Ct 12 Form PDF Details

In the realm of Oregon charities, the Form CT-12 emerges as a critical annual filing requirement, shedding light on the fiscal health and regulatory compliance of these entities. Based within the Oregon Department of Justice’s Charitable Activities Section, this document serves as a comprehensive snapshot, capturing General Information about the charity—ranging from basic contact details, changes in operational or fiscal details, to affiliations with fundraising professionals. Distinct sections demand thorough financial disclosures, including audits, revenue specifics, and an in-depth analysis of net assets, setting the stage for a transparent dialogue between charitable organizations and regulatory bodies. Essentially, this form bridges the gap between charitable endeavors and the stewardship obligations upheld by the Oregon Department of Justice, ensuring a trust-based relationship with the public. Not only does it facilitate a disciplined approach towards financial management and accountability among charities, but it also enforces a structured framework for reporting, extending into the specifics of revenue calculation, asset management, and the closing or continuation of operations. As charities navigate through sections detailing audits, fundraising activities, legal disclosures, and the implications of their tax-exempt status, Form CT-12 acts as both a mirror and a beacon—reflecting organizational integrity while guiding the path towards compliance and beyond.

QuestionAnswer
Form NameCt 12 Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesoregon ct12, ct 12 2018, ct 12 instructions, oregon ct 12 2017

Form Preview Example

Form

CT-12

For Oregon Charities

Charitable Activities Section Oregon Department of Justice

1515 SW 5th

Avenue, Suite 410

VOICE (971)

673-1880

Portland, OR

97201-5451

TTY

(800)

735-2900

E-Mail: charitable.activities@doj.state.or.us

FAX

(971)

673-1882

Web site: http://www.doj.state.or.us

 

 

 

For Accounting Periods Beginning in:

2011

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.

3.Is the organization a party to a contract involving person-to-person, advertising, vending machine or telephone fund-raising in Oregon?

If yes, write the name of the fund-raising firm(s) who conducts the campaign(s):_____________________________________

4.Has the organization or any of its officers, directors, trustees, or key employees ever signed a voluntary agreement with any government agency, such as a state attorney general, secretary of state, or local district attorney, or been a party to legal action in any court regarding charitable solicitation, administration, management, or fiduciary practices? If yes, attach explanation of each such agreement or action. See instructions.

Yes

Yes

Yes

No

No

No

5.During this reporting period, did the organization amend its articles of incorporation, bylaws, or trust documents, OR did the organization receive a determination letter from the Internal Revenue Service relating to its tax-exempt status? If yes, attach a copy of the amended document or letter.

6.Is the organization ceasing operations and is this the final report? (If yes, see instructions on how to close your registration.)

7.Provide contact information for the person responsible for retaining the organization’s records.

Yes

Yes

No

No

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 that section. (Oregon law requires a minimum of three directors.)

 

(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

Section II.

 

Fee Calculation

 

 

 

 

 

 

 

9.

Total Revenue

 

 

9.

 

 

 

 

 

(From Line 12 (current year) on Form 990; Line 9 on Form 990-EZ; Part I, Line 12a on Form 990-PF; Line 9 on Form 1041

 

 

 

 

 

 

or Form 1041-A; or see page 3 of the instructions if no federal tax return was prepared. Attach explanation if Total

 

 

 

 

 

 

Revenue is $0.)

 

 

 

 

 

 

 

 

 

10.

Revenue Fee

............................................................................................................................................................................

10.

 

 

(See chart below. Minimum fee is $10, even if total revenue is a negative amount.)

 

 

 

 

 

 

 

 

Amount on Line 9

Revenue Fee

 

 

 

 

 

 

 

 

$0

-

$24,999

$10

 

 

 

 

 

 

 

 

$25,000

-

$49,999

$25

 

 

 

 

 

 

 

 

$50,000

-

$99,999

$45

 

 

 

 

 

 

 

 

$100,000

-

$249,999

$75

 

 

 

 

 

 

 

 

$250,000

-

$499,999

$100

 

 

 

 

 

 

 

 

$500,000

-

$749,999

$135

 

 

 

 

 

 

 

 

$750,000

-

$999,999

$170

 

 

 

 

 

 

 

 

$1,000,000

or

more

$200

 

 

 

 

 

 

 

11.

