Form990-PF
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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
Theda and Tamblin Clark Smith Family
Foundation Inc
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)po box 372
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
neenah, WI54957
A Employer identification number

39-6125329
B Telephone number (see instructions)

(303) 419-4714
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$65,294,023J 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) 625
2 Check bullet.............
3 Interest on savings and temporary cash investments 3,803 3,803  
4 Dividends and interest from securities... 935,339 935,339  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 6,585,878
b Gross sales price for all assets on line 6a 27,230,471
7 Capital gain net income (from Part IV, line 2)... 6,618,848
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 72,427 60,663  
12 Total. Add lines 1 through 11........ 7,598,072 7,618,653  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 54,000     54,000
14 Other employee salaries and wages...... 288,165     288,165
15 Pension plans, employee benefits....... 30,571     30,571
16a Legal fees (attach schedule)......... Click to see attachment 5,407 0 0 5,407
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 381,196 346,760   34,436
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 79,861 19,331    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 16,200     16,200
21 Travel, conferences, and meetings....... 23,332     23,332
22 Printing and publications.......... 143     143
23 Other expenses (attach schedule)....... Click to see attachment 263,226 167,571   87,206
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,142,101 533,662 0 539,460
25 Contributions, gifts, grants paid....... 2,524,896 2,524,896
26 Total expenses and disbursements. Add lines 24 and 25 3,666,997 533,662 0 3,064,356
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,931,075
b Net investment income (if negative, enter -0-) 7,084,991
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......... 3,640,446 7,263,411 7,263,411
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) 6,136,568 Click to see attachment5,547,382 5,527,126
b Investments—corporate stock (attach schedule)....... 29,791,374 Click to see attachment28,730,427 40,694,421
c Investments—corporate bonds (attach schedule)....... 3,748,664 Click to see attachment4,372,519 4,564,903
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,900,000 Click to see attachment4,236,888 7,244,162
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) 46,217,052 50,150,627 65,294,023
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 46,217,052 50,150,627
29 Total net assets or fund balances (see instructions)..... 46,217,052 50,150,627
30 Total liabilities and net assets/fund balances (see instructions). 46,217,052 50,150,627
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
46,217,052
2
Enter amount from Part I, line 27a .....................
2
3,931,075
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,500
4
Add lines 1, 2, and 3 ..........................
4
50,150,627
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
50,150,627
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 Sec 751 Gain on Sale of Ptshp Reclass      
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 27,230,471   21,491,005 5,739,466
b       879,437
c       -55
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       5,739,466
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 6,618,848
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 98,481
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 98,481
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 49,982
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 42,800
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 92,782
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 42
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 5,741
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   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)
    bulletWI
    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 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)
    Yes
     
