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Form~l90-PF Return of Private Foundation OMB NO tSaS-0052
~~~ or Section 4947(a)(1) Nonexempt Charitable Trust 2004 E,iyMmont of the Treasury Treated as a Private Foundation
internal Revenue service Note : The organization may be able to use a copy of this return to satisfy state reporting requirements For calendar year 2004 or tax ear be g innin g JUL 1 , 20 0 4 , and endin g JUN 30 , 2005 0 Check all that a I . Initial return Final return Amended return Address chang e Name than e
Use the IRS Name of organization A Employer Identification number
label . Otherwise, HE CLARK FOUNDATION 13-5616528
print Number and street (p P,O box numbs it mail is not delivered to otrogt odckocc) Aoorr"cullo g Telephone number or type . NE ROCKEFELLER PLAZA 31ST FL 212- 9 77-6 9 00
See Specific Instructions . City or town, state, and YIP code C if oxomptlpn epplioat~on it pondinp, any, nom,
NEW YORK . 10 020- 210 2 D t . Foreign organizations, clock here H Check type of organization : LXJ Section 501 c 3 e
. lit. xam t private foundation Y Faoipn apnnixouono meeting the esx toot .�
~ ~~ P P Check here end attach computation ,
Suction 4947 ( a ) (1 ) nonexempt charitable truss Other taxable private foundation E If private foundation status was terminated I Fair market value of all assets at and of year J Accounting method: W Cash ~ Accrual under section 507(b)(1)(A), check here , (from Part 11, co/ (c), line 16) = Other (specify) F 11 the foundation is in a 60-month termination
544 , 631 . 09 1 . (Pad 1. column (d) must be on cash basis) under section 507 ( b )( 1 B check here , 11o. Part I Analysis of Revenue and Expenses (a) Revenue and (D) Net investment (c) Adjusted net ( )
(The total of amounts in columns (b~ (e~ and (d) may not d Disbursements
necessarily equal the amounts In column (c~) expenses per books income income f~ C""r"~'e purposes (cash basic only)
1 Contributions, gifts, grants, etc ., received . . 300 . N / A p Check 0- EYI n [be foundation Is not reQullee to et¢cn Sell B 3 interest on wvlnps and temporary
cash Inveatmentn
4 Dividends and interest from securities , 7 , 801 , 868 . 9 , 334 , 129 . sa Gross rents 103 , 988 . 103 988 . Statement 2 n Net renter income a pass) 103 988 .
se ~e 1 In W (low) from aide o aseat0 not on , 80 , 688 , 361 . Statement 1 ,z. E ~ss~eisa,~~noe~a f~ 164 ,807 , 792 . b ° It, (11
4o 7 Capital gain net Income (horn Port IV, line 2) ,, . . . . 4 3 3 5 7 3 4 9 . 8 Net short-term capital pain
' 9 Income modifications , ., . ., ., . . . . ., . . ., . , . . ., . Groan hales Icaa rolurna
,.~ 108 anOnnowoncw . . . . . . . . . . . -., D Less Coat of goods sold . . .
c Gro ( loss )- 1 1 oin intern I,., 7 , 030 . 71 , 708 . Statement 3 12 Tot A ~I~ED 88 601 547 . 52 867 174 . 13 Cum tton of,qmooro, dlroatao, trusts= . t~ , 0 . 0 . 0 .
t 4 Otn r pio~b~SYlar~s ~hd~~ 0 1 , 208 , 301 . 532 , 718 . 675 , 583 . y 15 Pen ion ns em ~o ee benefits , a 76 , 740 . 38 , 370 . 38 , 370 . y 1sa peg tees .
Q DEN "'4 ,' 103 , 576 . 0 . 103 , 576 .
d b Acc r a 012 6 c Other professional tees S tit 5 3 012 , 500 . 1 , 506 , 250 . 1 506 , 250 .
1012 > 17 interest 130 , 393 . p b 18 Taxes 6 754,720 . 259,473 . 19,472 .
0 E 19 Depreciation and depletion 185 , 194 . 81 , 980 . 20 Occupancy
a 21 Travel, conferences, and meetings Q c ~ 22 Printing and publications
X 23 Other expenses Stmt 7 1 877 , 555 . 5 , 855 , 986 . 891 , 731 . ~0 24 Total operating and administrative
expenses Add pines 13 through 23 7 218 , 586 . 8 4 0 5 17 0 . 3 234 , 982 . 25 Contributions, gifts, grants pad - 23 , 993 , 245 . 21 603 , 356 . 26 Total expenses and disbursements
Addlines 2aand25 31 211 831 . 8 , 405 , 170 . 24 838 338 . 27 Subtract line 26 from line 12 :
d Excess of revenue over expenses and disbursements 57 , 3 8 9 716 . b Net investment income (if negative, enter -o-) 44 , 462 , 0042 1 c Adjusted net income (if negative a nt e -o-) ~ N/A
LHA For Privacy Act and Paperwork Reduction Act Nonce, see the instructions Form 990-PF (2004) -.350 . ~
05 \\
--2141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
13-5616528 Page 2 nninp of year End of year Book Value D Book Value c Fair Market Value
952 647 . 68 245 895 . 68 245 895 .
40 , 534 . 45 , 147 . 45 , 147 .
000 , 000 . __ 2,000 ,000 . 2,000,000 .
.288 040 . 385 519 723 . 438 702 647 .
521 141 . 2 , 560 , 432 . 16 267 241 .
046 154 . 9 , 802 , 488 . 19 370 161 .
6
23 Total liabilities add lines 17 throu h 22 . . . . . . . . . . . . . . . . . . . . . . . Organizations that follow SFAS 117, check here
N and complete lines 24 through 26 and lines 30 and 31 24 Unrestricted 25 Temporarily restricted
m 26 Permanently restricted Organizations that do not follow SFAS 117, check here and complete lines 27 through 31 .
y 27 Capital stock, trust principal, or current funds v°', 28 Paid-in or capital surplus, or land, bldg ., and equipment fund N a 29 Retained earnings, accumulated income, endowment, or other funds °' 30 Total net assets or fund balances z
6 .1 468,173,6 31 Total liabilities and net assets/fund balances 1 410 , 84
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 30 (must agree with end-of-year figure reported on prior year's return)
2 Enter amount from Part 1, line 27a 3 Other increases not included in line 2 (itemize) 10, 4 Add lines 1 2, and 3 5 Decreases not included in line 2 (itemize) 6 Total net assets or fund balances at end of year (brie 4 minus line 5) - Part II, column (b), brie 30
Z 1 V I V V 1 1
57,389,716 . 0 .
468,156,027 .
468,156,027 . Form 990-PF (2004)
13-56161 G
12141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION
Form
Balance Sheets ~neaueeomaanoamouotsmmeaescdvuon ~~ column should be tat cn0afyai amounts only
1 Cash - non-interest-bearing �� . . . . . . . . 2 Savings and temporary cash investments , � 3 Accounts receivable " 45,147 .
Less : allowance for doubtful accounts 00, 4 Pledges receivable 00,
Less' allowance for doubtful accounts 6 Grants receivable , , , ��� , ��� , � . . �
. 8 ReCelvables due from officers, directors, trustees, and other " disqualified persons � ���� , ���� � .��� � , ��� , � , , , , ,
7 No notes and loans rotdnOla �������� �� ,1 2 .000,000 . Less . allowance for doubtful accounts
y! 10,
8 Inventories for sale or use ����� , 9 Prepaid expenses and deferred charges, ,, � ��� , . � , , , 10e Investments - U.S . and state government obligations , � �
D Investments - corporate stock , , �� , , S tTtit; 8 c Investments -corporate bonds , ,
Investment ~ land buildings and epulpmenL basis " 3, i22 , 190 . Less accumulated depreciation 7 6 1,7 58 .
12 Investments - mortgage loans 13 Investments - other 14 Land, buildings, and equipment basis " 15, 153,631,
Hess accumulated deprecWtion 5, 351,143, 15 Other assets (describe 00,
17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans from officers. directors, WDt000, and OItfOr dlOquUlfllod poICOnO , ,
0 21 Mortgages and other notes payable � , , � , . , ., . . � J 22 Other liabilities (describe "
, . . _3-05
2001 20 705 141 . 455 308 287 . .0454750 2000 21 098 788 . 461 500 639 . .0457178 1999 19 , 762 , 447- 437 352 980 . .0451865
2 Total of line 1, column (d) 2 .2406580 3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of years
the foundation has been m existence it less than 5 years 3 .0481316
4 Enter the net value of noncharitable-use assets for 2004 from Part x, line 5 4 499 , 624 , 693 .
5 Multiply line 4 by line 3 5 24 , 047 , 736 .
6 Enter t% of net investment income (1% 01 Part 1, line 27b) 6 444 , 620 .
Add lines 5 and 6 7 24 , 492 , 356 .
B Enter qualifying distributions from Part XII, line 4 8 I 26 , 137 , 539 . I . line 8 is equal to or greater than line 7, check the box in Part VI, line tb, and complete that pare using a t°,o sax rate See the Park VI instructions
-? .5_^ 101-03-05 form 990-PF (z004) 3
1-2141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
Form 990-PF 2004 THE CLARK FOUNDATION 13-5616528 Page 3 Part N Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e .g ., real estate, (b How acquired (c Date acquired (d) Date sold 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D
~' - - Donation Purchase ~mo., day, yr .) (mo., day, yr .)
to SEE SCHEDULE P b SEE SCHEDULE P c PARTNERSHIP SEE LIST P d PARTNERSHIP SEE LIST P e BOOK PART INCOME
(e) Gross sales pace (1) Depreciation allowed (p) Cost or other basis (h) Gain oi (loss) (or allowable) plus expense of sale (e) plus (I) minus (p)
a 65,340, 543 . 62 , 163 , 36 9 . 3 . 177,174 . e 99, 467 , 24 9 . 67 111 831 . 32 355,418 . c -584 , 063 . 584 063 . d -7 , 240,694 . 7 ,240,694 . e 0 .
Complete only for assets showing gain In column (h) and owned by the foundation on 12/31/69 (I) Gams (Col . (h) gain minus
F.M .V as o1 12/31/69 (1) Adjusted basis I (k) Excess o1 Col . (i) I Col. (Lo Losses (from Col . ~h~~ -)
or (1) as of 12/31/69 over Col . (j), i1 any
2,355,418 . 584,063 .
7 .240 .694 .
2 Capital gain net income or net capital loss) . if am, also enter in Part I, line 7
9 ( ~ It boss), enter -0- in Part 1, line 7 } 2 43 , 357 , 3 49 .
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) : It gain, also enter in Part I, line 8, column (c) . It (loss), enter -0- in Part 1, line 8 3 N/A
Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
H section 4940(d)(2) applies, leave this part blank .
Was the organization liable for the section 4942 tax on the distrlbutable amount of any year in the base period? , 0 Yes n No If 'Yes,' the organization does not quality under section 4940(e) . Do not complete this part. 1 Enter the appropriate amount in each column for each year; see instructions before making any entries .
Base pe ebd years Adjusted qualifying (disdistributions Net value of noncharitable-use assets Distribution ratio Calendar ear or tax ear beginnin g in ) ( Col . b divided b Col . c
2oo3 22 524 338 . 450 957 773 . .0499478 2oo2 21,963,838 . 404,260,365 . .0543309
Form 990-PF Part 7I
1 .3 -701
or 4948 - see on Investment n
6 Credits/Payments : 0 2004 estimated tax payments and 2003 overpayment credited to 2004 , , ea 475, 000 b Exempt foreign organizations - tax withheld at source , � � , �� , , , 8b c Tax paid with application for extension of time 10111e (form 8868) 8c d Backup withholding erroneously withheld ����� , , 8d
7 Total credits and payments. Add lines 6a through 6d 8 Enter any penalty for underpayment of estimated tax. Check here ~ if Form 2220 is attached 9 Tax due . I1 the total of lines 5 and 8 is more than line 7, enter amount owed 11111. 10 Overpayment . If line 7 is more than the total 01 lines 5 and B, enter the amount overpaid 1 11 Enter the amount of line 10 to be : Credited to 2005 estimated tax 3 0 3 8 0 . Refunded Part VII-A Statements Regarding Activities
4
X
11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? Web site address " N/A
11
4 12141102 350640 13-5616528 2004 .05050 THE CLP.RK FOUNDATION 13-56161
to Exempt operating foundations described in section 4940(d)(2), check here Pop. L___j and enter VA' on line 1 . Date of ruling letter. (attach copy of ruling letter it necessary-see instructions)
b Domestic organizations that meet the section 4940(e) requirements in Part V, check here " Eil and enter 1% of Part 1, line 271)
c All other domestic organizations enter 2% 01 line 27b . Exempt foreign organizations enter 4% of Part I, line 12, cot . (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only . Others enter -0-) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only . Others enter -0~) 6 Tax based on Investment Income . Subtract line 4 from line 3 . II zero or loss, enter ~0-
1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?
b Did it spend more than $100 during the year (ether directly or indirectly) for political purposes (see instructions for definition)? 11 the answer is 'Yes' to 1e or 1b, attach e detailed description of the activities end copies of any matenals published or distributed by the organ¢ation in connection with the activities
c Did the organization file Form 1120-POL (or this year? , d Enter the amount (if any) of lax on political expenditures (section 4955) imposed during the year:
(1) On the organization. " $ 0 . (2) On organization managers . l$ 0 . e Enter the reimbursement (i1 any) paid by the organization during the year for political expenditure tax imposed on organization
managers. " $ 0 . 2 Has the organization engaged in any activities that have not previously been reported to the IRS?
11 'Yes,' attach a detailed description o/ the activities 3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or
bylaws, or other similar instruments? 11 'Yes,' attach a conformed copy of the changes , �� 4a Did the organization have unrelated business gross income of $1,000 or more during the year? � , b If 'Yes,* has it filed a tax return on Form 990-T for this year? �� , , , , � ,
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? , I( 'Yes,' attach the statement required by General Instruction T.
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied ether: " 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? 7 Did the organization have at least $5,000 m assets at any time during the year?
If 'Yes,' complete Part ll, cot (c), and Part XV
8a Enter the states to which the foundation reports or with which it is registered (see instructions) NEW YORK
b It the answer is 'Yes'to line 7, has the organization furnished a copy of Form 990-PF to the Attorney General (or designate) of each state as required by General Instruction G9 if 'No, ' attach explanation
9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV)? I1 'Yes, ' complete Part XIV
10 Did any persons become substantial contributors during the tax years If 'Yes ̂ attach a schedule listing then names and addresses
X
4b I X
12 The books are in care of t THE CLARK FOUNDATION Telephone no " 212 - 9 7 7 - 6 9 0 0 Located at " ONE ROCKEFELLER PLAZA 31TH FL NY NY ZAP+4 p,.10 020-2102
13 Section 4957(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here 10. E] and enter the amount of tar-exempt interest received or accrued during the year " 1 13 ~ N/A
.zss ; c, 03-05 Form 990-PF (2004)
tc
X
b If any answer is 'Yes'to 5a(1)-(5), did any of the transactions tad to quality under the exceptions described in Regulations section 53 4945 or in a current nonce regarding disaster assistance (see instructions)9 Organizations relying on a current nonce regarding disaster assistance check here " 0
c I( the answer is 'Yes' to question Sa(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grants N/A ~ Yes ~ No If "Yes, " attach the statement required by Regulations section 53 x945-5(d)
6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a pe "sonal benefit contract? ~ Yes ~ No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract If you answered "Yes' to 6b, also file Form 8870
5 2141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
Form 990-PF (2004) THE CLARK FOUNDATION 13-56 : Part II-8 Statements Regarding Activities for Which Form 4720 May Be Required
do File Form 4720 if any item is checked in the "Yes" column, unless an exception applies . 1a During the year did the organization (either directly or indirectly) :
(1) Engage in the sale or exchange, or leasing o1 property with a disqualified person? ~ Yes [X No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? Yes ~ No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ~ Yes nX No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? 0 Yes ~ No (5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of e disqualified person)? . ., . . . . . . . . O Yes ~X No (6) Agree to pay money or property 10 a government oHiClal? (Exception . Check 'No'
if the organization agreed to make a grant t0 Or to employ the official for a period after lot minati0n of government service . If terminating within 90 days.) � , 0 Yes ~ No
b II any answer Is 'Yes' to ta(1)-(6), did any of the acts tail to quality under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? N/A Organizations relying on a current notice regarding disaster assistance check here
c Did the organization engage in a prior year in any of the acts described m 1a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2004? Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942(j)(3) or 4942(l)(5)) :
e At the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII)1or tax year(s) beginning before 2004 0 Yea ~ No If 'Yes,* list the years ".
b Are there any years listed in 2a for which the organization 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 ell years listed, answer 'No' and attach statement-see instructions.) N/A
c If the provisions of section 4942(a)(2) are bung applied to any of the years listed m 2a, list the years here.
3e Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? , . . . , . , , , = Yes [Y] No
b If "Yes; did it have excess business holdings m 2004 as a result of (1) any purchase by the organization 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 4 720, to determine if the organization had excess business holdings in 2004 ) N/A
4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the organization make any investment in a prior year (but crier 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 m 2004?
Sa During the year did the organization pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))1 ~ Yes CRI No (2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly,
any voter registration drive? , � , 0 Yes [21 No (3) Provide a grant to an individual for travel, study, or other similar purposes? Xn Yes = No (4) Provide a grant to an organization other than a charitable, etc ., organization described in section
509(a)(1), (2), or (3), or section 4940(d)(2)? ~ Yes M No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for
the prevention of cruelty to children or ammals7 0 Yes ERI No
Page 5
X
_ .5_S 0 i-03-Q5
Form 990-PF (2004)
2 Compensation of flue highest-paid emplo yees other then those included on line 1 ) . Ii none, enter "NONE." (b) Title and average
(a) Name and address of each employee paid more than $50,000 . hours, per week (c) Compensation
Total number of other employees paid over $50,000 3 Five highest-paid Independent contractors for professional services . It none, enter "NONE."
(a) Name and address o1 each person paid more than $50,000 (b) Type o1 service
4 NEEDY INDIVIDUAL
67,462 . Form 990-PF (2004)
13-56161
0.-03 es
12141102 350640 13-5616528 6
2004 .05050 THE CLARK FOUNDATION
THE CLARK FOUNDATION 13-5616528 Information About Officers, Directors, Trustees, Foundation Managers, Highly Page s
D Paid Employees, and Contractors t(' List all officers, directors, trustees, foundation managers and their compensation .
(b) Title, and average (c) Compensation ~ "d~ conir~uuons io (e) Expense D oree Denetd pens (a) Name and address hours per weak devoted (If not paid,
a',",,4 account, other
to p osition enter -0- comoenuuon allowances SEE SCHEDULE ARTTIME
Total number of others receivin g over $50,000 for professional services Part IX-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 .
1OPER.ATION OF GYM
2S
3VARIOUS CHARITABLE GIFT
(e)ExPense accoun, other allowances
(c) Compensation
Expenses
Form 990-PF (2004) THE CLARK FOUNDATION 13-5616528
"
Page 7
Part IX-13 Summary of Program-Related Investments
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
Part X Minimum investment Return (All domestic foundations must complete this pert Foreign foundations, sae instructions)
1 Fair market value o1 assets not used (or held for use) directly in carrying our charitable, etc ., purposes e Average monthly fair market vague of securities Is 407 647 617 . b Average of monthly cash balances ~~ 8 3 318 333 . c Fair market vague of all other assets tc 16 267 241 . d Total (add lines 1a, b, and c) 1d 507 233 191 . 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 ld , 3 507 , 233 , 191 . 4 Cash deemed held for charitable activities . Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 7 , 608 , 498 . 5 Net value of nonchariteble-use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 499 , 624 , 693 . 6 Minimum investment return . Enter 59'0 of line 5 6 24 .981 .235 .
Part XI DistPlbutable Amount (see instructions) (Section 49420)(3) and (j)(5) private operating foundations and certain foreign organizations check here t _[~: and do not complete this part.)-
=z2ss . 0 t 03-05
7
12141102 35060 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
2
All other program-related investments. See Instructions . 3
Total . Add lines 1 through 3 _ 1
t Minimum investment return from Part x, pine 6 1 24 , 981 , 235 . 2a Tax on investment income for 2004 from Part VI, line 5 2a 444 , 620 . b income tax for 2004 . (This does not include the tax from Part VI .) 2D c Add lines 2a and 2b 2c 444 , 620 .
3 Distributable amount before adjustments . Subtract line 2c from line 1 , 3 24 , 536 , 615 . 4 Recoveries of amounts treated as Qualifying distributions . , 4 0 . 5 Add dries 3 and 4 5 24 , 536 , 615 . 8 Deduction from distributable,amount (see instructions) 8 0 . 7 DietributeDle amount as adjusted . Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ~ 7~ 24, 536,615 .
Part XII Qualifying Distributions see instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc ., purposes' a Expenses, contributions, gifts, etc. - total from Pan I, column (d), line 26 1a 24 , 838 , 338 . b Program-related investments - total from Part IX-B 1b 1 , 000 , 000 .