......Net Assets or Fund Balances at End of the Reporting Period

11.

 

 

 

 

 

 

 

(From Line 22 (end of year) on Form 990, Line 21 on Form 990-EZ, or Part III, Line

 

 

 

 

 

 

 

 

6 on Form 990-PF; or see page 3 of CT-12 instructions to calculate.)

 

 

 

 

 

 

 

12.

Net Fixed Assets Used to Conduct Charitable Activities

12.

 

 

 

 

 

 

 

(Generally, from Part X, Line 10c on Form 990, Line 23B on Form 990-EZ or Part

 

 

 

 

 

 

 

 

II, Line 14b on Form 990-PF; or see page 4 of CT-12 instructions to calculate. See

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

instructions if organization owns income-producing.)

 

 

 

 

 

 

 

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.)

 

 

 

 

 

 

 

 

Net Assets or Fund Balances Fee

 

 

 

 

 

14.

14.

 

(Line 13 multiplied by .0001. If the fee is less than $5, enter $0. Not to exceed $1,000. Round cents to the nearest whole dollar.)

15.

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

 

 

 

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.)

Attach a copy of the organization’s federal 990 or other return and all supporting schedules and attachments that were filed with the IRS with the

17.exception 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 $25,000 or more, or Net Assets or Fund Balances of $50,000 or more, see the instructions as the organization 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 or confirmation of its filing

Please

Under penalties of perjury, I declare that I have examined this return, including all 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

Paid

 

 

Preparer’s

_____________________

_____________________

Use Only

_______________________________________

Preparer’s signature

Date

Phone

 

 

_______________________________________

___________________________________________________

 

Preparer’s name

Address

 

Charitable Activities Section, Oregon Department of Justice

2011 Form CT-12 Instructions

General

Instructions

Purpose

Oregon law charges the Attorney General with the duty and responsibility to represent the public’s interest in connection with assets held for charitable purposes. The Attorney General carries out this responsibility by requiring organizations holding such assets to register and file periodic financial reports.

Once submitted, this Form and all attachments become a part of the public record. Any interested person may examine or obtain a copy of an annual report of a charitable organization by contacting the Charitable Activities Section.

Who Must File

All organizations registered with the Charitable Activities Section of the Oregon Department of Justice must annually file Form CT-12, CT-12F, or CT-12S unless the Attorney General has specifically exempted the organization from the reporting requirements.

What Form to File

File Form CT-12 if the organization is incorporated or organized in Oregon.

File Form CT-12F if the organization is incorporated or organized outside of Oregon. The Charitable Activities Section does not accept multi-state annual report forms in lieu of a completed Form CT-12F.

File Form CT-12S if the organization is a split- interest trust that holds assets for the benefit of both charitable and non-charitable beneficiaries.

If the organization does not fit within any of the above categories, file Form CT-12.

The Form year should match the starting year of the fiscal period covered by the report.

Due Date

The Form, all required attachments and schedules, and payment of fees are due in the Charitable Activities Section’s office no later than 4 months and 15 days after the end of the organization’s fiscal year. If the due date falls on

a weekend or legal holiday, the due date is the next business day.

The Charitable Activities Section does not use the postmark date to determine whether an organization has filed timely. Instead, filings are considered timely if they are physically received within 5 business days after the due date. All filings received more than 5 business days after the due date will be assessed a late charge. See Instruction 15 Late Fees.

Extensions for Filing and Paying Fees

An organization may apply for an extension of time to file. Extension requests must be received 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 an extension to pay any associated fees. Therefore, estimated payments should not be included with extension requests.

Extensions may be requested through the Department of Justice web site at http://www.doj.state.or.us/charigroup/howtoexte nd.shtml. Follow the instructions carefully to ensure that the Charitable Activities Section receives your request. Please contact our office if you have any questions about the on-line extension process or are experiencing difficulties with your on-line request.

