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 01-01-2013 , and ending 12-31-2013
Name of foundation
CLERMONT FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)C/O GLORIA CHOONG PO BOX 429   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SUMMIT, NJ079020429
A Employer identification number

22-3177379
B Telephone number (see instructions)

(908) 273-5085
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$6,063,080J 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) 180,440
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 161,296 142,279  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 337,668
b Gross sales price for all assets on line 6a 2,464,012
7 Capital gain net income (from Part IV, line 2)... 337,668
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).......      
12 Total. Add lines 1 through 11........ 679,404 479,947  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 11,500 5,750   5,750
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 3,322 3,292   30
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,125 2,049   76
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,947 11,091   5,856
25 Contributions, gifts, grants paid........ 281,850 281,850
26 Total expenses and disbursements. Add lines 24 and 25 298,797 11,091   287,706
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 380,607
b Net investment income (if negative, enter -0-) 468,856
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............... 15,864 122,681 122,681
2 Savings and temporary cash investments.......... 355,732 441,158 441,158
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 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)........      
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)........... 3,054,694 Click to see attachment3,256,105 4,930,686
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment366,906 Click to see attachment415,359 Click to see attachment568,555
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,793,196 4,235,303 6,063,080
Liabilities 17 Accounts payable and accrued expenses.......... 600 62,100
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).......... 600 62,100
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......... 2,285,339 2,285,339
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 1,507,257 1,887,864
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,792,596 4,173,203
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,793,196 4,235,303
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 3,792,596
2 Enter amount from Part I, line 27a..................... 2 380,607
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 4,173,203
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 4,173,203
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 SCHWAB 0296 P    
b SCHWAB 0296 P    
c SCHWAB 4262 P    
d SCHWAB 4262 P    
e SCHWAB 3936 P    
SCHWAB 3936 P    
ST LOSS- SB ASIA REDUX LLC K-1 P    
LT GAIN-SB ASIA REDUX LLC K-1 P    
CAPITAL GAINS DIVIDENDS P    
(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 4,842   5,089 -247
b 27,116   25,090 2,026
c 8,467   8,556 -89
d 36,663   31,874 4,789
e 786,082   771,172 14,910
1,598,263   1,324,975 273,288
      -491
      40,903
2,579     2,579
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       -247
b       2,026
c       -89
d       4,789
e       14,910
      273,288
      -491
      40,903
      2,579
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 2 337,668
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 239,803 4,363,725 0.054954
2011 208,839 4,309,851 0.048456
2010 186,842 4,213,009 0.044349
2009 141,177 3,502,497 0.040308
2008 168,566 3,880,698 0.043437
2 Total of line 1, column (d) ...................... 2 0.231504
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 0.046301
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 5,365,425
5 Multiply line 4 by line 3....................... 5 248,425
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,689
7 Add lines 5 and 6......................... 7 253,114
8 Enter qualifying distributions from Part XII, line 4.............. 8 287,706
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 4,689
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 4,689
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 4,689
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 5,626
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 8,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 13,626
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 8,937
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet8,937 RefundedBullet 11 0
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)
    bulletNJ
    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 ofbulletMARTHA KEITH TRUSTEE Telephone no.bullet (908) 273-5085
    Located atbulletC/O GLORIA CHOONG PO BOX 429SUMMITNJ ZIP+4bullet079020429
    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
     
     
    .........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
    MARTHA H KEITH TRUSTEE
    1.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    GARNETT L KEITH TRUSTEE
    1.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    GLORIA CHOONG SECRETARY
    5.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    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
     
