rint fe e - Charity Blossom
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Form P F - or " Section Return 4947(a)(1) of Private Nonexempt Foundation Charitable OMB Trust N0 1555-0052<br />
Department of the Treasury " Tl"E8tEd BS 3 Pl"iVat9 FOUTldatl0l1<br />
internal Revenue service ) Note" The foundation may be able to use a copy of this return to satisfy state reporting requirements<br />
For calendar year 2009, or tax year beginning , 2009, and ending<br />
G Check all that apply H Amended Initial return return LI IrU&aUl Address return change of a former I I Name public change charity LI Final return<br />
Name of foundation A Employer identification number<br />
Use the IRS label. <strong>rint</strong> THE <strong>fe</strong> CIRI eFOUNDATION<br />
92-0087914<br />
omerwlsei Number and Street (or P O box number if mail is not delivered to stre - - - :<br />
t<br />
"type" 3600 SAN JERONIMO DRIVE P)<br />
5 ((35%-*Ep<br />
See Specific<br />
lnstructioni City or town, slate, and ZIP code<br />
ANCHORAGE, AK 99508<br />
nrt 18 201%<br />
I I<br />
,20<br />
ROOITT/SUlte B Telephone number (see page 10 ol the inst.rui:t.iors)<br />
256 (907) 793-3575<br />
C If<br />
pending,<br />
exemption<br />
check here<br />
application<br />
- - - - -- <br />
is ,<br />
D 1 Foreignorganizations,checkhere , ,tit<br />
2 Foreign organizations meeting the<br />
85% test check here and attach<br />
H Check type of organization tl(-I Section 501(c 3 exe UW* dm C,,,,,pu,,,",,,,,, U U U U U U U- U p tj<br />
Section 4947(g)(1) nonexempt chantable trust 0 I : -" - I- o - rivate foundation is If private foundation status was terminated<br />
I Fair market value of all assets at end J Accounting method t-/Jilash t-Xt Accrual unde, sechm 50,(,,)(,,(A)U check new U p tj<br />
of year (from Part //I CO/ (C): /,ne E other (Specify) - - - - - - - - - - - - - - - - - - - --- F If the foundation is ii-i360-mgnth termination<br />
15) p 5 4 6 , 7 15 , 52 6 . (Part I, co/urm (d) must be on cash basis ) unaefseetion sovib)i1)iB),eneeknere , P<br />
Analysis of Revenue and Expenses (77ie<br />
total of amounts in columns (b), (c), and (d)<br />
may not necessan/y equal the amounts in<br />
column @)-(see page 11 of the instmctions) )<br />
5a<br />
b<br />
6a b<br />
7<br />
10a<br />
11<br />
12<br />
13<br />
14<br />
15<br />
16a<br />
17<br />
- 18<br />
-- 19<br />
20<br />
21<br />
22<br />
23<br />
24<br />
25<br />
26<br />
27<br />
b<br />
c<br />
a<br />
b<br />
Contributions ifts, grants, etc , received (attach schedule) ,<br />
Check , If) gtgiishfcgtggdgtion is notUreUquUired toU<br />
Interest on savings and temporary cash investments<br />
Dividends and interest from secunties , U , U<br />
Gross rents . . . . . . . . . . . . . . .. .<br />
Net rental income or (loss)<br />
Net gain or (loss) from sale of assets not on line 10<br />
Grosssalespnceforall assets online 6a 19U335U819<br />
Capital gain net income (from Part IV, line 2) .<br />
Net short-term capital gain . . . . . . .. .<br />
Income modifications - - - - - - - - - -- <br />
and Gross allowances sales - less - - - retums<br />
2 , 1 1 8<br />
Less Cost of goods sold ,<br />
Gross profit or (loss) (attach schedule) U U U<br />
Other income (attach schedule) U U U U UU U<br />
Total. Add lines 1 throuqh 11 . . . . . .. .<br />
Compensation of ofhcers, directors, trustees, etc U U<br />
Other employee salanes and wages . . . . .<br />
Pension plans, employee benefits U U U , ,<br />
Legal <strong>fe</strong>es (attach schedule) U U U U U UU U<br />
Accounting <strong>fe</strong>es (attach schedule) U U U UU U<br />
Other pro<strong>fe</strong>ssional <strong>fe</strong>es (attach schedule) ,*, ,<br />
Interest . . . . . . . . . . . . . . . . .. .<br />
Taxes (attach schedule) (see page 14 ot the instructions)<br />
Depreciation (attach schedule) and depletion,<br />
Occupancy . . . . . . . . . . . . . . .. .<br />
Travel, con<strong>fe</strong>rences, and meetings , , , ,, ,<br />
P<strong>rint</strong>ing and publications , , , , , , , ,, ,<br />
Other expenses (attach schedule) ,<br />
Total operating and administrative expenses.<br />
ta) Revenue and in) Nei investment ie) Adiusied net<br />
expenses per ll"1C0m9 IDCOITIB<br />
books<br />
387, 995. ATCH 1<br />
1,498,966. 1,168,444.<br />
-1, 427, 125.<br />
AddIines13through23 , , , . , , , ., , 110241476- 343/742<br />
Contributions, gifts, grants paid 1 I 1 O4 I 32 6 "<br />
Total expenses and disbursements Add lines 24 and 25<br />
2,128,802. 343,742.<br />
Subtract line 26 from line 12<br />
Excess of revenue over expenses and disbursements U U -1,648,522.<br />
Net investment income (if negative, enter -O-) 8 7 6 , 0 0 8 .<br />
(d) Disbursements<br />
for charitable<br />
purposes<br />
(cash basis only)<br />
2,118.<br />
18,326.<br />
480,280)<br />
145,727.<br />
177, 388.<br />
108, 505.<br />
51,306.<br />
1,219,750.<br />
ATCH 2<br />
145,727<br />
175, 121<br />
118,702<br />
61,500. 61, 500<br />
435, 931. 343, 742. 92, 189<br />
14,474.<br />
54,672. 54, 672<br />
2,270. 2,270<br />
1,396. 1, 396<br />
22,613. -25, 429<br />
X U c Adjusted net income (if negative, enter -0-). . -0"<br />
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions. * ATCH 3 JSA<br />
X 518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
/<br />
X "E14102 O00<br />
626, 148<br />
1,136, 050<br />
1,762,198<br />
Form 990-PF (zoos)<br />
Z, /9 - /O2<br />
-.1
Form 990-PF (zoos) 92-0087 914 page 2<br />
ttached schedules and amounts in the<br />
Balance She escription column should befor end-of-year<br />
mounts only (See instructions )<br />
1 Cash - non-interest-bearing I I I I I I I I I I I I I I I II I<br />
2 Savings and temporary cash investments I I I I I I I I II I<br />
3 Accounts receivable P --------------- --gl-L<br />
Less allowance for doubtful accounts P ----------- -<br />
4 Pledges receivable P ---------------------- -<br />
Less allowance for doubtful accounts P ----------- -<br />
5 Grants receivable . . . . . . . . . . . . . . . . . . . .. .<br />
6 Receivables due from ofl"icers, directors, tmstees, and other<br />
disqualified perS0rtS (attach schedule) (see page 16 ofthe instmctions)<br />
7 Other notes and loans receivable (attach schedule) P - - - - <br />
Less allowance for doubtful accounts P ----------- -<br />
8 Inventories for sale or use I I I I I I I I I I I I I I I II I<br />
9 Prepaid expenses and de<strong>fe</strong>rred charges , , , , , , , I I II I<br />
1 0 8 Investments - U S and state govemment obligations (attach schedule) ,<br />
b Investments - corporate stock (attach schedule) IAITICIHI I5 I<br />
c Investments - corporate bonds (attach schedule),ATfQH I I<br />
1 1 Investments - land, buildings, ,<br />
and equipment basis . . . . . . . . . . . - - - . -.. <br />
Less accumulated depreciation p<br />
(attach schedule) ----------------- - <br />
1 2 Investments - mortgage loans I I , I , , I I I I I I I II I<br />
13 Investments - other (attach schedule) I I I I I II I<br />
" t22?5,2Zi?*%%Z.?"d F ......... 3291591-.<br />
(iiT3ci?Z2tL"d"J?$?"*deP<strong>fe</strong>"*"""* .......... -.2.QQr.fl5Q-.<br />
15 Other assets (descnbe b ------------------- -- )<br />
16 Total assets (to be completed by all filers - see the<br />
instructions Also, see page 1, item I) , , , , , , , , , , ,, ,<br />
17 Accounts payable and accrued expenses I I I I I I I I II I<br />
18 Grams payable . . . . . . . . . . . . . . . . . . . . .. .<br />
9, 19 De<strong>fe</strong>rred reverrue . . . . . . . . . . . . . . . . . . . .. .<br />
20 Loans from oft"icers, directors, trustees, and other disqualitied persons<br />
"Q N 21 Mortgages and other notes payable (attach schedule) I I I I I<br />
"I 22 Other liabilities (descnbe P ----------------- -- )<br />
23 Total liabilities (add lines 17 through 22) . . . . . . . . .. .<br />
Foundations that follow SFAS 117, check here PIL,<br />
and complete lines 24 through 26 and lines 30 and 31.<br />
24 Unrestricted . . . . . . . . . . . . . . . . . . . . . . .. .<br />
25 T@mP0f2fIlvf@Sl"Cl@d . . . . . . . . . . . . . . . . . .. .<br />
25 Pefmafteflllv<strong>fe</strong>sificied . . . . . . . . . . . . . . . . . .. .<br />
EIU<br />
1<br />
JSA<br />
9E142D 1 000<br />
Beginning of year d of year<br />
(a) Book Value (b) Book Van (c) Fair Market Value<br />
929,210 2,590,588 2,590,588<br />
103, 273 81, 380 81,380<br />
2,111 3,270 3, 270<br />
21, 381,300 28,152,262 28,152,262<br />
10,775,748 9,298, 955. 9,298, 955<br />
5,249,820 6,568, 476. 6,568,476<br />
35,069 20,595. 20, 595<br />
38, 476,531 46,715, 526. 46,715,526<br />
66, 619 151,162<br />
86,000 54,276.<br />
152, 619. 205, 438<br />
25,245,020 33, 138, 604<br />
13, 078,892 13,371, 484<br />
27<br />
Foundations that do not follow SFAS 117,<br />
check here and complete lines 27 through 31. P<br />
Capital stock, trust principal, or current funds I I I I II I<br />
28 Paid-in or capital surplus, or land, bldg , and equipment fund I I I<br />
29 Retained earnings, accumulated income, endowment, or other funds , ,<br />
30 Total net assets or fund balances (see page 17 of the<br />
instructions) I I I I II I<br />
38, 323, 912 46, 510, 088<br />
31 Total liabilities and net assetslfund balances (see page 17<br />
of the instructions) . . . . . . . . . . . . . . . . . . . .. . 38, 476, 531 46,715,526.<br />
Analysis of Changes in Net Assets or Fund Balances<br />
Total net assets or fund balances at beginning of year - Part Il, column (a), line 30 (must agree vinth<br />
end-of-yearfigure reported on prior yeafs retwn) I I I I I<br />
Enter amount from Part I, line 27a<br />
Other increases not included in line 2 (itemize) ------- -<br />
dd lines 1, 2, and 3<br />
Decreases not included inline 2 (itemize) p---------------------.----------- ------- -<br />
Total net assets or fund balances at end of year (line 4 minus line 5)- Part ll, column (QI), line 30 . . . . .<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
38, 323, 912<br />
-1, 648, 522<br />
9, 834, 698<br />
46, 510, 088<br />
46, 510, O88<br />
Form 990-PF (2009)
Form Part IV Capital 990-PF Ga nd Losses (zoos) for Tax on Investment Q 92-0037 Income 914 O Page 3<br />
(a) List and describe the kind(s) of property sold (e g , real estate, $253823 I(d) Dajte sold<br />
2-story brick warehouse, or common stock, 200 shs MLC Co) l-i%1,f,?"Zf5e (m0 . day. YY) mo " ay* yr)<br />
1a SEE PART IV SCHEDULE<br />
(1) Depreciation allowed (9) C051 0*" Other DBSIS<br />
(B) Gross sales price (or allowable) plus expense of sale<br />
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69<br />
. (j) Adjusted basis (k) Excess of col (i)<br />
1*) F M V as of 12/31/59 as of 12/31/69 over col 0), ifany<br />
2 Capital gain net income or (net capital loss) . . . . . l<br />
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)<br />
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 ofthe instructions)<br />
If (loss), enter -0- in Part I, line 8.<br />
(h) Gain or (loss)<br />
(e) plus (f) minus (g)<br />
(I) Gains (Col (h) gain minus<br />
col (k), but not less than -0-) or<br />
Losses (from col (h))<br />
If gain, also enter in Part I, line 7<br />
lf (loss), enter-0- in Part I, line7 E 2 "1,3l7fl34<br />
1.<br />
Qualification Under Section 4940(g) for Reduced Tax on Net Investment Income<br />
(For optional use by domestic private foundations subject to the section 494O(a) tax on net investment income )<br />
If section 494O(d)(2) applies, leave this part blank<br />
(3) thi (ci *dl<br />
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? I I I I E Yes No<br />
lf "Yes," the foundation does not qualify under section 494O(e) Do not complete this part<br />
1 Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries<br />
Base penod years Distribution ratio<br />
Cale,-ma, yea, (D, ,ax yea, be9,,,n,ng ,ny Adjusted qualifying distnbutions Net value of nonchantable-use assets (Col (b) dmded by col (CI)<br />
2008 2,553,538. 49,267,367 0.051830<br />
2007 2,508,483. 55,437,788 0.045249<br />
2006 2, 686,291 51, 596, 331 0.052064<br />
2005 347,233. 49, 175,259. 0.047732<br />
2004 230,472 46,243,830. 0.048233<br />
2 Total of line 1, column(d) I I<br />
3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the<br />
number of years the foundation has been In existence if less than 5 years ,<br />
4 Enter the net value of noncharitable-use assets for 2009 from Part X, line 5<br />
5 Multiply line 4 byline 3 I I I<br />
6 Enter 1% of net investment income (1% of Part I, line 27b) I I I I I I I II I<br />
7 Add lines 5 and 6 I I I I II I<br />
8<br />
JSA<br />
Enter qualifying distributions<br />
Form<br />
from Part Xll, line 4 I I<br />
990-PF<br />
I I I I I I I I I I II I<br />
8<br />
(zoos)<br />
If line 8 is equal to or greater than line 7, check the box in Pait Vl, line 1b, and complete that part using a 1% tax rate See the<br />
Part Vl instructions on page 18<br />
9E14301000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
2<br />
3<br />
0.245108<br />
0. 049022<br />
4 41,155,426.<br />
5 2,017,521.<br />
6 8,760.<br />
7 2,026,281.<br />
1,762,198.
l 6<br />
Form 990-PF (zoos) 92-0087 914 Page 4<br />
Part VI Excise Tax on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - s e 18 of the instructions)<br />
1a Exempt operating foundamscnbed in section 4940(d)(2). check here * I and enter "NIA" on line1 I I I I<br />
Date of ruling or determination letter ---------- - -(attach copy of ruling letter if necessary - see instructions)<br />
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1<br />
here v lj am-niefi%ofParii,i-ne21b . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4%<br />
of Part I, line 12, col (b)<br />
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) I I I<br />
Add liiieS1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) I I I<br />
Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0- I , I I I I I I I I II I<br />
Credits/Payments<br />
a 2009 estimated tax payments and 2008 overpayment credited to 2O09I I I Sa 4 2 I 7 2 4 <br />
b Exempt foreign organizations-tax vinthheld at source I I I I I I I I I I II I m O <br />
c Tax paid with application for extension of time to file (Form 8868) I I I I II I B 0 <br />
d Backup withholding erroneously withheld I I I I I I I I I I I I I I I II I m<br />
7 Total credits and payments Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 7<br />
3 Enter any penalty for underpayment of estimated tax Check here lj if Form 2220 is attached , , , , ,I , 8<br />
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed I I I I I I I I I I I I I II I P 9<br />
1 0 Overpayment. lf line 7 is more than the total of lines 5 and 8, enter the amount overpaid I I I I I I I II I P 10<br />
11<br />
Enter the amount of line 10 to be Credited to 2010 estimated tax p 2 5 i 2 0 4 - Refunded p 11<br />
Part VII-A Statements Regarding Activities<br />
1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it<br />
Pamclpate 0*" mtewene In 30)/ P0mlC3t Campaign? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19<br />
of the instructions for defiriitidrii? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
lf the answer is "Yes" to 1a or 1b, attach a detailed descnption of the activities and copies of any matenals<br />
published or distributed by the foundation in connection with the activities<br />
c Did the foundation file Form 1120-POL for this year? I I I I I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year<br />
(1) On the foundation * $ 2-1--L " (2) On foundation managefs , $ O "<br />
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed<br />
on foundation managers P $ 0 "<br />
2 Has the foundation engaged in any activities that have not previously been reported to the IRS? I I I I I I I I II I<br />
lf "Yes, " attach a detailed descnption ofthe activities<br />
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of<br />
incorporation, or bylaws, or other similar instruments? If "Yes,"attach a confonried copy of the changes I I I I I I I II I<br />
4a Did the foundation have unrelated business gross income of $1,000 or more dunng the year? , , , , , , , , , ,, ,<br />
b lf "Yes," has it filed a tax return on Form 990-T for this year? I I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? I I I I I I I I I I I I I I II I<br />
lf "Yes," attach the statement required by Genera/ Instruction T<br />
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either<br />
0 By language in the governing instrument, or<br />
o By state legislation that ef<strong>fe</strong>ctively amends the governing instrument so that no mandatory directions that<br />
conflict with the state law remain in the goveming instrument? , , , , , , , , , , , , , , , , , , , I I I I I , I I II I<br />
7 Did the foundation have at least $5,000 in assets at any time dunng the year? lf"Yes,"complete Part ll, col (c), and PartXV<br />
Ba Enter the states to which the foundation reports or with which it is registered (see page 19 of the<br />
instructions) P -A-K-f ----------------------------------------------------------- -II<br />
b lf the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General<br />
(or designate) of each state as required by General Instruction G? lf "No, "attach explanation , , , , , , , , , , , , , ,, ,<br />
9 ls the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or<br />
4942(j)(5) for calendar year 2009 or the taxable year beginning in 2009 (see instructions for Part XIV on page<br />
27)? /f"YeS,"C0mP/H16 PartX/V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their<br />
names and addresses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
JSA<br />
9E1440 1 000<br />
I 518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
17,520.<br />
17,520.<br />
0 .<br />
17,520.<br />
42,724.<br />
25, 204 .<br />
Yes No<br />
.LEX<br />
.-1b. X<br />
1c X<br />
12.1.. " X<br />
u 3 X<br />
4a X<br />
4b X<br />
- X<br />
51.*<br />
X<br />
7 X<br />
X N351*<br />
L-1X<br />
10 X<br />
Form 990-PF (zoos)
Form 990-PF (zoos) 92-0087914 Page 5<br />
arding Activities (continued) .<br />
1 1 At any time during the y- , did the foundation, directly or indirectly, own a controlled entity within the<br />
meaning of section 512(b)(13)? lf "Yes," attach schedule (see page 20 of the instmctions) . . . . . . . . . . .. . X<br />
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before<br />
August 17, 2008? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? . . . . .<br />
Website address , WWW . THECIRI FOUNDATION . ORG d<br />
14 The books are in care of ........ -- Telephone no P -----ggzizgg-Qgi?g----<br />
Located at v 3 6 0 0 S511. .J.E.R.O.N.I.M.O. .D.R.IXE.f. .S.LlI.T.E -23 E J3N9E*9.Rf*.G.E.f. 2315 - - - - zip + 4 P .9.9.5.0.8 ....... - <br />
15 Section 4947(a)(1) nonexempt charitable trusts tiling Form 990-PF in lieu of Form 1041 - Check here - - - - - - - - - - - - - - - -- - ,U<br />
and enter the amount of tax-exempt interest received or accrued during the year , , , , , , , , , , , , , , , ,, , P (1 5I /Q / Pi<br />
Part Vll-B Statements Regarding Activities for Which Form 4720 May Be Required<br />
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. i-YiNl0<br />
1a During the year did the foundation (either directly or indirectly) ?<br />
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? , , , , , ,, , E, Yes L N0<br />
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a ,.disqualified<br />
person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . - Yes i N0<br />
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? . . . . .. . Yes 1 N0<br />
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? , , , , , ,, , - Yes L N0<br />
(5) Trans<strong>fe</strong>r any income or assets to a disqualified person (or make any of either available for ,the<br />
benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . .. . I3 Yes N0 T 7 T<br />
(6) Agree to pay money or property to a government official? (Exception. Check "No" if<br />
the foundation agreed to make a grant to or to employ the official for a period after ..termination<br />
of government service, if terminating within 90 days ) . . . . . . . . . . . . . .. . lj Yes L N0<br />
b lf any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions descnbed in Regulations<br />
section 53 4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? - - - - L - - - - Q<br />
Organizations relying on a current notice regarding disaster assistance check here , , , , , , , , , , ,, , , 1<br />
c Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that<br />
were not corrected before the first day of the tax year beginning in 2009? , , , , , , , , , , , , , , , , , , , , , , , , ,, , *Iii<br />
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private<br />
operating foundation defined in section 4942(i)(3) or 4942(i)(5))<br />
a At the end of tax year 2009, did the foundation have any undistributed income (lines Gd and<br />
6e, Part Xlll) for tax year(s) beginning before 2009? . . . . . . . . . . . . . . . . . . . . . . .. . lj Yes N0<br />
If "Yes," list the years 5 -------- -- , * * - - - - --- , * - - - - -- - , - - . - - *- <br />
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)<br />
(relating to incorrect valuation of assets) to the year"s undistnbuted income? (lf applying section 4942(a)(2)<br />
to all years listed, answer "No" and attach statement - see page 20 of the instructions ) . . . . . . . . . . . . . . . . . .. . OM<br />
c lf the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here<br />
P ........ -- i . . . . . . .- - . . . . . . .- - i . . . . . .- <br />
3a Did the foundation hold more than a 2% direct or indirect interest in any business<br />
enterprise at any time during the veal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . lj Yes "0<br />
b lf "Yes," did it have excess business holdings in 2009 as a result of (1) any purchase by the foundation or<br />
disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved by the<br />
Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequestg or (3) the lapse<br />
of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Fomi 4720, to determine if the<br />
foundation had excess business holdings in 2009 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? , , , , , ,, , 41 X<br />
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its<br />
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2009? . . . .. . 4b X<br />
Form 990-PF (zoos)<br />
JSA<br />
9514501000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865
Form 990-PF (2009) 92-U08 /914 Page 6<br />
arding Activities for Which Form 4720 May Be Required (Conv)<br />
5a During the year did the . dation pay or incur any amount to ?<br />
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? I I I II I lj Yes L No<br />
(2) Influence the outcome of any specific public election (see section 4955), or to carry on, *<br />
(3) directly Provide a or grant indirectly, to an individual any voter for registration travel, study, drive? or other I I similar I I I I I purposes? I I I I I I I I I I I I I I I II I Yes 1 l No<br />
(4) Provide a grant to an organization other than a charitable, etc , organization descnbed in i<br />
section 509(a)(1), (2), or (3), or section 494O(d)(2)? (see page 22 of the instructions) I I I I II I C1 Yes L No<br />
(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational ?<br />
purposes, or for the prevention of cruelty to children or animals? I I I I I I I I I I I I I I II I lj Yes L No<br />
