R eturn of Private Foundation - Foundationcenter

0

F orm 990-PF Retu rn of Pr ivate Foundationor Sec tion 4947(aXl) Nonexempt Charitable Tru st

Treated a s a P rivate Foundation

Department of the Treasury Note : The organization may be able to use a copy of this return to satisfy stateinternal Reve n ue Servi c e reporting requirements

0

OMB No 1 545- 0052

2003

For c al enda r year 2003 , or tax year beginning Apr 1G Check all t hat a I Initial return Final return

Use the Name of organiza tion

I R S label . The Ford Family Foundationoth

and en Mar 31 ,2004Address change Name (

A Employer identification numbe r

93-602615 6erwise, Number and street (or P. O box numbe r if ma i l is not delivered to street add ress) Room/rude B Telephone number (se e instructions)prin t

or type . 1600 NW Stewart Parkway (541) 957-557 4See Sp eci fic aty or tows State ZIP code C If exemption application is pending, check hereI nstructions. RoSebu r OR 97470 D 1 Foreign organizations, check hereH Check type o f organization- X Section 501 (c)(3) exempt private foundation 2 Foreign organizations meeting the 85% test, chec k

Section 4947 a)(1) nonexempt charitable trust Other ta x able private foundation here and attach computationair market value of all assets at end of year J Accoun t ing method Cash X Accrual E If private foundation status was terminated

(from Part Il, column c, line 16) 11 under section 507(6)(I)( A), check hereOther (specify) F If the foundation is in a 60-month termination0. $ (Part column d must be on cash basis) under section 507(b)(1)(B), check here

Pa l'=. ,i : Analysis of Revenue and (a) Revenue a nd I

(b) Net investment (c) Adjusted net (d) DisbursementsExpenses (The total of amounts in I expenses per books income i nco m e for charitabl ecolumns b , c, and d may not neces-sarily equal the amounts in column a)(see instructions)

1 Con tr ibutions , gAts , grants , etc , rece ived (a tt sch)

Ck 0" a if the foundn is not req to a tt Sch B

2 Dis tri butions from split-interest trusts3 In teres t on savings and temporary

cash investment s

4 Divi dends and interest from securitiesSa Gross rents . .

b(Net ine rental

(loss)

6 a Net gain/(loss) from sale of assets not on l i n e 10 .

R b G ross sales prices for allE a ss ets on tin e 6aV 7 Capital gain net income (from Part IV, line 2)E 8 Ne t short- t erm capital gai nN 9 Income modi ficationsUE 10a Gross sales less

returns a ndallo wances

b Less . Cost ofgoods sold .

c Gross p rofit/(loss) (att sch)

11 Oth er i ncome (attac h schedule)

Schedule12 Total . Add lines 1 through 1 1 .13 Compensation of offi cers, d irectors , trustees, etc .

14 O t her employee salaries an ~wa .,~ _. . . , . .

A 1 en eSch ule 2 . . 267,573D 1 a l~-i~ 24 , 669

~ N b ounbng fees (attach sch) 26, 185I aP schi 1e2 2,802,914

~S

7 `1 ~ ter s~~ °

b~

.R 18 te2 2,813,504T-

TA

19 Deprf~f~e~li )and de eon 243,839v 20 . . . . . . 1e 2 . 153, 52 6E 21 Travel, conferences, and meetings 4 4 8, 863

A E 22 P r inting an d publicat ions 126,120

p E

23 Other expenses (att ach schedule )k,:Z N .,Schedule

2 Z E24 Total operating and administrativ eses . Ad d l ines 1 3 through 23

_359,_154

expen 5 08 , 36025 Contributions, gifts, grants paid 7 09 , 343

26 Total expenses and d isburse ment s .Add l i n es 24 an d 25. 2 17 , 703

350,860 .6 .632 .546 .

196,SZ6 .

523 .

3, 484 , 96 1 .

5 , 077,075

5, 077 . 075 .27 Subtract line 26 from line 12 :

a Excess of revenue o ver ex pe n sesand disbursements 684 , Z 13 .

b Netirrves4nentincome(d negat ive , enter • 0 -) 11 , Q 3 $

C Adjusted net income (d nega tive , enter - 0-

) BAA For Paperwork Reduction Act Notice , see the i n s truc ti o n s . rEEnosoi 08/18/03

1 . 000 .

350,8604 .794 .049

13 ,14 2 .33,490 .

13 , 5 7 6 ..

purposes(cash basis only )

Z` a;;~cy,~~;~ ~ " „~ -~ ate= •r,~y,- " ~'i . `'. >Y'$7v ~~~ {cAci~ •~~l.r2 S. y"'_ ~~ X~ Y3~i^ ~1 v~4 v~

~'• ~-,-

w, fi

1~ -AK-1

• 't~

'

'tt ~~t +~'~'h. .~`~k"~I . d ~s..rr~~r•~rK x~¢~,

1 20 ,668 .

3 , 666 , 301 .=`Sx 15,051,548 .

18 , 717 , 849 .~ - r

k y1

'

Form 990-PF (2003) nL

•

Form 990 -PF (2003) Th e Ford Family FoundationAttached schedules and amounts in the description

art 11 _ Balance Sheets column shou d be for end-of-year amounts onl y

AsseIts

L

ab

t

e

N Fe utod

AsBs aet asn

co er s

( ee ins uc ions )

1 Cash - non-interest-bearin g

2 Savings and temporary cash investments

3 Accounts receivable ll~

Less allowance for doubtful accounts I _ Schedule 34 Pledges receivable 0 -

-----------Less allowance for doubtful accounts b -----------

5 Grants receivable

6 Receivables due from officers, directors, trustees, and otherdisqualified persons (attach schedule) (see instructions )

7 Other notes and loans receivable (attach sch) 01-----------

Less . allowance for doubtful accounts 0 ------------

8 Inventories for sale or use

9 Prepaid expenses and deferred charges Schedule 3

10a Investments - U .S . and state governmen tobligations (attach schedule) . . . . . .

b Investments - corporate stock (attach schedule) Schedule 5 , .

c Investments - corporate bonds (attach schedule) . . . . . . . .

11 Investments - land, buildings, an dequipment . basis 0 -

Less : accumulated depreciation(attach schedule) -

-----------12 Investments - mortgage loans . . . . . .

13 Investments - other (attach schedule )

14 Land, buildings, and equipment. basisli'_ Schedule 4

Less : accumulated depreciatio n(attach schedule) ll~

-----------15 Other assets (describe 0" _ _ _ _ _ Schedule 316 Total assets (to be completed by all filers -

see instructions . Also, see page 1, item 1 )

17 Accounts payable and accrued expenses . . . .

18 Grants payable

19 Deferred revenue . . . . . . . . . .

20 Loans from officers, directors, trustees, & other disqualified person s

21 Mortgages and other notes payable (attach schedule) . . .

22 Other liabilities (describe~_ _ _ _ _ _ _ _'Schedule 3_

23 To ta l li abi lities (add lines 17 through 22) . . . . . . . . . . . . .

O rganizations that foll ow SFA S 11 7, check here . . . ~ Xand complete line s 24 through 26 an d lines 30 and 31 .

24 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . .

25 Temporarily restricted . . . . . . . . .

26 Permanently restricted . . . . . .

O rg a n i zations that do not fol low S FAS 117, check here ~an d co m p le te lines 27 t hrou g h 31 .

27 Cap i ta l s toc k, trus t principal, or current funds . . . .

28 Paid-in or capital surp lus, or land, building, and equipment fun d

29 Retained earnings, accumulated income, endow ment, or other funds . . . . . .

30 Total net assets or fund balan ces (see instructions) . . . . . . . . .31 Total liabilities and net assets/fund balance s

(see instruc tions) . . . . . .

,art :lll~ Analysis of Changes in Net Assets or Fund Balances

eginning of year

(a) Book Value

329,222 .8,996,122 .

1 .658,602 .

0

-6026156 End of year

(b) Book Value (c) Fair Market Value

983,993 . 983,993 .13,775,483 . 13,775,483 .

18, 038,938 .rY 18,038,938 .

118 . 677 .1 48 , 089 .1 48 . 08

324 . 449, 801 .1 428 .977 .18 1

4 , 864 , 697

2 . 046 , 920

342,464,041317,373

22 .579 .207

22 . 896 , 580 .

3LAL11-I'-4, 734,264 .

324,055 .

466,882,003 .

412,434 .16,237,002 .

938,989 .

17,588,425 .

319 . 567 . 461 .1 449 . 293 . 57

319 . 567 . 461 .1 449 . 293 . 578 .

342, 464 . 041 .1 466, 882 . 003 .

1 Total net asset s or fund b al a nce s at begin n i ng o f ye ar - Part II , column (a) , l i ne 30 (must agree withend-of-year figure reported on prior yea r's re turn) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Enter amount from Part I , line 27a . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Other increases not included in line 2 (itemize) Increase in Market Value----------- ------------------

4 Add lines 1, 2 , and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Decrea ses not included in line 2 (itemi ze) . . ~----- - - - - ---- - -- --------- -----

6 Total net assets or fund bala nce s at end of year (lin e 4 minus line 5) - Part II , column (b) , line 30 .

BAA TEEA0302 08/15/03

428,977,181 .

4,734,264 .

324,055 .

466,882,003 .

tA

~ ~~•Y~~ r~~i ~ .~N~-~ ~ ~ 1fJ

319,567,461 .-5,684,213 .

135,410,330 .449 .293 .578 .

44y, L yj , 5/ 8 .Form 990 - PF (2003)

Form 990•PF(2003) The Ford Ol l Foundatio nP. att' IV :' Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e . g , real estate ,2 -sto ry brick warehouse ; or common stock, 200 share s MLC Company)

1a Capital Ga i ns - See schedule 6

b

c

d

e

(e) Gross sales pric e

a

b

t

d

e

implete only for assets() Fair Market Valu e

as of 12/31/69

a

b

c

d

e

( 0 Depreciation a ll owe d(o r allowab le )

in column (h) and o wned(j) Adjusted basi s

as of 1 2/3 1 169

93-6x76156

(b ) How acquired C) Date acquired ()Date sai dP - Purchase (month , day, year) (month, day , year)D - Donation

P Various Variou s

(g) Co st or oth er ba s i splu s expense of sa l e

the foundation on 12/31/6 9(k) Excess of column (i)over column (j), if any

(h) Gain or (l oss)(e) plu s (0 mi nu s (g)

8,936,115 .

(I) Gains (Column (h)gain minus column (k), but not less

than - 0 •) or Losses (from column (h))

8,936 .115 .

2 Capital gain net income or (net capital loss) . If gain , also enter in Pa rt I , line 7If (loss), enter • 0- in Part I , line 7 ~ 2 8,936, 115 .

3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) :

If gain, also enter in Pa rt I, line 8 , column (c) (see instructions) . If (loss), enter • 0 -in Part I, line 8 3

fart- .V 'Ag; Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

If section 4940(d)(2) applies, leave this part blan k

Was the organization liable for the section 4942 tax on the dis tributable amount of any year in the base period? . . . . . ~ Yes X❑ NoIf 'Yes , ' the organization does not qualify under section 4940(e) . Do not complete this part.

1 Enter the approp ri ate amount in each column for each year ; see instructions before making any ent ri es .

(a) (b) (c (d)Base period years Adjusted qualifying distributions Net value of Distri bution ratio

Calendar year (or tax year nonchantable •use assets (column (b) divided by column (c))beginning in)

2002 22,749,555 . 377,832,234 . 0 . 0602112001 25,580,632 . 457,401,211 . 0 . 0559262000 18 , 617,819 . 541,226,697 . 0 . 0343991999 16,691,942 . 395,015 , 184 . 0 . 0422561998 15,297,109 . 353,712,541 . 0 . 04324 7

2 Total of line 1 , column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Average dist ribution ratio fo r th e 5 - year base period - divide the total on line 2 by 5 , or by th enumber of years the foundation h as been in existence if less than 5 years . . . . . . . . . . . . . . 3

4 Enter the net valu e of non cha n tab le- use as s ets for 2003 from Part X, line 5 . . . . . . . . . . . . . . . . . . . . 4

5 Multiply l ine 4 by line 3 . . . . . . . . . . . . . . . 5

6 Enter 19'0 of net investme nt income (1% of Part I , l i ne 27b) . . . . . . . . . . . . . . . . . . . . . . 1 6

7 Add l ines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 7

0 .236039

0 .047208

422,480,723 .

19,944,470 .

110,390 .

20 .054 .860 .

8 Enter qual i fying distribution s from Part XII , line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 8 1 18,831,254 .

If line 8 is equal to or g reater th an line 7 , check the box in Part VI , line 1b , and comp l ete that part us ing a 19'o tax rate . See thePa r t VI instru ctions.

BAA Form 990-PF (2003)TEEA0 303 08 /15103

•

Form 990- PF (2003) The Ford Family FoundationPart-VI", ; Excise Tax Based on Inves tment Income or 4948 - see i n

1 a Exempt operating foundations described in section 4940(d)(2), check here . .~ and enter' N /A ' on hne 1 .

D ate o f ruling letter : _ _ _ _ (a ttach copy of ruling le tter if necessary - see instruction s)

b Domes ti c organizations that meet the section 4940(e) requirements in Part V ,

check here 0' n and enter 1 % of Part I, line 27 b

c All other domestic organizations enter 2% of line 27b . Exempt foreign organizations enter 4% of Part I, line 12, column (b )

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)

3 Add l ines 1 and 2

4 Subtitl e A ( i ncome) tax (domestic section 4947(a)(1) trusts and t axable foundations only Others enter -0-)

5 Tax based on investment income . Subtract line 4 from l ine 3 If zero or less, enter -0- . .

6 Credits/Payments

a 2003 estimated tax pmts and 2002 overpayment credited to 2003 . . . . . . . . . . 6a 56, 648 .

b Exempt foreign organizations - tax withheld at source . . . 6 b

c Tax paid with application for extension of time to file (Form 8868) 6c 175, 000 .

d Backup w ithholding erroneously wi thhe ld 6d

7 To tal credits a nd p ayments Ad d l ines 6a t hrough 6d . . . . . . . . . .

8 Ente r any penal ty for unde rp ayment of esti mat e d tax . Chec k h ere X i f Fo rm 2220 is a ttached . . . . . . . .

9 Ta x due . If the total of lines 5 an d 8 i s more than line 7, enter amount owed . .

10 Overpayment If line 7 is more than the total of lines 5 and 8 , enter the amount ov er pa i d . . . .

11 Enter the amount on line 10 to be C red i ted to 2004 estimated tax . . . . . . ► 10,869 .1 Refunded 01

es

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did itparticipate or intervene in any political campaign? . . . . . . . . . .

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 7 231,648

.8

9

0 10 , 869 .

- • -, Yes No

. . . la X

lb X

If the answer is 'Yes' to la or Ib, attach a detailed description of the activities and copies of any ma terials publishedor distributed by the organization in connection with the activities

c Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . .d Enter the amount (if an y) of tax on p oli tical exp end i t ures (section 4955) i mp osed during t he year :

(1) On the organization ►$ (2) On organizat i on managers . ► $e Enter th e reimbursement (i f any) p aid by t he organization during the year for political expenditure tax imposed on

organization managers 1~ $

2 Has the organizat ion engage d in any activities that have not previous l y been reported to the I RS? . . .

!('Yes,' a ttach a detailed description of the activities

3 Ha s th e o r gan i zat i on mad e any changes , not previou s ly reported to th e IRS , in its governing instrument , articlesof incorporation , or bylaws , or other sim il ar instruments? If ' Yes ,' attach a conformed copy of the changes . . . . .

4a Did the organization have unrelated bus i ness gross income of $1 , 000 or more during the year?. . . . . . . . . . . . . .b If ' Yes ,' has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . . . .

5 Was there a liquidation, term in ati on, dis s olution, or substantial contrac tion durin g the year? . . . . . . . . . . . . . . . .

If 'Yes,' attach the statement required by General Instruction T.

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either :

• By language in the governing instrument or

1c X

Yet ,~+ ~~` ~:t ; i,• ~ i' F k

2 X

3 X

4a X

4b X

5 X

• By state legislation that effectively amends the govern ing instrument so that no mandatory di rections that conf lict ' N 11with the state law remain in the governing instrument? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X

7 D i d the organization have at least $5,000 in as sets at any ti me during the year? If ' Yes,' complete Part ll, column (c), and Part XV . . . . . . . . 7 X

8 a Enter the states to which the foundation reports or with which it is registered (see instructions) . . ► ~'' ~ :~h~,~ ~,i-y;?:YOREGON ,.,---------------------------------------------------

b If the answer is ' Yes ' to line 7, has the organ iza ti on furni shed a copy of Form 990- PF to the Attor ney Gene ra l(o r des i gnate) of each state as required by General Ins tr ucti on G? If 'No,' attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . 8b X

;~~9 Is the organization cla im in g status as a private operat i ng foundation wi thin the meaning of section 49420)(3) or 49420 X 5) for calendar year 2003 or

.,E

tfie taxable y ea r beginn in g in 2003 (see in structi ons fo r Part XM? I/ 'Yes, 'camplete Par tXlV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X

10 Did any persons become substantial contributors during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X

If 'Yes,' atta ch a schedule list i ng the ir names and addresses.

11 D id the organ ization comply with the public in s pection requirements for it s annual returns and exemption application ? 11 X

Web site address . . . . . . . . . . . . . . . . . . . 1,- wwW . t f f f . O f 9- _--- - ---- - ---- ----- - --- - ---- - -- - --- - --- -

12 The b oo k s are i n care of ► THE FORD FAMI L Y F OUNDATION - D e b o rah Mi ll s ap Tele phone no . ► (541) _ 957_55 74_ _---------------------------- -- -- ---Locat ed at ► 1600 NW STEWART PARKWAY , RO S EBURG , OREGON ZI P + 4 ► 97470

. . . . . .13 Section 4947(a)(1) nonexempt charitable trusts fil i ng Form 990 - PF in lieu of Form 1041 - Check here . . . ►------------------------------------ ------------and enter the amount of tax - exempt interest received or accrued during the year . . . . . . . . . . . . . . . . . . . . . . 1-1 1 3BAA Fo rm 990-PF (2003)

0

93-6026156

1 220,779 .

2

3 220,779 .4

5 220,779 .~,.-.

TEEA0304 08/15/03

•

Form 990- PF (20 03) The Ford Family Foundation

•

93-6026156 art•V.lI1'1B 11 Statements Regard ing Ac tivities for Which Form 4720 May Be Re(

File Form 4720 if any item is checked in the 'Yes ' column , unless an exception applie s .1 a During the year d id the organiza tion (ei ther d irectly or indirectly) .

(1) Engage i n the sale or exchange, or leasing of property w ith a disquali fied person

(2) B orro w money from, l end money to, or otherwise extend credit t o (or accept it from) adisqual i fied person s

(3) Furnish goods, services, or facilities to (or accept t hem from) a disqualified person?

(4) Pay compensation to, or p ay or reimburse the e x penses o f , a disqualified p erson ?

(5) Tra nsfer any income or assets t o a disqualified p erson (or make any of either availablefor the benefit or use of a disqualified person)? . . .

(6) Agree to pay money or prope rty to a government official? (Exception. Check 'No' i f th eorganization agreed t o make a grant to or to employ t he official f or a period after t erminatio nof governme n t service, i f termina ting wi thin 90 d ays .) . . . .. E] Yes

b 1f any answer is 'Yes' to l a(l)-(6), did any of the acts fad to qualify under the exceptions described inRegulations section 53 .4941(d)•3 or in a current notice regarding disaster assistance (see instructions)? .Organizations relying on a current notice regarding disaster assis t ance ch eck her e

c Did the organizat ion engage in a prio r year in any of the acts descri be d in 1 a, o t her than excepted acts,th a t were n ot correcte d before the first day o f the tax year beginning in 2003? . . . . . . .

2 Taxes on failure to dist ribute i n co me (section 4942) (does n ot ap p ly for years the organization was aprivate ope rat ing f oundation de f ined in sec tion 49420(3) or 49420(5)) :

a At the end of tax year 2003, did the organization have any undistributed income (lines 6 dand 6e, Part XIII) for tax year(s) beginning before 2003? . . . . . E] YesIf 'Yes,' list t he years 11 20 - , 20 - , 20_ - , 19

XQ No

►11

R] No

b Are there any years l isted in 2a for which the orga nization is not applying th e pro vis ion s of section 4942(a)(2)(relati ng to incorr e c t valuation of a ss ets) t o the yea r' s und is tribut e d in c ome? (If applying secti on 4942 (a) (2) toall years l is ted , an s we r 'No' and attac h statement - see inst r u ct i on s ) . . . .

c If the pro vi sion s of se c tion 4942(a)(2) are be ing app l i e d to any of the y ea rs l is ted in 2a , li s t the y e a rs he r e .

0- 20 , 20 , 20 , 19

3a Did the organization hold mor e than a 2% direct or indirect interest in any bus in essenterprise at any t ime during the year? . . . . . . . E] Yes E] No

b If 'Yes , ' did it have excess business ho ld i ngs in 2003 as a re s ult of (1) any purcha s e by the organizati onor disqual ified persons after May 26 , 1969 ; (2) the lap s e of the 5 -year pe riod (or long e r period approvedby the Comm issioner under sect ion 4943(c)(7)) to d i spo s e of h o ld i ngs acquired by gift or beque st , or(3) the lapse of the 10 -, 15 -, or 20 -year fi rs t pha s e hold i ng period, (Use Schedule C , Fo rm 4720, todetermine if the organization had excess business h oldi ngs in 2003. ) . . . . . . . . . .

4a Did the organization invest du ring the year any amount in a manner that would jeopa r dize itscha ri table purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Did the organization make any investment in a p rior year (but after December 31 , 1969) that coul djeopardize its cha ritable purpose that had not been removed from jeopardy before the first day o fthe tax year beginning in 2003? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5a Du ring the year did the organization pay or incur any amount to :

(1) Car ry on propaganda , or otherwise attempt to influence legislat i on (section 4945(e))? . . . . . . . . E] Yes E] No

(2) Influence the outcome of any specific public election (see section 4955) ; or to carryon , directly or indirectly , any voter reg i stration dri ve? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Yes X~ No

(3) Provide a grant to an individual for travel , study , or other similar pu rposes? . . . . . . X Yes No

(4) Provide a grant to an organization other than a cha ri table , etc , organ i zation de s c ri bedin section 509(a)(1) , (2) , or (3) , or section 4940(d)(2)? . . . . . . . . . . . . . . . . . Q Yes ~ No

(5) Provide for any purpose other than religious , cha ri table , scientific , litera ry, o reducational purposes , or for the prevention of cruel ty to children or animals? . . . . . . . . . . . . . ~ Yes X N o

b I f any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptionsdescribed in Regulations section 53 .4945 or in a current notice regarding disaster assistance(see instructions)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Organiz a tions re lying on a current no t ice regard i ng d isast er assist ance check here . . . . . . . . . . . . . . .

c If the a nswer i s 'Yes' to q ues t ion 5a(4), does the organization clai m exemption from thetax because i t maintaine d expendi t ure res p onsi b ili t y for th e grant2 . Sch e dule 11 . . . . . . . . . . XQ Yes E] No

If 'Yes,' attach the statement required by Regulations section 53 .4945-5(d).

6a Did th e org anizat io n , duri ng the year, recei ve any funds, d irectly o r indirectly, to pa y p re m iumson a p ersonal b en efit con t rac t? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E] Yes X❑ N o

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit c o n t r a c t ' . . . . . . . . . . .Ifyou answere d 'Yes' to 6b, also file Form 8870 .

uired

Yes ❑ N o

Yes X NoYes X No

Yes X No

Yes XQ No

Yes No

t t

.,

't ' • 'r..

~" •:~ ' -

....: .3.~ . ..

1b X

. . . I 1c l X

le~

+ . .

X~~• `~`. rp,~ ,~,~;, •-~

;` . + a '• ~

3b X

4a

X

6b

BAA TEeaosos 081 15/03 Form 990- PF (2003)

• •

Form 99o- PF(20o3) The Ford Family Foundation 93-6026156 Pages`Part VIII Information About Offi cers, Directors, Trus tees, Foundation Managers, Highly Paid Employees,

and Contra ctors1 List all

(a ) Name and address

foundati on managers and the i r

(b) Title and averag ehours per wee k

devo ted to positio n

See Schedule 7------------------------

2 Compensa tion of five highest- paid emp

(a) Name and address of each employeep aid more than $50, 000

(c) Compensation (d) Contributions to (e) Expense account,(If not paid , enter - 0-) emp loyee benefi t other allow ances

plans and deferredcomaensatio n

(other than tho se i n cluded on line 1 -see

(b) T itle and average (c) Com p ensationh ours p er w eek

d evot ed t o p osition

frudions . If none, enter 'NONE .'(d) Contributions to (e) Expense account,employee benefit other allowances

plans and deferre d

Edward-Howard______________ Der Scholarshi pThe Ford Family Foundation 40 105,571 .Tom Thorburn Dir Grant sThe Ford Family Foundation 40 103,652 .Tom Gallagher_____________ Dir Ford Institut eThe Ford Family Foundaton 40 99,667 .Deborah M i llsae____________ Controlle rThe Ford Family Foundation 40 66,355 .Sarah Reeve _____ _ Program Officer

25 .370 .

17,070 .

10 . 43 3 .

19 ,244 .

The Ford Family Foundation 40 61,200 . 21,275 .Total n u mber of ot her e mployees p a id over $50,000 . 11~

3 Five highest-paid independent contractors for professional services - (see in s truction s) . If none, enter ' NONE .'

a Na me and address o f each person p aid more t han $ 50, 000 (b) Type o f service

Rural Development_Init i ativ_es----------------941

--------------941 Lawrence,-Eugene, OR 97401 FICB Leadership Traini n

Oregon _Student_Ass i stance_Commission _________ _1500 Valley River Dr . Ste 100 eu ene OR Scholarship Adminis

KR _Capital_________ ___ _ ----------------450 Park Avenue, NY NY 10022 Investment ManagerColumbia Management Company_____ _------- -----------1300 SE Sixth Ave . Portland OR Investment Manager

Wells_Capital_ Mana &ement __ __ __ _5355 SW Meadows Rd . Suite 290 Lake Oswego, OR 97305, Investment ManagerTotal number of others receiving over $50,000 for professional services . . . . . . . . . . . . . . . . . . . . . . . .

,a'rt43 Summary of Direct Charitable Activities

Provide r

tration

List the foundation's four l arges t direc t ch aritable activities during t he tax y ear . Inclu de relevant statistical information such as the number oforganizations and other b eneficiaries served, conferences convened, research p apers prod u ced , etc .

1 Scholarship Pro drams --See-Schedule-8 _-------- ------------------------------------------------------------------------------

2 Ford Institute_for_Communit y Building_ __See _Schedule 8-------------

3 ------------------------------------------------------

4

481 , 611 .

392, 463 .

301 , 050 .

282 , 050 .

216 , 994 .7

Expense s

1 , 040 , 159 .

879 , 681 .

BAA TEE/10306 08!15/03 Form 990-PF (2003)

• •

F or m 990- PF (2003) The Ford Family Foundation 93-6026156

. Part :ISumma ry of Program -Related Investments (see instructions)

Descri be th e two ta r investment s made by the foun da t ion the tax yea r on lines i and 2 1 Amo un t1------------------------------------------------------

2------------------------------------------------------

A ll other p rogra m -related investmen ts See instructions

3------------------------------------------------------

Total . Add Imes 1 through 3

~at; t ±X~ a Minimum Inves tment Return (A ll domes t ic foundati ons must complete t his par t Foreign foun dations, see inst ructions . )

1 Fair market value of a ssets not used (or held for use) directly in car ry ing out cha ri table , etc, purposes :a Average monthly fair market value of se cu ri ties . . . . . . . . . . . . . . . . . .

b Average of monthly ca s h balan ces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Fair market value of all other assets (see instruction s ) . . . . . . . . . . . . . . . . . . .

d Total (add lines 1 a , b and c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Reduction claimed for blockage or other fa ctors reported on lines 1a and l c

(attach detailed explanation) . . . . . . . . . . . . . . . . ( 1 e 0 .

2 Acquisition ind ebtednes s applicabl e to line 1 as s ets . . . . . . . . . . . . . . . . .

1a 400,687,187 .

1b 10,504,007 .

1c 17,723,246 .1d 428,914,440 .

2 0 .

3 Subtrac t lin e 2 from l ine I d . . . . . . . . . . . . . . . . . . . . . . 3 428,914,440 .

4 Cash deemed held for charitable activities Enter 1-1/29'0 of l ine 3 (for greater amount, see instruc t ions) . 4 61433,717a

5 Net value of noncha ri table-use assets . Subtract line 4 from line 3 . Enter here and on Part V, line4 5 422,480,723 .

6 Minimum investment return. Enter 5% of line 5 . . . . . . . . . . . . . 6 21,124,036 .

D istributable Amount (see instructions) (Section 49420(3) and 0 )(5) private

foreign organizations check here "

gating foun dations and certainand do n ot co mp lete this oart . l

1 M in imum inve stment return from Part X , line 6 . . . . . . . . . . . . . . . . .

2a Tax on investment income for 2003 from Part VI , line 5 . . . . . . 2a 220,779 .

b In come tax for 2003 . (This doe s not include the tax from Part VI .) 2b

c Add l i nes 2a and 2b . . . . . . . . . . . . . . . . .

3 Distributable amount before adju s tments . Subtract line 2 c from line l . . . . . . . . . . . . . . . . . . . . . . .

4a Recoveries of amounts treated as qualifying distributions . . . . . . . . . 4a

b Income distri butions from section 4947(a)(2) trusts . . . . . . . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Add lines 3 and 4c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Deduction from distributable amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Distributable amount as adjusted Subtract line 6 from line 5. Enter here and on Part XIII , line 1 . . . . . . . .

LIVW"Ill Qualifying Distribution s (see instructions)

1 21,124,036 .

2c 220,779 .

3 20 903,257 .

4c

5 20,903,257 .

6

7 20 .903 .257 .

1 Amounts paid (in c luding adm inistrative expenses) to accomplish cha ri table , etc , purposes :a Expenses , contributions , gifts , etc - total fr om Part I , column (d) , line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a 18,717,849 .

b Program-related investments - Total from Part IX -B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b

2 Amounts paid to acquire assets used (or held for use) directly in carry ing out charitable , etc , purposes . . . . 2 113,405a

3 Amounts set as ide for specific charitable projects that satisfy the :a Suitability test (p rior IRS approval required) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a

b Cash distribution test (attach the required schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b

4 Qualifying distributions . Add lines la through 3b Enter here and on Part V , line 8, and Part XIII , line 4 . . . . 4 18,831,254*

5 Organizations that qual i fy und e r section 4940(e) for the reduced rate of tax on net investm e nt in come .Enter 19'0 of Part I , line 27b (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Adjusted qualifying dist ri bu ti ons . Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 18,831,254 .

Note : The amount on line 6 will be used in Part V, column (b) , in subsequent years when calculating whether the foundatio nqualifies for the section 4940(e) reduction of tax in those years

BAA Form 990-PF (2003)

TEEA0307 08/15/02

• •

Form 990- PF (2003) The Ford Family Foundation 93-6026156

[Part. Xll C Undi s tributed In come (see instructions)

1 Distributable amount for 2003 from Part XI,line 7 . . . .

2 Undistributed income, if any, as of the end of 2002-

a Enter amount for 2002 only . . .

b Total for prior years : 20, 20 19

3 Excess distributions carryover, if any, to 200 3

a From 1998. 0.

b From 1999 0 .

c From 2000 . 0.

d From 2001 0 .

e From 2002 0 .

f Total of lines 3a through e . . . . .

4 Qualifying distributions for 2003 from PartXII, line 4 . ► $ 18,831,254 .

a Applied to 2002, but not more than line 2a . . .

b Applied to undistributed income of prior years(Election required - see instructions )

c Treated as distributions out of corpus(Election required - see instructions)

d Applied to 2003 distributable amount . . .

e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2003 .(If an amount appears in column (d), thesame amount must be shown in column (a) )

6 Enter the net total of each column asindicated below :

a Co rpus . Add lines 3f, 4 c, and 4e. Subtract l ine 5

b P ri or years' undistributed income Subtrac tl i ne 4b fr om line 2b . . . . . . . . .

c Enter the amount of prior years ' undistribut-ed income for which a noti ce of deficiencyhas been issued , or on which the section4942(a) tax has been previously as s essed . . .

d Subtract line 6c from line 6b . Taxableamount - see instructions . . . . . . . . . . . . . . .

e Und istributed income for 2002. Subtr act line 4a fromline 2a. Taxable amount - see ins tructi ons . . . . . . . .

f Undistributed income for 2003 . Subtract lines4d and 5 from line 1 . Th is amount must bedistributed in 2004 . . . . . . . . . . . . . . . . . . . . .

7 Amounts treated as distributions out ofcorpus to satisfy requirements imposedby section 170 )(1)(E) or 4942(g)(3)(see instruction s) . . . . . . . . . . . . . . . . . .

8 Excess distributions ca rryover from 1998 notapplied on line 5 or line 7 (see instructions) . .

9 Excess distributions car ryover to 2004 .Subtract lines 7 and 8 from line 6a . . . . . . . . .

10 Analysis of line 9 :

a Excess from 1999 . . . 0 .b Excess from 2000 . 0 .c Excess from 2001 . . . . 0 .d Excess from 2002 . . 0 .e Excess from 2003 . 0 .

BAA

(a)Corpus

0 .

b (c )Years prior to 2002 2002 200

3

~; .-~~>r~,~ .~~,~:~f~;•,,: ,v,~,~~, ~•~•~ ~ -20,903,257 .

18, 227 518 ~.~ :sf~~:y ;~' ;.E~=•-~'~°~ ;aV ,`

~1} } T~~3:~ "~r,~'•~p ~y ~ a' ~ ~ £ 'Y' p• ' 3~✓°>, ,.~ d "^; ~ ^ "~'y ' i 'S . .a, t:''~ •~ '_4``, ~ , i

A ~"'i7'c"~• ;~;'f,y f7 •'-~n~Yfi':~. ; fir s~;' ... , . .~qr,,-~ ~ .

i J'F 'ewe } ~ z~;,'g~ 2i"~~~J{ ~".d i ~ /: ! ••r }

,s 3~,~~ 5~'c ~Y i ~v++i.,1~•zC^k~.~`~~' :ri'^n '-+?*'r .`n ~,~ ,- ii~fi. :'

h 4~: .R. ~1 ~N~sr~~ :j j: .~ x"~ ~~~2^,.~i:~ ~'. `~ : p~ ~~_ :L~•~~ : p "

18, 227 S 18

0 .

0 .

0 .

0 .

TEFJ10308 08/15/03

hl ,Y•t iP}l~r

]fi~~ ~~

•'i ';~E+','^ tY.-~l~;t;X

.~i~.~~fy~ ~k <~"_ }` „_ Cyt r I~• .~- .

-? 603, 736r~~r

v

20,299,521 .

,

Form 990-PF (2003)

•Form 990-PF (2003) The Ford Family Foundatio nPart ' XN. Private Oaera tinp Founda tions (see instructions and Part VI I

foun d ation described in section

Prior 3 years

12002 (c) 200 1

1 a If the foundation has receive d a rul ing or de t ermination let ter t hat it is a private o p erati ng foundation, and the rulingis effective for 2003, enter the d ate of t he rulin g

b Check box to indicate whether the organization is a private

2a Enter the lesser of the adjusted net Tax yea rincome from Part I or the minimum a 2003investment return from Part X foreach year listed

b 85% of line 2 a

c Qualifying distributions from Part XII,line 4 for each year liste d

d Amounts included in line 2c not used directlyfor active conduct of exempt activities

e Qualifying distributions made directlyfor active conduct of exempt activitiesSubtract line 2d from line 2c

3 Complete 3a, b, or c for thealternative test relied upo n

a 'Assets' alternative test - enter :(1) Val u e of a l l assets . . .

(2) Value of assets q uali fying undersection 49420)(3)(B)(Q

b 'EndowmenY alternative test - Enter 2/3 ofminimum investment return show n in P art X,line 6 for each year liste d

c 'Support' alternative test - en ter:

(1) To tal support other than grossi nvestm en t income (i nt erest,divi de nds, ren ts, paymentson securities loans (section512(a)(5)), or royalties) . . .

(2) Support from general public and 5 ormore exempt organizations as providedin section 4942(IX3)(B)(ui )

(3) Largest amount of support fro man exempt organization . . . . . . .

(4) Gross investment income . .

AVA Supplementary Information1 Inform ation R egarding Foundation Manage rs :

this

•

93-6026156 N/ A

or

Tota l

i f the organi zation had $5,000 o r more in a ss ets a t an y ti me du ri ng th e

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before theclose of any tax year (but only if they have contributed more than $5,000) . (See section 507(d)(2) . )

None

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership ofa partnership or other entity) of which the foundation has a 10% or greater interest .

None2 Informati on Rega rd ing Contri bu ti o n, Grant , Gi ft, Loan , S cholarship, etc, Programs :

Check here ► 11 if the organization only makes contributions to preselected charitable organizations and does not accept unsolicitedrequests for funds . If the organization makes gifts, grants, etc, (see instructions) to individuals or organizations under other conditions,complete items 2a, b, c, and d .

a The name, address, and telephone number of the person to whom applications should be addressed :

See Grant guidelines at www .tfff .org or application procedure at Schedule 9Tom Thorburn The Ford Family Foundation 1600 NW Stewart Parkwa yRoseburg OR 97470 (541) 957-557 4

b The form in which applications should be submitted and information and materials they should include :See preapplication instructions under Grant Guidelines at www .tfff .orgor anolication procedure at Schedule 9

c Any submission deadlines :See Grant guidelines at www .tfff .org or application procedure

at Schedule 9d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors :

See Grant guidelines at www .tfff .org or applicatio n

procedure at Schedule 9gAq TEEa0309 08/ 1 5/03 Form 990- PF (2003)

• •Form 990- PF (2003) The For d Family Foun d at i o n 93-6026156

PattXV;.' Supplementary Information (con ti nued)3 Grants and Contributions Paid During the Year or Approved for Future Payment

If reci pient is an individual,Foundat i onRecipient show any relationship to Purpose of gran t o r

any foundat io n m a n age r or sta tu s of co ntri buti on Amo un tName and address (ho me or bus iness) s ubstantial c ontrib utor recipient

a Paid during the year

Payments to grantees . No Seepayments were made to Foundations Schedule 1 0

Payments to scholarship recipients .

All are individuals . None Seehad any relationship to foundation Schedule 12managers or contributor sPayments to educationalinstitutions on behalf ofscholarship recipients .None are related to foundationmanagers or contributor s

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Approved for future payment

See Schedule 10

Education

8,106,069 .

6,945,479 .

Sal 15,051,548 .

7 , 464 , 9 59 .

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BAA TEEA0310 12/10/03

3b l 7,464,959 .F orm 990- PF (2003)

Form 990-PF (2003) The Fordm i ly Foundation 93-60Z6

Parf. ?CdIJ - Analysis of Income -Producing Activitie s

Ent e r gross amounts unles s otherwise indi cated . Unre lated busin ess in c om e(a) (b)

Bu sine ss Am ountc od e

Excluded

Excl u-sio n(c

)

code

sec tion 51 2, 51 3, or 514

(d)Amou nt

(e)Related or exemp tfunction incom e

1 Prog ram servi c e revenue-a

b

c

d

e

fg Fees and contra c ts from g overnment agencies

2 Membership dues and assess ments

3 Interest on savings and temp o ra ry cash investment s . . .

4 D ividends and interes t from securit i e s .

5 Net renta l income or (l oss) from real e state :a Debt-financed property . . . . . . . .b Not debt- financed property . . . . . . . . . . . . . . .

6 Net rental income or (loss) f rom pe rsonal p rope r ty . . . .

7 Other investment incom e

8 Gain or (los s) from sales of assets other than inventory . .

9 Net income or (los s) from special events . . .

10 Gross profit or (loss) from sales of inventory . .

11 Other revenue :

14 350,860 .

14 4,794,049 .

18 13,142 .

18 6 .374 .439 .

a

b

c

d

e

12 S ubtotal . Add colu mns (b), (d), and (e) 11,532,490 .

13 Total . Add l ine 12 , columns (b), (d), and (e) . . . . . . . . . . . 13 11,532,4904

(See worksheet in the instructions for line 13 to verify calculations . )

Par" t?XVI cB Relationship of Activities to the Accomplishment of Exempt Purpose s

BAA TEE n0501 0e115ro3 Form 990- PF (2003)

• •

orm 99o-Pf (2003) The For d Family Fou ndat ion 93-6026156 information Regarding Tran s fe rs To and Transactions and Relationships With No m charitableExempt Organization s

~,.:-~.'-~=`~`` Yes No: ::~~-~

1 Did the organi za tio n directly o r i n direc tly engage to any of t he following with any o th er organizationd escribed

insection 501(c) of the Cod e (o ther than secti o n 50 1(c ) (3 ) org a ni za tio ns ) o r in sec tion 527, 9, sj

rela tin9 to political organizations )

a Tr a n s fe rs from the r e porting orga ni za tion to a noncharitable e x e mpt o r ganiza tion o f

(1) Cash . . 1 a (1) X

(2) Other a ssets 1 a (2) Xb Other transactions .

(1) Sales of asse ts to a nonch arit able exempt org a ni za ti on 1 b (1) X

(2) Purchases of assets from a noncharitabl e exempt org ani za tion 1 b (2) X

(3) Rental of facilities, equipment, or oth er asse t s 1 b (3) X(4) Reimbursement arra ngements . . . . . 16 (4) X(5) Loans or loan guara nte es . . . . . 1 h (5) X(6 ) Performance of se rvice s or membership or fund raising solicita tions 1 b (6) X

c Sha ring of faatities, equipm ent , mailing lists, other assets, o r p a id e mployees . . . . . . . . . . . 11c X

d If the answer to any of the above i s 'Yes,' compl e te th e fo ll ow ing sc he dule. Co l um n (b) s ho uld a lw ays show the fa i r m a rket valu e o fthe goods , other as set s, or services given by the rep orting o rg ani za ti o n . I f the organization received less than fair market v alue inany transaction or sharing a rrangement, sho w in column (d) the va lue of the goods, o ther asset s, or ser vi ces received .

Line no. (b) Meount involved (e) Na m e of rw h antable exempt o rganitaLon (d) Description o f transfers, transactions, and shari ng at tanpeme

2a Is the organization dire ctly or indirectly affilia ted with, or related to , one or more ta x -exempt organizati o nsdescribed in sectio n 501(c) of the Code (other than section 501 (c)(3)) or in sec tion 527? . . . . . . . . . . . . . . . . . . . . . . . . . . . [] Yes XQ N o

b If ' Yes .` oomolete the fo ll owin g sched ule .

Foy, 926 • Return by a U .S . Transferor of Property • OMB No 1 545-0026(Rev December 2003) I to a Foreign Corporation IDepart m e nt of th e TreasuryI nt e rn al Reve nue Service ► Attach to your income tax return . Attachment

Sequence No 128

U . S . Trans feror Information (see instructio nName of transferor

THE FORD FAMILY FOUNDATION

1 If the transferor was a corporation, complete questions 1a, 1b, and 1 ca If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) b y

5 or fewer domestic corporations? Yes Nob Did the transferor remain in existence after the transfer? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

If not, list the controlling shareholder(s) and their identifying number(s) :

Con tro lling sha re ho lder

Id ent i fy ing number (see instructions)

93-6026156

Iden ti fy ing num b e r

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation? . . . . . . . . . . . . . . . . Yes ❑NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

N ame of pa r ent corporation EIN of parent corporation

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferor's pa rtnershi p

Name of partnership EIN of partnershi p

4 Identify ing number, if any3 Name of transferee (foreign corporation)

104-346430 6HARBOIIRVEST PARTNERS VI - BIIYOUT PARTNERSHIP FDND , L . P .5 Address (including country )

C/O WALKER, PO BOX 265GT , GEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS, BRITISH WEST INDIES6 Country of incorporation or organizatio n

CAYMEN ISLANDS

7 Foreign law characterization (see instructions)PARTNERSHI P

8 Is the transferee foreign corporation a controlled foreign corporations . Yes X N oFor Paperwork Reduction Act Noti ce, see page 4. Form 926 (Rev 12-2003)

JS A

3C 2608 2 000

Form 926 (Rev 12 -2003) • • Page2

9 Date of transfer 10 Type of nonrecognition transaction (see instructions)4 / 2 /2003 , 10 /6 /2003 , 1/5/2004 351

1 1 Description of property transferred '

CASH IN THE AMOUNT OF $144,000, $72,000, AND $108,000 WAS INVESTED IN THE FOREIGN

CORPORATION ON THE RESPECTIVE DATES INDICATED ABOVE .

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? Yes X No13 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 .367(a)-6T (e g ., for tainted property, depreciation recapture, branch loss recapture, etc .)? , , ❑ Yes Fx-] No14a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer :

J SA

3C2609 2 000

•

THE FORD FAMILY FOUNDATIONEIN : 93 -6026156

•

Statement Filed Pursuant to Treas . Req . Section 1 .60386 -1 (c) and Temp . Req . Section1 .60386 -1T (c)

(1) Name of Transferor :EIN :Address :

The Ford Family Foundation93-60261561600 NW Stewa rt ParkwayRoseburg , OR 97470

(2) Name of Transferee HarbourVest Partners VI - Buyout Pa rtnership Fund L.P .EIN : 04 -3464306Address : C/O Walkers Attorneys at Law

P . O . Box 265GTGeorgetown , Grand Cayman , Cayman Islands

Count ry of Incorporation : Cayman Islands

Description of Transfer : The Ford Family Foundation invested money into HarbourVestPa rtners VI - Buyout Partnership Fund L . P .

(3) Information available upon request

(4) Cash , in the amount of $324 , 000 was transferred to the foreign corporationthroughout the tax year ended March 31 , 2004 .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

Form 92 6(Rev December 2003)

Department of the Treasu ryInternal Revenue Service ► Attach to your income tax return .

OMB No 1545-0026

AttachmentSequen ce No 128

U . S . Transferor Information (see inst ructionsName of trans fero r


I dentifying numb er (see instructions)

93-6026 1 5 6

1 If the transferor was a corporation, complete questions 1a, 1b, and 1c .a If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by

5 or fewer domestic corporations . . . . . . . . . . .

R

Yes No

b Did the transferor remain in existence after the transfer . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 8 No

If not, list the controlling shareholder(s) and their identifying number(s) :

Controlling shareholder Ident i fying number

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . . . ❑ Yes ❑ NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

• Return by a U .S . Transferor of Propertyto a Foreign Corporation

Name of parent corporation EIN of parent corporation

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferor's partnershi p

N a m e of partnership EIN of partnership

3 Name of transferee (foreign corporation) 4 Identifying number , if anyHARBOURVEST PARNTERS VI - PARTNERSHIP FUND L .P . N/A5 Address (including country )

C/O WALKER, PO BOX 265GT, GEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS, BRITISH WEST INDIES6 Country of incorporation or organizatio n

CAYMAN ISLANDS

7 Foreign la w characterization (see instructions)PARTNERSHI P

8 Is the transferee foreign corporation a controlled foreign corporations . . Yes x NoFor Paperwork Reduction Act Notice, see page 4. Form 926 (Rev 12-2003 )

JSA

3C2608 2 000

Form 926 (Rev 12-2003) • 0 Page 2

Info rma tion Regarding Trans fe r of Property instructions)9 Date of transfer 10 Type of nonrecognition transaction (see instructions)

4 /4 /2003, 7/2 /2003 , 10 / 2 / 2003 , 1 / 2 /2004 351

11 Description of property transferred .

CASH IN THE AMOUNT OF $168,000, $168,000, $252,000, AND $252,000 WAS INVESTED IN THE

FOREIGN CORPORATION ON THE RESPECTIVE DATES PROVIDED ABOVE .

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations Yes X No1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 .367(a)-4 T

through 1 .367(a)-6T (e .g ., for tainted property, depreciation recapture, branch loss recapture, etc .)? ❑ Yes ❑No14a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ZNob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer :

J S A

3 C2609 2 000

•


•

Statement Filed Pursuant to Treas . Req . Section 1 .6038B-1(c ) and Temp . Req . Sec tion1 .6038B-IT(c )


The Ford Family Foundation93-60261561600 NW Stewart ParkwayRoseburg, OR 9747 0

(2) Name of Transferee HarbourVest Pa rtners VI - Partnership Fund L .P .EIN : No information is currently availabl eAddress : C/O Walkers Attorneys at Law

P . O . Box 265GTGeorgetown , Grand Cayman , Cayman Island s

Country of Incorporation : Cayman Island s

Desc ription of Transfer : The Ford Family Foundation invested money into HarbourVestPa rtners VI - Pa rtnership Fund L .P .

(3) No information is currently available describing the consideration received .

(4) Cash , in the amount of $840 , 000 , was transferred t o the foreign corporationthroughout the tax year ended March 31 , 2004 .Additional information available upon reque st .

(5) Not Applicabl e

(6) Not Applicable

Foy, 92 6(Rev December 2003)

Depart ment of the Treasu ryInte rn al Revenue Service

Return by a U .S . Transferor of Prope rtyto a Foreign Corporation► Attach to your income tax return .

• •O MB No 1 5 4 5-002 6

At tac h mentSequence N o 128

U .S . Transferor Information (see iName of transferor


Identifying number (see instructions)

93 -602615 6

1 If the transferor was a corporation, complete questions 1a, 1b, and 1c .a If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by5 or fewer domestic corporations Yes

b Did the transferor remain in existence after the transfer? . . . . . . . . . . . . . . . . . . . . . . . . . . . H Yes

If not, list the controlling shareholder(s) and their identifying number(s) .

NoRN0

Contro lling s h areholder

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . . . . Yes E] NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

N ame of pare n t co rporation

I d entify ing number

EIN o f pa rent corporatio n

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferors pa rtnership .

N ame of pa rtnersh i p

EUROPE SELECT PRIVATE PARTNERS II(A)LP I N/A

>ration Information (see instr3 Name of transferee (foreign corporation)

INFORMATION NOT CURRENTLY AVAILABLE5 Address (including country )

6 Country of incorporation or organizatio n

7 Foreign law characterization (see instructions)

8 Is the transferee foreign corporation a controlled foreign corporations . Yes N oFor Paperwork Reduction Act Notice, see page 4. Form 926 (Rev 12-2003 )

E I N of pa rtne rs h i p

4 Iden t ifying numbe r , if any

J SA

3 C2 608 2 0 0 0

Form 926 (Rev 12-2003) • • Page 2

9 Date of transfer 1 0 Type of nonrecognition transaction (see instructions)4 / 18/2003 , 11/ 18 /2004 3 51

11 Description of property transferred

CASH IN THE AMOUNTS OF $325 , 138 AND $247 , 152 WAS INVESTED IN THE THE FOREIGN PARTNERSHI P

ON THE RESPECTIVE DATES INDICATED ABOVE .

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? Yes [KINo13 Was the transferor required to recognize income under Temporary Regulations sections 1 .367(a)-4 T

through 1 367(a)-6T (e .g , for tainted property, depreciation recapture, branch loss recapture, etc .)? ❑ Yes 1-x I No14a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes X❑ Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer :

J SA

3 C2 6 09 2 000

0


•

Statement Filed Pursuant to Treas . Req . Section 1 .60388 -1(c) and Temp . Req . Section1 .6038B-IT(c )


The Ford Family Foundation93-60261561600 NW Stewart ParkwayRoseburg, OR 97470

(2) Name of Transfe ree No information is currently ava i lableEIN : No information is currently availableAddress : No information is currently available

Count ry of Incorporation : No information is currently availabl e

Description of Transfer: The Ford Family Foundation invested money into Europe Select PrivateEquity Pa rtners II(A) L . P ., which then invested in foreign corporations .

(3) No information is currently available describing the consideration received .

(4) Cash , in the amount of $572 ,290 , was transferred to the foreign pa rtnershipthroughout the tax year ended March 31 , 2004 .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

Fo rm 926(Rev December 2003 )

Department of the TreasuryInternal Revenue Service ► Attach to you r incom e tax return .

O MB No 1 5 4 5-00 26

Att ac hm e ntSequence No 128

U .S . Trans feror Information (see instructionName of transferor


I den tify ing number (see instructions)

93-602615 6

1 If the transferor was a corporation, complete questions la, 1b, and 1c .a If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) b y

5 or fewer domestic corporations9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes B N o

b Did the transferor remain in existence after the transfer? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

If not, list the controlling shareholder(s) and their identifying number(s) '

Contro ll ing sharehol de r I d entify i ng numb er

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes ❑ N oIf not . list the name and emolover identification number (EIN) of the parent corooration :

• Return by a U .S . Transferor of Propertyto a Foreign Corporatio n

Name of parent corporation E I N of parent cor p ora t ion

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferor's Dartnershia :

N ame of partne rship E I N of partnership

FT, M T ra nsferee Foreign Corporation I n formation (see instructions )3 Name of transferee (foreign corporation) 4 Iden t ifying numbe r , if any

COMMON SENSE OFFSHORE , LTD . N/A5 Address (including country) C /O BANK OF BUTTERFIELD INTERNATIONAL (CAYMAN ) LTD ., BUTTERFIELD

HOUSE, 68 FORT ST ., P . O . BOX 705 GT , GEORGETOWN , GRAND CAYMAN , CAYMAN ISLAND S6 Country of incorporation or organization

CAYMAN ISLAND S


CORPORATION

8 Is the transferee foreign corporation a controlled foreign corporation? . . . . . . . . . . . . . . . . Yes X NoFor Paperwork Reduction Act Notice, see page 4. Form 926 (Rev 12-2003 )

J SA

3C2 6 0 8 2 000

Form 926 (Rev 12 -2003) • • P age 2

Information Re ardin Transfer of Property see instructions9 Date of transfer 10 Type of nonrecognition transaction (see instructions)4/1/2003 351

11 Description of property transferred .

CASH IN THE AMOUNT OF $5,000,000 WAS TRANSIFERRSD ON THE DATE INDICATED ABOVE .

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? Yes X No1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 .367(a)-4T

through 1 .367(a)-6T (e g , for tainted property, depreciation recapture, branch loss recapture, etc .)? ❑ Yes 0 No14 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes Fx-] Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer.

J SA

3C2609 2 00 0

•


•

Statement Filed Pursuant to Treas . Req . Section 1 .6038B-I(c) and Temp. Req . Section1 .6038B-IT(c )


(2) Name of TransfereeEIN :Address :

The Ford Family Foundation93-60261561600 NW Stewart ParkwayRoseburg , OR 97470

Common Sense Offshore , Ltd .No information is currently availableC/O Bank of Butte rfieldInternational (Cayman) Ltd .Butterfield House68 Fo rt St .PO Box 705 GTGeorgetown , Grand CaymanCayman Island s

Count ry of Incorporation : Cayman Island s

Description of Transfer : The Ford Family Foundation invested money in Common SenseOffshore , Ltd .

(3) Shares of stock were received in the transaction .Additional information available upon request .

