-by-line instructions for completing the annual                               2021 
                              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.   Has the trust 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. 
                                                                                                                                         
3.   During this reporting period, did the trust amend any trust documents OR did the trust receive a determination or ruling from 
     the Internal Revenue Service relating to its status?  If yes, attach a copy of the amended document or IRS communication.             Yes             No 
      
4.   Is the trust ceasing operations and is this the final report?  (If yes, see instructions on how to close your registration.)          Yes             No 
      
5.   Provide contact information for the person responsible for retaining the trust’s records. 
      
                   Name                Position     Phone                                       Mailing Address & Email Address                               
                                                                                                                                                            
6.   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             Compensation 
                                                                                                               weekly hours              (enter $0 if 
                                                                                                                devoted to         position unpaid) 
                                                                                                                position 
     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 
                                                                                                                                                                                                    
 7.   Charitable Distribution ..............................................................................................................  7.  
      (If no charitable distributions were made during the report year write $0.  Otherwise, write the total of Part III, Lines 2 a, b 
      and c, plus Line 3, plus Line 9 from Form 5227, or the total of Line 18 plus Line 24 from Form 1041-A) 
                                                                                                                                                                                                    
 8.   Charitable Distribution Fee .....................................................................................................................................................   8. 
      (See chart below.  Minimum fee is $20.) 
         Amount on Line 8     Charitable Distribution 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 
                                                                                                                                                                                                    
 9.   Net Assets at the End of the Reporting Period ..........................................................................   9. 
      (Part IV, Line 22b on Form 5227 or Line 45b on Form 1041-A) 
                                                                                                                                                                                                    
 10.  Net Assets Fee .......................................................................................................................................................................   10. 
      (Line 9 multiplied by .0001.  If the fee is less than $5, write $0.  Not to exceed $2,000.  Round cents to the nearest whole dollar.) 
      Are you filing this report late?         Yes          No .................................................................................................................                    
 11.  (If yes, the late fee is a minimum of $20.  You may owe more depending on how late the report is.  See Instruction 11 for additional information or contact the 11. 
      Charitable Activities Section at (971) 673-1880 to obtain late fee amount.) 
                                                                                                                                                                                                    
 12.  Total Amount Due  ..................................................................................................................................................................   12. 
      (Add Lines 8, 10, and 11.  Make check payable to the Oregon Department of Justice.) 
                                                                                                                                                                                                     
 13.  Attach a copy of the trust’s federal returns and all supporting schedules and attachments.  
       
                Under penalties of perjury, I declare that I have examined this return, including all accompanying forms, schedules, and attachments, 
 Please         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  
 
