SHALLOW FORD FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SHALLOW FORD FOUNDATION INC (EIN 04-3795285)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-02-19
IRS object ID
202100509349301135
Schema version
2019v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-02-19T14:40:22-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352110134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTEN SOUERS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110347 DAWSONS CREEK BLVD SUITE CAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468251905ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043795285EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLEMMONS COMMUNITY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLEMBusinessNameControlTxt
Phone3366636794PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27012ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIA VERNONPersonNm
Person TitleVICE CHAIRPersonTitleTxt
Phone3366636794PhoneNum
Signature2021-02-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID L FUNK CPAPreparerPersonNm
PTINP00187731PTIN
Phone2604840653PhoneNum
Preparation2021-02-19PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARIA VERNONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27012ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$698,730GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCLEMMONSFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF OUR COMMUNITIES TO ADDRESS NEEDS AND INTERESTS WITH RESOURCES FOR TRANSFORMATIONAL SOLUTIONS AND STRATEGIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$217,080PYContributionsGrantsAmt
CY Contributions Grants$405,318CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$760,772PYInvestmentIncomeAmt
CY Investment Income$293,412CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$977,852PYTotalRevenueAmt
CY Total Revenue$698,730CYTotalRevenueAmt
PY Grants And Similar Paid$338,528PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$411,806CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$138,676PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,409CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,845CYTotalFundraisingExpenseAmt
PY Other Expenses$68,390PYOtherExpensesAmt
CY Other Expenses$134,603CYOtherExpensesAmt
PY Total Expenses$545,594PYTotalExpensesAmt
CY Total Expenses$721,818CYTotalExpensesAmt
PY Revenues Less Expenses$432,258PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$23,088CYRevenuesLessExpensesAmt
Total Assets BOY$13,940,309TotalAssetsBOYAmt
Total Assets EOY$14,151,499TotalAssetsEOYAmt
Total Liabilities BOY$17,002TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,899TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,923,307NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,138,600NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF OUR COMMUNITIES TO ADDRESS NEEDS AND INTERESTS WITH RESOURCES FOR TRANSFORMATIONAL SOLUTIONS AND STRATEGIES.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$680,807ExpenseAmt
Grant$411,806GrantAmt
DescCONNECTING PHILANTHROPIC RESOURCES WITH COMMUNITY NEEDS THROUGH COMMUNITY- ENGAGED GRANT-MAKING FROM SCHOLARSHIP AND DISCRETIONARY FUNDS. INITIATED AND SUPPORTED PROGRAMS WHERE NEEDS IDENTIFIED. SUPPORT DONOR ADVISORS WITH COMMUNITY RESEARCH AND GRANT RECOMMENDATION GUIDANCE. GRANT AND SCHOLARSHIP FOLLOWUP.Desc
Total Program Service Expenses$680,807TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDONALD KINNEYPersonNm
Phone3367688000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
SANDI SCANNELLI
CEO50.00Yes (X)$100,000$0$0
TIM BELL
SECRETARY1.00Yes (X)$0$0$0Yes (X)
MIKE COMBEST
CHAIRMAN5.00Yes (X)$0$0$0Yes (X)
JOHN CROUCH
DIRECTOR1.00$0$0$0Yes (X)
HOLLY GROCE
DIRECTOR1.00$0$0$0Yes (X)
BRETT HOGE
DIRECTOR1.00$0$0$0Yes (X)
DONALD KINNEY
TREASURER1.00Yes (X)$0$0$0Yes (X)
WILLIAM LAWLER
DIRECTOR1.00$0$0$0Yes (X)
ERIKA MIELKE
DIRECTOR1.00$0$0$0Yes (X)
MARIA VERNON
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
GREGORY BREWER
IMMED PAST C1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$405,318AllOtherContributionsAmt
Total Contributions$405,318TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$293,412TotalRevenueColumnAmt
Exclusion$293,412ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,730TotalRevenueColumnAmt
Exclusion$293,412ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$411,806TotalAmt
Program Services$411,806ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$100,000TotalAmt
Program Services$90,000ProgramServicesAmt
Management And General$8,712ManagementAndGeneralAmt
Fundraising$1,288FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$62,944TotalAmt
Program Services$48,275ProgramServicesAmt
Management And General$11,894ManagementAndGeneralAmt
Fundraising$2,775FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,465TotalAmt
Program Services$10,578ProgramServicesAmt
Management And General$1,576ManagementAndGeneralAmt
Fundraising$311FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Management And General$250ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Management And General$2,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,180TotalAmt
Program Services$1,609ProgramServicesAmt
