C&K CLARK FAMILY FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- C&K CLARK FAMILY FOUNDATION (EIN 20-2047246)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-03-05
- IRS object ID
- 201930649349100608
- Schema version
- 2018v3.1
- 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 | 2019-03-05T14:21:27-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | 2019-03-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Edward Serra CPA | PreparerPersonNm |
| PTIN | P00010682 | PTIN |
| Phone | 3527943879 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,765,610 | 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 | $50,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $234 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $234 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $24,255 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $24,255 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $23,796 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $23,927 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $23,796 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $98,285 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $48,285 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $2,375 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,375 | AccountingFeesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $2,375 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $2,375 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $92,400 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $92,400 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $94,775 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $2,375 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $92,400 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $3,510 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $45,910 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $10,749 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $14,259 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $12,385 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock EOYFMV | $1,753,225 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $10,749 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,259 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,765,610 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $10,749 | UnrestrictedBOYAmt |
| Unrestricted EOY | $14,259 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $10,749 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $14,259 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,749 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $14,259 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,749 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $3,510 | ExcessRevenueOverExpensesAmt |
| Subtotal | $14,259 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $14,259 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | 100 United Health Group | PropertyDesc |
| How Acquired | D | HowAcquiredCd |
| Acquired | 2007-08-13 | AcquiredDt |
| Sold | 2018-04-17 | SoldDt |
| Gross Sales Price | $23,927 | GrossSalesPriceAmt |
| Cost Or Other Basis | $131 | CostOrOtherBasisAmt |
| Gain Or Loss | $23,796 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $23,796 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $23,796 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $78,616 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,365,220 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.05759 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $52,431 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,067,687 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.04911 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $40,503 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $856,418 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.04729 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $35,814 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $695,460 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.05150 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $17,252 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $476,810 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.03618 | DistributionYr5Rt |
| Total Distribution | 0.241664 | TotalDistributionRt |
| Average Distribution | 0.048333 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,640,322 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $79,282 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $459 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $79,741 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $92,400 | 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 | $459 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $459 | SubtotalAmt |
| Tax Based On Investment Income | $459 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,116 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,116 | TotalPaymentsAndCreditsAmt |
| Overpayment | $657 | OverpaymentAmt |
| Applied To ES Tax | $657 | 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 | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| 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 |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Proceeds Or Net Income | false | ProceedsOrNetIncomeInd |
| 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 | ||||||
| 1400 STEUART ST | BALTIMORE | MD | 21230 | Treasurer | 0.00 | $0 |
| LAURA BETH CLARK | ||||||
| 1001 N RANDOLPH ST APT 1018 | ARLINGTON | VA | 22201 | 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 | $10,749 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,654,553 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,665,302 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $1,665,302 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $24,980 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,640,322 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $82,016 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $82,016 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $459 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $459 | TotalTaxAmt |