(4) Cash , in the amount of $5 , 000 , 000 was transferred to the foreign corporation .throughout the tax year ended March 31 , 2004 .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

Fo rm 92 6( R ev Decembe r 2 003 )

Department of the TreasuryInternal Revenue Service

• •O M B N o 154 5- 0 026

At tachm entSequen ce No 12 8

U . S . Transferor Information (see instructionsN ame of transferor


Identifying number (see in structi ons)

93 - 602615 6

1 If the transferor was a corporation, complete questions la, 1b, and 1 ca If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) b y

5 or fewer domestic corporations0

Yes No

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . . . . Yes BN o

If not, list the controlling shareholder(s) and their identifying number(s) .

Controlling shareholder Identifying number

c If the transferor was a member of an affiliated group fling a consolidated return, was it the paren tcorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes -]NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

► Attach to your income tax return .

Name of parent corporation EIN of parent corporatio n

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferor's pa rt nershi p

N ame o f pa rtners h ip EIN of partnershi p

Transferee Foreign Corpor ,3 Name of transferee (foreign corporation)

KEYHAVEN CAPITAL PARTNERS LTD

Return by a U . S . Transferor of Prope rtyto a Foreign Corporation

52 JERMYN STREET, LONDON , UNITED KINGDOM6 Country of incorporation or organization

UNITED KINGDOM


INFORMATION NOT CURRENTLY AVAILABL E

8 Is the transferee foreign corporation a controlled foreign corporations . Yes X NoFor Paperwork Reduction Act Not i ce , see page 4. Form 926 (Rev 12-2003 )

on Information (see in4 Identifying number, if any

N/A

J SA

3C2608 2 000

Forth 926 (Rev 12 -2003) • • P age 2

Informat ion Regarding Trans fer o f Property instructions9 Date of transfer 10 Type of nonrecognition transaction (see instructions)

2 / 4 /2004 351

11 Description of property transferred :

CASH IN THE AMOUNT OF $35, 291 WAS TRANSFERRED ON THE DATE INDICATED ABOVE .

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? Yes X No13 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 .367(a)-6T (e .g ., for tainted property, depreciation recapture, branch loss recapture, etc .)? ❑ Yes ❑ No14 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the

transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer :

JSA

3C2609 2 000

•


•

Statement Filed Pursuant to Treas . Req . Section 11 .603813-11(c) and Temp . Req . Section1 .60388 -1 T (c)

(1) Name of TransferorEIN :Address :

(2) Name of TransfereeEIN .Address


Keyhaven Capital Partners LtdNo information is currently available52 Jermyn StreetLondon, SW1Y 6LX, Englan d

Count ry of Incorporation Englan d

Description of Transfer . The Ford Family Foundation invested money into Keyhaven Capital Pa rtners , Ltd

(3) Shares of stock were received in the transactio nAdditional information available upon reques t

(4) Cash, in the amount of $35 , 291 , was transferred to the foreign corporationthroughout the tax year ended 3/31/2004Additional information ava ilable upon request

(5 ) Not Applicabl e

(6) Not Applicable

Form 92 6(Rev December 2003)


•Return by a U .S . Transferor of Property

to a Foreign Corporation► Attach to your income tax return .

•OMB No 1545-0026

AttachmentSequence No 128

U . S . Transferor Information (see instructionsName of transferor


Identifying number ( see i n st ruct ion s)

93 - 602615 6

1 If the transferor was a corporation, complete questions la, 1b, and 1 ca If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) b y

5 or fewer domestic corporations 0 Yes N o

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

If not, list the controlling shareholder(s) and their identifying number(s )


c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

Name of parent corporation EIN of parent corporation

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),

list the name and EIN of the transferors pa rt nership

Name of partnership EI N of partnership

BLACKSTONE CAPITAL PARTNERS (CAYMAN) IV, L .P . 1 20-0118764

Fgn-N Tran s feree Foreign Corporation Information (see instructions )3 Name of transferee (foreign corporation) 4 I denti fying number, if anySPIRIT MANAGED HOLDINGS LIMITED N/ A5 Address (including country )

107 STATION STREET , BURTON ON TRENT, STAFFORDSHIRE DE14 1BZ , UNITED KINGDOM


UNITED KINGDOM

7 Foreign law characterization (see instructions)CORPORATION

8 Is the transferee foreign corporation a controlled foreign corporations . Yes X NoFor Paperwork Reduction Act Notice , s ee page 4. Form 926 (Rev 12-2003 )

JSA

3C2608 2 000

•Form 9 2 6 (Rev 12-2003) Page 2

9 Da t e o f t ransfer

11 /3/200 3

1 1 Description of property transferre d

CASH IN THE AMOUNT OF $15 , 945 WAS TRANSFERRED ON THE DATE INDICATED ABOVE .

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations Yes No1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 .367(a)-6T (e g , for tainted property, depreciation recapture, branch loss recapture, etc )? . . . ❑ Yes Z No1 4 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer

•

Transfer of see instructions )10 Type of nonrecognition transaction (see instructions)35 1

JSA

3C 2 60 9 2 0 0 0

•


•

Statement Filed Pur suant to Treas . Req . Section 1 .60386 - 1 (c) and Temp . Req . Section1 .6038B-IT(c )

(1) Name of Transferor 'EIN :Address :

(2) Name of TransfereeEIN :Address :

The Ford Family Foundation93-60261561600 NW Stewa rt ParkwayRoseburg , OR 97470

Spirit Managed Holdings Limite dNo information is currently available107 Station Stree tBurton on TrentStaffordshire DE14 1BZUnited Kingdom

Country of Incorporation United Kingdo m

Description of Transfer The Ford Family Foundation invested money into BlackstoneCapital Partners (Cayman) IV , L . P ., which in turn investedin Spirit Managed Holdings Limited .

(3) Shares of common stock were received in the transaction .Additional information available upon request .

(4) Cash, in the amount of $15,945, was transferred to the foreign corporation .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

Fo rm 926(Rev December 2003)

Department of the TreasuryIntern al Revenue Service

Return by a U .S . Transferor of Propertyto a Foreign Corporatio n► Attach to your income tax re t urn .

• •OMB No 1545-0026

AttachmentSequen ce No 12 8

U .S . Transferor Information (see instructionsN ame of transfero r


Identifying number (see instru ctio n s )

93 - 602615 6

1 If the transferor was a corporation, complete questions 1a, 1b, and 1 c

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) b y5 or fewer domestic corporations HYes H No

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . . . . . Yes No



c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren t

corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑N oIf not, list the name and employer identification number (EIN) of the parent corporatio n

Name of parent corporation EIN of parent corporatio n

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),

list the name and EIN of the transferor's pa rt nershi p

Name of partnership EIN of partnershi p

GLOBAL PRIVATE EQUITY IV - A , L . P . 04 - 353869 2

Erma Trans feree Foreign Corporat i on Infori3 Name of transferee (foreign corporation)SEE ATTACHED FOR DETAIL OF TRANSFEREES5 Address (including country )

6 Country of incorporation or organization

7 Foreign law characterization (see instructions )

8 Is the transferee foreign corporation a controlled foreign corporations . Yes NoFor Paperwork Reduction Act Notice , see page 4 . F o rm 926 ( Rev 1 2 -2003 )

4 Ident ify ing number, if any

JSA

3C2608 2 000

•Form 926 (Rev 1

•Page 2

Transfer of Prope rty (see instructions )9 Date of transfer 1 0 Type of nonrecognition transaction (see instructions)

SEE ATTACHED DETAIL 35 1

11 Description of property transferre d

SEE ATTACHED FOR DETAIL OF PROPERTY TRANSFERRED TO EACH RESPECTIVE TRANSFERE E

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations Yes LX -]No

13 Was the transferor required to recognize income under Temporary Regulations sections 1 .367(a)-4T

through 1 367(a)-6T (e g ., for tainted property, depreciation recapture, branch loss recapture, etc )? . . . . . . ❑ Yes alN o14 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transactions . . . . . . . . . . . . . . . ❑ Yes X❑No

b If yes, describe the nature of the rights to the intangible property that was transferred in the transfe r

JSA

3C2609 2 000

• •

Abbott Capital Private Equity Fund IV, L .P.

Form 926 Supplemental Information

Part I U.S . Transferor Informatio nName of transferor Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete la, 16, Ic N/ A

2 . If the transferor was a partner in a partnership that was the actual transferor (but not treated as suchunder section 367), list the name and EIN of the transferor's partnership :

Name of partnership : Global Private Equity TV-A, L.P .

EIN: 04-3 5 3 8692

Part II Transferee Foreign Corporation Information

3 . Name of transferee (foreign corporation)

4. Identifying number, if any

5 . Address (including country)

6 . Country of Incorporation or organization

7. Foreign Law Characterizatio n

8 . Is the transferee foreign corporation a controlled

Foreign corporation ?

Part III Information ReVrding Transfer of Property

9. Date of transfer

10 . Type of non-recognition transaction

11 . Property transferre d

Ford Family Foundation's share of amount transferred :

Cash : $5,425

3321st SMSTC, Ltd .

N/A

26 Southampton BuildingsHigh Holbron

London WCIA

United Kingdom

United Kingdom

Corporation

NO

July 24, 2003

IRC Section 351

Cash

Consideration received - Common stock of the corporatio n

12 . Did this transfer result from a change in the classification of thetransferee to that of a foreign corporation?

13 . Was the transferor required to recognize income under TemporaryRegulations sections 1 .367(a)-4T through 1 .367(a)-6T?

14. Was intangible property transferred as a result of the transaction?

NO

NO

NO

- • )

0 •

Abbott Capital Private Equity Fund W, L.P.


Part I U.S. Transferor InformationName of transferor: Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete la, lb, lc N/ A

2 . If the transferor was a partner in a partnership that was the actual transferor (but not treated as suchunder section 367), list the name and EIN of the transferor's partnership :

Name of partnership: G loba l Private Equity N-A, L.P .

EIN:





6. Country of Incorporation or organization

7 . Foreign Law Characterization


Foreign corporation?

Part III Information Regarding Transfer of Property

9. Date of transfer

10. Type of non-recognition transaction



Cash: $2,854

04 -3538692

Advent Indigo Holding A/ S

N/A

Ventrupparken 2

DK 2670 GreveDenmark

Denmark

Corporation

YES

March 6, 2003

IRC Section 351

Cash

Consideration received -Common stock of the corporatio n

12 . Did this transfer result from a change in the classification of thetransferee to that of a foreign corporation ?

13 . Was the transferor required to recognize income under Temporary

Regulations sections 1 .367(a)-4T through 1 .367(a)-6T?


NO

NO

NO

0

Abbott Capital Private Equity Fund IV, L.P.


Part I U.S . Transferor Inform a tion

Name of transferor :

EIN:

•

Ford Family Foundation

93-602615 61 . If the transferor was a corporation, complete la, 16, Ic N/A2 . If the transferor was a partner in a partnership that was the actual transferor (but not treated as such

under section 367), list the name and EIN of the transferor's partnership :

Name of partnership: Global Private Equity N-A, L.P .

EIN: 04-3538692






7. Foreign Law Characterization

8 . Is the transferee foreign corporation a controlledForeign corporation ?


9. Date of transfer


11 . Property transferred


Cash: $15,840

Laontae Beteiligungs GmbH

N/A

Hein-Moeller-Strasse 7-1153115 BonnGermany

Germany

Corporatio n

YES

December 9, 2003

IRC Section 351

Cash

Consideration received - Common stock of the corporation

12. Did this transfer result from a change in the classification of thetransferee to that of a foreign corporation ?13 . Was the transferor required to recognize income under TemporaryRegulations sections 1 .367(a)-4T through 1 .367(a)-6T?


NO

NO

NO

0 •


Form 926 Supplemental Informatio n

Part I U.S. Transferor Informatio nName of transferor: Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete la, lb, lc N/A

2 . If the transferor was a partner in a partnership that was the actual transferor (but not treated as such

under section 367), list the name and E IN of the transferor's partnership :

Name of partnership: Global Private Equity IV-A, L.P .

EIN• 04-3 5 3 8692


3 . Name of transferee (foreign corporation )





8. Is the transferee foreign corporation a controlled



9. Date of transfe r




Cash: $5,987

Lilac Blue C.V.

N/APotterweg 38

Postbus 1495

3800 BL Amersfoort

The Netherlands

The Netherlands

Partnershi p

YES

August 13, 2003

IRC Section 351

Cash


12 . Did this transfer result from a change in the classification of thetransferee to that of a foreign corporation?13 . Was the transferor required to recognize income under TemporaryRegulations sections 1 .367(x)-4T through 1 .367(x)-6T ?


NO

NO

NO

Fo rm 926(Rev D ecember 20 03)

Depart m ent of t he TreasuryInternal Revenue Service

Return by a U.S. Transferor of Propertyto a Foreign Corporatio n► Attach to your income tax return.

0 •OMB No 1545-0026

AttachmentSequence No 12 8

U .S . Transferor Information (see instructionsName of transfero r


Identifying number (se e instructions)

93 - 602615 6

1 If the transferor was a corporation, complete questions la, 1b, and 1 c

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) b y5 or fewer domestic corporations Yes O N o

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . Yes N o


Cont rolling s h are holder Identifying number

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ NoIf not, list the name and employer identification number (EIN) of the parent corporatio n

N ame of pare n t corporation EI N o f parent corporation

2 I f the trans feror was a partner in a partnership t hat was the actual transferor (but is not treated as such under section 367),

list the name and EIN of the transferors pa rtnership

N ame of partnership EI N of partnershi p

THIRD CINVEN FUND U .S . NO . 5 L . P . 98-036095 1

3 Name of transferee (foreign corporation )SEE ATTACHED DETAIL F OR TRANSFEREES5 Address (includin4 country )



8 Is the transferee foreign corporation a controlled foreign corporation? . Yes NoFor Paperwork Reduction Act Notice , see page 4. Form 926 (Rev 12-200 3 )

4 Identifying number, if an y

JSA

3C2608 2 000

Farm 926 (Rev 12-2003)• •

Page 2

Information Re9 Date of transfer

SEE ATTACHED DETAIL

1 1 Description of propert)

SEE ATTACHED DETAIL

Transfer of Pro see instructions1 0351

Type of nonrecognition transaction (see instructions )

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations Yes X N o1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 .367(a)-6T (e g ., for tainted property, depreciation recapture, branch loss recapture, etc )? . . . . . ❑ Yes X❑N o14 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the

transaction? . . . . . . . . . . . ❑ Yes ONob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer .

JSA

3C2 609 2 000

•



•

Part I U.S. Transferor Information

Name of transferor: Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete La, Lb, lc N/A



Name of partnership: Third Cinven Fund U.S . No. 5L.P .

EIN: 98-0360951




5. Address (including country)

6. Country of Incorporation or organizatio n

7 . Foreign Law Characterizatio n

8 . Is the transferee foreign corporation a controlle d



9 . Date of transfe r




Cash: $22,750

Fitness First Holdings Ltd .

N/A

58 Fleet LanePoole

Dorset BH15 3BTUnited Kingdom

United Kingdom

Corporation

NO

July 10, 2003

IRC Section 351

Cash




Regulations sections 1 .367(a)-4T through 1.367(a)-6T?

14. Was intangible property transferred as a result of the transaction

NO

NO

NO

. '1

•



•

Part I U.S. Transferor Informatio n

Name of transferor: Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete la, 16, lc N/A


under section 367), List the name and EIN of the transferor's partnership :

Name of partnership: Third Cinven Fund U.S. No . 5L.P.

EIN: 98-0360951





6. Country of Incorporation or organization

7 . Foreign Law Characterizatio n



Par t III Information Regarding Transfer of Property





Cash: $34,990

Gala Group Ltd .

N/A

Newcastle House

Castle Boulevard

NottinghamNottinghamshire NG7 1FT

United Kingdom

United Kingdom

Corporatio n

NO

April 16, 2003

IRC Section 351Cash

Consideration received - Common stock of the corporatio n



Regulations sections 1 .367(a)-4T through 1 .367(a)-6T ?


NO

NO

NO

•

Abbott Capital Private Equity Fund IV, L.P.


•

Part I U.S . Transferor Informatio nName of transferor: Ford Family Foundation

EIN: 93-6026156

1 . If the transferor was a corporation, complete la, lb, lc N/ A



Name of partnership: Third Cinven Fund U.S. No. 5L.P .

EIN: 98-0360951



4. Identifying number, if any5 . Address (including country)




Foreign corporation

Part III Information Re garding Transfer of Property



11. Property transferre d


Cash: $42,808

KAP Global Publishers SA

N/A

BP 2501L-1025Luxembourg

Luxembourg

Corporation

NO

Various

IRC Section 351

Cash


12. Did this transfer result from a change in the classification of thetransferee to that of a foreign corporation ?

13 . Was the transferor required to recognize income under TemporaryRegulations sections 1 .367(a)-4T through 1 .367(a)-6T ?


NO

NO

NO

Fo rm 92 6(Rev December 2003 )


► Attach to your income tax return.

•OMB No 1545 - 0026

AttachmentS eq uence No 12 8

U .S . Transferor Information (see ins tructionsName of transferor


1 If the transferor was a corporation, complete questions la, 1b, and 1 ca If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) b y

5 or fewer domestic corporations

R

Yes

H

No

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

If not , list the controlling shareholder(s) and their identifying number(s) :

Controlling shareholder

c If the transferor was a member of an aff il iated group filing a consolidated return, was it the parentcorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ NoIf not, list the name and emolover identification number (EIN) of the parent corporatio n

• Return by a U .S . Transferor of PropertyY to a Foreign Corporatio n

Name of parent corporation

Identi fy i ng number (see instructions)

9 3-6026156

I denti fying number

E I N of parent corporatio n

2 I f the transferor was a partner in a partnership tha t was the actual transferor (but is not treated as such under section 367),

list the name and EIN of the transferor's pa rtnershi p

Name of partnership EI N of partnership

ADVENT RADIO INVESTMENT 3 L . P . 20-0458217

Information (see instructions3 Name of transferee (foreign corporation) 4 Identifying number, if any

DUTCH MEDIA FINANCING C . V . N/A5 Address (including country )

KONINGINNEWEG 31 , 1217 KR HILVERSUM, THE NETHERLANDS6 Country of incorporation or organizatio n

THE NETHERLAND S


PARTNERSHI P

8 . Is the transferee foreign corporation a controlled foreign corporations . x Yes NoFor Paperwork Re du c t i on A c t Not i ce, s ee page 4. Form 926 (Rev 12-2003 )

JSA

3C2608 2 000

•Form 9 26 (R ev 1 2-2003)

Information ardina Transfer of ProDertv (see in9 Date of transfer 1 0 Type of nonrecognition transaction (see instructions)

12 /22 /2003 35 111 Description of property transferred .

CASH IN THE AMOUNT OF $8 , 778 WAS TRANSFERRED ON THE DATE ABOVE .

1 2 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations Yes X No1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 367(a)-6T (e g , for tainted property, depreciation recapture, branch loss recapture, etc .) . . ❑ Yes 5D No14 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transactions . . . . . . . . . . . . . . . . . ❑ Yes I-XI Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfer

•Page 2

JSA

3C2 609 2 000

•


•

Statement Filed Pursuant to Treas . Req . Section 1 .60386 - 1 (c) and Temp . Req . Section1 . 60386 -1 T(c)

(1) Name of Transferor :EIN :Address '

The Ford Family Foundation93-60261561600 NW Stewa rt ParkwayRoseburg , OR 9747 0

(2) Name of Transferee Dutch Media Financing C V .EIN : No information is currently availableAddress : Koninginneweg 3 1

1217 KR HilversumThe Netherland s

Country of Incorporation : The Netherland s

Description of Transfer : The Ford Family Foundation invested money into AdventRadio Investment 3 L . P , which in turn investe din Dutch Media Financing C . V .


(4) Cash , in the amount of $8 , 778 , was transferred to the foreign corporation .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

•Form 92 6(Rev December 2003)

Depart ment of the Treasu ryInternal Revenue Service

Return by a U .S . Transferor of Prope rtyto a Foreign Corporation► Attach to your income tax return.

U .S . Transferor Information (see instructions

isOMB No 1545-0026


Name of transfero r


I If the transferor was a corporation, complete questions la, 1b, and 1 c

a If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) b y5 or fewer domestic corporations

H

Yes

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes

If not, list the controlling shareholder(s) and their identifying number(s)

No

No


c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . . . Ye s ❑ NoIf not, list the name and employer identification number (EIN) of the parent corporation *

Name of parent corporation EI N of parent co rporat ion

2 If the transferor was a pa rtner in a pa rtnership that was the actual transferor (but is not treated as such under section 367) ,list the name and EIN of the transferors pa rt nership :

Name of partnership E IN of partnership

ADVENT PQR INVESTMENT L . P . 20 - 037164 6

10-MIN Transferee Foreign Corporation Information3 Name of transferee (foreign corporation )GESTION DE PARQUES DE PARQIIES DE OLIO . S . L .

4 Iden tify ing nu mber, if anyN/A

5 Adaress (mcwdmg country )

CASE DE CAMPO, MADRID , SPAIN6 Country of incorporation or organization

SPAIN


CORPORATIO N

8 Is the transferee fo reign corporation a controlled foreign corporat ions . . X Yes NoFor Paperwork Reduction Act Notice , see page 4. F orm 926 (Rev 12-20 03 )

J SA

3C2608 2 000

•Form 926 (Rev 12-2003

•Page 2

9 Date of transfer 1 0 Type of nonrecognition transaction (see instructions)1 2/ 17/2 003 35 1

1 1 Description of property transferre d

CASH IN THE AMOUNT OF $26 , 738 WAS TRANSFERRED ON THE DATE INDICATED ABOVE .

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? Yes ZNo

13 Was the transferor required to recognize income under Temporary Regulations sections 1 367(a)-4 T

through 1 .367(a)-6T (e g , for tainted property, depreciation recapture, branch loss recapture, etc ) ? . . . . . . ❑ Yes ❑ No14a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transactions . . . . . . . . . . . . . . . . . ❑ Yes X❑ Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfe r

J SA

3C260 9 2 000

•


•

Statement Filed Pursuant to Treas . Req . Section 11 .603813-11(c) and Temp . Req . Section1 .60386 - 1 T(c )



(2) Name of Transferee Gestion de Parques de Parques de Ocio . S L .EIN : No information is currently availableAddress . Case de Camp o

MadridSpai n

Count ry of Incorporation : Spai n

Description of Transfer: The Ford Family Foundation invested money into AdventPQR Investment L.P , which in turn investedin Gestion de Parques de Parques de Ocio . S . L .

(3) Shares of common stock were received in the transactionAdditional information available upon request .

(4) Cash, in the amount of $26,738, was transferred to the foreign corporation .Additional information available upon request .

(5) Not Applicabl e

(6) Not Applicable

Fo rm 926(Rev December 2003 )


► Attach to your income tax return.

•OMB No 1545- 0026

AttachmentSequence N o 12 8

U . S . Transferor Information (see instructionsName of transferor


Identifying number (see inst ru ct ion s )

93 - 602615 6

1 If the transferor was a corporation, complete questions 1a, 1b, and 1 ca If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by5 or fewer domestic corporations Yes No

b Did the transferor remain in existence after the transfers . . . . . . . . . . . . . . . . . . . . Yes No



• Return b a U .S . Transferor of Propertyby US to a Foreign Corporatio n

Name of parent corpo ration EIN of parent corporatio n

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),list the name and EIN of the transferors pa rtnership

Name of partnershi p

THE RESOLUTE SIE , L . P . 80 - 008272 8

Trans feree Foreign Corporation Information (see instructions )3 Name of transferee (foreign corporation) 4 I den tify i ng number, if any

SENSUS METERING SYSTEMS (BERMUDA 1) LTD . N/A5 Address (including country )

HOUSE, 2 CHURCH ST ., HAMILTON HM 1 1, BERMUDA6 Country of incorporation or organizatio n

BERMUDA

7 Foreign law characterization (see instructions)LIMITED LIABILITY COMPANY

8 Is the transferee foreign corporation a controlled foreign corporations . . Yes X NoFor Paperwork Reduction Act Notice , see page 4. Form 926 (Rev 12-2003 )

c If the transferor was a member of an affiliated group filing a consolidated return, was it the paren tcorporation . . . . . . . . Yes ❑ NoIf not, list the name and employer identification number (EIN) of the parent corporation

E I N o f partners h i p

JSA

3C2608 2 000

•Form 92 6 ( R ev 1

•Pag e 2

Information Regarding Transfer of Property instruction s9 Date of transfer 10 Type of nonrecognition transaction (see instructions)VARIOUS 351

11 Description of property transferred

TOTAL CASH IN THE AMOUNT OF $29,675 WAS TRANSFERRED ON VARIOUS DATES THROUGHOUT THE YEAR .

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporations L_j Yes X No1 3 Was the transferor required to recognize income under Temporary Regulations sections 1 .367(a)-4 T

through 1 .367(a)-6T (e g ., for tainted property, depreciation recapture, branch loss recapture, etc )? . . ❑ Yes O N o1 4 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of th e

transactions . . . . . . . . . . . . . . ❑ Yes Fx-] Nob If yes, describe the nature of the rights to the intangible property that was transferred in the transfe r

J SA

3C2609 2 000

•


•

Statement Filed Pursuant to Treas . Req . Section 1 .6038B-I(c) and Temp . Req . Section1 . 60386 - 1 T(c)

(1) Name of Transferor 'EIN :Address '


(2) Name of Transferee Sensus Metering Systems (Bermuda 1) LtdEIN : No information is currently availableAddress : Clarendon House

2 Church St .Hamilton HM 11Bermuda

Count ry of Incorporation : Bermuda

Description of Transfer: The Ford Family Foundation invested money into TheResolute SIE , L . P ., which in turn investe din Sensus Metering Systems (Bermuda 1) Ltd .


(4) Cash , in the amount of $29 , 675 , was transferred to the foreign corporation .Additional information available upon reques t

(5) Not Applicable

(6) Not Applicable

•

2220 Und erpayment o f Est imated Tax by Corporat ions OMB No 1 5 4 5-01 4 2Department or the Treasury 10' See separate instructions. G1j OO ~Internal Revenue Seance ► Attach to the corporation's tax return. CSNa m e Employer identification numbe r

THE FORD FAMILY FOUNDAT ION 93-6026 1 5 6Note : In most cases, the corpora tion does not need to file Form 2220 (See Part I below for exceptions) The IRS will figure any penalty

owed and bill the corporation if the corporation does not need to file Form 2220, it may still use it to figure the penalty. Enter t heamount from line 36 on the estimated tax penalty line of the corporation's income tax return, but do not attach Form 2220.

Reasons for Filing - Check the boxes below that apply . If any boxes are checked, the corporation must fileForm 2220, even if it does not owe the penalty . If the box on line 1 or line 2 applies, the corporation may beable to lower or eliminate the penalty .

1 The corporation i s u s ing the adju s ted season a l in st a llme nt m e tho d

2 The corporation i s u s ing the annualized income in s tallment metho d

3 X The corporation i s a "large corporation" figuring its firs t required in s tallm e nt based o n the prior year's tax

MIM Fiaurina the Underoavment

4 Total tax (see instructions) .

S a Personal hold ing company tax (Schedule PH (Form 1120) , l ine 26) included on l ine 4 L

b Look -back interes t included on line 4 under section 460(b)(2) for completed longaert n

contracts or sect i on 167(g) for depreciation under the in come forecast meth od 5b

c Cred it for Federal tax paid on fuels (see instructions) _ 15 c I

d Total. Add lines 5a through Sc _ _ _ ,

6 Subtract line Sd from line 4 If the result is less than $500 , do not complete or file this form The corpora ti on

does not owe the penalty _ _ ,

7 Enter the tax shown on the corporation 's 2002 income tax return (see instruc tions) Caution: If the tax is zer o

or the tax year was for less than 12 months, skip this line and enter the amount from line 6 on line 8 ,

8 Enter the smaller of line 6 or line 7 If the coraoration i s required to skip line 7 , enter the amount from line 6

9 In st allment du e dates . Enter in columns (a)Through (d) the 151h day of the 4th (Form990-PF filers : Use 5th month), 6th, 9th, and1 2th mont h s of the cor p oration's tax year .

Ex cept i o n If one of your installment due datesis September 15, 2003, or September 15 . 2004,see the instruction s

10 Requi red in sta llment .. If the box on line 1and/or line 2 above is checked, enter theamounts from Schedule A, line 38 If the boxon line 3 ( b ut not 1 or 2) is checked, seeinstructions f or t h e amounts to en t er If noneof these boxes are checked, enter 25% of line8 above in each colum n

1 1 Estimated tax paid or cred ited for each penod(see i n s truc tions) For column (a) only, enter the

amount from l i ne 11 on line 1 5 .

Complete lines 12 through 18 of one columnbefore going to the next column .

12 Enter amount , if any , from line 18 of theprec ed ing column . .

13 Add lines 11 and 12 . .14 Add amounts on lines 16 end 17 o (the preoedm g

column . .

15 Subtract line 14 from line 13 If zero or less, enter -0 -

220,779 .

6 220,77 9 .

7 43,352 .

8 43,352-

9 I 07/15/20031 09/15/2003 I 10/01/2003 I 12/15/20031 03/ 1

16 If the amount on line 15 is ze ro, subtract lin e13 from line 14 Othe rwi se , enter -0 - , 16

8 . 74,664 . 24,888

8 .

45,810 .

45,810 .

28,854

8 . 45,810 .

28 . 854

53,742 . 108 937 .

53 . 74 2

17 Underpayment If line 15 is less than or equalto line 10, subtract line 15 from line 10 Thengo to line 12 of the next column Otherwise,go toline 18 17 28,854 . 24,888 . 55,195 55 195 .

18 Overpayment If line 10 i s less than line 15 ,subtract line 10 from line 15 Then go to line12 of th e n e xt column 18 45,810 .Complete Part Ill on page 2 to figure the penalty. If there are no entries on line 17, no penalty is owed.

For Paperwork Reduction Act Notice, see separate instructions . Form 2220 (200 3 )

Jsnaxaooe 2 000

0 0F orm 2220 (2003) Page 2

Figuring the Pena lty

19 Enter the data of payment or the 15th day of the 3rd mon'

after t he close of the lax ye a r whichever is earlier (see

instructions) (Form 990-PF and Farm 994T filers Use5th

month instead of 3rd month )

20 N umb er of day s f rom due date of installment on line 9 to

th e date shown on line 1 9

21 Number of days on line 20 after 4/15/2003 and before

10/1/200

3 22 una.rp . ym .nt an ice . 17 K Number of da ya on in* 21 K 5%

365

2 3 N umb .r o f d a ys o n lin g 2 0 after 8 /30/2007 a n d before 1/112004

24 Und.rp a ym ml on line 17 s Numb ., of da ys on E. 2] . I%

36 5

25 Numbe r of e .ys on line 20 .« .. 12/3 112003 imd before 4/l/2004

26 Underpayment no line » . Numb- of e, y, o n In. 2e ■ 4%

36 6

27 Numb a, of a .ys online xo .n .. 3131/2004 and before 7/ 1 r2004

28 Underpayment an to,. 17 . Number of a .» on r., . 27 ■ • x .

36 6

29 Number of a .ys on in . 20 after 6/3012004 and before 10/1/2004

30 Underpayment on line 17 t Number of days mY w 29 a'%

r3l

36 6

31 Number of a . y. o. iin . xo n ., enonoo 4 . n e n . f ,, . inizoo

s 32Underpayment on ill. 17 t N umber of days o n w. 3i . •x r3 2366

33 rmme . . or a,r. an iin. io . n., 1 xnvioo 4 ,n a e . ~ . ai i sn

o34 Underpayment online 17 . Number of days o n line n . •x ,

365

35 A d d l in es 22, 24 , 26, 28 30 32 and 34 846 .1 1,875 .1 1 . 4

36 Penalty. Add columns (a) through (e) of line 35 Enter the total here and on Form 1120, line 33 ; Form 1120-A, line 29 ,

or the comparable line for other income tax returns 1361 5,186 .

'For underpayments paid after March 31, 2004 : For lines 28, 30, 32, and 34, use the penalty interest rate for each calendarquarter, which the IRS will determine during the first month in the preceding quarter These rates are published quarterly in an IRSNews Release and in a revenue ruling in the Internal Revenue Bulletin . To obtain this information on the Internet, access the IRSwebsite at www.irs .gov . You can also call 1-800-829-1040 to get interest rate information

Form2220 (200 3 )

J SA

3X8 00 7 4 0 00

•

FORM 2220, LINE 3 - LARGE CORPORATION COMPUTATIO N

FORM 2220, LINE 6 - ADJUSTED CURRE NT YEAR TAX

LI NE 7 - 100% OF PRIOR YEAR TAX

IF FORM 2220, LINE 7 IS LESS THAN LINE 6A ) 25% OF LINE 7 ( FIRST INSTALLMENT )B) LINE 6 - LINE 7

C) LINE 6 + LINE BD ) 25% OF LINE C ( SECOND INSTALLMENT )E ) 25% OF LINE 6 ( THIRD INSTALLMENT)F ) 25% OF LINE 6 (FOURTH INSTALLMENT )

220,779 .43,352 .

0

10,838 .177,427 .

398,206 .

99,552 .

55,195 .

55,195 .

FORM 2220 , PAGE 2 PENALTY DETAIL

** COMPUTATION IS BASED ON THE INTEREST RATES PUBLISHED BY THE I RS **

0 4 / 15 /2 003-09/ 3 0/ 20 03 5%

1 0/ 01 /2 003-01 / 01 / 2 004 4 %

0AMOUNT REMAINING PAYMENT DAYS

COLUMN APPLIED UNDERPAYMENT DATE LATE PENALTY

------- --------------- -------------- ---------- ---- -------------- -

(B) NONE 28,854 . 06/15/2004 274 NONE

28,854 . 28,854 . 07/15/2004 304 1,043 .

--------------- ---------------

28,854. 1,043.

(C) NONE 24,888. 06/15/2004 258 NONE

24,888 . 24,888. 07/15/2004 288 846 .

--------------- -------------- -

24,888. 846.

(D) 55,195. 55,195 . 07/15/2004 288 1,875 .

--------------- -------------- -

55,195. 1,875.

(E) 55 , 195 .-------------- -

55 , 195 .------------------------------

TOTAL

55,195 . 07/15/2004 21 3

CONTINUED ON NEXT PAGE

------------------------------

1,422 .---------------

1,422 .------------------------------

5,186 .------------------------------

•

FORM 2220 , PAGE 2 PENALTY DETAIL

AMOUNT

COLUMN APPLIED

------- ---------------

-------------------------------------------------

REMAINING PAYMENT DAYS (CONT'D )

UNDERPAYMENT DATE LATE PENALTY

-------------- ---------- ---- ---------------

NOTE : PER SEC 501 OF THE JOBS AND GROWTH TAX RELIEF RECONCILIATIONACT OF 2003, 75 % OF THE SEPTEMBER 2003 INSTALLMENT IS DUE IN

SEPTEMBER 2003, THE REMAINING 25% IS DUE ON OCTOBER 1, 2003 .

•

0

Form 862 1(Rev December 2000)Departm e nt of the Trea s ury

*Return by a Shareholder of a Passive Foreign •Investment Company or Qualified Electing Fun d

► See separate instructions .

1 c

N a m e of sh areholder Identifying number (see p age 2 of in structions)

THE FORD FAMILY FOUNDATION 93-6026156Number , street , and room or su ite no (It a P 0 box , see page 2 of instru cti ons

Shareholder tax year calendar year _ _ _ _ _ _ or o ther tax year

1600 NW STEWART PARKWAY oevinning 0 4 / 01 / 0 3 and ending O 3/31/0 4City or to w n, s t ate, and ZIP code or country

ROSEBURG, OR 9747 0

Check type of shareholder filing the return Individual Corporation Partnership S Corporation Non raptor Trust EstateN ame of p assive foreign investment c om p any ( PF IC) or qualified electing fun d (QE F ) Employer identification number (if any)

HARBOURVEST PARTNERS II - BUYOUT PARTNERSHIP FUND L . P . 04-346430 6

Add ress (E n ter n u mber, street, city o r t own, an d coun try ) 2 0 03T ax yea r of c omp any or fund calendar year or .,herC/O WALKER , PO BOX 265GT tax year beginning an dY --- - --------GEORGTsTOWN , GRAND CAYMAN, CAYMAN ISLANDS e nd ing

Elections (See instructions .

AFIDeemed

Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines 1a through 2c orParf ne Sale Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC Enter gain or loss on line 10f of Part I V

C ❑ Deemed Dividend Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10 e

D [_-] Election To Extend Time For Payment of Tax . 1, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferred.Note : If any portion of line 1a or line 2a of Part ll is includible under section 551 or 951, you may not make this election .Also, see sections 1294(c) and 12940 and the related regulations for events that terminate this election .

E F-] Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) . Enter gain on line 10f of Part I V

F F-] Election To Mark-to-Market PFIC Stock. I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) Complete Part 111

Income From a Qualified Electing Fund (QEF) . All CHEF shareholders complete lines la through 2c . If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

I a Enter your pro rata share of the ordinary earnings of the QEF 1 a

b Enter the portion of line la that is included in income unde r

section 55 1 or 951 or that may be excluded under section 1293(g) . 1 b

c Subtrac t line lb from line la . Enter this amount on your tax return as dividend income , _ ,

2a En ter your pro rata s h are of the total net capital gain o f the QEF . 2 a

b Enter th e portion of line 2a that is included in income undersection 55 1 or 951 or that may be excluded under section 1293(g) . 2 b

c Subtract line 2 b from line 2a This amount is a net long-term capital gain . Enter this amoun t

in Part II of the Schedule D used for your income tax return (See instructions , ,

3a Add lines 1c and 2 c

b Enter th e total amount of cash and the fair market value of other

proper ty distributed or d eemed d istributed to you during the ta x

year of the QEF . (See instructions ) . 3b

C Enter t he portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged, or

otherwise transferred during the tax year . 3cd Add lines 3b and 3 c

e Subtract line 3d from line 3a, and enter t he difference (if zero or less, enter amount in brackets )

Impo rtant : If line 3e is greater than zero, and no portion of line 1a or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3e

4a Enter the total tax for the tax year (See instructions .) 4a

b Enter the total tax for the tax year determined without regard t o

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax , the tim e for paym ent of which is

. . . . . . . . . . . . . . . . . . . . . . . . . . . .extended by making Elect ion D . See instruction sFor Paperwork Reduction Act Notice , see page 7 of separate in structi on s .JSA3X1820 2 000

2c

3a

e

3d

3e

4c

O MB No 1 54 5- 10 0 2

At tachmen tSequence N o 6 9

Form 8621 (R ev 1 2-2000)

•

5

6

7

8

9

1 0a

b

c

d

e

f

11 a

b

c

d

e

f

3 21 (Rev 12 -2000 )

[0] Gain or (Loss) From Mark -to -Market Election (See page 5 of instructions .)Enter the fair market value of your PFIC stock at the end of the tax year . . ,Enter your adjusted basis in the stoc k at the end of the tax yearExcess . Subtract line 6 from line 5 . If a gain, s top he re . Include this amount as ordinary incomeon your tax return . If a loss, go to line 8Enter any unreversed inclusions (as defined in section 1296(d)) See instructionsEnter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return . .53 Di strib utions and Dispos it i on of Stock i n a Sec t ion 1291 Fund (See page 6

Complete a seuara te Part IV for each excess distribution .Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the extentthere are accumulated earnings and profits _ _ ,Enter the total distributions (reduced by the portions of such distributions that were excessdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholdersholding period before the current tax year) , . . . . . . . . . . . . . . . ,Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 ) . . . . . .

Multiply line 10c by 125% . Enter the lesser of line 10a or fine 10d as a dividend on your income tax return

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution . If

zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part

IV . See instructions if you received more than one distribution during the current tax year ,

Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291

fund . If a gain, complete line 11 . If a loss, show it in brackets and do not complete line 11 ,

Attach a statement for each distribution and disposition Show your holding period foreach share of stock or block of shares held . Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax yea rEnter the total of the amounts determined in line 11a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter theseamounts on your income tax return as other income _ ,Enter the aggregate increases in tax (before credits) for each tax year in your holding period(other than the current tax year and pre-PFIC years) (See instructions )Foreign tax credit (See instructions.) , ,

Subtract line 11 d from line 11 c Enter this amount on your income tax return as "additional

tax ."(See instructions ) . . . ..,Determine interest on each net increase in tax determined on line 11e using the rates and

•2

instructions .

1 0a

1 0b

10c

10d

10e

10f

ri ,•

11 b

11c

11 d

11 e

Boas or section bbz 1 Inter the aggregate amount of interest Here (see instructions ) . I litStatus of Prior Year Section 1294 Elections and Termination of Section 1294 Election sComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apa rt ial termination of the section 1294 election .

I Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3) as of the filing dat e

5 Event terminating election

6 Eamings distributed or deemed

7

8

9

10

distributed during the tax year

Deferred tax due with this

retur n

Accrued interest due with

this retur n

Deferred tax outstanding after

partial termination of election

Interest accrued after partial

termination of election

Form 8621 (Rev 12-2000)JSA

3 X1 821 2 000

• •Form 8621 Return by a Shareholder of a Passive Forei n( Rev December 2000) Investment Company or Qualified Electing Fun dDepartment of the TreasuryInternal Revenue SerHCe ► See separate instructions .

O M B N o 1 54 5-100 2


Name of shareholder Ide n tify ing number (see page 2 of instructions)

THE FORD FAMILY FOUNDATION 93-6026156

N umber, street, and room or suite no (If a P 0 box, see page 2 of instructions

160 0 NW STEWART PARKWAY

City or town , state , and ZIP code or count ry

ROSEBURG, OR 9747 0

Check type of shareholder fling the return ❑ Ind iv idual F] Corporation n Partnersh

Name of passive foreign investment company (PFIC) or qualified elec ting fund (REF)

HARBOURVEST PARTNERS VI - PARTNERSHIP FUND L .P .Address (Enter number, street, city or town, and count ry )

C/O WALKER, PO BOX 265G T

GEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS

Elections (See in structions.)

Shareholder tax year calen dar y ea r _ _ _ _ _ _ or other t ax year

beomnino O4/ O1 / 03 and endinaO3 /3 1/0 4

J S Corporation U Nongrantor Trust Estate

Em ploy e r i d en tific at i on number (if any)

N/A

Tax year of company or fund calendar year? O O 3 - - - or other

tax year beginning _ _ _ _ _ _ _ _ _ _ _ _ and

a B E lection To Trea t the PFIC as a QEF. I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B Deemed Sa l e E lection. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemedsale of my interest in the PFIC Enter gain or loss on line 10f of Part I V

C ❑ Deemed D iv idend Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10e .

D F-] Election To Extend T ime For Payment of Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated . Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferredNote : If any portion of line 1a or line 2a of Part ll is includible under section 551 or 951, you may not make this electionAlso, see sections 1294(c) and 12940 and the related regulations for events that terminate this election

E F-1 E l ection To Recognize Gain on Deemed Sale of PF I C. I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part Iv

F F-] Elec t ion To M a rk -to-Marke t PFIC Stoc k. I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the mean ing of section 1296(e) Complete Part

EMMI

!l l

Income From a Qualified Electing Fund (QEF) . All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instruction s

la Enter your pro rata share of the ordinary earnings of the QEF lab Enter the portion of line la that is included in income unde r

section 551 or 951 or that may be excluded under section 1293(g) , 1 b

c Subtract line 1 b from line 1 a Enter this amount on your tax return as dividend income . .__________________________

2a Enter your pro rata share of the total net capital gain of the QEF 2a

b Enter t he portion o f line 2a that is included in income unde r

sect ion 55 1 o r 95 1 or that may be excluded under section 1 293(8) bTc Subtract line 2b from line 2a This amount is a net long-term capital gam Enter this amount

in Part II of th e Schedule D used for your income tax return (See instructions) , ,

3a Add lines lc and 2 c

b En ter the total amount of cash and the fair market value of othe r

property distributed or deemed distributed to you during the ta x

year of t h e QEF (See instructions) . _ 3 bc En ter the portion of line 3a not already included in line 3b that i s

attribu table to shares in the F that you disposed of, pledged, o r

otherwise transferred during the tax year 3 c

d Add lines 3b an d 3c

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brack ets )

Important : if line 3e is greater than zero, and no portion of line 7a or 2a is includible in income under section 551 or 951, you may make Election D withrespect to the amount on line 3e

4a E n ter th e total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard toth e amount entered on line 3e 4b

c Subtract line 4b from line 4a . This is the d e fe rred tax , the time for payment of which is

extended by making Election D . See instructions 4c

For Paperwork Reduction Act Notice , see page 7 of sep a rate in s tru c tions .JSA3X 1 820 2 000

Form 8621 (Rev 12-2000)

•

5

6

7

8

9

10a

b

c

d

e

f

11a

b

c

de

f

Gain or (Loss) From Mark -to -Market Election (See page 5 of instructions .Enter the fair mar ket value of your PF IC stock at the end of the tax year _Enter your adjusted basis in the stock at the end of the tax yea rExcess . Subtract line 6 from line 5 If a gain, s top he re . Include this amount as ordinary income

on your tax return If a loss, go to line 8 . . . . . . . . . . . .

Enter any unreversed inclusions (as defined in section 1296(d)) See instructions

•

5

6

Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on your tax return . .03 Distribut ions and Disposition of Stock in a Section 1291 Fund (See page 6 1

Complete a separa te Part IV for each excess distribution .Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the exten tthere are accumulated earnings and profits 10aEnter the total distributions (reduced by the po rt ions of such distributions that were exces sdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if sho rter, the po rtion of the shareholder' sholding period before the current tax year) . . . . . . . . . . . . 10b

Divide line 10b by 3 . (See instructions if the number of preceding tax years is less than 3 ) . 10c

Multiply line 10c by 125% . Enter the lesser of line 10a or line 10d as a dividend on your income tax return 10d

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution . I f

zero or less and you did not dispose of stock during the tax year, do not complete the rest of Pa r tIV . See instructions if you received more than one distribution during the current tax year . . 10eEnter gain or loss from the disposition of stock of a section 1291 fund or former section 129 1fund If a gain, complete line 11 If a loss, show it in brackets and do not complete line 11 , 10fAttach a statement for each distribution and disposition Show your holding period fo reach share of stock or block of shares held Allocate the excess distribution to each day in -your holding period Add all amounts that are allocated to days in each tax yea rEnter the total of the amounts determined in line 11 a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter theseamounts on your income tax return as other income 11 b

Enter the aggregate increases in tax (before credits) for each tax year in your holding perio d

(other than the current tax year and pre-PFIC years) (See instructions ) 11 cForeign tax credit (See instructions) , . . . 11 dSubtract line 11 d from line 11 c . Enter this amount on your income tax return as "additiona ltax ." (See instructions) . . . . . . . . . . . . . . . . . . . . . . 11eDetermine interest on each net increase in tax determined on line 11 e using the rates andmethods of section 6621 Enter the aggregate amount of interest here (See instructions 11f

Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apartial term ination of the section 1294 election.

1 Tax year o f outstanding

electio n

2 Un d istributed earnings to

wh ich the election relates

3 Deferred tax

4 interest accrued on deferred

t ax (line 3) as o f the filing date


6 Earnings distributed or deemed

7

8

9

10



return,,,,,,,,,,


this return





7

8

9

instructions . )

JSA Form 8621 (Rev 12-2000)

3X1821 2 000

Form 862 1(Re v Decemb er 200 0)D e partme nt of the Treasu ryInternal Revenue Servic e

N a me of sharehol d er

aLturn by a Shareholder of a Passive Foreign•Investment Company or Qualified Electing Fun d

► See separate ins tructions .


O M B No 1 5 4 5- 1 00 2

At tachmentSequence No 6 9

Id e nti fy i ng number (see page 2 of instructions)

93-6026 1 5 6Number , street , and room or su ite no (If a P 0 box , see page 2 of in structi ons )

1600 NW STEWART PARKWA Y

City o r t own, s ta t e, an d Z I P code or cou ntry

ROSEBURG, OR 9747 0

Check type of shareholder filing the return n Individual PC] corporation El FN ame of passive foreign inves tment ty m pany (P F IC) or q u alified el ect in g fund (QE F)

EUROPE SELECT PRIVATE EQUITY PARTNERS II ( A ) L . P .

Address (En t er n u mber, street , city or town, an d co u ntry )

C/O WALKERS , CALEDONIAN HOUSE, PO BOX 265

GEORGETOWN, GRAND CAYMAN , CAYMAN ISLANDS

Shareh o lde r tax yea r calendar year _ _ _ _ _ _ or oth er tax year

neainnina0 4 /0 1 / 0 3 andondmn03/31/04

f S Corporation I I Nongrantor "Emp loy e r id e nti fica tion number (if any)

N/A

Tax year of company or fund calendar year? 0 0 3 or other

tax year beg inning _ _ _ _ _ _ _ _ _ _ _ _ an d

AReerned

lection To Tre at the PFIC a s a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF . Complete Imes 1a through 2c ofPari 11s Sale Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC . Enter gain or loss on line 10f of Part IV.C ❑ Deemed D ividend E lect ion . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign

corporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10e

D F__] E lection To Extend Time F o r P aymen t o f Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part 11 to calculatethe tax that may be deferre dNote : If any portion of line 1a or line 2a of Part 11 is includible under section 551 or 951, you may not make this election.Also, see sec tions 1294(c) and 12940 and the related regulations for events that terminate this electio n

E F-] E lection To Recognize Gain on Deemed S a l e o f PF IC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Entergain on line 10fofPart I V

F F-] E lec tion To Mark-to-Market PFIC S tock. I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) . Complete Part 111

jj= Income F rom a Qualified Electing Fund (QEF) . All QFF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions . )

I a Enter your pro rata share of the ordinary earnings of the QEF la 3b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) . 1 b

c Subtract line lb from line 1 a Enter this amount on your tax return as dividend income . .__________________________

2a Enter your pro rata share of the total net capital gain of the QEF 2 ab Enter the portion of line 2a that is inclu de d in income under

section 551 or 951 or that may be excluded under section 1293(g) , 2bc

3a

b

c

d

Subtract line 2b from line 2a This amount is a net long-term capital gain . Enter this amoun t

in Part II of the Schedule D used for your income tax return (See instructions _ 2c

Add lines 1c and 2c 3a

Enter the total amount of cash an d the fair market value of other

property dist ributed or deemed dist ri buted to you du ri ng the ta x

year of the QEF . (See instructions ). 3 bEnter the portion of line 3a not already included in line 3b that isattributable to shares in the CHEF that you disposed of, pledged , orotherwi se t ra n sf erred du ri ng the tax year. 3 cAdd lines 3b and 3 c

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets )

Impo rtant : If line 3e is greater than zero, and no portion of line la or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3e

4a Enter the total tax for the tax year (See instructions) _ 4a

b Enter the total tax for the tax year determined w ithout regard t o

the amount entered on line 3e 4 b

c Subtract line 4b from li n e 4 a This is the deferred tax , the time for payment of which is

exte nd ed by making Election D. See instruction sFor Paperwork Redu c tion Act Notice , see page 7 of s eparate instructions.JSA3X 1820 2 000

3d

3e

4c

Form 8621 (Rev 12-2000)

•

5

6

7

8

9

10a

b

c

d

e

f

1 1a

b

c

d

e

f

•

Gain or (Loss) From Mark -to -Market Election (See paqe 5 of instructions . )Enter the fair market value of your PFIC stock at the end of the tax year _ _ 5

Enter your adjusted basis in the stock at the end of the tax year . . . . . . . . . . . . . . . 6

Excess. Subtract line 6 from line 5 If a gain, stop he re . Include this amount as ordinary incom eon your tax return . If a loss, go to line 8 . . . . . . . . . . . . . . . . . . . . . . . . . 7Enter any unreversed inclusions (as defined in section 1296(d)) See instructions . 8Enter the smaller of line 7 or line 8 . Include this amount as an ordinary loss on your tax return . . 9

Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 of instructions . )Complete a separa te Part IV for each excess distribution .

Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is di vidend income to the exten tthere are accumulated earnings and profits . . _ 10a. . . . . . . . . . . .Enter the total distributions (reduced by the po rt ions of such distributions that were excessdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preced ing the current tax year (or if shorter, the portion of the shareholder' sholding period before the current tax year) , . . . . . . . . . 10b

Div ide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 ) . . . . . 10c

Multiply line 10c by 125% Enter the lesser of line 10a or line 10d as a dividend on your income tax return 10d

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution I fzero or less and you did not dispose of stock during the tax year, do not complete the rest of Pa rtIV See instructions if you received more than one distribution during the current tax year . . . . . l 0eEnter gain or loss from the disposition of stock of a section 1291 fund or former section 129 1fund If a gain, complete line 11 If a loss, show it in brackets and do not complete line 11 . . 10f

Attach a statement for each distribution and disposition Show your holding period foreach share of stock or block of shares held Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax year .Enter the total of the amounts determined in line 11a that are allocable to the current tax year ~ •'and tax years before the foreign corporation became a PFIC (pre-PFIC tax years) . Enter thes eamounts on your income tax return as other income 11 b

Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions) 11 c

Foreign tax credit (See instructions . ) , . . . . . . . . . . . . . . . 11 d

Subtract line 11 d from line 11 c Enter this amount on your income tax return as "additiona l

tax." (See instructions) 11e

Determine interest on each net increase in tax determined on line 11e using the rates and

methods of section 6621 Enter the aggregate amount of interest here (See instructions 11 f

Status of Prior Year Section 1294 Elections and Termination of Section 1294 Election sComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

I Tax year of outstandin g

election

2 Undist ribute d earnings t o

which t h e election relates

3 Deferred tax


tax (line 3) as of the filing date


6 Ea rn ings d istri buted or deeme d

distributed during th e tax yea r

7 Deferred tax due with thi s

8

9

10

return


this retur n

D eferred ta x out s tand ing aft er

p a rt ial termination of elect ion

In te re s t accrued after part ial

Form 8621 ( Rev 1 2-20 00 )JSA

3X 1 8 2 1 2 000

Form 8621 *Return by a Shareholder of a Passive Foreignn•(Rev December 2000) Investment Company or Qualifi ed Electing Fun dDepart ment of the Treasu ryInternal Revenue Service ► See separate instructions .

O M B No 154 5- 10 0 2

Attac h mentSequence No 6 9

N a m e of sh areh old e r


Identifying number (see page 2 of instruction s)

9 3- 6 02 61 5 6

Number , street , and room or su ite no (If a P 0 box, see page 2 of instructions

1600 NW STEWART PARKWAY

City or town , state , and ZIP code or count ry

ROSEBURG, OR 97470

Check type of shareholder filing the return . U Individual f", I Corporation I I Partnership IN a m e o f pa ssive fore ig n investment compa ny ( P FIC) or qua lified electing fu nd (QEF )

COMMON SENSE OFFSHORE, LTD .

Address (Enter number, street, city or town, and country) BANK OF BUTTERFIELD INTL

(CAYMAN) LTD, BUTTERFIELD HOUSE, 68 FORT ST, PO BOX 705GT

GEORGETOWN, GRAND CAYMAN , CAYMAN ISLANDS

E lections (See instructions .)