b lf any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in<br />
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)? . . lb- X<br />
Organizations relying on a current notice regarding disaster assistance check here I I I I I I I I I I I I II I P 1<br />
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax -*<br />
because it maintained expenditure responsibility for the grant? , I I I I I I I , I I I I I I I II I EI YGS 1 N0<br />
If "Yes, " attach the statement required by Regulations section 53 4945-5(d) /M) / A<br />
6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums -.<br />
on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . lj Yes i N0 .<br />
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? I I I II I I I I I I I Gln*-L<br />
If "Yes" to 6b, file Form 8870 *v<br />
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? I I lj Yes l No i "<br />
b If es, did the foundation receive any proceeds or have any net income attributable to the transaction? . . . . . . . . . . .. . 7b /J /A<br />
information and About Contractors Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,<br />
1 List all officers, directors, trustees, foundation managers and their compensation (seepage 22 of the instructions).<br />
(b) Title, and avera e c Compensation (d) Contributions to<br />
(3) Name and address hours per week g not paid, enter employee benefit plans (eZ,5,)$eglTf:ac,$gg$nt"<br />
devoted to position -0-) and de<strong>fe</strong>rred compensation<br />
-pIi%it-6H1T4Etxf1*"?9 """""""""""""""""""" " 145,727. 32,351. 1,080<br />
2 Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions).<br />
If none, enter "NONE,"<br />
(b) Tme- and avemge (?e)rriC(l0n:elgut1le)r::fi1o (e) Expense account<br />
(a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation planps aim de<strong>fe</strong>rred other allowances .<br />
devoted to position Compensahon<br />
RICARDO LOPEZ PROGRAM OFF11CER<br />
40.00 60,697. 11,273. O<br />
Total number of other employees paid over $50,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .PI NONE<br />
Pom 990-PF (2009)<br />
JSA<br />
9514601000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865
Form seo-PF(zoo9) 92-0087914 Page 7<br />
Part VIII Informatio.out Officers, Directors, Trustees, Foundation Managers, Highly Pgmployees,<br />
and Contractors (continued)<br />
3 Five highest-paid independent contractors for pro<strong>fe</strong>ssional services (see page 23 of the instructions). If none, enter "NONE."<br />
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation<br />
NONE<br />
/<br />
Total number of others receiving over $50,000 for pro<strong>fe</strong>ssional services . . . . . . . . . . . . . . . . . . . . . . . . .. . Pl NONE<br />
Part IX-A Summary of Direct Charitable Activities<br />
List the foundation*s four largest direct charitable activities dunng the tax year Include relevant statistical infomiation such as the number<br />
of organizations and other beneficianes served, con<strong>fe</strong>rences convened, research papers produced, etc<br />
1 N/A<br />
2 ------------------------------------------------------------------------- -<br />
3----1<br />
4--1$<br />
Expenses<br />
Part IX-B Summary of Program-Related Investments (see page 23 of the instructions)<br />
Describe the two largest program-related investments made by the foundation dunng the tax year on lines 1 and 2 Amount<br />
1 NOT APPLICABLE<br />
2-1111<br />
All other program-related investments See page 24 of the instructions<br />
3 NONE<br />
Total. Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .P<br />
JSA<br />
9514651000<br />
518<br />
106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865<br />
Form 990-PF (2009)
Minimum Form Invest 990-Pr t Return (All domestic (2009) foundations 92 must -oo com plete 37 this part 91 Foreig 4 ndations, ,J Page 8<br />
see page 24 of the instructions )<br />
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc ,<br />
purposes<br />
a Average monthly fair market value of securities I I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
b A)/@1399 of m0"th1Y C350 balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
c Fair market value of all other assets (see page 24 ofthe instructions) I I I I I I I I I I I I I II I<br />
d Total (add lines 12. b. and cl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
e Reduction claimed for blockage or other factors reported on lines 1a and<br />
1c (attach detailed explanation) I I I I I I I I I I I I I I I I I I II I I 1e I<br />
1a<br />
1b<br />
1c<br />
1d<br />
41,393,149<br />
389, 009<br />
O<br />
41,782,158<br />
2 Acquisition indebtedness applicable to line 1 assets I I I I I I I I I I I I I I I I I I I II I<br />
3 Subtract line 2 from line 1d<br />
2<br />
3<br />
0<br />
41,782,158<br />
4 Cash deemed held for charitable activities Enter 1 1/2 % of line 3 (for greater amount, see page 25. I 7<br />
Of the l"S"UCfl0"S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
5 Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4<br />
6 Minimum investment return. Enter 5% of line 5 , , , , , , , , , , I I , I I I I I I I I I I I II I<br />
4<br />
5<br />
6<br />
626, 732<br />
41, 155, 426<br />
2,057,771<br />
m Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operatng<br />
foundations and certain foreign organizations check here P I-*I and do not complete this part)<br />
1 Minimum investment return from Part X, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 1 2 , 057 I 77 1<br />
2a Tax on investment income for 2009 from Part VI, line 5 I I I I I II I 2a 17 , 520b<br />
Income tax for 2009 (This does not include the tax from Part VI )I I I 360<br />
C u n l I u I u u u u - w a n n u n s n u I - - - u - . I - . n u c w Q u w w n n - w un w<br />
Distributable amount before adjustments Subtract line 2c from line 1 I I I I I I I I I I I I I I I II I<br />
Recoveries of amounts treated as qualifying distributions I I I I I I I I I I I I I I I I I I I I I I II I<br />
3 4 . . - n - r u u u n a u n u . I n n u s u u w u u n u - - u I I n - I - - n u u I n n nn 1<br />
2c 17, 880<br />
2, 039, 891<br />
18, 326<br />
2, 058,217<br />
Deduction from distributable amount (see page 25 of the instructions) I I I I I I I I I I I I I I I II I<br />
Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,<br />
Ijne 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
Part XII Qualifying Distributions (see page 25 of the instructions)<br />
1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes<br />
a Expenses, contributions, gifts, etc -total from Part I, column (d), line 26 I I I I I I I I I I I I I I II I<br />
b Program-related investments - total from Part IX-B I I I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,<br />
Purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
3 Amounts set aside for speciic charitable projects that satisfy the<br />
a Suitability test (prior IRS approval required) I I I I I I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
b Cash distribution test (attach the required schedule) I I I I I I I I I I I I I I I I I I I I I I I I II I<br />
7 2,058,217<br />
1a 1,762,198<br />
1b 0<br />
2<br />
3a O<br />
3b 0<br />
4 Qualifying distributions. Add lines 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 I I I II I 4 1 f 7 62 1 1 99<br />
5 Foundations that qualify under section 494O(e) for the reduced rate of tax on net investment income<br />
Enter 1% of Part l, line 27b (see page 26 ofthe instructions) I I I I I I I I I I I I I I I I I I I I II I 5 N/A<br />
6 Adjusted qualifying distributions. Subtract line 5 from line 4 I I I I I I I I I I I I I I I I I I I I II I 6 1 , 7 52 I 1 99<br />
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation<br />
qualifies for the section 4940(e) reduction of tax in those years<br />
JSA<br />
9E1470 1 O00<br />
l 518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
0<br />
Form 990-PF (zoos)
Form 990-PF(2oo9) U 92-0087 914 0 page 9<br />
Part XIII Undistributed Income (see page 26 of the instructions)<br />
1<br />
2<br />
a<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
b<br />
a<br />
b<br />
c<br />
d<br />
e<br />
f<br />
a<br />
b<br />
C<br />
d<br />
e<br />
a<br />
b<br />
C<br />
d<br />
e<br />
f<br />
10<br />
a<br />
b<br />
c<br />
d<br />
e<br />
JSA<br />
(al lb) (Cl (dl<br />
Distributable amount for 2009 from Part XI, COFPUS Yeafs P001" 10 2003 2003 2009<br />
liner . . . . . . . . . . . . . . . . . . ... 2058/217<br />
Undistnbuted income, if any, as of the end of 2009<br />
Enter amount for 2008 only I I I I I I I II I<br />
Total for pnoryears 20 O7 ,20 O6 I20 05<br />
Excess distributions carryover, if any, to 2009<br />
From 2004 I I I II I 0<br />
From 2005 I I I II I <br />
From 2006 I I I II I <br />
From 2007 I I I II I<br />
From 2008 I I I II I<br />
Total of lines 3a through e I I I I I I I I II I<br />
Qualifying distributions for 2009 from Part XII,<br />
l,ne4 p 5 1,762,198.<br />
Applied to 2008, but not more than line 2a I I I<br />
Applied to undistnbuted income of prior years (Election<br />
required - see page 26 ofthe instructions) I I I II I<br />
Treated as distributions out of corpus (Election<br />
required - see page 26 of the instructions) I I I I<br />
Applied to 2009 distributable amount I I I I I<br />
Remaining amount distributed out of corpus I I<br />
Excess distributions carryover applied to 2009 I<br />
(lf an amount appears in column (d), the same<br />
amount must be shown in column (a) )<br />
Enter the net total of each column as<br />
indicated below:<br />
Corpus Add lines 3f, 4c, and 4e Subtract llne 5<br />
Prior years" undistributed income Subtract<br />
line 4b from line 2b I I I I I I I I I I I II I<br />
Enter the amount of prior years" undistributed<br />
income for which a notice of deficiency has been<br />
issued, or on which the section 4942(a) tax has<br />
been previously assessed . . . . . . . . . .. .<br />
Subtract line Sc from line 6b Taxable<br />
amount- see page 27 of the instructions I I I I<br />
Undistributed income for 2008 Subtract line<br />
4a from line 2a Taxable amount - see page<br />
27 ofthe instructions . . . . . . . . . . .. .<br />
Undistributed income for 2009 Subtract lines<br />
4d and 5 from line 1 This amount must be<br />
distributed in 2010 I I I I I I I I I I I I II I<br />
Amounts treated as distributions out of corpus<br />
to satisfy requirements imposed by section<br />
170(b)(1)(F) or 4942(g)(3) (see page 27 of the<br />
instructions) . . . . . . . . . . . . . . . .. .<br />
Excess distributions carryover from 2004 not<br />
applied on line 5 or line 7 (see page 27 of the<br />
instructions) . . . . . . . . . . . . . . . .. .<br />
Excess distributions carryover to 2010.<br />
Subtract lines 7 and 8 from line 6a I I I I II I<br />
Analysis of line 9<br />
Excess from 2005 <br />
Excess from 2006 I I I <br />
Excess from 2007 I I I<br />
Excess from 2008 I I I<br />
Excess from 2009<br />
9514801000<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865<br />
35,545.<br />
O . 0<br />
35,545.<br />
1,726, 653.<br />
331, 564 .<br />
Form 990-PF (2009)
Form 990-PF (zoos) 92-0087 91 4 Page 10<br />
gg 1a If Foundations the foundation has (see ived page a ruling 27 or determination of the instructions letter that it is and a private Part operating Vll-A, u 9) NOT APPLICABLE<br />
foundation, and the ruling is ef<strong>fe</strong>ctive for 2009, enter the date of the ruling D . - . - U . - - - I- I P<br />
b Check box to indicate whether the foundation is a private operating foundation descnbed in section ( ( 4942(i)(3) or ( I 4942(j)(5)<br />
2a (usted Enter net the income lesser from of Part the (a) ad- 2009 Tax (b) 2008 year (c) Prior 2007 (d) 3 years 2006 (e) Total<br />
I or the minimum investment<br />
retum from Part X for each<br />
yearlisted - . - U .i U<br />
b 85%ofline2a , , , , ,<br />
C Qualifying distnbutions from Pait<br />
XII, line 4 for each year listed ,<br />
d Amounts included in line 2c not<br />
used directly for active conduct<br />
o<strong>fe</strong>xemptactivilies. . . . .<br />
6 Qualifying distributions made<br />
directly for active conduct of<br />
exempt activities Subtract line<br />
2d from Iine2c U , I I, ,<br />
3 Complete 3a, b, or c for the<br />
alternative test relied upon<br />
3 "Assets" allemative test - enter<br />
(1) Valueofall assets . . .<br />
(2) Value of assets qualifying<br />
under section<br />
4942(j)(3)(B)(l). . . . .<br />
b "Endowment" alternative testenter<br />
2/3 of minimum investment<br />
return shown in Part X,<br />
line6for each yearlisted f .<br />
C "Support" altemative test - enter<br />
(1) Total support other than<br />
gross investment income<br />
(interest, dividends, rents,<br />
payments on secunties<br />
loans (section 512(a)(5)),<br />
or royalties) I I D ID I<br />
(2) Support from general<br />
public and 5 or more<br />
exempt organizations as<br />
provided in section 4942<br />
GX3)(B)(I1I) . . . .. .<br />
(3) Largest amount of support<br />
lrom an exempt<br />
organization , , , , ,<br />
4 Gross investment income,<br />
Supplementary information (Complete this part only if the foundation had $5,000 or more in assets<br />
at any time during the year - see page 28 of the instructions.)<br />
1 Information Regarding Foundation Managers:<br />
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation<br />
before the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )<br />
N/A<br />
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<br />
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest<br />
N/A<br />
2 information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:<br />
Check hereb (jif the foundation only makes contributions to preselected charitable organizations and does not accept<br />
unsolicited requests for funds If the foundation makes gifts, grants, etc (see page 28 of the instructions) to individuals or<br />
organizations under other conditions, complete items 2a, b, c, and d<br />
a The name, address, and telephone number of the person to whom applications should be addressed<br />
ATTACHMENT 10<br />
b The form in which applications should be submitted and information and materials they should include<br />
SEE ATTACHMENT 10<br />
c Any submission deadlines<br />
SEE ATTACHMENT 1 O<br />
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other<br />
factors<br />
SEE ATTACHMENT 10<br />
9E,,,f,%A, 000 Form 990-PF (zoos)<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865
Formseo Part XV Supplementnnformation PF(2oo9) (continued) 92-0097914 0 Pa9e11<br />
3 Grants and Contributions Paid During the Year or Approved for Future Payment<br />
lf recipient is an individual,<br />
fo dat status of<br />
Reclpiem show any relationship to Foundation Purpose of grant or<br />
Name and address (home or business) 2,"Zub2,2n,,"aT"w"Q?2S2,T,2 recipient C0""*b""0"<br />
a Pa/d dur/ng the year<br />
ATTACHMENT 1 1<br />
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . P 3a 1,136,050b<br />
Approved for future pa yment<br />
ATTACHMENT 12<br />
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . ...b ab 54,276.<br />
JSA<br />
9514911000<br />
518 106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
Amount<br />
Form 990-PF (2009)
Form Part XVI-A Analysis 990-PF(2009) come-Producing Activities*i<br />
92-0087914 0 Page 12<br />
(el<br />
(3) (b) (C) (d) unc ion i<br />
Enter gross amounts unless othen/vise indicated Unrelated business income Excluded by section 512, 513, or 514<br />
R<strong>fe</strong>lattted ornegcgnmept<br />
See e 28 of<br />
1 program sen/Ilce revenue Business code Amount Exdusion code Amount #he lnggqlcilons )<br />
a<br />
b<br />
c<br />
d<br />
e<br />
f<br />
g Fees and contracts from govemment agencies<br />
2 Membership dues and assessments I I I I I<br />
3 Interest on savings and temporary cash investments<br />
4 Dividends and interest from securities I I I I 1 4 1 f 58 9 f 8 7 2 <br />
5 Net rental income or (loss) from real estate<br />
a Debt-financed property I I I I II I<br />
b Not debt-financed property I I I I I<br />
6 Net rental income or (loss) from personal property I<br />
7 Other investment income I I I I I I I II I 523000 -901 906<br />
8 Gain or (loss) from sales of assets other than inventory 1 8 I 1 I 4 2 7 I 1 2 5 <br />
9 Net income or (loss) from special events I I I<br />
10 Gross profit or (loss) from sales of inventory. . 2 I 1 1 8 "<br />
b SCHOLARSHIP REFUNDS 18,326.<br />
c<br />
11 Other revenue a<br />
d<br />
e<br />
12 subtotal Addcoiumns(b),(d),and(e) I I I, -90/905 162/747- 20,444<br />
13 wal./iddime12,coiumnsibi,tdi.andie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 13 92f 285<br />
(See worksheet in line 13 instructions on page 28 to verify calculations )<br />
Relationship of Activities to the Accomplishment of Exempt Purposes<br />
Line N0, Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to<br />
v the accomplishment of the foundations exempt purposes (other than by providing funds for such purposes) (See<br />
page 29 of the instructions)<br />
10 AS PART OF ITS EDUCATIONAL MISSION THE FOUNDATION HAS<br />
COMPILED AND PUBLISHED BOOKS FOCUSING ON THE LIVES OF<br />
NATIVES BOTH YOUNG AND OLD. THE FOUNDATION SELLS A FEW<br />
OF THESE PUBLICATIONS TO RECOVER THE COST OF PUBLICATION.<br />
11B THIS IS INCOME FROM REFUNDS RECEIVED ON SCHOLARSHIPS PAID IN<br />
ACCORDANCE WITH THE ORGANIZATION"S EXEMPT PURPOSE.<br />
Jsp.<br />
9514921000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
Form 990-PF (2009)
Form 990-PF (2009) 92-O08 /914 Page 13<br />
E . .<br />
Part XVII Informaq xempt anizations Regarding Trans<strong>fe</strong>rs To and Transactions and Relation* With Noncharitable<br />
1 Did the organization directly or indirectly engage in any of the following with any other organization described Yes No<br />
in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political<br />
a Tirgagrsltzegiirtsofmriiliiw the reporting foundation to a nonchantable exempt organization of<br />
(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Quilt*<br />
(2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . kglll<br />
b Other transactions<br />
(1) Sales of assets to a nonchantable exempt organization , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,, , 1b(1)<br />
(2) Purchases of assets from a nonchantable exempt organization , , , , , , , , , , , , , , , , , , , , , , , , , , , ,, , 1b(2)<br />
(3) Rental of facilities, equipment, or other assets , , , , , , , D - , . I - . - I . - . . I - I I , I I . I . . I I I . -I , 1b(3)<br />
(4) R@lmbUfS@mS"1arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 1bI4)<br />
(5) LOBHS Of 10811 QUHYHHIGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 1b(5t<br />
(6) Performance of services or membership or fundraising solicitations , , , , , , , , , , , , , , , , , , , , , , , , , ,, , 1b(6)<br />
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees , , , , , , , , , , , , , ,, , . . . . . . .N151<br />
d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market<br />
value of the goods, other assets, or sen/ices given by the reporting foundation If the foundation received less than fair market<br />
value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or sen/ices received<br />
- N /A - N /A<br />
(a) Line no (b) Amount involved (c) Name of nonchantable exempt organization (d) Description of trans<strong>fe</strong>rs, transactions, and shanng anangements<br />
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in<br />
section 501(c) ofthe Code (other than section 501(c)(3)) or in section 5277 , , , , , , , , , , , , , , , , , , , , , , ,, , lj Yes No<br />
b lf "Yes," complete the followinq schedule<br />
(a) Name of organization (b) Type of organization (c) Description of relationship<br />
9 v 9. 1<br />
irm"sname(oryour KPMG L P EIN P 134-3565207<br />
Under lties of per , l clare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and<br />
belief is true, corr an mplete Dec ration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge<br />
, U0. I2 ,M2 , (?&$g"dggQ6f0<br />
Signature of officer or tmstee Date Title<br />
Date Preparer"s identifying<br />
Check If number (See Signature on<br />
- repa,-eps , Self-employed E page 30 of the instnictions)<br />
-- ,, S. nature , IO-l 9 O POO146956<br />
self-employed), address, 701 WES TH AVENUE, SUITE 600<br />
Pmdzlpcode ANCHORAGE, AK 99501 Phgneng 907-265-1200<br />
Form 990-PF (zoos)<br />
JSA<br />
9E1d93 1 000<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865
Schedule B . Schedule of Contributors 0 OMB "0 1545-0""<br />
(Form 990, 990-EZ,<br />
of Department seo-Pr) of the Treasury v Attach to Form 990, 990-Ez, or 990-PF.<br />
lntemal Revenue Service<br />
Name of the organization Employer identification number<br />
THE CIRI FOUNDATION<br />
Organization type (check one)<br />
Filers of: Section:<br />
Form 990 or 990-EZ 1 501(c)( ) (enter number) organzation<br />
1 til<br />
Special Rules<br />
: 4947(a)(1) nonexempt charitable trust not treated as a private foundation<br />
i 527 political organization<br />
Form 990-PF L 501(c)(3) exempt private foundation<br />
i 4947(a)(1) nonexempt charitable trust treated as a private foundation<br />
: 501(c)(3) taxable private foundation<br />
92-0087914<br />
Check if your organization is covered bythe General Rule or a Special Rule.<br />
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Specal Rule See<br />
instructions<br />
General Rule<br />
1 For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or<br />
property) from any one contributor Complete Parts land ll<br />
lj<br />
lil<br />
For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under<br />
sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution ofthe greater<br />
of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part Vlll, Ilne 1h or (ii) Form 990-EZ, ine 1 Complete Parts land<br />
ll<br />
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, dunng<br />
the year, aggregate contributions of more than $1,000 for use exc/us/ve/yfor religious, charitable, scientific, literary, or<br />
educational purposes, or the prevention of cruelty to children or animals Complete Parts l, ll, and lll<br />
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during<br />
the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did not<br />
aggregate to more than $1,000 lf this box is checked, enter here the total contributions that were received during the<br />
year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts mless the General Rule<br />
applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or more<br />
dUflfl9 the Veal . . . . . . . . . . . . . . . . . . .. .<br />
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not tile Schedule B (Form 990,<br />
990-EZ, or 990-PF), but it must answer "No" on Part lV, line 2 of its Form 990, or check the box on line H of its Form 990-EZ,<br />
or on line 2 of its Form 990-PF, to certify that it does not meet the tiling requirements of Schedule B (Form 990, 990-EZ, or<br />
990-PF)<br />
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2009)<br />
for Form 990, 990-EZ, or 990-PF.<br />
JSA<br />
9E 1 251 2 000<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865<br />
. . . . . . . . . . . . . . . . . . . . . ... *$-li?
