Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 01-01-2012 , and ending 12-31-2012
Name of foundation
CLARK FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)9770 SW SUNSHINE CT   Room/suite
City or town, state, and ZIP code
BEAVERTON, OR970054100
A Employer identification number

23-7423789
B Telephone number (see instructions)

(503) 627-9978
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$23,987,870J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 311,858 311,858  
4 Dividends and interest from securities...... 349,590 349,590  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 1,632,895
b Gross sales price for all assets on line 6a 9,871,514
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 9,476 9,468  
12 Total. Add lines 1 through 11........ 2,303,819 670,916  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 5,883      
b Accounting fees (attach schedule)....... Click to see attachment 16,195      
c Other professional fees (attach schedule).... Click to see attachment 86,530 83,530    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 11,812 3,447    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,084      
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 82,045 79,158    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 203,549 166,135   0
25 Contributions, gifts, grants paid........ 972,200 972,200
26 Total expenses and disbursements. Add lines 24 and 25 1,175,749 166,135   972,200
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,128,070
b Net investment income (if negative, enter -0-) 504,781
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 246,159 361,491 361,491
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 4,109,278 Click to see attachment4,868,198 4,868,198
b Investments—corporate stock (attach schedule)........ 11,472,603 Click to see attachment13,717,177 13,717,177
c Investments—corporate bonds (attach schedule)........ 3,364,119 Click to see attachment3,512,130 3,512,130
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........   Click to see attachment1,528,874 1,528,874
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 19,192,159 23,987,870 23,987,870
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 19,192,159 23,987,870
30 Total net assets or fund balances (see page 17 of the
instructions).................... 19,192,159 23,987,870
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 19,192,159 23,987,870
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 19,192,159
2 Enter amount from Part I, line 27a..................... 2 1,128,070
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 3,718,658
4 Add lines 1, 2, and 3.......................... 4 24,038,887
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 51,017
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 23,987,870
Form 990-PF (2012)
Form 990-PF (2012)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2011 207,500 6,629,373 0.031300
2010 1,063 6,014 0.176754
2009   112  
2008   168  
2007   52  
2 Total of line 1, column (d) ...................... 2 0.208054
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.104027
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 19,610,891
5 Multiply line 4 by line 3....................... 5 2,040,062
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 5,048
7 Add lines 5 and 6......................... 7 2,045,110
8 Enter qualifying distributions from Part XII, line 4.............. 8 972,200
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 10,096
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 10,096
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 10,096
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 3,400
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,400
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 14
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 6,710
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletOR
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletBARB PURDY Telephone no.bullet (503) 627-9978
    Located atbullet9770 SW SUNSHINE COURTBEAVERTONOR ZIP+4bullet97005
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (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
    and deferred compensation     		(e) Expense account,
    other allowances
    RICHARD M CLARKClick to see attachment PRESIDENT/TR
    0.50     		0 0 0
    2433 NW PINNACLE DR
    PORTLAND,OR97229
    TRACEY A CLARKClick to see attachment DIRECTOR
    0.01     		0 0 0
    2433 NW PINNACLE DR
    PORTLAND,OR97229
    BRITTNEY CLARKClick to see attachment VICE PRESIDE
    0.01     		0 0 0
    7975 SW WILLOWMERE
    PORTLAND,OR97225
    CHRISTOPHER BROOKSClick to see attachment DIRECTOR
    0.01     		0 0 0
    7975 SW WILLOWMERE
    PORTLAND,OR97229
    CANDACE HOLZGRAFEClick to see attachment DIRECTOR
    0.01     		0 0 0
    300 SE SPOKANE
    PORTLAND,OR97202
    JON HOLZGRAFEClick to see attachment DIRECTOR
    0.01     		0 0 0
    300 SE SPOKANE
    PORTLAND,OR97202
    STEVE NICHOLESClick to see attachment SECRETARY
    0.01     		0 0 0
    1111 SW FIFTH AVENUE 1500
    PORTLAND,OR97204
    PAT BECKER SRClick to see attachment DIRECTOR
    0.01     		0 0 0
    1211 SW FIFTH AVENUE 2185
    PORTLAND,OR97204
    JANEEN MCANINCHClick to see attachment DIRECTOR
    0.01     		0 0 0
    1211 SW FIFTH AVENUE 2185
    PORTLAND,OR97204
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 PROVIDED FINANCIAL ASSISTANCE TO JESUIT HIGH SCHOOL FOR THEIR MATH/SCIENCE BUILDING CAMPAIGN AND THE REMODEL OF DIERINGER CENTER. 130,000
    2 PROVIDED FINANCIAL ASSISTANCE TO THE OREGON ZOO TO SUPPORT THE ASIAN ELEPHANT HABITAT. 100,000
    3 PROVIDED FINANCIAL ASSISTANCE TO ST. MARY'S ACADEMY FOR SCHOLARSHIPS (10,000), THE GENERAL FUND (35,000) AND THE BUCKMAN FIELD PROJECT (25,000). 70,000
    4 PROVIDED FINANCIAL ASSISTANCE TO ST. THOMAS MORE CHURCH FOR ROOF REPAIRS. 50,000
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    19,604,146
    b
    Average of monthly cash balances.......................
    1b
    305,388
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    19,909,534
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    19,909,534
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    298,643
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    19,610,891
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    980,545
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    980,545
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    10,096
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,096
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    970,449
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    970,449
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    970,449
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    972,200
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    972,200
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    972,200
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2011     		(c)