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc , purposes 2 299 , 201 . 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 V, line 8, and Part XIII, line 4 4 26 , 137 , 539 . 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
income Enter 1% of Part I, line 27b 5 444 , 620 . 6 Adjusted qualifying distributions Subtract line 5 from line 4 ~ 6 ~ 25, 692,919 .
Note The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years
Form 990-PF (2004)
O
12141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
Form 990-PF (2004) THE CLARK FOUNDATION 13-5616528 Page e
art XIII Undistributed Income (see instructions)
(a) (b) (c) (d) Corpus Years prior l0 2003 2003 2004
1 Disiributable amount for 2004 hom Part x1, pine 7 , 24 , 536 , 615 .
2 Undistributed income . If any as of the and of 2003 e Enter amount nor 2003 only 19,07 4 , 553 . b Total for prior years :
0 3 ExCOSS distributions carryover, If any, to 2004: uFiom 1999 b From 2000 c from 2001 d From 2002 e From 2003 I Total of lines 3a through e 0 .
4 Qualifying distributions for 2004 from Part XII, line 4 : 10, $ 2 6 13 7 5 3 9 .
a Applied to 2003, but not more than line 2a 19 , 074 , 553 . 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 2004 distributable amount 7 , 062 , 9 8 6 . e Remaining amount distributed out of corpus 0 .
5 Excess distributions cmryova applied to 2004 0 . 0 . pl an umOUnt nppeara In column (dthe anme nmouM must DO shown in column (0})
6 Enter the net total of each column as indicated below
8 Corpus Add lines 3f . 4C . and 40, 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 � � � � . , � � , Q ,
d Subtract line 6c from line 6b . Taxable amount - see instructions 0 .
e Undistributed income for 2003 . Subtract line 4a from line 2a. Taxable amount - see instr . Q ,
f Undistributed income for 2004 . Subtract lines 4d and 5 from line 1 This amount must be distributed in 2005 17 , 473 , 629 .
7 Amounts treated as distributions out o1 corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) 0 .
B Excess distributions carryover from 1999 not applied on line 5 or line 7 0 .
9 Excess distributions carryover to 2005 Subtract lines 7 and 8 from line 6a 0 .
10 Analysis of line 9 a Excess from 2000 b Excess from 2001 c Excess from 2002 d Excess from 2003 e =Ycess from 2004
Form 990-PF (2004) _ . ; _'S
Form 990-PF instructions and Part VII-A, question 9) vats
t or 4942(t)(5)
d) 200t (e) Total
,000 or more in assets
e N the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2004, enter the date of the ruling
b Check box to indicate whether the organization is a private operating foundation described m section Prior 3 yeas
(b) 2003 (c) 2002 2 a Enter the lesser of the adjusted net Tax ear
income from Part I or the minimum (e) 2004
investment return from Part X for each year listed
b 85% 01 line 2a , c Qualifying distributions from Part XII,
line 4 for each year listed � � , �� d Amounts included In line 2c not used directly for active conduct 01 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 raped upon:
a 'Assets' alternative test - enter: (1) value of all assets � ,
(2) Value of assets qualifying under section 4942(j)(3)(B)(f)
b "Endowment' alternative test - enter 2/3 of minimum investment return shown m Pan X, line 6 for each year listed
c 'SupporC 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)(lil) , , , ,
(3) Largest amount of support from an exempt organization ���� , �
rt XV I Supplementary Information (Complete this part only if the organization at any time during the year-see page 26 of the instructions .)
9 12141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-55161
1 Information Regarding Foundation Managers : a List any managers of the foundation who have contributed more than 2°/0 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(4)(2) )
b List 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 2 Information Regarding Contribution, Grant, Gin, Loan, Scholarship, etc., Programs :
Check here " L_J it the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds If the organization makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d .
a The name, address, and telephone number of the person to whom applications should be addressed CHUCK HAMILTON 1 ROCKEFELLER PLAZA 31ST FL N .Y . N .Y . 10020-2102 212-977-69
b The form in which applications should be submitted and information and materials they should include See Statement 9
c Any submission deadlines NONE
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields kinds of institutions, or other factors
See Statement 10 =.358 .v . 03-05 Form 990-PF (2004)
528 Page 10
Amount
21603356 .
lilOn (continued)
the Year or Approved for Future If recipient is an individual show any relationship to any foundation manager or substantial contributor
Foundation status of recipient
3a
To :al - :s5ovc'.-o3-cs
10 1214_1102 350640 13-5615528 2004 .05050 THE CLARK FOUNDATION 13-56161
Form 990-PF(2004)
Grants and Contributions Paid Recipient
Name and address (home or business)
e Paid during the year
SEE SCHEDULE
Total b Approved for future payment
None
Purpose of grant or contribution
110- st I 0 . Form 990-PF (2004)
Form 990-PF (2004) THE CLARK FOUNDATION 13-5616528 Page 11 Part XVI-A Analysis of Income-Producing Activities
;s income EaUuaodb ooctwnS12 513. or 514
(b) E,~� . (d) Related or exempt Amount °~°^a Amount function income
c d e t p Foes and contracts from government agendas
2 Membership dues and assessments 3 Interest on savings and temporary cash
mvostments 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate: �� , .
a Debt-financed property b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income 8 Gain or (loss) from sales o1 assets other
than inventory 9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory 11 Other revenue:
11 12141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
Enter gross amounts unless otherwise indicated.
1 Program service revenue' a b
8
D c d e
12 Subtotal . Add columns (b), (d), and (e) � � , 0 . 88,594,217 . 1 7 0 3 0 . 13 Total Add line 12, columns (b), (d), and (e) , 13 88,601 :247 . See worksheet in line 13 instructions to verily calculations .)
Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes
Line No Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of 19 1 the organization's exempt purposes (other than by providing funds for such purposes) .
<=-711 ~, ~o3-os Form 990-PF (200e)
Form 990-PF (2004) THE CLARK FOUNDATION 13-5616528 Page Part XVII information Regarding Transfers To and Transactions and Relationships With Noncharitable
.~ Exempt Organizations t Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) 01 Ye
the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of-
(1) Cash 180 ) to 2 (2) Other assets
D Other transactions . (1) Sales o1 assets to a noncharitable exempt organization t b 1 (2) Purchases o1 assets from a noncharitable exempt organization lb 2 1
(3) Rental of facilities, equipment, or other assets ��� �� t b 9 (4) Reimbursement arrangements , � �� 1d 4 -
(5) Loans or loan guarantees b(a (6) Performance o1 services or membership or fundralsing solicitations j1 U6
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees � tc d II the answer to any of the above is 'Yes,* complete the following schedule Column (b) should always show the fail market value of the goods, other assets,
or services given by the reporting organization. 11 the organization received less than lair market value in any transaction or sharing arrangement, show in
X
2a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? = Yes FT No
Description of relationship Name of organization p8 o1 of N/A
:?35 0'~-C?-05
12141102 350640 13-5616528 2404 .0505
No
Under penalties of penury, I declare that I have examined th i s return, including accompanying schedules end statements. and to the bast of my knowledge and belief, n is true, correct,
and complete lagcleration of preparer (other, than taxpayer a fiduciary) is based on ell information of which preparer has any knowledge
d ~~ Signature of officer or trustee
Preparer's signature `o I
a ny Fi~m'sname (oryours THE L"LARK ESTATES , INC a~ if self-employed) . 'ONE ROCKEFELLER PLAZA,
address tine ZiPCOOe TTri,T Vr1DU wTV 1 l1 (1 7 (1
THE CLARK FOUNDATION 13-5616528
Forte 990-PF Gain or (Loss) from Sale of Assets Statement 1
(a) Description of Property
SEE SCHEDULE
Manner Date Acquired Acquired Date Sold
Purchased
(b) (c) (d) (e) (f ) Gross Value at Expense of
Sales Price Time of Acq . Sale Deprec . Gain or Loss
65,340,543 . 62,163,369 . 0 . 0 . 3,177,174 .
Manner Date Acquired Acquired Date Sold
Purchased
(c) (d) (e) (f) Cost or Expense of
Other Basis Sale Deprec . Gain or Loss
0 . 0 . 0 . 0 . 0 .
15 Statement s) 1 12141102 350640 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
(a) Description of Property
SEE SCHEDULE
(b) Gross
Sales Price
99,467,249 .
(a) Description of Property
PARTNERSHIP SEE LIST
(b) Gross
Sales Price
Manner Date Acquired Acquired Date Sold
Purchased
(c) (d) (e) (f) Cost or Expense of
Other Basis Sale Deprec . Gain or Loss
67,164,668 . 0 . 0 . 32,302,581 .
(13200) 19,103 00
428,661 00 4,051,041 00
( 1,342 00) (69,748.00)
39,013 .00
178,053 00 3,201,285 00
(21,177.00)
PAGE 2 2,823 .91 23,007 .83
PAGE 16 3,144,781 .83 32,186,086 81
PAGE 20 29,491 .23 146,041 67
PAGE 21 190 .60 (320 .74)
PAGE 22 (113 74) 602.15 3,761,236.83 39,596,111 .72
FEDERAL
MARATHON IV
CAPITAL GAINS/LOSSES
PART IV
PARTNERSHIPS CWS
POMONA CAPITAL II
CLARK PARTNERS I
CLARK PARTNERS Ill
MARATHON FUND I11
THE CLARK FOUNDATION
FOR THE YEAR EN I)FD JUNE; 30, 2005
_ 13-5616528N
SHORT TERM LONG TERM
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date . 06/30/05
Run Date- 07/14/05 Run Tim, 0',- 3f,E,m
The Clark Foundation-Charles Main Fund 13-5616528
SECURITY LOT PURCH . SALE NAME NO . DATE DATE
ACCOUNT NO .- 112
FHLB 2 .25 6/06
FHLB 2 .25 12/08
FHLB 4 .4 5/08
EHLB 5 .125 6/10
rHLn 5 .2 s/i1
FHLB 7 .575 2/10
Toys 'R' Us
1 09/30/04 06/30/05
1 12/16/03 09/30/04
1 02/10/05 06/13/05
1 03/08/05 06/24/05
1 12/30/09 02/16/05
1 12/28/09 02/08/05
1 11/17/03 09/21/09
1 01/15/03 09/03/09 1 01/15/03 09/08/04
1 03/10/03 08/31/09
1 01/17/03 07/01/04
3 06/14/00 03/16/05 2 10/27/99 03/18/05 2 10/27/99 03/21/05 2 10/27/99 03/22/05 1 03/25/99 03/23/05 1 03/25/99 06/20/05
1 08/26/03 05/19/05 2 10/29/03 05/20/05 3 10/27/03 05/20/05
1 12/05/02 11/05/04
Page 1 of 2 *G/L Tx*w/AmSal
Cendant Corp Cendant Corp
Kimberly Clark
Pall Corp
Phoenix Tech Phoenix Tech Phoenix Tech Phoenix Tech Phoenix Tech Phoenix Tech
PRG Schultz PRG Schultz PRG Schultz
R R Donnelley
Report Name :
QUANTITY SALE AMORTIZED SHORT TERM D)h1c ; 'fl'I~tl (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS T~~~~ ~.~L~n/I .~~SS
25,000 .000 25,000 .00 25,000 .00 0 .00 0 .00
25,000 .000 25,000 .00 24,973 .49 26 .56 0 00
20,000 .000 20,000 .00 20,000 .00 0 .00 0 .01
20,000 .000 20,000 .00 20,000 .00 0 .00 () 00
25,000 .000 25,000 .00 25,000 .00 0 .00 n 00
25,000 .000 25,000 .00 25,125 .80 -125 .80 0 00
500 .000 8,673 .15 5,750 .00 2,923 .15 0 00
190,500 .000 148,673 .15 195,849 .29 2,823 .91 n On
140,500 .000 148,673 .5 145,849 .24 2,823 .91 0 .00
100 .000 2,197 .79 1,195 .74 0 .00 1,05 .' 00 500 .000 11,268 .94 5,728 .70 0 .00 5,510 24
200 .000 13,254 .39 8,650 .94 0 .00 ~11,601 45
500 .000 12,599 .55 8,029 .60 0 .00 -1,57-1 95
200 .000 1,918 .08 21684 .92 0 .00 -71;6 81 1,000 .000 9,553 .18 10,897 .50 0 .00
500 .000 9,810 .39 5,498_75 0 .00 500 .000 4,875 .64 5,948 .75 0 .00 -57t .~~ 500 .000 4,905 .89 4,072 .60 0 .00 ct~{ 200 .000 1,722 .05 1,629 .04 0 00 03 .01
100 .000 418 .34 605 .63 0 .00 -187 .?9 100 .000 420 .71 554 .60 0 .00 1"c ; R~1 100 .000 420 .71 493 .10 0 .00 -7' 37
315 .000 10,803 .87 5,019 .70 0 .00 ~~,789 17
Report Name : *G/L Tx*w/AmSal Page 2 of 2
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation-Charles Main Fund Run Dace . (17/14/(1r, 13-5616528 Run Time : (l? .;
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LON( ; 1'IiP4 NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX V : itl/L.i)~ ::
ACCOUNT NO .- 112 - cont .
R R Donnelley 2 12/10/02 11/05/04 315 .000 10,803 .86 9,513 .55 0 .00 6,?90 .31
Schering-Plough 1 04/30/02 04/21/05 300 .000 6,287 .71 8,340 .00 0 .00 -?,052 .29
5,430 .000 96,260 .95 73,253 .12 0 .00 21,007 .83
5,430 .000 96,260 .95 73,253 .12 0 .00 -Is,007 .R3
ACCOUNT NO .- 112 195,930 .000 294,934 .10 219,102 .36 2,823 .91 ?,,no-] Rt
The Clark Foundation Run Date : Q7/14/OS 13-5616528 Run Time 0 3 :37pui
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LON~ . 9'fI:M NAME N0 . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TbX GAIN/LOSS
113
1 09/20/04 06/14/05 1,600 .000 11,290 .81 7,579 .20 3,661 .61 0 .00
1 02/11/04 12/10/04 11,000 .000 887,245 .82 599,985 .10 292,760 .72 0 .00 2 02/12/09 01/12/05 4,300 .000 352,595 .27 231,237 .66 121,357 .61 0 .00 2 02/12/09 01/13/05 9,500 .000 373,330 .21 241,992 .90 131,337 .31 0 00
1 10/27/04 11/12/04 6,000,000 .000 6,000,000 .00 6,008,767 .38 -8,761 .38 0 .00
1 05/28/04 11/18/04 2,000,000 .000 2,000,000 .00 2,000,853 .88 -853 .88 0 00
1 01/21/09 10/23/04 4,000,000 .000 4,000,000 .00 9,000,000 .00 0 .00 0 .00
1 12/18/03 09/30/04 4,000,000 .000 9,000,000 .00 3,997,875 .00 2,125 .00 0 .00
1 06/29/04 09/29/04 2,750,000 .000 2,750,000 .00 2,750,000 .00 0 .00 o .Otl
1 10/21/04 02/18/05 10,000,000 .000 10,000,000 .00 10,035,105 .00 -35,105 .00 0 .00
1 08/26/04 09/29/09 5,000,000 .000 5,000,000 .00 5,005,993 .15 -5,993 .15 0 .00
1 09/16/04 12/15/04 937,500 .000 937,500 .00 940,772 .55 -3,272 .55 0 .00
1 08/25/04 10/30/09 4,000,000 .000 4,000,000 .00 4,019,863 .72 -14,Eo3 .72 0 .00
7 08/05/03 07/01/04 1,000 .000 46,435 .71 32,966 .70 13,469 .01 0 00 8 08/05/03 07/01/04 10,000 .000 964,357 .12 329,300 .00 135,057 .12 0 00 9 08/06/03 07/01/04 3,400 .000 157,881 .92 111,956_90 95,925 .52 0 .110
2 03/11/04 07/01/04 16,500 .000 128,531 .98 96,327 .00 32,204 .98 0 .00
25 04/30/04 02/01/05 6,000 .000 111,895 .11 69,433 .60 91,961 .51 n on
11 05/12/04 10/04/09 29,500 .000 710,163 .39 950,636 .10 259,527 .29 0 11 05/12/04 10/05/04 6,700 .000 160,471 .95 102,397 .86 58,12 .09 ~~ .0ti 12 05/3/04 10/05/04 6,300 .000 150,891 .54 94,573 .71 56,37 .83 0 .00 12 05/13/04 10/06/04 12,500 .000 299,931 .71 187,696 .25 112,285 .46 0 ail 12 05/13/04 12/27/04 8,200 .000 203,317 .51 123,095 .99 80,22 .57 0 011
Page 1 of XZJ *G/L Tx*w/AmSal
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : .07/01/04 End Date : 06/30/05
ACCOUNT NO_-
Casual Male
Cigna Corp Cigna Corp Cigna Corp
FFCB 5 .8 8/14
FHLI3 1 .8 11/05
FHLB 2 .0 10/06
FHLB 2 .25 12/0
FHLB 2 .25 6/06
FHLB 3 .5 8/06
FHLB 3 .58 '06
FHLH 3 .875 6/0
FHLB 4 .25 10/1
Fluor Corp Fluor Corp Fluor Corp
Healthtronics
Ingram Micro
Nautilus, Inc . Nautilus, Inc . Nautilus, Inc . Nautilus, Inc . Nautilus, Inc .
Report Name :
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/09 End Date : 06/30/05
Run Date : 07/1-1/(15 Run Time : u3 .37pw
PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG 9'f l : hl DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TA:: Ca I r!/ (,0S
The Clark Foundation 13-5616528
- cont .
11 800 .000
12,400 .000
22,000 .000 6,000 .000 16,000 .000
5,758 .637
1,000 .000 4,000 .000 7,000 .000 3,000 .000
14,000 .000
5,000 .000 21 000 .000 13,000 .000 7,500 .000 9,500 .000 2,500 .000 3,500 .000 4,500 .000 3,900 .000 2,100 .000
13,700 .000 1,600 .000
700 .000 2,500 .000 8,500 .000
15,000 .000 15,400 .000
9,000,000 .000
7,000,000 .000
ACCOUNT N0 .- 113
Nautilus, Inc .
PPD Inc
R R Donnelley R R Donnelley R R Donnelley
Rock 31 NBC
Schick Tech Schick Tech Schick Tech Schick Tech Schick Tech
SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation SPX Corporation
T 0 12/16/04
T 1 .5 2/05
05/19/04 12/27/09
12/11/03 07/19/04
03/22/04 11/05/04 03/23/04 11/05/04 03/23/04 01/13/05
02/15/05 02/18/05
09/15/04 03/07/05 09/15/04 03/08/05 09/15/04 05/27/05 09/15/04 05/31/05 09/16/04 06/02/05
05/12/04 03/01/05 05/12/04 03/04/05 05/12/09 03/07/05 05/12/09 04/11/05 05/13/04 04/11/05 05/10/04 04/22/05 05/13/04 04/22/05 07/08/04 04/22/05 05/17/04 05/02/05 07/08/04 05/02/05 05/17/04 05/09/05 05/18/04 05/04/05 05/20/09 05/04/05 05/20/09 05/09/05 09/08/04 05/09/05 09/08/09 05/11/05 09/08/04 05/16/05
12/01/04 12/16/09
11/18/04 02/28/05
15
1
8 9 9
1
1 1 1 1 2
2 2 2 2 3 1 3 7 4 7 9 5 6 6 8 8 8
1
2
Page 2 of ).4 4
SECURITY NAME
LOT NO .
Report Name : *G/L Tx*w/AmSal
292,578 .86 175,230 .00 117,398 .86 0 .0(1
446,122 .95 312,313 .89 133,809 .11 0 00
759,555 .93 635,135 .60 >>9,420 .33 0 00 205,787 .98 169,969 .80 35,818 .18 0 .00 534,804 .77 453,252 .80 81,551 .97 0 00
57,586 .37 57,586 .37 0 .00 0 .00
18,959 .37 8,997 .70 9,961 .67 0 .00 75,967 .10 35,990 .80 39,976 .30 0 .00 132,720 .04 62,983 .90 69,736 .11" 0 00 56,967 .61 26,993 .10 29,979 .51 0 .00
269,103 .72 123,199 .60 195,954 .12 0 .00
235,677 .23 210,936 .50 25,20 .73 0 .00 922,289 .60 883,833 .30 38,456 .30 0 00 584,508 .83 597,139 .90 37,373 .93 0 .00 318,906 .19 315,654 .75 3,251 .39 0 .00 191,343 .69 189,358 .20 1,985 .49 U 00 99,998 .31 105,073 .00 -5,074 .69 0 .00 139,997 .69 197,278 .60 -7,280 .96 0 .00 179,996 .97 186,930 .00 -6,933 .03 0 .00 151,865 .88 161,344 .17 -9,475 .29 0 .00 81,773 .93 87,234 .00 -5,460 .07 0 .00
559,577 .72 566,773 .11 -7,195 .39 0 .00 65,352 .15 66,064 .00 -711 .85 11 .00 28,591 .56 28,752 .50 -X60 .9 ; o no
109,833 .11 102,687 .50 2,155 .61 0 .01) 356,432 .58 281,040 .60 75,391 .98 0 .00 629,529 .64 495,954 .00 133,575 .6 ; 0 00 631,992 .61 509,179 .94 122,813 .17 0 .00
4,000,000 .00 9,000,000 .00 0 .00
o7,000,000_00 7,000,000 .00 0 .00 0 .00
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/09 End Date . 06/30/05
07/14/0', n3 :37ran
Run Dale Run Time
The Clark Foundation 13-5616528
PURCH . SALE DATE DATE
LOT NO .
- cont .
11 700 .000 9,700 .000 7,700 .000
52,300 .000 100 .000
300 .000 4,000 .000
15,000 .000 9,500 .000 5,500 .000
800 .000 1,500 .000
50,199,958 .637
50,149,958 .637
3,000 .000 3,000 .000 4,000 .000
14,600 .000 15,000 .000 5,000 .000
17,800 .000 30,200 .000 20,000 .000 4,200 .000
19,800 .000 6,000 .000
19,200 .000 19,800 .000
15,000 .000 1,100 .000
0 .00 0 On 0 .00 n 00 0 .00
0 .00 0 00 0 .00 0 .00 (1 .00 11 .00 0 .00
0 .00
0 .00 35
11 .' I'I
2?C),hn7 .n3 2,:?, r3,trk . Sn 911,?16 is
170,683 60 305,913 .15 21?,857 42
=E `,,?C,7 0(i 21 i,("M 1 .an 67, 57 ?-)],?0) 45 32 2,0 _'6 .53
1,0 3 t, S -1-t ~I(-~ Fs ., . t -I -l~ .
56,866 .70 32,761 .66 57,361 .58
424,468 .96 828 .79
609 .93 6,684 .39
27,538 .40 21 703 .66 12,266 .62 1,776 .29 2,938 .79
3,194,781 .83
3,149,781 .83
0 .00 0 .00 0 .00
0 .00 0 .00 0 .00
0 .00 0 .00 0 .00 0 .00 0 .00 0 .00 0 .00 0 .00
0 .00 0 .00
141 570 .00 59,050 .00 88,550 .00 598,421 .83
1,194 .21
7,146 .33 96,073 .20 360,279 .50 223,209 .15 129,525 .00 18,848 .00 35,731 .65
61,129,179 .55
61,129,179 .55
35,886 .24 35,992 .46 97,989 .95
995,037 .82 501,600 .00 152,950 .00
211,513 .84 357,803 .56 236,900 .00 49,392 .00
234,586 .94 70,560 .00
219,888 .00 232,898 .00
60, 260 .42 4,419 .10
198,436 .70 86,811 .66 145,911 .58
1,022,890 .79 1,972 .95
7,756 .26 102,757 .59 387,812 .90 299,912 .81 141,791 .62 20,629 .29 38,670 .99
69,273,961 .38
64,273,961 .38
148,339 .59 148,339 .60 197,786 .12
729,695 .25 749,498 .59 248,166 .18
391, 197 .44 663,717 .01 450,757 .42 99,659 .06
446,299 .84 137,719 .57 941,090 .45 954,879 .53
1,093,784 .88 87,853 .56
Page 3 of j4
18 09/30/03 09/08/04 20 11/17/03 11/01/04 20 11/17/03 11/03/04 19 11/17/03 11/05/04 19 11/17/03 11/10/04
4 03/03/04 10/25/04 5 03/05/04 10/25/04 5 03/05/04 10/25/04 1 02/25/09 10/26/04 2 02/26/09 10/26/04 3 02/27/04 10/26/04 4 03/03/04 10/26/04
1 07/01/93 06/23/05 6 07/27/93 06/23/05 7 07/28/93 06/23/05
10 09/18/01 07/01/04 11 09/19/01 07/01/04 12 09/20/01 07/01/09
18 01/21/03 09/03/04 20 01/21/03 09/03/09 17 01/17/03 09/08/09 19 01/21/03 09/08/09 20 01/21/03 09/08/09 19 01/21/03 09/16/09 15 01/15/03 09/17/09 19 01/21/03 09/17/09
2 08/14/78 11/05/09 2 08/14/78 02/11/05
Abbott Labs Abbott Labs Abbott Labs
Boeing Inc Boeing Inc Boeing Inc
Cendant Corp Cendant Corp Cendant Corp Cendant Corp Cendant Corp Cendant Corp Cendant Corp Cendant Corp
Chubb Chubb
SECURITY NAME
ACCOUNT NO .- 113
Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us
Watson Wyatt Watson Wyatt Watson Wyatt Watson Wyatt Watson Wyatt Watson Wyatt Watson Wyatt
QUANTITY (UNITS)
Report Name : *G/L Tx*w/AmSal
SALE PROCEEDS
AMORTIZED TAX COST
SHORT TERM TAX GAIN/LOSS
LONG TERM TA. :: GATM/T .OS
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run DaL2 07/14/05 13-5616528 Run Time 03 37pm
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LOPlk : TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIL'/LOSS T=.\ GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Chubb 3 08/15/78 02/11/05 4,800 .000 383,360 .97 19,133 .33 0 .00 36,,227 .64 Chubb 3 08/15/78 02/14/05 800 .000 63,218 .96 3,188 .89 0 .00 G0,030 .07 Chubb 3 08/15/78 05/04/05 3,400 .000 289,351 .86 13,552 .78 0 .00 270,799 08 Chubb 4 09/12/78 05/09/05 3,500 .000 292,715 .15 13,513 .89 0 .00 279,201 .26 Chubb 12 09/12/78 05/04/05 1,100 .000 91,996 .19 9,247 .24 0 .00 87,7~fR .95 Chubb 9 09/12/78 05/20/05 5,500 .000 456,175 .11 21,236 .11 0 .00 43-i,939 .00 Chubb 5 10/29/78 05/20/05 1,900 .000 157,587 .77 6,993 .06 0 .00 150,54 .71 Chubb S 10/29/78 06/10/05 7,045 .000 600,105 .32 25,929 .51 0 .00 57-;,175 .81 Chubb 5 10/29/78 06/14/05 55 .000 9,620 .56 202 .93 0 .00 -1,418 .13 Chubb 6 10/26/78 06/14/05 9,000 .000 756,091 .66 32,375 .00 0 .00 7??,71o .6h
Cigna Corp 2 02/12/04 02/14/05 3,000 .000 266,932 .41 161,328 .60 0 .00 ]Or' 603-81 Cigna Corp 2 02/12/09 02/15/05 8,100 .000 730,338 .37 435,587 .22 0 .00 29-t,751 15 Cigna Corp 2 02/12/04 02/25/05 5,600 .000 509,569 .78 301,146 .72 0 .00 20£i,-123 .Of~ Cigna Corp 3 02/13/04 02/25/05 3,600 .000 327,580 .57 191,012 .40 0 .00 1?n,5H8 17 Cigna Corp 3 02/13/09 03/01/05 16,400 .000 1,508,799 .51 870,167 .60 0 .00 G3R,u31 91
Clark SB, LLC 4 08/27/97 12/29/04 68,381 .924 287,951 .00 125,218 .12 0 .00 lE.1,7 ;? .t38
Crown Hldgs Inc S 01/15/03 09/17/04 3,300 .000 33,197 .22 26,935 .97 0 .00 i .,7(;1 25 Crown Hldgs Inc 5 01/15/03 09/21/04 17,100 .000 170,361 .58 136,986 .39 0 .00 3 :,375 .19 Crown Hldgs Inc 4 01/10/03 09/28/04 5,900 .000 59,232 .01 42,320 .88 0 .00 11,911 13 Crown Hldgs Inc S 01/15/03 09/28/04 29,600 .000 297,271 .73 237,122 .69 0 .00 61,1-t1) 09 Crown Hldgs Inc 6 01/16/03 09/28/04 50,000 .000 502,198 .20 396,870 .00 0 .00 tt)5,?78 .20 Crown Hldgs Inc 3 01/09/03 09/29/04 32,300 .000 326,938 .79 251,671 .91 0 .00 74,766 83 Crown Hldgs Inc 9 01/10/03 09/29/04 5,900 .000 54,579 .90 92,320 .88 0 .00 i .,%51 .02 Crown Hldgs Inc 8 01/17/03 09/29/04 32,300 .000 326,438 .74 247,997 .72 0 .00 7t',=191 .0? Crown Hldgs Inc 7 01/17/03 10/06/04 4,500 .000 97,088 .29 39,471 .35 0 .00 I :~,hlt; .8'1 Crown Hldgs Inc 8 01/17/03 10/06/04 12,700 .000 132,893 .49 97,490 .28 0 .00 3ti,=1~1~ .~1
Crown Hldgs Inc 7 01/17/03 10/07/04 6,600 .000 69,153 .18 50,557 .98 0 .00 It~,S~15 .i0 Crown Hldgs Inc 7 01/17/03 10/14/04 38,900 .000 918,001 .80 297,985 .67 0 .00 120,016 .13 Crown Hldgs Inc 9 01/21/03 10/14/04 8,300 .000 89,188 .05 63,060 .91 0 .00 ?~~,t27 .14 Crown Nldgs Inc 9 01/21/03 10/15/04 30,000 .000 329,167 .26 227,931 .00 0 .00 101,2136 .26 Crown Hldgs Inc 9 01/21/03 10/18/04 1,700 .000 18,639 .79 12,916 .09 0 .00 ~~,71A .711 Crown Hldgs Inc 13 01/21/03 10/18/04 1,300 .000 19,250 .14 9,832 .29 0 .00 -.,=1i7 .A5
Crown Hldgs Inc 10 01/21/03 10/21/09 7,800 .000 85,617 .03 58,798 .74 0 .00 Crown Hldgs Inc 13 01/21/03 10/21/04 18,700 .000 205,261 .33 141,433 .71 0 .00 6s,n?7 .ci?
Report Name : *G/L Tx*w/AmSal Page 4 of y~� r'
Report Name : *G/L Tx*w/AmSal Page 5 of y41
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Date : 07/1 :1/f15 13-5616528 Run Time : 03 371~w
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Crown Hldgs Inc 2 01/08/03 10/27/04 15,000 .000 165,300 .61 112,045 .50 0 .00 53,255 .11 Crown Hldgs Inc 10 01/21/03 10/27/04 20,200 .000 222,609 .83 152,273 .66 0 .00 70,331 .17 Crown Hldgs Inc 12 01/22/03 10/27/04 11,800 .000 130,036 .48 87,699 .06 0 .00 12,342 .42 Crown Hldgs Inc 12 01/22/03 10/29/04 10,000 .000 113,682 .33 79,317 .00 0 .00 39,365 .33 Crown Hldgs Inc 11 01/21/03 11/02/04 26,800 .000 305,129 .59 198,802 .90 0 .00 106,327 .19 Crown Hldgs Inc 12 01/22/03 11/02/04 23,200 .000 264,142 .09 172,415 .49 0 .00 91,7?h .60 Crown Hldgs Inc 1 01/06/03 11/03/04 21,500 .000 257,133 .96 151,095 .55 0 .00 106,038 .41 Crown Hldgs Inc 11 01/21/03 11/03/04 54,000 .000 666,306 .55 400,572 .00 0 .00 ?6~~,73=l .55 Crown Hldgs Inc 11 01/21/03 11/03/09 18,500 .000 221,254 .81 137,233 .00 0 .00 81,f1?1 81 Crown Hldgs Inc 1 01/06/03 11/04/09 4,500 .000 56,738 .27 31,629 .65 0 .00 ?~,,113 .6~ Crown Hldgs Inc 14 02/03/03 11/04/04 50,000 .000 630,925 .20 339,460 .00 0 .00 29`.,365 20 Crown Hldgs Inc 15 02/03/03 11/04/04 10,600 .000 133,650 .14 70,329 .69 0 .00 h3,3=5 Sn Crown Hldgs Inc 16 02/04/03 11/09/04 4,900 .000 61,781 .67 31,686 .34 0 .00 3o,095 .31 Crown Hldgs Inc 16 02/04/03 11/08/04 20,000 .000 297,392 .19 129,332 .00 0 .00 I1ft,060 .19 Crown Hldgs Inc 16 02/04/03 11/09/09 21,500 .000 266,969 .98 139,031 .90 0 .00 127,9313 08 Crown Hldgs Inc 16 02/04/03 11/29/09 22,100 .000 277,721 .97 142,911 .86 0 .00 13-1,II10 .11 Crown Hldgs Inc 17 02/19/03 11/29/04 4,400 .000 55,293 .06 25,333 .99 0 .00 20,959 .6?_ Crown Hldgs Inc 17 02/14/03 11/30/04 18,000 .000 226,378 .88 103,636 .80 0 .00 l2?,7=1? .0£i Crown Hldgs Inc 17 02/19/03 12/01/09 17,500 .000 227,303 .91 100,758 .00 0 .00 1?6,5=f5 .~1 Crown Hldgs Inc 17 02/19/03 12/03/09 25,000 .000 332,229 .70 143,940 .00 0 .00 tsH,'P-t 70 Crown Hldgs Inc 17 02/19/03 12/03/04 25,000 .000 332,229 .70 143,940 .00 0 .00 18 :t, :~R-1 .70 Crown Hldgs Inc 17 02/19/03 12/07/09 95,000 .000 592,861 .08 259,092 .00 0 .00 31-i,"7t;9 .OA
Crown Hldgs Inc 17 02/14/03 12/15/09 15,100 .000 199,478 .39 86,939 .76 0 .00 11!,538 .6 Crown Hldgs Inc 18 03/10/03 12/15/04 9,900 .000 130,783 .85 48,727 .80 0 .00 8?,05(, .(1r)
Crown Hldgs Inc 18 03/10/03 12/21/04 29,100 .000 328,456 .00 118,620 .20 0 .00 20'),fi5 .ES0 Crown Hldgs Inc 18 03/10/03 02/02/05 95,000 .000 625,952 .36 221,990 .00 0 .00 ;03,9? 36 Crown Hldgs Inc 18 03/10/03 02/03/05 20,000 .000 284,732 .60 98,940 .00 0 .00 18n,?') :' .6Q
Crown Hldgs Inc 18 03/10/03 02/08/05 11,700 .000 167,250 .66 57,587 .40 0 .00 1t19,c,61 .26
Crown Hldgs Inc 18 03/10/03 02/10/05 52,300 .000 736,699 .91 257,920 .60 0 .00 -x7 ),?73 .A1
Crown Hldgs Inc 18 03/10/03 02/11/05 109,200 .000 1,609,969 .84 537,982 .40 0 .00 1,07?,1A7 .11
Crown Hldgs Inc 19 03/10/03 02/11/05 2,600 .000 38,332 .62 12,766 .78 0 .00 25,5t,S .RI
Exxon Mobil 1 12/31/69 10/28/04 26,832 .000 1,302,697 .96 51,777 .38 0 .00 1,250,20 .59
Exxon Mobil 2 06/12/72 10/28/04 9,600 .000 466,081 .56 21,375 .00 0 .00 4 .11,706 .56
Exxon Mobil 3 01/11/83 10/28/09 11,200 .000 543,761 .82 43,225 .00 0 .00 500,536 .8-
Exxon Mobil 4 06/19/63 10/28/04 2,368 .000 114,966 .78 35,520 .00 0 .00 7'j,-i4b .7tt
Exxon Mobil 1 12/31/69 03/07/05 26,500 .000 1,669,778 .89 51,136 .72 0 .00 1,61tt,F,4? .1/
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Dale : 07/14/05 13-5616528 Run Time- 03 37pm
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERMS r,OFIG Tf'I :P1 NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TA?: GE~I1I/f,0SS
ACCOUNT NO .- 113 - cont .
Federal Ptrs-A 1 03/29/99 12/02/09 12,500 .000 125,000 .00 125,000 .00 0 .00 0 .00 Federal Ptrs-A 2 06/03/98 12/02/04 1,885 .122 18,851 .22 18,851 .22 0 .00 0 .00
FHLB 2 . 12/05 1 11/07/03 12/01/04 4,000,000 .000 4,000,000 .00 9,000,000 .00 0 .00 0 .00
Fluor Corp 1 01/17/02 07/01/04 7,200 .000 334,337 .12 220,689 .36 0 .00 113,617 76 Fluor Corp 1 01/17/02 11/12/04 3,900 .000 189,006 .27 119,590 .07 0 .00 6 ;,=tb6 .20 Fluor Corp 1 01/17/02 11/22/04 2,900 .000 140,469 .52 88,888 .77 0 .00 51,5811 75 Fluor Corp 2 01/22/02 11/22/04 3,100 .000 150,157 .07 93,921 .01 0 .00 Sf;,??r, Oh Fluor Corp 2 01/22/02 11/23/09 5,700 .000 282,228 .32 172,693 .47 0 .00 il)~;,`,t- ; 85 Fluor Corp 3 02/05/02 11/23/04 1,000 .000 49,513 .74 29,601 .60 0 .00 Fluor Corp 4 02/07/02 11/23/04 3,000 .000 148,541 .22 88,795 .90 0 .00 Fluor Corp 5 07/24/02 11/23/04 10,800 .000 539,748 .39 312,177 .24 0 .00 .'? :',571 15 Fluor Corp 6 08/26/02 11/23/04 20,000 .000 990,274 .79 527,598 .00 0 .00 =tb2,c,7r, .79
Hanover Compr 9 08/30/01 02/23/05 50,000 .000 661,903 .16 1,161,415 .00 0 .00 -499,51t .8-1 Hanover Compr 10 09/07/01 02/23/05 6,800 .000 90,018 .83 170,362 .44 0 .00 -N0,l=;3 .61 Hanover Compr 11 09/10/01 02/23/05 40,000 .000 529,522 .53 979,956 .00 0 .00 -450,~133 .47 Hanover Compr 12 09/17/01 02/23/05 10,000 .000 132,380 .63 238,130 .00 0 .00 -i05,7 :19 .37 Hanover Compr 13 09/20/01 02/23/05 25,000 .000 330,951 .58 527,800 .00 0 .00 -i~.)t,,H=lB 4? Hanover Compr 14 01/18/02 02/23/05 12,000 .000 158,856 .76 203,500 .80 0 .00 -4-i,64=1 04 Hanover Compr 15 01/22/02 02/23/05 5,000 .000 66,190 .31 77,750 .00 0 .00 ->>,SS} 69
Honeywell Intl 3 02/18/99 07/29/04 9,687 .500 178,897 .52 176,637 .50 0 .00 ~,2G0 .02 Honeywell Intl 9 02/19/99 07/29/04 4,125 .000 157,429 .82 156,817 .32 0 .00 hl? .50 Honeywell Intl 5 02/25/99 07/29/04 1,875 .000 71,559 .01 70,302 .50 0 .00 i,?S~, 51 Honeywell Intl 6 02/26/99 07/29/04 1,875 .000 71,559 .01 69,990 .00 0 .00 1,9611 .01 Honeywell Intl 7 04/13/99 07/29/04 6,249 .500 238,510 .95 260,379 .17 0 .00 -?l,68 .?? Honeywell Intl 8 06/20/00 07/29/04 1,988 .000 75,871 .63 73,516 .29 0 .00 ',i t~55 39 Honeywell Intl 11 09/06/01 07/29/04 7,300 .000 278,603 .08 272,038 .15 0 .00 ,5n1 .9 ;{ Honeywell Intl 12 09/06/01 07/29/04 6,188 .000 236,163 .82 230,829 .11 0 .00 5,33-I 71 Honeywell Intl 12 09/06/01 07/29/04 15,712 .000 599,645 .42 586,100 .02 0 .00 13,5 .15 .10 Honeywell Intl 1 02/03/99 08/03/04 937 .500 34,783 .81 34,375 .85 0 .00 4o7 96 Honeywell Intl 2 02/03/99 08/03/04 12,824 .500 475,823 .95 970,881 .99 0 .00 :1,94' .S1 Honeywell Intl 10 09/18/00 08/03/04 1,238 .000 95,933 .18 44,778 .96 0 .00 1,15 .1 .72 Honeywell Intl 10 09/18/00 08/03/04 10,000 .000 371,027 .30 361,700 .00 0 .00 9,3?7 .30 Honeywell Intl 2 02/03/99 08/06/04 1,988 .000 69,337 .03 72,994 .06 0 .00 -3,c;57 .03
Report Name . *G/L Tx*w/AmSal Page 6 ofX4
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Dare : 07/14 ' '05
13-5616528 Run Time : 03 :37E-1in
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG "['Fl:ht NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX GAIN/1.05
ACCOUNT N0 .- 113 - cont .