| Distributable Before Adj | $81,557 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $81,557 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $81,557 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $92,400 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $92,400 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $459 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $91,941 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $81,557 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr1 | $10,010 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $10,010 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $92,400 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $81,557 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $10,843 | RemainingDistriFromCorpusAmt |
| Total Corpus | $20,853 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $20,853 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $10,010 | ExcessFromYear1Amt |
| Excess From Current Year | $10,843 | 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 (39 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 | $2,000 |
| SALVATION ARMY | |||||||
| PO Box 209 | Lecanto | FL | 34460 | NONE | 501c3 | HELP Homeless | $1,000 |
| FLORIDA SHERIFFS YOUTH RANCH | |||||||
| P O BOX 2000 | Boys Ranch | FL | 32064 | NONE | 501c3 | ASSIST LAW PROGRAMS | $6,000 |
| MEDICAL ALUMNI ASSOCIATION | |||||||
| 522 W LOMBARD STREET | BALTIMORE | MD | 21201 | NONE | 501c3 | Education | $1,000 |
| KEY TRAINING CENTER | |||||||
| 5399 W GULF TO LAKE HWY | LECANTO | FL | 34461 | NONE | 501c3 | Education FOR GIFTED | $2,000 |
| ALPHA SIGMA TAU NATIONAL FOUNDATION | |||||||
| PO BOX 476 | GARDENDALE | AL | 35071 | NONE | 501c3 | education | $2,000 |
| JOHNS HOPKINS UNIVERSITY | |||||||
| P O BOX 17073 | BALTIMORE | MD | 21297 | NONE | 501c3 | MEDICAL Education | $1,000 |
| 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 |
| BOYS AND GIRLS CLUBS OF CITRUS COUN | |||||||
| PO BOX 907 | LECANTO | FL | 34460 | NONE | 501c3 | YOUTH Education | $2,000 |
| FOCCAS | |||||||
| PO BOX 641 | Inverenss | FL | 34451 | NONE | 501c3 | Animal Shelter | $1,500 |
| WOUNDED WARRIOR PROJECT | |||||||
| 4899 BELFORT ROAD SUITE 300 | JACKSONVILLE | FL | 32256 | NONE | 501c3 | Wounded Veterans | $1,000 |
| LIGHTHOUSE FOR THE VISUALLY IMPAIRE | |||||||
| 8610 GALEN WILSON BLVD | PORT RICHEY | FL | 34668 | NONE | 501c3 | Help the Blind | $2,000 |
| FREDERICK CHURCH OF THE BRETHREN | |||||||
| 201 FAIRVIEW AVE | FREDERICK | MD | 21701 | NONE | 501c3 | IMpoverished Children | $2,000 |
| UMBF SCHOOL OF NURSING | |||||||
| 655 WEST LOMBARD STREET | BALTIMORE | MD | 21298 | NONE | 501c3 | NURSING Education | $3,400 |
| DELTA GAMMA FOUNDATION | |||||||
| DEPT L-2841 | Columbus | OH | 43260 | NONE | 501c3 | Education | $2,000 |
| PAULA TAKACS FOUNDATION | |||||||
| PO Box 784146 | Charlotte | NC | 28271 | NONE | 501c3 | Medical Research | $2,000 |
| DEFENDERS OF ANIMAL RIGHTS INC | |||||||
| 14412 OLD YORK ROAD | PHOENIX | MD | 21131 | NONE | 501c3 | Animal Rights | $3,000 |
| HILLSDALE COLLEGE | |||||||
| POBOX 96607 | WASHINGTON | DC | 20090 | NONE | 501c3 | Education | $1,000 |
| GUIDING EYES FOR THE BLIND | |||||||
| P O BOX 709 | Yorktown Heights | NY | 10598 | NONE | 501c3 | Helping the Blind | $5,000 |
| NATIONAL DISASTER SEARCH DOG FOUNDA | |||||||
| 501 E OJAI AVE | OJAI | CA | 93023 | NONE | 501C3 | DISASTER RELIEF | $5,000 |
| BEST FRIENDS ANIMAL SOCIETY | |||||||
| PO BOX 315 | KANAB | UT | 84741 | NONE | 501c3 | SAVE ANIMAL LIVES | $5,000 |
| THE NICKY FUND | |||||||
| P O BOX 253 | FULTON | MD | 20759 | NONE | 501c3 | DISABLED CHILD LAST WISH | $1,500 |
| PATH OF CITRUS COUNTY | |||||||
| PO BOX 3024 | INVERNESS | FL | 34451 | NONE | 501C3 | BATTERED WOMEN & CHILDREN SHELTER | $2,000 |
| ALPHA XI DELTA | |||||||
| 8702 FOUNDERS ROAD | INDIANAPOLIS | IN | 46268 | NONE | 501C3 | EDUCATION | $2,000 |
| CITRUS COUNTY FOUNDATION FOR ANIMAL | |||||||
| P O BOX 1164 | INVERNESS | FL | 34451 | NONE | 501C3 | ANIMAL PROTECTION | $6,000 |
| JOHNS HOPKINS MEDICINE | |||||||
| 600 N WOLFE STREET MARBURG 135 | BALTIMORE | MD | 21287 | NONE | 501c3 | FUND FOR JOHNS HOPKINS MEDICINE | $3,000 |
| LABRADOR RETRIEVER RESCUE OF FLORID | |||||||
| 481 E HILLSBORO BLVD SUITE 100A | DEERFIELD BEACH | FL | 33441 | NONE | 501C3 | RESCUE OF DOGS | $1,000 |
| ELIZABETH SETON HIGH SCHOOL | |||||||
| 5715 EMERSON ST | BLADENSBURG | MD | 20710 | NONE | POF | CHARITY | $1,000 |
| FRIENDS OF CENTRAL RIDGE LIBRARY | |||||||
| 425 W ROOSEVELT BLVD | BEVERLY HILLS | FL | 34465 | NONE | PC | CHARITY | $2,000 |
| 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 |
| MARINE TOYS FOR TOTS FOUNDATION | |||||||
| 18251 QUANTICO GATEWAY DR | TRIANGLE | VA | 22172 | NONE | 501c3 | MILITARY SUPPORT | $1,000 |
| VETOGA | |||||||
| 3601 5TH STREET S APT 411 | ARLINGTON | VA | 22204 | NONE | 501C3 | EDUCATION | $1,000 |
| MARYLAND SPCA | |||||||
| 3300 FALLS ROAD | BALTIMORE | MD | 21211 | NONE | 501c3 | FELLOWSHIP | $3,000 |
| MARYLAND FOOD BANK | |||||||
| 2200 HALETHORPE FARMS ROAD | BALTIMORE | MD | 21227 | NONE | 501c3 | Supply Funds for Food | $1,000 |
| REGENTS OF THE UC | |||||||
| 650 CHARLES YOUNG DRIVE SOUTH | LOS ANGELES | CA | 90095 | NONE | 501c3 | FUND GIFT | $5,000 |
| WARRIOR CANINE CONNECTION | |||||||
| 14934 SCHAEFFER ROAD | BOYODS | MD | 20841 | NONE | 501c3 | GIFT | $1,000 |
| NORTHWOOD FOOTBALL LEAGUE | |||||||
| 258 LAVALE ST | BALTIMORE | MD | 21217 | NONE | 501c3 | YOUTH EDUCATION | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $92,400 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $234 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $24,255 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 621110 | BusinessCd |
| Unrelated Business Taxbl Incm | $23,796 | UnrelatedBusinessTaxblIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $23,796 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $24,489 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $48,285 | 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 | $50,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amt | $2,375 | Amt |
| Net Investment Income | $2,375 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |