OMB No. 1545-0047 Form Return of Organization Exempt From Income Tax Department of the Treasury Internal Revenue Service 07/01 , 2012, and ending PACIFIC UNIVERSITY 93-0386892 Address change Doing Business As Name change Number and street (or P.O. box if mail is not delivered to street address) Initial return 2043 COLLEGE WAY Terminated City or town, state or country, and ZIP + 4 Amended return Application pending (503 ) 352-2819 FOREST GROVE, OR 97116 G Gross receipts $ F Name and address of principal officer: DR. 1 Briefly describe the organization's mission or most significant activities: 2 3 4 5 6 7a b Check this box 137,853,258. Yes X No H(a) Is this a group return for affiliates? Yes H(b) Are all affiliates included? No If "No," attach a list. (see instructions) 527 H(c) Group exemption number L Year of formation: 1849 OR M State of legal domicile: 3,959,911. 110,385,078. 3,476,470. -160,585. 117,660,874. 23,981,608.0 53,853,934. 0 3,535,588. 34,150,794. 111,986,336. 5,674,538. 217,634,763. 105,080,579. 112,554,184. if the organization discontinued its operations or disposed of more than 25% 25 of its net assets. Number of voting members of the governing body (Part VI, line 1a) Total number of individuals employed in calendar year 2012 (Part V, line 2a) a) io Total number of volunteers (estimate if necessary) sp ec t Total gross unrelated business revenue from Part VIII, column (C), line ne 12 2 Net unrelated business taxable income from Form 990-T, line 34 Contributions and grants (Part VIII, line 1h) Prior Year COPY FOR Program service revenue (Part VIII, line 2g) Investment income (Part VIII, column (A), lines 3, 4,, and nd 7d) PUBLIC INSPECTION In Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, 10c and 11e) Total revenue - add lines 8 through 11 (must st equal eq l Part VIII, V column (A), line 12) Grants and similar amounts paid (Part IX,, column ((A (A), lines ine 1-3) Benefits paid to or for members (Part IX, (A), line 4) X, column (A Salaries, other compensation, employee mployee ployee benefits benefi benefit (Part IX, column (A), lines 5-10) Professional fundraising fees (Part column (A), line 11e) Partt IX, colum column (D), line 25) b Total fundraising expenses (Part IX, colu 17 18 19 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f) Total expenses. Add lines 13-17 3-1 (must equal Part IX, column (A), line 25) 3-17 Revenue less expenses. Subtract line 18 from line 12 Beginning of Current Year 20 21 22 Total assets (Part X, line 16) Total liabilities (Part X, line 26) Net assets or fund balances. Subtract line 21 from line 20 Part II Signature Block 33. 30. 2,690. 303. 400,865. -76,459. 3 4 5 6 7a 7b n Number of independent voting members of the governing body (Part VI, line 1b) b) lic 8 9 10 11 12 13 14 15 16 a C op y A DIVERSE & SUSTAINABLE COMMUNITY DEDICATED TO DISCOVERY & EXCELLENCE EXCELLE EXCELL TY INSPIRES INSPIRE IN TEACHING, SCHOLARSHIP AND PRACTICE, PACIFIC UNIVERSITY N OUR WORLD. WORL WOR STUDENTS TO THINK, CARE, CREATE, AND PURSUE JUSTICE IN Pu b Revenue Activities & Governance Expenses E Telephone number Room/suite LESLEY HALLICK 2043 COLLEGE WAY FOREST GROVE, OR 97116 Tax-exempt status: I X 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or J Website: WWW.PACIFICU.EDU K Form of organization: Corporation Trust Association X Other SCHOOL Summary Part I Net Assets or Fund Balances Inspection 06/30 , 20 13 D Employer identification number C Name of organization Check if applicable: Open to Public The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2012 calendar year, or tax year beginning B Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Current Year 4,520,076. 120,887,552. 3,789,954. -145,048. 129,052,534. 28,916,866. 0 58,425,824. 0 36,593,040. 123,935,730. 5,116,804. End of Year 224,673,746. 104,627,213. 120,046,533. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here Signature of officer Date Type or print name and title Print/Type preparer's name Paid ROBISON, Preparer Use Only Firm's name Firm's address SUE Preparer's r's s ssignature ign gn g nature KPMG LLP PTIN EIN Phone no. 1918 EIGHTH AVENUE, SUITE 2900 SEATTLE, WA 98101 For Paperwork Reduction Act Notice, see the separate instructions. NY2934 1783 Check if selfemployed P00560072 13-5565207 206-913-4000 X 04/28/2014 May the IRS discuss this return with the preparer shown above? (see instructions) JSA 2E1065 1.000 Date V 12-7.12 Yes Form 67971 990 No (2012) PAGE 2 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Page Part III 1 Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III Briefly describe the organization's mission: 2 X ATTACHMENT 1 2 Did the organization undertake any significant program services during the year which were not listed on the X No prior Form 990 or 990-EZ? Yes If "Yes," describe these new services on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program X No Yes services? If "Yes," describe these changes on Schedule O. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 37,517,171. including grants of $ ) (Revenue Revenue nu $ 105,562,933. ) 4b (Code: In sp ec tio n C op y INSTRUCTION - ACADEMIC DEPARTMENTS PROVIDE EDUCATIONAL SERVICES ES TO ATTENDING STUDENTS. ) (Expenses $ 28,916,868. including luding ding grants gran of $ 28,916,866. ) (Revenue $ ) Pu bl ic GRANTS AND SCHOLARSHIPS - THE UNIVERSITY ERSITY SITY PROVIDES PROV PRO MONETARY SUPPORT D FINANCIAL FINANCI THROUGH GRANTS, SCHOLARSHIPS, AND AID TO QUALIFIED STUDENTS. 4c (Code: ) (Expenses $ 24,407,281. including grants of $ ) (Revenue $ 12,549,963. OTHER STUDENT SUPPORT SERVICES - DORM, CAFETERIA AND ACTIVITIES ARE PROVIDED TO STUDENTS TO ENHANCE THE ACADEMIC SOCIAL ENVIRONMENT AT THE UNIVERSITY. ATTACHMENT 2 4d Other program services (Describe in Schedule O.) (Expenses $ ) (Revenue $ 3,277,717. including grants of $ 94,119,037. 4e Total program service expenses JSA 2E1020 2.000 NY2934 1783 2,774,656. ) Form V 12-7.12 67971 ) 990 (2012) PAGE 3 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Part IV Page Yes 1 2 3 4 5 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Partt II Did the organization maintain collections of works of art, historical treasures, or other similar milar ar assets? as asse If "Yes," complete Schedule D, Part III Did the organization report an amount in Part X, line 21, for escrow or custodial account ount liability; liability serve as a cr custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Did the organization, directly or through a related organization, hold assets a sets ets in temporarily te restricted mplete Schedule ched endowments, permanent endowments, or quasi-endowments? If "Yes," complete D, Part V If the organization’s answer to any of the following questions is "Yes," es,"" then complete com co Schedule D, Parts VI, VII, VIII, IX, or X as applicable. Did the organization report an amount for land, buildings, and nd equipment equip equipme in Part X, line 10? If "Yes," complete Schedule D, Part VI Did the organization report an amount for investments-other other er securit securities in Part X, line 12 that is 5% or more mplete Sched Sch of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Did the organization report an amount for investments-program ments-program nts-progra related in Part X, line 13 that is 5% or more Yes," s," complete Schedule D, Part VIII of its total assets reported in Part X, line 16? If "Yes," Did the organization report an amount for other her assets in P Part X, line 15 that is 5% or more of its total assets ete Schedule hedule D, hedul D Part IX reported in Part X, line 16? If "Yes," complete Did the organization report an amount for other liabilities bilit in Part X, line 25? If "Yes," complete Schedule D, Part X 6 7 y 8 op 9 C 1 2 X X X 3 4 No X 5 X 6 X 7 X 8 X 9 X 10 X 11a X c d ec b sp a In 11 tio n 10 3 Checklist of Required Schedules lic e f Did the organization’s separate or consolidated solidated olidated financial fina statements for the tax year include a footnote that addresses Pu b the organization's liability for uncertain ain n tax positions position under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X 12 a Did the organization obtain separate, parate, independent in i audited financial statements for the tax year? If "Yes," complete Schedule D, Partss XI and XII b Was the organization included ded in cons consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line llin 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 14 a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III 20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? JSA 2E1021 1.000 NY2934 1783 V 12-7.12 67971 11b X 11c X 11d 11e X X 11f X 12a X 12b 13 14a X X X 14b X 15 X 16 X 17 X 18 X X X 19 20a 20b Form 990 (2012) PAGE 4 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Part IV Page Yes 22 23 24 a b c d 25 a b Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25 Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit be transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I Is the organization aware that it engaged in an excess benefit transaction with a disqualified qualified lified person per perso in a prior or Forms 990 99 or 990-EZ? year, and that the transaction has not been reported on any of the organization's prior If "Yes," complete Schedule L, Part I Was a loan to or by a current or former officer, director, trustee, key employee, highly com compen compensated employee, or es," complete compl com disqualified person outstanding as of the end of the organization's tax year? If "Yes," Schedule L, Part II Did the organization provide a grant or other assistance to an officer, fficer, er, dir director, di ctor, trustee, key employee, mmittee mittee member, me mem substantial contributor or employee thereof, a grant selection committee or to a 35% controlled e Schedule L, Part Pa III entity or family member of any of these persons? If "Yes," complete Was the organization a party to a business transaction with h one ne of the fo following parties (see Schedule L, s, and nd exceptio excep Part IV instructions for applicable filing thresholds, conditions, exceptions): oyee? e? If "Yes," "Yes, complete c A current or former officer, director, trustee, or key employee? Schedule L, Part IV A family member of a current or former officer, director, rector, trustee, tr trust or key employee? If "Yes," complete Schedule L, Part IV An entity of which a current or former officer, director, rector, trustee, truste or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect direct own owner? If "Yes," complete Schedule L, Part IV Did the organization receive more than $25,000 $2 000 in i non-cash n contributions? If "Yes," complete Schedule M utions of art, t historical treasures, or other similar assets, or qualified Did the organization receive contributions conservation contributions? If "Yes,"" complete S Schedule M Did the organization liquidate, terminate, erminate, or o dissolve and cease operations? If "Yes," complete Schedule N, Part I Did the organization sell,, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," rt II complete Schedule N, Part Did the organization own 100% 00 of an entity disregarded as separate from the organization under Regulations 00% sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 Did the organization have a controlled entity within the meaning of section 512(b)(13)? If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O op C 26 tio n 27 29 30 31 32 33 34 35 a b 36 37 38 ec sp In c lic a b Pu b 28 No X 21 22 X 23 X 24a 24b X X 24c 24d X X 25a X 25b X 26 X 27 X 28a X 28b X y 21 4 Checklist of Required Schedules (continued) 28c 29 X X 30 X 31 X 32 X 33 X 34 35a X X 35b X 36 X 37 X 38 Form X 990 (2012) JSA 2E1030 1.000 NY2934 1783 V 12-7.12 67971 PAGE 5 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Part V Page 452 0 X 2,690 X X X Yes 1a 1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable 1b b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? 2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax 2a Statements, filed for the calendar year ending with or within the year covered by this return b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) 3 a Did the organization have unrelated business gross income of $1,000 or more during the year? b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule O 4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If “Yes,” enter the name of the foreign country: Financia nanci Accounts. See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial 5 a Was the organization a party to a prohibited tax shelter transaction at any time during the e tax ax year? b Did any taxable party notify the organization that it was or is a party to a prohibited ited d tax shelter shelte transaction? c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? 6 a Does the organization have annual gross receipts that are normally greater err than $100,000, $10 $100, and did the ble contributions? ontribut ontribution organization solicit any contributions that were not tax deductible as charitable b If "Yes," did the organization include with every solicitation an express s statement statem nt that th such contributions or gifts were not tax deductible? 7 Organizations that may receive deductible contributions under section 170(c). 170 a Did the organization receive a payment in excess of $75 made de partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or o services provided? c Did the organization sell, exchange, or otherwise dispose pose of tangible ttan personal property for which it was required to file Form 8282? 