    (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
     
    No
    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
    David W Radford Dir, Sec
    1.0     		18,000 0 0
    po box 372
    neenah,WI54957
    Carlton Smith Dir, Pres
    1.0     		18,000 0 0
    po box 372
    neenah,WI54957
    Pierce Smith Dir, Treas
    1.0     		0 0 0
    po box 372
    neenah,WI54957
    Marc Vaccaro Dir
    1.0     		18,000 0 0
    po box 372
    neenah,WI54957
    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
    PETER RADFORD Executive Director
    45.0     		230,000 13,933 0
    24918 GENESSE TRAIL RD STE 203
    GOLDEN,CO80401
    JOY RADFORD EXEC PROGRAM OFFICER
    40.0     		58,165 0 0
    24918 GENESSE TRAIL RD STE 203
    GOLDEN,CO80401
    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
    BNY Mellon Bank Investment Mgmt 248,034
    225 liberty street
    NEW YORK,NY10286
    Foundation Source Administrative 79,500
    55 Walls Drive 3rd Fl
    Fairfield,CT06824
    Stratos Wealth Partners Investment Mgmt 91,260
    51 sugar hollow rd unit 201
    DANBURY,CT068102575
    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
    52,239,011
    b
    Average of monthly cash balances.......................
    1b
    5,204,039
    c
    Fair market value of all other assets (see instructions)................
    1c
    6,832,354
    d
    Total (add lines 1a, b, and c).........................
    1d
    64,275,404
    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
    64,275,404
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    964,131
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    63,311,273
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    3,165,564
    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
    3,165,564
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    98,481
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    98,481
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    3,067,083
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    2,500
    5
    Add lines 3 and 4............................
    5
    3,069,583
    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
    3,069,583
    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 3,069,583
    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...... 44,604
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 44,604
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 3,064,356
    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..... 3,064,356
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 5,227 5,227
    (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 39,377
    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 ......     		39,377
    10 Analysis of line 9:
    a Excess from 2017.... 39,377
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    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
    7SISTERS GLOBAL INC
    4741 WHITEHALL LN
    HGHLNDS RANCH,CO80126     		N/A PC General & Unrestricted 1,000
    A Jankowski
    1002 W Elsie St
    Appleton,WI54914     		NONE I Hardship Assistance Grant 5,000
    A Johnson
    3158 Vista Grande
    Carlsbad,CA92009     		NONE I Hardship Assistance Grant 5,000
    A Koepke
    428 W 9th Ave
    Oshkosh,WI54902     		NONE I Hardship Assistance Grant 5,000
    ALANO SOCIETY INC
    511 N CARROLL ST
    MADISON,WI53703     		N/A PC General & Unrestricted 2,000
    ANTIQUE BOAT MUSEUM
    750 MARY ST
    CLAYTON,NY13624     		N/A PC General & Unrestricted 1,000
    BIG BROTHERS BIG SISTERS OF EAST CENTRAL WISCONSIN
    1331 AMERICAN DR
    NEENAH,WI54956     		N/A PC General & Unrestricted 3,000
    BIG BROTHERS BIG SISTERS OF EAST CENTRAL WISCONSIN
    1331 AMERICAN DR
    NEENAH,WI54956     		N/A PC Youth through Mentoring fund 30,000
    BOYS & GIRLS BRIGADE ASSOCIATION INC
    109 W COLUMBIAN AVE
    NEENAH,WI54956     		N/A PC General & Unrestricted 3,000
    BOYS & GIRLS CLUB FOX VALLEY INC
    160 S BADGER AVE
    APPLETON,WI54914     		N/A PC General & Unrestricted 75,000
    BOYS & GIRLS CLUBS OF ELKHART COUNTY INC
    PO BOX 614
    GOSHEN,IN46527     		N/A PC Goshen Transportation fund 50,000
    BOYS & GIRLS CLUBS OF METRO LOS ANGELES
    5029 S VERMONT AVE
    LOS ANGELES,CA90037     		N/A PC General & Unrestricted 3,000
    BOYS AND GIRLS CLUB OF DANE COUNTY INC
    1818 W BELTLINE HWY
    MADISON,WI53713     		N/A PC Family Hardship Grants fund 3,000
    BOYS AND GIRLS CLUB OF DANE COUNTY INC
    1818 W BELTLINE HWY
    MADISON,WI53713     		N/A PC Education Programming Support 70,000
    BRIARPATCH YOUTH SERVICES INC
    2720 RIMROCK RD
    MADISON,WI53713     		N/A PC General & Unrestricted 1,000
    CAL STATE FULLERTON PHILANTHROPIC FOUNDATION
    2600 NUTWOOD AVE STE 850
    FULLERTON,CA92831     		N/A PC William E. Schuster '85 Tennis Endowment fund 4,000
    CALIFORNIA ACADEMY OF SCIENCES
    55 MUSIC CONCOURSE DR GGP
    SAN FRANCISCO,CA94118     		N/A PC Wander Woods Exhibit 28,000
    CALVARY BIBLE CHURCH OF NEENAH WISCONSIN INC
    1450 OAKRIDGE RD
    NEENAH,WI54956     		N/A PC Fox Valley Christian School Fund 3,000
    CALVARY BIBLE CHURCH OF NEENAH WISCONSIN INC
    1450 OAKRIDGE RD
    NEENAH,WI54956     		N/A PC Fox Valley Christian Academy 7,500
    CASA OF THE FOX CITIES INC
    1500 N CASALOMA DR STE 401
    APPLETON,WI54913     		N/A PC General Support (Programmatic Growth) 15,000
    CHILDRENS HEALTH CARE
    2525 CHICAGO AVE
    MINNEAPOLIS,MN55404     		N/A PC General & Unrestricted 2,500
    CHILDRENS HOSPITAL OF WISCONSIN FOUNDATION INC
    PO BOX 1997
    MILWAUKEE,WI53201     		N/A PC Children's Fox Valley Child Advocacy Center 10,000
    CHRISTINE ANN DOMESTIC ABUSE SERVICES INC
    206 ALGOMA BLVD
    OSHKOSH,WI54901     		N/A PC Youth Services and Prevention fund 20,000
    CLEAR CREEK COUNTY LIBRARY DISTRICT
    PO BOX 666
    GEORGETOWN,CO80444     		N/A GOV Charitable Event 1,250
    COMMUNITY CLOTHES CLOSET INC
    1465-B OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC General & Unrestricted 28,200
    COMMUNITY CLOTHES CLOSET INC
    1465-B OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC Community Clothes Closet Truck program 12,500
    COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC
    4455 W LAWRENCE ST
    APPLETON,WI54914     		N/A PC US Venture Open 2021 (Basic Needs Giving Partnership) 35,000
    COMPASSION INTERNATIONAL INCORPORATED
    12290 VOYAGER PKWY
    COLORADO SPRINGS,CO80921     		N/A PC lifesaving surgery fund 500
    COTS INC
    819 S W AVE
    APPLETON,WI54915     		N/A PC Transitional Shelter Young Adult Program 20,000
    COTS INC
    819 S W AVE
    APPLETON,WI54915     		N/A PC General & Unrestricted 500
    CROSSROADS AT BIG CREEK INC
    2041 MICHIGAN ST
    STURGEON BAY,WI54235     		N/A PC General & Unrestricted 750
    EDUCATIONAL ALLIANCE INC
    197 E BROADWAY
    NEW YORK,NY10002     		N/A PC YMCA Kids Sports 500
    ELISHA D SMITH PUBLIC LIBRARY
    440 FIRST ST
    MENASHA,WI54952     		N/A GOV Elisha D. Smith Learning Lab 7,000
    EMERGENCY FAMILY ASSISTANCE ASSOCIATION INC
    1575 YARMOUTH AVE
    BOULDER,CO80304     		N/A PC General & Unrestricted 3,000
    EVERGREEN CHRISTIAN OUTREACH
    PO BOX 1515
    EVERGREEN,CO80437     		N/A PC General & Unrestricted 1,000
    EXCEPTIONAL EQUESTRIANS COMPANY
    1130 ORLANDO DR
    DE PERE,WI54115     		N/A PC Sensory Trail 15,000
    EXCEPTIONAL EQUESTRIANS COMPANY
    1130 ORLANDO DR
    DE PERE,WI54115     		N/A PC General & Unrestricted 500
    FEEDING AMERICA EASTERN WISCONSIN INC
    1700 W FOND DU LAC AVE
    MILWAUKEE,WI53205     		N/A PC General & Unrestricted 250
    FIRST AID ARTS
    PO BOX 31325
    SEATTLE,WA98103     		N/A PC General & Unrestricted 100,000
    FISHER VALLEY FELINES
    5644 COUNTY RD M
    FITCHBURG,WI53575     		N/A PC Surgery for Deformed Kittens 500
    FOOD FOR THOUGHT DENVER
    5288 COORS ST
    ARVADA,CO80002     		N/A PC General & Unrestricted 3,000
    FRIENDS OF AULLWOOD INC
    1000 AULLWOOD RD
    DAYTON,OH45414     		N/A PC General & Unrestricted 3,000
    FRIENDS OF THE BAILEY LIBRARY
    350 BULL DOGGER RD
    BAILEY,CO80421     		N/A PC Charitable Event 1,250
    FRIENDS OF THE NEENAH PUBLIC LIBRARY
    PO BOX 569
    NEENAH,WI54957     		N/A PC General & Unrestricted 500
    GARDEN CLUB OF DAYTON
    4555 SOUTHERN BLVD
    DAYTON,OH45429     		N/A PC General & Unrestricted 6,000
    GLOUCESTER EDUCATION FOUNDATION
    185 MAIN ST
    GLOUCESTER,MA01930     		N/A PC General & Unrestricted 3,000
    GLOUCESTER MARINE GENOMICS INSTITUTE INCORPORATED
    417 MAIN ST
    GLOUCESTER,MA01930     		N/A PC Academy Opportunity Fund 12,198
    GRACE EPISCOPAL CHURCH
    116 W WASHINGTON AVE
    MADISON,WI53703     		N/A PC Grace Presents fund 6,000
    GREEN BAY BOTANICAL GARDEN INC
    2600 LARSEN RD
    GREEN BAY,WI54303     		N/A PC General & Unrestricted 1,000
    GROTON SCHOOL
    282 FARMERS ROW
    GROTON,MA01450     		N/A PC General & Unrestricted 6,000
    HABITAT FOR HUMANITY INTERNATIONAL INC
    921 MIDWAY RD
    MENASHA,WI54952     		N/A PC Rock the Block--Menasha efforts 75,000
    HABITAT FOR HUMANITY INTERNATIONAL INC
    921 MIDWAY RD
    MENASHA,WI54952     		N/A PC Rock the Block 3,000
    HABITAT FOR HUMANITY OF OSHKOSH INC
    PO BOX 2692
    OSHKOSH,WI54903     		N/A PC Rock the Block Oshkosh 20,000
    HECKRODT WETLAND RESERVE INC
    1305 PLANK RD
    MENASHA,WI54952     		N/A PC General & Unrestricted 500
    HECKRODT WETLAND RESERVE INC
    1305 PLANK RD
    MENASHA,WI54952     		N/A PC General Support/Underserved Populations Programming 20,000
    HIMALAYAN INTERNATIONAL INSTITUTE OF YOGA SCI & PH
    952 BETHANY TPKE
    HONESDALE,PA18431     		N/A PC Cameroon Youth Health and Educational Outreach 70,000
    INTO YOUR HANDS INC
    PO BOX 3981
    EVERGREEN,CO80437     		N/A PC General & Unrestricted 2,000
    IRWIN A AND ROBERT D GOODMAN COMMUNITY CENTER INC
    214 WAUBESA ST
    MADISON,WI53704     		N/A PC General & Unrestricted 1,000
    JEFFERSON COUNTY LIBRARY FOUNDATION INC
    10790 W 50TH AVE SUITE 200
    WHEATRIDGE,CO80033     		N/A PC 1,000 Books Before Kindergarten program 5,000
    JEFFERSON COUNTY LIBRARY FOUNDATION INC
    10790 W 50TH AVE SUITE 200
    WHEATRIDGE,CO80033     		N/A PC Charitable Event 2,500
    LEAVEN INC
    1475 OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC General & Unrestricted 46,000
    LEWIS AND CLARK COLLEGE
    615 S PALATINE HILL RD
    PORTLAND,OR97219     		N/A PC TransActive Gender Project 3,000
    LEWIS AND CLARK COLLEGE
    615 S PALATINE HILL RD
    PORTLAND,OR97219     		N/A PC TransActive Project 500
    LIFE ELEMENTAL INCORPORATED
    47726 ASPEN RD
    SOLDIER GROVE,WI54655     		N/A PC General & Unrestricted 37,000
    LOVE LIGHT AND MELODY A NOT FOR PROFIT CORPORATION
    2921 W 38TH AVE PO BOX 129
    DENVER,CO80211     		N/A PC General & Unrestricted 7,500
    LV PROJECT
    8217 EUCLID AVE
    N RICHLND HLS,TX76180     		N/A PC General & Unrestricted 4,000
    M Verjan
    5879 Alleghany Street
    San Diego,CA92139     		NONE I Hardship Assistance Grant 5,000
    MADISON AUDUBON SOCIETY INC
    1400 EAST WASHINGTON AVE SUITE 1
    MADISON,WI53703     		N/A PC Empowering Kids through Discovery! The Madison Audubon education program 10,000
    MADISON ICE INC
    725 FORWARD DR
    MADISON,WI53711     		N/A PC Skating Programs for Underprivileged Youth and Disables youth 10,000
    MADTOWN BMX INC
    PO BOX 557
    DEFOREST,WI53532     		N/A PC General & Unrestricted 500
    MAKE-A WISH FOUNDATION OF SAN DIEGO INC
    2440 HOTEL CIR NORTH SUITE 200
    SAN DIEGO,CA92108     		N/A PC General & Unrestricted 1,000
    MEMPHIS INNER CITY RUGBY
    7536 OAK HAVEN TRACE
    NASHVILLE,TN37209     		N/A PC General & Unrestricted 1,000
    MONONA SERENITY GROUP INCORPORATED
    4933 PRAIRIE DOCK DR
    MADISON,WI53718     		N/A PC General & Unrestricted 3,000
    MOZAYIK
    1934 MELROSE ST
    MADISON,WI53704     		N/A PC General & Unrestricted 60,000
    MUSCULAR DYSTROPHY ASSOCIATION
    161 N CLARK ST STE 3550
    CHICAGO,IL60601     		N/A PC 2021 MDA Virtual Summer Camp for Greenbay, WI 15,000
    NATIONAL ASSOC OF ANOREXIA NERVOSA AND ASSOCIATED
    PO BOX 409047
    CHICAGO,IL60640     		N/A PC General & Unrestricted 3,000
    NORTH COUNTRY FOOD ALLIANCE
    PO BOX 6124
    MINNEAPOLIS,MN55406     		N/A PC General & Unrestricted 60
    OSHKOSH FINE ARTS ASSOCIATION INC
    PO BOX 2065
    OSHKOSH,WI54903     		N/A PC to purchase Art supplies for Scholarship Fund 1,000
    OSHKOSH FINE ARTS ASSOCIATION INC
    PO BOX 2065
    OSHKOSH,WI54903     		N/A PC General & Unrestricted 10,000
    OSHKOSH YOUTH SYMPHONY INC
    PO BOX 3093
    OSHKOSH,WI54903     		N/A PC Full STEAM Ahead 10,000
    PAINE ART CENTER & GARDENS INC
    1410 ALGOMA BLVD
    OSHKOSH,WI54901     		N/A PC HVAC System Project 100,000
    PAINE ART CENTER & GARDENS INC
    1410 ALGOMA BLVD
    OSHKOSH,WI54901     		N/A PC General & Unrestricted 18,000
    PERUVIAN HEARTS
    24918 GENESEE TRAIL RD
    GOLDEN,CO80401     		N/A PC The Theda and Tamblin Clark Smith International Scholars program 33,000
    PILLARS INC
    605 E HANCOCK ST
    APPLETON,WI54911     		N/A PC General & Unrestricted 23,000
    REACH COUNSELING SERVICES INC
    1509 S COMMERCIAL ST
    NEENAH,WI54956     		N/A PC Helping Children Heal from Child Sexual Abuse program 20,000
    REGIS UNIVERSITY
    3333 REGIS BLVD B16
    DENVER,CO80221     		N/A PC Student Radio, TV, Internet and Musical lab fund 4,000
    RIDGES SANCTUARY INC
    8166 WI57
    BAILEYS HARBOR,WI54202     		N/A PC General & Unrestricted 750
    RIVERVIEW GARDENS INC
    1101 S ONEIDA ST
    APPLETON,WI54915     		N/A PC General & Unrestricted 12,000
    RIVERVIEW GARDENS INC
    1101 S ONEIDA ST
    APPLETON,WI54915     		N/A PC ServiceWorks Youth Program - Planting Hope, Growing youth, harvesting resilience 20,000
    ROCKY NECK ART COLONY INC
    6 WONSON ST
    GLOUCESTER,MA01930     		N/A PC Workshops and art education for all 12,198
    ROOM TO GROW NATIONAL INC
    424 E 147TH ST FL 5
    BRONX,NY10455     		N/A PC General & Unrestricted 82,000
    RUNWAY OF DREAMS FOUNDATION
    9 COVENTRY RD
    LIVINGSTON,NJ07039     		N/A PC General & Unrestricted 50,000
    SAFE COMMUNITY COALITION OF MADISON AND DANE COUNT
    2453 ATWOOD AVE STE 210
    MADISON,WI53704     		N/A PC Recovery Coaching/Peer Support Program 80,000
    SAFE COMMUNITY COALITION OF MADISON AND DANE COUNT
    2453 ATWOOD AVE STE 210
    MADISON,WI53704     		N/A PC General & Unrestricted 4,500
    SAMARITANS PURSE
    PO BOX 3000
    BOONE,NC28607     		N/A PC Clean water projects 500
    SCOTT-CARVER-DAKOTA CAP AGENCY INC
    738 1ST AVE E
    SHAKOPEE,MN55379     		N/A PC General & Unrestricted 1,000
    SEEDS OF HOPE NIGERIA
    PO BOX 28555
    GREEN BAY,WI54324     		N/A PC General & Unrestricted 250
    SENITIZO
    2344 FOOTHILLS DR S
    GOLDEN,CO80401     		N/A PC General & Unrestricted 1,000
    SENITIZO
