Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
CLARK SA & FP MEM FD IRR TUA
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

35-6040188
B Telephone number (see instructions)

(888) 730-4933
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$3,796,991J 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 right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 111,966 111,524  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 19,800
b Gross sales price for all assets on line 6a 888,518
7 Capital gain net income (from Part IV, line 2)... 19,800
8 Net short-term capital gain......... 0
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
List of Attached Documents:
// Content
1,981    
12 Total. Add lines 1 through 11........ 133,747 131,324  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 46,967 35,225   11,742
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
1,064 0 0 1,064
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
6,172 2,556   3,616
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
2,797 2,797   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
28 28    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 57,028 40,606 0 16,422
25 Contributions, gifts, grants paid....... 172,000 172,000
26 Total expenses and disbursements. Add lines 24 and 25 229,028 40,606 0 188,422
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -95,281
b Net investment income (if negative, enter -0-) 90,718
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 2,913 846 846
2 Savings and temporary cash investments......... 150,939 111,919 111,919
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow     0 0
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 755,880 Click to see attachment
List of Attached Documents:
// Content
597,275 		1,348,567
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,271,021 Click to see attachment
List of Attached Documents:
// Content
2,370,988 		2,335,659
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,180,753 3,081,028 3,796,991
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 right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
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 right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 3,180,753 3,081,028
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)..... 3,180,753 3,081,028
30 Total liabilities and net assets/fund balances (see instructions). 3,180,753 3,081,028
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
3,180,753
2
Enter amount from Part I, line 27a .....................
2
-95,281
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,085,472
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
4,444
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,081,028
Form 990-PF (2023)
Form 990-PF (2023)
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 27. ALPHABET INC CL C   2022-10-18 2023-01-25
b 41. ALPHABET INC CL C     2023-01-25
c 15.00021 APPLE INC   2022-10-18 2023-01-25
d 11.99979 APPLE INC   2022-10-18 2023-01-25
e 41. APPLE INC   2021-06-03 2023-01-25
7. BLACKSTONE INC   2022-10-18 2023-01-25
16. BLACKSTONE INC   2020-05-15 2023-01-25
1. BOOKING HOLDINGS INC   2021-06-03 2023-01-25
15. CELANESE CORP   2022-12-06 2023-01-25
13. CELANESE CORP     2023-01-25
58. CITIGROUP INC.     2023-01-25
26. WALT DISNEY CO     2023-01-25
146. ISHARES CORE MSCI EMERGING ETF   2021-03-25 2023-01-25
3. LAM RESEARCH CORP COM   2022-10-25 2023-01-25
3. LAM RESEARCH CORP COM   2021-06-03 2023-01-25
33. LAS VEGAS SANDS CORP     2023-01-25
649.68 T ROWE PR OVERSEAS STOCK-I #521     2023-01-25
38. SUNCOR ENERGY INC NEW F   2022-10-18 2023-01-25