The organization may also submit a written request or a copy of the organization’s federal extension request (IRS Form 8868) so long as the Charitable Activities Section receives the request or copy before the due date of the report. A written request should specify the length of and reason for the requested extension. The organization’s 4 or 5-digit registration number should be noted on the top of all extension requests. If you would like acknowledgement that your extension request has been received, you should enclose an additional copy of the request and a self- addressed, stamped envelope.

The Charitable Activities Section will not provide formal notice that the organization’s extension request has been approved. Instead, the organization should assume that its extension request has been granted unless you hear otherwise from our office. In the event your request is denied, to avoid a late fee, the annual report must be submitted by the later of the due date or within 10 days after the organization receives notice of denial of the requested extension.

Important NoteAn extension request filed with the IRS or the Oregon Department of Revenue does NOT act as an extension with the Charitable Activities Section unless a copy is submitted to the Charitable Activities Section by the due date.

Record Keeping

Please retain a copy of this report and all supporting documentation for at least five years after the due date.

Rounding and Blank Lines

Round all amounts on the report to the nearest whole dollar. Drop amounts under 50 cents and increase amounts from 50 to 99 cents to the next whole dollar.

Do not leave any line blank. Write “N/A,” “$0,” or “none” where appropriate.

Recent Changes and Updates

Important information about mandatory IRS filing requirements and loss of tax exempt status. Most tax-exempt organizations other than churches must file a yearly return or notice with the IRS. Recent changes in law now require the IRS to revoke the tax exempt status of any organization that has failed to file an IRS return or notice for three consecutive years.

Please refer to http://www.irs.gov/eo for more information about these requirements.

Important information regarding Social Security numbers (SSNs) Forms submitted to this office become a public record. In order to protect the privacy of named individuals, you should redact any SSNs (if used) from copies of any IRS forms submitted. Although we endeavor to redact social security numbers from any forms we receive, we request your assistance in safeguarding this information by not including it in your submission.

A minimum late fee of $20 will be charged for reports or payments not received by their due date. However, the late fee may be more than $20 depending on how long the report or payment is overdue. See Instruction 15 for additional details.

How to Contact the Charitable Activities Section

To obtain blank forms, technical assistance or information about a charitable organization, contact the Charitable Activities Section or visit our web site at:

Charitable Activities Section

Oregon Department of Justice

1515 SW 5th Ave, Suite 410

Portland, OR 97201-5451

Phone: (971)673-1880

TTY: (800)735-2900

Fax: (971)673-1882

E-Mail: charitable.activities@doj.state.or.us

Web site: http://www.doj.state.or.us

Where to File

Send completed Forms and any corresponding payment of fees to the above address. The Charitable Activities Section does not accept the electronic filing of Forms.

Line Instructions

Section I.

General Information

1. Missing or Incorrect Information

The Charitable Activities Section sends a Form preprinted with name, address, contact information and registration number to all registered organizations. If the organization has received one of these preprinted Forms, provide any missing or corrected information. If the organization is completing a blank Form, provide the requested information in this section.

Name Changes

If applicable, write the organization’s new legal name. Attach a copy of the filed amended articles of incorporation or trust document that changed the organization name.

Address and Phone Number Changes

If applicable, write the new address where mail for the organization should be directed in the future. If applicable, write the new daytime phone number and fax machine number for the organization.

Accounting Year Changes

If applicable, write the organization’s new or short reporting period. Preprinted forms are based upon the accounting period we have on record for the organization. If the organization has changed its fiscal year or is filing a final report for a period less than 12 months, the

shortened period covered by the report must be noted here.

Important Note—If the organization is filing a shortened report due to a change in fiscal year, see the instructions for line 13 for calculation of prorated Net Assets or Fund Balances fee.

Important Note—If the organization is filing a final report, see the instructions for line 6 for dissolution or closing requirements.

