CLARK FAMILY FOUNDATION INC: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CLARK FAMILY FOUNDATION INC (EIN 20-8087487)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-04
- IRS object ID
- 201712169349100806
- Schema version
- 2016v3.0
- 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
- Schedule B
- Expln Of Non Filing With AG Stmt
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-04T11:15:07-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341897225 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILL BARTH & KING LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3838 TAMIAMI TRAIL NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208087487 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 2395981700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 868 102ND AVENUE NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOLLIE M COSTA | PersonNm |
| Person Title | DIRECTOR, SECRETARY AND TREASURER | PersonTitleTxt |
| Phone | 2395981700 | PhoneNum |
| Signature | 2017-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RONALD J WALTHER | PreparerPersonNm |
| PTIN | P00052535 | PTIN |
| Phone | 2392632111 | PhoneNum |
| Preparation | 2017-08-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.112.4.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-01 | IPDt |
| IP Tm | 14:04:15 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6FADE40347EDA37BDAAEA51C23C24EF3E651A78B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 68536AD4D20318A29EFE445759A0A5AF014130E6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $10,340,595 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $9,170,449 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $86,100 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $80,909 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$45,330 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,146,558 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $9,211,219 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $80,909 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $4,263 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $4,263 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $4,980 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,730 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $18,050 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $13,146 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $4,904 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $27,293 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $14,876 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $9,167 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,357,557 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,357,557 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,384,850 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $14,876 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,366,724 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $5,826,369 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $66,033 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $616,145 | CashBOYAmt |
| Cash EOY | $10,601 | CashEOYAmt |
| Cash EOYFMV | $10,601 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $91 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $4,435,708 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $4,435,708 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,085,873 | CorporateStockBOYAmt |
| Corporate Stock EOY | $4,045,910 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $4,200,392 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,421,858 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,172,189 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,195,400 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $263,549 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $547,969 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $494,137 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $2,849 | OtherAssetsBOYAmt |
| Other Assets EOY | $4,357 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $4,357 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $4,390,365 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,216,734 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $10,340,595 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $4,390,365 | RetainedEarningBOYAmt |
| Retained Earning EOY | $10,216,734 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,390,365 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $10,216,734 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,390,365 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $10,216,734 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,390,365 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $5,826,369 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $10,216,734 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $10,216,734 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| WELLS FARGO 9254 | $84,445 | $77,134 | $7,311 | $7,311 | |
| WELLS FARGO 9254 | $557,358 | $560,489 | -$3,131 | -$3,131 | |
| WELLS FARGO 9254 | $949,480 | $975,028 | -$25,548 | -$25,548 | |
| WELLS FARGO 9254 | $2,533,155 | $2,579,237 | -$46,082 | -$46,082 | |
| CAPITAL GAINS DIVIDENDS | $22,120 | $22,120 | $22,120 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$45,330 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $396,407 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,458,327 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.088914 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $256,350 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,554,856 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.056281 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $204,273 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,389,347 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.046538 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,056 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $3,926,373 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.000524 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $69,727 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,883,009 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.017957 | DistributionYr5Rt |
| Total Distribution | 0.210214 | TotalDistributionRt |
| Average Distribution | 0.042043 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $7,297,246 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $306,798 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $660 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $307,458 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $3,366,724 | 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 | $660 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $660 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $660 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $4,025 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $4,025 | TotalPaymentsAndCreditsAmt |
| Overpayment | $3,365 | OverpaymentAmt |
