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.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
CLARK ASSOCIATES CHARITABLE FOUNDATION
C/O FRED CLARK
Number and street (or P.O. box number if mail is not delivered to street address)2205 OLD PHILADELPHIA PIKE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LANCASTER, PA17602
A Employer identification number

25-6773373
B Telephone number (see instructions)

(717) 392-7550
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,581,798
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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) 981,422
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 53 53  
4 Dividends and interest from securities... 109,308 109,308  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 22,726
b Gross sales price for all assets on line 6a 638,507
7 Capital gain net income (from Part IV, line 2)... 22,726
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........ 1,113,509 132,087 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 14,329 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 37,929 150 0 37,779
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 52,258 150 0 37,779
25 Contributions, gifts, grants paid....... 705,267 705,267
26 Total expenses and disbursements. Add lines 24 and 25 757,525 150 0 743,046
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 355,984
b Net investment income (if negative, enter -0-) 131,937
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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............. 100,150 125,198 125,198
2 Savings and temporary cash investments......... 2,403,036 489,213 489,213
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)....... 0 Click to see attachment2,254,545 1,967,387
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) 2,503,186 2,868,956 2,581,798
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.................. 2,503,186 2,868,956
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 2,503,186 2,868,956
31 Total liabilities and net assets/fund balances (see instructions). 2,503,186 2,868,956
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
2,503,186
2
Enter amount from Part I, line 27a .....................
2
355,984
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
13,322
4
Add lines 1, 2, and 3 ..........................
4
2,872,492
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
3,536
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,868,956
Form 990-PF (2015)
Form 990-PF (2015)
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 MANITOWOC CO INC   2015-03-10 2015-03-24
b SUBURBAN PROPANE PARTNERS, LP   2014-08-20 2015-01-21
c NAVIOS MARITIME HOLDINGS INC   2015-08-25 2015-12-24
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 210,398   203,953 6,445
b 388,126   342,570 45,556
c 39,983   69,258 -29,275
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       6,445
b       45,556
c       -29,275
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 22,726
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 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))
2014 415,544 211,956 1.960520
2013 386,017 81,204 4.753670
2012 194,300 60,351 3.219499
2011 155,385 25,296 6.142671
2010 104,274 64,871 1.607405
2
Total of line 1, column (d) .....................
217.683765
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
3.536753
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,815,957
5
Multiply line 4 by line 3......................
5
9,959,344
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,319
7
Add lines 5 and 6........................
7
9,960,663
8
Enter qualifying distributions from Part XII, line 4.............
8
743,046
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 (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 2,639
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 2,639
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 2,639
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 7,200
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 7,200
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,561
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet4,561 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 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)
    bulletPA
    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 2015 or the taxable year beginning in 2015 (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
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 addressbulletNONE
    14
    The books are in care ofbulletBRAD FORTNA Telephone no.bullet (717) 392-7550

    Located atbullet2205 OLD PHILADELPHIA PIKELANCASTERPA ZIP+4bullet17602
    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
    150
    16 At any time during calendar year 2015, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    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 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 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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 2015 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 2015.)..................
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 4945(d)(4)(A)? (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 (2015)
    Form 990-PF (2015)
    Page 7
    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
    FRED E CLARK TRUSTEE
    1.00
    0 0 0
    2205 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
    ELIZABETH A CLARK TRUSTEE
    0.00
    0 0 0
    2205 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
    RANDALL MCCARTY EXECUTIVE DIR.
    20.00
    0 0 0
    2205 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
    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  
    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 instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    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
    1,925,714
    b
    Average of monthly cash balances.......................
    1b
    933,126
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,858,840
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,858,840
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    42,883
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,815,957
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    140,798
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    140,798
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,639
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,639
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    138,159
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    138,159
    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
    138,159
    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
    743,046
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    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
    743,046
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    743,046
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 138,159
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 101,480
    b From 2011...... 154,487
    c From 2012...... 191,551
    d From 2013...... 385,035
    e From 2014...... 412,006
    fTotal of lines 3a through e........ 1,244,559
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 743,046
    a Applied to 2014, 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 2015 distributable amount..... 138,159
    e Remaining amount distributed out of corpus 604,887
    5 Excess distributions carryover applied to 2015. 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 1,849,446
    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 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    101,480
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    1,747,966
    10 Analysis of line 9:
    a Excess from 2011.... 154,487
    b Excess from 2012.... 191,551
    c Excess from 2013.... 385,035
    d Excess from 2014.... 412,006
    e Excess from 2015.... 604,887
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    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 2015, 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) 2015 (b) 2014 (c) 2013 (d) 2012
             
    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:
    RANDALL MCCARTY
    2205 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
    (717) 392-7550
    bThe form in which applications should be submitted and information and materials they should include:
    FILE GRANT APPLICATION; INCLUDES NAME OF ORGANIZATION, ADDRESS, PHONE, CONTACT PERSON, MISSION OF ORGANIZATION, HISTORY OF ORGANIZATION, BAORD OF DIRECTORS, KEY STAFF/PERSONNEL, FINANCIAL STATEMENTS, PURPOSE OF REQUEST, TOTAL AMOUNT OF REQUEST, 501(C)3 DOCUMENTATION
    cAny submission deadlines:
    NOVEMBER 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    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 WEEK AWAY
    941 WHEATLAND AVE
    LANCASTER,PA17603
      PC PROVIDE RESPITE FOR FAMILIES DEALING WITH LONG TERM ILLNESS 100
    AARON'S ACRES
    1861 CHARTER LANE 114
    LANCASTER,PA17601
      PC SUPPORT FOR CHILDREN AND YOUNG ADULTS WITH DISABILITIES 8,050
    ALLEGRO CHAMBER ORCHESTRA OF LANCASTER
    PO BOX 1741
    LANCASTER,PA17608
      PC MUSIC FOR YOUNG PEOPLE 10,679
    AMERICAN CANCER SOCIETY
    314 GOOD DRIVE
    LANCASTER,PA17603
      PC CANCER RESEARCH FUNDING 3,390
    BIG BROTHERS BIG SISTERS
    520 E OREGON RD
    LITITZ,PA17543
      PC YOUTH AND ADULT MENTORING PROGRAM 5,246
    BIG BROTHERS BIG SISTERS
    1 SOUTH MAIN ST
    MADISONVILLE,KY42431
      PC YOUTH MENTORING PROGRAM 500
    BOYS & GIRLS CLUB
    PO BOX 104
    LANCASTER,PA17608
      PC HELP YOUNG PEOPLE REACH THEIR FULL POTENTIAL 1,000
    BRETHREN VILLAGE RETIREMENT COMMUNITY
    3001 LITITZ PIKE
    LANCASTER,PA17606
      PC CARE FOR THE ELDERLY 30,000
    CALVARY FELLOWSHIP HOMES
    502 ELIZABETH DRIVE
    LANCASTER,PA17601
      PC FESTIVAL OF CARING 250
    CHILDREN'S DYSLEXIA CENTERS INC
    213 WEST CHESTNUT STREET
    LANCASTER,PA17603
      PC HELP CHILDREN WITH DYSLEXIA 500
    CHRIST HOME
    3182 LINCOLN HWY E
    PARADISE,PA17562
      PC SUPPORT CHILDRENS PROGRAM 30,000
    CHRISTIAN FOOD BANK OF HOPKINS CO
    114 N FRANKLIN ST
    MADISONVILLE,KY42431
      PC TO PROVIDE FOOD FOR THE NEEDY 500
    CLINIC FOR SPECIAL CHILDREN
    535 BUNKER HILL RD
    STRASBURG,PA17579
      PC HELP CHILDREN WITH METABOLIC DISORDERS 2,500
    UNITED WAY
    630 JANET AVENUE
    LANCASTER,PA17601
      PC IMPROVE QUALITY OF LIFE FOR PEOPLE WITH MENTAL ILLNESS 500
    CONESTOGA VALLEY CHRISTIAN COMMUNITY SER
    2420 GEHMAN LANE SUITE 105
    LANCASTER,PA17602
      PC PROVIDE SUPPORT THE NEEDY IN THE COMMUNITY 3,000
    CONESTOGA VALLEY EDUCATION FOUNDATION
    2110 HORSEHOE ROAD
    LANCASTER,PA17601
      PC PROVIDE TO STAFF AND STUDENTS OF THE DISTRICT 49,097
    CORNWELL FIRE COMPANY NO 1
    50 REXMONT ROAD
    CORNWALL,PA17016
      PC PROVIDE SUPPORT FOR FIRE SERVICES 750
    COURT APPOINTED SPECIAL ADVOCATES
    53 NORTH DUKE ST
    LANCASTER,PA17602
      PC PROVIDING ADVOCACY TO CHILDREN 3,000
    CRISPUS ATTUCKS
    605 SOUTH DUKE STREET
    YORK,PA17401
      PC SUPPORT SERVICES FOR PEOPLE OF ALL AGES 500
    CROSS INTERNATIONAL
    533 JANE AVE
    LANCASTER,PA17601
      PC INTERNATIONAL HUNGER RELIEF 581
    DOMESTIC VIOLENCE SERVICES OF LANCASTER
    PO BOX 359
    LANCASTER,PA17608
      PC FUND ACTIVITIES FOR ADULTS AND CHILDREN OF DOMESTIC VIOLENCE 1,000
    EDGE OF AUTISM
    1390 COLUMBIA AVE
    LANCASTER,PA17603
      PC SUPPORT FOR INDIVIDUALS AND CHILDREN AFFECTED BY AUTISM 1,000
    ELDREDSVILLE VOLUNTEER FIRE COMPANY
    RR 1 BOX 1254-B
    FORKSVILLE,PA18616