Shareholder tax year calendar year _ _ _ _ _ _ or other tax ye a r

beainnina O4 /0 1 / 03 and andinnO3 /3 1/0 4

Employer identifica tion number (if any)

N/A

Tax ye ar of compan y or fund calendar yea r ? 0 0 3 _ _ . or other

tax year beginning _ _ _ _ _ _ _ _ _ _ _ _ an d

A Elect ion To T reat the PF IC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines 1a through 2c of Part ll

B Deemed Sale E lection. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemedsale of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C ❑ Deemed Dividend Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution . Enter this amount on line 10e

D E l ect ion To Exte nd Time For Payment of Tax . I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferredNote : If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may no t make this election .Also, see sections 1294(c) and 12940 and the related regulations for events that terminate this election

E F-] Election To R ecogniz e Gain on D eemed Sale of PFIC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) . Enter gain on line 10f of Part I V

F F] Elec tion To Mark -to-Market PFIC Stock. I , a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) Complete Part lll.

In come From a Qualified Electing Fund (QEF) . All (REF shareholders complete lines la through 2c . If you are makingE l ection D, also complete lines 3a through 4c (See page 5 of instructions )

I a Enter your pro rata share of the ordinary earnings of the QEF lab Enter the portion of line la that is included in income under

section 551 or 95 1 or that may be excluded under section 1293(g) . l b

c Subtrac t line 1 b f rom line 1 a . Enter this amoun t on your t ax return as dividen d income , ,

2a Enter your pro ra ta share of the total net capital gain of the QEF . 2 a

b Enter the portion of line 2a that is include d in income under

section 551 or 95 1 or t hat may be exclude d under section 1293(g) . 2b

c Subtract line 2b from line 2a This amount is a net long-term capital gain . Enter this amount

in Part II of the Schedule D used for your income tax return. (See instructions ) , ,


b Enter the total amount of cash and the fair market value of other


year of the QEF (See instructions ) . 3 b

c Enter the portion of line 3a not already included in line 3b t hat is

attributable to shares in the CHEF that you disposed of, pledged, or

otherwise transferred during the tax year . 3 c

d Add lines 3b and 3c

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

e Subtract line 3d f rom line 3a, and enter the difference (if zero or less, enter amount in brackets )

Important : If line 3e is greater than zero, and no portion of line 1a or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3e

4a En ter th e total tax for the tax year (See instructions .) 4a

b Enter the total tax for the tax year determined withou t regard t o

t h e amount entered on line 3e 4 b

c Subt ract line 4b from line 4 a Thi s is the deferred tax , the tim e for payment of which Is

extended by making Ele ction D . See in s truction sFor Paperwork Reduction Act Notice , see page 7 of separate instructions .JSA3X1820 2 000

1c

2c

3a

3d

3e

4c

Form 8621 (Rev 12-2000)

0

Ga in or (Loss) From Mark-to -Market Elec tion (See page 5 of instructions . )5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year . . . . . . . . . . . . . 6

7 Excess . Subtract line 6 from line 5 I f a gain, stop here. Include this amount as ordinary incom e

8

9

1 0 a

b

cde

11a

b

c

d

e

on your tax return If a loss, go to line 8 . . . . . . . .________

Enter any unreversed inclusions (as defined in section 1296(d ) ) See instructions Enter the smaller of line 7 or line 8 Include this amount as an ordina loss onyour tax return .

53 Distribut ions and Disposit ion of Stock in a Sect ion 1291 Fund (See page 6 of instructions . )Complete a separa te Part IV for each excess distribution .

Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the extentthere are accumulated earnings and profits . . . . . ,Enter the total distributions (reduced by the portions of such distributions that were excessdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder'sholding period before the current tax year) , . . . . . . . . . . . . . . ,Divide line 10b by 3 . (See instructions if the number of preceding tax years is less than 3 .) . . . . . ,Multiply line 10c by 125% . Enter the lesser of line 10a or line 10d as a dividend on your income tax return

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution . If


IV . See instructions if you received more than one distribution during the current tax year . . . . .

Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291

fund If a gain, complete line 11 If a loss, show it in brackets and do not complete line 1 1Attach a statement for each distribution and disposition. Show your holding period foreach share of stock or block of shares held . Allocate the excess distribution to each day inyour holding period . Add all amounts that are allocated to days in each tax yea rEnter the total of the amounts determined in line 11a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) . Enter theseamounts on your income tax return as other incom e


(other than the current tax year and pre-PFIC years) (See instructions) . . ,

Foreign tax credit (See instructions ), _ ,

Subtract line 11d from line 11c Enter this amount on your income tax return as "additional

tax ." (See instructions .) . ..,Determine interest on each net increase in tax determined on line Ill e using the rates and

10a

10b

10c

10d

10e

10f

11b

11c

11d

11 e

Tax year of outst a nd i ng

elec tion

Undist ributed earn in g s to

which the ele ction rel ate s

Deferred tax

Interest accrued on deferred


Event terminating election



return,,,,,, .,, .


this retur n




Inrm-finn of ulal-

SSA Form 8621 (Rev 12-2000)

3 X 182 7 2 000

Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election. Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

• •Form 8621 Return by a Shareholder of a Passive Forei g n(Rev December 2000) Investment Company or Qualified Electing Fun dDepartment of the Treasuryinternal Revenue Service ► See separate instructions.

O M B No 1545-100 2


Name of shareholder Identifying n u mber (see page 2 of instructions)

THE FORD FAMILY FOUNDAT ION 93 - 60261 5 6

N umber, s treet, a nd room or suite no (If a P 0 box, see page 2 of ins tructions


City or town, state, and ZIP code or count ry

ROSEBURG, OR 9747 0

Check type of shareholder fi ling the return [71 Indi vidual F] CorporateName of passive foreign in vestment company (PFIC) or qualified electing fund (QEF)

KEYHAVEN CAPITAL PARTNERS LTD

Address (Enter number, street, city or town, and country )

52 J$RMYN STREET

LONDON, UNITED KINGDOM

Elections (See ins truct ions.)

Shareholder tax year calendar y ea r _ _ _ _ _ _ or oth er tax year

beoinninnO4 /O1 / 03 and endina03/3 1/0 4

I S Corpora t ion I I Non g r a ntor Trust Estate

Employer Identificati on number (if any)

N/A

Tax year of company or tuna calendar year? 0 0 3 or other

fax yea r beginn ing _ _ _ _ _ _ _ _ _ _ _ _ a n d

a 8 Election To Treat th e PFIC as a QEF. I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines 1a through 2c of Part llB Deemed Sa l e Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC. Enter gain or loss on line lOf of Part I V

C ❑ Deemed D ividend E lec tion . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10e

D F-] E lect ion To Extend Time For Payment of Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated . Complete lines 3a through 4c of Part 11 to calculatethe tax that may be deferredNote : If any portion of line 1a or line 2a of Part ll is includible under section 551 or 951, you may not make this elec ti onAlso, see sections 1294(c) and 12940 and the related regulations for events that terminate this electio n

E E lect ion To Recognize Gain on Deemed Sale o f PFIC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line lOf of Part I V

F Election To Mark - to -Market PFIC Sto ck . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) Complete Part 111.

LOW Income From a Qualified E lecting Fund (QEF ) . All (]EF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF lab Enter the portion of line la that is included in income unde r

section 55 1 or 951 or that may be excluded under section 1293(g) . l b

c Subtract line 1 b from line 1 a Enter this amount on your tax return as dividend income 1 c

2a Enter your pro rata share of the total net capital gain of the QEF _ 2ab Enter the portion of line 2a tha t is included in income under

section 551 or 951 or that may be excluded under section 1293(8) . 2b

c Subtract l ine 2b from line 2a This amount is a net long- ter m capital gain . Enter th is amoun t

in Part 11 of th e Sched ule D used for your income tax ret u r n . (See instructions , ,3a Add lines 1 c and 2c

b Enter the total amount of cash and the fair market value of othe r

property distribu ted or deemed distributed to you during t h e tax

year of the QEF . (See instructions ) . 3bc Enter the portion of l ine 3a not already included in line 3 b t h at i s

attributable to shares in the OEF that you disposed of, pledged, o r

otherwise t rans ferred during the tax year . 3 cd Add lines 3b and 3 ce Subtract line 3d fro m line 3a, and enter the difference (if zero or less, enter amoun t in brackets)

. . . . . . .~. . . . 3a

2cc

P. . . . . . 3 d

3 e

I m p ort a nt: If line 3e is greater than zero, and no portion of line la or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3e

4a Enter the total tax for the tax year (See instructions.) 4a

b Enter the total tax for the tax year determined without regard t o


c Subtract line 4b from line 4a. Th is is th e deferred tax , the t i m e for paym en t 'of which is

e xtended by making Election D . See instructions - 4 GFor Paperwork Reduction Act Notice , see page 7 of separate instructions.JSA3X1820 2 000

Form 8621 (Rev 12-2000)

• •

5

6

7

8

9

10a

b

c

d

e

f

11a

b

c

d

e

f

Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions . )Enter the fair market value of your PFIC stock at the end of the tax year . . . . 5

Enter your adjusted basis in the stock at the end of the tax year 6

Excess . Subtract line 6 from line 5 If a gain, stop here . Include this amount as ordinary incom e

on your tax return If a loss, go to line 8 .. 7

Enter any unreversed inclusions (as defined in section 1296(d)) See instructions. 8

Enter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return . 9

Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 of instructions . )Complete a separate Part IV for each excess distribution.

Enter your total distributions from the PFIC during the current tax year. If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the exten tthere are accumulated earnings and profits . . . . . . . . 10aEnter the total distributions (reduced by the portions of such distributions that were exces sdistributions but not included in income under section 1291 (a)(1)(13)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder' sholding period before the current tax year) . . . . . . . . . . . . . . . 10b

Divide line 10b by 3 . (See instructions if the number of preceding tax years is less than 3 ) . 10c

Multiply line 10c by 125% . Enter the lesser of line 10a or line 10d as a dividend on your income tax return 10d

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution . I f

zero or less and you did not dispose of stock during the tax year, do not complete the rest of Par tIV . See instructions if you received more than one distribution during the current tax year 10eEnter gain or loss from the disposition of stock of a section 1291 fund or former section 129 1fund. If a gain, complete line 11 If a loss, show it in brackets and do not complete line 11 , 10fAttach a statement for each distribution and disposition Show your holding period fo reach share of stock or block of shares held . Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax year .Enter the total of the amounts determined in line 11 a that are allocable to the current tax yea rand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter thes

e amounts on your income tax return as other income 11 bEnter the aggregate increases in tax (before credits) for each tax year in your holding perio d(other than the current tax year and pre-PFIC years) (See instructions) 11 c

Foreign tax credit (See instructions) , . . 11 d

Subtract line 11d from line 11c . Enter this amount on your income tax return as "additiona l

tax " (See instructions) . . . . . . . . . . 11 e

Determine interest on each net increase in tax determined on line 11 e using the rates and

methods of section 6621 Enter the aggregate amount of interest here (See instructions 11 f

Status of Prior Year Section 1294 Elections and Termination of Section 1294 Election sComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

I Tax year of outstanding------------ - - -------- ---------- - -- ------- ---------- ----------

electio n

2 Undistributed ear ni ng s to

whic h the election relates

3 Deferred ta x


tax (line 3) as of the fil i ng dat e


6 Earni ngs disinbuted or deemed

d is tributed during the tax year

7 Deferre d tax due w ith thi s

return, .,,,, .,, ,

8 Accrued interest due wit h

th is return

9 Deferred tax outstandi ng afte r

pa rtial t e rmi n ation of election

10 Interest a ccrued a ft e r p arti a l


Form 8621 (Rev 12-2000)JSA

3X1821 2 000

Form qeturn by a Shareholder of a Passive Foreign•

(Rev 862 ~ Investment Company or Qualified Electing Fun dDepartment of the TreasuryInternal Revenue Service ► See separate instructions.

OMB No 1545 - 100 2

At tach men tSequence N o 6 9

N am e of s hare hold er


Identifying number (see page 2 of instructions)

93-602615 6

N umber, st reet, an d room or suite no (if a P 0 box, see page 2 of in structions


City o r tow n, state, an d ZIP code or country

ROSEBURG, OR 9747 0

C h eck type of s h areholder filing the return ❑ Ind iv idual F1 CorporatoNam e of pa ssive foreign investment com p any ( PFI C) or qualified electi ng fund (QEF)

ARDEN ENDOWMENT ADV ISORS , LTD .

S Corporation M Nongrantor Trust n EstateEmployer identification number (if any)

N/A

Add r ess (Enter n umbe r, street, city or town, an d co untry ) 2 0 0 3Tax yea r of company or fund calendar year - _

-

or oth er

C/O SEI INVEST . GLOBAL LTD . , QIIEENSGATB HOUSE, 5TH FLOOR tax Year beginning - - - - - - - - - - - - and

SCHIIRCH , PO BOX 30464 SMB , GRAND CAYMAN , CAYMAN ISLANDS endin g

A 8 E lec tion To Trea t the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a CHEF Complete lines la through 2c of Part 11B Deemed Sale Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C ❑ Deemed Divid end Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10e .

D F-1 Election To Extend Time For Payment of Tax . I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferredN o t e : If any portion of line 7a or line 2a of Part ll is includible under sec tion 551 or 951, you may no t make this election .Also, see sections 1294(c) and 12940 and the related regulations for events that terminate this electio n

E F_~ Elec tion To Recognize Ga in on D eemed Sale of PF IC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part I V

F F-] Election To Mark -to-Market PFIC S tock. I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) . Complete Part lll.

I ncome From a Qualified Elect ing Fund (QEF ) . All qEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c. (See page 5 of instructions )

I a Enter your pro rata share of the ordinary earnings of the QEF l a

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) . l b

c Subtract line lb from line 1 a . Enter this amount on your tax return as dividend income , ,

2a Enter your pro rata share of the total net ca p ital gain of the QEF . _ 2 a

b Enter the portion of line 2a that is included in income unde r

section 551 or 951 or that may be excluded under section 1293(g) . 2 b

c Subtract line 2b from line 2a This amount is a net long-term capital gain . Enter this amoun t

in Part II of the Schedule D used for your income tax return . (See instructions.) , _ ,

3a Add lines 1c and 2c .

b Enter the total amount of cash and t h e fair market val u e of other


year of the QEF . (See instructions . 3 b

c Enter the portion of line 3a not already inclu ded in line 3b tha t i s

attributable to shares in the QEF that you disposed of, pledged, or

otherw ise transferred during the tax year . 3 c

d Add lines 3b and 3c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e Subtract line 3d from line 3a, and enter t he difference (if zero or less, enter amount in brackets) _ ,

Impo rtant : I f line 3e is greater than zero, and no portion of line la or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3 e

4a Enter the total tax for the tax year (See instructions) 4a

b Enter the total tax for the tax year d etermine d w ithout regard t o


C Subtract line 4b from line 4 a This is the deferred tax , the ti me for payment of which i s

. . . . . . . . . . . . . . . . . . . . . . . . . . . .extended by making El e ction D . See instructions .For Paperwork Reduction Act Notice , see page 7 of separate instruction s .JS A3X1820 2 000

Sh areh ol der t a x year calendar year _ _ _ _ _ _ or oth e r tax year

haninnino0 4 /0 1 /03 anA nn 1 ,nn0 3/3 1/04

4

1c

2c

3a,..,

3d

3e

4c

F or m 8621 (Rev 12 - 2000)

0

5

6

7

8

9

10a

b

c

d

e

f

11a

b

c

d

e

If

•

Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions . )Enter the fair market value of your PFIC stock at the end of the tax year . . 5Enter your adjusted basis in the stock at the end of the tax year _ . . . . . . . . . . . . . . . 6Excess . Subtract line 6 from line 5 . If a gain, stop here . Include this amount as ordinary incom eon your tax return If a loss, go to line 8 7Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8Enter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return . . . . 903 Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 of instructions .)

Complete a separate Part IV for each excess distribution .Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the extentthere are accumulated earnings and profits _Enter the total distributions (reduced by the portions of such distributions that were excessdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder'sholding period before the current tax year) . . . . . . . . . . . . . .Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 ) . . . . .

M u l ti p ly li ne 1 0c by 125% Enter the lesser of line 1 0a or line 1 0d as a dividend on your income tax return

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution If

zero or less and you did not dispose of stock during the tax year, do not complete the rest of PartIV . See instructions if you received more than one distribution during the current tax year . . . . .Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291

fund. If a gain, complete line 11 . If a loss, show it in brackets and do not complete line 11 . ,

Attach a statement for each distribution and disposition . Show your holding period foreach share of stock or block of shares held . Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax yea r

Enter the total of the amounts determined in line 11a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter theseamounts on your income tax return as other income . . . . . . . . . . . . . .


(other than the current tax year and pre-PFIC years) . (See instructions . )

Foreign tax credit (See instructions) . . . . . .. ,


tax " (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . ,

Determine interest on each net increase in tax determined on line 11e using the rates and

10a

10b

10c

10d

10e

10f

11b

11c

11d

11 e

Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

I Tax year of outstanding

electio n



3 Deferred ta x



5 Event termin a t i ng electi on

6 Earnings distributed or deemed

distributed dunng the tax year

7 Deferred t ax due with thi s

return, .,,,,,,, ,

8 Accrued interest due with

this r eturn

9 Deferred t a x outstand in g afte r

p artia l t erminat ion o f electio n

10 Interest accru ed after p artial

termination of elect i on

Form 8621 (Rev 12-2000)JSA

3 X 182 1 2 000

• •Form 8621 Return by a Shareholder of a Passive Forei gn(Rev December 2000) Investment Company or Qualified Electing Fun dDepartment of the TreasuryInternal Revenue Service ► See separate instructions .

OMB No 1545 - 100 2

A ttachme n tSequence No 6 9

Name of shareholder Ide n ti fyin g number (see page 2 of instructions)

THE FORD FAM ILY FOUNDATION 93-602615 6Number , street , and room or s u ite no (I(a P 0 box , see page 2 of i n stru cti ons

1600 NW STEWART PARKWAYCity or town , state, and ZIP code or country

ROSEBURG, OR 97470

Sh a r eh older tax yea r calendar ye ar_ _ _ _ _ _ or other tax y ea r

nPOiooioo0 4 /01/03 -n-e- 03/31/04

Check type of s h areholder film the return• Ind ividual Corporation Partnership S Corporation Non ran c or Trust EstateN a m e of p assive foreign investmen t compa ny ( P FIC) or qualified electing fund ( QEF) Employer identification number (if any)

QUELLOS STRATEGI C PARTNERS II , LTD . N/AAddress (Enter number, street, city or town, and country ) 2 0 0 3Tax year of company or fund calendar year or otherUBS (CAYMAN ISLANDS), LTD ., UBS HOUSE, 227 ELGIN AVE . tax year beginning____________ andGEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS ending

instructions .

A E lec tion T o T reat the PF IC as a QE F . I, a shareholder of a PFIC, elect to treat the PFIC as a CHEF Complete lines 1a through 2c of Part //B Deemed Sa le Elec ti on. I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC . Enter gain or loss on line 10f of Part IV.

C ❑ Deemed D ivid end E lection. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10e .

D F-] E lec tion T o Ex tend Time For Pay m en t o f Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated . Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferredNote : If any portion of line 1a or line 2a of Part ll is includible under section 551 or 951, you may not make this electionAlso, see sections 1294(c) and 12940 and the related regulations for events that terminate this election

E F-] Election To R ecognize Gain on Deemed Sal e of PFIC . I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part I V

F F-] Election To Mark -to -Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) Complete Part 111

LEM Income From a Qualified Electing Fund (QEF) . All OEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

I a Enter your pro rata share of th e ordin ary e a rn in gs of the QEF l ab Enter the portion of l i ne la that i s in c luded in income und er

section 551 or 951 or that may be excluded under se ct io n 1293(g) . l bc Subtract line lb from line la . Enter this a mount on you r tax retu rn a s dividend in come ,

2a Enter your pro rata share of the tota l net cap i t a l g a in of the QEF . 2 a

b Enter the portion of line 2a that is included in income unde rsection 551 or 951 or that may be excluded under se ction 1293(g) . 2 b

c Subtract l i ne 2b from line 2a. This am ount i s a net long - ter m capita l gai n Enter th is amoun t

in Part II of the Schedu le D used for your income tax return (See i n stru cti ons . ) ,3a Add lines 1c and 2c .

b Enter the total amount of ca sh and th e fai r market value of oth erpr operty dist ributed or d e emed di s t ributed to you du ring the taxyear of the QEF (S ee instructions ) . _ 3 b

c Enter the portion of line 3a not already i n clud ed in line 3b th a t i s

att ributable to sha res in the (]EF that you di s posed of, pledg e d , or

otherwise tran s ferred du ri ng the tax ye ar . 3 cd Add lines 3b and 3c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e Subtract line 3d from line 3a , and ent e r the d iffer ence (if zero or less, e nter amo unt in br a c kets ) _ _ _ _ _ _

1 c

2c

3 a

3d

3 e

Important : If line 3e is greater than zero, and no portion of line la or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3 e

4a En ter th e total t ax for the t ax year (See instructions) 4a

b E n ter the total tax for the t ax year d etermined w ithout regard to


C S ub tra ct l ine 4b f rom line 4a This is the deferred tax , the time for payment of which is

extended by making Election D. S e e in s tructions 4cFor Paperwork Reduction Act Notice , see page 7 of separate in s truct ions.JSA3X1820 2 000

Form $621 (Rev. 12-2000)

•

5

6

7

8

9

10a

b

c

d

e

f

11a

b

c

de

f

•

Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions . )Enter the fair market value of your PFIC stock at the end of the tax year . . . . . . . . . . . . . 5Enter your adjusted basis in the stock at the end of the tax year . . 6Excess . Subtract line 6 from line 5 If a gain, stop here . Include this amount as ordinary incom e

on your tax return If a loss, go to line 8 . . . . . . . . . . . . . . 7Enter any unreversed inclusions (as defined in section 1296(d)) See instructions . . . 8Enter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return . 9

Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 of instructions . )Complete a separate Part IV for each excess distribution.

Enter your total distributions from the PFIC during the current tax year If the holding period ofthe PFIC stock began in the current tax year, this amount is dividend income to the extentthere are accumulated earnings and profits _ . . . . . . . . . .Enter the total distributions (reduced by the portions of such distributions that were exces sdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder'sholding period before the current tax year) . . . . . . . . . . . . . . . . . . . . ,Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 ) . . . . .

Multiply line 10c by 125% Enter the lesser of line 10a or line 10d as a dividend on your income tax return

Subtract line 10d from line 10a This amount, if more than zero, is the total excess distribution If

zero or less and you did not dispose of stock during the tax year, do not complete the rest of PartIV . See instructions if you received more than one distribution during the current tax yea rEnter gain or loss from the disposition of stock of a section 1291 fund or former section 1291

fund If a gain, complete line 11 . If a loss, show it in brackets and do not complete line 11 ,

Attach a statement for each distribution and disposition Show your holding period foreach share of stock or block of shares held Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax yea rEnter the total of the amounts determined in line 11a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter theseamounts on your income tax return as other income . . . . . . . . . ,


(other than the current tax year and pre-PFIC years) . (See instructions )

Foreign tax credit (See instructions) , . . . . . . . . . . . . . . . . . .Subtract line 11d from line 11 c Enter this amount on your income tax return as "additionaltax " (See instructions) . . . . . . . . . . . . ,Determine interest on each net increase in tax determined on line 11 e using the rates and

10a

1 0b

1 0c

1 0d

10e

10f

11 b

1 1 c

1 1 d

cods of section 6621 Enter the aggregate amount of interest here (See instructions ) . 1 11 fStatus of Prior Year Section 1294 Elections and Termination of Section 1294 Election sComplete a separate column for each outstanding election. Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

1 Tax year of outstanding

election



3 Deferred tax



5 Even t terminating election

6 Earnings distributed of deemed

distributed dunng th e tax yea r

7 Deferred tax d ue with thi s

8

9

1 0

return,,,,,,,,, .Accrued interest due with

this return

Deferred tax ou t s tan d ing after

part ial te rm ina ti on of election

Interest acc rued a ft er partial

Form 8621 (Rev 12-2000)JS A

3% 182 1 2 000

0 0Form 8621 Return by a Shareholder of a Passive Forei g n(Rev December 2000) Investment Company or Qualified Electing Fun dDepartment of the TreasuryInternal Revenue Service ► See separate instructions .

O MB No 1 5 4 5-100 2


Name of shareholder Identifying number (see p age 2 of inst ructions)

THE FORD FAMI LY FOUNDATION 9 3- 60 2615 6

Number , street , and room or suite no (If a P 0 box, see page 2 of instruct i ons


Ci ty or to wn , s t ate, and ZI P code or country

ROSEBURG, OR 9747 0

Check type of shareholder fili ng the return- I J Individual CorporatiName of passive foreign investment company (PFIC) or qualified electing fund (REF)

K2 OVERSEAS INVESTORS I, LTD .

Shareh old er tax yea r cale ndar y ear _ _ _ _ _ _ or ot h er tax y ea r

h rainn in a 0 4 /01/03 -1 ane ,rin 03 /31/0 4

I S Corporati on I I Nongrantor Trust ~ I EstateEmplo yer identifica tion number (if any)

N/A

Ad d r ess (E nter n umber, stree t , aty or t own, an d co u ntry ) Tax yea r of compa n y or fund calendar year ? O O 3 - - - o r oth erC/O 116 MAIN STREET, PO BOX 3342 t ax year beg inni ng _ _ _ _ _ _ _ _ _ _ _ _ andROAD TOWN , TORTOLA , BRITISH VIRGIN ISLANDS -1-

A e Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF . Complete lines 1a through 2c of Part Il

B Deemed Sale Elec t ion . I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemedsale of my interest in the PFIC . Enter gain or loss on line 10f of Part IV

C ❑ Deemed Dividend Elect ion. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreigncorporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excessdistribution Enter this amount on line 10 e

v [-] Elec tion To Extend Tim e For P ayment o f Tax . I, a shareholder of a QEF, elect to extend the time for payment of tax on theundistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculatethe tax that may be deferredNote : If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election.Also, see sections 1294(c) and 12940 and the related regulations for events that terminate this election

E F-] E lec tion To Recognize Gain on Deemed Sa l e of PFI C. I, a shareholder of a former PFIC, elect to treat as an excess distributionthe gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings andprofits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Pall IV

F r-] Election To M a rk-to -Market PFIC Sto ck . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketablewithin the meaning of section 1296(e) Complete Part lll .

Income From a Qual i fied Electing Fund (QEF ) . All QEF shareholders complete lines la through 2c If you are makingE l ection D, also complete lines 3a through 4 c. (See page 5 of instructions )

I a Enter your pro rata share of the ordinary earnings of the QEF la ~ - Rb Enter the portion of line la that is included in income under

section 55 1 or 95 1 or that may be excluded under section 1293(g) . l b

c Su btract l ine lb f rom line la Enter this amount on your tax return as dividend income

2a E nter your pro rata share of the total net capital gain of the QEF . 2a

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) , 2b

c Subtract line 2b from line 2a This amount is a net long-term capital gain . Enter th is amountin Part II of th e Schedule D used for your income tax return (See instructions ) ,


b Enter the total amount of cash and the fair market value of other


year of the QEF (See instructions ) . 3bc Enter the portion of line 3a not already included in line 3b that is

attri bu table to shares in the QEF t hat you disposed of, pledged, or

oth erwise t ransferred during the tax year . 3c

d Add li n es 3b and 3c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets )

Impo rtant : If line 3e is greater than zero, and no portion of line la or 2a is includible in incomeunder section 551 or 951, you may make Election D with respect to the amount on line 3 e

4a En ter th e total tax for the tax year (See instructions) _ 4a

b Ent er t he total tax for the tax year determined without regard t othe am ount entered on tine 3e 4 b

c Subtract l ine 4b from line 4 a This is the deferred tax , the t i me for payment of which is

extended by making Election D . See in s tru ct ion sFor Paperwork R eduction Act Not i ce, see pag e 7 of separate in struction s .JS A3X7820 2 000

1 c

2c

3a

3d

3e

4c

Form 8621 (Rev 12-2000)

• •

5

6

7

8

9

10a

b

c

d

e

f

11a

b

c

d

e

f

MI Gain or (Loss) From Mark-to -Market Election (See page 5 of instructions .)Enter the fair market value of your PFIC stock at the end of the tax year . . . . . . . . . . . . ,E nter your adjusted basis in the stock at the end of the tax yea rExce ss . Subtract line 6 from line 5 If a gain, s top he r e . Include this amount as ordinary incom eon your tax return If a loss, go to line 8 . . _ _ . . . . . . . . . . ,Enter any unreversed inclusions (as defined in section 1296(d)) See instructionsEnter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return . .

33 Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 ofComplete a separate Part IV for each excess distribution .

Enter your total distributions from the PFIC during the current tax year If the holding period of

the PFIC stock began in the current tax year, this amount is dividend income to the extentthere are accumulated earnings and profits _ . . . . . . . . . ,Enter the total distributions (reduced by the portions of such distributions that were exces sdistributions but not included in income under section 1291(a)(1)(B)) made by the company foreach of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder'sholding period before the current tax year) . . . . . . . . . . . . ,Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 ) . . . . . .

Mul tiply line 10c by 1 25% Enter the lesser of line 10a or line 10d as a dividend on your income tax return

Subtract line 10d from line 10a . This amount, if more than zero, is the total excess distribution If


IV See instructions if you received more than one distribution during the current tax year . . . . .Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291

fund If a gain, complete line 11 If a loss, show it in brackets and do n ot complete line 1 1Attach a statement for each distribution and disposition Show your holding period foreach share of stock or block of shares held . Allocate the excess distribution to each day inyour holding period Add all amounts that are allocated to days in each tax yea rEnter the total of the amounts determined in line 11a that are allocable to the current tax yearand tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter theseamounts on your income tax return as other income . . . . . . ,


(other than the current tax year and pre-PFIC years) (See instnuctions )

Foreign tax credit (See instructions) , . . _ . . . . . . . . .


tax ." (See instructions ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .Determine interest on each net increase in tax determined on line 11e using the rates and

2

instructions .)

10a

10b

10c

10d

10e

10f

11b

11c

11 d

Status of Prior Year Section 1294 El ections and Termination of Section 1294 Election sComplete a separate column for each outstanding election . Complete lines 9 and 10 only if there is apartial termination of the section 1294 election .

1 Tax year of outstanding

electio n



3 Deferred tax




6 Earni ngs disInbuted or deemed

7

8

.9

10

distributed du rin g the lax year


return,,,,,,,,,,


this return

Deferred t a x o u tstanding after

partia l t erm ina t ion of el ection

Interes t a ccru e d after partia l

Form 8621 (Rev 12-2000)J SA

3X1821 2 000

Form 8 8 6 5

D ep artment of the TreasuryInternal Re venue service

• Return of U .S . Persons With Respect to •Certain Foreign Partnerships► Attac h to your tax return . See se parate Instructions .

Information furnished for the foreign partnership's tax yea r

Name of person filing this return Fil er's i dent ifying numb e r

THE FORD FAMILY FOUNDATION 93 - 6026156

66 8

2003AttachmentSequence N o 11 8

Filer's addre ss (if you are n o t fili ng th is form with your tax re tu rn)


ROSEBURG, OR 97 470

A Category of file r (see Categories of File rs i n th e instructions and check appli cabl e box(e s))

1 n 2 n 3 n 4 n

B Filer's tax year beginning 4/1/2003 _____,andending 3/31/2004 _______ _

Filer' s share of liabilit ies Nonrecourse $ Qualified nonrecourse financing$ Other $D If fi l er is a member of a consolidated group but not the parent , enter the following informati on about the parent :

Name EIN

Address

Information a b out certain ot h e r partners (see instructions)

(4)(1) N ame (2) Add ress (3) Identifying number

Chec k a pplicable box(es )

Category I Category2 Con~~ oe

F7 Name and address of foreign partnership 2 EIN (if any)

EUROPE SELECT PRIVATE EQUITY PARTNERS II (A) L .P. N/A

C/ O WALKERS ATTORNEY S A T LAW , CALEDON IAN HOUSE, P .O . B OX 265 3 Country under whose laws organized

GEORGETOWN , GRAND CAYMAN, CAYMAN ISLANDS CAYMAN ISLAND S4 Date of 5 Principal place 6 Principal business 7 Principal business 8a Functional currency 8b Exch ange rateorganization of business activity code number activity (see instr . )

4/24/2001 I canaarr ISLANDS 1 523900G Provide the follow in g informati on for the foreig n partn e

I Na me, a dd ress, anUnited States

N/A

year.FINANCIAL ILIIROS

agent (i f any) in the 2 Check if the foreign partnership mu st file :

1-1 Form 1042 E] Form 8804 E] Form 1065 or 1065-B

Service Cen t er where Form 10 65 or 106 5- B is filed

3 Name and address of foreign partnership's agent in country oforganization, if any

C/O WALKERS ATTORNEYS AT LAW

CALEDONIAN HOUSE, P .O . BOX 265

GEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS

4 Name and address of person(s) with custody of the books andrecord s of th e foreign partners h ip, an d the locat ion of su ch booksand records, if differen t

INVESTORS BANK & TRUST

200 CLARANDON STREET

BOSTON , MA 021161 - 018 1

5 Were any special allocations made by the foreign partnership? 10. u Yes IX No6 Number of foreign disregarded entities owned by the partnership (a ttach list) ►

--------------7 How is this partnership classified under the law of the country in which it is organized? jo -

8 D id the p a rtnersh ip o wn any separa te units wit h in th e mea n i n g of Regulation s section 1 . 1 503-2(c)(3) or (4)? . Do. Q Yes ~ No9 Does t h is p ar t nership meet both of the followin g requirements?

• The partnership's total receipts for the tax year were less than $250,000 an d• The value of the pa tnership's total assets at the end of the tax year was less than $600,000 . ~ X❑ No

If "Yes, " do not complet Schedules L, M- 1 , an d M -2 .Sian Here Under penalti o f p enury, 1 d a re that I have e xam i ned th is retu rn, in c lud ing acco mp anying sc hedu les a nd statements, and to the be s t of myIf You knowle dge bel ief, it is true, ect, and comp lete D ecla ration of prepare r ( other than g e neral pa rtner or lim i ted liability compan y member) isThis~Form b ased all ( rmatio n of wh ic h s an g eSeparate[and Not With

NA ~i D~//e(

Your lax 'Return Svoture of g ene ral artn r o r li Red liab ityco m m r ' Date

Paid Preparer Pre pare rs Date v, h eck if P rs Nor PTISign and si g natu re em t oP Y III,.Compl ete

~RPM L E SN X13-5565207Only If Form Firm's name (o r

Is F i led you rs if selfemp loyed ). 130 S FIFTH NIIE , SUITE 3800 Phone no

Separately. ~d ress,andZlPcodeRTL , R 97201 ( 503 ) 221- 6500PO

For aperwo Reduction Act Notice , see a separa a ms coons .Form 8865 (2003 )

JSA

3X7 9 70 3 00 0

•

Chpea

Name

Name

Tctive Ownership of Pab enter the name, a

i(s~whose interest you ciOwns a direct interest

Addres s

Address

Check theu .z5 . tgxpayer iaen t irying numberown . ee instructions .

b 0 Owns a constructive in teres t

Identifying number (if any )

Iden tifying nu mber (if any)

. IT youe

Check i1foreignperso n

Does the partnership have any other foreign person as a direct partner? . Yes N o

~ - Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnershipowns a direct interest or indirectly owns a 10% interest .

Name Address ESN Total ordinary Check if(if any) income or loss ,,,x+„09 h „

Income Statement - Trade or Business Incom eCaution : Include only trade or business income and expenses on lines 1a through 22 below See the instructions for more information.

I a Gross receipts or sales, . . . . ab Less returns and allowances 1 b 1 c

2 Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Gross profit . Subtract line 2 from Ime 1c 3E . . . . . . . . . . . . . . . . . . . . . . . . . .,~, 4 Ordina ry income (loss) from other pa rtnerships, estates, and trusts (a ttach schedule) 4

5 Net farm profit (loss) (attach Schedule F (Form 1040)) . . . . . . . . . . . _ 5

6 Net gain (loss) from Form 4797, Part ll, line 18 6

7 Other income (loss) (a ttach schedule) , . . _ . . . 7

. . . . . . . . . . . . . . . . . . . .8 Tota l income (loss) . Combine lines 3 through 7 .. 8

9 Salaries and wages (other than to partners) (less employment credits) _ . . . . . . 90h 10 Guaranteed payments to partners 10

11E 11 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Sad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12o . . .

2 13 Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

1 4 Taxes and licenses 141 5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

1 6 a Depreciation (if required, attach Form 4562), . . . 16ab Less depreciation reported elsewhere on return . . . . . 16b 16c

1 71 7 Depletion (Do not deduct oil and gas depletion .). • . . . . . . . .

18 Retirement plans, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

0 19 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Other deductions (attach schedule) 20mC' 21 To t a l deductions. Add the amounts shown in the far riaht column for lines 9 through 20 2 1

J SA3%1 911 4 0 00

from line 8 . . .1 22

NONE

NONE

NONE

F orm $86 rJ (2003)

Forth 8865

WRITNITIMea Capital Gains and Losses

Sho rt -Term Capital Gains and Losses - Assets Held One Year or Les s(a) Description of property (b) Date acquired (c) Date sold (d) Sales price (e) Cost or other basis (~ Gain or (loss) (g) Post-May 5 , 2003 ,

(e g . 100 shares (month , day, year) (month , day, year) (see instructions) (see instructions) for the enLre year gain or (loss )

2 Short-term capital gain from installment sales from Form 6252, line 26 or 37 ,

3 Short-term capital gain (loss) from like-kind exchanges from Form 882 4

4 Partnership's share of net short-term capital gain (loss), including specially allocatedshort-term capital gains (losses), from other partnerships, estates, and trusts . . . . . .

5a Combine lines 1 through 4 in column (g) . Enter here and on Form 8865 , Schedule K ,line 4d(1) Sa

5b Ne t sho rt-te rm cap i tal gain or (loss) . Combine lines 1 through 4 in column (f) .Enter here and on Form 8865, Schedule K, line 4d(2) or 7 5b NONE

Long -Term Capita l Gains and Losses - Assets He ld Mo re Than One Year

(a) De scription of property (b) D ate acquired (c) D a te sold (d) Sales p rice (e) Cost or ot her basi s (f) Gain o r (loss) (g) Pos t -Ma y 5, 2003 ,( e g . 100 shares (month , da y, year) (mo nth, d ay, yea r) (s ee instructions fo r the entire year gain o

r of'Z' Co) 1 (see instructions) Y~ (loss)Sub tract (e) from fdl VSP. P tlfilllWl

6

7 Long-term capital gain from installment sales from Form 6252, line 26 or 37 . . . . . .

8 Long-term capital gain (loss) from like-kind exchanges from Form 8824 . . . . . . . . . .

9 Partnership's share of net long-term capital gain (loss), including specially allocatedlong-term capital gains (losses), from other partnerships, estates, and trusts . . . . . . .

10 Capital gain distributions . . . . . . . . . . . . . . . ,

11 Combine lines 6 through 10 in column (g) . Enter here and on Schedule K,line 4e(1) or 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7

12 Net long-te rm cap i tal gain or ( l oss) . Combine lines 6 through 10 in column (f) .Enter here and on Form 8865, Schedule K, line 4e(2) or 7 . . 1 2 NONE

*Note : Include in column (g) gains and losses from column (f) from sales, exchanges, or conversions (including installment paymentsreceived) after May 5, 2003 . However, do not include gain attributable to unrecaptured section 1250 gain, "collectibles gains andlosses" (as defined on page 12 of the instructions), or the eligible gain on qualified small business stock

Form 8865 (2003 )

J SA

3X791 2 3 000

Form 8865

Partners• Face 4

( b) Total amount

etc .

a0

mE0Uc

u7 U)'O C0 .0

13

mv

.:U) '.

> mc c

(a) Distributive share item s

1 Ordinary income (loss) from trade or business activities (enter from Schedule B, line 22) 12 Net income (loss) from rental real estate activities (attach Form 8825) , 23 a Gross income from other rental activities, 3 a :~r^

b Expenses from other rental activities (a ttach schedule) 3bc Net income (loss) from other rental activities . Subtract line 3b from line 3a 3 1

4 Portfolio income (loss) :a '-Interest income 4 .b Dividends : ( 1 ) Qualified dividends ► _ _ _ _ _ _ _ _ _ _ _ _ _ ( 2 ) Total ordinary dividends ► a bc Royalty income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1d ( 1) Net short-term capital gain (loss) post-May 5, 2003 4 d

(2) Net short-term capital gain (loss) (entire year) , , ade ( 1 ) Net long-term capital gain (loss) post-May 5, 2003 .4 (e

(2) Net long-term capital gain (loss) (entire year) , .4 jef Other portfolio income (loss) (attach schedule) 4 1

5 Guaranteed payments to partners .. 56 a Net section 1231 gain (loss) post- May 5, 2003 (attach Form 4797) 6 .

b Net section 1231 gain (loss) (entire year) (attach Form 4797) 6 17 Other income (loss) (attach schedule) . . . . 7. . . . . . . . . . . . . . . . . . . . . . .8 Charitable contributions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . $9 Section 179 expense deduction . . . . . . . . . . . . . . . . . . . . . . . 9

10 Deductions related to portfolio income (itemize) . . . . . . . . . . . . . . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Other deductions (attach schedule) 1

12 a Low-income housing credit: A t

( 1 ) From partnerships to which section 42(j)(5) applies . . . . . . . . . . . . . . . . +Za( 2 ) Other than on line 12a(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L2 a

b Qualified rehabilitation expenditures related to rental real estate activities (attach Form3468) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

c Credits (other than credits shown on lines 12a and 12b) related to rental real estateactivities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2

d Credits related to other renta l activities . . . . . . . . . . . . . . . 7 213 Other credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 a Interest expense on investment debts 1 4

b ( 1 ) Investment income included on lines 4a, 4b(2), 4c, and 4f above pa n. . . . . . . . . . . . . . . . . .(2) Investment expenses included on line 10 above .

15 a Net earnings (loss) from self-employment . . . . . . . . . . . . . . . . . . . . .UL a m b Gross farming or fishing income . . . . . . . . . . . . . . . . . . . . . . . . . ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .N ~ E c Gross nonfarm incom e'a 16 a Depreciation adjustment on property placed in service after 1986 , 16a

42 m b Adjusted gain or loss . . . . 16bC m ~ C Depletion (other than oil and gas), . . . . . . . . . . . . . . . . . . 16cy a ~ d (1) Gross income from oil, gas, and geothermal properties . . . . . . . . . . . ,ea le (2 ) Deductions allocable to oil, gas, and geothermal properties . . . . . . . . . . . .

. V6~ e Other adjustments and tax preference items (attach schedule) . . . . . . . . . . . . . .

Form 8865 (2003 )

JSA

3X1 9 1 3 3 0 00

Form 8865 (2003) is • Page 5

NCDxH

0

Ld

O

(a) Distributive share items. - F

17a Name of foreign country or U.S . possession ► ---------------------------b Gross income from all sources 17b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c Gross income sourced at the partner level 17c

d Foreign gross income sourced at the partnership level .( 1 ) Passive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17a(I

( 2 ) Listed categories (attach schedule) _ .17d2 1

( 3 ) General limitation . . . . . . . . . . . . . . . . . . . . . . 17d(3].e Deductions allocated and apportioned at the partner level : r,

(1) Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'T e o )(2 ) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

170(2)f Deductions allocated and apportioned at the partnership level to foreign source income : ~;( 1) Passive 17r(l)

(2) Listed categones (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . +7r(2)

(3) General limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17r(3)

g Total foreign taxes (check one) ► Paid ❑ Accrued ❑ . . . . . . . . . . . 17gh Reduction in taxes available for credit (attach schedule) 1 7h. . . . . . . . . . . . . . . . . .

18 Section 59(e)(2) expenditures : a Type ►_______________________ b Amount 10- 18b

19 Tax-exempt interest income,,, . . . 19

20 Other tax-exempt income , . . _ . . . _ . . _ _ 20

21 Nondeductible expenses _ 21

22 Distributions of money (cash and marketable securities) . . . . 22

23 Distributions of property other than money . . . . 23

24 Other items and amounts required to be reported separately to partners (attach f~

schedule) `- • B a l ance Shee ts per Books (Not required if Question G9, a e 1, is answe

AssetsB e g i nn ing of tax year

1

I Cash . . . . . . . . . . . . . . . . .2 a Trade notes and accounts receivabl e

b Less allowance for bad debts

3 Inventories r'-~g +

4 U S . government obligations ,

5 Tax-exempt securities ,. a „~ ~..

6 Other current assets (attach schedule)

7 Mortgage and real estate loans

8 Other investments (attach schedule)

9 a Buildings and other depreciable assets

b Less accumulated depreciation ,

10a Depletable assets , ,

b Less accumulated depletion , ,

11 Land (net of any amortization) , ,

12a Intangible assets (amortizable only )

b Less accumulated amortization

13 Other assets (attach schedule) ,14 Total assets

Liab ilities and Capital1 5 Accounts payable , X

16 Mort ga ges, notes, bonds payab le in l ess than 1 yea r

1 7 Other current liabilities (attach schedule)

18 All nonrecourse loans .->

9 Mo r tga ges, n otes, bonds p ayabl e in I year or more

20 Other liabilities (attach schedule) , ,

21 Partners' capital accounts , ,22 Total liabilities an d capital

.-

NONE

NONE

(b) Tota l amo un t

gyred "Yes ." )End of tax year

(d)

NONE

NONE

Form 8865 (2003 )

JSA3 X 1 9 14 3000

Form 8865 (2003) MW Page 6- . - Balance Sheets for Interest Allocation

of(b)

End of

I Total U .S . assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Total foreign assets : :r ., 2 NAa Passive income category , . . . . . . ,b Listed categories (attach schedule)c General limitation income catego ry ,

Reconciliation of Income (Loss) per Books With Income (Loss) per Return (Not required ifQuestion G9, page 1, is answered "Yes ." )

6 Income recorded on books thi s1

2

3

4

Net income (loss) per books

Income included on Schedule K,

lines 1 through 4, 6, and 7, not

recorded on books this year

(itemize).---------------

Guaranteed payments (other

than health insurance)

Expenses recorded on books

this year not included on

Schedule K, lines 1 through 11,

14a, 17g, and 18b (itemize) .

a Depreciation $b Travel and entertainment $

--------------------5 Add lines 1 through 4 . . . . .

I Balance at beginning of year2 Capital contributed :

a Cash . . . . .

b Property . . .

3 Net income (loss) per books

4 Other increases (itemize) . _ _

year not included on Schedule K,lines 1 through 7 (itemize) :

a Tax-exempt interest $

---------------------7 Deductions included on Schedul e

K, lines 1 through 11, 14a, 17g,

and 18b, not charged against

book income this year (itemize) :

a Depreciation $

---------------------

---------------------8 Add lines 6 and 7 . . . . . . .9 Income (loss) . Subtract line 8

from line 5 .nts (Not required if Question G9, pac

6 Distributions : a Cash ,b Property ,

7 Other decreases (itemize)- _ _ _

0---- - -- - -------------

---------------------

---------------------8 Add lines 6 and 7 ,9 Ba la nce at end of yea r. Subtract

is answered "Yes . "

Form 8865 (2003 )

J SA3 X181 5 3 000

Form 8865

Transactions Between Controlled Forei p and Partners or Other Related Entities7

Important: Complete a separate Form 8865 and Schedule N for each controlled foreign partnership . Enter the totals for each type oftransaction that occurred between the foreign pa rtnership and the persons listed in columns (a) through (d) .

(b) An y dom estic (c) An y other foreign (d) An y U S person with aTran sactions corporation or partne rship co rporation or partne rsh i p 10% or more direct inte resto f (a) U S pe rson controlli ng or con trolled controll i ng or contro ll ed in the cont rolled forei g n

foreign filing this return by the U S person filing by the U S person filin g partnershipy g y pa rtnershi p (other than theth is retu rn th is return U S person fili ng thi s re tu rn )

1 Sales of inventory . .

2 Sales of property rights(patents , trademarks, etc) . .

3 Compensati on rece ived for tech -nical , managerial , engi neering ,construction , or l ike sean ces . .

4 Commissi ons received

5 Rents , royalties , and l icensefees rece ived . . . . . . .

6 Distributions rece ived . .

7 Intere s t received .

8 Other

9 Add lines 1 th ro u gh 8 .

10 Purchases of inventor

y 11 Purchases of tangible propertyother than inventor

y 12 Purchases of property right s(patents, trademarks, etc) . ,

13 Compensation paid fortechnical, managerial, engineering,construction, or like services . .

14 Commissions paid

15 Rents, royalties, and licensefees paid . .

16 Distributions paid . .

17 Interest paid .

1 8 Other

19 Add l ines 1 0 th rough 1 8

20 Amo u nts b orrow ed ( e n ter themaximum loan balance duringthe year) - see instruction s

21 Amoun ts loane d (enter th emaximum loan balance duringthe year) - see instructions . .

Form 8865 (2003 )

J S A3 X 1 9 16 3 00 0

SCHEDULE 0(Form 8865)Department of the TreasuryInternal Revenue Service

• Transfer of Property to a Foreign Partnership(under section 6038B)

• OMB No 1 54 5- 166 8

X003Name of tran sferor Filers Identifying number

THE FORD FAMILY FOUNDATION 93-6026156Name of foreign partner sh i p

EUROPE SELECT PRIVATE EQUITY PARTNERS II (A ) L . P .

Transfe rs Reporta ble Under Sec t ion 6038B

(a) (b) (c) (d) (e) (g)Type of Number of Fair market Section 704(c) Gain Percentage interestproperty Date of items value on date Cost or other allocation recognized on in partnership afte r

transfer transferred of transfer basis method transfer transfe r

Cash IyAR20IIS I , I 572,2901 t

M ar ketablesecurities

Inventory

Tangiblepropertyused in tradeor business

Intangiblepropert y

Otherpropert y

Supp le m enta l Info rm a t ion Requ i red To Be Repo rted (see instructions) :

D ispos itions R epo rtab le Under Se c tion 6038B

b

Type of Date of Date of Manner ofproperty original disposition dispositiontransfer

1 .18%

(e) (h)Gain De p re c iation (9) Depreciation

recognized by recognae~dGai n

to al~tne~ed recapture allocatedpartnership by pa rtners hip p to partner

MLLM Is any transfer reported on this schedule subject to gain recognition under section 904(f)(3) o rsection 904(f)(5)(F)? 0~ n Yes n N o

For Pa perwork Reduct i on Act Notice, s ee the Ins truct i ons for Form 8865. Sche d ule 0 (Form 8865) 200 3

J S A

3X1 92 0 3 000

•

Part 1 Line I

•

The Ford Family Foundation 93-6026156Form 990 PF

3/31/04Statement 1

Contributions, g ifts, g rants, etc . rece ived 3/3 1 /04This statement describes transactions between the estate of Kenneth W . Ford ("Decedent") actingin the interests of The Ford Family Foundation ("Foundation") and Roseburg Lumber Company("Company") . Decedent was one of the original founders of the Foundation. At the time of hisdeath, Decedent owned an undivided one-half interest in approximately 39,700 acres o fTimberlands (the "Timber") located in Douglas County . The other half interest in the Timber isowned by Decedent's former wife to whom Decedent was not married at the time of his death .

Decedent died on February 8, 1997 . Shortly thereafter, personal representatives were appointed .The sole beneficiary under Decedent's will (after certain specific gifts) was the Foundation .

On October 1, 1976, Decedent entered into an Option Agreement ("Agreement") with theCompany, founded by Decedent, under which the Company was granted an option, exercisable atany time thereafter, to purchase Decedent's interest in the Timber . On the same date, Decedent'sspouse entered into a virtually identical agreement with the Company with respect to her interestin the Timber . After Decedent's death, on June 17, 1997, the Company exercised its option topurchase Decedent's interest in the Timber from the personal representatives . The Company hasnot exercised its option with respect to Decedent's spouse's undivided one-half interest .

The Agreement specified that the purchase price was to be fair market value that, after Decedent'sdeath, could be determined in one of two ways. First, the parties might agree upon a singleappraiser to determine the value . Second, if the parties were unable to agree, each might select anappraiser, with the two chosen appraisers then selecting a third, and two of the three members ofthis appraisal committee would then agree upon the value of the Decedent's interest in the Timber .The parties chose the latter method . The appraisal process included a detailed cruise of theTimber that took over two years to complete . In March 1999, the appraisal committeeunanimously determined the fair market value of Decedent's interest in the Timber at the date ofexercise of the option to be $172,760,600 .00 .

In setting this value, the appraisal committee specifically did not apply a discount for the fractionalinterest owned by Decedent . Although the appraisal committee recognized that such a discountordinarily would be appropriate, the committee did not apply such a discount in reliance upon asingle comparable transaction the committee had discovered in the course of its investigation . Theappraisal committee had been advised by a representative of the purchaser in the transaction thatno fractional interest discount was applied because the purchaser held an option to purchase theother undivided one-half interest . The Company disagreed with the committee's conclusion that afractional interest was inapplicable on the basis that the conclusion was inconsistent withapplicable law and did not reflect true fair market value .

Subsequently, the parties received a letter from the purchaser in that other transaction stating thatin fact the purchaser did apply a fractional interest discount when determining the value of theproperty interest acquired in the transaction . In light of this new information the appraisal

• •

The Ford Family Foundation 93-6026156Form 990 PF

3/31/04Statement 1

committee reconsidered its original valuation of the property, concluded that a fractional interestdiscount was applicable, and revised its valuation of Decedent's interest in the Timber to$130,000,000 . 00 .

The Company and the personal representative agreed, in accordance with provisions of theAgreement, that interest was payable on 90% of the appraised value of Decedent's interest in theTimber from the date of exercise of the option to December 31, 1999, the date as of which theCompany placed the purchase money into an agency account . (The Option Agreement did notprovide for interest on the required down payment of 10% .) The total purchase price, plus interestas agreed upon, was $162,432,798 .18 .

In the absence of a statutory exception, the Company (which is a "disqualified person" under§4946 of the Internal Revenue Code), could not enter into the above-described transaction with theFoundation or the personal representative acting on behalf of the Foundation, because it would bean indirect act of "self-dealing" under Code §4941 and any disqualified person would incurvarying but substantial excise tax liability . However, there is an exception to the self-dealing rulesfor a transaction with a disqualified person made pursuant to a pre-existing option that is approvedby a probate court during administration of an estate . Regs §53.4941(d)-1(b)(3) .

On March 20, 2000, the personal representative petitioned the Circuit Court of Douglas County,exercising its probate jurisdiction, to grant an order approving the sale of the Timber. On March30, 2000, the court granted that order. As part of the petition process, the personal representativesought and obtained the consent of the Oregon Attorney General, which has oversight ove rcharitable entities, for the sale.

Prior to petitioning the court, the Decedent's estate also received private letter ruling, 199930048which stated that, based on the facts above, the provisions of the option agreement will not be anact of self-dealing under § 4941 of the Internal Revenue Code .

Following the granting of the order by the court, the personal representative and the Foundationcompleted the sale, on or about April 12, 2000 . The total sales price was $130,000,000 .00 ofprincipal .

