CLARK FOUNDATION INC: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CLARK FOUNDATION INC (EIN 56-2223653)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-05-14
- IRS object ID
- 202331349349100158
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-14T18:37:50-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561607476 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDRIX BARNEY & CO CPA'S PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1015 HUTTON LN STE 103 | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562223653 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CLARK FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 3368487684 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 FLORHAM DRIVE | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27262 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK CLARK | PersonNm |
| Person Title | V PRESIDENT | PersonTitleTxt |
| Phone | 3368829780 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK E | PersonFirstNm |
| Person Last | CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACK G HENDRIX CPA | PreparerPersonNm |
| PTIN | P00267398 | PTIN |
| Phone | 3368872272 | PhoneNum |
| Preparation | 2023-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,154,896 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $22,626 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $22,626 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $23,252 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $148,762 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $22,866 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $45,878 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $45,492 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $12,500 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $11,250 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $1,250 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,200 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,200 | AccountingFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $319 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $8,105 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $8,105 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $24,124 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,555 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,250 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $67,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $67,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $91,624 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,555 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $68,750 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$45,746 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $22,937 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $14 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $21 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $21 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses EOY | $881 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $881 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $1,044,019 | CorporateStockBOYAmt |
| Corporate Stock EOY | $997,121 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,030,994 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $123,000 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $123,000 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $123,000 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,167,033 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,121,023 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,154,896 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $264 | AccountsPayableBOYAmt |
| Total Liabilities BOY | $264 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $1,166,769 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,121,023 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,166,769 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,121,023 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,167,033 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,121,023 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,166,769 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$45,746 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,121,023 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,121,023 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $22,866 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $319 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $319 | SubtotalAmt |
| Tax Based On Investment Income | $319 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,200 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,200 | TotalPaymentsAndCreditsAmt |
| Overpayment | $881 | OverpaymentAmt |
| Applied To ES Tax | $881 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NC | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | NOT APPLICABLE | WebsiteAddressTxt |
| Individual With Books | SUSAN CLARK | IndividualWithBooksNm |
| Phone | 3368487684 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 FLORHAM DRIVE | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| KEITH CLARK | ||||||||
| 213 WESTRIDGE DRIVE | HIGH POINT | NC | 27262 | PRESIDENT | 000.00 | $2,500 | $0 | $0 |
| MARK CLARK | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | V PRESIDENT | 000.00 | $2,500 | $0 | $0 |
| SUSAN CLARK | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | SEC/TRES | 000.00 | $2,500 | $0 | $0 |
| MATTHEW CLARK | ||||||||
| 9816 CLYDESDALE STREET | POTOMAC | MD | 20854 | DIRECTOR | 000.00 | $2,500 | $0 | $0 |
| KATHERINE PATTERSON | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | DIRECTOR | 000.00 | $2,500 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,128,256 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $4,871 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $123,000 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,256,127 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,256,127 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $18,842 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,237,285 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $61,864 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $61,864 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $319 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $319 | TotalTaxAmt |
| Distributable Before Adj | $61,545 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $61,545 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $61,545 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $68,750 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $68,750 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $61,545 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $67,487 | UndistributedIncomePYAmt |
| Qualifying Distributions | $68,750 | QualifyingDistributionsAmt |
| Applied To Year1 | $67,487 | AppliedToYear1Amt |
| Applied To Current Year | $1,263 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $60,282 | UndistributedIncomeCYAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | THE CLARK FOUNDATION INC | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 FLORHAM DRIVE | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3368487684 | RecipientPhoneNum |
| Form And Info And Materials | LETTER OF REQUEST AND PURPOSE OF CHARITABLE REQUEST ALONG WITH A COPY OF 501(C)(3) DETERMINATION LETTER | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | SECTION 501(C)(3) ORGANIZATIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN CHILDREN'S HOME | |||||||
| PO BOX 1288 | LEXINGTON | NC | 27293 | NONE | PUBLIC | OPERATIONS | $4,000 |
| ARCHDALETRINITY SERCO CLUB | |||||||
| 9445 US HWY 311 | ARCHDALE | NC | 27263 | NONE | PUBLIC | CHRISTMAS CHEER FUND | $2,000 |
| HIS LABORING FEW MINISTRIES | |||||||
| 812 MARTIN L KING JR DR | THOMASVILLE | NC | 27360 | NONE | PUBLIC | OPERATIONS | $2,500 |
| WESLEY MEMORIAL UNITED METHODIST CH | |||||||
| 1225 CHESTNUT DRIVE | HIGH POINT | NC | 27262 | NONE | PUBLIC | SUPPORT | $20,500 |
| WEST END MINISTRIES | |||||||
| 901 ENGLISH ROAD | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $2,500 |
| COMMUNITY CLINIC OF HIGH POINT | |||||||
| 779 N MAIN STREET | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $5,000 |
| HIGH POINT UNIVERSITY | |||||||
| ONE UNIVERSITY PARKWAY | HIGH POINT | NC | 27268 | NONE | PUBLIC | RANDY MOSER SCHOLARSHIP | $5,000 |
| MACEDONIA FAMILY RESOURCE CENTER | |||||||
| 401 LAKE AVENUE | HIGH POINT | NC | 27260 | NONE | PUBLIC | SUPPORT | $1,000 |
| OPEN DOOR MINISTRIES OF HIGH POINT | |||||||
| 400 N CENTENNIAL ST | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $2,500 |
| HOUSE OF PRAYER | |||||||
| 5884 RIVERDALE DR | JAMESTOWN | NC | 27282 | NONE | PUBLIC | OPERATIONS | $2,000 |
| CAROLINA WATERFOWL RESCUE | |||||||
| 5403 POPLIN ROAD | INDIAN TRAIL | NC | 28079 | NONE | PUBLIC | OPERATIONS | $10,000 |
| JOYFUL HEARTS FOUNDATION | |||||||
| 25 BROADWAY | NEW YORK | NY | 10004 | NONE | PUBLIC | OPERATIONS | $5,000 |
| GEORGETOWN PREPARATORY SCHOOL | |||||||
| 10900 ROCKVILLE PIKE | NORTH BETHESDA | MD | 20852 | NONE | PRIVATE | OPERATIONS | $2,500 |
| HP FAMILY WORSHIP CENTER | |||||||
| 1207 KENSINGTON DR | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $3,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $67,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 25 | ExclusionCd |
| Exclusion | $22,626 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 25 | ExclusionCd |
| Exclusion | $22,866 | ExclusionAmt |
| Related Or Exempt Function Incm | $386 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $45,492 | ExclusionAmt |
| Related Or Exempt Function Incm | $386 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $45,878 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INDIRECT ACCOUNTING FEES | CategoryTxt |
| Amt | $3,200 | Amt |
| Net Investment Income | $3,200 | NetInvestmentIncomeAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt |
|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | PURCHASE | $41,000 | $35,681 | $5,319 |
| PUBLICLY TRADED SECURITIES | PURCHASE | $84,896 | $89,829 | -$4,933 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (39 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AM FUNDAMENTAL INVESTORS FUND INC | $58,407 | $72,699 |
| AM GROWTH FD OF AMER A | $43,445 | $51,345 |
| AM NEW WORLD FUND CLASS A | $17,477 | $32,895 |
| AM INTERMEDIATE BOND FUND OF AMERICA | $25,851 | $23,329 |
| AMERICAN INCOME FUND OF AMERICA CL A | $90,375 | $111,704 |
| AMERICAN BOND FUND OF AMERICA | $28,254 | $24,754 |
| AM CAPITAL INCOME BUILDER FUND CL A | $27,985 | $29,389 |
| AM CAP WORLD GROWTH & INCOME CL A | $35,649 | $36,599 |
| AM CAP WORLD BOND FUND | $45,177 | $35,680 |
| AM INVESTMENT CO OF AMERICA | $33,426 | $33,732 |
| AMERICAN BALANCED FUND | $32,492 | $34,138 |
| AMERICAN HIGH INCOME TRUST | $41,993 | $35,551 |
| AMERICAN US GOVT SEC A | $33,847 | $28,517 |
| FUNDAMENTAL INVESTORS | $12,821 | $15,569 |
| BLACKROCK EQUITY DIVIDEND | $16,444 | $15,461 |
| DELAWARE SMALL CAP VALUE FUND | $8,867 | $9,969 |
| EATON VANCE INC FD BOSTON | $41,144 | $35,692 |
| HARBOR INTERNATIONAL FUND | $20,812 | $17,315 |
| HARTFORD CAP APPRECIATION FUND | $9,878 | $9,584 |
| JP MORGAN CORE BOND FUND | $24,103 | $20,821 |
| JANUS HEND. MID CAP VALUE FUND CL 1 | $22,931 | $20,492 |
| MFS VALUE FUND CL I | $19,017 | $26,098 |
| INVESCO OP INTERNATIONAL GROWTH | $27,233 | $27,022 |
| T ROWE PRICE BLUE CHIP GROWTH | $14,920 | $19,845 |
| T ROWE PRICE MID CAP GROWTH | $8,470 | $10,356 |
| T ROWE PRICE SHORT TERM BOND | $27,515 | $25,659 |
| INVESCO GROWTH & INCOME | $15,445 | $15,101 |
| JPM FED MONEY MARKET INSTL CL | $6,880 | $6,880 |
| MFS MASSACHUSETTS INV TR | $13,499 | $15,357 |
| HARTFORD GROWTH OPPORTUNITIES | $12,828 | $10,512 |
| JP MORGAN VALUE ADVANTAGE INST | $9,193 | $10,177 |
| PILGRAM TOTAL RETURN BOND | $19,087 | $15,673 |
| MFS RESEARCH INTERNATIONAL | $24,038 | $27,845 |
| NEW WORLD FUND CL 2 | $39,728 | $37,784 |
| HARTFORD WORLD BOND | $27,096 | $25,967 |
| EDWARD JONES MONEY MARKET | $197 | $197 |
| PIONEER BOND K | $24,953 | $20,891 |
| T ROWE PRICE EQUITY INC | $13,103 | $15,479 |
| NB GENESIS | $22,541 | $24,916 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | OTHER INVESTMENT | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $123,000 | BookValueAmt |
| EOYFMV | $123,000 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXPENSES | ||
| SERVICE FEE | $8,105 | $8,105 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX ON INVESTMENT INCOME | CategoryTxt |
| Amt | $319 | Amt |
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