      PC PROVIDE SUPPORT FOR FIRE SERVICES 1,000
    FAIRMOUNT HOMES
    333 WHEAT RIDGE DR
    EPHRATA,PA17522
      PC CARE FOR RESIDENTS IN SHARING FUND 2,000
    FELLOWSHIP SENIOR LIVING
    8000 FELLOWSHIP ROAD
    BASKING RIDGE,NJ07920
      PC BENEFIT THE FELLOWSHIP VILLAGE COMMUNITY RENEWAL FUND 200
    FIRST UNITED METHODIST CHURCH LANCASTER
    29 E WALNUT ST
    LANCASTER,PA17602
      PC SUPPORT FOR RELIGIOUS PROGRAMS TO COMMUNITY 12,530
    FOUR DIAMONDS FUND
    500 UNIVERSITY DRIVE
    HERSHEY,PA17033
      PC SUPPORT OF FAMILIES THAT HAVE CHILDREN WITH CANCER 1,000
    FULTON THEATRE
    12 N PRINCE STREET
    LANCASTER,PA17603
      PC CORPORATE CAMPAIGN 1,000
    GARDEN SPOT VILLAGE
    433 SOUTH KINZER AV ENUE
    NEW HOLLAND,PA17557
      PC SUPPORT LIVES OF OLDER ADULTS 300
    UMCOR DISASTER RESPONSE
    475 RIVERSIDE DRIVE
    NEW YORK,NY10115
      PC RESPONDING TO NEEDS OF AREAS IMPACTED BY DISASTER 3,000
    GOOD SAMARITAN SHELTER
    PO BOX 756
    EPHRATA,PA17522
      PC SERVE HOMELESS WOMEN AND CHILDREN IN EPHRATA 20,000
    GORDONVILLE AMBULANCE ASSOCIATION
    3204 VIGILANT ST
    GORDONVILLE,PA17529
      PC PROVIDE SUPPORT FOR EMERGENCY SERVICES 500
    HABITAT FOR HUMANITY OF HOPKINS CO
    43 S DAVES ST
    MADISONVILLE,KY42431
      PC PROVIDE ASSISTANCE FOR THE CONSTRUCTION OF HOUSES FOR NEEDY FAMILIES 500
    HAND IN HAND FIRE COMPANY
    313 ENTERPRISE DR
    BIRD IN HAND,PA17505
      PC FIRE PREVENTION SERVICES 1,000
    HANDS ON HOUSE
    721 LANDIS VALLEY ROAD
    LANCASTER,PA17601
      PC SPONSORSHIP FOR PROGRAM EXPLORE 2,500
    HOLLOWAY TERRACE VOLUNTEER FIRE CO
    700 WEST AVE
    NEW CASTLE,DE19720
      PC PROVIDE SUPPORT FOR FIRE SERVICES 750
    HOSPICE OF LANCASTER COUNTY
    685 GOOD DRIVE
    LANCASTER,PA17601
      PC HELP FOR COST OF CARE OF PATIENTS 1,000
    HUMANE LEAGUE OF LANCASTER
    2195 LINCOLN HWY E
    LANCASTER,PA17602
      PC SHELTER AND CARE FOR ANIMALS 2,000
    INTERCOURSE FIRE COMPANY
    10 N HOLLANDER RD
    INTERCOURSE,PA17534
      PC PROVIDE SUPPORT FOR FIRE SERVICES 1,000
    J WOOD PLATT CADDIE SCHOLARSHIP TRUST
    1974 SPROUL RD SUITE 400
    BROOMALL,PA19008
      PC PROVIDE AID TO CADDIES PURSUING HIGHER EDUCATION 200
    JEFF MUSSER FOUNDATION
    200 WILLOW VALLEY SQ
    LANCASTER,PA17602
      PC PROVIDE ASSISTANCE TO FAMILIES WITH CHILDREN THAT HAVE CANCER DURING TREATMENT 27,525
    JOHN MCCURRY MINISTRIES INC
    738 COTTINGHMA PRATT RD
    SEBREE,KY42455
      PC MEAL OUTREACH TO THOSE IN NEED IN MADISONVILLE 500
    LAFAYETTE FIRE COMPANY
    1836 LINCOLN HWY E
    LANCASTER,PA17602
      PC PROVIDE SUPPORT FOR FIRE SERVICES 1,000
    LANCASTER BRITISH BRASS BAND
    808 COLONY CIRCLE
    LANCASTER,PA17601
      PC SPONSORSHIP PERFORMANCE 2,000
    LANCASTER COUNTY CONSERVANCY
    117 S WEST END AVE 11
    LANCASTER,PA17608
      PC RESTORE AMERCIAN CHESTNUT 1,000
    LANCASTER COUNTY WORKFORCE INVESTMENT
    313 W LIBERTY ST SUITE 114
    LANCASTER,PA17603
      PC KEEPING PEOPLE FROM REENTERING PRISON AND IN SUPPORT PUBLIC SAFETY 20,042
    LANCASTER EDUCATION FOUNDATION
    445 N RESERVOIR ST
    LANCASTER,PA17602
      PC ASSISTANCE TO PROVIDE SUPPORT FOR A VARIETY OF SCHOOL PROJECTS IN SCHOOL DISTRICT OF LANCASTER 3,400
    LEOLA AMBULANCE ASSOCIATION INC
    143 W MAIN ST
    LEOLA,PA17540
      PC PROVIDE SUPPORT FOR EMERGENCY SERVICES 500
    LOCUST GROVE SCHOOL
    2257 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
      PC CHRIST CENTERED EDUCATION 250
