Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 07-01-2013 , and ending 06-30-2014
Name of foundation
CLARK-HALLADAY MEMORIAL FOUNDATION
MR FRANK A HIGGINS TRUSTEE

Number and street (or P.O. box number if mail is not delivered to street address)8137 NORTH MILWAUKEE AVENUE   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NILES, IL60714
A Employer identification number

36-2477187
B Telephone number (see instructions)

(847) 967-8800
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E 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$2,485,103
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 37 37  
4 Dividends and interest from securities...... 87,111 87,111  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 185,768
b Gross sales price for all assets on line 6a 330,240
7 Capital gain net income (from Part IV, line 2)... 185,768
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)....... 316 316  
12 Total. Add lines 1 through 11........ 273,232 273,232  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 20,000 15,000   5,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 4,480 4,480   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 315 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,001 751   250
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 15 11   4
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,811 20,242   5,254
25 Contributions, gifts, grants paid........ 120,700 120,700
26 Total expenses and disbursements. Add lines 24 and 25 146,511 20,242   125,954
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 126,721
b Net investment income (if negative, enter -0-) 252,990
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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............... 20,954 23,254 23,254
2 Savings and temporary cash investments.......... 18,381 20,694 20,694
3 Accounts receivable bullet323
Less: allowance for doubtful accounts bullet   323 323 323
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 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)      
b Investments—corporate stock (attach schedule)........ 942,033 Click to see attachment1,064,141 2,440,832
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
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) 981,691 1,108,412 2,485,103
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 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......... 981,691 1,108,412
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see page 17 of the
instructions).................... 981,691 1,108,412
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 981,691 1,108,412
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)............... 1 981,691
2 Enter amount from Part I, line 27a..................... 2 126,721
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 1,108,412
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,108,412
Form 990-PF (2013)
Form 990-PF (2013)
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.)
1 a CH ENERGY GROUP INC CHG   2007-06-30 2013-07-09
b BANK OF AMERICA 7.25% NON-CUM PERPET PFD SER J   2007-11-14 2013-08-01
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 305,240   119,472 185,768
b 25,000   25,000 0
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       185,768
b       0
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 2 185,768
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))
2012 122,443 2,279,146 0.053723
2011 114,249 2,095,036 0.054533
2010 94,356 1,876,978 0.050270
2009 87,241 1,677,477 0.052007
2008 86,191 1,636,667 0.052663
2 Total of line 1, column (d) ...................... 2 0.263196
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 0.052639
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 2,339,965
5 Multiply line 4 by line 3....................... 5 123,173
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,530
7 Add lines 5 and 6......................... 7 125,703
8 Enter qualifying distributions from Part XII, line 4.............. 8 125,954
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 (2013)
Form 990-PF (2013)
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 2,530
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 0
3 Add lines 1 and 2............................ 3 2,530
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,530
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 965
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.............. 7 965
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,565
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 2014 estimated taxBullet   RefundedBullet 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletIL
    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 2013 or the taxable year beginning in 2013 (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 ofbulletMR FRANK A HIGGINS TRUSTEE Telephone no.bullet (847) 967-8800
    Located atbullet8137 N MILWAUKEE AVENUENILESIL ZIP+4bullet60714
    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 2013, did the foundation have an interest in or a signature or other authority over YesNo
    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 (2013)
    Form 990-PF (2013)
    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
     
    No
    .........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 2013?.............
    1c
     
    No
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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 2013 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 2013.)....................
    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 2013?
    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 (2013)
    Form 990-PF (2013)
    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
    JOHN B PARKER TRUSTEE
    5.00
    10,000 0 0
    25931 WELD COUNTY ROAD UNIT 16
    KEENESBURG,CO80643
    FRANK A HIGGINS TRUSTEE
    5.00
    10,000 0 0
    8137 N MILWAUKEE AVENUE
    NILES,IL60714
    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 0
    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.............bullet0
    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 NONE 0
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    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
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    116,998
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    2,530
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,530
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    114,468
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    114,468
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    114,468
    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
     
