SHALLOW FORD FOUNDATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SHALLOW FORD FOUNDATION INC (EIN 04-3795285)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-01-23
IRS object ID
201940239349300419
Schema version
2017v2.2
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

FieldValueIRS element (for citing)
Return2019-01-23T15:54:48-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263516610PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DONALD S KINNEY CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13732 VEST MILL ROADAddressLine1Txt
CityWinston SalemCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG BREWERPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone3366636794PhoneNum
Signature2019-01-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONALD S KINNEYPreparerPersonNm
PTINP00008748PTIN
Phone3367688000PhoneNum
Preparation2019-01-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.61.115.98IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-01-23IPDt
IP Tm15:56:15IPTm
Federal Original Submission Id69061320190233iqxt05FederalOriginalSubmissionId
Federal Original Submission Id2019-01-23FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9955C351799989EA17327A6CF22CADC68EEF2321AtSubmissionCreationDeviceId
At Submission Filing Device Id9955C351799989EA17327A6CF22CADC68EEF2321AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN BOSTPrincipalOfficerNm
Gross Receipts$616,960GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCLEMMONSFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionWE EXIST TO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF CLEMMONS, LEWISVILLE, AND SURROUNDING COMMUNITIES BY CONNECTING PEOPLE AND RESOURCES IN WAYS THAT MEANINGFULLY TRANSFORM OUR COMMUNITIES WITH ACCESS, OPPORTUNITY, AND AN ENRICHED QUALITY OF LIFE FOR ALL RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,306,876PYContributionsGrantsAmt
CY Contributions Grants$280,655CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,669,206PYInvestmentIncomeAmt
CY Investment Income$336,305CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,976,082PYTotalRevenueAmt
CY Total Revenue$616,960CYTotalRevenueAmt
PY Grants And Similar Paid$25,600PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$150,887CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$29,600CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,508CYTotalFundraisingExpenseAmt
PY Other Expenses$75,257PYOtherExpensesAmt
CY Other Expenses$152,414CYOtherExpensesAmt
PY Total Expenses$100,857PYTotalExpensesAmt
CY Total Expenses$332,901CYTotalExpensesAmt
PY Revenues Less Expenses$9,875,225PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$284,059CYRevenuesLessExpensesAmt
Total Assets BOY$12,499,884TotalAssetsBOYAmt
Total Assets EOY$13,496,567TotalAssetsEOYAmt
Total Liabilities BOY$622TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,518TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,499,262NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,491,049NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE EXIST TO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF CLEMMONS, LEWISVILLE, AND SURROUNDING COMMUNITIES BY CONNECTING PEOPLE AND RESOURCES IN WAYS THAT MEANINGFULLY TRANSFORM OUR COMMUNITIES WITH ACCESS, OPPORTUNITY, AND AN ENRICHED QUALITY OF LIFE FOR ALL RESIDENTS.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$99,785ExpenseAmt
Grant$76,100GrantAmt
DescDONOR SERVICES: ASSISTED DONORS IN CONNECTING TO CAUSES THEY CARE ABOUT, STRUCTURING FUNDS AND PLANS TO ACHIEVE CHARITABLE GOALS, RESEARCH CAUSES AND PROVIDING INFORMATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$76,285ExpenseAmt
Grant$25,000GrantAmt
DescCONDUCTED A FULL CLEMMONS-LEWISVILLE AREA NEEDS ASSESSMENT AND A YADKIN COUNTY ASSESSMENT TO INFORM AND SHAPE PROGRAMMING. THE PROCESS ALSO BECAME A COMMUNITY EDUCATION PROGRAM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$71,755ExpenseAmt
Grant$49,787GrantAmt