    2011     		(d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 970,449
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 120,752
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 972,200
    a Applied to 2011, but not more than line 2a 120,752
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2012 distributable amount..... 851,448
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2012.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		119,001
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012....  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:
    MR RM CLARK
    9770 SW SUNSHINE COURT
    BEAVERTON,OR97005
    (503) 627-9978
    bThe form in which applications should be submitted and information and materials they should include:
    THE APPLICATION SHOULD BE IN THE FORM OF A LETTER AND MUST INCLUDE A LIST OF THE BOARD OF DIRECTORS, A DESCRIPTION OF THE ACTIVITY OR PROJECT, A BUDGET, AND OTHER INFORMATION AS REQUESTED BY THE CLARK FOUNDATION'S DIRECTORS.
    cAny submission deadlines:
    THERE ARE NO SUBMISSION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE APPLICANT MUST BE A TAX EXEMPT ORGANIZATION WHOSE PURPOSE IS EDUCATIONAL, CHARITABLE, CULTURAL, RELIGIOUS OR SCIENTIFIC AND IS LOCATED IN THE PORTLAND, OREGON METROPOLITAN AREA. NO SCHOLARSHIPS TO INDIVIDUALS, STUDENT LOANS, OR OTHER PROGRAM RELATED INVESTMENTS MAY BE MADE BY THE CLARK FOUNDATION.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    PORTLAND STATE UNIVERSITY FOUNDATIO
    2125 SW 4TH AVENUE 510
    PORTLAND,OR97201     		N/A   EDUCATION - LIBRARY REMODEL 50,000
    CATHOLIC CHARITIES
    2740 SE POWELL BLVD
    PORTLAND,OR97202     		N/A   CHARITABLE - PREGNANCY SUPPORT 25,000
    PORTLAND ART MUSEUM
    1219 SW PARK AVENUE
    PORTLAND,OR97205     		N/A   CULTURAL - BODY BEAUTIFUL EXHIBITION 10,000
    HOLY CROSS CATHOLIC SCHOOL
    5227 NORTH BOWDOIN STREET
    PORTLAND,OR97203     		N/A   EDUCATIONAL - SCHOLARSHIP PROGRAM 10,000
    MEDICAL TEAM INTERNATIONAL
    14150 SW MILTON COURT
    PORTLAND,OR97224     		N/A   CHARITABLE - JM DIRECTOR'S FUND 30,000
    ST MARY'S ACADEMY
    1615 SW 5TH AVENUE
    PORTLAND,OR97201     		N/A   EDUCATIONAL - VARIOUS PROGRAMS 70,000
    OREGON ZOO FOUNDATION
    4001 SW CANYON RD
    PORTLAND,OR97221     		N/A   SCIENTIFIC - ELEPHANT HABITAT 100,000
    OREGON FOOD BANK
    7900 NE 33RD DRIVE
    PORTLAND,OR97211     		N/A   CHARITABLE - FOOD /OPERATING FUNDS 20,000
    COASTER THEATRE FOUNDATION
    108 N HEMLOCK ST
    CANNON BEACH,OR97110     		N/A   CULTURAL - PLAY SPONSOR 10,000
    OREGON HISTORICAL SOCIETY
    1200 SW PARK AVENUE
    PORTLAND,OR97205     		N/A   CULTURAL - OPERATING FUNDS 10,000
    YWCA
    1111 SW 10TH AVENUE
    PORTLAND,OR97205     		N/A   CHARITABLE - CAMP SCHOLARSHIPS 25,000
    BLANCHET HOUSE
    340 NW GLISAN STREET
    PORTLAND,OR97209     		N/A   CHARITABLE - CAPITAL CAMPAIGN 25,000
    MACDONALD CENTER
    605 NW COUCH STREET
    PORTLAND,OR97209     		N/A   CHARITABLE - CAPITAL CAMPAIGN 25,000
    THOMAS EDISON HIGH SCHOOL
    9020 SW BEAVERTON HWY
    PORTLAND,OR97225     		N/A   EDUCATIONAL - FINANCIAL ASSISTANCE 10,000
    OUR LADY OF VICTORY
    PO BOX 29
    SEASIDE,OR97138     		N/A   CHARITABLE - CAPITAL CAMPAIGN 10,000
    JESUIT HIGH SCHOOL
    9000 SW BEAVERTON HWY
    PORTLAND,OR97225     		N/A   EDUCATIONAL - BUILDING FUND 130,000
    ST THOMAS MORE CHURCH
    3525 SW PATTON ROAD
    PORTLAND,OR97221     		    CHARITABLE - CAPITAL IMPROVEMENTS 50,000
    LOAVES & FISHES CENTER
    7710 SW 31ST AVENUE
    PORTLAND,OR97219     		    CHARITABLE - NUTRITION PROGRAMS 25,000
    HIGH DESERT MUSEUM
    59800 SOUTH HWY 97
    BEND,OR97702     		    CULTURAL - DEBT REDUCTION 10,000
    PROVIDENCE PORTLAND MEDICAL FOUND
    4805 NE GLISAN STREET
    PORTLAND,OR97213     		    CHARITABLE - CANCER LUNCHEON 5,000
    AMERICAN RED CROSS
    3131 N VANCOUVER
    PORTLAND,OR97227     		    CHARITABLE - PROGRAM SUPPORT 25,000
    ST ANDREW LEGAL CLINIC
    807 NE ALBERTA ST
    PORTLAND,OR97211     		    CHARITABLE - PROGRAM SUPPORT 6,200
    DRESS FOR SUCCESS
    1532 B NE 37TH AVENUE
    PORTLAND,OR97232     		    CHARITABLE - FINANCIAL ASSISTANCE 10,000
    DE LA SALLE NORTH CATHOLIC HIGH
    7528 N FENWICK AVENUE
    PORTLAND,OR97217     		    EDUCATIONAL - FINANCIAL AID 11,000
    DE PAUL TREATMENT CENTER
    PO BOX 3007
    PORTLAND,OR97208     		    CHARITABLE - GENERAL SUPPORT 5,000
    PORTLAND ACTORS ENSEMBLE
    PO BOX 8671
    PORTLAND,OR97207     		    CULTURAL - PROGRAM SUPPORT 2,500
    FRIENDLY HOUSE
    1737 NW 26TH AVENUE
    PORTLAND,OR97210     		    CHARITABLE - PROGRAM SUPPORT 5,000
    ABBEY FOUNDATION OF OREGON
    PO BOX 501
    SAINT BENEDICT,OR97373     		    CHARITABLE - PROGRAM SUPPORT 15,000
    PEO SISTERHOOD
    3700 GRAND AVENUE
    DES MOINES,IA50312     		    CHARITABLE - WOMEN'S SCHOLARSHIPS 2,500
    PORTLAND SUMMERFEST
    PO BOX 4084
    PORTLAND,OR97208     		    CULTURAL - PRODUCTION SUPPORT 5,000
    CYOCAMP HOWARD
    825 NW 20TH AVE STE 120
    PORTLAND,OR97232     		    CHARITABLE - COVERED COURTS PROJECT 10,000
    CATHOLIC BROADCASTING NORTHWEST
    PO BOX 5888
    PORTLAND,OR97228     		    CHARITABLE - RADIO CAMPAIGN SUPPORT 10,000
    YMCA OF COLUMBIA WILLAMETTE
    9500 SW BARBUR BLVD 200
    PORTLAND,OR97219     		    CHARITABLE - TEEN DIVISION 10,000
    HUMAN SOLUTIONS
    12350 SE POWELL BLVD
    PORTLAND,OR97236     		    CHARITABLE - HOMELESS FAMILY ASST. 25,000
    OREGON BALLET THEATRE
    818 SE SIXTH AVENUE
    PORTLAND,OR97214     		    CULTURAL - EDU/APPRENT. PROGRAMS 10,000
    PORTLAND CHILDREN'S MUSEUM
    4015 SW CANYON ROAD
    PORTLAND,OR97221     		    EDUCATIONAL - DINOSAURS EXHIBIT 25,000
    OHSU FOUNDATION
    1121 SW SALMON ST 100
    PORTLAND,OR97205     		    CHARITABLE - MEDICAL PROGRAMS 50,000
    HOLY NAMES SISTERS
    PO BOX 411
    MARYLHURST,OR97036     		    CHARITABLE - PROGRAM SUPPORT 25,000
    PROVIDENCE CHILD CENTER FOUNDATION
    830 NE 47TH AVE
    PORTLAND,OR97213     		    CHARITABLE - MEDICALLY FRAGILE CHILD 25,000
    DOVE LEWIS ANIMAL HOSPITAL
    1945 NW PETTYGROVE
    PORTLAND,OR97209     		    CHARITABLE - BUILDING FUND 25,000
    OREGON SPORTS AUTHORITY
    1888 SW MADISON ST
    PORTLAND,OR97205     		    CHARITABLE - HEALTHY YOUTH OREGON 10,000
    OREGON PUBLIC BROADCASTING
    7140 SW MACADAM AVE
    PORTLAND,OR97219     		    CULTURAL - OREGON EXPERIENCE SERIES 10,000
    Total .................................bullet 3a 972,200
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 311,858  
    4 Dividends and interest from securities....     14 349,590  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....     14 9,468  
    8Gain or (loss) from sales of assets other than inventory         1,632,895
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aLIMITED PARTNERSHIP INCOME         8
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   670,916 1,632,903
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,303,819
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 16,195      

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    TY 2012 AmortizationSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Description of Amortized Expenses Date Acquired, Completed, or Expended Amount Amortized Deduction for Prior Years Amortization Method Current Year Amortization Net Investment Income Adjusted Net Income Total Amount of Amortization
    BANK OF AMERICA 2011-03-11 158,750 2,328   2,963 2,963   5,291

    TY 2012 CompensationExplanation
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Person Name Explanation
    RICHARD M CLARK  
    TRACEY A CLARK  
    BRITTNEY CLARK  
    CHRISTOPHER BROOKS  
    CANDACE HOLZGRAFE  
    JON HOLZGRAFE  
    STEVE NICHOLES  
    PAT BECKER SR  
    JANEEN MCANINCH  

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    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    0 ADT CORPORATION 2007-11 PURCHASE 2012-11   20 12     8  
    0 ENGILITY HOLDINGS INC 2008-12 PURCHASE 2012-08   5 5        
    0 PENTAIR INC 2007-11 PURCHASE 2012-11   6 4     2  
    0 PHILLIPS 66 2008-11 PURCHASE 2012-05   15 11     4  
    1,000 PORTLAND GENERAL ELECTRIC 2011-06 PURCHASE 2012-10   27,186 25,155     2,031  
    1,050 HORMEL FOODS CORP 2011-06 PURCHASE 2012-11   31,124 30,694     430  
    1,070 NEXTERA ENERGY INC 2010-03 PURCHASE 2012-10   74,593 51,298     23,295  
    1,200 ROYAL DUTCH SHELL PLC ADR A 2002-07 PURCHASE 2012-02   87,380 55,320     32,060  
    1,200 ZIMMER HOLDINGS INC 2008-10 PURCHASE 2012-05   77,254 47,928     29,326  
    1,210 RAYTHEON COMPANY 2003-10 PURCHASE 2012-10   66,239 32,032     34,207  
    1,220 DUN & BRADSTREET CORP 2010-08 PURCHASE 2012-10   98,235 81,959     16,276  
    1,300 PPG INDS INC COM 2005-12 PURCHASE 2012-04   131,936 75,485     56,451  
    1,300 SCHLUMBERGER LTD COM 2009-01 PURCHASE 2012-10   92,276 51,289     40,987  
    1,300 WAL MART STORES INC COM 2009-06 PURCHASE 2012-07   95,618 63,121     32,497  
    1,305 HARRIS CORP DEL 2009-05 PURCHASE 2012-10   66,383 37,929     28,454  
    1,335 METLIFE INC 2010-02 PURCHASE 2012-02   50,718 45,302     5,416  
    1,350 CONAGRA FOODS INC 2011-06 PURCHASE 2012-11   39,817 34,202     5,615  
    1,400 HARRIS CORP DEL 2009-05 PURCHASE 2012-09   70,886 40,690     30,196  
    1,500 COSTCO WHOLESALE 2003-08 PURCHASE 2012-10   154,221 46,009     108,212  
    1,595 CHUBB CORP COM 2007-05 PURCHASE 2012-10   123,419 87,224     36,195  
    1,600 WALGREEN CO COM 2011-10 PURCHASE 2012-10   56,757 54,297     2,460  
    1,660 LEXMARK INTL INC 2012-06 PURCHASE 2012-07   27,167 42,956     -15,789  
    1,700 HARRIS CORP DEL 2009-06 PURCHASE 2012-10   86,476 47,620     38,856  
    1,700 RAYTHEON COMPANY 2003-01 PURCHASE 2012-01   82,797 50,993     31,804  
    1,725 BUNGE LIMITED 2002-07 PURCHASE 2012-10   116,732 32,138     84,594  
    1,730 NEXTERA ENERGY INC 2010-03 PURCHASE 2012-10   120,604 83,066     37,538  
    1,850 COCA COLA CO COM 2004-12 PURCHASE 2012-01   124,955 75,225     49,730  
    1,850 NESTLE SA ADR 2009-04 PURCHASE 2012-10   120,610 63,771     56,839  
    10 VISA INC CL A 2011-06 PURCHASE 2012-10   1,367 743     624  
    100 COCA COLA CO COM 2009-03 PURCHASE 2012-01   6,754 3,814     2,940  
    100 CONOCOPHILLIPS 2009-03 PURCHASE 2012-10   5,711 2,762     2,949  
    100 HARRIS CORP DEL 2011-07 PURCHASE 2012-10   5,086 4,324     762  
    100 HARRIS CORP DEL 2011-09 PURCHASE 2012-10   5,086 3,485     1,601  
    100 METLIFE INC 2010-03 PURCHASE 2012-06   2,945 4,159     -1,214  
    100 PIONEER NAT RES CO COM 2008-08 PURCHASE 2012-02   10,725 6,263     4,462  
    100 PIONEER NAT RES CO COM 2008-10 PURCHASE 2012-02   10,725 3,657     7,068  
    100 SYMANTEC CORP 2009-08 PURCHASE 2012-10   1,755 1,552     203  
    100 WAL MART STORES INC COM 2007-10 PURCHASE 2012-01   5,922 4,357     1,565  
    100 ZIMMER HOLDINGS INC 2008-09 PURCHASE 2012-05   6,437 6,217     220  
    100 ZIMMER HOLDINGS INC 2008-10 PURCHASE 2012-05   6,437 4,321     2,116  
    1075 ITT CORPORATION 2010-09 PURCHASE 2012-01   22,951 19,271     3,680  
    115 DUN & BRADSTREET CORP 2010-08 PURCHASE 2012-01   9,034 7,771     1,263  
    115 ZIMMER HOLDINGS INC 2008-10 PURCHASE 2012-09   7,344 4,598     2,746  
    122 ITT CORPORATION 2010-09 PURCHASE 2012-01   2,604 2,187     417  
    125,000 UNITED STATES TREAS NTS 2003-04 PURCHASE 2012-10   126,559 123,691     2,868  
    15 CONOCOPHILLIPS 2008-11 PURCHASE 2012-10   856 575     281  
    15 TYCO INTERNATIONAL LTD 2007-11 PURCHASE 2012-04   831 578     253  
    15 ZIMMER HOLDINGS INC 2008-07 PURCHASE 2012-05   965 970     -5  
    150 VISA INC CL A 2011-03 PURCHASE 2012-10   20,517 10,851     9,666  
    1500 TARGET CORP 2011-07 PURCHASE 2012-08   96,567 75,676     20,891  
    155 HARRIS CORP DEL 2009-05 PURCHASE 2012-01   6,358 4,457     1,901  
    175 CONAGRA FOODS INC 2012-10 PURCHASE 2012-11   5,161 4,871     290  
    175 LEXMARK INTL INC 2011-07 PURCHASE 2012-07   2,864 5,193     -2,329  
    175 MERCK & CO INC COM 2010-03 PURCHASE 2012-05   6,651 6,608     43  
    185 NESTLE SA ADR 2009-04 PURCHASE 2012-10   12,061 6,377     5,684  
    2,000 DIAMOND OFFSHORE DRILLING 2003-09 PURCHASE 2012-10   130,855 39,799     91,056  