Schedule Name of organization B T (Form I RI 990, FOUN 990-EZ,MF) DAT I ON Employer (2009) identification page of number of pa,-H<br />
92-0087914<br />
Contributors (see instructions)<br />
(2)<br />
No.<br />
(al<br />
No.<br />
(H)<br />
No.<br />
(2)<br />
No.<br />
la)<br />
No.<br />
(2)<br />
No.<br />
(bl<br />
Name, address, and ZlP+4<br />
1 SALAMATOF NATIVE ASSOCIATION<br />
(0)<br />
Aggregate contributions<br />
P.O. BOX 2682 $ 6,250.<br />
KENAI, AK 99611<br />
lb)<br />
Name, address, and ZlP+4<br />
2 AK VILLAGE INITIATIVES<br />
(C)<br />
Aggregate contributions<br />
1577 C STREET, STE 304 $ 10,000.<br />
ANCHORAGE, AK 99501<br />
3 TYONEK NATIVE CORP<br />
(bl<br />
Name, address, and ZlP+4<br />
(C)<br />
Aggregate contributions<br />
1689 C STREET, SUITE 219 $ 24,000.<br />
ANCHORAGE, AK 99501<br />
(bl<br />
Name, address, and ZlP+4<br />
(0)<br />
Aggregate contributions<br />
4 INTERNATIONAL TOWER HILL MINES, LTD.<br />
117 WEST HASTINGS ST SUITE 1901 $ 10,000.<br />
VANCOUVER BC<br />
CANADA<br />
5 KPMG LLP<br />
6 CIRI<br />
lb)<br />
Name, address, and ZIP+4<br />
(C)<br />
Aggregate contributions<br />
701 W 8TH AVENUE $ 10,000.<br />
ANCHORAGE, AK 99501<br />
(bl<br />
Name, address, and ZIP-+4<br />
(0)<br />
Aggregate contributions<br />
PO BOX 93330 $ 292,592.<br />
JSA Schedule B<br />
QE12531 000<br />
ANCHORAGE, AK 99509<br />
106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
(d)<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part ll if there is<br />
a noncash contribution)<br />
ld)<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash - <br />
(Complete Part ll if there is<br />
a noncash contribution)<br />
(dl<br />
Ty pe of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part ll if there is<br />
a noncash contribution )<br />
(dl<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part ll if there is<br />
a noncash contribution)<br />
ld)<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part ll if there is<br />
a noncash contribution)<br />
(d)<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part ll if there is<br />
a noncash contribution )<br />
(Form 990, 990-EZ, Or 990-PF) (2009)
Schedule B (Form 990, 990-EZ,MPF) T (2009)<br />
Page of of Part I<br />
Name of organization IRI FOUNDATION Employer identification number<br />
92-0087914<br />
Contributors (see instructions)<br />
(2)<br />
No.<br />
(2)<br />
No.<br />
(2)<br />
No.<br />
(2)<br />
No.<br />
(al<br />
No.<br />
(al<br />
No.<br />
(bl<br />
Name, address, and ZIP + 4<br />
7 COOK INLET TRIBAL COUNCIL, INC.<br />
(C)<br />
Aggregate contributions<br />
3600 SAN JERONIMO DRIVE STE 410 $ 20,355.<br />
ANCHORAGE, AK 99508<br />
lb)<br />
Name, address, and ZIP + 4<br />
lb)<br />
Name, address, and ZIP + 4<br />
lb)<br />
Name, address, and ZIP + 4<br />
lb)<br />
Name, address, and ZIP + 4<br />
lb)<br />
Name, address, and ZIP + 4<br />
(C)<br />
Aggregate contributions<br />
$<br />
lc)<br />
Aggregate contributions<br />
$<br />
(0)<br />
Aggregate contributions<br />
$<br />
(C)<br />
Aggregate contributions<br />
$<br />
(C)<br />
Aggregate contributions<br />
$<br />
JSA Schedule B<br />
9521253 1 000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
(dl<br />
Type of contribution<br />
Person<br />
Payroll <br />
Noncash <br />
(Complete Part Il if there is<br />
a noncash contribution )<br />
(fi)<br />
Ty pe of contribution<br />
Person<br />
Payroll<br />
Noncash<br />
(Complete Part ll if there is<br />
a noncash contribution)<br />
ld)<br />
Ty pe of contribution<br />
Person<br />
Payroll<br />
Noncash<br />
(Complete Part Il if there is<br />
a noncash contribution)<br />
(dl<br />
Type of contribution<br />
Person<br />
Payroll<br />
Noncash<br />
(Complete Part ll if there is<br />
a noncash contribution )<br />
(dl<br />
Type of contribution<br />
Person<br />
Payroll<br />
Noncash<br />
(Complete Part ll if there is<br />
a noncash contribution )<br />
(dl<br />
Type of contribution<br />
Person<br />
Payroll<br />
Noncash<br />
(Complete Part II if there is<br />
a noncash contribution )<br />
(Form 990, 990-EZ, or 990-PF) (2009)
JSA<br />
Perm 4 7 9 7 (Also 0 Sales Involuntary of Business Conversions Property and 0 OMB Recapture N0 1515-0184 Amounts<br />
Department of Under the Sections Treasury 179 and 280F(b)(2)) , . Attachm nt<br />
imemei Revenue sen/tee (99) P Attach to your tax retum. P See separate instructions. Sequencf, No 27<br />
Name(s) shown on retum Identifying number<br />
THE CIRI FOUNDATION 92-0087914<br />
1 Enter the gross proceeds from sales or exchanges reported to you for 2009 on Form(s) 1099-B or 1099-S (or<br />
substitute statement) that you are including on line 2, 10, or 20 (see instructions) , . I I I . . . I I , I , I I I, , V 1<br />
Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other<br />
2<br />
8<br />
Than Casualty or Theft - Most Property Held More Than 1 Year (see instructions)<br />
(a) Description (b) Date acquired (c) Date sold (d) Gross allowed<br />
(e) Depreciation<br />
or basis, plus<br />
(f) Cost<br />
(9) Gam<br />
or other<br />
or(<br />
lo<br />
55)<br />
acquisition expense of sale<br />
S bt t fr th<br />
sum ( (e)<br />
of property *, (mo , day, yr) (mo , day, yr) sales pnce allowable since improvements and U ras, ag? e<br />
Gam- *f a"Y- from Form 4584- "ne 43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
Section 1231 gain from installment sales from Form 6252, line 26 or 37 I . - I . I I I I I I I - I I I I I D Di I<br />
Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . I I I I I I I I I - U I I U I D . , .. D<br />
Gain, if any, from line 32, from other than casualty or theft . I I I I - . . D . I I I I I F I . I I I U I I . D Ii u<br />
Combine lines 2 through 6 Enter the gain or (loss) here and on the appropnate line as follows . I . . I I . I .i I<br />
Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the<br />
instructions for Form 1065, Schedule K, line 10, or Fomi 11208, Schedule K, line 9 Skip lines 8,9, 11, and 12 below<br />
Individuals, partners, S corporation shareholders, and all others. lf line 7 is zero or a loss, enter the amount from<br />
line 7 on line 11 below and skip lines 8 and 9 If line 7 is a gain and you did not have any prior year section 1231<br />
losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the<br />
Schedule D filed with your return and skip lines 8, 9, 11, and 12 below<br />
Nonrecaptured net section 1231 losses from prior years (see instructions) . . . I I . . . I I I I D I D I . I .i i<br />
.L-1-l<br />
9 Subtract line 8 from line 7 lf zero or less, enter -0- lf line 9 is zero, enter the gain from line 7 on line 12 below lf line<br />
9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term<br />
capital gain on the Schedule D filed with your return (see instructions) . I D I . I I I I I . I - I I I I D I . -I v 9<br />
Ordinary Gains and Losses (see instructions)<br />
10 Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less)<br />
ATTACHMENT 1 3 105,524.<br />
11<br />
12<br />
13<br />
14<br />
15<br />
16<br />
17<br />
18<br />
Loss. if any. from ine 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
Gain, if any, from line 7 or amount from line 8, if applicable I I - I U - I D U I I I I I I - I - - I I . - . . .I .<br />
Gam. -f env. from fine 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
Net gain or (loss) from Form 4684, lines 35 and 42a I I I D . . - I I I I , . - I D U U - D I D I I , . I - . II l<br />
Ordinary gain from installment sales from Form 6252, line 25 or 36 I I I D I D . - I I I U I U I - D - - D I .- i<br />
Ordinary gain or (loss) from Iikekind exchanges from Form 8824 I . . U . I I D I . . D - I I I . U . I I D I DD I<br />
Combine 1-nes 101hwuQh16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a<br />
and b below For individual returns, complete lines a and b below<br />
If the loss on line 11 includes a loss from Form 4684, line 39, column (b)(ii), enter that part of the loss here Enter the<br />
part ot the loss from income-producing property on Schedule A (Form 1040), line 28, arid the part ot the loss from<br />
property used as an employee on Schedule A (Form 1040), line 23 Identify as from "Form 4797, line 18a "<br />
599 lflSlfUCU0f1S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a Enter here and on Form 1040,<br />
line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .<br />
For Paperwork Reduction Act Notice, see separate instructions.<br />
9X261O 1 000<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865<br />
.lutiil<br />
.il<br />
Eli.. .$.11<br />
.,212 Eli<br />
17 105,524.<br />
18a<br />
18b<br />
Form 4797 (zoos)
JSA<br />
Form mv (2009, .I 92-0087 9, page<br />
m Gain From osition of Property Under Sections 1245, 1250, 1252, 1254, an 255<br />
Y (see instructions)<br />
-19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property (b?rEgtIedg$?L#"):d 8rcrl)0D.iitSy?cc?)<br />
P rt P C<br />
i These columns relate to the properties on lines 19A through 19D P rope y A rope,-ty B Property Property D<br />
20 Gross sales price (Note:See I/ne 1 before completing) 20<br />
21 Cost or other basis plus expense of sale I I I I II I 21<br />
22 Depreciation (or depletion) allowed or allowable I I I 22<br />
23 Adjusted basis Subtract line 22 from line 21 I I I 23<br />
Q1 Total gain Subtract line 23 from line 20 . . . .. . 24<br />
25 lf section 1245 property.<br />
a Depreciation allowed or allowable from line 22 I I I 25a<br />
b Enter the smallerof line 24 or 25a . . . . . . .. . 25b<br />
26 If section 1250 property lf straight line depreciation was<br />
used, enter -0- on line 269, except for a corporation subject I<br />
to section 291<br />
a Additional depreciation after 1975 (see instn.rctions)I 26a<br />
b Applicable percentage multiplied by the smaller of<br />
line 24 or lrne 26a (see instructions) I I I I , , ,I I 2Sb<br />
C Subtract line 26a from line 24 If residential rental property<br />
or line 24 is not more than line 26a, skip lines 26d and 26e I 26c<br />
d Additional depreciation after 1969 and before 1976 I 26d<br />
e Enter the smaller of line 26c or 26d I I I I I I II I 26e<br />
f Section 291 amount (corporations only) I I I I ,, , 26f<br />
i g Add lines 26b, 26e, and 261 I , I I I I I I I II I 253<br />
27 If section 1252 property Skip this section ifyou did not<br />
dispose of farmland or it this form is being completed for a<br />
partnership (other than an electing large partnership)<br />
a Soil, water, and land clearing expenses I I I I II I 27a<br />
b Line 27a multiplied by applicable percentage (see instructions) I I I 27b<br />
i c Enter the smaller of line 24 or 27b , , , , , , ,, , 271:<br />
28 If section 1254 property:<br />
a Intangible drilling and development costs, expenditures for<br />
development of mines and other natural deposits, mining<br />
exploration costs, and depletion (see instructions) I I I I I 28a<br />
i b Enter the smaller of line 24 or 28a . . . . . . .. . 28b<br />
29 lf section 1255 property:<br />
a Applicable percentage of payments excluded from<br />
income under section 126 (see instructions)I I I I I 29a<br />
i b Enter the smaller of line 24 or 29a (see instructions), 29h<br />
Summary of Part III Gains. Complete property colum ns A through D through line 29b before going to line 30<br />
30 Total gains for all properties Add property columns A through D, line 24 I I I I I I I I I I I I I I I I I I I I I II I 30<br />
31 Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b Enter here and online 13 I I I I I I I I I II I 31<br />
32 Subtract line 31 from line 30 Enter the portion from casualty or theft on Fomi 4684, line 37 Enter the portion from<br />
other than casualty or theft on Form 4797, line 6 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I II I 32<br />
Part IV Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less<br />
(see instructlons)<br />
33 Section 179 expense deduction or depreciation allowable in pnor years I I I I I I I I I I II I 33<br />
34 Recomputed depreciation (see instnictions) I I I I I I I I I I I I I I I I I I I I I I I I II I 34<br />
35 Recapture amount Subtract line 34 from line 33 See the instructions for where to report . . . . . 35<br />
sxzezorooo 518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865<br />
1 ,<br />
(a) Section (b) Section<br />
79 280F(b)(2)<br />
2<br />
Form 4797 (2009)
THE CIRI FOUNDATION 92-0087914<br />
cAPiT . GA FORM Ns ANO 990-PF Losses FOR - TAX PART ON iNvEsTivi iv E* iNcOiviE<br />
P<br />
Kind Of Property Description Or Date Date sold<br />
D acquired<br />
Gross sale Depreciation Cost or FMV Adi basis Excess of Gain<br />
price less allo wed/ other , as of as of FMV Over Or<br />
expenses of sale all-(Ma-bje (13315 1231-L5.9 *L2L3j-L59 adi basis - (loss)<br />
SECURITIES P VARIOUS VARIOUS<br />
PROPERTY TYPE: SECURITIES<br />
19335819. 20868468. -1532649.<br />
NET PASS THROUGH LOSSES FROM ALTERNATIVE P VARIOUS VARIOUS<br />
PROPERTY TYPE: SECURITIES<br />
-284,485.<br />
TOTAL GAIN(LOSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... -1817134.<br />
JSA<br />
9E 1 730 1 000<br />
518106 1832 10/1/2010 1:45:09 AM V 09-8.1 418865
THE CIRI FOUNDATION 92-0087914<br />
0 ATTAQHEZNT 8<br />
FORM 99OPF, PART III - OTHER INCREASES IN NET WORTH OR FUND BALANCES<br />
DESCRIPTION AMOUNT<br />
UNREALIZED GAINS ON INVESTMENTS 9,834,698.<br />
TOTAL 9,834l698.<br />
518106 1832 10/1/2010 1:45:09 AM V O9-8.1 418865<br />
ATTACHMENT 8
THE CIRI FOUNDATI$ 92-0087914<br />
X / 2009 THE CIRI FOUNDATION<br />
02 05 09 Name: -Zig-1<br />
*ffQfx/ SCHOLARSHIP AND GRANT APPLICATION<br />
The CIRI Foundation<br />
The mission of The CIRI Foundation (TCF) is to promote individual self-development and economic selfsufficiency<br />
through education and to maintain pride in culture and heritage among Alaska Natives. The<br />
Foundation supports the education and career development of eligible original enrollees of Cook Inlet<br />
Region and their direct lineal descendants through post-secondary scholarships and grants.<br />
Application Package, The materials listed below must be received by The CIRI Foundation on or before the<br />
appropriate deadline for full consideration. All scholarships and grants are awarded subiect to availability of funds.<br />
. Completed four-page application - signed and dated<br />
. Proof of eligibility for first-time applicant (Birth certificates and/or name change documents)<br />
. Letter of re<strong>fe</strong>rence - signed, dated, and with contact information (valid for three years)<br />
Copy of most recent official grade transcripts or certificates of completion<br />
Statement of purpose<br />
Proof of acceptance/enrollment/registration confirmation from school<br />
Updated class schedule<br />
8. Photograph of yourself (optiona/-P/ease note that your photograph becomes the property of TCF and may be<br />
used in TCF pub//cations)<br />
lj 9 Release of information consent form (optional, available on our website)<br />
** DO NOT LEAVE ANY BLANKS ON YOUR APPLICATION FORM **<br />
*PLEASE PRINT LEGIBLY*<br />
A. ELIGIBILITY- CHECK ALL THAT APPLY<br />
1 I certify that I am: i EI an Original Enrollee D Erggliig Lmeai Descendant of an Original i III a Tribal Member<br />
lj Cook Inlet Region, Inc, (CIRI) lj Ninilchik Native Association, Inc. El Salamatof Native Association (SNA1)<br />
56<br />
descendant of this Reiauonshlp * *<br />
3 Original Enrollee:<br />
ciii 9 a<br />
Cl Parent El Grandparent lj Great-Grandparent<br />
Cir<br />
B. PERSONAL DATA<br />
Name (Last, First, M1 )<br />
4<br />
Mailing Address (correspondence will be mailed fwfr) E-mail address (correspondence will be emailed here)<br />
CIW I Sta<strong>fe</strong> ZIP C032 Date of Birth Gender<br />
a lj Tyonek Native Corporation EI Native Village of Tyonek lj Salamatof Native Association Spouse<br />
Name (I-353 Flfsfi M 1 ) Other Last Names Used<br />
2 I am a direct lineal<br />
7 Tel No ( ) , Fax No ( ) <br />
8<br />
Are you related to a current Board member of The CIRI Foundation?<br />
lj No lj Yes (specify who and your relationship to them)<br />
Slibiiiit yri.ir #ppl-rawor to<br />
The CIRI Foundation<br />
3600 San Jeioiiimo Drive, Ste 256, Aiicliortii-ge, AK 99508<br />
Tel (Q07) 793-3575 // Toll-Free (800) 764 3382 // Fax (907) 793 358%<br />
Wet-si:e i-.iw-.-. tiiecirifot-ndation org // E."-rail: tcf@thecirifoundation org Page 1<br />
ATTACHMENT I0
THE CIRI FOUNDATION 92-0087914<br />
l, / 2009 THE CIRI FOUNDATION<br />
-*-lffg3Y/ SCHOLARSHIP AND GRANT APPLICATION<br />
The C IRI Foundation<br />
02.06.09 Name: -*-iii<br />
C. APPLICATION CATEGORY AND DEADLINE (see flow chart on page 11)<br />
Please indicate the deadline you are applying for: CHOOSE QNE<br />
Scholarship Award Deadlines (TCF & Village) Grant Award Deadlines (TCF & Village)<br />
I D June 1 lj December 1<br />
9 General Semester and General Semester El Mal"Cl"l 31 U June 30 D September" 30 EI D@CBlTlbSl* 1<br />
Annual Awards only<br />
lo Have you applied before? lj No lj Yes, during the year (specify).<br />
Other names used (if any). I<br />
D. EDUCATION & RELATED ACTIVITIES<br />
Education Level/Date of completion: Check all that aggly<br />
lj Currently in High School III Have 2-year Associates degree<br />
11 A<br />
12<br />
lj High School Graduate lj Have 4-year Degree<br />
lj General Education Diploma (GED) EI Have Masters Degree or Ph.D<br />
El Have VOCBUODBI training/C@FlIflCBIB lj Have not been enrolled in the past five years<br />
lj Currently in College (check one): El Fr Cl Soph. EI Jun. III Sen. El Grad, lj Cert. EI M.D II) Ph.D<br />
Recent Community/ Volunteer Activities, Honors, Awards, Accomplishments (if none put n/a)i<br />
E. EDUCATION PLANS<br />
Name ol School<br />
13 14 E1 Check if online or correspondence<br />
15 Fax Tel No ( ) <br />
Financial Aid Office Address<br />
State Zlp Code<br />
Current El El C1 D<br />
16 Degree 2-year 4-year Masters Doctorate Vocational Training Other<br />
Program Associates Bachelors Certificate<br />
Field Of SUNY (M3500 Date ol expected graduation/completion<br />
17 III Declared U Undeclared<br />
i Field of study as on acceptance letter:<br />
18 My most recent cumulative grade point average (GPA) is: (If GED, put 2.5)<br />
Submit yo-.ir applicazioi-. to<br />
The CIRI Foundation<br />
3600 San leion-mo Drive, Ste 256, Arcliarage, AK 99508<br />
Tel (90/) /F13 15"f5// 1oli-.fri-rr (S00) 76/ .3382 // Fax foil/) /J? 3555<br />
l.-/etsilc i-wi--f tm"-".iiii-J-..ridfit-,ii c--1 // E aa-i tgj@tbg-cirifoundation org Page 2<br />
ATTACHMENT IO
THE CIRI FOUNDATl$ 92-0087914<br />
X / 2009 THE CIRI FOUNDATION<br />
02 oe 09 Name: -1--ll.<br />
*(2-"X-*" SCHOLARSHIP AND GRANT APPLICATION<br />
The CIRI Foundation<br />
F. EDUCATION PLANS CONTINUED<br />
19 My School*s calendar is based on. lj Semesters El Quarters lj Trimesters El Other<br />
20 I am applying for the following term(s)" lj Fall El Winter lj Spring lj Other<br />
21 A. Date term begins: 1 1 B. Date term ends" L L<br />
22<br />
I will complete credits/hours during this term. If changes in enrol/ment occur. notifv The CIRI<br />
Foundation in writing immediately<br />
I understand that I am expected to complete all of the courses and credits for which I receive funding<br />
from The CIRI Foundation (see #22.)<br />
23 lj* (please check the box and initial)<br />
IN FRACTION POLICY-Please read carefully<br />
Scholarship and grant recipients must complete enrollment and courses or program of study as stated on<br />
the application and maintain a 2.5 cumulative GPA or better (on a 4.0 grading scale). Failure to complete<br />
the terms of an award will jeopardize future scholarship and grant funding eligibility. Should the<br />
eligibility and selection criteria not be maintained by the scholarship/grant recipient, that person will be<br />
ineligible to apply to The CIRI Foundation for two (2) award periods from the date of the determination<br />
made by The CIRI Foundation. To the extent possible, all unused funds will be recovered from the postsecondary<br />
institution and returned to The CIRI Foundation.<br />
PLEASE CHECK THIS BOX T0 INDICATE THAT YOU HAVE READ AND UNDERSTAND THE ABOVE i<br />
24 t.1,liE86.f?1"LlN.B9l-&Y---. --.-1....-L.f*..1--i 3.3- 1 --3. .:*...-1,.-L.-1....,-1 -je-.L -r -Lf* mmm I .El 1<br />
G. BUDCI"-IET FORECAST<br />
While attending school, will you be living in on-campus housing provided by your school? D Yes lj No<br />
25<br />
26<br />
I Complete your education budget for the term(s) indicated on line #21.<br />
Do not leave any blanks. If the amount is zero, put -O-.<br />
A. EXPENSES AMOUNT B. SOURCES OF FUNDS AMOUNT<br />
Direct Academic Costs Resources for Schooling<br />
Student <strong>fe</strong>es $ Tuition waiver $?<br />
Tuition $ Personal/family contribution to education 35,?<br />
Books & required supplies $ Government Allowances i<br />
Room and Meal Plan Costs (4) Veterans Administration Aid Sig<br />
On-campus housing $ State/Federal Social Security $l<br />
On-campus meal plan $ Other (specify). ggi<br />
Personal Expenses (o) Academic Financial Aid<br />
(Maximum $500) $ Scholarships and/or Fellowships $3<br />
Tribal Scholarships/Grants $1<br />
State/Federal Student Loans $i<br />
TOTAL EXPENSES jf TOTAL SOURCES OF FUNDS $<br />
AMOUNT NEEDED:(TOTAL EXPENSES MINUS I-j TOTAL FUNDS) $<br />
-is Only students who live away from their permanent home to attend school and are staying in school provided oncampus<br />