    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
    268,271
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    4,689
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,689
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    263,582
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    263,582
    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
    263,582
    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 7 263,582
    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.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012....... 28,089
    fTotal of lines 3a through e......... 28,089
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 287,706
    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..... 263,582
    e Remaining amount distributed out of corpus 24,124
    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 52,213
    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) ...     		0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		52,213
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012.... 28,089
    e Excess from 2013.... 24,124
    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).)
    GARNETT L KEITH
    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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    AGNES SCOTT COLLEGE
    141 EAST COLLEGE AVE
    DECATUR,GA300303770     		NONE EXEMPT EDUCATION 5,000
    AMERICAN RED CROSS NEW JERSEY CROSSROADS
    695 SPRINGFIELD AVE
    SPRINGFIELD,NJ07901     		NONE EXEMPT HEALTH 2,000
    AMNESTY INTERNATIONAL USA
    5 PENN PLAZA
    NEW YORK,NY100011810     		NONE EXEMPT HEALTH 1,000
    ASPEN MUSIC FESTIVAL & SCHOOL
    2 MUSIC SCHOOL ROAD
    ASPEN,CO81611     		NONE EXEMPT ARTS 2,000
    BETA PSI FOUNDATION
    6400 POWERS FERRY RD STE 400
    ATLANTA,GA30339     		NONE EXEMPT EDUCATION 1,000
    BREAD FOR THE WORLD INSTITUTE
    425 3RD ST SW STE 1200
    WASHINGTON,DC20024     		NONE EXEMPT SOCIAL SERVICE 5,000
    CAMP SOUTHERN GROUND
    259 GLYNN ST SO
    FAYETTEVILLE,GA30214     		NONE EXEMPT EDUCATION 5,000
    CIVIL WAR PRESERVATION TRUST
    1331 H ST STE 1001
    WASHINGTON,DC20005     		NONE EXEMPT EDUCATION 1,000
    CLAYTON CENTURY FOUNDATION
    10 N BEMISTON
    CLAYTON,MO63105     		NONE EXEMPT SOCIAL SERVICE 500
    DIRECT RELIEF INTERNATIONAL
    27 S LA PATERA LN
    SANTA BARBARA,CA93107     		NONE EXEMPT HEALTH 5,000
    DOCTORS WITHOUT BORDERS
    333 SEVENTH AVE 2ND FL
    NEW YORK,NY10001     		NONE EXEMPT HEALTH 9,000
    DUKE UNIVERSITY (CLASS OF 1960)
    PO BOX 90581
    DURHAM,NC277080581     		NONE EXEMPT EDUCATION 4,000
    EMMA WILLARD SCHOOL
    285 PAULING AVE
    TROY,NY121809967     		NONE EXEMPT EDUCATION 1,000
    ENVIRONMENTAL DEFENSE
    257 PARK AVE S
    NEW YORK,NY10010     		NONE EXEMPT ENVIRONMENT 2,000
    GALLATIN VALLEY LAND TRUST
    PO BOX 7021
    BOZEMAN,MT597717021     		NONE EXEMPT ENVIRONMENT 6,000
    GTF INC
    760 SPRING ST NW STE 400
    ATLANTA,GA30308     		NONE EXEMPT EDUCATION 5,000
    GEORGIA TECH FOUNDATION ROLL CALL
    190 NORTH AVENUE NW
    ATLANTA,GA303132550     		NONE EXEMPT EDUCATION 250
    GEORGIA TECH FOUNDATION
    760 SPRING ST NW STE 400
    ATLANTA,GA30308     		NONE EXEMPT EDUCATION 10,000
    GIANT STEPS THERAPEUTIC EQUESTRIAN CENTER
    PO BOX 4855
    PETALUMA,CA949554855     		NONE EXEMPT HEALTH 500
    GREATER FOUR CORNER ACTION COALITION EASTERN SERVICE WORKERS ASSN
    247 BOWDOIN ST
    DORCHESTER,MA02122     		NONE EXEMPT SOCIAL SERVICE 7,000
    HARVARD BUSINESS SCHOOL FUND
    SOLDIERS FIELD RD
    BOSTON,MA021639904     		NONE EXEMPT EDUCATION 500
    LAHEY CLINIC
    41 MALL ROAD
    BURLINGTON,MA01805     		HEALTH EXEMPT HEALTH 2,000
    LEXINGTON FIREFIGHTERS AIDE AND RELIEF ASSN
