TY 2017 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2019

Open to Public Inspection

For calendar year 2019, or tax year beginning 07-01-2017 , and ending 06-30-2018

Name of foundation
The Greater Clark Foundation Inc

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 4843
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
Winchester, KY40392

A Employer identification number

61-0475632

B Telephone number (see instructions)

(859) 355-9062

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$38,753,963J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)	125,342
2	Check .............
3	Interest on savings and temporary cash investments	543		543
4	Dividends and interest from securities...	870,143		870,143
5a	Gross rents............	86,988
b	Net rental income or (loss) -38,547
6a	Net gain or (loss) from sale of assets not on line 10		2,434,167
b	Gross sales price for all assets on line 6a 4,500,000
7	Capital gain net income (from Part IV, line 2)...			2,434,167
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).......		-756,618	-757,258	0
12	Total. Add lines 1 through 11........	2,760,565		2,547,595	0
13	Compensation of officers, directors, trustees, etc.	211,871		10,594	10,594	95,342
14	Other employee salaries and wages......	132,796		1,028	12,929	76,052
15	Pension plans, employee benefits.......	135,144		2,224	9,464	66,533
16a	Legal fees (attach schedule).........		37,291	617	2,626	28,281
b	Accounting fees (attach schedule).......		59,340	1,247	5,304	37,453
c	Other professional fees (attach schedule)....		287,336	221,545	3,107	49,039
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		23,310	0	0	7,096
19	Depreciation (attach schedule) and depletion...		58,493	0	58,259
20	Occupancy..............	63,915		3,863	21,168	42,747
21	Travel, conferences, and meetings.......	44,355		805	3,426	24,192
22	Printing and publications..........	896		17	71	501
23	Other expenses (attach schedule).......		116,424	490	2,085	106,511
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	1,171,171		242,430	129,033	533,747
25	Contributions, gifts, grants paid.......	79,315				169,315
26	Total expenses and disbursements. Add lines 24 and 25	1,250,486		242,430	129,033	703,062
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	1,510,079
b	Net investment income (if negative, enter -0-)			2,305,165
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2019)

Form 990-PF (2019)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	531,651	1,222,667	1,222,667
	2	Savings and temporary cash investments.........	102,378	102,934	102,934
	3	Accounts receivable 7,249
		Less: allowance for doubtful accounts		7,249
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................		55,000
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	17,234	38,588
	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
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	33,570,797	32,352,538	32,352,538
	14	Land, buildings, and equipment: basis 4,430,334
		Less: accumulated depreciation (attach schedule) 1,423,592	3,105,262	3,006,742	3,611,323
	15	Other assets (describe )	477,097	1,464,501	1,464,501
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	37,804,419	38,250,219	38,753,963
	17	Accounts payable and accrued expenses..........	201,990	416,787
	18	Grants payable.................	270,000	180,000
	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 )
	23	Total liabilities (add lines 17 through 22).........	471,990	596,787
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	37,332,429	37,653,432
	30	Total liabilities and net assets/fund balances (see instructions).	37,804,419	38,250,219

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

37,332,429

Enter amount from Part I, line 27a .....................

1,510,079

Other increases not included in line 2 (itemize) bullet

1,481,784

Add lines 1, 2, and 3 ..........................

40,324,292

Decreases not included in line 2 (itemize) bullet

2,670,860

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

37,653,432

Form 990-PF (2019)

