C&K CLARK FAMILY FOUNDATION: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- C&K CLARK FAMILY FOUNDATION (EIN 20-2047246)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-03-01
- IRS object ID
- 202420619349100057
- Schema version
- 2023v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-03-01T08:58:10-08:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205395756 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Serra & Company CPA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6118 W Corporate Oaks Drive | AddressLine1Txt |
| City | Crystal River | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202047246 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE C&K CLARK FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | C&KC | BusinessNameControlTxt |
| Phone | 3522708425 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1725 N SKY GLEN PATH | AddressLine1Txt |
| City | HERNANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34442 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN A CLARK | PersonNm |
| Person Title | Vice President | PersonTitleTxt |
| Signature | 2024-03-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KATHLEEN A | PersonFirstNm |
| Person Last | CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Edward J Serra CPA | PreparerPersonNm |
| PTIN | P00010682 | PTIN |
| Phone | 3527943879 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,688,178 | 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 | $102,562 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $781 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $781 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $781 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $50,676 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $50,676 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $50,676 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $149,229 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $150,675 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $149,229 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $303,248 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $200,686 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $51,457 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $3,350 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,350 | AccountingFeesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $3,350 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $3,350 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $186,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $186,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $189,350 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $3,350 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $186,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $113,898 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $197,336 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $51,457 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $148,864 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $262,762 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $55,535 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock EOYFMV | $3,632,643 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $148,864 | TotalAssetsBOYAmt |
| Total Assets EOY | $262,762 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,688,178 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $148,864 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $262,762 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $148,864 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $262,762 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $148,864 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $262,762 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $148,864 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $113,898 | ExcessRevenueOverExpensesAmt |
| Subtotal | $262,762 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $262,762 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | RAYMOND JAMES 587 | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Acquired | 1994-01-10 | AcquiredDt |
| Sold | 2023-06-01 | SoldDt |
| Gross Sales Price | $150,675 | GrossSalesPriceAmt |
| Cost Or Other Basis | $1,446 | CostOrOtherBasisAmt |