    45 BEDFORD ST PO BOX 186
    LEXINGTON,MA02421     		NONE EXEMPT SOCIAL SERVICES 500
    LEXINGTON HISTORICAL SOCIETY
    13 DEPOT SQ PO BOX 514
    LEXINGTON,KY02420     		NONE EXEMPT EDUCATION 500
    LEXINGTON SYMPHONY
    PO BOX 194
    LEXINGTON,MA024200002     		NONE EXEMPT ARTS 1,000
    LEXINGTON YOUTH AND FAMILY SERVICES
    7 HARRINGTON ROAD
    LEXINGTON,MA02421     		NONE EXEMPT SOCIAL SERVICE 6,000
    LOOMIS CHAFFEE SCHOOL
    4 BATCHELDER RD PO BOX 600
    WINDSOR,CT060959956     		NONE EXEMPT EDUCATION 6,000
    MAYO FOUNDATION
    200 FIRST ST SW
    ROCHESTER,MN55905     		NONE EXEMPT HEALTH 10,000
    MCLEAN HOSPITAL
    115 MILL STREETMAIL STOP 126
    BELMONT,MA024781064     		NONE EXEMPT HEALTH 50,000
    MONTANA STATE UNIVERSITY
    400 CULBERTSON HALL PO BOX 172260
    BOZEMAN,MT597174160     		NONE EXEMPT EDUCATION 20,000
    MYSTIC CHORALE
    5 CONCORD AVE 63
    CAMBRIDGE,MA02138     		NONE EXEMPT ARTS 500
    NEWARK MUSEUM
    49 WASHINGTON STREET
    NEWARK,NJ07101     		NONE EXEMPT ARTS 5,000
    NORTHFIELD MOUNT HERMON GIFT RECORDING OFFICE-NORTON HOUSE
    ONE LAMPLIGHTER WAY
    MT HERMON,MA01354     		NONE EXEMPT EDUCATION 10,000
    NORTHWEST FURNITURE BANK
    117 PUYALLUP AVE
    TACOMA,WA98421     		NONE EXEMPT SOCIAL SERVICES 1,000
    OVERLOOK HOSPITAL FOUNDATION
    35 UPPER OVERLOOK RD
    SUMMIT,NJ079020220     		NONE EXEMPT HEALTH 1,000
    PARK LAKE PRESBYTERIAN CHURCH
    309 E COLONIAL DR
    ORLANDO,FL328011286     		NONE EXEMPT RELIGION 10,000
    PROJECT RENEWAL
    200 VARICK ST
    NEW YORK,NY10014     		NONE EXEMPT SOCIAL SERVICE 2,000
    SHALLOWFORD PRESBYTERIAN CHURCH
    2375 SHALLOWFORD RD NE
    ATLANTA,GA30345     		NONE EXEMPT RELIGION 5,000
    SNOWMASS WILDCAT FIRE DEPARTMENT
    BOX 6436
    SNOWMASS VILLAGE,CO81615     		NONE EXEMPT HEALTH 500
    ST MATTHEWS PARISH CHURCH
    1031 BIENVENEDA AVE PO BOX 37
    PACIFIC PALISADES,CA90272     		NONE EXEMPT RELIGION 10,300
    SUMMIT VOLUNTEER FIRST AID SQUAD
    PO BOX 234
    SUMMIT,NJ079020234     		NONE EXEMPT HEALTH 500
    THE BOZEMAN DHARMA CENTER
    1019 EAST MAIN ST STE 202
    BOZEMAN,MT59715     		NONE EXEMPT HEALTH 30,000
    THE SCHOOL FOR CHILDREN WITH HIDDEN INTELLIGENCE
    812 EAST COUNTY LINE RD
    LAKEWOOD,NJ08701     		NONE EXEMPT EDUCATION 5,000
    THICH NHAT HANH FOUNDATION
    2499 MELRU LN
    ESCONDIDO,CA92026     		NONE EXEMPT HEALTH 2,000
    TUFTS UNIVERSITY
    80 GEORGE ST STE 200-3
    MEDFORD,MA021557056     		NONE EXEMPT EDUCATION 6,000
    US FUND FOR UNICEF
    125 MAIDEN LN
    NEW YORK,NY10038     		NONE EXEMPT HEALTH 3,000
    UCLA FOUNDATION
    10920 WILSHIRE BLVD
    LOS ANGELES,CA90024     		NONE EXEMPT HEALTH 4,000
    UNC MEDICAL FOUNDATION
    800 MLK JR BLVD
    CHAPEL HILL,NC275142600     		NONE EXEMPT HEALTH 4,000
    UNIVERSITY OF IDAHO FOUNDATION CHEMICAL ENGINEERING
    875 PERIMETER DR PO BOX 443147
    MOSCOW,ID838443147     		NONE EXEMPT EDUCATION 6,000
    UNIVERSITY OF WASHINGTON FOUNDATION CHEMICAL ENGINEERING ENDOWMENT
    1200 5TH AVE STE 500
    SEATTLE,WA981011116     		NONE EXEMPT EDUCATION 6,000
    WGBH
    ONE GUEST STREETPO BOX 55875
    BOSTON,MA022055875     		NONE EXEMPT EDUCATION 1,300
    Total .................................bullet 3a 281,850
    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
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....     18 161,296  
    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 .............     		    18 337,668  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 498,964 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13498,964
    (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 (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    CLERMONT FOUNDATION
     