housing are eligible to use award funds toward room/meal plan costs.<br />
4 Examples of Personal Expenses (including, but not limited to) Off-campus housing, meals, transportation, and<br />
childcare.<br />
Siibnzi-: .fr..i.f anplicffwor- lo<br />
The CIRI Foundation<br />
3600 San Jeioi-uno C-sive, Sie 256, Ai: nniage, AK 395052<br />
l Tel I9()/l) 7"-33 Ii/ri I/ Toi*-frf-.G R300* /64 738? // fax (93/) /fl? 3355<br />
Wet-Si:-2 -.-.-.-.i.-. L"icciiii"oLrida:i"i-. o.-"i ,f/ l-1-nail tcf@thecirifoundation org 1*.-fir 3<br />
ATTACHMENT I0
THE CIRI FOUNDATION I 92-0087914<br />
it / 2009 THE CIRI FOUNDATION<br />
02 06.09 Name:<br />
*Q-X-/" SCHOLARSHIP AND GRANT APPLICATION<br />
The CIRI Foundation<br />
H.<br />
27<br />
STATEMENT OF PURPOSE<br />
Attach a written statement of purpose on a separate sheet of paper. Your statement of purpose is<br />
important and evaluated carefully by the Education Awards Committee according to the following<br />
criteria: clarity of educational/career goals, correct use of English language, relationship to community,<br />
and overall quality.<br />
- First time Applicants (approximately 500 words) - Describe your education and career goals How are you currently, or<br />
plan to, contribute to a positive Alaska Native community? Explain your reasons for these goals and how your degree program fits<br />
with your education and career plans. You may attach your personal history and a summary of accomplishments.<br />
- Repeat Applicants (approximately 300 words) - Update your education and career goals How are you currently, or plan to,<br />
contribute to a positive Alaska Native Community? To what extent are you moving toward your goals? What changes might have<br />
occurred since your last application and why? What new information do you have about your career and education goals?<br />
I. CERTIFICATION<br />
28<br />
By signing this statement, I acknowledge that I have read and understand the guidelines and the<br />
information below.<br />
Application Information. To the best of my knowledge, the information in this application is true, correct and<br />
complete. I understand that this application does not obligate The CIRI Foundation to award an education<br />
scholarship or grant to pay any costs incurred in the submission of this application I also understand that any<br />
award decision made by the Education Awards Committee is final.<br />
Use of Funds. I understand that the education scholarship or grant funds, if approved, will be used to further my<br />
education in the certificate or degree program where I am enrolled as approved by The CIRI Foundation.<br />
Changes in Enrollment. I will notify The CIRI Foundation if there are any changes in my enrollment. In general,<br />
changes in enrollment made prior to or during the add/drop period are permissible. Changes made after that period<br />
are not. You are required to complete all courses and credits funded by TCF.<br />
Unused Award. I understand that the full amount or any portion thereof is to be refunded to The CIRI Foundation<br />
if, for any reason, I am unable to use the award for which I am selected.<br />
Certificate of Completion, Official Grade Transcripts. I understand that immediately upon completion of the<br />
semester, term, or seminar, I must submit a copy of my final, official grade transcripts or certificate of completion<br />
to The CIRI Foundation to verify completion of the courses of study during the semester or term for which the<br />
award was made.<br />
Submission of Application. I understand that it is my responsibility - NOT that of The CIRI Foundation or any<br />
other party (e g parent, spouse, school) to obtain the necessary application materials from The CIRI Foundation<br />
and/or submit the completed application on or before the deadline to receive full consideration for an award<br />
Confidentiality. All applicant information is kept confidential in accordance with the Family Education Rights and<br />
Privacy Act of 1974. Information will not be released to another party, including parents or family members, without<br />
having written consent of the applicant.<br />
Limited Release of Contact Info. I give The CIRI Foundation permission to release my comments, photo, name,<br />
address, email, and telephone number for employment or education re<strong>fe</strong>rrals and CIRI publications as appropriate.<br />
I certify that the information in this application, including all attachments and supporting materials is true and<br />
correct. If approved for a scholarship or grant, I agree to abide by the terms and conditions of the award.<br />
SIGNATURE OF APPLICANT: DATE:<br />
Subniit yr: ir applicaioii lo<br />
The CIRI Foundation<br />
3600 Sari Jeioninio Drive, Ste 256, Arcliorage, Ai( 995118<br />
Tc-I (90/) 793 3575 I/ Poll Free (800) /"G4 3382 //" Fax (907) 793-3585<br />
Wellsne- wwvi. tliecirifoundauoi* org /,l Email tcf@thecirifoundation org Page 4<br />
ATTACHMENT I0
THE CIRI FOUNDATION 92-0087914<br />
K I<br />
x.&5X/<br />
The ClRIFOuViolatt0i1 2009 scHoLARsi-up AND GRANT PROGRAM<br />
APPLICATION CHECK LIST<br />
A complete application includes the following:<br />
FOR YOUR REFERENCE ONLY<br />
Cl 1. Application The complete, signed, and dated four-page scholarship and grant application provided by The CIRI<br />
Foundation If you are filling out an electronic application, an original signature on page four of the application is still<br />
required.<br />
EI 2a. Proof of eligibility. (First time applicants only) Original enrollment to CIRI can be verified by The CIRI<br />
Foundation with the appropriate documents submitted by the applicant Examples of appropriate documents are. Birth<br />
Certificate/s or adoption decree to demonstrate your relationship as a direct lineal descendant of an Alaska Native who<br />
is an original enrollee of Cook Inlet Region, Inc. (CIRI). More than one birth certificate may be necessary to document<br />
your relationship to an Original Enrollee<br />
- If you are applying for one of the Village scholarship/grants, an official written statement or enrollment cards<br />
from either one of the corporations of Kenai Natives Association, Inc., Ninilchik Native Association, Inc.,<br />
Salamatof Native Association, Inc., Tyonek Native Corporation, or Eklutna, Inc. More than one birth certificate<br />
may be necessary to document your relationship to an original enrollee<br />
v Certificate of Indian Blood for members of The Native Village of Tyonek. (TNC Scholarship/Grant Program<br />
only.)<br />
lj 2b. Proof of Name Change. If your name or the original enrollee/descendants name has been legally changed from<br />
that indicated on the birth certificate/s please provide appropriate documentation. (e.g. marriage and/or divorce<br />
certificates, adoption decrees )<br />
lj 3. Letter of re<strong>fe</strong>rence. Letters of re<strong>fe</strong>rence are valid for three years and must include a signature, date and contact<br />
information.<br />
lj 4. Official Grade Transcripts and/or Certificates of Completion. A copy of your Hnal and official grade transcripts or<br />
certificates of completion for the most recent schooling that you have had (when available.) Note: Official grade<br />
transcripts are signed by the schoo/is registrar and/or have an official sea/ from the school.<br />
lj 5. Statement of Purpose. Approximately 500 words on a separate sheet of paper. Your statement of purpose is<br />
important and evaluated carefully by the Education Awards Committee according to the following categories- clarity of<br />
goals, correct use of English language, relationship to community, and overall quality<br />
0 First time applicants - Describe your education and career goals How are you currently, or plan to,<br />
contribute to a positive Alaska Native community? Explain your reasons for these goals and how your degree<br />
program fits with your education and career plans You may include your personal history and a summary of<br />
accomplishments.<br />
v Repeat applicants - Update your education and career goals. How are you currently, or plan to, contribute<br />
to a positive Alaska Native community? What changes have might have occurred since your last application<br />
and why?<br />
III 6. Proof of enrollment Scholarship applicants must submit a copy of the letter of acceptance into an associate,<br />
bachelor, or graduate degree program and proof of registration for the term (i e. class schedule.) If undeclared, the<br />
applicant must indicate the same in their Education Plans.<br />
El 7 Photograph (optional). If you submit a photo, please enclose a signed Photo Release form. Please note that<br />
your photograph becomes the property of TCF and may be used in p<strong>rint</strong> and electronic TCF Publications. Digital<br />
photos may be sent via email to tcf@thecirifoundation org.<br />
Page 5<br />
ATTACHMENT 10
THE CIRI FOUNDATIOl . 92-0()g7914<br />
X /<br />
s.&X/ I<br />
The (IRI FOMYl6l6lll0il 2009 SCHOLARSHIP AND GRANT PROGRAM<br />
SCHOLARSHIP PROGRAM ELIGIBILITY<br />
The CIRI Foundation Scholarship program is open to original enrollees of CIRI and the direct lineal descendants (either<br />
natural-born or legally adopted) of original enrollees of CIRI. Individuals who have inherited or received gifted shares<br />
do not qualify as original enrollees. All scholarships are made subJect to available funding and up to the amounts<br />
listed below<br />
Scholarship applicants are:<br />
o Students accepted or enrolled full-time in a degree-seeking program at an accredited or<br />
recognized institution. Full-time enrollment is taking at least twelve (12) undergraduate credit<br />
hours, nine (9) graduate credit hours during a semester/term/quarter, or as defined by your<br />
institution.<br />
If you are enrol/ed in a certificate program or part-time in a degree-seeking program, please see the Grant Program<br />
E/igibi/ity and dead//nes (next page)<br />
GENERAL SEMESTER SCHOLARSHIPS<br />
Purpose: Merit scholarships for applicants with<br />
academic promise.<br />
Requirements: Must be accepted or enrolled fulltime<br />
in either a 2-year or a 4-year undergraduate or<br />
graduate degree program Applicants should have a<br />
cumulative 2.5 GPA or better<br />
Amount: Up to $2,500 per semester<br />
Duration: One semester. A student may receive no<br />
more than two (2) general semester scholarships<br />
during the academic year.<br />
Deadlines: June 1 for the Fall term and December 1<br />
for the Winter(Spring term<br />
ACHIEVEMENT ANNUAL SCHOLARSHIPS<br />
Purpose: Merit scholarships for applicants with<br />
exceptional academic promise.<br />
Requirements: Must be accepted or enrolled fulltime<br />
in a 4-year undergraduate degree or graduate<br />
degree program. Applicants must have a cumulative<br />
3.0 GPA or better to be considered.<br />
Amount: Up to $8,000<br />
Duration: One academic year<br />
Deadline: June 1, only<br />
EXCELLENCE ANNUAL SCHOLARSHIPS<br />
Purpose: Merit scholarships for outstanding academic<br />
and community service experience.<br />
Requirements: Must be accepted or enrolled full-time<br />
in a 4-year undergraduate degree or graduate degree<br />
program Applicants must have a cumulative 3.5 GPA or<br />
better to be considered<br />
Amount: Up to $10,000<br />
Duration: One academic year<br />
Deadline: June 1, only<br />
SPECIAL EXCELLENCE ANNUAL SCHOLARSHIP<br />
Purpose: Merit scholarship for exceptional academic<br />
and community service experience.<br />
Requirements: Must be accepted or enrolled full-time<br />
in a 4-year undergraduate or graduate degree program.<br />
Applicants must have a cumulative 3.7 GPA or better.<br />
Pre<strong>fe</strong>rence is given to the fields of business, education,<br />
math, sciences, health services, and engineering. This<br />
award is made at the discretion of the Education Awards<br />
Committee.<br />
Amount: Up to $20,000<br />
Duration: One academic year<br />
Deadline: June 1, only<br />
DEADLINES<br />
Applications must be received by The CIRI Foundation on or before the deadline to receive consideration. Late<br />
applications will not be considered. The stated deadline remains in ef<strong>fe</strong>ct whether the day falls on a weekend or a<br />
holiday. Please submit an application before the start date of your coursework. Courses completed prior the<br />
application deadline are not eligible for funding When we receive more applications than the available funding,<br />
meeting the minimum selection criteria does not guarantee funding at any level Applicants are considered for the<br />
appropriate award categories based on the information provided in their application.<br />
SCHOLARSHIP AWARD USES<br />
Scholarship funds are for the direct educational expenses including tuition, student registration <strong>fe</strong>es, course-required<br />
books/supplies, and on-campus housing/meal plans. Only if funds remain after the direct educational expenses are<br />
met, then up to $500 per scholarship award may be released to the student for personal expenses.<br />
Page 6<br />
ATTACHMENT 10
THE CIRI FOUNDATION 92-0087914<br />
xg /<br />
The CIRI FOM716lL1ll0l"l 2009 sci-ioi.ARsHIP AND GRANT PROGRAM<br />
GRANT PROGRAM ELIGIBILITY<br />
The CIRI Foundation Grant program is open to original enrollees of CIRI and the direct lineal descendants (either<br />
natural-born or legally adopted) of original enrollees of CIRI. Individuals who have inherited or received gifted shares<br />
do not qualify as original enrollees. All grants are made subject to available funding and up to the amounts listed<br />
below<br />
Grant applicants are:<br />
o Students enrolled part-time in degree-seeking program taking 11 or <strong>fe</strong>wer undergraduate credit<br />
hours or 8 or <strong>fe</strong>wer graduate credit hours during a semester/term/quarter at an accredited or<br />
recognized institution ((0R))<br />
- Students enrolled part-time or full-time in a vocational training or technical skills program at an<br />
accredited or recognized institution for which a certificate of completion is earned.<br />
If you are current/y enrolled fu//-time /n a degree-seek/ng program, please see the Scholarship Program El/gibi/ity and<br />
dead//nes (previous page).<br />
VOCATIONAL TRAINING GRANTS<br />
Purpose: To promote preparation for successful<br />
careers in a specialized technical skills field<br />
Eligibility: Must be accepted or enrolled part- or fulltime<br />
in a technical skills certificate or vocational<br />
training program. Should have a high school diploma<br />
or GED, must maintain at least a 2.5 grade point<br />
average) and must be prepared to demonstrate the<br />
availability of employment upon completion of the<br />
training<br />
Amount: Up to $4,500 received during a calendar<br />
year<br />
Duration: May re-apply each quarter of a calendar<br />
year until the grant cap is reached. May re-apply the<br />
following calendar year after grant cap has been<br />
reached.<br />
Deadlines: March 31, June 30. September 30,<br />
December 1<br />
CAREER UPGRADE GRANTS<br />
Purpose: To encourage employment skills upgrades or<br />
re-entry into the job market to achieve improved Job<br />
status through promotion or success in securing<br />
employment.<br />
Eligibility: Must be accepted or enrolled part-time in a<br />
course of study that directly contributes toward<br />
potential employment or employment upgrade. Total<br />
credit hours must be 11 or <strong>fe</strong>wer undergraduate credit<br />
hours or 8 or <strong>fe</strong>wer graduate credit hours. Should<br />
have a high school diploma or GED, must maintain at<br />
least a 2 5 grade point average.<br />
Amount: Up to $4,500 received during a calendar<br />
year.<br />
Duration: May re-apply each quarter of a calendar<br />
year until the grant cap is reached. May re-apply the<br />
following calendar year after grant cap has been<br />
reached<br />
Deadlines: March 31. June 30. September 30.<br />
December 1<br />
DEADLINES<br />
Applications must be received by The CIRI Foundation on or before the deadline to receive consideration. Late<br />
applications will not be considered. The stated deadline remains in ef<strong>fe</strong>ct whether the day falls on a weekend or a<br />
holiday. Please submit an application at the deadline before the start date of your coursework Courses completed<br />
prior to the application deadline are not eligible for funding When we receive more applications than available<br />
funding, meeting the minimum selection criteria does not guarantee funding at any level Applicants are considered<br />
for the appropriate award categories based on the information provided in their application<br />
GRANT AWARD USES<br />
Grant funds are for the direct educational expenses including tuition, student registration <strong>fe</strong>es, course-required<br />
books/supplies, and on-campus housing/meal plans for students who must live away from their permanent home in<br />
order to attend college. Only if funds remain after the direct educational expenses are met, then up to $500 per<br />
calendar year may be released to the student for personal expenses<br />
Page 7<br />
ATTACHMENT I0
THE CIRI FOUNDATIOII 92-0087914<br />
X /<br />
mfizxx/ I<br />
The CHU F0iflYl6lLil10ll 2009 SCHOLARSHIP AND GRANT PROGRAM<br />
SCORING AND SELECTION CRITERIA<br />
All applications are considered for the appropriate funding categories based on information you provide in your<br />
application. During the selection process, all applications are scored and ranked based on the following criteria:<br />
the deadline 7 Financial need<br />
1. Application is submitted on-time and before 6 Personal financial contribution<br />
2. Application is complete 8 Employment preparation (Does the degree<br />
3 Cumulative GPA meets the minimum 2 S program directly relate to career goals?)<br />
requirement 9. Statement of purpose (Clarity of career goal,<br />
4. Rigor of coursework/degree program (2-yr, 4- correct grammar, giving back relationship to<br />
yr, Graduate) community, and overall quality)<br />
5 Grade level (Freshman, Sophomore, Junior, 10. Extent of community involvement and in<br />
Senior, Graduate, Certihcate) volunteer/civic activities<br />
The annual scholarship awards are highly competitive and meeting the GPA requirement is only part of the selection<br />
process. Other factors considered in the selection of annual scholarship awards include an exceptional statement of<br />
purpose with a clear articulation of education and career goals, a high level of community service and civic activities,<br />
and a demonstrated intent to give back to community and Alaska.<br />
NOTIFICATION OF FUNDING DECISIONS<br />
The CIRI Foundation"s Education Awards Committee makes the award selections and all decisions are final. All<br />
funding decisions are released in writing. Results are not released over the telephone or in person. Students are sent<br />
an award letter that contains important details regarding the terms and responsibilities of the recipient. It is essential<br />
that award recipients read and understand fully the terms of their financial aid<br />
INFRACTION PROVISION POLICY<br />
Award recipients are required to complete all courses and credits for which they are funded, and maintain a<br />
cumulative GPA of 2 5 or higher on a 4 0 grading scale. Failure to meet the terms of an award may Jeopardize an<br />
applicantfs future eligibility. Except in cases of special circumstances, recipients who infract will be ineligible to apply<br />
to The CIRI Foundation for two (2) award deadlines from the date of determination.<br />
CONDITIONAL AWARDS<br />
If you receive a conditional scholarship, grant, or <strong>fe</strong>llowship award, you have thirty (30) days from the date on the<br />
conditional award letter to fulfill the award requirements. Funds will be released only if the requested information is<br />
provided to The CIRI Foundation by the conditional award deadline. If an application remains incomplete after the<br />
conditional award deadline, the award is automatically canceled.<br />
DISBURSEMENT OF FUNDS<br />
Award checks are made payable to both the student and the university/school, and must be endorsed by both parties<br />
to be processed. Award checks are sent directly to the financial aid office at the institution specified on your<br />
application. Students are sent a photocopy of the disbursement letter that accompanies the award check. To avoid<br />
unnecessary delay in the receipt of your financial aid, please provide accurate payment information on your<br />
application. If your educational program requires a dif<strong>fe</strong>rent payment procedure (ie payable to school only, online<br />
program), please indicate on the application (line #13)<br />
PROOF OF COMPLETION<br />
Scholarship and grant recipients must submit final official grade transcripts or certificates upon the completion of each<br />
semester/term of funding Proof of completion must be received before any additional funds will be released or future<br />
applications can be considered.<br />
NUMBER OF AWARDS<br />
While there are several Foundation scholarship and education grant programs, an applicant is permitted to receive<br />
only one (1) award at a time and no more than two (2) semester scholarship awards per academic year or the<br />
