Form990-PF
Click to see attachment
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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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
The Clare Rose Foundation Inc
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

06-1480029
B Telephone number (see instructions)

(800) 839-1754
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$9,396,504J 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) 118,980
2 Check bullet.............
3 Interest on savings and temporary cash investments 348 348  
4 Dividends and interest from securities... 119,168 118,827  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -26,403
b Gross sales price for all assets on line 6a 1,903,820
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 105,604 21,021 88,086
12 Total. Add lines 1 through 11........ 317,697 140,196 88,086
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages...... 236,873   9,549 227,324
15 Pension plans, employee benefits....... 18,353   838 17,515
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 354,898 119,851 77,699 156,229
17 Interest............... 1,103 1,103    
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 25,935     25,935
21 Travel, conferences, and meetings....... 2,428     2,428
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 102,618 29,904   72,588
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 742,208 150,858 88,086 502,019
25 Contributions, gifts, grants paid....... 797,900 797,900
26 Total expenses and disbursements. Add lines 24 and 25 1,540,108 150,858 88,086 1,299,919
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,222,411
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 3,890,599 189,610 189,610
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) 209,609 Click to see attachment208,843 309,687
b Investments—corporate stock (attach schedule)....... 2,426,531 Click to see attachment4,740,074 8,366,925
c Investments—corporate bonds (attach schedule)....... 78,261 Click to see attachment78,184 450
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 275,051 Click to see attachment478,223 529,832
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) 6,880,051 5,694,934 9,396,504
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) Click to see attachment189,206 Click to see attachment226,500
23 Total liabilities (add lines 17 through 22)......... 189,206 226,500
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
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 6,690,845 5,468,434
29 Total net assets or fund balances (see instructions)..... 6,690,845 5,468,434
30 Total liabilities and net assets/fund balances (see instructions). 6,880,051 5,694,934
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
6,690,845
2
Enter amount from Part I, line 27a .....................
2
-1,222,411
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
5,468,434
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,468,434
Form 990-PF (2021)
Form 990-PF (2021)
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 Publicly-traded Securities      
b Passthrough K1 Capital Gain/(Loss)      
c ALLOCATED TO UBTI-ACQ INDEBTEDNESS      
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 1,903,820   1,968,207 -64,387
b       17,106
c       1,070
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       -64,387
b        
c        
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 -46,211
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,400
b Exempt foreign organizations—tax withheld at source...... 6b 0
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 1,400
8 Enter any penalty for underpayment of estimated tax. Check here 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 1,400
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,400 RefundedBullet 11  
Part VI-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 the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA, CT
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    15
    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
    15
     
    16 At any time during calendar year 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    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? .........................
    8
     
    No
    Part VII
    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
    Elise Furer Dir, Sec
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Anne Vincent Pres
    25.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Edward Vincent Dir
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    William Vincent Dir
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
    Mr Matthew D'Arrigo 0
    40.0     		150,000    
    3850 N Wilke Road
    Arlington Heigts,IL60004
    Ms Katherine Lorge 0
    30.0     		62,833    
    720 WEST LEWIS ST 9
    SAN DIEGO,CA92103
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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
    Janine Mason Philanthropic 195,606
    12825 Harwick Lane
    San Diego,CA92130
    HighTower Advisors Investment MGMT 120,970
    61 Jessup Road
    WESTPORT,CT068804312
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-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 CREATIVE YOUTH DEVELOPMENT INITIATIVE: EDUCATING/ADVOCATING FOR CREATIVE YOUTH DEV LOCALLY CONNECTING SAN DIEGO TO OTHER EFFORTS NATIONALLY & SERVING TO SPUR INNOVATION REGIONALLY 323,932
    2 FIELDSTONE LEADERSHIP NETWORK:STRENGTHEN NONPROFIT COMMUNITY BY PROVIDING CONTINUUM OF PRGMS TO DEVELOP EXEC LEADERSHIP, INCREASE AGNCY CAPACITY & SUSTAIN A COLLABRTVE, VIBRANT NTWK 221,755
    3  
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    8,037,178
    b
    Average of monthly cash balances.......................
    1b
    789,898
    c
    Fair market value of all other assets (see instructions)................
    1c
    485,928
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,313,004
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    27,939
    3
    Subtract line 2 from line 1d.........................
    3
    9,285,065
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    139,276
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    9,145,789
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    457,289
    Part X
    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.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    457,289
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    0
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    457,289
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    457,289
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    457,289
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 457,289
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:2019, 2018, 2017  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018...... 128,087
    d From 2019...... 175,711
    e From 2020...... 675,596
    f Total of lines 3a through e ........ 979,394
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,299,919
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 457,289
    e Remaining amount distributed out of corpus 842,630
    5 Excess distributions carryover applied to 2021.    
    (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 1,822,024
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,822,024
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018.... 128,087
    c Excess from 2019.... 175,711
    d Excess from 2020.... 675,596
    e Excess from 2021.... 842,630
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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).)
    NONE
    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 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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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 REASON TO SURVIVE
    200 E 12TH ST
    NATIONAL CITY,CA91950     		N/A PC Organizational development Fund 7,000
    A REASON TO SURVIVE
    200 E 12TH ST
    NATIONAL CITY,CA91950     		N/A PC Professional Development Fund 2,000
    A REASON TO SURVIVE
    200 E 12TH ST
    NATIONAL CITY,CA91950     		N/A PC General & Unrestricted 30,000
    A STEP BEYOND
    340 N ESCONDIDO BLVD
    ESCONDIDO,CA92025     		N/A PC General & Unrestricted 10,000
    ART OF ELAN
    6165 RADCLIFFE DR
    SAN DIEGO,CA92122     		N/A PC General & Unrestricted 10,000
    CALIFORNIANS FOR THE ARTS
    915 L ST C-422
    SACRAMENTO,CA95814     		N/A PC Charitable Event 2,500
    CATALYST OF SAN DIEGO & IMPERIAL COUNTIES
    5060 SHOREHAM PL STE 350
    SAN DIEGO,CA92122     		N/A PC Nancy Jamison Fund for Social Justice 20,000