Management And General$1,571ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,249TotalAmt
Program Services$1,224ProgramServicesAmt
Management And General$1,025ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,445TotalAmt
Program Services$5,469ProgramServicesAmt
Management And General$815ManagementAndGeneralAmt
Fundraising$161FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,797TotalAmt
Program Services$13,405ProgramServicesAmt
Management And General$1,998ManagementAndGeneralAmt
Fundraising$394FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,803TotalAmt
Program Services$12,561ProgramServicesAmt
Management And General$1,872ManagementAndGeneralAmt
Fundraising$370FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,615TotalAmt
Program Services$1,372ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt
Fundraising$203FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$356TotalAmt
Management And General$356ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,771TotalAmt
Program Services$1,503ProgramServicesAmt
Management And General$224ManagementAndGeneralAmt
Fundraising$44FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INVESTMENT FEES$63,955$63,955
PROGRAM & INITIATIVES$11,259$11,259
OTHER EXPENSES$10,423$7,791$1,333$1,299

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$721,818TotalAmt
Program Services$680,807ProgramServicesAmt
Management And General$34,166ManagementAndGeneralAmt
Fundraising$6,845FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$509,419BOYAmt
EOY$269,025EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,106,118EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,668LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$356LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$2,312EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,430,390BOYAmt
EOY$12,774,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,940,309BOYAmt
EOY$14,151,499EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$7,899EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$5,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,002BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,002BOYAmt
EOY$12,899EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,923,307BOYAmt
EOY$14,138,600EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,923,307BOYAmt
EOY$14,138,600EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,940,309BOYAmt
EOY$14,151,499EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$23,088ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$238,381NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,020,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,306,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$280,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$217,080CurrentTaxYearMinus1YearAmt
Current Tax Year$405,318CurrentTaxYearAmt
Total$10,230,411TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,020,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,306,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$280,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$217,080CurrentTaxYearMinus1YearAmt
Current Tax Year$405,318CurrentTaxYearAmt
Total$10,230,411TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$8,595,472SubstantialContributorsTotAmt
Public Support Total170$1,634,939PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,669,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$336,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$760,772CurrentTaxYearMinus1YearAmt
Current Tax Year$293,412CurrentTaxYearAmt
Total$3,087,422TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$164,000CurrentTaxYearMinus2YearsAmt
Total$164,000TotalAmt
FieldValueIRS element (for citing)
Total Support$13,481,833TotalSupportAmt
Public Support CY1700.12130PublicSupportCY170Pct
Public Support PY1700.10100PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd
Facts And Circumstances TestTHE CLEMMONS COMMUNITY FOUNDATION UNEXPECTEDLY RECEIVED AN EXCEPTIONALLY LARGE BEQUEST IN THE YEAR ENDING 6/30/17 TOTALING 8,297,893 FROM AN INDIVIDUAL UNRELATED TO ANY BOARD MEMBER. EXCEPT FOR THE UNUSUAL LARGE BEQUEST GIFT, THE PERCENTAGE IN SCHEDULE A, LINE 14 WOULD EXCEED 33.33%. THE LARGE BEQUEST, WHILE BEING DONOR ADVISED, IS NOT DONOR CONTROLLED. THE BOARD OF DIRECTORS - ALL INDEPENDENT AND UNRELATED TO THE BEQUEST OR EACH OTHER, HAS CONTINUED ITS COMMUNITY SOLICITATIONS AS EVIDENCED ON ITS WEB SITE, WWW.CLEMMONSFOUNDATION.ORG, TO BUILD LONG-TERM COMMUNITY PHILANTHROPIC ASSETS.FactsAndCircumstancesTestTxt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 10DONATION OF PROPERTY 164,000
PART II, LINE 17ATHE CLEMMONS COMMUNITY FOUNDATION UNEXPECTEDLY RECEIVED AN EXCEPTIONALLY LARGE BEQUEST IN THE YEAR ENDING 6/30/17 TOTALING 8,297,893 FROM AN INDIVIDUAL UNRELATED TO ANY BOARD MEMBER. EXCEPT FOR THE UNUSUAL LARGE BEQUEST GIFT, THE PERCENTAGE IN SCHEDULE A, LINE 14 WOULD EXCEED 33.33%. THE LARGE BEQUEST, WHILE BEING DONOR ADVISED, IS NOT DONOR CONTROLLED. THE BOARD OF DIRECTORS - ALL INDEPENDENT AND UNRELATED TO THE BEQUEST OR EACH OTHER, HAS CONTINUED ITS COMMUNITY SOLICITATIONS AS EVIDENCED ON ITS WEB SITE, WWW.CLEMMONSFOUNDATION.ORG, TO BUILD LONG-TERM COMMUNITY PHILANTHROPIC ASSETS.