On that same date, the Foundation received $112,600,934 .00 in cash from the estate (representinga portion of the proceeds as well as the balance of Decedent's assets) . This amount was reportedon line 1 of the Foundation's timely filed Form 990PF for the year ended April 30, 2000. OnApril 9, 2001, the Foundation subsequently received $5,251,710 .00 in additional contributionsrelated to the estate . In subsequent years, the Foundation may receive an additional amount up to$50,000,000.00 which is being held in escrow by the estate . The Foundation receives interest onthis amount during the period it remains in escrow .

The Ford Family FoundationSchedule 1Page 2 of 2

•

Schedule 2

Part I L ine 11

Other Income

Commission recapture income

Other IncomeSecurities Litigation

IRC 1296 gain

Part I Line 1 5

Employee Benefits

Payroll Taxes

Retirement Plan

Employee Insurance Premiums

(Health, Dental, AD&D,STD,LTD, Life)

Worker's Compensation premium

Part I Line 16aLegal Fee sLegal services

Par t I Line 16b

Accounting Fees

Accounting ,tax and audit work

Part 1 Line 16c

Other Professional Fees

Investment consultant fees

Investment custodian

Investment managers fees

Scholarship program administration

ConsultantsScholarship advisory comm honoraria

•

The Ford Family FoundationForm 990 •PF

3/31/2004

Per

Books

NetInvestment

Income

Adjusted

Net

Income

13,142

142,984

6,213

34,187

CharitablePurposes

13,142

13,142 196,526

71,126

115,041

798

1,67667,691

111,045

78,7642,642

267,573

1,467 167,578- 2,642

3,941 348,956

24,669 1,435

26,185 5,250

144,167

198,51 81,209,670

300,783905,195

44,581 ,

2,802,914

144,167

198,51 81,209,670

93-6026156

23, 1 54

21,12 1

300,783

903,295- 44,581

1,552,355 1,248,659

The Ford Family Foundation 93-602615 6Schedul e 2

Supplementa ry InformationPage 1 of 2

•

Schedule 2

Part 1 Line 18

Taxes

Exc ise taxe s

Part 1 Line 20

Occupancy

Rent

Te lephoneUtil i ties

Repairs & maintenanc e

Part 1 Line 23

Other Expenses

Temporary service sEmployee recruitment & relocation

Computer supplies & online services

Insurance

Equipment rent

Vehicle lease and expense

Postage & delivery

Office supplie s

License & fees

Website / online computer time

Other investment expenses

Miscellaneous Investment Expenses

Investment trade or business expenses

Section 988 Loss

• 93-6026 1 56

The Ford Fam ily FoundationForm 990 PF

3 /31/2004

2,813,504 -

2,813,504 -

15,300

12,04821,407

104,771

153,526

7,2062,865

1,370

31,503

18,277

10,376

11,577

26,999

1,641

7,58 3

239,7573,394,091

- 90,870

359,154 3,484,961

19,90014,033

22,163

104,440

160,53 6

7,206

2,865

1,370

31,458

18,973

10,483

12,36026,726

1,7037,524

120,668

The Ford Family Foundation 93-6026156

Schedule 2

Supplementary Information

Page 2 of 2

•

The Ford Family FoundationForm 990 PF

3/31/2004

Book Va lue

Beginning of year

Part ll Line 3

Receivables

Contribution receivable

Interest & dividends receivable

Investment receivabl eOther receivables

Part 11 Line 9

Prepaid expenses

Prepaid Insurance

Prepaid expenses

Federal excise tax deposit

Refundable deposi t

Part ll Line 15

Other assets

Deferred tax benefit

Cash surrender value of

life insurance

Part ll L ine 22

Other Liabili tiesExcise taxes payable

Deferred tax expense

300,080

1,354,6353,887

1,658,602

7,363

38,178

64,24 1

8,895

118,677

•

Book Value

End of year

315,196

17,723,246500

18,038,942

7,318

11,72 1

29,050

48,089

1 ,8 1 0,274

236,646

2,046,920

324,055

324,055

- 41,056

- 897,933

- 938,989

The Ford Family Foundation 93-6026 1 56

Schedule 3e. .. . .. ~ o...,. . . . .. _. . r_ ~__---~---

•

LandLand ImprovementsBuilding StructureFencing & GatesOffice Furniture

Office Furniture - Eugene

Computer s

Computers - Eugene

Software

Software -EugeneOffice Equipmen tOffice Equipment - EugeneAutomobiles

Total Fixed Assets

The Ford Family Founda tion

Fixed AssetsFor the year ending March 31,2004

Fixe d Assets

Balance

3/312003 Additions Disposi tions400,285408,025

3,824,341227,671248,953

14,04 3119,346 4,940

38,318160,543

45,489163,106 785

9,83 239,805 -

5,592,077 113,407

A cc umula t ed D ep rec i a ti o n

Balance Depreciation

Expens e

Total Accumulated Depreciation (727,379) (243,839 )

Net Book Va lu e 4,864,69 8 ( 130 , 434 )

0

Bal ance3/3 1 /2004

400,285408 ,025

3,8 24 ,34 1227,67 12 48 ,953

14 ,04 31 2 4 ,2 8 638,3 18

1 6 0 ,54 34 5, 4 88

16 3, 8 9 19, 8 32

39,805

5,705, 48 2

Balance

(971,218 )

4 ,734 ,264

The Ford Family Foundation 93-6026156Sc h e dul e 4 - Fixed Asse t s

Page I of I

of 9 7

0

•

Descriot ion/Asset ID Accrue dShares/PA R value local ma rke t price in co me/ expe nse Ma rket value Cost Ma rket Tr ans l a tion To ta l

Equities

Common stock

Bermuda - US D

FOSTER WHEELER LTD CUS IP 636535 10546, 7 0 0 00 1 .7500000 0 00 8 1,725 00 85 ,794 86 16 ,530 14 0 00 16 ,530 . 14

Total USD 0 .00 81 ,7 25.00 65,1 94 .86 16 , 53 0 .14 0. 00 16 ,53 0. 14

Total B ermud a 0 .00 81 ,72 5 .00 6 5,1 94 86 16,530 .14 0. 00 16 ,5 30.1 4

Canada - USD

BARR I CK GOL D C ORP CU S IP 06790110 81 0 ,000 00 23 78000 00 0 00 237 ,800 00 1 59, 453 00 78.347 00 0 00 78 , 347 ,00

CE L ESTICA I NC S U B VTG SHS CUS I P 1 5 1 01 0 1081 0 .000 01 16 4000000 000 1 64 ,000 .1 6 1 60 ,000 .13 4 , 000 .03 0 00 4,00003

ENCANA CORP COM NPV CUS I P 292505 1 041 0, 000 00 43 . 1200000 coo 431 ,200 00 30 4 ,059 .00 127 ,141 00 0 00 127 , 141 00

FI RSTS ERVIC E C ORP SUB VT G SH CUS I P 3376 1 N10 94 .30000 24 2300000 0 00 104 ,189 00 62 ,908 05 4 1,280 95 0 . 0 0 4 1,280 95

GEAC CO MPUTER L TD COM CUS I P . 3682891 0432 ,8 00 00 65400000 0 00 214, 512 00 158.83526 55,676.74 0.00 55 ,676 .74

H U MM I NGB IRD LTD COM CUS IP . 44544R10 17,60000 22 7200000 000 172,672 00 146 , 527.45 26 ,144 55 0 .00 26 , 144 55

POTASH CORP SASK I NC COM CUS I P 73755L 1075.00000 83 1700000 0 00 415 ,850 00 265 , 513 00 1 50 , 337.00 0 .00 1 50 , 337.0 0

Total USD 000 1 , 74 0, 223.16 1,257,295 .89 482 , 927 . 27 0 .00 482 , 92 7 .2 7

Total Canad a 0.00 1,74 0, 22 3 16 1 ,2 57,295 .89 482 , 927 . 27 0 .00 482 , 927 .2 7

Cayman Is l ands - USD

ACE LTD ORD STK USDO 0416 CUSIP G0070K10 312 . 900 00 42 66 000 00 2 ,451 .00 550 ,314 00 420 ,226 19 130, 087.81 0 00 130, 087. 81

CF ARDEN ENDOWMENT ADVISERS FOR FORD FAMILY CUSIP 03977191 055 . 782 82 1 26 0429000 0 00 7 ,03 1,028 40 5, 999 ,599 90 1 , 031 ,428 50 0 00 1 ,03 1, 428 50

CF COM SENSE OFFSHORE LTD CUSIP 20266890 188,210 89 122 3700000 0 00 10 , 794 ,366 60 9, 996 ,477 89 797 ,888 71 0 00 797 ,888 7 1

Northern Trust Generated by Northern,he Ford Family Foundation 93-6026156

Schedule 5Schedule of Investments

D.. .. . . 1 ... ' A 1

• - Asset Detail - Base CurrencyUnrealized gain loss

•

•

Asset Detail - Base CurrencyUnrealized ga in/loss

Page 7 of 9 7

Description/Asset ID AccruedShares/PAR va lue Local ma r ket p rice Income/expanse Market value Cost Market Translat ion Total

Equities

Common stock

CF K2 OV ERSEAS IN V ESTORS I LTD CL A SH CUSIP. 48299397 910, 32 1 51 1 ,113 0500000 0 00 17 , 488, 356.70 10 ,000 ,000 00 1 ,488 , 356 .70 0 .00 1,488 ,356 .70

CF QUELLOS STRATEGI C PARTNERS II LTD US CL GRANDFATHERED SH 2004 SER 1 CUSIP 7479909356 , 821 65 1 .025 .5485000 0 00 6 , 995 ,937 00 6 ,000 ,000 00 995 ,937 00 000 995 .937 . 00

SCOTTI S H RE GROUP CUS I P G78 85T10417 ,100 00 24 1900000 0 00 413 ,649 00 320,051 93 93 ,597 .07 0 .00 93,597 .07

Total USD 2 ,451 .00 37 , 273 , 651 .70 32 , 736 , 355 .91 4 ,537 ,295 .79 0 .00 4,537 ,295 .79

Total Cayman I sla nds 2 , 451 .00 37 , 273 , 651 .70 32 , 736 , 355 .91 4 ,537 ,295.79 0.00 4 , 537, 295 . 7 9

Emerging Markets Region - US D

MFO EMERGI NG MKTS GROWTH FD I NC I NC CUSIP. 2908861004 7 8 ,7 1 2 .71 66 6700000 000 27 ,915 ,576 37 26 , 128 ,889 48 1 .786,686.88 0 00 1 ,788 , 686 88

Total USD 0.00 27,915,576 37 26,128,889.49 1,786,686 . 88 0.00 1,786,686.88

Total E merging Mar ket s Region 0.00 27 , 915 ,576. 37 26 , 128 ,889 .49 1 , 786 , 686 .88 0 00 1,786 , 686 . 88

France - US D

ADR EDAP TMS S A SPONSORED CUS IP . 2683 111 0729 ,900 00 20300000 0 00 60 ,697.00 45 ,475 73 15,221 .27 0.00 15,221 .27

ADR VIV ENDI UN VL SPONSORED ADR NEW CUS I P: 92851520427 ,900 00 26 .5400000 0 00 740 ,466 00 734,429.51 6,036.49 0 .00 8 , 038.49

Total USO 0 00 80 1,1 63.00 779 , 9 05 .24 21 , 257 .76 0 .00 2 1, 257 .76

Total Fr a nce 000 801,1 63.00 779 , 905.24 21 ,257 .76 0 .0 0 21 , 25 7.7 6

India - USD

ADR I NFOSYS TECHNOLOGIES LTD SPONSORED ADR REPSTG 1/4 EQTY SH CUSIP : 456788 1 08900 00 81 7000000 0 00 73, 530 00 83,591 20 - 10,061 20 0 .00 - 10, 061 .20

Tota lUSD 0 .00 73 , 530 .00 83 , 591 .20 - 10 ,061 .20 0 .00 - 10 ,061 .20

Tota l India 0 00 73 ,530 00 83 ,591 .20 - 10 ,061 .20 0 .00 - 10 ,061 .2 0

Northern Trust Generated by Northern Tnrhe Ford Family Foundation 93-6026156


~ Asset Detail - Base Currency Page 8 of 97

Descnotion/Asset ID AccruedUnrealized gain/los s

• S hares/PA R value Local market price Incom e/expense M a rket value Cost Market Trans la tion Tota l

Equities

Comm on st ock

International 'country' for DATASTREAM a - US D

CF TT I NTL IN VT T R (DELAWARE BUS I NESS TRUST ) PORTFOL I O A CUSI P . 87 1 991CF03 ,334 ,030 97 14 2537000 0 .00 47,5 22, 277.23 52,437, 771 .40 - 4, 916, 494 17 0.00 - 4 , 915 , 494. 17

Total USO 0 .00 47 ,522 ,277 23 52 , 437 , 771 . 40 - 4 , 915 ,494 .17 0 . 00 - 4 , 915 , 494 .1 7

Total International 'country' for DATASTRE AM a 0.00 47 ,52 2, 277 . 2 3 52 , 437 , 771 .40 - 4 , 915 ,494 . 1 7 0 .00 - 4 , 915 , 494 .1 7

Ireland - US D

ADR EL AN C O RP PLC ADR REPSTG SHS CUS IP . 28413 1 2081,30000 20 6200000 0 00 26, 806 00 24, 434 .41 2,37159 0 00 2,371 .59

Total USD 0.00 2 6, 806 .00 24 , 434 .41 2 , 371 . 59 0. 00 2 ,371 .5 9

Total Ireland 0 00 26, 80 6 .00 24 , 434 .41 2 , 371 .59 0.00 2 ,371 .5 9

Japan - USD

ASR P IONEER CORP SPONSORED CUS I P 7236461057,30000 29 3600000 822 .71 214 ,328 00 179 , 127 .84 35, 200 .18 000 35 , 200. 16

Total USD 82 2 7 1 2 1 4 ,3 28 00 1 7 9 , 127 .84 35 , 200 .16 0.00 35 , 2 00 . 16

T ota l Japan 822 7 1 2 1 4 ,3 28.00 179, 127 .84 35 , 200.16 0 .00 35 , 20 0. 1 6

Netherlands - USD

ADR AKZO NOBEL N V SPONSORED ADR CUSIP 01019930 519 ,300 00 37 1200000 0 00 716,416 00 764, 072.97 - 47,656 .97 000 - 47 .6569 7

• ADR ARCADIS N V N Y REGISTRY SH ARCADIS NV CUSIP . 03923E10 712,800 00 12 4500000 0 00 159,360.00 113,388.40 45,971 6 0 0 00 45 .971 6 0

ADR CHGO BRDG & IRON CO NV CUSIP . 16725010 917 ,800 00 27 8300000 0 00 495 ,374 00 271,094 .77 224,27923 0 00 224 , 279. 2 3

ADR KON I NKLIJKE PHILIPS ELECTRS N V N Y REGISTRY SH NEW 2000 CUSIP . 50047230326 ,600 00 28 9800000 9 ,949 .73 770 ,868 00 845 , 815 .18 - 74,947 16 0 00 - 74, 947 1 6

Total USD 9 , 949 .73 2 , 142, 018 .00 1 , 994 ,371 .30 147 , 646.70 0 .00 147 , 646.70

Total Nether lands 9,949 .73 2 , 142 ,018 00 1 , 994 , 371 .30 147 ,646 .70 0 .00 147 ,646.70

Northern Trust Generated by NThe Ford Family Foundation 93-6026156Schedule 5

Schedule of InvestmentsDeno 1 of dl

~ Asset Detail - Base Currency"

Page 9 of 9 7nrealized gain/loss

• Description/Asset ID AccruedS hares/PAR va lue Local ma rket price Income/expense Ma r ke t value Cost Market Tra nsl a tion Tota l

Equities

Common stock

Netherlands Antilles - USD

SAP I ENS I NTL CORP NV NLG1 CUS I P. N77 1 6A15 12 .30000 3 .5800000 0 . 00 8.23400 10 ,330.00 - 2,0 98.00 0 .00 - 2,09600

Total USD 0 00 8 , 234 . 00 1 0 , 3 3 0 .00 - 2 , 096.00 0.00 - 2 ,096 .0 0

Tota l Netherlands Antilles 0.00 8 , 2 34 .00 1 0,330 .00 - 2,096.00 0 .00 - 2 , 09 6.0 0

Norway - USD

NORDIC AMER TANKER SHIPPING COM STK ISIN#BMG657731060 CUSIP . G657731063 ,300 .00 25 5800000 000 84 ,414 .00 45 ,422.17 38,991 .83 0 00 38 , 991 . 83

Tota lUSD 0 00 84 ,414 00 45 , 422 .17 38,991 .83 0 .00 38 , 991 . 83

Total Norway 0.00 84 ,414 .00 45 , 422 .17 38 , 991 .83 0 .00 38 , 991 . 83

Switzerland - USD

ADR NOVARTIS AG SPONSORED ADR ISIN iiUS68987V1098 CUSIP 6698 7V10912,000 00 42 6000000 0 00 511,200 00 459,583 60 51,676.40 0.00 51,616 40

ALCON INC CUSIP H0130110210,000 00 63 3000000 0 00 633,000 00 520,806 00 112,394.00 000 712,384 00

Total USD 0.00 1,144,200.00 980,189.60 164,010.40 0.00 164,010.40

Total Switzerland 0 00 1,144,200.00 980,189.60 164,010.40 0.00 164,010.4 0

Taiwan - U SD

• ADR TAI WAN SEM I CONDUCTOR MFG CO LTD SPONSORED ADR CUS I P : 874039 1 0 021 ,600 00 104400000 0 00 225 ,504 00 177,889 57 47 ,614 43 0 00 47 , 614. 4 3

Total USD 0.00 225 ,504.00 177 , 889 5 7 47 , 614 .43 0 .00 47 , 6 1 4 . 43

Total Taiwan 0 00 225,504 00 177, 889 .57 47 , 6 14 43 0 0 0 47 , 614 . 43

United K ingdom - US D

ADR BP P L C SPONSORED ADR CUSIP 05562210 41 0,000 00 51 200000 0 coo 5 1 2 , 000 00 434 ,980 50 77, 019 50 000 77 ,019 . 50

ADR DI AGEO PLC SPONSORED ADR NEW CUSIP 25243x20513 ,100 00 52 8800000 10 ,520 61 692.728 00 606,62528 86 ,102 72 0 00 86 , 102 7 2

North ern Trust Genera ted by Northers The Ford Family Founda tion 93-6026156Schedule 5

Schedule of Investments

•

•

Asset Detail - Base Currency Page 10 of 9 7Unrealized gaiMoss

Description/Asset ID AccruedShares /PAR v a lue Loca l market price i ncome/expense Market value Cost Market Translat ion Total

Equit ies

Common stock

ADR SHI RE P HARMACEUT ICALS GROUP PLC SPONSORED ADR CUSIP : 8248 1 810 61 0,000 00 29 4300000 0 00 294,300 00 204 ,024.65 90, 275.35 0 .00 90 , 275 .35

ADR W PP G ROU P PLC NEW CUSIP. 9293093 009 ,205 00 50 9200000 0 .00 468, 718. 60 2S7,37033 211 ,348 27 0 00 211 ,348 27

MFO TEMPLE T ON I NSTL FDS I NC FGN EQTY SER- PR I M SHS CUS I P 8802105053, 8 00,756 86 17 45000 00 0 00 66, 323, 207. 20 65,110,243 05 1 , 212,984 15 0 00 1 ,212 ,984 . 15

T otal USD 1 0, 52 0 . 61 6 8 , 290 ,953 80 66,613 , 243 . 81 1, 677 , 709 .99 0 . 0 0 1 ,677 , 70 9 .99

Tota l U nit ed K ingdom

Un ited States - USD

10, 520 . 61 6 8 ,290,953 . 8 0 66 ,613 , 243 . 81

#k1 ST HORI Z ON NATL CORP COM DO NOT US E S EE SE C #2007266 CUSI P 3 205171050 00 47 7000000 52000 0 00 0 00

1, 677 , 709 . 99

0. 00

0 .00 1 ,677 , 709 .99

0 .00 0 00

#REORG/SPRINT CORP MAND EXCH TO SPR INT CORP (FON GRP ) SEC #2842635 EFF 4/23/04 CUS I P: 85206150643 ,3 00 00 92000000 0 00 39 8 ,360 00 386,651 63 11 ,708 .37 0 00 11 , 708 37

#REORG/WORKFLOW MGMT INC CASH MERGER EFFECTIVE 4/26/04 CUSIP . 96137N70933 ,700 00 53000000 0 00 178,61000 107 ,360 .10 77 ,269 90 0 .00 71 , 249 .90

AAMES FINL CORP COM NEW CUSIP 00253A30 922 , 100 00 40700000 0 00 89 ,947 00 34 ,912 08 55 ,034 94 0.00 55 , 034 94

ABBOTT LAB COM CUSIP . 00282410012 ,000 .00 47 7000000 0 00 493,200 00 546 ,976 10 - 53 ,776 .10 0 00 - 53 ,776 10

ACCENTURE LTD BERMUDA CLS A COM CUS I P' G1150G11 123 ,500 00 24.8000000 0 00 582,800 00 319 ,749 23 263, 650.77 0 .00 283 ,650 77

ACTIVISION INC NEW COM NEW CUSIP . 0049302021 5, 0 00 .00 15 8200000 0 00 237 ,300 00 116 ,967 00 120,343 00 0 .00 120 ,343 .00

ACTUANT CORP CL A NEW CUSIP 00508X2031 .00000 39 2300000 0 00 39 ,230 00 38 ,842 00 388 00 0 00 388 00

ADOBE SYS INC COM CUSIP 00724F10 11,30000 39 4300000 16 25 51 ,259 .00 50, 951 .18 307 .84 000 307 . 84

ADVANCED AUTO PTS I NC COM C U S I P . 0075 1 Y 1 06600 00 40.6700000 000 24 ,402 00 23 ,442 12 95988 000 959 . 88

Northern Trust Generated by Northe The Ford Family Foundation 93-6026156Schedule 5

Schedule of InvestmentsPage 5 of 41

~ Asset Detail - Base Currency Page 11 of 97Unrealized gainAoss

• Descnotion/Asset ID AccruedShares/PA R value Local ma rket price incom e lexp e nse Market value Cost Ma rket Transl ation T ota l

Equi t ies

Common stock

AFLAC INC COM CUSIP 00105510222,400 00 40 1400000 0 00 899,136 00 691,822.13 207,313.87 0 00 207,313 87

AGREE RLTY CORP COM CUSIP 00849210 02,700 .00 32 2100000 1,30950 88,967.00 68,495.36 18,471 84 0 00 18,471 .64

ALBERTSON S INC COM CUSIP. 0131041045 .20000 22 1500000 0 00 115,180.00 114,510.30 669.70 0 00 669 70

ALCOA INC COM STK CUSIP. 01381710117,200 00 34 6900000 0 00 596,668.00 572,926 61 23,741 39 000 23,741 .39

ALLERGAN INC COM CUSIP 018490102600.00 84 1600000 0 00 50,496 00 52,072 20 - 1,576.20 000 - 1,57620

ALLSTATE CORP COM CUSIP . 02000210 127,100 00 45 4600000 3,83600 1,231,966 00 1,188,580.61 43,385.39 0.00 43,385.39

ALLTEL CORP COM CUSIP' 0200391031,400.00 49 8900000 51800 69,94600 66,518 40 3,327.60 0.00 3,32760

ALTRIA GROUP INC COM CUSIP 02209S1036,30000 54 4500000 5,100.00 343,035.00 317,333.19 25,701.81 0.00 25,701.81

AMAZON COM INC COM CUSIP. 02313510 647,500 00 43 2800000 0 00 2,055,800 00 1,137,995.05 917,804.95 000 917,804.95

AMER EXPRESS CO COM CUSIP . 02581610 912,500 00 51 8500000 1,250 00 648,725 00 423,021 25 225,103 75 0 00 225,103 .75

AMERITRADE HLDG CORP NEW COM CUSIP . 03074K1003,200 00 15.4000000 0 00 49,280 00 38,328.20 10,951.80 0.00 10,951 80

• AMERN INTL GROUP INC COM CUSIP. 02687410750,802 00 71 3500000 0 00 3,624,722 70 3,713,404.28 - 88,681 .58 000 - 88,681 58

AMERN SOFTWARE INC CL A CUSIP 02968310 99,80000 67000000 0 00 65,660 00 29,378 00 38,282 00 0 00 36,28200

AMERN STD COS INC DEL COM CUSIP 02971210 620,400 00 113 7500000 0 00 2,320,500 00 1,268,250.04 1,054,249 96 0.00 1,054,249,98

AMERN STS WTR CO COM CUSIP. 02989910 113,70000 24.4000000 0 00 334,280 00 224,314 87 109,985.33 0 00 109,965.3 3

Northern Trust Generated by Northam The Ford Family Foundation 93-6026156


Page 6 of 41

•

•

Descriation/Asset ID Accrue dShares/PAR v a lue L ocal marke t price Inco me/expe nse Market valu e Cost Market Tra nsl a tion Total

Equities

Asset Detail - Base Currency Page 12 of 97Unrealized gain/loss

Common stoc k

AMGEN INC COM CUSIP 03116210 038,950 00 58 1700000 0 00 2,265,721 50 1,936,228 .93 329,492 57 0 00 329,492 57

ANADARKO PETRO CORP CO M CUSIP 03251110713,500 00 51 8600000 0 00 700,110 00 588,866 . 24 1 11 , 243 76 0 00 171, 243 76

ANNTAYLOR STORES CORP COM C U S I P 036115 1 031 , 200 00 42 8 0 00000 0 00 51 ,360 00 44 ,393 05 6,96695 0 00 5,96695

ANSWERTH I NK I NC COM CUSIP . 0 369 1 6 1 0423, 800 00 77200000 0 00 1 83,736 00 62 ,444 60 121 ,291 40 0 0 0 121 ,291 40

ANTHEM INC COM CUSIP 03674810412,900 00 90 6400000 0 00 1,169,256 00 910,533 67 258,722 33 0 00 258,722 33

ANTHRACITE CAP INC COM CUSIP 03702310 828,400 00 12 7300000 7,95200 361,532 00 309,817 34 51,714 68 0 00 51,714.66

ANWORTH MTG AST CORP COM CUSIP . 03734710 123,100 00 13 9600000 000 322,476 00 314,649 94 7 .82606 0 00 7,826.06

APAC CUSTOMER SVCS INC COM CUSIP . 00185E10 656,700 00 29500000 0 00 167.265 00 159,601 .35 7,66365 000 7,663.65

APOLLO GROUP INC CL A CUSIP : 03760410 512,030 00 86.1100000 0 00 1,035,903 30 845,969 55 189,933.75 000 189,933.75

APPLERA CORP - APPLIED BIOSYSTEMS GROUP CUSIP . 03802010310,000 00 19 7800000 42500 197,800.00 184,075 00 13,725.00 000 13,725.00

APPLIED INDL TECHNOLOGIES INC COM CUSIP . 03820C1056,30000 22 7200000 0 00 143,136 00 711,848.95 31,287.05 0.00 31,287.05

APPLIED MATERIALS INC COM CUSIP• 03822210 581,810 00 21 .3800000 0 00 1,749,097 80 1,922,396 BB - 173,299.16 0 00 - 173,299.16

ARAMARK CORP CL B CUSIP• 03852110020,500 00 27 4100000 0 00 581,905 00 440,138 64 121 .768 36 0 00 121,766.36

ARCHER-DANIELS-MIDLAND CO COM CUSIP : 03948310213,300 00 16 8700000 0 00 224,371 .00 174,388 00 49,973 00 000 48,873 00

ASSURANT INC COM CUSIP 04821X10 86 .10000 25.1500000 0 00 153,475 00 134,200 00 19,215 00 0.00 19,215 00

North ern Trust Generated by Northern The Ford Family Foundation 93-6026156Schedule 5


• Asset Detail - Base CurrencyUnrealized gain/loss Page 13 of 97

• De scription/ Asse t ID AccruedShares/PAR v a l ue Local ma rket price income/expense Market va lue Cost Market Trans l ation Total

Equities

Common stock

ATWO O D OCEAN IC S INC COM C US IP 05 00 95 1 0 86 .40000 35 590 0 000 0 00 227 ,7 76 00 188 ,61 2 58 39 ,163 42 0 00 39,1 63 4 2

AUTOZONE I NC COM CUS I P. 053 332 1024 .20000 85 9700 000 0 00 367 ,074 00 2 6 2 ,471 48 98 ,602 52 0 00 98,60252

AVAYA INC COM CUS IP . 053499 1 091 .40000 15 8800000 0 00 22 , 232 00 15 , 110 .90 7 ,121 10 0 00 7 ,1 21 . 1 0

AVERY DENN I S O N C O RP COM C US I P 0 53 611 10 910,300 00 62 2700 0 00 0 00 640, 763 00 495 ,280 .78 145,482 22 0 00 145 , 482 22

BAKER H UG HES IN C C OM CUSIP 0572241077 .80000 36 48000 0 0 0 00 284, 544 00 289 ,87 6 59 - 5 .33259 000 - 5 ,332 . 59

BANK N Y CO I N C COM CUSIP' 064057 1 0229 ,7 00 00 31 5000000 000 9 3 5, 550 00 773 ,162 22 162 ,387.78 0 00 162 , 387 78

BANK ONE COR P C O M CUS I P 06423A1032,90000 54 52 00000 1 ,30 1 3 7 158 ,1 08 00 748,130 26 9, 977.74 000 9,97774

BANKATLANT I C BANCORP I NC CL A NON VTG CUS I P. 06590850 124 ,800 00 16 .96 00000 858 00 420 ,608 00 169, 046.42 251 ,561 58 0 00 251 , 561 . 5 8

BARD C R INC CAP CUSIP. 06 7383 10 950000 97 640 0000 0 00 48,820 00 46 , 795 . 56 2,02444 000 2 , 024 . 44

BARR PHARMACEUTICA LS I NC COM CUS I P . 0683061091,50000 45 9000000 0 00 68,850 .00 76,225 54 - 7 , 375 54 0 00 - 7,37554

BAUSCH & L OMB INC C OM CUS I P 071 707 1 035,40000 59 9700000 1 , 352 .00 323 , 838 .00 194 ,909 .54 128 ,928 46 0 00 128 ,928 .46

• BAXTER INTL INC COM CUSIP 07181310 933,200 00 30 8300000 0 00 1 , 025 ,548 00 972 ,416 89 53,131 11 coo 53 ,131 . 11

BEAR STEARNS COS INC COM CUS I P • 073902 1 0 812 ,100 00 87 6800000 0 00 1,060 ,928 00 826 ,362 31 234,565 69 0 .00 234 ,565 . 69

BEC TON D I CK I NSON & CO COM CUS I P 07588710 934 ,90 0 00 48 48 00000 0 00 1 , 691 ,952 00 1 , 173 ,446 18 518, 505.82 0 00 5 1 8 , 505. 82

BED BATH BEYOND I NC COM CUS IP . 075896 1 006,30000 41 7600000 0 00 263 ,088 .00 260 , 042.82 3, 045 .18 0 .00 3 ,045 . 1 8

Northern Trust Generated 6yNorihil The Ford Family Foundation 93-6026156Schedule 5

Schedule of InvestmentsI'*- -- o ..r A 1

~ Asset Detail - Base Currency Page 14 of 97Unrealized gain/loss

• Description/Asset ID Accrue dShares/P AR valu e Loc a l mark e t price Income/expense M arket value Cost Market Tr ansl ation Total

Equities

Common stock

BELL MICROPRODUCTS INC COM CUSIP 07813710625,200 00 72000000 0 00 181,440 00 166,680.61 14,759 39 0,00 74,759 39

BELLSOUTH CORP COM STK CUSIP 07986010 224.60000 276900000 0 00 681,174.00 786,19 270 - 1 0 5.018 70 0 00 - 105,01 8 70

BERKSHIRE HATHAWAY INC CL B COM CUSIP 084670 2 07180 00 3,111 0700000 000 559,981 80 438,100 88 1 2 1,880 9 2 0 00 121,880 92

BIG LOTS INC COM CUSIP 08930210 310,000 00 t 4 5000000 0 00 145,000 00 142,500 00 2,50000 0.00 2.50000

BI OGEN [DEC INC COM STK CUSIP 09062X10328 ,645 00 55 6000000 0 00 1 ,592 ,662 00 972, 766 .86 819 ,895 14 0 .00 619 , 895 1 4

BIOMET INC COM CUSIP 0906131001,40000 38 3600000 0 00 53,704 00 55,225 38 - 1,521 38 0 00 - 1,521 .38

BJ SVCS CO COM CUSIP . 05548210 39,300 00 43 2700000 0 00 402,411 00 344,820 66 57,590 34 0 00 57,590.34

BK AMER CORP COM CUSIP 06050510435,481 81 80 9800000 0 00 2,873,316 97 2,212,592 58 660,724 .39 0 00 660,724 39

BLACK & DECKER CORP COM CUSIP• 09179710018,300 00 56 9400000 0.00 1,042,002 00 800,174 15 241,827 85 0 00 241,827 85

BLOCK H & R INC COM CUSIP 09367110511,100 00 51 0300000 1,94000 566,433 00 465,393 47 101,039 53 0 00 101,039.53

BOEING CO COM CUSIP 09702310 51 .50000 41 0700000 0 00 61,605.00 66,957 45 - 5,35245 0 00 - 5,352.45

• BOMBAY INC COM CUSIP 09792410421,900 00 78500000 0 00 171,915 00 157,588 86 20,328.14 0 00 20,326.14

BORLAND SOFTWARE CORP COM CUSIP 09984910 128,100 00 90800000 000 255,148 00 296,771 58 - 41,623 56 0 00 41,623 58

BOWATER INC COM CUSIP• 10218310010,000 00 43 6300000 2,000.00 436,300 00 433,163 55 3,136.45 0 00 3,13645

BRIGHAM EXPL CO COM CUSIP. 10917810313,300.00 7 3500000 0.00 97,755.00 85,166 58 12,598.42 0.00 12,598.4 2

Northern Trust Genera ted by Ni The Ford Family Foundation 93-6026156Schedule 5

Schedule of Investment sD .. ..v 0 ,.F A 1


Unrealized gam/los s• Ae scnotionlAsset ID Accrued

Shares/PAR value Local market price income/expense Market value Cost Market Translation Total

Equities

Common stock

BRI STOL M YERS SQ UI BB GO COM CUS I P 11 0 1 22 1081 0, 0 00 0 0 242300000 0 00 242 ,300 00 239 ,800 .00 2,50000 0 00 2,50000

BROADCOM CORP CL A CUSIP 1113201071 .54500 39 1700000 0 00 60 , 517 . 65 40,504 .78 20 ,012 87 0 00 20 .012 87

BRUNSWICK CORP COM CUSIP 11704310 936 .20000 40 8300000 0 00 1 , 478,046 00 743 ,783 32 734 ,262 68 0.00 734 , 262 68

BS QUARE CORP COM CUSIP . 11776U10244 ,300 00 1 7900000 0 00 52 ,717 00 56 ,620 54 3.90354 0 .00 - 3, 903 54

BSTN SCIENTIFIC CORP COM CUSIP 10113710 7700 00 42 3800000 0 00 29 ,666 00 24 , 177 65 5 .48835 0 00 5,48835

BURL NORTHN SANTA FE CORP COM CUSIP 12189T1043 .80000 31 5000000 585 .00 119 ,700 .00 107 , 276.04 12,423 96 0 00 12 , 423 96

BURL RES INC COM CUSIP . 1220141038,90000 63 6300000 0 00 566 ,307 00 546, 133.37 20, 173 .63 0 .00 20, 173 63

CA PIZZA KITCHEN INC COM ISIN U513054D1080 CUSIP . 13054D10910 ,000 00 20 0000000 0 00 200 ,000 00 179 ,453 00 20 ,547 .00 0 00 20, 547 00

CALPINE CORP COM CUSIP . 13134710 610 ,000 00 46700000 000 46 ,700 00 55 ,737.00 - 9 .03700 000 - 9 , 037 . 00

CAP 1 FNCL COM CUSIP 14040H10 5700 00 75 4300000 0 00 52 , 801 .00 43 . 112 01 9,68899 0 00 9,68899

CARDINAL H LTH INC CUSIP 14149Y108• 11 ,200 00 68 9000000 336 00 771 ,680 00 625 ,178 88 746,501 12 0 00 146 , 501 . 12

CAREMARK RX INC COM CUSIP 14170510 321 ,722 00 33 2500000 0 00 702 ,306 50 570, 721 .33 131 , 585 .17 0 00 137 . 585 17

CARRIZO OIL & GAS INC COM CUSIP 14457710 311 ,400 00 7 2500000 0 00 82 ,650 00 80. 505 56 2,14-444 0 . 00 2,14444

CATERPILLAR INC COM CUSIP 14912310 114 ,400 ,00 79 0700000 0 00 1 , 139 ,608 00 830 ,595 38 308 ,012 62 0 00 308 ,012 .62

CATO CORP NEW Cl A CUSIP 14920510 610 ,200 00 20 0800000 000 204 ,816 00 208 ,199 OS - 3 .38305 0 .00 - 3,3830 5

Northern Trust Generated by Na The Ford Family Foundation 93-6026156Schedule 5

Schedule of Investmentsr___ in _ rei

~ Asset Detail - Base Currency Page 16 of 97Unrealized gain los s

• Description/Asset ID Accrue dShares/PA R value L ocal market price income/e xpense M a r ket value Cost Ma rk e t T r a nsl a tion Tota l

Equities

Common s tock

CENDANT CORP COM STK CUS I P . 1513 1 3 1 0346 ,100 00 24 3904000 0 00 1,124 , 379 .00 703, 900. 13 420 ,478 87 000 420 , 476 87

C ENT GARDEN & PET CO COM CUSIP 15352710 66,00000 36 .000 0 000 0 00 2 1 6 ,000 00 126, 960 42 89 .03958 0 00 89 ,039 .58

CEN T ER CORP COM CUS I P 1 523 1 2 10 44 .70000 54 060 0000 9600 254 , 082 00 115,449 .05 138 ,632 95 0 00 1 38 , 632 95

C ERE S GR O UP I NC COM CUS I P 1 56772 10 547, 2 00 00 70700000 0 00 3 33 , 704 00 100,006 39 233 ,697 61 0 00 233 , 697 6 1

CHART ER 1 FIN CL INC COM C US I P . 1 6 0 903 1001 8 ,000 00 35 3600000 0 00 636,48000 5 66 ,655 02 69 ,824 98 0 00 69 , 824 .98

CHES CO RP C O M CUS I P 165 1591046 .10000 23 87 00000 0 00 1 45 ,607 00 146 , 527 30 - 920 .30 0 00 - 92 0 .30

CHES ENERGY C ORP CO M CUS I P 1 65 1 67 10 73,80000 7 3 4 0 00000 133 00 50, 920 00 51,23588 - 3 15 88 0 00 - 315 .88

CHEV RONTEXA C O C O RP COM CUS I P 1 66764 1 0 010, 30 1 00 87 7800000 0 00 904 ,22 1 78 858 ,689 46 45, 532 .32 0 00 45 ,532 32

CH I COS FAS INC COM C USIP 1686151021,60000 4 6 400 0 000 000 74 ,240 00 46 ,070 52 28,169 48 0 00 28 ,1 69 48

C HI R O N CO RP COM CUS I P 170040 1 0 91 .50000 44 010 00 00 000 66 ,015 00 75, 721 .89 - 9,70689 0 00 - 9.70689

CHRONIMED INC COM CUSIP 1711641062 0,4 00 00 7 . 7700 000 0 00 158 .50800 122 ,653 .71 35 ,854 29 0 00 35 ,854 . 29

CIGNA CORP COM CUSIP 12550910921 ,200 00 590200000 6.99600 1 , 251 ,224 00 967 ,133 17 284 ,090 83 0 00 284 ,090 83

CINTAS CORP COM CUSIP 17290810 55,00000 43 4900000 0 00 2 1 7 ,450 00 91 ,048 .00 1 26, 402 00 0 00 126 .40200

CISCO SYS INC COM CUSIP 17275810 2100,698 00 23 520 0000 000 2 ,368 ,416 96 1 ,728 ,636 55 639 ,780 41 0 00 639 ,780 41

CITIGROUP INC COM CUSIP . 17296710 196,669 00 5 1 7000000 0 00 4 ,997 ,787 30 3 , 994 ,743 25 1 ,003 ,044 .05 0 00 1 ,003 .044 OS

Northern Trust Gene rated byM lie Ford Famil Foun

cheduldati

e 5

93-6026156 T


Page 11 of 41

Asset Detail - Base Currency Page 1 7 of 97

De scr ip tion/A s se t ID AccruedUnrealized ga in/loss

• Shares /PAR val u e Local market pnce income/expense Market va lue Cost Market Translation Total

Equities

Common stock

C ITR I X S YS I NC COM C U S I P 1 7737 61 0 02 .60000 21 .6200000 0 00 56 ,212 00 57 , 486 .78 - 1,27478 0 00 - 1 , 274. 78

CLEAR CHANNEL COMMUN I CATI ONS I NC COM CUSIP• 18450210 24,70000 62 35 00000 47000 1 99 , 045 00 191 , 649 20 7 .39580 0 00 7,39580

COACH INC COM C US I P 1 89754 1 042,60000 40 99 00000 0 00 1 06 ,574 00 5 1,175 58 55 ,398 .42 000 55 ,398 .42

COCA COLA C O COM CU SI P 1912161001 4 ,000 00 50 300 000 0 3,50000 704 , 200 00 578 , 417 72 125,78228 0.00 125 , 782 28

COCA COLA ENTERPRISES I NC C OM CUS I P 19 1 2 1 9 1 0 410,000 00 24 7700000 40000 241,700 00 183.285 00 5 8 ,4 15.00 0 00 58,415.00

COGNIZANT TECH SOLUTIONS CORP CL A CUSIP 19244610 21,30000 45 2500000 0 00 58,82500 59,812 29 - 987 29 0 00 - 987 29

COLDWATER CREEK INC COM CUSIP 19306810 316 ,550 00 21 3200000 000 352 ,846 00 201 , 712 .77 151 ,133 23 000 151 , 133 23

COLE NATL CORP NEW CL A CUSIP 19329010 3700 00 22 0700000 0 00 15 ,449 00 7,69656 7 , 752.44 0 00 7,75244

COMCAST CORP NEW CL A CUSIP 20030N10 15,80000 28 7400000 0 00 166 ,692 00 176 , 136 .14 - 9 ,444 14 0 00 - 9,44414

COMCAST CORP NEW CL A SPL CUSIP 20030N20 010,000 00 27 8800000 000 278 ,800 00 331 , 653.00 - 52 ,853 00 0 00 - 52 , 853 00

COMPUCOM SYS INC COM CUSIP 20478010 021 ,300. 00 54900000 0 00 116 ,937 00 114 ,578. 34 2,35866 0 00 2,35866

COMSTOCK RES INC COM NEW CUSIP 20576820 319 ,800 00 19 8700000 0 00 393 ,426 00 195 ,786 86 797 ,639 14 0 00 197 , 639 . 14

CONCORD CAMERA CORP COM CUSIP 20615610 116 ,000 00 6 2800000 0 00 100 ,480 00 95,285 98 5,194 02 0 00 5 , 194 . 02

CONMED CORP COM CUS IP 2074 1 010 111 ,300 00 29 5400000 0 00 333 ,802 00 194 ,569 .10 139 , 232.90 0 00 139, 232. 90

CONOCQPHILLIPS COM CUSIP 20825070414 ,577 00 69 8100000 0 00 738 ,380 37 585 ,625 02 152,755 35 0 00 752 , 755 35

Northern Trust Generated by pieFord Family Foundation 93-6026156


Page 12 of 41

~ Asset Detail - Base Currency Page 1 8 of 97Unrealized gain/loss

• Descriotion/Asset ID Accrue dShares/PAR value L ocal market price Income/expense Market value Cost Market Translation Total

Equities

Common stock

CONS T E LLAT IO N ENERG Y GROUP INC COM CUS IP . 2 1 03711004 , 200 00 39 9500000 1 ,197 00 167 ,790 00 147 , 988 81 19 ,801 .19 000 19,801 .19

COOPER CAMERON CORP CUS IP . 2 1 6640 1 0216, 6 00 0 0 44 0500000 0 00 7 31 ,230 00 1 ,033 , 058 .19 - 301 , 828.19 0 00 - 30 1, 828 1 9

CORN PRODS INTL INC COM CUSIP ' 21902310810,000 00 40 0000000 1,200 00 400,000 00 244,858.50 155,141 .50 0 00 155,141 50

CORNING INC COM CUSIP 21935010 53.90000 11 1800000 0 00 43,602 00 33,942 31 9,65969 0 00 9,65969

CORRECTIONAL SVCS CORP COM GUSIP 21992110317,000 00 26700000 0 00 45,390.00 48,244 29 - 2,854 29 0 00 - 2,85429

COUNTRYWIDE FINL CORP COM STK $ OS PAR CUSIP 22237210 45.566 00 95 9000000 0 00 533,779 40 270,725.31 263,054 09 0 00 263,054 09

COVENTRY HLTH CARE INC COM CUSIP 22286210 44,15000 42.3300000 0 00 175,669 50 166,829 21 8,84029 000 8,84029

CRIIMI MAE INC COM NEW CUSIP 22660350428,900 00 11 1500000 0 00 322,235.00 282,944 56 39,290 44 0 00 39.29044

CUTTER & BUCK INC COM CUSIP 23221710924,100 00 10 0800000 1,205.00 242,928 00 98,192 .10 744,735.90 0 00 144,735 90

CVS CORP COM STK CUSIP 12665010 034,500 00 35 3000000 0 00 1,217,850 00 1,260,677 22 - 42,827 22 0 00 - 42,827 22

CYPRESS SEMICONDUCTOR CORP COM CUSIP 2328061092,90000 20 4700000 0 00 59,363.00 35,766 45 23,596 55 0 00 23,596 55

DANAHER CORP COM CUSIP 23585110280000 93 3700000 2000 74,696 00 71,728.64 2,967 36 0 00 2,96736

DARDEN RESTAURANTS INC COM Ct1SIP 23779410 529,600 00 24 7900000 0 00 733,784 00 575,423.41 158,360.59 0 00 158,360 59

DAVE & BUSTERS INC COM CUSIP 23833N10 44,200 00 15 0500000 0 00 63,210 00 44,881 88 18,328 12 000 78,328 12

DAVITA INC COM CUSIP 23918K10 81 .30000 47 7500000 0 00 62,075 00 51,856 27 10,218 73 0 00 10,218 73

The Ford Family Foundation 93-6026156Northern Trust Generated by Schedule 5


•

•

Asset Detail - Base Currency Page 19 of 97Unrealized gain/los s

Description/Asset ID Accrue dShare s/PAR value Loca l market p ric e income/expense Ma r ket value Cost Ma rket Tran sl at ion Tota l

Equities

Common stoc k

DEERE & CO COM CUSIP 2441991059,10000 69 3100000 2,68800 630,721.00 450,180 32 180,540.68 0 00 180,540 68

DEL GLOBAL TECHNOLOGIES CORP COM CUSIP . 24507310123,100 00 2 0200000 0 00 46,662.00 69,886.81 23,224 91 0 00 - 23,224 91

DELL INC COM STK CUSIP. 24702R10 133,400 00 33 6200000 0 00 1,122,908 00 1,348 .711 .63 - 225,803 63 000 - 225,803 63

DELPHI FINL GROUP INC CL A CUSIP 24713110516,650 00 42 0200000 0 00 699,633 00 405,898 79 293,734 21 0 00 293,734 21

DEPT 56 INC COM CUSIP 24950910 08 .00000 14 7800000 0 00 118,240 00 99,363.12 18,878 88 0 00 18,876 88

DILLARDS INC CL A COM CUSIP• 25406710 110,000 00 19 1600000 400 00 191,600 00 169,700 00 21,90000 0 00 21,900 .00

DIRECN GROUP INC COM CUSIP• 25459L10612,573 00 15 3800000 0 00 193,372 74 173,583 35 79,789 39 0 00 19,789 3 9

DI SNEY WALT C O COM CUS IP 254687 1 0646 , 900 00 24 990 0 000 0 00 1 , 172 ,03 100 1 , 133 ,296 .12 38 ,734 88 0 00 38 ,734 88

DOL LAR GEN CORP COM CUSIP . 256 669 1 0 210,000 00 19 2000000 400 00 192 , 000 00 135 ,597 .00 56 ,403 00 000 56 ,403 00

DONEGAL GROUP INC CL A NEW CLA CUS I P 25770120 110, 500.00 20 0400000 0 00 2 1 0, 420.00 204 ,955 19 5 ,464 81 0 .00 5,46481

DOVER CORP COM CUSIP . 26000310 82,70000 38 7700000 0 00 1 04 ,679 00 98 , 524 . 07 6,15493 000 6,15493

DOW CHEM CO COM CUSIP 26054310319 ,350 00 40 2800000 6 ,482.25 779 ,478 00 771 , 711 . 53 7,70647 0 .00 7 .70647

DREW INDS INC COM NEW CUSIP 2616 8L20 55,30000 35 0800000 0. 00 1 85 ,924 00 95,224 49 90 ,899 6 7 0 00 90 ,699 5 1

DST SYS INC COM CUSIP 23332610 715 ,000 .00 45 3500000 0 00 680 ,250 00 593 ,932 75 86 .317 25 0 00 86 ,317 25

DU PONT E I DE NEMOURS & CO COM STK CUSIP . 26353410 914 ,100 00 42 2200000 0 00 595 , 302 00 621,21983 - 25,817 83 0 00 - 25, 917 8 3

Northern Trust Generated by NcThe Ford Family Foundation 93-6026156


Page 14 of 41

• Asset Detail - Base Currency Page 2 0 o f 9 7nrea l ized gain /loss

• pesc riotionlA sset ID Accrued"

Shares/PAR val ue Local market price income expense Market value Cost Market Translation Total

Equities

Common stock

DUKE ENERGY CORP COM STK CUSIP . 264399 1 061 0, 000 00 22 6000000 0 00 226 ,000 00 1 79, 023 00 46,977 .00 0 00 46 ,977 00

E'TRADE F I N CORP COM CUSIP 2692 461044 , 600 .00 13 3500000 000 61 , 410 0 0 43, 389 .13 18 ,020 .87 000 78 ,020 .87

EATON C ORP COM CUS I P 27805810 232, 4 0000 56 1900000 000 1 ,820 ,55600 1 ,199, 451 . 03 621,104.97 000 621 , 104. 97

EBAY I N C C O M CUS I P 278642 1 0 330 ,800 00 69 33000 00 0 00 2 , 135 , 364 00 1,126,889.10 1 , 008,474 90 0 00 1 , 008 , 474 90

EDI SO N I N TO COM CUS IP 28102 0 10 79 ,2 00 00 24 2900000 1 , 840.00 223 ,468 00 164, 01 7.90 59 ,450 .10 0 00 59 ,450 . 10

ELECTR ARTS COM CUSIP 28551210 91,10000 53 9 6000 00 0 00 59 ,356 00 50, 549 95 8 .80605 0 0 0 8 ,806 .05

ELI L I L LY & C O C O M CUSI P . 53245710824 ,300 00 66 9000000 0 00 1 , 625 ,870 00 1 ,603,555 67 22,114 33 0 00 22 , 114 . 33

ELI ZABETH ARDEN INC CO M CUSIP 28660610619 ,60 0 00 21 1200000 0 00 4 1 3 ,952 00 259 ,036 .05 154, 915.95 0.00 154, 915. 95

EMC CORP C O M CUSI P 268648 1 0243 ,1 00 00 1 3 6100000 000 586 ,591 00 486 ,995 29 99, 595. 7 1 0 00 99 , 595 7 1

EMERS ON ELEC C O COM CUS IP 29101110 47 , 50 0 00 59 92 0 0000 0 00 448 ,400 00 379 , 867 .25 69,532 75 0 00 69 , 532 .75

ENERGIZER HLDGS INC COM CUS I P 29266R10 82 .30000 46 6900000 0 00 1 0 7 ,387 00 86 , 360 82 21,026 .18 000 21,02618

• ENGELHARD CORP COM CUS I P 2928451043, 200 00 29,8900000 000 95 ,648 .00 89,649 35 5 ,998 .65 000 5 .99865

ENGI NEERED SUPPORT SYS I NC COM CUSIP 292866100900 00 48 7900000 0 00 43 ,91 1 00 27, 231 .36 16 ,879 64 000 18 ,679 64

ESCO T ECHN OL O G I ES I NC CUS IP 29631 510 45 .70000 46 1 20000 0 000 262, 884 00 205 ,405 .89 57 , 478.11 0 00 67 , 478.11

EVEREST RE GR OUP COM CUS I P 632238 1 0860000 85 4400000 0 00 51 ,264 00 52 ,241 04 - 977 .04 0 00 - 977 . 04

Northern Trust Generated by IThe Ford Family Foundation 93-6026156


Page 15 of 41

• Asset Detail - Base Currency Page 21 of 9 7

Descr iption/A ss e t I D Accrued"nrea l ized gaiMos s

• Shares / PAR value Local market p rice Income/expense Market value Cost Market Translation Total

Equ ities

Common stock

EXEL ON CORP COM CUS I P : 30161N10 11,80000 68 8700000 000 123,968 00 117 ,449 46 6,51654 0 00 6 ,51654

EXXON MOB IL CORP COM CUS I P . 30231G10223 ,5 00 00 41 5900000 0 00 977 , 365 00 941,67200 35 , 693 .00 0.00 35 ,693 00

F P L GROUP I NC COM CUS IP . 302571 1 0 43 ,2 00 00 66 8500000 0 00 213,920 00 197 ,568 00 16 , 352 .00 0 00 16, 352 . 00

FARGO ELECTRON I CS INC COM CUSIP 30744P10219,200 00 11 3000000 0 00 216,960 00 183, 860 78 53 , 099 . 22 0 00 53,099.22

FEDEX CORP C O M C US I P 3 1 428X1 060 00 75 1600000 300.00 0 00 0.00 0 00 0 00 0 00

FEDT D EPT S TO RES I NC DEL COM CUS I P . 31410H 1 0 117 . 600 00 54 0500000 2,27500 951,280.00 659 , 674 .37 291 ,605 .63 0 .0 0 291 , 605. 63

FH L MC COM C U S I P. 3 1 34003018,90000 59 0600 0 00 2,67000 525 ,634 00 518,580 88 7 , 053 .14 0 00 7, 053 14

F I BERMARK INC COM CUS I P . 31564610910,900 00 0 0 1 00000 000 109 00 72,354 95 - 72,245 95 0 . 00 - 72 , 245 . 95

F I D NAT L FINL I NC COM CUS I P . 3163261 07600 00 39 6000000 000 23 ,760 00 16,080. 00 7,68000 000 7.68000

F I NLAY ENTERPR I SES I NC COM NEW CUSI P 31788420312 ,8 00 00 180100000 0 .00 230, 528.00 168 ,196 29 62 ,331 71 0.00 62 , 331 .7 1

F I RST DATA CORP COM CU SIP 319963 1 0 41 9 , 151 00 42 1600000 383 02 807 ,406.16 606 ,455 71 200 , 950.45 0 00 200 , 950 . 45

