CLEMENTINE FUND: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CLEMENTINE FUND (EIN 91-1950165)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-09
IRS object ID: 201301299349101920
Schema version: 2012v2.0
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
Other Expenses Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-09T19:29:04-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Geddes Chucka PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12505 Bel-Red Road Suite 110	AddressLine1
City	Bellevue	City
State	WA	State
ZIP Code	980052510	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911950165	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Smiling Dog Foundation	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SMIL	NameControl
Phone	2069325342	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PMB 346 6523 California Avenue SW	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98136	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Richard F Russell	Name
Title	President	Title
Date Signed	2013-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Dave Geddes	Name
PTIN	P01210857	PTIN
Phone	4254547505	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	1514	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	10000	ContriReceivedRevAndExpnss
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Total Revenue And Expenses	10000	TotalRevenueAndExpenses
Total Net Investment Income	0	TotalNetInvestmentIncome
Accounting Fees Rev And Expnss	450	AccountingFeesRevAndExpnss
Other Expenses Rev And Expnss	542	OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss	992	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	0	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	8500	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	8500	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	9492	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	0	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	8500	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	508	ExcessOfRevenueOverExpenses
Net Investment Income	0	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	1006	CashBOY
Cash EOY	1514	CashEOY
Cash EOYFMV	1514	CashEOYFMV
Total Assets BOY	1006	TotalAssetsBOY
Total Assets EOY	1514	TotalAssetsEOY
Total Assets EOYFMV	1514	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	3459	CapitalStockBOY
Capital Stock EOY	3459	CapitalStockEOY
Retained Earnings BOY	-2453	RetainedEarningsBOY
Retained Earnings EOY	-1945	RetainedEarningsEOY
Total Net Assets BOY	1006	TotalNetAssetsBOY
Total Net Assets EOY	1514	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	1006	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	1514	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	1006	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	508	ExcessOfRevenueOverExpenses
Subtotal	1514	Subtotal
Total Net Assets Fund Balances EOY	1514	TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	2000	QualifyingDistributionsYear1
Noncharitable Assets Year1	844	NoncharitableAssetsYear1
Distribution Ratio Year1	2.36967	DistributionRatioYear1
Qualifying Distributions Year2	1500	QualifyingDistributionsYear2
Noncharitable Assets Year2	825	NoncharitableAssetsYear2
Distribution Ratio Year2	1.81818	DistributionRatioYear2
Qualifying Distributions Year3	7529	QualifyingDistributionsYear3
Noncharitable Assets Year3	1777	NoncharitableAssetsYear3
Distribution Ratio Year3	4.23692	DistributionRatioYear3
Qualifying Distributions Year4	3500	QualifyingDistributionsYear4
Noncharitable Assets Year4	715	NoncharitableAssetsYear4
Distribution Ratio Year4	4.89511	DistributionRatioYear4
Qualifying Distributions Year5	41160	QualifyingDistributionsYear5
Noncharitable Assets Year5	16835	NoncharitableAssetsYear5
Distribution Ratio Year5	2.44491	DistributionRatioYear5
Total Distribution Ratio	15.76478	TotalDistributionRatio
Average Distribution Ratio	3.15296	AverageDistributionRatio
Net Noncharitable Assets	1462	NetNoncharitableAssets
Adjusted Noncharitable Assets	4610	AdjustedNoncharitableAssets
Adj Nonchrtbl Assets And One	4610	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	8500	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	0	InvestmentIncomeExciseTax

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Form990 T Filed	false	Form990TFiled
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	WA	StatesFiledWith
Form990 PF Filed With AG	true	Form990PFFiledWithAG
Private Operating Foundation	false	PrivateOperatingFoundation
New Substantial Contributors	false	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	June Martin	BusinessNameLine1

Field	Value	IRS element (for citing)
Books In Care Of Phone Number	2069325342	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	PMB 346 6523 California Ave SW	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	981361833	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	false	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	false	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions	false	ActsFailToQualifyAsExceptions
Uncorrected Prior Acts	false	UncorrectedPriorActs
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Undistr Income4942a2 Not Applied	false	UndistrIncome4942a2NotApplied
Business Holdings	false	BusinessHoldings
Excess Business Holdings	false	ExcessBusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Tr Fail To Qualify As Exceptions	false	TrFailToQualifyAsExceptions
Maint Expend Responsibility	false	MaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft Contract	false	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn
Proceeds Or Net Income	false	ProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation
June Martin
6523 California Ave SW PMB 346	Seattle	WA	98136	Secretary	0.00	0
Jileen Russell
6523 California Ave SW PMB 346	Seattle	WA	98136	V. President	0.00	0
Richard F Russell
6523 California Ave SW PMB 346	Seattle	WA	98136	President	0.00	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	0	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	1484	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	1484	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Adj Total FMV Of Unused Assets	1484	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	22	CashDeemedCharitable
Net Noncharitable Assets	1462	NetNoncharitableAssets
Minimum Investment Return	73	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	73	MinimumInvestmentReturn
Distributable Amount Before Adj	73	DistributableAmountBeforeAdj
Distributable Amount Before Ded	73	DistributableAmountBeforeDed
Distributable Amount As Adjusted	73	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	8500	ExpensesAndContributions
Qualifying Distributions	8500	QualifyingDistributions
Adj Qualifying Distributions	8500	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	73	DistributableAmountAsAdjusted
Excess Distri Carryover Year5	40318	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	3464	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	7440	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	1459	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	1958	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	54639	TotalExcessDistriCarryover
Qualifying Distributions	8500	QualifyingDistributions
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	73	AppliedToCurrentYear
Remaining Distri From Corpus	8427	RemainingDistriFromCorpus
Total Corpus	63066	TotalCorpus
Undistributed Income CY	0	UndistributedIncomeCY
Excess Distri Cyov From Year5	40318	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	22748	ExcessDistriCyovToNextYear
Excess From Year4	3464	ExcessFromYear4
Excess From Year3	7440	ExcessFromYear3
Excess From Year2	1459	ExcessFromYear2
Excess From Year1	1958	ExcessFromYear1
Excess From Current Year	8427	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	Jileen Russell	ContributingManager
Contributing Manager	Richard F Russell	ContributingManager
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (2 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
Centrum Foundation
PO Box 1158	Port Townsend	WA	98363	501(c)(3)	Provide life changing experiences through musical performances, workshops and residences	$3,500
New Stories
350 East Ninth	Spokane	WA	99202	501(c)(3)	Fund construction of Whidbey Island Geo Dome Project	$5,000

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	8500	TotGrantOrContriPaidDuringYear

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	Tax Preparation	Category
Amount	$450	Amount
Net Investment Income	0	NetInvestmentIncome
Adjusted Net Income	0	AdjustedNetIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks
Office Supplies	100
Licenses and Permits	10
Insurance	407
Bank Charges and Fees	25

CLEMENTINE FUND: Form 990PF, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of Business Name BooksInCareOfBusinessName

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (2 entries)

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (4 entries)

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