    Employer identification number

    22-3177379
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    CLERMONT FOUNDATION
          		Employer identification number

    22-3177379
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$19,030


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$22,425


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$14,656


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$16,120


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$11,974


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$12,135


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Name of organization
    CLERMONT FOUNDATION
          		Employer identification number

    22-3177379
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$18,624


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$12,158


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$14,145


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$13,210


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$8,204


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
     
     

    GARNETT L MARTHA H KEITH  
    PO BOX 429
     
    SUMMIT, NJ079020429

    		$17,759


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    CLERMONT FOUNDATION
          		Employer identification number

    22-3177379
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1100 SHARES GENERAL ELECTRIC $29,507 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 430 SHARES GENUINE PARTS CO $35,099 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    3
    		 32 SHARES GOOGLE,INC CL A $34,048 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    4
    		 500 SHARES LABORATORY CORP OF AMERICA HOLDINGS $51,873 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    5
    		 460 SHARES LOWE'S COS INC $22,039 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    6
    		 250 SHARES MEDTRONIC,INC $14,348 2013-11-26
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Name of organization
    CLERMONT FOUNDATION
          		Employer identification number

    22-3177379
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    7
    		 600 SHARES QUEST DIAGNOSTICS INC $36,852 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    8
    		 200 SHARES SCHLUMBERGER N.V. $17,628 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    9
    		 750 SHARES STARWOOD PROPERTY TRUST, INC $20,756 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    10
    		 250 SHARES STRYKER CORP. $18,710 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    11
    		 400 SHARES WILLIAMS COMPANIES, INC $14,146 2013-11-26
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    12
    		 700 SHARES WILLIAMS COMPANIES, INC $24,755 2013-11-26
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    CLERMONT FOUNDATION
          		Employer identification number

    22-3177379
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 AccountingFeesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 11,500 5,750   5,750