48. SUNCOR ENERGY INC NEW F   2015-07-28 2023-01-25
451.344 TCW EMRG MRKTS INC-PLAN #5721     2023-01-25
2. THERMO FISHER SCIENTIFIC INC   2022-10-18 2023-01-25
1. THERMO FISHER SCIENTIFIC INC   2010-12-08 2023-01-25
92. VANGUARD MIDCAP VIPER   2021-10-19 2023-01-25
1. BLACKROCK INC   2022-10-18 2023-02-09
4. BLACKROCK INC     2023-02-09
1. COGNIZANT TECH SOLUTIONS CRP COM   2022-10-18 2023-02-09
70. COGNIZANT TECH SOLUTIONS CRP COM     2023-02-09
79. FIDELITY NATL INFORMATION SVCS INC     2023-02-09
192. FIDELITY NATL INFORMATION SVCS INC     2023-02-09
19. INTERPUBLIC GROUP COS INC   2022-10-18 2023-02-09
79. INTERPUBLIC GROUP COS INC   2020-10-26 2023-02-09
4. JPMORGAN CHASE & CO   2022-10-18 2023-02-09
21. JPMORGAN CHASE & CO     2023-02-09
121. LAS VEGAS SANDS CORP     2023-02-09
4. UNION PACIFIC CORP   2022-10-18 2023-02-09
15. UNION PACIFIC CORP     2023-02-09
25. WASTE MANAGEMENT INC   2020-03-03 2023-02-09
18. WALT DISNEY CO     2023-03-17
9. WALT DISNEY CO   2020-12-10 2023-03-17
345. MANULIFE FINANCIAL CORP     2023-03-17
25. ABBVIE INC     2023-05-17
6. ABBVIE INC   2021-10-12 2023-05-17
15. ADVANCED MICRO DEVICES INC   2023-02-09 2023-05-17
2. BLACKROCK INC   2020-04-03 2023-05-17
8. BOEING CO     2023-05-17
1. BROADCOM INC   2022-10-18 2023-05-17
3. BROADCOM INC   2021-06-03 2023-05-17
19. CVS HEALTH CORPORATION     2023-05-17
20. CVS HEALTH CORPORATION   2021-06-03 2023-05-17
34. CISCO SYSTEMS INC     2023-05-17
11. COGNIZANT TECH SOLUTIONS CRP COM   2022-10-18 2023-05-17
5. COGNIZANT TECH SOLUTIONS CRP COM   2016-08-24 2023-05-17
67.416 DELAWARE SMALL CAP CORE-R6   2022-10-18 2023-05-17
2569.805 DELAWARE SMALL CAP CORE-R6   2022-04-27 2023-05-17
5. DIAGEO PLC - ADR   2022-10-18 2023-05-17
4. DIAGEO PLC - ADR   2018-12-14 2023-05-17
12. ELECTRONIC ARTS INC     2023-05-17
7. META PLATFORMS INC     2023-05-17
18. HASBRO INC   2021-04-08 2023-05-17
4. HOME DEPOT INC   2022-12-06 2023-05-17
27. INTERPUBLIC GROUP COS INC   2020-10-26 2023-05-17
8. JPMORGAN CHASE & CO   2022-10-18 2023-05-17
11. JPMORGAN CHASE & CO   2019-08-09 2023-05-17
6. ELI LILLY & CO COM   2023-01-25 2023-05-17
8. ELI LILLY & CO COM   2019-08-09 2023-05-17
97. MANULIFE FINANCIAL CORP   2019-08-09 2023-05-17
20. MERCK & CO INC NEW     2023-05-17
26. MICROSOFT CORP     2023-05-17
1. MONDELEZ INTERNATIONAL INC   2022-10-18 2023-05-17
22. MONDELEZ INTERNATIONAL INC     2023-05-17
6. NIKE INC CL B   2022-10-18 2023-05-17
5. NIKE INC CL B   2020-04-03 2023-05-17
46. RTX CORP     2023-05-17
62. REGIONS FINL CORP NEW   2022-08-22 2023-05-17
11. SYSCO CORP   2022-10-18 2023-05-17
7. SYSCO CORP   2020-05-15 2023-05-17
4. TARGET CORP   2022-10-18 2023-05-17
3. TARGET CORP   2020-04-03 2023-05-17
26. TORONTO DOMINION BK ONT COM NEW     2023-05-17
20. TOTAL S.A. - ADR   2022-10-18 2023-05-17
16. TOTAL S.A. - ADR   2021-10-21 2023-05-17
34.742 TOUCHSTONE MID CAP-R6 #355   2022-10-18 2023-05-17
825.984 TOUCHSTONE MID CAP-R6 #355     2023-05-17
18. UNILEVER PLC - ADR     2023-05-17
6. UNION PACIFIC CORP   2010-12-08 2023-05-17
11. UNITED PARCEL SERVICE-CL B   2021-07-26 2023-05-17
6. UNITEDHEALTH GROUP INC   2023-01-25 2023-05-17
6. UNITEDHEALTH GROUP INC   2008-07-07 2023-05-17
114. VANGUARD MIDCAP VIPER   2022-10-18 2023-05-17
1014. VANGUARD MIDCAP VIPER     2023-05-17
8. VISA INC-CLASS A SHRS   2023-02-09 2023-05-17
9. WASTE MANAGEMENT INC   2020-03-03 2023-05-17
14. EATON CORP PLC   2021-08-07 2023-05-17
15. GARMIN LTD     2023-05-17
11. TE CONNECTIVITY LTD   2021-11-19 2023-05-17
12. CVS HEALTH CORPORATION   2023-01-25 2023-06-15
88. CVS HEALTH CORPORATION     2023-06-15
21. WALT DISNEY CO     2023-06-15
115. WALT DISNEY CO     2023-06-15
7. ELECTRONIC ARTS INC   2022-10-18 2023-06-15
22. ELECTRONIC ARTS INC     2023-06-15
100. HASBRO INC     2023-06-15
25. LAS VEGAS SANDS CORP     2023-06-15
171. LAS VEGAS SANDS CORP     2023-06-15
8. ELI LILLY & CO COM     2023-06-15
100. SYSCO CORP     2023-06-15
7. EATON CORP PLC     2023-06-15
9. EATON CORP PLC     2023-06-15
137. CVS HEALTH CORPORATION   2010-12-08 2023-06-23
11. HASBRO INC   2022-10-18 2023-06-23
127. HASBRO INC     2023-06-23
139. SYSCO CORP   2020-04-03 2023-06-23
20. ALPHABET INC CL C   2023-05-17 2023-08-10
5. ALPHABET INC CL C   2020-05-15 2023-08-10
25. APPLE INC     2023-08-10
1. BOOKING HOLDINGS INC   2023-05-17 2023-08-10
12. MICROSOFT CORP   2022-10-18 2023-08-10
2. MICROSOFT CORP   2015-08-31 2023-08-10
194.128 TOUCHSTONE MID CAP-R6 #355   2020-05-15 2023-08-10
4. UNITEDHEALTH GROUP INC   2023-02-23 2023-08-10
29. VANGUARD MIDCAP VIPER   2019-10-21 2023-08-10
303.182 BAIRD AGGREGATE BOND FUND-INST 72   2021-09-23 2023-08-22
14. ABBVIE INC   2021-10-12 2023-09-11
3. ADOBE SYS INC   2023-06-23 2023-09-11
16. ADVANCED MICRO DEVICES INC   2023-06-15 2023-09-11
27. ALPHABET INC CL C     2023-09-11
8. APPLE INC   2022-11-02 2023-09-11
26. APPLE INC     2023-09-11
2894.738 BAIRD AGGREGATE BOND FUND-INST 72     2023-09-11
3. BLACKROCK INC   2020-04-03 2023-09-11
22. BLACKSTONE INC     2023-09-11
1. BOEING CO   2022-10-25 2023-09-11
9. BOEING CO     2023-09-11
1. BROADCOM INC   2022-10-18 2023-09-11
3. BROADCOM INC   2019-07-03 2023-09-11
18. CELANESE CORP   2023-06-15 2023-09-11
19. CISCO SYSTEMS INC   2022-10-18 2023-09-11
18. CISCO SYSTEMS INC     2023-09-11
42. CITIGROUP INC.     2023-09-11
10. DIAGEO PLC - ADR     2023-09-11
13. ELECTRONIC ARTS INC   2020-04-03 2023-09-11
11. META PLATFORMS INC   2021-04-08 2023-09-11
276.102 FIDELITY NEW MRKTS INC-Z #3323     2023-09-11
353.07 GLDMN SCHS GQP PRT INTL-R6 #4946   2023-05-18 2023-09-11
45. ISHARES CORE MSCI EMERGING ETF   2021-03-25 2023-09-11
21. JPMORGAN CHASE & CO     2023-09-11
4. LAM RESEARCH CORP COM     2023-09-11
6. ELI LILLY & CO COM   2016-10-03 2023-09-11
57. MANULIFE FINANCIAL CORP   2022-10-18 2023-09-11
51. MANULIFE FINANCIAL CORP     2023-09-11
6. MCDONALDS CORP   2023-06-15 2023-09-11
24. MERCK & CO INC NEW   2023-06-15 2023-09-11
15. MICROSOFT CORP     2023-09-11
25. MONDELEZ INTERNATIONAL INC   2018-07-27 2023-09-11
1391.797 PIMCO TOTAL RET FD-INST #35   2019-02-27 2023-09-11
680.868 PIMCO COMMODITY REAL RET STRAT-I45     2023-09-11
62. PIMCO ENHANCED SHORT MATURITY ETF     2023-09-11
1177.253 PGIM HIGH YIELD-Q 1067   2020-09-01 2023-09-11
18. RTX CORP   2023-02-09 2023-09-11
13. RTX CORP   2022-08-22 2023-09-11
100. REGIONS FINL CORP NEW   2022-08-22 2023-09-11
597.028 T ROWE PR OVERSEAS STOCK-I #521   2021-07-26 2023-09-11
81. SUNCOR ENERGY INC NEW F   2023-03-17 2023-09-11
950.333 TCW EMRG MRKTS INC-PLAN #5721     2023-09-11
11. TARGET CORP   2020-04-03 2023-09-11
4. THERMO FISHER SCIENTIFIC INC   2023-06-15 2023-09-11
24. TORONTO DOMINION BK ONT COM NEW   2023-02-09 2023-09-11
10. TORONTO DOMINION BK ONT COM NEW   2021-06-20 2023-09-11
43. TOTAL S.A. - ADR   2023-06-15 2023-09-11
69.91 TOUCHSTONE MID CAP-R6 #355   2020-05-15 2023-09-11
28. UNILEVER PLC - ADR     2023-09-11
8. UNION PACIFIC CORP   2010-12-08 2023-09-11
10. UNITED PARCEL SERVICE-CL B   2023-02-09 2023-09-11
3. UNITED PARCEL SERVICE-CL B   2021-07-26 2023-09-11
2. UNITEDHEALTH GROUP INC   2023-02-23 2023-09-11
2. UNITEDHEALTH GROUP INC   2008-07-07 2023-09-11
40. VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-09-11
26. VANGUARD MIDCAP VIPER   2020-06-25 2023-09-11