2021 Form CT-12S Instructions 
 
                                                    organization’s fiscal year. If the due date falls on  
                                                    a weekend or legal holiday, the due date is the      Important NoteAn extension request filed 
General                                             next business day.                                   with the IRS  or  the Oregon Department of 
                                                                                                         Revenue does  NOT act as an extension with 
Instructions                                        The Charitable  Activities Section does not use      the Charitable Activities Section unless a copy 
                                                    the postmark  date to determine whether  an          is submitted to the Charitable  Activities 
                                                    organization has filed timely. Instead, filings are  Section by the due date. 
Purpose                                             considered timely if they are physically received     
Oregon law charges the Attorney General with        within 5 business days after the due date. All 
the duty and  responsibility to represent  the      filings received more than 5 business days after     Record Keeping 
public’s interest in charitable organizations and   the due date will be assessed a late charge.  See    Please  retain  a  copy  of this  report and all 
in assets held or received for charitable purposes. Instruction 11 Late Fees.                            supporting documentation for at least five years 
The Attorney General carries  out this                                                                   after the due date. 
responsibility     by   requiring  charitable 
organizations  to register  and file periodic       Extensions for Filing  
financial reports.                                  A trust may apply for an extension  of  time to      Rounding and Blank Lines 
                                                    file.  Extension requests must be received on or     Round all amounts  on  the report to  the nearest 
Once submitted, this Form and  all  attachments     before the due date of the report to avoid a late    whole dollar. Drop amounts under 50 cents and 
become  a part  of the public record  excluding     fee.  The maximum available extension period is      increase amounts from 50 to 99 cents to the next 
social security numbers and similar confidential    180 days.   An extension to  file is also  an        whole dollar. If the amount is zero write “$0.” 
information. Any interested person may examine      extension to pay any associated fees.  Therefore,     
or  obtain a copy  of an annual  report  of a       estimated payments should not be included with       Do not leave any line blank.  Your report may 
charitable organization by  contacting the          extension requests.                                  be treated as incomplete if you leave blank lines. 
Charitable Activities Section.                       
                                                    Please do not submit an incomplete CT-12/CT-
                                                    12F/CT-12S if you intend to later supplement or      Important Reminders 
                                                    amend your report  with  a  copy  of  your IRS       Important information regarding  Social 
Who Must File                                       return. Instead, file an extension request so that   Security numbers (SSNs) Forms submitted 
All organizations registered with the Charitable    you can  submit a  complete  report  by the          to this office  become a public record.   To 
Activities Section of the Oregon Department of      extended due date with a copy of the appropriate     protect the privacy of named individuals, you 
Justice must annually file Form CT-12, CT-12F,      IRS form attached.                                   should redact any SSNs (if used) from copies 
or CT-12S unless the Attorney General has                                                                of any  IRS forms submitted.  Although we 
specifically exempted the organization from the     Extensions  may be requested through the             endeavor to redact SSNs from any forms we 
reporting requirements.                             Department       of      Justice   website    at     receive, we  request your assistance in 
                                                    https://justice.oregon.gov/Charities/Extensions.     safeguarding this   information          by not
                                                    Follow the instructions  carefully to ensure that    including it in your submission. 
What Form to File                                   we  receive  your request.   Please contact  our 
File Form CT-12  if the organization is  either     office if you  have any questions  or  difficulties 
incorporated,  organized, or  headquartered  in     with your online request.                            How to Contact the 
Oregon.                                                                                                  Charitable Activities 
                                                    You should print and retain a copy of the online 
File Form CT-12F if the  organization is            Confirmation of Extension Request.  You should       Section 
organized and headquartered outside of Oregon.      also expect to receive a confirmation of receipt     To obtain blank  forms,  mailed instructions, 
The Charitable Activities Section  does not         of your online request.                              technical assistance or information about a 
accept multi-state annual report forms in lieu of                                                        charitable  organization,  contact the Charitable 
a completed Form CT-12F.                            You may also submit a written request or a copy      Activities Section or visit our website at: 
                                                    of the trust’s federal extension request (IRS         
File Form CT-12S if the organization is a split-    Form 8868)       so long as the Charitable                  Charitable Activities Section 
interest trust that holds assets for the benefit of Activities Section receives the request or copy             Oregon Department of Justice 
both charitable and non-charitable beneficiaries.   before the due date of the report.   The trust’s            100 SW Market Street 
                                                    4 or 5-digit registration number should be noted            Portland, OR 97201-5702 
If the organization does not fit within any of the  on the  top of  all extension requests.   If you            Phone:  (971)673-1880 
above categories, file Form CT-12.                  would like acknowledgement that your extension              TTY:    (800)735-2900 
                                                    request has been received, you should enclose an            Fax:      (971)673-1882 
The form year should match the starting year        additional  copy of the request and  a self-                Email: charitable@doj.state.or.us 
of the fiscal period covered by the report.         addressed, stamped envelope.                                Website: https://www.doj.state.or.us 
                                                     
                                                    In  the event  your request  is denied,  to avoid a 
Due Date                                            late fee, the annual report must be submitted by     Where to File 
The  form, all required attachments and             the later of the due date or within 10 days after    Send completed forms and corresponding fees to 
schedules, and  payment of fees are due in the      the  trust receives notice of denial of  the         the above address.  Do not send cash.   The 
Charitable Activities  Section’s office no later    requested extension.                                 Charitable Activities  Section does  not accept 
than 4 months and 15 days after the end of the 



