TY 2010 Form 990EZ

Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . .
	1	Contributions, gifts, grants, and similar amounts received . . . . . . . . .	1	60,213
2	Program service revenue including government fees and contracts . . . . . . .	2
3	Membership dues and assessments . . . . . . . . . . . . . .	3
4	Investment income . . . . . . . . . . . . . . . . . .	4	4,797
5a	Gross amount from sale of assets other than inventory . . . .	5a	5,053
b	Less: cost or other basis and sales expenses . .	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . .	5c	5,053
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ 2,420 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c	Less: direct expenses from gaming and fundraising events . . .	6c	664
d	Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)	6d	1,756
7a	Gross sales of inventory, less returns and allowances . . . .	7a
b	Less: cost of goods sold . . . . . . . . . .	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . .	7c
8	Other revenue (describe in Schedule O) . . . . . . . . .	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . .	9	71,819
	10	Grants and similar amounts paid (list in Schedule O) . . . . . . . .	10	20,000
11	Benefits paid to or for members . . . . . . . . . . . . . . .	11
12	Salaries, other compensation, and employee benefits . . . . . . . . . . .	12
13	Professional fees and other payments to independent contractors . . . . . . . .	13	20,535
14	Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . .	14
15	Printing, publications, postage, and shipping . . . . . . . . . . . .	15	3,606
16	Other expenses (describe in Schedule O) . . . . . . . . . .	16	25,786
17	Total expenses. Add lines 10 through 16 . . . . . . . . . . . .	17	69,927
	18	Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . .	18	1,892
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) . . . . . . . . . . .	19	199,346
20	Other changes in net assets or fund balances (explain in Schedule O) . . . . . . .	20	10,693
21	Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . .	21	211,931

Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? FINANCIAL ASSISTANCE TO NONPROFITS BENEFITING LEWIS & CLARK COUNTY RESIDENTS. FUNDRAISING COSTS TO BUILD ENDOWMENT FOR GRANTS, WHICH IS THE EXEMPT PURPOSE.
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 THE GRANTS AS LISTED IN THIS RETURN ARE FUNDED WITH EARNINGS FROM AN ENDOWMENT FUND HELD AS AN ASSET OF MONTANA COMMUNITY FOUNDATION, AN AGENCY ENDOWMENT FUND HELD FOR LCCF AT MCF, BOARD DESIGNATED FUNDS AND FUNDS RECEIVED FOR RE-GRANTING. (Grants $ 20,000) If this amount includes foreign grants, check here ...	28a	51,382
29 (Grants $ ) If this amount includes foreign grants, check here ...	29a
30 (Grants $ ) If this amount includes foreign grants, check here ...	30a
31 Other program services (describe in Schedule O) . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . .	32	51,382

(a) Name and address	(b) Title and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-.)	(d) Contributions to employee benefit plans & deferred compensation	(e) Expense account and other allowances
CURTIS LARSEN PO BOX 92 HELENA,MT59624	PRESIDENT5.00	0	0	0
AIMEE GRMOLJEZ PO BOX 92 HELENA,MT59624	PAST PRESIDENT1.00	0	0	0
HEIDI GOETTEL PO BOX 92 HELENA,MT59624	SECRETARY1.00	0	0	0
LISA BULLOCK PO BOX 92 HELENA,MT59624	TREASURER5.00	0	0	0
STEVE BROWNING PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
PETER BUTLER PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
SARA HOWE-COBB PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
FRANK COTE PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
JULIUS HAYDEN PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
EDWIN JASMINE PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
JULIE JOHNSON PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0
CHRISTINE ODEGARD PO BOX 92 HELENA,MT59624	DIRECTOR1.00	0	0	0

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION

Employer identification number

81-0536902

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	38,523	48,892	79,478	48,130	60,213	275,236
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..	38,523	48,892	79,478	48,130	60,213	275,236
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						13,739
6	Public Support. Subtract line 5 from line 4.						261,497

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..	38,523	48,892	79,478	48,130	60,213	275,236
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	5,876	5,038	4,869	4,626	4,797	25,206
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..		3,932				3,932
11	Total support (Add lines 7 through 10).						304,374

Gross receipts from related activities, etc. (See instructions.) ..................