• FNMA COM S TK CUSIP 3135861 0 91 3 , 200 00 7 4 350 0000 0 00 981 ,420 00 949 ,264 03 32 ,215 97 0.00 32 , 215 97

FORD MTR CO DEL COM PAR $ O 01 CUS IP 3453708601 8 ,700 00 13 5700000 0 00 2S3,75900 213 ,052 81 40,706 09 0 .00 40 , 706 09

FOREST OIL CORP COM PAR SO Ol CUSIP 3460917056,90000 25 2500000 0 00 1 74 ,225 00 162,156 35 12, 068 .65 0 00 7 2, 068 65

FORTUNE BRANDS I NC COM STK CUS I P 34963110 13,00000 76 6300000 0 .00 229,890 00 167 ,084 78 62 ,805 22 0 .00 62 ,805 22

The Northern Trust Generatedby 1

The Ford Family 5 93-6026156


• Asset Detail - Base Currency Page 22 of 97Unrealized gain/los s

Description/Asset I D Accrued• Shares/PAR value Local market p ri ce Income /expense Market value Cost Market Translation Total

Equities

Common stock

FOX ENTMT GROUP INC Cl A COM CUSIP 35138710726,800 00 27 1000000 000 726,280 00 645,536 48 80,743.52 000 80,743.52

FREEPORT MCMORAN C & G CL B COM STK CUSIP 35677D85 71,200 00 39 0900000 0 00 46,908.00 48,485 64 - 1,57764 0 00 - 1,577.64

FREMONT GEN CORP COM CUSIP 35728810951 .300 00 30.6000000 2,56500 1,569,780.00 252,100.34 1,317,879.66 000 1,317,879.66

FRIEDMAN BILLINGS RAMSEY GROUP INC NEW CL A CUSIP. 3584341081,10000 269900000 374 00 29,689 00 25,921 .28 3,787.72 0.00 3 .76772

FRKLN RES INC COM CUSIP 35461310 15 .70000 55.6800000 484 50 317,376.00 204,384.43 112,991.57 000 112,997 57

GA PAC CORP CUSIP . 37329810 85 .00000 33 6900000 0 00 768,450 00 60,93950 107,510 50 0 00 107,510 50

GAP INC COM CUSIP . 36476010812,40000 21 9200000 000 271,808 00 205,658 73 66,151.27 0 00 66,151 27

GARDNER DENVER INC COM CUSIP 3655581054 .20000 27 0800000 0 00 173 ,736 00 109, 335 20 4,40080 0 .00 4 , 400. 80

GEN ELEC CO COM CUSIP 36960410 337 ,200 00 30 5200000 7.56000 1 , 135 ,344 00 1 , 644,552 53 509 ,208 53 0 00 - 509 , 208 53

GEN MILLS INC COM CUSIP 37033410 45,00000 46 6800000 0 .00 233 ,400 00 229,800 00 3 , 600.00 0 .00 3, 600. 00

GEN -PROBE INC NEW COM CUSIP 36866710 31,80000 33 4100000 000 60,138 00 57, 657 .71 2,480 .28 0. 00 2,48029

• GENENTECH INC COM STK CUSIP , 36871040 625, 950 00 105 8200000 coo 2 ,746,029 00 1 ,667,676 ,91 1,078,352.09 0 .00 1 , 078, 352 09

GENZYME CORP COM CUSIP . 37291710412,800 00 47 0400000 0 00 602,712 00 410 ,484 08 191 , 647.92 000 191 , 647. 92

GI LLETTE CO COM CUSIP 37576610 217 ,150 00 39 1000000 0 .00 670 ,565 00 494 ,588 87 175 ,976 13 0 00 175 ,976 13

GL I MCHER RLTY TR SHS OF BEN INT USDO 01 CUSIP . 3793021027.00000 271000000 3,36560 189 ,700.00 121 ,850 35 67 ,849 85 000 67 ,$49 6 5

y atioNorth ern Trust Generated by N

The Ford FamiSchedule

5 n 93-602615 6


•


Description/Asset ID Accrue dShares/PA R value Loc a l m a rket price income/expe nse Mar ket value Cost Market Translation To ta l

Equities

Common stock

•

GOLD MAN SACHS GROU P INC CO M CUSIP . 381 4 1 G 10 417,20000 104.3500000

GOODYS FAM ILY CL OTH I NG INC COM CUSI P 38258810134,300 00 1 4 270 0000

0 00 1 ,794,820 00

0 00 489 ,461 00

1 ,656 , 453 . 8 9

162 , 950 55

138 ,366 1 1

326,51 0 45

0 00

0 00

138 , 366 . 1 1

326 , 5 1 0 .45

GREENPO INT FNCL CORP COM CUSIP . 39538410 09,40000 43 7 1 0 0000 0 00 410 , 874 .00 402 , 858 .37 8 ,015.63 0 .00 8.01563

GSE SY S I NC C O M CUSI P . 36227K 10626 ,5 00 00 20000000 0 .00 53, 000 00 38 ,732 50 14, 267.50 0 00 14 ,267 50

GTECH HLDGS CORP COM CUSIP. 4005181061 .10000 59 . 140 0000 0 00 65,054 00 46 ,030 49 19,023 51 000 19 ,023 51

G UI DANT C O RP COM STK CUSIP 401 6981 0512 ,900 00 63 3700000 0 00 817 ,473 00 447,276 11 370 .196 89 0 00 370.196 89

GYMBOREE CORP COM CUSIP : 40377710 58.90000 16 7700000 0. 00 1 49 , 253 00 129 ,853 36 19 ,399 64 0 00 1 9 , 399 84

RAREFY DAVI DSON I NC COM CUS I P 4 1 282210 81 2,1 00 00 53 34 00000 0 00 645 ,414 00 543 , 101 .67 102,312 33 0 00 702 , 312 33

HASBRO INC COM CUSIP . 41805610 77,00000 2 1 75 00000 0 00 1 52 , 250 00 142,16606 10 ,083 94 0. 00 1 0, 083 94

HCA INC COM CUSIP . 40411910945,700 00 40 6200000 0 00 1 .856,334 .00 1 ,446 ,268 .55 410,065 45 000 410 ,065 45

HEALTH NET I NC COM CUS I P . 42222G1083, 5 00 .00 24 9300000 0 00 87 , 255 00 107,702 .98 - 20 ,447 98 0 00 - 20 ,447 98

HEALTHCARE SVCS GROUP INC COM CUSIP 42190610 812 ,600 00 16 4500000 000 207 ,270 00 114 , 589 .72 92,880 28 0 .00 92.680 28

HEWLETT PACKARD CO COM CUSIP 42823610 329,500 00 22 8400000 2 , 232 .00 673 ,780 00 642 , 324 .21 31 , 4 55 .79 000 31 ,455 .79

HIGHLAND HOSPITALITY CORP COM CUSIP 43014110 11 8 , 800 00 71 7200000 0 00 220 ,336 00 198 ,541 77 21 ,794 23 0 00 21 ,794 .23

HILTON HOTELS CORP COM CUSIP 43284810 91 0 , 000 00 16 2500000 0 00 162 ,500 00 110 ,878 .00 61 ,521 00 000 51 , 521 00

Northern Trust Generated by AThe Ford Family Foundation 93-6026156


Page 18 of 41

~ Asset Detail - Base Currency Page 24 of 9 7

pescn o tion /Asset ID AccruedUnrealized gain/loss

• Shares/PAR value Local market price Income/expense Market value Cost Market Translation Total

Equities

Common stock

HMS HLDGS CORP COM CUSIP . 40425J10 125,100 00 66400000 0 00 166 ,664 00 90,818 49 75 ,845 .51 0 00 75 ,845 51

HOME DEPOT INC COM CUSIP . 43707610219,900 00 37 3600000 000 743 ,464 00 604 ,574 96 138 ,889 04 0 .00 138 ,889 04

HOOPER HOLMES INC COM CUSIP 43910410 023, 500 00 62400000 0 00 146 , 640 .00 144 ,656 .27 1 .98373 0 00 1 , 983 .73

HORIZON OFFSHORE INC COM CUSIP . 44043J70 519,000 00 3 0300000 0 00 57 , 570 .00 85,263 37 - 27 ,693 .37 0 00 - 27 , 693 3 7

HUBBELL INC CL 8 COM CUSIP. 44351020 110,000 00 40 1300000 3,300 00 401,300 00 287,000.00 114,300 00 0.00 114,300 00

HUFFY CORP COM CUSIP 44435610930,100 00 3 9000000 0.00 117,390 00 202,634 45 - 85,244 45 0 00 - 85,244 45

HYDRIL CO COM CUSIP 4487741099,00000 26 2000000 0 00 235,800 00 219,244 68 16,555 32 0.00 16,555 32

HYPERION SOLUTIONS CORP COM CUSIP 44914M10 412,500 00 41 .4500000 000 518 .12500 512,868 50 5,25650 000 5,256.50

ILL TOOL WKS INC COM CUSIP. 45230810910,400 00 78 2300000 2,496 00 823,992.00 647,772.77 176,219 23 0.00 176,219 .23

IMS HLTH INC COM STK CUSIP 44993410 81,40000 23 2600000 0.00 32,564 00 32,493.20 7080 0 .00 7080

(NAMED CORP COM CUSIP 45323510 395000 532800000 000 50,616.00 31,543 74 19,072 26 0 00 19,072.26

• INFOCUS CORP COM CUSIP: 45665810 612,500 .00 8 3500000 0 00 116,875 00 122,898.23 - 6 .02123 0 00 - 6,02123

INGLES MKTS INC Cl A CUSIP 45703010 48,70000 10.7070000 1,43550 93,150 .90 103,053.88 - 9,90298 0.00 - 9,90298

INSITUFORM TECHNOLOGIES INC CL A COM CUSIP : 4576671036.000 00 75 6300000 0 00 93 .78000 91,765.84 2,01416 0.00 2,014.16

INTEL CORP COM CUSIP. 45814010 062.000 00 27 2000000 0 00 1,686,400 00 1,778,685.61 - 92,285.81 0 00 92,285.6 1

Northern Trust Generated bThe Ford Family Foundation 93-6026156

by Schedule 5Schedule of Investments

Page 19 of 41

•

•

Asset Detail - Base Currency Page 25 of 97Unrealized gain/loss

Descnotron/Asset ID Accrue dS hares/P AR value Loc a l m a rket price inc ome/ e xp ense Ma r ket va lue Co st Ma rk et Tr a nslation Total

Equities

Common stockINTERACTIVECORP COM STK CUSIP 458400101

5.00000 37 5900000

I NTL B U S I NESS MACHS CORP C OM CUSI P: 4592 00 1 0 12 7,100 00 9 1 840000 0

I NTL GAME TECH COM CUS I P 459902 1 022 ,2 00 00 44 9600000

000 157, 950 00

0 00 1 ,937, 824 0 0

0 00 98, 912 00

103 ,000 .00

1 ,848 ,376 20

68 ,589 30

54 ,950 0 0

89 ,447 8 0

30 ,322 70

0 00

0 00

0 00

54 ,950 00

89 ,447 80

30 ,322 70

I NTL PAPER CO COM CUS I P 460146 1031 0,80 0 00 42 26 00000 0 00 456 ,4 08 00 424 ,297 75 32 ,110 25 000 32 , 110 25

I NT U IT COM CU SI P 461202 1 03700 00 44 88 00000 000 31 ,416 00 35 ,016 67 - 3,60087 0 00 - 3,60087

INVITROGEN C O RP COM CUS I P 46 1 85 81 0050 0 00 71 6900000 0 00 35 ,845.00 30 ,2 1 4 00 5 ,631 .00 0 00 5 ,631 00

IO N I CS IN C COM CUSI P. 4 622 181 0810, 0 00 00 28 4000000 0 00 284 ,00 0 00 209,405 17 74,594 83 0 00 74 , 594 .83

ITRON I NC CUS I P 465741 1 0 64,80000 18 6 100 000 0 .00 89 ,328 00 88, 593 14 7 .3486 0 00 734 .86

J P MORGAN CHASE 8 CO COM CUSIP 46625H1003 5 ,500 00 41 9500000 0 .00 1 , 489 , 225 .00 1 , 104, 202.19 385 ,022.87 0.00 385 ,022 . 81

JAB I L C I RCU IT I NC COM CUSIP 46631310 31 ,900.00 294300000 000 55 ,91700 54, 495.02 1 ,421 .98 000 1,421 .98

JACOBS ENGR GROUP INC COM CUS IP 46981410 71,30000 44 60 00000 0 00 57, 980.00 60,609 60 - 2,62960 000 - 2, 629. 60

JANUS CAP GROUP INC COM CUSIP 47702X10525 ,600 00 16 3800000 0 00 419 ,328 00 783,857 90 - 364,529.90 0 00 - 364 ,529 90

J DA SOFTWARE GRO U P INC COM CU S I P 46612K1 0815 ,900 00 14 5500000 0 00 231 ,345 00 183,089 .96 48,255 04 0 00 48 , 255 04

J DS U NI PHASE CORP C O M I SI N US466 1 2J1016 CUS I P. 46812J70 15,30000 40700000 0 00 21 ,571 00 26 , 772 .35 - 5,141.35 0.00 - 5 , 141 . 35

JOHNSON & JOHNSON COM CUSIP . 47816 01 0 41 0,200 00 50 7200000 0 .00 5 1 7 , 344 .00 595,152 70 - 77, 808 .70 0 00 - 77 , 808 . 7 0

Northern TrustThe Ford Family Foundation 93-6026156

Generated by 1 Schedule 5Schedule of Investments

Page 20 of 41

• Asset Detail - Base Currency Page 26 of 97Unrealized gain/loss

• Des cnotion/A sse t ID Acc ru edShares /PAR va lue Local market price income /expense Market value Cost Market Translat ion Total

Equities

C ommon stock

JUNIPER NETWORKS INC COM CUSIP 48203810 43 .00000 26 0100000 0 00 78,030 00 63,049.63 14,980 37 0 00 14,980 37

J2 GLOBAL COMMUNICATONS INC COM NEW CUSIP . 46626E20 55,00000 22 5600000 0 00 112,800 00 113,879 50 1 .07950 0 00 - 1,07950

KADANT INC COM CUSIP 48282T1049,00000 20 8500000 0 00 187,650 00 142,920 87 44,729 13 0 00 44,729 1 3

KAMAN C O RP CL A CUSIP 483546 1 0371 ,000 00 14 9300000 1,21000 164 ,230 00 123 ,956 93 40 ,273 07 0 00 40 , 273 0 7

KEL LOGG C O COM CU S IP 4878 361 0 81 .00000 39 24 000 00 0 00 39 ,240 00 33 ,668. 00 5 .57200 0 .00 5,57200

KEYSTONE AU T O MOT IVE I NDS I NC COM CUSIP 49338N10917,900 00 27 3600000 0 00 489,744 00 278,265.08 211,478 9 2 0 00 211,478 92

K I MBERLY -C LARK CORP COM C USI P 4943681 037,60 0 00 63 1 0 00000 3.04000 479 ,560 00 368 ,322 10 11 1, 237 90 000 1 11, 237 . 90

KI NETIC CONCEPTS I NC COM NEW C US I P 49460W2081,50000 448500000 0 00 67 ,275 00 60 ,555 00 6,72000 0. 00 6,72000

KLA-T ENCOR C ORP CUS I P• 482480 100900 00 50 3500000 0 00 45 ,315 00 42 ,487 47 2,82753 000 2 , 827 .53

KOH L S CORP C O M CUS I P. 50 0 255 1045 .00000 48 3300000 0 00 241 ,650 00 215,085 75 26,564 25 000 26, 564 25

KS CY SOUTHN CUS I P 4851703021 0 ,000 00 13 9000000 0 00 1 3 9 ,000 00 110 ,400.00 28, 600 .00 0 00 28 .60000

• LA QU I NTA CORP PA I RED CTF 1 COM 8 LA QUINTA PPTYS & CUSIP 50419U20235 , 600 0 0 75400 000 0 00 268 ,424 00 154,76956 113 , 654 .44 000 113 ,654 .44

LAB CORP AMER H L DGS COM NEW CUS I P 50540R40922 ,600 00 392500000 000 887 ,050 00 512 ,624 80 374 ,425 20 0 .00 374 ,425 20

LANDEC CORP COM CUSIP ' 51476610444 ,200 00 8 6000000 4 00 380,12000 107 , 762 .86 272, 357.14 0.00 272, 357 14

L AUD E R ES TEE COS INC CL A C U SIP . 51 843910410, 000.00 44 .3400000 0 00 443 ,400 00 363 ,563 70 79,836 30 0 .00 79, 836. 3 0

Ford Family Foundation 93-6026156

Northern Trust Generated by No ; Schedule 5Schedule of Investments

Page 21 of 41


Descnotion/Asset ID Accrued Unrealized gain/loss

• Shares/PAR value Local market price incom e/expe nse Marke t valu e Cost Ma rket Translation Total

Equities

Common stock

LEARN IN G T REE INTL INC COM CUS I P 522 01 5 1066.60000 15 8900 000 0 00 104 ,874 00 93 ,556 40 11 ,3 1 7 60 0 00 1 1 ,317 60

LEGGETT & PLAT T INC CO M CUS I P 524660 1 0 710,000 00 23 7 100000 1,40000 23 7, 100 0 0 246 ,434 .00 - 9.33400 0 00 - 9.33400

LE H MA N BR O S HLDGS I N C COM CUS IP 524908 1005 ,600 00 82 8 700000 0 00 464,072 00 351 ,263 37 112.808 69 0 00 172 , 808 69

L EN NAR C O RP CL A C US I P 526057 1 0 411, 2 00 00 54 0300004 000 605 ,1 36 00 506 ,813 35 98 , 322.65 0 00 98 , 322 65

L EV E L 3 C OMM UN ICATIONS I NC COM STK CUS I P . 52729N10010,000 00 40200000 0 00 40 ,20000 53 ,914 00 - 13 ,714 00 0 0 0 - 1 3, 7 1 4 00

L EVITT CORP F lA C L A CUS I P 52 742P 1 086,50000 24 500 000 0 0 00 1 59, 250 00 63 ,728 86 95,521 14 000 95,521 .14

LEX I NGTON CORP PP TYS TR COM CUS IP 529043 1 017 7 ,30 000 21 79 0 0000 0 00 376, 96 7 0 0 268 ,479 40 1 0 8 ,487 60 0 00 1 08 , 487 6 0

LEXMARK I NTL I NC NEW CL A CUS I P 529771 10 7900 00 920000000 0 00 82,800 00 68,775 48 14 ,024 52 000 14 , 024 . 5 2

L IBERTY C O RP S C COM CUSIP 530370 10 51 0 ,000 00 46 270 0000 42 ,500 00 462,700 00 338 ,100 00 124 ,600 00 0 00 1 24,6 0 0 00

L IBER TY MED I A CO RP NEW COM SER A CUS I P 5307181051 9 , 3 00 0 0 109500000 000 211 ,335 00 276 ,572 .05 - 65, 237.05 0 00 - 65,23705

L M I AER O SPACE I NC COM CUSIP. 502079 1 069,50000 1 9300000 0 00 1 8 ,335 00 22 ,384 .07 - 4,04907 0 00 4 , 049 07

• LONGS DR U G STORES C ORP COM C U S IP 543 1 62 1 015.00000 1 8 8300000 1,40000 94 ,150 00 122 ,790 00 28 ,640 00 0 00 - 28 ,640 00

LUMENI S LTD COM CUS I P. M6778 Q 1 0 532 ,700 00 1 2050000 000 39 ,403 50 52, 817 .98 - 13 ,414 . 48 000 - 1 3 ,414 48

LUMINENT MTG CAP INC COM CUS I P: 55027830 31 8 ,00 0 00 1 4 1500000 000 254,70000 256 ,977 92 - 2,27792 0.00 - 2 , 277 .92

MADDEN STE VEN LTD COM CUS IP 55626910815, 100 .00 19 9600000 0 .00 301 ,396. 00 266,049.30 35 ,346 ,70 0 .00 35 ,346 7 0

e Ford Family Foundation 93-6026156

Northern Trust Generated by A Schedule 5Schedule of Investments

Page 22 of 41

• Asset Detail - Base Currency Page 28 of 97Unr ea lized gainAoss

• Descnotion/Asset ID AccruedShares/PAR value L o ca l m a rket pnce Incom e/expe nse M ark et value Cost Ma rket Tra nsl a tion Total

Equities

Common s tock

MAGNETEK INC COM CUSIP 55942410 627 ,200 00 7 5600000 0 00 205 ,632 00 128 ,594 90 77 , 037 .10 0 00 77 , 037 10

MAIL -WELL INC COM CUSIP • 56032120016 ,500 00 44700000 0 00 73 , 755 .00 64 ,976 . 31 8 .77869 000 8 , 778 69

MAPICS INC COM CUSIP 56491010716 ,200 00 8 0800000 0 00 130, 896 00 160,23927 29 ,343 27 0 00 - 29 ,343 27

MARATHON OIL CORP COM CUSIP 56584910 68 ,200 00 33 6700000 0 00 276, 094.00 202 ,875 44 73.218 56 000 73 , 218 .56

MARSH & MCLENNAN CO ' S INC COM CUSIP 5717481025 .00000 46 3000000 0 00 231 ,500 00 233 , 386 .50 - 1,88650 0 .00 - 1,88650

MATL SCIENCES CORP COM CUSIP 57667410 514 ,000 00 11 0000000 000 754 ,000 00 170,67962 - 16 ,679 62 0 00 - 16 ,679 62

MATTEL INC COM CUSIP 57708110 232,800 00 184400000 0 00 604 ,832 .00 583,852 63 20 ,979 37 0 00 20 ,979 37

MAXIM INTEGRATED PRODS INC COM CUSIP 57772K10 135,200 00 47 0900000 0 00 1 ,657 ,568 00 1 ,511,482 39 146 ,085 61 0 .00 146 , 085 61

MAXWELL SHOE INC CL A CUSIP 57776610 825 ,000 00 22 5100000 0 00 562 ,750 00 281 ,264 00 281 ,486 00 0 00 281 , 486 00

MAY DEPT STORES CO COM CUSIP 57777810 312 ,700 00 34 5800000 0 00 439 ,166 00 417 , 576 .00 21 ,590 00 0 00 21 , 590 00

MBNA CORP COM CUSIP . 55262L10044 , 600 00 27 6300000 5,35200 1 , 232,298 00 941 ,855 03 290, 442.97 0. 00 290,44297

• MC DONALDS CORP COM CUSIP 58013510 146 ,400 00 28 5700000 0 00 1 , 325,648 00 1 ,202 ,798 10 122,851 90 000 122 ,851 90

MCG CAP CORP COM CUSIP 58047P10711 ,500 00 20 1900000 000 232 , 185 .00 138 , 190.38 93,994 62 0 00 93 ,994 .62

MCKESSON CORP CUSIP 58155 0 70310,000 00 30 0900000 000 300 ,900 00 280,904.00 19,996 00 0 00 19 ,996 00

MEADOWBROOK INS GROUP INC COM CUSIP . 58319P10827 ,700 00 50800000 0 00 140,776 00 78 , 246 52 64 .46948 0 00 64 ,469 4 8

Northern Trustie Ford Family Foundation 93-6026156

Generated by NorthSchedule 5


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Asset Detail - Base Currency Page 29 of 97

Descriotion/Asset ID A ccruedUnrealized gain/los s

Shares/PAR value Local market price Income/expense Ma rket value Cost Ma rket Transl a tion Tot a l

Equities

Common stockMEDIA GEN INC CL A CUS IP . 5844 04 1 0 7

7 .50000 67 28000 00 0 .00 5 04, 600 .00 484 ,428 00 20 , 172 .00 0.00 20 , 172 .00

MED IMMUNE I NC C OM CUS IP 5846991027 .50000 23 08000 00 0 00 173 , 100 00 1 84 ,939 50 - 11 , 839.50 000 - 1 1 , 839. 5 0

MEDTRON IC I NC COM CUS IP 585055 1 065 .00000 47 7500 000 362 50 238, 750 00 251,119 .50 - 12,369 50 000 12, 369 50

MER C K & CO I NC C OM C U S I P ' 58933 110 71 4 ,8 00 00 44 1 9004 00 5,51300 654,01200 868 ,394 . 84 - 214,382 .84 0 00 - 2 1 4 ,382 84

MERC URY I NTERACTIVE CORP COM CUSI P 5894051091,00000 44 80000 00 0 00 44, 8 00 00 32 ,419 .28 1 2 ,380 72 0 0 0 12 , 380 72

MERR I LL L YN C H & CO I NC COM CUSIP 590 188 10 81 6 ,9 00 00 59 56000 00 0 00 1, 0 06,564 00 741 ,083 22 265 ,480 78 0 00 265 , 480 7 8

METRO 1 TELECOMMUN I CATIONS INC COM CUSIP 59163F10 57 .00000 23000000 0 00 16,100 00 38 ,502 71 - 20,402 .71 0 00 - 20 ,402 71

MFO CMG FO TR SMALL CAP FD CUSIP 12574781 6701, 337 03 55800000 0 00 3 ,9 1 3 ,460 82 5 , 2 1 6 ,658 22 - 1,303,19760 0 .00 - 1 ,3 0 3 , 197 6 0

MICRON TECH INC COM CUSIP. 59511210 311,700 00 16 7100000 0 00 195,507 00 440,771 20 - 245,264.20 0 00 245,264 20

MICROSOFT CORP COM CUSIP . 59491810 496,800 00 24 9700000 0 00 2,417,096 00 3,050,570 14 - 633,474 14 0 00 - 633,474 .14

MICROTEK MED HLDGS INC COM CUSIP 59515810 920,500 00 4 5700000 0 00 93,685 00 46,900 94 46,784.06 0 .00 46,784 .06

MILLIPORE CORP COM CUSIP . 60107310 910,000 00 51 3800000 0 00 513,800 00 280,448 00 233,352 00 0 00 233,352 00

MOLEX INC CL A CUSIP 6085542009,37500 26 0400000 234 37 244,125.00 779,062 50 65,062 50 0 00 65,062 50

MONSANTO CO NEW COM CUSIP 61166W70 113,500.00 36 6700000 0 00 495,045 00 433,042 18 62,002 82 0 00 62,002 82

MOODYS CORP COM CUSIP . 6153691051,00000 70 8000000 0 00 70,800 00 62,895 65 7,904.35 0 00 7,904.35

N orthern Tru sthe Ford Family Foundation 93-602615 6

Generated by I Schedule 5Schedule of Investment s

Page 24 of 41

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Page 30 of 97

Unrealized g a inflossDescnotion/Asset ID Ac c rue dShares/PAR value L oca l ma rket price In co me/expe nse M a rke t value Co st Ma rket Transl ation Total

Equities

Common stock

MORGAN STANLE Y CUSIP 6 1 74464489,60000 57 3000000 0 00 550 ,080.00 558 ,528 97 - 8, 448.97 0 00 - 8,4489 7

MOTOROLA INC COM CUSIP' 62007610 939,500 00 17 6000000 1,58000 695,200 00 549,758 68 148,041.32 0.00 146,041 32

MRO SOFTWARE INC COM CUSIP 55347W70 511,900 00 11 6200000 0 00 138,278 00 766,647.07 - 28,369 07 000 - 28,369.07

MSC SOFTWARE CORP COM CUSIP 55353110 431,300 00 88100000 0 00 275,753 00 245,117 73 30,635 27 0 00 30,635 27

MYLAN LAB INC COM CUSIP 62853010 79 .50000 22 7300000 285 00 215,935 00 212,690 94 3.24406 000 3,24406

N W PIPE CO COM CUSIP 66774610 115,700 00 14 5000000 0.00 227,650 00 239 .43391 - 11,783 91 0 00 - 11,783 91

NASH FINCH CO COM CUSIP. 63115810217,000 00 236800000 0 00 402,560 00 131,928 51 270 .63149 0.00 270,631 49

NAVISTAR INTL CORP NEW COM CUSIP 63934E1081 .10000 45 8500000 0.00 50,435.00 37,890.88 12,544 12 0 00 12,544.12

NEKTAR THERAPEUTICS COM CUSIP 64026810 810,000 00 21 5800000 0 00 215,800 00 215,636 00 164 00 0.00 164 00

NETWORK APPLIANCE INC DEL CUSIP 64120L10 484,555 00 21 4500000 000 1,813,704 75 2,447,527 .05 - 833,816.30 0 00 - 633,816 30

NETWORKS ASSOC INC COM STK CUSIP 64093810610,000 00 18 0000000 0 00 180,000 00 109,300.00 70,700 00 0 00 70,700 00

NEW CENTY FINL CORP COM CUSIP 64352D10 111,400 00 48 5600000 0 00 553,584 00 218,570 96 335,01304 0 00 335,01304

NEWFIELD EXPLORATION CUSIP 65129010 85,00000 47.9300000 0 00 239,650 00 234,375 00 5 .27500 0 00 5,275.00

NEWPARK RES INC COM PAR $ O 01 NEW CUSIP 65171850425,800 00 52000000 0 00 134.160 00 114,608 16 19,751 84 0 00 19.751 84

NEXTEL COMMUNICATIONS INC CL A COM STK CUSIP• 65332V10 312,600 00 24 7300000 0 00 311,598 00 200,337 12 111,260.88 0 00 111,260 88

Northern Trust'he Ford Family Foundation 93-6026156

Generated by N Schedule 5Schedule of Investment s

Page 25 of 41

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Asset Detail - Base Currency Page 31 of 97Unrealized ga iMoss

Description/Asset ID AccruedShares/PAR value Local mark e t pnce income/exp e n se Ma rke t value Co st Market T ranslation T o tal

Equities

Common stockN II HLDGS INC CL B NEW CUS I P 62913F201

1,50000 35 0300000 0 00 52 ,545 .00 30 ,000 00 22 ,545 00 0.00 22 , 545 .00

N I KE I N C CL B CUS I P 654 10 61031 3 ,7 00 00 77 8700004 2,74000 1 ,066 ,819 .00 613,475 .84 453 , 343 .16 0 00 453 , 343 1 6

N I SOU R C E INC COM CUS I P 65473P 7 0 510,000 00 212500000 0 00 212,50000 207,64400 4,85600 0.00 4,85600

NISOURCE INC SAILS 1 SH PUR CONTRACT $ 2 60 & 1 D EB CUSIP 65473P6006,10600 25400000 0 00 15,509.24 12,578.36 2.93088 0 00 2,93088

NN INC COM CUSIP 62933710616,900 00 11 6700000 0 00 197,223 00 180,799 95 16,42305 0.00 16,42305

NORDSTROM INC COM CUSIP 6556641001 .30000 39 9000000 0.00 51,870 00 50,787 49 1,08251 0 00 1.08251

NOVELL INC COM CUSIP. 67000610 57,50000 11 3800000 0 00 85,350 00 55,987 50 29,362 50 0.00 29,362 50

NS GROUP I N C COM CUSI P . 6289 1 610 86,10000 13 0000 040 0 00 79 ,300 00 45,377 51 33, 922.49 0 00 33 , 922 49

N VI D I A CORP C OM CUS I P . 6 706661041 0 ,000 00 26 4900000 0.00 264 , 900 00 174 ,244 .00 90 ,656 00 0 00 90 ,656 .00

O CHAR LEYS I NC CUS IP 6708231 0360000 18 2500000 0 00 1 0 ,850 00 10, 320.54 42946 000 429 .46

OCC I DENTAL PET E CORP COM CUSI P . 6745991051 1 , 500 00 46 0500000 2,64000 529 ,575 00 374 ,580 .80 154 ,994 20 000 154 ,994 . 20

OLD REP INTL CORP COM CUSIP 68022310 41,40000 24 5600000 000 34 ,384 00 24 ,087 .50 10 ,296 50 0 00 10 ,296 . 50

OMNICARE INC COM CUSIP 68790410810 ,000 00 44 3300000 0 00 443 ,300 00 153 ,725 00 289 ,575 00 000 289.S7500

OMN I COM GROUP INC COM CUSIP 68191910 6200 . 00 802500000 45 00 16 , 050 , 00 1 5 ,889 66 160 34 0 00 1 60 34

OPT CARE INC COM CUSIP 68394810 310 ,400 00 11 3900000 0 00 118 ,456 00 94 ,681 00 23, 775.00 0 00 23 ,775 00

Northern TrustI'he Ford Family Foundation 93-602615 6

Generated by D Schedule 5


Page 26 of 41


Description/Asset ID AccruedUnrealized gain /los s

• Sha r es/PAR v a l ue Loca l market price income/expense Market value Cost Market Trans lation Tota l

Equities

Common stock

ORACLE C O RP GOM CUS I P 68389X7 0 51 0,000 00 12 0 1 00000 0 00 120 ,100 00 115, 387 00 4,71300 000 4,71300

PAC SUNWEAR CAL INC COM CUSIP ' 6948731002,60000 24 5400000 0 00 63 , 804.00 59, 579 42 4 .28458 0 00 4 ,284 .58

PAC UN BK L A CAL COM STK CUSIP 69502510 6400 00 29 3500000 0 00 11 , 740 00 4,70000 7,04000 0 00 7,040 .00

PACCAR INC COM CUSIP 693718108500 00 56 2400 000 000 28 , 120 00 27, 263 .00 857 .00 000 857 .00

PARKER - HANNIFIN CORP COM CUSIP 7010941045,00000 56 5000000 0 00 282 ,500 00 168,750 00 113 ,750 00 000 1 13 , 750 00

PAYCHEX IN C C OM CUS I P. 704326 1 0 75,00000 35 6000000 0 00 178 ,000 00 182 ,369 50 - 4,36950 0 00 - 4,36950

P C MALL I NC COM CUS I P 69323K1007,30000 18 34000 00 0 00 133 ,882 00 119 ,487 45 14,3S455 0 00 14 , 394. 55

PEMSTAR INC COM CUS I P , 706552 1061 6 ,90 0 .00 36500000 0 00 61 , 685 .00 55 ,024 28 6,66074 0 00 6,66074

PENTA IR INC COM CUS IP . 709631 1 0 512,20000 59 000000 0 0 00 719, 800 00 632,341 .88 87,458 7 2 0 00 87 ,458 . 12

PETSMART INC COM CUSIP . 7167681062 .40000 27 2600000 000 65,424 00 61 ,694 33 3, 729 .67 0 00 3,72967

PFIZER INC COM CUSIP . 71708110 346, 777 00 35 0500000 000 1 ,839 ,533 BS 1 , 509,918 15 129 ,617 70 0 .00 129 , 617 . 70

• PIXAR COM CUSIP 72581110316,400 00 64 4600000 000 1 , 057 ,144 00 735.784 36 321 ,359 64 000 321 , 359. 64

PLAT O LEARN I NG I NC COM STK CUSIP . 72764Y10014 ,500 00 10 09000 00 0 00 146, 305 .00 77, 676 .48 68 , 628.52 000 68, 628 52

PMC SIERRA INC COM CUSIP 69344F10 61,80000 16 9700000 0 00 30 , 546 .00 43 ,428 .24 - 12,882 24 0 00 - 12 ,882 .24

PNC F I NANCI AL SERVICES GROUP COM STK CUSIP . 693475 1 0 57,50000 S54200000 000 415,650 00 416 , 253 75 - 603 75 000 - 603 75


Northern Trust Generated by M Schedule 5Schedule of Investments

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• Asset Detail - Base Currency Pa ge 33 of 97

Aes cnotion/Ass et ID AccruedUnrealized gain /los s

• Shares/PAR value Local market pr ice income/expense Ma rket value Cost Market Translation Total

Equities

Common stock

POGO PROD CO COM CUSIP 730448107900 00 45 8700000 0 00 41,283 00 44,633 64 - 3,350.64 0.00 - 3,350.64

POLYCOM INC COM CUSIP 73172K10417,200 00 21 2300000 0 00 365,156 00 211,219 07 153,936.93 0.00 153,936 93

POMEROY IT SOLUTIONS CUSIP . 73182210 219,000 00 14.5000000 0 00 275,500 00 221,412.37 54,087.83 000 54,087 63

POST PPTYS INC REIT CUSIP . 73746410710,000 00 288000000 4,50000 288,000 00 280,366.52 7,633 .48 0 00 7,63348

PRIME MED SVCS INC NEW COM CUSIP: 74156D10823,000 00 55000000 000 126,500 00 180,63769 54,137 69 000 - 54,137 69

PROCTER & GAMBLE CO COM CUSIP . 74271810 97,80000 104 8800000 0 00 818,064 00 593,235 .18 224,828.82 0 00 224,828 82

PROGRESSIVE CORP OH COM CUSIP 74331510337,995 00 87 6000000 0 00 3,328,362 00 719,615 57 2,608,746.43 0.00 2,608,746 43

PROXIM CORP CL A CUSIP• 744283102122,600 00 1 7700000 0 00 217,002 00 130,870 98 86,131 02 0 .00 86,137 02

PTEK HLDGS INC COM CUSIP 69366M10453, 700 00 9 .1900000 000 493,503 00 219,680.51 273,822.49 0.00 273,822 49

OLOGIC CORP COM CUSIP. 74727710 11 .50000 33 0700000 0 00 49,615 00 6,724 68 - 13,209.66 0 00 - 13,209 66

QUAKER FABRIC CORP NEW COM CUSIP 74739910325.20000 89800000 000 226,296 00 170,179.28 56,116.72 0.00 56 .11672

• Q UALCOMM INC COM CUSIP . 74752510 320,300 00 66 4200000 000 1,348,326 00 1,104,465 44 243,860 58 0 00 243,860 56

QUALSTAR CORP COM CUSIP . 74758R10924,400 00 58400000 000 142,496 00 124,323 50 18,172 50 0 00 18,172 50

QUEST SOFTWARE INC COM ISIN US74834T1034 CUSIP 74834710 310,000 00 16 3500000 0 00 163,500 00 100,824 00 62,678 00 0 00 62,676.00

QUIKSILVER INC COM CUSIP . 7483801062,40000 21 8500000 0 00 52,440 00 52,712 06 - 27206 0 00 - 272 06


Generated by I Schedule 5Schedule of Investments

Page 28 of 41

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Asset Detail - Base Currency Page 34 of 97Unrealized gain los s

pes c ri otionlAs set ID AccruedS h ares/ PAR v a l ue Loca l market price incomelexpense Market value Cost Market Trans lation Total

Egarities

Common sto ckQUINTON CARDIOLOGY SYS INC COM CUSIP 74877310 8

21 ,600 00 11 8900000 0 00 256 ,824 00 153,066.77 103 ,757 23 0 ,00 103 ,757 .23

RADIOSHACK CORP COM CUSIP . 75043810 34 , 800 .00 33 1600000 0 00 159 ,168 00 148, 275.47 10, 892.53 000 10, 892 53

REHABCARE GROUP INC COM CUSIP . 7591481096,50000 19 8800000 0 00 129 ,220 00 124,182 65 5 , 037.35 0 .00 5, 037. 35

ROSS STORES INC COM CUSIP 77829610 32 .50000 30 6700000 106 25 76 ,525 00 76, 488 91 5609 0 00 56.09

ROWAN COMPANIES INC COM CUSIP 77938210 05,00000 21 0900000 0 00 105 ,450 00 104 ,246 .50 1 , 203 .50 0 00 1 , 203. 50

ROYAL CARIBBEAN CRUISES COM STK CUSIP V7780T10 3900 00 44 .7000000 0 00 39 , 690.00 37 ,898 .00 1,69200 0 00 1,69200

S W AIRL CO COM CUSIP 84474110 83 .55000 14 2100000 0 00 50 ,445 50 48 ,620 90 1 .82460 0 00 1,82460

SANMINA-SCI CORP FORMERLY SANMINA HLDGS COM COM CUSIP . 80090710715 ,100 00 11 .0100000 0 00 166,251 00 168 , 100 .20 - 1 .84920 0.00 1 , 849. 20

SCHERING-PLOUGH CORP COM CUSIP 80660510 18 ,200 00 16 2200000 0 00 133 ,004 00 286,42650 - 153 ,422 50 000 153 ,422 .50

SCHLUMBERGER LTD COM STK CUSIP 80685710825,40000 638500000 5 ,23125 1 ,621 ,79000 1 , 484 , 152. 19 137 .63781 0 .00 737 , 637.81

SCHOOL SPECIALTY INC WI COM CUSIP 80786310 57 ,200 00 35 5700000 0 00 256 , 104 .00 161 , 515.93 94,588 07 000 94, 588 07

SCHWAB CHARLES CORP COM NEW CUSIP 80851310 5100,190 00 11 6100000 0 .00 1 , 163, 205 90 1,892,897.47 - 729,691 57 0 00 - 729 ,691 .57

SCIENTIFIC-ATLANTA INC COM CUSIP ' 8086551049,50000 32 3400000 0 00 307 ,230 00 309 ,089 78 - 1 .85978 0 00 1 , 859 .78

SEMPRA ENERGY INC COM STK CUSIP 81685110 92,80000 31 8000000 70000 89 ,040 .00 78 ,219 .98 10,820 02 0 00 10 , 820 02

SHERWIN-WILLIAMS CO COM CUSIP 8243481063,70000 38 4300000 0 00 142 ,191 00 100,284 14 41,906 86 0 .00 41 , 906 8 6


Generated by Nc Schedule 5


• Asset Detail - Base CurrencyUnrealized gain/loss Page 35

of 97

Description/Asset I D Accrue d• Shares/PAR va l ue Local market price income/expense Market value Cost Market Translation Tota l

Equities

Common stock

SHOPKO STORES INC COM CUSIP 82491110 12,80000 14 6200000 0 00 40,936 00 40,865.66 7034 0.00 70.34

SIEBEL SYS INC COM CUSIP. 82617010215,000 00 11.5100000 0 00 172,650 00 152,934 00 19,716 00 0 00 19,716 00

SILICON GRAPHICS INC COM CUSIP 82705610251,700 00 25400000 0 00 131,378 00 67,377.82 63,940 18 0.00 63,940 78

SLM CORP COM CUSIP 78442P10 616,100 00 41,8500000 000 673,785 00 640,114 35 33,670.65 0 00 33,670 85

SMURFIT-STONE CONTAINER CORP COM CUSIP. 83272710 115,000 00 17 5900000 0 00 263,850.00 223,281.50 40,568.50 0 00 40,568 50

SOLA INTL INC COM CUSIP 83409210 873,000 00 23 2500000 0 00 302,250 00 165,458 10 136,791 90 0 00 138,791 90

SOURCE INTERLINK COMPANIES INC COM NEW CUSIP' 8361512098,400 00 12 5040000 0.00 105,000.00 105,468.10 - 468 70 0.00 468.10

SPSS INC COM CUSIP . 78462K7029.90000 18 3000000 0 00 181,170 00 134,829 97 68,340 03 0.00 46,340 03

SPX CORP COM CUSIP 78463510 422,100 00 45 4800000 5,S2500 1,005,108 00 1,180,579 .75 - 175,471 75 0.00 - 175,471 75

ST PAUL TRAVELERS CORP CUSIP 79286010 819,80000 ~ 40 0100000 6,003.00 792,198 00 892,193.92 100,004.08 0 00 100,004 OB

STANLEY FURNITURE INC COM NEW CUSIP 8543052084,60000 38 8300000 0 00 178,618 00 105,679.20 72,938.80 0.00 72,938.80

• STAPLES INC COM CUSIP 8550301029,30000 25 3900000 0 00 236,127 00 161,371 50 74,755 50 0 00 74,755.50

STARBUCKS CORP COM CUSIP 85524410 923,425.00 37 7500000 0 00 884,293 75 679,126.58 205,167.17 0 00 205,167.17

STARWOOD HOTELS & RESORTS WORLDWIDE INC PAIRED CTF 1 B SH BEN INT STARWOOD REIT CUSIP• 85590A20 33,50000 40 5000000 0 00 141,750 00 135,759 OS 5,99095 0.00 5,99095

STRIDE RITE CORP COM CUSIP 86331410017,000 00 10 6100000 0 00 180,370 00 133,877 13 46,492 87 0 00 46,492 87

The Ford Family Foundation 93-6 026156

Northern Trust Generated by N Schedule 5Schedule of Investments

Page 30 of 41

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pescription/Asset ID AccruedShares/PAR value Local market price income/expense Market value Cost Market Translation Total

Equities


Common stock

SUN MICROSYSTEMS INC COM STK $ 00067 PAR CUSIP. 86681010420, 000 .00 4 1600000 0 .00 83 ,200 00 262 ,346 36 - 179 ,146 36 0 00 - 179 , 146 .3 6

SUNOCO INC COM CUSIP 86764P1094,40000 62 3800000 0 00 274 ,472 00 232 , 141 62 42 ,330 48 0.00 42 ,330 .48

SUPER VALU INC COM CUSIP 868536103600 .00 30 5400000 0 00 18 ,324 00 17 ,231 64 1,09236 0. 00 1,09236

SY MANTEC CORP COM CUS IP . 8715031082,30000 46 3000000 0 .00 1 06 ,490 00 74 , 194 .38 32 ,295 62 0.00 32 ,295 . 62

SYMBOL TECHNOLOG IES INC COM CUSIP : 871508 1 071 0 ,0 00 0 0 13 80 00000 100.00 138,000 00 84 ,962 00 53 ,038 00 0 00 53 ,038 . 00

SYSCO CORP COM CUSIP 87182910 71 .50000 39 050 0000 195 00 58,57500 46 ,620 00 11 ,955 00 0 00 1 1,955 . 00

TELETECH HLDGS INC COM CUSIP 8799391062 0,800 00 62600000 0 00 130 ,208 00 135,047.79 - 4,83979 000 - 4 ,839 .79

TELLABS INC COM CUSIP 87966410010 ,00 0 00 8 .6300000 0 00 86,300 00 72, 000.00 14, 300.00 000 14, 300 00

TEMPUR- PED I C INTL I NC COM CUSIP' 88023U 1 0 160000 15.6400000 0 00 9,38400 8 , 400.00 984.00 0 .00 984 00

TEXTRON INC COM CUSIP . 8832031011 , 400 . 00 53.1500000 45500 74 ,410 00 78,299.62 - 3 , 889 .82 0 .00 - 3 .88962

THOMAS I NDS I NC COM CUS I P . 8844251092 , 700 .00 3 1 50 00000 258 50 85 , 050 00 71,127 .96 13 ,922 .04 0.00 13 ,922 .04

TIBCO SOFTWARE INC COM CUSIP . 88632010310, 000 00 81700000 0 00 87 ,700 00 83 ,418 00 - 1,718.00 000 - 1,71800

TI ME WARNER INC NEW COM CUS I P 88731710520 ,050 00 16 8600000 000 338 ,043 00 743 , 634 .25 - 405,591 25 0 00 - 405,59125

TIMKEN CO COM CUSIP . 88738910420 ,000 00 23 2300000 0 00 464 ,600 00 311,011.45 153,588.55 0 00 153 ,588 55

TORCHMARK CORP COM CUSI P . 891027 1 041,10000 53 7900000 12 1 00 59 , 169 .00 45,784 97 13,384 03 0 00 13 ,384 0 3


Generated by No Schedule 5Schedule of Investments

Page 31 of 41

• Asset Detail - Base Currency Page 37 of 97Unrealized gain/los s

pescn i)tion/Asset ID Accrued• Shares/PAR value Local market price income/expense Market value Cost Market Translation Total

Equities

Common stock

T R,4NS OC EAN INC CU SI P 690 0781 0934 , 800 00 27 8900000 0 00 970 ,572 00 738 , 984 6 1 23 1,587 .39 0 DO 231 ,587 . 39

TX INSTRS INC COM CUS I P 882508 1 0439 , 600 00 29 2200000 0 00 1 ,1 57 ,112 00 1 ,058 ,157 82 98 ,954 18 0 00 98 ,954 . 18

TYCO INTL LTD N EW COM CUSIP. 90212410645, 200 00 28 6500000 565.00 1 ,294 ,980 00 728 , 021 .71 566 ,958 29 0 00 566 ,958 29

T YSON FOODS I N C CL A COM ( DELAWARE) C U SIP : 9024941031 0, 000 00 1 8 0500000 0 00 180, 500 00 1 16,2D9 00 64 ,291 00 0 00 64 ,29 1 .00

U S CON CRETE I NC COM I S I N #US90333L1026 CUS I P. 90333L10211,00000 59800000 0 00 65 ,780 00 60, 179 66 5,60034 0 00 5,60034

UNISOURCE ENERGY CORP COM CUSIP 90920510 680000 24 5700000 0 00 19 ,656 00 13 ,770 .44 5,88556 0 00 5,88556

UNIT CORP COM CUS I P 9092181099,90000 27 4200000 0 00 271 ,458 .00 781 .128 28 90, 329.72 0 00 90 , 329 72

UNITED PARCEL SVC INC CL B CUSIP. 9113 7 21 0 65 .00000 69 8400000 0 00 349 ,200 00 344 ,793 50 4 , 406.50 0 00 4,40650

UNITEDHEALTH GROUP INC COM CUSIP . 91324P10 216 ,000 00 64 4400000 48000 1,031 ,040 00 768 , 111 .41 262, 928 59 000 262 ,928 59

UN IVI S ION COMMUNICATI ONS INC CL A CUSI P . 914906 1 021,20000 33 0100000 000 39 ,612 00 42 ,209 . 94 - 2 ,597 .94 0 .00 - 2,597 .94

UNOCAL CORP COM CUS IP 9 1 52891021 2, 5 00 0 0 37 .2800000 000 466 ,000 00 464, 090.25 1 , 909.75 0 00 1,90975

• UNVL AMERN FINL CORP COM CUSIP 81337710 718, 600 00 12 0000000 0 .00 223 , 200.00 189,930 96 33 .26904 000 33 .269 .04

UNVL ELEC TRS I NC CO M CUS I P . 913483 1 0 31 0, 300 00 13 2000000 0 00 1 35 , 960.00 103 ,048 .37 32,911 63 0.00 32 , 91 1 . 63

US BANCORP CUSIP 9029733044 1,850 00 27 65000 0 0 1 0 ,044 00 1 , 157 ,152 50 957 ,570 96 199,58154 0. 00 199,581 54

UTD TECHNOLOGIES CORP COM CUSIP 91301710 913 , 600 00 863000000 000 1 , 773 ,680 .00 877 ,352 56 296,327 44 0 .00 296 .32744


Northern Trust Generated by) Schedule 5Schedule of Investments

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~ Asset Detail - Base Currency Page 38 of 9 7Unrealized g ain loss

Desc ri ption/Asset ID A ccrued• Shares/ PA R value Local m a rket p ri ce income/ ex p ens e Market value Cost Ma rket Transl ation Total

Equities

Common stock

VANS INC COM CUSIP 92193010330,500 00 14 8000000 0 00 451, 400 00 145,090 20 306,30 9 80 0 00 306,309 80

VARCO INTL INC DE L COM CUSIP 9221 2 21065.00000 18 0100000 0 00 90,050 00 100,257.50 - 10,207 50 0 00 - 10,207 50

VAR I AN MED SYS INC COM I SIN t{US9222091057 CUSIP 92220P105600 00 86 3100000 0 00 51 ,786 00 50, 145 .60 1 , 640.40 0 00 1,64040

VERITY INC COM CUSIP ' 92343C10610.00000 13 6700000 0 00 136 .70000 139 ,750 00 - 3,05000 0 00 - 3.05000

VERIZON COMMUNICATIONS COM CUSIP 92343V10410,000 00 36 5400000 0 00 365 ,400 00 326 ,717 .00 38,683 00 0 00 38 , 683 00

VIACOM COM CL B CUSIP 92552430841 ,700 00 39 2700000 3 .03600 1 ,635 ,057 00 1 ,785 ,386 .60 - 150,329 60 0 00 - 150 , 329 60

WABASH NATL CORP COM CUSIP . 92956610710 ,705 00 23 6000000 0 .00 252 ,638 00 79 ,632 27 173 ,005 73 0 00 173 ,005 .73

WACH OVI A CORP 2ND NEW COM CUS IP 92990310216 ,800 00 47 0 000000 0 .00 789 ,600 00 672 ,980 08 716 .619 92 000 118 ,619 92

WA L-MART STORES INC COM CUS I P 93114210315 .000 00 59 6 900 000 1 .88500 895,350 00 882,714 13 12 ,635 87 0.00 12,635 87

WALGREEN CO COM CUSIP : 93142210928 ,200 00 32 .9500000 0 00 929,190 00 886 ,551 85 42,638. 15 coo 42 ,638 . 15

WASTE MGMT I NC DEL COM STK CUSIP 94706L10 910, 000 00 30 1 8 00000 000 301 ,800 00 240 ,180 00 61 ,620 00 0 00 61 .62000

• WATCHGUARD TECHNO LOGIES INC COM CUS I P 94110510 89,80000 7 8200000 0 00 76 ,638 00 47,691 79 28 ,944 27 0 00 28 , 944 . 21

WD 40 CO COM CUSIP 9292361077.50000 35 00 00000 0 00 282 ,500 00 208 ,350 . 95 54,14905 0 .00 54 .14905

WELLPOINT HL TH NE TWORKS I NC CL A ( NEW) DELAW EFF 8 -4-97 CUSIP . 94973H10 860000 1 13 7200000 0 00 90 ,976 00 79 ,259 .68 11 ,716 34 0 00 11 , 7 1 6 34

WELLS FARGO & CO NEW COM STK CUSIP . 94974610 124 ,000 00 56 6700000 0 00 1 , 360 , 080 00 1,118,662 .20 241 ,417 .80 0 . 00 241,417 .80


Generated by 11 Schedule 5Schedule of Investments

Page 33 of 41

•

•


Descnot ion/ Asset ID Accrue dShares /PAR value Local market price income/expense Market value Cost Market Translation Total

Equities

Common stock

WEST COAST HOSPITA LITY C ORP COM CUS IP 95750P 1 061 5 , 50 0 00 6600000 0

WESTN WIRELESS CORP CL A CUSIP 95988E2041 .30000 23 3700000

0 00

0 00

102 , 300 00

30 ,38 1 00

84 , 396 1 7

15 ,030. 11

17,903 8 3

15,35089

0 00

000

17, 903 83

15 , 350 8 9

WET SEAL INC CL A CUSIP 96184010 519,300 00 82500000 0 00 159,225.00 167,084 29 - 7,85929 0 00 - 7,859 29

WEYERHAEUSER CO COM CUSIP 96216610 411,600 00 65 5000000 000 759,800 00 588,570 92 171,229.08 0 00 171,229 08

WFS FINL INC COM CUSIP 92923B10617,200 00 43 3200000 0 00 745,104 00 350,575 44 384,528 56 0 00 394,528 56

WHIRLPOOL CORP COM CUSIP 96332010 611,200 DO 68 8700000 0 00 771,344 00 623,655 42 147,688 58 0 00 147,688 58

WILLBROS GROUP INC COM CUSIP 96919910 878,000 00 15 0100000 0 00 270,180 00 151,346 41 118,833.59 000 118,833 59

WILLIS LEASE FIN CORP COM CUSIP 97064610525,000 00 89510000 0 00 223,775 00 134,990.05 88,784 95 0 00 88,784.95

WINSTON HOTELS INC REIT CUSIP 97563A10 224,800 00 10 5400000 3,72000 261,392 00 224,345 91 37,046 09 0 00 37,046 09

WOODHEAO INDS INC COM CUSIP 97943810 811,500 00 15 0000000 000 172,500 00 750,565 08 21,934 92 000 21,934.92

WTR PIK TECHNOLOGIES INC COM CUSIP 94113U10 022,700.00 14 0900000 0 00 319,843 00 183,578 19 136,264 81 0 00 136,264 81

WYETH COM CUSIP 9830241007 .50000 37 5500000 000 281 .62500 291,009 00 - 9,384.00 0 00 - 9,38400

VJYNDHAM INTL INC CL A CUSIP. 98310110691,000 00 1 0000000 0 00 91,000 40 31,008.50 59,991 50 0 00 59,991 .50

XEROX CORP COM CUSIP 98412110337,900.00 14 5700000 0 00 552,203 00 435,389.13 118,913.87 0 00 116,813.87

XILINX INC COM CUSIP . 88391910 128,300.00 38 0000000 0 00 1,075,400 00 1,901 .091 .23 825,691 .23 000 - 825,691 .23


Gene rated by Nor Schedule 5Schedule of Investments

Page 34 of 41


• Descnolion/Asset ID Accrue dS h ares/P A R v a lue Local ma r ke t price Inco me/expe nse Ma r ket value Cost Ma r ket Tra nslation Total

