Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
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 07-01-2021 , and ending 06-30-2022
Name of foundation
THE GERTLER CLARK FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 506
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WESTON, MA024930003
A Employer identification number

13-6122092
B Telephone number (see instructions)

(617) 699-9150
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$6,423,218J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 51 51  
4 Dividends and interest from securities... 109,911 109,911  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 275,365
b Gross sales price for all assets on line 6a 2,450,857
7 Capital gain net income (from Part IV, line 2)... 275,365
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 385,327 385,327  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 54,800 13,700   41,100
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,385 0   1,385
b Accounting fees (attach schedule)....... Click to see attachment 17,535 0   17,535
c Other professional fees (attach schedule).... Click to see attachment 38,258 38,258   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,000 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 6,312 0   6,312
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 121,290 51,958   66,332
25 Contributions, gifts, grants paid....... 311,000 311,000
26 Total expenses and disbursements. Add lines 24 and 25 432,290 51,958   377,332
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -46,963
b Net investment income (if negative, enter -0-) 333,369
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......... 147,331 262,720 262,720
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) 1,008,251 Click to see attachment903,207 904,440
b Investments—corporate stock (attach schedule)....... 1,778,638 Click to see attachment1,670,377 3,897,732
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,229,780 Click to see attachment1,280,733 1,358,326
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) 4,164,000 4,117,037 6,423,218
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........... 4,164,000 4,117,037
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    
29 Total net assets or fund balances (see instructions)..... 4,164,000 4,117,037
30 Total liabilities and net assets/fund balances (see instructions). 4,164,000 4,117,037
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
4,164,000
2
Enter amount from Part I, line 27a .....................
2
-46,963
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,117,037
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,117,037
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 SALE OF PUBLICLY TRADED SECURITIES P    
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 2,450,857   2,175,492 275,365
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       275,365
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 2 275,365
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 0
3 Add lines 1 and 2........................... 3 4,634
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,634
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 8,246
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,246
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
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 3,612
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,612 RefundedBullet 11 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNY
    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 addressbulletNONE
    14
    The books are in care ofbulletJANE R CLARK MD Telephone no.bullet (212) 286-2600

    Located atbulletPO BOX 506WESTONMA ZIP+4bullet024930003
    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)
    Yes
     
    (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
    JANE R CLARK MD PRESIDENT, EXECUTIVE DIREC
    16.00     		54,800 0 0
    PO BOX 506
    WESTON,MA024930003
    CLARK CHESSIN GERTLER VICE PRESIDENT
    4.00     		0 0 0
    PO BOX 506
    WESTON,MA024930003
    CHARLES GARRISON GERTLER TREASURER
    1.00     		0 0 0
    PO BOX 506
    WESTON,MA024930003
    JONATHAN P GERTLER MD SECRETARY
    3.00     		0 0 0
    PO BOX 506
    WESTON,MA024930003
    ROGER D KAMM PHD BOARD MEMBER
    0.50     		0 0 0
    PO BOX 506
    WESTON,MA024930003
    WILLIAM R GERTLER BOARD MEMBER
    3.00     		0 0 0
    PO BOX 506
    WESTON,MA024930003
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    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
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    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.........................bullet0
    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
    7,112,102
    b
    Average of monthly cash balances.......................
    1b
    228,697
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    7,340,799
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    7,340,799
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    110,112
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    7,230,687
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    361,534
    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
    361,534
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,634
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,634
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    356,900
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    356,900
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    356,900
    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 7 356,900
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017...... 532,287
    c From 2018......  
    d From 2019...... 173,302
    e From 2020......  
    f Total of lines 3a through e ........ 705,589
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 377,332
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 356,900
    e Remaining amount distributed out of corpus 20,432
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 726,021
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    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) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		726,021
    10 Analysis of line 9:
    a Excess from 2017.... 532,287
    b Excess from 2018....  
    c Excess from 2019.... 173,302
    d Excess from 2020....  
    e Excess from 2021.... 20,432
    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).)
    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
    AMANI PROJECT INC
    4915 BERGEN CT
    CUMMING,GA30040     		N/A PC GENERAL 1,010
    AMERICANS FOR OXFORD INC
    500 FIFTH AVENUE 32ND FLOOR
    NEW YORK,NY10110     		N/A PC GENERAL 1,000
    ANJALI HOUSE US INC
    54 BLUEBERRY RIDGE LN
    CHILMARK,MA02535     		N/A PC GENERAL 1,000
    BOSTON CHILDREN'S HOSPITAL TRUST
    401 PARK DRIVE SUITE 602
    BOSTON,MA02215     		N/A PC GENERAL 300
    BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM
    780 ALBANY ST
    BOSTON,MA02118     		N/A PC GENERAL 1,000
    BOSTON MEDICAL CENTER
    801 MASSACHUSETTS AVE
    BOSTON,MA02118     		N/A PC RODMAN RIDE FOR KIDS 1,000
    BUZZARDS BAY COALITION INC
    114 FRONT STREET
    NEW BEDFORD,MA02740     		N/A PC GENERAL 2,500
    CAMBRIDGE ART ASSOCIATION
    25 LOWELL ST
    CAMBRIDGE,MA02138     		N/A PC GENERAL 1,000
    COLUMBIA UNIVERSITY
    PO BOX 1383
    NEW YORK,NY10277     		N/A PC VAGELOS COLLEGE OF PHYSICIANS & SURGEONS 1,000
    COMMUNITIES FOR RESTORATIVE JUSTICE
    PO BOX 65
    CONCORD,MA01742     		N/A PC GENERAL 5,000
    COMMUNITY FOUNDATION OF SOUTHEASTERN MASSACHUSETTS INC
    63 UNION STREET
    NEW BEDFORD,MA02740     		N/A PC AMY EDWARDS SECOND WIND FUND 1,000
    DARTMOUTH COLLEGE
    ONE MEDICAL CENTER DRIVE HB 7070
    LEBANON,NH03756     		N/A PC GENERAL 500
    DARTMOUTH COLLEGE
    ONE MEDICAL CENTER DRIVE HB 7070
    LEBANON,NH03756     		N/A PC GEISEL SCHOOL OF MEDICINE 1,000
    FAUNA & FLORA INTERNATIONAL USA INC
    1720 N ST NW FL 4
    WASHINGTON,DC20036     		N/A PC GENERAL 5,000
    FDN FOR METROWEST
    3 ELIOT ST
    NATICK,MA01760     		N/A PC WESTON ARTS & INNOVATION CENTER FUND 1,000
    FRAMINGHAM HISTORY CENTER
    PO BOX 2032
    FRAMINGHAM,MA01703     		N/A PC GENERAL 15,000
    GNU FOUNDATION
    PO BOX 29301
    SAN FRANCISCO,CA94129     		N/A PC DISC INITIATIVE - DISC G MENTORSHIP PROGRAM 6,000
    GUATEMALA HUMAN RIGHTS COMMISSION
    3321 12TH ST NE
    WASHINGTON,DC20017     		N/A PC GENERAL 1,000
    HARVARD UNIVERSITY
    124 MOUNT AUBUM STREET
    CAMBRIDGE,MA02138     		N/A PC RADCLIFFE FUND 2,000
    HARVARD UNIVERSITY
    124 MOUNT AUBUM STREET
    CAMBRIDGE,MA02138     		N/A PC GENERAL 4,000
    J2RC DANCES
    160 FRONT ST
    MARBLEHEAD,MA01945     		N/A PC GENERAL 5,000
    KISORO CHILDREN'S FOUNDATION INC
    125 BRATTLE STREET
    CAMBRIDGE,MA02138     		N/A PC GENERAL 6,500
    LAND'S SAKE INC
    27 CRESCENT STREET
    WESTON,MA02493     		N/A PC GENERAL 1,000
    MASSACHUSETTS INSTITUTE OF TECH
    600 MEMORIAL DRIVE W98-200 2ND
    FLOOR
    CAMBRIDGE,MA02139     		N/A PC EAPS DEI FUND 30,000
    NORTHWEST CHOIRS
    5031 UNIVERSITY WAY NE NB2
    SEATTLE,WA98105     		N/A PC GENERAL 100
    ONE ELEUTHERA FOUNDATION OF THE US
    103 DUMBARTON COURT
    CARY,NC27511     		N/A PC GENERAL 1,000
    OPERA BUFFS
    37 E HUNTINGTON DRIVE
    ARCADIA,CA91006     		N/A PC GENERAL 500
    PAN MASSACHUSETTS CHALLENGE TRUST
    77 4TH AVENUE
    NEEDHAM,MA02494     		N/A PC GENERAL 1,000
    PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS
    1055 COMMONWEALTH AVENUE
    BOSTON,MA02215     		N/A PC GENERAL 25,000
    PORTLAND COMMUNITY SQUASH
    66 NOYES ST
    PORTLAND,ME04103     		N/A PC RALLY PORTLAND SCHOLARSHIP 4,320
    PORTLAND COMMUNITY SQUASH
    66 NOYES STREET
    PORTLAND,ME04103     		N/A PC GENERAL 4,320
    ROOT CAPITAL
    245 MAIN STREET 2ND FLOOR
    CAMBRIDGE,MA02142     		N/A PC KENYAN & GHANAIAN INITIATIVES 25,000
    SIGNET ASSOCIATION
    46 DUNSTER ST
    CAMBRIDGE,MA02138     		N/A PC GENERAL 2,500
    SOUTH COAST ARTISTS INC
    PO BOX 3716
    WESTPORT,MA02790     		N/A PC POOLE BARKER MEMORIAL FUND 1,000
    SQUASH BUSTERS
    795 COLUMBUS AVENUE
    ROXBURY CROSSING,MA02120     		N/A PC PROVIDENCE SQUASH COURTS 55,000
    SQUASH BUSTERS
    795 COLUMBUS AVENUE
    ROXBURY CROSSING,MA02120     		N/A PC GENERAL 20,000
    ST LOUIS CIVIC TECH & DATA COLLABORATIVE
    2858 SALENA ST
    ST LOUIS,MO63118     		N/A PC UNLOCKED LABS 500
    ST PAUL'S SCHOOL ADVANCED STUDIES PROGRAM
    325 PLEASANT STREET
    CONCORD,NH03301     		N/A PC GENERAL 1,000
    TENACITY
    38 EVERETT STREET SUITE 50
    BOSTON,MA02134     		N/A PC GENERAL 250
    THE NATURE CONSERVACY
    4245 N FAIRFAX DR STE 100
    ARLINGTON,VA22203     		N/A PC GENERAL 5,000
    THE TRUSTEES OF BOSTON UNIVERSITY
    595 COMMONWEALTH AVENUE SUITE 700
    BOSTON,MA02215     		N/A PC JONATHAN GERTLER AND JANE ROGERS CLARK SCHOLARSHIP FUND AT BUSM 62,000
    WALTHAM BOYS & GIRLS CLUB INC
    20 EXCHANGE ST
    WALTHAM,MA02451     		N/A PC GENERAL 500
    WELLESLEY COLLEGE
    106 CENTRAL ST
    WELLESLEY,MA02481     		N/A PC GENERAL 1,000
    WESLEYAN UNIVERSITY
    318 HIGH STREET
    MIDDLETOWN,CT06459     		N/A PC PATRICELLI CENTER SOCIAL ENTREPRENEURSHIP 2,500
    WESLEYAN UNIVERSITY
    318 HIGH STREET
    MIDDLETOWN,CT06459     		N/A PC GENERAL 1,000
    WESTON FOREST AND TRAIL ASSOCIATION INC
    444 WELLESLEY STREET
    WESTON,MA02493     		N/A PC GENERAL 1,000
    WESTPORT LAND CONSERVATION TRUST
    PO BOX 3975 830 DRIFT ROAD
    WESTPORT,MA02790     		N/A PC WESTPORT RIVER WATERSHED ALLIANCE 1,000
    WESTPORT RIVER WATERHSED ALLIANCE
    PO BOX 3427 1151 MAIN ROAD
    WESTPORT,MA02790     		N/A PC GENERAL 1,200
    YALE UNIVERSITY
    PO BOX 208239
    NEW HAVEN,CT06520     		N/A PC YALE SCHOOL OF ARCHITECTURE 500
    Total .................................bullet 3a 311,000
    bApproved for future payment
    Total .................................bullet 3b 0
    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 51  
    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 ............     		    18 275,365  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 385,327 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    385,327
    (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