| Applied To ES Tax | $3,365 | 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 | FL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | 0 | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | 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 | DOLLIE COSTA SECRETARYTREASURER | IndividualWithBooksNm |
| Phone | 2395981700 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 868 102ND AVENUE NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34108 | 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 | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| 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 |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|
| LAURA L CLARK | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | DIRECTOR, VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| ROBERT B CLARK | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JAMES H KABCENELL | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | DIRECTOR, VICE PRESIDENT | 2.00 | $0 | $0 | $0 |
| ELIZABETH L TAYLOR | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | DIRECTOR, PRESIDENT | 3.00 | $0 | $0 | $0 |
| DOLLIE COSTA | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | SECRETARY, TREASURER | 3.00 | $0 | $0 | $0 |
| LESLIE CLARK | ||||||||
| 868 102ND AVENUE NORTH | NAPLES | FL | 34108 | DIRECTOR | 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 | $4,877,145 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,531,227 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $7,408,372 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $7,408,372 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $111,126 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $7,297,246 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $364,862 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $364,862 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $660 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $660 | TotalTaxAmt |
| Distributable Before Adj | $364,202 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $364,202 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $364,202 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,366,724 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $3,366,724 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $660 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $3,366,064 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $364,202 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $22,261 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $177,541 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $199,802 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $3,366,724 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $364,202 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $3,002,522 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $3,202,324 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $3,202,324 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $22,261 | ExcessFromYear2Amt |
| Excess From Year1 | $177,541 | ExcessFromYear1Amt |
| Excess From Current Year | $3,002,522 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| LACES OF LOVE CHARITABLE FOUNDATION INC | |||||||
| 1176 BETHANY PLACE | NAPLES | FL | 34109 | NONE | PC | CHARITABLE | $15,000 |
| MARYHURST INC | |||||||
| 1015 DORSEY LANE | LOUISVILLE | KY | 40223 | NONE | PC | CHARITABLE | $114,233 |
| RONALD MCDONALD HOUSE OF ARKANSAS | |||||||
| 1009 WOLFE STREET | LITTLE ROCK | AR | 72202 | NONE | PC | CHARITABLE | $198,591 |
| RONALD MCDONALD HOUSE OF KENTUCKIANA | |||||||
| 550 S FIRST ST | LOUISVILLE | KY | 40202 | NONE | PC | CHARITABLE | $200,000 |
| THE DARE TO CARE FOUNDATION INC | |||||||
| 5803 FERN VALLEY ROAD | LOUISVILLE | KY | 40228 | NONE | PC | CHARITABLE | $44,900 |
| THE SHELTER FOR ABUSED WOMEN & CHILDREN INC | |||||||
| 2635 WEEKS AVENUE | NAPLES | FL | 34112 | NONE | PC | CHARITABLE | $25,000 |
| UPSIDE THERAPEUTIC RIDING INC | |||||||
| 250 KENWOOD HILL ROAD | LOUISVILLE | KY | 40214 | NONE | PC | CHARITABLE | $16,500 |
| CENTRAL KENTUCKY RIDING FOR HOPE | |||||||
| 4185 WALT ROBERTSON ROAD | LEXINGTON | KY | 40511 | NONE | PC | CHARITABLE | $100,194 |
| HOME OF THE INNOCENTS | |||||||
| 1100 E MARKET ST | LOUISVILLE | KY | 40206 | NONE | PC | CHARITABLE | $238,807 |
| NCH HEALTHCARE SYSTEM | |||||||
| 350 7TH STREET N | NAPLES | FL | 34102 | NONE | PC | CHARITABLE | $809,632 |
| CENTRAL FLORIDA SPEECH AND HEARING CENTER | |||||||
| 3020 LAKELAND HIGHLANDS ROAD | LAKELAND | FL | 33813 | NONE | PC | CHARITABLE | $190,600 |
| ARKANSAS CHILDRENS HOSPITAL | |||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | NONE | PC | CHARITABLE | $490,913 |
| BIG BROTHERS BIG SISTERS OF KENTUCKIANA | |||||||
| 1519 GARDINER LANE | LOUISVILLE | KY | 40218 | NONE | PC | CHARITABLE | $20,000 |
| MAKE-A-WISH OHIO KENTUCKY INDIANA | |||||||
| 1230 LIBERTY BANK LANE SUITE 300 | LOUISVILLE | KY | 40222 | NONE | PC | CHARITABLE | $80,000 |
| NAPLES EQUESTRIAN CHALLENGE INC DBA NAPLES THERAPEUTIC RIDING CENTER | |||||||
| 206 RIDGE DRIVE | NAPLES | FL | 34108 | NONE | PC | CHARITABLE | $813,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,357,557 | 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 | $86,100 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$45,330 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $40,770 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $40,770 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID MICHAEL CLARK TRUST UAD 4-10-73 | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 868 102ND AVENUE NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $9,170,449 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | NOT REQUIRED. | ExplanationTxt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | FIXED INCOME | BondNm |
| EOY Book Value | $1,172,189 | EOYBookValueAmt |
| EOYFMV | $1,195,400 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | EQUITIES AND MUTUAL FUNDS | StockNm |
| EOY Book Value | $4,045,910 | EOYBookValueAmt |
| EOYFMV | $4,200,392 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | REAL ASSET FUNDS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $547,969 | BookValueAmt |
| EOYFMV | $494,137 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIVIDEND RECEIVABLE | Desc |
| BOY Book Value | $2,849 | BOYBookValueAmt |
| EOY Book Value | $4,357 | EOYBookValueAmt |
| EOYFMV | $4,357 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT FEES | $13,146 | $13,146 | $0 |
| FILING FEES | $61 | $0 | $61 |
| INSURANCE | $1,400 | $0 | $1,400 |
| PUBLICATIONS | $2,163 | $0 | $2,163 |
| POSTAGE | $308 | $0 | $308 |
| SUPPLIES | $648 | $0 | $648 |
| MEETINGS | $324 | $0 | $324 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $4,263 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $4,263 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID M CLARK TRUST UAD 4-10-73 | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 868 102ND AVENUE NORTH | AddressLine1Txt |
| City | NAPLES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34108 | ZIPCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAXES | $3,250 | $0 | $0 |
| FOREIGN TAXES | $1,730 | $1,730 | $0 |
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