Equities

Common s tock

XM SATE L LITE RAD IO HLDGS I NC CL A CUS IP 98375910140,985 00 28 0000000 0 00 1 , 147 ,580 00 1 ,027 ,557 87 120 ,022 .13 0 00 120 ,022 1 3

YAHOO INC COM CUSIP 98433210637,300 00 48 5900000 0 00 1,812,407 00 896,625 18 915,781 .82 0 00 915,781 82

YELLOW ROADWAY CORP COM STK CUSIP . 98557710 51,40000 33 6700004 0 00 47,138.00 50,81006 - 3,67206 0.00 - 3 .67206

YORK INTL CORP NEW COM CUSIP 98667010723,400 00 39 3100000 0 00 919,854 00 709,641 03 210,212 97 0 00 210,212 97

YUM BRANDS INC COM CUSIP 98849810 115,400 00 37 9900000 0 00 585,046 00 528,378 49 56,666 51 0 00 56,666 51

ZIMMER HLDGS INC COM CUSIP . 98956P10 21,800.00 73 7800000 0 00 132,804 00 87,746 14 45,057 86 0 00 4S .05786

3M CO COM CUSIP 88579Y70 143,300 00 81 8700000 0 00 3,544,971 00 2,098,748 78 1,446,222 22 0 00 1,446.222 22

5 STAR DUAL CARE INC COM CUSIP 33832D10 615,000 00 38900000 0 00 58,350 00 29,857 36 28,492.64 0 00 28,492.6 4

5TH 3RD BANCORP COM CUS I P • 316773 1 0010,000 00 55 370 0000 3 .20000 553,700 00 489 ,41200 64,288 00 0 00 64 ,288 00

Total USD 200,191 .86 20 6 ,979, 6 19 .9 4 171,891,015 05 35 ,088 ,6 0 4 .89 000 35,08 8 ,60 4 .8 9

Total United States 200,19 1 . 86 206 ,979, 6 19 94 171, 8 91,01 5 05 35 ,0 88 ,6 04 89 0.00 35,088 ,604 8 9

Total Common Stock

• 15, 787 , 393 .26 223 ,935.91 394 , 524 ,224.20 355 , 405, 027 .74 39 , 119 ,196.46 0 .00 39 , 119 , 196.46

Preferred stock

Australia - US D

ADR NEWS CORP L TD SPONSORED ADR REPSTG PFD LTD CUS I P 65248780230 ,274 00 31 7 1 00000 2,98803 959 ,988 54 770 .847 73 189 , 140 81 0 00 7 88 , 140 81

Tot a l USD 2 ,98 8 03 959 , 988 .54 770, 847 . 73 189,140.81 0.00 1 89 ,1 40 .8 1

The Ford Family Foundation 93-6026156Northern Trust Generated by N4 Schedule s


•

Asset Detail - Base Currency Page 41 of 97

pescnot ion/Ass et I D AccruedUnrealized gain/loss

Sha res/PAR val ue Loca l ma rket p ri ce i ncome/expense Market value Cost Market Translation Tota l

Equities

Preferr e d stock

Total Australia

Total Prefer r ed Stock

2 ,9 88.03 9 59,9 88 54 770, 84 7 .73 189 , 14 0 .81 0.00 1 89,1 4 0 8 1

30, 274 .00 2,988 .03 959 ,988.54 770 , 847.73 189 , 140 .81 0.00 189 , 140 . 8 1

Convert ible equi ty

U n ited States - US D

AAMES F IN L CORP PFD CONV SER O C U S I P 0 0253A5073,90000 40700000 0 00 1 5 ,873 00 10 ,400 00 5,47300 0 00 5 .47300

PIONEER STD FINL TR PFD CONV SECS 6 75% CUSIP 7238793001,10000 48 62 500 00 0 00 53 ,487 50 48 ,412 .50 5 ,075 .00 000 5,07500

To ta l USD 0 00 69 ,360 50 58 ,812 . 50 10,54800 0 .00 10 , 548 . 00

Tota l United Sta tes 0 00 69 ,360 50 58 , 812 .50 10 ,548 00 0 00 10 , 548 00

T o ta l Conve rti bl e Eq ui ty

5 ,000 .00 0 .00 69 ,360 .50 58, 812.50 10 , 548.00 0 .00 10 , 548 .00

Corporate convertible bonds

United States - US D

AAMES F IN L CORP SUB DEB CONV 5 5 DUE 03-7 5-2006/03- 15 -2 004 REG CUS I P: 00253AAE 1490 ,000 00 94 0000000 1 .19777 460,60000 313 , 445.75 147 ,154 25 0 0 0 147,15425

• Total USD 1 , 197 77 460 , 600 .00 313 ,445 .75 147 , 154 .25 0 .00 147 , 154 . 2 5

Total U nit ed States 1 , 197 .77 460 ,600 00 313 ,445 .75 147 , 154 .25 0 00 147 , 154 . 2 5

Total Corporate Convertible Bond s

4 90,000 .00 1,1 97 .77 460, 600 . 00 313,445.75 147, 154.25 0 .00 147,154 .2 5

Northern Trust

The Ford Fam ily Foundation 93-6026156Schedule 5

Generated by NoI Schedule of InvestmentsPage 36 of 41

•


Description/Asset ID Accru edSh a res/ PAR value Loca l market price Income/expense Market va lue Cost Ma rket Transl ation To ta l

Equities

Righ ts/warrants


BK UTD CORP L I TI GAT ION CONTINGENT PM T RTS TR CONT I NGENT PMT RT CUSIP . 06541611 74.80000 0,1100000 0. 00 52800 1,68000 - 1 , 152 .00 0.00 - 1,15200

CITIG ROUP INC LITIGATIO N TRAC K IN G WT CUSIP 1729 6 71 2710 ,000 00 0 9800000 0 00 9 .80000 0 00 9,80000 0 00 9 ,800 .00

Total USD 0.00 10,32800 1,680.00 8,648.00 0.00 8,648.00

Total United States 0 00 10,328.00 1,680 . 00 8 , 648 . 00 0 00 8,648 .0 0

Total Rlghts l Wartants

14 , 800 .00 0 .00 10, 328 .00 1 , 680 . 00 8,648.00 0 . 00 8,648.00

Tota l Equit i e s

1 6 ,32 7, 467.26 228 , 121 .71 396 , 024 , 501 . 2 4 356 , 549 , 813 . 72 39,474,687 .52 0 .00 39 ,474 ,687 . 52

Unrealized gain/lossDescription/Asset ID AccruedShares/PAR value Local market price incom e /expense Market value Cost Market Translation Total

Fixed Income

Corporate bonds

United States - USD

• MFB N O RTHN I NSTL FDS SHORT-I NTER BD PORTFOLIO CL A CUS I P: 66527873 5430, 8 1 590 1 9 1 1 00000 000 17, 784 ,069 84 77 ,007 ,940 95 776,12889 0 00 776 , 128 8 9

Total USD 0 00 1 7,784 ,069 84 17,007,940 95 776 ,12 8 . 89 0.00 776 ,1 28 .8 9

Total United States 0 00 17,784,069.84 17,007 .940 95 776 ,1 28 . 89 0.00 776,1 28 89

Total Corporate Bond s

930, 615 .90 0. 00 17,784,069 .84 17 , 007,940. 95 776,128 .89 0 .00 776 , 128 .89

Northern Trust

The Ford Family Foundation 93-6026156Schedule 5

Generated by Nc Schedule of InvestmentsPage 37 of 41


Qescnotion/Asset ID Accrue d• Sh a r es/PA R value Local m a rke t price inco me/ ex p en se Market value Co st Market Tra nsl a tion To t al

Fixed Incom e

Other fixed income


U IT OR I NV S DUAL TX EXMP TR 39TH M U LTI SER 21 MTHLY CTF I NT $1M UNI T VAL REG CUS IP. 68588550 164 0 0 242 25 0 0000 0 00 15 ,504 .00 24, 401 .00 - 8 ,897 .00 0 00 - 8 , 897. 00

Total USD 0.00 15,504 .00 24 ,40 1 .0 0 - 8, 897 .00 0 00 8 , 897 .00

Tot a l United States 0.00 15,504 .00 24 , 4 0 1 . 00 - 8 ,897 .00 000 - 8,897 .00

Tota l Other Fixed Income

64 .00 0.00 15 , 504 .00 24, 401 .00 - 8 , 897 .00 0 .00 8 ,897.00

Tota l F i xed Income

930 , 6 79.90 0.00 1 7,799,5 7 3 . 84 1 7 ,03 2 ,3 41 .95 767 , 231 .89 0.00 767,231. 8 9

Unrealized ga i n /lossDescription /Asset ID AccruedS hares /PAR value L o ca l ma rket pri ce income/expense Market value Cost Market Trans lation Total

Venture Capital and Partnership s

Partn e r ship s

Germany - EU R

EUROPE SE LECT EQU I T Y PARTNERS I I (A ) LP SEDO L 514407W1 ,989 , 324 00 07232608 0 00 1, 768, 14 1 32 1 , 9 72,478 30 676 ,538 83 472,201 85 - 204 , 336. 9 8

Total EUR 0.00 1,768,1 41 32 1,972,478 30 - 676 ,538 8 3 4 7 2 ,2 0185 - 204 ,336 .9 8

is Tot al Germany 0.00 1,768,1 41 32 1,97 2 ,47 8 .30 - 6 76 ,538 83 4 7 2 ,201 .85 - 2 04 ,336 .9 8

United Kingdom - E UR

KEYHAVEN CAP PARTNERS I LP LP SEDOL 008797U27 ,911 12 00000358 0 .00 1 23 35 .04660 - 34 ,298 74 746 63 35 ,045 37

Total EUR 0 .00 1 .23 35 ,046 .60 - 34 , 298 .74 - 746 63 - 35 ,045 .37

Total Un i ted Kingdom 0 00 1 23 35 ,046 .60 - 34 , 298 . 74 - 746 63 - 35 , 045 . 3 7

The FordNorthern Trust Generated by Noi

FamilySchedule

5 n 93-6026156

Schedule of Investment sPage 38 of 41

• Asset Detail - Base Currency Page 44 of 97

Description/Asset ID Accru ed Unrealized gainfloss

• S h are s/PA R va lue Loca l m a rket price incom e/expense Marke t va lue Cost Ma rket Transla tion Tot a l

Venture Capital and Partnerships

Partnerships


ABBOTT CAP IT AL PR IVATE EQU ITY FUND I V LP CUSIP . 000 1 9056 11,1 08 , 146 58 875 .769 0000000 0 00 875 ,769 00 1 ,108, 146.58 232, 377.58 0 00 - 232 , 377 58

HARBOURV EST PARTNERS VI - CAYMAN PSH I P CUSIP . 0001342704 ,536 ,602 55 2 ,654, 843 0000000 0 00 2, 654 ,843 00 4, 556,602 55 - 1 , 901 ,759 55 0. 00 - 1 , 901 , 759 55

HARB O URV EST PTRS VI -CAYMAN BO PSHP FD , LP CUSIP . 00014275 21, 630 , 878 90 1 ,360. 148 000 0000 0 00 1 , 360 , 1 48 00 1 ,63 0,878 90 - 270 ,730 .90 0 00 - 270, 730 90

OCM PRI NC IPAL OPPORTUN IT I ES FUND II, LP CUSIP 00014 1 3665 , 374 , 223 63 7 ,762, 8 7 2 000 0000 0 00 7, 762, 81 2 00 5 ,374,223 63 2 ,388 ,588 37 0 00 2 ,388 , 588 37

SPUR V ENTU RES , LP CUS I P ' 0 0028002490,000 00 90.000 0000000 0.00 90,000 00 90,000 00 0 00 0 00 000

Tot al USD 0.00 12,743,57 2 . 00 12,759, 8 51 .66 - 1 6 ,2 7 9.66 0.00 - 16,279 66

Tot a l United St ates 0 00 1 2 ,7 43,572.00 1 2 ,759 , 851 . 66 - 16 ,279 . 66 0.00 - 16, 2 79 .6 6

Tota l Partnerships

14, 777 , 086 .78 0 .00 14, 511 ,714.55 14,767 ,376.56 - 727 , 117 .23 471 ,455 .22 - 255 ,662 .01

Total Ventu r e Cap ital a nd Partne rs h ips

14, 777 , 086 .78 0 .00 14, 511 ,714.55 14 ,767 , 376 .56 - 727 , 117 .23 471 ,455 .22 - 255 , 662 . 0 1

•


Generated by IVorihe.Schedule 5


•


Description/Asset ID Exchange r ate or Accrued Unrealized ga inAo ss

S har e s/PAR value local market price Income/expen s e Market value Cost Market Translation Tota l

Cash and Cash Equivalents

Short term investment funds

USD - UNITED STAT E S DOLLA R S1 000 0000 10 ,727 64 13 ,775 ,440 79 13, 775,440 79 0 00 0 00

Tota l short term Inv e stment funds - all currencies 10 ,72 7 .64 13,775, 440 .79 13 ,77 5, 440 .79 0 .00 0.00 0.00

Total short term Investme n t funds - all c ountri es 10,727.64 13 ,77 5,440 .79 13 , 775, 440 .79 0 .00 0. 0 0 0 .0 0

Total Short Term Investment Funds

13,775,440.79 10 ,727 .64 13 , 775 ,440 .79 13,775,440.79 0.00 0 .00 0 . 00

Cash

EUR - Euro08137359 0 00 - 29 49 - 29.49 0.00 0 00 0 00

Total cash - all currencies 0 00 - 29 49 - 29 49 0.00 0.00 0 00

Total cash - all countries 0 00 - 29 49 - 2949 0 00 0.00 0 00

Total Cash

-29 .49 0.00 - 29 .49 - 29 .49 0 .00 0 .00 0 . 0 0

Invested cash

USD - U nited S t ates d oll a r1 000 0000 44 63 27 .03 27 .03 000 0 .00 0 .00

Tot a l investe d cash - all currencies 44 .63 27 03 27 .03 0 .00 0 0 0 0 .0 0

is

T otal invested cash - all countries 44 63 2 7 03 27 .03 0 .00 0 00 0.0 0

Total Invested cash

27 .03 44 . 63 27.03 27 .03 0 .00 0.00 0.00

Total Cash and Cash Equivalents

13 , 775 , 438 . 3 3

Northern Trust

10 ,772 .27 13 ,775 ,438.33 13 , 775, 438.33 0 .00 0.00

0 00

0 .0 0


Generated by NiSchedule 5


•

~ Asset Detail - Base Currency Page 46 of 97Unrealized gain loss

Description/Asset ID AccruedShares/PAR value Exchange rate income /expense Market value Cost Market Translation Tota l

Adjustments To Cash

P ending trade purcha ses

USD - UNI T ED STATES DOLLARS10000000 000 8 , 501 ,000 87 8 , 501 .000 87 0 00 0 00 000

T otal pend i ng tr ade purchases - al l currencies 0 00 8 , 501 , 000 .87 8 , 501 , 000 .87 0 .00 0.00 0 . 00

Total pend i ng tr ade purchases - a ll countries 0 00 8 , 501 , 000 .87 8 , 501 , 000 .87 0 .00 0 .00 0 . 0 0

Total Pe n d i ng trade purchase s

0 .00 0 . 00 8 .501,000 .87 8 , 501 , 000 .87 0.00 0 .00 0 .00

Pending trade sale s

USD - UN IT ED STATES DOL LARS1 0000000 0 00 9 ,222 ,244 73 9 ,222 ,244.73 0 00 0 00 0 .00

To t a l pend i ng trade sa les - al l curren cies 0 00 9 , 222 ,244 73 9,222 ,244.73 0 00 0 00 0 . 00

Total pen din g trade sales - all coun tries 0 00 9 , 222 , 244 .73 9 ,222 , 244 .73 0 .00 0 00 0 00

Tota l Pend i ng trade sal e s

0.00 0 .00 9 , 222,244 .73 9,222, 244 .73 0.00 0 .00 0.00

Total Adjustments To Cas h

•

0 .0 0

Nord

Part IILine lOb

Northern Trust Market Value at 3/31/04

Less : Interest Receivable

Less: Cash

Less : Investment Receivable

Add : Limited Partnership Market

Value Adjustment at 3 /3 1 /04

0 .00 17 ,723 , 245 .60 17, 723,245.60

460,073,368(238,894)

459,834,474

(13,772,074)(17,723,246 )

638,027

0 .00 0. 00 0 .00


Generated by N Schedule of InvestmentsPage 41 of 41

•

The Ford Family FoundationCapital Gain (Loss) Summa ry

990PF3/31/2004

Source: The Northern Trust Company, Agent [E IN 36-7158276 1

Partnership K-1's, 1099's

TCW Asse t Manag e ment Company

Brin son Partn e rs, Inc .

Morgan Stanley

TNT Intermediate-Short

Separat e ly Manage d

OCM Principal Opportuniti es Fund II , LP

Iridian Asset Manag ement, LLC

KR Capital Advisors, Inc .

Abbott Capita l

Wells Capita l

Northern Trust Money Market

Templeton Institutional Funds, Inc .

Capital Guardian

TT International

Nicholas Applegate

Invesco

Columbia Management Company

Total Capital Gains FYE 3/31/04

26-04114

26-04115

26-04116

26-06222

26-09694

26-09695

26-0971 6

26-09717

26-13453

26-15294

26-53738

26-5373 9

26-53740

26-53741

26-53742

26-53745

26-53748

Short Term Long TermCapital Capital

Gains (Losses) Gains (Losses)

(272,729) (3,096,370 )

9,163

2,244

153,199 213,557

1,988,968 (99,359)

673,314 (40,226)

3,015 9,185

1,652,650 1,854,746

169,796

572,049

17,193

1,771,577 (53,517)

826,737 (1,688,376)

743,148 820,369

903,777 1,802,005

8,445,900 490,215

•

93-602615 6

Total

Capita lGains (Losses)

(3,369,099)

9,163

2,244

366,756

1,889,609

633,088

12,200

3,507,396

169,796

572,049

17,193

1,718,060

(861,639)

1,563,517

2,705,782

8,936,115

Note :

Individual tran saction d etail is not provided due to the large number of tran sactions and the voluminou s numb er

of pages that would b e requir ed. De tail s are available upon request.

The Ford Family Foundation

S tatement 6Capital Gain s (Losses ) Summary

Page 1 of 1

• • 93-6026156

The Ford Family Foundatio n990 PF - 3/31/2004

Part - VIII Information about Officers, Directors & Highly Paid EmployeesLine 1 - List of officers, directors, trustees, foundation managers and their compensatio n

(d) Contributions to(b) Title and employee benefit plans & (e) Expense account

(a) Name and address average hours D Compensation deferred compensation and other allowances

Karla S. Chambers Director 28,500 0 0

1600 NW Stewart Parkway Part-time

Roseburg, OR 97470

Allyn C. Ford Director 28,500 0 0

1600 NW Stewart Parkway Part-time

Roseburg, OR 9747 0

Joseph P. Kearns Director 28,500 0 0

1600 NW Stewart Parkway Part-tim e

Roseburg, OR 9747 0

Ronald C. Parker Director 42,750 0 0

1600 NW Stewart Parkway Part-timeRoseburg, OR 9747 0

Carmen R. Phillips Director 28,500 0 0

1600 NW Stewart Parkway Part-tim eRoseburg, OR 9747 0

John Sweet Director 26,917 0 0

1600 NW Stewart Parkway Part-tim e

Roseburg, OR 9747 0

Charles U. Walker Director 28,500 0 0

1600 NW Stewart Parkway Part-timeRoseburg, OR 97470

Norman I Smith President 265,918 44,861 6,591

1600 NW Stewart Parkway 50 hours

Roseburg, OR 97470

Donna P . Wolford

1600 NW Stewart Parkway

Roseburg, OR 97470

990 PF Part VIII Line 1

Assist.- Secretary 50,352 16,683 0

40 ho u rs

528 ,437 61 ,544 6 ,59 1


Sch edule 7Information About Officers Directors

Pace I of 1

•


Summary of Direct Charitable ActivitiesPart LX-A

990PF

3/31/2004

990PF page 6

Part IX-A Summary of Direct Charitable Activitie s

Scholar ship Program - The Foundation conducts a number of college scholarship

•

Expenses

programs. In addition to receiving scholarship funds, scholars participate in workshop sconducted by the Foundation and receive academic advice and counseling from the 1,040,159

Foundation . There were approximately 620 scholars as of March 31, 2004 .Scholarship payments amounted to $6,945,479 and program expenses were

approximately $1,040,000 for the year ended March 31, 2004.

2 The Ford In stitute for Communi ty Building (FICB) strives to build communities

by developing local leadership, effective local organizations, and productive

collaborations among community groups and between communities . The Ford

Institute offered a 60-hour curriculum to eight communities . Each community class

consisted of about 20 participants and represented a diverse group of existing and 879,681

emerging leaders. In addition to the leadership curriculum, each community develope d

and completed a unique community project supported by the Institute with a

matching grant up to $10,000 .

FICB also published the "Community Vitality" newsletter and made grants for

leadership training and community assistance. For the year ended March 31, 2004

FICB grants totaled $346,896 and program and administrative expenses were $879,680 .


Direct Cha ri table Activities Part IX-A

Page 1 of 1

• •

The Ford Fami ly Foundation 93-6026 1 56Schedule 9

Grant Guidelines and ApplicationProceduresPage 1 of 2

• ~ ~ ~

"Peop le have been so good to methat I want to give back to them.-

-Kenneth W FordHistoryIn 1936, Kenneth W Ford pursued a vision with asingle sawmill in the southern Oregon community ofRoseburg From his initiative and tenacity grew Rose-

burg Forest Products Co ., one of the largest, family-owned, wood products manufacturers in the nationThe same ingenuity and capacity for hard work that

brought Mr. Ford success in the business world alsocharacterized his commitment to "building commu-nity " In 1957, Kenneth and Hallie Ford established amodest foundation to give back to the timber commu-nities of southwest Oregon It grew in size, scope, and

geography to become The Ford Family Foundation in1996, with its main office in Roseburg, Oregon, and itsscholarship office in Eugene

The Mission of The Ford Family Foundation isto help individuals through organized learningopportunities to be contributing and successfulcitizens, and to enhance the vitality of ruralcommunities .

The Values of its founders guide the Foundation inperforming its responsibilitie s

• Integrity - Promoting and acknowledgingprincipled behavior.

• Stewardship - Responsibility to give back andaccountability for resources and results

• Respect - Valuing all individual s• Independence - Encouraging self-reliance

and initiative .• Community - Working together for

positive change

"It's not what you have, but what you give toyour family, your community and your country."

- Hallie E Ford

•

What we doThe Ford Family Foundation Grant Programsmake grants to public charities that predominantlybenefit small communities in rural Oregon andSiskiyou County, Cali f

The Ford Family Foundation ScholarshipPrograms offer assistance to residents of rural andurban Oregon and Siskiyou County, Calif, to pursuehigher education

The Ford Institute for Community Building helps ruralcitizens in Oregon and Siskiyou County, Calif, createvital communities through training, small grants andresource s

Who we serveWe define "rural" for our Grant Programs and the FordInstitute as communities under 30,000 in populationin Oregon and Siskiyou County, Calif., and not adja-cent to or part of a metropolitan area The Ford FamilyScholarship Programs offer assistance to residents ofrural and urban Oregon and Siskiyou County, Calif .

For detailed information,visit The Ford Family Foundat i on Web sitewww.tfff .org .

9/04


Grant Guidelines and ApplicationProceduresPage 2 of 2

. ~ -- -

• •

The Ford Family Foundatio nFYE 3/31/04

Beginn i ng Balance Newly Allocated Amended Amount Paid Ending Bal ance

Reci p ie nt and/or P urpose Tax Status 2004 2004 2004 2004 2004

ADAPT 509(a)(1) $0.00 $360.00 ($120.24) $239 76 S000PO Box 1 1 2 1Roseburg, OR 97470

Koltday Giving ProgramS239 .7 6

2004

.Eaztern Oregon M iss i on, Inc. 501(c)(3) $0 00 $ 7,000.00 SO.UO $7,000 00 $0.00PO Box 1723

Hermiston, OR 97838Capitalization Pla n$7,000.00

2004

Alaska Whale Foundati on 501(c)(3) $0.00 $ 500 .00 $0.00 $500.00 $0004739 University Way NE #123 9Seattle, WA 98105

research education

$500 .0 02004

- 11 sea Community Effort, Inc. 509(a)(1) $000 $20,660.00 5 0 .00 $20,660.00 $000PO Bo x 7

Alsea, OR 97324Alien Community Center Library Bu ildingProject

$20,660.002004

American Red Cross - Oregon Pacific 509(a)(1)Chapter

Douglas County Office870 NE Alameda AvenueRoseburg, OR 97470general support

$500 .002004

,,American Red Cros s - Oregon Pacific 509(axl)

Chapter

Douglas County Office870 NE Alameda AvenueRoseUurg, OR 97470

general support

$200 .002004

'American National Red Cross 501(c)(3)

862 Bethel Drive

Eugene, OR 97401

general support

$800.0 02004

/Arc of Polk 509(a)(1)

240 SW Washington Stree tDallas, OR 97338

Strategic Planning$ 5,000.00

2004

$0. 00

$0.00

$50000

$200 .00

$0.00 $800.00

$0.00 $5,000.00

$0 .00 $ 5 00 . 0 0

$0.00 5200 . 0 0

$0.00 $800.00

50.00 S 5,000.00

$0 .00

$ O . 0 0

$0.00

$0 .00


Grant s & Contribution sPage 1 of 53

0 •

The For d Fami ly FoundationFYE 3/3 1 /04

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient and/or Pu rpose Tax Status 2004 2004 2004 2004 2004

✓Baker Coun ty Community Litera cy 50 1(c)(3) $0.00 $5,560 . 00 $0 00 $0 .00 5 5,560.00Coaliti on , Inc2400 Resort Street

Baker City, OR 97814Fundraising StrategyS5,560 .00

2004

;don Teen Center, Inc. 509(a)(1) 50 .00 $0.00 ($1,843 .98) ($1,843.98) 50 . 00PO Box 49 5Bandon, O R 9741 1Develop Funding and Financier! Plan$6,156.02

2002

Bandon Library Development Foundation, 5 0 9(a)(1) $315,00000 $ 0 .00 $0.00 $315,000.00 $0.00IncPO Box 128Bandon, OR 97411New Li brary$ 315 , 000.00

2002

fiatt ered Persons Advocacy 509(a)(1) $97,500.00 $0.00 $0 .00 $0 .00 597 , 500 .00'PO Box 1942Roseburg, OR 97470Program Support - Over 3 Years$97,500.00

2003

'Battered Persons Advoc acy

PO Box 1942

Rosebi¢g, OR 97470general support$400-00

2004

y Area First Step, Inc1741 Newmark Aye=Coos Bay, OR 97420-4704

KoLday Giving Program

$850 .002004

may Area Junior Chamber of Commerce

PO Box 2 5

Coos Bay, OR 97420

Holiday Giving Program

S 3,000.0 0

2004

'Blachly School District #90

20264 Blackly Grange Road

Blackly, OR 9741 2

Triangle Lake Community ClassroomsS 1,272 .52

2003

509(a)( l )

509(a)(2)

Non-Profit

Organization

Government

Agency

$0 .00 $400 .00 $0 00

$0.00 $850.00 $0.0 0

$0 .00

$89,8 5 0 .00

$3,000 .00 $0.00

$ 400 .00 50 .00

$8 50 .00 $0 .0 0

$3,000.00 50.00

$0 .00 ($188,372.48) (598 , 522. 48) 50.00

The Ford Family Foundation 93-6026156Schedule 1 0

Grant s & ContributionsPage 2 of 53

• •

The Ford Family FoundationFYE 3/31/04

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipie nt and/or Purpose Tax Status 2004 2004 2004 2004 2004

Blind Chi ldren 's C enter, Inc. 501(c)(3) $0.00 $ 1 ,000. 00 $000 $ 1,000.00 $0.0041 20 Marathon Street

Los Angeles , C A 90029general supportS 1 ,000.00

20 04

Res and Girls Club of Harney County 509(a)( 1 ) $0.00 $175,000.00 ($95, 0 00 .00) 58 0, 000.00 $0 0020 B ox 103 5Bums, OR 9 7720

Boys & Girls Club Renovation andOperationsS 8 0,000 . 00

20 04

SWOYA Boys and G irls Club 509(a)(1) $80,00 0 .00 $0.00 $0.00 S80,000 .00 $ 0.00PO Bo x 1082Coos Bay, OR 97420Ensuring Sustainable After-SchoolPrograms - Challenge Granta 200,000 .00

2003

iWOYA Boys and Girls Club 509(a)( 1) $0.00 $2,520.00 $0.00 $2,520.00 $0.00P O Box 108 2Coo s Bay, OR 9 7420

capital construction

$2,520.002004

B righam Young UniversityPO Box 2718 8Provo, UT 84602-7188general suppo rt

E 10,000 .002004

rns /Hlnes School District #3

550 North CourtBurns, OR 97720Family Outreach Project

$ 141, 510 . 002002

'butte Falls School District #91

PO Box 22 8Bu tte Falls, OR 975 22Butte Falls Comm unity Sch oold.S. P.l. RE

Project

$ 23 4 , 011 .0020 0 3

amp Fire USAPO Box 115Pen3leton, OR 97801Cnpualizalwn Plan$5,000 .0 0

2004

509(a)(1 )

GovernmentAgency

GovernmentAgency

501 (c)(3)

$0 00 $10,000 00

$23,575.00 $0.0 0

$147,700.00 $0 .00

$0 .00 $5,000 .00

$0.00 $10,000.00

$0.00 $23,575.00

$0.00

$0.00

$0 .00

$5 ,000.00

$0 .00

$0 . 00

$147,700.00

If0 . 0 0


Grants & Contribu tion sPage 3 of 53

~ - -

The FordSly Foundatio nFYE 3/31/04

Beginning Balance Newly Allocated Amended Amount Paid Ending Balance

aeiplent ald/orPurpose Tax Status 2004 2004 2004 2004 200 4

or thw est Conservati ve Baptist Associa tio n, 509(a)(1) $0.00 $4,000.00

It.

43943 McDowell Creek Drive

Lebanon, OR 9735 5

Ford Se War Inlernrkip Program

$4,000.30

2004

rby Sch of District #86 Government S 150,000.00 $0.00

Agency

Friends ojscouting

11 lo s IvyCanby, OR 97 01 3Canby mmwuty EducationS 2 30,0 0. 0 0

2003

anby Sch of District#86 GovernmentAgency

1110 SCanby, R 9 7013Legen& of the LonghouseS 2,50000

2

tiPyonvi Chamber Community 509(a)( 1)

irtacrshi) Foundatio nPO Bo 750Canyon ' , OR 9 741 7Pioneer Park Renovation Project$60,00) .00

2

Cascade gad Festival Inc. 509(axl)PO B x605L n City, OR 97367ucolgrne* support

$400100200 4

made F acifie Council of Boy Scouts of 509(a) ( 1 )America ,

2145 SW Naito ParkwayPortland, OR 9720 1Cmnp MeriwethaDining HallS 250,000 . 00

2002

i24seade Pacific Council of Boy Senate of 509(a)(1)Americ a

2145 SW Naito ParkwayPortland, OR 97201Friends ofScouting$400.00

2004

'S scade Pacific Council of Boy Scouts of 509(a) (1 )_-oerie a

2145 SW Naito ParkwayPortland OR 9 7201

$2,600.002004

$0.00 $2,500.00

$000 $4,000.00

$0 00 $0.00 $150,000 .00

$0.00 52 ,500.00 $0 . 0 0

$0.0 0

$0 .00 560,000.00 $0.00 $0.00 560 ,000 .00

$0.00 $400.00 $0.00 5400 .00 $0 .00

$250,000 .00 $0 .00 $0 .00 $ 25 0 ,000.00 $0.0 0

$0 .00 $400.00

$0.00 $2,600.00

$0.00 $400.00

$0 .00 5 2, 600.00

$0 .00

$0 .00

The Ford Family Foundation 93-6026156Sch e dul e 10

Grants & ContributionsPage 4 of 53

••

The Ford Fami ly FoundationFYE 3/31/04

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient and/or Purpose Tax Status 2004 2004 2004 2004 2004

!the Center for E ffective Philanthropy, Inc. 50 L(c)(3) $0 00 $10,000.00 $0.00 $10,000.00 S000678 Massachusetq Avenue, Suite 90 3Cambridge , MA 02 139Grantee Perception Report

$ 10,000 .002004

-C=itral City Conaru, Inc. 509(a) (1) 50 .00 $2,00000 $0.00 $2,000.00 $0.00232 NW Sixth AvenuePortl and, OR 97214general supportS2,000,00

2004

Central Douglas County Family YMCA 501(c)(3) $0 00 $1,000 .00 $0.00 $1,00000 $0. 001151 Stewart Parkway DriveRoseburg , OR 97470 - 1902scholarship fun dS 1,000 .00

2004

Central Linn School District 552C Government $131 ,440.00 $0.00 $0 .00 $000 S131,440 .00Agency

331 E Blakely Avenue3rownsville , OR 9732 7Cen tr al Linn Rural Community SchoolPrograms

$204,36000

2003

Central Oregon Battering and Rape 509 (a)( 1) $0.00 $4,500.00 $0.00 $4,50000 $0. 00

Alliance Victi m Advocacy1425 NW Kingston AvenueBenA, OR 9770 1COBRA Shelter RemodeWpgrade Projec t

S4,500-0 02004

t:wtral Oregon Family Resource Center 509(a)(1) $96,918.00 $0.00 $0.00 57 7 , 66100 $ 19 ,257.00

1010 NW 14th Street

Bend, OR 97701Nurturing Parenting Program

$ 282,307 . 002002

hsmber Music America Inc . 501(c)(3) $0.00 $400.00 $0.00 5400.00 5,0 . 00

305 Seventh Avenue, 5th Floo rNew York, NY 10001

residencyfund$400.0 0

2004

,p'aciGe Fisheries Enhancement, Inc . 509(a)( l) $0 .00 $4,500. 00 $0 00 54,500.00 $0 .00

PO Box 594 1Charleston , OR 97420Holiday Giving Program

$4,500.0 02004




B eginning Balance N e wly Allocated Amended A mount Paid Ending Balance

Recipient and/or Purpose Tax Status 200 4 2004 2004 2004 2004

Children's Home Society of Minnesota 509(a)(1) $0.00 $400.00 $0.00 $400.00 $0.001605 Eustis StreetSt Paul, MN 55108-1219general supportS400 .00

2004

'+'4atimini Wildlife Rehabilitation Center 509(a)(1) $0.00 $4,000.00 $0.00 $4,000.00 $0.00PO Box 143 3Corvallis, OR 9733 9Ford Scholar Internship Program$ 4,000 .00

2004

'Cinchoose.Com,Ina 509(a)(1) 50.00 $50000 $0.00 $500.00 50.00dba Operation Homcfront28777 Mill Bridge Drive

Mewfee, CA 92584general support

$500 .002004

Coastal Communities Cultural Center 509(a)(2) $0.00 $40000 $0.00 $400.00 $0.00,-PO Box 75 2

Lincoln City, OR 973 67genera! support$ 400 .00

2004

'tobb Street Children's Learning Center1281 NE Walnut Stree t

Roseburg, OR 97470

Cobb Street Childcare Building Purchase -Challenge Grant$200,00000

2003

Cobb Street Chil d ren's Learning Cente r

1281 NE Walnut sirRoseburg, OR 97470

Paving oJParking Lot$ 10,000 .00

2004

community Ba sed Activity Program, Inc .

1341 Pacific Avenue

Forest Grove, OR 97116Adventures Without Limier Program

Development - Over 3 YearsS 14,500.00

2002

immunity Service Organizatio n

5 11 Echandia StreetLos Angeles, CA 9003 3Gerald E Bruce Community LeadershipAward

S5,000 .002004

so9(a)(t )

509(a)(I )

509(a)(1 )

509(a)(2)

$200,000 00 $0.00 $0 00 $200,000.00

S0.00 $10,000 .00 5 0 .00

5 3,500.00 $0.00 $0.0 0

$0.00 $5,000.00 $0.00

$10,000.00

$3,500 .00

$5,000 .00

$0 .00

$0 .00

$0 .00

X0 . 0 0



•

$0.0 0

The Ford Fami ly FoundationFYE 3/3 1 /04

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient and/or P urp ose TaxS tatus 2004 2004 2004 2004 2004

/ommunity Sharing Program $0 .00 51,475 .00 $0.00 3 1 ,4 7 5 .00 $0 .001245 Birch Stree tCott age Grove , OR 97424Board and Staff DevelopmentS 1,47500

2004

!"`'V Bay Area Habitat for Humanity 509( a)( 1 ) $0.00 $25,000.00 $0.00 $25,000.00 $0.00PO Box 98 6Coos Bay, OR 97420Habitat Home - Challenge Grant$25,00000

2004

Zoos Bay School District #9 Government $0.00 $2 , 500 .00 $0.00 $2,50000 $0 . 00Agency

PO B o x 509Coos B ay, OR 97 42 0Better Meeting the Needs ojOurAdolesecents

S 2 ,500 .0 02 00 4

69s Bay Seventh Day Adventist Church 501(c)(3) $000 $1 , 000 00 $0.00 $1,000.00 $0 . 0 02175 Newmark S treetCoos Bay, OR 97420Holiday Giving ProgramS 1,00000

2004

.Coos Council Knights of Columbus Non-ProfitOrganization

2325 Madrona

North Bend, OR 97459

Holiday Giving ProgramS 6,000 .0 0

2004

tioos County GovernmentAgency

Coos County Courthous e250 North BaxterCoquille, OR 97423

Coquille - Raise the 4-H RoofS 10,000.0 0

2004

kaos coney GovernmentAgency

Coos County Courthouse250 North BaxterCoquille, OR 9742 3Non-profit Incorporation -Centrexx, SCIG,DVD V$ 7,707 .00

2004

v6oos County 4-H Leaders Association Inc. 501(c)(3 )

631 Alder StreetMyrtle Point, OR 97458

equine education and safety$400 .00

2004

$0 .00

$0 .00

$0.00

$0 .00

$6,000 .00

$10,000 . 00

$400.00

50. 00

•

$6,000 .00

$10,000. 00

$0.00

$0 .00

$0 .00 s 7 , 707.00 $0.00

$0.00 S400.00 .50 .00


Grants & Contribution sPage 7 of 53

•

- 191111111h,

The Ford Fami ly Foundation

FYE 3/31/04

Beginn i ng Balance NewlyAllo cated Amended Amount Paid En ding BalanceR ecipi ent an d/or Purpose Tax Status 200 4 2004 2004 2004 2004

/Coos County Foster Pa rents Association 509(a)(2) $000 $1,500.00 $0.00 $1,500.00 $0.00PO Box 33 5Coos Bay, OR 97420

Holiday Giving ProgramS 1,500.00

2004

"-us County Sheriff's Department Government 5 0.00 $ 21,085.00 $0.00 $21,085.00 $0.00Agenc y

Courthouse250 North BaxterCoquille, OR 9742 3

Sherds Reserve All Terrain VehicleEquipment Project$21,085 .00

2004

"Coquille School District #S Government $0.00 $14,000.00 $0.00 $14,000.00 $0.00Agency

201 N Gould Sheet

Coquille, OR 97423

High School Track Renovation$ 14,000.0 0

2004. ~

"loquille Seventh Day Adventist Church 501(c)(3) $0 00 $500.00 50.00 $500.00 $0.00PO Box 20 5

Coquille, OR 97423Holiday Giving ProgramS 500 00

200 4

'Cottage Grove Area Habitat for Humanity 509(a)(l)

PO Box 327Cottage Grove, OR 97424

Habitat Home - Challenge Grant

$25,000.00

2004

ittage Grove Recreation Association 509(a)(2)

20 Thornton LamCottage Grove, OR 97424

Cottage Grove Skate Park Phase I

S 20,00 0 .002003

'Council on Foundations, I nc. 501(c)(3)

1828 L Sheet, NW, Suite 300

Washington, DC 20036-5168Supporting Memberships

$34,600.0 02004

~ Cove School District #15 GovernmentAgency

PO Box 68

~-- Cove, OR 97824Cove Community School Collaboration

$ 236,100 002003

$0 00 $25,000.00

$20,000 0 0

$0 .00

$157,400 .00

$ 0 . 00

$ 34,600 .00

$0 00

$0 .00 $0 . 00 $25,000.00

$0.00 520,000.00 50 . 0 0

$0 .00 $34,600.00 0.00

S006 50 .00 $157,400 .0 0



• The Fortnily FoundationFYE 3/31/04

Beginning Balan ce Newly Allocated Amended Amount Paid Ending B alance

Recipient andior P urpose Tax Status 2004 2004 2004 20 04 2 0 04

`Crescent Rural Fire Protection District Government $0 00 $20,000.00 $0.00 $20,00000 $0.00Agenc y

PO Box 230Crescent, OR 97733-023 0Construct Substation - Hackett DriveBuilding$20,000.00

2004

/Crescent-Odell Lakes Rural Fire Protection 501(c)(3) $000 $ 9,500.00 $0.00 S 9,500.00 $0.00District

PO Box 65

Crescent Lake, OR 97425

Fire Hall Expansion$9,50000

2004

'rook County Unit School District Government $0.00 $2,500.00 $0.00 S2,500.00 $0.00Agency

1390 SE 2nd Sleet

Prineville, OR 97754-249 8Promotion of Civic Competence & SocialUnderstandingS 2,500 00

2004

Master Gardener Association 501(c)(3) $0.00 53,330.00 $0.00 $3,330.00 $0.00PO Box 48 8Gold Beach, OR 9744 4Initiate a Junior Master Gardener Program$3,330 .00

200 4

fDallu School D istrict No. 2

11 SW Ash StreetDallas, OR 9733 8

Dallas Community SchoolS 212,751 .0 0

2003

The DaUes Area Habitat for Humani ty

PO Box 37 8

The Danes, OR 97058

Habitat Home - Challenge Grant325,000.00

2004

e'P6e Dulles Riv e rfront Trail D evel op ment

Corp ora tion

PO Box 967The Dalles, OR 9705 8

Lewis And Qark Riverfront Trail At The

Dulles -Budge Construction - Challenge

Gran t

S 180,000 .00

2002

The Dulles School District

1413E 12th Street

The Dulles, OR 97058-4096

Con ti nuation ofD,srricr #21 : K-12 drrs

.1as ignmen t

$2,500 .002004

Government

Agenc y

509(a ) ( t )

509(a)(1)

Government

Agency

$140,650.00 $000

$0. 0 0 5 25,0 00.00

$96,000.00 $0.0 0

$0.00 $2,500.00

50 .00 50 .00 $140,650 .00

$0.00 $0.00 $25,000.00

$0.00 $96,000. 00 $0 .00

$0 .00 $2,500 .00 $0 .0 0


Grant s & ContributionsPage 9 of 53

• The Fordtly FoundationFYE 3/31/0 4

Beginning Balance Newly Allocated Amended Amount Pa id Ending B alanceRecipient and/or Pu rpose Tax Status 2004 2004 2004 2004 2004

The Danes School District Government $000 $1,250.00 $0.00 $1,25000 $0.00Agency

1413 E 12th Stree tThe Dalles, OR 97058-409 6

Equity & Expediency Library Books forImmediate Curricular Needs

$ 1,250 .002004

'Douglas County School District #15 Government $0.00 $6,610.00 $0.00 $6,610.00 $000Agency

PO Box 10Days Creek, OR 97429School Beauhfuahon/Communuy Park

S 6,610 .002004

-ife Paul Treatment Centers, Inc- 509(a)(1) $0.00 $500.00 $0.00 5 500 .00 $0.00PO Box 3007Portland, OR 97208-3007

112 scholarship for youth3 500.0 0

2004

Ated Methodist Church 509(a)(1) $0.00 $2,650.00 $000 $2,65000 $0.00PO Box 277

Dillazd, OR 97432


$ 2,650 .002004

Doernbecher Children's HospitalFoundati o n

1121 SW Salmon, Suite 201Portland, OR 97205-202 1Kenneth W Ford Northwest Children's

Cancer Center Expansio nS 2,000,000.00

2003

Doernbecher Children's HospitalFoundati o n

112 1 SW Salmon, Suite 20 1Portland, OR 97205 -2021genera l support$2,000 .00

2004

City of Dorris

PO Box 768Dorris, CA 96023Dorris Library Building Projec t

a 83,742 0 02004

Douglas County Cancer ScreeningCommittee

PO Box 2064Roseburg„ OR 97470Holiday Giving Program

$ 1,600. 002004

509 (a)(2 )

509(a)(2)

Government

Agency

509( a)( 1 )

$1,686,355 .00

$0.00

$0.0 0

$0.00

$0.0 0

$2,000 .00

$83,742 .00

$1,600.00

$0.00 $1,500,000.00 S 186,35500

$0 .00 $2,000.00 $0 .00

$0 .00 $83,742.00

$0 00 $1 ,600 .00

$00 0

X0.00



• The Ford Family FoundationFYE 3/31/0 4

Beginning Balance Newly Allocated Amended Amount Paid Ending Bal an celecipient and/or Purpose Tax Status 2004 2004 2004 2004 2004

)ouglas County Health & So cial Se rvi ces Government S000 $6,70000 $0.00 5 6,700 .0 0 $ 0 .00Department Agency

H ealth Center621 West Madrone StreetRoseburg, OR 974 70-3 09 3Shots jor Tots Free Immunization 0inics$6,70000

"--N 200 4

)ougla s Co unty P rofessional Firefighters Non-Profit $0 00 $ 2,000.00 $0.00 52,000.00 $0 00►aso ciation Organization

1141 Hams Hills

Roseburg, OR 97470

Holiday Giving Program3 2,00000

2004

1 o uglasCounty Sheriff's Office Government $0 .00 $ 1,500.00 $0.00 5 1,500.00 $0.00Agenc y

Justice Building1 036 SE Douglas

Roseburg, OR 97470

Partn er With theNational Crime a nd_ Operations Faculty

S 1,500 .00200 4

Douglas Education Service District

1871 NE Stephens Street

Roseburg, OR 97470-149 3

Administration OjNationnl Board CertifiedTeachers Program - Over 3 Years

3 806,652 402001

ISunsmair Garden Club

PO Box 361

1u••smmr, CA 96025Tauhindaub Park and Trail

$ 100,989 .0 0

2002

Elgin School District #23

PO Box 68

Elgin, OR 97827

Literacy Across DisciplinesS 2,500.00

2004

-iktan Rural Fire Protection District

PO Box 44 5

ELIdo4 OR 97436new fire truck

$200 .002004

Governmen t

Agenc y

509(a)( 1 )

Go vernmentAgency

GovernmentAgency

$1,793,749.5 6

$70,9550 0

$0.0 0

$0 00

$0.00 ( $1 ,8 08 , 247 .60) ($ 14 ,496 04) $0.0 0

$0.00

$2,500.00

$2oo.o0

$0.00 $38,200.00 $32,755.00

$0.00 $2,500.00 $0 .00

$0.00 $200 .00 50 .00



••


Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient andlor Purpose Tax Status 2004 2004 2004 2004 2004

Elkton School Dislrlct #34 Government $0 .00 $15000 30.00 $150 .00 $0. 00Agen cy

PO Box 390Elkton, OR 9743 6grade school playgro und equipmentS 150 00

2004

crAscopal Diocese of Oregon 50 1(c)( 3) $0.00 $4,800.00 $0 00 $4,800 00 $0 .00PO Box 102 8Coo s Bay, OR 97420Emmanuel Preschool - capital constructionand scholarship supportS4,800 .00

2004

Estacada Public Library Foundation 509(a)( l) $0.00 $7,000.00 $0.00 $7 , 000 .00 $0.00PO Box 60 9Estacada, OR 97023Technical Assistance

$7,000 .002004

fI ene School Dist rict 4J Govern ment S171,033.00 $0.00 $0.00 $000 $171 ,03 3.00Agenc y

200 North Monroe StreetEugene , OR 97402-4295Coburg Community Building$250,2980 0

2003

Family Development Center 509(a) ( 1) $ 96 ,000.00 $0.00 $000 $0.00 $96,000.00

300 Jerrys Drive

Roseburg, OR 97470- 1132Nursery Program Support - Over 3 Years

S 144 , 000 .002003

mily Development Center 509 (a)(1) $0.00 51 ,000 .00 $0 . 00 $1,000.00 $0.00

300 Jcir}/s DriveRoseburg , OR 97470-1132Holiday Giving Program

$ 1,000 .002004

.F.mily Development Center 509(a)(1) S 0.00 $670 .00 SO 00 $670 .00 $0 . 00

300 Jerry's DriveRoseburg, OR 97470- 1132general support

$670-002004

4-'~nily Development Center 509(a)(1) 50 .00 $4,800 .00 $0 .00 $4,800.00 $0.00

300 Jerry' s Driv e

Roseburg, OR 97470 - 1132Training support - "Life Makeover jar

Women " Series$4,800 .00

2004



• •


Beg inning B alance Newly Allocated Amended Amount Paid E nding B alance

Recipient and/or P urpose Tax S t atus 2004 2004 2004 20 04 2004

.South Lane Family Nursery 509(a)(1) $50,000 .00 $0.00 $0 00 $50,000 00 $0 00PO Box 120 7

Cottage Grove, OR 97424Facility Expansion$50,000 .0 0

2003

'dly YM CA of B aker County 509(a)(2) $0 00 5 4,000.00 $0.00 $4,000.00 50.00580 Baker Stree tBaker City, OR 9781 4Ford Scholar Internship Program$4,00000

2004

.Faneoni Anemia Research Fund, Inc. 509(a)(1) S000 $670.00 $0.00 $670.00 50.001801 Willamette Street, Suite 200Eugene, OR 97447

general support$670 .00

2004

sfhe FISH of Roseburg 50 1(c)(3) S8,000.00 $0.00 $0 00 $8,000.00 $0 00PO Box 1162

'••SLoseburg. OR 9747 0Dairy Products Program jar 2001-2004 -Over 3 Years$24,000 .00

200 1

The FIS H of Ro seburg 501(c)(3)

PO Box 1162

Roseburg, OR 9747 0

Dairy Products Program - Over 3 Years

$ 24,000 .002003

e FISH of Roseburg 501(c)(3)

PO Box 1162Roseburg, OR 97470Holiday Giving Program

$2,500 .002004

Florence Hab it at for Humanity 509(a)(1)

PO Box 3302

Florence, OR 97439Habitat Home - Challenge Grant

$25,000 .002004

ford Institute for Community Building Other

Leadership Training Scholarships Progra m

The National Youth Leadership Forum on

_ ~Techrsology

$2,095 .002004

524 , 000.00 $0.00 $0.00 $0.00 $24,000.0 0

$0.00 $2,500.00 $0.00

$0 .00 525 , 000 .00 $0.00

s2,500.00 $0.00

$25,000.00 $0.00

$0.00 $2,095.00 $0.00 $2,095.00 50 .00



•


Beg inning Balance Newly Allocated Amended Am ount Pa i d Ending BalanceRecipient and/or Purpose Tax Status 2004 2004 2004 2004 2004

fiord Institute for Community Building other $0.00 $8,985.00 $0.00 $8,985 00 $0.00Leadership Training Scholarships ProgramGlide Community Center Board Training -Pacific Progra mS 8,985 .00

2004

,"7d Institute for Community Building Other $0 00 $2,995.00 $0.00 $2,995.00 $0.00'~-.dersfiip Tr aining Scholarships ProgramPacific Program - The Luke Center$2,995.00

2004

Forest Grove School District Government $0.00 $2,500.00 $0.00 $2,50000 50.00Agenc y1728 Main StreetForest Grove, OR 97116-273 7R'riting an English 9 Honors Curriculumfor Use in Training New Honors Teachers$2,500 .0 0

2004

Fossil School District #21J Government $131,000.00 $0.00 $0.00 $0.00 $131,000.00Agency

PO Box 206Fossil, OR 97830-0206Fossil Community Enrichment ProgramS 206,400.00

2003

-Foster Pa re nt A ssociatio n o f Douglas

County1937 West Harvard Blvd

Roseburg, OR 97470Holiday Giving Program

S 1,500 .0 0

2004

ri he Friendly Kitchen

820 West Kenwood


S 2,500.00

2004

-Friends of the Fair Foundation

PO Box 395 9

Central Point, OR975U2Performing Arts Amphitheater

a 200,000 .002003

G"tide Wildflower Show, Inc .