    CATALYST OF SAN DIEGO & IMPERIAL COUNTIES
    5060 SHOREHAM PL STE 350
    SAN DIEGO,CA92122     		N/A PC Sponsorship of learning series on the intersection of the arts and other funding areas 2,500
    CENTER FOR HOPE AND STRENGTH INC
    PO BOX 6790
    SAN DIEGO,CA92166     		N/A PC General & Unrestricted 100,000
    CLARE ROSE FOUNDATION CENTER FOR CREATIVE YOUTH DE
    3105 GOLDSMITH ST
    SAN DIEGO,CA92106     		N/A PC Charitable Event 32,000
    CLARE ROSE FOUNDATION CENTER FOR CREATIVE YOUTH DE
    3105 GOLDSMITH ST
    SAN DIEGO,CA92106     		N/A PC General & Unrestricted 200,000
    CRISTO REY NEW YORK HIGH SCHOOL
    112 E 106TH ST
    NEW YORK,NY10029     		N/A PC General & Unrestricted 50,000
    ELDERHELP OF SAN DIEGO
    5095 MURPHY CANYON RD 100
    SAN DIEGO,CA92123     		N/A PC The Clare Rose Sabbatical Fund 42,500
    FRIENDSHIP SHELTER INC
    24361 EL TORO RD STE 215
    LAGUNA WOODS,CA92637     		N/A PC The Clare Rose Sabbatical Fund 42,500
    GET EMPOWERED TODAY
    3245 UNIVERSITY AVE STE 1 PMB 47
    SAN DIEGO,CA92104     		N/A PC General & Unrestricted 20,000
    GIRLS ON THE RUN OF SAN DIEGO
    PO BOX 232
    POWAY,CA92074     		N/A PC General & Unrestricted 50,000
    GROUNDWORK SAN DIEGO - CHOLLAS CREEK
    5106 FEDERAL BLVD STE 203
    SAN DIEGO,CA92105     		N/A PC CYD summer camp 3,600
    HIGHSTEPPERS DRILL TEAM INC
    3919 TEAK ST
    SAN DIEGO,CA92113     		N/A PC Technical assistance Fund 3,500
    HIGHSTEPPERS DRILL TEAM INC
    3919 TEAK ST
    SAN DIEGO,CA92113     		N/A PC General & Unrestricted 20,000
    KIDS INCLUDED TOGETHER SAN DIEGO INC
    2820 ROOSEVELT RD STE 202
    SAN DIEGO,CA92106     		N/A PC Clare Rose Sabbatical Professional Development Fund 5,000
    LICENSE TO FREEDOM
    131 AVOCADO AVE
    EL CAJON,CA92020     		N/A PC Clare Rose Sabbatical Professional Development Fund 3,200
    PROMISES2KIDS FOUNDATION
    9440 RUFFIN COURT STE 2
    SAN DIEGO,CA92123     		N/A PC Clare Rose Sabbatical Professional Development Fund 5,000
    SAN DIEGO AFRICAN AMERICAN MUSEUM OF FINE ART INC
    555 SATURN BLVD STE B 261
    SAN DIEGO,CA92154     		N/A PC Charitable Event 5,000
    THE AJA PROJECT
    4089 FAIRMOUNT AVE
    SAN DIEGO,CA92105     		N/A PC General & Unrestricted 15,000
    THE DAVIDS HARP FOUNDATION INC
    705 16TH ST
    SAN DIEGO,CA92101     		N/A PC Digital equipment Fund 5,000
    THE DAVIDS HARP FOUNDATION INC
    705 16TH ST
    SAN DIEGO,CA92101     		N/A PC General & Unrestricted 25,000
    TRANSCENDANCE YOUTH ARTS PROJECT
    200 EAST 12TH ST
    NATIONAL CITY,CA91950     		N/A PC General & Unrestricted 15,000
    TRANSCENDANCE YOUTH ARTS PROJECT
    200 EAST 12TH ST
    NATIONAL CITY,CA91950     		N/A PC Project Manager fund for new site 1,600
    TRAUMA FOUNDATION
    16150 AGATE PASS RD NE
    BAINBRIDGE IS,WA98110     		N/A PC General & Unrestricted 50,000
    TUYO THEATRE INC
    850 BEECH ST UNIT 2103
    SAN DIEGO,CA92101     		N/A PC BOCN Fund 10,000
    UNITED WAY OF SAN DIEGO COUNTY
    4699 MURPHY CANYON RD
    SAN DIEGO,CA92123     		N/A PC CYD Board Service Certification training 10,000
    Total .................................bullet 3a 797,900
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........     		    14 348  
    4 Dividends and interest from securities ....          
    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 ............     		525990 19,808 18 -46,211  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aK-1 Inc/Loss     		525990 -17,073 14 24,289  
    bFederal Tax Refund     01 10,020  
    cCLASS ACTION LAWSUIT PROCEEDS     01 282  
    dEXPEMT FUNCTION INCOME         88,086
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 3,076 107,555 88,086
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    198,717
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    11 PROVIDE RECIPROCAL LEARNING OPPORTUNITIES WHICH BUILD, DEEPEN, AND SUSTAIN PERSONAL AND PROFESSIONAL CAPABILITIES AND RELATIONSHIPS AMONG NONPROFIT PROFESSIONALS SO THEY ARE BETTER ABLE TO LEAD, COLLABORATE, AND PROBLEM SOLVE.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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) (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) (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 instructions.
    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 (2021)
    Additional Data