7d d If "Yes," indicate the number of Forms 8282 filed d during the yea ye year tio n C op y 9 a b 10 a b In Did the organization receive any funds, directlyy or indirectly, indirec to pay premiums on a personal benefit contract? Did the organization, during the year, pay ay premiums, emium directly or indirectly, on a personal benefit contract? emiums, If the organization received a contribution of qualified iin intellectual ec property, did the organization file Form 8899 as required? lic 8 sp ec If the organization received a contribution n of cars, boats boat boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining aintaining intaining donor advised funds and section 509(a)(3) supporting porting ting orga organization, org or a donor advised fund maintained by a sponsoring organizations. Did the supporting organization, have excess business hold holdings at any time during the year? Sponsoring organizations s maintaining maintain donor advised funds. Did the organization make any ny taxable ta distributions under section 4966? Did the organization make a distribution to a donor, donor advisor, or related person? Section 501(c)(7) organizations. Enter: 10a Initiation fees and capital contributions included on Part VIII, line 12 10b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities Pu b e f g h Section 501(c)(12) organizations. Enter: 11a a Gross income from members or shareholders b Gross income from other sources (Do not net amounts due or paid to other sources 11b against amounts due or received from them.) 12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12b b If "Yes," enter the amount of tax-exempt interest received or accrued during the year 11 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans 13b 13c c Enter the amount of reserves on hand 14 a Did the organization receive any payments for indoor tanning services during the tax year? b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O JSA 2E1040 1.000 5 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response to any question in this Part V NY2934 1783 V 12-7.12 67971 No 1c 2b 3a 3b 4a X 5a 5b 5c X X 6a X 6b X 7a 7b X X 7c X 7e 7f 7g 7h X X 8 9a 9b 12a 13a X 14a 14b Form 990 (2012) PAGE 6 PACIFIC UNIVERSITY 93-0386892 Page 6 Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" Form 990 (2012) response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response to any question in this Part VI Section A. Governing Body and Management 1a Enter the number of voting members of the governing body at the end of the tax year. Yes 1a X No 33 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. op y 30 1b b Enter the number of voting members included in line 1a, above, who are independent Did any officer, director, trustee, or key employee have a family relationship or a business relationship with 2 any other officer, director, trustee, or key employee? 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 6 Did the organization have members or stockholders? 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? pproval oval b by) members, b Are any governance decisions of the organization reserved to (or subject to approval stockholders, or persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written n actions ctions unde undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? 9 Is there any officer, director, trustee, or key employee listed in Part VII, II, Section A, who w cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses O dresses esses in Schedule S Sch ec tio n C 2 X 3 4 5 6 X X X X 7a X 7b X X X 8a 8b X 9 Section B. Policies (This Section B requests information about policies olicies licies not re requ required by the Internal Revenue Code.) In sp 10 a Did the organization have local chapters, branches, or affiliates? tes? cedures governing go the activities of such chapters, b If "Yes," did the organization have written policies and procedures nsistent w affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 11 a Has the organization provided a complete copy of this Form rm 990 to all members me of its governing body before filing the form? b Describe in Schedule O the process, if any, used ed by the orga organ organization to review this Form 990. 12 a Did the organization have a written conflict of interest policy policy? If "No," go to line 13 p mploy mployees required to disclose annually interests that could give b Were officers, directors, or trustees, and key employees rise to conflicts? d consistently consistent monitor and enforce compliance with the policy? If "Yes," c Did the organization regularly and describe in Schedule O how this was done 13 Did the organization have a written en whistleblower whistl whist policy? 14 Did the organization have a written document retention and destruction policy? do 15 Did the process for determining ermining compensation c of the following persons include a review and approval by ara arab independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions). 16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? Section C. Disclosure Yes 10b 11a X 12a X 12b X 12c 13 14 X X X 15a 15b 16a OR, No X 10a X X X 16b 17 18 List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Own website X Upon request Another's website Other (explain in Schedule O) 19 Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, physical address, and telephone number of the person who possesses the books and records of the 503-352-2819 organization: ALLIE LOSLI 2043 COLLEGE WAY FOREST GROVE, OR 97116 Form 990 (2012) 20 JSA 2E1042 1.000 NY2934 1783 V 12-7.12 67971 PAGE 7 PACIFIC UNIVERSITY 93-0386892 Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response to any question in this Part VII Form 990 (2012) Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. op y nt officer, ffice director, or trustee. Check this box if neither the organization nor any related organization compensated any current (C) (do not check more than one Average hours per box, unless person is both an week (list any officer and a director/trustee)) Name and Title (D) D) (E) Reportable Reportable compensat compensation compensation from from fro related the organizations organization o (W-2/1099-MISC) (W-2/1099-MISC) (W-2 In sp ec tio n Former compensated Highest est compensate compen ployee e employee Key employee ployee oyee Officer organizations below dotted line) 1.00 0 1.00 0 1 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 Pu bl ic TRUSTEE (2) EVONA "EVIE" M. BRIM TRUSTEE (3) GEORGE J. BROWN TRUSTEE (4) LISA HARGIS TRUSTEE (5) MICHAEL E. HUDSON TRUSTEE (6) DON R. KANIA TRUSTEE (7) PETER O. KOHLER TRUSTEE (8) NANCY M. PHILLIPS TRUSTEE (9) DOUG WEBERLING TRUSTEE (10) GERALD C. YOSHIDA TRUSTEE (11) GENE ZURBRUGG TRUSTEE (12) JULIE BERGLUND BAKER TRUSTEE (13) KENNETH C. MCGILL TRUSTEE (14) DR. RICHARD MILES TRUSTEE e Institutional trustee related Individual trustee or director hours for (1) ROBERT O. BARRETT Position (B) C (A) X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 Form JSA 2E1041 1.000 (F) Estimated amount of other compensation from the organization and related organizations NY2934 1783 V 12-7.12 67971 990 (2012) PAGE 8 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Page (B) (C) Average Position (do not check more than one box, unless person is both an officer and a director/trustee) hours per week (list any hours for Former 4 Highest compensated employee (F) Estimated amount of other compensation from the organization and related organizations X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 0 0 0 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 0 0 0 0 236,132. 236,132. X In sp ec tio n X 0 Sub-total 2,022,444. Total from continuation sheets to Part VII, Section A 2,022,444. Total (add lines 1b and 1c) Total number of individuals (including but not limited limit limi to those listed above) who received more than $100,000 of reportable compensation from the organization anizatio 8 Pu bl ic 3 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 1.00 0 00 1.00 0 Key employee ( 15) JOSEPH A. RODRIGUEZ TRUSTEE ( 16) TIM SCHAUERMANN TRUSTEE ( 17) WILLIAM H. STOLLER TRUSTEE ( 18) TOMMY THAYER TRUSTEE ( 19) MINDY CAMERON TRUSTEE ( 20) MANUEL CASTANEDA TRUSTEE ( 21) PATRICK C.H. CLARK TRUSTEE ( 22) BRIAN B. DOHERTY TRUSTEE ( 23) MARK FRANDSEN TRUSTEE ( 24) REBECCA GRAHAM TRUSTEE ( 25) RICHARD E. HANSON TRUSTEE Officer line) Institutional trustee below dotted Individual trustee or director related organizations (D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC) op y (A) Name and title 1b c d 2 Yes No Did the organization list any ny former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual mpl mplete 3 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual 4 X X Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) C Part VII (A) Name and business address (B) Description of services X (C) Compensation ATTACHMENT 3 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 3 JSA 2E1055 3.000 NY2934 1783 V 12-7.12 Form 67971 990 (2012) PAGE 9 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Page (B) (C) Average Position (do not check more than one box, unless person is both an officer and a director/trustee) hours per week (list any hours for Former Highest compensated employee (F) Estimated amount of other compensation from the organization and related organizations X 0 0 0 X 0 0 0 X 0 0 0 X 9,303. 303. 79,303. 0 16,134. 85,429 85,429. 0 12,519. 3,5 3,500. 0 0 1,050. 0 0 X 591,313. 0 34,010. X 199,114. 0 27,942. X 195,327. 0 27,061. 169,466. 0 19,888. X X X In sp ec tio n 1.00 0 1.00 0 1.00 0 40.00 0 40.00 0 40.00 0 40.00 0 40.00 0 40.00 0 40.00 0 00 40.00 0 Key employee ( 26) LAWRENCE W. HARRIS III TRUSTEE ( 27) DR. YVONNE KATZ TRUSTEE ( 28) KIM W. LEDBETTER TRUSTEE ( 29) MICHELLE COWING FACULTY TRUSTEE ( 30) DR. MARY (KATIE) FARRELL FACULTY TRUSTEE ( 31) TYLER OSHIRO STUDENT TRUSTEE ( 32) KASIE RUST STUDENT TRUSTEE ( 33) DR. LESLEY HALLICK PRESIDENT/TRUSTEE ( 34) JOHN MILLER VP ACADEMIC AFFAIRS ( 35) MICHAEL MALLERY VP FINANCE & ADMINISTRATION ( 36) JAMES SHEEDY DIR. OF OPTOMETRIC RESEARCH Officer line) Institutional trustee below dotted Individual trustee or director related organizations (D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC) op y (A) Name and title X X Sub-total Total from continuation sheets to Part VII, Section A Total (add lines 1b and 1c) Total number of individuals (including but not limited limit limi to those listed above) who received more than $100,000 of reportable compensation from the organization anizatio 8 3 Did the organization list any ny former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual mpl mplete 3 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual 4 Pu bl ic 1b c d 2 4 Yes No X X Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5 (A) Name and business address 2 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) C Part VII (B) Description of services X (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization JSA 2E1055 3.000 NY2934 1783 V 12-7.12 Form 67971 990 (2012) PAGE 10 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title (B) (C) Average Position (do not check more than one box, unless person is both an officer and a director/trustee) hours per week (list any hours for Former (F) Estimated amount of other compensation from the organization and related organizations X 173,491. 0 31,178. X 174,412. 0 24,229. X 3. 179,413. 0 22,756. X 0,626. 626. 170,626. 0 20,415. In sp ec tio n C 40.00 0 40.00 0 40.00 0 40.00 0 Highest compensated employee Key employee ( 37) JENNIFER SMYTHE DEAN OPTOMETRY ( 38) SUSAN STEIN DEAN PHARMACY ( 39) ANN BARR-GILLESPIE EXECUTIVE DEAN ( 40) MARK ANKENY VP ENROLLMENT MGMT Officer line) Institutional trustee below dotted Individual trustee or director related organizations (D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC) op y Part VII Sub-total Total from continuation sheets to Part VII, Section A Total (add lines 1b and 1c) Total number of individuals (including but not limited limit limi to those listed above) who received more than $100,000 of reportable compensation from the organization anizatio 8 3 Did the organization list any ny former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual mpl mplete 3 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual 4 4 Pu bl ic 1b c d 2 Yes No X X Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5 (A) Name and business address 2 (B) Description of services X (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization JSA 2E1055 3.000 NY2934 1783 V 12-7.12 Form 67971 990 (2012) PAGE 11 Form 990 (2012) Part VIII PACIFIC UNIVERSITY Statement of Revenue 93-0386892 Check if Schedule O contains a response to any question in this Part VIII 1a Membership dues 1b c Fundraising events Related organizations 1d e Government grants (contributions) 1e 1,890,577. f All other contributions, gifts, grants, 1f 2,446,202. Noncash contributions included in lines 1a-1f: $ 80,559. and similar amounts not included above g h (D) Revenue excluded from tax under sections 512, 513, or 514 4,520,076. Total. Add lines 1a-1f Business Code EDUCATIONAL & EXTRACURICULAR PROGRAMS 611600 105,562,933. b CLINICAL SERVICES 621400 2,774,656. 65 2,774,656. c AUXILLARY SERVICES 532000 12,549,963. 52,017. 7. 12,152,017. 2a d e f g 3 ATTACHMENT 4 All other program service revenue Total. Add lines 2a-2f Investment income (including dividends, interest, and 21,151. 151. 1,821,151. Income from investment of tax-exempt bond proceeds 0 5 Royalties 0 6a Gross rents b Less: rental expenses c d Rental income or (loss) Net rental income or (loss) and sales expenses c d 8a 6,254 6,254. 8,526,254. ,996,330. 996,330. 1,996,330. Gain or (loss) Net gain or (loss) Gross income from fundraising raising g events (not including $ 0 7,119 7 7,119. 10,522,584. Less: cost or other basis 1,818,232. (ii)) Other 4,378. Pu bl ic b Gross amount from sales of assets other than inventory 2,919. (ii) Personal (i) Securities 7a 397,946. In sp ec tio n 4 (i) Real 105,562,933. 120,887,552. other similar amounts) Other Revenue (C) Unrelated business revenue 183,297. 1c d C op y Contributions, Gifts, Grants Program Service Revenue and Other Similar Amounts Federated campaigns b 1a 9 (B) Related or exempt function revenue (A) Total revenue Page 2,741. 1,968,803. 1,968,803. -145,048. -145,048. ATCH 5 183,297. 183,297 ATCH 6 of contributions reported 1c). ed on lline 1c a 125,044. Less: direct expenses b Net income or (loss) from fundraising events 270,092. See Part IV, line 18 b c 9a b c 10a b c Gross income from gaming activities. See Part IV, line 19 a b Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory, returns and allowances 0 less a b Less: cost of goods sold Net income or (loss) from sales of inventory Miscellaneous Revenue Business Code 0 11a b c d All other revenue e Total. Add lines 11a-11d Total revenue. See instructions 12 0 129,052,534. 120,489,606. V 12-7.12 3,641,987. Form JSA 2E1051 1.000 NY2934 1783 400,865. 