PO Box 332

=Glide, OR 97443Glide Community Center OrganizationDevelopment$7,700.00

2004

509(a) ( 1 )

509(a)(1)

509(x)( 1)

509(a)(1)

$0.00 $ 1,500. 00 $0.00 $1,500.00 $0.00

$0.00

$200,000.00

$0.00

$2,500.00

$0.00

$7,700.00

$0.00 $2,50000 $0.00

$0.00 s200,000.00 $0.00

$0.00 $7,70000 , 50 .00



• •

The Ford Family FoundationFYE 3/31/0 4

B eginning Balance Newly Allocated Amended Amount Paid Ending Balance

Recipie nt and/or Purpose Tax Status 2004 2004 200 4 2004 2004

Golden Coyote Wetlands Inc 509(a)(1) $0.00 $4,250.00 $0.00 $4,250.00 $0.00PO Box 3 8Wolf Creek, OR 97497

Technical AssistanceS 4,250.00

2004

"-''id Samaritan Hospital Foundation 501(c)(3) 5 0.00 $75,000 00 $0 00 $75,000.00 $0.00k...rva1Ls

3600 NW Samaritan Drive

Corvallis, OR 97330

Mario Pastega Guest House Project

$75,000.00

2004

Grande Ronde Valley Habitat for Humanity 509(a)(1) $0.00 $25,000.00 $0.00 $25,000 00 $0.00PO Box 11 1La Grande, OR 97850Habitat Home - Challenge Grant$25,000 .00

2004

[;rant School District #3 Government $0.00 $2,50000 5 0.00 $2,500 00 $0.00Agency

401 N Canyon City Blvd

Canyon City, OR 97820-611 1

Math H.AM.S.IWriting: 6+1 TraitsS2,50000

2004

Grantmakers of Oregon and SWWashingto n

PO Box 638 1

Portland, OR 97228-638 1

Southern Oregon Affinity Group Meeting$ 750 .00

2004

„Grantma{cera of Oregon and SW

Washingto nPO Box 638 1

Portland, OR 97228-6381Supporting MembershipsS 5,700.00

2004

Grants Pan Area Habitat for Humanity

735 SE 6th Street

Grants Pass, OR 97526Capacity Building$6,000 .00

2004

• giants Pass Museum of Art

PO Box 96 6Grants Pass, OR 9752 8Maintain Children's Art Program

$3,693 .00

2004

501 (c )(3 )

501(c)(3 )

509 (a)( l )

509(a)(1)

$0 .00

$0 .00

$750 .00

$5,700 .00

$0.00 $6,000.00

$0.00 $3, 693.00

S00 0

S000

$750 . 0 0

$5,700 .00

$0 .00

50.00

$0.00 $6,000.00 50.00

~J

i$0.00 $3,69300 ' 50 .0 0



• 'The Ford Family Foundation

FYE 3 /3 1 /04


Grants Pass School District No . 7 Government 50 .00 52,500.00 S000 $2,500.00 $000Agency

725 NE Dean Drive

Grants Pass, OR 9752 6Student Data Technology RequirementsS2,50000

2004t

'aa bitat for Humanity Interna tional 509(a)(1) $35,000.00 S000 $0 00 $35,000.00 $0001005 NW Galveston #2l 0Bend, OR 97701-2429Resource Development Manager/Tramtng

Opportunities - Over 3 years3 145,000 00

2002

Barney Education Service District Region Government $100,000.00 50 . 00 $0 .00 50 .00 $ 100,000 00XVII Agency

450 N Buena VistaBums, OR 97720-1565Early Childhood Education And ChildcareCenter Conrhuction Project

$ 100,000 . 002003

dead Start of Yamhlll Coun ty , Inc. 509(a)(1) $75,000.00 $0.00 $0 .00 575,000 .00 $0.00PO Box 131 1McMmnnlle , OR 9712 8New Sh eridan Head Start Fa cility$75,0000 0

200 3

(dealing Reins Therapeutic Riding Center

PO Box 5593

Bend, OR 9770 8Ford Scholar Internship Program$4,00000

2004

.art of Oregon Carps, Inc.

63360 NW Britta Street, Building #1Bend, OR 97701-9446Add Leadership T}ainmg Component to theYouth Summer Work Progra m

$9,000 .002004

.Helix Park & Recreation District

PO Box 382

Helix, OR 97835

Rodeo Grounds Bleacher Project

$ 18,000 .00

2004

aderson-Nor'water Camp

PO Box 66 8Lopez Island, WA 98261

Big House Fund

$ 1,000 .002004

501(c)(3 )

509(a)(1 )

GovernmentAgency

509(a)(1)

so.oo $4,000.00 $0.00

$0.00 $9,000.00 $0.00

$0.00 $18,000.00 $0 . 0 0

$0.00 $1,000.00 $0 .00

$4,000 .00 $0 00

$9,000 00 $0.0 0

$18,000 .00

$1 ,000. 00

$0 . 00

$0 .00



r-I\ J •


Beginning B alance Newl y Allocated Amended Amount Paid Ending BalanceRecipient and/or Purpose Tax Status 2004 20 04 20 04 2004 200 4

'Cit y ot H ep pner Government $0.00 $6,400.00 $3,600.00 $10,000 00 S000Agency

PO Box 756Heppner, OR 97836

Morrow Leadership 2004$ 10,000.0 0

2004

Hermiston School District No. SR Government $0.00 $2,50000 $0.00 $2,500.00 $000Agency341 NE 3rd Street

Hcmuston, OR 9783 8Sunset Second Grade LiteracyS2,500.0 0

2004

-Hermiston School District No . 8R Government SO 00 $2,500.00 50.00 $2,500.00 S000Agency341 NE 3rd Street

Hermiston, OR 9783 8Learning & Implementing the Latest BrainResearch

$2,500 .002004

°I' he High Desert Museum 509(a)(2) $0 .00 $500.00 $0.00 $500.00 $00059800 South Highway 97Bend, OR 97702-7963

Outreach ProgramS 500 00

2004

the High Desert Museum 509(a)(2) $0.00 $200.00 $0.00 $200.00 $0 00

59800 South Highway 9 7

Bend, OR 97702-7963

general support

$200-002004

.poly Nam e Catholic Church 509(a)(1) $0.00 $600.00 $0.00 $600.00 $000

12 North Dean Stree t

Coquille, OR 97423-1838

food pantry

$600.002004

, jitlly Na me C atholic Church 509(e)(l) 50.00 $1,200.00 $0.00 $1,20000 30 00

12 North Dean StreetCoquille, OR 97423-1838

Holiday Giving Program$ 1,200.00

2004

$0.00 $2,500.00 $0.00 $2,500.00 50.00mood River County School District Government

Agency

PO Box 920

Hood River, OR 9703 1Science & Art Integration with Annie

Pointer$2,500 .00

2004



• •

The Ford Fam i ly Foundat i onFYE 3/31/04

Beginning Balan ce Newly Allo cated Amended Amount Pa id End ing BalanceRecipient and/or Purpose Tax Status 2004 2004 2004 2004 20 0 4

i$oo d River County Sc h ool District Government $0.00 $1,250.00 S000 S1,250.00 $ 0.00Agency

PO Box 92 0

Hood River, OR 9703 1Lea rning to Teach Reading in Content AreaClasses

S 1,250 .00

2004

Hospice of Redmond 509(a)(1) S50,00000 $0.00 $0.00 5 50,000.00 $0.00732 SW 23rd

Redmond, OR 9775 6Facility Renova tion And ExpansionS 50,000 .00

2003

$'ospice of Redmond 509(a)(1) 50.00 $1,000.00 $0.00 S1,000.00 $000732 SW 23rd

Redmond, OR 97756general support

a 1,000 .00

2004

0.he Housing Authority of Douglas County, Government $0 00 $4,800 .00 $000 34,800.00 $000egon Agency902 w Stanton sac

Roseburg, OR 97470

Holiday Giving ProgramS 4,800.0 0

2004

-Ii linois Valley 2010 Comunity Response 509(a)(1) $0.00 $7,000.00 $0.00 $7,00000 $0.00

Tea mPO Box 1824Cave Junction, OR 97523

Organizational Assistance$7,000 .00

2004

'Jackson County School District #6 Government $93,030.00 $0.00 $0.00 S68,137.00 $24,893.00

Agency

300 Ash StreetCentral Point, OR 97502-2279

Jackson County Focus on Families

Progra m$ 290,000.00

2002

.iJacksou County School District #6 Government $0 .00 $7,000.00 $000 $7,000.00 $0.00

Agency

300 Ash Sheet

Central Point, OR 97502-2279Community Collaboration Technics!

dssitance

$7,000 .002004

-Jackson County School District #9 Government $0.00 $500.00 $0.00 $500.00 $0.0 0

Agency

PO Box 54 8Eagle Point, OR 97524

Emotional Intelligence Facilitator Training$500 .00

2004



• The Ford F•1Y FoundationFYE 3/31/0 4

B eginning Balance Newly Allocated Amended Amount Paid E nd ing BalanceR ecipient and/or P urpose T ax Status 2004 2004 2004 2004 2004

4ackson Education Service District Government $79,241.00 S000 5 0 .00 $79,241.00 $0.00Agency

101 N Grape Street

Medford, OR 9750 1

Southern Oregon Online School (5005) -Over 3 YearsS 237,725 .00

2001

Jefferson County School District #509J Government $0 00 $2,500 .00 $000 $2,500.00 5 0.00Agenc y

445 SE Buff Street

Madras, OR 97741-1595Sroryltne Training

$2,500.002004

-Jefferson County School District #509J Government $0 .00 $2,500.00 $0.00 $2,500.00 $0.00Agency

445 SE Buff Street

Madras, OR 97741-1595

Comprehension with Linda Hoyt$2,500 .00

2004

',Tef[erson County School District X5097 Government 50.00 S2,50000 $000 $2,500.00 $0.00Agency

445 SE Buff StreetMadras, OR 97741-1595

Comprehension with Linda HoytS2,500 .0 0

2004

APR Foundation, Inc.

1250 Sisldyou Blvd

Ashland, OR 9752 0

Campaign for Public Radio in Douglas

Coun ty - Challenge Grant

$25,000.0 02004

JP R Foundation, I nc.

1250 Suhyou BlvdAshland, OR 97520Douglas County Capital Campaign and

general operations

$2,000 .002004

-JPR Foundation , Inc.1250 Sislayou Blvd

Ashland, OR 9752 0

Campaign for Public Radio in Douglas

County

$ 1,000 .00

2004

City of J unction City

PO Box 250Junction City, OR 97448-0250

Strategic Plannin g

$ 10,000 .002003

509( a) ( 1 )

509(a)(1 )

509( a)(1 )

GovernmentAgency

$0 .00

$0 .00

$0 00

$10,000.00

$25, 000 .00

$2,ooo .oo

$1,000 .00

$0.00

$00 0

$0. 00

$0 .00

$0.00

b25, 000 . 00

$2,000 .00

$1,000 .0 0

$10,000 .00

$0 .0 0

$00 0

$0 .00

$0 .0 0



• •

The Ford Family FoundationFYE 3!3 1 104


Recipient and/or Purpose Tax Status 2004 2004 2004 2004 2004

.Junior Achievement of Douglas County 509(a)(2) $0 .00 $50 .00 $0 .00 $50.00 $0 . 00PO B ox 1 429

Roseburg, OR 97470

B o wl-A - Thou

S 50 00

2004

`nior Achievement of Douglas Coun ty 509(a)(2) $0.00 $200.00 $0.00 $20000 50 .00PO Box 142 9Roseburg , OR 97470

Bawl-A - Ilion

$20000

2004

"Junior Achievement of Douglas Coun ty 509(a)(2) $0.00 $5000 $0.00 S5000 $ 0 .00PO B ox 14 2 9Roseburg, OR 97 470Bowl-A - 77ion

$ 50 0 02004

4uoior Achievement of Douglas County 509( a)(2) $000 $6000 $0 . 00 S6000 $0. 00PO Box 1429

-1 Ro seburg OR 9 74 7 0` Bowl-A -Than

S 60 .00

2004

vdu nior Achievement of D ouglas County 509(a)(2)

PO Box 1429

Roseburg, OR 97470

Bowl-A-Mon$ 100 0 0

2004

unior Achievement of Douglas County 509(a)(2)

PO Box 1429Roseburg, OR 97470

Bowl-A-Than

$50.0 02004

iKnruk Tribe of C alifornia GovernmentAgency

PO Box 1016

Happy Camp. CA 96039

Happy Camp Knruk Communi ty Room

Upgrade$ 5,356 .00

2004

7awanda community Center 509(a)(2 )

PO Box 111 1Pacific City, OR 97135general suppor t

S 400 002004

$0 .00 aioo. oo

$0.00 $50.00

$0 00 $5,356.00

$0.00 $400 00

50 . 00 $10000 $0 .00

$0 .00 $50.00 $0 .00

50.00 55,356 .00 $0 .00

$0.00 $40000 .$ 0 .00


Gran ts & Contr ibution sPage 20 of 53

0The Ford Fam i ly Fo undation

FYE 3/31/04

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient and/orPurpose Tax Status 2004 2004 2004 2004 2004

.-Klamath Coun ty Juvenile Depa rtment Government $ 125,000 .00 S0 .00 $0.00 $0.00 S125,00000Agenc y3331 Vandenberg RoadKlamath Falls, OR 97603Shasta House Project/Ci vic WorksApprenticeship$ 125,000 .00

2003

Klamath Family Head Start 509(a)( 1 ) $0 00 $7,500.00 50.00 $7,500. 00 $0.00Commercial Cente r509 Commercial StreetKlamath Falls, OR 9760 1Planning for Joint Head Start FacilityS7,500 .00

2004

i La Cliaiea del Carina Family Health Care 501(c)(3) $0 .00 $ 2,000. 00 $0.00 $2,000.00 $0 ppCenter Inc .849 Pacific AvenueHood River, OR 9703 1Ford Scholar Internship Program$2,00000

-- 2004

'City of La Grande Government $000 $10,000 .00 $0.00 $10,000.00 $0 00Agenc yPO Box 670La Grande, OR 9785 0La Grande Playground Project$10,00000

2004

,La Pine Senior Citizens, In c.PO Box 1 279La Pine, OR 9773 9La Pine Senio r Center FacilityConstructio n

$ 150,000.00

2004

,Lab Band Program Associ ation

PO Box 160 8NorthBend, OR 9 7459Pu rch ase Musical In strume nts jor "R epeat

Performance Program "

$ 10,000 .00200 4

,Lake County Development Corporatio n

126 North V StreetL akeview, OR 9 7630Lakeview - Community Beautification$ 10,000 .00

2004

cane Community College Foundation

4000 East30th Avenue

Eugene, OR 9740 5-064 0

KLCC gen eral support

$ 150.00200 4

501(c)(3)

509(a )(2 )

509(a)(1 )

509(a)( 1 )

$0.00

$0.00

$150,000 .00

$1 o,ooo . oo

$0.00 $10,000.00

$0 . 00 $150.00

$0 00

$0 .00

$00 0

$10,000 0 0

$ 150,000 00

$0 . 0 0

$0.00 $10,000 00 $0.00

$000 5 150.00 $0.00


Grants & Con tributionsPage 21 of 53

i

•


Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient andfor Purpose Tax Status 2004 2004 2004 2004 2004

, .Lace Community College Founda tion 509(a)(1) $0 .00 $100 .00 50 .00 $100.00 $0 . 004000 East 30th AvenueEugene, OR 97405 -0640KlCCgenerd .ruppart$ 100 .00

2004

tine Community College Foundation 509(a)(1) $0 .00 5300 .00 $0 .00 5300 .00 $0.004000 East 30th Avenu eEugene, OR 97405 -0640IaCC general support

S 300 .002004

.Lane Educa ti on Service District Government $95,335.00 $0.00 $0 .00 $25,935 .00 569,400.00Agency

1200 Highway 99 NorthEugene, OR 97402-0374Systems ofSupport StrengtheningParenting in Rural Lane Coun ty$ 296,005 .00

2002

-1he Lawrenceville School 501(c)(3) $0.00 51,000.00 $0 .00 $ 1 ,000.00 $0 .00PO Box 6125Lawrencevi lle, NJ 08648general support

S 1,000002004

Lebanon Area Habitat for Humanity 509(a)( 1) $25,000 00 $0.00 $0 .00 $25,000 00 S000

PO Box 35 6Lebanon, OR 97355Habitat Home - Challenge Grant$25,0000 0

2003

.Lewis & Clark College Government $275,753.00 $0.00 $0.00 $225,585.00 $ 50,168 .00

Agency

0615 SW Palatine Hill RoadPortland, OR 97219-7899PrincipaLr Center - Challenge Grant Over

3 Years$ 650,000 .00

2002

J.dberty Restoration, Inc. 509(a)(1) $0.00 $500.00 $0.00 $500.00 $0.00

PO Box 21 0Astoria, OR 97103general support

$500 .0 02004

U.M. County Children's Advocacy Center 509(a)(2) S2 1 ,000.00 $0.00 50 .00 $21,000 .00 50 . 00

PO Box 70 7Newport, OR 97365Lower Level Renova ti on -Chat/enge Grant

$21,000 .0 02003



6 __!The Ford Family Fo undati on

FYE 3/31/04


Recipient andlor Purpose Tax Status 2004 2004 2004 2004 2004

-Lincoln County School District Government $190,696 .00 50 .00 $000 $0 .00 $190 , 696 00Agenc y

PO Box 111 0Newport, OR 97365 -0088Rural Community School Partnerships inSouth Lincoln CountyS 279, 311 .00

~ 2003

.-LinfieJd College 509 (a)(1) $0.00 $400.00 $0 .00 $400 .00 $0 .00900 SE Baker S treetMcMinnville, OR 97 128-6894general support for the Linfield ChamberOrchestra

$400.002004

J. infield College 509(a)(1) $0.00 $700.00 $0 .00 $700 .00 $0.0 0900 SE Baker Street

McMinnville, OR 97128-6894Partners in Progress Campaign

$700 .002004

asAngeles Regional Foodbauk 509(a)(1) 50.00 $1,000 .00 $0 .00 $1 ,00000 $0.001734 E 41st StreetLos Angeles, CA 90058general support$ 1,00000

2004

4: ovejoy Hospice, Inc .939 SE 8th S treetGrants Pass, OR 9752 6

Field Staff Technology ProjectS 5,000 . 00

2004

:Dwell School Dist rict #71

65 S Pioneer StreetLowell, OR 9745 2Lowell Community School Partnerships

Program

$ 209,917 .002003

~[arie Mills Center, Inc.

1800 Front Street, Suite A

Tillamook, OR 9714 1

Residential Facility Construction/Elevator

Project

$25,000-002003

+ 4cMinnville Area Habitat for Humani ty

PO Box 301McMinnville, OR 9712 8Habitat Home - Challenge Grant$ 25,000 .00

2004

509(a)(1)

GovernmentAgency

509(a)( 1 )

509(a)(1)

$000

$118,057 .00

$25,000 .00

$0 .00

$ 5,000.0 0

$0.0 0

$0 .00

$25,00 0 .00

$0 . 00 35 ,000.00 $0 .00

$0. 00 $0 .00 $118,057.00

$0.00 $25 . 000 .00 $0 .00

$0 .00 $25,000 .00 $0.00



The Ford Fam il y F o undationFYE 3/31/04

Beginning B alance Newly Allocated Ame nded Amount Paid En d ing Bal ance

Recipient and/or P urpose Tax Status 2004 2004 2004 200 4 2004

ilKeMnnville School District 40 Government $0.00 5500.00 $0 00 5500.00 $000Agenc y

1500 NE Baker StreetMcMimville, OR 9712 8

Emotional Intelligence Facilitator TrainingS 500 0 0

2004. ~

.Mercy Foundation, Inc. 509(a)(1) $0.00 S120.00 $0.00 $120.00 $0002700 Stewart Parkway

Roseburg, OR 97470

general supportS 120 .00

2004

, .Mercy Foundation, Inc. 509(a)(1) 50.00 59,000.00 $0.00 $9,000 00 50.002700 Stewart ParkwayRoseburg, OR 97470

general supportS9,00000

2004

rCity of Metolius GoY~rW-4k $0.00 $5,000.00 50.00 $5,000.00 50.00636 Jefferson-Avenue - - - - -~`~MetoLus, OR 97741 `/ ~ -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Strategic PlanningS5,000.00

2004

.,Mid Valley Rehabilitation, Inc. 509(a)(1)

1 6700 S Hwy 99 W

Amity, OR 9710 1Industrial Services Division BuildingProject - Challenge Gran t$ 250,000 .00

2003

/Mid-Willamette Valley Community Action 509(a)(1)

Agency, Inc.2475 Center Street NESalem, OR 9730 1Community Data Link Project$26,800 .00

2003

,/ll~olalla River School District #35 GovernmentAgency

PO Box 18 8

Molalla, OR 97038-0 18 8

"On the Wall' Tile Collage Project

$1,7550 02004

..Morrow County Fair & Rodeo GovernmentAgency

PO Box 464Heppuer, OR 97836

Fairgrounds 4-HDormitory/CommunityBuilding Project

$36,700 .002004

$250,000 .00

$26,800 .00 $0 .00

$0.00 $1,755.00 $0.00 $1 ,755 .00 $0.0 0

$0 .00 $36,700.00 $0.00 $ 0 . 00 $36,700 00

$0.00

$0.00

$0 .00 $250,000.00

$0.00 $26,800.00

S000


Grants & Contributionsgage 24 of 53

•


Beginning Balance N ewly Allocated Amended Amount Paid Ending Balance


,ML Hood lGwanis Camp Inc. 509(a)(1) $0.00 $400.00 $0.00 5400.00 $0.00

9320 SW Barbur, Suite 16 5Portland, OR 97219-5430

general support

S 400 002004

"'It Shasta Fire Protection District Government $0 .00 $2,064.00 $0.00 $2,064.00 $0 00Agenc y

PO Box 467ML Shasta, OR 96067-0467

Tanning Materials

$2,064 .002004

,Multiple Sclerosis Foundation, Inc. 509(a)(1) $000 $100.00 $0.00 $100.00 $0 00

6350 N Andrews Avenue

Ft Lauderdale, FL 33309-2130

general support

$ 100 .00--2004 - -- - -- - -

• M usie On the Bay 509(a)(1) $30,000.00 $0.00 $0.00 $10,000.00 $20,000.00

PO Box 9 6


Summer Starlight Concerts -Over 3 YearsS30,000 .00

moo,,,

.4usic on the Half Shell 509(a)(1) $120,000.00 $0.00 $0.00 $40,000.00 $8,0,00000PO Box 2010

Roseburg, OR 9747 0Summer Concerts - Over 3 Years$ 120,000 .0 0

2003

Bfnevolent & Protective Order of Elks of 509(a)(1) $0.00 $2,000.00 $0.00 $2,000.00 $0.00the USA 1943 Myrtle Cree k

PO Box 703

Myrtle Creek, OR 97457Holiday Giving Program

$2,000 .002004

Myrtle Creek Fire Department Government $0.00 $2,000.00 $0.00 $2,000.00 $0.00Agenc y

PO Box 753

Myrtle Creek, OR 97457Holiday Giving Program$2,000.00

2004

Myrtle Point Ministerial Association Food 509(a)(1) $0.00 $2,500.00 $0.00 $2,500.00 $0.00Bank

PO Boa 123

Myrtle Point, OR 97458Holiday Giving Program

$2,500 .0 02004



• •




Myrtle Point Ministerial Association Food 509(a)(1) $0.00 $600.00 $0 00 $600.00 $0 .00Bank

PO Box 12 3

Myrtle Point, OR 97458general supportE 600 00

2004

Myrtle Point School District #41 Government $0.00 $1,400.00 50.00 $ L,400.00 S000Agency

212 Spruce StreetMyrtle Poia~ OR 97458-1094Oregon Association ofStudent CouncilsFall Conferencea 1,400 .00

2004

4he Nature Conservancy of Oregon 509(a)(1) $0.00 $500.00 $0.00 $500.00 $0 00821 SE 14th AvenuePortland, OR 97214-2537

general support

S 500002004

Neskowin Chamber Music, Inc 509(a)(2) $0 .00 S1,000.00 $0.00 $1,000 .00 $0 00PO Box 468

Neskowin, OR 97149general support

$ 1,000.00

2004

,IVetkowin Valley School 509(e)(1) $0.00 $2,000 00 $0 .00 $2,000.00 $0 00

10005 Slab Creek Road

Neskowin, OR 97149general supportS 2,000.00

2004

'Newberg Area Habitat for Humanity 509(a)(1) $0.00 S25,00000 $0.00 $25,000.00 $0.00

PO Box 11 8Newberg OR 97132Habitat Home - Challenge Grant

S25,000 .002004

Newberg School District 29d Government S 144,067.00 $0.00 $0 .00 $0.00 $144,067 .00

Agenc y

714 East 6th StreetNewberg, OR 97132-6560

Mabel Rush Community School

$ 243,467 .002003

y'Che Nert Door Inc. 509(a)(1) $97,579.00 $0.00 $0.00 $97,579.00 $0.00

PO Box 66 1

Hood River, OR 97031Strengthening Parenting Sk ills

$ 285,567 .00

2002



• The Ford• 1Y FoundationFYE 3/31/0 4

B e g inning Balance Newly Allo cated Am e nded Amount Paid Ending B alanceRecipient and/or Purpose Tax Status 2004 2004 200 4 200 4 2004

.North Curry Families' And Childreus 509(a)(1) $195,59000 $0.00 $0.00 $0.00 $195,590 00Cente r

PO Box 114 5Port Orford, OR 9746 5

North Curry Community SchoolS 293,287 .00

2003

North Morrow Community Foundation Inc. 509(a)(2) $0.00 $3,600.00 $0.00 $3,600 00 $0 00305 Boardman Avenue NE

Boardman, OR 9781 8

"Arts Impact Youth" Project - Children'sArt Gasser$3,60000

2004

Northwest Afrikan American Ballet 509(a)(2) $0.00 $0.00 ($2,641.08) ($2,64108) $0.0 0PO Box 11143Portland, OR 9721 1Outreach Program: Southern Oregon TourAnd Teacher Training Workshop - Over 3

Years$ 57,358 .92

2001

.Northwest Medical Teams International, 509(a)(1) $50,000 .00 $ 0.00 $0.00 $50,000.00 $0.00Inc.

PO BOX I OPortland, OR 97207-0010Northeast Oregon/Walla Walla ValleyMobile Dental Care Clinic - Over 2 Years$120,00000

2003

No rthwe s tern Universi ty

2020 Ridge Ave nu e, Suite 230

Evanston, II . 60208-4305

School of Speech

$ 670 . 0 0200 4

,Naatr a Camunidad Sana

PO Box 1217Hood River, OR 97 0 3 1Ford Scholar Internsh ip Program

$2,00000200 4

,Oakland School District #1

PO Box 39 0Oakla nd, OR 9 74 62Volunteer Coordinator

$2,500 .0 0

200 4

.,Northwest Yearly Meeting of Friends

Church901 M Avenue

La Grande, OR 97 8 50

Technical Assis tance

S 5,000 00200 4

SOl(c)(3)

501(c)(3)

GovernmentAgenc y

509(a) ( 1 )

$0 00 $670.00 $0.00

$0.00 $2,000. 00 $0 .00

$0.00 $2,500 .00 $0.0 0

$0 00 $ 5,000 .00 $ 0. 00

$670.00 $0.00

$2,000 .00 $0 .0 0

$2,500.00

$ 5,000 .00

$0 00

$0.00



• LJ

The Ford Family FoundationFYE 3 / 31 /04


Recipient and/or Purpose Tax Sta tus 2004 2004 2004 2004 2004

,Ontario School District #8C Government $180,000.00 $0 00 $000 $000 $180,000.00Agency

195 SW 3rd Avenue

Ontario, OR 97914

Project PEARL

$ 280,000.00

2003

.Oregon 4-H Foundation, Inc. 501(c)(3) $301,000.00 $0.00 $0 .00 5282,405 .00 $18,595.00119 Ballard Extension Hall

Oregon State UniversityCorvallis, OR 97331-36084-K Center Improvement Project -

Matching Gran t

S 500,000.00

2003

Oregon Alliance for Arts Education 509(a)(1) $70,300.00 $0.00 $0 00 $70,30000 $0.00707 13th Street SE, Suite 275

Salem, OR 9730 1Oregon Teacher Arts Institute - Over 3YearsS 185900.00

2001

✓ Oregon Alliance for Arts Education 509(a)(1) 50.00 $35,650.00 S1,000 .00 $36,650.00 30.00707 13th Street SE, Suite 275Salem, OR 9730 1

Oregon Teacher Arts Institute 2004

$36,65000

2004

Oregon Arts Commission

State Lands Building775 Summer Street NE, Suite 200

Salem, OR 97301-1284

Artist Residency In Rural Schools Program- Over 3 YearsS 285,000.00

2003

„American Mothers, Inc.15015 NW West Union RoadPortland, OR 97229general support

3 1,000 .002004

,pPegon Children's Foundatio n

219 NW 12th, Suite 203

Portland, OR 9720 9general support for the Douglas County

SMARTprogram

$2,000 .002004

,(Sregon Childrens Theatre Company600 SW 10th Avenue, Suite 501Portland, OR 97205-2723

2004-1003 Rural Schools Project

$9,800 .0 02004

Government

Agency

501(c)(3)

509(a)(1 )

50 1 (c)(3)

$ 2 0 6,666. 67 $0 00

$0.00 $1,000.00

$0 .00 $2,000 .00

$0.00 $9,800.00

(525 ,300 .00) $86,666 6 7

0. 00 $1,000.00

$0 00 $2,000 00

$0.00

$0.00

$0.00 $9,800 .00 $0.00

$ 95,000 0 0


• Grants & ContributionsPage 28 of 53

•


Be g in nin g Bal ance Newly Allocated Amended Amount Paid Ending BalanceRe cipient and/or Purpose Tax Statu s 2004 2004 2004 2004 2004

`O regon Coast Co mm unity Col l ege Government $0.00 54,200 .00 SO 00 $4,200 00 50.00Agency

332 SW Coast Highway

Newport, OR 97365928NACCE ConferenceS4,200.0 0

2004

, .Oregon Coast Council of the Arts 509(a)(1) $0.00 5340.00 $60.00 $400.00 $0 00PO Box 131 5

Newport, OR 97365Oregon Coast Extended Arts Network$ 400 .00

2004

,The Oregon Community Foundation 509(a)(1) $0.00 $250,000.00 $0.00 $100,000.00 $150,000.001221 SW Yemhill, Suite 10 0Portland, OR 97205

Foundadonr jar a Better OregonFund/Chalkboard Projects 250,000.00

2004

Oregon Council for the Humanities 501(c)(3) $0 .00 $5,000.00 $0.00 $5,000.00 _ -$0,00812 SW Washington Street, Swte 22 5

Portland, OR 97205Oregon Chautauqua Program Support$5,00000

2004

,Oregon Cultural Trus t

775 Slimmer Street NE, Suite 200

Salem, OR 9730 1general support

$2,000002004

.- O regon Cultural Trus t

775 Summer Street NE, Suite 200Salem, OR 9730 1general support

$2,000.002004

-6regoa Cultura l Trust

775 Summer Street NE, Suite 200

Salem, OR 9730 1

general supportS 2,000.00

2004

Xiregon Cultural Trus t

775 Summer Street NE, Suite 200Salem, OR 9730 1

general supporta 150.00

2004

GovernmentAgency

GovernmentAgency

GovernmentAgency

Gov ermen t

Agency

$0 00

$0 .00

$0.0 0

$0 .00

$2,000 0 0

$2,000.00

$2,000 .00

$1 50 .00

$0 .00$0 .00 $2,0000 0

$0.00

$0 .00

$0 . 00

$2,000 00

$2 , 000 .0 0

$15000

$0 00

$0. 0 0

$0 .00

The Ford Family Fo undation 93-6026156Schedule 1 0


• •

The Ford Family Foundatio nFYE 3/31/0 4


rOregon Department of Human Se rvices Government $0 .00 $36000 $0. 00 $360.00 $0 00Agency

500 Summer Street NESalem, OR 97301-1097Child Care Services for Foster ParentSupport Meetings in Hood River

3 360. 002004

,-Oregon Food Bank Inc. 509(a)(1) $0. 00 $400.00 S000 $400.00 $0 . 00PO Box 5537 0Portland, OR 97238-5370general support

$400.002004

The Oregon Garden Founda tion 509(a)(1) $0.00 $2,000.00 $0.00 $2,000.00 $000PO Box 15 5

S ilverton, OR 97381-0155Friends ojihe Children's GardenS2,000 .00

2004

-Oregon Health and Science Univers ity 501(c)(3) $355,354 .00 S000 $000 $282,678.00 $72,67600Foundatio n

1121 SW Salmon Sheet, Suite 200Portland, OR 97205-202 1Rural Health Institute -Over 3 YearsS 1,046,991 .00

200 2

,Oregon Health and Science University

Foundation1121 SW Salmon Sheet, Suite 200

Portland, OR 97205 -202 1general support$2,00000

2004

,Oregon Library Association, Inc.PO Box 2042

Salem, OR 97308-20422003 Oregon Statewide Summer Reading

Progra m

$25,000 .002004

,;Aragon Parent Center

PO Box 21 6

Wolf Creek, OR 97497R'oljG}eek Teen Center$ 15,000.00

2004

.Oregon Parent CenterPO Box 216

Wolf Creek, OR 97497Technical Assistance$ 6,000 .00

2004

501(c)(3 )

509 (a)(2)

509(a)(1)

509(a)(1)

$00 0

$0 00

$2,000.00

$25,000.00

$0.00 $15,000. 00

$0.00 $6,000.00

$0 .00

$0 00

$2,00000

szs,ooo. oo

$0 .00 $ 15,00000

S000 5 6,000.00

$0 00

$0 00

$0 00

$0 00

The Ford Family Foundation 93-6026156Sch edule 10




!Oregon Parent Center 509(a)(1) $0.00 53,575.00 $0.00 $3,575.00 $0 00PO Box 21 6Wolf Creek, OR 9749 7Building Strategic Leadership andGrantwridng x,orkshopS3,575 .00

2004

Oregon Partnership, Inc. 509(a)(1) $0.00 $100,00000 $000 $100,000 00 $0 006443 SW Beaverton-Hillsdale Highway,Suite 200Portland, OR 97221-4230"Champioru For Healthy Kids AndCommunes In Southern Oregon"a 100,000.00

2004

Oregon Partnership, Inc. 509(a)(1) $0.00 $40000 $0 .00 $40000 $0.006443 SW Beaverton-Hillsdale Highway ,Suite 200Portland, OR 97221-4230general support$ 400.00

•- 2004

„Oregon Public Broadcasting 509(a)(1) 50.00 $700.00 $000 $700 .00 $0007140 SW Macadam Avenue

Portland, OR 97219-3099general support$ 700.00

2004

,.Oregon Shakespeare Festival Associa tion 509(a)(2) $30,00000 $0.00 $0.00 $15,000 00 $15,000 .00

PO Box 15 8

Ashland, OR 97520Rural School Visit Partnerships - Over 3Years$ 45,000.00

2003

Oregon Shakespeare Festival Association 509(a)(2) $0.00 $670 .00 $0 .00 $670.00 SO 00

PO Box 158Ashland, OR 97520general support$670 .00

2004

,regon Small Schools Association, Inc . 509(a)(2) $36,500 .00 $0.00 $0.00 $36,500.00 $0.00

6259 Rosemeadow Lane NESalem, OR 97301Summer Educators' Institute - AssistingOregon Educators In Their Quest toProvide Excellence In Educating Our Youth

Over 3 Yearn

$ 114,000.002002

The Oregon State Capitol Foundation Government 50.00 $670 .00 SO-00 $670.00 $0.00Agenc y

900 Court Street NE, Room 140-A

Salem, OR 9730 1

general support$ 670.00

2004



•r1L_J



,Oregon State University Government $159,444 .00 $0 .00 $0 .00 $159,444 . 00 $000Agency

Family Policy Program202 Bates Fam ily Study CenterCorva ll is, OR 97331-515 1Evaluation and Ne tivvrlang Support for theEnhancing the Skills njParentt Program

$484,361002002

O regon State Unive rs ity Founda tion 509(a)(1) $0 .00 $6,000 .00 $0 .00 $6,000 .00 $0 . 00OSU Extension Service101 Ballard Extension Ha llCorvall is, OR 97331-36084-H Schola rs hip/Award Support for Bentonand Sherman County$6,00000

2004

Oregon Student Assistance Commission Gove rnment $0 .00 $85,000.00 $0 00 $85,000.00 $0.00Agency

1500 Valley River D rive, Suite 100Eugene, OR 97401ASPIRE Southern OregonS 85,000 .00

2004

,-Oregon Student Assistance Commission Gove rnment $0 .00 $3,788.00 (S3,18800) $600 .00 $0.00

Agency

1500 Vall ey River Drive, Suite 100

Eugene, OR 9740 12003 ASPIRE Fall Conference$600 .00

2004

.Oregon Symphony Associa tion 509(a)(1) $125,000 .00 $0 .00 $000 $0.00 S12S,000.00

921 SW Washington, Suite 200

Portland, OR 97205-281 9Community Music Partnership - Over 2Years

$ 250,000 .002003

.Oregon Trail Council Inc., Boy Scouts of 509(a)(1) $0.00 510,500 .00 $0.00 $10,50000 $0.00

Americ a2525 Martin Luther King Jr. BlvdEugene, OR 97401-5806Camp Baker Campsite Imp ro vements$ 10,500 .0 0

2004

,Aragon Trail Council Inc ., Boy Scouts of 509(a)(1) $0.00 $1,00000 $0 .00 $1,000 00 50 . 00

America2525 Martin Luther King Jr BlvdEugene, OR 97401-5806general support$ 1,000.00

2004



•


Beginning Balance Newly Allocated Amended Amount Paid End in g B alanceRecipient and/or Purpose Tax Status 2 0 04 2004 2004 2004 2004

,,Oregon Wildlife Heritage Foundation 509(a)(I) 50.00 $2,500.00 $0.00 $2,500.00 $0.00PO Box 3040 6Portland, OR 97294-3406

general supportS2,5000 0

2004

-qrteogenesis Imperfecta Foundation, Inc 509(a)(2) $0.00 . $50.00 $0.00 $50.00 $0.00804W Dumnnd Avenue, Suite 21 0

Gaithersburg, MD 20878general support

S50.002004

`Outreach Gospel Mission 509(a)(1) $0 00 $3,700.00 $0.00 $3,700.00 $0 00PO Box 993

Brookings, OR 97415Upgrade Facility

S3,700 .002004

`Pacific Forest Trust Inc. 509(a)(1) $0.00 $1,000.00 $0.00 S1,00000 $0.00416 Aviation Blvd, Suite A

Santa Rosa, CA 95403

general supportS 1,000.00

2004

LYSrtnershlps in Community Living Inc.

PO Box 129Monmouth, OR 9736 1

F-Stop Photo Shop DevelopingOpportunihu for the Developmentally

Disabled

$ 18,334 .00

2004

phil anthropy Northwest

2505 3rd Avenue, Suite 200

Seattle, WA 9812 1

2003 Annual Conference and Membership

Meeting Support

$ 1,500 .002004

#15hilanthropy Northwes t

2505 3rd Avenue, Suite 200

Seattle, WA 98121

Supporting Memberships

$9,87500

2004

,Rhilomath Public Schools District #17J

1620 Applegate Stree t

Philomath, OR 97370Parent Education & Support Project for

Philomath Families

S 285,142 .002002

509(a)(1 )

501(c) (3 )

501(c)(3)

Gov ernment

Age ncy

$000

$0 .00

$0 .00

$9 6,985 .00

S18,334 .0 0

$1,500 .00

59,875 .00

$0 .00

$0 .00 $18 , 334 .00 $00 0

$0.00 $1,500.00 $0 00

$0 00 $ 9,875 . 00 $0.00

$0.00 $96,985.00 $0.00


Schedul e 1 0Grant s & Contribution s

Page 33 of 53

L_J •The Ford Family Foundation

FYE 3/31/04

Beginning B alance New ly Allocated Amen ded Amount Paid Ending Balance


,Philomat6Public Schools District #17d Government $181,131 .00 $0.00 $0.00 $0.00 S 181,13100Agenc y

1620 Applegate StreetPhilomath, OR 9737 0Philomath Rural Community School

Pa rtnership Projec t

S 278,281 .00-• 2003

fP hoeni : l,esrniugCenter 509(a)(1) $127,500.00 $0.00 $0.00 $42,500.00 $85,000.003131 NE Diamond Lake Blvd

Roseburg, OR 9747 0Outreach Program, Phoenix StaffDevelopment Fund and Alcohol & DrugCounseling - Over 3 years

E 127,500 .002003

•' Phoenix LearuingCenter 509(a)(1) $0.00 $500.00 $ 0 .00 $50000 50.003131 NE Diamond Lake Blvd

Roseburg, OR 97470general supportS 500 .00

-- 2004

iIoenix Learning Center 509(a)(1) $0 .00 $5,300.00 $0.00 $5,300.00 $0.003131 NE Diamond Lake Blv dRoseburg, OR 9747 0Community 101 Youth in Philanthropy$5,300 .00

200 4

pil o t Rock Park & Recreati on District

PO Box 568P ilot Rock, OR 97 868

Community Center planning

S 5,000 .002004

pleas ant Hill School Distri ct No. 1

36386 Hwy 5 8Ple as ant Hill, OR 97 4 5 5Collaborative Professional Development

S 2 ,500 .00

2004

..QM4015 SW Canyon RoadPortland, OR 9722 1Ford Scholar Internship Program

$ 4,000 .002004

'Powers Public Schools #31

PO Box 479Powers, OR 97466Powers Community Learning Program

$ 244,340 .002003

Govern ment

Ag ency

GovernmentAgency

501(c)(3)

Government

Agency

$0.00 $5,00000 $0 . 00 S5,00000 $000

$0 00 $2,500.00 $0.00 $2,500.00 50 . 00

$0 .00 $4,000.00 $0.00 $4,00000 ; $0.0 0

$158,140.00 $000 $ 0.00 $0.00 $ 15 $ , 14000

The Ford Family Foundation 93-6026 1 56Sc h edule 10


• •




Rowers Public Schools 031 Government $0.00 $1,380.00 $0.00 $1,380 00 $0.00Agency

PO Box 479Powers, OR 97466Skill Building jar Stronger Communities

S 1,380002004

redeemer's Bible Fellowship, Inc. 509(a)(1) $0 00 53,030.00 50.00 $3,030.00 $0.00729 SE Jackson StreetRoseburg, OR 97470

building fund

S 3,030002004

`-Itedmond School District 2J Government $0.00 $2,500.00 $0 .00 $0 .00 $2,500.00Agency

145 SE Salmon AvenueRedmond, OR 97756-8422

Water Quality Testing$2,500 .00

2004

Reed Institute 509(a)(1) $0 .00 $4,000.00 $0.00 $4,000.00 $0.003203 SE Woodstock BlvdPortland, OR 97202-8199

general support

S4,000002004

iReedsport Activity Park, Inc.

973 Ranch Road

Reedsport, OR 97467

Skatepark Project$50 .00000

2003

Reedsport School District #105

100 Ranch Road

Reedsport, OR 97467-1739

Replacement ajPlaygrowd Equipment

$40,000002004

.-Rice Northwest Museum of Rocks and

Minerals26385 NW Groveland DriveHillsboro, OR 97124

general support

$400 .002004

3tlnehart Clini c

PO Box 176Wheeler, OR 97147

general support

S 400 002004

509(a)(1 )

Government

Agenc y

SO1 (c)(3)

509(a)(2)

$50,00000

$0.00

$0.00

$0.00

$0.00 $0.00 $ 50,000 .00 5 0 .0 0

$40,00000 $ 0 . 0 0 $40,000 . 00 $0.00

t

$400 .00

$400 .00

$0.00

$0.00

$400.00

$400.00

$0 .00

$0 .00



• •

- The Ford Family FoundationFYE 3/31/04


Recipient andlor Purpose Tax Status 2004 2004 2004 2004 2004

,Riverhead Live! 509(a)( 1) $30,000.00 $0.00 $0.00 $10,000.00 $20,00000

PO Box 243 8Winston, OR 97496

Summer Concert Series - Over 3 YearsS 30,000.00

2003

~~':dolescent Day Treatment Center of 509(a)(1) $96,771.00 50.00 $0.00 $32,257 00 564,514.00Jougles County, inc.

PO Box 2259

Winston, OR 97496AdolercenvFamily Therapist Position -Over 3 Years$96,771 .00

2003

,A,dolescent Day Treatment Center of 509(a)(1) $0.00 $450 .00 $0.00 $45000 $0.0 0Douglas County, Inc.

PO Box 2259

Winston, OR 97496Holiday Giving Program

S 450 0 02004

Rogue River Community Center 501(c)(3) $0.00 $5,000.00 $0 .00 $5,000.00 $0.00

PO Box 29 5

Rogue River, OR 9753 7Rogue River Community Center ProjectS 5,000.0 0

2004

$0.00 $50.00 $0.00 $5000 50.00

46uald McDonald House at Stanford 501(c)(3 )

520 Sand Hill Road

Palo Alto, CA 97304

general support

$50 .002004

12oseburg Chamber of Commerce 509(a)(1)$0.00 $4,080 .00 $0 .00 $4,080.00 S 0 -00

Foundatio nPO Box 1026

Roseburg, OR 97470Project Leadership - Construction of Bus

Shelters$ 4,080.00

2004

$0.00 $4,000.00 $0 .00 $4,000 .00 $0 .00

Roseburg Chamber of Commerce 509(a)(1)

Foundatio nPO Box 1026

Roseburg, OR 97470

project Leadership - River Forks Park

Children's Fort Reconstruction

$4,000.00 2004

/itoseburg Jaycees Non-Profit$0.00 $4,000.00 $0 .00 $4,000 .00 $0 .00

organization

PO Box 681

Roseburg, OR 97470


$4,000.002004



• The Fosamily FoundationFYE 3/31/04

Beginning Balance N ewly Alloca ted Amended Amount Paid Ending BalanceRecipient andlor Purpose Tax Status 2004 200 4 2004 2004 2004

,iRoseburg Parent Child Training- The First 509(a)(1) $49,965 .00 $0 00 $000 $16,655.00 533,310.60Step

PO Box 1723Roseburg, OR 97470

Food SrrvuellajeSaallr Instructor - Over 3Years$ 49,965 .00

2003

Roseburg Parent Child Training : The First 509(a)(1) $0.00 $1,300.00 ($657.89) $642.11 $ 0.00Step

PO Box 1723


$642 .1 12004

-Douglas County School District #4 Government $5,300.00 $0.00 ($3,000.00) $2,300.00 $0.00Agenc y

1419 NW Valley View Drive

Roseburg, OR 97470

Community 101$2,30000

2003

,Douglas County School District #4 Govemmeat $0.00 $2,730.00 $0.00 52,730.00 $0.00Agency


Roseburg, OR 97470National Leadership & Skills Conference

(VICA)$ 2,730.00

2004

,Douglas County School District #4 Government $0.00 52,500.00 $0.00 $2,50000 $0.00

Agency


Roseburg, OR 97470Writers at Work. Bringing Jr Home

$2,500.002004

,po'uglas County School District #4 Government $0.00 $2,500.00 $0.00 $2,500.00 $0.00

Agency


Roseburg, OR 97470DIBELS TY v ining

S2,500 .0 02004

~-Douglas County School District #4 Government $0 .00 $2,500.00 $0.00 $2,500 00 $0 00

Agency

1419 NW Valley View DriveRoseburg, OR 97470RHS English Department's Attendance atthe OCTE Fall Conference

$2,50000

2004

,16o'seburg Rescue Mission, Inc. 509(a)(1) $0.00 $8,500.00 $0.00 $8,500 00 $0.00

PO Box 1937

Roseburg, OR 97470Holiday Gang Program

$8,500.002004



•



-Roseburg Soccer Associa tion 509(a)(2) $0 .00 $150,000 .00 $0 . 00 $0.00 $150,000.001030 W Harvard AvenueRoseburg, OR 97470Fir Grove Soccer Field Renovation$ 150 ,000 . 0 0

2004

"; i ty of Rufus Government 50 .00 $6,200 .00 $0.00 $6 ,200. 00 $000Agency

PO Box 27Rufus, OR 9 7 050Community Center Capitalization Plan$6,200.00

2004

✓Rural Development Initiatives, Inc. 509(a)( 1) $000 $9,900. 00 $5,700 .00 $1 5 ,600 .00 $0 .00941 Lawrence StreetEugene, OR 97401Regards to Rural IIS 15 , 600.00

2004

Rural Development Ini tiatives , Inc. 509(a)(1) $0 .00 $1,200.00 $0.00 $1,20000 $0.00941 Lawrence StreetEugene , OR 9740 1hfBTl framingfor Leadership Hermistona 1,200.0 0

2004

Sable Hou se

PO Box 78 3

D allas, OR 97338

Planning and Development

$ 5,500.0 0

2003

-Safari Gam e Search Founda tion, Inc .

dba Wildlife S afar iPO Box 1600Winston, OR 97 49 6-0231

Safari School - Over 1 Years

$75,000002003

,Safari Game Search Foundation, Inc.dba Wi ldlife SafariP O B ox 160 0W i nston, O R 9 7496-023 1general support$2,000 .00

2 00 4

'!~a [e Haven Materni ty Home

P O Box 18 2 2

R os eburg, OR 97 4 7 0Program Support - Over 3 Years

$85,302 .0 02003

509(a)(1 )

509( a)(2)

509(a)(2)

509(a)(1)

$5,500 .00

$ 37,500.0 0

$0 .00

$85,302 .00

$0. 00 $0 .00

$0.00 50 . 00

$2,000.00

$0 .00

$0 . 00

5 5,500.00 $0.00

$37,500.00 $0.00

$2,000.00 $ 0 . 00

$0 .00 $28,434 .00 $56, 868.00


Grants & Contribu tionsPage38 of 5 3

}

• •

The Fo rd Fami ly FoundationFYE 3/3 1 /04

Beginning Balance Newl y Al located Amended Amount Paid En ding B alanceRecipient and/or Purpose Tax Status 2004 2004 200 4 2004 2004

he Salvation Army of Coos Bay 509(a)(1) $21,263.00 $0.00 $0.00 $21,263.00 $0.00PO Box 353 7Coos Bay, OR 97420-041 8"Winner's Circle" - Children's After-SchoolProgram - Over 3 years$ 68,111 .00

2002

i he Salvation Army of Coos Bay 509(a)(1) $000 $8,00000 $0.00 $8,000.00 $0 00PO Box 353 7

Coos Bay, OR 97420-0418

Holiday Giving ProgramS 8,000.00

2004

ne Salva tion Army of Roseburg 509(a)(1) $0.00 $10,000.00 $0.00 $ 10,000.00 $0.00PO Box 18 7

Roseburg, OR 97470-0034Holiday Giving Program

$ 10,000 .002004

+The Salvation Army of Roseburg 509(a)(l) $0.00 $10,000.00 $0 .00 $ 10,000 .00 $ 0 .00PO Box 18 7

Roseburg, OR 97470-0034Holiday Giving Program

S 10,000 002004

/The Salvation Army 509(a)(1) 50.00 $50000 $0.00 S 500.00 $000

Southern California Divisio n

900 West James M Wood BlvdLos Angeles, CA 9001 5general support jor California Wildfires

$ 500 002004

--Santlam Christian Schools 509(a)(1) $0.00 $6,000.00 $0.00 $6,000.00 $0 00

7220 NE Arnold Avenue

Corvallis, OR 97330-944 3general academic program support$6,000 .00

2004

la ve the Children Federation, Inc. 509(a)(1) $0.00 $752.00 $0.00 5 752.00 $0.00

54 Wilton Road

Westport, Cr 06880

general support$752.00

2004

Sh asta Regional Community Foundation 509(a)(1) $0.00 $7,000.00 $0.00 $7,000.00 50 .00

2280 Benton Drive, Building C, Suite A

Redding, CA 9600 3

S ukryou County Youth Philanthropy

Program (GAB }

$7,000 .002004



• •

The Ford Fami l y F oundat ionFYE 3/31/0 4

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient and /or Purpose TaxStatus 2004 2004 2004 2004 2004

F Sheridan Japanese School Foundation 509 (a)(1) $0.00 $400.00 $0.00 $400 . 00 $0 .00PO Box 466She ridan, OR 97378building campaign$400.0 0

2004

'heridan School Dist rict #48J Government $0 .00 $800 . 00 S000 $80000 $0.00Agency

435 S Bridge StreetSherid an, OR 97378Washington Leadership Conference3 800 0 0

20 0 4

Sh erwood School District 88J Government $0.00 $2,500.00 $0.00 $2,500.00 5 0 .00Agency

23295 S Sherwood BlvdSherwood, OR 97 140lmplanenhng 'Strategies That Work" BookRoom Project$2,500.00

2004

3isldyou County Office of Education Go v ernment $0.00 $8 0,000. 00 $ 0 .00 $ 80,00000 $0.0 0Agency

609 So u th Gold Stree t

Yreka, CA 9 6097Teaching With Technology$80,000.0

0 2004

•Sislciyou Food Assistance Corporation 509(a)(1) $0.00 $5,600.00 $0.00 $5,600 00 $0.00

298 Main Street

Weed, CA 96094Holiday Giving Progra m

$ 5,600 .002004

„Sisldyou Habitat forHumanity, Inc 509(a) ( 1) $0.00 $25,000.00 $0.00 $25,000 . 00 S000

1090 North DavisWad, CA 96094Habitat Ho me - Cha llenge Grant

$25,000 .00

2004

6.6isldyou Oppo rt unity Center 501(c)(3) $0.00 $4,000.00 50.00 $4,000 .00 $0 00

PO Box 304Mt Shasta, CA 9 6067Ford Scholar Internship Program

$4,000.002004

Aisters Habitat for Humanity 509(a)( l) $0.00 $25,000.00 $0 00 $25,00000 $0 .00

PO Box 23 8Sisters, OR 97759Habitat Home - Challenge Grant

$25,000 .002004


Grants & Contribu tion sPage 40 of 53

• •


Beginnin g B alance Newly All ocated Amended Am o unt Paid E nding B alanceRe cipient and/or P urpos e Tax Status 2 0 04 2004 2004 2 0 04 2004

.Sisters Organization for Activiti es and 509(a)(1) $250,00000 $0.00 $0.00 5250,000.00 $0 00Recreatio n

PO Box 2215Sisters, OR 97759

SOAR Youth Center$ 250,000.0 0

2003

a odety of SL Vincent d ePau l 501(c)(3) $000 $2,455.00 $0.00 $2,455.00 50.00Sc Joseph's Conferenc e220 SW "H" Street

Grants Pass, OR 97526

Lift Tailgate for Truck$2,45500

2004

,.Soroptimist International of Prineville 509(a)(2) $0 .00 $21,500.00 $000 $21,500.00 $0.00Cha ritable Trus t

PO Box 553

Prineville, OR 97754Prineville Senior Center Remodel

S21,500.002004

4lpiue Community Center 509(a)(2) $0 00 $6,000.00 $000 $6,000.00 $0.0025114 Alpine Roa dMonroe, OR 97456

Strategic Planning

$6,000 .00

2004

y .-South Coast Development Council 509(a)(1) $0.00 $7,000.00 $0.00 $7,000.00 $0.00

2455 Maple Leaf

North Bend, OR 97459Coos Bay/North Bend Collaboration

$7,000002004

South Coast Education Service District Government $0.00 $0.00 ($1,344.97) ($1,344.97) $0.00

Agency

1350 Teakwood Avenue

Coos Bay, OR 97420

Summer Internship Program

S (8,655 .03

2002

South Coast Gospel Mission, Inc. 509(a)(1) $420,000.00 $0.00 $0 00 $0.00 $420,000.00

PO Box 523North Bend, OR 97459

New Facility

S 420,000 .002003

-"youth Coast Gospel Mission, Inc . 509(a)(1) $0.00 $750.00 ($8.44) $741.56 $0.00

PO Box 523



$741 .5 6

2004


Grants & Contribu tionsPage 41 of 53

• The Ford FasoundationFYE 3/31/04

Beginning Bal an ce Newly Allocated Amended Amount Paid Endi n g Ba lance


.-South Dougl as Food Bank 509(a)(1) $0.00 $50,000.00 $0.00 $50,00000 $0 00

PO Box 47 0Riddle, OR 97469

South Douglas Food Bank BuddingCampaign

$50,000 .002004

,zouW Lane School District 45J3 Government $0.00 $3,30000 $0.00 $3,30000 $0 00Agency

PO Box 21 8Cottage Grove, OR 97424"The Big Picture Project" - Dorena School$3,300.00

2004

v

Southem Oregon Adolescent Study and 509(a)(1) $0.00 $50,000.00 $0 00 550,000.00 $0.00

Treatment Center Inc.210 Tacoma StreetGrants Pass, OR 97526

Campus Expansion and EnhancementProject

$50,000.00- ~ 2004

rSouthern Oregon Association of Christian 509(a)(1) $0 00 $2,00000 $0.00 $2,000.00 $0.00

Ch urche s

351 Christian Camp LaneGlide, OR 97443general support for Little River ChristianCamp$2,000 .00

zoos

.6`outhern Oregon Child & Family Council, 501(c)(3) $0.00 $7,000.00 S000 $7,00000 $0.00Inc.