    2344 FOOTHILLS DR S
    GOLDEN,CO80401     		N/A PC Eliminating Malnutrition Among Vulnerable Children in the central african republic 5,000
    ST JOSEPH FOOD PROGRAM INC
    1465A OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC Backpack Food Assistance Program 20,000
    ST NORBERT COLLEGE INC
    100 GRANT ST
    DE PERE,WI54115     		N/A PC General & Unrestricted 35,000
    ST MARY CENTRAL HIGH SCHOOL
    1050 ZEPHYR DR
    NEENAH,WI54956     		N/A PC General & Unrestricted 6,000
    ST MARY CENTRAL HIGH SCHOOL
    1050 ZEPHYR DR
    NEENAH,WI54956     		N/A PC SMCS Tuition Assistance fund for students of low income families 20,000
    SUN VALLEY COMMUNITY CENTER
    1260 DECATUR ST
    DENVER,CO80204     		N/A PC General & Unrestricted 31,000
    THE JED FOUNDATION
    PO BOX 60174
    BROOKLYN,NY11206     		N/A PC General & Unrestricted 16,500
    THE OSHKOSH BOYS AND GIRLS CLUB
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Oshkosh Boys & Girls Club Building and Remodeling campaign 50,000
    THE OSHKOSH BOYS AND GIRLS CLUB
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Capital Campaign 10,500
    THE OSHKOSH BOYS AND GIRLS CLUB
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC General & Unrestricted 6,000
    THE OSHKOSH BOYS AND GIRLS CLUB
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Be Great Graduate Mentoring Program 50,000
    THE OSHKOSH BOYS AND GIRLS CLUB
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Boys & Girls Club of Oshkosh Capital Campaign 50,000
    THE TANDANA FOUNDATION INC
    2933 LOWER BELLBROOK RD
    SPRING VALLEY,OH45370     		N/A PC General & Unrestricted 3,000
    THEDACARE FAMILY OF FOUNDATIONS INC
    PO BOX 8025
    APPLETON,WI54912     		N/A PC It's Our Time, Now Capital Campaign 350,000
    THEDACARE FAMILY OF FOUNDATIONS INC
    PO BOX 8025
    APPLETON,WI54912     		N/A PC Support of general operations in Neenah, WI 6,000
    THREADS OF HOPE INC
    PO BOX 182
    NEENAH,WI54957     		N/A PC General & Unrestricted 20,000
    TORCH LIFE CHURCH INC
    8552 S AULT LN
    MORRISON,CO80465     		N/A PC Torchgrab Africa 7,500
    TRI-COUNTY COMMUNITY DENTAL CLINIC INC
    9 TRI PARK WAY
    APPLETON,WI54914     		N/A PC Robert Glass Focus on the Children program (RGFOC) 30,000
    TROUT MUSEUM OF ART INC
    111 COLLEGE AVE
    APPLETON,WI54911     		N/A PC General & Unrestricted 3,000
    UNIVERSITY OF DENVER - DIVISION OF ATHLETICS & REC
    2201 E ASBURY AVE RM 4674
    DENVER,CO80208     		N/A PC Hockey Team 6,000
    UNIVERSITY OF DENVER - OFFICE OF GIFT PROCESSING
    2190 E ASBURY AVE
    DENVER,CO80208     		N/A PC University of Denver NCAA Youth Hockey program 25,000
    UNIVERSITY OF WISCONSIN FOUNDATION
    US BANK LOCKBOX 78807
    MILWAUKEE,WI53278     		N/A PC Center for Healthy Minds 54,000
    VILLAGE HEALTH PARTNERSHIP
    1601 E 19TH AVE STE 4450
    DENVER,CO80218     		N/A PC Education and Training Program 8,000
    VILLAGE HEALTH PARTNERSHIP
    1601 E 19TH AVE STE 4450
    DENVER,CO80218     		N/A PC General & Unrestricted 3,000
    VILLAGE OF SISTER BAY
    PO BOX 769
    SISTER BAY,WI54234     		N/A GOV Christmas Lights Display fund 1,000
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC general & unrestricted 9,540
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC Academy Fund, Carla Radford Scholarship fund and karlie aubrey scholarship fund 1,200
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC Carla Smith Radford Scholarship Fund 3,000
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC General & Unrestricted 13,000
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC New Girls' Dorm 6,000
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC Carla Smith radford scholarship fund and new girls' dormitory 15,000
    WHEELCHAIRS FOR NIGERIA
    1542 PALM AVE SW
    SEATTLE,WA98116     		N/A PC General & Unrestricted 300
    WINGS OVER THE ROCKIES AIR & SPACE MUSEUM
    7711 E ACADEMY BLVD
    DENVER,CO80230     		N/A PC Aerospace Classroom Extension (ACE) 10,000
    WINNEBAGO COUNTY LITERACY COUNCIL
    106 WASHINGTON AVE
    OSHKOSH,WI54901     		N/A PC General & Unrestricted 30,000
    WISCONSIN INDEPENDENT CHRISTIAN SCHOOLS INC
    3450 VINLAND ST
    OSHKOSH,WI54901     		N/A PC General & Unrestricted 20,000
    WOMENONE LTD
    19 EAST 88TH ST STE 9C
    NEW YORK,NY10128     		N/A PC General & Unrestricted 50,000
    YOUNG MENS CHRISTIAN ASSOCIATION
    324 WASHINGTON AVE
    OSHKOSH,WI54901     		N/A PC Capital Campaign 1,500
    YOUNG MENS CHRISTIAN ASSOCIATION OF METROPOLITAN D
    2625 S COLORADO BLVD
    DENVER,CO80222     		N/A PC Aquatic Aerobic Fitness Program at the Susan Duncan arvada ymca branch 2,500
    YOUTH GO INC
    213 NICOLET BLVD
    NEENAH,WI54956     		N/A PC General & Unrestricted 38,000
    YWCA MADISON INC
    101 E MIFFLIN ST STE 100
    MADISON,WI53703     		N/A PC YWeb Career Academy 4,200
    Total .................................bullet 3a 2,524,896
    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 3,803  
