CLARK FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CLARK FOUNDATION INC (EIN 56-2223653)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-06-23
- IRS object ID
- 202031759349100923
- 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
- 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 | 2020-06-23T16:07:08-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 LANE SUITE 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 | 2019-01-01 | 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 | 2020-06-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACK G HENDRIX CPA | PreparerPersonNm |
| PTIN | P00267398 | PTIN |
| Phone | 3368872272 | PhoneNum |
| Preparation | 2020-06-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $1,312,159 | 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 | $26,461 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $26,461 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $43,262 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $178,769 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $27,324 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $69,723 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $53,785 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $7,500 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $7,000 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $500 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,000 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,000 | AccountingFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $359 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $7,934 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $7,934 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $18,793 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $17,934 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $500 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $63,400 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $63,400 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $82,193 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $17,934 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $63,900 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$12,470 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $35,851 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $51 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $5 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $5 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $249 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $441 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $441 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $1,032,191 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,019,575 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,188,713 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $123,000 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $123,000 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $123,000 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,155,491 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,143,021 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,312,159 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $1,155,491 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,143,021 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,155,491 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,143,021 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,155,491 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,143,021 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,155,491 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$12,470 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,143,021 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,143,021 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $27,324 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $62,449 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,289,976 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.048411 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $48,950 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,272,103 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.038480 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $55,194 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,180,381 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.046759 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $70,373 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,233,542 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.057050 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $62,096 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,288,397 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.048196 | DistributionYr5Rt |