    TY 2013 InvestmentsOtherSchedule2
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    T. ROWE PRICE INT'L DISCOVER -T. ROWE AT COST 26,666 55,172
    HARBOR INTERNATIONAL -FIDELITY AT COST 136,746 298,416
    T. ROWE PRICE INTL GROWTH & INCOME -FIDELITY AT COST 1,931 1,906
    COSTCO WHOLESALE CORP-SCHWAB 0296 AT COST 2,740 11,902
    BALL CORP-SCHWAB 0296 AT COST 2,741 4,133
    BLACKROCK LOW DURATION BOND FUND-SCHWAB 0296 AT COST 2,000 2,004
    THERMO FISHER SCIENTIFIC-SCHWAB 0296 AT COST 3,258 6,681
    CITIGROUP INC-SCHWAB 0296 AT COST 2,971 3,648
    EATON CORP-SCHWAB 0296 AT COST 3,392 3,806
    EATON VANCE ENHANCE EQTY-SCHWAB 0296 AT COST 3,590 3,897
    HONEYWELL INTL-SCHWAB 0296 AT COST 3,306 3,655
    SEADRILL LTD-SCHWAB 0296 AT COST 3,402 3,286
    EURO AERO DEFENSE ADR-SCHWAB 0296 AT COST 3,326 4,213
    PRUDENTIAL FINANCIAL INC-SCHWAB 0296 AT COST 3,179 3,228
    TIME WARNER INC-SCHWAB 0296 AT COST 3,347 3,486
    WISDOMTREE EUROPME ETF-SCHWAB 0296 AT COST 2,768 2,811
    NASDAQ GLOBAL AUTO INDEX-SCHWAB 0296 AT COST 3,112 3,375
    RUSSELL SHORT DURATION BOND CL S-SCHWAB 0296 AT COST 3,000 2,991
    PIMCO LOW DURATION FUND-SCHWAB 0296 AT COST 2,000 1,973
    DREYFUS SHORT TERM INCM FD-SCHWAB 0296 AT COST 5,500 5,465
    KAYNE ANDERSON ENERGY FUND-SCHWAB 0296 AT COST 4,885 5,470
    WESTWOOD INCOME OPPTY FD-SCHWAB 0296 AT COST 5,154 6,670
    STARWOOD PPTY TRUST-SCHWAB 0296 AT COST 3,179 4,155
    THERMO FISHER SCIENTIFIC-SCHWAB 4262 AT COST 1,629 3,341
    BALL CORP-SCHWAB 4262 AT COST 2,741 4,133
    KAYNE ANDERSON ENERGY FUND-SCHWAB 4262 AT COST 4,885 5,470
    CITIGROUP INC-SCHWAB 4262 AT COST 2,971 3,648
    EATON CORP-SCHWAB 4262 AT COST 3,392 3,806
    HONEYWELL INTL-SCHWAB 4262 AT COST 3,306 3,655
    SEADRILL LTD-SCHWAB 4262 AT COST 3,402 3,286
    PRUDENTIAL FINANCIAL INC-SCHWAB 4262 AT COST 3,179 3,228
    TIME WARNER INC-SCHWAB 4262 AT COST 3,013 3,137
    RUSSELL SHORT DURATION BOND CL S-SCHWAB 4262 AT COST 4,000 3,989
    PIMCO LOW DURATION FUND-SCHWAB 4262 AT COST 2,000 1,973
    BLACKROCK LOW DURATION BOND FUND-SCHWAB 4262 AT COST 2,000 2,042
    DREYFUS SHORT TERM INCM FD-SCHWAB 4262 AT COST 5,000 4,930
    STARWOOD PPTY TRUST INC-SCHWAB 4262 AT COST 3,179 4,155
    WISDOMTREE EUROPME ETF-SCHWAB 4262 AT COST 2,492 2,529
    NASDAQ GLOBAL AUTO INDEX-SCHWAB 4262 AT COST 3,112 3,375
    APPLE INC-SCHWAB 3936 AT COST 80,445 134,645
    BANCO LATINOAMERICANO BRA-SCHWAB 3936 AT COST 52,448 62,815
    BAYERISCHE MOTOR NEW AT COST 53,516 59,420
    BRENNTAG AG-SCHWAB 3936 AT COST 80,905 101,750
    CITIGROUP INC-SCHWAB 3936 AT COST 91,853 107,868
    COACH INC-SCHWAB 3936 AT COST 58,347 64,550
    COSTCO WHOLESALE CORP-SCHWAB 3936 AT COST 31,301 115,568
    C P ALL PLC AT COST 69,891 45,780