    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 6,585,878  
    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 10,968 14 60,536  
    bSec 751 Gain on Sale of Ptshp 525990 55      
    cCLASS ACTION LAWSUIT PROCEEDS     01 567  
    dROYALTY INCOME     01 301  
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 11,023 7,586,424  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    7,597,447
    (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:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    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:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Identifier Return Reference Explanation
    IRC 751 STATEMENT IRC Section 751 Statement IRC Section 751 Statement The taxpayer has reported ordinary income upon the disposition of units in FUGIO PRIVATE EQUITY FUND VIII, LP, as provided by the General Partner. The amount was determined in accordance with Internal Revenue Code Section 751 and the detailed information is available in the offices of the General Partner upon request.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ABB FIN USA - 2.875% - 05/08/2 73,934 75,605
    ABBVIE INC - 3.200% - 11/21/20 64,515 64,211
    ADOBE SYSTEMS INC - 3.250% - 0 53,997 58,182
    ALEXANDRIA REAL ESTATE E BOND 41,985 43,804
    AMAZON INC - 1.650% - 05/12/20 79,374 80,132
    AMERICAN HOMES - 4.900% - 02/1 51,090 51,977
    AMGEN - 3.375% - 02/21/2050 76,887 67,608
    ANHEUSER BUSCH COS INC - 4.900 49,410 62,964
    APPALACHIAN PWR - 2.700% - 04/ 49,808 50,933
    APPLE INC - 4.375% - 05/13/204 60,276 75,659
    ARROW ELECTRS INC NT - 2.950% 59,855 60,590
    ASTRAZENECA FINANCE LLC NOTE - 34,914 34,554
    AT&T - 4.550% - 03/09/2049 69,367 89,312
    BANK OF AMERICA - 3.950% - 04/ 94,131 101,581
    BLACK HILLS CORP - 4.350% - 05 24,940 28,427
    BP CAP MKTS P L C - 2.500% - 1 48,203 50,805
    BROADCOM INC - 3.500% - 01/15/ 59,115 58,753
    CENTERPOINT ENERGY - 4.250% - 45,920 49,997
    CITIGROUP BOND - 4.450% - 09/2 91,372 100,412
    CITIZENS BANK - 2.250% - 04/28 49,874 51,166
    COSTCO - 1.600% - 04/20/2030 54,904 53,338
    CREDIT SUISSE GRP FDG GUERNSEY 80,189 79,583
    CVS HEALTH BOND - 4.780% - 03/ 64,482 79,121
    DEERE JOHN CAPITAL CORP MTN - 49,965 49,525
    DELTA - 3.204% - 10/25/2025 35,000 36,187
    DISNEY WALT CO - 2.650% - 01/1 24,983 26,035
    DOW DUPONT - 4.493% - 11/15/20 21,266 22,099
    EBAY INC - 1.900% - 03/11/2025 93,683 91,046
    ENBRIDGE - 2.500% - 08/01/2033 29,891 29,484
    FISERV INC NOTE CALL MAKE WHOL 66,244 64,583
    GOLDMAN SACHS GROUP INC - 6.75 94,681 120,521
    GOVT NATL MTG ASSN II #MA7523 25,036 24,756
    GOVT NATL MTG ASSN II - 2.000% 50,098 49,448
    GOVT NATL MTG ASSN II POOL #MA 36,846 36,207
    GWU - 4.126% - 09/15/2048 39,619 48,428
    HOME DEPOT - 1.375% - 03/15/20 44,732 42,470
    HSBC HOLDINGS PLC - 2.357% - 0 69,429 68,389
    INTEL CORP - 2.700% - 12/15/20 52,844 56,367
    ISHARES BARCLAYS GNMA BOND FUN 31,028 30,731
    JB HUNT - 3.875% - 03/01/2026 50,163 54,379
    JPMORGAN CHASE & CO - 3.375% - 83,728 87,635
    KIMCO REALTY CORP - 3.400% - 1 61,059 61,096
    KROGER CO - 1.700% - 01/15/203 49,886 47,474
    LAM RESEARCH - 4.000% - 03/15/ 50,421 55,985
    LLOYDS BANKING - 2.438% - 02/0 60,000 61,169
    MICROSOFT CORP NOTE - 2.525% - 78,500 78,325
    MORGAN STANLEY SER I MTN CALL 110,927 108,884
    NATIONAL RETAIL PPTYS - 4.300% 19,858 22,485
    NATWEST MARKETS - 5.076% - 01/ 45,082 52,191
    NISOURCE FINANCE CORP - 3.950% 38,910 44,926
    NORTHROP GRUMMAN CORP - 2.930% 53,591 57,314
    NUTRIEN - 1.900% - 05/13/2023 24,978 25,322
    ONTARIO PROV - 3.050% - 01/29/ 64,934 67,870
    ORACLE CORP - 3.900% - 05/15/2 61,885 58,907
    ORACLE CORP NOTE CALL MAKE WHO 54,974 54,597
    PRUDENTIAL - 4.350% - 02/25/20 39,905 49,895
    RYDER - 3.650% - 03/18/2024 40,017 42,068
    SANTANDER - 2.746% - 05/28/202 45,219 46,512
    SHELL INTL - 3.500% - 11/13/20 46,226 47,079
    T MOBILE - 3.875% - 04/15/2030 65,984 65,625
    TAKEDA PHARMA - 2.050% - 03/31 59,325 58,755
    TELEFONICA EMISIONESS - 4.103% 38,612 44,055
    TOTAL SYSTEMS SERVICES - 4.800 83,859 88,857
    TOYOTA - 1.800% - 02/13/2025 54,906 55,823
    UBS AG SER 2012-C1 - 3.400% - 995 928
    UNIFORM MBS POOL #BU0421 - 2.0 51,108 50,478
    UNIFORM MBS POOL #CB2127 - 2.0 75,275 74,336
    UNIFORM MBS POOL #FM8683 - 2.5 71,528 70,290
    UNIFORM MBS POOL #MA4465 - 2.0 39,698 39,653
    UNIFORM MBS POOL #MA4498 - 2.5 51,746 51,374
    UNIFORM MBS POOL #MA4528 - 4.0 80,155 79,622
    UNIFORM MBS POOL #QN7855 - 1.5 44,568 43,920
    UNIFORM MBS POOL - 2.000% - 10 69,711 69,323
    UNIFORM MBS POOL - 3.000% - 07 55,310 54,322
    UNION PACIFIC - 3.150% - 03/01 39,979 41,690
    UNITED STATES TREAS SER BF-202 89,768 89,216
    UNITEDHEALTH GROUP INC - 1.150 60,180 59,384
    VERIZON COMMUNICATIONS - 3.400 24,986 26,174
    VERIZON COMMUNICATIONS INC - 5 68,953 90,691
    WFRBS COML MTG - 3.198% - 03/1 21,723 21,284

