2024-11-11T16:02:25+00:00 2023-12-31 440160260 Forvis Mazars LLP 1222 Demonbreun St Suite 950 Nashville TN 372033357 990 2023-01-01 611084986 Clark Companies Medical Benefit Plan CLAR 2705634735 PO BOX 988 BOWLING GREEN KY 421020988 William Clark Trustee 2024-11-11 true true Jeff Smith P00289876 6154549800 2024-11-04 2023 2024-10-15 13:58:12Z Clark Medical Benefit Plan WILLIAM DALLAS CLARK III PO BOX 988 BOWLING GREEN KY 421020988 8127887 false X N/A X 1985 KY PROVIDE MEDICAL BENEFITS TO PARTICIPANTS. 3 0 0 0 361 0 0 7201092 8127526 460 361 0 7201552 8127887 0 6845671 6445854 0 0 0 615087 666019 7460758 7111873 -259206 1016014 196682 1145992 185371 118667 11311 1027325 PROVIDE MEDICAL BENEFITS TO PARTICIPANTS. false false 6445854 8127526 MEDICAL BENEFITS PAID TO OR FOR PARTICIPANTS. 6445854 false false false false false false false false false false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 0 0 0 true true false false false false false false false X 3 0 true false false false false false false true true false false true false false true false false false KY X WILLIAM DALLAS CLARK III 2705634735 PO BOX 988 BOWLING GREEN KY 42101 GEORGE P CLARK TRUSTEE 1.0 40.0 X 0 1033050 24063 ROBERT CLARK TRUSTEE 1.0 40.0 X 0 623404 24063 WILLIAM DALLAS CLARK III TRUSTEE 1.0 40.0 X 0 1020380 24063 0 2676834 72189 0 false true false 0 0 EMPLOYER CONTRIBUTION 525100 5520440 5520440 PARTICIPANT CONTRIBUTION 525100 2592941 2592941 COBRA CONTRIBUTION 525100 14145 14145 0 0 0 0 8127526 361 361 0 0 0 0 0 0 0 0 0 8127887 8127526 361 0 6445854 6445854 23109 23109 0 0 0 0 ADMIN. FEES 642910 642910 0 0 0 0 7111873 6445854 666019 0 36893 456289 0 0 0 0 5000 0 0 0 0 0 0 154789 689703 196682 1145992 0 0 185371 118667 185371 118667 X 11311 1027325 11311 1027325 196682 1145992 1016014 0 X false true X true false Other Assets Deposit with 3rd Party Admin 689703 689703 Health Claims Payable 118667 Outstanding Chks in Excess of Other Liabilities 118667 8127887 0 0 8127887 0 0 8127887 7178577 66704 66704 7111873 0 0 7111873 Schedule D, Part X, Line 2 PLAN TAX STATUS THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XII, Line 2(d) RECONCILIATION TO AUDIT REPORT - EXPENSES DIFFERENCES IN REPORTING PAYMENT FOR BENEFITS $66,704 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 SEE SUPPLEMENTAL PAGE - 66704 false false false GEORGE P CLARK TRUSTEE 0 874818 0 158232 0 0 0 14850 0 9213 0 1057113 0 0 WILLIAM DALLAS CLARK III TRUSTEE 0 870888 0 149492 0 0 0 14850 0 9213 0 1044443 0 0 ROBERT CLARK TRUSTEE 0 516111 0 107293 0 0 0 14850 0 9213 0 647467 0 0 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons George Clark, Dallas Clark, Robert Clark - Family relationship Form 990, Part VI, Line 11b Review of form 990 by governing body A COPY OF THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS (INCLUDING PLAN DOCUMENTS) ARE AVAILABLE UPON REQUEST. CC CLARK INC PO BOX 988 BOWLING GREEN KY 42102 640315032 WHOLE BEV DIS MS NA C Corporation 0 0 false CLARK DISTRIBUTING CO INC PO BOX 988 BOWLING GREEN KY 42102 610701390 WHOLE BEER DI KY NA C Corporation 0 0 false CLARK BEVERAGE GROUP INC (KY) PO BOX 988 BOWLING GREEN KY 42102 610139160 WHOLE BEV DIS KY NA C Corporation 0 0 false CLARK BEVERAGE GROUP INC (MS) PO BOX 988 BOWLING GREEN KY 42102 640263480 WHOLE BEV DIS MS NA C Corporation 0 0 false CC CLARK KENTUCKY INC PO BOX 988 BOWLING GREEN KY 42102 263702884 WHOLE BEV DIS KY NA C Corporation 0 0 false false false false false false false false false false false false false false false false false false false false