DescCONNECTING PHILANTHROPIC RESOURCES WITH COMMUNITY NEEDS THROUGH COMMUNITY-ENGAGED GRANT-MAKING FROM SCHOLARSHIP AND DISCRETIONARY FUNDS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$247,825TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
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
Employee0EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOHN BOST
PRESIDENT5.000.00Yes (X)Yes (X)$0$0$0
GREG BREWER
VICE PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
JOANNA LYALL
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DONALD KINNEY
TREASURER4.000.00Yes (X)Yes (X)$0$0$0
KEN BURKEL
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL COMBEST
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN CROUCH
DIRECTOR1.000.00Yes (X)$0$0$0
BRAD DAVIS
DIRECTOR1.000.00Yes (X)$0$0$0
MARK HESS
DIRECTOR1.000.00Yes (X)$0$0$0
KIRSTEN RUSS
DIRECTOR1.000.00Yes (X)$0$0$0
MARIA VERNON
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$280,655AllOtherContributionsAmt
Noncash Contributions$164,000NoncashContributionsAmt
Total Contributions$280,655TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$336,305TotalRevenueColumnAmt
Related Or Exempt Func Income$336,305RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$616,960TotalRevenueColumnAmt
Related Or Exempt Func Income$336,305RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$148,387TotalAmt
Program Services$148,387ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Program Services$2,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Program Services$22,500ProgramServicesAmt
Management And General$2,250ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,411TotalAmt
Program Services$1,096ProgramServicesAmt
Management And General$1,315ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$514TotalAmt
Program Services$234ProgramServicesAmt
Management And General$280ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,675TotalAmt
Program Services$1,471ProgramServicesAmt
Management And General$188ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$858TotalAmt
Management And General$858ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Management And General$750ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$64,826TotalAmt
Management And General$64,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,275TotalAmt
Program Services$44,347ProgramServicesAmt
Management And General$4,928ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,549TotalAmt
Program Services$2,000ProgramServicesAmt
Management And General$499ManagementAndGeneralAmt
Fundraising$4,050FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,908TotalAmt
Program Services$2,554ProgramServicesAmt
Management And General$326ManagementAndGeneralAmt
Fundraising$28FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,650TotalAmt
Program Services$4,963ProgramServicesAmt
Management And General$633ManagementAndGeneralAmt
Fundraising$54FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,426TotalAmt
Program Services$3,009ProgramServicesAmt
Management And General$384ManagementAndGeneralAmt
Fundraising$33FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$942TotalAmt
Program Services$942ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,661TotalAmt
Program Services$1,863ProgramServicesAmt
Management And General$560ManagementAndGeneralAmt
Fundraising$238FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,765TotalAmt
Program Services$1,836ProgramServicesAmt
Management And General$929ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
SUBSCRIPTIONS DUES$2,443$2,123$320
POSTAGE$383$336$4$43
PRINTINGCOPYING$472$415$4$53
UTILITIES$731$731

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,775TotalAmt
Program Services$6,518ProgramServicesAmt
Management And General$746ManagementAndGeneralAmt
Fundraising$511FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$332,901TotalAmt
Program Services$247,825ProgramServicesAmt
Management And General$79,568ManagementAndGeneralAmt
Fundraising$5,508FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$42,698BOYAmt
EOY$266,667EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,729BOYAmt