5. VISA INC-CLASS A SHRS   2023-02-09 2023-09-11
5. VISA INC-CLASS A SHRS     2023-09-11
8. WASTE MANAGEMENT INC   2020-03-03 2023-09-11
2. EATON CORP PLC   2022-10-18 2023-09-11
12. EATON CORP PLC   2021-04-08 2023-09-11
18. GARMIN LTD     2023-09-11
16. TE CONNECTIVITY LTD   2021-11-19 2023-09-11
20. CELANESE CORP   2023-06-15 2023-12-15
16. CELANESE CORP     2023-12-15
367. INTERPUBLIC GROUP COS INC   2020-10-26 2023-12-15
15. ELI LILLY & CO COM   2016-10-03 2023-12-15
96. RTX CORP     2023-12-15
17. EATON CORP PLC   2021-04-08 2023-12-15
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(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 2,623   2,803 -180
b 3,984   4,349 -365
c 2,103   2,183 -80
d 1,682   1,746 -64
e 5,747   5,074 673
607   649 -42
1,386   803 583
2,298   2,311 -13
1,796   1,571 225
1,557   2,129 -572
2,952   3,853 -901
2,714   4,441 -1,727
7,474   9,135 -1,661
1,409   1,142 267
1,409   1,905 -496
1,801   1,509 292
7,731   8,584 -853
1,262   1,204 58
1,594   1,230 364
2,852   3,728 -876
1,142   1,061 81
571   52 519
19,605   22,939 -3,334
716   587 129
2,864   2,609 255
66   61 5
4,650   5,176 -526
5,816   7,421 -1,605
14,136   23,241 -9,105
701   557 144
2,916   1,495 1,421
560   480 80
2,939   3,352 -413
6,961   5,305 1,656
811   810 1
3,040   866 2,174
3,805   2,832 973
1,680   1,770 -90
840   1,389 -549
6,047   6,782 -735
3,557   3,677 -120
854   650 204
1,512   1,251 261
1,286   841 445
1,628   2,003 -375
648   444 204
1,944   1,404 540
1,278   1,694 -416
1,345   1,740 -395
1,607   1,594 13
685   672 13
312   288 24
1,721   1,740 -19
65,607   70,438 -4,831
890   849 41
712   592 120
1,490   1,701 -211
1,671   2,241 -570
1,115   1,732 -617
1,128   1,271 -143
983   511 472
1,090   960 130
1,499   1,209 290
2,612   2,075 537
3,482   909 2,573
1,858   1,635 223
2,296   1,574 722
8,123   6,854 1,269
78   58 20
1,705   949 756
696   557 139
580   392 188
4,427   4,529 -102
998   1,373 -375
808   848 -40
514   332 182
633   626 7
475   276 199
1,580   1,845 -265
1,198   1,046 152
959   827 132
1,570   1,430 140
37,334   31,831 5,503
973   1,094 -121
1,182   277 905
1,840   2,324 -484
2,882   2,946 -64
2,882   137 2,745
23,282   22,275 1,007
207,085   232,194 -25,109
1,852   1,836 16
1,512   1,020 492
2,347   2,178 169
1,542   1,970 -428
1,330   1,813 -483
816   1,025 -209
5,986   3,723 2,263
1,935   1,973 -38
10,596   5,365 5,231
898   858 40
2,823   3,073 -250
6,149   9,604 -3,455
1,472   1,050 422
10,066   6,607 3,459
3,627   711 2,916
7,298   4,050 3,248
1,352   1,008 344
1,738   1,382 356
9,536   4,565 4,971
653   752 -99
7,539   11,988 -4,449
10,094   5,327 4,767
2,641   2,403 238
660   343 317
4,485   4,233 252
3,215   2,662 553
3,914   2,919 995
652   87 565
9,635   6,468 3,167
2,018   1,916 102
6,472   4,897 1,575
2,862   3,499 -637
2,082   1,517 565
1,690   1,441 249
1,674   1,984 -310
3,720   1,529 2,191
1,433   1,254 179
4,658   1,627 3,031
27,442   33,442 -6,000
2,090   1,261 829
2,516   2,047 469
211   146 65
1,897   2,023 -126
856   444 412
2,568   854 1,714
2,273   2,077 196
1,076   801 275
1,019   716 303
1,709   2,624 -915
1,606   1,380 226
1,595   1,349 246
3,380   3,427 -47
3,192   4,158 -966
6,567   6,285 282
2,209   2,816 -607
3,027   2,259 768
2,641   2,074 567
3,571   484 3,087
1,078   932 146
964   857 107
1,677   1,748 -71
2,611   2,624 -13
5,061   652 4,409
1,779   1,075 704
11,608   13,946 -2,338
9,328   14,872 -5,544
6,185   6,176 9
5,415   6,322 -907
1,383   1,755 -372
999   1,204 -205
1,812   2,214 -402
7,158   7,879 -721
2,760   2,341 419
5,740   7,767 -2,027
1,350   1,011 339
2,063   2,113 -50
