2012-04-30T14:19:16-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990PF 2011-01-01 202040648 ADLER-CLARK ELECTRIC COMMUNITY COMMITMENT FOUNDATION TRUST ADLE 7152676188 PO BOX 190 GREENWOOD WI 54437 TIMOTHY E STEWART 7152676188 2012-04-23 1 DEAN ROHNE P00625086 5074347000 2011 2016-02-25 16:41:14Z X 758362 X X 31191 31191 5869 5869 5869 37060 37060 100 0 100 1690 0 1690 831 0 831 2621 0 2621 24325 24325 26946 0 26946 10114 37060 691 561 561 718423 727851 757801 719114 728412 758362 0 0 X 0 0 0 0 719114 728412 719114 728412 719114 728412 719114 10114 0 729228 816 728412 FIDELITY INVESTMENTS - CAPITAL GAINS DIVIDENDS P 5869 5869 5869 5869 0 26834 718814 0.037331 21853 620808 0.035201 16756 635365 0.026372 38494 703088 0.054750 38824 681906 0.056935 0.210589 0.042118 758076 31929 371 32300 26946 741 0 741 0 741 760 760 19 19 0 0 0 0 0 0 0 0 1 0 0 1 1 WI 1 0 0 0 0 1 WWW.CECOOP.COM TIMOTHY E STEWART 7152676188 124 N MAIN STREET GREENWOOD WI 54437 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WILMER GRIPENTROG W727 SWAN ROAD SPENCER WI 54479 0.25 0 0 0 TIMOTHY STEWART 124 N MAIN STREET GREENWOOD WI 54437 0.25 0 0 0 PATRICIA LINDER W5614 STATE HWY 98 GREENWOOD WI 54437 0.25 100 0 0 NONE 0 NONE 0 0 769228 392 0 769620 0 0 769620 11544 758076 37904 37904 741 741 37163 0 37163 0 37163 26946 0 26946 0 26946 37163 23855 0 0 26946 23855 0 0 3091 0 0 0 0 0 0 0 0 34072 0 0 0 TIMOTHY E STEWART 124 N MAIN STREET 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) 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. CITY OF GREENWOOD 102 N MAIN ST GREENWOOD WI 54437 UNRELATED PUBLICLY SUPPORTED PICNIC TABLES FOR ATHLETIC PARK 3000 CLARK COUNTY SHERIFF'S DEPT 517 COURT ST NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED K9 UNIT MATERIAL 2000 COLBY PUBLIC LIBRARY 211 W SPENCE ST COLBY WI 54421 UNRELATED PUBLICLY SUPPORTED EXPAND WISCONSIN/LOCAL TITLE BOOKS 500 FOOD PANTRY - CLARK COUNTY 501 HEWETT ST NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - CLARK COUNTY OFFICE ON AGING 517 COURT ST ROOM 107 NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - COMMUNITY UNITED 301 NORTH SECOND STREET COLBY WI 54421 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - GREENWOOD 102 NORTH MAIN STREET GREENWOOD WI 54437 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - ICCA 225 S WISCONSIN AVE MEDFORD WI 54451 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - LOYAL COMMUNITY 108 E SOUTH STREET PO BOX 55 LOYAL WI 54446 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - PITTSVILLE AREA 8313 2ND AVENUE PITTSVILLE WI 54466 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - SOUP OR SOCKS INC 200 S LINCOLN AVENUE PO BOX 146 MARSHFIELD WI 54449 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - SPENCER 206 DEARBORN SPENCER WI 54479 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 OUR SAVIORS LUTHERAN CHURCH - FOOD PANTRY 147 E 4TH AVE STANLEY WI 54768 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - THORP 304 WALL STREET THORP WI 54771 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 FOOD PANTRY - UNITED METHODIST CHURCH 326 SOUTH MAIN STREET GRANTON WI 54436 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 GREENWOOD AREA AMBULANCE SERVICE 103 CANNERY STREET GREENWOOD WI 54437 UNRELATED PUBLICLY SUPPORTED REPLACE RADIO REPEATER 1200 ICAA CONNECTIONS STORE & MORE CLARK COUNTY - FOOD PANTRY 538 HEWETT STREET NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED FOOD SUPPLIES 800 CLARK COUNTY EMERGENCY SERVICES 517 COURT ST ROOM 308 NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED CONES 1600 COLBY HORNET ATHLETIC BOOSTER INC 301 E ADAMS ST COLBY WI 54421 UNRELATED PUBLICLY SUPPORTED NEW UNIFORMS, MED ITS AND BASKETBALLS 2250 COLBY MIDDLE SCHOOL N 2ND STREET COLBY WI 54421 UNRELATED PUBLICLY SUPPORTED READERS/WRITERS WORKSHOP, BOOKS 500 FOUNDATION OF MEMORIAL HOSPITAL 216 SUNSET PLACE NEILLSVILLE WI 54456 UNRELATED PUBLICLY SUPPORTED EMS CONFERENCE - CTY WIDE 1000 WILLARD HISTORICAL SOCIETY W7375 CO HWY G WILLARD WI 54493 UNRELATED PUBLICLY SUPPORTED SETTLERS PARK LANDSCAPING EDGING 1875 24325 0 14 31191 18 5869 0 37060 0 37060 0 0 0 0 0 0 0 0 0 1 CLARK ELECTRICE COOPERATIVE 501(C)12 ADLER-CLARK ELECTRIC COMMUNITY COMMITMENT IS RELATED TO CLARK ELECTRIC COOPERATIVE SINCE THEY SHARE AN ELEMENT OF COMMON CONTROL. WILMER GRIPENTROG 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. GRIPENTROG 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 1690 0 1690 FIDELITY INVESTMENTS AT COST 727851 757801 PRIOR PERIOD ADJUSTMENT 816 EXCISE TAX 831 0 831