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 164,169 213,925
    ABBVIE INC 157,696 243,720
    ACCENTURE PLC 185,159 241,683
    ADOBE SYSTEMS, INC 64,740 114,546
    ADVANCE AUTO PARTS INC 36,334 46,777
    ADVANCED MICRO DEVICES INC 48,553 150,232
    ADVANTEST CORP - ADR 41,346 43,160
    AGNCP 11,136 12,327
    AIA GROUP LTD ADR 32,667 54,029
    AIR PRODS & CHEM INC 143,046 191,380
    ALCON INC 23,697 33,803
    ALEXANDRIA REAL ESTATE EQUITIE 24,060 28,985
    ALIBABA GROUP HOLDING LTD 34,657 20,194
    ALPHABET INC CL A 256,981 504,084
    AMAZON COM 206,943 443,467
    AMER INTERNATIONAL GROUP INC 91,061 127,935
    AMERICAN CAPITAL AGENCY CORP 35,628 44,669
    AMERICAN TOWER REIT INC 80,797 105,885
    AMERIPRISE FINANCIAL INC 91,137 119,156
    AMPHENOL CORPORATION 27,270 36,733
    ANALOG DEVICES INC 39,478 49,567
    ANGLO AM PLC ADR 36,392 51,038
    APPLE INC 232,400 645,466
    APPLIED MATERIALS INC 16,546 35,721
    ARBOR REALTY 6.25 PFD 12,721 13,000
    ARES CAPITAL CORPORATION - CLO 53,893 68,973
    ARES MANAGEMENT CORPORATION 17,992 28,445
    ARGO GROUP INTL PFD A 10,588 11,255
    ASML HOLDING NV NY REG SHS 44,205 88,372
    ASSOCIATED BRITISH FOODS PLC 25,737 20,870
    AT&T, INC 34,962 31,734
    ATLANTIC UN BANKSHARES 6.875% 10,150 11,200
    ATLASSIAN CORP PLC 71,154 145,271
    AVALONBAY CMNTYS INC 66,852 76,535
    AXA ADS 38,570 38,403
    B. RILEY FINANCIAL 6 50 SENIOR 7,215 7,894
    BANK OF AMERICA CORP 50,306 121,458
    BARCLAYS PLC ADR 59,938 67,482
    BAYER A G SPONSORED ADR 36,681 22,197
    BEST BUY INC 36,306 35,154
    BLACKROCK STRAT INC OPP PORTFO 1,265,000 1,240,555
    BLOCK INC 45,103 68,803
    BNY MELLON GLOBAL REAL RETURN 987,130 1,142,669
    BNY MELLON INTL STOCK FD 704,343 1,190,142
    BODYCOTE PLC 16,396 16,433
    BOOZ ALLEN HAMILTON HOLDING CO 28,875 49,517
    BOSTON SCIENTIFIC 82,009 92,182
    BRISTOL-MYERS SQUIBB CO 20,088 21,885
    BROADCOM INC 35,887 71,199
    CELANESE CORPORATION 67,828 130,919
    CENTENE CORP 71,995 93,112
    CHAMPLAIN MID CAP FUND-INS 1,000,000 1,023,825
    CHARTER COMMUNICATIONS, INC 69,036 73,673
    CHEVRON CORP 147,293 153,729
    CHR HANSEN HOLDINGS 33,195 29,323
    CISCO SYSTEMS INC 57,717 73,192
    CME GROUP, INC 127,246 163,120
    COMCAST CORP 35,051 39,257
    COMMERCE BANCSHARES, INC   550
    CONTL AG SPONS ADR 16,685 23,504
    COSTCO WHOLESALE CORPORATION 105,276 162,362
    CRH PLC - AMERICAN DEPOSITARY 33,477 54,912
    CROWDSTRIKE HOLDINGS, INC 61,137 87,428
    CROWN CASTLE INTL 23,824 37,782
    CSX CORP 59,248 186,496
    CVS CAREMARK CORP 130,198 188,783
    DANAHER CORP 115,482 159,241
    DATADOG INC 47,572 54,680
    DEERE CO 62,858 163,559
    DEUTSCHE POST AG 19,590 35,244
    DFA EMERGING MARKETS CORE EQ P 493,150 659,181
    DIAGEO PLC ADS 45,014 74,627
    DNB BANK ASA 17,144 27,081
    DOLLAR GENERAL CORP 22,771 29,479
    DREYFUS SELECT MANAGERS SMALL 1,508,245 1,742,428
    EASTMAN CHEMICAL CO 36,162 37,603
    EATON CORP PLC 74,596 169,018
    EBARA CORPORATION 19,161 32,373
    ELI LILLY & CO 94,423 140,872
    EMERSON ELECTRIC CO 34,960 52,063
    EQUINIX, INC 62,226 86,276
    ESTEE LAUDER COMPANIES INC 110,298 132,161
    EXELON CORPORATION 98,156 133,137
    EXXON MOBIL CORP 38,694 39,162
    FANUC LIMITED UNSPONSORED 33,747 39,876
    FIDELITY NATIONAL INFORMATION 53,344 42,569
    FOUR CORNERS PROPERTY TRUST IN 24,330 24,704
    FS KKR CAPITAL CORP 22,555 21,568
    GALLAGHER ARTHUR J & CO 23,545 41,739
    GENERAL MOTORS 111,460 115,501
    GENUINE PARTS COMPANY 31,248 46,266
    GILEAD SCIENCES INC 17,642 18,879
    GLADSTONE INV CORP - PFD 6.500 3,871 3,890
    GQG PARTNERS EMERGING MARKETS 1,425,001 1,488,030
    HCI GROUP INC 6,978 10,944
    HDFC BANK LTD ADR 20,484 36,569
    HOME DEPOT INC 107,428 163,099
    HONEYWELL INTL 68,829 136,991
    HORIZON THERAPEUTICS PUBLIC OR 46,248 66,380
    ILLINOIS TOOL WORKS 43,672 120,932
    INFINEON TECH ADS 20,459 44,160
    INTUIT 51,043 108,061
    INVESCO SENIOR LOAN ETF 145,453 143,982
    ISHARES GOLD TR 771,938 974,679
    ISHARES IBOXX $ INVESTMENT GRA 50,756 49,695
    ISHARES S&P 500 INDEX FD 1,268,659 1,874,570
    ISHARES S&P U.S. PREFERRED STO 149,472 162,176
    ISHARES SHORT TERM CORPORATE B 84,025 83,783
    ISHARES TR S & P MIDCAP 400 IN 1,159,685 1,263,951
    ISHARESLEHMAN 7-10YR 392,622 390,425
    JOHNSON & JOHNSON 28,875 33,530
    JP MORGAN CHASE 163,566 228,341
    KERRY GROUP PLC 27,538 24,713
    KLA TENCOR CORP 104,457 198,711
    L'OREAL ADR 23,480 42,939
    LEGRAND INC 20,549 26,864
    LINDE PLC COM 21,483 42,957
    LIVE NATION INC COM 100,715 129,864
    LOCKHEED MARTIN CORP 13,819 30,921
    LONZA GROUP AG UNSP/ADR 20,840 30,895
    LVMH MOET HENN UNSP 43,537 47,499
    MARRIOTT INTERNATIONAL INC. CL 117,859 125,252
    MASTERCARD INC 253,848 265,537
    MCDONALD'S CORP 75,865 94,897
    MEDTRONIC PLC 66,291 59,070
    META PLATFORMS INC 53,523 126,468
    METLIFE INC 18,325 35,619
    MICRON TECHNOLOGY 117,633 218,903
    MICROSOFT CORP 383,650 959,184
    MONDELEZ INTERNATIONAL INC 28,147 41,775
    MOWI ASA SPONSORED ADR 22,807 23,008
    NATWEST GROUP ADR REPRESENTING 28,469 33,544
    NETFLIX INC 107,342 130,729
    NEXTERA ENERGY, INC 101,527 169,262
    NIKE INC-CL B 80,947 132,003
    NOVARTIS AG ADR 43,895 47,234
    NVIDIA CORP 68,190 250,876
    ORACLE CORP 10,868 12,209
    PAN PAC INTL HLDGS UNSPONSORED 25,069 27,407
    PAYPAL HOLDINGS, INC 102,988 131,817
    PEPSICO INC 47,008 58,193
    PERSIMMON PLC ADR 16,781 20,576
    PFIZER INC 109,498 158,845
    PHILIP MORRIS INTL 32,353 33,630
    PING AN INSURANCE GROUP ADR 34,663 20,363
    PINNACLE FINL PRTNRS PFD B 6.7 10,532 11,228
    PIONEER NAT RES CO 148,831 170,422
    PROCTER GAMBLE CO 20,647 27,481
    PROLOGIS 31,271 60,946
    PROSUS NV ADR 24,073 17,607
    PRUDENTIAL PLC SC 46,738 44,759
    PUBLIC STORAGE INC 45,409 56,184
    PULTE GROUP INC 74,022 86,312
    QUALCOMM INC 31,923 33,282
    QURATE RETAIL INC 8.0% SER A P 24,944 24,463
    RAYTHEON TECHNOLOGIES CORP 153,740 169,452
    RECRUIT HOLDINGS CO 38,365 76,247
    RELX PLC 29,953 46,958
    REPUBLIC SVCS INC 31,801 53,688
    ROCHE HOLDING LTD ADR 39,263 62,545
    ROCKWELL AUTOMATION INC 30,134 38,374
    ROYAL CARRIBEAN CRUISE 95,473 99,970
    S&P GLOBAL INC COM 79,342 143,939
    SAP AKTIENGESELL ADS 43,355 59,407
    SEAGATE TECHNOLOGY HOLDINGS PL 32,091 35,928
    SEMPRA ENERGY COM 39,397 40,875
    SIMON PPTY GROUP INC 122,693 159,930
    SKYWORKS SOLUTIONS, INC 50,858 59,108
    SONY GROUP CORP 34,337 93,536
    SPDR BLACKSTONE/GSO SENIOR LOA 25,939 25,781
    STARWOOD PROPERTY TRUST INC 51,887 71,321
    STRATEGIC FDS, INC. DREYFUS SE 1,665,504 1,955,638
    SUNTORY BEVERAGE & FOOD LTD AD 20,416 18,060
    SUZUKI MOTOR CORP UNSP ADR 62,904 48,850
    SWEDBANK AB S/ADR 38,498 46,276
    SYNCHRONY FINANCIAL 71,797 127,573
    T-MOBILE US INC 22,815 37,809
    TAIWAN SEMICONDUCTOR MFG CO LT 44,500 76,277
    TESLA MOTORS INC 68,703 102,508
    TEXAS INSTRUMENTS INC 69,331 82,173
    THE BLACKSTONE GROUP INC CL A 26,817 59,649
    THE COCA-COLA CO 86,926 99,473
    THE TRADE DESK INC 79,001 160,370
    THERMO FISHER SCIENTIFIC INC 55,089 104,757
    THOMSON REUTERS CORPORATION 15,507 32,058
    TJX COMPANIES INC 22,625 26,952
    TOMRA SYSTEMS 14,949 43,969
    TOTALENERGIES SE 53,004 55,890
    TOYOTA INDUSTRIES CORPORATION 31,234 39,600
    TRANE TECHNOLOGIES PLC 24,727 110,712
    TRUIST FINANCIAL CORPORATION 82,355 125,941
    UNILEVER PLC AMER 34,618 33,888
    UNITED COMMUNITY BANKS INC PFD 6,189 6,477
    UNITEDHEALTH GROUP INC 221,835 356,519
    VALERO ENERGY CORP 76,385 86,677
    VANGUARD SHORT TERM CORPORATE 247,269 248,331
    VANGUARD TOTAL STOCK MARKET ET 4,548,414 8,510,759
    VERIZON COMMUNICATIONS 24,109 24,941
    VINCI SA ADR 22,525 22,890
    VITESCO TECHNOLOGIES GROUP ADR 2,058 2,103
    VIVENDI SA 32,314 21,298
    VOLKSWAGEN AG ADR 21,835 16,666
    VOYA FINANCIAL INC 37,411 90,845
    WAL-MART STORES INC 41,191 48,471
    WELLS FARGO & COM 4.25 SER-DD 12,690 12,510
    WESBANCO DS REPRESENTING 1/40T 10,378 11,492
    ZURICH INS GROU ADR 42,885 58,960