    LONG'S PARK AMPHITHEATER FOUNDATION
    630 JANET AVE
    LANCASTER,PA17601
      PC 2015 SUMMER MUSIC SERIES 10,000
    MAKE A WISH FOUNDATION
    1054 NEW HOLLAND AVE
    LANCASTER,PA17601
      PC SUPPORT THE WISHES OF SICK CHILDREN 300
    MANDARIN UNITED METHODIST CHURCH
    11270 SAN JOSE BLVD
    JACKSONVILLE,FL32223
      PC SUPPORT OF THE CHURCH'S OUTREACH 10,000
    MEDFORD LEAS
    ONE MEDFORD LEAS WAY
    MEDFORD,NJ08055
      PC HOLE SPONSOR FOR ACCREDITED COMMUNITY FOR INDIVIDUALS 55+ 250
    MENNONITE DISASTER SERVICE
    583 AIRPORT ROAD
    LITITZ,PA17543
      PC ASSISTANCE FOR DISASTER SURVIVORS 3,000
    MESSIAH COLLEGE
    ONE COLLEGE AVENUE
    MECHANICSBURG,PA17055
      PC SCHOLARSHIPS 11,397
    MILAGRO HOUSE
    669 WEST CHESTNUT ST
    LANCASTER,PA17603
      PC HOUSING FOR HOMELESS MOTHERS AND THEIR CHILDREN 7,500
    MILLERSVILLE UNIVERSITY
    1 S GEORGE ST
    MILLERSVILLE,PA17551
      PC SUPPORT TO PROVIDE SCHOLARSHIPS TO STUDENTS 5,000
    MUSIC FOR EVERYONE
    42 N PRINCE ST
    LANCASTER,PA17603
      PC CULTIVATE THE POWER OF MUSIC 8,959
    NEW HOLLAND BAND INC
    PO BOX 345
    NEW HOLLAND,PA17557
      PC SUPPORT TO MAINTAIN AND ADVANCE ITS HISTORICAL TRADITION 2,075
    NEW YORK CITY RELIEF
    295 WALNUT STREET
    ELIZABETH,NJ07201
      PC SUPPORT THE POOR AND HOMELESS 5,810
    NICHOLAS WOLFF FOUNDATION
    58 CAMP VICTORY ROAD
    MILLVILLE,PA17846
      PC HELP PROVIDE SERVICE TO HANDICAPPED AND ILL CHILDREN 5,000
    NORTONVILLE VOLUNTEER FIRE DEPT
    57 NORTONVILLE ROAD
    NORTONVILLE,KY42442
      PC SUPPORT FIRE DEPARTMENT 1,000
    OLIVIA'S HOUSE
    830 SOUTH GEORGE ST
    YORK,PA17403
      PC SUPPORT FOR CHILDREN WHO LOST A LOVED ONE 500
    PARADISE TOWNSHIP LIONS
    PO BOX 152
    PARADISE,PA17562
      PC SPONSORSHIP 200
    PENNSYLVANIA TECH STUDENT ASSOC
    1210 CIRCLEVILLE ROAD
    STATE COLLEGE,PA16803
      PC ASSISTANCE FOR EDUCATION AND CONFERENCES 25,000
    POWER PACKS PROJECT
    1006 NEW HOLLAND AVENUE
    LANCASTER,PA17601
      PC PROVIDE WEEKEND FOOD AND NUTRITIONAL INFORMATION TO FAMILIES 2,425
    SALVATION ARMY
    805 MCCOY AVE
    MADISONVILLE,KY42431
      PC PROVIDE SUPPORT FOR GENERAL PROGRAM 500
    SAMARITAN COUNSELING CENTER
    1803 OREGON PIKE
    LANCASTER,PA17601
      PC SUPPORT FOR PROFESSIONAL COUNSELING 100
    SCHREIBER PEDIATRIC REHAB CENTER
    625 COMMUNITY WAY
    LANCASTER,PA17603
      PC SERVICES FOR CHILDREN WITH DISABILITIES AND FAMILIES 52,398
    SHALOM PARTNERSHIP OF LANCASTER INC
    PO BOX 6084
    LANCASTER,PA17607
      PC SUMMER PROGRAM FOR LANCASTER SCHOOLS 4,000
    SHANNONDELL AT VALLEY FORGE
    10000 SHANNONDELL DRIVE
    AUDUBON,PA19403
      PC SUPPORT CONCERT SERIES 500
    SOUTH HOPKINS VOL FIRE DEPT
    8920 HOPKINSVILLE RD
    MORTONS GAP,KY42440
      PC SUPPORT LOCAL FIRE DEPARTMENT 1,000
    SPANISH AMERICAN CIVIC ASSOCIATION
    453 SOUTH LIME ST
    LANCASTER,PA17602
      PC SPONSORSHIP 2,000
    ST PETERS LUTHERAN CHURCH
    10 DELP ROAD
    LANCASTER,PA17601
      PC COMMUNITY SERVICES 650
    ST ANNE'S CATHOLIC CHURCH
    929 N DUKE ST
    LANCASTER,PA17602
      PC CHRISTMAS DINNER 580
    ST CHARLES VOLUNTEER FIRE DEPT
    PO BOX 356
    ST CHARLES,KY42453
      PC SUPPORT LOCAL FIRE DEPARTMENT 1,000
    STRASBURG JAYCEE PARK
    PO BOX 45
    STRASBURG,PA17579
      PC CAPITAL IMPROVEMENTS TO THE PARK TENNIS AND BASKETBALL COURTS 70,000
    TEL HAI CHARITIES
    1200 TEL HAI CIRCLE