67971 990 (2012) PAGE 12 PACIFIC UNIVERSITY Part IX Statement of Functional Expenses 93-0386892 Form 990 (2012) Page 10 Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response to any question in this Part IX (A) Total expenses Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to governments and 2 Grants and other assistance to individuals in the United States. See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 4 Benefits paid to or for members 5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not included above, to disqualified (C) Management and general expenses (D) Fundraising expenses 0 organizations in the United States. See Part IV, line 21 28,916,866. (B) Program service expenses 28,916,866. 0 0 1,204,610. 401,347. 803,263. 0 43,190,059. 29,491,886. 11,962,107. 11,9 , 3,449,246. 7,318,115. 3,263,794. 2,322,556. 6. 4,927,666. 666. 2,197,681. 7,681. 681. persons described in section 4958(c)(3)(B) 7 Other salaries and wages 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) 9 10 11 Other employee benefits Payroll taxes Fees for services (non-employees): 0 202,013. 167,555. 0 0 ,947. 47. 51,947. b Legal c Accounting d Lobbying e Professional fundraising services. See Part IV, line 17 f Investment management fees g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.) Advertising and promotion 13 Office expenses 14 Information technology 15 Royalties 16 Occupancy 17 Travel 18 Payments of travel or entertainment ent expenses for any federal, state, or local public officials offici offic 19 Conferences, conventions, and d meetings 20 Interest 21 Payments to affiliates 22 Depreciation, depletion, and amortization 23 Insurance 24 Other Pu b lic 12 expenses. Itemize expenses not 0 0 3,036 3,036,9 3,036,986. 0 0 3,455,046. 0 0 2,668,423. 4,456,064. 0 4,555,037. 0 991,806. 99 2,104,272. 2, 2 938,481. 1,736,066. 134,884. 286,177. 127,632. 202,013. 167,555. In sp ec tio n a Management C op y persons (as defined under section 4958(f)(1)) and 51,947. 2,044,960. 873,264. 118,762. 2,326,461. 993,474. 135,111. 1,796,788. 3,000,499. 767,286. 1,281,309. 104,349. 174,256. 3,067,143. 1,309,768. 178,126. 1,886,860. 1,359,889. 3,838,749. 2,559,536. 3,980,150. 94,119,037. 58,788. 580,716. 1,639,269. 199,077. 1,356,710. 26,281,105. 7,995. 78,976. 222,937. 45,807. 184,510. 3,535,588. covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.) a INTERSCHOLASTIC Total functional expenses. Add lines 1 through 24e 1,953,643. 2,019,581. 5,700,955. 2,804,420. 5,521,370. 123,935,730. Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) 0 b EQUIPMENT c ADMIN. ACTIVITIES COSTS & MEALS SERVICES d CATERING e All other expenses 25 26 JSA 2E1052 1.000 NY2934 1783 Form V 12-7.12 67971 990 (2012) PAGE 13 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Page Balance Sheet Check if Schedule O contains a response to any question in this Part X 1 2 3 4 5 Cash - non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L (A) Beginning of year Notes and loans receivable, net ATCH 7 Inventories for sale or use ATCH 8 Prepaid expenses and deferred charges Land, buildings, and equipment: cost or 170,218,188. 10a other basis. Complete Part VI of Schedule D 50,644,198. 10b b Less: accumulated depreciation ATCH 9 11 Investments - publicly traded securities 12 Investments - other securities. See Part IV, line 11 13 Investments - program-related. See Part IV, line 11 14 Intangible assets 15 Other assets. See Part IV, line 11 16 Total assets. Add lines 1 through 15 (must equal line 34) 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue AT ATCH 10 20 Tax-exempt bond liabilities art IV of Schedule Sche S D 21 Escrow or custodial account liability. Complete Part nd former officers, off o directors, 22 Loans and other payables to current and trustees, key employees, highest compensated employees, and compensat S edule L disqualified persons. Complete Part II of Schedule yable to unrelated u late third parties 23 Secured mortgages and notes payable yable ble to unrelated unre third parties 24 Unsecured notes and loans payable ederal income incom tax, payables to related third 25 Other liabilities (including federal es not ot included inclu includ parties, and other liabilities on lines 17-24). Complete Part X of Schedule D thr 25 26 Total liabilities. Add lines 17 through X and Organizations that follow ow SFAS S 117 (ASC 958), check here complete lines 27 through 29, and lines 33 and 34. (B) End of year 20,484,244. 2,576,239. 1,785,213. 1,895,173. 7 8 9 10 a 1 2 3 4 22,243,107. 287,379. 1,690,298. 782,576. 0 5 0 0 6,455,603. 396,960. 3,658,702. 58 6 7 8 9 121,371,391. 121,371,39 21,371,3 10c 25,898,509. 11 25,898 25,898, 8 8,12 8,129,087. 12 0 13 0 14 24,983,642. 15 217,634,763. 16 6,961,075. 17 0 18 4,894,494. 19 75,874,890. 20 0 21 119,573,990. 29,191,053. 11,739,648. 1,678,812. 0 25,574,637. 224,673,746. 7,327,306. 0 5,849,782. 74,500,437. 0 0 22 0 23 5,059,567. 24 0 0 4,273,371. 12,290,553. 25 105,080,579. 26 12,676,317. 104,627,213. 65,116,261. 27 12,883,129. 28 34,554,794. 29 68,846,455. 15,235,755. 35,964,323. ec tio n sp In Pu b Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 117 (ASC 958), check here complete lines 30 through 34. 30 31 32 33 34 0 6,753,345. 451,227. 4,707,674. lic Liabilities Net Assets or Fund Balances 27 28 29 11 C op y Assets Part X Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund balances Total liabilities and net assets/fund balances and 30 31 32 112,554,184. 33 217,634,763. 34 120,046,533. 224,673,746. Form 990 (2012) JSA 2E1053 1.000 NY2934 1783 V 12-7.12 67971 PAGE 14 PACIFIC UNIVERSITY 93-0386892 Form 990 (2012) Part XI 1 2 3 4 5 6 7 8 9 10 Page 129,052,534. X 123,935,730. 5,116,804. 112,554,184. 2,624,389. 0 0 0 -248,844. 120,046,533. Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part XII Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 2 from line 1 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B)) Part XII 12 Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part XI 1 2 3 4 5 6 7 8 9 10 X Accrual Accounting method used to prepare the Form 990: Cash Other "Other, he If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent ent accountant? If "Yes," check a box below to indicate whether the financial statements for the year were we compiled or reviewed on a separate basis, consolidated basis, or both: Yes No 1 2a 2b X 2c X 3a X 3b X Form 990 Separate basis Consolidated basis C op y ed and nd d separate sepa Both consolidated basis tio n b Were the organization's financial statements audited by an independent nt accountant? accounta accoun t? If "Yes," check a box below to indicate whether the financial statements atements ments for the th year were audited on a separate basis, consolidated basis, or both: X Separate basis Consolidated basis Both and separate basis h consolidated consolida X sp ec mittee e that assumes assu a c If "Yes" to line 2a or 2b, does the organization have a committee responsibility for oversight ments ts and selection se selec of the audit, review, or compilation of its financial statements of an independent accountant? cess ss or selection selectio sele If the organization changed either its oversight process process during the tax year, explain in Schedule O. 3 a As a result of a federal award, was the organization nization ation required require to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ? b If "Yes," did the organization undergo the he required r uired audit au or audits? If the organization did not undergo the required audit or audits, explain why in n Schedule Schedu O and a describe any steps taken to undergo such audits (2012) Pu b lic In JSA 2E1054 1.000 NY2934 1783 V 12-7.12 67971 PAGE 15 SCHEDULE A (Form 990 or 990-EZ) OMB No. 1545-0047 Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service Name of the organization Attach to Form 990 or Form 990-EZ. Open to Public Inspection See separate instructions. Employer identification number PACIFIC UNIVERSITY 93-0386892 Reason for Public Charity Status (All organizations must complete this part.) See instructions. Part I sp ec tio n C op y The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 X A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in 5 section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental en unit or from the general public 7 described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 m contributions, contribution contributions membership fees, and gross An organization that normally receives: (1) more than 33 1/3 % of its support from and (2) no more than 33 1/3% of its receipts from activities related to its exempt functions - subject to certain exceptions, a support from gross investment income and unrelated business taxable section 511 tax) from businesses e income (less (le ). (Complete omplete Pa Part III.) acquired by the organization after June 30, 1975. See section 509(a)(2). 10 fety. S section 509(a)(4). An organization organized and operated exclusively to test for public safety. See sec An organization organized and operated exclusively for the benefit enefit efit of, to perform p the functions of, or to carry out the 11 purposes of one or more publicly supported organizations described 509(a)(1) or section 509(a)(2). See section escribed in section ssec ing organization organizatio organiza and complete lines 11e through 11h. 509(a)(3). Check the box that describes the type of supporting a Type I b Type II c Type III-Functionally unctionally ionally in integ integrated d Type III-Non-functionally integrated e By checking this box, I certify that the organization on iss not cont co controlled directly or indirectly by one or more disqualified persons other than foundation managers and other er than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). f rmination ination from the IRS that it is a Type I, Type II, or Type III supporting If the organization received a written determination organization, check this box g Since August 17, 2006, has the organization iza n accepted acce accepte any gift or contribution from any of the following persons? Yes No (i) A person who directly or indirectly ndirectly controls, co either alone or together with persons described in (ii) 11g(i) rning ning body o of the supported organization? and (iii) below, the governing 11g(ii) (ii) A family member of a person rson de desc described in (i) above? 11g(iii) (iii) A 35% controlled entity of a pe person described in (i) or (ii) above? h Provide the following information about the supported organization(s). (i) Name of supported organization Pu b lic In (ii EIN (ii) E (iii) Type of organization (described on lines 1-9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? Yes No (v) Did you notify (vi) Is the the organization organization in in col. (i) of col. (i) organized your support? in the U.S.? Yes No Yes (vii) Amount of monetary support No (A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2012 JSA 2E1210 1.000 NY2934 1783 V 12-7.12 67971 PAGE 16 PACIFIC UNIVERSITY 93-0386892 Schedule A (Form 990 or 990-EZ) 2012 Page 2 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value of services or facilities furnished by a governmental unit to the organization without charge 4 Total. Add lines 1 through 3 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) Public support. Subtract line 5 from line 4. (b) 2009 (c) 2010 (a) 2008 (b) 2009 (c) 20 2010 (e) 2012 (f) Total (e) 2012 (f) Total Amounts from line 4 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources 9 Net income from unrelated business activities, whether or not the business is regularly carried on 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) (d) 2011 In sp ec tio n Section B. Total Support Calendar year (or fiscal year beginning in) 7 8 (d) 2011 C op y 6 (a) 2008 Section C. Computation of Public lic Support Suppor Percentage Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see ee instructio instructions) Pu bl ic 11 12 13 First five years. If the Form 990 is for or the org organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here 14 14 Public support percentage for 2012 (lin (li (line 6, column (f) divided by line 11, column (f)) 15 15 Public support percentage e from 201 2011 Schedule A, Part II, line 14 16a 33 1/3 % support test - 2012. 2 If I the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3 % support test - 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3 % or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10%-facts-and-circumstances test - 2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported organization b 10%-facts-and-circumstances test - 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions % % Schedule A (Form 990 or 990-EZ) 2012 JSA 2E1220 1.000 NY2934 1783 V 12-7.12 67971 PAGE 17 PACIFIC UNIVERSITY 93-0386892 Schedule A (Form 990 or 990-EZ) 2012 Page 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Part III Calendar year (or fiscal year beginning in) 1 (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total (e) 2012 (f) Total Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 5 The value of services or facilities organization without charge 6 Total. Add lines 1 through 5 C op y furnished by a governmental unit to the received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Section B. Total Support 8 c Add lines 7a and 7b Public support (Subtract line 7c from line 6.) Calendar year (or fiscal year beginning in) 9 Amounts from line 6 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources section 511 (a) 2008 (b) 2009 (c) 2010 (d) 2011 Pu bl ic b Unrelated business taxable income (less In sp ec tio n 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 taxes) from businesses acquired after June 30, 1975 c Add lines 10a and 10b 11 12 Net income from unrelated business activities not included in line 10b, s re regular whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 13 Total support. (Add lines 9, 10c, 11, 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) and 12.) organization, check this box and stop here Section C. Computation of Public Support Percentage 15 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) 15 16 Public support percentage from 2011 Schedule A, Part III, line 15 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) 17 18 Investment income percentage from 2011 Schedule A, Part III, line 17 18 % % 19 a 33 1/3 % support tests - 2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3 %, and line 17 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3 % support tests - 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3 %, and 20 line 18 