Amended Reports

If amending previously submitted information for the same accounting period, check the amended report box. Either complete a blank form that includes the amended information or provide a copy of the previously submitted form that clearly shows what information is being amended. Submit any additional fee due with the amended report.

2. Independent Audit

Check yes if the organization had an independent audit of its financial records performed by a certified public accountant.

Attach a copy of the auditor’s report, the financial statements, the accompanying notes, schedules, or other documents supplementing the report or financial statements.

3. Professional / Commercial Fund-Raising

Check yes if the organization entered into a contract with a for-profit company or a mutual benefit nonprofit company to conduct in-person, advertising, vending machine, or telephone solicitations on its behalf. Write the name(s) of the fund-raising firm(s) in the space provided.

4. Disclosure of Legal Action

Check yes if the organization or any of its officers, directors, trustees or key employees ever signed a voluntary agreement with any government agency, such as a state attorney general, secretary of state, or local district attorney, or been a party to legal action in any court regarding charitable solicitation, administration, management, or fiduciary practices. This includes assurances of voluntary compliance or discontinuance involving the organization or any other proceeding in which the organization or any current officer, director, trustee, or key employee is subject to any injunction, order, or pending action relating to the solicitation of contributions, or administration of charitable assets. Attach a written explanation of each such action or agreement, including the agency involved and the allegations. Also, attach a copy of any agreements or actions that occurred in the current reporting period.

5. Amendments to Articles of Incorporation, Bylaws, Trust Documents, or Tax-Exempt Status

Check yes if during the reporting period the organization amended its articles, bylaws, or trust documents, or if the IRS issued a new tax- exempt status ruling for the organization, including revocation.

Important Note—Attach copies of amendments to articles of incorporation bearing the Secretary of State’s file stamp, signed and dated copies of amended bylaws, amended trust documents, and/or IRS determination letters.

6. Final Report

Check yes if this is the final report for the organization.

If the organization is dissolving, the Charitable Activities Section must be notified in writing 20 days prior to the dissolution or the distribution of the organization’s assets. This notification may be done either through a letter or submission of a completed Closing Form which can be obtained by contacting the Charitable Activities Section or from our web site. Notification must include the disposition of assets including the name, address, phone number, and contact person of each organization that will receive any remaining assets and the amount of the assets involved or a copy of the minutes of the board meeting that approved the dissolution containing the same information.

If the organization is filing a final report for a reason other than a dissolution, such as the discontinuance of soliciting contributions, holding assets or conducting charitable activities in Oregon, there are similar notification requirements.

If the organization is a trust and is filing a final report for any reason, the Charitable Activities Section should be contacted for specific instructions and requirements related to closing procedures.

A final report must reflect the financial transactions of the charitable organization from the day after the close of its last accounting period to the date of the disposition of all remaining assets.

Important Note—Dissolving corporations must submit a copy of any articles of dissolution filed with the Corporation Division in addition to the information required above. If articles of dissolution have not been filed, then the anticipated date of dissolution must be provided.

Important Note—The organization must submit this information even if the distribution of assets has already occurred.

7. Who Keeps the Books?

Indicate the person to be contacted if the organization's books need to be accessed for information or review. Either a business or personal phone number and mailing address are acceptable.

8. Officers, Directors,

Trustees, and Other Key

Employees

List each person who was an officer, director, trustee, or key employee (defined below) of the organization at any time during the year even if they are a volunteer and do not receive any compensation from the organization. Give the daytime phone number and preferred mailing address at which officers, etc., want the Charitable Activities Section to contact them. Use an attachment if there are more persons to list than there are lines available.

A failure to fully complete this part can subject the organization to penalties for filing an incomplete Form.

If the organization is an Oregon public benefit corporation, it must have a minimum of three individuals serving on its board of directors.

A "key employee" is any person having responsibilities or powers similar to those of officers, directors, or trustees. The term includes the chief management and administrative officials of an organization (such as executive director) but does not include the heads of separate departments or smaller units within an organization.