| Total Distribution | 0.238896 | TotalDistributionRt |
| Average Distribution | 0.047779 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,265,551 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $60,467 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $359 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $60,826 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $63,900 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $359 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $359 | SubtotalAmt |
| Tax Based On Investment Income | $359 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $800 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $800 | TotalPaymentsAndCreditsAmt |
| Overpayment | $441 | OverpaymentAmt |
| Applied To ES Tax | $441 | 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 | $1,500 | $0 | $0 |
| MARK CLARK | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | V PRESIDENT | 000.00 | $1,500 | $0 | $0 |
| SUSAN CLARK | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | SEC/TRES | 000.00 | $1,500 | $0 | $0 |
| MATTHEW CLARK | ||||||||
| 9816 CLYDESDALE STREET | POTOMAC | MD | 20854 | DIRECTOR | 000.00 | $1,500 | $0 | $0 |
| KATHERINE CLARK | ||||||||
| 716 FLORHAM DRIVE | HIGH POINT | NC | 27262 | DIRECTOR | 000.00 | $1,500 | $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 | $1,134,499 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $27,324 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $123,000 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,284,823 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,284,823 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $19,272 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,265,551 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $63,278 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $63,278 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $359 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $359 | TotalTaxAmt |
| Distributable Before Adj | $62,919 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $62,919 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $62,919 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $63,900 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $63,900 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $359 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $63,541 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $62,919 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $63,261 | UndistributedIncomePYAmt |
| Qualifying Distributions | $63,900 | QualifyingDistributionsAmt |
| Applied To Year1 | $63,261 | AppliedToYear1Amt |
| Applied To Current Year | $639 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $62,280 | 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 (17 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 | $9,000 |
| ARCHDALETRINITY SERCO CLUB | |||||||
| 9445 US HWY 311 | ARCHDALE | NC | 27263 | NONE | PUBLIC | CHRISTMAS CHEER FUND | $3,000 |
| HIS LABORING FEW MINISTRIES | |||||||
| 812 MARTIN L KING JR DR | THOMASVILLE | NC | 27360 | NONE | PUBLIC | OPERATIONS | $2,500 |
| THEATRE ART GALLERIES OF HIGH POINT | |||||||
| 220 E COMMERCE STREET | HIGH POINT | NC | 27260 | NONE | PUBLIC | OPERATIONS | $2,000 |
| WESLEY MEMORIAL UNITED METHODIST CH | |||||||
| 1225 CHESTNUT DRIVE | HIGH POINT | NC | 27262 | NONE | PUBLIC | SUPPORT | $10,000 |
| WEST END MINISTRIES | |||||||
| 901 ENGLISH ROAD | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $1,000 |
| COMMUNITY CLINIC OF HIGH POINT | |||||||
| 779 N MAIN STREET | HIGH POINT | NC | 27262 | NONE | PUBLIC | OPERATIONS | $4,000 |
| THE MADEIRA SCHOOL | |||||||
| 8328 GEORGETOWN PIKE | MCLEAN | VA | 22102 | NONE | PUBLIC | OPERATIONS | $1,500 |
| GEORGETOWN PREPARATORY SCHOOL | |||||||
| 10900 ROCKVILLE PIKE | NORTH BETHESDA | MD | 20852 | NONE | PUBLIC | INTERNATIONAL PROGRAMS | $2,500 |
| HIGH POINT UNIVERSITY | |||||||
| ONE UNIVERSITY PARKWAY | HIGH POINT | NC | 27268 | NONE | PUBLIC | EXCEPTIONAL NEED SCHOLARSHIP | $12,900 |
| JUNIOR ORDER OF UNITED AMER MECH | |||||||
| 452 S MAIN ST | HIGH POINT | NC | 27260 | NONE | OPERATIONS | $1,500 | |