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	Russell Multi Asset Core 10,259.918 units	P	2013-12-31	2017-07-03
b	Russell Multi Asset Core 6711.409 units	P	2013-12-31	2017-07-28
c	Russell Multi Asset Core 10,040.161 units	P	2013-12-31	2017-08-01
d	Russell Multi Asset Core 6125.995 units	P	2013-12-31	2017-08-30
e	Russell Multi Asset Core 9993.338 units	P	2013-12-31	2017-09-01
	Russell Multi Asset Core 6609.385 units	P	2013-12-31	2017-09-28
	Russell Multi Asset Core 9861.933 units	P	2013-12-31	2017-10-02
	Russell Multi Asset Core 6476.684 units	P	2013-12-31	2017-10-30
	Russell Multi Asset Core 9658.725 units	P	2013-12-31	2017-11-01
	Russell Multi Asset Core 6393.862 units	P	2013-12-31	2017-11-29
	Russell Multi Asset Core 9615.385 units	P	2013-12-31	2017-12-01
	Russell Multi Asset Core 6325.111 units	P	2013-12-31	2017-12-28
	Russell Multi Asset Core 9457.755 units	P	2013-12-31	2018-01-02
	Russell Multi Asset Core 6101.281 units	P	2013-12-31	2018-01-30
	Russell Multi Asset Core 9140.768 units	P	2013-12-31	2018-02-01
	Russell Multi Asset Core 6277.464 units	P	2013-12-31	2018-02-27
	Russell Multi Asset Core 1514.463 units	P	2013-12-31	2018-03-01
	Russell Multi Asset Core 5126.963 units	P	2013-12-31	2018-04-02
	Russell Multi Asset Core 6277.464 units	P	2013-12-31	2018-04-27
	Russell Multi Asset Core 9445.844 units	P	2013-12-31	2018-05-01
	Russell Multi Asset Core 6289.308 units	P	2013-12-31	2018-05-30
	Russell Multi Asset Core 9398.496 units	P	2013-12-31	2018-06-04
	Russell Low Dur Bd Fd 44,923.63 units	P	2015-12-31	2017-10-05
	Russell Low Dur Bd Fd 90,252.708 units	P	2015-12-31	2018-03-15
	Russell Core Bd Fd 535.423 units	P	2011-12-31	2017-08-30
	Russell Core Bd Fd 7787.666 units	P	2011-12-31	2008-03-01
	Russell Core Bd Fd 6150.062 units	P	2011-12-31	2018-03-28
	Russell Core Bd Fd 4308.249 units	P	2011-12-31	2018-04-02
	Russell Core Bd Fd 6172.84 units	P	2011-12-31	2018-06-28
	Russell Core Bd Fd K-1	P
	Russell Core Bd Fd K-1 Short year	P
	Russell Multi Asset Core Fd K-1	P
	Russell Low Dur Bd Fd K-1	P
	Russell Core Bd Fd K-1 Short year	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	150,000	154,514	-4,514
b	100,000	101,074	-1,074
c	150,000	151,205	-1,205
d	91,155	92,257	-1,102
e	150,000	150,500	-500
	100,000	99,537	463
	150,000	148,521	1,479
	100,000	97,539	2,461
	150,000	145,460	4,540
	100,000	96,292	3,708
	150,000	144,808	5,192
	100,000	95,256	4,744
	150,000	142,434	7,566
	100,000	91,885	8,115
	150,000	137,660	12,340
	100,000	94,539	5,461
	23,762	22,808	954
	79,776	77,212	2,564
	100,000	94,539	5,461
	150,000	142,254	7,746
	100,000	94,717	5,283
	150,000	141,259	8,741
	500,000	502,665	-2,665
	1,000,000	1,009,928	-9,928
	8,845	8,422	423
	126,238	122,500	3,738
	100,000	96,740	3,260
	70,224	67,879	2,345
	100,000	97,099	2,901
			30,372
			-68,943
			2,416,454
			-18,651
			-3,562

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			-4,514
b			-1,074
c			-1,205
d			-1,102
e			-500
			463
			1,479
			2,461
			4,540
			3,708
			5,192
			4,744
			7,566
			8,115
			12,340
			5,461
			954
			2,564
			5,461
			7,746
			5,283
			8,741
			-2,665
			-9,928
			423
			3,738
			3,260
			2,345
			2,901
			30,372
			-68,943
			2,416,454
			-18,651
			-3,562

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	2,434,167
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 ...................		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? Yes No

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))
2018	3,090,126	29,448,058	0.104935
2017	1,344,607	27,830,355	0.048314
2016
2015
2014

Total of line 1, column (d) .....................

0.153249

Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......

0.076625

Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......

30,405,496

Multiply line 4 by line 3......................

2,329,821

Enter 1% of net investment income (1% of Part I, line 27b)...........

23,052

Add lines 5 and 6........................

2,352,873

Enter qualifying distributions from Part XII, line 4,.............

1,568,023

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 (2019)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	46,103
	hereand 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	46,103
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	46,103
6	Credits/Payments:

a	2019 estimated tax payments and 2018 overpayment credited to 2019	6a	46,920
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c	0
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	46,920
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	74
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	743
11	Enter the amount of line 10 to be: Credited to 2020 estimated tax743	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.

If "Yes," complete Part XIV .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2019)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

www.clarkambition.org

The books are in care of bullet

Jennifer A Algire The Greater Clark Foundation Inc Telephone no. bullet

(859) 355-9054

Located at bullet

125 S Main StreetWinchesterKY ZIP+4 bullet

40391

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2019, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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 2019?.............

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)):

At the end of tax year 2019, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2019?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

If "Yes," did it have excess business holdings in 2019 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 2019.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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 2019?

Form 990-PF (2019)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .................YesNo

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
DeEtta Blackwell	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Edward Mastrean	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Travis Sewalls	Chairman 1.00	0	0	0
125 S Main St Winchester,KY40391	Chairman 1.00	0	0	0
Rosalinda Gay	Vice Chairman 1.00	0	0	0
125 S Main St Winchester,KY40391	Vice Chairman 1.00	0	0	0
Robert Jackson	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Joyce Morton	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Kevin Welsh	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Jennifer A Algire	CEO/Secretary/President 40.00	211,871	43,311	32,337
125 S Main St Winchester,KY40391	CEO/Secretary/President 40.00	211,871	43,311	32,337
Syndy Deese	Treasurer 1.00	0	0	0
125 S Main St Winchester,KY40391	Treasurer 1.00	0	0	0
Eric Hudson	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Lee Coleman	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Darren Henry	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Sean McBride	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0
Marvin King	Director 1.00	0	0	0
125 S Main St Winchester,KY40391	Director 1.00	0	0	0

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
Elizabeth Jones	Program Director 40.00	57,499	5,687	20,034
125 S Main St Winchester,KY40391	Program Director 40.00	57,499	5,687	20,034
W Brett Chevrount	Admin. Asst 40.00	51,398	5,079	15,144
125 S Main St Winchester,KY40391	Admin. Asst 40.00	51,398	5,079	15,144






Total number of other employees paid over $50,000...................				0

Form 990-PF (2019)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

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
Dean Builds Inc	Construction contractor	554,016
109 Mercer Ct Lexington,KY40511	Construction contractor	554,016
Russell Investment	Investment fees	222,860
1301 Second Ave Seattle,WA98101	Investment fees	222,860
Learning Landscape Design LLC	Construction consulting	120,767
111 SE Madison St Portland,OR97214	Construction consulting	120,767
Wee Architecture	Landscape Architecture	93,621
363 Crescent Winchester,KY40391	Landscape Architecture	93,621

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1	The organization is currently restoring the former hospital campus and land into park and recreational areas (Project 1107) for the socio-economic, health and well being of citizens in its mission area. Reminent parcels of land from the former 501(c)(3) hospital, which included buildings were abandoned for park use. Direct expense includes park conception consultation, design and grounds maintenance.	307,527
2	To achieve its exempt purpose and deploy its assets efficiently as it transitions from a hospital described in 170(b)(1)(A)(iii) to a 509(a)(2) organization, the volunteer Board of Directors engaged in a variety of strategies including grants and other programs to accomplish its mission. The organization is assisting, promoting and educating for a variety of other programs which include the place making, civic engagement,and Capacity Building, Ambition Grants, and other programs.	219,278
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......................... bullet

Form 990-PF (2019)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

29,891,326

Average of monthly cash balances.......................

977,198

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

30,868,524

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

30,868,524

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

463,028

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

30,405,496

Minimum investment return. Enter 5% of line 5..................

1,520,275

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

Minimum investment return from Part X, line 6....................

1,520,275

Tax on investment income for 2019 from Part VI, line 5......

46,103

Income tax for 2019. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

46,103

Distributable amount before adjustments. Subtract line 2c from line 1............

1,474,172

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

1,474,172

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

1,474,172

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

703,062

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

864,961

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

1,568,023

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.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

1,568,023

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 (2019)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2018	(c) 2018	(d) 2019
1 Distributable amount for 2019 from Part XI, line 7					1,474,172
2 Undistributed income, if any, as of the end of 2019:
a Enter amount for 2018 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2019:
a From 2014......
b From 2015......
c From 2016......
d From 2017......
e From 2018......	1,612,822
fTotal of lines 3a through e........		1,612,822
4Qualifying distributions for 2019 from Part
XII, line 4: $ 1,568,023
a Applied to 2018, 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 2019 distributable amount.....					1,474,172
e Remaining amount distributed out of corpus		93,851
5 Excess distributions carryover applied to 2019.		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		1,706,673
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 2018. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2019. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2020 ..........					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
8 Excess distributions carryover from 2014 not applied on line 5 or line 7 (see instructions) ...		0
9Excess distributions carryover to 2020. Subtract lines 7 and 8 from line 6a ......		1,706,673
10 Analysis of line 9:
a Excess from 2015....
b Excess from 2016....
c Excess from 2017....
d Excess from 2018....	1,612,822
e Excess from 2019....	93,851

Form 990-PF (2019)

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 2019, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

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) 2019	(b) 2018	(c) 2017	(d) 2016	(e) Total

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 foundation 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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or email address 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 (2019)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Appalachia Funders Network 1456 Patton Avenue Ashville,NC28806	None	PC	Funding Partner Contribution	1,610
Clark County Public School 1600 Lexington Ave Winchester,KY40391	None	Gov	What's Your Ambition - "Be" Scale up mindfulness curriculum	9,600
First Baptist Church 37 N Highland Ave Winchester,KY40391	None	NC	What's Your Ambition Grant - Cutz-n-Curtz Community Outreach	5,688
Grantmakers in Health 1100 Connecticut Suite 1200 Washington DC,VA20036	None	PC	Funding Partner Contribution	3,060
Kentucky Nonprofit Network PO Box 24362 Lexington,KY40524	None	PC	Funding Partner Contribution	1,000
Mountain Comprehensive Care Center 114 South Maple St Winchester,KY40391	None	PC	What's Your Ambition Grant - After school therapeutic rehabilitative program start-up costs.	10,000
Mountain Comprehensive Care Center 114 South Maple St Winchester,KY40391	None	PC	What's Your Ambition Grant - Trauma informaed response and self-care for educators.	10,000
Mt Association for Community Economic Development 433 Chestnut St Berea,KY40403	None	PC	What's Your Ambition Grant - AIR Institute license for Eastern KY	7,500
National Recreation and Park Association PO Box 5007 Merrifeld,VA22116	None	PC	Funding Contribution Partner	650
Southeastern Council of Foundations 50 Hurt Plaza Suite 350 Atlanta,GA30303	None	PC	Funding Partner Contribution, Sustaining Gift for Grantmakers of KY	4,220
The Hardwood Institute For Public Innovation 4915 St Elmo Ave 402 Bethesdam,MD20814	None	PC	Community Capacity Building	90,000
Winchester Art Guild 255 Stonecrest Rd Winchester,KY40391	None	PC	What's Your Ambition Grant - Scooped Ice Cream & Pottery Market	2,380
Winchester Council for the Arts PO Box 836 Winchester,KY40391	None	PC	What's Your Ambition Grant - Grant Neighbors Connect	2,607
Winchester Council for the Arts PO Box 836 Winchester,KY40391	None	PC	What's Your Ambition Grant - Leeds Youth Advisory original documentary theater, stories of marginalized residents in Clark County. Story gathering, playwright, music compositionm production and performance.	20,000
Winchester Municipal Utilities 150 North Main Street Winchester,KY40391	None	GOV	Grant for support with digital and physical maps, as well as demographic information.	1,000
Total ................................. 3a				169,315

bApproved for future payment

Total ................................. 3b				0

Form 990-PF (2019)

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	(e) Related or exempt function income (See instructions.)
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 ...........					543
4 Dividends and interest from securities....			14	870,143
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....			16	-38,547
6 Net rental income or (loss) from personal property
7 Other investment income.....
8 Gain or (loss) from sales of assets other than inventory ............					2,434,167
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aRebates & refunds				640
bOther K-1 income (loss) items				-757,258
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..		0		74,978	2,434,710

13Total. Add line 12, columns (b), (d), and (e)..................