    TY 2021 AccountingFeesSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND TAX 17,535 0   17,535

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALPHABET INC. CLASS A (GOOGL) 100 SHRS 40,686 217,958
    ALPHABET INC. CLASS C (GOOG) 100 SHRS 37,643 218,745
    AMAZON.COM (AMZN) 800 SHRS 84,239 84,968
    AMERICAN WATER WORKS CO. (AWK) 300 SHRS 24,372 44,631
    APPLE INC (AAPL) 1800 SHRS 16,026 246,096
    BANK OF AMERICA CORP (BAC) 1500 SHRS 58,366 46,695
    BERKSHIRE HATHAWAY INC. CL. B (BRKB) 2000 SHRS 97,042 546,040
    COCA COLA CO (KO) 2000 SHRS 101,803 125,820
    DUPONT DE NEMOURS (DD) 800 SHRS 51,438 44,464
    EVERGY INC. COM (EVRG) 1000 SHRS 65,402 65,250
    JPMORGAN CHASE & CO. (JPM) 500 SHRS 32,950 56,305
    MERCK & CO INC NEW COM (MRK) 1500 SHRS 64,600 136,755
    METLIFE INCORPORATED (MET) 2500 SHRS 110,934 156,975
    MICROSOFT CORP (MSFT) 1400 SHRS 36,342 359,562
    NATIONAL GRID PLC SPON ADR (NGG) 1500 SHRS 79,870 97,035
    NESTLE S A SPONSORED ADR (SRGY) 1500 SHRS 89,230 174,585
    NEXTERA ENERGY INC (NKE) 4000 SHRS 75,339 309,840
    PPG INDUSTRIES INC. (PPG) 1200 SHRS 36,133 137,208
    RAYTHEON TECHNOLOGIES CORP (RTX) 1000SHRS 87,729 96,110
    REYNOLDS CONSUMER PRODS INC (REYN) 3000 SHRS 95,216 81,810
    TEXAS INSTRUMENTS (TXN) 1000 SHRS 30,839 153,650
    UNION PACIFIC CORP (UNP) 300SHRS 66,597 63,984
    VERIZON COMMUNICATIONS (VZ) 1000 SHRS 60,391 50,750
    WALT DISNEY CO (DIS) 1000 SHRS 33,039 94,400
    WEC ENERGY GROUP INC COM (WE) 1000 SHRS 42,711 100,640
    WELLS FARGO 5.85-Q FIXD-TO-FLT (WFC.Q) 5000 SHRS 131,012 118,700
    ZOETIS INC CLASS-A (ZTS) 400 SHRS 20,428 68,756

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    US Government Securities - End of Year Book Value:

    903,207
    US Government Securities - End of Year Fair Market Value:

    904,440
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    CLEARBRIDGE MLP AND MIDSTREAM (CEM) 800 SHRS AT COST 66,294 22,984
    DFA EMERGING MRKTS CORE EQU PORTF (DESIX) 15420.561 SHRS AT COST 165,030 132,463
    DFA INTERNATIONAL SUSTAIN CORE 1 PORT (DFSPX) 27967.967 SHRS AT COST 291,453 286,392
    DFA US SUSTAIN CORE 1 PORTFOLIO I (DFSIX) 12221.215 SHRS AT COST 269,630 355,882
    ISHARES PREFERRED & INCOME S (PFF) 3500 SHRS AT COST 134,400 115,080
    SCHWAB STRATEGIC TR US REIT ETF (SCHH) 1128 SHRS AT COST 24,440 23,790
    SPDR SER TR SPDR S&P 500 ETF (SPIX) 3910 SHRS AT COST 268,192 360,658
    UNDISCOVERED MGRS BEHAVIOR VALUE CL L (UBVLX) 496.109 SHARES AT COST 30,630 38,057
    VANGUARD GLOBAL EX-US REAL ESTATE INDEX FUND ETF (VNQI) 520 SHRS AT COST 30,664 23,020

    TY 2021 LegalFeesSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,385 0   1,385


    TY 2021 OtherExpensesSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSES 3,502 0   3,502
    DUES AND SUBSCRIPTIONS 2,310 0   2,310
    FILING FEES 500 0   500


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 38,258 38,258   0


    TY 2021 TaxesSchedule
    Name:
    THE GERTLER CLARK FOUNDATION INC
    EIN:
    13-6122092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 3,000 0   0