PETERSON FOUNDATION FOR PARKINSONS: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PETERSON FOUNDATION FOR PARKINSONS (EIN 26-4144151)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-14
- IRS object ID
- 201801349349202475
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T11:36:36-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481274494 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GAINES CPAS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 150285 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264144151 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETERSON FOUNDATION FOR PARKINSONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PETE | BusinessNameControlTxt |
| Phone | 6152920159 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 HILLSBORO PK NO 317 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37215 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY LOWENTHAL | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6153003617 | PhoneNum |
| Signature | 2018-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAM GAINES | PreparerPersonNm |
| PTIN | P00070655 | PTIN |
| Phone | 6152790600 | PhoneNum |
| Preparation | 2018-05-11 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.87.219.21 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-11 | IPDt |
| IP Tm | 18:49:25 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 97AAE02039A7B9F4CED860A0D9AB859C9E6E8F2E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3981B6B4F5A1E9765F15B402E4C37FAE4D710476 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | PETERSONFOUNDATIONFORPARKINSONS.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $196,249 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $55,251 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $4,850 | ProgramServiceRevenueAmt |
| Fundraising Gross Income | $135,707 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $9,901 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $125,806 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $441 | OtherRevenueTotalAmt |
| Total Revenue | $186,348 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $13,500 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $33,080 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $910 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $15,648 | OtherExpensesTotalAmt |
| Total Expenses | $63,138 | TotalExpensesAmt |
| Excess Or Deficit For Year | $123,210 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $27,507 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $150,717 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,507 | BOYAmt |
| EOY | $150,717 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,507 | BOYAmt |
| EOY | $150,717 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,507 | BOYAmt |
| EOY | $150,717 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO EDUCATE AND RAISE AWARENESS OF THE DEVASTATING EFFECTS OF PARKINSON'S DISEASE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PFP PROMOTES SPECIAL EVENTS TO RAISE FUNDS FOR PARKINSON'S RELATED RESEARCH, EDUCATION, AND SUPPORT GROUPS IN THE MIDDLE TENNESSEE AREA AND NATIONALLY. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $23,027 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,027 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| BRENT PETERSON | ||||
| BOARD CHAIR AND DIRECTOR | 10.00 | $0 | $0 | $0 |
| JAY LOWENTHAL | ||||
| SECRETARY / TREASURER | 2.00 | $0 | $0 | $0 |
| TAMI PETERSON | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JOHN OVERMYER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| LYNN ELLSWORTH | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JIM DIAMOND | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| GAVENN ROSS | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JOHN HOLMES | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRETT FINCHER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| PAUL MCCANN | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| RAMONA ROSS | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| CHRIS STOUT | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASSOCIATION RESOURCES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 HILLSBORO PIKE SUITE 317 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6152695312 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,704 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,412 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,251 | CurrentTaxYearAmt |
| Total | $180,978 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,704 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,412 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,251 | CurrentTaxYearAmt |
| Total | $180,978 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $180,978 | PublicSupportTotal170Amt |
| Total Support | $180,978 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLFING/DINNER WITH PREDATORS FOUND | Event1Nm |
| Gross Receipts Event1 | $104,475 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $0 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $104,475 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,238 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,000 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,463 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLFING EVENT IN CANADA | Event2Nm |
| Gross Receipts Event2 | $23,172 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $0 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $23,172 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,400 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $8,060 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $8,060 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $800 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $135,707 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $135,707 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,238 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,000 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,663 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,901 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $125,806 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: BOOK SALES ON PARKINSONS. AMOUNT: 441. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: HOCKEY TICKETS FOR PARKINSONS PATIENTS. GRANTEE NAME: NASHVILLE PREDATORS FOUNDATION. GRANTEE ADDRESS: 501 BROADWAY NASHVILLE, TN 37203. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 09/12/17. AMOUNT GIVEN: 5,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: HEIMERDINGER FOUNDATION. GRANTEE ADDRESS: 4004 HILLSBORO PIKE, STE 223B NASHVILLE, TN 37215. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 02/07/17. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EVENT SPONSOR. GRANTEE NAME: BEST BUDDIES OF TENNESSEE. GRANTEE ADDRESS: 116 WILSON PIKE CIRCLE #201 BRENTWOOD, TN 37027. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 03/23/17. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: SCOTT HAMILTON FOUNDATION. GRANTEE ADDRESS: PO BOX 306191 NASHVILLE, TN 37230. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 10/10/17. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SUPPORT FOR PARKINSON'S PATIENT. GRANTEE NAME: ROCK STEADY BOXING MUSIC CITY. GRANTEE ADDRESS: 2424 21ST AVE SO NASHVILLE, TN 37212. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 09/26/17. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 13,500. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADVERTISING AND MARKETING. AMOUNT: 9,527. DESCRIPTION: TRAVEL EXPENSES. AMOUNT: 12. DESCRIPTION: DUES / CC FEES / INSURANCE. AMOUNT: 2,689. DESCRIPTION: PARKINSON'S SUPPORT GROUP EXPENSES. AMOUNT: 3,420. TOTAL TO FORM 990-EZ, LINE 16: 15,648. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |