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
Clark R Smith Family Foundation
 
% 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

22-2757313
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$32,272,257
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,614 1,614  
4 Dividends and interest from securities... 2,018,333 2,018,333  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,005,913
b Gross sales price for all assets on line 6a 7,045,135
7 Capital gain net income (from Part IV, line 2)... 2,005,913
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)....... 425 425  
12 Total. Add lines 1 through 11........ 4,026,285 4,026,285  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 6,124 0 0 6,124
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 135,322 135,322    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 36,850      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 43,749 26   43,723
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 222,045 135,348 0 49,847
25 Contributions, gifts, grants paid....... 1,403,630 1,403,630
26 Total expenses and disbursements. Add lines 24 and 25 1,625,675 135,348 0 1,453,477
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,400,610
b Net investment income (if negative, enter -0-) 3,890,937
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......... 1,603,717 3,679,361 3,679,361
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) 100,750 Click to see attachment100,750 100,636
b Investments—corporate stock (attach schedule)....... 8,874,757 Click to see attachment9,400,702 12,669,043
c Investments—corporate bonds (attach schedule)....... 842,011 Click to see attachment641,032 677,964
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,715,326 Click to see attachment3,715,326 15,145,253
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) 15,136,561 17,537,171 32,272,257
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances 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 15,136,561 17,537,171
29 Total net assets or fund balances (see instructions)..... 15,136,561 17,537,171
30 Total liabilities and net assets/fund balances (see instructions). 15,136,561 17,537,171
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
15,136,561
2
Enter amount from Part I, line 27a .....................
2
2,400,610
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
17,537,171
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
17,537,171
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
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 7,045,135   5,039,222 2,005,913
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       2,005,913
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 2,005,913
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 54,084
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 54,084
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 41,700
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 13,600
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 55,300
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 99
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 1,117
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,117 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
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMA
    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. ...............................
    10
     
    No
    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 addressbulletN/A
    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
    Carlton Smith Trustee
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Owen Smith Trustee
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Trina Smith Trustee
    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
     
    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
    Bank of America US TRUST INVESTMENT MGMT 122,124
    100 FEDERAL STREET 11TH FL
    BOSTON,MA02110
    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  
    2  
    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
    13,980,928
    b
    Average of monthly cash balances.......................
    1b
    3,324,179
    c
    Fair market value of all other assets (see instructions)................
    1c
    15,145,253
    d
    Total (add lines 1a, b, and c).........................
    1d
    32,450,360
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    32,450,360
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    486,755
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    31,963,605
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,598,180
    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
    1,598,180
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    54,084
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    54,084
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,544,096
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,544,096
    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
    1,544,096
    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 1,544,096
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 1,393,681
    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......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,453,477
    a Applied to 2020, but not more than line 2a 1,393,681
    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..... 59,796
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........
    1,484,300
    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 ......
    0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 0
    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
    826 VALENCIA
    826 VALENCIA ST
    SAN FRANCISCO,CA94110
    N/A PC The Black Students Initiative 10,000
    CENTRO LEGAL DE LA RAZA INC
    3400 E 12TH ST
    OAKLAND,CA94601
    N/A PC Youth Law Academy 30,000
    CENTRO LEGAL DE LA RAZA INC
    3400 E 12TH ST
    OAKLAND,CA94601
    N/A PC Tenants Rights Program 40,000
    CHANGE IS SIMPLE INCORPORATED
    100 CUMMINGS CTR STE 227Q
    BEVERLY,MA01915
    N/A PC General & Unrestricted 25,000
    COUNCIL ON THE ENVIRONMENT INC DBA GROWNYC
    100 GOLD ST STE 3300
    NEW YORK,NY10038
    N/A PC Youth Education Programs 25,000
    ESSEX COUNTY COMMUNITY FOUNDATION INCORPORATED
    175 ANDOVER ST STE 101
    DANVERS,MA01923
    N/A PC Digital equity initiative 25,000
    FARESTART
    700 VIRGINIA ST
    SEATTLE,WA98101
    N/A PC Job Training Support 20,000
    FARESTART
    700 VIRGINIA ST
    SEATTLE,WA98101
    N/A PC Farmer's Truck for Community Market Program 50,000
    FARESTART
    700 VIRGINIA ST
    SEATTLE,WA98101
    N/A PC Hunger Relief and Food Security Support 10,000
    FELTON INSTITUTE
    1005 ATLANTIC AVE
    ALAMEDA,CA94501
    N/A PC San Francisco Suicide Prevention's Youth Risk Reduction Program 10,000
    FOOD PROJECT INC
    10 LEWIS ST
    LINCOLN,MA01773
    N/A PC to purchase Pickup Truck 43,000
    FOOD PROJECT INC
    10 LEWIS ST
    LINCOLN,MA01773
    N/A PC Support of youth empowerment through food and farming program 30,000
    GIRLS INCORPORATED OF LYNN
    50 HIGH ST
    LYNN,MA01902
    N/A PC Operation SMART 20,000
    HABITAT FOR HUMANITY INTERNATIONAL INC
    14 PARK ST
    DANVERS,MA01923
    N/A PC Essex County Habitat for Humanity: Homes for Families in Need 10,000
    HOMELESS PRENATAL PROGRAM INC
    2500 18TH ST
    SAN FRANCISCO,CA94110
    N/A PC capital campaign to support HPP's expansion 100,000
    HOMELESS PRENATAL PROGRAM INC
    2500 18TH ST
    SAN FRANCISCO,CA94110
    N/A PC Jelani House Program 25,000
    INTERNATIONAL RESCUE COMMITTEE INC
    PO BOX 6068
    ALBERT LEA,MN56007
    N/A PC IRC San Jose, CA BRIDGE Youth Mentorship Program 50,000
    LEAP FOR EDUCATION INC
    35 CONGRESS ST STE 102
    SALEM,MA01970
    N/A PC dashboard consultant, field trip fund, staff training & hybrid classroom technology fund 12,000
    LEAP FOR EDUCATION INC
    35 CONGRESS ST STE 102
    SALEM,MA01970
    N/A PC Peabody/Salem college success mentoring program 40,000
    MARTHAS VINEYARD BOYS AND GIRLS CLUB INCORPORATED
    PO BOX 654
    EDGARTOWN,MA02539
    N/A PC General & Unrestricted 100,000
    MASSACHUSETTS BAR FOUNDATION INC
    20 W ST
    BOSTON,MA02111
    N/A PC Smith Legal Intern of the Legal Intern Fellowship Program 50,000
    NEW YORK COMMON PANTRY
    8 E 109TH ST
    NEW YORK,NY10029
    N/A PC General & Unrestricted 30,000
    NEW YORK-PRESBYTERIAN FUND INC
    850 3RD AVE 12TH FL
    NEW YORK,NY10022
    N/A PC New York-Presbyterian Youth Anxiety Center 10,000
    NORTHEAST HOSPITAL CORPORATION
    85 HERRICK ST
    BEVERLY,MA01915
    N/A PC Addison Gilbert Hospital to support the School Based Health Center at Gloucester High School 10,000
    PATHWAYS FOR CHILDREN INC
    29 EMERSON AVE
    GLOUCESTER,MA01930
    N/A PC Supporting Families Program 30,000
    PATHWAYS FOR CHILDREN INC
    29 EMERSON AVE
    GLOUCESTER,MA01930
    N/A PC Pathway's Scholarship Fund 10,000
    RAW ART WORKS INC
    37 CENTRAL SQ
    LYNN,MA01901
    N/A PC Project Launch 30,000
    RAW ART WORKS INC
    37 CENTRAL SQ
    LYNN,MA01901
    N/A PC General & Unrestricted 1,000
    REAL ESCAPE FROM THE SEX TRADE
    4215 RAINIER AVE SOUTH SUITE B
    SEATTLE,WA98118
    N/A PC General & Unrestricted 30,000
    ROOM TO GROW NATIONAL INC
    424 E 147TH ST FL 5
    BRONX,NY10455
    N/A PC General & Unrestricted 100,000
    RUNWAY OF DREAMS FOUNDATION
    9 COVENTRY RD
    LIVINGSTON,NJ07039
    N/A PC Youth Programs 50,000
    SAN FRANCISCO FOOD BANK
    900 PENNSYLVANIA AVE
    SAN FRANCISCO,CA94107
    N/A PC Healthy Kids Program 16,000
    THE ALAMEDA COUNTY COMMUNITY FOOD BANK INC
    PO BOX 2599
    OAKLAND,CA94614
    N/A PC Children's Food Program 20,000
    THE JED FOUNDATION
    PO BOX 60174
    BROOKLYN,NY11206
    N/A PC High School Program Fund 25,000
    THE OPEN DOOR CAPE ANN FOOD PANTRY INC
    28 EMERSON AVE
    GLOUCESTER,MA01930
    N/A PC to purchase a Commercial Potato Peeler 11,000
    THE OPEN DOOR CAPE ANN FOOD PANTRY INC
    28 EMERSON AVE
    GLOUCESTER,MA01930
    N/A PC Healthy Food for Families Program 30,000
    THEDACARE FAMILY OF FOUNDATIONS INC
    PO BOX 8025
    APPLETON,WI54912
    N/A PC ER Pediatric Treatment Room 150,000
    WELLSPRING HOUSE INC
    302 ESSEX AVE
    GLOUCESTER,MA01930
    N/A PC to purchase Van Transportation, Speaker, Camera, and Propane unit 5,630
    WELLSPRING HOUSE INC
    302 ESSEX AVE
    GLOUCESTER,MA01930
    N/A PC Mentoring Gloucester HS - ESOL for immigrant parents program 65,000
    WEST SIDE CENTER FOR COMMUNITY LIFE INC
    263 W 86TH ST
    NEW YORK,NY10024
    N/A PC General & Unrestricted 30,000
    YMCA OF THE NORTH SHORE INC
    200 CUMMINGS CTR STE 173D
    BEVERLY,MA01915
    N/A PC Cape Ann YMCA Summer Reading Program 25,000
    Total .................................bullet 3a 1,403,630
    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 1,614  
    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 ............
        18 2,005,913  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aCLASS ACTION LAWSUIT PROCEEDS
        01 266  
    bFOREIGN TAX REFUND     01 159  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   4,026,285  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    4,026,285
    (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.)
    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:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

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

    TY 2021 DepreciationSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    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 InvestmentsCorpBondsSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Name of Bond End of Year Book Value End of Year Fair Market Value
    APPLE INC - 3.000% - 02/09/202 50,205 52,041
    BP CAP MKTS AMER - 3.410% - 02 50,200 53,359
    BURLINGTON NORTHN SANTA FE CP 50,077 53,840
    BYN MELLON - 3.250% - 05/16/20 49,871 53,905
    CITIGROUP INC BND - 3.300% - 0 49,238 53,125
    COMCAST CORP NOTE - 4.150% - 1 51,658 56,806
    DUKE ENERGY PROGRESSLLC BOND - 50,463 54,001
    INTEL CORP - 3.150% - 05/11/20 50,066 53,635
    MEDTRONIC INC - 3.500% - 03/15 37,207 38,344
    MERCK &CO INC NOTE CALL MAKE W 50,117 52,176
    PFIZER - 3.000% - 06/15/2023 50,535 51,748
    PUBLIC SVC ELEC GAS CO BE MTN 50,711 51,747
    STATE STR CORP - 3.300% - 12/1 50,684 53,237

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 16,888 52,355
    ACCENTURE PLC 11,658 31,920
    ACUITY BRANDS INC 4,325 4,870
    ADIDAS AG 9,130 9,792
    ADOBE SYSTEMS, INC 8,020 46,499
    ADTALEM GLOBAL EDUCATION INC 10,190 7,715
    ADVANCED DRAINAGE SYSTEMS INC 9,578 11,571
    ADVANCED MEDICAL OPTICS 5,778 7,966
    AENA SME S.A. ADR 8,669 7,575
    AERCAP HOLDING N.V 3,575 5,103
    AGILENT TECHNOLOGIES INC 6,363 25,544
    AIA GROUP LTD ADR 18,609 19,837
    AIR PRODS & CHEM INC 11,537 24,949
    AIRBUS GROUP 8,790 10,084
    ALASKA AIR GROUP INC 3,106 2,449
    ALBANY INTERNATIONAL CORP 1,959 2,388
    ALBEMARLE CP 22,378 35,066
    ALCON INC 6,761 8,799
    ALEXANDRIA REAL ESTATE EQUITIE 14,234 17,168
    ALIGHT ORD SHS CLASS A 3,843 3,438
    ALIGN TECHNOLOGY, INC 5,552 9,201
    ALLEGRO MICROSYSTEMS ORD SHS 4,484 5,861
    ALLY FINANCIAL INC 6,100 11,664
    ALPHABET INC CL C 85,344 188,083
    ALTICE USA INC 6,501 4,466
    AMADEUS IT HLDS SA 11,763 12,054
    AMEDISYS INC - COMMON STOCK 1,978 1,295
    AMER EQ INV LIFE HLD 3,570 4,164
    AMER FIN GRP HLD 2,466 4,120
    AMERICAN TOWER REIT INC 17,115 18,428
    AMERICAN WATER WORKS COMPANY I 14,091 32,673
    AMKOR TECHNOLOGY, INC 4,275 9,073
    AMPHASTAR PHARMACEUTICALS INC 635 675
    ANSYS INC 10,539 12,836
    ANTHEM INC 16,537 28,739
    APA CORPORATION 3,619 6,346
    APPLE HOSPITALITY REIT INC 3,803 4,910
    APPLE INC 30,695 258,187
    APPLIED IDNS TECH 1,912 3,595
    APPLIED MATERIALS INC 18,980 42,172
    ARCH CAPITAL GROUP LTD 5,438 6,979
    ASML HOLDING NV NY REG SHS 5,603 17,515
    ASPEN TECHNOLOGY, INC 4,516 6,088
    ASSURANT INC 4,292 6,234
    ASTRAZENECA 10,889 11,301
    ATKORE INTERNATIONAL GROUP INC 4,067 5,782
    AUTODESK, INC 22,676 22,495
    AVALONBAY CMNTYS INC 3,274 4,547
    AVIENT 765 2,070
    AVNET INC 2,278 2,474
    AXIS CAPITAL HOLDINGS LTD 6,053 6,863
    AZENTA INC 1,961 4,846
    BAE SYSTEMS PLC 9,231 9,592
    BALCHEM CORP 2,878 4,215
    BALL CP 6,174 16,751
    BANDWIDTH INC 3,426 3,157
    BANK OF HAWAII CORP 3,348 5,109
    BARCLAYS PLC ADR 17,691 19,934
    BAYERISCHE MOTOREN WERKE AG AD 6,731 8,016
    BBH LIMITED DURATION FUND CLAS 400,376 398,055
    BECTON DICKINSON & CO 14,496 15,089
    BEST BUY INC 8,531 14,122
    BHP BILLITON LIMITED 47,611 42,245
    BIOHAVEN PHARMACEUTICAL HOLDIN 2,938 5,788
    BJ'S WHLSL CLUB INC 4,847 12,523
    BLACKROCK INC 22,223 39,369
    BLOOM ENERGY CORP 4,241 3,618
    BORG WARNER INC 8,870 7,572
    BRIDGESTONE CORP UNSP ADR 8,131 9,245
    BRISTOL-MYERS SQUIBB CO 24,646 26,686
    BROADRIDGE FINANCIAL 8,391 11,883
    BRUKER CORPORATION 5,758 12,251
    BUILDERS FIRST SOURCE INC 2,357 11,999
    BUNZL PLC SPONSORED ADR 9,696 13,210
    BURBERRY GROUP PLC 5,266 4,937
    CACTUS, INC. CLASS A 2,998 3,775
    CADENCE BANCORPORATION 3,663 3,873
    CADENCE DESIGN SYSTEMS INC 11,901 15,653
    CALAVO GROWERS, INC 2,777 1,314
    CALRSBERG AS SP ADR REP B 8,797 10,798
    CANADIAN NATL RAILWAY CO 7,817 9,092
    CAP GEMINI SA UNSP/ADR 5,747 9,641
    CAREDX INC 4,489 3,729
    CARLISLE COS INC 4,986 8,684
    CARMAX INC 18,234 20,316
    CASEY'S GENERAL STORES, INC 3,638 5,526
    CATALENT INC 6,556 11,651
    CATERPILLAR INC 44,784 41,348
    CBRE GROUP 5,828 21,811
    CDW CORP 4,609 12,696
    CERTARA 3,061 2,814
    CHAMPIONX CORP 1,844 2,304
    CHEGG INC 2,435 2,917
    CHEMED CORP 3,308 3,703
    CHENIERE ENERGY INC 2,818 4,665
    CHIPOTLE MEX GRILL 6,675 17,483
    CIRRUS LOGIC INC 1,333 1,472
    CISCO SYSTEMS INC 30,473 53,865
    CITIGROUP INC 45,802 52,600
    CITY OFFICE REIT 1,307 3,175
    CLEAN HARBORS, INC 2,388 2,594
    CLOROX CO 11,610 13,251
    COLGATE-PALMOLIVE COMPANY 12,256 14,166
    COMCAST CORP 43,616 49,021
    COMFORT SYSTEMS USA INC 1,871 4,353
    COMMERCIAL METALS 1,967 3,484
    COMPAGNIE DE SAINT G 5,899 9,175
    COMPAGNIE FINANCIERE RICHEMONT 6,854 11,781
    COMPASS GROUP PLC ADR 10,939 11,673
    CONCENTRIX CORP 2,881 8,395
    CONOCOPHILLIPS 28,120 44,535
    CONSENSUS CLOUD SOLUTION 1,060 1,852
    COOPER COMPANIES INC 8,260 10,892
    COPART INC 9,010 13,949
    COSTAMARE INC 340 633
    COSTAR GROUP, INC 8,478 8,693
    CRA INTERNATIONAL INC 218 467
    CRANE CO 2,669 2,747
    CRYOPORT INC 1,703 2,899
    CSG SYST INTL INC. 3,901 4,725
    CUMMINS INC 9,043 12,434
    CVS CAREMARK CORP 18,689 20,838
    D R HORTON 7,415 11,930
    DAIMLER AG ADR 6,301 6,676
    DANA HOLDING CP 7,391 8,831
    DBS GROUP HLDGS SPON ADR 7,086 9,639
    DECKERS OUTDOOR CORPORATION 15,541 17,583
    DEERE CO 58,507 70,635
    DELUXE CORPORATION 431 578
    DEUTSCHE ENHANCED COMMODITY ST 624,999 517,412
    DEUTSCHE POST AG 8,834 10,830
    DEXCOM, INC 20,982 32,754
    DIAGEO PLC ADS 7,246 11,447
    DIODES 2,014 2,306
    DISCOVER FINL SVCS COM 34,608 33,281
    DNB BANK ASA 6,335 8,193
    DONALDSON CO. INC 1,759 1,778
    DOVER CORP 4,827 9,443
    EASTMAN CHEMICAL CO 3,886 5,441
    EATON CORP PLC 15,382 36,811
    EBAY INC 25,606 45,553
    ECOLAB INC 11,392 23,694
    EDWARDS LIFESCIENCES 5,528 13,732
    ELECTRONIC ARTS 21,110 21,500
    ELEMENT SOLUTIONS INC 4,524 4,783
    EMCOR GROUP INC 5,767 11,338
    EMERSON ELECTRIC CO 27,922 34,399
    ENCOMPASS HEALTH CORPORATION 6,920 6,395
    ENTAIN PLC 8,991 11,019
    ENTERGY CORP 8,723 9,575
    ENVESTNET INC 3,140 4,522
    EOG RESOURCES INC 54,145 66,623
    EPAM SYSTEMS INC 2,764 14,037
    EQT CORPORATION 1,392 3,075
    EQUINOR ASA 4,843 7,636
    ERSTE BK DER OEST SP 5,687 7,146
    ESTEE LAUDER COMPANIES INC 13,586 32,207
    ETSY INC 26,426 27,805
    EURONET WORLDWIDE INC 7,325 8,104
    EVERCORE PARTNERS INC 3,712 5,706
    EVERTEC INC 2,736 3,749
    EXELIXIS, INC. 3,623 3,382
    EXLSERVICE HOLDINGS INC 3,668 4,343
    EXPEDITORS INTL WASH INC 12,733 24,038
    F.N.B CORPORATION 3,599 5,386
    FANUC LIMITED UNSPONSORED 10,482 9,644
    FASTENAL COMPANY 5,336 10,762
    FIDELITY NATIONAL FINANCIAL IN 4,828 7,566
    FIGS ORD SHS CLASS A 931 772
    FINANCIAL INSTITUTIONS, INC 399 509
    FIRST CITIZENS BANCSHARES INC 4,280 6,639
    FIRST COMMONWEALTH FINANCIAL C 1,066 1,448
    FIRST FINANCIAL CORPORATION 964 1,087
    FIRST TRUST STRAT H/I FUND 2,970 4,096
    FIVE BELOW INC 6,148 10,551
    FLOOR AND DECOR HOLDINGS 7,208 11,181
    FORMFACTOR INC. 2,411 3,018
    FORTIVE CORPORATION 4,293 4,654
    FORWARD AIR CORP 3,595 6,418
    FOX FACTORY HOLDING CORPORATIO 5,059 12,247
    FREEPORT-MCMORAN COPPER & GOLD 33,045 41,730
    FRESENIUS MED CAR AG 8,942 7,953
    FTI CONSULTING INC 6,494 8,131
    FULTON FIN CORP 2,561 3,383
    GENERAC HOLDING INC 7,595 16,188
    GENERAL MILLS INC 17,429 24,594
    GILEAD SCIENCES INC 14,393 16,555
    GLAXOSMITHKLINE PLC 8,709 9,702
    GLOBAL PAYMENTS INC 6,049 6,489
    GLOBANT SA 6,494 8,795
    GLOBUS MEDICAL INC 1,778 1,588
    GRACO INC 4,641 9,594
    GRAINGER W W INC 8,119 15,029
    GRAPHIC PACKAGING CORP COM STK 3,201 3,686
    GRAY TELEVISION INC CL B 4,468 4,092
    GROCERY OUTLET HOLDING CORP 3,111 2,800
    GXO LOGISTICS 2,120 4,178
    H AND E EQUIPMENT SERVICES INC 3,950 4,870
    H&R BLOCK INC 4,675 6,196
    HAMILTON LANE INC 3,344 4,456
    HANOVER INS GROUP 5,816 7,208
    HASBRO INC 7,817 8,448
    HAYWARD HOLDINGS INC 2,119 3,174
    HDFC BANK LTD ADR 7,053 8,654
    HEALTH CATALYST ORD SHS 3,866 3,843
    HEICO CORP 9,025 10,672
    HELEN OF TROY LIMITED 2,434 3,667
    HESS CORP 12,599 22,579
    HILLTOP HOLDINGS 4,170 4,041
    HITACHI LTD 6,878 9,320
    HOLOGIC, INC 8,031 7,886
    HOME DEPOT INC 28,203 73,457
    HONG KONG EX&CL UNSP/ADR 5,914 9,302
    HUB GROUP, INC 1,521 2,274
    HUBSPOT INC 1,061 4,614
    HUMANA INC 13,671 21,801
    HUNT J B 5,254 9,811
    HUNTINGTON BANCSHARES INC 16,365 16,684
    HYDROFARM HOLDINGS GROUP 2,224 1,358
    IBERDROLA ADR 16,671 16,476
    ICON PLC - AMERICAN DEPOSITARY 10,259 27,254
    IDEX CP 8,499 11,343
    IDEXX CORP 10,985 28,314
    INDUSTRIAL LOGISTICS PROPERTIE 522 726
    INFINEON TECH ADS 8,157 12,834
    INGERSOLL-RAND INC 8,658 11,075
    INSIGHT ENTERPRISES, INC 1,133 1,706
    INSULET CORPORATION 5,856 14,634
    INT'L FLAVORS & FRAGRANCES INC 8,479 9,190
    INTEGER HOLDINGS CORP 4,677 5,392
    INTEGRA LIFESCIENCES HOLDINGS 8,577 9,446
    INTESA SANPAOLO SPA 6,393 7,065
    INTUIT 14,340 28,302
    INVITAE CORP 1,718 1,390
    IRIDIUM COMMUNICATIONS INC 2,316 3,840
    ISHARES GOLD TR 407,232 485,599
    ISHARES MSCI-JAPAN 429,503 448,632
    ISHARES MSCI-SOUTH KOREA 74,385 63,075
    ISHARES S&P GLOBAL TIMBER & FO 151,332 166,042
    ISHARES SILVER TRUST 407,402 410,841
    ISHARES TR S & P MIDCAP 400 IN 428,872 939,258
    JABIL CIRCUIT INC 8,294 16,814
    JAMF HOLDING 3,155 3,535
    JEFFERIES GROUP INC 2,258 2,716
    JOHNSON CONTROLS INTERNATIONAL 6,254 14,636
    JOHNSON OUTDOORS INC 645 562
    JULIUS BAER GROUP LTD 7,107 8,485
    KB HOME 2,856 3,042
    KBC GROUP SA UNSP ADR 8,455 9,784
    KEMPER CORP 6,310 5,585
    KEYSIGHT TECHNOLOGIES INC 6,999 17,553
    KFORCE INC 738 1,279
    KNORR BREMSE ADR 6,749 5,902
    KONINKLIJKE PHILIPS ELECTRONIC 13,713 10,355
    KONTOOR BRANDS INC 2,831 2,460
    KORNIT DIGITAL LTD 6,822 5,938
    KUBOTA CORPORATION 6,294 6,145
    L'AIR LIQUIDE ADR OTC 8,369 9,031
    L3HARRIS TECHNOLOGIES 6,449 7,250
    LAKELAND BANCORP INC 528 722
    LAKELAND FINANCIAL CORPORATION 575 962
    LAM RESEARCH CORP 9,207 25,889
    LAMAR ADVERTISING CO CL A REIT 3,152 5,459
    LAMB WESTON HOLDINGS INC 9,968 9,317
    LANDSTAR SYSTEM 6,553 9,667
    LATTICE SEMICONDUCTOR 5,807 12,484
    LHC GROUP 3,765 2,607
    LIBERTY BROADBAND CORPORATION 4,678 5,316
    LONDON STK EXCHANGE GROUP 10,610 9,153
    LONZA GROUP AG UNSP/ADR 4,715 11,607
    LOUISIANA PACIFIC CP 7,558 11,439
    LOWES COMPANIES INC 20,673 41,615
    LUMENTUM HOLDINGS INC 2,316 2,644
    MAINSTAY HIGH YIELD CORPORATE 734,999 778,729
    MANPOWER GROUP INC 2,177 1,849
    MANTECH INTERNATIONAL CORP 2,393 2,115
    MARINEMAX INC 1,413 2,480
    MARKEL CORP 3,514 4,936
    MARKET VECTORS - GOLD MINERS E 147,204 118,511
    MARKET VECTORS AGRIBUSINESS ET 381,856 422,234
    MARKETAXESS HOLDINGS, INC 15,746 16,040
    MARRIOTT VACATIONS WORLDWIDE C 2,260 3,549
    MARTIN MARIETTA MATLS INC 32,167 44,052
    MASONITE INTERNATIONAL CORPORA 6,331 9,790
    MASTEC INC 2,302 5,445
    MASTERCARD INC 27,548 37,369
    MATCH GROUP INC 12,784 10,580
    MDU RESOURCES GROUP 3,088 3,269
    MEDICAL PROPERTIES TRUST, INC 2,921 3,214
    MEDPACE HOLDINGS, INC 3,066 7,617
    MEDTRONIC PLC 22,153 28,966
    MERCADOLIBRE, INC 7,045 10,787
    MERCK & CO INC 25,649 26,824
    MERCK KGAA SPON ADR EACH REPR 6,764 10,316
    MERIDIAN BIOSCIENCE INC 364 367
    MERIT MEDICAL SYSTEMS, INC. 2,122 1,931
    MERITAGE CORPORATION 4,793 6,591
    METTLER-TOLEDO INTL 7,705 10,183
    MGM GROWTH PROPERTIES LLC 5,760 7,884
    MICROCHIP TECHNOLOGY INC 8,002 15,323
    MICROSOFT CORP 35,019 207,173
    MKT VCTR RUSSIA SBI 76,280 80,380
    MODEL N INC 4,070 3,423
    MOMENTIVE GLOBAL ORD SHS 3,246 3,384
    MONOLITHIC POWER SYSTEMS, INC 6,342 25,160
    MONRO MUFFLER BRAKE, INC 4,109 3,321
    MOODYS CORP 12,808 13,280
    MORGAN STANLEY 28,088 69,890
    MSCI INC 8,564 11,641
    MURATA MFG INC UNSP/ADR 8,362 9,077
    MURPHY USA INC 4,138 6,376
    NASDAQ OMX GROUP 6,125 14,071
    NATIONAL GRID TRANSCO PLC 6,415 7,738
    NCR CP 6,812 7,960
    NESTLE S.A 10,487 14,879
    NEW RELIC INC 4,212 5,168
    NEXSTAR MEDIA GROUP, INC 5,259 5,435
    NEXTERA ENERGY, INC 18,833 54,616
    NICE SYSTEMS LTD 6,935 6,983
    NIKE INC-CL B 14,247 29,501
    NLIGHT INC 1,408 1,437
    NORDEA BANK ABP 6,821 9,715
    NVIDIA CORP 13,018 104,115
    OASIS PETROLEUM CORP 3,227 3,276
    OFFICE PROPERTIES INCOME TRUST 989 894
    OLINK HOLDING AB PUBL ADR 1,732 965
    OMNICELL, INC 2,908 5,774
    ONE GAS INC 1,211 1,086
    ONEMAIN HOLDINGS INC 8,076 7,106
    OSI SYSTEMS, INC 1,540 1,864
    OTIS WORLDWIDE CORP 8,302 8,359
    OTTER TAIL CORP 1,185 1,928
    PACIRA PHARMACEUTICALS INC 2,608 3,249
    PAGERDUTY ORD SHS 5,612 6,116
    PAYCOM SOFTWARE 9,552 14,116
    PAYCOR HCM ORD SHS 3,620 3,227
    PENUMBRA INC 4,758 9,194
    PEPSICO INC 38,075 56,282
    PERDOCEO EDUCATION 2,184 1,623
    PERNOD-RECARD SA 8,859 11,247
    PHILLIPS 66 34,735 29,781
    PIEDMONT OFFICE REALTY TRUST I 2,855 3,033
    PIMCO INCOME FUND 253,291 251,396
    PINNACLE FINANCIAL PARTNERS IN 10,068 15,089
    PJT PARTNERS INC 2,367 3,630
    PMORGAN EMERGING MARKETS EQ FD 180,740 147,391
    PNC FINANCIAL GROUP INC 26,727 41,307
    POOL CORP 4,583 19,244
    PORTLAND GEN ELEC 3,011 3,387
    POSHMARK ORD SHS CLASS A 1,212 494
    PRIMERICA, INC 4,199 4,905
    PRIMORIS SERVICES CORP 2,052 1,870
    PROCTER GAMBLE CO 18,594 35,824
    PROG HOLDINGS INC 6,421 7,172
    PROGRESS SOFTWARE CORP 3,135 4,151
    PROGRESSIVE CORP OHIO 14,896 19,709
    PROGYNY ORD SHS 2,405 6,243
    PROLOGIS 13,636 31,147
    PTC INC 6,941 9,207
    PULTE GROUP INC 49,074 57,160
    QUALCOMM INC 11,092 23,590
    QUALYS INC COM 1,491 2,333
    QUANTA SVCS INC 29,279 40,131
    QUANTERIX ORD SHS 1,183 1,018
    QURATE RETAIL INC QVC GROUP 5,253 5,898
    RBC BEARINGS INCORPORATED 12,860 14,946
    RECKITT BENCKISER GROUP 23,651 23,573
    REDFIN CORP 610 1,267
    REGAL BELOITE CP 3,741 5,446
    RENT A CTR INC 3,922 6,774
    REPLIGEN CORP 6,721 12,712
    REPUBLIC SVCS INC 4,981 8,925
    RESMED INC 9,915 14,587
    RMR GROUP 223 208
    ROCHE HOLDING LTD ADR 17,731 23,829
    ROCKWELL AUTOMATION INC 12,688 23,024
    ROYAL DUTCH SHELL CL A 10,231 12,716
    S&P GLOBAL INC COM 13,897 31,619
    SALESFORCE.COM 14,017 47,268
    SANMINA-SCI CORPORATION 3,847 5,514
    SAP AKTIENGESELL ADS 18,005 20,036
    SCHNEIDER ELEC UNSP/ADR 9,212 19,566
    SCIENCE APPLICATIONS INTERNATI 4,065 3,845
    SEA LTD 7,048 7,606
    SEALED AIR CORP 5,203 7,692
    SELECT MEDICAL 3,742 4,880
    SEMPRA ENERGY COM 16,598 17,329
    SEMRUSH HOLDINGS ORD SHS CLASS 763 1,418
    SHIFT4 PAYMENTS INC CL A 3,454 3,708
    SHOALS TECHNOLOGIES GROUP 3,663 3,110
    SIEMENS AG 17,599 19,139
    SIGNATURE BANK 2,840 7,116
    SIGNET GROUP PLC SPONS ADR NAS 3,404 3,829
    SIKA AG BEARER SHS 3,870 7,605
    SILK ROAD MEDICAL ORD SHS 3,032 2,983
    SIMPLICITY BANCORP INC 1,975 2,785
    SLEEP NUMBER 3,505 4,443
    SLM CORP 1,809 3,521
    SMARTSHEET INC 1,043 2,711
    SMC CORPORATION 7,661 12,370
    SMITH & NEPHEW PLC ADR 11,578 10,178
    SONY CORP ADR - OLD 8,616 15,926
    SONY GROUP CORP 13,266 16,432
    SOUTHWEST GAS CP 1,945 2,031
    SPROUT SOCIAL INC 3,062 4,444
    SSE PLC SPON ADR 10,317 10,253
    STAG INDUSTRIAL INC 3,087 5,180
    STARBUCKS CORP COM 29,575 44,800
    STEPAN CO 790 870
    STERIS PLC 5,109 9,493
    STEWART INFORMATION SVCS CORP 1,937 3,508
    STIFEL FINANCIAL CP 2,394 2,746
    STRIDE ORD SHS 696 1,033
    SURGERY PARTNERS INC COM 2,363 8,225
    SVB FINANCIAL GROUP 8,587 16,278
    SVENSKA HANDELSBK UNS ADR 7,644 7,792
    SYNEOS HEALTH INC 6,811 12,219
    SYNNEX CORP 911 1,487
    SYNOPSYS, INC 3,957 15,846
    T-MOBILE US INC 20,267 17,861
    T. ROWE PRICE GROUP 8,815 18,091
    TAIWAN SEMICONDUCTOR MFG CO LT 13,473 26,107
    TARGET CORPORATION 7,680 23,607
    TECHTRONIC INDS SPD ADR 4,036 7,654
    TELETECH HOLDINGS, INC 2,766 2,535
    TENCENT HOLDINGS LIMITED 10,679 11,543
    TENNANT CO 3,423 3,647
    TERADYNE INC 7,490 9,648
    TEXAS INSTRUMENTS INC 10,745 33,925
    THE HAIN CELESTIAL GROUP, INC 2,884 3,835
    THE HERSHEY COMPANY 5,333 9,287
    THERMO FISHER SCIENTIFIC INC 10,059 22,686
    TJX COMPANIES INC 22,079 41,528
    TOPBUILD CORP 1,708 2,759
    TOWNEBANK 474 600
    TRACTOR SUPPLY CO COM 16,773 27,200
    TRANE TECHNOLOGIES PLC 7,076 21,011
    TRANSDIGM GRP INC 2,593 4,454
    TRANSUNION COM USD0.01 9,544 12,569
    TRAVEL+LEISURE CO 6,336 8,567
    TREX CO INC 9,193 29,302
    TRINET GROUP, INC 2,348 2,382
    TRISTATE CAPITAL HOLDINGS 189 424
    TRUIST FINANCIAL CORPORATION 16,414 16,101
    TRUPANION INC 1,364 7,658
    TYLER TECHNOLOGIES, INC 6,264 13,987
    U G I CP 6,438 6,198
    UCB UNSP ADR 10,764 10,803
    ULTRAGENYX PHARMACEUTICAL INC 2,747 2,775
    UNDISCOVERED MANAGERS BEHAVIOR 523,852 865,954
    UNITED THERAPEUTICS CORP 8,875 11,236
    UNIVERSAL HLTH SVC B 8,117 9,206
    US FOODS HOLDING CORPORATION 9,060 9,404
    VALVOLINE INC 1,978 3,319
    VARONIS SYSTEMS INC 1,858 5,707
    VEEVA SYSTEMS INC 3,161 5,365
    VERISIGN INC 8,071 10,660
    VERIZON COMMUNICATIONS 34,947 31,124
    VERTEX PHARMCTLS INC 19,341 18,886
    VESTAS WIND SYS UNSP/ADR 7,050 8,878
    VIANT TECHNOLOGY ORD SHS CLASS 1,830 679
    VIAVI SOLUTIONS INC 1,955 3,031
    VIRTU FINANCIAL INC 2,402 2,479
    VISA INC 30,115 41,825
    VOCERA COMMUNICATIONS, INC. 2,801 5,058
    VULCAN MATERIALS CO 24,190 31,137
    WALT DISNEY HOLDINGS CO 34,005 46,777
    WASHINGTON FED INC 3,608 4,506
    WASTE MANAGEMENT INC 29,231 40,891
    WELLTOWER INC. 15,798 15,696
    WEST PHARMA SVCS INC 6,602 11,256
    WESTERN ALLIANCE BANCORPORATIO 10,878 13,887
    WEYERHAEUSER CO 33,787 41,180
    WHIRLPOOL CORP 7,277 7,509
    WILLIAMS COS 52,944 59,241
    WILLIAMS SONOMA INC 9,898 9,471
    WIX COM LTD 1,405 1,893
    WORLDLINE 9,971 6,104
    XPO LOGISTICS INC 3,061 3,562
    XYLEM INC 39,685 50,606
    YEXT INC 3,294 1,647
    YUM CHINA HOLDINGS INC 8,153 6,928
    ZIFF DAVIS, INC 6,296 10,753
    ZIMMER BIOMET HOLDINGS 8,949 8,766
    ZOETIS INC 11,007 30,016
    ZUMIEZ INC 2,260 2,447
    ZURICH INS GROU ADR 7,908 8,536