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions JSA 2E1221 1.000 % % Schedule A (Form 990 or 990-EZ) 2012 NY2934 1783 V 12-7.12 67971 PAGE 18 PACIFIC UNIVERSITY 93-0386892 Schedule A (Form 990 or 990-EZ) 2012 Page 4 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions). Pu b lic In sp ec tio n C op y Part IV Schedule A (Form 990 or 990-EZ) 2012 JSA 2E1225 1.000 NY2934 1783 V 12-7.12 67971 PAGE 19 Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service Schedule of Contributors OMB No. 1545-0047 Attach to Form 990, Form 990-EZ, or Form 990-PF. Name of the organization Employer identification number PACIFIC UNIVERSITY 93-0386892 Organization type (check one): Filers of: Section: Form 990 or 990-EZ X 501(c)( 3 ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization 501(c)(3) exempt private foundation y Form 990-PF C tio n 501(c)(3) taxable private foundation op rivate founda 4947(a)(1) nonexempt charitable trust treated as a private foundation ec e. Check if your organization is covered by the General Rule or a Special Rule. Note. Only a section 501(c)(7), (8), or (10) organization can check boxes es s for both the th General G Rule and a Special Rule. See instructions. sp General Rule In For an organization filing Form 990, 990-EZ, orr 990-PF 90-PF th that rreceived, during the year, $5,000 or more (in money or te Parts I and II. I property) from any one contributor. Complete For a section 501(c)(3) organization ation ion filing Fo F Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations d 170(b)(1)(A under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of 2) 2% of o the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. the greater of (1) $5,000 or (2) Complete Parts I and II. Pu b X lic Special Rules (8 or (10) organization filing Form 990 or 990-EZ that received from any one contributor, For a section 501(c)(7), (8), during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or $ more during the year Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990; or check the box on line H of its Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2012) JSA 2E1251 1.000 NY2934 1783 V 12-7.12 67971 PAGE 20 Page 2 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization PACIFIC UNIVERSITY Employer identification number 93-0386892 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) No. (b) Name, address, and ZIP + 4 (c) Total contributions 1 229,804. $ (d) Type of contribution Person Payroll Noncash X (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 (c) Total contributions 2 op y 200,000. 00,000. ,000. (b) Name, address, and ZIP + 4 (c) Tota contributions Total ntrib In sp ec tio n (a) No. C $ 3 $ (a) No. (b) P+4 Name, address, and ZIP (a) No. $ Person Payroll Noncash X (Complete Part II if there is a noncash contribution.) (d) Type of contribution Person Payroll Noncash X (Complete Part II if there is a noncash contribution.) (c) Total contributions Pu bl ic 4 200,000. (d) Type of contribution 103,756. (d) Type of contribution Person Payroll Noncash X (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll Noncash $ (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll Noncash $ (Complete Part II if there is a noncash contribution.) Schedule B (Form 990, 990-EZ, or 990-PF) (2012) JSA 2E1253 1.000 NY2934 1783 V 12-7.12 67971 PAGE 21 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization Part II Page PACIFIC UNIVERSITY 3 Employer identification number 93-0386892 Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. from Part I (b) Description of noncash property given (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received $ (b) Description of noncash property given C op y (a) No. from Part I $ (b) Description of noncash property given In sp ec tio n (a) No. from Part I (c) V (or estimate) FMV (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received $ (a) No. from Part I (b) ash property operty gi Description of noncash given Pu bl ic (a) No. from Part I $ (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ Schedule B (Form 990, 990-EZ, or 990-PF) (2012) JSA 2E1254 1.000 NY2934 1783 V 12-7.12 67971 PAGE 22 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization Page PACIFIC UNIVERSITY 4 Employer identification number 93-0386892 Part III Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed. (a) No. from Part I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift (b) Purpose of gift (c) Use of gift tio n (a) No. from Part I Relationship of transferor to transferee C op y Transferee's name, address, and ZIP + 4 ( D (d) Description of how gift is held nsfer fer of gift (e) Transfer (b) Purpose of gift (d) Description of how gift is held (e) Transfer of gift e's name, na Transferee's address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (c) Use of gift Pu bl ic (a) No. from Part I In sp ec Transferee's name, address, and ZIP + 4 (b) Purpose of gift Relationship of transferor to transferee (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2012) JSA 2E1255 1.000 NY2934 1783 V 12-7.12 67971 PAGE 23 Political Campaign and Lobbying Activities SCHEDULE C OMB No. 1545-0047 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service For Organizations Exempt From Income Tax Under section 501(c) and section 527 Complete if the organization is described below. Attach to Form 990 or Form 990-EZ. See separate instructions. Open to Public Inspection If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C. Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B. Section 527 organizations: Complete Part I-A only. If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B. Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A. If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then Section 501(c)(4), (5), or (6) organizations: Complete Part III. Name of organization Employer identification number PACIFIC UNIVERSITY 93-0386892 Part I-A Complete if the organization is exempt under section 501(c) or is a section 527 organization. Part I-B 4 Part I-C 3 4 5 Yes No Yes No Complete if the organization is exempt under section ection tion 501(c), 501( 501(c) except section 501(c)(3). Enter the amount directly expended by the filing organization on for or section sectio 527 exempt function $ activities Enter the amount of the filing organization's funds contributed ntributed buted to other oth organizations for section $ 527 exempt function activities Total exempt function expenditures. Add lines 1 and 2. Ent En Enter here and on Form 1120-POL, $ line 17b Did the filing organization file Form 1120-POL OL forr this year? yyea Yes No Enter the names, addresses and employer yer ident identi identification atio number (EIN) of all section 527 political organizations to which the filing ach ch organiza organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter ons received receive that were promptly and directly delivered to a separate political organization, such the amount of political contributions as a separate segregated fund or a politic political action committee (PAC). If additional space is needed, provide information in Part IV. sp 2 $ $ In 1 Complete if the organization is exempt under section 501(c)(3). 95 Enter the amount of any excise tax incurred by the organization under section 4955 er ssection ction tion 49 4955 Enter the amount of any excise tax incurred by organization managers under his year? If the organization incurred a section 4955 tax, did it file Form 4720 for this Was a correction made? If "Yes," describe in Part IV. ec tio n 1 2 3 4a b C op y Provide a description of the organization's direct and indirect political campaign activities in Part art IV. $ Political expenditures Volunteer hours (a) Name Pu bl ic 1 2 3 (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-. (1) (2) (3) (4) (5) (6) Schedule C (Form 990 or 990-EZ) 2012 For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 2E1264 1.000 NY2934 1783 V 12-7.12 67971 PAGE 24 PACIFIC UNIVERSITY 93-0386892 Page 2 Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)). if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). if the filing organization checked box A and "limited control" provisions apply. Schedule C (Form 990 or 990-EZ) 2012 Part II-A Check A Check B 1a b c d e f Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.) (a) Filing organization's totals (b) Affiliated group totals Total lobbying expenditures to influence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 1a and 1b) Other exempt purpose expenditures Total exempt purpose expenditures (add lines 1c and 1d) Lobbying nontaxable amount. Enter the amount from the following table in both columns. If the amount on line 1e, column (a) or (b) is: The lobbying nontaxable amount is: 20% of the amount on line 1e. Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000. Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000. Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000. Over $17,000,000 $1,000,000. C op y Grassroots nontaxable amount (enter 25% of line 1f) Subtract line 1g from line 1a. If zero or less, enter -0Subtract line 1f from line 1c. If zero or less, enter -0If there is an amount other than zero on either line 1h or line 1i, did the organization organiz organizatio file Form 4720 reporting section 4911 tax for this year? In sp ec tio n g h i j Not over $500,000 Yes No 4-Year Averaging Period Under der Section 501(h) 50 lection ction do not n have to complete all of the five (Some organizations that made a section 501(h) election ns for lines 2a through t columns below. See the instructions 2f on page 4.) s During uring 4-Y 4-Yea Lobbying Expenditures 4-Year Averaging Period Calendar year (or fiscal year beginning in) 2 a Lobbying nontaxable amount (b) 2010 01 (c) 2011 (d) 2012 (e) Total Pu bl ic b Lobbying ceiling amount (a) 2009 (150% of line 2a, column (e)) c Total lobbying expenditures d Grassroots nontaxable amountt e Grassroots ceiling amount (150% of line 2d, column (e)) f Grassroots lobbying expenditures Schedule C (Form 990 or 990-EZ) 2012 JSA 2E1265 1.000 NY2934 1783 V 12-7.12 67971 PAGE 25 PACIFIC UNIVERSITY 93-0386892 Page Schedule C (Form 990 or 990-EZ) 2012 Part II-B For each "Yes," response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity. No X Amount X X X X X X 69,959. X X 69,959. X Complete if the organization is exempt under section 501(c)(4), (c) 4), section sect 501(c)(5), or section 501(c)(6). tio n Part III-A 1 2 3 Yes (b) op y d (a) C a b c d e f g h i j 2a b c During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: Volunteers? Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? Media advertisements? Mailings to members, legislators, or the public? Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? Direct contact with legislators, their staffs, government officials, or a legislative body? Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? Other activities? Total. Add lines 1c through 1i Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? )? If "Yes," enter the amount of any tax incurred under section 4912 tion 4912 If "Yes," enter the amount of any tax incurred by organization managers under section iss year? If the filing organization incurred a section 4912 tax, did it file Form 4720 for this Were substantially all (90% or more) dues received nondeductible by y members? Did the organization make only in-house lobbying expenditures of $2,000 less? 2,000 or les Did the organization agree to carry over lobbying and politicall expenditures the prior year? penditure from f Part III-B In sp ec 1 Yes No 1 2 3 Complete if the organization is exempt under nderr section sectio 501(c)(4), 5 section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, A, lines 1 and a 2, are answered "No," OR (b) Part III-A, line 3, is answered "Yes." 1 2 Dues, assessments and similar amounts from members mbers bers Section 162(e) nondeductible lobbying and d political expenditures ex (do not include amounts of w political expenses for w hich the section 527 527(f) tax was paid). a Current year b Carryover from last year c Total 3 Aggregate amount reported in section ction 603 6033(e)(1)(A) notices of nondeductible section 162(e) dues 4 If notices were sent and the he amount on o line 2c exceeds the amount on line 3, what portion of the excess does the organization tion agree to carryover to the reasonable estimate of nondeductible lobbying xt ye year and political expenditure next year? 5 Taxable amount of lobbying and political expenditures (see instructions) Pu b lic Part IV 3 Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)). 1 2a 2b 2c 3 4 5 Supplemental Information Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part II-B, line 1. Also, complete this part for any additional information. Schedule C (Form 990 or 990-EZ) 2012 JSA 2E1266 1.000 NY2934 1783 V 12-7.12 67971 PAGE 26 PACIFIC UNIVERSITY 93-0386892 Schedule C (Form 990 or 990-EZ) 2012 Page 4 Supplemental Information (continued) Pu b lic In sp ec tio n C op y Part IV Schedule C (Form 990 or 990-EZ) 2012 JSA 2E1500 1.000 NY2934 1783 V 12-7.12 67971 PAGE 27 SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization OMB No. 1545-0047 Supplemental Financial Statements Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. See separate instructions. Open to Public Inspection Employer identification number PACIFIC UNIVERSITY 93-0386892 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts Total number at end of year Aggregate contributions to (during year) Aggregate grants from (during year) Aggregate value at end of year Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used oth purpose only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other conferring impermissible private benefit? 6 Yes No Yes No op y 1 2 3 4 5 Conservation Easements. Complete if the organization answered "Yes" to Form 990, 99 990 Part IV, line 7. Part II Purpose(s) of conservation easements held by the organization (check all that apply). 