Honeywell Intl 8 06/20/00 08/06/04 23,012 .000 802,607 .53 850,983 .76 0 .00 -48,376 .23 Honeywell Intl 9 09/18/00 08/06/04 2,200 .000 76,731 .12 79,096 .00 0 .00 - :',3i-I .8A Honeywell Intl 10 09/18/00 08/06/04 1,762 .000 61,459 .65 63,731 .54 0 .00 -?,276 .89
Honeywell Intl 13 09/17/01 08/06/09 30,000 .000 1,046,333 .48 922,200 .00 0 .00 12 :1,133 .48 Honeywell Intl 14 06/26/02 08/06/04 50,000 .000 1,793,889 .19 1,750,120 .00 0 .00 -(i,230 .$6
Hospira Inc 16 07/01/93 10/19/04 1,200 .000 35,815 .80 9,900 .89 0 .00 25,914 .96
Hospira Inc 17 07/02/93 10/19/04 300 .000 8,953 .95 2,404 .14 0 .00 t-~,5-19 231 Hospira Inc 18 07/06/93 10/19/09 900 .000 11,938 .60 3,205_52 0 .00 8,7 :13 .08 Hospira Inc 19 07/06/93 10/19/04 200 .000 5,969 .30 1,602 .76 0 .00 4,36E" 5-1 Hospira Inc 20 07/16/93 10/19/04 400 .000 11,938 .60 3,226 .82 0 .00 ff,7ii .7ri Hospira Inc 21 07/27/93 10/19/04 300 .000 8,953 .95 2,482 .59 0 .00 6,471 .41 Hospira Inc 22 07/28/93 10/19/09 900 .000 11,938 .60 3,310 .05 0 .00 8,6?8 55 Hospira Inc 23 07/29/93 10/19/04 900 .000 11,938 .60 3,253 .05 0 .00 8,ot35 .55
Hospira Inc 24 07/30/93 10/19/09 600 .000 17,907 .90 4,842 .16 0 .00 13,01,5 7 " 1
Hospira Inc 25 08/02/93 10/19/04 400 .000 11,938 .60 3,228 .11 0 .00 8,710 .49
Hospira Inc 26 08/03/93 10/19/04 600 .000 17,907 .90 9,812 .37 0 .00 13,095 .53
Hospira Inc 27 08/05/93 10/19/04 200 .000 5,969 .30 1,599 .86 0 .00 3,369 44
Hospira Inc 28 08/05/93 10/19/04 600 .000 17,907 .90 4,832 .09 0 .00 1?,075 .41
Hospira Inc 29 08/10/93 10/19/04 400 .000 11,938 .60 3,109 .71 0 .00 a,828 89
Hospira Inc 30 08/17/93 10/19/04 400 .000 11,938 .60 3,229 .40 0 .00 8,709 .20
Ingram Micro 5 06/28/01 10/29/04 11,500 .000 198,731 .44 162,882 .55 0 .00 35,8=1£1 .89
Ingram Micro 6 06/29/01 10/29/04 20,000 .000 345,619 .89 285,666 .00 0 .00 5'),95"i 89
Ingram Micro 7 06/29/01 10/29/04 1,500 .000 25,921 .49 21,328 .03 0 .00 4,593 .46
Ingram Micro 10 09/06/01 10/29/09 10,000 .000 172,809 .95 151,293 .00 0 .00 ?1,516 .95
Ingram Micro 11 09/06/01 10/29/09 10,000 .000 172,809 .94 151,200 .00 0 .00 21,609 .9~i
Ingram Micro 12 09/07/01 10/29/04 2,000 .000 39,561 .99 30,140 .00 0 .00 -4,01 .99
Ingram Micro 4 06/27/01 11/01/09 8,000 .000 139,327 .93 112,186 .90 0 .00 27,141 53
Ingram Micro 5 06/28/01 11/01/04 8,500 .000 148,035 .93 120,391 .45 0 .00 27,b*~i 48
Ingram Micro 13 09/19/01 11/01/04 8,000 .000 139,327 .93 112,561 .60 0 .00 ?n,7E6 .33
Ingram Micro 13 09/19/01 11/01/04 22,000 .000 383,151 .81 309,544 .40 0 .00 7,60"1 .11
Ingram Micro 15 06/12/02 11/01/09 8,500 .000 198,035 .92 119,607 .75 0 .00 ? :'.,-f?8 .17
Ingram Micro 9 06/27/01 11/05/04 15,000 .000 267,743 .72 210,349 .50 0 .00 57,3`)~I .2'
Ingram Micro 16 06/19/02 11/05/09 10,000 .000 178,495 .81 190,200 .00 0 .00 ;~',?~S .AI
Ingram Micro 8 07/05/01 11/12/09 500 .000 9,044 .69 6,955 .00 0 .00 ?,0:t9 .F`1
Ingram Micro 9 07/16/01 11/12/04 9,000 .000 162,804 .37 124,120 .80 0 .00 318,681 .57
Report Name : *G/L Tx*w/AmSal Page 7 of 1.4
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Date : 07/14/0'_ 13-5616528 Run Time : 03 :37pm
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG Trr,M NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAY GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Ingram Micro 14 09/20/01 11/12/04 800 .000 19,471 .50 10,698 .40 0 .00 3,773 10 Ingram Micro 17 06/14/02 11/12/04 200 .000 3,617 .88 2,809 .00 0 .00 813 .88 Ingram Micro 18 06/21/02 11/12/04 21,000 .000 379,876 .88 293,286 .00 0 .00 £i6,590 .$8 Ingram Micro 19 06/21/02 11/12/09 20,500 .000 370,832 .19 285,259 .55 0 .00 85,572 .611 Ingram Micro 14 09/20/01 11/17/09 9,300 .000 175,926 .49 124,368 .90 0 .00 51,057 54 Ingram Micro 14 09/20/01 11/18/04 2,500 .000 47,148 .89 33,432 .50 0 .00 13,7tc; .3~7 Ingram Micro 19 09/20/01 11/23/09 8,200 .000 154,631 .15 109,658 .60 0 .00 44,972-55 Ingram Micro 14 09/20/01 11/24/09 9,200 .000 179,322 .11 123,031 .60 0 .00 51,290 51 Ingram Micro 20 06/26/02 11/24/09 23,800 .000 450,963 .71 309,031 .10 0 .00 141,932 61 Ingram Micro 3 03/01/01 11/30/04 23,800 .000 455,002 .99 299,929 .98 0 .00 155,072 51 Ingram Micro 20 06/26/02 11/30/09 25,000 .000 977,993 .79 329,612 .50 0 .00 191,331 29 Ingram Micro 20 06/26/02 11/30/04 1,200 .000 22,941 .30 15,581 .90 0 .00 7,359 .90 Ingram Micro 3 03/01/01 12/01/09 18,000 .000 347,960 .64 226,837 .80 0 .00 121,122 84 Ingram Micro 3 03/01/01 12/02/04 15,000 .000 297,777 .51 189,031 .50 0 .00 10R,7=;6 .01 Ingram Micro 3 03/01/01 12/02/04 9,500 .000 188,592 .42 119,719 .95 0 .00 68,872 .47 Ingram Micro 1 01/08/01 12/03/04 9,300 .000 185,591 .09 113,808 .75 0 .00 71,782 34 Ingram Micro 2 03/01/01 12/03/04 10,000 .000 199,560 .32 125,900 .00 0 .00 73,660 32 Ingram Micro 3 03/01/01 12/03/04 3,700 .000 73,837 .32 46,627 .77 0 .00 27,209 .55 Ingram Micro 1 01/08/01 12/21/04 8,700 .000 174,969 .42 106,466 .25 0 00 6°,503 17 Ingram Micro 21 01/16/03 12/21/09 17,600 .000 353,961 .19 211,902 .29 0 .00 1 :1?,(158 9(1 Ingram Micro 21 01/16/03 02/01/05 2,400 .000 94,758 .04 28,895 .76 0 .00 15,95? 28 Ingram Micro 22 01/17/03 02/01/05 38,500 .000 717,993 .61 961,230 .00 0 .00 ?5o,7r,Z 61 Ingram Micro 23 01/17/03 02/01/05 40,000 .000 795,967 .39 980,796 .00 0 .00 ?o5,171 39 Ingram Micro 24 01/21/03 02/01/05 1,500 .000 27,973 .78 17,910 .00 0 .00 10,063 .78
Intl Rectifier 38 07/24/02 11/15/04 6,500 .000 277,871 .73 165,631 .70 0 .00 tl?,2tiD 03 Intl Rectifier 39 07/25/02 11/15/04 7,900 .000 337,721 .03 172,191 .00 0 .00 i6q,SA0 .03
Intl Rectifier 90 08/01/02 11/15/04 10,000 .000 427,494 .98 219,605 .00 0 .00 207, FtSq 98 Intl Rectifier 41 08/05/02 11/15/04 2,600 .000 111,198 .69 54,067 .00 0 .00 57,08 69 Intl Rectifier 91 08/05/02 11/17/04 3,400 .000 150,004 .82 70,703 .00 0 .00 79,301 8? Intl Rectifier 42 09/05/02 11/17/04 19,600 .000 864,733 .69 359,271 .92 0 .00 505,=Iot 77
Intl Rectifier 92 09/05/02 12/01/04 19,300 .000 634,203 .00 262,121 .86 0 .00 37?,081 . 11
Intl Rectifier 42 09/05/02 12/03/04 10,600 .000 486,740 .59 194,300 .12 0 .00 29?,=t=1n .47
Intl Rectifier 44 09/16/02 12/03/04 3,100 .000 142,348 .66 56,282 .67 0 .00 Sf,,0t;5 .99 Intl Rectifier 44 09/16/02 02/08/05 12,600 .000 533,516 .81 228,761 .82 0 .00 301,754 .99
Intl Rectifier 94 09/16/02 02/11/05 4,800 .000 203,186 .92 87,147 .36 0 .00 116,019 0f-, Intl Rectifier 95 09/17/02 02/11/05 3,500 .000 148,156 .77 61,302 .50 0 .00 £36,854 .2%
Report Name : *G/L Tx*w/AmSal Page 8 of y9 1
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Date . 07/14/0 13-5616528 Run Time- 03 ~ 37pm
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIL'/LOSS TAX GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Intl Rectifier 46 09/17/02 02/11/05 17,000 .000 719,618 .58 309,136 .80 0 .00 415,=181 .78
Kimberly Clark 3 10/09/02 08/31/04 10,000 .000 662,719 .97 599,878 .00 0 .00 117,8-11 .47 Kimberly Clark 3 10/09/02 09/01/04 9,200 .000 617,877 .76 501,287 .76 0 .00 116,590 00 Kimberly Clark 9 12/05/02 09/01/04 1,800 .000 120,889 .13 88,596 .00 0 .00 3?,?91 13 Kimberly Clark 4 12/05/02 09/03/09 8,200 .000 556,865 .39 403,604 .00 0 .00 t5 ;,26i .34 Kimberly Clark 5 12/05/02 09/03/04 800 .000 54,328 .33 39,296 .00 0 .00 t5,c)i? .33 Kimberly Clark 5 12/05/02 06/17/05 9,700 .000 307,506 .72 226,917 .15 0 .00 80,5t19 57 Kimberly Clark 6 12/06/02 06/17/05 7,300 .000 977,616 .81 337,999 .93 0 .00 139,621 88
Mckesson Corp 1 02/03/00 07/20/04 15,000 .000 477,077 .31 308,550 .00 0 .00 16P,527 .31 Mckesson Corp 1 02/03/00 09/07/04 11,000 .000 351,144 .76 226,270 .00 0 .00 12 ;,Fi74 .7h Mckesson Corp 1 02/03/00 09/08/04 3,900 .000 104,865 .42 80,223 .00 0 .00 24,h4? .42
Nautilus, Inc . 8 02/11/09 06/07/05 1,200 .000 39,015 .94 17,969 .12 0 .00 1f,,54h 82 Nautilus, Inc . 9 02/12/04 06/07/05 1,600 .000 95,359 .58 23,349 .00 0 .00 ?',010 Sfs Nautilus, Inc . 15 05/19/09 06/07/05 7,200 .000 204,095 .61 106,920 .00 0 .00 97,175 .61 Nautilus, Inc . 8 02/11/09 06/13/05 300 .000 8,507 .69 4,367 .28 0 .00 4,1=10 .3 Nautilus, Inc . 6 02/09/04 06/14/05 6,300 .000 178,601 .93 91,469 .70 0 .00 R7,13? .23 Nautilus, Inc . 7 02/10/04 06/14/05 7,000 .000 198,446 .59 101,810 .10 0 .00 9h,636 49 Nautilus, Inc . 8 02/11/09 06/14/05 8,000 .000 226,796 .10 116,960 .80 0 .00 11o,1"i5 .30
Nautilus, Inc . 10 02/13/09 06/19/05 6,300 .000 178,601 .92 91,019 .21 0 .00 47,587 .71
Nautilus, Inc . 13 05/19/04 06/14/05 5,400 .000 153,087 .37 78,570 .00 0 .00 71,517 37
Nautilus, Inc . 10 02/13/04 06/15/05 2,700 .000 77,805 .07 39,006 .09 0 .00 ?",79A .98
Nautilus, Inc . 14 05/17/04 06/15/05 6,300 .000 181,545 .16 91,008 .54 0 .00 9",536 .62
Nautilus, Inc . 14 05/17/09 06/20/05 10,000 .000 279,388 .30 194,958 .00 0 .00 13 ,930 .30 Nautilus, Inc . 14 05/17/09 06/22/05 10,000 .000 279,037 .31 199,958 .00 0 .00 134,57n 31
Nautilus, Inc . 1 02/02/04 06/30/05 5,000 .000 192,041 .05 71,596 .50 0 .00 70,-I-l-I .SS Nautilus, Inc . 5 02/06/04 06/30/05 4,800 .000 136,359 .90 69,108 .96 0 .00 67,25Q .4 :1 Nautilus, Inc . 19 05/17/04 06/30/05 8,200 .000 232,997 .32 118,955 .56 0 .00 1i-!,=191 .76
Neenah Paper 5 12/05/02 12/01/04 0 .049 1 .79 1 .22 0 .00 0 .57
Neenah Paper 6 12/06/02 12/01/09 0 .094 3 .82 2 .50 0 .00 1 .3?
Neenah Paper 7 03/10/03 12/01/04 0 .068 2 .76 1 .66 0 .00 1 . Neenah Paper 8 03/12/03 12/01/04 0 .114 9 .62 2 .78 0 .00 1 .84
Neenah Paper 5 12/05/02 01/20/05 142 .366 4,692 .23 3,945 .63 0 .00 746 .60
Neenah Paper 6 12/06/02 01/20/05 302 .906 9,983 .45 8,050 .79 0 .00 1,932 .71
Report Name : *G/L Tx*w/AmSal Page 9 of }&((
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
Run Date 07/14/61~ Run Tuna . 03 :37pm
The Clark Foundation 13-5616528
ACCOUNT NO .- 113 - cont .
Neenah Paper 7 03/10/03 01/20/05 221 .122 7,287 .94 5,396 .56 0 .00 1,891 .3£i Neenah Paper 8 03/12/03 01/20/05 375 .606 12,379 .57 9,150 .98 0 .00 3,2?9 .09
Pall Corp 1 07/27/00 07/01/04 24,300 .000 612,338 .35 501,843 .60 0 .00 110,491 75 Pall Corp 9 11/30/00 07/01/04 17,800 .000 448,594 .19 357,379 .50 0 .00 91,164 611 Pall Corp 7 07/27/00 07/01/04 500 .000 12,599 .55 10,326 .00 0 .00 ?,273 .55 Pall Corp 4 11/30/00 07/02/04 11,100 .000 276,762 .01 222,860 .25 0 .00 53,90 .76 Pall Corp 4 11/30/00 07/06/04 3,000 .000 79,901 .95 60,232 .50 0 .00 14,669 .45 Pall Corp 9 11/30/00 07/07/04 12,000 .000 299,366 .57 290,930 .00 0 .00 St?,=136 .57 Pall Corp 4 11/30/00 09/02/04 6,100 .000 152,156 .66 122,972_75 0 .00 ?9,hA3 91 Pall Corp 11 01/15/03 09/02/04 9,400 .000 109,752 .39 70,777 .08 0 .00 34,979 .26 Pall Corp 8 10/01/02 10/07/04 5,700 .000 142,972 .72 90,513 .15 0 .00 51,959 57 Pall Corp 9 10/03/02 10/07/04 15,100 .000 377,927 .72 291,073 .01 0 .00 13E;,35=1 .71 Pall Corp 11 01/15/03 10/07/04 4,200 .000 109,979 .90 67,559 .99 0 .00 37,=Ii~1 .9C, Pall Corp 12 01/17/03 10/07/09 15,000 .000 379,928 .20 240,583 .50 0 .00 134,3 :14 .7(1 Pall Corp 8 10/01/02 10/08/04 1,800 .000 49,974 .47 28,583 .10 0 .00 1x,,391 .37 Pall Corp 13 01/21/03 10/08/09 2,200 .000 54,968 .79 39,849 .98 0 .00 21,118 .81 Pall Corp 13 01/21/03 10/13/04 8,000 .000 201,198 .49 126,727 .20 0 .00 74,471 29 Pall Corp 13 01/21/03 10/14/04 7,500 .000 187,528 .60 118,806 .75 0 .00 6;+,7?1 .85 Pall Corp 13 01/21/03 10/15/04 3,000 .000 74,882 .75 97,522 .70 0 .00 27,36(1 .05 Pall Corp 13 01/21/03 10/19/04 4,000 .000 100,006 .96 63,363 .60 0 .00 3G,64? .86 Pall Corp 13 01/21/03 10/22/04 4,000 .000 99,979 .26 63,363 .60 0 .00 3&,G15 .66 Pall Corp 13 01/21/03 10/25/09 1,300 .000 32,497 .24 20,593 .17 0 .00 ti,r?q=1 07 Pall Corp 13 01/21/03 10/26/04 7,000 .000 179,906 .30 110,886 .30 0 .00 b4,u_ii .00 Pall Corp 13 01/21/03 10/27/04 32,000 .000 804,989 .12 506,908 .80 0 .00 29 :i,nAi1 32 Pall Corp 10 10/04/02 10/28/04 24,100 .000 610,735 .10 381,141_50 0 .00 22q,`,93 .C,i1 Pall Corp 13 01/21/03 10/28/04 2,900 .000 73,490 .95 95,938 .61 0 .00 2",55? .3~1 Pall Corp 10 10/04/02 10/29/04 3,100 .000 78,679_29 99,026 .50 0 .00 2",h47 79 Pall Corp 14 01/22/03 10/29/04 10,000 .000 253,788 .05 156,237 .00 0 .00 97,551 05
PHH Corp 1 10/02/02 02/25/05 3,500 .000 74,883 .53 39,421 .02 0 .00 40,=16? .S1 PHH Corp 2 10/02/02 02/25/05 2,500 .000 53,988 .23 29,618 .32 0 .00 28,869 .91 PNH Corp 3 10/02/02 02/25/05 1,500 .000 32,092 .99 14,707 .95 0 .00 17,3t?4 .99 PHH Corp 4 01/15/03 02/25/05 2,915 .000 51,669 .64 24,837 .25 0 .00 26,F33' .39 PHH Corp S 01/16/03 02/25/05 2,500 .000 53,488 .24 25,705 .82 0 .00 27,782 .42.
Phoenix Tech 19 11/21/97 03/07/05 4,000 .000 90,927 .97 60,715 .20 0 .00 -20, :'R7 .73
Report Name : *G/L Tx*w/AmSal Page 10 of
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG T11''M NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX C:4TD1/f.OSS
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Date 07/14/0~~ 13-5616528 Run Time . 03~371iui
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAY GAIN/I .nSS
ACCOUNT N0 .- 113 - cont .
