THE CLARK FMILY PRVT FNDTION INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THE CLARK FMILY PRVT FNDTION INC (EIN 77-0607976)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-08
- IRS object ID
- 202113129349100901
- Schema version
- 2020v4.1
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-08T08:03:23-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 132792165 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BESSEMER TRUST CO NA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 FRANKLIN AVE SUITE 500 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11530 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770607976 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CLARK FAMILY PRIVATE FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 5165089623 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO BESSEMER TRUST1225 FRANKLIN AV | AddressLine1Txt |
| City | GARDEN CITY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11530 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | J PHILIP CLARK | PersonNm |
| Person Title | VP/DIR/SEC | PersonTitleTxt |
| Phone | 5165089623 | PhoneNum |
| Signature | 2021-11-03 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | J | PersonFirstNm |
| Person Last | PHILIP CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SANDRA FARIAS | PreparerPersonNm |
| PTIN | P01315942 | PTIN |
| Phone | 5165089623 | PhoneNum |
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 | 2020 | 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 | $5,988,888 | 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 | $243,308 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $120,871 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $26,467 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,091,645 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $26,467 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $2 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $2 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $269,777 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $147,340 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $34,103 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $34,103 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $864 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $576 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $288 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,000 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,000 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $8,895 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $166 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $8,729 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $9,868 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $8,475 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,242 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $25 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $65,205 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $3,984 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $44,145 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $221,950 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $221,950 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $287,155 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $3,984 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $266,095 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$17,378 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $143,356 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $125,233 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $42,726 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $42,726 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,506,849 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,336,094 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,911,125 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,536,429 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,624,013 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,694,560 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $1,414,724 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,576,059 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,340,477 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $5,583,235 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,578,892 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,988,888 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $5,000 | AccountsPayableBOYAmt |
| Total Liabilities BOY | $5,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $5,578,235 | CapitalStockBOYAmt |
| Capital Stock EOY | $5,560,857 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $18,035 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,578,235 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,578,892 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,583,235 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $5,578,892 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,578,235 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$17,378 | ExcessRevenueOverExpensesAmt |
| Other Increases | $18,035 | OtherIncreasesAmt |
| Subtotal | $5,578,892 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,578,892 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | 2020-12-31 | $90,361 | $102,640 | -$12,279 | -$12,279 |
| PUBLICLY TRADED SECURITIES | P | 2020-12-31 | $919,145 | $962,538 | -$43,393 | -$43,393 |
| CASH LIQUIDATION DISTRIBUTIONS | P | 2020-12-31 | $300 | $300 | $300 | |
| Capital Gains Dividends | P | $81,839 | $81,839 | $81,839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $26,467 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,993 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,993 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,993 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $8,000 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $8,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $16 | EsPenaltyAmt |
| Overpayment | $5,991 | OverpaymentAmt |
| Applied To ES Tax | $5,991 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | BESSEMER TRUST COMPANY | IndividualWithBooksNm |
| Phone | 5165089623 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 FRANKLIN AVENUE SUITE 500 | AddressLine1Txt |
| City | GARDEN CITY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11530 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|---|
| ASHLEY CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 1.00 | $0 | $0 | $0 |
| DEBORAH CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 1.00 | $0 | $0 | $0 |
| ISOLDA CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | PRES / DIR | 40.00 | $34,103 | $0 | $0 |
| J PHILIP CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / SEC / DIR | 1.00 | $0 | $0 | $0 |
| JANICE CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 30.00 | $0 | $0 | $0 |