2,509,688

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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 for operating and grant reserves.
11	Other partnership K-1 items excluded from interest and dividends.
11	Rebates and refunds from purchases related to exempt purpose.

Form 990-PF (2019)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below (see instr.) Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2019)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

The Greater Clark Foundation Inc

Employer identification number

61-0475632

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization The Greater Clark Foundation Inc

Part I Contributors	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	BB&T Harvey & Nancy Henry Memorial Trust PO Box 2887 Wilson, NC278942887	$ 21,100	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
2	Clark Reg Med CTR S Bush TUW TTEE PNC 1900 E 9th St Cleveland, OH44114	$ 18,001	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
3	BB&T Jack & Nancy Ragland Memorial Trust PO Box 2887 Wilson, NC278942887	$ 23,385	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
4	Clark Reg Med CTR S McCormick TUW TTEE PNC 1900 E 9th St Cleveland, OH44114	$ 7,856	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
5	Appalacia Regional Council 1666 Cennecticut Ave NW Washington, DC200091068	$ 55,000	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization The Greater Clark Foundation Inc		Employer identification number 61-0475632

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization The Greater Clark Foundation Inc			Employer identification number 61-0475632
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

TY 2017 AccountingFeesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Accounting fees	36,461	901	3,832	27,060
Audit fees	17,575	346	1,472	10,393
Allocation of accounting fees	5,304	0		0

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2017 DepreciationSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense	Adjusted Net Income
Powell County Medical Clinic	1999-01-01	2,137,586	1,201,726	VAR	0 %	54,461	54,461
Remodel 204 Floyd Drive	2015-01-24	24,640	1,554	SL	39.000000000000	290	290
Land	1964-06-27	2,721,648		L		0	0
Land improvements	2013-07-01	6,500	2,166	SL	15.000000000000	433	433
Medical Office Buildings	1973-06-30	875,954	812,798	VAR	0 %	3,345	3,345
Office Equipment	2012-03-31	48,466	40,946	SL	5.000000000000	3,145	3,145

- TIN:

TY 2017 InvestmentsOtherSchedule2

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
Russell	FMV	28,649,192	28,649,192
Endowed	FMV	3,703,346	3,703,346

- TIN:

TY 2017 LandEtcSchedule2

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
Powell County Medical Clinic	2,137,586	1,256,187	881,399	881,399
Land	2,721,648	0	2,721,648	2,721,648
Land improvements	6,500	2,599	3,901	3,901
Office Equipment	48,466	44,091	4,375	4,375

- TIN:

TY 2017 LegalFeesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Legal Fees	34,665	617	2,626	28,281
Allocation of legal fees	2,626	0		0

- TIN:

TY 2017 OtherAssetsSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
Park Assets (Rev Rule 78-102)	218,780	135,000	135,000
Park Assets (capitalized pre-construction)	258,317	1,329,501	1,329,501

- TIN:

TY 2017 OtherDecreasesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description	Amount
Investment income per K-1 excluded from books (GAAP vs Tax)	2,468,555
Book versus tax depreciation	21,726
Realized gains per tax return (Partnership Units)	78,497
GAAP loss from park asset change of purpose write-down	102,082

- TIN:

TY 2017 OtherExpensesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Board Expense	11,321	243	1,035	7,307
Direct Program Expense	89,993	0	0	89,993
Office expense	11,355	247	1,050	7,416
Memberships and dues	1,670	0	0	1,795
Allocation of Board expense	1,035	0		0
Allocation of office supplies	1,050	0		0

- TIN:

TY 2017 OtherIncomeSchedule2

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
Rebates & refunds	640		640
Other K-1 income (loss) items	-757,258	-757,258	0

- TIN:

TY 2017 OtherIncreasesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Description	Amount
Unrealized Gains for GAAP	447,317
Net changes in restricted assets not reflected in investment income	90,201
Realized gains per GAAP	944,266

- TIN:

TY 2017 OtherProfessionalFeesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
IT Management	25,359	544	2,315	16,349
Marketing	38,055	186	792	32,690
Investment managment	220,815	220,815	0	0
Allocation of professional fees	3,107	0		0

- TIN:

TY 2017 TaxesSchedule

Name:

The Greater Clark Foundation Inc

EIN:

61-0475632

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Investment	23,310	0	0	7,096