A chief financial officer and the officer in charge of administration or program operations are both key employees if they have the authority to control the organization's activities, it's finances, or both. The "heads of separate departments" reference applies to persons such as the head of the radiology department or coronary care unit of a hospital or the head of the chemistry or history or English department at a college. These persons are managers within their specific areas but not for the organization as a whole and, therefore, are not key employees.

Column (C)

If an IRS form is attached that includes complete and accurate compensation information the phrase “See IRS Form” may be entered in lieu of completing this section.

Otherwise, for each person listed, report the total amount of compensation paid or deferred for payment to a later date, including salary, fees, bonuses, benefits, taxable allowances or reimbursements, the value of noncash compensation, and severance payments.

Enter a zero in column (C) if the person was a volunteer and was not paid or did not accrue any compensation during the reporting year.

The organization may provide an attachment to explain the entire compensation package for any person listed in this part, including whether the compensation includes the payment of amounts previously deferred.

Section II.

9. Total Revenue

The Charitable Activities Section has adopted the definition for “Total Revenue” used by the Internal Revenue Service. If the organization completed one of the following IRS Forms for this reporting period, the Total Revenue figure should come from the line number listed:

IRS Form 990, Part I, line 12 (current year)

IRS Form 990-EZ, Part I, line 9

IRS Form 990-PF, Part I, line 12a

IRS Form 1041, line 9

IRS Form 1041-A, line 9

If the organization was not required to complete one of these IRS Forms a summary of what constitutes Total Revenue is provided within these instructions. A more detailed definition can be found in the IRS instructions for the listed Forms.

“Total Revenue” includes such items as:

contributions

gifts

grants

donated real property

donated thrift items

membership dues & assessments

program service revenue

government fees & contracts

interest income

dividend income

net rental gain or loss as determined by gross rental income less rental expense

other investment income

gain or loss on sales of assets other than inventory as calculated by gross sale price less cost or other basis

gain or loss from special events & activities which may include bingo games, raffle events, Monte Carlo events, dinners, and door-to-door sales of merchandise as calculated by gross proceeds minus direct expenses

gain or loss on sale of inventory as calculated by sales price less returns & allowances and the cost of goods sold

all other sources of revenue.

include amounts obtained from both Oregon and out of state sources.

To report contributions received in a form other than cash, use the market value as of the date of the contribution. When market value cannot be readily determined, use an appraised or estimated value.

To determine the amount of any noncash contribution that is subject to an outstanding debt, subtract the debt from the property’s fair

market value in assigning a value to the revenue received.

“Fair market value” is the amount a reasonable person would pay for the item at the time it was donated to the organization.

Important Note—Do not include the value of services donated to the organization, or items such as the free use of materials, equipment, or facilities in reporting Total Revenue.

Important Note—If Total Revenue is zero, attach an explanation of why Total Revenue is zero and indicate whether the organization plans to continue operations. See the instructions for line 6 if this is the organization’s final report.

10. Revenue Fee

Use the Total Revenue figure from line 9 to calculate the revenue fee according to the following schedule.

 

 

Revenue Fee Schedule

 

Amount on Line 9

Revenue Fee

$

0

-

$ 24,999

$ 10

 

25,000

-

49,999

25

 

50,000

-

99,999

45

 

100,000

-

249,999

75

 

250,000

-

499,999

100

 

500,000

-

749,999

135

 

750,000

-

999,999

170

1,000,000

or

more

200

The maximum amount subject to a revenue fee is $1,000,000. The maximum revenue fee is $200. The minimum revenue fee is $10, even if total revenue is zero or a negative amount.

11. Net Assets or Fund Balances at the End of the Reporting Period

The Charitable Activities Section has adopted the definitions for “Net Assets” and “Fund Balances” used by the Internal Revenue Service. If the organization completed one of the following IRS Forms for this reporting period, the Net Assets or Fund Balances figure should come from the line number listed:

IRS Form 990, Part I, line 22 (end of year)

IRS Form 990-EZ, Part I, line 21

IRS Form 990-PF, Part III, line 6,

IRS Form 1041-A, Part IV, line 45, column (b)

If the organization was not required to complete one of these IRS Forms a summary of what constitutes Net Assets or Fund Balances is provided within these instructions. A more detailed definition can be found in the IRS instructions for the listed Forms.

