STRATEGY STUDIO / PUBLIC DATA EXPLORER

HARDIN COUNTY COMMUNITY ANDHEALTHCARE FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HARDIN COUNTY COMMUNITY ANDHEALTHCARE FOUNDATION INC (EIN 20-5686141)
Tax period
2019-09-01 to 2020-08-31
Filed
2020-10-21
IRS object ID
202012959349300211
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-10-21T08:42:35-00:00ReturnTs
Tax Period End2020-08-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205686141EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hardin County Community and Healthcare Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARDBusinessNameControlTxt
Phone7316079555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Post Office Box 39AddressLine1Txt
CitySavannahCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38372ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLisa ThomasPersonNm
Person TitlePresidentPersonTitleTxt
Signature2020-10-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJack L AdamsPreparerPersonNm
Phone7316079555PhoneNum
Preparation2020-10-21PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address174.80.8.21IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-20IPDt
IP Tm13:31:56IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3841FCFBF7B0AC56879BEE09C5F9DA6E73E34312AtSubmissionCreationDeviceId
At Submission Filing Device Id3841FCFBF7B0AC56879BEE09C5F9DA6E73E34312AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLisa ThomasPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 N Church StreetAddressLine1Txt
CitySavannahCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38372ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,431GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionThe organizations mission is to improve the delivery of healthcare and other community needs for the Hardin County area through the acquisition and utilization of philanthropic funds.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$21,811PYContributionsGrantsAmt
CY Contributions Grants$19,830CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,177PYInvestmentIncomeAmt
CY Investment Income$1,809CYInvestmentIncomeAmt
PY Other Revenue$8,643PYOtherRevenueAmt
CY Other Revenue$3,903CYOtherRevenueAmt
PY Total Revenue$32,631PYTotalRevenueAmt
CY Total Revenue$25,542CYTotalRevenueAmt
PY Grants And Similar Paid$26,347PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$29,727CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,022PYOtherExpensesAmt
CY Other Expenses$848CYOtherExpensesAmt
PY Total Expenses$27,369PYTotalExpensesAmt
CY Total Expenses$30,575CYTotalExpensesAmt
PY Revenues Less Expenses$5,262PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,033CYRevenuesLessExpensesAmt
Total Assets BOY$79,750TotalAssetsBOYAmt
Total Assets EOY$74,717TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$79,750NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,717NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe organizations mission is to improve the delivery of healthcare and other community needs for the Hardin County area through the acquisition and utilization of philanthropic funds for the enhancement of patient care, education and research.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Grant$6,500GrantAmt
DescAspell Recovery Center program for alcohol and drug abuse.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Grant$10,977GrantAmt
DescGovernors Books for Kids K to 5Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Grant$11,000GrantAmt
DescChrist Home Drug Recovery FoundationDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Grant$1,250TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$29,727TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGordon MajorsPersonNm
Phone7319259001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 Wayne RoadAddressLine1Txt
CitySavannahCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38372ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Lisa Thomas
President004.00001.00Yes (X)Yes (X)$0$0$0
Adam Coleman
Vice President002.00001.00Yes (X)Yes (X)$0$0$0
Renea Martin
Secretary002.00001.00Yes (X)Yes (X)$0$0$0
Gordon Majors
Treasurer002.00002.00Yes (X)Yes (X)$0$0$0
Jack Adams
Director001.00001.00Yes (X)$0$0$0
Carolyn Blakney
Director001.00001.00Yes (X)$0$0$0
David Burgess
Director001.00011.00Yes (X)$0$0$0
Carolyn Crunk
Director001.00001.00Yes (X)$0$0$0
Bo Higginbottom
Director001.00001.00Yes (X)$0$0$0
Dottie Hutchinson
Director001.00001.00Yes (X)$0$0$0
Yainieh McGinley
Director001.00001.00Yes (X)$0$0$0
Harriet Ross
Director001.00001.00Yes (X)$0$0$0
David Baker
Director001.00001.00Yes (X)$0$0$0
Angie Hutton
Director001.00001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$19,530GovernmentGrantsAmt
All Other Contributions$300AllOtherContributionsAmt
Total Contributions$19,830TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,809TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,792FundraisingGrossIncomeAmt
Fundraising Direct Expenses$3,889FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,903TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,542TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,727TotalAmt