Phoenix Tech 20 11/24/97 03/07/05 3,000 .000 30,320 .60 45,163 .20 0 .00 -1=1,842 .60 Phoenix Tech 18 11/20/97 03/16/05 1,000 .000 9,590 .38 14,945 .00 0 .00 -5,354 .62 Phoenix Tech 20 11/24/97 03/16/05 2,000 .000 19,180 .77 30,108 .80 0 .00 -10,92R .03 Phoenix Tech 21 11/25/97 03/16/05 3,500 .000 33,566 .34 52,307 .50 0 .00 -18,711 .16 Phoenix Tech 21 11/25/97 03/17/05 1,900 .000 18,162 .07 28,395 .50 0 .00 -10,233 .43 Phoenix Tech 21 11/25/97 03/18/05 2,600 .000 24,838 .28 38,857 .00 0 .00 -t-1,01£1 .7 ; Phoenix Tech 22 11/26/97 03/18/05 1,400 .000 13,374 .96 20,917 .40 0 .00 -7,5-t? .94 Phoenix Tech 22 11/26/97 03/21/05 5,000 .000 48,103 .91 79,705 .00 0 .00 -26,6(11 .59 Phoenix Tech 22 11/26/97 03/22/05 6,600 .000 69,358 .43 98,610 .60 0 .00 -3 :1,?52 .17 Phoenix Tech 23 12/02/97 03/22/05 1,400 .000 13,651 .79 20,398 .00 0 .00 -0,746 .21 Phoenix Tech 23 12/02/97 03/22/05 8,000 .000 78,170 .22 116,560 .00 0 .00 -3R,3R9 .7A Phoenix Tech S 07/17/97 03/23/05 2,100 .000 20,609 .51 28,997 .00 0 .00 -7,tt92 19 Phoenix Tech 6 07/22/97 03/23/05 500 .000 4,905 .89 6,785 .00 0 .00 -1,879 16 Phoenix Tech 23 12/02/97 03/23/05 900 .000 8,830 .51 13,113 .00 0 .00 -=i,?62 .49 Phoenix Tech 6 07/22/97 03/24/05 3,500 .000 33,347 .95 47,495 .00 0 .00 -t~i,~~t7 0', Phoenix Tech 13 08/05/97 03/24/05 1,500 .000 19,291 .98 20,321 .10 0 .00 -i,,(1?9 12 Phoenix Tech 7 07/23/97 03/31/05 2,000 .000 18,998 .57 27,058 .80 0 .00 -A,06)0 23 Phoenix Tech 8 07/29/97 03/31/05 1,500 .000 14,298 .93 20,167 .50 0 .00 57 Phoenix Tech 9 07/30/97 03/31/05 900 .000 8,599 .36 12,100 .50 0 .00 -3,SS1 .14 Phoenix Tech 13 08/05/97 03/31/05 600 .000 5,699 .57 8,128 .44 0 .00 -?,=128 .87 Phoenix Tech 9 07/30/97 06/15/05 3,100 .000 22,807 .60 41,679 .50 0 .00 -t8,R71 90 Phoenix Tech 10 07/31/97 06/15/05 2,000 .000 14,714 .58 26,890 .00 0 .00 -t?,175 42 Phoenix Tech 14 08/06/97 06/15/05 1,900 .000 13,978 .85 25,595 .50 0 .00 -ti,56G .65 Phoenix Tech 15 08/07/97 06/15/05 2,000 .000 14,719 .58 26,890 .00 0 .00 -1?,175 .=t2 Phoenix Tech 43 07/30/97 06/15/05 1,000 .000 7,357 .29 13,995 .00 0 .00 -b,o87 .71 Phoenix Tech 16 08/08/97 06/16/05 3,000 .000 22,814 .34 90,335 .00 0 .00 -17,520 .F6
Phoenix Tech 12 08/04/97 06/17/05 1,000 .000 7,864 .97 13,936 .20 0 .00 -5,571 .21 Phoenix Tech 16 08/08/97 06/17/05 6,000 .000 97,189 .82 80,670 .00 0 .00 -3,,7 .°.0 18
Phoenix Tech 12 08/04/97 06/20/05 2,000 .000 17,220 .98 26,872 .90 0 .00 -9,651 .9%
Phoenix Tech 41 06/14/00 06/20/05 7,098 .000 61,115 .97 95,287 .81 0 .00 -3=l,17? 34 Phoenix Tech 41 06/14/00 06/21/05 3,002 .000 26,581 .59 90,300 .65 0 .00 -13,719 .06
Phoenix Tech 41 06/14/00 06/22/05 5,000 .000 43,325 .18 67,123 .00 0 .00 -23,797 .82
Phoenix Tech 17 08112/97 06124/05 900 .000 7,492 .45 12,094 .25 0 .00 -4,551 .80
Phoenix Tech 41 06/19/00 06/29/05 1,100 .000 9,157 .95 14,767 .06 0 .00 -S,hc?9 .C,i
Phoenix Tech 11 08/01/97 06/27/05 1,900 .000 15,202 .21 25,238 .84 0 .00 -10,03(~ .63
Phoenix Tech 17 08/12/97 06/27/05 1,100 .000 8,801 .28 14,720 .75 0 .00 -5,919 .47
Phoenix Tech 9 07/16/97 06/28/05 2,900 .000 19,225 .35 31,747 .92 0 .00 -12,52 57
Report Name : *G/L Tx*w/AmSal Page 11 of,Y<(
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation Run Date : 07/1=1/0S 13-5616528 Run Time 03 .37pm
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TEl :t-t NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAY GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Phoenix Tech 11 08/01/97 06/28/05 1,600 .000 12,816 .90 21,253 .76 0 .00 -fi,=136 Af Phoenix Tech 3 07/01/97 06/29/05 400 .000 3,154 .51 5,278 .00 0 .00 -2,23 .49 Phoenix Tech 4 07/16/97 06/29/05 1,600 .000 12,618 .03 21,165 .28 0 .00 -8,5-17 .25 Phoenix Tech 3 07/01/97 06/30/05 2,000 .000 15,924 .73 26,390 .00 0 .00 -10,=165 .27
PRG Schultz 1 08/26/03 05/19/05 500 .000 2,091 .71 3,028 .15 0 .00 -936 .14 PRG Schultz 2 09/25/03 05/19/05 2,500 .000 10,458 .56 15,392 .75 0 .00 -4,931 .19 PRG Schultz 1 08/26/03 05/20/05 2,500 .000 10,517 .81 15,190 .75 0 .00 -=1,627 .94
Schering-Plough 1 04/30/02 04/21/05 6,000 .000 125,754 .13 166,800 .00 0 .00 -at,(145 .$7 Schering-Plough 2 06/03/02 04/21/05 9,000 .000 188,631 .19 23,862 .50 0 .00 -43,?3i .3t Schering-Plough 3 06/04/02 04/21/05 5,000 .000 109,795 .11 124,600 .00 0 .00 -i9,r?o ; 89 Schering-Plough 3 06/04/02 04/21/05 9,000 .000 83,836 .09 99,680 .00 0 .00 -1S,R=13 91 Schering-Plough 8 06/14/02 04/21/05 9,500 .000 199,110 .70 230,451 .00 0 .00 - ;1,3!0 .30 Schering-Plough 8 06/14/02 04/21/05 10,500 .000 220,069 .73 254,709 .00 0 .00 31,639 .27 Schering-Plough 9 06/14/02 04/21/05 9,500 .000 199,110 .70 230,367 .40 0 .00 -1,?56 70
Service 6 '05 1 08/14/03 05/10/05 163,000 .000 163,924 .21 163,000 .00 0 .00 924 21
Service Corp 31 01/24/03 10/18/09 11,000 .000 73,808 .26 34,905 .20 0 .00 38,901 06 Service Corp 31 01/29/03 10/19/04 6,500 .000 43,613 .97 20,625 .80 0 .00 21,9Aa .17 Service Corp 31 01/29/03 10/20/04 27,500 .000 184,520 .66 87,263 .00 0 .00 97,257 .66 Service Corp 29 10/08/02 11/01/09 500 .000 3,404 .92 1,901 .55 0 .00 2,003 .37 Service Corp 31 01/24/03 11/01/04 9,500 .000 30,694 .28 14,279 .40 0 .00 16,364 88 Service Corp 29 10/08/02 11/12/04 44,500 .000 307,016 .06 124,737 .95 0 .00 i8?,?7f3 .it Service Corp 30 10/09/02 11/12/09 200 .000 1,379 .85 560 .08 0 .00 819 .77 Service Corp 30 10/09/02 11/17/04 26,000 .000 180,971 .39 72,810 .40 0 .00 108,160 94 Service Corp 30 10/09/02 11/19/04 5,000 .000 34,799 .18 14,002 .00 0 .00 20,7')7 .18 Service Corp 30 10/09/02 11/30/04 17,500 .000 121,797 .13 99,007 .00 0 .00 72,70 .13 Service Corp 27 07/24/02 12/01/09 19,700 .000 190,424 .21 49,789 .78 0 .00 90,634 .=I3 Service Corp 27 07/24/02 12/01/09 11,000 .000 79,308 .13 27,801 .40 0 .00 51,506 73
Service Corp 30 10/09/02 12/01/04 6,300 .000 94,907 .23 17,642 .52 0 .00 27,?b=1 .71 Service Corp 27 07/24/02 12/02/09 19,000 .000 100,996 .02 35,383 .60 0 .00 65,562 .42 Service Corp 27 07/29/02 12/30/09 4,400 .000 32,185 .29 11,120 .56 0 .00 21,06 :1 .68 Service Corp 27 07/29/02 12/31/09 3,000 .000 21,929 .98 7,582 .20 0 .00 I-,,347 .2A Service Corp 27 07/24/02 01/09/05 1,600 .000 11,695 .72 4,043 .84 0 .00 7,E;St .BN Service Corp 27 07/24/02 01/27/05 29,300 .000 169,878 .11 61,415 .82 0 .00 108,462 29
~~ Report Name : *G/L Tx*w/AmSal Page 12 of,Tf
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
Run Dat= 07/1 .1/05 Run Tin, v3' 37pm
SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TERM DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LASS TAY GAIN/1.055
The Clark Foundation 13-5616528
LOT PURCH NO . DATE
- cont .
20,700 .000 24,110 .000
500 .000 23, 196 .000 10,114 .000 6,690 .000 6,978 .000 6,050 .000 29,372 .000 15,282 .000
40,000 .000 19,900 .000
475,000 .000 500,000 .000
8,000,000 .000
1,000,000 .000 1,000,000 .000
1,000,000 .000 2,550,000 .000
18,300 .000 29,400 .000 5,000_000
12,000 .000 9,000 .000 6,300 .000 15,000 .000 10,000 .000 15,000 .000 5,700 .000 1,300 .000
19,700 .000
ACCOUNT NO .- 113
Service Corp Service Corp Service Corp Service Corp Service Corp Service Corp Service Corp Service Corp Service Corp Service Corp
Smithfield Food Smithfield Food
Stem. 12 .375 Steri 12 .375
T 1 .5 2/05
T 7 .25 8/15/04 T 7 .25 8/15/04
T 7 .50 2/15/05 T 7 .50 2/15/05
Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' US Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us
144,710 .98 50,178 .87 0 .00 94,532 .11 167,602 .35 58,495 .05 0 .00 109,157 30
3,459 .89 1,212 .05 0 .00 2,42 .84 161,438 .81 27,662 .16 0 .00 133,77~~ .65 70,391 .11 11,830 .97 0 .00 58,560) .64 46,560 .86 16,217 .23 0 .00 30,343 .63 48,261 .04 7,118 .25 0 .00 41,142 .71) 41,842 .84 6,338 .57 0 .00 35,50 .27 203,191 .77 39,356 .78 0 .00 168,784 99 104,187 .70 15,589 .15 0 .00 88,598 .55
1,078,759 .70 7,500 .00 0 .00 1,071,2s41 .70 901,836 .13 2,793 .75 0 .00 399,04? .3+1
509,390 .63 481,329 .41 0 .00 23,061 22 530, 937 . 50 508, 075 . 06 0 .00 22,8n? 44
8,000,000 .00 8,000,000 .00 0 .00 0 .00
1,000,000 .00 1,000,000 .00 0 .00 0 .00 1,000,000 .00 1,000,000 .00 0 .00 0 00
1,000,000 .00 1,000,000 .00 0 .00 0 .00 2,550,000 .00 2,550,000 .00 0 .00 0 .00
310,375 .36 219,693 .77 0 .00 95,681 59 509,981 .01 344,917 .86 0 .00 165,0E,3 .15 87,297 .96 58,659 .50 0 .00 28,638 .46
212,804 .20 140,782 .80 0 .00 72,021 110 71,374 .33 46,927 .60 0 .00 -14,446 7-1
110,950 .48 73,910 .97 0 .00 37,010 .51 264,167 .80 174,930 .00 0 .00 89,2j7 80 176,111 .87 116,910 .00 0 .00 5'1,201 .87 264,167 .80 174,900 .00 0 .00 89,~67 .80 100,383 .76 66,234 .00 0 .00 3-1,149 76 23, 350 .83 15, 106 .00 0 .00 8,2114 .83
264,044 .02 169,932 .00 0 .00 94,11? .02
28 07/30/02 01/27/05 28 07/30/02 01/31/05 28 07/30/02 02/01/05 3 04/16/81 02/04/05 10 03/17/82 02/04/05 28 07/30/02 02/09/05 1 09/14/81 02/07/05 2 04/15/81 02/07/05 10 03/17/82 02/07/05 1 04/14/81 02/08/05
6 10/27/81 11/15/04 6 10/27/81 11/15/04
1 04/03/00 11/15/04 2 11/07/00 11/15/04
1 10/17/03 02/28/05
1 06/26/95 08/15/09 2 09/25/95 08/15/09
1 07/19/95 02/15/05 2 08/10/95 02/15/05
1 07/17/03 09/08/09 1 07/17/03 09/21/04 1 07/17/03 09/23/04 1 07/17/03 09/30/04 1 07/17/03 10/01/04 1 07/17/03 10/25/04 2 07/17/03 10/25/04 3 07/17/03 10/25/04 4 07/17/03 10/25/04 5 07/17/03 10/25/09 5 07/17/03 10/28/09 11 07/24/03 10/28/04
Page 13 of y4'~~ Report Name : *G/L Tx*w/AmSal
SECURITY NAME
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
Run Date (17/1=l/115 Run Time . 0 3 : 37pm
104,449 .00 69, 1811 67 140,284 .50 77,101 .22 62, 3?.-i .89 132, 154 .89 32,729 .93
116,448 .50 1 1 , 8?') 6 .1 93 , 796 12 ;,772 .73
84, 190 .63 6, 519 77 7,7=15 .7R h,78' .RO
29,046 OS 51 , ?90 73 8'i, 571 16 42,899 64 43,046 22 36,835 20
Sn,il' ; .65
32, 06,086 RI
32,186,086 81
32,180,086 .81
The Clark Foundation 13-5616528
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS
ACCOUNT NO .- 113 - cont .
Toys 'R' Us 8 07/23/03 11/01/04 15,000 .000 277,058 .50 172,609 .50 0 .00 Toys 'R' US 10 07/24/03 11/01/04 10,000 .000 184,705 .67 115,525 .00 0 .00 Toys 'R' Us 11 07/24/03 11/01/09 20,300 .000 379,952 .50 239,668 .00 0 .00 Toys 'R' Us 6 07/22/03 11/03/04 10,300 .000 195,180 .42 118,079 .20 0 .00 Toys 'R' Us 6 07/22/03 11/05/04 7,700 .000 150,597 .69 88,272 .80 0 .00 Toys ~R' Us 7 07/23/03 11/17/04 15,000 .000 302,964 .39 170,809 .50 0 .00 Toys 'R' Us 9 07/23/03 11/17/04 3,700 .000 79,731 .22 42,001 .29 0 .00 Toys 'R' Us 19 11/17/03 11/17/04 13,300 .000 268,628 .43 152,179 .93 0 .00 Toys 'R' Us 9 07/23/03 12/13/04 1,300 .000 26,586 .85 19,757 .21 0 .00 Toys 'R' Us 12 07/29/03 12/13/04 10,300 .000 210,649 .62 116,853 .50 0 .00 Toys 'R' Us 13 08/04/03 12/13/04 400 .000 8,180 .57 4,907 .89 0 .00 Toys 'R' Us 12 07/29/03 12/30/09 9,000 .000 186,295 .63 102,105 .00 0 .00 Toys 'R' Us 12 07/29/03 01/11/05 700 .000 19,491 .27 7,941 .50 0 .00 Toys 'R' Us 13 08/04/03 01/11/05 800 .000 16,561 .46 8,815 .68 0 .00 Toys 'R' Us 13 08/04/03 01/12/05 700 .000 14,496 .52 7,713 .72 0 .00 Toys 'R' Us 13 08/09/03 01/13/05 3,000 .000 62,104 .85 33,058 .80 0 .00 Toys 'R' Us 13 08/04/03 01/18/05 5,100 .000 107,990 .69 56,199 .96 0 .00 Toys 'R' Us 19 08/05/03 01/18/05 8,800 .000 185,479 .12 96,902 .96 0 .00 Toys 'R' Us 14 08/05/03 01/27/05 4,200 .000 89,148 .78 46,249 .19 0 .00 Toys 'R' Us 16 08/06/03 01/27/05 4,200 .000 89,148 .78 46,102 .56 0 .00 Toys 'R' Us 17 08/07/03 01/27/05 3,600 .000 76,413 .24 39,578 .04 0 .00 Toys 'R' Us 15 08/06/03 01/31/05 11,000 .000 235,382 .34 120,039 .70 0 .00 Toys 'R' Us 16 08/06/03 01/31/05 9,800 .000 102,712 .29 52,688 .69 0 .00
22,455,378 .366 98,681,952 .52 66,995,865 .71 0 .00
22,455,378 .366 98,681,952 .52 66,495,865 .71 0 .00
ACCOUNT N0 .- 113 72,605,337 .003 162,955,913 .90 127,625,045 .26 3,149,781 .83
Report Name : *G/L Tx*w/AmSal Page 14 of
LONG TERM TAY GAIN/LOSS
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/09 End Date : 06/30/05
The Clark Foundation-Susan V . Clark Run Date- 07/14/05 13-5616528 Run Trine : 03 36E,ni
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LASS TAX GAIN/f .pSS
ACCOUNT NO .- 190
Cigna Corp Cigna Corp Ciqna Corp
FHLB 2 .25 6/06
FHLB 2 .25 12/08
FHLB 3 .0 10/09
Fluor Corp
Nautilus, Inc .
R R Donnelley R R Donnelley
SPX Corporation SPX Corporation SPX Corporation SPX Corporation
Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us Toys 'R' Us
Watson Wyatt
1 02/12/04 12/10/04 1 02/12/09 01/12/05 2 02/13/04 01/13/05
1 09/30/04 06/30/05
1 12/16/03 09/30/04
1 07/07/09 10/21/04
3 08/06/03 07/01/09
4 05/12/04 10/04/04
9 03/22/04 11/05/09 5 03/23/04 11/05/04
1 05/12/09 03/09/05 1 05/12/09 04/11/05 2 05/17/04 04/22/05 3 09/08/04 05/02/05
1 11/17/03 09/08/09 1 11/17/03 09/21/09 1 11/17/03 09/30/04 1 11/17/03 10/25/04 1 11/17/03 10/28/04 1 11/17/03 11/01/04 1 11/17/03 11/03/04 1 11/17/03 11/05/09
1 03/05/04 10/26/04
Page 1 of X(1 Report Name : *G/L Tx*w/AmSal
100 .000 8,065 .87 5,389 .27 2,676 .60 0 .00 100 .000 8,199 .89 5,389 .27 2,810 .62 0 .00 100 .000 8,296 .23 5,305 .90 2,990 .33 0 .01
50,000 .000 50,000 .00 50,000 .00 0 .00 11 .0o
50,000 .000 50,000 .00 49,946 .88 53 .13 0 .00
100,000 .000 100,000 .00 100,216 .79 -216 .79 0 00
600 .000 27,861 .93 19,757 .10 8,104 .33 0 00
200 .000 9,814 .67 3,057 .16 1,757 .51 0 .00
100 .000 3,429 .80 2,886 .98 542 .82 n nn 100 .000 3,429 .80 2,832 .83 596 .97 0 110
100 .000 4,391 .85 9,208 .73 183 12 0 .00 100_000 4,252 .08 9,208 .73 43 .35 0 n0 100 .000 3,999 .93 9,137 .03 -137 .10 0 00 100 .000 3,899 .00 3,306 .36 587 .64 n_00
200 .000 3,392 .08 2,300 .00 1,092 .08 0 00 200 .000 3,969 .26 2,300 .00 1,169 .26 0 0o 100 .000 1,773 .37 1,150 .00 623 .37 0 .00 200 .000 3,522 .24 2,300 .00 1,222 .24 0 .00 100 .000 1,796 .22 1,150 .00 646 .22 1l 00 200 .000 3,699 .11 2,300 .00 1,34 .11 0 00 100_000 1,894 .96 1,150 .00 744 .96 0 .00 300 .000 5,867 .94 3,450 .00 2,417 . ;~ x .00
100 .000 2,578 .03 2,389 .00 189 .03 0 .00
203,200 .000 308,623 .26 279,132 .03 29,91 .23 (1 .0(1
203,200 .000 308,623 .26 279,132_03 29,491 .23 n no
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation-Susan V . Clark Run Date U7/1q/05 13-5616528 Run Time 03 .36piti
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM C.ONC TC'I ;t~l NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX GAIMAOSS
ACCOUNT NO .- 190 - cont .