    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
     
    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
     
    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 (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2012
    (c)
    2012
    (d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 114,468
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008....... 5,500
    b From 2009....... 4,454
    c From 2010....... 1,723
    d From 2011....... 10,715
    e From 2012....... 11,008
    fTotal of lines 3a through e......... 33,400
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 125,954
    a Applied to 2012, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
    0
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2013 distributable amount..... 114,468
    e Remaining amount distributed out of corpus 11,486
    5 Excess distributions carryover applied to 2013. 0 0
    (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 44,886
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
    0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...
    5,500
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......
    39,386
    10 Analysis of line 9:
    a Excess from 2009.... 4,454
    b Excess from 2010.... 1,723
    c Excess from 2011.... 10,715
    d Excess from 2012.... 11,008
    e Excess from 2013.... 11,486
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 2013, 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) 2013 (b) 2012 (c) 2011 (d) 2010
             
    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 address of the person to whom applications should be addressed:
    MR FRANK A HIGGINS
    8137 N MILWAUKEE AVENUE
    NILES,IL60714
    (847) 967-8800
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM AND PROOF OF EXEMPTION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2013)
    Form 990-PF (2013)
    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
    A HOME FOR SPOT ANIMAL RESCUE
    8908 WOLF DANCER AVE
    LAS VEGAS,NV89143
    NONE   TO FURTHER CIVIC AND EDUCATIONAL PURPOSES 500
    ALLEMAN HIGH SCHOOL
    1103 40TH STREET
    ROCK ISLAND,IL61201
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 1,000
    ANCHOR CENTER FOR BLIND CHILDREN
    2550 ROSLYN STREET
    DENVER,CO80238
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 2,000
    ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES
    PO BOX 927
    UPLAND,CA91785
    NONE   TO FURTHER CIVIC AND EDUCATIONAL PURPOSES 250
    BOY SCOUTS OF AMERICA TIDEWATER COUNCIL
    1032 HETHERWOOD DRIVE
    VIRGINIA BEACH,VA23455
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 2,000
    CHICAGO KENT COLLEGE OF LAW
    565 W ADAMS SUITE 310
    CHICAGO,IL60661
    NONE   TO FURTHER CIVIC AND EDUCATIONAL PURPOSES 2,000
    CITIZENS SCHOLARSHIP FND OF NILES CHAMBER OF COMMERCE
    8060 OAKTON STREET
    NILES,IL60714
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 500
    CITY OF HOPE
    1500 EAST DUARTE ROAD
    DUARTE,CA91010
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 2,000
    DE LASALLE INSTITUTE
    3455 S WABASH AVENUE
    CHICAGO,IL60616
    NONE   TO FURTHER RELIGIOUS AND EDUCATIONAL PURPOSES 2,000
    DON KRIZ YOUTH FARM INC
    PO BOX 1150
    GLENWOOD SPRINGS,CO81602
    NONE   TO FURTHER CIVIC AND EDUCATIONAL PURPOSES 5,000
    FRIENDS OF ROOS-N-MORE
    746 SNOWDEN RANCH ROAD
    MOAPA,NV89025
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 2,000
    GIRL SCOUTS OF THE USA FUND DEVELOPMENT
    PO BOX 5046
    NEW YORK,NY10087
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 200
    HELP FOR BRAIN INJURED CHILDREN INC
    981 N EUCLID AVENUE
    LA HABRA,CA90631
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 3,000
    IMMACULATE CONCEPTION CATHOLIC CHURCH
    1415 N NORTHPARK AVENUE
    CHICAGO,IL60610
    NONE   TO FURTHER RELIGIOUS AND EDUCATIONAL PURPOSES 1,000
    INDUSTRY SHERIFF YOUTH ACTIVITIES LEAGUE
    150 N HUDSON AVENUE
    INDUSTRY,CA91745
    NONE   TO FURTHER CIVIC AND EDUCATIONAL PURPOSES 2,500
    JOSEPH ACADEMY
    8237 HARRISON STREET
    NILES,IL60648
    NONE   TO FURTHER RELIGIOUS AND EDUCATIONAL PURPOSES 500
    LIPONI FOUNDATION FOR SPECIAL RECREATION
    6820 W DEMPSTER STREET
    MORTON GROVE,IL60053
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 250
    LITTLE BROTHERS FRIEND OF THE ELDERLY
    355 N ASHLAND AVENUE
    CHICAGO,IL60607
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 500
    MERCY HOME OF BOYS AND GIRLS
    1140 W JACKSON BOULEVARD
    CHICAGO,IL60607
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 500
    NILES HISTORICAL SOCIETY
    7900 N MILWAUKEE AVENUE
    NILES,IL60714
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 500
    NILES LIONS CLUB
    700 RALEIGH ROAD
    GLENVIEW,IL60025
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 3,250
    PROFESSIONAL RODEO COWBOYS ASSOCIATION
    101 PRO RODEO DR
    COLORADO SPRINGS,CO80919
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 10,000
    SOCIETY OF THE LITTLE FLOWER
    1313 FRONTAGE RD
    DARIEN,IL60561
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 500
    ST ANDREWS CHURCH
    304 PARK AVENUE
    LUPTON,CA80621
    NONE   TO FURTHER RELIGIOUS AND EDUCATIONAL PURPOSES 1,000
    ST MARKS LUTHERAN SCHOOL
    2323 LAS LOMITAS DR
    HACIENDA HEIGHTS,CA91745
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 500
    TABOR ACADEMY
    66 SPRING STREET
    MARION,MA02738
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 10,000
    THE GARY CENTER
    341 HILLCREST STREET
    LA HABRA,CA90631
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 3,000
    UCI FOUNDATION CANCER RESEARCH
    236 SPRAGUE HALL
    IRVINE,CA92697
    NONE   TO FURTHER EDUCATIONAL PURPOSES 25,000
    UCI FOUNDATION HEART RESEARCH
    100 THEORY
    IRVINE,CA92617
    NONE   TO FURTHER EDUCATIONAL PURPOSES 5,000
    UCI FOUNDATION UROLOGY RESEARCH
    333 CITY BLVD W
    ORANGE,CA92868
    NONE   TO FURTHER EDUCATIONAL PURPOSES 2,500
    UNIVERSITY OF COLORADO FOUNDATION-FOOTBALL SCHOLARSHIPS
    4740 WALNUT STREET
    BOULDER,CO80301
    NONE   TO FURTHER EDUCATIONAL PURPOSES 10,000
    UNIVERSITY OF COLORADO FOUNDATION-SUSTAINABLE EXCELLENCE INITIATIVE
    4740 WALNUT STREET
    BOULDER,CO80301
    NONE   TO FURTHER EDUCATIONAL PURPOSES 10,000
    UNIVERSITY OF WYOMING
    1200 E IVINSON STREET
    LARAMIE,WY82070
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 10,000
    WILD ANIMAL SANCTUARY
    1946 WCR 53
    KEENESBURG,CO80643
    NONE   TO FURTHER CHARITABLE AND EDUCATIONAL PURPOSES 1,000
    YMCA OF UPLAND
    1150 E FOOTHILL BLVD
    UPLAND,CA91786
    NONE   TO FURTHER CHARITABLE AND CIVIC PURPOSES 750
    Total .................................bullet 3a 120,700
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    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
    aNONE          
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............
        14 37  
    4 Dividends and interest from securities....     14 87,111  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............
        18 185,768  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aMISCELLANEOUS 900099       316
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 272,916 316
    13Total. Add line 12, columns (b), (d), and (e)..................
    13273,232
    (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.)
    11A MISCELLANEOUS CASH RECEIPT RELATED TO THE EXEMPT FUNCTION.
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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 (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    CLARK-HALLADAY MEMORIAL FOUNDATION
    MR FRANK A HIGGINS TRUSTEE
    EIN: 36-2477187
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 4,480 4,480   0