PO Box 369 7Central Point, OR 97502

Technical Assistance

$7,000.002004

.Southern Oregon Goodwill Industries 509(a)(1) $0 .00 $8,000.00 $0.00 $8,000.00 $0 0011 West Jackson

Medford, OR 97501

Install Wide-Area Network

$8,000 .002004

Southwest Oregon Resource Conservation & 509(a)(1) $0.00 $4,500.00 $0.00 $4,500.00 $0 00D evelopment Are a

576 NE E Street

Grants Pass, OR 97526

Technical Assistance$ 4,500 .00

2004

~oathwestern Oregon Community Action 509(a)(1) $0.00 $8,000.00 $0.00 $8,000.00 $000Committee, Inc.

2110 Newmark Avenue

Coos Bay, OR 97420Holiday Giving Program

$ 8,000.002004

The Ford Family Foundation 93-6026 156Schedule 1 0


• ~ •The Ford Family Foundation

FYE 3/31/04


Recipient and/or Purpose TaxStatus 2004 2004 2004 2004 2004

,Southwestern Oregon Community College 509(a)(1) $0 .00 $1,400 .00 $0.00 $1,400 00 $0.00Foundation

Newmark Center, Room 2202110 Newmark fvemie

Coos Bay, OR 97420-2912Holiday Giving Program

S 1,400 .002004

Southwestern Oregon Communi ty College 509(a)(1) $81,626.98 $0.00 $0 00 $81,626.98 50 .00Foundatio n

1988 Newmark Avenue

Coos Bay, OR 97420-2912Building on Strength sS 278,253 .25

2002

LSpirit of Christmas, Inc. Non-Profit $0.00 $5,000.00 $0.00 $5,000 .00 $000Organization

178 N Sixth Street

Reedsport, OR 97467Holiday Giving Program

$ 5,000.002004

Spray School District #1 Government $125,700 00 $000 $0.00 $0.00 $125,700.00Agency

PO Box 230

Spray, OR 97874Spray Community School HubS 194,350.00

2003

-ISt Charles Medical Center Foundation 509(a)(3) $100,000 .00 $0.00 $0 .00 $100,00000 $000

2500 NE Neff RoadBend, OR 97701-601 5

Crisis Resolution Center - Challenge Grant

S 100,000 .002003

. St.James Catholic School 501(c)(3) $0.00 $0.00 ($7,500.00) ($7,500 00) $0.00

206 NE KirbyMcMinnville, OR 97128

Covered Play Area

$0 .0 02000

At, Joseph Catholic School 509(a)(1) $0.00 $10,000.00 $000 $10,000.00 $0 .00

630 West Stanton Street

Roseburg, OR 97470Playground Improvement Project

$ 10,000.002004

~St Joseph Catholic School 509(a)(1) $0.00 $70.00 $0 00 $7000 $0 00

630 West Stanton StreetRoseburg, OR 97470general operation s

S 70 002004


Grants & Contributi onsPage 43 of 53

CJ •

The Ford Fami ly FoundationFYE 3/3 1 /04

Beginning B alance Newly All ocated Amended Amou n t Paid Ending Balance

R ecipient and/or Pu r pose Tax S tatus 2004 2004 2004 200 4 2004

St. Joseph Catholic School 509(a)(1) $0.00 $85000 ($15.12) $83488 $0.00

630 West Stanton Stru tRoseburg, OR 97470

Holiday Giving Program$ 834 88

2004

It Joseph's Community Kitchen 509(a)(1) $000 $3,00000 $0 .00 $3,000.00 $0.00800 West Stanton StreetRoseburg, OR 97470

Holiday Giving Program$ 3,00000

2004

At Mary, Star of the Sea School 501(c)(3) $0.00 $3,015.93 $0.00 $3,015.93 $0.00

1411 Grand Avenu e

Astoria, OR 97103City Park Renovation - New Playground

EquipmentS 3,015.93

2004

St Vincent dePaul Society of The Danes 509(a)(2) $0 .00 $41,000.00 $0.00 341,000.00 $0.0 0

-~ 505 West 9th StreetThe Dalles, OR 97058

Building Renovation - Install Heating & AirConditioning System

$41,00000200 4

Steamship Historical Socie ty of America Inc . 509(a)( 1)300 Ray Drive , Suite #4Providence, RI 02906

relo cation projec t

$ 400 .002004

Y tep Forward Activity Center Inc .

PO Box 107 0Baker City, OR 97814

Program Expansion$ 40,000.00

2004

Stop Oregon Litter and Vanda lism

5193 NE Elam Young Parkway, Suite BHillsboro, OR 97124Best ojOregon . Clatskanie

$ 10,000.0 0

2003

Stop Oregon Utter and Va ndalis m

5193 NE Slam Young Parkway, Suite BHillsboro, OR 9712 4

Bert ojOregon - Ramier/Prescott$ 10,000 0 0

2003

509(a)( 1 )

509(a)(1 )

509( a)(1)

$0 00 $40000 $0.00

$0 .00 $40,000 .00 $0 .00

$10,000.00

$10,000.00

$0 00 $0.00

$0 .00 $0 .00

$400.00 $0 .00

$0.00 $40,000.00

$10,000.00 $0.00

$10,000.00 $0.0 0



•


Beginning Balance Newly Allocat ed Amended Amount Paid Ending BalanceRecipient and/or Purpose Tax Status 200 4 2004 2004 2004 200 4

✓5top Oregon Litter and Vandalism 509(a)(1) $10,000.00 50.00 50.00 510,000.00 $0.005193 NE Elam Young Parkway, Suite BHillsboro, OR 97124

Best ojOregon - ScappooseS 10,000 00

2003

Ztop Oregon Litter and Vandalism 509(a)(1) $0 .00 510,000.00 $0.00 5 10,000.00 $0.005193 NE Elam Young Parkway, Suite BHillsboro, OR 97124

Best of Oregon • AmityS 10,000 0 0

2004

Stop Oregon Litter and Vandalism 509(a)(1) $0.00 $10,000.00 $0 00 $10,000.00 $0.005193 NE Elam Young Parkway, Suite BHillsboro, OR 97124

Best ofOregon: Lafayette$ 10,000.00

2004

✓Stop Oregon Li tter and Vandalis m5 1 93 NE Elam Young Parkw ay, Suite BHillsboro, OR 97 1 24B est of Oregon. Gaston$ 1 0,000 . 00

2004

Sugarloaf Communi ty Association

P O B o x 440

Williams, OR 97544SCA Playing Field Project$ 1 3,000 . 0 0

200 4

_ ~Satherlin Family Church8 7 8 W Sixth AvenueSuihe dm, OR 97 4 7 9Christian A cademy ojGualamala educa tio nprogram$300 .00

2004

autherUn Family Church878 W Sucth AvenueSutherlm , OR 9747 9capital bu ilding project

$ 500 0 02004

Auth erlia Fire Departm ent

2 50 South State Street

Sutherlin, OR 974 79


$2,000 .00

2 004

509 (a)( 1 )

5 01 (c)(3 )

509(a)( 1 )

509(a)( 1 )

Government

Agency

$0 .00 $10,000.00 50 . 00

$0 .00 $13,000 .00 50. 00

$0 .00 $300.00

$0.00 $500.00

$0 .00 $2,000 00

$0 .00

$10,000 .00 $0. 00

$13,00000 $0 .00

$300 . 00 S000

50 .00 5500.00 50 . 00

$0 .00 sz,ooo.oo $0.00

The Ford Family Foundation 93-6026156Sc h edule 10


EThe Ford Family Foundation

FYE 3/31/04


,Sutherlin School Dis trict #130 Government 50.00 55,300 .00 $0.00 $0.00 $5,300 00Agency531 East CentralSutherhq OR 97479Communi ty 101 Youth in Philanthropy3 5,300 . 00

2004

.1Sutherlin School District #130 Government $0.00 $50.00 50.00 $50 . 00 $0.00Agency531 Eas t CentralSutherhn, OR 9747 9support of West School Spell-athon project$ 50. 04

2004

kSutderlia-0akland Emergency Pantry 509(a)(2) $0.00 $2,000.00 S000 $2,000.00 50 . 00PO Box 94Suthedtn, OR 97479Holiday Giving Program$ 2,00000

2004

-'-Sweet Home School District #55 Government $0. 00 $2,500.00 S000 $2 , 500 .00 $0 . 00Agency1920 Long StreetSweet Home , OR 97386Hawtho rn e Writing Project$2,500 .00

2004

..Tempora ry Help in Emergency House Inc. 509 (a)(1) 50 .00 S1,50000 50 .00 $1,50000 $0.00

745 Koos Bay BlvdCoos Bay , OR 97420Holiday Giving Program

$ 1,500 . 0 02004

,Three Rivers/Josephine County School Government $200,000.00 $0.00 S000 $0.00 $200,000.00

District Agency

PO Box 160Murphy, OR 9753 3Williams Education Coalition

$ 295,800 .002003

-TiUamook Arena Committe 509(a)(1) $0.00 $5,000.00 $0.00 $5,000 -00 S0• 00

555 Hodgdon Roa dTill amook, OR 97683Tillamook Event Facility Feasibility Study

$ 5,000.0 02004

*'1 iUamook County Habitat for Humanity, 509(a)(1) $0.00 $25 ,000 .00 $0.00 $25 , 000 .00 $0.00

Inc.PO Box 937Tillamook, OR 9714 1Habitat Home - Challenge Grant$ 25,000 . 0 0

2004



• •


Begin ning Balance N ewlyAllocate d Amended Amount Paid Ending B alanceRecipient and/or Purpose Tax Status 2004 2004 2004 2004 2004

Tillamook Counseling, Inc 509(a)(1) $22,320 00 $0.00 $0.00 $0.00 $22,320.00906 Main AvenueTillamook, OR 9714 1

Tillamook County Family Support NetworkS 139,820.0 0

2002

Tiller Rura l Fire District Government $0.00 $6,000.00 $0.00 $6,00000 $0 00Agency

PO Box 114

Tiller, OR 97484-011 4

New Emergency Communications RadioSystem$6,000 .00

2004

.fdsrine Toys for Tots Foundation 509(a)(1) $0.00 $3,000:00 $0.00 $3,00000 $0.0 0PO Box 1940Roseburg, OR 97470

Holiday Giving Program$3,000.00

2004

-fulelake Basin Joint Unified School District Government $66,055.00 $0 00 S0.00 $66,055 00 $0.00Agency

PO Box 640

Tulelake, CA 96134"Active Parenting"

S 219,967 .00200 2

f'City of Lllrish

PO Box 265Ulaah, OR 97880Ukiah Senior Center

3 9,706 .002004

d3ropqua Community Ac tion Network

2448 West Harvard Blvd

Roseburg, OR 97470

Program Support - Over 3 Years

$ 345,000. 002003

.Vmpqua Community Action Network

244 8 W est Harvard BlvdRoseburg, OR 9747 0

CADO Decision Malang and

Organizational Structure$ 1,500.00

2004

Umpqua Community Action Network

2448 West Harvard Blvd

Roseburg, OR 91470


$3,000002004

Government

Agency

509(a)(1 )

5 0 9(a)( 1)

509(a)(l)

$0 .00

$345,000.00

$0.00

$ 0. 00

$9,706 .00

$000

$1,500.0 0

$3,00 0 .00

$ 0 .00 $ 9,706.00 $0.00

$0 .00 $115,000.00 $230,000.00

$0.00 $ 1 ,500 .00 $0.00

S0.00 $ 3 ,000.00 $0 .00

The Ford Family Foundation 93-6026156Sch e dul e 10


•

The Ford Family Fo undationFYE 3/31/0 4


~ Umpqua Community Development 509(a)(1) S0.00 $2,750 00 50 .00 32,750 . 00 S000Corporation738 SE Kane S treetRoseburg, OR 9747 0Vehicle for Hearrivood ResourcesWeatherization Crew$ 2,750 . 00

2004

Umpqua Community Development 509(a)(1) $0.00 $2,000.00 $0 00 $2,000.00 $0 .00Corpora tio n738 SE Kane StreetRoseburg, OR 97470Holiday Giving ProgramS 2,000 .00

2004

.,Umpqua Community Health Center Inc . 509(a)( l) 5195,000.00 $0.00 50.00 565,000 .00 $130,000 .0054 4 W Umpqua Street, Suite #206Rosebtug, OR 97470Program Support - Over 3 YearsS 195,000 .00

2003

Umpqua Community Health Center Inc. 509(a)(1) 50 .00 $670 . 00 S000 5670 .00 $0 .00544 W Umpqua Street , Suite #20 6Roseburg, OR 97470genera l support

$670-002004

509(a)(2) $0.00 $7,000 .00 $0 00 57,000 .00 $0. 00Umpqua Valley Arts Associatio n..

1624 VJ Harvard AvenueRoseburg , OR 97470After School Art Program at Melrose

S7,000-0 02004

,rlJmpqua Valley Arts Association 509(a)(2) $0.00 $500.00 $0 . 00 $500 .00 $0.00

1624 W Harvard Avenue

Rosebtiag, OR 97470"Frenzy-Do a Loo"

$500 .002004

,Umpqua Valley Arts Association 509(a)(2) $0.00 5500.00 50.00 $500.00 $0 .00

,

1624 W Harvard Avenu e

Rosebtug, OR 97470general support

$500-002004

509(a)(2) $0 .00 $2,000 .00 $0 .00 52,000 .00 $0 .00

✓Umpqua Valley Arts Associa ti on

1624 W Harvard AvenueRoseburg, OR 97470

Youth Summer Arts Program

$2,000 .0 02004



0


Begin ni n g B ala n ce NewlyA llocated Am en d ed Amount Pa id Endin g BalanceR ecipient and/or Pu rp ose Tax Statu s 2004 2004 2004 2004 20 04

,,Greater Douglas United Way 509(a)(1) $0.00 $3,128.00 ($350 00) $2,77800 $0.00PO Box 232 9

Roseburg, OR 97470Multi-Tenant Non Profit Center Conference32,778.0 0

2004

rester Douglas United Way 509(a)(1) 50.00 51,000.00 $0.00 $1,00000 $0 00PO Box 232 9Roseburg, OR 97470Grantsmanship Resource CollectionSupport

$ 1,000 .002004

Greater Douglas United Way 509(a)(l) $ 0.00 E2,500.00 $0.00 $2,500.00 $0.00PO Box 2329

Roseburg, OR 97470

general support$2,500 .00

2004

.Greater Douglas United Way 509(a)(1) $0.00 $420.00 5 420.00 $840.00 $0.00PO Box 232 9Roseburg, OR 97470general support$ 84000

2004

,-Greater Douglas United Way 509(a)(1) $0.00 $600.00 $600.00 $1,20000 $0 00

PO Box 2329

Roseburg, OR 97470

general support

S 1,200.002004

,,V,reater Douglas United Way 509(a)(1) $0.00 $300.00 $300.00 $600.00 $0.00

PO Box 2329Roseburg, OR 97470genera! support

$600002004

greater D ouglas United W ay 509(a)(1) $ 0.00 $600 00 $600.00 $1,200.00 $0.00

PO Box 2329

Roseburg, OR 97470

general support

$ 1,200 002004

Preater Douglas United Way 509(a)(1) $0.00 $2,070.00 $0.00 $2,070.00 $0.00

PO Box 2329

Roseburg, OR 97470

general supportS2,070.00

2004

The Ford Family Foundation 93-6026156Sc h edule 1 0


•

The Ford Family FoundationFYE 3/31 /04

Be gi nn i ng Bala n ce Newl y All ocate d Am ended Amount Paid Ending B alanceReci p ient and/or Pu rpose Tax Status 2 0 04 2004 2004 20 04 2004

Greater Douglas United Way 509(a)(1) $0.00 $ 50.00 $0.00 $5000 $0.00PO Box 232 9Roseburg, OR 97470

general support

S 50 .002004

reater Douglas United Way 509(a)(l) $0.00 $1,400.00 $0.00 $1,40000 $0.00PO Box 232 9Roseburg, OR 97470general support$ 1, 4 00.00

2004

Greater D ougl as United Way 509(a)(l) $0.00 $2,400.00 $0.00 $2,400.00 $000PO Box 232 9

Roseburg, OR 97470general support

$2,400 .00

2004

United Way Of Jackson Coun ty, Inc. $000 $9,500.00 $000 $9,500.00 $0 00PO Box 4664Medford OR 9750 1Budding a Learning Community

S9,500 .00

2004

Unite d Wa y of the Columbia-Willamette 509(a)(1) $0.00 $3,600 00 $0.00 $3,600 00 $0.00

619 SW l lttt Avenue, Suite 300

Portland, OR 97205-2646general support for S1 Ma ry 's Horne for

Boys

$ 3,600.00

2004

✓TheUCI.AFoundation 509(a)(1) $0.00 $1,700.00 $0.00 $1,700.00 $0.00

10920 Wilshire Boulevard, 11th FloorLos Angeles, CA 90024

'•general support$ 1,700 .00

2004

✓flniverslty of Oregon Government $10,000.00 $0.00 ($ 1,000 .00) $9,000.00 $0.00

Agency

221 Johnson Hall

University of Oregon

Eugene, OR 9740 3

Ford Scholars Attendance at ContinUO

$9,000 .0 0

2003

. .,'University of Oregon Government $0 .00 $3,000.00 $000 $3,000.00 $0.00

Agency

221 Johnson Hall

University of Oregon

Eugene, OR 97 4 03

Urban-Rural Dialogue

$3,0000 0

2004



The Ford Family FoundationFYE 3 /3 1 /04

Be ginni n g Bal a n ce New ly Allocated Amende d Amount Paid En di ng B alanceRecipient and/or Purpose Tax Status 200 4 2004 2004 2004 2004

University of Oregon Government S000 $4,000.00 $0.00 $4,00000 $0.00Agenc y

221 Johnson HallUniversity of OregonEugene, OR 97403

general support$4,000.00

2004

Wallace Medical Concern 509(a)(1) $0.00 $600.00 $0.00 S60000 $0 00PO Box 697 2

Portland, OR 97228general supportS 600.00

2004

"Wallowa County Education Service District Government $46,000 .00 $0.00 ($67,469.35) ($ 21,469.35) $O.00Agency

107 SW 1st Sheet #105Enterprise, OR 9782 8Building Healthy Families ProgramS 113,930.65

2002

-Wallowa Valley Together Project 509(a)(1) $000 $54,807.00 $12,662.00 567,469.00 $0 00PO Box 43 1Enterprise, OR 9782 8Building Healthy Families ProgramS67,469 .00

2004

Need Community Center

PO Box 470Weed, CA 96094Weed Community Center Construction -Challenge Gran t

S 1,500,000 .002003

16ty of Weed

PO Box 470Weed, CA 96094PAL Youth Activities Program - Challenge

Gran t$10,00000

2003

yVettside Christian Church

2712 West HarvardRoseburg, OR 97470

annex building fund

$ 1,000 .002004

Wilani Council Camp Fire, Inc.

3575 Donald Street, Suite 230Eugene, OR 97405

Camp Wilans Grand Council LodgeDevelopment Projec t$0.00

2000

5 09(a)( 1 )

GovernmentAgency

501(c)(3)

509(a)(1)

is

$0.00 $0 . 00 $0 00 $1,500,000 00

$0.00

$0.00 $1 ,000 . 00

$0 00 $0.00

$0 .00 S 10,000 .00 50. 0 0

$0 00 $1,00000 $0 .00

($50,000 .00) ($50,000 00) so .oo


Grants & ContributionsPage 51 of 5 3

$ L , 500,00a .00

aio,ooo .oo

L_J The Ford Fariuly FoundationFYE 3/31/0 4

Beginning Balance Newly Allocated Amended Amount Paid Ending BalanceRecipient an d/orPurpose Tax St atus 20 04 2004 2004 2004 2 0 04

✓Will amette Education Service D istrict Government 5346,070 00 5 0.00 S000 $ 121,016.00 $ 225,054 .00Agenc y

2611 Pringle Road SE

Salem OR 97302-1533Management Plan - Over 3 yearsS 601,670.00

2002

4illamette Education Service District Government $0.00 $9,20000 $0 00 $9,200.00 50 .00Agency

2611 Prmgle Road SE

Salem OR 97302-153 3

Oregon Hispanic and Migrant StudentLeadership InstituteS9,200 .00

2004

Willamette University 509(a)(1) $0.00 $400.00 50.00 5 400.00 $0.00900 State Street

Salem, OR 97301-3922law schoo l

$400.002004

-Winston Area Conununity Partnership 509(a)(1) $150,000.00 $0.00 $0.00 $0.00 $150,000.0 0PO Box 2613

Winston, OR 97496

Winston Community Center And Library -Challenge Grants 150,000.00

2003

fR' instoa-Dillard School District #116

165 Dyke RoadWinston, OR 97496 -8501

Nurturing Parenting Program

S 292,933 .0 02002

-~W ioston-Dillard School District #116

165 Dyke RoadWinston, OR 97496-850 1Intel Teach W the Future in Action

$2,500 .00

2004

yWomeu'a Safety & Resource Center, Inc.

PO Box 79 1North Bend, OR 97459general support$600 .00

2004

'World Forest ry Center, Inc.4033 SW Canyon RoadPortland, OR 97221-2798

general support

$ 2,000. 002004

GovernmentAgenc y

GovernmentAgency

509 (a)(1 )

509(a)( 1 )

$103 , 63000

$0 .00

$0.00 $600.00

$0.00 52,5 0 0 . 0 0 5 0 .00

$0.00 $60000 $0 00

$0 .00 $2,000 .00 $0 .00 $2,00000 so Go

$0 . 00

$2,500.00

S0 0 0 $0.00 5103,630 00



u•


FYE 3/31/04

Beg i nning Balance Newly Allocated Amended Amount P aid Ending BalanceRe ci p ient and/or Pu rpose Tax Status 2004 2004 2004 2004 2004

Mriters On Th e Ed g e I nc. 509(a)(2) $0.00 S1,850.00 S000 S1,850.00 $0.00PO Box 83 2Ncwport, OR 9736 52004 Youth Summer Poetiy Writing andPerformance WorkshopS 1,850 .00

2004

,Yale University 509(a)(1) $0.00 $2,000 .00 S 0 .00 $2,000.00 $0.00PO Box 203 8New Haven, Cr 06521-2038

general support$ 2,000.00

2004

Xreka Union High School District Government $0.00 $2,340.00 $000 S2,34000 $0.00Agency

431 Knapp StreetYreka, CA 96097Motivational Speaker$2,34000

2004

City of Yreka Government 50.00 $ 10,000.00 $0.00 $10,000.00 $0.00Agency

701 4th StreetYreka, CA 9609 7Yreka - The Greenhorn Park DevelopmentInitiative$ 10,000 00

2004

Iton Luthera n Church and School

2800 NW Tyler

Corvallis, OR 97330general academic program support

S 6,000002004

Grand Total

(41 9 item s )

501(c)(3) $ 0 . 00 $6,000 .00 S 0.00 $6,000.00 $0.00

$14,873,797 .21 $2,928,047 .93 ($2,230,817.15) 58,106,068 . 99 $ 7,464 ;959.00



The Ford Family FoundationForm 990PF

3/31/2004

Report on Expenditure Responsibility Grants - FYE 03/31/2004

1]

The information regarding the below listed grant is being provided pursuant to RegulationsSection 53.4945-5(d) .

Grantee Name and Address :

Date of Grant :

Purpose of Grant :

Amount of Grant Awarded :

Funds expended for purpose of grant :

Bay Area JayceesPO Box 25Coos Bay, OR 97420

November 12, 2003


$3,000.00

$7,000 .00

Reports Received: Reports were due from the grantee as of February 16, 2004 . All reports werereceived as of February 20, 2004 .

Diversions : The Foundation has no reason to believe that any of the grant funds have beendiverted from the grant purpose, therefore no verification work on the part of The Foundation hasbeen considered necessary.


Reports on Expenditure ResponsibilitiesPao,- 1 of 7

•


3/31/2004

Report on Expenditure Responsibility Grants - FYE 03/31/2004

•



Date of Grant :

Purpose of Grant :

Amount of Grant Awarded:


Coos Council Knights of Columbus2325 MadronaNorth Bend, OR 9745 9

November 12, 200 3

Holiday Giving Progra m

$6,000.00

$32,000.00

Reports Received : Reports were due from the grantee as of February 16 , 2004 . All reports werereceived as of January 28, 2004 .

Diversions : The Foundation has no reason to believe that any of the grant funds have beendiverted from the grant purpose, therefore no verification work on the part of The Foundation hasbeen considered necessary .

The Ford Family Foundation 93-6026156Schedule I I

Reports on Expenditure ResponsibilitiesPage 2 of 7

0


3/31/2004

Report on Expenditure Respon s ibility Grants - FYE 03/31 /2004

41

The information regarding the below listed grant is being provided pursuant to RegulationsSection 53 .4945-5(d) .


Date of Grant :

Purpose of Grant :


Funds expended for purpose of grant

Douglas County Professional Firefighters Association1141 Harris HillsRoseburg, OR 97470

November 12, 2003

Holiday Giving Progra m

$2,000.00

$2,000.00

Reports Received: Reports were due from the grantee as of February 16, 2004 . All reports werereceived as of January 12, 2004 .




•


3/31/200 4

Report on Expenditure Responsibility Grants - FYE 03/31/200 4



Date of Grant :

Purpose of Grant:



Roseburg JayceesPO Box 681Roseburg, OR 97470

November 12, 2003


$4,000.00

$18,000 .00

Reports Received: Reports were due from the grantee as of February 16, 2004 . All reports werereceived as of February 20, 2004 .

Diversions : The Foundation has no reason to believe that any of the grant funds have beendiverted from the grant purpose, therefore no verification work on the part of The Foundation hasbeen considered necessary .

The Ford Family F oundation 93-6026 1 56Schedule 1 1

Reports o n Expenditure ResponsibilitiesPage 4 of 7

0


3/31/2004

Report on Expenditure Responsibility Grants - FYE 03 /31 /2004

The information regarding the below listed grant is being provided pursuant to R egulationsSection 53 . 4945-5(d) .


Date of Gran t :

Purpose of Grant :



Spirit of Christmas, Inc .178 N Sixth StreetReedsport, OR 97467

November 12, 2003


$5,000.00

$16,000 .00

Reports Received: Reports were due from the grantee as of February 16, 2004 . All reports werereceived as of January 20, 2004 .

Diversions : The Foundation has no reason to believe that any of the grant funds have beendiverted from the grant purpose , therefore no ve rification work on the part of The Foundation hasbeen considered necessary .


Re p o rts on Expenditur e ResponsibilitiesPage 5 of 7

•


3 /31/2004

Report on Expendi ture Respons ibili ty Grants - FYE 03/3 1 /2004

•



Date of Gran t :

Purpose of Gran t :



Roseburg JayceesPO Box 681Roseburg, OR 97470

November 27, 2002


$4,000 . 00

$12,000 .00

Reports Received: Reports were due from the grantee as of February 15, 2003 . All reports werereceived as of April 4, 2003 .




•


3/31/2004

•

Report on Expenditure Responsibility Grants - FYE 03/31/200 4


Gran tee Name and Address :

Date of Grant :

Purpose of Grant:



The Oregon Community Foundation1221 SW Yamhill, Suite 100Portland, OR 97205

May 5, 2003

Foundations for a Better OregonFund/Chalkboard Project

$250,000 .00

$100,000 .00

Reports Rece ived: Reports are due from the grantee as of March 31, 2005 .

Divers ions: The Foundation has no reason to believe that any of the grant funds have beendiverted from the grant purpose, therefore no verification work on the part of The Foundationhas been considered necessary .


Reports on Expenditure Responsibilitie sPn nc+ 7 of 7

•

The Ford Family FoundationSchedule 11 - Scholarship Payments to Individual s

FYE 3/31/04

Last Name

SuskiPooleKwanZherebilovMedinaBriggsBenzarPantieBunchHusseinStricklandHedfordBlevinsFournierElliottThurberJonesSeregowMurdockParrottKennedyLoopSlizewskiJagerNiktabHedquistLukensPeaceDrennenKelichMcCabeJonesSeregowFinleyByersNebrenskyHancockRubleHillaireWendelJonesFryKelloggMerzMackieSettlemeyer

First Initia l

JDH0CJESJAJJHKSDJEKJMRRJ

BRTMTSHMCMBMA0KTVDBTM

DisbursementAmount

10,7625,9455,9189,6509,3768,0681,0005,6783,3347,4767,080

14,1551,8181,000

10,7931,0006,149

15,6464,487

17,19615,6626,1481,41 8

18,6068,8086,8934,769

44812,92011,0097,1874,490

12,6497,4208,6973,1022,276

11,3597,7562,9291,0007,4102,7616,9147,142

18,114

•

Scholarship Program

Ford ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord Scholar


Scholarship Payments to Individuals1 of 18

•

The Ford Family FoundationSchedule 11 - Scholarship Payments to Individuals

FYE 3/31/04

Last NameEtchisonDoddsWilsonHankinsRomanClairKabanukHydeLowensteinNelsonMurdochBlakeMortinsonDuncanBeasleyHolmanHayballHelmersHackerHollenbeckDrongesenThomasSchwinlerBaileyBaileyCrescenziMooreOrtegaSouthworth-ThomaWyssKennedyBel lJohnsonFranklinAllenMcCreaCunninghamMcCurryTurnerHenriksonDubyDubyBakerKirkmanSeversonBreazealPimentel

First Initial

JCCGCAKSJMKAHTJSGMBAKPKPTDJMCJJALKEBJKEKRALJJNG

DisbursementAmount

2,3943,9915,9639,9376,5197,736

12,6618,7366,1493,1116,5854,8622,8491,000

12,4604,369

12,7133,828

6676,8146,1562,9637,102

(78)12,7809,1018,0851,0009,2957,440

10,7783,2575,01 8

11,8544,771

5391,8773,8216,5392,7615,955

19,25613,9399,8995,2233,7862,352

•

Scholarship ProgramFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord Scholar


Scholarship Payments to Individuals2of18


FYE 3/31/04

Last NameLatti gHooverHooverStrodaSantosMartellLucasDefreesBronteBombaciSimshawNeyhartGenzoliPhillipsSproulKakhadzeMillerMcBride-MooreRossottoGravesLoganDinhRichardsShirleySteeleDuttonBodineHomrichhausenKozachenkoNunezsikesHodgesSmithAdamsonNewkirkNordholdChanStanleyKeelerNewportHerreraSchaufflerWieneckeDickensonJosephBaumanIsomWright

First InitialEKKLASZDPAJJLMATRAKTTDKTZDBTSMNSSCKJMJKABKL

WCWA

DisbursementAmount

11,75810,14310,50712,1046,5721,0007,7141,0005,0811,0001,2826,3098,6346,46 1

14,8484,9619,385

12,713(59)

14,19420,4574,5231,0004,4798,3501,0007,7476,6201,0002,2091,0007,232

11,3567,7516,2425,2113,9455,8803,992

12,0057,4217,1684,2722,2365,2164,2696,916

•




•


FYE 3/31/04

Last NameWoodleyTolmanBreckMartellCortezMeredithRagleCaoHoangTezanosRiversEvensonOsorioHavaChandlerEFseaffDanielsReynoldsKirkpatrickSalleeStrickerMcLaughlinWolfgramBabcockConnollyMerzLeeWilliamsonClareIsbergIsbergDunbarPickierSco ttFriendRieseFialaChomeyBema;ShinnMackieLeForeHeilmanHildebrandYoungBowenHooper

First InitialNZEMBBADVVJZSHMMKSRJHMDSMMJSAANCSSSASLNJEAARAMA

DisbursementAmount

4,25218,2028,5831,0004,4523,534

17,0086,4391,196

10,8328,0855,3424,2301,922(230)

1,0005,6321,6985,3914,6273,0456,399

20,03616,8352,0508,7751,000

(1,422)4,3953,3552,3995,4889,2827,2874,0195,2653,212

13,3973,6149,8414,7973,11 0

10,2863,3474,493

3339,385

•


The Ford Fam i l y Foundation 93-6026 1 56Sch edule 1 2

Sch ola rs h ip Payments t o I n d ividuals4of1 8

•


FYE 3/31/04

Last NameFarre rDanielCiochonSchaferCranePresnellHatchPierceHickmannGordanierLauritzenMartinPolstonBackBlackLoveBergemannCarpenterBurkeNguyenSoeNguyen-PhuocLandaSchuchardSomnasangJozanovicBauerSmit hWheatonHudanishAlotaibiCooperWallaceSchulzWolffWanderBorquezVilesSkillingstadWarnerSconceModdermanWallacePetersonMintonMatthewsUlrich

First InitialBTKDJ0SSMMGLMJMTTMRHTVLKSNCRVTDJDSETRNSRKSTB

FV

a

DisbursementAmount

13,2746,3977,0708.9818,520

19,97915,21514,04710,2386,5907,8434,1956,1886,7104,3843,8693,1131,9252,1547,4471,7544,813

13,2286,4981,000

11,74712,202

33411,9396,2227,9076,509

13,0823,7268,439

6675,6992,6711,000

13,2208,007

10,4934,4002,6935,8014,7121,595

•

Scholarship ProgramFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord Schola r



0


FYE 3/31/04

Last NameMillerReedEdwardsTilgerProudWalkerHuttoGitschlagHamptonHarknessBoardmanMonfortJacksonRollinsKoskelaGil lDavisMoroFeolaCohenOsborneAgnerCanfieldKreindelPrideauxStrutzNicholsConradKeysBraunSparksArredondoTranVuBuhlerAlgunovaEmeryMillerBurrowsAltmanCampbellBell-O'TooleAparicioBurtonCleavesSheltonRankin

First InitialMN

HKJSCTSGEMABCSJKBRJEHJAKCPTBMKMGKDTDSJJJLJBJ

DisbursementAmount

9,5456,0537,432

11,2376,9415,6639,2443,2657,2324,6958,6194,296

13,61 17,5943,6101,000

15,9896,3844,9346,6293,5398,6192,7641,0008,1796,8412,0576,1611,0006,7507,6382,6151,1301,0457,202

13,0463,8339,7325,9331,9674,4386,9506,7514,136

10,17713,0727,751

•


The Fo rd Family Fo undati o n 93-6026 1 56Schedule 1 2

Scholarsh ip Payments to I ndividuals6o f1 8

•


FYE 3/31/04

Last NameHimmelBednerAlexanderParsonsBrauer-AlbrechtAshbaughDornMcallisterAdamsHonerSiddowayTreacyHowerySeitzWilliamsMurphyStevensMartinWinemanBaldwinBrittonThewHeadingsEdwardsBotnerMackeRossCraytorJopyceCroucherSchmidtFrantumKalezKeeleyMoyerWilsonPomtvedtBrownSchneiderNguyenGurczynskiGarrettSuttonRaymerEverestSandeMurphy

First InitialMDCKJBDHJCDBDAACRAZJMCKLAEJSTNPEJGAABJJJJSJMAKB

DisbursementAmount

2,6154,8381,0001,8561,0011,0004,2492,472

12,06410,9922,7626,3306,7365,6995,0392,867

11,2275,7393,4835,5704,9275,0741,0008,1455,6576,4357,281

10,4995,1423,8657,424

19,32410,4251,000

12,9176,5998,9037,9116,1341,3336,0825,6286,6441,68 1

12,9773,7306,189

•




•


FYE 3/31/04

Last NameHuntleyTeuscherBaileyArringtonHagenPutintsevPutintsevKennedyBu iRameyMannHailueMiramontesOlivia-ZunigaGodsiffTobiskaBumsDelongDiakoffButlerBlackwellMcLaughlinKellerDereglaGrenzHurlmannTaHoBruckMeekMunroeHandtmannLewisBuchanWestRodriguezAdamsgrahamwellsSchwart zVangSelkSwanTurnerGrigsbyFredricksonKrubsackColeHarton

First InitialLAMCBVJHTSTEHEECSTTPENBM ,DJMTJDSMCLSMTCGKZMRJSAD

DisbursementAmount

11,45611,188

5,5531,0001,9726,8497,6316,1029,266

14,8454,350

11,6133,9204,8025,9909,3648,2842,5644,4501,0007,4537,4773,5265,8319,4035,8665,5842,8196,050

10,9716,4499,495

12,7822,9134,2804,4325,2266,2311,0005,8717,9184,0728,7745,2685,7645,11 3

10,363

•




•


FYE 3/31/04

Last NameGarrettOrreSanchezvonReynKlingerrnanHawkJohnsondelaFuentePelayoSilverBrooksGomezGlozerSwakePistoriusDeFillipoMol lHawesSilberForresterDumasHorganEbersteinJalienSummersHeh iMcNamesDerossLindenBlackSherrettPelowKaluginQuestMorrisonMcDowellLeGradyHeislerGomezGarciaPolkRodriquezWilsonWilliamsNavarroColeMcFall

First InitialEKCDJSMNABLTSJCCDMJLTLAKTSJCEVBCMJHTLJLJMLJAMAJ

DisbursementAmount

1,0003,2665,866

20,0309,0731,0006,6147,8654,0186,878

10,9655,9474,1603,2637,2401,000

17,08910,01815,6448,990

3341,0007,557

12,0235,081

13,4874,8357,7508,3205,5043,6029,0479,2705,342

(141 )8,593

10,4592,9424,661

10,8416,2635,8066,870

12,5036,6984,7745,318

•




•


FYE 3/31/04

Last NameLopezScruggsScruggsDowlingCushmanMellomHalterMellonNilesKanenHouseholderDavisWuMasonTharpKnightMcMahanPehleEastlickMendozaVangMcLauchlanBlalockPorterBradfordBackstromBoatrightNanchyOsborne

AmbroseLandryDelancyRobinsonTennentSmithSitzTempletonWhalenArnoldBeasleyBlankenshipDieh lHarrisonNelsonGodfreyAmerud

First InitialLRJTWETEKZJCEBRMJJDFMENZMASTB

RMAMLMVCLDJSDDCJJ

DisbursementAmount

7,7536,6706,5001,0005,0241,0002,0321,000

12,4429,9185,8475,7738,7086,3637,4178,9451,0006,2681,170

13,9761,000

10,24312,0444,886

10,3895,4454,2522,5904,072

8,96514,27510,47618,573

9,5326,6208,896

18,25313,8497,365

13,8756,000

17,22110,3206,5496,825

15,800

•

Scholarship ProgramFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord ScholarFord Scholar

Ford OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord Opportunity



•


FYE 3/31/04

Last NameZehrenWilliamsPinkertonForsheeHodgsonSackettLewisThomasFastelinPhelpsSheppardPoirierBristowPhillipsMarshCartwrightReitzHillardHarrisFinchNoakesJung

VanweyBernalShannonDeverellZembaThomasRamirezRainesStricklerKlaboGordonDrydenNilssonMerrifieldBartelmayHil lToblerDevoeSmartMarronDentalDixonSchofieldBradford

First InitialKOSDAAJJDMSASSJDCLSDEMTASSJJCNJBBEJSBLSFSTKPJGE

DisbursementAmount

3,45612,75721,4877,101

20,3778,432

19,1292,551

10,4518,594

12,94617,48011,07819,31 0

7,04928,1302,2828,8619,41 1

19,11010,98025,01827,12312,45 1

(890)16,62434,62419,73329,25810,85010,06314,067

7,66811,10713,334

4,10015,86125,62017,02510,43618,4407,756

14,56312,01511,74323,076

9,997

•

Scholarship ProgramFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord Opportunity



•


FYE 3/31/04

Last NameLynchWells-ThomasSt ClairZeckmanMeadorHunterSnellPetersonDurhamDentingerFranceSandersKraugerNiemiMaddenSchnellerWestGreenElgi nWilliamsMacaulayDonnellyLevenhagenSimpsonLanceTannerPolluconiDotyHartmanMcDowellZimmerleeMattinglyRelfBussGordonJonesSatterwhiteLeonhardyShokeyGrovesSnyderLivelyEvensonShannonMaurerHardestySchifferman

First InitialAFKTATKKKPCSSACTMCCCKN

SNSKSJPCJTLVMSRMLGLCJTLL

DisbursementAmount

4,89711,58014,6876,9936,2707,871

10,8239,366

(2,746)6,9939,0758,132

21,26310,91521,33815,32111,23214,58416,9427,142

15,24214,44212,1469,9009,991

10,9539,203

14,06916,7439,1775,7919,9084,01 0

22,2128,308

14,11717,01013,606(6,316)5,7125,7675,514

11,92214,17812,2055,760

21,342

•

Scholarship ProgramFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord Opportunit y



0


FYE 3/31/04

Last NameLongAdamsChandlerAlvarezAguilarAndersonRyanCulbertsonMeuserHernandezWebbScot tSandersonHarrisonKraftChislomSotoMinMillsDuskeyBjork

BakerNguyenMcleanHammonsStauftPedersonKaoHolmgrenFieldsMyersMyersZentnerGrayGrayStembridgeMooreDewaldChristofersonPearceBrewsterBrewsterMoczkowskiGillespieMcCulloughWalton

First InitialLMYJSASVMHNMA'SSDJVMAH

TLD

BBADDSSMNAGKLKRTCKMAS

DisbursementAmount

15,28710,25216,76719,71520,14810,55314,56915,19115,80411,1481,8135,475

15,82314,9784,182

11,47014,79122,11136,044

7,9235,735

2 ,0003 ,5003 ,5003 , 5006 , 6672 , 0003 , 5002 , 0002 , 0005 , 0005 , 0005 , 000

6685 , 0002 ,0005,0005,000

6673 ,5002 ,6673 ,5005 ,0005 ,0001 ,750

(1 ,168 )

Scholarship ProgramFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord OpportunityFord Opportunity

Ford Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & Daughters




FYE 3/31/04

Last NameKyleDuongLindenrneierMacDonaldMelendezFuentesWellsOsbornPowellKuschelRussellBoquaMacPhersonMacPhersonYoderRichardsonRichardsonHobsonCarstensenMills-PriceWilkersonJonesBankstonRobertsQuirozMadduxBartlettMosleyDraperHathawayAbeeneMendenhallCluneOsbornePothierKimmelSchattenkerkHarrisDewaldBaslerRobertsHellerPribbleWhiteleyAlbrechtBeamJephson

First InitialBPCCTTLBRTTSJJJTJMMERJTBKSHARTATBRJJTSBNTHCSAKR

D isbursemen tAmount

1,3341,3343,5005,0002,0003,5002,0002,0001,1672,0003,5001,3343,5003,5005,0002,0002,0005,0005,0005,0003,5003,3332,0005,0002,0005,0002,0002,0005,0005,0001,3323,5002,3335,0005,0003,5002,0005,0003,3342,0002,0005,0003,0005,0005,0002,0002,000

•

Scholarship ProgramFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & Daughters



0The Ford Family Foundation

Schedule 11 - Scholarship Payments to Individual sFYE 3/31/04

Last NameMelvinScolariStyersWatsonGrifantiniChandlerEnosJamersonYorksHobbsHobbsSmithDawson

SpencerRomeroColemanFeinbergKabankCouchKippBonebrakeGarredMurdochStadingGeorgeBrooksMonahanKellnerHil lDaneshLycheFletcherJonesGallowayZimmermanDoleLukeSappingtonBessmanNavarroWhelanMorganJonesPatchDahlmanBartram

First InitialCRHCMBKCARCMJ

SDRCCJCDEESVEMRGNJJPRMJPLRSLSKLDW

DisbursementAmount

5,0003,5003,5005,0002,0002,0002,0005,0005,0005,0007,5003,5003,500

13,2867,1895,2185,4675,4593,716

17,08222,845

5,8733,9303,5708,1397,956

19,31816,9503,515

20,4106,517

14,8566,854

12,1853,504

10,8751,5068,6978,6745,540

14,0669,2594,4867,695

14,7827,206

0

Scholarship ProgramFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & DaughtersFord Sons & Daughters

Ford RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord Restart




FYE 3/31/04

Last NameTabaccoLennoxGorshenkovWaferMorganStroupMobergTurnerLangleyTrenarySteinerSeehawerOederMcAndrewsHelfrichBeemerLindenCoxSimmonsKirkElliottFalkKojadinovi cWynansWilsonHewettThomasTavernierJohnsonKubeinAndersenMoserRossShoultsHolcombRiggHalttunenHaferkampGundersonFreemanHelliwellStricklandFlynnSingerBoyerJessing

First InitialADNDMTTJASTDLLJDRSVJKRSBDTLTWADMSRSRDWNSCJKDED

DisbursementAmount

5,4726,894

25,4079,618

10,65518,09211,27319,77316,3749,5873,560

14,94111,1225,8388,1145,9454,982

52,0044,864

10,31923,88513,43714,0176,4536,9366,1197,0301,4226,1371,3657,3627,0487,1689,594

17,48116,1886,0347,057

21,84713,9798,272

15,26814,31113,96716,10111,835

•

Scholarship ProgramFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord RestartFord Restar t



0


FYE 3/31/04

Last NameJohnsBrownReddensArchibaldGroomKeaWheelerSmithGreenbergHedbergRabimovMayevskiyTrinhBrownellAmmermanMolnarJonesAkilSchliefEttlinThorpeCunninghamSileb iLewandowskiLewisSchuylerMaherRiordanBuyserieMcalisterZhangMorrowIonPostJohnsonHarrisonHansel)EkelundMosierCameThingvallKlestHaleyStrandAndersonPalmerCasillas

First InitialKLTSDBKJJDRYHSTDMNBSACRACTMSAALACLTTBSADNBTBRAJ

DisbursementAmount

4,73116,82211,77016,5743,025

19,46237,79922,2444,105

16,86738,73320,8596,155

10,1749,627

30,68614,31022,41817,40713,41517,46224,58812,7792,8357,234

18,60317,55522,580

2,94130,65611,17916,91420,888

53425,217

7,13011,62415,0662,329

32,34524,5913,482

17,2708,1238,356

12,87212,362

Scholarship ProgramFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - Graduate



0


FYE 3/31/04

Last Name

HowardMontoyaBryan tHomewoodMartinezCurtissCortezPrince-KellyMcClintickWertzSpence

FranklinVillmannOsbornMersereuaPearsonVanweyDwyerMarxCoreyRandolphWilsonTovarShermanWallerKraussSiekmanHartsookBjorkSchmidt

First InitialHNCLAHPNHCA

D isbursementAmount

6,76012,7521,1284,146

49,28923,77310,19419,66311,39521,06216,614

3,61024,68013,37618,7619,231

17,00213,5623,360

12,67725,06029,36435,34916,07337,602(6,404)19,55517,40820,41811,770

0

Scholarship ProgramFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - GraduateFord Scholar - 5th yearFord Scholar - 5th yearFord Scholar - 5th yea r

Total Scholarship PaymentsTo Individuals

SNMSRABLTBKELEMCMHD

$6 ,945 ,479

Ford Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - GraduateFord Opportunity - Graduate



- - A

w,

Form 8868

-IF

Pie 2

• Dare fi ling fo r an Additional (not automa tic) 3 - Month Exten s ion, complete only Pa rt !I a nd check thi s b ox I-- YNote : Only complete Part It r( you have already been granted an automatic 3 - month exten sion on a previously filed Form 88• I f you are fi lm for an Automatic 3-Month Extension , complete only Part I (o n page 1 )

Additional not automatic) 3 -Month Extension of Time-Mus t File Original and One Copy .Typ e or Name of Exempt Organiza tion

no

Employes identification numberprint The Ford Family Foundation 936026156

File by the Number, s re ef, and room or suite no If a P 0 . bo x , see instructions for I RS use onlyextended 1 600 NW Stewart Parkwaydue date forfew the City, town or post office, state, and ZIP cod e For a foreign addre ss, see instructions

mswcums Roseburg , OR 97 47 0

Check type of re turn to be filed (File a separate a p plicatio n for each return )

❑ Form 990 ❑ Form 990-EZ ❑ Form 990- T ( sec 4 0 1 (a) or 408(a) trust) ❑ Form 1041 -A ❑ Form 5227 ❑ Form 8870❑ Form 990- BL 0 Form 990-PF ❑ Form 990-T (trust other than above) ❑ Form 4720 ❑ Form 606 9

STOP: Do not complete Part 11 if you wer e not already granted an automatic 3 -month extension on a previo u s ly filed Form 8868 .

• If the o rga nization does not have an office or place of business in the United States, check this box ► ❑

• If thi s is fo r a Group Return , en ter the o an i zation's fou r digit Group Exerhption N umber (GE N) . If this isfor the whole group , ch ec k thi s b ox ► ~ . I f i t is for part of the group, check t his box ► ❑ and attach a list w ith thena mes and E IN s o f a ll members the extension i s for.

4 I request an additional 3-month extension of time until F e bruary 15 2005.5 For calendar year . . . . . . . . or other tax year begin nin g . . . . . . . . . . . . . . . . . . . . . . 20 . . . and end ing . . . . . . . . . . . .

. . .

. 020 _ .__ .6 If this ta x year is for l ess th an 1 2 months, check reason ❑ In itial return ❑ Final retu rn ❑ Change in accounting period7 State in detail why y ou need the exte nsion The taxpayer reques t s addition a l time to agathe r information t o fi l e a--------------------------------------------------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

complete and accurate retu rn

8a If this application i s for Form 990-BL . 990-PF, 990-T. 4720, or 6069, enter the tentative tax, less any221,578nonrefundable credits . See instructions $

b If this appli ca tion is for Form 990-PF, 990- T, 4720, or 6069, enter any refundable credits and estimatedtax payme nts made . Inc lude any prior year overpayment allowed as a credit and any amoun t paidp reviou sly w ith F orm 8868 $ 231 ,758

c Balance Due. Sub tract l in e Bb from lin e 8 a . I ncl ude you r payment with this form, or, if regwred, depositwith FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) . Seeinstructio ns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0

Signature and Verification

Signature 11

Under penal ties of parry, dedare that I lieu xartuned Itns form, including accompanying ~e s and statement's, a nd to the bes t of my k nowledge and bfdief,it i s mk , carrerx , and etc, and that I a anzed la prepare thi s fp in.

'--Notice to Appfi cam-TO Be Completed by the IRS •'---- - ~ --'~We have approved this applic a tion . Please attach this form to the o rgai cation's return.

❑ We have not approved this application . However, we ha v e gra n ted a 1 0-day grace period from the l ater of th da Vdate of the organization 's realm [(including any pri or extension s) . Th is grace period is con si dered to be a v a lid elec tions ~a thervvise required co be m ade on a time l y rewm . Please attach tlus form w the organizatiods retum . 0

0We have not approved this apQ4ca ti on. After consi dering the reasons stated in item 7, we cannot grant your re Jto file. We are not g ranting a 1 0~ay grace period. CG

We camwt cansld~ this application b ecause it was filed after the due d ace of the rew m for which an e x tensi N ' ~ _~T

Ouecbo r

ey.Date

Alternate Maili n g Address - Enter the address if you want the copy of this application for an additional 3-month extensionreturned to an address different than the one entered above .

Nam e

Type orprint

Number and s treet (~nGude suite, room, or apL no .) O r a P . O . box number

City or town, province or state, and country (including postal or ZIP code)

EXTENSION APPROVED

NOV 18 2004

of ie ~ J~:-, .... : FiE W DIRECTOR

Form 8868 Application for Exten s ion of Time To File an(December 2", Exempt Organization ReturnDepartment of the TreasuryInternal Revue Semce

Name of Ex e m pt Orga n izationThe Ford Family Foundatio n

Number, street, and room or sui te n o If a P 0 box , see in s tructio n s1600 NW Stewa rt Parkway

► File a separate application for each return

• If you are filing for an Automatic 3-Mo n th Extension, complete only Part I and check this box ► ~• It you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11 (on page 2 of this form) .Note: Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a pre viously filedForm 8868 .

Automatic 3-Month Extension of Time-Only submit original (no copies needed)Note: Form 990-T corporations reques ti ng an automa tic 6-month extension-check this box and complete Part I only ► ❑

All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income taxreturns. Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 104 1

Type o rpri ntFile by thedu e date for

M instructions.n.g Me

IF

O M B N o is45-1709

Employer id entification number93 6026156

City, town or post offi ce, state, and ZIP c ode For a foreign a ddress, see instructionsRose burg, OR 97470

Check type of return to be filed (file a separate appl ica tion for each retu r n)

❑ Form 990 ❑ F orm 990- T (corporat ion ) ❑ Form 4720❑ Fo r m 990 - BL ❑ Fo rm 990-T (sec . 40 1 (a) or 408(a) trust) ❑ Form 522 7❑ Form 990 -EZ ❑ Fo rm 990 -T (trust oth er than abo v e) ❑ Form 60690 Form 990 -P F ❑ Form 10 41 -A ❑ Form 8870

• If th e orga nization does not h ave a n offi ce or p l ace of business in the United States, check th is box ► ❑

• If th is i s for a Group R eturn, enter the organization's four d igit Group E xemption Number (GEN ) . I f this i sfor the whole g roup, check this bo x ►❑ . If it is for part of the group, c h eck this box ► ❑ and attach a list with thenam es and E IN s of a ll me m bers the extens ion wil l cover

1 I request an auto matic 3- m onth (6-month, for 990 - T corporation) extension of time unt il November 15 Z D 04

to file the exemp t organizatio n retu rn for the orga n ization n a med abo v e . The extension is for th e organi z ation 's return for :•~ ► ❑ calendar year 20 __ . or

► ~ tax year beginning 1 03 March 31Y -------------------------------- - 20 . . ., and ending --------••- . . . .----------------- . 20 04.

2 If this tax year is for less than 12 months, check reason- ❑ Initial return ❑ Final return ❑ Change in accounting period

3a If this appl ic ation is for Form 990-BL, 990-PF, 990- T, 4720, or 6069, enter the tentative tax , l ess an ynonrefundable credits. See instructions $ 100,000

b If this application i s for Form 990-PF or 990-T, enter a ny refundab le cre d its and esti mated tax p aymentsmade . Inc lud e any p rior year overpaymen t allowed as a cred it S 100,000

c Balance Due. Subtract line 3b from l ine 3a . In clu de your payment with this fo r m, o r, if required, depositwi th FTD coupon or, if req uire d , by using EFTPS (Electronic Federa l Tax Payment System) . Seeinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0

Signature and VerificationUnder penalties of I d ecl are that I exemined th is fom~, including accompanying schedules and statem ents, and to the best of my knowledg e and brie(,it is true. correct and Ike, and that tarn zed to p repa re thi s form.

For Paperwork Reduction Act N otice, see

Ti tle ►

Cal No 279 16D

Date ► 48 ' J - L/

Form 8868 (12-2000)

R eturn of Private Foundation - Foundationcenter

Documents

Transcript of R eturn of Private Foundation - Foundationcenter