    HONEY BROOK,PA19344
      PC CARE ASSURANCE FUND 532
    THE SALVATION ARMY
    131 SOUTH QUEEN ST
    LANCASTER,PA17603
      PC SUPPORT PROGRAMS TO ASSIST THE NEEDY 2,000
    UNITED DISABILITY SERVICES FOUNDATION
    1901 OLDE HOMESTEAD LANE
    LANCASTER,PA17605
      PC CHALLENGER FOOTBALL LEAGUE 500
    UNION FIRE COMPANY
    2067 STATE ROAD
    BENSALEM,PA19020
      PC PROVIDE SUPPORT FOR FIRE SERVICES 750
    UNITED CHURCH OF CHRIST HOMES
    30 N 31ST STREET
    CAMP HILL,PA17011
      PC MINISTRY OF UCC HOMES 1,000
    UPPER LEACOCK FIRE COMPANY
    211 EAST MAIN STREET
    LEOLA,PA17540
      PC PROVIDE SUPPORT FOR FIRE SERVICES 2,500
    VICTORY HOUSE OF LEHIGH VALLEY
    314 FILLMORE STREET
    BETHLEHEM,PA18015
      PC SERVING LOCAL HOMELESS MEN AND VETERANS 1,000
    VISIONCORPS FOUNDATION
    244 N QUEEN ST
    LANCASTER,PA17603
      PC INDEPENDENCE FOR PEOPLE WHO ARE BLIND OR VISION IMPAIRED 1,000
    WATER STREET RESCUE MISSION
    210 SOUTH PRINCE ST
    LANCASTER,PA17603
      PC SUPPORT COMMUNITY OVERCOMING POVERTY AND HOMELESSNESS 18,961
    WELSH MOUNTAIN HOME
    567 SPRINGVILLE ROAD
    NEW HOLLAND,PA17557
      PC SERVICES FOR OLDER ADULTS AND DEPENDENT PERSONS 1,000
    WITMER FIRE COMPANY
    455 MOUNT SIDNEY ROAD
    WITMER,PA17585
      PC PROVIDE SUPPORT FOR FIRE SERVICES 3,500
    WOUNDED WARRIOR PROJECT
    4899 BELFORT ROAD STE 300
    JACKSONVILLE,FL32256
      PC PROVIDE SERVICES TO THE WOUNDED SOLDIERS AND FAMILIES 752
    ALZHEIMER'S ASSOCIATION - GREATER PA CHAPTER
    2595 INTERSTATE DR STE 100
    HARRISBURG,PA17110
      PC FIGHT ALZHEIMER'S DISEASE 250
    BLACK ROCK RETREAT
    1345 KIRKWOOD PIKE
    QUARRYVILLE,PA17566
      PC CAMP MINISTRIES & RETREAT PROGRAMS 200
    BRIDGE OF HOPE
    822 MARIETTA AVE 20
    LANCASTER,PA17603
      PC SUPPORT HOMELESS SINGLE MOTHERS & THEIR CHILDREN 100
    CAMP HEBRON
    957 CAMP HEBRON RD
    HALIFAX,PA17032
      PC CAMPING MINISTRY 8,899
    CENTRAL LYON FIREFIGHTER BURN FUND
    231 CORRAL DRIVE
    DAYTON,NV89403
      PC SUPPORT BURN VICTIMS 1,000
    CHILDREN'S MIRACLE NETWORK
    205 WEST 700 SOUTH
    SALT LAKE CITY,UT84101
      PC SUPPORT RESEARCH AND TRAINING AND PROVIDE TREATMENT FOR CHILDREN 945
    CONESTOGA FOOD BANK (CONESTOGA TOWNSHIP)
    3959 MAIN STREET
    CONESTOGA,PA17516
      GOV PROVIDE FOOD TO NEEDY 1,804
    DAYSPRING CHRISTIAN ACADEMY
    120 COLLEGE AVENUE
    MOUNTVILLE,PA17554
      PC PROVIDE PRINCIPLE APPROACH EDUCTION 297
    DAYTON FOOD PANTRY
    5 ENTERPRISE WAY
    DAYTON,NV89403
      PC PROVIDE FOOD TO NEEDY 1,000
    DAYTON NV HS BOOSTER CLUB
    PO BOX 1063
    DAYTON,NV89403
      PC SUPPORT DAYTON NV HIGHSCHOOL PROGRAMS 5,000
    DOVER ASSEMBLY OF GOD
    4790 CARLISLE RD
    DOVER,PA17315
      PC ASSEMBLY OF GOD CHURCH 1,000
    EPHRATA POST PROM
    PO BOX 664
    EPHRATA,PA17522
      PC SUPPORT POST PROM ACTIVITIES 500
    EPHRATA REC CENTER
    130 S ACADEMY DRIVE
    EPHRATA,PA17522
      PC PROVIDE RECREATIONAL SERVICES 150
    ESSEX ELKS LODGE
    1007 E HOMBERG AVENUE
    ESSEX,MD21221
      PC PROVIDE SUPPORT TO FRATERNAL MEMBERS AND CAUSES 100
    EVANGELICAL SEMINARY
    121 S COLLEGE ST
    MYERSTOWN,PA17067
      PC DEVELOP SERVANT LEADERS FOR TRANSFORMATIONAL MINISTRY 1,000
    FORKSVILLE VOLUNTEER FIRE COMPANY
    158 MAIN STREET
    FORKSVILLE,PA18616
      PC PROVIDE SUPPORT FOR FIRE SERVICES 2,500
    FRIENDS OF ANGELS
    PO BOX 152
    WILLOW STREET,PA17584
      PC PROVIDE SUPPORT AROUND STILLBIRTH AND INFANT LOSS 1,000