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    US Government Securities - End of Year Book Value:

    5,312,750
    US Government Securities - End of Year Fair Market Value:

    5,276,669
    State & Local Government Securities - End of Year Book Value:


    234,632
    State & Local Government Securities - End of Year Fair Market Value:


    250,457


    TY 2021 InvestmentsOtherSchedule2
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ALISO CANYON LP   1,439 1,416
    CONCORD LODGING LTD   10,121 3,812
    FUGIO FUND XI PE LP   673,118 816,808
    FUGIO PRIVATE EQUITY FUND VIII   601,165 2,159,143
    FUGIO PRIVATE EQUITY FUND X, L   1,439,535 2,190,145
    GOLDEN GATE REALTY ASSOCIATES   10,246 623
    ICAPITAL-ARES PCS II ACCESS FU   301,264 303,891
    MILLENIUM INTERNATIONAL HEDGEF   200,000 200,000
    OPTIMA PARTNERS FOCUS FUND   1,000,000 1,568,324

    TY 2021 LegalFeesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    General Consultations 5,407     5,407


    TY 2021 OtherExpensesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 79,500     79,500
    Bank Charges 1,984 1,984    
    Equipment/Furniture Purchase 59     59
    Foundation Dues & Memberships 1,000     1,000
    Indemnification Insurance 4,820     4,820
    K-1 Exp FUGIO FUND XI PE LP 61,635 60,344    
    K-1 Exp FUGIO PRIVATE EQUITY F 39,569 39,171    
    K-1 Exp FUGIO PRIVATE EQUITY F 64,054 63,855    
    K-1 Exp ICAPITAL-ARES PCS II A 8,778 2,217    
    Office Supplies 1,478     1,478
    Postage/Delivery Service 339     339
    State or Local Filing Fees 10     10


    TY 2021 OtherIncomeSchedule2
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    K-1 Inc/Loss ALISO CANYON LP 4,348 4,348  
    K-1 Inc/Loss CONCORD LODGING LTD 3,388 3,388  
    K-1 Inc/Loss FUGIO FUND XI PE LP -3,700 232  
    K-1 Inc/Loss FUGIO PRIVATE EQUITY FUND VIII, LP 49,256 41,857  
    K-1 Inc/Loss FUGIO PRIVATE EQUITY FUND X, LP 11,961 10,011  
    K-1 Inc/Loss GOLDEN GATE REALTY ASSOCIATES -41 -41  
    K-1 Inc/Loss ICAPITAL-ARES PCS II ACCESS FUND, L.P 6,292    
    Class Action Lawsuit Proceeds 567 567  
    royalty income 301 301  
    Sec 751 Gain on Sale FUGIO PRIVATE EQUITY FUND VII 55    


    TY 2021 OtherIncreasesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Description Amount
    RETURNED GRANT 2,500


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EMPLOYEE RECRUITING 16,417     16,417
    Investment Management Services 346,760 346,760    
    Philanthropic Consulting Srvcs 14,349     14,349
    ADMINISTRATIVE SERVICES 2,500     2,500
    EVENT PLANNING SERVICES 1,170     1,170


    TY 2021 TaxesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 47,600      
    990-PF Extension for 2020 12,930      
    Foreign Tax Paid 19,331 19,331