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CT-12S reports via electronic submission at this       agency, such  as a state attorney general,           A failure to fully complete this part can subject 
time.                                                  secretary of state, or local district  attorney, or  the trust to late fees or civil penalties for filing 
                                                       been a party to legal  action in any  court    or    an incomplete form. 
                                                       administrative agency  regarding charitable           
                                                       solicitation, administration, management, or         Officers include  those officers required by 
Line Instructions                                      fiduciary practices.  This includes assurances of    applicable state law, such as president, secretary, 
                                                       voluntary  compliance     or discontinuance          or  treasurer, and also  includes  the  person(s) 
                                                       involving  the  trust or any other proceeding in     elected or appointed to implement the decisions 
              Section I.                               which the trust  or any  current officer, director,  of  the governing  body or for  supervising the 
                                                       trustee,  or  key  employee  is subject to any       management, administration, or operation of the 
                                                       injunction, order, or pending action relating to     organization, regardless of title or the amount of 
       General Information                             the solicitation of       contributions,     or      compensation received.  The CEO or  Executive 
                                                       administration  of charitable  assets.   Attach a    Director is an officer for purposes of this form. 
                                                       written explanation of each  such action or          The top financial official may also be an officer 
1.  Missing or Incorrect                               agreement, including the agency involved and         if  they are responsible  for  managing the 
                                                       the allegations.   Also, attach  a copy of any       organization’s finances.  
Information 
                                                       agreements or actions that occurred in the            
The  Charitable  Activities Section sends a form       current reporting period.                                              Column (C) 
preprinted    with name,       address contact                                                                                     
information and  registration number  to all                                                                If an IRS form is attached that includes complete 
registered trusts.  If the organization is returning         Amendments to Trust                            and  accurate compensation information,  the 
one of these  preprinted forms,  provide  the          3.
                                                                                                            phrase “See IRS Form” may be entered in lieu of 
requested information in this section.                 Documents                                            completing this section.  
                                                       Check yes if during the reporting period the trust    
Name Changes                                           amended the documents that created the trust or      Otherwise, for each person listed, report the total 
                                                       if  the  trust  received a  determination or ruling  amount of compensation  paid  or deferred  for 
If applicable, write the  trust’s new legal name.      from the IRS relating to its status.                 payment to a later date, including salary,  fees, 
Attach a copy of the trust document that changed                                                            bonuses,  benefits, taxable allowances  or 
the trust’s name.                                      Important Note —Attach  signed and dated             reimbursements,   the     value of         noncash 
                                                       copies of  amended trust documents  and/or IRS       compensation, and severance payments. 
Address, Email, and Phone                              communication.                                        
Number Changes                                                                                              Enter a zero in column (C) if the person was a 
                                                                                                            volunteer and was not paid or did not accrue any 
If applicable, write the new address where mail              Final Report                                   compensation during the reporting year.   
for the trust should be directed in the future. If     4.
applicable, write the new  daytime phone               Check yes if this is the final report for the trust.  
number,  fax number  and email  address  for the       The trust should contact the Charitable Activities   The trust may provide an attachment to explain 
trust.                                                 Section    for specific   instructions       and     the entire compensation package for any person 
                                                       requirements relating to closing procedures.         listed in  this  part, including  whether the 
                                                                                                            compensation includes the payment of amounts 
Accounting Year Changes                                A final report must reflect  the financial           previously deferred. 
If applicable,  write the trust’s new or short         transactions of the trust  from the  day  after the 
reporting period. Preprinted forms are based           close of its last accounting period to the date of 
upon the accounting period we have  on record          the disposition of all remaining assets.                                    
for the trust. If  the trust has  changed its  fiscal 
year or  is filing a final report for  a period less 
                                                                                                                          Section II. 
than 12 months, the shortened period covered by        5.  Who Keeps the Books? 
the report  must be noted here.   If the  trust is     Indicate the person to be contacted if the trust's                                              
filing a final report, see the instructions for line 5 books need to  be accessed  for information or          Fee Calculation
for closing requirements.                              review. Either  a business or  personal phone 
                                                       number  email,  and  mailing address  are 
Short Year Report—If  the trust is filing a            acceptable.  If the person does not have an email    7.  Charitable Distribution 
shortened report due to a change in fiscal year,       address, please note that on the form.               The charitable  distribution represents  the total 
see the instructions for line 9 for calculation of                                                          amount paid to charitable organizations. For 
prorated Net Assets fee.                                                                                    Charitable Remainder trusts there will generally 
                                                       6.  Officers, Directors,                             be no charitable distributions until the final year 
                                                                                                            when the trust terminates. If no charitable 
Amended Reports                                        Trustees, and Other Key                              distributions were made during  the report year, 
If  amending previously submitted information          Employees                                            enter  zero on line 8.    Otherwise,  if  IRS Form 
for the same  accounting period, check the                                                                  5227 was filed, add the  amounts on  Part III, 
amended report box. Either  complete a blank           List  each person who was an  officer, director, 
form  that  includes  the amended information or       trustee, or key employee (defined below) of the      Lines 2 a, b and c, plus Line 3, plus Line 9.  If 
provide a copy of the previously submitted form        trust at any time during the year even if they are   IRS Form 1041-A was filed, add the amounts on 
that clearly shows what information is being           a volunteer and do not receive any compensation      lines 18 and 24. 
amended. Submit any additional fee due with the        from  the organization. Give the daytime phone        
amended report.                                        number and preferred mailing address at which         
                                                       officers, etc.,  want the  Charitable Activities 
                                                       Section to  contact them.  Use an attachment if 
2.  Disclosure of Legal Action                                                                               8. Charitable Distribution Fee 
                                                       there are more persons to list than there are lines 
                                                       available.                                           Use the charitable distribution figure from line 8 
Check yes if  the trust or any of  its officers,                                                            to calculate  the charitable distribution fee 
directors, trustees or key employees ever signed                                                            according to the following schedule. 
a voluntary agreement with any government                                                                    



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   Charitable Distribution Fee Schedule             covered by the short report. No similar proration      
                                                    should be made if the short report is due to the      Important Note—Indicate on the  check the 
                                    Charitable      initial or final reporting period.                    trust’s 4 or 5-digit Oregon Department of Justice 
   Amount on Line 8             Distribution Fee 
$             0 -  $   24,999       $   20                                                                registration  number. The registration number  is 
  25,000        -     49,999             50                                                               located on line 1 of the preprinted Form CT-12S 
  50,000        -     99,999             90         11.  Late Fees                                        or can be obtained by contacting the Charitable 
 100,000        -  249,999             150          If the report is not filed or the fee is not paid by  Activities Section. 
 250,000        -  499,999             200          the due date (or the extended due date), an initial 
 500,000        -  999,999             300 
 1,000,000      or         more        400          late  fee of $20 will be due. If the report or 
                                                    payment remains outstanding more than 13              13.  IRS Forms, Schedules, 
The maximum amount subject to the charitable        months past the end of the fiscal year covered by     and Attachments 
distribution  fee is $1,000,000. The  maximum       the report, the late fee  will increase to  $50.   If All  trusts must  attach a complete copy  of  all 
charitable distribution fee is $400. The minimum    the delinquency  is not corrected within 16           forms, supporting  schedules, and attachments 
charitable distribution fee is $20.                 months of the end of the fiscal year covered by       filed with the IRS.  This may include IRS Form 
                                                    the report, the late fee increases to $100.           1041-A and/or IRS Form 5227. 
                                                                                                           
