CLARK FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLARK FOUNDATION INC (EIN 62-0695496)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349105305
- Schema version
- 2021v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T04:08:06-00:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454698605 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edward F Schemel CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 744 McCallie Ave Ste 213 | AddressLine1Txt |
| City | Chattanooga | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620695496 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 4238861240 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 JAMES BLVD | AddressLine1Txt |
| City | SIGNAL MOUNTAIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE M CLARK | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 4238861240 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GEORGE | PersonFirstNm |
| Person Last | CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 990009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Edward F Schemel | PreparerPersonNm |
| PTIN | P00718263 | PTIN |
| Phone | 4232679955 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $528,574 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Interest On Sav Rev And Expnss | $3 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $3 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $15,690 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $15,690 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $15,690 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $10,081 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $10,208 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $10,081 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $25,774 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $25,774 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $15,693 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $400 | AccountingFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $243 | TaxesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $643 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $25,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $25,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $26,143 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $25,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$369 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $25,774 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $15,693 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $406 | CashBOYAmt |
| Cash EOY | $164 | CashEOYAmt |
| Cash EOYFMV | $164 | CashEOYFMVAmt |
| Corporate Stock BOY | $6,671 | CorporateStockBOYAmt |
| Corporate Stock EOY | $6,544 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $528,410 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $7,077 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,708 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $528,574 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Additional Paid In Capital BOY | $11,337 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $11,337 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | -$4,260 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$4,629 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $7,077 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,708 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $7,077 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,708 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $7,077 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$369 | ExcessRevenueOverExpensesAmt |
| Subtotal | $6,708 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $6,708 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | 470SH REGIONS BANK | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Acquired | 2016-06-01 | AcquiredDt |
| Sold | 2021-12-15 | SoldDt |
| Gross Sales Price | $10,208 | GrossSalesPriceAmt |
| Cost Or Other Basis | $127 | CostOrOtherBasisAmt |
| Gain Or Loss | $10,081 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $10,081 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $10,081 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $358 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $358 | SubtotalAmt |
| Tax Based On Investment Income | $358 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $358 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | TN | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | GEORGE M CLARK III | IndividualWithBooksNm |
| Phone | 4238861240 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 JAMES BLVD | AddressLine1Txt |
| City | SIGNAL MOUNTAIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37377 | 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 |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| 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 |
| Relying Current Ntc Dsstr Asst1 | Yes (X) | RelyingCurrentNtcDsstrAsst1Ind |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| 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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| GEORGE M CLARK | ||||||
| 1115 JAMES BLVD | SIGNAL MOUNTAIN | TN | 37377 | PRESIDENT | 001.00 | $0 |
| CATHERINE CRABTREE | ||||||
| 744 MCCALLIE AVE STE 205 | CHATTANOOGA | TN | 37403 | SECRETARU | 001.00 | $0 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $461,012 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $285 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $461,297 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $461,297 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $6,919 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $454,378 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $22,719 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $22,719 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $358 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $358 | TotalTaxAmt |
| Distributable Before Adj | $22,361 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $22,361 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $22,361 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $25,500 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $25,500 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $22,361 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $144 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr4 | $50 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $3,680 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $395 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $144 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $4,269 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $25,500 | QualifyingDistributionsAmt |
| Applied To Year1 | $144 | AppliedToYear1Amt |
| Applied To Current Year | $22,361 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,995 | RemainingDistriFromCorpusAmt |
| Total Corpus | $7,264 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $7,264 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $50 | ExcessFromYear4Amt |
| Excess From Year3 | $3,680 | ExcessFromYear3Amt |
| Excess From Year2 | $395 | ExcessFromYear2Amt |
| Excess From Year1 | $144 | ExcessFromYear1Amt |
| Excess From Current Year | $2,995 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| NORTHSIDE NEIGHBORHOOD HOUSE | ||||||
| 211 MINOR ST | CHATTANOOGA | TN | 37405 | PC | GENERAL DONATION | $5,100 |
| CHATTANOOGA CHRISTIAN SCHOOL | ||||||
| 3354 CHARGER DRIVE | CHATTANOOGA | TN | 37409 | PC | GENERAL DONATION | $5,100 |
| HOPE FOR THE INNER CITY | ||||||
| PO BOX 11584 | CHATTANOOGA | TN | 37401 | PC | GENERAL DONATION | $5,100 |
| DUBOSE CONFERENCE CENTER | ||||||
| 635 COLLEGE ST | MONTEAGLE | TN | 37356 | PC | GENERAL DONATION | $5,100 |
| SEVENTH WELL | ||||||
| PO BOX 22481 | CHATTANOOGA | TN | 37422 | PC | GENERAL DONATION | $5,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $25,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $15,693 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $15,693 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $15,693 | 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 | ACCOUNTING FEES | CategoryTxt |
| Amt | $400 | Amt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | BROKERAGE ACCOUNT | StockNm |
| EOY Book Value | $6,544 | EOYBookValueAmt |
| EOYFMV | $528,410 | EOYFMVAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TENNESSEE TAX | CategoryTxt |
| Amt | $243 | Amt |
Comments