1 C Preservation of land for public use (e.g., recreation or education) Preservation eservation of an a historically important land area eservation of a certified historic structure Protection of natural habitat Preservation Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation vation ion contribution co con but in the form of a conservation easement on the last day of the tax year. n 2 In sp ec tio Held at the End of the Tax Year 6 2a Total number of conservation easements 2b Total acreage restricted by conservation easements 2c c structure ucture included in inclu Number of conservation easements on a certified historic in (a) quired red after 8/1 Number of conservation easements included in (c) acquired 8/17/06, and not on a 2d historic structure listed in the National Register ransferred, sferred, rele Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year c servation serva Number of states where property subject to conservation easement is located olicy regarding rega regar ng the periodic monitoring, inspection, handling of Does the organization have a written policy onservation nservation easements it holds? violations, and enforcement of the conservation Yes No d to monitor Staff and volunteer hours devoted monitoring, inspecting, and enforcing conservation easements during the year 7 ed in monitoring, monito monit Amount of expenses incurred inspecting, and enforcing conservation easements during the year 8 em eme Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B) (i) and section 170(h)(4)(B)(ii)? Yes In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements. a b c d 9 $ Part III 1a b 2 a b Pu b 4 5 lic 3 No Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items. If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line 1 $ $ (ii) Assets included in Form 990, Part X If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: Revenues included in Form 990, Part VIII, line 1 $ Assets included in Form 990, Part X $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 2E1268 1.000 NY2934 1783 V 12-7.12 Schedule D (Form 990) 2012 67971 PAGE 28 PACIFIC UNIVERSITY 93-0386892 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Schedule D (Form 990) 2012 Part III 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): Public exhibition Loan or exchange programs a d Scholarly research Other b e Preservation for future generations c 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes No Part IV Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. Part V In sp ec tio n C op y 1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount c Beginning balance 1c d Additions during the year d 1d e Distributions during the year 1e f Ending balance 1f 2a Did the organization include an amount on Form 990, Part X, line 21? n has as been be b n provided pro b If "Yes," explain the arrangement in Part XIII. Check here if the explanation in Part XIII Yes No Yes No Endowment Funds. Complete if the organization answered ered d "Yes" to t Form 990, Part IV, line 10. (a) Current year (b) Prior year ar (c) Tw Two years back (d) Three years back (e) Four years back 34,218,935. 1,214,634. 35,425,366. 25,366. ,366. 596,897. 6,897 30,601,967. 3 839,549. 25,570,959. 3,903,626. 26,588,734. 3,513,711. 4,327,152. 700,713. 3. -560,319. -560 -560,3 683,848. 683 6 5,190,726. 627,812. 2,326,380. 633,447. -3,346,086. 638,713. ,713. 559,161. 579,065. 565,521. 1,185,400. 38,421,295. 8,421, 5. 5 34,218,935. 35,425,365. 30,601,997. 25,570,959. Pu bl ic 1a Beginning of year balance b Contributions c Net investment earnings, gains, and losses d Grants or scholarships e Other expenditures for facilities and programs f Administrative expenses g End of year balance 2 a b c Provide the estimated percentage of the he current year y end balance (line 1g, column (a)) held as: Board designated or quasi-endowment wment ment 37.5500 % Permanent endowment 46.1800 6. 800 80 % owment Temporarily restricted endowment 16.2700 % The percentages in lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) unrelated organizations (ii) related organizations b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? 4 Describe in Part XIII the intended uses of the organization's endowment funds. Part VI Yes No X X X 3a(i) 3a(ii) 3b Land, Buildings, and Equipment. See Form 990, Part X, line 10. Description of property (a) Cost or other basis (b) Cost or other basis (c) Accumulated (investment) (other) depreciation 1a Land 6,496,765. b Buildings 138,197,369. 33,877,945. c Leasehold improvements d Equipment 17,385,117. 12,820,356. e Other 8,138,937. 3,945,897. Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) (d) Book value 6,496,765. 104,319,424. 4,564,761. 4,193,040. 119,573,990. Schedule D (Form 990) 2012 JSA 2E1269 1.000 NY2934 1783 V 12-7.12 67971 PAGE 29 PACIFIC UNIVERSITY 93-0386892 Schedule D (Form 990) 2012 Part VII Page (a) Description of security or category (including name of security) (b) Book value (c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives (2) Closely-held equity interests (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.) Part VIII 3 Investments - Other Securities. See Form 990, Part X, line 12. Investments - Program Related. See Form 990, Part X, line 13. (b) Book value (c) Meth Method et of valuation: Costt or end-of-year market value end-of-y end- C op y (a) Description of investment type In sp ec tio n (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.) Part IX Other Assets. See Form 990, Part X, line ne 15. (a) Description Pu bl ic (1) DEPOSITS WITH BOND TRUSTEE (2) FUNDS HELD IN TRUST BY OTHERS (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.) Part X 1. (b) Book value 6,538,667. 19,035,970. 25,574,637. Other Liabilities. See Form 990, Part X, line 25. (a) Description of liability (1) Federal income taxes (2) FACULTY CONTRACTS PAYABLE (3) REFUNDABLE DEPOSITS (4) CAPITAL LEASE OBLIGATION (5) ASSET RETIREMENT OBLIGATION (6) EMPLOYMENT BENEFITS (7) US GOVERNMENT GRANTS REFUNDABL (8) (9) (10) (11) Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.) (b) Book value 2,696,783. 781,249. 137,195. 1,259,790. 676,308. 7,124,992. 12,676,317. 2. FIN 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII X JSA 2E1270 1.000 NY2934 1783 Schedule D (Form 990) 2012 V 12-7.12 67971 PAGE 30 PACIFIC UNIVERSITY 93-0386892 Schedule D (Form 990) 2012 Part XI a b c d e 3 4 a b c 5 Part XII a b c d e 3 4 a b c 5 29,013,426. 1 102,781,305. 2e 3 2,742,197. 100,039,108. 4c 5 29,013,426. 129,052,534. 4a 4b Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 28,646,774. Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities Prior year adjustments Other losses Other (Describe in Part XIII.) Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.) Add lines 4a and 4b Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line li 18.) Part XIII 4 2a 2b 2c 2d Supplemental Information 1 95,288,956. 2e 3 95,288,956. 4c 5 28,646,774. 123,935,730. 2a 2b 2c 2d C op y 1 2 2,624,389. 117,808. Total revenue, gains, and other support per audited financial statements Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains on investments Donated services and use of facilities Recoveries of prior year grants Other (Describe in Part XIII.) Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990, Part VIII, line 12, but not on line 1 : Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.) Add lines 4a and 4b Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) In sp ec tio n 1 2 Page Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 4 4a 4b Complete this part to provide the descriptions required for Part art II, lines 3, 3 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part art XII, lines line 2d and 4b. Also complete this part to provide any additional information. Pu bl ic SEE PAGE 5 Schedule D (Form 990) 2012 JSA 2E1271 1.000 NY2934 1783 V 12-7.12 67971 PAGE 31 PACIFIC UNIVERSITY Supplemental Information (continued) 93-0386892 Schedule D (Form 990) 2012 Part XIII Page 5 OTHER EXCLUDED REVENUE SCHEDULE D, PART XI, LINE 2D SPLIT INTEREST AGREEMENTS 117,808 ------- TOTAL ADJUSTMENT 117,808 y OTHER INCLUDED REVENUE (5,408) 28,916,866 tio SCHOLARSHIP - RECLASS (270,092) n DIRECT FUNDRAISING EXPENSE - RECLASS C PARTNERSHIP K-1 LOSS op SCHEDULE D, PART XII, LINE 4B 372,060 060 0 ec ACTUARIAL ADJUSTMENT sp ---------------------29,013,426 29,013,4 29,013,42 Pu b OTHER INCLUDED EXPENSES lic In TOTAL SCHEDULE D, PART XIII, , LINE 4B DIRECT FUNDRAISING EXPENSE - RECLASS SCHOLARSHIP - RECLASS (270,092) 28,916,866 ---------- TOTAL 28,646,774 Schedule D (Form 990) 2012 JSA 2E1226 2.000 NY2934 1783 V 12-7.12 67971 PAGE 32 PACIFIC UNIVERSITY Supplemental Information (continued) 93-0386892 Schedule D (Form 990) 2012 Part XIII Page 5 ENDOWMENT FUNDS PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO HELP THE UNIVERSITY PLAN BEYOND THE CURRENT YEAR. THE FUND GROWS EACH YEAR THROUGH ADDITIONAL GIFTS AND SUCCESSFUL INVESTING. THE ENDOWMENT PRIMARILY PROVIDES FUNDING FOR SCHOLARSHIPS, PROFESSORSHIPS AND OTHER SCHOOL PROGRAMS EACH YEAR. y FIN 48 FOOTNOTE op PART X, LINE 2 C THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE UNIVERSITY FROM Y AS EXEMPT EXEMP EXE n FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL CODE RNAL AL REVENUE R VEN tio (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) (C)(3) OF O THE IRC EXCEPT MANAGEMENT BELIEVES THAT UNRELATED BUSINESS TAX, IF ANY, IS USINESS INCOME I sp 515. ec TO THE EXTENT OF UNRELATED BUSINESS INCOME UNDER 511 THROUGH NDER R SECTIONS SECTIO SECT In IMMATERIAL, AND THEREFORE, NO TAX PROVISION OVISION ISION HAS HA BEEN MADE. lic THE UNIVERSITY ACCOUNTS FOR INCOME IN ACCORDANCE WITH FASB ASC NO. NCOME TAXES TA T Pu b 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF NCERTAINT ERTAIN FASB STATEMENT 109, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN CLA INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION OF TAX BENEFITS OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740-10 ALSO PROVIDES RELATED GUIDANCE ON MEASUREMENT, DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. Schedule D (Form 990) 2012 JSA 2E1226 2.000 NY2934 1783 V 12-7.12 67971 PAGE 33 SCHEDULE E (Form 990 or 990-EZ) OMB No. 1545-0047 Schools Complete if the organization answered "Yes" to Form 990, Part IV, line 13, or Form 990-EZ, Part VI, line 48. Department of the Treasury Internal Revenue Service Name of the organization Open to Public Inspection Attach to Form 990 or Form 990-EZ. Employer identification number PACIFIC UNIVERSITY Part I 93-0386892 YES 1 X 2 X 3 X 4a X 4b X 4c 4d X X Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No," please explain. If you need more space, use Part II 1 2 3 NO Does the organization maintain the following? a Records indicating the racial composition of the student body, faculty, and administrative dm istrative strative staff? st istance ance are e awarded a on a racially b Records documenting that scholarships and other financial assistance nondiscriminatory basis? c Copies of all catalogues, brochures, announcements, and other written com communications commu to the public dealing with student admissions, programs, and scholarships? d Copies of all material used by the organization or on its behalff to solicit contributions? co cont If you answered "No" to any of the above, please explain. Iff you u need more mor m space, use Part II. Does the organization discriminate by race in any ny way with respect re to: a Students' rights or privileges? 5a X 5b X c Employment of faculty or administrative nistrative rative sta st staff? 5c X d Scholarships or other financial ncial assistance? assista 5d X e Educational policies? 5e X 5f X g Athletic programs? 5g X h Other extracurricular activities? If you answered "Yes" to any of the above, please explain. If you need more space, use Part II. 5h X b Admissions policies? f Use of facilities? Pu bl ic 5 In sp ec tio n 4 C op y SEE SUPPLEMENTAL PAGE 6 a Does the organization receive any financial aid or assistance from a governmental agency? b Has the organization's right to such aid ever been revoked or suspended? If you answered "Yes" to either line 6a or line 6b, explain on Part II. 7 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ. JSA 2E1273 1.000 NY2934 1783 V 12-7.12 6a 6b 7 X X X Schedule E (Form 990 or 990-EZ) (2012) 67971 PAGE 34 PACIFIC UNIVERSITY 93-0386892 Schedule E (Form 990 or 990-EZ) (2012) Part II Page 2 Supplemental Information. Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions). RACIALLY NONDISCRIMINATORY POLICY SCHEDULE E, LINE 3 DUE TO THE SIZE OF THE SCHOOL, ITS GEOGRAPHICAL LOCATION, AND THE COMMUNITY IT SERVES, THE NON-DISCRIMINATION POLICY AND RACIAL COMPOSITION OF THE STUDENT BODY IS WELL-KNOWN TO ALL SEGMENTS OF THE GENERAL COMMUNITY SERVED AND IS PUBLISHED LOCALLY. y FINANCIAL AID OR ASSISTANCE FROM A GOVERNMENTAL AGENCY op SCHEDULE E, LINE 6A C PACIFIC UNIVERSITY RECEIVES FINANCIAL AID OR ASSISTANCE FROM ROM GOVERNMENTAL GOVERN GOVE n AGENCIES, INCLUDING US GOVERNMENT GRANTS, LOANS AND OTHER THER ER GOVERNMENT G VER Pu b lic In sp ec tio GRANTS. Schedule E (Form 990 or 990-EZ) (2012) JSA 2E1501 1.000 NY2934 1783 V 12-7.12 67971 PAGE 35 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Supplemental Information Regarding Fundraising or Gaming Activities SCHEDULE G Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. See separate instructions. Name of the organization Open to Public Inspection Employer identification number PACIFIC UNIVERSITY 93-0386892 Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Part I Form 990-EZ filers are not required to complete this part. 1 a b c d Indicate whether the organization raised funds through any Mail solicitations e Internet and email solicitations f Phone solicitations g In-person solicitations of the following activities. Check all that apply. Solicitation of non-government grants Solicitation of government grants Special fundraising events 2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? Yes No b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (ii) Activity (iii) Did fundraiser have custody or control of contributions? Yes No 1 (v) Amount paid to (v ( retained by) (or fun fundra fundraiser listed in col. (i) (vi) Amount paid to (or retained by) organization In sp ec tio n 2 eipts (iv) Gross receipts ivity from activity C op y (i) Name and address of individual or entity (fundraiser) 3 4 5 6 Pu bl ic 7 8 9 10 Total 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 2E1281 1.000 NY2934 1783 V 12-7.12 Schedule G (Form 990 or 990-EZ) 2012 67971 PAGE 36 PACIFIC UNIVERSITY 93-0386892 Schedule G (Form 990 or 990-EZ) 2012 Part II Page 2 Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1 (b) Event #2 (c) Other events (event type) (total number) (d) Total events (add col. (a) through col. (c)) FUNDRAISING Revenue (event type) 1 Gross receipts 308,341. 