Program Services$29,727ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50TotalAmt
Management And General$50ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$698TotalAmt
Management And General$698ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescState corporation and solicitation feesDesc
Total$100TotalAmt
Management And General$100ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,575TotalAmt
Program Services$29,727ProgramServicesAmt
Management And General$848ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,993BOYAmt
EOY$6,007EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$69,757BOYAmt
EOY$68,710EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$79,750BOYAmt
EOY$74,717EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$79,750BOYAmt
EOY$74,717EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,750BOYAmt
EOY$74,717EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,750BOYAmt
EOY$74,717EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,033ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt
Public Support CY1700.00000PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,493CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,811CurrentTaxYearMinus1YearAmt
Current Tax Year$19,830CurrentTaxYearAmt
Total$77,798TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,099CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$1,907CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,629CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,643CurrentTaxYearMinus1YearAmt
Current Tax Year$7,792CurrentTaxYearAmt
Total$27,256TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,621CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,454CurrentTaxYearMinus1YearAmt
Current Tax Year$27,622CurrentTaxYearAmt
Total$105,054TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$105,054PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,177CurrentTaxYearMinus1YearAmt
Current Tax Year$1,809CurrentTaxYearAmt
Total$10,274TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,177CurrentTaxYearMinus1YearAmt
Current Tax Year$1,809CurrentTaxYearAmt
Total$10,274TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,389CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,736CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,631CurrentTaxYearMinus1YearAmt
Current Tax Year$29,431CurrentTaxYearAmt
Total$115,328TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91090PublicSupportCY509Pct
Public Support PY5090.90170PublicSupportPY509Pct
Investment Income CY0.08910InvestmentIncomeCYPct
Investment Income PY0.09830InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held4DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$9,652DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$12,227DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$9,946DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFederal income taxesDesc

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Food FightEvent1Nm
Gross Receipts Event1$6,380GrossReceiptsEvent1Amt
Gross Revenue Event1$6,380GrossRevenueEvent1Amt
Event2Senior ExpoEvent2Nm
Gross Receipts Event2$1,100GrossReceiptsEvent2Amt
Gross Revenue Event2$1,100GrossRevenueEvent2Amt
Food And Beverage Event2$848FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$196OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$312GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$312GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$2,845OthDirectExpnssOtherEventsAmt
Gross Receipts Total$7,792GrossReceiptsTotalAmt
Gross Revenue Total Events$7,792GrossRevenueTotalEventsAmt
Food And Beverage Total Events$848FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,041OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$3,889DirectExpenseSummaryEventsAmt
Net Income Summary$3,903NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
TAMB Of Jackson TN Inc
110 McCowat StreetJacksonTN38302581370560501c3$6,500Drug Recivery Program
Christ Home Drug Recovery Foundation
125 Pickwick StreetSavannahTN38372352575379501c3$11,000Drug Recivery Program
Sheltering Tree Ranch
3090 Highway 336SavannahTN38372461293479501c3$1,250Autism Program
Governor's Books from Birth Foundation
710 James Robertson Pwy 11th FloorNashvilleTN37243201115704501c3$10,977Childhood Literacy
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNoneGrantTypeTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IIIFormAndLineReferenceDesc
ExplanationThe foundation receives grant applications which provides information as to how funds are to be used and subsequently verifies actual use on a sample.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 0, Grants and allocations 1,250, Revenue 0 Sheltering Tree Ranch
Form 990, Part VI, Section B, Line 11bCopy of Form 990 is presented to the Board of Directors at its normal meeting.
Form 990, Part VI, Section B, Line 12cEach Board member signs a new Conflict of Interest Statement
Form 990, Part VI, Section C, Line 19The governing documents, conflict of interest policy and copy of tax return are available upon request at C/O Jack L. Adams 325 Main Street, Savannah, TN 38372 or by telephone at 731-607-9555