Net Assets and Fund Balances refer to the organization’s assets minus liabilities.

“Assets” are items of value to the organization, such as cash, receivables less any allowance for doubtful accounts, inventory, prepaid expenses,

investments, land, buildings & equipment less any accumulated depreciation if the organization records depreciation.

“Liabilities” are the amount of debts and obligations owed by the organization, such as accounts payable, accrued expenses, deferred revenue, loans, and mortgages.

12. Net Fixed Assets Used to Conduct Charitable Activities

Enter the amount of the organization’s Net Fixed Assets that were held for use in the operation of charitable activities at the end of the reporting period.

Important Note—You should not include any cash, bank accounts, stock holdings, investment accounts, or other liquid assets in Line 12. Line 12 should only include fixed assets that are used for charitable purposes, such as land, buildings, or equipment.

The following instructions provide guidance on how to calculate Net Fixed Assets, where the amount may be located on the organization’s IRS return, and whether that amount should be adjusted to include only those fixed assets used for charitable purposes.

The Charitable Activities Section defines “Net Fixed Assets” as the organization’s book value (cost or other basis less any accumulated depreciation) of all owned land, buildings, or equipment, that are used directly for charitable purposes. For example, if the

13. Amount Subject to Net Assets or Fund Balances Fee

Subtract line 12 from line 11. If the result is less than $50,000 enter $0 on line 13. If the result is more than $10,000,000 enter $10,000,000.

Example #1

line 11

$ 100,000

 

 

 

 

line 12

(25,000)

 

 

 

 

 

75,000

 

 

 

 

line 13

$

75,000

Example #2

line 11

$ 100,000

 

 

 

 

line 12

(80,000)

 

 

 

 

 

20,000

 

 

 

 

line 13

$

0

 

 

 

 

 

 

 

Important Note—If the organization is filing a short report of less than one year due to a change in accounting periods, the amount entered on line 13 should be prorated by the number of months covered by the report. To determine the prorated amount, divide the amount determined above by 12 and multiply by the number of months covered by the short report. No similar proration should be made if the short report is due to the initial or final reporting period.

14. Net Assets or Fund Balances Fee

Multiply the amount subject to a Net Assets or Fund Balances fee from line 13 by .0001 and enter this figure on line 14. Round to the nearest whole dollar. If the result is less than $5 enter $0. If the amount is more than $1,000 enter $1,000.

7/31/12

9/1/13

9/1/13-

11/30/13

 

 

11/30/13

 

8/31/12

10/1/13

10/1/13-

12/31/13

 

 

12/31/13

 

9/30/12

11/1/13

11/1/13-

1/31/14

 

 

1/31/14

 

10/31/12

12/1/13

12/1/13-

2/28/14

 

 

2/28/14

 

11/30/12

1/1/14

1/1/14-

3/31/14

 

 

3/31/14

 

The above late fees apply automatically. The Department has the authority to obtain additional civil penalties against the organization and its officers and directors or take other administrative action in connection with the failure to file timely reports.

16. Total Amount Due

Add lines 10, 14, and 15. This is the total amount due. Make check or money order payable to the “Oregon Department of Justice”. Do not send cash. Mail payment together with the report to:

Charitable Activities Section

Oregon Department of Justice

1515 SW 5th Avenue, Suite 410

Portland, Oregon 97201-5451

Important Note—Indicate on the check the organization’s 4 or 5-digit Oregon Department of Justice registration number. The registration number is located on line 1 of the preprinted Form CT-12 or can be obtained by contacting the Charitable Activities Section.

charity owns and operates a museum, the building that houses the museum is a net fixed asset. However, undeveloped land, a building owned and used for rental income, or any other fixed asset used for investment purposes should not be included in Line 12. Accordingly, the next fixed assets used for charitable purposes on Line 12 may be less than the organization’s total net fixed assets.