                                                              Late Fee Schedule 
9.  Net Assets at the End of                         Fiscal   Late           Late         Late            Important   Note           for CPAs/Paid 
the Reporting Period                                 Year End Report         Report       Report          Preparers/Beneficiaries—  Forms submitted 
                                                     Dates    Receive        Received     Received        to this office become a public record.  To protect 
The Charitable  Activities Section has adopted                d Before       Between      After This      the privacy of named individuals, you should 
the definition for “Net Assets”  used by the                  This           These        Date            redact Social Security Numbers (if used) from 
Internal Revenue Service. If the trust completed              Date           Dates                        the  copy of the IRS Form 990/990-EZ/990-
one of the following IRS Forms for this              Late     $20                $50            $100      PF/5227/1041-A (Schedule K) submitted to this 
reporting period,  the Net Assets figure  should     Fee:                                                 office.   Although we  endeavor  to redact social 
come from the line number listed:                    12/31/21 2/1/23         2/1/23-      4/30/23         security numbers from any forms we receive, we 
 • IRS Form 1041-A, Part IV, line 45b                                        4/30/23 
 • IRS Form 5227, Part IV, line 22b                  1/31/22  3/1/23         3/1/23       5/31/23         request your  assistance in safeguarding  this 
                                                                             5/31/23                      information by not including it in  your 
                                                     2/28/22  4/1/23         4/1/23-      6/30/23         submission. 
If the trust was not required to complete one of                             6/30/23 
these IRS Forms, a summary of what constitutes       3/31/22  5/1/23         5/1/23-      7/31/23 
Net Assets is provided within these instructions.                            7/31/23                         Signature Block 
A more detailed definition can be  found in the      4/30/22  6/1/23         6/1/23-      8/31/23         To make the return complete, a trustee, receiver 
IRS instructions for forms listed above.                                     8/31/23                      or assignee must sign any return he or she files 
                                                     5/31/22  7/1/23         7/1/23-      9/30/23         for the trust. Signature stamps and labels are not 
Net Assets refer to  the trust’s assets minus                                9/30/23                      acceptable.  Power of Attorney signature is not 
liabilities.                                         6/30/22  8/1/23         8/1/23-      10/31/23        accepted. 
                                                                             10/31/23 
“Assets” are items of value to the trust, such as    7/31/22  9/1/23         9/1/23-      11/30/23         
                                                                             11/30/23                     In the paid preparer’s information section, 
cash, receivables less any allowance for doubtful    8/31/22  10/1/23        10/1/23-     12/31/23        include the name, daytime phone number, and 
accounts,       inventory, prepaid  expenses,                                12/31/23                     address of any person who was paid by the trust 
investments,  land,  buildings & equipment less      9/30/22  11/1/23        11/1/23-     1/31/24         to complete this report.   
any accumulated depreciation if the trust records                            1/31/24                       
depreciation.                                        10/31/22 12/1/23        12/1/23-     2/28/24 
                                                                             2/28/24 
“Liabilities”  are the amount  of  debts and         11/30/22 1/1/24         1/1/24-      3/31/24 
obligations owed by the trust, such as accounts                              3/31/24 
payable, accrued  expenses, deferred revenue,        
loans, and mortgages.                               The above  late fees apply  automatically  and 
                                                    cannot be waived.   The Department has  the 
Important Note— If the trust disposed of all or     authority to obtain additional civil penalties 
substantially all of the trust’s assets during this against the  organization and  its  officers and 
reporting period, attach a  letter listing a        directors  or take  other administrative action in 
description of the asset and the name, address,     connection  with the failure to  file  timely  and 
phone number, and contact person of each entity     complete reports. 
which received the trust’s assets. 

                                                    12.  Total Amount Due 
10.  Net Assets Fee                                 Add lines 8, 10, and 11. This is the total amount 
Multiply the amount subject to a Net Assets fee     due. Make check or money order payable to the 
from line 10 by .0001 and enter this figure on      “Oregon Department  of Justice”.  The 
line 11. Round to the nearest whole dollar. If the  Department does not  accept  payment by credit 
result is less than $5  enter $0. If the result is  card. Do not send cash.  
more than $2,000 enter $2,000.                       
                                                     