    FRIENDS OF MUSIC
    1200 MAIN STREET
    BETHLEHEM,PA18018
      PC SUPPORT MUSIC EDUCTATION IN LEHIGH VALLEY 300
    GIFTS THAT GIVE HOPE
    950 WALNUT BOTTOM RD SUITE 15 142
    CARLISLE,PA17013
      PC PROMOTE MEANINGFUL GIFT GIVING 500
    GO BEYOND
    1102 MILLERSVILLE PIKE
    LANCASTER,PA17603
      PC MOBILIZE COMMUNITY MEMBER TO ACTS OF SERVICE 2,500
    GRACE POINT LEARNING CENTER & ACADEMY
    110 DURLACH ROAD
    EPHRATA,PA17522
      PC PROVIDE CHILD CARE AND EDUCATION 2,000
    GRETNA GLEN CAMP & RETREAT
    87 OLD MINE ROAD
    LEBANON,PA17042
      PC PROVIDE TRANSFORMING EXPERIENCES IN SACRED SPACES 35,000
    HAPPY NEWS MISSION
    PO BOX 130
    BLUE BALL,PA17506
      PC PROVIDE RESOURCES AND FUNDING TO SUPPORT MISSIONS ACTIVITIES 200
    HOPKINS COUNTY BOARD OF EDUCATION
    320 SOUTH SEMINARY STREET
    MADISONVILLE,KY42431
      GOV SUPPORT HOPKINS COUNTY SCHOOL DISTRICT 2,990
    HORIZON INITIATIVE
    206B W JAMES STREET
    LANCASTER,PA17603
      PC RESCUE AND EMPOWER ORPHANED CHILDREN TO SELF-SUSTAINABILITY 1,000
    LAMPETER STRASBURG COLOR GUARD
    1600 BOOK ROAD
    LANCASTER,PA17602
      GOV SUPPORT MARCHING BAND & COLOR GUARD ACTIVITIES 73
    LAMPETER STRASBURG TRACK & FIELD BOOSTER CLUB
    1600 BOOK ROAD
    LANCASTER,PA17602
      GOV SUPPORT TRACK & FIELD ACTIVITIES 250
    LANCASTER COUNTY COUNCIL OF CHURCHES
    812 N QUEEN STREET
    LANCASTER,PA17603
      PC PROVIDE FOOD, CLOTHING AND SUPPORT TO NEEDY 25,000
    LANCASTER NEW SOUNDS
    342 N QUEEN STREET REAR
    LANCASTER,PA17603
      PC SUPPORT MUSIC OF LIVING COMPOSERS 500
    LANCASTER ROOTS & BLUES
    891 PARKSIDE LANE
    LANCASTER,PA17601
      PC SUPPORT ROOTS & BLUES MUSIC 369
    LANDIS HOMES
    1001 E OREGON ROAD
    LITITZ,PA17543
      PC SERVE AGING ADULTS AND THEIR FAMILIES 300
    LAW ENFORCEMENT UNITED PA
    PO BOX 2126
    CHESAPEAKE,VA23327
      PC HONOR THE SERVICE AND SACRIFICE OF LAW ENFORCEMENT OFFICERS 1,000
    LEUKEMIA & LYMPHOMA SOCIETY
    2405 PARK DRIVE SUITE 100
    HARRISBURG,PA17110
      PC SERVE RESIDENTS TOUCHED BY BLOOD CANCERS 100
    LIGHTHOUSE YOUTH MINISTRIES
    345 COMMERCE ST
    OXFORD,PA19363
      PC PROVIDE YOUTH PROGRAMMING 10,000
    LUMINA
    10 W FARNUM STREET
    LANCASTER,PA17603
      PC RESPOND TO HUMAN NEED IN LANCASTER CITY 2,036
    LUTHERAN CHURCH OF THE GOOD SHEPHERD
    750 GREENFIELD ROAD
    LANCASTER,PA17601
      PC COMMUNITY SERVICES 1,500
    LYON COUNTY SERIFF'S OFFICE
    911 HARVEY WAY
    YERINGTON,NV89447
      GOV PROVIDE LAW-SERVICE ENFORCEMENT SERVICES 500
    MEALS ON WHEELS
    1085 MANHEIM PIKE
    LANCASTER,PA17601
      PC PROVIDE FOOD TO HOMEBOUND INDIVIDUALS 8,782
    MENNONITE CHILDREN'S CHOIR
    2176 LINCOLN HIGHWAY EAST
    LANCASTER,PA17602
      PC PROVIDE MUSIC EDUCATION 150
    NEW CHOICES CAREER DEVELOPMENT
    110 NORTH LIME STREET
    LANCASTER,PA17602
      PC PROVIDE PERSONAL DEVELOPMENT, CAREER GUIDANCE, AND JOB TRAINING 250
    OPPORTUNITY HOUSE
    430 N 2ND STREET
    READING,PA19601
      PC SUPPORT HOMELESS PEOPLE 171
    AMERICAN ORDER OF OTTERS
    232 E KING STREET
    LANCASTER,PA17602
      PC PROVIDE RECREATIONAL SERVICES 100
    PITTIESLOVEPEACE
    PO BOX 534
    ELIZABETHTOWN,PA17022
      PC PROVIDE SAFE HAVEN FOR PIT BULL AND PIT BULL MIX DOGS 100
    PLEASANT ZION YOUTH OUTREACH CENTER
    4317 NORTH POINT BOULEVARD
    BALTIMORE,MD21222
      PC SUPPORT YOUTH AND DESADVANTAGED INDIVIDUALS 250
    ROTARY CLUB OF HARRISBURG