If the organization completed one of the following IRS Forms for this reporting period and all its Net Fixed Assets are held for use in conducting charitable activities, the figure should come from the line number listed:

IRS Form 990, Part X, line 10c

IRS Form 990-EZ, Part II, line 23B

IRS Form 990-PF, Part II, line 14b

IRS Form 1041-A, Part IV, line 36b-b

If the organization was not required to complete one of these IRS Forms, this figure will need to be calculated from the organization’s accounting records.

15. Late Fees

If the report is not filed or the fee is not paid by the due date (or the extended due date), an initial late fee of $20 will be due. If the report or payment remains outstanding more than 13 months past the end of the fiscal year covered by the report, the late fee will increase to $50. If the delinquency is not corrected within 16 months of the end of the fiscal year covered by the report, the late fee increases to $100.

Late Fee Schedule

Fiscal

Late

Late

Late

Year

Report

Report

Report

End

Received

Received

Received

Dates

Before

Between

After This

 

This

These

Date

 

Date

Dates

 

Late

 

 

 

Fee:

$20

$50

$100

12/31/11

2/1/13

2/1/13-

4/30/13

 

 

4/30/13

 

1/31/12

3/1/13

3/1/13

5/31/13

 

 

5/31/13

 

2/29/12

4/1/13

4/1/13-

6/30/13

 

 

6/30/13

 

3/31/12

5/1/13

5/1/13-

7/31/13

 

 

7/31/13

 

4/30/12

6/1/13

6/1/13-

8/31/13

 

 

8/31/13

 

5/31/12

7/1/13

7/1/13-

9/30/13

 

 

9/30/13

 

6/30/12

8/1/13

8/1/13-

10/31/13

 

 

10/31/13

 

17. IRS Forms, Schedules, and Attachments

All organizations must attach a complete copy of all Forms, supporting schedules, and attachments filed with the IRS, except publicly-supported charities are not required to attach Schedule B, Listing of Contributors.

Even if your organization is not required to file a Form 990, 990-EZ, or 990-PF with the IRS, if the organization’s revenues or net assets exceed certain thresholds, it may be required to complete one of these forms for Oregon purposes to meet the Charitable Activities Section’s filing requirements.

In general, if your organization’s total revenues are at least $25,000, or its assets are more than $50,000, you may be asked to complete a 990- EZ or 990 for Oregon purposes only. If the organization has not filed the form with the IRS, it should be noted on the form that it is for Oregon purposes only.

Additional instructions are provided below for 990-N filers and for organizations that do not file any type of 990 with the IRS.

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.

If the organization filed an IRS Form 990-N because its gross receipts are normally $50,000 or less and the organization’s assets are less than $50,000 the organization may submit a copy of its 990-N in lieu of completing an IRS Form 990 or 990-EZ for Oregon purposes. Our office will contact the organization if additional information is required.

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 $50,000, 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 $50,000 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 900/990EZ/990-N with the IRS. Please attach to your CT-12 a copy of your Form 1120 or 1120-A 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 which file Form 990 or 990-EZ with the IRS are not required to attach any schedule of contributors to filings with the Charitable Activities Section. Therefore, there is no requirement to attach Schedule B or any list of contributors reported within Schedule A. However, if voluntarily submitted, this information may be made available for public inspection.

This exclusion does not apply to Form 990-PF filers who must submit their schedule of contributors.

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 request your assistance in safeguarding this information by not including it in your submission.

Signature Block

To make the return complete, an authorized officer must sign in the space provided. For a corporation or association, this officer may be the president, vice president, treasurer, assistant treasurer, chief financial officer, or other corporate officer, such as tax officer. A trustee, receiver, or assignee must sign any return he or she files for a trust. Signature stamps and labels are not acceptable.

In the paid preparer’s information section, include the name, daytime phone number, and address of any person who was paid by the organization to complete this report.