    2,000 PITNEY BOWES INC COM 2007-11 PURCHASE 2012-02   36,728 74,094     -37,366  
    2,000 RAYTHEON COMPANY 2003-09 PURCHASE 2012-10   109,486 57,217     52,269  
    2,000 XCEL ENERGY INC 2002-07 PURCHASE 2012-01   54,551 15,975     38,576  
    2,050 PITNEY BOWES INC COM 2009-05 PURCHASE 2012-02   37,646 46,890     -9,244  
    2,150 EXELIS INC 2010-09 PURCHASE 2012-01   20,316 23,387     -3,071  
    2,150 XYLEM INC 2010-09 PURCHASE 2012-01   54,457 57,975     -3,518  
    2,400 MICROSOFT CORP COM 2003-06 PURCHASE 2012-04   78,484 59,474     19,010  
    2,500 AVON PRODUCTS INC 2012-05 PURCHASE 2012-08   38,014 49,920     -11,906  
    2,550 SYMANTEC CORP 2009-08 PURCHASE 2012-10   44,757 39,592     5,165  
    2,600 SYMANTEC CORP 2011-06 PURCHASE 2012-12   48,554 48,984     -430  
    2,675 ROYAL DUTCH SHELL PLC ADR A 2002-07 PURCHASE 2012-10   184,472 123,317     61,155  
    20 PPG INDS INC COM 2008-06 PURCHASE 2012-11   2,342 1,206     1,136  
    200 CONAGRA FOODS INC 2011-01 PURCHASE 2012-11   5,898 4,516     1,382  
    200 SYMANTEC CORP 2011-11 PURCHASE 2012-12   3,735 3,225     510  
    200,000 COMPUTER SCIENCE 2010-11 PURCHASE 2012-10   203,926 202,845     1,081  
    200,000 DOMINION RESOURCES INC 2009-06 PURCHASE 2012-09   200,000 200,000        
    200,000 DOW CHEMICAL CO 2009-09 PURCHASE 2012-10   200,000 200,000        
    200,000 FANNIE MAE 2009-05 PURCHASE 2012-10   206,172 202,860     3,312  
    200,000 FEDERAL HOME LN MTG CORP 2011-12 PURCHASE 2012-05   200,000 200,687     -687  
    200,000 FEDERAL HOME LOAN BANK 2011-11 PURCHASE 2012-06   200,000 201,037     -1,037  
    200,000 FEDERAL NATL MTG ASSN 2012-01 PURCHASE 2012-09   200,000 200,000        
    200,000 FEDERAL NATL MTG ASSN 2012-09 PURCHASE 2012-10   207,190 207,113     77  
    200,000 FEDERAL NATL MTG ASSN MTN 2011-10 PURCHASE 2012-09   200,000 200,000        
    200,000 FEDERAL NATL MTG ASSN MTN 2011-12 PURCHASE 2012-09   200,000 200,000        
    200,000 GENERAL ELEC CAP CORP 2010-01 PURCHASE 2012-06   202,386 200,013     2,373  
    200,000 INTEGRYS ENERGY 2009-02 PURCHASE 2012-12   200,000 196,444     3,556  
    200,000 JP MORGAN CHASE & CO 2009-08 PURCHASE 2012-02   206,148 203,143     3,005  
    216 ENGILITY HOLDINGS INC 2008-12 PURCHASE 2012-10   4,032 3,667     365  
    217 ENGILITY HOLDINGS INC 2009-06 PURCHASE 2012-10   4,038 3,650     388  
    245 EXELIS INC 2010-09 PURCHASE 2012-01   2,315 2,665     -350  
    245 XYLEM INC 2010-09 PURCHASE 2012-01   6,205 6,606     -401  
    25 COCA COLA CO COM 2008-09 PURCHASE 2012-01   1,688 1,259     429  
    25 CONOCOPHILLIPS 2009-03 PURCHASE 2012-11   1,399 711     688  
    25,000 FEDERAL NATL MTG ASSN MTN 2011-11 PURCHASE 2012-03   25,000 25,135     -135  
    25,000 UNITED STATES TREAS NTS 2011-05 PURCHASE 2012-10   25,311 25,294     17  
    250,000 FEDERAL NATL MTG ASSN 2011-11 PURCHASE 2012-03   250,000 250,899     -899  
    255 PPG INDS INC COM 2007-11 PURCHASE 2012-11   29,869 17,028     12,841  
    265 RAYTHEON COMPANY 2003-10 PURCHASE 2012-10   14,506 7,038     7,468  
    270 WAL MART STORES INC COM 2006-12 PURCHASE 2012-01   15,991 12,613     3,378  
    295 COVIDIEN PLC 2008-12 PURCHASE 2012-11   16,533 10,154     6,379  
    3,000 HORMEL FOODS CORP 2008-10 PURCHASE 2012-11   88,927 45,748     43,179  
    3,000 SYMANTEC CORP 2011-11 PURCHASE 2012-12   56,024 48,536     7,488  
    3,015 METLIFE INC 2010-02 PURCHASE 2012-06   88,800 102,311     -13,511  
    3,100 CONAGRA FOODS INC 2012-07 PURCHASE 2012-11   91,432 74,769     16,663  
    3,500 LEXMARK INTL INC 2011-10 PURCHASE 2012-07   57,280 103,250     -45,970  
    3,700 PORTLAND GENERAL ELECTRIC 2009-03 PURCHASE 2012-10   100,591 52,170     48,421  
    30,000 COMPUTER SCIENCE 2010-11 PURCHASE 2012-10   30,588 30,425     163  
    30,000 INTEGRYS ENERGY 2009-02 PURCHASE 2012-12   30,000 29,466     534  
    300 BUNGE LIMITED 2002-07 PURCHASE 2012-02   19,438 5,589     13,849  
    300 CONAGRA FOODS INC 2011-01 PURCHASE 2012-11   8,848 6,820     2,028  
    300 HARRIS CORP DEL 2010-01 PURCHASE 2012-10   15,260 13,052     2,208  
    300 JP MORGAN CHASE & CO 2009-01 PURCHASE 2012-08   11,447 6,297     5,150  
    300 TARGET CORP 2011-07 PURCHASE 2012-08   19,313 15,269     4,044  
    300 UNUM GROUP 2012-05 PURCHASE 2012-06   5,819 6,869     -1,050  
    325 ARCHER DANIELS MIDLAND 2008-09 PURCHASE 2012-11   8,281 7,631     650  
    325 LEXMARK INTL INC 2011-07 PURCHASE 2012-07   5,318 9,608     -4,290  
    35,000 DOW CHEMICAL CO 2009-10 PURCHASE 2012-10   35,000 35,000        
    35,000 GENERAL ELEC CAP CORP 2010-01 PURCHASE 2012-06   35,417 34,939     478  
    350 ITT CORPORATION 2011-03 PURCHASE 2012-01   7,472 7,408     64  
    350 PPG INDS INC COM 2005-12 PURCHASE 2012-11   40,997 20,323     20,674  
    350 SCHLUMBERGER LTD COM 2008-11 PURCHASE 2012-10   24,843 15,587     9,256  
    350 ZIMMER HOLDINGS INC 2011-06 PURCHASE 2012-09   22,352 21,619     733  
    355 NEXTERA ENERGY INC 2010-03 PURCHASE 2012-10   24,748 16,981     7,767  
    380 HORMEL FOODS CORP 2008-12 PURCHASE 2012-11   11,264 4,755     6,509  
    385 TYCO INTERNATIONAL LTD 2007-10 PURCHASE 2012-04   21,345 16,082     5,263  
    4,000 PITNEY BOWES INC COM 2006-03 PURCHASE 2012-02   73,456 165,555     -92,099  
    4,000 XCEL ENERGY INC 2002-07 PURCHASE 2012-10   110,448 31,950     78,498  
    4,100 PETROLEO BRASILEIRO SP ADR 2011-08 PURCHASE 2012-06   69,452 98,968     -29,516  
    4,600 CONAGRA FOODS INC 2011-01 PURCHASE 2012-11   135,673 104,092     31,581  
    40 VISA INC CL A 2011-02 PURCHASE 2012-10   5,471 3,009     2,462  
    400 CONAGRA FOODS INC 2011-01 PURCHASE 2012-11   11,797 9,243     2,554  
    400 CONOCOPHILLIPS 2009-03 PURCHASE 2012-10   22,846 11,374     11,472  
    400 FEDEX CORPORATION 2008-01 PURCHASE 2012-01   36,372 34,402     1,970  
    400 UNUM GROUP 2011-07 PURCHASE 2012-06   7,758 10,309     -2,551  
    445 HARRIS CORP DEL 2009-05 PURCHASE 2012-01   18,256 12,933     5,323  
    445 JP MORGAN CHASE & CO 2009-01 PURCHASE 2012-08   16,980 9,897     7,083  
    450 AMGEN INC COM 2008-03 PURCHASE 2012-07   36,760 18,418     18,342  
    450 AMGEN INC COM 2008-05 PURCHASE 2012-07   36,760 19,223     17,537  
    450 VISA INC CL A 2011-02 PURCHASE 2012-03   52,317 33,302     19,015  
    465 METLIFE INC 2009-07 PURCHASE 2012-02   17,665 14,452     3,213  
    5 COVIDIEN PLC 2007-11 PURCHASE 2012-11   280 192     88  
    5 PIONEER NAT RES CO COM 2008-02 PURCHASE 2012-02   536 202     334  
    50 COSTCO WHOLESALE 2002-12 PURCHASE 2012-10   5,140 1,386     3,754  
    50 LAZARD LTD 2011-12 PURCHASE 2012-03   1,520 1,151     369  
    50 VISA INC CL A 2011-02 PURCHASE 2012-03   5,813 3,761     2,052  
    50,000 FEDERAL NATL MTG ASSN MTN 2011-12 PURCHASE 2012-09   50,000 50,000        
    50,000 TARGET CORP 2007-08 PURCHASE 2012-10   59,669 47,805     11,864  
    50,000 WHIDBEY ISLAND WASH PUB HOSP 2011-06 PURCHASE 2012-12   50,000 50,000        
    500 PETROLEO BRASILEIRO SP ADR 2011-09 PURCHASE 2012-06   8,469 11,762     -3,293  
    500 WALGREEN CO COM 2011-10 PURCHASE 2012-10   17,736 16,628     1,108  
    525 AT&T INC 2009-05 PURCHASE 2012-11   17,581 13,356     4,225  
    535 ZIMMER HOLDINGS INC 2011-11 PURCHASE 2012-09   34,167 27,515     6,652  
    6,000 NABORS INDUSTRIES INC 2011-12 PURCHASE 2012-06   77,098 102,802     -25,704  
    6,400 AVON PRODUCTS INC 2012-02 PURCHASE 2012-08   97,318 118,718     -21,400  
    6,450 UNUM GROUP 2011-08 PURCHASE 2012-06   125,111 155,379     -30,268  
    6,700 SYMANTEC CORP 2009-08 PURCHASE 2012-08   117,660 104,026     13,634  
    600 DUN & BRADSTREET CORP 2011-06 PURCHASE 2012-10   48,312 44,652     3,660  
    600 DUN & BRADSTREET CORP 2012-05 PURCHASE 2012-10   48,312 39,542     8,770  
    600 VISA INC CL A 2011-02 PURCHASE 2012-02   62,921 44,403     18,518  
    65,000 DOW CHEMICAL CO 2012-03 PURCHASE 2012-10   65,000 65,000        
    675 ARCHER DANIELS MIDLAND 2008-10 PURCHASE 2012-11   17,199 13,530     3,669  
    690 XCEL ENERGY INC 2008-11 PURCHASE 2012-10   19,052 12,728     6,324  
    70 DUN & BRADSTREET CORP 2010-08 PURCHASE 2012-09   5,805 4,730     1,075  
    700 AMGEN INC COM 2008-03 PURCHASE 2012-02   48,869 28,650     20,219  
    700 COVIDIEN PLC 2006-02 PURCHASE 2012-11   39,230 22,983     16,247  
    700 DUN & BRADSTREET CORP 2011-10 PURCHASE 2012-10   56,364 45,649     10,715  
    700 EXELIS INC 2011-03 PURCHASE 2012-01   6,614 8,990     -2,376  
    700 HORMEL FOODS CORP 2008-08 PURCHASE 2012-11   20,749 12,487     8,262  
    700 NABORS INDUSTRIES INC 2011-12 PURCHASE 2012-06   8,994 11,958     -2,964  
    700 UNUM GROUP 2011-02 PURCHASE 2012-06   13,577 18,472     -4,895  
    700 VISA INC CL A 2011-02 PURCHASE 2012-03   81,383 52,661     28,722  
    700 XYLEM INC 2011-03 PURCHASE 2012-01   17,730 22,286     -4,556  
    700 ZIMMER HOLDINGS INC 2011-08 PURCHASE 2012-09   44,704 37,002     7,702  
    755 JP MORGAN CHASE & CO 2009-02 PURCHASE 2012-08   28,809 14,810     13,999  
    760 CONOCOPHILLIPS 2009-03 PURCHASE 2012-10   43,408 21,626     21,782  
    785 XCEL ENERGY INC 2011-06 PURCHASE 2012-10   21,675 18,898     2,777  
    80 CHUBB CORP COM 2007-03 PURCHASE 2012-10   6,190 4,002     2,188  
    80 COCA COLA CO COM 2008-09 PURCHASE 2012-01   5,403 4,016     1,387  
    800 CHEVRON CORP 2005-08 PURCHASE 2012-01   86,101 48,278     37,823  
    800 HARRIS CORP DEL 2011-09 PURCHASE 2012-10   40,694 28,072     12,622  
    800 RAYTHEON COMPANY 2003-01 PURCHASE 2012-10   43,794 23,996     19,798  
    800 VISA INC CL A 2011-03 PURCHASE 2012-10   109,428 57,872     51,556  
    830 WAL MART STORES INC COM 2009-06 PURCHASE 2012-01   49,160 40,300     8,860  
    85 DUN & BRADSTREET CORP 2010-08 PURCHASE 2012-01   6,677 5,747     930  
    85 ZIMMER HOLDINGS INC 2008-10 PURCHASE 2012-05   5,472 3,398     2,074  
    900 NEXTERA ENERGY INC 2011-06 PURCHASE 2012-10   62,742 50,976     11,766  
    925 MERCK & CO INC COM 2010-03 PURCHASE 2012-05   35,159 34,876     283  
    930 DUN & BRADSTREET CORP 2010-08 PURCHASE 2012-09   77,132 62,477     14,655  
    950 CHEVRON CORP 2005-08 PURCHASE 2012-11   100,743 57,330     43,413  
    950 SYMANTEC CORP 2009-08 PURCHASE 2012-12   17,741 14,750     2,991  
    975 DEVON ENERGY CORP 2009-03 PURCHASE 2012-10   58,752 47,663     11,089  

    TY 2012 GeneralExplanationAttachment
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Identifier Return Reference Explanation
    GENERAL ELECTIONS   YEAR ENDED: DECEMBER 31, 2012 23-7423789 CLARK FOUNDATION CLARK FOUNDATION 9770 SW SUNSHINE CT BEAVERTON, OR 97005-4100 ELECTION TO AMORTIZE BOND PREMIUM UNDER IRC SECTION 171(C) THE TAXPAYER ELECTS TO AMORTIZE ALL BOND PREMIUMS.

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Name of Bond End of Year Book Value End of Year Fair Market Value
    200,000 SH DOMINION RESOURCES INC 5.    
    235,000 SH DOW CHEMICAL CO 6.000% DU    
    200,000 SH JP MORGAN CHASE & CO 5.37    
    2300,000 SH INTEGRYS ENERGY 5.375% D    
    235,000 SH GENERAL ELEC CAP CORP 2.8    
    200,000 SH AT&T CORP 6.500% DUE 03-1    
    230,000 SH COMPUTER SCIENCE 5.500% D    
    35,000 SH CONOCOPHILLIPS 5.500% DUE    
    235,000 SH KEYCORP 6.500% DUE 05-14-    
    200,000 SH PACIFIC GAS & ELEC CO 6.2    
    200,000 SH WACHOVIA CORP 5.250% DUE    
    230,000 SH BANK OF AMERICA CORP 5.12    
    50,000 SH WELLS FARGO & CO 5.000% DU    
    200,000 SH SIMON PROP GROUP SPG 5.10    
    300,000 SH TARGET CORP 5.375% DUE 05    
    205,000 SH CITIGROUP INC 6.125% DUE    
    200,000 AT&T CORP 6.500% DUE 03-15-1 201,921 201,921
    35,000 CONOCOPHILLIPS 5.500% DUE 04- 35,489 35,489
    235,000 KEYCORP 6.500% DUE 05-14-13 240,044 240,044
    200,000 PACIFIC GAS & ELEC CO 6.250% 210,122 210,122
    300,000 WACHOVIA CORP 5.250% DUE 08- 319,902 319,902
    350,000 BANK OF AMERICA CORP 5.125% 373,255 373,255
    50,000 WELLS FARGO & CO 5.000% DUE 1 53,639 53,639
    300,000 SIMON PROP GROUP SPG 5.100% 330,455 330,455
    250,000 TARGET CORP 5.375% DUE 05-01 294,279 294,279
    300,000 HEWLETT PACKARD CO 2.600% DU 292,246 292,246
    250,000 CITIGROUP INC 6.125% DUE 11- 297,539 297,539
    250,000 GENERAL ELEC CAP CORP 5.625% 296,883 296,883
    250,000 XEROX CORP 6.350% DUE 05-15- 288,325 288,325
    250,000 JP MORGAN CHASE & CO 4.250% 278,031 278,031

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3,300 SH 3M CO    
    2,705 SH AETNA INC COM    
    3,400 SH ALLSTATE CORP COM    
    4,105 SH AMGEN INC COM    
    7,395 SH ARCHER DANIELS MIDLAND    
    6,465 SH AT&T INC    
    2,800 SH BECTON DICKINSON & COMPANY    
    800 SH BLACKROCK INC    
    3,965 SH BUNGE LIMITED    
    3,029 SH CHEVRON CORP    
    1,780 SH CHUBB CORP COM    
    2,055 SH COCA COLA CO COM    
    5,500 SH CONAGRA FOODS INC    
    3,015 SH CONOCOPHILLIPS    
    1,550 SH COSTCO WHOLESALE    
    4,455 SH COVIDIEN PLC    
    2,825 SH DEVON ENERGY CORP    
    2,000 SH DIAMOND OFFSHORE DRILLING    
    3,120 SH DUN & BRADSTREET CORP    
    2,580 SH EMERSON ELEC CO COM    
    5,800 SH ENERSYS    
    3,095 SH EXELIS INC    
    2,270 SH FEDEX CORPORATION    
    12,720 SH GENERAL ELEC CO COM    
    6,305 SH HARRIS CORP DEL    
    5,800 SH HONDA MOTOR CO LTD SPONS AD    
    4,080 SH HORMEL FOODS CORP    
    9,135 SH INTEL CORP COM    
    1,547 SH ITT CORPORATION    
    6,205 SH JOHNSON CONTROLS INC    
    7,730 SH JP MORGAN CHASE & CO    
    2,600 SH L-3 COMMUNICATIONS HLDS    
    50 SH LAZARD LTD    
    4,000 SH LEXMARK INTL INC    
    2,515 SH MCKESSON CORP    
    7,175 SH MERCK & CO INC COM    
    4,915 SH METLIFE INC    
    11,600 SH MICROSOFT CORP COM    
    3,775 SH MOLSON COORS BREWING-B    
    1,615 SH MURPHY OIL CORP    
    6,700 SH NABORS INDUSTRIES INC    
    2,035 SH NESTLE SA ADR    
    3,155 SH NEXTERA ENERGY INC    
    4,600 SH PETROLEO BRASILEIRO SP ADR    
    205 SH PIONEER NAT RES CO COM    
    8,050 SH PITNEY BOWES INC COM    
    2,585 SH PNC BK CORP COM    
    3,700 SH PORTLAND GENERAL ELECTRIC    
    2,505 SH PPG INDS INC COM    
    6,565 SH RAYTHEON COMPANY    
    4,820 SH ROYAL DUTCH SHELL PLC ADR A    
    1,990 SH SCHLUMBERGER LTD COM    
    3,295 SH STATE STREET CORP    
    13,500 SH SYMANTEC CORP    
    3,200 SH TARGET CORP    
    3,325 SH TE CONNECTIVITY LTD    
    4,735 SH TYCO INTERNATIONAL LTD    
    7,550 SH UNUM GROUP    
    4,745 SH US BANCORP    
    5,420 SH VERIZON COMMUNICATIONS    
    2,790 SH VISA INC CL A    
    4,120 SH WAL MART STORES INC COM    
    7,450 SH WALGREEN CO COM    
    6,690 SH XCEL ENERGY INC    
    3,095 SH XYLEM INC    
    3,415 SH ZIMMER HOLDINGS INC    
    3,375 SH 3M CO 313,368 313,368
    2,167 SH ADT CORPORATION 100,743 100,743
    3,405 SH AETNA INC COM 157,685 157,685
    3,400 SH ALLSTATE CORP COM 136,578 136,578
    3,205 SH AMGEN INC COM 276,271 276,271
    10,265 SH ARCHER DANIELS MIDLAND 281,158 281,158
    7,540 SH AT&T INC 254,173 254,173
    3,800 SH BECTON DICKINSON & COMPANY 297,122 297,122
    1,100 SH BLACKROCK INC 227,381 227,381
    53,100 SH BOSTON SCIENTIFIC CORP 304,263 304,263
    2,940 SH BUNGE LIMITED 213,708 213,708
    2,079 SH CHEVRON CORP 224,823 224,823
    855 SH CHUBB CORP COM 64,398 64,398
    2,515 SH CONOCOPHILLIPS 145,844 145,844
    20,050 SH CORNING INC 253,031 253,031
    4,605 SH COVIDIEN PLC 265,892 265,892
    3,800 SH DEVON ENERGY CORP 197,752 197,752
    3,805 SH EMERSON ELEC CO COM 201,512 201,512
    5,800 SH ENERSYS 218,254 218,254
    7,575 SH EPIQ SYSTEMS INC. 96,581 96,581
    1,870 SH FEDEX CORPORATION 171,516 171,516
    6,000 SH FIRST INTERSTATE BANCSYSTEM 92,580 92,580
    5,025 SH GAMESTOP CORP CL A 126,077 126,077
    15,870 SH GENERAL ELEC CO COM 333,111 333,111
    3,750 SH HELMERICH & PAYNE 210,037 210,037
    5,800 SH HONDA MOTOR CO LTD SPONS AD 214,252 214,252
    8,775 SH HOSPIRA INC 274,131 274,131
    16,435 SH INTEL CORP COM 338,889 338,889
    9,505 SH JOHNSON CONTROLS INC 291,518 291,518
    7,530 SH JP MORGAN CHASE & CO 331,087 331,087
    2,2575 SH KEYCORP NEW COM 190,081 190,081
    3,000 SH L-3 COMMUNICATIONS HLDS 229,860 229,860
    2,865 SH MCKESSON CORP 277,790 277,790
    8,425 SH MDU RESOURCES GROUP 178,947 178,947
    7,975 SH MERCK & CO INC COM 326,496 326,496
    16,725 SH MICROSOFT CORP COM 446,719 446,719
    6,275 SH MOLSON COORS BREWING-B 268,507 268,507
    9,200 SH MORGAN STANLEY 175,904 175,904
    3,130 SH MURPHY OIL CORP 186,391 186,391
    10,450 SH NCR CORP NEW COM 266,266 266,266
    8,000 SH PACIFIC CONTINENTAL CORP 77,840 77,840
    1,040 SH PENTAIR INC 51,116 51,116
    11,000 SH PEOPLES UNITED FINANCIAL 132,990 132,990
    1,907 SH PHILLIPS 66 101,261 101,261
    11,000 SH PITNEY BOWES INC COM 117,040 117,040
    4,685 SH PNC BK CORP COM 273,182 273,182
    830 SH PPG INDS INC COM 112,340 112,340
    2,515 SH RAYTHEON COMPANY 144,763 144,763
    3,445 SH ROYAL DUTCH SHELL PLC ADR A 237,532 237,532
    840 SH SCHLUMBERGER LTD COM 58,210 58,210
    21,200 SH SOUTHWEST AIRLINES 217,088 217,088
    21,500 SH STAPLES INC 245,100 245,100
    4,220 SH STATE STREET CORP 198,382 198,382
    5,025 SH TARGET CORP 297,329 297,329
    6,275 SH TE CONNECTIVITY LTD 232,928 232,928
    6,325 SH TECK RESOURCES LTD 229,913 229,913
    2,000 SH TIME WARNER INC 95,660 95,660
    4,335 SH TYCO INTERNATIONAL LTD 126,798 126,798
    6,245 SH US BANCORP 199,465 199,465
    6,945 SH VERIZON COMMUNICATIONS 300,510 300,510
    840 SH VISA INC CL A 127,327 127,327
    2,170 SH WAL MART STORES INC COM 148,059 148,059
    7,700 SH WALGREEN CO COM 284,977 284,977
    4,25 SH WASHINGTON POST CL B 155,214 155,214
    2,115 SH XCEL ENERGY INC 56,491 56,491
    5,025 SH ZIMMER HOLDINGS INC 334,966 334,966