| Gain Or Loss | $149,229 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $149,229 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $149,229 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,743 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,743 | SubtotalAmt |
| Tax Based On Investment Income | $2,743 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $2,743 | TaxDueAmt |
| Applied To ES Tax | $0 | 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 | false | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MD | 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 | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHLEEN CLARK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3522708425 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1725 N SKY GLEN PATH | AddressLine1Txt |
| City | HERNANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34442 | 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 |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| CHARLES R CLARK MD | ||||||
| 1725 N SKY GLEN PATH | HERNANDO | FL | 34442 | President | 1.00 | $0 |
| KATHLEEN A CLARK | ||||||
| 1725 N SKY GLEN PATH | HERNANDO | FL | 34442 | Vice President | 1.00 | $0 |
| EMILY ANN CLARK WIERSCHKE | ||||||
| 5 FORDHAM CT | MILLERSVILLE | MD | 21108 | Treasurer | 0.00 | $0 |
| LAURA BETH CLARK | ||||||
| 1440 HARDING PL APT 629 | CHARLOTTE | NC | 28204 | Secretary | 0.00 | $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 |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $0 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $0 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $0 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $0 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $0 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Based On Investment Income | $2,743 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,743 | TotalTaxAmt |
| Distributable Before Adj | $2,743 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $2,743 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $186,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $186,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $9,835 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr2 | $131,228 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $184,070 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $325,133 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $186,000 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Remaining Distri From Corpus | $186,000 | RemainingDistriFromCorpusAmt |
| Total Corpus | $511,133 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $9,835 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $501,298 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $131,228 | ExcessFromYear2Amt |
| Excess From Year1 | $184,070 | ExcessFromYear1Amt |
| Excess From Current Year | $186,000 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | CHARLES KATHLEEN CLARK | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1725 N SKY GLEN PATH | AddressLine1Txt |
| City | HERNANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 3522708425 | RecipientPhoneNum |
| Form And Info And Materials | NO SPECIFIC FORMAT REQUIRED | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (36 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| PI KAPPA ALPHA EDUCATION FOUNDATION | |||||||
| 8347 WEST RANGE COVE | MEMPHIS | TN | 38125 | NONE | 501c3 | FELLOWSHIP | $1,000 |
| FLORIDA SHERIFFS YOUTH RANCH | |||||||
| P O BOX 2000 | Boys Ranch | FL | 32064 | NONE | 501c3 | ASSIST LAW PROGRAMS | $5,500 |
| KEY TRAINING CENTER | |||||||
| 5399 W GULF TO LAKE HWY | LECANTO | FL | 34461 | NONE | 501c3 | Education FOR GIFTED | $2,000 |
| ALPHA SIGMA TAU NATIONAL FOUNDATION | |||||||
| 3334 FOUNDERS RD | INDIANAPOLIS | IN | 46268 | NONE | 501c3 | education | $2,000 |
| JOHNS HOPKINS NEUROLOGY | |||||||
| 550 N BROADWAY SUITE 736B | BALTIMORE | MD | 21205 | NONE | 501c3 | MEDICAL Education | $25,000 |
| UNITY | |||||||
| 1901 NW BLUE PARKWAY | UNITY VILLAGE | MO | 64065 | NONE | 501c3 | Education | $1,000 |
| BALTMORE HUMANE SOCIETY | |||||||
| 1601 NICODEMUS ROAD | REISTERTOWN | MD | 21136 | NONE | 501c3 | Animal Care | $2,000 |
| JOHN HOPKINS MEDICINE | |||||||
| 600 N WOLFE ST CMSC 130 | BALTIMORE | MD | 21287 | NONE | 501c3 | MEDICAL RESEARCH | $10,000 |
| JOHN HOPKINS UNIVERSITY SURGERY | |||||||
| 550 N BROADWAY STE 725 | BALTIMORE | MD | 21205 | NONE | 501c3 | MEDICAL RESEARCH | $10,000 |
| WOUNDED WARRIOR PROJECT | |||||||
| PO BOX 758517 | TOPEKA | KS | 66675 | NONE | 501c3 | Wounded Veterans | $2,000 |