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    CLARK-HALLADAY MEMORIAL FOUNDATION
    MR FRANK A HIGGINS TRUSTEE
    EIN: 36-2477187
    Name of Stock End of Year Book Value End of Year Fair Market Value
    APPLE INC. - 100 SHARES 25,667 65,051
    AT&T, INC. - 4339 SHARES 27,763 153,427
    BARCLAYS BANK PLC ADR SERIES PREFERRED - 1000 SHARES 25,000 25,860
    CITIGROUP NEW - 500 SHARES 26,782 23,550
    CITIGROUP INC 5.8% PFD 22,995 24,400
    CLECO CORP. - 4000 SHARES 20,887 235,800
    CONOCO PHILLIPS - 500 SHARES 33,881 42,865
    CONSOLIDATED EDISON, INC. - 500 SHARES 18,870 28,870
    DEUTSCHE BANK CONTINGENT CAPITAL PREFERRED - 1000 SHARES 25,000 28,380
    DOMINION RESOURCES, INC. NEW - 1500 SHARES 15,210 107,280
    DUKE ENERGY - 975 SHARES 41,604 71,000
    EMPIRE DISTRICT ELECTRIC CO. - 300 SHARES 6,345 7,704
    F&C/CLAYMORE PFD SECS INCOME FUND, INC. - 1500 SHARES 37,500 29,400
    FIRSTENERGY CORP. - 1000 SHARES 35,326 34,720
    FRONTIER COMMUNICATIONS CORP. - 240 SHARES 1,958 1,402
    HALLIBURTON COMPANY - 1200 SHARES 44,450 85,212
    HSBC HOLDINGS PLC PREFERRED - 1000 SHARES 25,000 26,200
    INTERNATIONAL BUSINESS MACHINES - 1200 SHARES 29,998 217,524
    INTEGRYS ENERGY GROUP - 825 SHARES 21,265 58,682
    MASSACHUSETTS INVESTORS TRUST A - 9381 SHARES 107,022 270,829
    MASTERCARD INC CL A - 500 SHARES 41,142 36,735
    MERCK & CO INC - 500 SHARS 24,656 28,925
    MFS MULTIMARKET INCOME TRUST - 5000 SHARES 48,384 33,250
    NEXTERA ENERGY INC. - 1600 SHARES 24,033 163,968
    NUVEEN PREFERRED & INCOME FUND - 1200 SHARES 30,664 28,176
    PEPCO HOLDINGS INC. - 1500 SHARES 23,785 41,220
    PHILIP MORRIS INTERNATIONAL, INC. - 1850 SHARES 42,247 155,973
    SEMPRA ENERGY A - 1000 SHARES 18,954 104,710
    SPECTRA ENERGY CORP - 1000 SHARES 35,676 42,480
    THE SOUTHERN COMPANY - 1000 SHARES 44,431 45,380
    UNITEDHEALTH GROUP - 500 SHARES 37,017 40,875
    VECTREN - 1000 SHARES 23,413 42,500
    VERIZON COMMUNICATIONS COM - 1000 SHARES 29,582 58,569
    VODAFONE GROUP PLC - 750 SHARES 0 13,657
    WISCONSIN ENERGY CORP. - 1000 SHARES 30,432 46,920
    XCEL ENERGY INC. - 600 SHARES 17,202 19,338

    TY 2013 OtherExpensesSchedule
    Name:
    CLARK-HALLADAY MEMORIAL FOUNDATION
    MR FRANK A HIGGINS TRUSTEE
    EIN: 36-2477187
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOUS 15 11   4


    TY 2013 OtherIncomeSchedule2
    Name:
    CLARK-HALLADAY MEMORIAL FOUNDATION
    MR FRANK A HIGGINS TRUSTEE
    EIN: 36-2477187
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISCELLANEOUS 316 316 316


    TY 2013 TaxesSchedule
    Name:
    CLARK-HALLADAY MEMORIAL FOUNDATION
    MR FRANK A HIGGINS TRUSTEE
    EIN: 36-2477187
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL INCOME TAX PAID 315 0   0