maximum amount of grant funding in a calendar year.<br />
If you have questions or issues that are not addressed in these guidelines,<br />
please visit the Frequently Asked Questions (FAQ) section of our website: yvww.thecirifoundation.orq<br />
Page 8<br />
ATTACHMENT 10
i. / l<br />
xgxxf<br />
The CIRI Foundation 2009 scHoi.ARsH1P AND GRANT PROGRAM<br />
DESIGNATED ENDOWMENTS AND NAMED FUNDS<br />
In addition to scholarships and grants awarded from The CIRI Foundation General Endowment, TCF also manages<br />
several designated endowments and named funds. These funds were established by community members to celebrate<br />
individuals and recognize specific accomplishments.<br />
THE CIRI FOUND/U10* . 92-0037914<br />
Eligible applicants are original enrollees of CIRI and the direct lineal descendants (either natural-born or legally<br />
adopted) of original enrollees of CIRI Inherited or gifted shares do not qualify as original enrollment. Awards from<br />
the designated endowments and named funds are only considered at the deadlines specified below.<br />
ALL DESIGNATED ENDOWMENT AND NAMED FUND AWARDS ARE SUBJECT TO AVAILABLE FUNDING.<br />
SUSIE QIMMIQSAK BEVINS ENDOWMENT<br />
SCHOLARSHIP FUND<br />
Established in 1990 with donations received through<br />
the CIRI Golf Classic to encourage students enrolled in<br />
the literary, performing, and visual arts<br />
Eligibility: Must be accepted or enrolled full-time in a<br />
2-year or 4-year undergraduate degree or graduate<br />
degree program in the literary, performing, or visual<br />
arts. Should have a cumulative 2.5 GPA or better.<br />
Amount: $2,000 maximum based on stated need.<br />
Duration: One semester only.<br />
Deadlines: June 1 and December 1<br />
JOHN N. COLBERG ENDOWMENT SCHOLARSHIP<br />
FUND<br />
Established in memoriam by CIRI, Sally Berlin and<br />
Frank Saracoff, Peter and Evelyn Hocson, and Robert<br />
and Kathy Woodhead to encourage students pursuing<br />
the study of law.<br />
Eligibility: Pre<strong>fe</strong>rence for undergraduate degree or<br />
graduate degree students enrolled in the study of law.<br />
Should have a cumulative 2.5 GPA or better.<br />
Deadline: June 1, only<br />
ROY M. HUHNDORF ENDOWMENT SCHOLARSHIP<br />
FUND<br />
Established by Southcentral Foundation in 1995 to<br />
encourage students seeking an undergraduate degree<br />
or graduate degree particularly in health services.<br />
Eligibililty: Pre<strong>fe</strong>rence is given to students enrolled in<br />
health fields.<br />
Deadlines: June 1 and December 1<br />
PETER KALIFORNSKY MEMORIAL ENDOWMENT<br />
SCHOLARSHIP FUND<br />
Established by CIRI in 1993 to encourage students<br />
enrolled in Alaska Native studies.<br />
Eligibility: Pre<strong>fe</strong>rence is given to students enrolled in<br />
Alaska Native studies.<br />
Deadlines: June 1 and December 1<br />
KECK/WESTMIN ENDOWMENT SCHOLARSHIP<br />
FUND<br />
Established by Howard Keck and Westmin, Ltd. to<br />
encourage undergraduate or graduate students in all<br />
fields.<br />
Deadlines: June 1 and December 1<br />
CARL H. MARRS SCHOLARSHIP FUND<br />
Established in recognition of Carl H. Marrs in 2001 to<br />
encourage students seeking an undergraduate or<br />
graduate degree in business administration,<br />
economics, finance, organizational management,<br />
accounting or similar fields. Funds provided by<br />
Barbara Donatelli, Craig and Thea Floerchinger, Mark<br />
and Leslie Kroloff, Kirk McGee, and Gloria O*Neill.<br />
Deadline: June 1, only<br />
LAWRENCE MATSON MEMORIAL ENDOWMENT<br />
SCHOLARSHIP FUND<br />
Established by Cook Inlet Region, Inc. in 1989 to<br />
provide merit scholarships.<br />
Eligibility: Pre<strong>fe</strong>rence is given to students enrolled in<br />
liberal arts fields - language, education, social<br />
sciences, arts, communications, and law<br />
Deadlines: June 1 and December 1<br />
KIRBY MCDONALD EDUCATION ENDOWMENT<br />
SCHOLARSHIP FUND<br />
Established by Kirby McDonald in 1991 to encourage<br />
careers in the culinary arts.<br />
Eligibility: Pre<strong>fe</strong>rence is given to students enrolled in<br />
the culinary arts, business, or engineering.<br />
Deadlines: June 1 and December 1<br />
GEORGE MILLER JR. MANAGEMENT LEADERSHIP<br />
ENDOWMENT FELLOWSHIP<br />
Established by CIRI in memory of George Miller, Jr in<br />
1996 to foster improvement of tribal, cultural and<br />
corporate management skills for career advancement<br />
Eligibility: Must be a business leader of demonstrated<br />
outstanding ability and potential to improve tribal,<br />
cultural and business leadership and management<br />
skills for career advancement.<br />
Amount: Up to $6,000.<br />
Duration: One year. May apply once during the<br />
calendar year.<br />
Special <strong>fe</strong>atures: The Fellowship is for organizational<br />
management courses of study, internships or<br />
specialized or general management or organizational<br />
training programs.<br />
Deadlines: June 1 or December 1<br />
Page 9<br />
ATTACHMENT I0
THE CIRI FOUNDATI$ . 92-00g7914<br />
N I<br />
xfbxr/<br />
The CIRI FOMHCIGIIIOTL 2009 SCHOLARSHIP AND GRANT PROGRAM<br />
VILLAGE SCHOLARSHIP AND GRANT PROGRAM DESCRIPTIONS<br />
The CIRI Foundation is proud to suppoit the members of and descendants of original enrollees of the following villages<br />
in the Cook Inlet Region These funds administered by The CIRI Foundation through management agreements with<br />
each village corporation.<br />
Applicants who meet the necessary eligibility requirements may be considered for awards from both TCF General<br />
Endowment and the village funds. Awards from the village funds are only considered at the deadlines specified below.<br />
ALL VILLAGE SCHOLARSHIP AND GRANT AWARDS ARE SUBJECT TO AVAILABLE FUNDING.<br />
NINILCHIK NATIVE ASSOCIATION, INC. (NNAI)<br />
SCHOLARSHIP AND GRANT PROGRAM<br />
Established in 1992 by the Ninilchik Native<br />
Association, Inc. to of<strong>fe</strong>r merit-based scholarships.<br />
Eligibility: Original enrollees of NNAI and their direct<br />
lineal descendants Must be accepted or enrolled<br />
full-time in an undergraduate or graduate degree<br />
program or technical skills training program. For<br />
tuition, required <strong>fe</strong>es, books, on-campus-related<br />
room, and meal plan and for other direct school<br />
related costs. Should have a cumulative 2.5 grade<br />
point average or better<br />
Duration: One semester. Must re-apply each<br />
semester<br />
Deadline: June 1 and December 1 for scholarshig,<br />
June 30 for grants<br />
SALAMATOF NATIVE ASSOCIATION, INC.<br />
(SNAI) SCHOLARSHIP PROGRAM<br />
Established in 1992 by the Salamatof Native<br />
Association, Inc. to of<strong>fe</strong>r merit scholarships.<br />
Eligibility: Original enrollees of SNAI, their direct<br />
lineal descendants, and spouses. Must be accepted<br />
or enrolled full-time in an undergraduate or graduate<br />
degree program or technical skills training program.<br />
For tuition, required <strong>fe</strong>es, books, on-campus-related<br />
room, and meal plan and for other direct school<br />
related costs. Should have a cumulative 2.5 grade<br />
point average or better<br />
Duration: Annual. Applicants apply only one time<br />
during the year.<br />
Deadline: June 1, only<br />
TYONEK NATIVE CORPORATION SCHOLARSHIP<br />
(TNC/NVT) AND GRANT PROGRAM<br />
Established by the Tyonek Native Corporation in 1989 to<br />
encourage pro<strong>fe</strong>ssional preparation for careers after high<br />
school<br />
Eligibility: Original enrollees of TNC, their direct lineal<br />
descendants, and tribal members of the Native Village of<br />
Tyonek (NVT). Must be accepted or enrolled full-time in<br />
an accredited or otherwise approved post-secondary<br />
college, university, or technical skills education program.<br />
Must have a cumulative 2 O grade point average or<br />
better.<br />
Duration: Scholarship applicants must re-apply each<br />
semester. Grant applicants may re-apply each deadline<br />
of a calendar year until the funding cap is reached and<br />
may re-apply the following calendar year after grant cap<br />
has been reached.<br />
Deadline: June 1 and December 1 for scholarships:<br />
March 31. June 30, September 30. December 1 for<br />
QFBDLS<br />
EKLUTNA, INC. SCHOLARSHIP AND GRANT<br />
PROGRAM<br />
A separate agp//cat/on is required. Applications and<br />
guidelines for the Eklutna, Inc. Scholarship and Grant<br />
Program are available on our website at<br />
www.thecirifoundation org.<br />
Page 10<br />
ATTACHMENT I0
THE CIRI FOUNDAT1(), . 92-0087914<br />
N /<br />
The CIRI Foundation 2009 scHoi.ARsH1P AND GRANT PROGRAM<br />
Which Deadline should l apply for?<br />
Full-Time Student Part-Time Student<br />
v 3 J<br />
Certificate-Seeking<br />
Program<br />
I am 3-" Undergraduate 12+ credits<br />
Graduate 9+ credits .<br />
Degree-Seeking Program<br />
In au. .Associates oBachelors<br />
.Masters aDoctorate<br />
Undergraduate 11 credits or <strong>fe</strong>wer<br />
Graduate 8 credits or <strong>fe</strong>wer<br />
Scholarships Grants Grants<br />
General Semester Career Upgrade Vocational-Training<br />
M Applicatiaflieadlme:<br />
June 1 : Fall Funding June 30, September 30,<br />
December1 : Splr-ing funding December 1, March 31<br />
See page 6 for Scholarship See page 7 for Grant<br />
Program descriptions Program descriptions<br />
Page 11<br />
ATTACHMENT I0
THE CIRI FOUNDATION 92-0087914<br />
FORM 990PF. PART XV. 3(3) - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR<br />
Last Name First Name<br />
Abalama Vivian<br />
Active Raelene<br />
Alex Lyon<br />
Skaggs<br />
Sarah<br />
Allen Tracy<br />
Almon Kristy<br />
Amaktoolik Candice<br />
Anderson Nicole<br />
Anderson Megan<br />
Anderson Jenni<strong>fe</strong>r<br />
Andrews, Jr Vtfilliam<br />
Andus Tanishia<br />
Apok<br />
Erica<br />
Arendt Diane<br />
Ashley Tammy<br />
Ashley<br />
Chester<br />
Austin Christopher<br />
Ayek Kimberly<br />
Baker Debra<br />
Barnes John<br />
Barnes Alexandra<br />
Barnes Joseph<br />
Bartlett Jussi<br />
It recipient is an<br />
Recipient ,,,d,,,,d,,a,, show any Foundation<br />
rp gr io Amount<br />
relationship I0 any status of Pu ose of ant or contribut n<br />
Address foundation manager or reclplem<br />
substantial contritutor<br />
University of Maryland - Univ College<br />
BURSAR-3501 Univ Blvd E , SFSC 22i None N/A Career Upgrade Grant 875<br />
Adelphi, MD 20783<br />
Trendsetters Hair Salon and School<br />
407 E Northern Lights Blvd<br />
Anchoraqg AK 99503<br />
None N/A Vocational Training Grant 2,800<br />
Everest College<br />
2156 Pacitlc Ave<br />
Tacoma. WA 98402<br />
None N/A Vocational Training Grant 1,575<br />
Washington State University<br />
PO Box 641068<br />
Pullman, WA 99164<br />
Piledrivers and Divers Local Union 252i<br />
None N/A General Semester Scholarship 4,016<br />
825 East 8th Ave<br />
Anchoraqg, AK 99501<br />
None N/A Vocational Training Grant 1,964<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks. AK 99775<br />
None N/A General Semester Scholarship 1,966<br />
San Diego City College<br />
1313 Park Blvd A-113<br />
San Dieqg, CA 92101<br />
None N/A General Semester Scholarship 1,327<br />
Bastyr University<br />
14500 Juanita Dr NE<br />
Kenmore, WA 98028<br />
None N/A General Semester Scholarship 2,050<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514-1608<br />
None N/A General Semester Scholarship 2,050<br />
Alaska Medical Training Associates<br />
300 W Swansan, Ste 101<br />
Wasilla, AK 99654<br />
None N/A Vocational Training Grant 2,600<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg-, AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Seminary of the Southwest<br />
501 East 32nd Street<br />
Austin, TX 78705<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraohei AK 99514-1608<br />
None N/A Career Upgrade Grant 875<br />
Virginia Polytechnic Institute and State<br />
200 Student Sen/ices Building<br />
Blacksburq, VA 24061<br />
None N/A General Semester Scholarship 1,966<br />
University of Tennessee at Martin<br />
205 Administration Bldg<br />
Martin. TN 38238<br />
None N/A General Semester Scholarship 4,016<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 3,011<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
West Coast Trianing<br />
None N/A Career Upgrade Grant 1,095<br />
3805 Dike Road<br />
P O Box 970<br />
Woodland. WA 98674<br />
None N/A Vocational Training Grant 2,800<br />
University of Washington, Seattle<br />
P O Box 355880<br />
Seattle, WA 98195<br />
None N/A General Semester Scholarship 4,016<br />
Evergreen State College<br />
2700 Evergreen Parkway NW<br />
Olvmpia, WA 98502<br />
None N/A General Semester Scholarship 4,016<br />
Everett Community College<br />
2000 Tower Street<br />
Everett, WA 98201<br />
None N/A Career Upgrade Grant 2,775<br />
PAGE 1 ofATTACHMENT 11
THE ClRl FOUNDATION 92-0087914<br />
I1 recipient is an<br />
Reclplent individual, show any F07-mdatlon<br />
Last Name First Name Address f"""da"0" manage* C" recipient<br />
substantial contritulor<br />
C nBlu<br />
ary Art<br />
Baumann Natasha<br />
Baumann Ashley<br />
Becker Mara<br />
Becker Christina<br />
Bell Jamieann<br />
Bell Margaret<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
Le ordo e College of Culin<br />
1315 Mendota Heights Rd<br />
Mendota Heiqhts, MN 55120<br />
None<br />
N/A General Semester Scholarship 2,050<br />
Hillsdale College<br />
33 East College Street<br />
Hillsdale, Ml 49242<br />
None N/A General Semester Scholarship 4,016<br />
Seattle University<br />
901 12th Ave<br />
Seattle, WA 98122<br />
None N/A General Semester Scholarship 1,966<br />
Charter College<br />
2221 East Northern Lights Blvd , Ste 1<br />
Anchoraqg, AK 99508<br />
None N/A Career Upgrade Grant 3,200<br />
University of Alaska Anchorage<br />
P.O Box 141608<br />
Anchoraqg AK 99514-1608<br />
None N/A General Semester Scholarship 2,050<br />
Charter College<br />
2221 East Northern Lights Blvd<br />
Anchoraqg, AK 99508-4140<br />
Ste 111 None N/A Career Upgrade Grant 6,000<br />
Bennett Cami<br />
University of North Dakota<br />
Twamley Hall Rm 216, 264 Centennial<br />
Grand Forks, ND 58202-8371<br />
None N/A General Semester Scholarship 1,966<br />
McNeese State University<br />
Benoit Kara PO Box 93260<br />
Lake Charles, LA 70605<br />
None N/A General Semester Scholarship 4,016<br />
Berg<br />
University of Alaska Southeast<br />
Maia Sabrina 11120 Glacier Highway<br />
Juneau. AK 99801<br />
None N/A Career Upgrade Grant 1,970<br />
University of Alaska Fairbanks<br />
Berg Rosema ry 101 Eilson Building P O Box 756360<br />
Fairbanks. AK 99775<br />
Alaska Vocational Technical Center<br />
None N/A General Semester Scholarship 2,050<br />
Berg Bronson PO Box 889<br />
Seward, AK 99664<br />
None N/A Vocational Training Grant 3,535<br />
San Francisco State University<br />
Berry David 1600 Holloway<br />
San Francisco, CA 94132<br />
None N/A Vocational Training Grant 1,575<br />
Berry Telicia<br />
Bissett Perea Jessica<br />
University of Delaware<br />
Office of Scholarship and Financial Aid<br />
Newark. DE 19716<br />
University of California, Los Angeles<br />
10920 Wilshire Blvd , Ste 107<br />
Los Anqeles, CA 90024-6503<br />
None<br />
None<br />
N/A<br />
N/A<br />
General Semester Scholarship<br />
Excellence Annual Scholarship<br />
1,966<br />
5,000<br />
Bleakley Ann-Marie<br />
Sandhills Community College<br />
3395 Airport Road<br />
Pinehurst, NC 28374<br />
None N/A Career Upgrade Grant 875<br />
Bogard Camerin<br />
Kenai Peninsula Community College<br />
34820 College Drive<br />
Soldotna.AK 99669<br />
None N/A Career Upgrade Grant 875<br />
Bogard Rachel<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchorage, AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
Boin Tasha<br />
Jones International University<br />
9697 E MineralAvenue<br />
Centennial, CO 80112<br />
Alaska Med Code LLC<br />
None N/A General Semester Scholarship 4,016<br />
Bolam Amy P O Box 233165<br />
Anchoraqg, AK 99523<br />
None N/A Vocational Training Grant 1,575<br />
CompuCom<br />
Bouwens Vlhlliam 3000 C Street, North Vthng, Ste<br />
Anchoraqg, AK 99503<br />
102 None N/A Vocational Training Grant 500<br />
Brayko Andrea<br />
Oregon State University<br />
218 Kerr Administration Bldg<br />
Corvallis, OR 97331<br />
None N/A Excellence Annual Scholarship 5,000<br />
Brewer Michaela<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Brown Hunter<br />
University of Washington<br />
P O Box 355880<br />
Seattle. WA 98195-5880<br />
None N/A Career Upgrade Grant 1,095<br />
PAGE 2 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Brown Franklin<br />
if recipient is an<br />
Recipient ,,,d,,,,dL,a,, show any Foundation<br />
Last Name First Name Address foundallon manager" recipient<br />
substantial contrilulo<br />
Bruce-Arriaga Tina<br />
Brunkhorst Nathan<br />
Bryant<br />
Bunz<br />
Burdette<br />
Burgoyne<br />
Burgoyne<br />
Burnett<br />
Butler<br />
Byerly<br />
Campbell<br />
Campbell<br />
Canfield<br />
Carlson<br />
Carson<br />
Chapman<br />
Chapman<br />
Chase<br />
Cheatham Cooper<br />
Chickalusion KC<br />
Chord Amanda<br />
Chord Melissa<br />
Brigham Young University<br />
A-41 ASB<br />
Provo, UT 84602<br />
University of Nevada Las Vegas<br />
PO Box 452016, 4505 S Maryland Par<br />
Las Vegas, NV 89154<br />
University of Wisconsin, Stout<br />
802 S Broadway St<br />
Menomonie, Wl 54751<br />
Austin Peay State University<br />
Ellington Building Rm 216 P O Box 45<br />
Clarkvilie. TN 37044<br />
California State University, Fullerton<br />
PO Box 6804-UH146<br />
Fullerton, CA 92834<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
New Mexico lnstitue of Mining & Techn<br />
801 Leroy Place<br />
Soccoro, NM 87801<br />
University of Alaska Southeast<br />
11120 Glacier Highway<br />
Juneau. AK 99801<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514-1608<br />
Touro University<br />
Attn Amanda Paredez<br />
874 American Pacific Drive<br />
Henderson, NV 89014<br />
Evergreen State College<br />
2700 Evergreen Parkway NW<br />
Olympia. WA 98505<br />
Li<strong>fe</strong> University<br />
1269 Barclay Circle<br />
Marietta , GA 30080<br />
Oregon State University<br />
Office of Financial Aid and Scholarship<br />
218 Kerr Administration Building<br />
Corvallis, OR 97331<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
University of Maryland, University Collel<br />
Unit 29216<br />
APO, AE 09102<br />
Liberty University<br />
1971 University Blvd<br />
Lynchburq, VA 24502<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Oregon Institute of Technology<br />
3201 Campus Drive<br />
Klamath Falls, OR 97601<br />
Baker College<br />
1903 Marquette Ave Attn Financial Aia<br />
Muskeqon, Ml 49442<br />
New York University<br />
25 W 4th St<br />
New York, NY 10011<br />
University of Houston<br />
31 E Cullen Building<br />
Houston. TX 77204-1010<br />
Brigham Young University Idaho<br />
525 South Center Street<br />
Rexburqi ID 83460<br />
Brigham Young University, Idaho<br />
100 Kimball Building<br />
Rexburq, lD 83460-1610<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
None<br />
N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Vocational Training Grant 4,300<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 644<br />
None N/A Career Upgrade Grant 2,450<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Vocational Training Grant 4,100<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
PAGE 3 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Christenson Robert<br />
ll recipient is an<br />
Recipient inaiviauai, show any Foundation<br />
Last Name First Name Address f"""da"0" manage* of recipient<br />
Christiansen l Ashley<br />
Christiansen Anthony<br />
Chuitt Anthony<br />
Chulin Wayne<br />
Clayton<br />
Jenna<br />
Cof<strong>fe</strong>e Joseph<br />
Cogan<br />
Halena<br />
Coleman Rikki<br />
Consiel Troy<br />
Coppedge<br />
Malika<br />
Corcoran Jessica<br />
Coveyou<br />
Coveyou<br />
Vlhlliam<br />
Craft Erin<br />
Katherine<br />
Cunning <strong>Charity</strong><br />
Curtis Erica<br />
Curtis Jessica<br />
Cutschall Kimimila<br />
Damon Cynthia<br />
David Randall<br />
Davis Anita<br />
Davis Kiana<br />
Charter College<br />
2221 East Northern Lights Blvd , Ste 1<br />
Anchoraqg, AK 99502<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg, AK 99508<br />
Ohio University Correspondence Cours.<br />
Hanning Hall 222<br />
Athens, OH 45701-2979<br />
Trenholm State Technical College<br />
Attn Matha Arrington<br />
3920 Troy Highway<br />
Montqomerv., AL 36116<br />
San Bernadino Valley College<br />
701 South Mount Vernon Ave<br />
San Bernadino, CA 92401<br />
University of Georgia<br />
220 HolmestHunter Academic Bldg<br />
Athens, GA 30602<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
Charter College<br />
721 W Parks Hwy<br />
Wasilla,AK 99654<br />
AVTEC<br />
P O Box 889<br />
Seward, AK 99664<br />
University of Nevada, Las Vegas<br />
4505 Maryland Parkway Box 452016<br />
Las Veqas. NV 89154<br />
North Carolina State University<br />
Box 7302<br />
Raleiqh, NC 27607<br />
Trans Union Truck Driving School<br />
4624 River Road E<br />
Tacoma, WA 98443<br />
Sam Houston State University<br />
1903 University, Estill 201 Box 2328<br />
Huntsville. TX 77341<br />
Northwest Community College<br />