    3211 N FRONT STREET
    HARRISBURG,PA17110
      PC DEDICATED TO DOING GOOD IN THE WORLD 220
    SCHOOL DISTRICT OF LANCASTER
    251 S PRINCE STREET
    LANCASTER,PA17603
      GOV EDUCATION OF SCHOOL CHILDREN 500
    SCIENCE FACTORY
    454 NEW HOLLAND AVENUE 300
    LANCASTER,PA17602
      PC SUPPORT ENVIRONMENT FOR LEARNING 433
    SERVANTS INC
    100 REDCO AVENUE SUITE C-0
    RED LION,PA17356
      PC SERVE THE ELDERLY, DISABLED, SINGLE PARENTS AND THOSE WITH FINANCIAL NEEDS 5,000
    ST LEO SCHOOL
    2427 MARIETTA AVENUE
    LANCASTER,PA17601
      PC EDUCATE THE WHOLE CHILD SPIRITUALLY, INTELLECTUALLY, ETC 300
    SERTOMA CLUB - STRASBURG
    27 PLEASANT VIEW DRIVE
    STRASBURG,PA17579
      PC SERVE LOCAL COMMUNITY 1,000
    GENERAL BOARD OF GLOBAL MINISTRIES - TANZANIA ADVANCE PROJECT
    PO BOX 9068
    NEW YORK,NY10087
      PC CONSTRUCTION OF MISSION GUEST HOUSE 30,000
    THE COMMON WHEEL
    701 E KING STREET
    LANCASTER,PA17602
      PC IMPROVE LIVES IN LANCASTER THROUGH THE POWER OF BIKES 3,000
    YOUTH WITH A MISSION
    1275 BIRCH ROAD
    LEBANON,PA17042
      PC SUPPORT THOSE MINISTERING LOCALLY AND GLOBALLY 15,119
    WHITEHALL MANOR
    1177 6TH STREET
    WHITEHALL,PA18052
      PC PROVIDE QUALITY CARE TO SENIORS 116
    IN MEMORY OF NICOLE MATHEWSON
    1383 ARCADIA ROAD
    LANCASTER,PA17601
    NONE I EVENT RAISING FUNDS TO BE TRANSFERRED TO VARIOUS 501(C)(3) ENTITIES 200
    ASHER ZOHN
    415 N PRINCE ST
    LANCASTER,PA17603
    NONE I RAISE FUNDS FOR MEDICAL CARE 100
    ADDITIONAL MISCELLANEOUS DONATIONS
    2205 OLD PHILADELPHIA PIKE
    LANCASTER,PA17602
    NONE I PROVIDE FOR VARIOUS FINANCIAL NEEDS 317
    MILLERSVILLE UNIVERSITY - WARE CENTER
    42 N PRINCE ST
    LANCASTER,PA17603
      PC PROVIDE SPACE FOR COMMUNITY TO ENGAGE WITH CULTURE 2,668
    LITITZ LIONESS CLUB
    651 KISSEL HILL ROAD
    LITITZ,PA17543
      PC GIVE BACK TO HUMANITY IN LOCAL COMMUNITY 50
    LIVINGSTONES RESOURCES
    PO BOX 608
    ALTOONA,PA16603
      PC DEVELOP AND ENCOURAGE LEADERS 200
    ST PETERS CATHOLIC CHURCH
    1840 MARSHALL DRIVE
    ELIZABETHTOWN,PA17022
      PC SUPPORT FINANCIAL NEEDS OF SPIRITUAL COMMUNITY 399
    WORD FM
    PO BOX 186
    SELLERSVILLE,PA18960
      PC FUND SERVICE TRIPS TO FOREIGN COUNTRIES 500
    Total .................................bullet 3a 705,267
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    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 ...........
        14 53  
    4 Dividends and interest from securities....     14 109,308  
    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 ............
        16 22,726  
    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).. 0 132,087 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13132,087
    (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.)
    3 INTEREST EARNED ON ASSETS HELD IN INTEREST-BEARING ACCOUNTS
    4 DIVIDENDS EARNED ON ASSETS HELD IN INCOME-GENERATING ACCOUNTS
    8 CAPITAL ACTIVITY ON ASSETS HELD IN INCOME-GENERATING ACCOUNTS
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    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 organizations?
    Yes
    No
    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) 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 name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    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
    2015
    Name of the organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number

