Short Form Return of Organization Exempt From Income Tax

Form 990-EZ (2006) Page 2
Statement of Program Service Accom plishments (See pag e 51 of the instructions . ) Expenses
Wh at is the organization's primary exempt purpose To unite orphaned children with families thru ado ption . (Required a nd (4) organizations
for 501(c)(3)
and (4) organizations
Des ribe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, and 4947(a)(1) trusts,
describe the services provided, the number of persons benefited, or other relevant information for each program title. optional for others.)
28 The period ended December 31, 2006 was our final year of business . We_began our agency in 2006 and_were
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not able to make our agency sustain itself. We needed to close the
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agency due - to - lack of assistance from sister
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agency _ -----------------------------------------------------------------------------------------------------------------
Grants $ If this amount includes forei g n g rants , check here . ► El 28a 500.00
29
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Grants If this amount includes forei g n g rants , check here ► El 9a
30 --------------------------------------------------------------------------------------------------------------------------
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Grants $ If this amount includes forei g n rants, check here . IN- q 0a
31 Other program services (attach schedule) . . . . . . . . . . . . . . . . . . . .
Grants $ If this amount includes forei gn rants, check here . It- 1 311a ,
32 Total program service expenses (add lines 28a through 31 a) . NO- 32 500.00
List of Officers , Directors , Trustees , and Key Employees (List each one even if not compensated. See page 52 of the instructions.)
(B) Title and average
(C) Compensation (D) Contributions to
(E) Expense
(A) Name and address
hours per week
Qf not paid,
e mployee benefit plans & account and
devoted to position
enter - 0-.)
deferred compensation other allowances
Trudy Anderson ____________________________________________
Exec . Director/ 40
1465 Mornin g Sky Court , Lake Oswe go, OR 97034 1750 4592 0
RoxAnderson
___________
1465 Mornin g S Court , - Lake -------
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DirFamilySvc/40
Oswe g o, OR 97034
500 1021 0
Christina Yarco
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____ Secretary
1837 Manchester Court , West Linn , OR 97038
0 0 0
Linda Royer , 14432 S . Livesay, Oregon City, OR Board Members
WA Je rry North , 1218 Cherry In, Lake Oswego, OR 97034 0 0 0
Other Information (Note the statement req uirement in General Instruction V. ) Yes No
33 Did the organization engage in any activity not previously reported to the IRS If "Yes," attach a detailed
description of each activity . . . . . . . . . . . . . . . . . . . . . . . . . . 33 3
34 Were any changes made to the organizing or governing documents but not reported to the IRS If "Yes,"
attach a conformed copy of the changes . . . . . . . . . . . . . . . . . . 3 3
35 If the organization had income from business activities, such as those reported on lines 2, 6, and 7 (among others), but not
reported on Form 990-T, attach a statement explaining your reason for not reporting the income on Form 990-T.
a Did the organization have unrelated business gross income of $1,000 or more or 6033(e) notice, reporting, and
proxy tax requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35a 3
b If "Yes," has it filed a tax return on Form 990-T for this year . . . . . . . . . . . . . . . . 35b
36 Was there a liquidation, dissolution, termination, or substantial contraction during the year (If "Yes," attach a
statement.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
. 36 3
37a Enter amount of political expenditures, direct or indirect, as described in the instructions. Poo- 37a I 0
b Did the organization file Form 1120-POL for this year . . . . . . . . . . . . . . . , 37b 3
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still unpaid at the start of the period covered by this return . . 38a 3
b If "Yes," attach the schedule specified in the line 38 instructions and enter the amount
involved . . . . . . . . . . . . . . . . . . . 38b
39 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on line 9 . . . . . . . . . 39a
b Gross recei pts, included on line 9, for p ublic use of club facilities . 39b
Form 990-EZ (2006)