| MACEDONIA FAMILY RESOURCE CENTER | |||||||
| 401 LAKE AVENUE | HIGH POINT | NC | 27260 | NONE | PUBLIC | SUPPORT | $1,000 |
| WESLEY MEMORIAL UNITED METHODIST CH | |||||||
| 1225 CHESTNUT DRIVE | HIGH POINT | NC | 27262 | NONE | PUBLIC | PRESCHOOL PROGRAM | $2,500 |
| WARD STREET CHURCH | |||||||
| 1619 W WARD STREET | HIGH POINT | NC | 27260 | NONE | PUBLIC | SCHOLARSHIP FUND | $8,000 |
| MARCH OF DIMES | |||||||
| 410 BROOKSTOWN AVE | WINSTON SALEM | NC | 27101 | NONE | PUBLIC | SUPPORT | $500 |
| BALES MEMORIAL WESLEYAN CHURCH | |||||||
| 1001 BALES CHAPEL ROAD | JAMESTOWN | NC | 27282 | NONE | PUBLIC | BACK TO SCHOOL BACKPACK PRG | $500 |
| LIGHTS FOR CHRIST MINISTRIES | |||||||
| 10415 S MAIN ST | ARCHDALE | NC | 27263 | NONE | PUBLIC | OPERATIONS | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $63,400 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 25 | ExclusionCd |
| Exclusion | $26,461 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 25 | ExclusionCd |
| Exclusion | $27,324 | ExclusionAmt |
| Related Or Exempt Function Incm | $15,938 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $53,785 | ExclusionAmt |
| Related Or Exempt Function Incm | $15,938 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $69,723 | 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 | $3,000 | Amt |
| Net Investment Income | $3,000 | NetInvestmentIncomeAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (57 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Total NetTotalNetAmt | AcquiredAcquiredDt |
|---|---|---|---|---|---|---|
| 2379.449 SHS LORD ABBETT TOTAL RET | PURCHASE | 2019-01 | $23,771 | $25,123 | -$1,352 | |
| 194.727 SHS AMERICAN INTL G & INC | PURCHASE | 2019-04 | $6,500 | $6,530 | -$30 | 2014-11 |
| 85.074 SHS AMERICAN BALANCED A | PURCHASE | 2019-06 | $2,308 | $2,295 | $13 | 2018-05 |
| 366.002 SHS AMERICAN HIGH-INC TRUST | PURCHASE | 2019-06 | $3,711 | $3,972 | -$261 | 2010-09 |
| 121.346 SHS AMERICAN BOND FD | PURCHASE | 2019-06 | $1,587 | $1,573 | $14 | |
| 33.823 SHS AMERICAN CAP INC BUILD | PURCHASE | 2019-06 | $2,056 | $2,067 | -$11 | |
| 201.376 SHS AMERICAN CAP WORLD BD | PURCHASE | 2019-06 | $4,056 | $4,075 | -$19 | 2010-09 |
| 101.464 SHS AMERICAN FUNDAMENTAL INV | PURCHASE | 2019-06 | $5,943 | $4,679 | $1,264 | |
| 90.849 SHS AMERICAN GRWTH FD | PURCHASE | 2019-06 | $4,523 | $3,459 | $1,064 | 2014-11 |
| 60.601 SHS AMERICAN INTL GWTH & INC | PURCHASE | 2019-06 | $1,978 | $2,025 | -$47 | |
| 333.678 SHS AMERICAN FD OF AM | PURCHASE | 2019-06 | $7,464 | $6,426 | $1,038 | |
| 195.696 SHS AMERICAN INT BD FD OF AM | PURCHASE | 2019-06 | $2,646 | $2,666 | -$20 | |
| 16.11 SHS AMERICAN INV CO OF AMER | PURCHASE | 2019-06 | $611 | $644 | -$33 | 2018-05 |
| 47.197 SHS AMERICAN NEW WORLD | PURCHASE | 2019-06 | $3,116 | $1,915 | $1,201 | |
| 61.847 SHS BR EQUITY DIV | PURCHASE | 2019-06 | $1,309 | $1,227 | $82 | 2011-01 |
| 124.581 SHS AMERICAN CAP WORLD BD | PURCHASE | 2019-06 | $2,509 | $2,480 | $29 | |
| 632.211 SHS EV INCOME OF BOSTON | PURCHASE | 2019-06 | $3,528 | $3,531 | -$3 | |
| 7.246 SHS FRANKLIN MUT GLOBAL DISC | PURCHASE | 2019-06 | $221 | $215 | $6 | |
| 44.056 SHS FRANKLIN MUTUAL SHS | PURCHASE | 2019-06 | $1,205 | $1,037 | $168 | |
| 17.478 SHS AMERICAN FUND INV | PURCHASE | 2019-06 | $1,023 | $789 | $234 | 2011-01 |
| 21.64 SHS INVESCO GRWTH & INC | PURCHASE | 2019-06 | $509 | $473 | $36 | 2011-01 |
| 10.272 SHS HARBOR CAP APPREC | PURCHASE | 2019-06 | $762 | $548 | $214 | 2012-04 |
| 28.281 SHS HARTFORD GROWTH OPPORT | PURCHASE | 2019-06 | $1,247 | $1,061 | $186 | |
| 235.505 SHS HARTFORD WORLD BOND | PURCHASE | 2019-06 | $2,543 | $2,437 | $106 | 2017-04 |
| 204.728 SHS JPMORGAN CORE BD | PURCHASE | 2019-06 | $2,408 | $2,351 | $57 | |
| 26.334 SHS JANUS HENDERSON MID CAP | PURCHASE | 2019-06 | $389 | $478 | -$89 | |
| 24.506 SHS JPMORGAN VAL ADV | PURCHASE | 2019-06 | $865 | $747 | $118 | 2015-04 |
| 90.499 SHS MFS VALUE | PURCHASE | 2019-06 | $3,732 | $2,825 | $907 | 2014-02 |
| 19.59 SHS MFS RESEARCH INTNL | PURCHASE | 2019-06 | $353 | $307 | $46 | 2016-06 |
| 69.095 SHS MFS MA INVESTORS TRUST | PURCHASE | 2019-06 | $2,152 | $1,699 | $453 | 2012-06 |
| 9.527 SHS AMERICAN NEW WORLD | PURCHASE | 2019-06 | $630 | $494 | $136 | 2016-04 |
| 237.338 SHS PIONEER BOND Y | PURCHASE | 2019-06 | $2,288 | $2,205 | $83 | 2019-01 |
| 135.409 SHS PGIM TOTAL RETURN BD | PURCHASE | 2019-06 | $1,986 | $1,923 | $63 | 2015-09 |
| 470.186 SHS TRP SHORT-TERM BD | PURCHASE | 2019-06 | $2,219 | $2,254 | -$35 | |