PART II, LINE 17BTHE CLEMMONS COMMUNITY FOUNDATION UNEXPECTEDLY RECEIVED AN EXCEPTIONALLY LARGE BEQUEST IN THE YEAR ENDING 6/30/17 TOTALING 8,297,893 FROM AN INDIVIDUAL UNRELATED TO ANY BOARD MEMBER. EXCEPT FOR THE UNUSUAL LARGE BEQUEST GIFT, THE PERCENTAGE IN SCHEDULE A, LINE 15 WOULD EXCEED 33.33%. THE LARGE BEQUEST, WHILE BEING DONOR ADVISED, IS NOT DONOR CONTROLLED. THE BOARD OF DIRECTORS - ALL INDEPENDENT AND UNRELATED TO THE BEQUEST OR EACH OTHER, HAS CONTINUED ITS COMMUNITY SOLICITATIONS AS EVIDENCED ON ITS WEB SITE, WWW.CLEMMONSFOUNDATION.ORG, TO BUILD LONG-TERM COMMUNITY PHILANTHROPIC ASSETS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held6DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held20FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri$154,639DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri$250,680FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants$91,550DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants$313,756FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY$11,363,800DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY$2,774,800FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,010,705BeginningYearBalanceAmt
Contributions$132,659ContributionsAmt
Investment Earnings Or Losses$443,912InvestmentEarningsOrLossesAmt
Grants Or Scholarships$513,758GrantsOrScholarshipsAmt
Administrative Expenses$137,270AdministrativeExpensesAmt
End Year Balance$12,936,248EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,839,772BeginningYearBalanceAmt
Contributions$10,100ContributionsAmt
Investment Earnings Or Losses$729,291InvestmentEarningsOrLossesAmt
Grants Or Scholarships$416,612GrantsOrScholarshipsAmt
Other Expenditures$18,412OtherExpendituresAmt
Administrative Expenses$133,434AdministrativeExpensesAmt
End Year Balance$13,010,705EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,231,070BeginningYearBalanceAmt
Contributions$101,954ContributionsAmt
Investment Earnings Or Losses$1,027,858InvestmentEarningsOrLossesAmt
Grants Or Scholarships$126,287GrantsOrScholarshipsAmt
Other Expenditures$258,827OtherExpendituresAmt
Administrative Expenses$135,996AdministrativeExpensesAmt
End Year Balance$12,839,772EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,902,665BeginningYearBalanceAmt
Contributions$8,297,893ContributionsAmt
Investment Earnings Or Losses$2,185,983InvestmentEarningsOrLossesAmt
Grants Or Scholarships$47,000GrantsOrScholarshipsAmt
Other Expenditures$51,657OtherExpendituresAmt
Administrative Expenses$56,814AdministrativeExpensesAmt
End Year Balance$12,231,070EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$925,731BeginningYearBalanceAmt
Contributions$1,006,407ContributionsAmt
Investment Earnings Or Losses-$13,405InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,000GrantsOrScholarshipsAmt
Other Expenditures$10,068OtherExpendituresAmt
End Year Balance$1,902,665EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,668OtherCostOrOtherBasisAmt
Depreciation$356DepreciationAmt
Book Value$2,312BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,312TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$873,156TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$238,381NetUnrealizedGainsInvstAmt
Revenue Not Reported$238,381RevenueNotReportedAmt
Revenue Subtotal$634,775RevenueSubtotalAmt
Investment Expenses Not Incld$63,955InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$63,955RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$698,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$657,863TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$657,863ExpensesSubtotalAmt