EOY$155,453EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,406,457BOYAmt
EOY$12,910,447EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$164,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,499,884BOYAmt
EOY$13,496,567EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$622BOYAmt
EOY$5,518EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$622BOYAmt
EOY$5,518EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$812,158BOYAmt
EOY$416,602EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,687,104BOYAmt
EOY$13,074,447EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,499,262BOYAmt
EOY$13,491,049EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,499,884BOYAmt
EOY$13,496,567EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$284,059ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$707,728NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$172,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$110,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,020,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,306,876CurrentTaxYearMinus1YearAmt
Current Tax Year$280,655CurrentTaxYearAmt
Total$9,890,609TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$172,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$110,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,020,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,306,876CurrentTaxYearMinus1YearAmt
Current Tax Year$280,655CurrentTaxYearAmt
Total$9,890,609TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$8,674,180SubstantialContributorsTotAmt
Public Support Total170$1,216,429PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,104CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,669,206CurrentTaxYearMinus1YearAmt
Current Tax Year$336,305CurrentTaxYearAmt
Total$2,115,419TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$164,000CurrentTaxYearAmt
Total$164,000TotalAmt
FieldValueIRS element (for citing)
Total Support$12,170,028TotalSupportAmt
Public Support CY1700.10000PublicSupportCY170Pct
Public Support PY1700.10840PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line Reference10 Facts and Circumstances Test Part II line 17a or 17bFormAndLineReferenceDesc
ExplanationTHE CLEMMONS COMMUNITY FOUNDATION UNEXPECTEDLY RECEIVED AN EXCEPTIONALLY LARGE BEQUEST IN THE YEAR ENDING 6/30/2017 FROM AN INDIVIDUAL UNRELATED TO ANY BOARD MEMBER. EXCEPT FOR THE LARGE BEQUEST GIFT, THE PERCENTAGE IN SCHEDULE A, LINE 14 WOULD EXCEED 33.33%. 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. ADDITIONALLY, THE BOARD HIRED ITS FIRST CEO IN 2017-2018 WHO WILL ASSIST THE BOARD IN FACILITATING ADDITIONAL GIFTS.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held2DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held8FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri$101,954DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri$178,701FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants$81,500DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants$66,887FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY$11,227,452DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY$1,846,994FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$934,655BeginningYearBalanceAmt
Contributions$12,459ContributionsAmt
Investment Earnings Or Losses$845InvestmentEarningsOrLossesAmt
Grants Or Scholarships$13,100GrantsOrScholarshipsAmt
Other Expenditures$9,128OtherExpendituresAmt
End Year Balance$925,731EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$800,001BeginningYearBalanceAmt
Investment Earnings Or Losses$156,178InvestmentEarningsOrLossesAmt
Grants Or Scholarships$16,468GrantsOrScholarshipsAmt
Other Expenditures$5,056OtherExpendituresAmt
End Year Balance$934,655EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescHOUSE AND LANDDesc
Book Value$164,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$164,000TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceEndowment funds intended uses (Part V, line 4)FormAndLineReferenceDesc
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
CLEMMONS UNITED METHODIST CHURCH
3700 CLEMMONS ROADCLEMMONSNC27012560943736501C3$5,000COMMUNITY FUND FOR EMERGENCY NEED
SALPOINTE CATHOLIC HIGH SCHOOL
1545 R COPPER STTUCSONAZ85719742382300$25,000PERFORMING ARTS PROGRAM
YMCA OF NORTHWEST NC
301 N MAIN STWINSTON SALEMNC27101560530015$34,000SUMMER LEARNING FOR YOUTH
LOVE OUT LOUD
1650 IVY AVEWINSTON SALEMNC27105474085418$25,000YADKIN COMMUNITY ASSESSMENTPROGRAM DEV
THE ARTS COUNCIL
251 SPRUCE ST NWINSTON SALEMNC27101560526856$5,000ART TRAINING FOR EDUCATORS
EXCHANGE CLUB CHILD ABUSE PREVENTIO
500 W NORTHWEST BLVDWINSTON SALEMNC27105581443692$9,287PARENT EFFECTIVENESS TRAINING
CANCER SERVICES INC
3175 MAPLEWOOD AVEWINSTON SALEMNC27103560656375$7,500PATIENT SUPPORT
BIG BROTHER BIG SISTER
107 WESTDALE AVE NWWINSTON SALEMNC27101561161118$10,000YOUTH MENTORSHIP
WINSTON SALEM FORSYTH CO SCHOOLS
PO BOX 2513WINSTON SALEMNC27102560795164$10,000SUPPORT TO CHILDREN IN NEED
ARTS FOR LIFE
50 S FRENCH BROAD AVE 258ASHEVILLENC28801562250962$8,000ART THERAPY
THE SERGEI FOUNDATION
PO BOX 17256WINSTON SALEMNC27116271016100$5,000ANIMAL WELFARE
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMonitoring procedures (Part I, line 2)FormAndLineReferenceDesc
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 SIMILAR REPORT.SCHOLARSHIP AWARDS TO DOMESTIC INDIVIDUALS ARE PAID TO THE STUDENTS EDUCATIONAL INSTITUTION DIRECTLY. THE FOUNDATION STAFF MONITORS STUDENT ENROLLMENT WITH THE SCHOOL IN WHICH THE STUDENT IS ENROLLED.ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$164,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Organizational document changes Part VI line 4THE ARTICLES AND BYLAWS WERE UPDATED AND FILED TO: A) IMPROVE STRUCTURAL ALIGNMENT WITH COMMUNITY FOUNDATION BEST PRACTICES AND B) INCLUDE PROVISION FOR BOARD OF DIRECTORS EMPLOYING A CEO AND TO PERMIT DELEGATION OF OPERATIONAL DECISIONS FROM THE BOARD TO THE CEO, WITH DECISIONS GUIDED BY BOARD POLICIES.
Form 990 governing body review Part VI line 11THE FOUNDATIONS TREASURER, A CPA, COMPLETES THE 990, WHICH THE CEO REVIEWS. ONCE FINALIZED, THE COMPLETED 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Conflict of interest policy compliance 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.
CEO executive director top management comp Part VI line 15aTHE FOUNDATIONS FIRST CEO WAS HIRED IN THE 2017-2018 FISCAL YEAR. COMPENSATION WAS 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 CEOS ANNUAL PERFORMANCE REVIEW, WHICH WILL BE COMPLETED IN THE NEXT FISCAL YEAR UPON COMPLETION OF ONE YEAR OF EMPLOYMENT.
Governing documents etc available to public 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.
Audited by an independent accountant Part XII line 2bTHE BOARD APPROVED AN ANNUAL REVIEW/AUDIT BEGINNING 2018-2019 AND USED 2017-2018 TO WORK WITH ITS CPA BOARD MEMBERS TO PREPARE FOR THE AUDIT, AND FORMED A STANDING AUDIT COMMITTEE OF THE BOARD.
Significant program services not listed on prior year return Part III line 2IN PARTNERSHIP WITH LOVE OUT LOUD, INITIATED EXPLORATION OF YADKIN COUNTY COMMUNITY NEEDS, AND PROPERTY RESTORATION AND COMMUNITY USE IN EAST BEND, NC; ALSO CONDUCTED EXPANSIVE CLEMMONS-LEWISVILLE COMMUNITY NEEDS ASSESSMENT; AND A COMMUNITY-BASED COMPETITIVE GRANTS PROGRAM.
Cessation of or significant change to any program service Part III line 3BASED ON ASSESSMENT IN 2017, REVISED ORGANIZATIONAL DOCUMENTS AND INFRASTRUCTURE TO BETTER ALIGN WITH COMMUNITY FOUNDATION BEST PRACTICES AND TO MAKE PROVISIONS TO HIRE A CEO, HIRED CEO, ESTABLISHED A PHYSICAL OFFICE, AND REVAMPED GRANT-MAKING PROCESS AND PROCEDURE.
List of other fees for services expenses Part IX line 11gCONSULTANTS 44,275CONTRACT SERVICES 5,000 ------TOTAL 49,275 PROGRAM CONSULTANTS ENGAGED BY THE BOARD OF DIRECTORS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT AND GUIDE A PROGRAMMING STRATEGIC PLAN. A PORTION OF FEES ALSO ALLOCATED TO MANAGEMENT COSTS FOR THE CONSULTANT ASSISTANCE IN THE CEO SEARCH PROCESS.
List of other expenses Part IX line 24eSUPPLIES 6,450MEALS 591 ----TOTAL 7,041

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