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    US Government Securities - End of Year Book Value:

    100,750
    US Government Securities - End of Year Fair Market Value:

    100,636
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2021 InvestmentsOtherSchedule2
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    LEVERAGE MEDIA I LP      
    MENASHA CORP COM   3,715,326 15,145,253

    TY 2021 LegalFeesSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    General Consultations 6,124     6,124


    TY 2021 OtherExpensesSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 35,500     35,500
    Bank Charges 26 26    
    State or Local Filing Fees 250     250
    TRAINING & PROF. DEVELOPMENT 7,973     7,973


    TY 2021 OtherIncomeSchedule2
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Class Action Lawsuit Proceeds 266 266  
    FOREIGN TAX refund 159 159  


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Appraisal Services 10,658 10,658    
    Investment Management Services 124,664 124,664    


    TY 2021 ReasonableCauseExplanation
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Explanation:
    The Foundation's tax preparer is located in Nassau County, NY, which, per IRS release NY-2021-01 announced on September 9, 2021, is included in the list of localities that constitute a covered disaster area for purposes of Treas. Reg. Sec. 301.7508A-1(d)(2) and are entitled to tax relief due to Hurricane Ida. Additional time was needed to calculate and transmit the tax payment. Therefore, Form 2220 indicates that the Q3 or Q4 estimated tax payment made on or before the extended deadline of February 15, 2022 was, in fact, made timely on the original due date of such payment. We respectfully request that no late payment penalties be assessed in connection with such payment(s) per Treas. Reg. Sec. 301.7508A-1(c)(1).

    TY 2021 TaxesSchedule
    Name:
    Clark R Smith Family Foundation
    EIN:
    22-2757313
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 34,200      
    990-PF Extension for 2020 2,650