    Software ID:  
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    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    The Clare Rose Foundation Inc
     
    Employer identification number

    06-1480029
    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 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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    The Clare Rose Foundation Inc
          		Employer identification number
    06-1480029
    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
    California State University
    333 South Twin Oaks Valley Rd
     
    San Marcos, CA92069

    		$ 18,980


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    Vincent Fay
    145 Sago Palm Rd
     
    Vero Beach, FL329633702

    		$ 100,000


    (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.)
    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    The Clare Rose Foundation Inc
          		Employer identification number

    06-1480029
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    The Clare Rose Foundation Inc
          		Employer identification number

    06-1480029
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

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

    TY 2021 DepreciationSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2021 GeneralExplanationAttachment
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Identifier Return Reference Explanation
    PART I LINE 6A (990-PF) PART I LINE 6A (990-PF) PART I LINE 6A (990-PF) - RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $(46,211) TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $20,878 ALLOCATED TO UBTI-ACQUSITION INDEBTEDNESS NET GAIN/(LOSS): $(1,070) TOTAL PART I, LINE 6A: $(26,403) DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $1,903,820 BOOK BASIS: $1,968,207 NET GAIN/(LOSS): $(64,387) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $17,106 ALLOCATED TO UBTI-ACQUISITION INDEBTEDNESS NET GAIN/(LOSS): $1,070

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Name of Bond End of Year Book Value End of Year Fair Market Value
    LEHMAN BRTHRS HLDGRRBOND - 0.0 78,184 450

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACTIVISION BLIZZARD INC 34,550 25,082
    ADVANCE AUTO PARTS INC 27,426 30,945
    AKOUSTIS TECHNOLOGIES INC 23,892 11,523
    ALLEGION PLC 22,132 27,283
    ALNYLAM PHARMACEUTICALS, INC 23,080 24,589
    AMAZON COM 343,472 1,333,735
    AMERICAN TOWER REIT INC 25,082 32,760
    APPLE INC 519,718 2,237,381
    APPLIED MATERIALS INC 22,824 30,528
    ARTISAN DEVELOPING WORLD FUND 292,438 216,318
    BERKSHIRE HATHAWAY INC DEL CL 445,154 901,324
    BROADCOM INC 27,472 37,928
    BROADRIDGE FINANCIAL 25,179 31,079
    CINTAS CRP 25,632 33,238
    CISCO SYSTEMS INC 91,765 145,751
    COMMUNICATION SVCS SLCT SCTR S 57,154 60,047
    CONSUMER STAPLES SELECT SECTOR 37,078 43,259
    CYTOSORBENTS CORP 22,370 10,069
    DOLLAR GENERAL CORP 25,474 29,950
    EVERBRIDGE INC 23,167 10,301
    EXACT SCIENCES CORPORATION 21,198 12,453
    FIDELITY MSCI CONSUMER DIRECT 58,304 66,740
    FIRST TRUST DOW JONES INTERNET 33,471 31,432
    FIRST TRUST NASDQ 100 TECHNOLO 79,851 91,083
    GOLDMAN SACHS BDC INC 77,903 112,297
    GQG PARTNERS US QUALITY SELECT 512,754 578,605
    HOME DEPOT INC 22,983 34,446
    HUBSPOT INC 18,234 21,752
    INGEVITY CORPORATION 25,788 24,880
    INTRA CELLULAR THERAPIES INC 11,707 15,022
    INTUIT 21,462 34,091
    ISHARE DJ FIN SC INX 45,564 55,482
    KORNIT DIGITAL LTD 15,499 19,640
    LEHMAN BROTHERS HOLDINGS INC. 40,118  
    MASTERCARD INC 23,197 24,793
    MICROSOFT CORP 71,229 102,241
    MOODYS CORP 23,678 33,590
    ORACLE CORP 147,523 261,630
    PIMCO INCOME FUND 323,583 338,580
    PLANET FITNESS INC 23,621 25,634
    PROCTER GAMBLE CO 44,427 98,148
    RAPID7 INCORPORATED 20,955 29,423
    REAL ESTATE SELECT SECTOR SPDR 13,174 18,030
    RINGCENTRAL INC 34,693 21,358
    ROPER INDUSTRIES 24,079 30,495
    SELECT SECTOR SPDR ENERGY FUND 11,213 13,487
    SELECT SECTOR SPDR INDUSTRIAL 39,299 46,133
    SHERWIN-WILLIAMS CO 23,976 35,920
    SMARTSHEET INC 21,153 22,461
    SPDR S&P BIOTECH ETF 13,741 9,964
    STARBUCKS CORP COM 23,570 26,903
    SVB FINANCIAL GROUP 21,091 26,451
    TEXAS INSTRUMENTS INC 23,989 25,820
    THERMO FISHER SCIENTIFIC INC 25,681 36,698
    UNITEDHEALTH GROUP INC 21,738 33,643
    VANGUARD HEALTH CARE ETF 70,319 79,660
    VANGUARD MTRL ETF 13,004 15,750
    VIEW ORD SHS CLASS A 24,007 10,006
    VISA INC 24,901 26,005
    WAL-MART STORES INC 181,771 289,380
    WISDOMTREE CLOUD COMPUTING ETF 48,435 42,992
    WISDOMTREE EMERGING MARKETS 277,331 232,892
    ZOETIS INC 24,801 37,825