Crown Hldgs Inc 3 01/10/03 09/21/04 100 .000 996 .27 783 .72 0 .00 212 55 Crown Hldgs Inc 3 01/10/03 09/28/04 500 .000 5,021 .98 3,918 .60 0 .00 1,1c1? .A8 Crown Hldgs Inc 3 01/10/03 09/29/09 400 .000 4,039 .39 3,139 .88 0 .00 004 .51 Crown Hldgs Inc 3 01/10/03 10/06/09 100 .000 1,096 .91 783 .72 0 .00 26? .69 Crown Hldgs Inc 3 01/10/03 10/14/04 200 .000 2,199 .11 1,567 .99 0 .00 581 .67 Crown Hldgs Inc 3 01/10/03 10/27/04 200 .000 2,209 .01 1,567 .94 0 .00 636 57 Crown Hldgs Inc 2 01/09/03 11/03/04 500 .000 6,093 .01 3,895 .85 0 .00 2,197 .16 Crown Hldgs Inc 2 01/09/03 11/04/09 900 .000 5,043 .90 3,116 .68 0 .00 1,926 .72 Crown Nldgs Inc 2 01/09/03 11/09/04 100 .000 1,241 .72 779 .17 0 .00 462 55 Crown Hldgs Inc 1 01/06/03 11/29/09 200 .000 2,513 .32 1,405 .59 0 .00 1,107 78 Crown Hldgs Inc 1 01/06/03 11/30/09 200 .000 2,514 .90 1,405 .54 0 .00 I,IUA .II6 Crown Hldgs Inc 1 01/06/03 12/01/09 100 .000 1,298 .88 702 .77 0 .00 596 .11 Crown Hldgs Inc 4 02/03/03 12/01/09 100 .000 1,298 .88 663 .99 0 .00 615 44 Crown Hldgs Inc 4 02/03/03 12/03/09 200 .000 2,657 .80 1,326 .88 0 .00 1,3111 92 Crown Hldgs Inc 4 02/03/03 12/07/09 100 .000 1,317 .47 663 .44 0 .00 654 .03 Crown Hldgs Inc 5 02/09/03 12/07/09 300 .000 3,952 .40 1,939 .98 0 .00 2,01? .42 Crown Hldgs Inc 5 02/09/03 12/15/09 100 .000 1,321 .05 646 .66 0 .00 674 .39 Crown Hldgs Inc 6 03/10/03 12/15/09 300 .000 3,963 .15 1,473 .09 0 00 2,490 .06 Crown Hldgs Inc 6 03/10/03 12/21/04 100 .000 1,362 .89 491 .03 0 .00 871 .8E, Crown Hldgs Inc 6 03/10/03 02/02/05 400 .000 5,559 .58 1,969 .12 0 .00 3,594 46 Crown Hldgs Inc 6 03/10/03 02/03/05 500 .000 7,118 .31 2,455 .15 0 .00 4,6b . ; .16
FHLB 9 .55 5/10 1 06/13/03 11/13/09 50,000 .000 50,000 .00 50,185 .89 0 .00 -185 .8r)
Fluor Corp 3 08/06/03 11/12/04 200 .000 9,436 .22 6,585 .70 0 .00 ?,f350 .52 Fluor Corp 1 01/17/02 11/22/04 100 .000 9,893 .78 3,065 .13 0 .00 1,778 .65 Fluor Corp 3 08/06/03 11/22/04 200 .000 9,687 .55 6,585 .70 0 .00 ?,t0i .A5 Fluor Corp 1 01/17/02 11/23/04 900 .000 19,805 .49 12,260 .52 0 .00 7,5-1=1 .97 I'luor Corp 2 01/22/02 11/23/04 500 .000 29,756 .87 15,198 .55 0 .00 9,608 .32
Hanover Compr 1 01/22/02 02/23/05 2,000 .000 26,476 .13 31,100 .00 0 .00 -4,621 87
Honeywell Intl 2 01/27/03 07/29/09 300 .000 11,999 .99 6,914 .76 0 .00 4,514 68 Honeywell Intl 2 01/27/03 08/03/04 200 .000 7,420 .55 9,609 .89 0 .00 2,00 .71 Honeywell Intl 2 01/27/03 08/06/04 500 .000 17,438 .89 11,529 .60 0 .00 5,9t=a .?9
Intl Rectifier 5 09/17/02 11/15/09 200 .000 8,549 .90 3,500 .50 0 .00 S,n=iq .'t0
' Report Name : *G/L Tx*w/AmSal Page 2 of e
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation-Susan V . Clark Run Date 07/1=i/05 13-5616528 Run Time . 03 36pan
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERN LONG TERM NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX GAIP!/LOSS
ACCOUNT NO .- 190 - cont .
Intl Rectifier 5 09/17/02 11/17/04 300 .000 13,235 .72 5,250 .75 0 .00 7,9R-1 .97 Intl Rectifier 5 09/17/02 12/01/04 100 .000 4,939 .99 1,750 .25 0 .00 2,684 .74 Intl Rectifier 5 09/17/02 12/03/04 300 .000 13,775 .68 5,250 .75 0 .00 8,521 .93
Kimberly Clark 2 03/10/03 08/31/09 200 .000 13,259 .39 8,650 .94 0 .00 4,60 :i .45 Kimberly Clark 2 03/10/03 09/01/09 300 .000 20,198 .19 12,976 .91 0 .00 7,171 .78 Kimberly Clark 2 03/10/03 09/03/09 300 .000 20,373 .12 12,976 .91 0 .00 7,?0h .71
Nautilus, Inc . 5 05/13/09 06/14/05 200 .000 5,669 .90 3,002 .39 0 .00 2,667 .5 Nautilus, Inc . 3 02/13/09 06/15/05 100 .000 2,881 .67 1,499 .67 0 .00 1,437 .00 Nautilus, Inc . 6 05/17/04 06/20/05 100 .000 2,793 .88 1,499 .58 0 .00 1,349 .30 Nautilus, Inc . 6 05/17/09 06/22/05 100 .000 2,790 .37 1,949 .58 0 .00 1,345 79 Nautilus, Inc . 1 02/03/04 06/30/05 100 .000 2,840 .82 1,430 .53 0 .00 1,=110 .29 Nautilus, Inc . 2 02/04/04 06/30/05 200 .000 5,681 .64 2,850 .32 0 .00 2,831 32
Pall Corp 1 07/27/00 07/01/04 300 .000 7,559 .74 6,195 .60 0 .00 1,364 14 Pall Corp 1 07/27/00 07/07/04 100 .000 2,499 .94 2,065 .20 0 .00 427 74 Pall Corp 1 07/27/00 09/02/04 100 .000 2,494 .37 2,065 .20 0 .00 429 .17 Pall Corp 3 01/21/03 10/07/09 300 .000 7,998 .57 4,752 .27 0 .00 2,7-1c, .30 Pall Corp 3 01/21/03 10/13/04 700 .000 17,609 .87 11,088 .63 0 .00 6,516 24
Phoenix Tech 2 06/19/00 06/30/05 100 .000 796 .29 1,342 .96 0 .00 -546 22
R R Donnelley 1 12/05/02 11/05/04 400 .000 13,719 .20 6,367 .87 0 .00 7,?51 .33 R R Donnelley 1 12/05/02 01/13/05 230 .000 7,687 .82 3,661 .53 0 .00 4,u2o .29 R R Donnelley 3 12/09/02 01/13/05 170 .000 5,682 .30 2,311 .19 0 .00 3,371 .11
Schering-Plough 1 04/30/02 09/21/05 400 .000 8,383 .61 11,120 .00 0 .00 -2,73, .39
Service Corp 9 05/01/02 10/20/04 900 .000 2,683 .94 1,536 .76 0 .00 1,147 18 Service Corp 9 05/01/02 11/12/09 100 .000 689 .92 384 .19 0 .00 305 .73 Service Corp 5 08/25/03 11/12/09 500 .000 3,999 .62 1,912 .30 0 .00 1,537 .32
Report Name : *G/L Tx*w/AmSal Page 3 offYd
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/09 End Date : 06/30/05
Ran Gate . n7/Iq/05 Run Times 03 :361w
QUANTITY SALE AMORTIZED SHORT TERM LONG TERM (UNITS) PROCEEDS TAX COST TAX GAIN/LASS TAX GAiN/LOSS
0 .00
0 .00
0 .00
29,491 .23
500 .000 10,030 .47 5,750 .00
66,300 .000 951,233 .73 305,192 .06
66,300 .000 451,233 .73 305,192 .06
269,500 .000 759,856 .99 589,329 .09
4,280 .47
146,041 .67
146,041 .67
146,041 .67 ACCOUNT N0 .- 190
o Report Name : *G/L Tx*w/AmSal Page 4 of /}/'Y
The Clark Foundation-Susan V . Clark 13-5616528
SECURITY LOT PURCH . SALE NAME NO . DATE DATE
- cont . Toys 'R' Us 1 11/17/03 11/17/04
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
ACCOUNT NO .- 191
FHLB 2 . 11/06 1 12/11/03 11/24/09 100,000 .000
r" HLn 2 .25 12/08 1 12/16/03 09/30/04 100,000 .000
FHLB 2 .25 5/07 1 05/25/04 05/18/05 100,000 .000
FHLB 3 .0 10/09 1 06/09/09 10/21/04 100,000 .000
400,000 .000
900,000 .000
FHLB 9 .55 5/10 1 06/13/03 11/13/04 100,000 .000
Service 6 '05 1 08/19/03 05/10/05 9,000 .000
T 1 .5 2/05 1 10/17/03 02/28/05 100,000 .000
209,000 .000
209,000 .000
ACCOUNT NO .- 191 609,000 .000
100,000 .00 99,957 .63 42 .37 0 .00
100,000 .00 99,893 .75 106 .25 () 00
100,000 .00 99,958 .02 41 .98 0 .00
100,000 .00 100,000 .00 0 .00 0 .00
400,000 .00 399,809 .40 190 .60 0 .00
400,000 .00 399,809 .40 190 .60 0 00
100,000 .00 100,371 .77 0 .00 -371 .77
9,051 .03 9,000 .00 0 .00 51 .03
100,000 .00 100,000 .00 0 .00 o 00
209,051 .03 209,371 .77 0 .00 -3?0 .74
209,051 .03 209,371 .77 0 .00 -320 .7-1
609,051 .03 609,181 .17 190 .60 -320 7-1
Report Name : *G/L Tx*w/AmSal Page 1 of y
The Clark Foundation-Friends Fund 13-5616528
SECURITY LOT PURCH . SALE QUANTITY NAME NO . DATE DATE (UNITS)
Run Dat~ . 07/1=i/(1 ̀. Run Time . 03 371im
SALE AMORTIZED SHORT TERM LONG TFI'M PROCEEDS TAX COST TAX GAIN/LOSS Tr:- Gn ih!/!.U~~S
Report Name : *G/L Tx*w/AmSal Page 1 of y 3/v
TAX REALIZED GAIN/LOSS ON SECURITY SALES/MATURITIES (With Amortization)
Begin Date : 07/01/04 End Date : 06/30/05
The Clark Foundation-St . Timothy's Fund Run Date 0?/I4 /0 5 13-5616528 run Tim, 03 .371)111
SECURITY LOT PURCH . SALE QUANTITY SALE AMORTIZED SHORT TERM LONG Tf?RH NAME NO . DATE DATE (UNITS) PROCEEDS TAX COST TAX GAIN/LOSS TAX . G^i["I/[.OSS
ACCOUNT NO .- 192
FFCB 6 .12 2/12 1 12/21/04 02/19/05 20,000 .000 20,000 .00 20,088 .32 -88 .32 0 .00
FHLB 2 .25 12/08 1 12/16/03 09/30/04 25,000 .000 25,000 .00 29,973 .99 26 .56 0 .00
FHLB 4 .89 3/07 1 01/04/05 03/07/05 25,000 .000 25,000 .00 25,069 .97 -64 .47 0 .00
FHLB 5 .25 12/12 1 12/17/03 10/08/04 19,285 .710 19,285 .71 19,285 .71 0 .00 0 00
FHLB 6 .585 8/19 1 06/21/09 08/06/09 25,000 .000 25,000 .00 25,000 .00 0 .00 0 00 FHLB 6 .585 8/14 2 07/22/04 08/06/04 10,000 .000 10,000 .00 10,000 .00 0 .00 0 .00
FHLB5 .25 12/12a 1 08/19/04 10/08/04 20,000 .000 20,000 .00 19,987 .51 12 .49 0 00
FHLMC 6 .0 9/13 1 08/23/09 09/09/09 15,000 .000 15,000 .00 15,000 .00 0 .00 0 00
FNMA 6 .0 4/18 1 03/25/09 01/28/05 25,000 .000 25,000 .00 25,000 .00 0 .00 0 .00
FNMA 6 .09 1/09 1 12/22/04 01/07/05 25,000 .000 25,000 .00 25,000 .00 0 .00 0 .00
209,285 .710 209,285 .71 209,399 .95 -113 .74 0 nn
209,285 .710 209,285 .71 209,399 .95 -113 .7 0 00
Service 6 '05 1 08/14/03 05/10/05 3,000 .000 3,017 .01 3,000 .00 0 .00 17 01
Service 7 .2 '06 1 05/27/03 06/16/05 25,000 .000 25,733 .25 25,198 .11 0 .00 585 l4
28,000 .000 28,750 .26 28,198 .11 0 .00 603 15
28,000 .000 28,750 .26 28,148 .11 0 .00 6O :' .15
ACCOUNT NO .- 192 237,285 .710 238,035 .97 237,597 .56 -113 .74 602 15
(C) Cost or
Other Basis
(c) Cost or
Other Basis
-45,208,606 . 0 .
Capital Gains Dividends from Part IV
Total to Form 990-PF, Part I, line 6a
0 .
80,688,361 .
Form 990-PF Rental Income Statement 2
Activity Gross Number Rental Income
2 103,988 .
103,988 .
Kind and Location of Property
Rental Income, Non-Debt . Financed Property
Total to Form 990-PF, Part I, line Sa
Description Amount
PARTNERSHIP INCOME 64,678 . SALE OF ASSETS 7,030 .
-64,678 .
Total to Form 990-PF, Part I, line 11, Column A 7,030 .
16 Statement s) 1, 2, 3 i214~102 3506 4 0 13-5616528 2004 .05050 THE CLARK FOUNDATION 13-56161
THE CLARK FOUNDATION
(a) Description of Property
PARTNERSHIP SEE LIST
(b) Gross
Sales Price
0 .
(a) Description of Property
BOOK PART INCOME
(b) Gross
Sales Price
0 .
13-5616528
Manner Date Acquired Acquired Date Sold
Purchased
(d) (e) (f ) Expense of
Sale Deprec . Gain or Loss
0 . 0 . 0 .
Manner Date Acquired Acquired Date Sold
Purchased
(d) (e) (f ) Expense of
Sale Deprec . Gain or Loss
0 . 0 . 45,208,606 .
Form 990-PF Other Income Statement 3
THE CLARK FOUNDATION 13-5616528
Form 990-PF Legal Fees Statement 4
(a) (b) (c) (d) Expenses Net Invest- Adjusted Charitable Per Books ment Income Net Income Purposes
103,576 . 0 . 103,576 .
103,576 . 0 . 103,576 .
Description
Legal Fees
To Fm 990-PF, Pg 1, In 16a
Form 990-PF Other Professional Fees Statement 5
(a) (b) Expenses Net Invest-Per Books ment Income
3,012,500 . 1,506,250 .
3,012,500 . 1,506,250 .
(d) Charitable Purposes
1,506,250 .
1,506,250 .
(c) Adjusted
Net Income Description
Other Professional Fees
To Form 990-PF, Pg 1, In 16c
Form 990-PF Taxes Statement 6
(a) (b) Expenses Net Invest-Per Books ment Income
178,886 . 178,886 . 497,947 . 0 . 77,887 . 58,415 .
0 . 22,172 .
754,720 . 259,473 .
(d) Charitable Purposes
0 . 0 .
19,472 . 0 .
19,472 .
(c) Adjusted
Net Income
17 Statement s) 4, 5, 6 2004 .05050 THE CLARK FOUNDATION 13-56161 1-21e1102 350640 13-5616528
Description
REAL ESTATE TAX EXCISE TAX PAYROLL TAX FOREIGN TAX GROSSUP
To Form 990-PF, Pg 1, In 18
THE CLARK FOUNDATION 13-5616528
Form 990-PF Other Expenses Statement 7
(c) Adjusted Net Income
891,731 . To Form 990-PF, Pg 1, In 23 1,877,555 . 5,855,986 .
Form 990-PF Corporate Stock Statement 8
385,519,723 . 438,702,647 .
385,519,723 . 438,702,647 . Total to Form 990-PF, Part II, line lOb
18 Statement s) 7, 8, 9, 10 -1?1,41102 350640 13-551528 2004 .05050 ^-E CLACK FOUIvDzTION 13-55161
(a) (b) Expenses Net Invest-
Description Per Books ment Income
BOOK KEEPING ETC . 532,670 . 505,939 . SCHOLARSHIP OFFICE 52,599 . 0 . UPKEEP MAINTENANCE 1,292,286 . 475,328 . PARTNERSHIP INVESTMENT EXPENSES 0 . 1,465,894 . EXPENSES IDC 0 . 3,408,825 .
(d) Charitable Purposes
26,731 . 48,043 .
816,957 .
0 . 0 .