    CVS CAREMARK-SCHWAB 3936 AT COST 40,222 69,423
    DEERE & CO AT COST 64,852 66,671
    DREYFUS SHORT TERM INCM FD-SCHWAB 3936 AT COST 70,000 69,027
    DS SMITH PLC-SCHWAB 3936 AT COST 54,162 63,162
    EASTMAN CHEMICAL CO-SCHWAB 3936 AT COST 51,727 52,455
    EATON CORP-SCHWAB 3936 AT COST 81,157 103,523
    EATON VANCE SR FL RT TR-SCHWAB 3936 AT COST 32,950 34,638
    EURO AERO DEFENSE ADR-SCHWAB 3936 AT COST 86,429 104,589
    FOMENTO ECO MEX SAB ADRF-SCHWAB 3936 AT COST 47,067 80,253
    GENERAL ELECTRIC-SCHWAB 3936 AT COST 56,782 86,893
    GENERAL MOTORS-SCHWAB 3936 AT COST 61,391 62,531
    GLOBAL LOGISTICS-SCHWAB 3936 AT COST 64,816 66,378
    GOOGLE INC. CL A-SCHWAB 3936 AT COST 60,988 209,573
    H&Q HEALTHCARE INVESTORS-SCHWAB 3936 AT COST 8,715 21,576
    HONEYWELL INTL-SCHWAB 3936 AT COST 60,226 75,837
    ISTAR FINANCIAL INC-SCHWAB 3936 AT COST 87,822 102,316
    JP MORGAN CHASE & CO-SCHWAB 3936 AT COST 50,425 83,626
    KAYNE ANDERSON ENERGY FUND-SCHWAB 3936 AT COST 85,511 229,740
    KENNEDY WILSON HOLDINGS-SCHWAB 3936 AT COST 76,453 101,460
    LEAR CORP-SCHWAB 3936 AT COST 54,629 67,205
    LOWES-SCHWAB 3936 AT COST 37,221 70,856
    MAN WAH HOLDINGS NEW-SCHWAB 3936 AT COST 27,519 41,961
    NISSAN MOTOR CO-SCHWAB 3936 AT COST 21,213 41,528
    NOBLE ENERGY INC AT COST 75,277 86,500
    NORTHSTAR REALTY FINANCIAL CP AT COST 55,310 86,349
    PIGEON CORP-SCHWAB 3936 AT COST 35,939 77,688
    PIONEER NATURAL RESOURCES CO AT COST 39,397 62,584
    PLAINS GP-SCHWAB 3936 AT COST 45,812 53,272
    PRUDENTIAL FINANCIAL INC-SCHWAB 3936 AT COST 0 148,105
    SAMSONITE INTL SA-SCHWAB 3936 AT COST 74,562 98,616
    SCHLUMBERGER LTD-SCHWAB 3936 AT COST 88,820 109,934
    SEADRILL LTD-SCHWAB 3936 AT COST 60,457 62,031
    SEADRILL PARTNERS LLC-SCHWAB 3936 AT COST 32,434 34,720
    SHIRE PLC-SCHWAB 3936 AT COST 58,749 63,580
    STARWOOD PPTY TRUST-SCHWAB 3936 AT COST 124,766 171,740
    THERMO FISHER SCIENTIFIC-SCHWAB 3936 AT COST 49,290 101,328
    TIME WARNER INC-SCHWAB 3936 AT COST 76,211 101,094
    TWR AUTOMOTIVE HOLDINGS-SCHWAB 3936 AT COST 42,464 46,122
    UNITED TECHNOLOGIES CORP-SCHWAB 3936 AT COST 52,851 75,108
    WANT WANT CHINA HOLDINGS LIMITED-SCHWAB 3936 AT COST 53,384 158,895
    WELLS FARGO & CO-SCHWAB 3936 AT COST 29,021 45,400
    WILLIAMS COMPANIES-SCHWAB 3936 AT COST 88,524 139,623
    WISDOMTREE EUROPME ETF-SCHWAB 3936 AT COST 89,360 111,340

    TY 2013 OtherAssetsSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SEABRIDGE ASIA REDUX, LLC 366,906 415,359 568,555


    TY 2013 OtherExpensesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR & OTHER INVESTMENT FEES 1,972 1,972   0
    POSTAGE 153 77   76


    TY 2013 TaxesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 3,262 3,262   0
    NJ DIV OF CONSUMER AFFAIRS 60 30   30