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    US Government Securities - End of Year Book Value:

    3,245
    US Government Securities - End of Year Fair Market Value:

    3,625
    State & Local Government Securities - End of Year Book Value:


    205,598
    State & Local Government Securities - End of Year Fair Market Value:


    306,062


    TY 2021 InvestmentsOtherSchedule2
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ARMADA (FKA GPB) WASTE MANAGEM   25,899 10,624
    GPB AUTOMOTIVE PORTFOLIO, LP   87,654 78,001
    MOSAIC REAL ESTATE CREDIT TE,   126,238 132,297
    STAR MOUNTAIN SBIC FUND, LP   187,433 193,072
    VIRTUS REAL ESTATE CAPITAL II,   50,999 115,838

    TY 2021 OtherExpensesSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 44,399     44,399
    Bank Charges 3,316 3,313    
    K-1 Exp ARMADA (FKA GPB) WASTE 132 12    
    K-1 Exp GPB AUTOMOTIVE PORTFOL 19 19    
    K-1 Exp MOSAIC REAL ESTATE CRE 661 661    
    K-1 Exp STAR MOUNTAIN SBIC FUN 25,899 25,899    
    K-1 Exp VIRTUS REAL ESTATE CAP 3      
    Office Supplies 129     129
    Postage/Delivery Service 987     987
    State or Local Filing Fees 75     75
    TRAINING & PROFESSIONAL DVLPMT 26,998     26,998


    TY 2021 OtherIncomeSchedule2
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    K-1 Inc/Loss ARMADA (FKA GPB) WASTE MANAGEMENT, LP -1,610 517  
    K-1 Inc/Loss GPB AUTOMOTIVE PORTFOLIO, LP -2,457 -739  
    K-1 Inc/Loss MOSAIC REAL ESTATE CREDIT TE, LLC 9,380 9,380  
    K-1 Inc/Loss STAR MOUNTAIN SBIC FUND, LP 13,331 13,331  
    K-1 Inc/Loss VIRTUS REAL ESTATE CAPITAL II, LP -11,428 -1,750  
    Class Action Lawsuit Proceeds 282 282  
    Federal Tax Refund 10,020    
    Exempt Function Income 88,086   88,086


    TY 2021 OtherLiabilitiesSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Description Beginning of Year - Book Value End of Year - Book Value
    OUTSTANDING OPTIONS 189,206 226,500


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 120,970 119,851    
    Philanthropic Consulting Srvcs 232,928   77,699 155,229
    WEBSITE DEVELOPMENT 1,000     1,000


    TY 2021 SubstantialContributorsSch
    Name:
    The Clare Rose Foundation Inc
    EIN:
    06-1480029
    Name Address
    Vincent Fay 145 Sago Palm Rd
    Vero Beach,FL329633702