Contact the Following Agencies for Assistance

Charitable Activities

Section

Oregon Department of Justice

1515 SW 5th Avenue, Suite 410

Portland, Oregon 97201-5451 phone: (971)673-1880 TTY: (800)735-2900 fax: (971)673-1882

e-mail: charitable.activities@doj.state.or.us

web site: http://www.doj.state.or.us

Internal Revenue Service

phone: (877)829-5500

web site: http://www.irs.gov

Issues

Obtaining federal tax identification number or federal tax-exempt status

Completing federal tax forms

Oregon Secretary of State

Corporation Division

Public Service Building

255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 phone: (503)986-2200

fax: (503)378-4381

web site: http://www.filinginoregon.com

Issues

Questions about annual reports for charitable organizations-Forms CT-12, CT-12F, and CT-12S

Registration of charitable organizations and trusts

Merging nonprofit organizations

Dissolving nonprofit organizations

Reporting illegal activity by nonprofit organizations

Serving as a board member of a nonprofit organization

Information about charitable organizations and copies of annual reports

Questions about raffles and other charitable gaming

Forms

RF-C, Registration Form for Charitable Organizations

RF-T, Registration Form for Trusts

CT-12, Annual Report Form for Oregon Charities

CT-12F, Annual Report Form for Foreign Charities

CT-12S, Annual Report Form for Split- Interest Trusts

Closing Form

Publications

Oregon Wise Giving Guide

A Guide to Non-Profit Board Service in Oregon

Oregon Revised Statutes

Chapter #65, Nonprofit Corporations

Chapter #128, Trusts; Charitable Activities

Chapter #130, Uniform Trust Code

Chapter #464, Charitable Gaming

Chapter #646, Trade Practices & Antitrust Regulation

Oregon Administrative Rules

Chapter #137-010-0005 et seq.

Forms

990, Return of Organization Exempt From Income Tax

990-EZ, Short Form - Return of Organization Exempt From Income Tax

Schedule A, for Form 990 and 990-EZ

990-PF, Return of Private Foundation

990-T, Exempt Organization Business Income Tax Return

1023, Application for Recognition of Exemption Under §501(c)(3)

1024, Application for Recognition of Exemption Under §501(a)

1041, U.S. Income Tax Return for Estates and Trusts

1041-A, U.S. Information Return - Trust Accumulation of Charitable Amounts

1128, Application to Adopt, Change, or Retain a Tax Year

4720, Return of Certain Excise Taxes on Charities and Other Persons

5227, Split-Interest Trust Return

5768, Election/Revocation of Election by an Eligible Section 501(c)(3) Organization to Make Expenditures to Influence Legislation

8822, Change of Address

8868, Application for Extension of Time to File an Exempt Organization Return

Publications

Pub. 526, Charitable Contributions

Pub. 538, Accounting Periods and Methods

Pub. 557, Tax-Exempt Status for Your Organization

Pub. 583 Starting a Business and Keeping Records

Pub. 598 Tax on Unrelated Business Income of Exempt Organizations

Pub. 3079 Gaming Publication for Tax-Exempt Organizations

Veterans’ Services

If you are or know a veteran and would like more information about benefits, please see DOJ Veterans Resources available through the Department of Justice’s web site at: http://www.doj.state.or.us

Issues

Forming a new corporation

Merging nonprofit corporations

Dissolving nonprofit corporations

Amending articles of incorporation

Obtaining copies of filed articles of incorporation and amendments

Forms

Articles of Incorporation

Assumed Business Name Registration

Articles of Amendment

Restated Articles

Articles of Dissolution

Revocation of Dissolution

Publications

Oregon Business Guide

Oregon Department

of Revenue

Revenue Building

955 Center St. NE

Salem, OR 97301

phone: (503)378-4988 and (800)356-4222

TTY: (800) 886-7204

web site: http://www.oregon.gov/DOR

Issues

State taxation and filing requirements

Forms

20, Oregon Corporation Excise Tax Return

41, Oregon Fiduciary Income Tax Return

State of Oregon

web site: http://www.oregon.gov

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