1,448   1,648 -200
603   710 -107
2,797   2,528 269
3,397   2,329 1,068
1,421   1,657 -236
1,687   369 1,318
1,614   1,850 -236
484   634 -150
959   958 1
959   46 913
2,799   3,115 -316
5,659   4,162 1,497
1,234   1,147 87
1,234   1,080 154
1,256   906 350
474   285 189
2,843   1,682 1,161
1,893   1,760 133
2,046   2,637 -591
3,027   2,308 719
2,422   1,610 812
12,006   6,943 5,063
8,456   1,210 7,246
7,707   8,211 -504
3,992   2,383 1,609
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
      413
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       -180
b       -365
c       -80
d       -64
e       673
      -42
      583
      -13
      225
      -572
      -901
      -1,727
      -1,661
      267
      -496
      292
      -853
      58
      364
      -876
      81
      519
      -3,334
      129
      255
      5
      -526
      -1,605
      -9,105
      144
      1,421
      80
      -413
      1,656
      1
      2,174
      973
      -90
      -549
      -735
      -120
      204
      261
      445
      -375
      204
      540
      -416
      -395
      13
      13
      24
      -19
      -4,831
      41
      120
      -211
      -570
      -617
      -143
      472
      130
      290
      537
      2,573
      223
      722
      1,269
      20
      756
      139
      188
      -102
      -375
      -40
      182
      7
      199
      -265
      152
      132
      140
      5,503
      -121
      905
      -484
      -64
      2,745
      1,007
      -25,109
      16
      492
      169
      -428
      -483
      -209
      2,263
      -38
      5,231
      40
      -250
      -3,455
      422
      3,459
      2,916
      3,248
      344
      356
      4,971
      -99
      -4,449
      4,767
      238
      317
      252
      553
      995
      565
      3,167
      102
      1,575
      -637
      565
      249
      -310
      2,191
      179
      3,031
      -6,000
      829
      469
      65
      -126
      412
      1,714
      196
      275
      303
      -915
      226
      246
      -47
      -966
      282
      -607
      768
      567
      3,087
      146
      107
      -71
      -13
      4,409
      704
      -2,338
      -5,544
      9
      -907
      -372
      -205
      -402
      -721
      419
      -2,027
      339
      -50
      -200
      -107
      269
      1,068
      -236
      1,318
      -236
      -150
      1
      913
      -316
      1,497
      87
      154
      350
      189
      1,161
      133
      -591
      719
      812
      5,063
      7,246
      -504
      1,609
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 19,800
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  
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 right arrow 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) 1 1,261
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 1,261
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 1,261
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 1,292
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,292
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.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 31
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow31 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowIN
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 2023 or the taxable year beginning in 2023? 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
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 addressright arrowN/A
14
The books are in care ofright arrowWELLS FARGO BANK NA Telephone no.right arrow (800) 352-3705

Located atright arrow100 N MAIN ST FL 5D4001-052WINSTON SALEMNC ZIP+4right arrow27101
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
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
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
WELLS FARGO BANK N A TRUSTEE
1 		46,967    
100 N MAIN ST FL 5D4001-052
WINSTONSALEM,NC27101
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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.............right arrow0
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.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
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
3,549,394
b
Average of monthly cash balances.......................
1b
79,956
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
3,629,350
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
3,629,350
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
54,440
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
3,574,910
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
178,746
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
178,746
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
1,261
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
1,261
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
177,485
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
177,485
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
177,485
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
188,422
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
188,422
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 177,485
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 149,346
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 0
b From 2019...... 0
c From 2020...... 0
d From 2021...... 0
e From 2022...... 0
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 188,422
a Applied to 2022, but not more than line 2a 149,346
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 2023 distributable amount..... 39,076
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 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 0
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		138,409
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 2018 not
applied on line 5 or line 7 (see instructions) ... 		0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		0
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 0
c Excess from 2021.... 0
d Excess from 2022.... 0
e Excess from 2023.... 0
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
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.
NONE
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
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 (2023)
Form 990-PF (2023)
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

HEROES CAMP INC

PO BOX 6564
SOUTH BEND,IN466600000 		NONE PC GENERAL OPERATING 15,000

UNITED HEALTH SERVICES INC

20-42 MITCHELL AVENUE
BINGHAMTON,NY139030000 		NONE PC GENERAL OPERATING 5,000

GIRLS ON THE RUN MICHIANA

51160 BITTERSWEET ROAD 7
GRANGER,IN465300000 		NONE PC GENERAL OPERATING 10,000

YOUTH SERVICE BUREAU OF ST JOSEPH COUNTY

2222 LINCOLNWAY WEST
SOUTH BEND,IN466282514 		NONE PC GENERAL OPERATING 20,000

CANCER SOCIETY OF ST JOSEPH COUNTY INC

3516 E JEFFERSON BLVD
SOUTH BEND,IN466153034 		NONE PC GENERAL OPERATING 15,000

LOGAN COMMUNITY RESOURCES INC

PO BOX 1049
SOUTH BEND,IN466241049 		NONE PC GENERAL OPERATING 15,000

MICHIANA PUBLIC BROADCASTING CORPORATION

300 W JEFFERSON BLVD
SOUTH BEND,IN466011513 		NONE PC GENERAL OPERATING 10,000

HAROLD W MCMILLEN CENTER FOR HEALTH EDUC

600 JIM KELLEY BLVD
FORT WAYNE,IN468161146 		NONE PC GENERAL OPERATING 5,000

LA CASA DE AMISTAD INC

3423 S MICHIGAN ST
SOUTH BEND,IN466140000 		NONE PC GENERAL OPERATING 15,000

BEACON HEALTH FOUNDATION INC

615 N MICHIGAN STREET
SOUTH BEND,IN466010000 		NONE PC GENERAL OPERATING 10,000

CENTER FOR THE HOMELESS INC

813 S MICHIGAN ST
SOUTH BEND,IN466013102 		NONE PC GENERAL OPERATING 5,000

CHILDRENS HOPE INC

7922 W JEFFERSON BLVD
FORT WAYNE,IN468044140 		NONE PC GENERAL OPERATING 3,500

FAMILY CHILDRENS CENTER

1707 MAIN STREET
LA CROSSE,WI546010000 		NONE PC GENERAL OPERATING 10,000

FIVE STAR LIFE

2204 CALIFORNIA RD
ELKHART,IN465141230 		NONE PC GENERAL OPERATING 2,500

CULTIVATE CULINARY SCHOOL AND CATERING I

1403 PRAIRIE AVE
SOUTH BEND,IN466131605 		NONE PC GENERAL OPERATING 15,000

INDIANA WOMEN IN NEED FOUNDATION

8515 CEDAR PLACE DR STE 103A
INDIANAPOLIS,IN462402343 		NONE PC GENERAL OPERATING 6,000

SAINT JOSEPH COUNTY PUBLIC LIBRARY

304 S MAIN ST
SOUTH BEND,IN46601 		NONE PC GENERAL OPERATING 10,000
Total .................................right arrow 3a 172,000
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
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 ........... 		         
4 Dividends and interest from securities ....     14 111,966  
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 19,800  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND 		    1 1,981  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   133,747  
13Total. Add line 12, columns (b), (d), and (e)..................
13
133,747
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2023 AccountingFeesSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 1,064     1,064