| 17.876 SHS TRP BLUE CHIP GROWTH | PURCHASE | 2019-06 | $2,064 | $890 | $1,174 | 2012-06 |
| 6.996 SHS TRP MID-CAP GROWTH | PURCHASE | 2019-06 | $656 | $461 | $195 | 2011-01 |
| 125.345 SHS INVESCO OP INTL GROWTH | PURCHASE | 2019-10 | $5,189 | $3,646 | $1,543 | |
| 41.742 SHS BR EQUITY DIV | PURCHASE | 2019-10 | $843 | $828 | $15 | |
| 13.527 SHS AMERICAN CAPITAL WORLD BD | PURCHASE | 2019-10 | $274 | $269 | $5 | |
| 93.738 SHS EV INC OF BOSTON | PURCHASE | 2019-10 | $525 | $524 | $1 | 2011-01 |
| 20.552 SHS FRANKLIN MUT GLOBAL | PURCHASE | 2019-10 | $637 | $611 | $26 | |
| 14.688 SHS FRANKLIN MUTUAL SHS | PURCHASE | 2019-10 | $401 | $347 | $54 | |
| 10.946 SHS AMERICAN FUNDAMENTAL INV | PURCHASE | 2019-10 | $667 | $495 | $172 | 2011-01 |
| 8.372 SHS INVESCO GROWTH & INC | PURCHASE | 2019-10 | $201 | $183 | $18 | 2011-01 |
| 3.245 SHS HARBOR CAPITAL APPREC | PURCHASE | 2019-10 | $245 | $173 | $72 | 2012-04 |
| 33.044 SHS JPMORGAN CORE BOND | PURCHASE | 2019-10 | $394 | $380 | $14 | |
| 11.435 SHS JP MORGAN VALUE ADV | PURCHASE | 2019-10 | $422 | $348 | $74 | 2015-04 |
| 168.652 SHS MFS VALUE | PURCHASE | 2019-10 | $7,178 | $5,286 | $1,892 | 2014-02 |
| 71.185 SHS MFS RESEARCH INTERNTL | PURCHASE | 2019-10 | $1,360 | $1,130 | $230 | 2016-06 |
| 20.156 SHS MFS MA INVESTORS TR | PURCHASE | 2019-10 | $639 | $497 | $142 | 2012-06 |
| 29.298 SHS AMERICAN NEW WORLD | PURCHASE | 2019-10 | $2,025 | $1,518 | $507 | 2016-04 |
| 40.084 SHS PIONEER BOND Y | PURCHASE | 2019-10 | $392 | $373 | $19 | 2019-01 |
| 26.111 SHS PGIM TOTAL RETURN BD | PURCHASE | 2019-10 | $389 | $371 | $18 | 2015-09 |
| 1.705 SHS TRP BLUE CHIP GROWTH | PURCHASE | 2019-10 | $198 | $85 | $113 | 2012-06 |
| 11.291 SHS TRP MID-CAP GROWTH | PURCHASE | 2019-10 | $1,069 | $744 | $325 | |
| 752.433 SHS FRANKLIN MUTUAL SHS | PURCHASE | 2019-11 | $21,106 | $17,778 | $3,328 | |
| 86.364 SHS FRANKLIN MUTUAL SHS | PURCHASE | 2019-11 | $2,423 | $2,040 | $383 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (43 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AM FUNDAMENTAL INVESTORS FUND INC | $69,971 | $95,867 |
| AM GROWTH FD OF AMER A | $53,396 | $71,453 |
| AM NEW WORLD FUND CLASS A | $24,679 | $49,668 |
| AM INTERMEDIATE BOND FUND OF AMERICA | $24,436 | $23,844 |
| AMERICAN INCOME FUND OF AMERICA CL A | $87,667 | $115,382 |
| AMERICAN BOND FUND OF AMERICA | $13,962 | $14,434 |
| AM CAPITAL INCOME BUILDER FUND CL A | $29,779 | $31,469 |
| AM CAP WORLD GROWTH & INCOME CL A | $27,235 | $32,093 |
| AM CAP WORLD BOND FUND | $37,922 | $37,442 |
| AM INVESTMENT CO OF AMERICA | $9,803 | $9,648 |
| AMERICAN BALANCED FUND | $33,883 | $35,747 |
| AMERICAN HIGH INCOME TRUST | $36,822 | $34,216 |
| AMERICAN INTERNATIONAL GROWTH & INC | $29,836 | $32,181 |
| FUNDAMENTAL INVESTORS | $13,731 | $18,458 |
| BLACKROCK EQUITY DIVIDEND | $17,336 | $18,233 |
| CAPITAL WORLD BOND FUND | $28,670 | $28,830 |
| DELAWARE SMALL CAP VALUE FUND | $9,913 | $12,130 |
| EATON VANCE INC FD BOSTON | $40,688 | $40,860 |
| HARBOR INTERNATIONAL FUND | $22,966 | $18,197 |
| HARTFORD CAP APPRECIATION FUND | $9,049 | $12,432 |
| JP MORGAN CORE BOND FUND | $22,303 | $22,981 |
| JANUS HEND. MID CAP VALUE FUND CL 1 | $26,566 | $24,095 |
| LORD ABBETT TOTAL RETURN FUND | ||
| MFS VALUE FUND CL I | $21,710 | $30,554 |
| FRANKLIN MUT GLOBAL DISCOVERY FUND Z | $11,579 | $12,117 |
| FRANKLIN MUTUAL SHARES FUND Z | ||
| INVESCO OP INTERNATIONAL GROWTH | $20,490 | $30,974 |
| T ROWE PRICE BLUE CHIP GROWTH | $9,910 | $24,593 |
| T ROWE PRICE MID CAP GROWTH | $8,610 | $12,189 |
| T ROWE PRICE SHORT TERM BOND | $29,124 | $28,722 |
| INVESCO GROWTH & INCOME | $16,980 | $18,247 |
| JPM FED MONEY MARKET INSTL CL | $10,113 | $10,113 |
| VOYA SMALL COMPANY FUND | $37,674 | $36,359 |
| MFS MASSACHUSETTS INV TR | $14,544 | $18,363 |
| HARTFORD GROWTH OPPORTUNITIES | $10,939 | $12,183 |
| JP MORGAN VALUE ADVANTAGE INST | $9,976 | $12,086 |
| PRUDENTIAL TOTAL RETURN BOND | $17,109 | $17,328 |
| MFS RESEARCH INTERNATIONAL | $24,424 | $30,468 |
| NEW WORLD FUND CL 2 | $22,610 | $30,351 |
| HARTFORD WORLD BOND | $28,049 | $28,705 |
| EDWARD JONES MONEY MARKET | $8,309 | $8,309 |
| PIONEER BOND Y | $21,948 | $23,099 |
| T ROWE PRICE EQUITY INC | $24,864 | $24,293 |
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 | $7,934 | $7,934 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX ON INVESTMENT INCOME | CategoryTxt |
| Amt | $359 | Amt |
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