231 W 6th St<br />
Powell, WY 82435<br />
Alaska Pacific University<br />
4101 University Dnve<br />
Anchoraqg, AK 99508<br />
California State Polytechnic University,<br />
3801 West Temple Ave Bld 26A<br />
Pomona, CA 91768<br />
California State Polytechnic University<br />
3801 West Temple Ave , Bld 26A<br />
Pomona. CA 91768<br />
Black Hills State University<br />
515 West Boulevard<br />
Rapid City, SD 57701<br />
University of New Mexico Gallup<br />
200 College Road<br />
Gallug NM 87301<br />
The Paralegal lnstitute<br />
18275 N 59th Ave , Ste 186<br />
Glendale, AZ 85308<br />
Wayland Baptist University<br />
7801 East 32nd<br />
Anchoraqg AK 99504<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
<strong>fe</strong>lalifmship I0 any status of Purpose of grant or contribution Amount<br />
substantial contritulor I<br />
None N/A Career Upgrade Grant<br />
3,200<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,935<br />
None N/A Vocational Training Grant 576<br />
None N/A Career Upgrade Grant 486<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Career Upgrade Grant 5,500<br />
None N/A Vocational Training Grant 1,575<br />
None N/A Career Upgrade Grant 3,200<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Vocational Training Grant 1,575<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A Career Upgrade Grant 875<br />
None N/A Career Upgrade Grant 2,649<br />
None N/A Career Upgrade Grant 4,554<br />
None N/A General Semester Scholarship 581<br />
None N/A General Semester Scholarship 1,691<br />
None N/A General Semester Scholarship 1,775<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A Career Upgrade Grant 1,875<br />
PAGE 4 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
ll recipient ls an<br />
Recipient .,,,,,,,,,,,,a,, show any Foundation<br />
Last Name First Name Address foundatlon "Wager of recipient<br />
substantial contritulor<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
Davis Hannah<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None<br />
N/A General Semester Scholarship 4,550<br />
Demldoff Cecilia<br />
Southern New Hampshire University<br />
2500 N River Rd<br />
Manchester, NH 03106<br />
None N/A General Semester Scholarship 4,016<br />
Dock Halane<br />
Career Academy<br />
1415 E Tudor Rd<br />
Anchoraqg, AK 99507<br />
Boise State University<br />
None N/A Vocational Training Grant 3,535<br />
Dolifka Jeffrey<br />
Admin Building, Rm 113<br />
1910 University Drive<br />
Boise, ID 83725-1320<br />
None N/A General Semester Scholarship 4,016<br />
Donaldson Jeremy<br />
Everest College<br />
425 SW Washington<br />
Portland, OR 97204<br />
None N/A Vocational Training Grant 2,600<br />
Doss Barbara<br />
Nine Star Education & Employment Se<br />
125 Fifth Ave<br />
Anchoraqg, AK<br />
None N/A Vocational Training Grant 1,250<br />
Dotson Jessica<br />
Pacific Lutheran University<br />
Ofnce of Financial Aid<br />
Tacoma, WA 98447<br />
None N/A General Semester Scholarship 4,016<br />
Pacific University<br />
Draper Terri 2043 College Way<br />
Forest Grove, OR 97116<br />
None N/A Achievement Annual Scholarship 4,000<br />
Eben Michael<br />
Colorado State University<br />
1062 Campus Delivery<br />
Fort Collins, CO 80523<br />
None N/A General Semester Scholarship 1,966<br />
Edelman Zsanelle<br />
Washington State University<br />
PO Box 641068<br />
Pullman. WA 99164<br />
None N/A General Semester Scholarship 2,050<br />
Edgenon Evan<br />
Western Washington University<br />
516 High St, Old Main 265<br />
Bellingham, WA 98225<br />
None N/A General Semester Scholarship 4,016<br />
Edwin Jessica<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Achievement Annual Scholarship 4,000<br />
Egelak Chrystal<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchorage, AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Eichholz Adam<br />
Western Washington University<br />
516 High Street<br />
Bellingham, WA 98225<br />
None N/A General Semester Scholarship 1,966<br />
Eluska Jacqulyn<br />
Career Academy<br />
1415 Tudor Road<br />
Anchoraqg, AK 99507<br />
None N/A Vocational Training Grant 2,600<br />
Emery Chyanne<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514-1608<br />
None N/A General Semester Scholarship 2,050<br />
Erickson<br />
Estes<br />
Fauceh<br />
Michelle<br />
Justin<br />
Bertha<br />
Arizona State University<br />
PO Box 870412<br />
Temg, AZ 85287<br />
Portland State University<br />
P O Box 851<br />
Portland, OR 97207-0851<br />
U S Career Institute<br />
2001 Lowe Street<br />
Fort Collins, CO 80525<br />
None<br />
None<br />
None<br />
N/A<br />
N/A<br />
N/A<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
Vocational Training Grant<br />
4,016<br />
2,050<br />
2,108<br />
Fehr Elizabeth<br />
Williams Baptist College<br />
P O Box 3734<br />
Walnut Ridqg, AR 72476<br />
None N/A General Semester Scholarship 1,966<br />
Fehr Erin<br />
University of Oklahoma<br />
1000 Asp Ave, Buchanan Hall Rm 216I<br />
Norman, OK 73019-4078<br />
None N/A General Semester Scholarship 1,966<br />
Fehr Esther<br />
Williams Baptist College<br />
P O Box 3734<br />
Walnut Ridqg, AR 72476<br />
None N/A General Semester Scholarship 1,966<br />
Feller Erin<br />
Washington State University<br />
PO Box 641068<br />
Pullman, WA 99163<br />
None N/A General Semester Scholarship 4,016<br />
PAGE 5 of ATTACHMENT 11
, I O<br />
THE CIRI FOUNDATION 92-0087914<br />
l<br />
ll recipient is an<br />
Reclplent individual, show any Foundation<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
LastName First Name Address f0""da"o"ma"a9e"" recipient<br />
substantial contntutor<br />
Wake Forest University School of Medi<br />
Fehon Vance Office of Financial Aid, Medical Center<br />
Winston-Salem, NC 27157-1090<br />
None<br />
N/A General Semester Scholarship 1,966<br />
Finnegan Brenda<br />
Salt Lake Community College<br />
P O Box 30808<br />
Salt Lake City, UT 84130<br />
None N/A General Semester Scholarship 2,050<br />
Columbia Basin College<br />
Fitzhugh Marquia 2600 North 20th Avenue<br />
Pasco, WA 99301<br />
None N/A General Semester Scholarship 1,966<br />
Flyum Charlene<br />
University of Alaska Southeast<br />
11120 Glacier Highway<br />
Juneau, AK 99801<br />
None N/A General Semester Scholarship 1,966<br />
Charter College<br />
Folger Amy 721 W Parks Highway<br />
Wasilla,AK 99654<br />
None N/A Vocational Training Grant 1,575<br />
Foss Janelle<br />
Southwestern Oregon Community Colld<br />
1988 Newmark Ave<br />
Coos Bay, OR 97420<br />
None N/A General Semester Scholarship 1,966<br />
Foster Darren<br />
West Virginia University<br />
PO Box 6004<br />
Morqantown, WV 26505<br />
None N/A General Semester Scholarship 4,016<br />
Fy<strong>fe</strong> Robert<br />
Center for Employment Education<br />
1749 Ship Ave<br />
Anchoraq-ei AK 99501<br />
None N/A Vocational Training Grant 2,600<br />
Gaines Shauna<br />
University of Kentucky<br />
128 Funkhouser Building<br />
Lexinqton. KY 40506<br />
None N/A General Semester Scholarship 2,050<br />
Garber Sebastian<br />
Western Washington University<br />
516 High St Old Main 265<br />
Bellinqham. WA 98225<br />
None N/A General Semester Scholarship 2,050<br />
Garcia Rose<br />
Career Academy<br />
1415 Tudor Road<br />
Anchoraqg AK 99507-1033<br />
None N/A Vocational Training Grant 2,600<br />
University of Alaska Kachemak Bay Cal<br />
Garvey Matthew PO Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
Gilbert Aaron<br />
Alaska"s Nautical Training School<br />
4855 E Alder Drive<br />
Wasilla, AK 99654<br />
None N/A Vocational Training Grant 1,657<br />
Gilbert Joshua<br />
Lane Community College<br />
4000 E 30th Ave<br />
Eugene, OR 97405<br />
None N/A General Semester Scholarship 1,966<br />
Giles Spencer<br />
University of Alaska Fairbanks<br />
PO Box 756360<br />
Fairbanks, AK 99775-6360<br />
None N/A General Semester Scholarship 2,050<br />
Giles Jenni<strong>fe</strong>r<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
None N/A General Semester Scholarship 4,016<br />
Gilheany LC<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Career Upgrade Grant 875<br />
University of Alaska Southeast<br />
Gladsjo Dorothy 11120 Glacier Highway<br />
Juneau, AK 99801<br />
None N/A Career Upgrade Grant 1,970<br />
Glaser Michelle<br />
Yakima Valley Community College<br />
PO Box 22520<br />
Yakima. WA 98907<br />
None N/A General Semester Scholarship 4,016<br />
Glick Kory<br />
Northern Industrial Training<br />
6177 E Mountain Heather Drive, St64<br />
Palmer, AK 99645<br />
None N/A Vocational Training Grant 2,600<br />
Gonnason David<br />
Oregon State University<br />
218 Kerr Administration Building<br />
Con/allis, OR 97331<br />
None N/A General Semester Scholarship 1,966<br />
Grabler Aron<br />
University of Southern Maine<br />
108 Corthell Hall, 37 College Avenue<br />
Gorham. ME 04038<br />
None N/A Career Upgrade Grant 1,095<br />
Graves Sherry<br />
West Virginia University lnstitute of Te<br />
405 Fayette Turnpike<br />
Montoomerv, WV 25136<br />
None N/A General Semester Scholarship 2,050<br />
PAGE 6 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
ll recipient is an<br />
Reclplent individual, show any Foundation<br />
LastName First Name Address f"""da"0"ma"a9e"" recipient<br />
substantial contritutor<br />
relationship tv any status of Purpose of grant or contribution Amount<br />
Greiner Jorden<br />
University of Puget Sound<br />
1500 N Warner St #1039<br />
Tacoma.WA 98416<br />
None<br />
N/A General Semester Scholarship 2,050<br />
New York Institute of Photography<br />
Griffin Maria 211 East 43rd Street, Ste 2402<br />
None N/A Vocational Training Grant 898<br />
New York, NY 10017<br />
AVTEC<br />
Griner Garret P O Box 889<br />
Seward, AK 99664<br />
None N/A Vocational Training Grant 1,575<br />
Rocky Mountain College<br />
Grow Allison 1511 Poly Drive<br />
Billinqs, MT 59102<br />
California State University, Northridge<br />
None N/A General Semester Scholarship 4,016<br />
Gunter Marcus Tribal Scholarships<br />
18111 Nordhoff St.<br />
Northndqg CA 91330<br />
None N/A General Semester Scholarship 2,050<br />
University of Idaho, Moscow<br />
Hakala Austin PO Box 444291<br />
Moscow, lD 83844<br />
None N/A General Semester Scholarship 2,050<br />
Oregon State University<br />
Hale Tia 218 Kerr Administration Building<br />
Corvallis, OR 97331<br />
None N/A Eklutna Career Upgrade Grant 3,050<br />
Hansen Hans<br />
Pacific University<br />
2043 College Way<br />
Forest Grove, OR 97116<br />
None N/A General Semester Scholarship 2,500<br />
Hansen Kevin<br />
Dickinson State University<br />
291 Campus Drive<br />
Dickinson, ND 58601<br />
None N/A General Semester Scholarship 4,016<br />
Hannan Kathleen<br />
University of Alaska Southeast<br />
11120 Glacier Highway<br />
Juneau, AK 99801<br />
None N/A General Semester Scholarship 1,966<br />
Conservatory Recording Arts and Scier*<br />
Harper Dennis 1205 N Fiesta Blvd<br />
Gilbert, AZ 85233<br />
None N/A Vocational Training Grant 1,960<br />
Harrington Travis<br />
Western Seminary<br />
5511 SE Hawthorne Blvd<br />
Portland, OR 97215-3367<br />
None N/A Career Upgrade Grant 4,560<br />
Hart Clifton<br />
Lincoln Christian College 8. Seminary<br />
100 Campus View Drive<br />
Lincoln, lL 62656<br />
National Archives and Records Adminil<br />
None N/A General Semester Scholarship 2,050<br />
Hartgrove Monique Room 5320, 8601 Adelphi Road<br />
Colleqe Park. MD 20740<br />
None N/A Vocational Training Grant 1,960<br />
Hartley Rebecca<br />
Rochester Institute of Technolog Y<br />
60 Lomb Memorial Drive<br />
Rochester, NY 14623<br />
None N/A General Semester Scholarship 2,050<br />
Hatch Lauren<br />
Edmonds Community College<br />
20000 68th Ave W<br />
Lynnwood, WA 98036<br />
None N/A General Semester Scholarship 1,625<br />
Hazen Virginia<br />
University of Southern California<br />
USC Financial Aid Office, University Pa<br />
Los Anqeles, CA 90089-0914<br />
None N/A General Semester Scholarship 4,016<br />
University of Vthsconsin, Oshkos h<br />
Heinz Ashley 800 Algoma Blvd<br />
Oshkosh, WI 54901-8604<br />
None N/A General Semester Scholarship 1,966<br />
Henrikson Joshua<br />
University of Washington, Seattle<br />
P O Box 355880<br />
Seattle, WA 98195<br />
None N/A General Semester Scholarship 2,966<br />
Hermansen<br />
Jent<br />
Herrera<br />
Kurt<br />
Janea<br />
Hobart Institute of Welding Tech nology<br />
400 Trade Square East<br />
Troy, OH 45373<br />
Delaware Technical 8- Community Colld<br />
100 Campus Drive<br />
Dover, DE 19904<br />
University of Alaska Fairbanks, Tananal<br />
None<br />
None<br />
N/A<br />
N/A<br />
Vocational Training Grant<br />
Career Upgrade Grant<br />
1,575<br />
1,095<br />
Heyano Josie 101 Eielson Building<br />
P O Box 756360<br />
Fairbanks, AK 99701<br />
None N/A General Semester Scholarship 2,050<br />
The Oriental Healing Arts School of Mal<br />
Heyano Nina 2636 Spenard Road<br />
Anchoraq-ei AK 99503<br />
None N/A Vocational Training Grant 2,800<br />
PAGE 7 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
Hilleary Vincent<br />
Hilleary Richard<br />
Hilleary Richard<br />
Hines Deborah<br />
Hoak Pamela<br />
Hoffman Helena<br />
Holmquist Ryan<br />
Holubik Kelsey<br />
Hubble Meghan<br />
Huddleston Matthew<br />
Hughes Norma<br />
Hughton Ethan<br />
Huhndorf Amber<br />
Huhndorf Josh<br />
Hurlburt Jeffrey<br />
Isaak Joel<br />
Jacobs Torin<br />
Jacuk Benjamin<br />
James Teahonna<br />
Jaworski Nathaniel<br />
Jef<strong>fe</strong>ry Laura<br />
Jensen Emily<br />
tf recipient is an<br />
Reclplent individual, show any Foundatlon<br />
College of Southern Nevada<br />
Student Financial Services<br />
Sort Code WDA<br />
6375 West Charleston Blvd<br />
Las Veqas, NV 89146<br />
University of Nevada, Reno<br />
Mail Stop 076<br />
Reno, NV 89557<br />
University of Nevada, Reno<br />
Mail Stop 076<br />
Reno,<br />
ii<br />
NV 89557<br />
Rollins College<br />
1000 Holt Ave- 2721<br />
Vthnter Park, FL 32789<br />
University of Delaware<br />
30 Lovett Avenue<br />
Newark, DE 19716<br />
Goldman School of Public Policy<br />
University of California<br />
Berkley, 2607 Hearst Ave<br />
Chadron State College<br />
1000 Main Street<br />
Chadron, NE 69337<br />
Whitwoith University<br />
300 W Hawthorne<br />
Spokane, WA 99251<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
University of Washington<br />
Box 355880<br />
Seattle, WA 98195<br />
Tidewater Community College<br />
300 Granby Street<br />
Norfolk, VA 23510<br />
George Fox University<br />
414 North Meridian<br />
Newberq, OR 97132<br />
Oregon State University<br />
218 Kerr Administration Building<br />
Corvallis, OR 97331-2120<br />
Oregon State University<br />
218 Kerr Admin Building<br />
Corvallis, OR 97331<br />
Central Connecticut State University<br />
1615 Stanley Street<br />
New Britain, CT 06050<br />
University of Alaska Fairbanks<br />
PO Box 757480<br />
Fairbanks. AK 99775<br />
Institute of Audio Research<br />
64 University Place<br />
New York, NY 10003<br />
Biola University<br />
13800 Biola Avenue<br />
La Mirada, CA 90639<br />
Fort Lewis College<br />
1000 Rim Drive<br />
Duranqg, CO 81301<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
Career Academy<br />
1415 E Tudor Rd<br />
Anchoraqe, AK 99507<br />
University of Notre Dame<br />
115 Main Building<br />
Notre Dame, IN 46556<br />
<strong>fe</strong>lationshiplo any status of Purpose of grant or contribution AmOUrtt<br />
foundation manager or recipient<br />
substantial oontritutor<br />
None<br />
N/A Career Upgrade Grant 875<br />
None N/A General Semester Scholarship 2,500<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A Howard Rock Graduate Award 5,000<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Vocational Training Grant 2,080<br />
None N/A Career Upgrade Grant 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Vocational Training Grant 1,575<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,000<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Vocational Training Grant 5,400<br />
None N/A General Semester Scholarship 1,966<br />
PAGE 8 of ATTACHMENT 1 I
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
Johnson Garon<br />
Johnson Devin<br />
Johnson Mary<br />
Johnson Sarah<br />
Johnson Ariana<br />
Johnson Sarah<br />
Jones Dakean<br />
Jones Chelsea<br />
Jordan Lisa<br />
Joseph Sonia<br />
Joule Puyuk<br />
Jullussen Sigvold<br />
Karabelnikoff David<br />
Karaffa Andrew<br />
Kashevarof Norman<br />
Keener Lindsay<br />
Keil Aubrey<br />
Ke rr Tammy<br />
Key Charlene<br />
Kiana Sr Christopher<br />
Kinder Garret<br />
Kinder Travis<br />
lf recipient is an<br />
ReClplef1T ,,,d,,,,d,,aL show any Foundation<br />
relationship 10 any status of Purpose of grant or contribution Arnou nt<br />
foundation manager or reclplem<br />
substantial contntutor<br />
Ohio University<br />
IDLP Haning Hall 222<br />
Athens. OH 45701<br />
Kenai Peninsula Collegea,1,458<br />
None N/A Career Upgrade Grant<br />
34820 College Dr<br />
Attn. Financial Aid<br />
Soldotna, AK 99669-9798<br />
Louisiana College<br />
None N/A General Semester Scholarship 2,050<br />
1140 College Dr<br />
Box 582<br />
Pineville. LA 71359<br />
None N/A General Semester Scholarship 2,050<br />
Alaska Paciflc University<br />
4101 University Drive<br />
Anchoraqg, Ak 99508<br />
None N/A General Semester Scholarship 2,050<br />
Western Washington University<br />
516 High Street, Old Main 265<br />
Bellingham. WA 98225-9006<br />
None N/A Vocational Training Grant 3,535<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg AK 99508<br />
None N/A Achievement Annual Scholarship 4,000<br />
Career Academy<br />
1415 E Tudor Rd<br />
Anchoraqg, AK 99507<br />
None N/A Vocational Training Grant 1,950<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchorage AK 99514<br />
None N/A Career Upgrade Grant 2,049<br />
University of Montana<br />
U of M Financial Aid Office<br />
Missoula, MT 59812<br />
None N/A General Semester Scholarship 2,050<br />
Cosumnes River College<br />
8401 Center Parkway<br />
Sacramento, CA 95823<br />
None N/A Career Upgrade Grant 1,076<br />
Fort Lewis College<br />
1000 Rim Drive<br />
Duranqg, CO 81301<br />
None N/A General Semester Scholarship 1,565<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A Career Upgrade Grant 2,571<br />
The School for Renewable Energy Scid<br />
lS6O0<br />
Akureyn, IS 600<br />
None N/A General Semester Scholarship 4,016<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Global University<br />
1211 S Glenstone Ave<br />
Sprinqfield, MO 65804<br />
None N/A Vocational Training Grant 1,655<br />
George Fox University<br />
414 N Meridian #6089<br />
Newberq, OR 97132<br />
None N/A General Semester Scholarship 4,016<br />
Academy of Cosmetology<br />
1975 Palm Bay Road<br />
Palm Bay, FL 23905<br />
None N/A Vocational Training Grant 2,800<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
None N/A Career Upgrade Grant 1,095<br />
Anchoraqg, AK 99514<br />
Penn Foster Online Education<br />
Student Service Center 925 Oak Streeti<br />
Scranton, PA 18515-0001<br />
University of Phoenix<br />
None N/A Vocational Training Grant 713<br />
clo Jenni<strong>fe</strong>r Kuskie<br />
3157 E Elwood St<br />
Phoenix, AZ 85034<br />
None N/A Career Upgrade Grant 1,095<br />
Maryland lnstitute College of Art<br />
Financial Aid Office, 1300 Mount Royal<br />
Baltimore, MD 21217<br />
None N/A General Semester Scholarship 4,016<br />
McDaniel College<br />
2 College Hill, Financial Aid Office<br />
Westminster, MD 21157<br />
None N/A General Semester Scholarship 4,016<br />
PAGE 9 of ATTACHMENT 1 1
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
King Chet<br />
Knight Tyler<br />
Knutsen Harvey<br />
Koivisto Lucy<br />
Koivisto Patrick<br />
Kraun<br />
(Larsen, Melissa<br />
Kvasnikoff Jack<br />
Lane Charles<br />
Larson Londa P O Box 2889<br />
Larson Jerome<br />
Larson Londa P.O Box 2889<br />
LaVigne Samantha<br />
Lawson Nicole<br />
Lee Jacqueline<br />
Leman Brieanna<br />
Lewis Nicole<br />
Little Wesley<br />
Liwanag Krystal<br />
Liwanag Katrina<br />
lf recipient is an<br />
Reclplent individual, show any FOUl"ld3il0l1<br />
substantial contritutor I<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
foundation manager or reclplem<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Career Upgrade Grant 875<br />
Skagit Valley College<br />
2405 E College Way<br />
Mount Vernon, WA 98273<br />
None N/A General Semester Scholarship 1,966<br />
Northern Industrial Training<br />
6177 E Mountain Heather Dr Ste4<br />
Palmer, AK 99645<br />
None N/A Vocational Training Grant 2,800<br />
Michigan State University<br />
252 Student Senrices Building<br />
East Lansinq, Ml 48824-1113<br />
None N/A General Semester Scholarship 2,050<br />
Kenai Peninsula College<br />
156 College Rd<br />
Soldotna, AK 99669<br />
None N/A Vocational Training Grant 2,325<br />
MetrOasis Advanced Training Center<br />
401 W lnternationalRd #1C<br />
Anchoraqg AK 99518<br />
None N/A Vocational Training Grant 2,186<br />
Capilano University<br />
2055 Purcell Way<br />
North Vancouver, BC Canada V7J 3Hq<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraog, AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
University of Alaska- Mat-Su College<br />
Palmer, AK 99645<br />
None N/A Career Upgrade Grant 1,072<br />
University of Alaska Anchorage, Mai-srl<br />
P O Box 2889<br />