TY 2023 InvestmentsCorpStockSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Name of Stock End of Year Book Value End of Year Fair Market Value
31620M106 FIDELITY NATL INFORM    
871829107 SYSCO CORP    
56501R106 MANULIFE FINANCIAL C 15,336 26,321
126650100 CVS HEALTH CORPORATI    
594918104 MICROSOFT CORP 9,734 122,213
H84989104 TE CONNECTIVITY LTD 10,414 18,125
87612E106 TARGET CORP 2,259 12,248
91324P102 UNITEDHEALTH GROUP I 1,714 39,485
285512109 ELECTRONIC ARTS INC 9,332 15,323
405217100 HAIN CELESTIAL GROUP    
904767704 UNILEVER PLC - ADR 11,672 10,326
460690100 INTERPUBLIC GROUP CO    
17275R102 CISCO SYSTEMS INC 7,905 21,016
192446102 COGNIZANT TECH SOLUT 11,077 16,843
09260D107 BLACKSTONE INC 14,335 31,552
58933Y105 MERCK & CO INC NEW 16,068 29,217
92826C839 VISA INC-CLASS A SHR 19,660 29,420
891160509 TORONTO DOMINION BK 21,080 24,685
609207105 MONDELEZ INTERNATION 11,672 19,701
150870103 CELANESE CORP 11,532 29,520
883556102 THERMO FISHER SCIENT 3,304 19,108
11135F101 BROADCOM INC 12,823 53,580
09247X101 BLACKROCK INC 8,917 21,919
02079K107 ALPHABET INC CL C 15,772 81,317
09857L108 BOOKING HOLDINGS INC 18,143 35,472
517834107 LAS VEGAS SANDS CORP    
G5960L103 MEDTRONIC PLC    
254687106 WALT DISNEY CO    
512807108 LAM RESEARCH CORP CO 7,517 29,764
89151E109 TOTALENERGIES SE -SP 24,096 33,420
654106103 NIKE INC CL B 8,334 14,983
907818108 UNION PACIFIC CORP 6,363 19,404
75513E101 RTX CORP 17,875 20,362
097023105 BOEING CO 16,004 32,061
G29183103 EATON CORP PLC 16,284 33,474
H2906T109 GARMIN LTD 17,039 24,680
172967424 CITIGROUP INC. 20,534 24,228
94106L109 WASTE MANAGEMENT INC 12,494 19,522
911312106 UNITED PARCEL SERVIC 12,229 20,912
037833100 APPLE INC 14,190 112,438
46625H100 JPMORGAN CHASE & CO 11,910 40,144
867224107 SUNCOR ENERGY INC NE 20,440 29,156
00287Y109 ABBVIE INC 15,842 22,781
25243Q205 DIAGEO PLC - ADR 9,539 16,168
532457108 ELI LILLY & CO COM 3,964 33,809
464287655 ISHARES RUSSELL 2000    
30303M102 META PLATFORMS INC 23,348 42,829
89155T490 TOUCHSTONE MID CAP-R    
46434G103 ISHARES CORE MSCI EM    
31641Q755 FIDELITY NEW MRKTS I    
693390700 PIMCO TOTAL RET FD-I    