| JP CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 1.00 | $0 | $0 | $0 |
| KENNER L CLARK | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 1.00 | $0 | $0 | $0 |
| ELIZABETH FULLER | |||||||||
| C/O BESSEMER TRUST COMPANY 630 | FIFTH AVENUE | NEW YORK | NY | 10111 | VP / DIR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,240,757 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $93,628 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,294,356 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,628,741 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,628,741 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $84,431 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,544,310 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $277,216 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $277,216 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,993 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,993 | TotalTaxAmt |
| Distributable Before Adj | $275,223 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $275,223 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $275,223 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $266,095 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $266,095 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $266,095 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $275,223 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $244,828 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $266,095 | QualifyingDistributionsAmt |
| Applied To Year1 | $244,828 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $21,267 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $253,956 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | DEBORAH CLARK | ContributingManagerNm |
| Contributing Manager | J PHILIP CLARK | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ARMORY ART CENTER | |||||||
| 811 PARK PLACE | WEST PALM BEACH | FL | 33401 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $1,500 |
| BIG DOG RANCH RESCUE INC | |||||||
| 14444 OKEECHOBEE BLVD | LOXAHATCHEE GROVES | FL | 33470 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $450 |
| COFFEE FOR GOOD INC | |||||||
| 48 MAPLE AVENUE | GREENWICH | CT | 06830 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $1,000 |
| FLOWER MOUND HIGH SCHOOL | |||||||
| 2104 CLAYTON DRIVE | FLOWER MOUND | TX | 75028 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $500 |
| JENNIFER AND ERIC ROCH | |||||||
| 2008 LONELY LN / PO BOX 716 | MOSIER | OR | 97040 | NONE | INDIVIDUAL | MEDICAL HARDSHIP GRANT | $5,000 |
| JUPITER MEDICAL CLINIC | |||||||
| 1210 SOUTH OLD DIXIE HIGHWAY | JUPITER | FL | 33458 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $1,000 |
| JUPITERFIRST CHURCH INC | |||||||
| 1475 INDIAN CREEK PKWY | JUPITER | FL | 334588202 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $5,000 |
| LAMOILLE NORTH MODIFIED UNION SCHOOL DISTRICT | |||||||
| 738 VT-15 | HYDE PARK | VT | 05655 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $11,000 |
| LOGGERHEAD MARINELIFE CENTER | |||||||
| 14200 US HIGHWAY ONE | JUNO BEACH | FL | 33408 | N/A | PUBLIC CHARITY | CENTER FOR CONSERVATION | $5,000 |
| MALTZ JUPITER THEATRE INC | |||||||
| 1001 E INDIANTOWN RD | JUPITER | FL | 334775110 | N/A | PUBLIC CHARITY | CONSERVATORY | $172,000 |
| MORYS PRESERVATION INC | |||||||
| 306 YORK ST | NEW HAVEN | CT | 065113627 | N/A | PUBLIC CHARITY | CAPITAL CAMPAIGN | $500 |
| MY CLINIC INC | |||||||
| 411 W INDIANTOWN RD | JUPITER | FL | 334583538 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $6,500 |
| PROJECT SUNSHINE INC | |||||||
| 211 E 43RD ST RM 401 | NEW YORK | NY | 100178619 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $1,000 |
| TRAGEDY ASSISTANCE PROGRAM FOR SURVIVORS | |||||||
| 3033 WILSON BLVD STE 630 | ARLINGTON | VA | 222013865 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $7,500 |
| TRUSTEES OF UNION COLLEGE | |||||||
| 807 UNION ST | SCHENECTADY | NY | 123083256 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $2,000 |
| TRUSTEES OF WESTMINSTER SCHOOL INC | |||||||
| 995 HOPMEADOW STREET | SIMSBURY | CT | 06070 | N/A | PUBLIC CHARITY | GENERAL SUPPORT | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $221,950 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $243,308 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $2 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $26,467 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $269,777 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $269,777 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $3,000 | Amt |
| Net Investment Income | $2,000 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,000 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | 146082.80 SHS - OW FIXED INCOME FUND | BondNm |
| EOY Book Value | $1,624,013 | EOYBookValueAmt |
| EOYFMV | $1,694,560 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 41200.44 SHS - OW ALL CAP CORE FD | $686,826 | $908,469 |
| 25546.19 SHS - OW CREDIT INCOME FUND | $255,507 | $260,826 |
| 78060.68 SHS - OW LARGE CAP STRATEGIES FD | $1,079,713 | $1,337,960 |
| 21925.65 SHS - OW SMALL & MIDCAP STRAT FD | $314,048 | $403,870 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (6 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| FM FIFTH AVENUE FUND LTD | AT COST | $250,000 | $466,878 |
| PHOENIX CAPITAL REALTY FUND V | AT COST | $0 | $102,189 |
| PHOENIX FUND VI BLOCKER LLC | AT COST | $627,001 | $278,433 |
| PHOENIX FUND VII BLOCKER LLC | AT COST | $247,914 | $23,100 |
| PHOENIX REAL ESTATE FUND VIII, LP | AT COST | $233,544 | $241,721 |
| PHOENIX FUND IX BLOCKER LLC | AT COST | $217,600 | $228,156 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $864 | LegalFeesAmt |
| Net Investment Income | $576 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $288 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| STATE FILING FEE | $25 | $0 | $25 |
| K-1 PHOENIX CAPITAL REAL FUND V - OTHER INCOME/LOSS | $7,208 | $0 | $0 |
| K-1 PHOENIX CAPITAL REAL FUND V - OTHER DEDUCTIONS | $1,242 | $1,242 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | K-1 PHOENIX CAPITAL REALTY FUND V INTEREST | Desc |
| Revenue And Expenses Per Books | $2 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $2 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $2 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOOK TO TAX BASIS ADJUSTMENT | Desc |
| Amt | $18,035 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | BESSEMER TRUST | CategoryTxt |
| Amt | $8,895 | Amt |
| Net Investment Income | $166 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $8,729 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FEDERAL TAX | CategoryTxt |
| Amt | $9,868 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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