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        <BusinessNameLine1>OREGON COUNCIL ON PROBLEM GAMBLING</BusinessNameLine1>
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    <Officer>
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      <DateSigned>2013-08-28</DateSigned>
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      <Name>GERALD E HOOTS</Name>
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      <Phone>5035851782</Phone>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <PrimaryExemptPurpose>RESEARCH AND TREAT GAMBLING ADDICTION</PrimaryExemptPurpose>
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        <DescriptionProgramServiceAccom>Study treatment of problem gambling in Oregon</DescriptionProgramServiceAccom>
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        <NamePerson>Tom Moore</NamePerson>
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          <AddressLine1>PO Box 304</AddressLine1>
          <City>WILSONVILLE</City>
          <State>OR</State>
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      <EngagePoliticalCmpgnActivities>false</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
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      <NetUBI>
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      <GeneralExplanation>
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        <Explanation>LICENSES &amp; FEES $100</Explanation>
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        <ReturnReference>Other Expenses.4</ReturnReference>
        <Explanation>SPEAKER FEE $500</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Other Expenses.3</ReturnReference>
        <Explanation>NCPG DUES $1500</Explanation>
      </GeneralExplanation>
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        <ReturnReference>Other Expenses.2</ReturnReference>
        <Explanation>CONFERENCES $1798</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 16.1</Identifier>
        <ReturnReference>Other Expenses.1</ReturnReference>
        <Explanation>CONFERENCE SCHOLARSHIPS $5000</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 16.1012</Identifier>
        <ReturnReference>Other Expenses.1012</ReturnReference>
        <Explanation>Insurance $1255</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 16.1003</Identifier>
        <ReturnReference>Other Expenses.1003</ReturnReference>
        <Explanation>Information Technology $1900</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.10</ReturnReference>
        <Explanation>Class of Activity: CONTRIBUTION | Donee's Name: NATIONAL COUNCIL ON PROBLEM GAMBLING | Relationship of Donee: NONE | Cash Amount Given: $12000</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 10.9</Identifier>
        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.9</ReturnReference>
        <Explanation>| Donee's Name: FINANCIAL DEVELOPMENT CONSULTANT | Relationship of Donee: NONE | Cash Amount Given: $7150</Explanation>
      </GeneralExplanation>
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        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.8</ReturnReference>
        <Explanation>| Donee's Name: PROGRAM DEVELOPMENT CONSULTANTS | Relationship of Donee: NONE | Cash Amount Given: $22484</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 10.2</Identifier>
        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.2</ReturnReference>
        <Explanation>Class of Activity: ADULT PREVALENCE STUDY | Donee's Name: HERBERT &amp; LOUIS LLC | Relationship of Donee: NONE | Cash Amount Given: $18231</Explanation>
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        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.1</ReturnReference>
        <Explanation>Class of Activity: PREVALENCE STUDY DATA COL | Donee's Name: LEWIS AND CLARK COLLEGE | Relationship of Donee: NONE | Cash Amount Given: $22000</Explanation>
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        <Explanation>Client Note 1 - STATEMENT 4SCHEDULE A, PART IV, NOTETHE FOUNDATION PROVIDES GRANTS TO ORGANIZATIONS WHICH PROVIDE MENTAL HEALTH SERVICES. THE GOALS AND TERMS OF THE GRANT PROJECT ARE DEVELOPED JOINTLY AND INCORPORATED INTO THE GRANT AGREEMENT. THE FOUNDATION REQUIRES REPORTING TO ENSURE THAT GRANT REQUIREMENTS ARE MET.</Explanation>
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