2023-10-17T14:32:04-05:00 2022-12-31 582475857 NICHOLS CAULEY & ASSOCIATES LLC 1300 BELLEVUE AVENUE DUBLIN GA 310214152 990 2022-01-01 611777637 CLAY ELECTRIC FOUNDATION INC CLAY 3524738000 PO BOX 308 KEYSTONE HEIGHTS FL 32656 STEPHEN BAILEY PRESIDENT 3524738000 2023-10-17 1 STEPHEN BAILEY 999009999 0 CAL BRANTLEY CPA P00636393 4782751163 2023-10-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHEN BAILEY PO BOX 308 KEYSTONE HEIGHTS FL 32656 888411 0 X WWW.CLAYELECTRIC.COM/FOUNDATIONBOARD X 2015 FL THE ACCUMULATION AND DISBURSEMENT OF FUNDS FOR CHARITABLE, EDUCATIONAL AND OTHER WORTHY PURPOSES IN THE 14 COUNTY SERVICE AREA OF CLAY ELECTRIC COOPERATIVE, INC. 9 9 0 0 0 0 892614 888411 0 0 0 0 0 0 892614 888411 900708 927692 0 0 0 0 0 0 0 0 0 900708 927692 -8094 -39281 306875 282594 0 15000 306875 267594 THE ACCUMULATION AND DISBURSEMENT OF FUNDS FOR CHARITABLE, EDUCATIONAL AND OTHER WORTHY PURPOSES IN THE 14 COUNTY SERVICE AREA OF CLAY ELECTRIC COOPERATIVE, INC. 0 0 927692 927692 888411 THE ACCUMULATION AND DISBURSEMENT OF FUNDS FOR CHARITABLE, EDUCATIONAL AND OTHER WORTHY PURPOSES IN THE 14 COUNTY SERVICE AREA OF CLAY ELECTRIC COOPERATIVE, INC. 927692 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X DENISE BROSSETTE 3524738000 PO BOX 308 KEYSTONE HEIGHTS FL 326560308 X STEPHEN E BAILEY PRESIDENT/BOARD MEMBER 1.00 X X 0 0 0 KATHLEEN R BARROW VICE-PRESIDENT/BOARD MEMBE 1.00 X X 0 0 0 REGINAL L BROWN SECRETARY/MEMBER 1.00 X X 0 0 0 RICHARD L FEAGLE TREASURER/MEMBER 1.00 X X 0 0 0 SUSAN MCCOOL BOARD MEMBER 1.00 X 0 0 0 PAM WHITTLE BOARD MEMBER 1.00 X 0 0 0 JOE BUCCI BOARD MEMBER 1.00 X 0 0 0 DENNIS CHESSER BOARD MEMBER 1.00 X 0 0 0 CAROL B KNIGHT BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 888411 888411 888411 0 0 0 927692 927692 927692 927692 0 0 236337 205558 70538 77036 306875 282594 0 15000 0 15000 X 306875 267594 306875 267594 306875 282594 -39281 0 X X 0 1 X 1 0 X 935610 918087 926290 892614 888411 4561012 935610 918087 926290 892614 888411 4561012 4561012 4561012 1.00000 1.00000 X 0 X 888411 0 888411 0 888411 927692 0 927692 0 927692 PART X, LINE 2: THE FOUNDATION'S FINANCIAL STATEMENTS INCLUDE A DISCLOSURE THAT SAYS THE FOUNDATION DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER STATE TAXING AUTHORITIES. 1 10 CAN INC 2600 W OLD HWY 441 SUITE 1912 MT DORA FL 32756 472135088 501 (C) (3) 10000 0 CASH - 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IF THE PROGRAM IS ONGOING, A REPORT IS REQUIRED FROM THE GRANTEE AFTER THE GRANT FUNDS HAVE BEEN USED IN ENTIRETY. ITEMS INCLUDED IN THE FINAL REPORT ARE AS FOLLOWS: (1) FINAL REPORT FORM, (2) PICTURES AND/OR VIDEO OF THE PROJECT/PROGRAM IN ACTION, (3) "BEFORE" PICTURES AND/OR VIDEO, IF AVAILABLE, (4) SUMMARY OF THE PROGRESS/RESULTS USING THE GOALS LISTED IN THE ORIGINAL GRANT APPLICATION, AND (5) DESCRIPTION OF ANY SIGNIFICANT CHALLENGES EXPERIENCED RELATED TO THE FUNDED GRANT PROJECT/PROGRAM. THE FINAL REPORT IS DUE AT LEAST ONE YEAR AFTER GRANT FUNDS ARE RECEIVED. FAILURE TO REMIT A FINAL REPORT COULD RESULT IN FUTURE APPLICATIONS BY THE GRANTEE BEING REMOVED FROM CONSIDERATION. FORM 990, PART VI, SECTION A, LINE 7A THE INITIAL FOUNDATION BOARD MEMBERS WERE APPOINTED BY THE BOARD OF TRUSTEES OF CLAY ELECTRIC COOPERATIVE, INC. THEREAFTER, WHEN VACANCIES ARE TO BE FILLED OR WHEN TERMS EXPIRE, PERSONS SHALL BE APPOINTED TO RESPECTIVE VACANCIES ON THE BOARD BY A VOTE OF THE BOARD OF TRUSTEES OF CLAY ELECTRIC COOPERATIVE, INC. THE EXISTING FOUNDATION BOARD MAY MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES OF CLAY ELECTRIC COOPERATIVE, INC. FOR NOMINEES FOR THE FOUNDATION BOARD. FORM 990, PART VI, SECTION B, LINE 11B A MEMBER OF CLAY ELECTRIC COOPERATIVE, INC.'S MANAGEMENT PRESENTED THE 2021 FORM 990 TO THE BOARD PRESIDENT FOR REVIEW PRIOR TO FILING THE RETURN AND TO THE COMPLETE BOARD OF DIRECTORS FOR THEIR REVIEW AT THE BOARD MEETING IMMEDIATELY SUBSEQUENT TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANUALLY, BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY FOR REVIEW. BOARD MEMBERS DISCLOSE ANY CONFLICTS OF INTEREST AT MONTHLY BOARD MEETINGS PRIOR TO DELIBERATION AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S FORM 990 IS MADE AVAILABLE UPON A REASONABLE REQUEST. PART XII, LINE 2C THE BOARD OF DIRECTORS, ALONG WITH MANAGEMENT OF CLAY ELECTRIC COOPERATIVE, INC., ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE FOUNDATION'S FINANCIAL STATEMENT AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. SCHEDULE B THE FOUNDATION RECEIVED CONTRIBUTIONS OF $888,411 FOR THE YEAR ENDED DECEMBER 31, 2022. THESE CONTRIBUTIONS WERE RECEIVED FROM THE PARTICIPATING MEMBERS/CONSUMERS OF CLAY ELECTRIC COOPERATIVE, INC.'S ROUND UP PROGRAM. NO CONTRIBUTOR CONTRIBUTED MORE THAN $5,000 DURING THE YEAR. CLAY ELECTRIC COOPERATIVE INC PO BOX 308 KEYSTONE HEIGHTS FL 32656 590196695 MEMBER OWNED ELECTRIC COOPERATIVE FL 501(C)(12) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 CLAY ELECTRIC COOPERATIVE INC R 77036 FMV SCHEDULE R, PART V THE FOUNDATION'S SOLE SOURCE OF REVENUE COMES FROM THE PARTICIPATING MEMBERS/CONSUMERS OF CLAY ELECTRIC COOPERATIVE, INC.'S ROUND UP PROGRAM. RECEIVABLES, REPRESENTING FUNDS COLLECTED BY CLAY ELECTRIC COOPERATIVE, INC. FOR THE FOUNDATION BUT NOT YET PAID TO THE FOUNDATION, AMOUNTED TO $77,036 AT THE END OF THE YEAR.