872365713 TCW EMRG MRKTS INC-P    
922908629 VANGUARD MIDCAP VIPE    
77956H435 T ROWE PR OVERSEAS S    
89154M702 TOUCHSTONE SANDS EM    
722005667 PIMCO COMMODITY REAL    
057071854 BAIRD AGGREGATE BOND    
904504479 UNDISC MGRS BEHAV VA    
418056107 HASBRO INC    
74440Y884 PGIM HIGH YIELD-Q 10    
437076102 HOME DEPOT INC 19,604 21,486
7591EP100 REGIONS FINL CORP NE 17,774 16,977
00724F101 ADOBE INC 15,825 19,688
007903107 ADVANCED MICRO DEVIC 13,579 23,291
580135101 MCDONALDS CORP 21,220 21,645
855244109 STARBUCKS CORP COM 18,522 17,954

TY 2023 InvestmentsOtherSchedule2
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
31641Q755 FIDELITY NEW MRKTS I AT COST 88,561 75,950
46434G103 ISHARES CORE MSCI EM AT COST 87,673 73,139
922908629 VANGUARD MIDCAP VIPE AT COST 108,524 191,230
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 122,947 110,145
872365713 TCW EMRG MRKTS INC-P AT COST 182,420 151,490
89155T490 TOUCHSTONE MID CAP-R AT COST 87,702 154,429
77956H435 T ROWE PR OVERSEAS S AT COST 221,641 224,204
722005667 PIMCO COMMODITY REAL AT COST 186,277 135,512
693390700 PIMCO TOTAL RET FD-I AT COST 286,325 258,376
24610B826 DELAWARE SMALL CAP C      
057071854 BAIRD AGGREGATE BOND AT COST 711,546 664,609
38147N269 GLDMN SCHS GQP PRT I AT COST 102,597 114,125
72201R833 PIMCO ENHANCED SHORT AT COST 106,569 106,975
921937793 VANGUARD LONG-TERM B AT COST 78,206 75,475

TY 2023 OtherDecreasesSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Description Amount
MUTUAL FUND TIMING ADJ 3,327
ROC ON CY SALES 20
PY RETURN OF CAPITAL ADJUSTMENT 1,010
TAX LOT BASIS ADJUSTMENT 13
COST BASIS ADJUSTMENT 74


TY 2023 OtherExpensesSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES 28 28   0


TY 2023 OtherIncomeSchedule2
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 1,981 0  


TY 2023 OtherProfessionalFeesSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
GRANT ADMIN FEE 3,616     3,616
INVESTMNT MNGMNT FEES (NON-DED 2,556 2,556    


TY 2023 TaxesSchedule
Name:
CLARK SA & FP MEM FD IRR TUA
EIN:
35-6040188
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 2,429 2,429   0
FOREIGN TAXES ON NONQUALIFIED 368 368   0