Description
SEE SCHEDULE
Fair Market Book Value Value
Form 990-PF Part XV, Line 2b Statement 9 Application Requirements
Description
LETTER REQUEST . GRANT REQUEST MUST INCLUDE AUDIT BUDGET AND PROOF OF EXEMPTION
Form 990-PF Part XV, Line 2d Statement 10 Award Restrictions and Limitations
Description
REQUEST FROM INDIVIDUALS ARE RESTRICTED TO PROVIDE HOSP,MEDICAL,CONVALESCENT CARE IN NEW YORK STATE
UNRESTRICTED FUND PAGE 4 $434,627,029.86 $381,455,685 .61
CHARLES E. MAIN FD PAGE 5 334,215 .25 356,161 77
SUSAN V CLARK FD PAGE 7 1,659,358 65 1,629,569.24
FRIENDS FUND PAGE 8 1,622,711 .91 1,618,968 .06
ST TIMOTHY'S FD PAGE 9 459.331 .64 459.338 43
$438,702,647.31 $385,519,723 11
'n-u-- CLARK FOUNDATION
1:0R T1-11= 1'I~AIt I~-NDI:Q JUN1= gyp, 2UU5 FORM 2901117
13-5616528N
PA ft"I' I I
LINE 10 STATEMENT OF INVESTMENT MARKET VALUE BOOK VALUE
11]
Class Outside Manager
50,000 Clerk Partners I 4,443 .71 0 .00 100,OD0 Clark Partners I-8 1,556,513 47 ?,258,090 .00 40,958 Clerk Partners I-D 684,808 .21 599,356 19 86,055 Clark Partners I-E X92,823 .63 292 .818 .32 49 .415 Clerk Partners I-F 268,734 91 268,734 .40
127,526 Clark Partners 1-(; 1,389,516 .99 1 .389,509 55 455 .889 Clark Partners I-I 1 .701,732 .38 1,701,741 .49 B2,SOD Clark Partners I-J 2,999,592 03 3 .035,381 25 6D,466 Clark Partners I-R x97,538 79 483,080 67 67,049 Clark Partners I-L 250,259 .46 250,534 59 106,372 Clark Partners I-M 125,168 .68 125,210 80 142,437 Clark Partners I-N 1,622,870 10 1,505,247 86 378,925 Clark Partners I-0 3,031,046 .79 3,031,055 90 85,694 Clark Partners I-P 670,722 73 670,720 B3
115,010 Clark Partners I-Q 378,338 55 370,336 90 109,675 Clark Partners I-R 555,258 .58 555,263 05 117,457 Clark Partners I-S (CM Equity II) 985,717 28 649,832 17 74,233 Clark Partners I-T (Pomona V) 782,945 10 49,751 75
985 .803 Clark Partners I-0 (Nat11n Patterson) 8,239,288 76 9,E58,034 27 159,? :9 Clark Partners ?-w ([quantum) 1,368,518 02 1,448,351 39 222,DUD Clark Partners iii 3,7E3,7 E4 09 6, :92,-'S 8D
'- 2'~S Cd==r Pa= -'==5 ==='S -IE4 .6 :3 51 205 .021 50
_'_7 ~7 cc~,_ :t :c
The Clark Foundation
TOTAL HOLDINGS
06/)0/05
punntity security Coupon Maturity Hook Market funiti)) Description Rate Data value- value
ClaDD- Bond
10,000 GP-7'O LLC-C (Time Out Chicago) 12 000 03/10/15 120,000 .00 120,0D0 00 5,000,000 Croon bliro Holdings 9r Set'd 9 .500 03/01/11 S .OOD,000 .00 5,525 .000 00 5,000,000 Federal Home Lone Bank 3 .000 01/18/06 0,999,817 45 0,979 .687 .50 1,562,500 Federal Home Loan Bank ) 875 06/01/07 1,566,770 .05 1,560,058 59 2,000 .000 Federal Home Lone Hank 5 090 1D/22/12 2,DOD,000 00 2,000,625 .00 5,000,000 Federal Home Loan Bank (Global lx) 4 000 03/10/08 4,982,724 .30 5,003,125 00 3,000,000 Federal Home Lone Seek (NO) Z 800 12/19/06 3,001 .244 .91 2,955,937 .50 1,5D0,000 Federal Home Loan Hank Step 6 .251) 3 000 07/30/13 1,488,853 41 1,489,218 75 3,000,000 Federal Home Loan Sank (Step 7%) 4 .000 08/13/18 2,992,804 .68 2,968,125 .00
15,000,000 Federal Home Loan Sank (Step at) 2 000 04/15/09 10 .926,510 .11 14,831,250 00 4,000,000 Federal Home Loan Bank (Step) 2 .500 08/24/07 3,999,094 .60 3,996,250 OD 4,000,000 Federal Home Loan Sank (Step) 3 250 12/17/09 4,000,000 .00 3,998,750 .00 4,000,000 Federal Home Loon Bank (Step) 3 250 12/16/10 9,000 .000 .00 3,948,750 .00 2,500,000 Federal Home Wan Hank (Step) 4 DOD Oa/08/10 2,498,482 .53 2,500,000 00 1,200,000 Federal Home Loan Bank MAY) 6 .35 08/15/06 1,195,516 .21 1,231 .875 .00 1,494,500 Federal Pnrtaere-P1 (Viewpoint) 4 .950 03/31/06 1,3x5,050 .00 1 .345,050 DO 3,0OO,ODO Ooldmnn Sncha Orp Notes (li4A) B 000 03/D1/13 3,000,000 00 3,599,151 .00 4,000,000 Ingrnm Micro Sr Sub Notes 9 .875 08/15/08 3 .835,521 .77 4,210,000 .00 3,500,000 Smithfield Foods Sr Sub Notes 7 .625 02/15/08 3,387,779 .35 3,640,000 00 10,000,000 DS Treasury 1 500 07/31/O5 9,997,461 .57 9,986,330 .00 10,000,000 DS Treasury 1 625 09/30/05 9,971,011 .63 9 .962,109 40 4,000,000 US Treasury 3 .375 02/15/08 3,997,369 .41 3,970,936 DO 10,OD0,000 09 Treasury 3 .500 11/15/06 9,981,225 .85 9 .988,670 00 lO,DDD,ODO DS Treasury d 000 06/15/09 9,953 .447 92 10,107,810 00 4,000,000 OS Treasury 4 .000 03/15/10 3,970.792 .66 4,043,592 00
Class . Sand 116,156,532 .39 117,962,3D0 7a
113
The Clark Foundation
'TOTAL HOLDINGS
D6/30/OS
Coupon Maturity
Rate Date Quantity Security (Units) Dooeription
Hook Market Value* Value
Class : Private Equity
255,023 Clark Ley . LLC 2,223,202 07 2,550,231 08 3,352 Clark I.ey,LLC-A (Leyland E8, LLC) 33,515 24 33,515 .24
11,073 Clark Partners I-Y1 (Rockford Energy) 13,380 .46 114,730 74 9,419 Clark Partners I-Y2 (Sego Energy) 7,942 06 94,188 DO
16,778 Clark Partners I-Y3 (Linn Energy LLC) 22,475 86 167,776 .42 19,373 Clark Partners I-YS (Denali 011 & Gas) 183,806 25 193,733 39 825,000 Clark Ptr I-AA2(Eleetroaie Global PLdC) 247,5D0 00 247,500 00
7,425,000 Clark Ptrs I-AA (Electronic Global PfdH) 1,485 .D00 00 1,485,000 DO 28,046 Clark Ptro I-W2 (Quantum Ptra III) 280,462 .18 28D,462 18 7,854 Clerk Ptro I-Y10 (Tzipoint Energy) 78,539 02 78,539 .02 1,038 Clark Ptro I-Y11 (17eritnge Energy) 10,383 32 10,383 32 ],720 Clark Ptra I-Yd (Cougar Hydrocarbons) 27,204 .51 27,204 51 7,673 Clark Ptre I-Y6 (NOrthpoint Energy) 76 .725 97 76,725 97
16,778 Clark Ptre I-Y7 (Croon 011 Ptrn IZ) 157,341 .90 167,776 .43 10,074 Clark Ptra I-Y8 (Chelker Energy) 11x,015 .82 100,737 22 14,105 Clerk Ptrs I-Y9 (Cclcro Energy, L .P .) 141,049 .08 141,049 .08
1,699,502 Clark 58, Limited Liability Company x,895 .048 .97 7,677,6BD .07 190 .351 CP-TO Limited Liability Company 319,151 .00 1 .803,507 .51 182,120 Cw5 Limited Liability Company 7,397,750 .00 1,821,200 .00 51,081 Federal Partners D 517,625 .00 517,744 27 105,000 Federal Partners-L / Ifmnediea Inc 11050,000 .00 0 .00 102,000 Federal Partners-N IDigiscript, Inc) 1,020,002 .00 1,020,002 00 73 .500 Federal Ptre-Q1 (Bnrington Investors) 735,000 00 735,000 00 27,000 Federal Ptra-R (Slue marlin) 270,000 .00 270,000 .00 120,D00 Federal Ptra-S (Opto Generic Devices) 1,20D,000 .00 1,20D,ODD 00 9D,OD0 Federal Ptrs-D (Gridiron Schutt) 40D,000 .00 400,000 DO 6,560 Rock 31 Church Street Commons 65,598 .39 65,598 39 4,507 Rock 31 CMP (Citrus Medical Pro)act) 45,067 60 95,067 60 6,510 Rock 31 DHP (Destin Hospitality) 65,097 66 65 .097 66
25,435 Rock 31 Diamond Bar Village 201,646 .00 254,345 39 19,481 Rock 31 Fairfield Commons Project 194,811 20 194,811 .20 24,930 Rock 31 Ft . Lauderdale Project 243,009 00 249,304 DO 5,501 Rock 31 Ft Lauderdale Pzo)ect p2 55,008 .40 55,008 .40
29 .536 Rock 31 Hampton inn Project 295,358 84 295,358 84 16,591 Rock 31 Merrick Ave Westbury NY 165,914 40 165,919 40 16,024 Rock 31 SHP (Seven Hills Pzo)ect) 160,290 35 160,240 35 2,003 ROCK 31 SVO (Soundview Overhead) 20,030 06 20,030 06
22,534 Rock 31-NAP (N;=ama= Flerspace) 225,338 00 225,338 DO
__ .55 ?._ .a._ 7 .__=y 24,644,240 61 010,600 74
Clnoo outside manager - cont
9,250 Clark Partners III-0 (Sevin Rouen IX) 80,712 68 92,500 00 42,101 Clark Ptrn I-R2 (Silver Lake Ptrs II) 411,994 42 421,010 .35 137,198 Clark Ptre I-02 (Mle[lin Petteroon II) 1,131,435 61 1,371,980 .54 86,481 Marathon Fund L.P . 111 413,608 00 413,612 21 89,957 Marathon F1nd Limited Partnership IV 320,554 DO 320,553 .66 16,524 Marathon Fund V 15 .727 .78 165,239 45 126,300 Pomonn Capital II, Limited Partnership 149,913 00 194,11D 47
Class : Outside Manager 35,336 .711 60 39,767,863 .97
113
E-. Z. r- - ::c-, ~s
The Clark Foundation
TOTAL HOLDINGS
06/30/05
ouant i cy Security Coupon maturity Book Market (Uni t a) Doocription Rota Date Value Value
Class : Stock
191,600 3-D Systems 1,637,328 64 4,609 .896 DO 58,DOO Abbott Laboratories 67B .106 .63 2,842,580 00
285,600 AON Corporation 6,499,160.85 '7,151,424 .00 94,000 Armor Holdings Inc . 3,231,234 83 3,723,340 .DO
140,400 Bank Of New York Company 991,907 .70 4,040,712 00 155,600 Bristol Myers Squibb Company 3,865,606 .09 3,8B6,8BB .OO 175,500 Build-A-Bear Workshop 4,928,285 68 4,115,475 .00 24B,300 Cendamt Corporation 2,643,807 .39 5,554,471 .00 169,200 Citigroup Inc . 3,195,931 .40 7,822,116 .00 517,689 Clark Partners I-VI (Casual Male) 2,200,175 .BS 3,784,303 .32 370,125 Clark Partners I-V3 (Casual Male) 3,701 .25 2,705,613 .75 37S,000 Clark Ptra I-Z (3D Systems Corp) 2,250,000 .00 9,022,500 .00
1,350,000 Clark Ptra I-Z2 (3D Sys Corp 6% CV Sub) 6 .ODO 11/3D/13 1,350,000 .00 3,190,668 .3D
293,800 Convergys Corporation 5,197,873 .66 4,177,836 .00 225,108 Cyberonics Inc 1,377,402 .62 9,767,436 .12
77B .DOO Del Monte Foods 8,084,138 .31 8,379,060 .00 220,351 Ducommun, Inc 1,224,196 .83 3,726,135 .41 365,702 Ducommun, Inc (Restricted) 1,219,006 .67 6,184,020 82 610,80D E Speed 5,791,204 45 5,442,228 .00 44,6BO Easylink Services Corporation A 3,084,578 .74 44,233 .20 26,668 Ex:xon Mobil Corporation 32,241 .20 1 .532,609 .96
2,088,425 Federal Partnern-K.I/Easylink 4,266,251 99 2,067,540 .69 1,543,501 Federal Partnera-P2 (Viewpoint) 149,450 .10 2,731 .996 .77
1,562,5DO Federal Partnera-P3 (Viewpoint) 1,250,DOO .OD 2,765,625 .00 1,372 .DDO Federal Ptre-02 (Barington Fund) 13,720,DDO 00 15,071,314 .36
245,000 Federal Ptre-T (Gilder, Gagnon, et &I) 2,450,DDD .00 2,761,493 .00 9B6,667 Federal Ptra-V (Thomao Equipment) 2,959,999 .99 4,222,933 32 91,644 First Data 492,254 .58 3,678,590 .16 421,400 Gymboree Corporation 5,760 .011 .23 5,756,324 00 300,900 Hewlett-Packard Cc 5 .993,601 .52 7,074,159 00 87,200 Home Depot Inc . 3,056,616 60 3,392,080 .00 177,800 Intel Corporation 3,147,861 00 4,626,356 00 459,000 Intarpublic Group Coo Inc 5,122,373 .03 5,590,620 00 921,200 Iomega Corporation Com 4,D60,371 .66 2,441,180 00 22,400 Kimberly Clark Corp 961,623 .14 1,402,016 .00 402,800 La-Z-Boy Inc 5,901,132 69 5,868,796 .00 74,600 Lakes Entertainment 1,122,159 .36 1,148,840 00 147,4DD Leapfrog Enterprises 1,77B,711 55 1,665,620 .00 368,737 Luminex Corporation 5,662,435 .09 3,628,372 .08
356,500 Mattel Inc 6,486,591 .09 6,523,950 00 595,100 Maytag Corporation 8,778,985 08 9,319,266 00 121,300 Merck & Co 3,184,591 .94 3,736,040 00 92,000 Microsoft Corp 2,350,124 00 2,285,280 00 72,000 Nautilus, Inc 1,027,235 30 2,052,OOD 00
348,700 Pfizer Inc 9,417,288 .33 9,617,146 00 335,100 Phoenix Technologies Ltd 2,851,350 .57 2,607,078 .00 556,200 PRG Schultz International 2,783 .199 43 1,568,484 .00 137,426 R R Donnelley & Sons 1,969,808 97 4,742,226 16 6'75,300 Register com 3,662, 692 .90 5, 064,750 00
'-57,900 SI Corporation 708,822 IS 743,709 00 1".0,700 Sara Lee Corporation 2,069,345 14 2,292,967 00 246, 700 Schering-Plough Corp 5,626 .5EI 26 4,'702,'-02 00 ~ 1 :2 4 D 0 Silicon Grap'~ics :nc 5,473,222 26 1,4D4,664 00
2_51 200 7ime Warner :-c 4 4 :4,11S DO 00
___D 7~Z :os 5 ----B,25-7 13 3,E16-25 00 'e~:o 7- :
113
Oua.ntity Security (Units) Description
Book Market Value- Value
- cont
-- - z =- D~- - - - ze :: 7 :E,
Class . Stock
186,000 Viewpoint Corp 155,40D Wyeth
Class Stock
The Clark Foundation
TOTAL HOLDINGS
06/30/05
Coupon Maturity Rate Date
1 .697,949 60 329,220 00 5,631,658 13 6,915 .300 .00
205,318,201 .01 253,886,064 41
381,455,685 61 434,627,029 86
Coupon Maturity Book Market Rate Date Value, value
a Z E-Z Z '.~ S
112
ouantity Security (Unito) Doocription
Cla oo Bond
25,000 Federal Home Loan Bank 25,000 Federal Home Loan Bank 20,000 Federal Home Loan Bank 25,ODO Federal Home Loan Bank 25,000 Federal Home Loan Bank 25,000 Federal Home Loan Bank (Step 6%) 25,000 Federal Home Lo&n BaLnk (Step 7%) 25,000 Federal Home Loan Bank (Step) 25,000 Federal Home Loan Bank (Step) 25,DOO Federal Home Loan Bank (Step) 25,000 Smithfield Foods Sr Sub Notes
Class : Bond
Class . Stock
100 ADN corporation Soo Bristol Myers Squibb Comp&ny 300 Eanylink Services Corporation A
2,300 Phoenix Technologies Ltd 300 PRG Schultz International 100 Sara Lee Corporation Soo Schering-Plough Corp
1,400 TRC Coo
Class . Stock
The Clark Foundation- Charles Main Fund
TOTAL HOLDINGS
06/30/05
3 150 04/23/07 25,014 47 24,703 13 3 800 11/13/07 25,041 .42 24,914 .D6 4 .000 12/08/06 20,DDO .00 19,956 .25 5 090 10/22/12 25,ODO 00 25,001 .81 6 ODD 09/D6/11 24,993 98 25,640 63 3 000 12/30/08 24,912 59 24,882 81 2 000 D4/15/D9 24,946 68 24,718 75 3 000 07/14/10 24,979 86 24,835 94 3 .250 12/16/10 25,000 .00 24,679 69 3 .500 10/15/08 24,987 46 24,992 .19 7 625 02/15/08 25,000 .00 26,000 .00
269,876 .46 270,331 25
2,135.89 2,504 00 14,411 .55 12 .490 .00 9,696.00 297 00 15,522 46 17,894 00 1,470 .85 846 .00 1,876 00 1,981 00 14,959 67 21,436 .00 26,212 89 16,436 .00
86,285 .31 63,884 .00
356,161 .77 334,215 25
190
The Clark Foundation- Susan V Clark
TOTAL HOLDINGS
06/30/DS
Coupon Maturity Rate Date
Book Market value- Value
Claos Bond
100 . 000 Federal Home LoaLn Bank 3 000 11/06/06 99,916 49 98,937 .50 50,000 Federal Home Loan Bank 6 .000 09/06/11 49,987 95 51,281 25
100,000 Federal Home Loan Bank (Step 6t) 3 000 12/30/08 99,650 36 99,531 .25 50,000 Federal Home LoaLn Bank (Step 7k) 2 DOD 04/15/09 49,893 36 49,437 .50 50,000 Federal Home Loo&n Bank (Step) 2 .500 D8/24/07 49,926 17 49,953 13
100,000 Federal Home Loan B&rxk (Step) 2 .500 12/26/07 98,368 79 98,437 .50 50,000 Federal Home Loan Bank (Step) 3 .250 12/16/10 50,000 00 49,359 38 50,000 Smithfield Foods Sr Sub Notes 7 .625 02/15/OB 48,724 .43 52,ODO .OO 50,DOO US Treasury 1 .625 09/30/05 49,984 B3 49,810.55 50,000 US Treasury 3 5DO 11/15/06 50,OOO .OD 49,943 .35 50,ODO US Treasury 4 .000 06/15/09 49,814 97 50,539 .05
696,267 .36 699,230 .45
Class- Stock
3,500 3-D Systems 33,314 45 84,210 .00
2,200 AON Corporation 48,268 .23 5S'088 .00 Soo Armor Holdings Inc . 17,213 .29 19,805 .00 700 Bank Of New York Company 21,518 .00 20,146 .00 900 Bristol Myers Squibb Company 24,064 .03 22,482 00 900 Build-A-Bear Workshop 25,302 89 21,105 .00
1,200 Casual Male Retail Grp ., Inc 5,490 .75 B,772 .DD 900 Citigroup Inc . 41,ID8 .24 41,607 .00
600 Convergya Corporation 8,740 94 8,532 .00 3,800 Del Monte Foods 39,926 .26 40,926 .00 3,300 E Speed 31,275 .56 29,403 .00
200 Eacylink Services Corporation A 8,279 .00 198 .00 2,400 Gymboree Corporation 31,638 55 32 .784 00 2,30D Hewlett-Packard Co 45,093 75 54,073 DO
5DO Home Depot Inc . 17,525 .40 19 .450 .OD 300 Intel Corporation 4,174 .20 7,BD6 .00
11700 Interpublic Group Cos Inc 18,936 27 20,706 .00 3 .300 Iomega Corporation Com 14,726 .33 8,745 .00 2,200 La-Z-Boy Inc 32,178 25 32,054 .00
4DO Lakes Entertainment 5,999 .04 61160 00 400 Leapfrog Enterprises 4,830.40 4,520 .00
1,600 Luminex Corporation 16,858 53 15,744 00 1,600 Mattel Inc 29,056 48 29,280 00 3,200 Maytag Corporation 47,207 .59 50,112 .00
400 Merck & Co 10,516 65 12,320 00
100 Microsoft Corp 2,551 06 2,484 00 2,000 Pfizer Inc 54,147 17 55,160 00 11500 Phoenix Technologies Ltd 13,364 35 11,670 00 2,300 PRG Schultz International 21,520 60 6,466 .00
1,720 R R Donnelley k Sons 22,153 81 59,357 20 2,900 Register com 15,684 95 21,750 00
Soo S1 Corporation 3,593 59 3,768 OD 500 Sara Lee Corporation 9,358 75 9,905 00
2. e0o Schering-Plough Corp 44, 588 07 34,308 00
3,40D S21icon Graphics Inc 23,489 56 5,964 00 4 C"'D -?C ::Cs 29,4EI 60 46,560 00
545 0 'D e e :C1 011 -.6 i7_1 0 :'5140 J3
s--,- E : :Z5-
ouantity Security
(Units) Description
Class Bond
190
conc
------ ----
ou&ntity Security (Unite) Deacription
Claoai Stock 600 Wyeth
CI&Dn . Stock
The Clark Foundation- Su9an V Clark
TOTAL HOLDINGS
DG/30/D5
coupon maturity Rate Date
Book market Value* value
22,003 09 26,100 00
933,301 .88 960,128 20
1,629 .569 24 1,659,358 65
191
coupon maturity Book market Rate Date Value, va, I uc
z- :) .- &.- a-n:.r--ze : :~s :
Ouantity Security (Units) Deocription
ClaDa- Bond
1DD, 000 Federal Home Loan Bank 100, DDO Federal Home Lo&n Bank (Global lx) 100,000 Federal Home Loan Bank (Step 6 .2S%)
100, DOO Federal Home Loan BaLnk (Step 7%) 100,000 Federal Home LoaLn Bank (Step 7%) ID0,000 Federal Home Loan Bank (Step) 100,000 Federal Home Lo&n B&nk (Step) 100,000 Federal Home Loan Bank (Step) 200,DDO Federal Home Loan Bank (Step) 100,000 Federal Home Loan Bank (Step) 100,00D Federal Home LoaLn Bank (Step) 50,000 Smithfield Foods Sr Notes 100,000 Smithfield Foods Sr Sub Notes 100,000 US Treasury 175,00D US Treasury
10D .000 US Treasury
Class- Bond
The Clark Foundation- Friends Fund
TOTAL HOLDINGS
06/30/05
2 600 11/28/06 100,078 42 98,343 75 4 .000 03/20/0B 99,654 49 ID0 .062 .50 3 000 07/30/13 99,714 75 99,281 .2S 2 .000 04/15/09 99,786 .72 98 .875 .00 3 375 01/2B/11 99,363 53 99,218 .75 2 375 0'7/28/06 99,940 .39 98,875 .00 2 500 12/26/07 98,368 .79 98,437 50 3 000 08/2D/08 100,000 .00 99,937 5D 3 25D 2D/29/DB 99,797 11 99,843 75 3 .250 12/16/10 100,000 .00 98,718 .75 3 .375 08/13/07 100,052 .64 99,D31 .25 8 000 10/15/09 50,000 .00 54,000 .00 7 .625 02/15/08 97,506 .93 104,000 .00 1 500 07/31/05 99,91B 49 99,863 .3o 2 625 D9/30/05 174,795 .81 174,336 .91 3 .500 11/15/06 100,ODD .00 99,886 70
2,618,968 .06 1,622,711 .91
2,618,968 .06 1,622,711 .91
192
Coupon Maturity Book Market Rate Data Value* Value
I
ouantity Security (units) Description
Claoo : Bond
25,000 Federal Farm Credit Bank 25,000 Federal Home Lo&n Bank
25,ODD Federal Home Loo&n Bank
25,000 Federal Home Loan Bank
25,000 Federal Home Loan Bank
25,000 Federal Home Loan Bank 25,000 Federal Home Loan Bank 20,OOD Federal Home Loam Bank 20,000 Federal Home Loan Bank 25,00D Federal Home Loan Bank 25,OOD Federal Home Loam Bank (Step 6 251k) 25,000 Federal Home Loan Bank (Step 7%)
25,00D Federal Home W&n Bank (Step) 25,000 Federal Home Loan Bank (Step) 25,000 Federal Home LoDan Bank (Step)
25,000 Federal Home Loan Bank (Step) 20,000 Smithfield Foods Sr Sub Notes 25,000 US Treasury 25,000 US Treasury
Class Bond
The Clark Foundation-St . Timothy's Fund
TOTAL HOLDINGS
06/30/05
3 520 10/19/07 24,949 71 24,796 8B 2 600 11/28/06 25,DI9 .61 24,585 .94 3 800 11/13/07 2S,041 .42 24,914 06 3 800 02/20/08 25,000 00 24 .890 .63 5 000 08/09/11 25,039 23 25,257 81 5 D40 06/07/10 25,015 .'7B 25,007 .Bl 5 125 10/15/12 24,972 30 25,007 .81
5 125 02/07/13 20,OOD .00 20,DO6 .25 5 .200 10/17/13 19,987 .99 20,031 .25
6 .000 09/06/11 24,993 98 25,640 .63
3 .000 07/30/13 24,928 .69 24,820 .31
2 000 04/15/09 24,946 .68 24,718 .75 2 .375 07/28/06 24,985 10 24,718 75 2 500 12/26/07 24,592 2D 24,609 38 3 250 08/20/08 24,957 .68 24,968 .75 3 .250 12/16/10 25,000 .00 24,679 .69 7 625 02/15/08 19,915 .65 20,800 .00
1 .625 09/30/05 24,992 .42 24,905 .27
3 .500 11/15/06 25,000 OD 24,971 .68
459,338 43 459,331 64
459,338 43 459,331 64
PROMISSORY NOTE
March 8, 2005 U . S . $ 1,000,000
By : r-A,- )+ Forbes Clark, Chairman
FOR VALUE RECEIVED, National Baseball Hall of Fame and Museum, Inc . (the
i ~Yrk Foundation (the "Lender") the "Borrower") hereby promises to pay to the rderitftf Th . principal amount of One Million Dollars on Muu (the "Maturity Date"), with Interest on the outstanding principal amount Of this Note at the per annum simple Interest rate of 2% . The payment made on the Maturity Date shall be in the entire principal amount hereof then outstanding, plus all unpaid Interest thereon .
The Borrower represents and warrants that It Is a not-for-profit corporation duly organized, validly existing and In good standing under the law of the State of New York ; that It has the power, and has taken all necessary action to authorize it, to execute, deliver and perform in accordance with its terms this Note ; and that this Note has been duly executed and delivered by the Borrower and Is a legal, valid and binding obligation of the Borrower, enforceable against the Borrower in accordance with Its terrns .
The Borrower may not assign any of Its rights or obligations under this Note without the prior written consent of the Lender . All of the provisions of this Note shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns .
Payment of the principal amount of and Interest on this Note shall be made In lawful money of the United States of America Immediately available to the Lender at such place as the Lender may designate .
The obligations of the Borrower hereunder are absolute and unconditional, and shall not be modified or discharged by any circumstance or event other than final payment and performance In full of the Borrower's obligations hereunder . The Borrower hereby waives presentment, notice, demand, protest, and notice of dishonor .
The Borrower agrees to pay, and save the Lender han-niess against any liability for the payment of, any costs and expenses, Including without limitation reasonable attorneys' fees, arising in connection with the enforcement by the Lender of any of its rights under this Note.
This Note shall be governed by and construed in accordance with the internal law of the State of New York .
NATIONAL BASEBALL HALL OF FAME AND MUSEUM, INC.
DIRECTORS
CHARLES H .HAM]ILTON ONE ROCKEFELLER PLAZA NEW YORK, NEW YORK 10020
JOHN HOYT STOOKEY C/O THE CLARK FDN NEW YORK, NEW YORK 10020
THE CLARK FOUNDATION OFFICF-RS AND DIRECTORS
FOR THE YEAR ENDED JUNE 30, 2003
OFFICERS:
PRESIDENT JANE FORBES CLARK VICE PRESIDENT ALEXANDER F . TREADWELL TREASURER KEVIN S . MOORE SECRETARY CHARLES H .HAMILTON ASSISTANT TREASURER RICHARD C.VANISON
JANE FORBES CLARK ANNE L. PERETZ FELICIA H .BLUM ALEXANDER F.TREADAFELL THOMAS Q.MORRIS DR. KENT L. BARWICK WILLIAM M .EVARTS
BUSINESS ADDRESSES ; JANE FORBES CLARK ONE ROCKEFELLER PLAZA NEW YORK, NEW YORK 10020
WILLIAM M. EVARTS, JR . C/O THE CLARK FOUNDATION ONE ROCKEFELLER PLAZA NEW YORK, NEW YORK 10020
RICHARD C. VANISON ONE ROCKEFELLER PLAZA NEW YORK, NEW YORK 100020
KEVIN S . MOORE ONE ROCKEFELLER PLAZA NEW YORK NEW YORK 10020
ARCHIE F . MACALLASTER GATES HELMS HAArN J014N HOYT STOOKEY KEVIN S . MOORE CLIFTON R. WHARTON, JR . EDWARD W. STACK
EDWARD W. STACK ONE ROCKEFELLER PLAZA NEW YORK, NEW YORK 10020
DR. CLIF70N R. WHARTON, JR. C/O THE CLARK FDN NEW YORK, NEW YORK 10020
FELICIA H . BLUM THE CLARK FOUNDATION NEW YORK, NEW YORK 10020
KENT L. BARWICK THE CLARK FOUNDATION NEW YORK,NEW YORK 10020
THOMAS QMORRIS M.D . THE CLARK FOUNDATION NEW YORK, NEW YORK 10020
ARCHIE F . MACALLASTER THE CLARK FOUNDATION NEW YORK,NEW YORK 10020
MR. GATES HELMS HAWN THE CLARK FOUNDATION NEW YORK, NEW YORK 10020 J-ERSEY CITY, NEW JERSEY
ALEXANDER F . TPLEADWELL THE CLARK FOUNDATION NEW YORK,NEW YORK 10020
ANNE L. PERETZ THE CLARK FOUNDATION NEW YORK, NEW YORK 10020
4 . A complete description of any stock, securities or other consideration transferred or rtceived (or deemed transferi-td or reccn7ed) in ih-- Exchan2C is as fol)ows
Abbreviated IRC Section 367(b) Notice For Shareholders (direct or indirect) Making the Election Described in Treas. Reg. Section 1 .367(b)-3(c)(3) in Connection With the December 31, 2004 Section 367(b) Exchange Transaction by New SAC of
Certance Holdings
This Abbreviated Section 367(b) Notice is made under the authority of Treas . Reg . Section 1 .367(b)- I (c)(5) in order to effectuate the election described in Treas . Reg. Section 1 .367(b)-3(c)(3) for the shareholder (direct or indirect) identified below .
Ceftance Holdings hereby notifies its shareholders of record as of December 31, 2004 that, as of such date, Certance Holdings has never had earnings and profits that would result in any shareholder having an all earnings and profits amount.
The following additional information is provided as required by Treas . Reg . Section 1 .367(b)-I(c) :
The shareholder described below hereby elects to include in income the "all earnings and profits amount" with respect to his or her shareholding in Certance Holdings . The shareholder's "all earnings and profits amount" with respect to such shares is zero .
2 . Certance Holdings reorganized into a domestic corporation in a transaction that is a Smtion 367(b) exchange ("the Exchange") .
3 . A complete description of the Exchange is as follows :
a. The Exchange is described in IRC Section 368(a)(1)(F) .
b . The Exchange occurred on December 31, 2004 .
c . The Exchange occurred in the state of Delaware and was treated as domestication pursuant to Delaware General Corporation Law.
d . The name of the company after the domestication is Certance Holdings Corporation .
e. For tax purposes, Certance Holdings (Cayman corporation) is deemed to have transferred all of its assets and liabilities to Certance Holdings Corporation (Delaware corporation) in exchange for common shares of Certance Holdings Corporation (Delaware Corporation) . Certance Holdings (Cayman Corporation) is deemed to have distributed such shares to its shareholdeT, New SAC, a foreign partnership for U.S . tax purposes, in a liquidating, distribution .
5. In accordance with Treas . Reg . Section 1 .367(b)-1(c)(3), the Shareholder identified below makes such election by attaching this statement to such Shareholder's timely filed federal tax return (including extensions) for such shareholder's taxable year that includes December 31, 2004 .
7-AL9, CCqteJC_ r--~,U-J!900774=~
Entity Name (eg . Trust, Partnership, etc) /,~- 5-6- / t=-Cl ~-
Taxpayer Identification Number
Date
a. The shareholders are deemed to have transferred common stock of Certance Holdings (Cayman corporation)
b. The shareholders are deemed to have received common stock of Certance Holdings Corporation (Delaware corporation) .
c . No securities or other property was transferred or received in the Exchange
Taxpayer Signature
Taxpayer Signature (Spouse if joint return)
Taxpayer Identification Number
Taxpayer Identification Number
AGST . Signature and Title of Person Authorized to Sign on Behalf of Entity
2004 Tax Return Attachment
Statement Pursuant to Internal Revenue Code Section 551(c) In Connection with Inclusion of Undistributed Foreign Personal Holding Company
Income
Foreign Corporation : Certance Holdings (Cayman Corporation) FEIN: 98-0355611
Taxable Year Ended December 31, 2004
GToss Income $5,944 .31 Deductions 0 .00 Taxable Income $5,944 .31 Foreign Personal Holding Company Income $5,944 .31 Undistributed Foreign Personal Holding Company Income $5,944 .31
Taxpayer's Distributive Share of Uodistributed Foreign Personal Holding Company Income
$
Ir
1-1-IF-C-LARK I-QIJEI)A-riQN
FORTHE, Yl:,AR ENIX~D JQNE~ ~Q, 2005
13-5616528N
PART XVI
CONTR-IBUTIONS
PARTNERSHIP VARIOUS
GENERAL ACCOUNT
SCHOLARSHIPS
SUSAN V. CLARK FUND
FRIENDS FUND
ST. TIMOTHY FUND
ACC GYMNASIUM
27,884.00
$16,627,947 00
2,967,007 00
67,462.00
140,00000
30,000.00
1,743,056 00
$21,603,356 00
I
FOR THE YEAR ENDED JUNE 30, 2005
THE CLARK FOUNDATION
GERTRUDE SMITH ANNA STAGLIANO MARY HILL ANDREJ BACIC PLANNED PARENTHOOD OF DELAWARE & OTSEGO COUNTIES
SCH :-:::DULEJ
14 THE CLAPK FOUNDATION
CONTRIBUTIONS FROM UNRESTRICTED FUND
THE FOI,~ GRANTS PER ATTACHED DUAI LED-LI STING INUUDF OWING.
,STRICTF THE FRIF - INCOME ,ND'S FUND (RF ,D) FRIEND'S COUNCIL ON EDUCATION - PHILADELPHIA, PA
ST TIMOTHY'S FUND - INCOM~ (RESTRICTED) ST . TIMOTHYS SCHOOL - STEVENSON, MD
GRANTS FROM UNRESTRICTED FUNDS
-* FORGIVENESS OF PROGRAM-RELATED LOAN
NET GRANTS
SPECIAL PROGRAMS Clark Fellowship Program Program Workshops & Conferences General Supporl
SPECIAL PROGRAMS TOTAL
TOTAL GRANTS AND SPECIAL PROGRAMS
Grants from Restricted Funds
Grants and Special Programs from Unrestricted Funds
SCHOLARSHIPS The Clark Foundation Scholarship Program
(Separate Schedule) Cooperstown
TOTAL CONTRIBUTIONS FROM UNRESTRICTED FUND
SUSAN V CLARK FUND - INCOME
CONTRIBUTIONS TO OR FOR THE BENEFIT OF NEEDY INDIVIDUALS
140,000.00
30,00000
16,493 .907 00 \IDA-S' d(G-1 .00 2.000,000 00
18,663,907 00
130,162.50 3.550-00 327.50
134,04000
18,797 .947.00
(170,000.00)
18,627,947.00
2,967,007.41
21,594,954.41
-k ~a QG.C'q3'0'Q
\Ick _In Ilk k
26200 18,60000 3,600.00 15,00000 30,00000
67,46200
Ctnitr for Employment Cloportunities Nev,-- Yoi-k- NY S200.000
Ntx Yo-,k- NY S~0.000 T-
WE CLA-RK FOUNDATION CONTRIBUTIONS FOR THE YEAR ENDED JUNE 30,2005
Organization Name city State Grant Amount
ACCION New York New York NY $75,000
Achievement First New York NY $100,000
Achilles Track Club New York NY $40,000
Advocates for Children of New York New York NY $50,000
The Albert G. Oliver Program New York NY $75,000
The Albert G. Oliver Program New York NY $75,000
Alianza Dominicana, Inc. New York NY $50,000
American Farm School New York NY $25,000
Ballet Hispanico of New York New York NY $25,000
Beginning With Children Foundation, Inc . New York NY $100,000
Big Brothers Big Sisters of New York City New York NY $150,000
Binding Together, Inc. New York NY $50,000
Biological Field Station Cooperstown NY $40,000
The Booker T. Washington Learning Center New York NY $25,000
B- & Girls Harbor Inc New York NY $60,000
The Bridge Fund of New York Inc. New York NY $100,000
Bronx Charter School for the Arts Bronx NY $50,000
Bronx Preparatory Charter School Bronx NY $100,000
Brooklyn Alliance, Inc. Brooklyn NY $50,000
The Brookwood School Cooperstown NY $50.000
The Brotherhood/Sister Sol New York, NY $50,000
Orc,anization Name CitV State Grant Amount
Children's Hope Foundation New York NY S120,000
The Children's Storefront New York NY $75,000
Church Avenue Merchants Block Association Brooklyn NY $40,000
Church of the Holy Apostles Soup Kitchen New York NY $50,000
City Harvest, Inc . New York NY $75,000
City Harvest, Inc . New York NY $75,000
Civic Builders New York NY $200,000
Civic Strategies Burlington MA $75,000
Classroom, Inc . New York NY $50,000
Coalition for Hispanic Family Services Brooklyn N`Y $50,000
Columbia University School of General Studies New York NY $50,000
East Harlem Tutorial Program New York NY
Episcopal Social Services
Cnai-Ler School S30.000
Community for Education Foundation New York NY
Community Resource Exchange New York NY
Community Service Society of New York New York NY
Village of Cooperstown Cooperstown NY
The Council of Community Services of New York Albany NY State
Court Appointed Special Advocates, Inc. New York N`Y
Covenant House New York NY
De La Salle Academy New York NY
The Doe Fund, Inc. New York NY
The Door New York NY
Edwin Gould Acaderny Chestnut Ridge NY
New Yoi-k NY
$50,000
$100,000
$75,000
$2,250
$75,000
$50,000
$75,000
$50,000
$100,000
$200,000
$85,000
$100,000
S250,000
Good Shtpherd Services New York- NY S37/5 .000
Ci-and S-Lrttt St-r-dement New York NY S100 .000
Oruanization Name City State Grant Amount
'taith Center for Community Development New York NY $100,000
The Family Center, Inc. Somerville MA 1 $75,000
The Farmers' Museum, Inc . Cooperstown NY $33,800
The Farmers' Museum, Inc. Cooperstown NY $40,000
The Farmers'Museum, Inc. Cooperstown NY $66,200
Food Bank for New York City Bronx NY $100,000
The Forest Hills Community House Forest Hills NY $50,000
The Foundation Center New York NY $43,000
Foundation for Excellent Schools Cornwall VT $75,000
Franciscan Community Center New York NY $50,000
Fresh Youth Initiatives New York NY $40,000
Friends Council on Education Philadelphia PA $140,000
Friends of Bassett Cooperstown NY $1,000,000
Fund for the City of New York New York NY $50,000
Fund for the City of New York New York NY $1,000,000
Fund for the City of New York New York NY $300,000
Fund for the City of New York New York NY $587,000
Future Leaders Institute, Inc. New York NY $50,000
George Jackson Academy New York NY $75,000
Glimmerglass Opera, Inc. Cooperstown NY $175,000
Goddard Riverside Community Center New York NY $250,000
Goddard Riverside Community Center New York NY $75,000
Good Shepherd Services New York NY $75,000
Good Shepherd Sen,ices New York NY $50,000
Oroanization Name city State G ra Amount
troundwork, Inc . Brooklyn NY $40,000
Habitat for Humanity Brooklyn NY $100,000
Harlem Day Charter School New York NY $50,000
Harlem RBI New York NY $100,000
The Harlem School of the Arts, Inc . New York NY $75,000
Highbridge Community Life Center Bronx NY $150,000
The Hill School Middleburg VA $125,000
Hispanic Federation New York NY $50,000
The Hope Program Brooklyn NY $75,000
Hospital for Special Surgery New York NY $50,000
Hudson Guild New York NY $125,000
Institute for Not-for-Profit Management New York NY $75,000
Institute for Not-for-Profit Management New York NY $75,000
Inwood House New York NY $85,000
Iris House, Inc . New York NY $30,000
The Jeficho Project New York NY $100,000
The Jericho Project New York NY $200,000
Bronx N')" S50 .000 Mosholu Montefiore Community Center
The Jericho Project
Landmark Volunteers
Learning Leaders
Legal Information for Families Today
Lenox Hill Neighborhood House
Lincoln Square Neighborhood Center
The Lorraine Monroe Leadership Institute
New York NY $75,000
Sheffield MA $25,000
New York NY $125,000
New York NY $50,000
New York NY $75,000
New York NY $100,000
New York NY $75,000
Organization Name city State Grant Amount
'The National Baseball Hall of Fame and Museum, Cooperstown NY $1,000,000 Inc.
New Settlement Aparti-nents Bronx NY $50,000
New Visions for Public Schools New York NY $100,000
New York Cares, Inc. New York NY $100,000
NYC Center for Charter School Excellence New York NY $250,000
New York City Employment & Training Coalition New York NY $75,000
New York City/New Jersey FIRST! Brooklyn NY $30,000
New York City Opera New York NY $25,000
New York City Outward Bound Long Island City NY $50,000
The New York Community Trust New York NY $100,000
The New York Community Trust New York NY $75,000
New York School To Work Alliance New York NY $30,000
New York State Historical Association Cooperstown NY $40,000
New York State Historical Association Cooperstown NY $70,150
New York State Historical Association Cooperstown NY $135,507
New York University New York NY $40,000
Nonprofit Coordinating Committee of New York New York NY $15,000
Nontraditional Employment for Women New York NY $50,000
Opportunities For A Better Tomorrow, Inc. Brooklyn NY $200,000
Otsego County Conservation Association Cooperstown NY $75,000
Otsego County Department of Social Services Cooperstown NY $2,000
Otsego County Sheriffs Office Cooperstown NY $40,000
Paraprofessional Healthcare Institute Bronx NY $175,000
Partnership for After School Education New York NY S50,000
Partnti-ship for After School Education Ne,v York, NY S54.000
Orcranization Name city State Grant W Amount
OPartnership with Children, Inc. New York NY $150,000
Project Reach Youth, Inc. Brooklyn NY $50,000
Reading Excellence and Discovery Foundation New York NY $50,000
The Rensselaerville Institute Rensselaerville NY $125,000
Replications, Inc . New York NY $50,000
Ronald McDonald House New York NY $50,000
Safe Space New York NY $100,000
SCO Family of Services Center for Family Life Brooklyn NY $100,000
SCO Family of Services Glen Cove NY $250,000
SCO Family of Services Glen Cove NY $25,000
St . Raymond Community Outreach, Inc. Bronx NY $50,000
St. Timothy's School Stevenson MD $30,000
Stanley M. Isaacs Neighborhood Center, Inc. New York NY $125,000
Student Sponsor Partners, Inc. New York NY $100,000
The Studio in a School Association New York NY $40,000
Summer on the Hill Riverdale NY $20,000
Taproot Foundation Brooklyn NY $75,000
Teach for America New York NY $200,000
The TEAK Fellowship New York NY $75,000
The New York State Trooper Foundation, Inc. Latham NY $25,000
The Trust for Public Land New York NY $0
Union Settlement Association New York NY $50,000
United Hospital Fund New York NY $20,000
The United Methodist City Society New York INT Y S-110,000
UT-, itcd \Vay of NI-%v York- City Nevv York NY $500~000
. \ f -itas N t \v 'I" o,- k NY S50 000
Organization Name city State Grant Amount
"'Vocational Foundation, Inc. Brooklyn NY $250,000
Volunteer Consulting Group, Inc. New York NY $50,000
Volunteer Consulting Group, Inc. New York NY $100,000
Wornen's Housing and Economic Development Bronx NY $75,000 Corp.
YMCA of Greater New York New York NY $50,000
YMCA of Greater New York New York NY $50,000
The Young Women's Leadership Foundation New York NY $150,000
$16,663,907 Grand Total (157 items)
41
OPERATING INCOME
12,85400
Lk,& P-Q, LA
LOSS ON DISPOSAL OF ASSETS
THE CLARK FOUNDATION
CLARK SPORTS CENTER
INCOME & EXPENSE FOR THE YEAR ENDED JUNE 30, 2005
MEMBERSHIP FEES PROGRAM FEES LOCKER RENTALS MERCHANDISE & VENDING SALES
LESS COST OF GOODS SOLD MISCELLANEOUS THERAPY ROOM RENTAL
OPERATING EXPENSES
SALARIES & WAGES EMPLOYEE BENEFITS INSURANCE ADMINISTRATIVE FUEL ELECTRICITY OPERATIONS & MAINTENANCE OUTWARDBOUND PROGRAMS
NET EXPENSE OF OPERATIONS
600.43500 253,23300 15,709 .00
40,286.00 (36,462.00) 3,82400
5,81058 1,456.00
880,467.58
1,355,758 00 360,66700 138.099.00 97,87300 67.21600 147,179 .00 231,26400 96,49800 116,116.00
2,610,670.00
1,730,202 42