308,341. 2 Less: Contributions 3 Gross income (line 1 minus line 2) 183,297. 183,297. 125,044. 125,044. 86,284. 86,284. 4 Cash prizes 6 Rent/facility costs C op y Direct Expenses 5 Noncash prizes 7 Food and beverages 31,500. 8 Entertainment 152,308. In sp ec tio n 9 Other direct expenses 31,500. 152,308. 270,092. -145,048. Gaming. Complete if the organization answered d "Yes" es" to Fo Form 990, Part IV, line 19, or reported more ( 10 Direct expense summary. Add lines 4 through 9 in column (d) 11 Net income summary. Combine line 3, column (d), and line 10 0 Part III ) (b) Pull tabs/instant (b bingo/progressive bingo b (a) Bingo ngo 1 Gross revenue 2 Cash prizes 3 Noncash prizes 4 Rent/facility costs (d) Total gaming (add col. (a) through col. (c)) (c) Other gaming Pu bl ic Direct Expenses Revenue than $15,000 on Form 990-EZ, line 6a. 5 Other direct expenses 6 Volunteer labor Yes % Yes No % No 7 Direct expense summary. Add lines 2 through 5 in column (d) Yes % No ( ) 8 Net gaming income summary. Combine line 1, column d, and line 7 9 Enter the state(s) in which the organization operates gaming activities: a Is the organization licensed to operate gaming activities in each of these states? b If "No," explain: Yes No Yes No 10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? b If "Yes," explain: Schedule G (Form 990 or 990-EZ) 2012 JSA 2E1282 1.000 NY2934 1783 V 12-7.12 67971 PAGE 37 PACIFIC UNIVERSITY 93-0386892 Schedule G (Form 990 or 990-EZ) 2012 Does the organization operate gaming activities with nonmembers? Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? 13 Indicate the percentage of gaming activity operated in: a The organization's facility 13a b An outside facility 13b 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: 11 12 Name Address Address Name Gaming manager compensation Description of services provided Director/officer $ Employee Mandatory distributions: Is the organization required under state tate law to t make ma charitable distributions from the gaming proceeds to retain the state gaming license? b Enter the amount of distributions ns required under state law to be distributed to other exempt organizations n exempt exemp activities during the tax year or spent in the organization's own $ a Part IV % % Yes No Yes No I In Independent contractor Pu bl ic 17 No In sp ec tio n Gaming manager information: 16 Yes C op y Name 3 No Does the organization have a contract with a third party from whom the organization receives gaming revenue? b If "Yes," enter the amount of gaming revenue received by the organization $ and the amount of gaming revenue retained by the third party $ . c If "Yes," enter name and address of the third party: 15 a Page Yes Supplemental Information. ormation. C Complete this part to provide the explanation required by Part I, line 2b, d (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this columns (iii) and y ad addi part to provide any additional information (see instructions). Schedule G (Form 990 or 990-EZ) 2012 JSA 2E1503 1.000 NY2934 1783 V 12-7.12 67971 PAGE 38 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. 93-0386892 X Yes Employer identification number Open to Public Inspection OMB No. 1545-0047 No (a) Name and address of organization or government (c) IRC section if applicable I n io t c e p s n cash assi assistance ce grant JSA 2E1288 1.000 NY2934 1783 C (e) Amount off nonno (d) Amount of cash (f) Method M of valuation (b (book, FMV, appraisal, other) V 12-7.12 67971 (h) Purpose of grant or assistance PAGE 39 Schedule I (Form 990) (2012) (g) Description of non-cash assistance ic l ub P (b) EIN 2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table 3 Enter total number of other organizations listed in the line 1 table For Paperwork Reduction Act Notice, see the Instructions for Form 990. (12) (11) (10) (9) (8) (7) (6) (5) (4) (3) (2) (1) 1 Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete mplete ete if the o organization answered "Yes" to Form 990, dditional space sp Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional is needed. 2 1 y p o Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22. Attach to Form 990. Grants and Other Assistance to Organizations, Governments, and Individuals in the United States PACIFIC UNIVERSITY Part I General Information on Grants and Assistance Department of the Treasury Internal Revenue Service Name of the organization SCHEDULE I (Form 990) (a) Type of grant or assistance 12. 5 TUALATIN ACADEMIC WAIVERS 112,720. 23,070. 962,613. 826,309. 26,992,154. (c) Amount of cash grant /A N/A N/A N/A N/A N/A C y p o FMV, appraisal, other) (e) Method of valuation (book, n io t c e (d) Amount of non-cash assistance N/A N/A N/A N/A N/A (f) Description of non-cash assistance In p s ic l b ELIGIBLE NON-CITIZENS ARE AS THOSE LIVING RE E DEFINED D FINED FIN APPLICANTS FILE A FREE APPLICATION FOR S WHO W 2E1504 2.000 JSA NY2934 1783 AND THE DEPARTMENT OF HOMELAND SECURITY. V 12-7.12 67971 WHEN THOSE DATABASE MATCHES ARE SEVERAL FEDERAL DATABASES, INCLUDING THE SOCIAL SECURITY ADMINISTRATION FEDERAL STUDENT AID (FAFSA) HAVE THEIR FAFSA DATA MATCHED WITH DATA IN I-94S WITH CERTAIN STAMPS. VARIETY OF DOCUMENTS WHICH DEMONSTRATES INCLUDING I-551S AND S THAT STATUS, ST u P IN THE U.S. FOR "OTHER THAN A TEMPORARY PURPOSE"; CAN POSSESS A RPOSE"; SE"; THEY T ELIGIBLE NON-CITIZENS. PACIFIC UNIVERSITY AWARDS FEDERAL AND STATE AID ONLY Y TO U.S. U.S CITIZENS AND SCHEDULE I, PART 1, LINE 2 Part IV 2 PAGE 40 Schedule I (Form 990) (2012) Supplemental Information. Complete this part to provide the information required equired in Pa Part I, line 2, Part III, column (b), and any other additional information. MONITOR PROCESS 7 6 12. 596. 3 RESTRICTED NAMED SCHOLARSHIPS 4 TUITION EXCHANGE WAIVERS 166. 2 ENDOWED SCHOLARSHIPS 1,665. (b) Number of recipients Page 93-0386892 Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. 1 ACADEMIC AWARDS SCHOLARSHIPS Part III Schedule I (Form 990) (2012) PACIFIC UNIVERSITY (a) Type of grant or assistance (b) Number of recipients (c) Amount of cash grant C y p o FMV, appraisal, other) (e) Method of valuation (book, n io t c e (d) Amount of non-cash assistance (f) Description of non-cash assistance Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. p s In 2E1504 2.000 JSA V 12-7.12 67971 ANY DIFFERENCES OR ANOMALIES ARE INVESTIGATED IMMEDIATELY AND, NY2934 1783 MINIMUM. AND DISBURSEMENT ACTIVITY OF AWARDS AND LOANS ON A MONTHLY BASIS AT A FINANCIAL AID AND BUSINESS OFFICE MONITORS THE ACTIVITY OF ALL AWARDING TO PURSUE POSTSECONDARY EDUCATION. ON AN ON-GOING BASIS, STAFF IN ON TO CERTAIN INTERNATIONAL STUDENTS WHO ARE E IN THE TH U.S. SOLELY OR PRIMARILY INSTITUTIONAL AID ONLY IS AWARDED STITUTION TUTION ELIGIBLE NON-CITIZENS N-CIT CI ZENS ZEN MUST ALSO BE OREGON RESIDENTS TO RECEIVE STATE AID. RETAINED FOR AT LEAST FIVE YEARS. THAT DOCUMENTATION BECOMES PART OF THEIR FINANCIAL AID D FILES FILE AND IS THAT WE ARE AWARDING FEDERAL AND STATE AID ONLY TO ELIGIBLE IBLE LE RECIPIENTS. RECIP REC Part IV 2 PAGE 41 Schedule I (Form 990) (2012) Page 93-0386892 Supplemental Information. Complete this part to provide the information required equired in Pa Part I, line 2, Part III, column (b), and any other additional information. NOT SUCCESSFUL, WE OBTAIN DOCUMENTATION FROM THE APPLICANTS TO ENSURE ENSU 7 6 5 4 3 2 1 Part III Schedule I (Form 990) (2012) PACIFIC UNIVERSITY (a) Type of grant or assistance (b) Number of recipients (c) Amount of cash grant C y p o FMV, appraisal, other) (e) Method of valuation (book, n io t c e (d) Amount of non-cash assistance (f) Description of non-cash assistance Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. 2E1504 2.000 JSA NY2934 1783 Part IV V 12-7.12 u P ic l b In 67971 p s 2 PAGE 42 Schedule I (Form 990) (2012) Page 93-0386892 Supplemental Information. Complete this part to provide the information required equired in Pa Part I, line 2, Part III, column (b), and any other additional information. IF NEEDED, CORRECTED. 7 6 5 4 3 2 1 Part III Schedule I (Form 990) (2012) PACIFIC UNIVERSITY Compensation Information SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Name of the organization OMB No. 1545-0047 For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" to Form 990, Part IV, line 23. Attach to Form 990. See separate instructions. Open to Public Inspection Employer identification number PACIFIC UNIVERSITY Part I Questions Regarding Compensation 93-0386892 Yes No 1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. X First-class or charter travel Travel for companions Tax indemnification and gross-up payments Discretionary spending account Housing allowance or residence for personal use Payments for business use of personal residence Health or social club dues or initiation fees Personal services (e.g., maid, chauffeur, chef) b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred curred ed by b all officers, e 1a? a? directors, trustees, and the CEO/Executive Director, regarding the items checked in line X 4a 4b 4c X X X 5a 5b X X 6a 6b X X 7 X 8 X op y 2 C oyment ment ccontract trac W ritten employment ation on survey or study Compensation al by the bo board or compensation committee Approval n X X tio X Compensation committee X Independent compensation consultant X Form 990 of other organizations During the year, did any person listed in Form 990, Part VII, Section ction A, line li 1a, 1 with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? ent? tal nonqualified nonqualif retirement plan? b Participate in, or receive payment from, a supplemental based sed compensation compens comp arrangement? c Participate in, or receive payment from, an equity-based If "Yes" to any of lines 4a-c, list the persons and nd provide the applicable amounts for each item in Part III. In sp ec 6 a b 8 9 lic a b Only section 501(c)(3) and 501(c)(4) organizations ani tions mus must complete lines 5-9. For persons listed in Form 990, Part VII, Sectio Section A A, line li 1a, did the organization pay or accrue any venues enues of: compensation contingent on the revenues The organization? Any related organization? escribe in Part Pa III. If "Yes" to line 5a or 5b, describe m 990, Par For persons listed in Form Part VII, Section A, line 1a, did the organization pay or accrue any n the th net earnings of: compensation contingent on The organization? Any related organization? If "Yes" to line 6a or 6b, describe in Part III. For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments not described in lines 5 and 6? If "Yes," describe in Part III Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? Pu b 5 7 X Indicate which, if any, of the following the filing organization used to establish the compensation compensatio of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a meth me cto but explain expl related organization to establish compensation of the CEO/Executive Director, in Part III. 3 4 1b For Paperwork Reduction Act Notice, see the Instructions for Form 990. 9 Schedule J (Form 990) 2012 JSA 2E1290 1.000 NY2934 1783 V 12-7.12 67971 PAGE 43 Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Page 93-0386892 2 NY2934 1783 JSA 2E1291 1.000 16 15 14 13 12 11 10 9 8 VP ENROLLMENT MGMT MARK ANKENY 7 VP FINANCE & ADMINISTRATION MICHAEL MALLERY 6 PRESIDENT/TRUSTEE DR. LESLEY HALLICK 5 VP ACADEMIC AFFAIRS JOHN MILLER 4 EXECUTIVE DEAN ANN BARR-GILLESPIE 3 DEAN PHARMACY SUSAN STEIN 2 DEAN OPTOMETRY JENNIFER SMYTHE 1 DIR. OF OPTOMETRIC RESEARCH JAMES SHEEDY (A) Name and Title (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) V 12-7.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67971 0 0 0 0 0 0 0 0 0 0 245,62 245,620. 0 0 0 0 0 (iii) Other reportable compensation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C 19,888. 0 31,178. 0 24,229. 0 22,756. 0 27,942. 0 34,010. 0 27,061. 0 20,415. 0 (D) Nontaxable benefits y p o (C) Retirement and other deferred compensation n io t c e p s In (ii) Bonus & incentive compensation ic l ub P 169,466. 0 173,491. 0 174,412. 0 179,413. 0 199,114. 0 345,693. 0 195,327. 0 170,626. 0 (i) Base compensation (B) Breakdown of W-2 and/or 1099-MISC compensation (F) Compensation reported as deferred in prior Form 990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PAGE 44 Schedule J (Form 990) 2012 189,354. 0 204,669. 0 198,641. 0 202,169. 0 227,056. 0 625,323. 0 222,388. 0 191,041. 0 (E) Total of columns (B)(i)-(D) For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. Part II Schedule J (Form 990) 2012 PACIFIC UNIVERSITY Page 93-0386892 3 2E1505 1.000 JSA NY2934 1783 PRESIDENT'S FORM W-2. V 12-7.12 u P ic l b In 67971 e p s n o i t c UNIVERSITY PRESIDENT. THE AMOUNT IS TAXED AND IS INCLUDED IN THE THE UNIVERSITY PROVIDES HOUSING ALLOWANCE AND AUTOMOBILE ALLOWANCE TO THE SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE C y p o PAGE 45 Schedule J (Form 990) 2012 Part III Supplemental Information Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information. Schedule J (Form 990) 2012 PACIFIC UNIVERSITY NY2934 1783 2E1295 1.000 JSA V 12-7.12 For Paperwork Reduction Act Notice, see the Instructions for Form 990. Yes X X X A X X No X Yes X X Yes B 2011 X X No X X No 27,522,033. 26,247,416. No 694,706. 579,798. 1,238,701. 2007 34,735,307. 2,734,314. 3,272,095. 41,881,709. 3,746,817. B 135,000. A C 07. CONSTRUCT CONSTRUC NEW N 34,735,307. BUILDING 1,830,000. 1 1,8 Yes 67971 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? 2 Are there any lease arrangements that may result in private business use of bond-financed property? Private Business Use Does the organization maintain adequate books and records to support the final allocation of proceeds? iss is Were the bonds issued as part of a current refunding issue? Were the bonds issued as part of an advance refunding issue? Has the final allocation of proceeds been made? 14 15 16 17 Part III 07/23/2009 345648CX5 y p o (f) Description of purpose Yes Yes 41,881,709. SEE E SUPPLEMENTAL SUPPLEMEN UPPLEM INFORMATION (e) Issue price See separate instructions. 08/16/2005 (d) Date issued n tio e c s p n I l i c b u P Amount of bonds retired Amount of bonds legally defeased Total proceeds of issue Gross proceeds in reserve funds Capitalized interest from proceeds Proceeds in refunding escrows Issuance costs from proceeds Credit enhancement from proceeds Working capital expenditures from proceeds Capital expenditures from proceeds Other spent proceeds Other unspent proceeds Year of substantial completion Proceeds 1 2 3 4 5 6 7 8 9 10 11 12 13 Part II D C 93-1159383 B CITY OF FOREST GROVE, OREGON 345648CE7 (c) CUSIP # Attach to Form 990. (b) Issuer EIN Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI. 93-6002164 Supplemental Information on Tax-Exempt Bonds A CITY OF FOREST GROVE, OREGON (a) Issuer name PACIFIC UNIVERSITY Part I Bond Issues Name of the organization Department of the Treasury Internal Revenue Service SCHEDULE K (Form 990) PACIFIC UNIVERSITY C C No No Yes Yes Yes Yes X X D D No (h) On behalf of issuer No No Yes X X No (i) Pooled financing PAGE 46 Schedule K (Form 990) 2012 X X No (g) Defeased 93-0386892 Employer identification number Inspection Open to Public OMB No. 1545-0047 Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued? 8a a b c NY2934 1783 V 12-7.12 X X Yes 67971 Has the issuer filed Form 8038-T? If "No" to line 1, did the following apply? Rebate not due yet? Exception to rebate? No rebate due? If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed Is the bond issue a variable rate issue? Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? Name of provider Term of hedge Was the hedge superintegrated? Was the hedge terminated? JSA 2E1296 1.000 b c d e 3 4a 1 2 c l i b u P Arbitrage 1.141-12 and 1.145-2? Has the organization established written procedures to ensure that all nonqualified nqualified ualified bonds of the issue are remediated in accordance with the requirements s under nder Regulations sections 1.141-12 and 1.145-2? c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections ons of b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed Part IV 9 7 X A A X X X No X B X X Yes X X X X No X % X y p o B X X No X % % % C No n io t c e p s In Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government Total of lines 4 and 5 Does the bond issue meet the private security or payment test? 5 6 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government 4 outside counsel to review any research agreements relating to the financed property? d If "Yes" to line 3c, does the organization routinely engage bond counsel or other financed property? c Are there any research agreements that may result in private business use of bond- b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X Yes Yes 93-0386892 PACIFIC UNIVERSITY Private Business Use (Continued) PACIFIC UNIVERSITY 3a Are there any management or service contracts that may result in private business use of bond-financed property? Part III Schedule K (Form 990) 2012 % % % % Yes Yes C C No No Yes D D No No % % % % 2 PAGE 47 Schedule K (Form 990) 2012 % % % % Yes Page the Procedures To Undertake Corrective Action Arbitrage (Continued) PACIFIC UNIVERSITY Were any gross proceeds invested beyond an available temporary period? Has the organization established written procedures to monitor requirements of section 148? Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? Were gross proceeds invested in a guaranteed investment contract (GIC)? Name of provider Term of GIC JSA 2E1328 1.000 X X Yes RBC X Yes A A Yes X Yes B B y p o C No X 3.500 No 93-0386892 No X X No Yes Yes C C No No Yes Yes V 12-7.12 ic l b u P 67971 n io t c e p s In D D No No Page 3 PAGE 48 Schedule K (Form 990) 2012 X X Supplemental Information. Complete this part to provide additional information for or responses res onse onses to t questions on Schedule K (see instructions). NY2934 1783 Part VI Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? Part V 5a b c d 6 7 Part IV Schedule K (Form 990) 2012 NO REBATE IS REQUIRED. NY2934 1783 e p s i t c V 12-7.12 u P ic l b In 67971 THE DATE OF THE COMPUTATION WAS JUNE UNE 21, 21 2010. SCHEDULE K, PART IV, LINE 2C n o IT IS A SMALL KIOSK THIS SERVICE IS INCIDENTAL AND SUPPORTS THE ORGANIZATION'S ACTIVITIES. FOR FACULTY AND STAFF. PACIFIC UNIVERSITY HAS FOOD SERVICE IN THE BUILDING. SCHEDULE K, PART III, LINE 3A 6/15/2000 BONDS AND CONSTRUCT A NEW HEALTH CAMPUS. THE PURPOSE OF THE BOND ISSUANCE ON 8/16/2005 WAS TO REFUND SERIES JSA 2E1511 1.000 93-0386892 Page 4 C y p o PAGE 49 Schedule K (Form 990) 2012 Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions) (Continued) PACIFIC UNIVERSITY SCHEDULE K, PART I, LINE A, COLUMN F Part VI Schedule K (Form 990) 2012 SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Noncash Contributions Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Name of the organization Open To Public Inspection Employer identification number PACIFIC UNIVERSITY Types of Property Part I 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 (c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g (d) Method of determining noncash contribution amounts Art - Works of art Art - Historical treasures Art - Fractional interests Books and publications Clothing and household goods Cars and other vehicles Boats and planes Intellectual property X 13. 80,559. AVERAGE MARKET VALUE Securities - Publicly traded Securities - Closely held stock Securities - Partnership, LLC, or trust interests Securities - Miscellaneous Qualified conservation contribution - Historic structures Qualified conservation contribution - Other Real estate - Residential Real estate - Commercial Real estate - Other Collectibles Food inventory Drugs and medical supplies Taxidermy Historical artifacts Scientific specimens Archeological artifacts Other ( ) Other ( ) Other ( ) Other ( ) Number of Forms 8283 received by the organization during the tax year for contributions for 29 which the organization completed Form 8283, Part IV, Donee Acknowledgement C op y 12 13 (b) Number of contributions or items contributed In sp ec tio n 6 7 8 9 10 11 (a) Check if applicable Pu bl ic 1 2 3 4 5 93-0386892 Yes 30 a During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? b If "Yes," describe the arrangement in Part II. Does the organization have a gift acceptance policy that requires the review of any non-standard 31 contributions? 32 a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? b If "Yes," describe in Part II. 33 If the organization did not report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II. For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 2E1298 1.000 NY2934 1783 V 12-7.12 No 30a X 31 X 32a X Schedule M (Form 990) (2012) 67971 PAGE 50 PACIFIC UNIVERSITY 93-0386892 Schedule M (Form 990) (2012) Page 2 Part II Supplemental Information. Complete this part to provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information. NUMBER OF CONTRIBUTIONS SCH. M PART I THE NUMBER OF CONTRIBUTIONS REPORTED IN PART I IS THE TOTAL NUMBER OF Pu b lic In sp ec tio n C op y CONTRIBUTIONS RECEIVED. Schedule M (Form 990) (2012) JSA 2E1508 2.000 NY2934 1783 V 12-7.12 67971 PAGE 51 SCHEDULE O (Form 990 or 990-EZ) Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Department of the Treasury Internal Revenue Service Name of the organization OMB No. 1545-0047 Open to Public Inspection Employer identification number PACIFIC UNIVERSITY 93-0386892 REVIEW OF FORM 990 FORM 990, PART VI, LINE 11 A & B A DRAFT OF THE FORM 990 FOR FISCAL YEAR 2012-2013 WILL BE SENT TO EACH MEMBER OF THE BOARD BEFORE FILING. THE COMMITTEE HAS DELEGATED THE AUDIT y COMMITTEE TO REVIEW THE FORM 990. THIS REVIEW PROCESS WILL TAKE PLACE AC op BEFORE THE FORM 990 IS FILED AND WILL INCLUDE PARTIES FROM THE HE TAX FIRM FIR AFTER REVIEW AND PRIOR TO FILING, A COPY OF COP CO O THE RETURN n AUDIT COMMITTEE. C INVOLVED, THE CONTROLLER, THE VP FOR FINANCE & ADMINISTRATION, THE ATION, AND A In sp ec tio WILL BE PROVIDED TO EACH BOARD MEMBER, PREFERABLY TRANSMISSION. Y BY EMAIL EMA ENFORCEMENT OF WRITTEN CONFLICT OF INTERERST POLICY INTE INTERER lic FORM 990, PART VI, SECTION B, LINE 12C Pu b THE BOARD OF TRUSTEES CONFLICT NFLICT FLICT OF O INTEREST POLICY IS INCLUDED AS ARTICLE 6, SECTION 5 OF THE BYLAWS WHICH GOVERN THE ACTIONS OF THE BOARD OF W TRUSTEES OF PACIFIC UNIVERSITY. IV A)TRUSTEES SHALL DISCLOSE TO THE BOARD ANY POSSIBLE CONFLICT OF INTEREST AT THE EARLIEST PRACTICAL TIME. A TRUSTEE SHALL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST IF (I) SUCH TRUSTEE HAS EXISTING OR POTENTIAL FINANCIAL OR OTHER INTERESTS WHICH IMPAIR OR MIGHT REASONABLY APPEAR TO IMPAIR SUCH MEMBER'S INDEPENDENT, UNBIASED JUDGMENT IN THE DISCHARGE OF SUCH TRUSTEE'S RESPONSIBILITIES TO THE UNIVERSITY, OR (II) SUCH TRUSTEE IS AWARE THAT A MEMBER OF HIS OR HER FAMILY, OR ANY ORGANIZATION IN WHICH SUCH TRUSTEE (OR MEMBER OF HIS OR For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 2E1227 1.000 NY2934 1783 V 12-7.12 67971 Schedule O (Form 990 or 990-EZ) (2012) PAGE 52 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 HER FAMILY) IS AN OFFICER, DIRECTOR, EMPLOYEE, MEMBER, PARTNER, TRUSTEE OR CONTROLLING STOCKHOLDER, HAS SUCH EXISTING OR POTENTIAL FINANCIAL OR OTHER INTERESTS. FOR THE PURPOSES OF THIS PROVISION, A FAMILY MEMBER IS DEFINED AS A SPOUSE, PARENT, SIBLING, CHILD AND ANY OTHER RELATIVE IF RESIDING IN THE SAME HOUSEHOLD AS THE TRUSTEE. B) ALL TRUSTEES AND COMMITTEE MEMBERS SHALL REFRAIN FROM CONFLICTS OF INTERESTS, THE y PERCEPTION OF CONFLICTS OF INTEREST AND REQUESTING SPECIAL FAVORS. RS. op HOWEVER, IF CONFLICTS DO OCCUR, TRUSTEES AND COMMITTEE MEMBERS ERS S SHOULD C DISCLOSE THEIR INTEREST DURING THE TRANSACTION OF BUSINESS ESS SS AND ABSTAIN ABS A n FROM VOTING ON ISSUES WHERE A CONFLICT IS PRESENT. ANNUALLY, ANNUALL NUAL , BOARD B THIS STATEMENT IS RETURNED STA S ec REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. . tio MEMBERS RECEIVE A COPY OF THE CONFLICT OF INTEREST AND ARE EST ST STATEMENT STATEME STAT sp TO THE OFFICE OF THE PRESIDENT AND KEPT ON N FILE. FILE THE PRESIDENT AND In CHAIRMAN OF THE BOARD FOLLOW-UP WITH H THE BOARD BOAR MEMBERS REGARDING COMPLETING THE DISCLOSURE STATEMENT. ME . THE TH OFFICE OF THE PRESIDENT MONITORS lic RECEIPT OF THE SIGNED STATEMENT MENT TO ENSURE ALL BOARD MEMBERS COMPLETE THE Pu b DISCLOSURE. ALL RESPONSES BY THE PRESIDENT. IF A MEMBER ES ARE REVIEWED R DISCLOSES A CONFLICT A COPY IS SENT TO THE VP OF FINANCE. T OF INTEREST, INT ADDITIONALLY, UPON DISCOVERY OF A POSSIBLE CONFLICT OF INTEREST OR AT ANY OTHER TIME REQUESTED BY THE COMMITTEE OF TRUSTEES, TRUSTEES WILL BE ASKED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND RETURN IT TO THE OFFICE OF THE PRESIDENT. THE UNIVERSITY'S INSTITUTIONAL CONFLICT OF INTEREST POLICY FOR ALL EMPLOYEES, INCLUDING OFFICERS, REQUIRES EMPLOYEES TO DISCLOSE ALL CONFLICTS OF INTEREST WITH THE UNIVERSITY. A COPY OF THIS CONFLICT OF INTEREST POLICY IS DELIVERED ELECTRONICALLY TO EMPLOYEES Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 NY2934 1783 V 12-7.12 67971 PAGE 53 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 ANNUALLY AND IS INCLUDED AMONG UNIVERSITY INSTITUTIONAL POLICIES POSTED IN THE HUMAN RESOURCES WEB PAGE ONLINE. HTTP://WWW.PACIFICU.EDU/HR/POLICIES/INDEX.CFM THIS POLICY PROVIDES THAT A CONFLICT OF INTEREST EXISTS IF AN EMPLOYEE'S ACTIONS, ACTIVITIES, OR PRACTICES ON BEHALF OF THE UNIVERSITY EITHER (A) RESULT IN PREFERENTIAL TREATMENT OR AN IMPROPER GAIN OR ADVANTAGE TO THE EMPLOYEE, THE A CONFLICT OF INTEREST ST MAY OCCUR OCCU op EFFECT ON THE UNIVERSITY'S INTERESTS. (B) HAS A DETRIMENTAL NTAL y EMPLOYEE'S FAMILY OR BUSINESS ASSOCIATES, OR C WHEN AN EMPLOYEE FAILS TO EXERCISE DUE CARE, SKILL OR JUDGMENT UDGMENT DGMENT ON O BEHALF n OF THE UNIVERSITY IN THE PERFORMANCE OF THE EMPLOYEE'S E'S S DUTIES DU ES BECAUSE OF EMPLOYEES MUST PROVIDE FULL DISCLOSURE ISCLOSURE LOSURE OF ALL FACTS AND ec UNIVERSITY. tio AN INTEREST INCONSISTENT WITH THE MISSION GOALS OR WORK OF O THE sp CIRCUMSTANCES RELATED TO ANY TRANSACTION, OR ACTIVITY IN WHICH N, CONTRACT CONTRAC CONTRA In THEY ARE INVOLVED, OR MAY BECOME INVOLVED, MIGHT DIRECTLY OR VOLVED, OLVED, THAT TH INDIRECTLY CREATE A CONFLICT OF INTEREST I EREST ERES WITH THE UNIVERSITY. DISCLOSURE lic IS MADE TO THE EMPLOYEE'S IMMEDIATE MMEDIATE SUPERVISOR WHO MUST REPORT THE MATTER Pu b TO THE VICE-PRESIDENT OF AND ADMINISTRATION. F FINANCE FINANC FINAN FAILURE TO DISCLOSE A CONFLICT OF INTEREST THE EMPLOYEE TO DISCIPLINE UP TO AND EST SUBJECTS SUBJ INCLUDING TERMINATION OF EMPLOYMENT. SECTION 4.10 OF THE UNIVERSITY HANDBOOK GOVERNS FACULTY CONFLICTS OF INTERESTS RELATED TO OUTSIDE CONSULTING OR PARTICIPATION IN COMMERCIAL OR GOVERNMENTAL ENTERPRISES THAT HAVE THE POTENTIAL FOR CREATING A CONFLICT OF INTEREST WITH UNIVERSITY OBLIGATIONS. A CONFLICT OF INTEREST DISCLOSURE FORM MUST BE SUBMITTED NO LATER THAN SEPTEMBER 15 ANNUALLY TO A DEPARTMENT CHAIR OR DIRECTOR AND TO THE COLLEGE DEAN BY FACULTY MEMBERS WITH APPOINTMENTS OF Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 NY2934 1783 V 12-7.12 67971 PAGE 54 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 0.5 FTE OR GREATER. COMPENSATION REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 15 THE BYLAWS OF PACIFIC UNIVERSITY SPECIFICALLY STATE THAT THE BOARD OF TRUSTEES IS RESPONSIBLE TO APPOINT THE PRESIDENT AND SET APPROPRIATE THE BOARD SHALL AL y CONDITIONS OF EMPLOYMENT WHICH INCLUDE COMPENSATION. op ESTABLISH THE CONDITIONS OF EMPLOYMENT OF OTHER KEY INSTITUTIONAL IONAL NA A COMMITTEE OF THE E BOARD BOA BO D COMPRISED CO n THE BOARD AS MAY BE APPROPRIATE). C OFFICERS WHO SERVE AT THE PLEASURE OF THE PRESIDENT (IN CONSULTATION WITH CONSULTA CONSULTATI tio ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT WITH CT OF INTEREST INTE IN ec RESPECT TO THE COMPENSATION ARRANGEMENT OR PROPERTY WILL BE ROPERTY PERTY TRANSACTION TR sp AUTHORIZED BY THE BOARD TO REVIEW COMPENSATION AND OTHER EMPLOYMENT NSATION ATION DATA DAT D IN 2006, THE In INFORMATION APPROPRIATE FOR THE POSITION PRESIDENT. ITION ON OF THE TH T UNIVERSITY CONTRACTED WITH AN OUTSIDE TO CONDUCT A BENCHMARKING U IDE FIRM F lic STUDY IN ORDER TO OBTAIN COMPETITIVE MPETITIV AND RELEVANT COMPENSATION DATA. THIS MPETITIVE Pu b BENCHMARKING STUDY INCLUDED INFORMATION ABOUT PACIFIC UNIVERSITY UDED ED RELEVANT RELE AND THE RESPONSIBILITIES ITIES AND AN ROLE OF THE PRESIDENT. SUCH INFORMATION INCLUDED A JOB DESCRIPTION FOR THE POSITION, PACIFIC'S COMPENSATION PHILOSOPHY, GOALS, ROLES AND RESPONSIBILITIES AND OTHER PERTINENT INFORMATION. IN ADDITION, THE FIRM CONDUCTED A COMPREHENSIVE SURVEY OF COMPENSATION PACKAGES OF UNIVERSITY PRESIDENTS THAT INCLUDED 12 TO 15 PEER INSTITUTIONS. THE SURVEY ITSELF INCLUDED REQUESTS OF INFORMATION ON BASE COMPENSATION, BONUSES, DEFERRED COMPENSATION, AND RETIREMENT PROGRAMS AND INCLUDED VARIOUS PERQUISITES. THE FIRM MONITORED RESPONSES AND ANALYZED THE DATA AND THEN PREPARED A REPORT OF THE RESULTS. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 THIS NY2934 1783 V 12-7.12 67971 PAGE 55 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 BENCHMARKING REPORT ALSO INCLUDED RECOMMENDATIONS OF THE RANGE OF PERCENTILES FOR COMPENSATION BASED ON THE PEER GROUP AND INCLUDED RECOMMENDATIONS REGARDING THE STRUCTURE OF THE PACKAGE. THIS BENCHMARKING STUDY IS OBTAINED AND RELIED HEAVILY UPON BY MEMBERS OF THE EXECUTIVE COMMITTEE AND A SUMMARY OF THE FINDINGS ARE REPORTED IN THE COMMITTEE MINUTES AND SHARED WITH THE BOARD OF TRUSTEES. ONCE A POTENTIAL y PRESIDENT IS SELECTED, A SPECIAL MEETING OF THE BOARD OF TRUSTEES ES IS S THEN DURING THIS PROCESS MINUTES ARE TAKEN AND EACH ACH CH TRUSTEE TRUST C PRESIDENT. op CONDUCTED TO REVIEW THE PROCESS AND TO VOTE IN FAVOR OF ELECTING CTING NG THE NEW N n PRESENT MUST CALL OUT THEIR VOTE AND THEIR VOTE IS RECORDED IN THE RECORD CORD tio MINUTES LISTING THE INDIVIDUALS WHO ELECTED IN FAVOR. AVOR. THEN THE AT THE NEXT THIS PROCESS WAS LAST FOR THE PRESIDENT IN AST T UNDERTAKEN UNDERT In OF THE MEETING. THIS IS FULLY IN THE MINUTES ULLY DOCUMENTED DOC D sp APPOINTING THE NEXT PRESIDENT. ec REGULAR BOARD OF TRUSTEES MEETING A MOTION IS MADE AND MUST BE PASSED AN A Pu b PUBLIC DISCLOSURE lic JUNE 2013. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND D PACIFIC UNIVERSITY'S ARTICLES OF INCORPORATION ARE OF RECORD IN THE OFFICE OF THE OREGON SECRETARY OF STATE. CURRENT ARTICLES OF INCORPORATION AND BYLAWS FOR THE BOARD OF TRUSTEES ARE AVAILABLE FROM THE OFFICE OF THE PRESIDENT OF THE UNIVERSITY UPON REQUEST. THE INSTITUTIONAL CONFLICT OF INTEREST POLICY AND THE CONSENSUAL RELATIONS POLICY ARE SITUATED ON THE INSTITUTION'S HUMAN RESOURCES WEBSITE AT: HTTP://WWW.PACIFICU.EDU/HR/POLICIES/INDEX.CFM Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 NY2934 1783 V 12-7.12 67971 PAGE 56 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 SECTION 4.10 OF THE UNIVERSITY HANDBOOK IS FOUND ONLINE AT: HTTP://WWW.PACIFICU.EDU/HR/POLICIES/INDEX.CFM PDF FINANCIAL STATEMENTS ARE AVAILABLE ON THE INSTITUTION'S BUSINESS OFFICE WEBSITE AT: HTTP://PACIFICU.EDU/OFFICES/BO/STAFFFACULTY/INDEX.CFM ALL OF THE y DOCUMENTS ABOVE ARE ALSO AVAILABLE BY REQUEST. op RECONCILIATION OF NET ASSETS PARTNERSHIP INCOME 5,408 (248,844) 44) Pu b lic In TOTAL sp --------- tio (372,060) ec ACTUARIAL ADJUSTMENTS 117,808 n SPLIT INTEREST AGREEMENTS C PART XI LINE 9 ATTACHMENT 1 FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION PACIFIC UNIVERSITY BEGAN AS A SCHOOL FOR ORPHANS FROM THE OREGON TRAIL IN 1848 AND IN 1849 WAS CHARTERED AS A COLLEGE FOUNDED BY CONGREGATIONALISTS AND MODELED AFTER THE BEST SCHOOLS OF NEW ENGLAND. OVER TIME, THE UNIVERSITY HAS GROWN INTO A UNIQUE COMBINATION OF UNDERGRADUATE AND GRADUATE PROGRAMS IN LIBERAL ARTS AND SCIENCES, EDUCATION, BUSINESS AND HEALTH. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 NY2934 1783 V 12-7.12 67971 PAGE 57 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 ATTACHMENT 1 (CONT'D) FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION TODAY, PACIFIC'S FOCUS ON TEACHING AND LEARNING IN A CLOSE NURTURING ENVIRONMENT LEADS TO GENUINE TRANSFORMATION IN STUDENTS' LIVES. DISTINGUISHED BY ITS INQUIRY-BASED CURRICULA AND INTERDISCIPLINARY COLLABORATION, PACIFIC OFFERS STUDENTS EXCEPTIONAL OPPORTUNITIES FOR EXPERIENTIAL LEARNING, LEADERSHIP AND CIVIC ENGAGEMENT. C PACIFIC UNIVERSITY WILL EMBRACE DISCOVERY AS AN ESSSENTIAL L op y VISION 2020 n CHARACTERISTIC OF TEACHING, LEARNING, SCHOLARSHIP, PRACTICE, AND RACTICE TIC AN tio CREATIVE EXPRESSION. WE WILL ACHIEVE EXCELLENCE AND BY ND DISTINCTION DISTINC DISTI ec INVESTING IN EXCEPTIONAL PEOPLE. WE WILL EMBRACE DIVERSITY OF RACE E A RICH RI sp IDEAS, PEOPLES AND CULTURES. WE WILL INCORPORATE INTO ORPORATE PORATE SUSTAINABILITY SU In ALL OF OUR ENDEAVORS. lic THE CULTURE OF PACIFIC FOSTERS SUPPORTIVE RELATIONSHIPS THAT RS S WARM AND A Pu b ENABLE THE UNIVERSITY TO PROVIDE ROVIDE AN EXTRAORDINARY EDUCATIONAL EXPERIENCE. STUDENTS, FACULTY FACULT AND STAFF ARE DRAWN TO PACIFIC BY ITS WELCOMING ENVIRONMENT, EMPHASIS ON PUBLIC SERVICE, AND DEVELOPMENT OF GRADUATES WHO CONTRIBUTE AS GIFTED LEADERS OF THE GLOBAL COMMUNITY. ATTACHMENT 2 FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION GRANTS EXPENSES CLINICS-PART OF CURRICULUM 3,277,717. 2,774,656. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 REVENUE NY2934 1783 V 12-7.12 67971 PAGE 58 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 ATTACHMENT 2 (CONT'D) FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION GRANTS EXPENSES REVENUE 2,774,656. 3,277,717. TOTALS ATTACHMENT 3 990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS R DESCRIPTION OF SERVICES SERVICE SERVI op y NAME AND ADDRESS CONTRACTOR OR BREMIK CONSTRUCTION INC. 1026 SE STARK STREET PORTLAND, OR 97214 CONTRACTO ONTRACT CONTRACTOR 315,750. 158,299. A ACCOUNTING 139,753. ec tio n C DIVERSIFIED ROOFING & CONSTRUCTION LLC 16509 NW SELLER RD. BANDS, OR 97106 COMPENSATION Pu bl ic In sp KPMG LLP P.O. BOX 120771 DALLAS, TX 75312 ATTACHMENT 4 FORM 990, PART VIII - INVESTMENT STMENT INCOME IN I DESCRIPTION INVEST. INCOME FROM TRUST/ANNUITIES INVEST. INCOME FROM FLOW THROUGH (A) TOTAL REVENUE (B) RELATED OR EXEMPT REVENUE (C) UNRELATED BUSINESS REV. 1,540,304. (D) EXCLUDED REVENUE 1,540,304. -5,408. 2,919. -8,327. INVEST. INCOME FROM SPLIT INTEREST AG 145,862. 145,862. OTHER INVESTMENT INCOME 140,393. 140,393. TOTALS 1,821,151. 2,919. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 1,818,232. NY2934 1783 V 12-7.12 67971 PAGE 59 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 ATTACHMENT 5 FORM 990, PART VIII - EXCLUDED CONTRIBUTIONS DESCRIPTION AMOUNT FUNDRAISING EVENT 183,297. TOTAL 183,297. ATTACHMENT 6 FORM 990, PART VIII - FUNDRAISING EVENTS 125,044. TOTALS 125,044. NET INCOME 270,092. 27 270, -145,048. 270,092. -145,048. sp ec tio n FUNDRAISING EVENT DIRECT ECT T EXPENSES PENSES SE C op y GROSS INCOME DESCRIPTION ATTACHMENT 7 FORM 990, PART X - NOTES AND LOANS RECEIVABLE VABLE BLE In PERKINS LOANS OANS RECEIVABLE REC 0000 00000 5.000000 YE RS AFTER AFTE GRADUATION AF 10 YEARS ONE E NONE STUDENT LOANS lic BORROWER: INTEREST RATE: REPAYMENT TERMS: SECURITY PROVIDED: PURPOSE OF LOAN: Pu b ........ ..... BEGINNING BALANCE DUE ........................................ ........ ENDING BALANCE DUE ........................................... BORROWER: INTEREST RATE: REPAYMENT TERMS: SECURITY PROVIDED: PURPOSE OF LOAN: HEALTH PROFESSIONAL LOANS 5.000000 10 YEARS AFTER GRADUATION NONE STUDENT LOANS BEGINNING BALANCE DUE ........................................ ENDING BALANCE DUE ........................................... 2,175,821. 2,177,069. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 4,279,782. 4,576,276. NY2934 1783 V 12-7.12 67971 PAGE 60 Schedule O (Form 990 or 990-EZ) 2012 Page Name of the organization 2 Employer identification number PACIFIC UNIVERSITY 93-0386892 ATTACHMENT 7 (CONT'D) 6,455,603. TOTAL BEGINNING NOTES AND LOANS RECEIVABLE TOTAL ENDING NOTES AND LOANS RECEIVABLES 6,753,345. ATTACHMENT 8 FORM 990, PART X - PREPAID EXPENSES AND DEFERRED CHARGES BEGINNING BOOK VALUE DESCRIPTION 3,658,702. 3,658,702. 4,707,674. In sp ec tio n C TOTALS 4,707,674. op y PREPAID EXPENSE & OTHER ASSETS ENDING BOOK VALUE ATTACHMENT 9 FORM 990, PART X - INVESTMENTS - PUBLICLY TRADED ED SECURITIES SECURITI SECURI BEGINNING BEGINN BEGINNIN BOO V BOOK VALUE DESCRIPTION EQUITY SECURITIES lic MUTUAL FUNDS 2,476,929. FMV 23,110,418. 26,714,124. FMV 25,898,509. 29,191,053. ATTACHMENT 10 FORM 990, PART X - DEFERRED REVENUE BEGINNING BOOK VALUE DESCRIPTION DEFERRED REVENUE TOTALS ENDING BOOK VALUE 4,894,494. 5,849,782. 4,894,494. 5,849,782. Schedule O (Form 990 or 990-EZ) 2012 JSA 2E1228 1.000 COST OR FMV 2,788,091. Pu b TOTALS ENDING BOOK VALUE NY2934 1783 V 12-7.12 67971 PAGE 61 Attach to Form 990. See separate instructions. n io t c e p s In (b) Primary activity C y p o (c) st Legal domicile (state or foreign country) ountry) ry) (d) Total income (e) End-of-year assets (f) Direct controlling entity 93-0386892 Employer identification number Open to Public Inspection OMB No. 1545-0047 (a) Name, address, and EIN of related organization P ic l ub (b) (b activ a Primary activity V 12-7.12 67971 (c) Legal domicile (state or foreign country) Exempt Code section (d) (e) Public charity status (if section 501(c)(3)) Yes No (g) Section 512(b)(13) controlled entity? PAGE 62 Schedule R (Form 990) 2012 (f) Direct controlling entity Identification of Related Tax-Exempt Organizations (Complete ete iff the organ organization org answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.) ar.) (a) Name, address, and EIN (if applicable) of disregarded entity NY2934 1783 2E1307 1.000 JSA Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37. Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.) 93-0386892 Related Organizations and Unrelated Partnerships For Paperwork Reduction Act Notice, see the Instructions for Form 990. (7) (6) (5) (4) (3) (2) (1) Part II (6) (5) (4) (3) (2) (1) Part I PACIFIC UNIVERSITY Name of the organization Department of the Treasury Internal Revenue Service SCHEDULE R (Form 990) PACIFIC UNIVERSITY (a) Name, address, and EIN of related organization 2E1308 3.000 NY2934 1783 225 BUSH STREET, SUITE 500 SAN FRANCISCO, CA 94104 (6) ELISE EILERS ELLIOTT 1993 TRUST 2781 KITTITAS HWY ELLENSBURG, WA 98926 (5) JOSEPH B VANDERVELDEN FOUNDATION PO BOX 20160 LONG BEACH, CA 90801-3160 (4) JUDITH SCOTT WALTER TRUST JSA (c) Legal domicile (state or foreign country) (e) Predominant income (related, unrelated, excluded from tax under sections 512-514) (g) Share of end-ofyear assets y p o C (f) Share of total income n io t c e p s In (d) Direct controlling entity P (b) activ Primary activity REVOCABLE TRUST CHARIT. TRUST CHARIT. TRUST CHARIT. TRUST V 12-7.12 01-0679337 93-6286521 95-6007893 CRAT C CRUT ic l ub 9 93-60 93-6051550 04 US BANK, 111 SW 5TH AVE., 6TH FLOOR PORTLAND, OR 97204 (3) GEORGE ROSSMAN TRUST (2) CHARITABLE REMAINDER TRUSTS (1) (7) (b) Primary activity (h) Yes No allocations? Disproportionate (i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065) (j) (c) 67971 OR OR OR OR OR OR Legal domicile (state or foreign country) N/A N/A N/A N/A N/A N/A (d) Direct controlling entity TRUST TRUST TRUST TRUST TRUST TRUST (e) Type of entity (C corp, S corp, or trust) 0 0 241,830. 102,215. 70,070. 27,686. (f) Share of total income Percentage ownership 2 X X Yes No Section 512(b)(13) controlled entity? (i) (k) Percentage ownership Page PAGE 63 Schedule R (Form 990) 2012 0 100.0000 X 0 100.0000 X 0 100.0000 X 0 100.0000 X 0 0 (g) Share of end-of-year assets (h) Yes No General or managing partner? Identification of Related Organizations Taxable as a Corporation ion or Trust Trus (C (Complete if the organization answered "Yes" to Form 990, Part IV, ated d as a co corp line 34 because it had one or more related organizations treated corporation or trust during the tax year.) (a) Name, address, and EIN of related organization (1) CHARITABLE REMAINDER TRUSTS (10) Part IV (7) (6) (5) (4) (3) (2) (1) Part III 93-0386892 Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.) Schedule R (Form 990) 2012 PACIFIC UNIVERSITY 93-0386892 Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.) PACIFIC UNIVERSITY ic l b 2E1309 1.000 JSA (6) NY2934 1783 V 12-7.12 67971 A ELISE EILERS ELLIOTT 1993 TRUST (4) (5) A JOSEPH B VANDERVELDEN FOUNDATION (3) A JUDITH SCOTT WALTER TRUST (2) A GEORGE ROSSMAN TRUST u P (a) ation Name of other organization (1) 2 In (b) Transaction type (a-s) 241,830. 102,215. 70,070. 27,686. (c) Amount involved Other transfer of cash or property to related organization(s) 1r Other transfer of cash or property from related organization(s) 1s If the answer to any of the above is "Yes," see the instructions ns for infor inform information on who must complete this line, including covered relationships and transaction thresholds. r s e p s Reimbursement paid to related organization(s) for expenses Reimbursement paid by related organization(s) for expenses X X X X X X X X X X X X X X X X X X X PAGE 64 Schedule R (Form 990) 2012 CASH RECEIVED CASH RECEIVED CASH RECEIVED CASH RECEIVED (d) Method of determining amount involved 1p 1q 1k 1l 1m 1n 1o p q i t c n o Lease of facilities, equipment, or other assets from related organization(s) s) Performance of services or membership or fundraising solicitations for related organization(s) on(s) (s) Performance of services or membership or fundraising solicitations by related organization(s) (s) Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) Sharing of paid employees with related organization(s) k l m n o C Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s) 1f 1g 1h 1i 1j 1a 1b 1c 1d 1e 3 No Page Yes f g h i j y p o Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift, grant, or capital contribution to related organization(s) c Gift, grant, or capital contribution from related organization(s) d Loans or loan guarantees to or for related organization(s) e Loans or loan guarantees by related organization(s) Part V Schedule R (Form 990) 2012 93-0386892 Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.) PACIFIC UNIVERSITY Page 4 NY2934 1783 JSA 2E1310 1.000 (16) (15) (14) (13) (12) (11) (10) (9) (8) (7) (6) (5) (4) (3) (2) (1) (a) Name, address, and EIN of entity (c) Legal domicile (state or foreign country) V 12-7.12 ic l ub P Primary activity (b) Yes No (e) Are all partners section 501(c)(3) organizations? 67971 (g) Share of end-of-year assets y p o C (f) Share of total income n io t c e p s In (d) Predominant income (related, unrelated, excluded from tax under section 512-514) Yes No allocations? Disproportionate (h) Yes No (j) General or managing partner? (k) Percentage ownership PAGE 65 Schedule R (Form 990) 2012 (i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065) Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. Part VI Schedule R (Form 990) 2012 PACIFIC UNIVERSITY 93-0386892 Schedule R (Form 990) 2012 Page 5 Supplemental Information Complete this part to provide additional information for responses to questions on Schedule R (see instructions). Pu b lic In sp ec tio n C op y Part VII Schedule R (Form 990) 2012 2E1510 1.000 NY2934 1783 V 12-7.12 67971 PAGE 66