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    US Government Securities - End of Year Book Value:

    4,868,198
    US Government Securities - End of Year Fair Market Value:

    4,868,198
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2012 InvestmentsOtherSchedule2
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    8,850 SH ISHARES RUSSELL 2000 FMV 746,213 746,213
    16,025 SH VANGUARD MSCI EUROPEAN EFT FMV 782,661 782,661

    TY 2012 LegalFeesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 5,883      


    TY 2012 OtherDecreasesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Description Amount
    UNREALIZED LOSS ON INVESTMENTES 51,017


    TY 2012 OtherExpensesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    OFFICE SUPPLIES 333      
    BANK SERVICE CHARGE 2,171      
    LICENSES AND PERMITS 50      
    BROKERAGE FEE 600 600    
    WEB HOSTING 333      


    TY 2012 OtherIncomeSchedule2
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    TAX EXEMPT MUNICIPAL INTEREST 9,468 9,468  
    LIMITED PARTNERSHIP INCOME 8    


    TY 2012 OtherIncreasesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Description Amount
    TRANSFERS FROM OTHER FOUNDATIONS 3,718,658


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEE 83,530 83,530    
    ADMINISTRATIVE FEE 3,000      


    TY 2012 TaxesSchedule
    Name:
    CLARK FOUNDATION
    EIN: 23-7423789
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN DIVIDEND TAX 3,447 3,447    
    STATE TAXES 1,400      
    FEDERAL INCOME TAX 6,965