Investment Expenses Not Incld2$63,955InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$63,955ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$721,818TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE INTENDED USE OF THE ENDOWMENT FUNDS IS FOR ANNUAL GRANT MAKING FROM THE INVESTMENT EARNINGS TO FULFILL THE PERPETUAL PHILANTHROPIC INTENTIONS OF THE DONORS WHO CREATED THE FUND.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ARTS FOR LIFE
50 S FRENCH BROAD AVENUE SUITE 258ASHEVILLENC288015622509623$7,500YOUTH ART THERAPY
BOOKMARKS
634 W FOURTH STREET 110WINSTONSALEMNC271015421526103$7,500BOOKS FOR LOCAL SCHO
CANCER SERVICES INC
3715 MAPLEWOOD AVENUEWINSTONSALEMNC271035606563753$73,025CANCER PATIENT SUPPO
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BLVDWINSTONSALEMNC271572374269443$9,000PROGRAM SUPPORT
GUIDING INSTITUTE FOR DEVELOPMENTAL
200 EAST 14TH STREETWINSTONSALEMNC271055621087963$5,750YOUTH EDUCATION
HUMANE SOCIETY OF DAVIE COUNTY
1469 N MAIN STREETMOCKSVILLENC270285617597713$7,500ANIMAL WELFARE
LEWISVILLE-CLEMMONS CHAMBER OF COMM
3540 CLEMMONS ROAD SUITE 112CLEMMONSNC270127432153546$19,740COVID RELATED SUPPOR
LOVE OUT LOUD
PO BOX 20912WINSTONSALEMNC271204740854183$199,222CAPITAL IMPROVEMENT
SENIOR SERVICES INC
2895 SHOREFAIR DRIVEWINSTONSALEMNC271055610859683$13,000SENIOR PROGRAMS
WINSTON SALEM FORSYTH COUNTY SCHOOL
457 CORPORATE SQUAREWINSTONSALEMNC27105560795164GOV$7,704ACADEMIC SUPPORT
YADKIN COUNTY PUBLIC SCHOOLS
121 WASHINGTON STREETYADKINVILLENC27055566001137GOV$19,100PROGRAMS
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationUNLESS UNRESTRICTED, ALL GRANTEES MUST FILE A REPORT WITH THE FOUNDATION DOCUMENTING THE OUTCOMES AND EXPENDITURES. STAFF REVIEWS REPORTS TO ENSURE EXPENDITURES COMPLIED WITH GRANT AMOUNT AWARDED AND PURPOSE. ANY EXCEPTIONS ARE REPORTED TO THE CEO/BOARD FOR ACTION. UNRESTRICTED GRANT AWARDS TO VETTED, QUALIFIED PUBLIC CHARITIES ARE ENCOURAGED, BUT NOT REQUIRED TO SUBMIT A SIMILIAR REPORT. SCHOLARSHIP AWARDS TO DOMESTIC INDIVIDUALS ARE PAID TO THE STUDENT'S EDUCATIONAL INSTITUTION DIRECTLY. THE FOUNDATION STAFF MONITORS STUDENT ENROLLMENT WITH THE SCHOOL IN WHICH THE STUDENT IS ENROLLED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 2INITIATED IN EARLY 2020 AND MANAGE TWO COMMUNITY COVID-19 RESPONSE FUNDS AND COMMUNITY-BASED TEAMS TO ADDRESS PANDEMIC-RELATED IMPACT AND RECOVERY.
FORM 990, PAGE 6, PART VI, LINE 11BTHE COMPLETED 990 IS REVIEWED BY THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CALL DIRECTORS, STAFF, AND VOLUNTEERS ARE REQUIRED ANNUALLY TO COMPLETE A FORM DISCLOSING ALL INTERESTS. FURTHER, THESE INDIVIDUALS ARE REQUIRED TO REMOVE THEMSELVES FROM DISCUSSION AND ANY VOTING IF A CONFLICT IS IDENTIFIED. THE TREASURER AND STAFF MONITOR DISCLOSURES AND ANY POTENTIAL CONFLICT OF INTEREST, WITH REMINDER, IF NEEDED, OF NECESSARY RECUSAL.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION IS DETERMINED BY THE BOARD BASED ON A REVIEW OF FIELD SALARY SURVEY REPORTS (COUNCIL ON FOUNDATIONS), AND LOCAL COMPARABLE POSITIONS, AND CANDIDATE EXPERIENCE. THE EXECUTIVE COMMITTEE IS CHARGED WITH INITIATING THE CEO'S ANNUAL PERFORMANCE REVIEW, WHICH IS COMPLETED ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 19THE BOARD HAS A POLICY TO AVAIL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FURTHER, THE FOUNDATION IS REGISTERED WITH THE NORTH CAROLINA STATE SOLICITATION LICENSING BRANCH, WHERE DOCUMENTS ARE ALSO ON FILE. NO REQUESTS FOR ANY OF THESE DOCUMENTS HAVE BEEN MADE.
FORM 990, PAGE 12, PART XII, LINE 2CTHE FINANCIAL STATEMENTS FOR PRIOR FISCAL YEAR WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT. THE FINANCIAL STATEMENTS FOR CURRENT FISCAL YEAR WERE AUDITED.

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