Important Note—If the trust  is filing  a short      
report of less than one year due to a change in     Mail payment together with the report to: 
accounting periods, the  amount entered on line      
11 should be prorated by the number of months               Charitable Activities Section 
covered by the report. To determine the prorated            Oregon Department of Justice  
amount, divide the amount determined above by               100 SW Market Street 
                                                            Portland, Oregon 97201-5702 
12 and multiply by the number  of months 



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       Contact the Following Agencies for Assistance   
Charitable Activities                             Internal Revenue Service                  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     Website:  
Email:   charitable@doj.state.or.us                number or federal tax-exempt status      https://sos.oregon.gov/business/Pages/ 
Website: https://www.doj.state.or.us             • Completing federal tax forms             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   • 1023/1023-EZ, Application for            Forms 
       organizations                               Recognition of Exemption Under            • Articles of Incorporation 
•      Serving as a board member of a              §501(c)(3)                                • Assumed Business Name Registration 
       nonprofit organization                    • 1024, Application for Recognition of      • Articles of Amendment 
•      Information about charitable                Exemption Under §501(a) 
                                                                                             • Restated Articles 
       organizations and copies of annual        • 1041, U.S. Income Tax Return for 
                                                                                             •
       reports                                     Estates and Trusts                          Articles of Dissolution 
                                                                                             •
•      Questions about raffles and other         • 1041-A, U.S. Information Return -           Revocation of Dissolution 
       charitable gaming                           Trust Accumulation of Charitable 
                                                   Amounts                                  Publications Forms                                              1128, Application to Adopt, Change, or    • Oregon Business Guide 
                                                   Retain a Tax Year 
•      RF-C, Registration Form for Charitable    • 4720, Return of Certain Excise Taxes       
       Organizations                               on Charities and Other Persons 
                                                                                               Oregon Department 
•      RF-T, Registration Form for Trusts        • 5227, Split-Interest Trust Return 
•      CT-12, Annual Report Form for             • 5768, Election/Revocation of Election                 of Revenue 
       Oregon Charities                            by an Eligible Section 501(c)(3)          
•      CT-12F, Annual Report Form for              Organization to Make Expenditures to     Revenue Building 
       Foreign Charities                           Influence Legislation                    955 Center St. NE 
•      CT-12S, Annual Report Form for Split-     • 8822, Change of Address                  Salem, OR 97301-2555 
       Interest Trusts                           • 8868, Application for Extension of       Phone:  (503)378-4988 and (800)356-4222 
•      Closing Form                                Time to File an Exempt Organization      Website:  https://www.oregon.gov/DOR 
                                                   Return 
Publications                                     • 8976, Notice of Intent to Operate Under  Issues 
                                                   Section 501(c)(4)  
•      Oregon Wise Giving Guide                                                              • State taxation and filing requirements 
•      A Guide to Non-Profit Board Service in 
       Oregon                                   Publications                                Forms 
                                                 • Pub. 526, Charitable Contributions        • 20, Oregon Corporation Excise Tax 
Oregon Revised Statutes                          • Pub. 538, Accounting Periods and            Return 
                                                   Methods 
•      Chapter #65, Nonprofit Corporations                                                   • 41, Oregon Fiduciary Income Tax 
                                                 • Pub. 557, Tax-Exempt Status for Your 
•      Chapter #128, Trusts; Charitable                                                        Return 
                                                   Organization 
       Activities                                                                            
                                                 •
•      Chapter #130, Uniform Trust Code            Pub. 583, Starting a Business and 
                                                   Keeping Records                             State of Oregon 
•      Chapter #464, Charitable Gaming           • Pub. 598, Tax on Unrelated Business       
•      Chapter #646, Trade Practices &             Income of Exempt Organizations           Website:  https://www.oregon.gov 
       Antitrust Regulations                     • Pub. 3079, Gaming Publication for 
                                                   Tax-Exempt Organizations 
Oregon Administrative Rules                      • Pub. 4220, Applying for 501(c)(3) Tax-
•      Chapter #137-010-0005 et seq.               Exempt Status 
                                                 • Pub. 4221, Compliance Guide for 
                                                   501(c)(3) Organizations 
                                                  






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