14,922

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

85.910 %

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

79.760 %

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION

Employer identification number

81-0536902

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION

Employer identification number

81-0536902

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION

Employer identification number

81-0536902

Identifier	Return Reference	Explanation
OTHER INVESTMENT INCOME	FORM 990-EZ, PART I, LINE 4	INTEREST INCOME 308.. INVESTMENT EARNINGS ON AGENCY ENDOW 4,489.. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 4,797.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: AUGUSTA AMERICAN LEGION POST #51. GRANTEE ADDRESS: 33 1ST STREET NW CHOTEAU, MT 59422. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 800.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: HISTORICAL PRESERVATION. GRANTEE NAME: AUGUSTA AREA HISTORICAL SOCIETY. GRANTEE ADDRESS: MAIN STREET AUGUSTA, MT 59410. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: AUGUSTA PUBLIC SCHOOLS. GRANTEE ADDRESS: 410 N BROADWAY AUGUSTA, MT 59410. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 1,150.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: AUGUSTA SENIOR CITIZEN ORGANIZATION. GRANTEE ADDRESS: 132 MAIN STREET AUGUSTA, MT 59410. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: AUGUSTA VOLUNTEER FIRE DEPARTMENT. GRANTEE ADDRESS: MAIN STREET AUGUSTA, MT 59410. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 450.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: AUGUSTA YOUTH CENTER. GRANTEE ADDRESS: MAIN STREET AUGUSTA, MT 59410. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: BIG SKY INSTITUTE. GRANTEE ADDRESS: 32 S EWING ST #329 HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 800.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: CAPITAL HIGH SCHOOL. GRANTEE ADDRESS: 100 VALLEY DRIVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 300.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: ARTS & CULTURE. GRANTEE NAME: COUNCIL OF THE ARTS. GRANTEE ADDRESS: 830 WARREN STREET HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 300.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: HEALTH SERVICES. GRANTEE NAME: COUNSELING SERVICES OF CARROLL COLLEGE. GRANTEE ADDRESS: 1601 NORTH BENTON AVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: EAGLE MOUNT HELENA. GRANTEE ADDRESS: 3400 CENTENNIAL DRIVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 1,000.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: FAMILY PROMISE OF GREATER HELENA. GRANTEE ADDRESS: PO BOX 939 HELENA, MT 59624. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 1,000.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: FLORENCE CRITTENTON HOME. GRANTEE ADDRESS: 901 N HARRIS HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 700.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: GIRLS THRIVE PROGRAM (YMCA). GRANTEE ADDRESS: 1200 N LAST CHANCE GULCH HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: GOOD SAMARITAN MINISTRIES. GRANTEE ADDRESS: 3067 NORTH MONTANA AVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: HELENA AREA FRIENDS OF PETS. GRANTEE ADDRESS: 2905 NORTH MONTANA AVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: HELENA FOOD SHARE. GRANTEE ADDRESS: 1616 LEWIS ST HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 700.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: HELENA INDUSTRIES. GRANTEE ADDRESS: 1325 HELENA AVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 700.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: ARTS & CULTURE. GRANTEE NAME: HOLTER MUSEUM. GRANTEE ADDRESS: 12 EAST LAWRENCE ST HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 250.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: INTERMOUNTAIN DEACONESS HOME FOR CHILDREN. GRANTEE ADDRESS: 500 SOUTH LAMBORN HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: LINCOLN COMMUNITY HALL. GRANTEE ADDRESS: MAIN STREET LINCOLN, MT 59639. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 700.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: LEWIS AND CLARK HUMANE SOCIETY. GRANTEE ADDRESS: 2112 E CUSTER HELENA, MT 59602. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: LEWIS AND CLARK LITERACY COUNCIL. GRANTEE ADDRESS: 815 FRONT STREET HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 250.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: LINCOLN COMMUNITY GARDEN. GRANTEE ADDRESS: MAIN STREET LINCOLN, MT 59639. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 3,000.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: MONTANA LEARNING CENTER. GRANTEE ADDRESS: 7653 CANYON FERRY RD HELENA, MT 59602. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 600.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: HISTORICAL PRESERVATION. GRANTEE NAME: UPPER BLACKFOOT VALLEY HISTORICAL SOCIETY. GRANTEE ADDRESS: HIGHWAY 200 LINCOLN, MT 59639. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 1,000.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: WEST MONT. GRANTEE ADDRESS: 2708 BOZEMAN AVE HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 800.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: WOLF CREEK ELEMENTARY SCHOOL. GRANTEE ADDRESS: 150 WALSH ST WOLF CREEK, MT 59648. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500.
GRANTS AND SIMILAR AMOUNTS PAID	FORM 990-EZ, PART I, LINE 10	ACTIVITY CLASSIFICATION: COMMUNITY NEEDS. GRANTEE NAME: WORKING FOR EQUALITY AND ECONOMIC LIBERATION GRANTEE NAME: WORKING FOR EQUALITY AND ECONOMIC LIBERATION. GRANTEE ADDRESS: 32 S EWING ST #109 HELENA, MT 59601. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/31/10. AMOUNT GIVEN: 500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 20,000.
OTHER EXPENSES	FORM 990-EZ, PART I, LINE 16	DESCRIPTION: TRANSFERS TO MCF . AMOUNT: 21,418. DESCRIPTION: BANK CHARGES, INVESTMENT, AND OTHER . AMOUNT: 2,653. DESCRIPTION: ADVERTISING . AMOUNT: 265. DESCRIPTION: WEBSITE DESIGN AND MAINTENANCE . AMOUNT: 200. DESCRIPTION: SUPPLIES . AMOUNT: 495. DESCRIPTION: COMPUTER EXPENSES . AMOUNT: 755. TOTAL TO FORM 990-EZ, LINE 16: 25,786.
OTHER CHANGES IN NET ASSETS	FORM 990-EZ, PART I, LINE 20	DESCRIPTION: ADJUSTMENT TO MONTANA COMMUNITY FOUNDATION INVESTMENTS-UNREALIZED GAIN/LOSS. AMOUNT: 10,693.
OTHER ASSETS	FORM 990-EZ, PART II, LINE 24	DESCRIPTION: AGENCY ACCOUNT ON DEPOSIT WITH MCF . BEG. OF YEAR AMOUNT: 139,355. END OF YEAR AMOUNT: 149,252. DESCRIPTION: AGENCY SEED ACCOUNT ON DEPOSIT WITH . BEG. OF YEAR AMOUNT: 22,769. END OF YEAR AMOUNT: 25,292.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

TY 2010 TransferPrsnlBnftContractsDecl

Name:

LEWIS AND CLARK COUNTY COMMUNITY FOUNDATION

EIN: 81-0536902

Declaration:

THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.

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