Palmer, AK 99645<br />
None N/A Career Upgrade Grant 1,095<br />
University of Alaska Anchorage - Matstl<br />
Palmer, AK 99645<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Career Upgrade Grant 1,095<br />
Glendale Community College<br />
6000 W Olive Ave<br />
Glendale, AZ 85302<br />
None N/A General Semester Scholarship 1,966<br />
Charter College<br />
2221 E Northern Lights Blvd Ste<br />
120<br />
Anchorage, AK 99508<br />
None N/A Career Upgrade Grant 3,145<br />
University of Alaska Southeast<br />
11120 Glacier Hwy<br />
Juneau, AK 99801<br />
None N/A General Semester Scholarship 2,050<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 4,466<br />
University of Alaska Anchorage<br />
P.O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A Career Upgrade Grant 875<br />
Eastern Washington University<br />
102 Sutton Hall<br />
, St<br />
Cheney, WA 99004-2447<br />
University of Minnesota, Twin Cities<br />
SE<br />
Minneapolis, MN 55455<br />
None<br />
None<br />
N/A<br />
N/A<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
1,966<br />
4,016<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchora@, AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Pacific University<br />
2043 College Way<br />
Forest Grove, OR 97116<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Lopes Tiana 200 Fraser Hall 106 Pleasant<br />
Lord Wenonah<br />
Lorenzo Karina<br />
Lorenzo Anthony<br />
PAGE IO of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Lorenzo Posto<br />
ll recipient is an<br />
Reclplent individual, show any Foundation<br />
Last Name First Name Address f0""da""" "*a"a9ef of recipient<br />
substantial contritutor<br />
Loyd<br />
Amanda<br />
Luther Alice<br />
Madison Mackenzie<br />
Madison Randi<br />
Madsen Matthew<br />
Mahle Joyce<br />
Mainord Jacinda<br />
Mainord William<br />
Mainord Daniel<br />
Mario Linnea<br />
Marsden Araina<br />
Martin Jenni<strong>fe</strong>r<br />
Martin Christopher<br />
Matson Amanda<br />
Matson John<br />
Matson John<br />
Matson Amanda<br />
McCoy<br />
Mclntyre<br />
McKinney<br />
Mi"chelIe<br />
Anne<br />
Amanda<br />
Mells Derrick<br />
Metcalf Danielle<br />
Kenai Peninsula College<br />
34820 College Rd<br />
Soldotna. AK 99669<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
AVTEC<br />
P O Box 889<br />
Seward, AK 99664<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
,Anchoraqg AK 99508<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Charter College<br />
2221 East Northern Lights, Ste 120<br />
Anchoraqg AK 99508<br />
OHSU School of Medicine<br />
Department of Science and Engineering<br />
3181 SW Sam Jackson Park Rd L109<br />
Portland. OR 97239<br />
California State University, San Bernala<br />
5500 University Parkway<br />
San Bernardino, CA 92407<br />
Walden University<br />
650 South Exeter Street<br />
Baltimore, MD 21202<br />
Portland State University<br />
P O Box 851<br />
Portland, OR 97207<br />
Fort Lewis College<br />
1000 Rim Drive<br />
Duranqg CO 81301<br />
San Juan Basin Tech College<br />
33057 Hwy 160<br />
Mancos. CO 81328<br />
Florida State University<br />
A-4400 University Center<br />
Tallahassee, FL 32306<br />
Gonzaga University<br />
502 East Boone Ave<br />
Spokane, WA 99258<br />
Perry Technical Institute<br />
2011 W Washington Ave<br />
Yakima, WA 98903<br />
Perry Technical Institute<br />
2011 W Washington Ave<br />
Yakima, WA 98903<br />
Gonzaga University<br />
502 East Boone Ave<br />
Spokane, WA 99258<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
Ohio University Southern Campus<br />
Chubb Hall O20<br />
Athens, OH 45701<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514-1608<br />
relaliefiship I0 any status of Purpose of grant or contribution Amount<br />
None<br />
N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 1,128<br />
None N/A Vocational Training Grant 2,168<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Howard Rock Undergraduate Award 2,500<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Career Upgrade Grant 875<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A Career Upgrade Grant 4,370<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Vocational Training Grant 800<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,000<br />
None N/A Vocational Training Grant 1,000<br />
None N/A Vocational Training Grant 3,535<br />
None N/A General Semester Scholarship 4,550<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 2,050<br />
PAGE 11 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Il recipient is an<br />
R@Clpier11 ,,,d,,,,d,,a,, Show any Foundation<br />
relationship iv any status of Purpose of grant or contribution Amount<br />
Last Name First Name Address foundamn ""*"a9*" of recipient<br />
substantial eonlnlutor<br />
Miller<br />
Miller<br />
Minium<br />
Mitchell<br />
Monsen<br />
Moon<br />
Moore<br />
Moore<br />
Moore<br />
Morris<br />
Morrison<br />
Morrison<br />
Morrison<br />
Mosquito<br />
Mueller<br />
Mullins<br />
Murphy<br />
Murphy<br />
Murray<br />
Musgrove Ethel<br />
Myers Joanna<br />
University of Delaware<br />
30 Lovett Avenue<br />
Neward, DE 19716<br />
None N/A Career Upgrade Grant 1,095<br />
South Puget Sound Community Colleg<br />
2011 Mottman Road SW<br />
Olympia, WA 98512<br />
None N/A General Semester Scholarship 1,796<br />
University of Alaska, Southeast<br />
11120 Glacier Highway<br />
Juneau. AK 99801<br />
None N/A Career Upgrade Grant 1,095<br />
Alaska Pacit"ic University<br />
4101 University Drive<br />
Anchoraqg, AK 99508<br />
None N/A Career Upgrade Grant 875<br />
Reed College<br />
3203 SE Woodstock Blvd<br />
Portland, OR 97202<br />
None N/A General Semester Scholarship 3,145<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 2,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Career Upgrade Grant 1,095<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
University of Oregon<br />
1278 University of Oregon<br />
Euqene, OR 97403<br />
None N/A General Semester Scholarship 4,016<br />
Renton Technical College<br />
Financial Aid Office, 3000 NE Fourth Sl<br />
Renton, WA 98056<br />
None N/A General Semester Scholarship 1,966<br />
Green River Community College<br />
12401 SE 320th St<br />
Auburn, WA 98092<br />
None N/A General Semester Scholarship 4,016<br />
Virginia Commonwealth University<br />
901 West Franklin Street, PO Box 843(I<br />
Richmond, VA 23284<br />
Alaska Staff Development Network<br />
None N/A General Semester Scholarship 4,016<br />
Attn Troy Choquette<br />
2204 Douglas Hwy Ste 100<br />
Douolas, AK 99824<br />
None N/A Vocational Training Grant 765<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
Charter College<br />
2221 East Northern Lights Blvd , Ste 1<br />
Anchoraq-el, AK 99508<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
PO Box 141608<br />
Anchoraqg, AK 99514-1608<br />
None N/A General Semester Scholarship 1,095<br />
University of Washington Extension<br />
P O Box 45010<br />
Seattle, WA 98145-0010<br />
None N/A Vocational Training Grant 1,446<br />
St Joseph School of Practical Nursing<br />
5 Woodward Ave<br />
Nashua, NH 03060<br />
Alaska Vocational Technical Center<br />
None N/A Vocational Training Grant 1,960<br />
PO Box 889<br />
Seward. AK 99664<br />
None N/A Vocational Training Grant 1,960<br />
Attn University Annette of Linders, Nevada Las 4505 Vegas, Maryland Willid<br />
P O Box 452016<br />
Las Veqas, NV 89154-1003<br />
University of Pittsburgh (Central Colleg<br />
Navarro Amelia 4227 Fifth Ave , Alumni Hall<br />
Nelsen Thomas<br />
Pittsburqh, PA 15260<br />
Training Resources Limited<br />
2556 McCain Rd<br />
San Dieqg, CA 92101<br />
None N/A Achievement Annual Scholarship 6,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Vocational Training Grant 2,800<br />
PAGE 12 of ATTACHMENT 11
THE CIRI FOUNDATIONI I 92-0087914<br />
ll recipient is an<br />
ReClplertt maiviauai, show any Foundation<br />
relationship I0 any status of Purpose of grant or contribution Amount<br />
Last Name First Name Address foundation manager or reclplem<br />
substantial contntutor<br />
Nelsen Kellie<br />
Nolen Jannell<br />
Norkett Jenni<strong>fe</strong>r<br />
O"Briant Jacqueline<br />
O"Donnell George<br />
Okpik DG Naouk<br />
Olanna Emma<br />
Ollestad Onnolee<br />
Olsen<br />
Plscoya Laurel<br />
O"Neill Caitlin<br />
O"Neill Vanessa<br />
Orth Krystal<br />
Ostlind Erin<br />
Ostlind Justin<br />
Outwater Violet<br />
Patterson Teena<br />
Peck Kevin<br />
Peck Samantha<br />
Peck Veronica<br />
Pepion Theresa<br />
Perry Richard<br />
Peterson Jenni<strong>fe</strong>r<br />
Peterson Evangelina<br />
Western Washington Universi<br />
516 High Street<br />
Bellinqham, WA 98225-9006<br />
Polk State College<br />
999 Avenue H NE<br />
Winter Haven, FL 33881<br />
Baker College<br />
1903 Marquette Avenue<br />
Muskeqon, Ml 49442<br />
TY<br />
George Mason University<br />
Ofllce of Student Financial Aid, MS3B5- None N/A<br />
Fairfax, VA 22030<br />
Environmental Management Inc<br />
206E Fireweed Ln Ste 201<br />
Anchoraqg, AK 99503-2773<br />
University of Southern Maine<br />
PO Box 9300<br />
Portland, ME 04104<br />
University of Alaska Fairbanks<br />
C/O CRCD P O Box 756500<br />
Fairbanks, AK 99775<br />
North Seattle Community College<br />
9600 College Wy<br />
Seattle, WA 98103<br />
Oriental Healing Art of Massage Therapl<br />
2636 Spenard Rd<br />
Anchoraqg, AK 99503<br />
Washington State University<br />
P O Box 641068<br />
Lighty Student Services 380<br />
Pullman, WA 99164-1068<br />
University of Santa Monica<br />
2107 Vlhlshire Blvd<br />
Santa Monica, CA 90403<br />
Gonzaga University<br />
502 East Boone Avenue<br />
Spokane, WA 99258<br />
Spokane Community College<br />
1810 N Greene St MS 2152<br />
Spokane, WA 99217<br />
George Mason University<br />
Office of Student Financial Aid, MS3B5- None N/A<br />
Fairfax, VA 22030<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg, AK 99508<br />
Texas Wesleyan University<br />
1201 Wesleyan St<br />
Fort Worth, TX 76105<br />
Truckee Meadows Community College<br />
7000 Dandini Boulevard, RDMT 315 C<br />
Reno, NV 89512-3999<br />
University of Nevada Reno<br />
Mail Stop 0076<br />
Reno, NV 89557<br />
University of Nevada, Reno<br />
Mail Stop 076<br />
Reno. NV 89557<br />
Montana State University Billings<br />
Office of Financial Aid, 1500 University<br />
Billinqs, MT 59101<br />
University of Alaska Anchoage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
University of Nevada, Las Vegas<br />
4505 Maryland Parkway Box #452016<br />
Las Veqas, NV 89154<br />
University of Alaska Southeast<br />
Novatney 2nd Floor 11120<br />
, GI<br />
Juneau, AK 99801 acier HW1 None N/A<br />
None N/A General Semester Scholarship<br />
4,016<br />
l None N/A Career Upgrade Grant 1,000<br />
None N/A General Semester Scholarship 2,966<br />
General Semester Scholarship 1,966<br />
None N/A Vocational Training Grant 1,195<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Career Upgrade Grant 2,773<br />
None N/A Career Upgrade Grant 1,990<br />
None N/A Vocational Training Grant 2,800<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,600<br />
General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Career Upgrade Grant 2,304<br />
None N/A Career Upgrade Grant 875<br />
None N/A Career Upgrade Grant 875<br />
General Semester Scholarship 2,050<br />
PAGE 13 of ATTACHMENT 11
THE CIRI FOUNDATION I<br />
Pexa Shen<br />
Recipient<br />
Last Name First Name Address<br />
Pitman Nikki<br />
Pitts Matthew<br />
Pope<br />
PW<br />
Alan<br />
Kierstin<br />
Pulis Stacy<br />
Pulis Todd<br />
Pulu Keirra<br />
Quintana Isaac<br />
Rain Diane<br />
Ray Robyn<br />
Ray Robyn<br />
Ray Rosemarie<br />
Rector Chandalar<br />
Rednall Sidra<br />
Rednall Jerid<br />
Reed Andrea<br />
Reekie Renee<br />
Reese Della<br />
Reid Mi"shell<br />
Reid Alyssa<br />
Reppen<br />
Danielle<br />
Rice Derek<br />
lAmerican Real Estate College<br />
10900 W 44th Avenue, Ste 200<br />
Wheat Ridog, CO 80033<br />
National American University<br />
7490 NW 87th Street<br />
Kansas Citv, MO 64153<br />
Utah Valley University<br />
800 West University Parkway<br />
Orem, UT 84058<br />
Webster University<br />
470 E Lockwood Ave<br />
St Louis , MO 63119<br />
Southern Connecticut State University<br />
501 Crescent St<br />
New Haven. CT 06515-1355<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
Lindenwood University<br />
209 S Kings Hwy<br />
St Charles, MO 63301<br />
Mt San Antonio College<br />
1100 N Grand Avenue, Student Sen/ic<br />
Walnut, CA 91789<br />
University of New Mexico<br />
MSC 063610<br />
1 University of New Mexico<br />
Albuquerque, NM 87131-0001<br />
Charter College<br />
2221 E Northern Lights Blvd<br />
Anchoraqg, AK 99508<br />
Metroasis Advanced Training Center<br />
401 W International Airport Rd #1C<br />
Anchoraqg, AK 99518<br />
Metroasis Advanced Training Center<br />
401 W lnternationalAirport Rd #1C<br />
Anchoraqg, AK 99518<br />
Oriental Healing Arts Center<br />
2636 Spenard Rd<br />
Anchoraqg, AK 99503<br />
Monroe Community College<br />
1000 East Henrietta Rd , Financial Aid<br />
Rochester, NY 14623<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Arizona State University<br />
P O Box 870442<br />
Temg, AZ 85287<br />
Ozarks Technical Community College<br />
1001 E Chestnut Exp<br />
Sprinqtteld. MO 65802<br />
Fordham Law School<br />
33 West 60th Street, 9th floor<br />
New York, NY 10023<br />
University of Alaska Fairbanks<br />
P O Box 757920<br />
Fairbanks, AK 99775<br />
Kenai Peninsula College<br />
34820 College Drive<br />
Soldotna, AK 99669<br />
Plymouth State University<br />
Speare Administration Building, MSC 1<br />
Plymouth, NH 03264<br />
Orange Coast Community College<br />
2701 Fairview Road, Box 5005<br />
Coasta Mesa, CA 92628<br />
Spokane Community College<br />
1810 N Green St<br />
Spokane, WA 99217<br />
If recipient is an<br />
foundation manager or ,eC,p,e nt<br />
substantial conlritutor<br />
None<br />
92-0087914<br />
individual, show any Found?"-lon<br />
relationship 10 any status of Purpose of grant or contribution Amount<br />
N/A Vocational Training Grant 1,960<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,245<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 3,145<br />
None N/A Vocational Training Grant 1,500<br />
None N/A Vocational Training Grant<br />
I<br />
2,800<br />
None N/A Vocational Training Grant 2,800<br />
None N/A Career Upgrade Grant 1,941<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Achievement Annual Scholarship<br />
I<br />
4,000<br />
None N/A Vocational Training Grant 903<br />
None N/A Career Upgrade Grant 875<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Career Upgrade Grant 875<br />
None N/A General Semester Scholarship 1,966<br />
PAGE 14 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
Shaginoff<br />
Swan Sondra<br />
. If recipient is an<br />
Reclplent individual, show any FOUDUBIIOD<br />
relationship I0 any status of Purpose of grant or contribution Amount<br />
foundation manager or reclplent<br />
I substantial oontntutor<br />
Ricks Ill Jimmie<br />
University of Hawaii Hilo<br />
200 W Kawili St<br />
Hilo. HI 96720-4091<br />
None N/A General Semester Scholarship 4,016<br />
Riggan Rachelle<br />
University of Alaska Anchorage<br />
P.O Box 141608<br />
Anchoraq-c-5 AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Brevard Community College<br />
Ritzel Misty Attn Kay Ensminger<br />
1519 Clearlake Rd<br />
Cocoa, FL 32922<br />
None N/A Career Upgrade Grant 875<br />
Rivas Jenessa<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg AK 99508<br />
None N/A General Semester Scholarship 1,966<br />
Robinette Amber<br />
Alaska Vocational Medical Training<br />
300 W Swanson Ste 101<br />
Wasilla. AK 99654<br />
None N/A Vocational Training Grant 1,960<br />
Rodriguez Jamie<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg, AK 99508<br />
None N/A General Semester Scholarship 1,966<br />
Ross Charles<br />
University of Texas at Austin<br />
Office of Student Financial Services,<br />
PO Box 7758<br />
Austin, TX 78713<br />
None N/A General Semester Scholarship 1,966<br />
Roth Zachary<br />
Brigham Young University<br />
A-41 ASB<br />
Provo, UT 84602<br />
None N/A General Semester Scholarship 1,966<br />
Rowley Lucas<br />
The Foraker Group<br />
161 Klevin Street, Ste 101<br />
Anchoraqg, AK 99508<br />
None N/A Vocational Training Grant 1,300<br />
Ruesch Krista<br />
Alaska Pacific University<br />
4010 University Drive<br />
Anchoraqg, AK 99508<br />
None N/A Career Upgrade Grant 1,095<br />
Ruiz Patricia<br />
Utica College<br />
Attn Financial Aid, Laura Bedford<br />
1600 Burrstone Rd<br />
Utica NY 13502<br />
None N/A General Semester Scholarship 2,050<br />
Russell Diane<br />
University of Alaska Fairbanks, Tananal<br />
P O Box 756360<br />
Fairbanks. AK 99775<br />
None N/A Career Upgrade Grant 1,492<br />
Sanders Joshua<br />
IVY Tech Community College Lafayettd<br />
3101 S Creasy Ln<br />
Lafayette. IN 47903<br />
None N/A General Semester Scholarship 2,050<br />
Santiago Ramon<br />
Cochise College<br />
901 North Colombo Avenue<br />
Sierra Vista. AZ 85635<br />
None N/A Career Upgrade Grant 2,517<br />
Santiago Constancia<br />
Cochise College<br />
901 North Colombo Avenue<br />
Sierra Vista, AZ 85635<br />
None N/A Career Upgrade Grant 4,562<br />
Schmidt Richard<br />
Clover Park Technical College<br />
4500 Steilacoom Blvd SW<br />
Lakewood, WA 98499<br />
None N/A General Semester Scholarship 4,016<br />
Scholl Natalie<br />
Princeton University<br />
Box 591, 220 West College<br />
Princeton, NJ 08542<br />
None N/A General Semester Scholarship 1,966<br />
Schramm Daniel<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Scott Tabitha<br />
Academy of Hair Design<br />
113 W Northern Lights Blvd<br />
Anchoraqg AK 99503<br />
None N/A Vocational Training Grant 1,575<br />
Shaf<strong>fe</strong>r Daniel<br />
Boise State University<br />
1910 University Dr<br />
Boise. ID 83725<br />
None N/A General Semester Scholarship 4,016<br />
Shaginoff Kari<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
None N/A Career Upgrade Grant 875<br />
Shaginoff Melissa<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
None N/A General Semester Scholarship 1,966<br />
Anchoraqg, AK 99514<br />
Kenaitze Indian Tribe<br />
PO Box 988, Kenai, AK 99611<br />
None N/A Internship Program 875<br />
PAGE 15 ofATTACHMENT 1 1
THE CIRI FOUNDATION 92-0087914<br />
RECIPIENT indrvidual, show any FOUI"ld3tl0D<br />
Last Name First Name Address f0""da""" manage* of recipient<br />
substantial contritutor<br />
Shaver Tiffaney<br />
Shelford Scott<br />
U niversity<br />
of Toledo<br />
2801 W Bancroft St Mail Stop 314<br />
Toledo, OH 43606<br />
Azusa Pacific University<br />
Student Financial Services<br />
P O Box 7000<br />
Azusa. CA 91702-7000<br />
ri nivers<br />
A zona State U ity<br />
ll recipient is an<br />
retailer-Shiptv any status of Purpose of grant or contribution Amount<br />
None<br />
N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 1,966<br />
Simeonoff Sarah<br />
ASU Student Accounts<br />
PO Box 870303<br />
Temgg, AZ 85287<br />
University of Alaska Anchorage<br />
Simmons Leslie P O Box 141608<br />
Anchoraqg, AK 99514<br />
California State University Stanislaus<br />
Singer Wesley One University Circle<br />
Turlock. CA 95382<br />
Universi fyof<br />
Alaska Fairbanks<br />
Sinnok Ralph PO Box 756360<br />
Fairbanks, AK 99775<br />
University of Alaska Fairbanks<br />
Sinnok Victoria P O Box 756360<br />
Fairbanks, AK 99775<br />
University of Alaska Anchorage<br />
Slayton Olivia P O Box 141608<br />
Anchoraqg, AK 99514<br />
University of Central Oklahoma<br />
Smagge<br />
Nigh University Center Room #141<br />
Trey<br />
100 N University Dr Box 162<br />
Edmond. OK 73034<br />
Alaska Staff Development Network<br />
Smith Joleen 2204 Douglas Hwy , Ste 100<br />
Douqlas, AK 99824<br />
Ashford University<br />
Smith Thelma 13500 Evening Creek Drive N , Ste 60<br />
Sa n Dieqgi A 92128 C<br />
Smith Sabnna University of Colorado at Denver<br />
University of Missouri<br />
Solbrekken Yvonne Office of Student Financial Aid, 11 Jess<br />
Columbia, MO 65211<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
General Semester Scholarship<br />
Vocational Training Grant<br />
Career Upgrade Grant<br />
Howard Rock Undergraduate Award<br />
Excellence Annual Scholarship<br />
5,352<br />
2,050<br />
2,050<br />
2,050<br />
4,016<br />
1,966<br />
3,466<br />
1,400<br />
3,200<br />
4,466<br />
5,000<br />
Spangler Sean<br />
Franklin & Marshall College<br />
PO Box 3003<br />
Lancaster, PA 17604<br />
None N/A General Semester Scholarship 1,966<br />
Standi<strong>fe</strong>r Jenna<br />
University of Alaska Fairbanks<br />
PO Box 756360<br />
Fairbanks. AK 99775<br />
None N/A Career Upgrade Grant 2,375<br />
Standi<strong>fe</strong>r Elizabeth<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoraqg AK 99508<br />
None N/A General Semester Scholarship 6,166<br />
Stef<strong>fe</strong>ner Justin<br />
Antioch University, Seattle<br />
2326 Sixth Ave<br />
Seattle, WA 98121-1814<br />
None N/A General Semester Scholarship 2,050<br />
Steik Jason<br />
Boise State University<br />
1910 University Dr , Admin Bldg ROOFI<br />
Boise, ID 83725-1315<br />
None N/A General Semester Scholarship 4,016<br />
Stevens Casey<br />
Kent State University<br />
P O Box 5190<br />
Kent. OH 44242-0001<br />