| LIGHTHOUSE FOR THE VISUALLY IMPAIRE | |||||||
| 9130 RIDGE RD | NEW PORT RICHEY | FL | 34654 | NONE | 501c3 | Help the Blind | $5,000 |
| MEDICAL ALUMNI ASSOCIATION OF UNIV | |||||||
| 522 W LOMBARD STREET | BALTIMORE | MD | 21201 | NONE | 501c3 | NURSING Education | $2,000 |
| PAULA TAKACS FOUNDATION | |||||||
| PO Box 784146 | Charlotte | NC | 28271 | NONE | 501c3 | Medical Research | $5,000 |
| DEFENDERS OF ANIMAL RIGHTS INC | |||||||
| 14412 OLD YORK ROAD | PHOENIX | MD | 21131 | NONE | 501c3 | Animal Rights | $5,000 |
| GUIDING EYES FOR THE BLIND | |||||||
| 611 GRANITE SPRINGS ROAD | Yorktown Heights | NY | 10598 | NONE | 501c3 | Helping the Blind | $5,000 |
| NATIONAL DISASTER SEARCH DOG FOUNDA | |||||||
| 6800 WHEELER CANYON RD | SANTA PAULA | CA | 93060 | NONE | 501C3 | DISASTER RELIEF | $5,000 |
| BEST FRIENDS ANIMAL SOCIETY | |||||||
| 5001 ANGEL CANYON RD | KANAB | UT | 84741 | NONE | 501c3 | SAVE ANIMAL LIVES | $10,500 |
| THE NICKY FUND | |||||||
| P O BOX 253 | FULTON | MD | 20759 | NONE | 501c3 | DISABLED CHILD LAST WISH | $1,000 |
| PATH OF CITRUS COUNTY | |||||||
| PO BOX 3024 | INVERNESS | FL | 34451 | NONE | 501C3 | BATTERED WOMEN & CHILDREN SHELTER | $1,000 |
| ALPHA XI DELTA | |||||||
| 8702 FOUNDERS ROAD | INDIANAPOLIS | IN | 46268 | NONE | 501C3 | EDUCATION | $2,000 |
| JOHNS HOPKINS MEDICINE PULMINOLOGY | |||||||
| PO BOX 49143 | BALTIMORE | MD | 21297 | NONE | 501c3 | FUND FOR JOHNS HOPKINS MEDICINE | $5,000 |
| LABRADOR RETRIEVER RESCUE OF FLORID | |||||||
| 1950 NE 6TH ST 10365 | POMPANO BEACH | FL | 33060 | NONE | 501C3 | RESCUE OF DOGS | $1,000 |
| KAPPA ALPHA THETA FOUNDATION | |||||||
| 8740 FOUNDERS ROAD | INDIANAPOLIS | IN | 46268 | NONE | 501c3 | EDUCATION | $2,000 |
| SOUTHEASTERN GUIDE DOGS | |||||||
| 4210 77TH STREET EAST | PALMETTO | FL | 34221 | NONE | 501C3 | EDUCATION | $5,000 |
| MARYLAND SPCA | |||||||
| 3300 FALLS RD | BALTIMORE | MD | 21211 | NONE | 501c3 | FELLOWSHIP | $3,000 |
| REGENTS OF THE UC | |||||||
| PO BOX 7145 | PASADENA | CA | 91109 | NONE | 501c3 | FUND GIFT | $10,000 |
| WARRIOR CANINE CONNECTION | |||||||
| 14934 SCHAEFFER ROAD | BOYODS | MD | 20841 | NONE | 501c3 | GIFT | $2,000 |
| CATHERINE VIOLET HUBBARD FOUNDATION | |||||||
| PO BOX 3571 | NEWTON | CT | 06470 | NONE | 501c3 | ANIMAL SANCTUARY AND ANIMAL MEDICINE | $1,000 |
| WILMER EYE INSTITUTE | |||||||
| 600 N WOLFE STREET WILMER 112 | BALTIMORE | MD | 21287 | NONE | 501C3 | RESEARCH | $10,000 |
| DELTA GAMMA FOUNDATION | |||||||
| 3250 RIVERSIDE DR | COLUMBUS | OH | 43211 | NONE | EOF | CHARITY | $2,000 |
| UNIVERSITY OF FLORIDA FOUNDATION | |||||||
| PO BOX 100125 | GAINESVILLE | FL | 32610 | NONE | EOF | EDUCATION | $10,000 |
| PI KAPPA ALPHA FOUNDATION | |||||||
| 8347 WEST RANGE COVE | MEMPHIS | TN | 38125 | NONE | EOF | CHARITY | $1,000 |
| JOHN HOPKINS MEDICINE CARDIOLOGY | |||||||
| PO BOX 49143 | BALTIMORE | MD | 21297 | NONE | 5013C | FUND FOR JOHN HOPKINS MEDICINE | $20,000 |
| TOYS FOR TOTS | |||||||
| PO BOX 4002036 | DES MOINES | IA | 50340 | NONE | 501C3 | PROVIDE FOR UNDERPRIVILEGED CHILDREN | $1,000 |
| TUNNEL TO TOWERS FOUNDATION | |||||||
| PO BOX 70719 | PHILADELPHIA | PA | 19179 | NONE | 501C3 | 9/11/2001 FUND | $1,000 |
| AMERICAN LUNG ASSOCIATION | |||||||
| 55 W WACKER ST STE 1150 | CHICAGO | IL | 60601 | NONE | 501C3 | MEDICAL RESEARCH | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $186,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $781 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $50,676 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 1 | ExclusionCd |
| Exclusion | $149,229 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $200,686 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $200,686 | 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 |
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 Person | CHARLES KATHLEEN CLARK | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1725 N Sky Glen Path | AddressLine1Txt |
| City | Hernando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $102,562 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 200 SHARES UNH STOCK | NoncashPropertyDesc |
| Fair Market Value | $102,562 | FairMarketValueAmt |
| Received | 2023-04-08 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNITING | CategoryTxt |
| Amt | $3,350 | Amt |
| Net Investment Income | $3,350 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |