2017-05-12T10:38:29-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990PF 2016-01-01 202040648 ADLER-CLARK ELECTRIC COMMUNITY COMMITMENT FOUNDATION TRUST ADLE 7152676188 PO BOX 190 GREENWOOD WI 54437 TIMOTHY E STEWART TRUSTEE 7152676188 2017-05-10 1 CRAIG POPENHAGEN P01587689 5074347000 67.137.57.251 2017-05-10 08:55:05 CD P 3CC01FDBBBF5F1C37350B9F08E0FA4664EF72C75 765E4E3D35DC22D8648647171E6F91C901BB8BB7 2016 2021-01-29 14:40:06Z X 787237 X X 26989 26989 6136 6136 6136 33125 33125 0 0 0 1608 0 1608 1025 25 0 524 25 499 3157 50 2107 39925 39925 43082 50 42032 -9957 33075 925 1027 1027 693540 683481 786210 694465 684508 787237 0 0 X 0 0 0 0 694465 684508 694465 684508 694465 684508 694465 -9957 0 684508 0 684508 PUBLICALLY TRADED SECURITIES P 6136 6136 6136 6136 0 38915 776254 0.050132 44854 814387 0.055077 51400 800304 0.064226 64195 794646 0.080784 26946 758076 0.035545 0.285764 0.057153 771015 44066 331 44397 42032 662 0 662 0 662 1748 1748 1086 1086 0 0 0 0 0 0 0 0 0 0 0 1 1 WI 1 0 0 0 0 1 WWW.CECOOP.COM TIMOTHY E STEWART 7152676188 1209 WEST DALL-BERG ROAD GREENWOOD WI 54437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHARLES BENA PO BOX 190 GREENWOOD WI 54437 TRUSTEE 0.10 0 0 0 TIMOTHY STEWART PO BOX 190 GREENWOOD WI 54437 TRUSTEE 0.25 0 0 0 DAVE MAYVILLE PO BOX 190 GREENWOOD WI 54437 TRUSTEE 0.10 0 0 0 NONE 0 NONE 0 0 781650 1106 0 782756 0 0 782756 11741 771015 38551 38551 662 662 37889 0 37889 0 37889 42032 0 42032 0 42032 37889 0 0 3446 4999 922 9367 42032 0 0 0 37889 4143 0 0 13510 0 0 0 0 0 0 0 13510 3446 4999 922 4143 TIMOTHY E STEWART 1209 WEST DALL-BERG ROAD GREENWOOD WI 54437 7152676188 THE FORM THAT APPLICANTS NEED TO FILL OUT IS A BASIC APPLICATION THAT CAN BE OBTAINED THROUGH THE ADLER-CLARK FOUNDATION. THE APPLICANT MUST PROVIDE FINANCIAL INFORMATION AS WELL AS A COPY OF THEIR IRS TAX EXEMPTION LETTER. DECEMBER 1 GRANTS ARE MADE TO QUALIFIED NOT-FOR-PROFIT ORGANIZATIONS THAT WOULD NORMALLY BE ENTITLED TO EXEMPTION FROM THE FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. COMMUNITY CHESTS AND COMMUNITY PROJECTS MAY ALSO BE ELIGIBLE. THE GRANTS ARE TO BENEFIT THE PEOPLE OF CLARK COUNTY AND SURROUNDING COMMUNITIES. CHRISTMAS WISH PROGRAM - WIGM RADIO STATION N1831 STATE HWY 13 MEDFORD WI 54451 UNRELATED PC CHRISTMAS WISHES FOR TROUBLED FAMILIES 1000 COLBY PUBLIC LIBRARY PO BOX 318 COLBY WI 54421 UNRELATED PC BOOKS 2000 FOOD PANTRY - CLARK COUNTY W6928 CHILI ROAD NEILLSVILLE WI 54456 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - CLARK COUNTY OFFICE ON AGING 517 COURT ST ROOM 107 NEILLSVILLE WI 54456 UNRELATED PC FOOD SUPPLIES 1000 FOOD PANTRY - COMMUNITY UNITED 301 NORTH SECOND STREET COLBY WI 54456 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - GREENWOOD 102 NORTH MAIN STREET GREENWOOD WI 54437 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - ICCA 508 SOUTH 8TH STREET MEDFORD WI 54451 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - LOYAL COMMUNITY 108 E SOUTH STREET PO BOX 55 LOYAL WI 54446 UNRELATED PC FOOD SUPPLIES 1000 FOOD PANTRY - OUR SAVIORS LUTHERAN CHURCH 147 EAST 4TH AVENUE STANLEY WI 54768 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - PITTSVILLE AREA 8149 JACKSON ST PITTSVILLE WI 54466 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - SPENCER 83790 ST HWY 13 SPENCER WI 54479 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - THORP 304 WALL STREET THORP WI 54771 UNRELATED PC FOOD SUPPLIES 2000 FOOD PANTRY - UNITED METHODIST CHURCH 326 SOUTH MAIN STREET GRANTON WI 54436 UNRELATED PC FOOD SUPPLIES 2000 GREENWOOD SCHOOL DISTRICT 306 WEST CENTRAL AVE GREENWOOD WI 54437 UNRELATED PC NOW PROGRAM 2500 NEILLSVILLE SENIOR CENTER 517 COURT ST ROOM 201 NEILLSVILLE WI 54456 UNRELATED PC ENTRANCE DOORS 1900 CLARK COUNTY HUMANE SOCIETY PO BOX 127 NEILLSVILLE WI 54456 UNRELATED PC SUPPLIES 1000 CLARK COUNTY ASSOCIATION (HCE) N11398 COUNTY RD Q SPENCER WI 54479 UNRELATED PC HEAD START PROGRAM 500 7 C'S DAYCARE 106 DEPOT STREET GREENWOOD WI 54437 UNRELATED PC ROCKING CHAIRS 450 GREENWOOD FIREWORKS 102 NORTH MAIN STREET GREENWOOD WI 54437 UNRELATED PC FIREWORKS EQUIPMENT 3500 HOUSE OF MERCY W6928 CHILI ROAD NEILLSVILLE WI 54456 UNRELATED PC HOMELESS SHELTER 3500 HUEY'S HIDEWAY CHILDREN'S MUSEUM 104 E PERKINS STREET MEDFORD WI 54451 UNRELATED PC MUESEUM 2000 PAGE FORWARD 211 RUSTIC LANE GREENWOOD WI 54437 UNRELATED PC TEACHING MATERIALS 500 WILLARD HISTORIAL SOCIETY W7375 CTY HWY G WILLARD WI 54493 UNRELATED PC PLAY AREA EXTENSION 1075 39925 0 14 26989 18 6136 0 33125 0 33125 0 0 0 0 0 0 0 0 0 1 CLARK ELECTRIC COOPERATIVE 501(C)12 ADLER-CLARK ELECTRIC COMMUNITY COMMITMENT IS RELATED TO CLARK ELECTRIC COOPERATIVE SINCE THEY SHARE AN ELEMENT OF COMMON CONTROL. CHARLES BENA IS A BOARD MEMBER OF BOTH ENTITIES AND TIMOTHY STEWART IS A BOARD MEMBER OF THE FOUNDATION AND THE CEO OF CLARK ELECTRIC COOPERATIVE. BOTH MR. STEWART AND MR. BENA WERE APPOINTED TO THE BOARD OF THE FOUNDATION BY THE DIRECTORS OF CLARK ELECTRIC APPLIANCE & SATELLITE, WHICH IS A WHOLLY OWNED SUBSIDIARY OF CLARK ELECTRIC COOPERATIVE. ACCOUNTING FEES 1608 0 1608 FIDELITY INVESTMENTS AT COST 683481 786210 MISCELLANEOUS EXPENSES 524 25 499 EXCISE TAX 1000 0 0 FOREIGN TAX PAID 25 25 0