Brigham Young University, Hawaii<br />
None N/A Eklutna Annual Scholarship 1,000<br />
Stevens Michelle<br />
BYU-H#1955<br />
55-220 Kulanui Street<br />
Laie, Hl 96762<br />
None N/A General Semester Scholarship 1,966<br />
Stevens Benjamin<br />
Brigham Young University<br />
A-41 ASB<br />
Provo, UT 84602<br />
None N/A General Semester Scholarship 2,891<br />
Stewart Scott<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
PAGE 16 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
ll recipient as an<br />
Recipient Foundation<br />
individual, show any<br />
<strong>fe</strong>lalivnshlpfv any status of Purpose of grant or contribution Amount<br />
foundation manager or reclment<br />
substantial oontritutor<br />
Stewart Tracy<br />
Angelo State University<br />
ASU Station #11015<br />
San Anqelo, TX 76909<br />
None N/A General Semester Scholarship<br />
2,050<br />
Stewart Ana<br />
Vanderbilt University<br />
2309 West End Ave<br />
Nashville, TN 37203<br />
None N/A Excellence Annual Scholarship 5,000<br />
Stewman Marie<br />
Alaska Pacific University<br />
4101 University Dr<br />
Anchoraqg AK 99508<br />
None N/A General Semester Scholarship 2,050<br />
Stokes Luke<br />
University of Miami, School of Nursing I<br />
Oftice of Financial Assistance Sen/ices<br />
PO Box 248187<br />
Coral Gables, FL 33124<br />
None N/A General Semester Scholarship 2,050<br />
Stokes Sarah<br />
Alaska Pacific University<br />
4101 University Dr<br />
Anchoracg AK 99508<br />
None N/A General Semester Scholarship 2,095<br />
Charter College<br />
Stone Fawn 721 West Parks Highway<br />
Wasilla,AK 99654<br />
Park University<br />
Strentz Connie 8700 N W River Park Drive<br />
Parkville, MO 64152<br />
Kenai Peninsula College<br />
Stuart Dillon 156 College Road<br />
Soldotna, AK 99669<br />
University of Alaska Anchorage<br />
Sweetsir Sheila P O Box 141608<br />
Anchoraqg, AK 99514<br />
Brevard Community College<br />
Sykes Donald Attn Kay Ensminger<br />
1519 Clearlake Rd<br />
Cocoa, FL 32922<br />
State University<br />
Telemaque Tanya<br />
2NArizona<br />
Aveda Institute Portland<br />
Temple Jasmine 325 NW Thirteenth Avenue<br />
Portland, OR 97209<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
None<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
Career Upgrade Grant<br />
General Semester Scholarship<br />
Career Upgrade Grant<br />
Career Upgrade Grant<br />
Career Upgrade Grant<br />
Cap Lathrop Scholarship<br />
Vocational Training Grant<br />
1,095<br />
4,016<br />
1,095<br />
2,931<br />
875<br />
5,516<br />
2,800<br />
Teresin Stephanie<br />
Calhoun Community College<br />
PO Box 2216<br />
Decatur, AL 35609<br />
None N/A General Semester Scholarship 2,050<br />
Tetpon Alan<br />
University of Alaska Anchorage,<br />
P O Box 141608<br />
None N/A General Semester Scholarship 2,050<br />
Theodore Herbert<br />
Anchorage, AK 99514<br />
AVTEC<br />
P O Box 889<br />
Seward, AK 99664<br />
None N/A Vocational Training Grant 1,575<br />
Theodore Randolph<br />
Automotive Training Schools lnc<br />
4791 Pell Drive, Ste 1<br />
Sacramento, CA 95838<br />
None N/A Vocational Training Grant 2,800<br />
Thiele Sara<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqgi AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Thompson Sherry<br />
Trinion Quality Care Services, lnc<br />
4450 Cordova Street, Ste 200<br />
Anchoraqg AK 99503<br />
None N/A Vocational Training Grant 500<br />
Thorpe Sara<br />
Universite" Stendhal in Grenoble, Frand<br />
107 E Hopkins St<br />
None N/A General Semester Scholarship 2,050<br />
Tigges Megan<br />
San Marcos, TX 78666<br />
SUNY Cobleskill<br />
118B Knapp Hall<br />
Cobleskill. NY 12043<br />
None N/A General Semester Scholarship 1,966<br />
Tolbert Kristin<br />
Alaska Pacific University<br />
4101 University Dr<br />
Anchoraqg AK 99508<br />
None N/A Career Upgrade Grant 3,200<br />
Townsend Lindsy<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Boyce College<br />
None N/A General Semester Scholarship 4,016<br />
Trascritti Frank 2825 Lexington Road<br />
Box #2369<br />
Louisville KY 40280<br />
None N/A General Semester Scholarship 4,016<br />
PAGE 17 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
Last Name First Name Address<br />
Trascritti James<br />
Traylor Natassja<br />
Tredo Eric<br />
Triplett Christina<br />
Tucker Angela<br />
Tucker Kyle<br />
Twitchell Lance<br />
Ungaro Heidi<br />
Van Thiel Thomas<br />
VanHove Jeannie<br />
Vartanian Tamar<br />
Venner Rhondel<br />
Waisanen Dane<br />
Ward Joe<br />
Warren Michelle<br />
Watson Ryan<br />
Watts Bnan<br />
Welch Stacey<br />
Welsh Kerston<br />
Westcoast Oleana<br />
White Yolanda<br />
Wicker Michael<br />
ll recipient is an<br />
ReClpl&l1t individual, show any Foundation<br />
Boyce College<br />
2825 Lexington Road<br />
Louisville, KY 40280<br />
Western Washington University<br />
516 High Street<br />
Bellinqham, WA 98225<br />
Walla Walla Community College<br />
Clarkston Campus,<br />
1470 Bridge Street<br />
Clarkston, WA 99403<br />
Career Academy<br />
1415 E Tudor Rd<br />
Anchoraqg AK 99507<br />
Virginia College<br />
488 Palisades Blvd<br />
Birmingham, AL 35209<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraq-gl AK 99514<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
Alaska Chapter of the Appraisal lnstitutl<br />
Attn Katie Buller<br />
2605 Denali, Suite 204<br />
Anchoraqg, AK 99503<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Western Governors University<br />
4001 South 700 E , Ste 700<br />
Salt Lake City, UT 84107<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
University of Alaska Fairbanks<br />
P O Box 756360<br />
Fairbanks, AK 99775<br />
Associated Training Sen/ices Network<br />
Attn Kristy Hull<br />
7190 Elder Lane<br />
Sun Prairie, Wl 53590<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchorage, AK 99514<br />
Clark College<br />
Attn Financial Aid Office, 1933 Fort Va.<br />
Vancouver, WA 98663<br />
Academy of Art University<br />
79 New Montgomery Street<br />
San Francisco, CA 94105<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514-1608<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
Charter College<br />
2221 East Northern Lights Blvd , Ste 1<br />
Anchoraqg-I AK 99504<br />
Universiy of Phoenix<br />
3157 E Elwood Street<br />
Phoenix. AZ 85034<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
relationship lv any status of Purpose of grant or contribution Amount<br />
foundation manager or reclplent<br />
substantial contritutor<br />
None N/A General Semester Scholarship<br />
4,016<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 1,966<br />
None N/A Vocational Training Grant 1,632<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,550<br />
None N/A Vocational Training Grant 1,100<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A General Semester Scholarship 2,050<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Vocational Training Grant 2,800<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 975<br />
None N/A General Semester Scholarship 1,966<br />
None N/A General Semester Scholarship 2,050<br />
None N/A Career Upgrade Grant 1,095<br />
None N/A Vocational Training Grant 2,600<br />
None N/A General Semester Scholarship 4,016<br />
None N/A Career Upgrade Grant 2,240<br />
PAGE 18 of ATTACHMENT 11
THE CIRI FOUNDATION 92-0087914<br />
It recipient is an<br />
Recipient iniiiviiiiiai, sim any Foundation<br />
Last Name First Name Address foundam" "*a"a9e"" recipient<br />
substantial contntutor<br />
relationship I0 any status of Purpose of grant or contnbution Amount<br />
Vthk Danielle<br />
Community College of Aurora<br />
16000 E Centre Tech Parkway, Ste 20<br />
Aurora, CO 80011<br />
None<br />
N/A General Semester Scholarship 2,050<br />
Williams Barbara<br />
Northern Arizona University<br />
Ofiice ofthe Bursar 601 S Knoles Driv<br />
Flaqstaff. AZ 86011<br />
None N/A Career Upgrade Grant 4,550<br />
Williamson Kirsten<br />
University of Rochester<br />
P O Box 270261<br />
Rochester, NY 14627<br />
None N/A General Semester Scholarship 1,966<br />
University of Alaska Anchorage<br />
Vtfilliamson Crystal P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Vthlloya Theodore<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraq-Q, AK 99514<br />
None N/A General Semester Scholarship 2,050<br />
Vlhnkelman Katie<br />
Alfred University<br />
Alumni Hall 1 Saxon Dr<br />
Alfred, NY 14802<br />
None N/A General Semester Scholarship 2,050<br />
Winkle Jacqueline<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A General Semester Scholarship 4,016<br />
Vlfisdom Bryan<br />
Washington State University<br />
P O Box 641068, Lighty Student Svcs<br />
Pullman. WA 99164-1068<br />
None N/A General Semester Scholarship 1,966<br />
Wood Ailee<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg, AK 99514<br />
None N/A Career Upgrade Grant 1,970<br />
Woodhead Alexander<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchoraqg AK 99514<br />
None N/A General Semester Scholarship 1,966<br />
Wystrach Angie<br />
Kaplan University<br />
2501 San Pedro NE, Ste 203<br />
Albuquerque. NM 87110<br />
None N/A General Semester Scholarship 1,242<br />
Yates Steven<br />
Environmental Management Inc<br />
206 E Fireweed Lane, Ste 201<br />
Anchorage, AK 99503<br />
None N/A Vocational Training Grant 1,395<br />
Yates Thomas<br />
Gordon Cooper Technology Center<br />
One John C Bruton Blvd<br />
Shawnee, OK 74881<br />
None N/A Vocational Training Grant 2,800<br />
Zilys Marjorie<br />
Leadership Anchorage<br />
421 W 1st Ave Ste 300<br />
Anchoraqg, AK 99501<br />
None N/A Vocational Training Grant 1,750<br />
Recipient<br />
Address<br />
lt recipient is an<br />
individual, show any<br />
relationship to any<br />
Foundauon<br />
status of Purpose of grant or contribution Amount<br />
toundation manager or recipient<br />
First Book Anchorage P O Box 233553, Anchorage, AK 995 N/A 5o1(c)(3)<br />
GRANTS To OTHER<br />
4,422<br />
Ninilchik Village Tribe PO Box 39070, Ninilchik, Alaska 9963 N/A 501 (C)(3)<br />
Chickaloon Village Tradition PO Box 1105, Chickaloon, AK 99674 N/A 5o1(c)(3)<br />
Koahnic Broadcasting Corp 500 W 6th Ave, Anchorage, AK 99501 N/A 5o1(c)(3)<br />
oRcANizATioNs<br />
GRANTS TO OTHER<br />
ORGANIZATIONS<br />
GRANTS TO OTHER<br />
ORGANIZATIONS<br />
GRANTS TO OTHER<br />
ORGANIZATIONS<br />
4,422<br />
6,000<br />
. 86,000<br />
Various Scholarships and Grants<br />
5,000<br />
(reversal of prior year accrual)<br />
TOTAL $1,136,050<br />
PAGE 19 of ATTACHMENT 11
THE CIRI FOUNDATD 0 92-0087914<br />
FORM 99OPF, PART XV. 3(Q) - CONTRIBUTIONS APPROVED FOR FUTURE PAYMENT<br />
It recipient is an<br />
Reclpiem indiviauai, snow any Foundation<br />
relationship to any status of<br />
Last Name First Name Address mundane" manager of VECIPIEHI<br />
substantial contritutor<br />
Bissett<br />
Perea<br />
Jessica<br />
Brayko Andrea<br />
Draper Tern<br />
Edwin Jessica<br />
Encelewski Launna<br />
Johnson Sarah<br />
Myers Joanna<br />
Reekie Renee<br />
Shaginoff<br />
Stuart Sondra<br />
Solbrekken Yvonne<br />
Standi<strong>fe</strong>r Paulina<br />
Stewart Ana<br />
University of Califomia, Los Angeles<br />
10920 Wilshire Blvd , Ste 107<br />
Los Angeles, CA 90024-6503<br />
Oregon Slate University<br />
218 Kerr Administration Bldg<br />
Corvallis, OR 97331<br />
Pacific University<br />
2043 College Way<br />
Forest Grove, OR 97116<br />
University of Alaska Anchorage<br />
P O Box 141608<br />
Anchorage* AK 99514<br />
Bellus Academy of Hair Design<br />
13266 Poway Road<br />
Powau CA 92064<br />
Alaska Pacific University<br />
4101 University Drive<br />
Anchoragg AK 99508<br />
University of Nevada Las Vegas<br />
4505 Maryland Parkway<br />
P O Box 452016<br />
Las Vegas, NV 89154<br />
Fordham Law School<br />
33 West 60th Street, 9th floor<br />
New York, NY 10023<br />
Kenaitze Indian Tribe<br />
PO Box 988, Kenai, AK 99611<br />
University of Missoun<br />
Office of Student Financial Aid<br />
11 Jesse Hall<br />
Columbia, MO 65211<br />
Career Academy<br />
1415 East Tudor Rd<br />
Anchorage, AK 99507<br />
Vanderbilt University<br />
2309 West End Ave<br />
Nashville, TN 37203<br />
Purpose of grant or contribution Amount I<br />
None N/A Excellence Annual Scholarship 5,000<br />
None N/A Excellence Annual Scholarship 5,000<br />
None N/A Achievement Annual Scholarship 4,000<br />
None N/A Achievement Annual Scholarship 4,000<br />
None N/A Vocational Training Grant 2,800<br />
None N/A Achievement Annual Scholarship 4,000<br />
NONE N/A Achievement Annual Scholarship 4,000<br />
None N/A Achievement Annual Scholarship<br />
I<br />
I<br />
I<br />
4,000<br />
None N/A Internship Program 7,176<br />
None N/A Excellence Annual Scholarship<br />
5,000<br />
None N/A Vocational Training Grant 4,300<br />
None N/A Excellence Annual Scholarship 5,000<br />
TOTAL CONTRIBUTIONS APPROVED<br />
FOR FUTURE PAYMENT<br />
$ 54,276<br />
ATTACHMENT 12<br />
I<br />
I
THE CIRI FOUNDQION 092-0087914<br />
FEDERAL FOOTNOTES<br />
IRC SECTION 751 STATEMENT<br />
THE TAXPAYER HAS REPORTED ORDINARY INCOME UPON THE DISPOSITION OF<br />
UNITS IN ONEOK PARTNERS, L.P., AND TEPPCO PARTNERS, L.P., AS PROVIDED<br />
BY THE GENERAL PARTNER. THE AMOUNT WAS DETERMINED IN ACCORDANCE WITH<br />
INTERNAL REVENUE CODE SECTION 751 AND THE DETAILED INFORMATION IS<br />
AVAILABLE IN THE OFFICES OF THE GENERAL PARTNER UPON REQUEST.<br />
518106 1832 9/4/2010 2:38:58 PM v 09-7.3 418865<br />
:5&flf11mlfxrY1@,r1/jc 15,1
i/He ami Fuffiftlffw . qopnosmciiei<br />
Controlled Foreion Corporation Reportinq<br />
The taxpayer is not required to file Form 5471 for the foreign corporation under the constructive owner"s<br />
tiling exception pursuant to Treasury Regulation Section 1 6038-2(j)(2) because the Hling requirements have<br />
already been satisfied. The information was tiled by.<br />
LS Power Equity Partners ll PIE, LP.<br />
FEIN* 20-5721439<br />
1700 Broadway, 35th Floor<br />
New York, NY 10019<br />
IRS Service Center where return was filed<br />
Odgen, Utah<br />
it-ttmnmmt ii it
* Fm 8868 0Application for Extension -of Time To File an Q<br />
trtev Apr-i 20091 Exempt Organization Return OMB NO 15454709<br />
Department ofthe Treasury , ,<br />
mama, Revenue Servlce P File a separate application for each return<br />
o lf you are hling for an Automatic 3-Month Extension, complete only Part l and check this box p X<br />
0 lf you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part ll (on -page-2-ot this torm) I l . D I<br />
Do not complete Partllunless you have already been granted an automatic 3-month extension on a previously tiled Form 8868<br />
m Automatic 3-Month Extension of Time. Only submit original (no copies needed)<br />
A corporation required to tile Form 990-T and requesting an automatic 6-month extension - check this box and complete<br />
Part l only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . P E<br />
A/I other corporations (including 1120-C filers), partnerships, REM/Cs, and trusts must use Form 7004 to request an extension of<br />
time to file income tax returns<br />
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file<br />
one of the returns noted below (6 months for a corporation required to file Form 990-T) However, you cannot file Form 8868<br />
electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group<br />
returns, or a composite or consolidated From 990-T Instead, you must submit the fully completed and signed page 2 (Part ll) of Form<br />
8868 For more details on the electronic filing of this form, visit www /rs gov/ef//e and click on e-T7/e for Charities 8. Nonproi7ts<br />
Type Or Name of Exempt Organization<br />
p<strong>rint</strong> THE CIRI FOUNDATION<br />
File bythe Number, street, and room or suite no lf a P O box, see instructions<br />
duedatefor 3600 SAN JERONIMO DRIVE<br />
1Check type of return to be med (file a separate application for each return)<br />
trieltzgrltwyrglge City, town or post office, state, and ZIP code For a foreign address, see instructions<br />
*"5"UCU0"S ANCHORAGE, AK 99508<br />
- Form 990 Form 990-T (corporation) Form 4720<br />
- Form 990-BL Form 990-T (sec 401(a) or 408(a) trust) Form 522<br />
i Form 990.52 Form 990-T (trust other than above) Form 60<br />
Form 990-PF Form 1041-A Form 8<br />
6 The books are inthe care of P COOK INLET TRIBAL COUNCIL<br />
Te,ephO,,eNo , 907 793-3434 FAXNO p 907 793-3466<br />
Employer identification number<br />
9 2 - 0 0 8 7 9 1 4<br />
0 lf the organization does not have an office or place of business in the United States, check this box , , , , , , , I . - - -. -P lj<br />
0 lf this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) if (ms ,S<br />
for the whole group, check this box - * L--I lf it is for part of the group, check this box- - *E and attach a list with the<br />
names and ElNs of all members the extension will cover<br />
1 l request an gg 5-Cgnloonth (6 months for a corporation required to file Form 990-T) extension of time<br />
until . .to file the exempt organization return for the organization named above The extension is<br />
for the organizations return for<br />
p calendar year 2009 or<br />
p - tax year beginning , , and ending ,<br />
2 lf this tax year is for less than 12 months, check reason E Initial return E Final return E Change in accounting period<br />
nonrefundable credits. See instructions 33 5<br />
b lf this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments<br />
made Include any prior year overpayment allowed as a credit LJ 5 At Q, , lj) Li<br />
c Balance Due. Subtract line 3b from line 3a Include your payment with this form, or, if required, deposit "<br />
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See<br />
3a lf this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any<br />
instructions 36<br />
Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO<br />
for payment instructions<br />
For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Form 3353 (Rev 4-2009)<br />
JSA<br />
9FBO54 2 000 516106 1832 v 09-4.3 418065 PAGE 1<br />
bv<br />
B
Form sees (Rev 4-2009) 0 0 Page 2<br />
o lf you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box I D U , , ,, , 5 I-ff<br />
Note. Only complete Part ll if you have already been granted an automatic 3-month extension on a previously tiled Form 8868<br />
o lf you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1)<br />
w Additional (Not Automatic) 3-Month Extension of Time. Onl Hle the original (no copies needed).<br />
Type or Name of Exempt Organization b si,-355:( Employer identification number<br />
prim Ti-ii-3 CIRI FOUNDATION 92-0087914<br />
*mended File by me 3600 Number, SAN street, JERONIMO and room DRIVE<br />
duedatefor<br />
or suite no If a P O box, see instructions "A 1 For IRS use only<br />
5 . ... .:.. .<br />
.. u--it-as . . ,J . A rx( If ri., ** <br />
ISQQECESIS ANCHORAGE, AK 99508 g",",?,"31IEfT,E,,i.,-,,<br />
tiling the City, town or post office, state, and ZIP code For a foreign address, see instructions 5.*j,:-i@"3*,f1Efg*.iag 3:-r, 3.5 eg,-3, , " 1,, -<strong>fe</strong> A 1* ,,T*I-Vi*.*,*. 1 iv -rf1.5,3ini".f, :IT<br />
Check type of return to be filed (File a separate application for each return)<br />
Form 990-BL 990 - Form 990-T 990-PF (sec 401(a) Form or 408(a) 1041-A trust) Form E Form 4720 Form 6069 8870<br />
Form 990-EZ Form 990-T (trust other than above) Form 5227<br />
STOPI Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.<br />
0 The books are inthe care of P COOK INLET TRIBAL COUNCIL<br />
1-e(eph0neNe , 907 793-3434 FAXNO 5 907 793-3466<br />
0 If the organization does not have an ofhce or place of business in the United States, check this box , , , , , , , , , , , , ,, , P EI<br />
0 If this is for a Group Retum, enter theeorganization*s four digit Group Exemption Number (GEN) lf this is<br />
for the whole group, check this box , , , P EI If it is for part of the group, check this box , , , PI and attach a<br />
list with the names and ElNs of all members the extension is for<br />
4 I request an additional 3-month extension of time until 1 1 /1 5 /2 0 1 0<br />
5 For calendar year 2009 , or other tax year beginning ,and ending<br />
If this tax year is for less than 12 months, check reason Initial return Final return -I-I Change in accounting period<br />
State In detail Why yen need the extension INFORMATION NECESSARY TO PREPARE A COMPLETE A<br />
ACCURATE RETURN IS NOT YET AVAILABLE .<br />
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any<br />
nonrefundable credits Seeinstructions 8a $ 9-5.1100<br />
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated 31.5<br />
tax payments made Include any prior year overpayment allowed as a credit and any amount paid<br />
previously with Form 8868 8b $ L1 9- . I-1<br />
c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit<br />
with FTD coupon or, if required, by using EFFPS (Electronic FederalTax Payment System) See instructions 8c S 4 ,cjltriv<br />
Signature and Verification<br />
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,<br />
it is true, correct, and complete, and that l am authonzed to prepare this form<br />
CPA Form 8868 (Rev 4-zoo9)<br />
KPMG LLP<br />
Signature P Title P Date *LO " 3,111*<br />
JSA<br />
9Fso552ooo<br />
701 WEST STH AVENUE, SUITE 600<br />
ANCHORAGE, AK 99501 *<br />
518106 1832 6/24/2010 9:47:14 AM V 09-6.4 418865<br />
nhl"<br />
gli/ICE<br />
os<br />
IUN 29 2010 1<br />
RECEIVED<br />
55101