    25-6773373
    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) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number
    25-6773373
    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
    THE WEBSTAURANT STORE INC
     

       
    2205 OLD PHILADELPHIA PIKE
     
    LANCASTER, PA17602

    $ 500,000


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

       
    2205 OLD PHILADELPHIA PIKE
     
    LANCASTER, PA17602

    $ 334,425


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    11400 INC
     

       
    2551 HORSESHOE ROAD
     
    LANCASTER, PA17601

    $ 10,000


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

       
    2227 WELBILT BLVD
     
    NEW PORT RICHEY, FL34655

    $ 5,000


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

       
    135 CROTTY ROAD
     
    MIDDLETOWN, NY10941

    $ 5,000


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

       
    1236 N 18TH STREET
     
    SHEBOYGAN, WI53081

    $ 10,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number
    25-6773373
    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
    ADVANCE-TABCO
     

       
    200 HEARTLAND BLVD
     
    EDGEWOOD, NY11717

    $ 5,000


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

       
    2080 WHEATSHEAF LANE
     
    PHILADELPHIA, PA19124

    $ 5,000


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

       
    60 E MAIN STREET
     
    LEOLA, PA17540

    $ 5,000


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

       
    47 LOVETON CIRCLE K
     
    GLENCOE, MD21152

    $ 5,000


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

       
    4421 WATERFRONT DRIVE
     
    GLEN ALLEN, VA23060

    $ 5,000


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

       
    701 S RIDGE AVENUE
     
    TROY, OH45374

    $ 5,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number
    25-6773373
    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
    13
    RUBBERMAID COMMERCIAL PRODUCTS INC
     

       
    3124 VALLEY AVENUE
     
    WINCHESTER, VA22601

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    14
    SAM JAMAR - CHEF REVIVAL
     

       
    555 KOOPMAN LANE
     
    ELKHORN, WI53121

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    15
    THUNDER GROUP INC
     

       
    33 TRUMAN DRIVE SOUTH
     
    EDISON, NJ08817

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    16
    TUXTON CHINA
     

       
    21011 COMMERCE POINT DRIVE
     
    WALNUT, CA91789

    $ 5,000


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

       
     
     

    $  


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

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number

    25-6773373
    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
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    CLARK ASSOCIATES CHARITABLE FOUNDATION
    C/O FRED CLARK
    Employer identification number

    25-6773373
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    CLARK ASSOCIATES CHARITABLE FOUNDATION
     
    C/O FRED CLARK
    EIN:
    25-6773373
    Name of Stock End of Year Book Value End of Year Fair Market Value
    STOCKS, OPTIONS & ETFS 2,254,545 1,967,387

    TY 2015 OtherDecreasesSchedule
    Name:
    CLARK ASSOCIATES CHARITABLE FOUNDATION
     
    C/O FRED CLARK
    EIN:
    25-6773373
    Description Amount
    PTP ORDINARY LOSS 3,536


    TY 2015 OtherExpensesSchedule
    Name:
    CLARK ASSOCIATES CHARITABLE FOUNDATION
     
    C/O FRED CLARK
    EIN:
    25-6773373
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 319 0 0 319
    FUNDRAISER EVENT 37,460 0 0 37,460
    E*TRADE FEES 150 150 0 0


    TY 2015 OtherIncreasesSchedule
    Name:
    CLARK ASSOCIATES CHARITABLE FOUNDATION
     
    C/O FRED CLARK
    EIN:
    25-6773373
    Description Amount
    OTHER ADJUSTMENT 13,322


    TY 2015 TaxesSchedule
    Name:
    CLARK ASSOCIATES CHARITABLE FOUNDATION
     
    C/O FRED CLARK
    EIN:
    25-6773373
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF TAXES 14,329 0 0 0