DARRYL WORLEY FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DARRYL WORLEY FOUNDATION INC (EIN 22-3860162)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-11-05
- IRS object ID
- 201343099349301659
- Schema version
- 2012v2.2
- 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) |
|---|---|---|
| Timestamp | 2013-11-05T04:18:08-00:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jack L Adams CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Post Office Box 39 | AddressLine1 |
| City | Savannah | City |
| State | TN | State |
| ZIP Code | 38372 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223860162 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE DARRYL WORLEY FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DARR | NameControl |
| Phone | 7319262667 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 325 MAIN STREET | AddressLine1 |
| City | SAVANNAH | City |
| State | TN | State |
| ZIP Code | 38372 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jack L Adams | Name |
| Title | Treasurer | Title |
| Date Signed | 2013-11-05 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jack L Adams | Name |
| Phone | 7319259555 | Phone |
| Date Prepared | 2013-11-05 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dan Adkisson | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 Wayne Road | AddressLine1 |
| City | Savannah | City |
| State | TN | State |
| ZIP Code | 38372 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 376835 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.darrylworleyfoundation.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | To make charitable grants to qualifying individuals and organizations that will be used exclusively to meet the unmet needs of Hardin County, Tennessee and surrounding counties and national charities. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 107 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 132397 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 103703 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 349 | InvestmentIncomePriorYear |
| Investment Income Current Year | 155 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 50317 | OtherRevenuePriorYear |
| Other Revenue Current Year | 69599 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 183063 | TotalRevenuePriorYear |
| Total Revenue Current Year | 173457 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 249440 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 65125 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 40628 | OtherExpensePriorYear |
| Other Expenses Current Year | 27099 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 290068 | TotalExpensesPriorYear |
| Total Expenses Current Year | 92224 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -107005 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 81233 | RevenuesLessExpensesCY |
| Total Assets BOY | 48229 | TotalAssetsBOY |
| Total Assets EOY | 131439 | TotalAssetsEOY |
| Total Liabilities BOY | 31751 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 33728 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16478 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 97711 | NetAssetsOrFundBalancesEOY |
| Mission Description | To make charitable grants to qualifying individuals and organizations that will be used exclusively to meet the unmet needs of Hardin County, Tennessee and surrounding counties and national charities. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6250 | Expense |
| Grants | 65125 | Grants |
| Description | Accomplishments are the grants listed on Schedule I | Description |
| Total Program Service Expense | 71375 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jack L Adams | NamePerson |
| Telephone Number | 7319259555 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 325 Main Street | AddressLine1 |
| City | Savannah | City |
| State | TN | State |
| ZIP Code | 38372 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Dan Adkisson | ||||||
| President | 002.00 | X | X | 0 | 0 | 0 |
| David Geisler | ||||||
| Secretary | 002.00 | X | X | 0 | 0 | 0 |
| Jack L Adams | ||||||
| Treasurer | 002.00 | X | X | 0 | 0 | 0 |
| Carolyn Blakney | ||||||
| Director | 001.00 | X | 0 | 0 | 0 | |
| David Gregory | ||||||
| Director | 001.00 | X | 0 | 0 | 0 | |
| James C Jones | ||||||
| Director | 001.00 | X | 0 | 0 | 0 | |
| Bob Shutt | ||||||
| Vice President | 002.00 | X | X | 0 | 0 | 0 |
| Randy Rinks | ||||||
| Director | 001.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 40000 | GovernmentGrants |
| All Other Contributions | 63703 | AllOtherContributions |
| Total Contributions | 103703 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 155 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 272977 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 54500 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 203378 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69599 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173457 | TotalRevenueColumn |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62550 | Total |
| Program Services | 62550 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2575 | Total |
| Program Services | 2575 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15500 | Total |
| Program Services | 6250 | ProgramServices |
| Management And General | 9250 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2318 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2811 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| Public relations | 1358 |
| Credit card fees | 3854 |
| State Corporate fees | 272 |
| Insurance | 744 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92224 | Total |
| Program Services | 71375 | ProgramServices |
| Management And General | 9250 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45915 | BOY |
| EOY | 20737 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 108488 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2214 | BOY |
| EOY | 2214 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48229 | BOY |
| EOY | 131439 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 20000 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31751 | BOY |
| EOY | 13728 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31751 | BOY |
| EOY | 33728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16478 | BOY |
| EOY | 97711 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16478 | BOY |
| EOY | 97711 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48229 | BOY |
| EOY | 131439 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 81233 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 128468 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 122121 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 136972 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132397 | CurrentTaxYearMinus1Year |
| Current Tax Year | 103703 | CurrentTaxYear |
| Total | 623661 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200175 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 278435 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 268413 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 343184 | CurrentTaxYearMinus1Year |
| Current Tax Year | 272977 | CurrentTaxYear |
| Total | 1363184 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 328643 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 400556 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 405385 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 475581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 376680 | CurrentTaxYear |
| Total | 1986845 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1986845 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1060 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 349 | CurrentTaxYearMinus1Year |
| Current Tax Year | 155 | CurrentTaxYear |
| Total | 3148 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1060 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 349 | CurrentTaxYearMinus1Year |
| Current Tax Year | 155 | CurrentTaxYear |
| Total | 3148 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 328643 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 401616 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 406969 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 475930 | CurrentTaxYearMinus1Year |
| Current Tax Year | 376835 | CurrentTaxYear |
| Total | 1989993 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99840 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99850 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00160 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00150 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
| Licensed States | TN | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Concert | NameOfEvent1 |
| Gross Receipts Event1 | 71108 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18500 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 52608 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 2835 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 95653 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 32077 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Song Writers Concerts | NameOfEvent2 |
| Gross Receipts Event2 | 174007 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 5000 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 169007 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 5121 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 3500 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 8115 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 2707 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 82362 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 31000 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 51362 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 33040 | CashPrizesOtherEvents |
| Food And Beverage Other Events | 581 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 19749 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 327477 | GrossReceiptsTotal |
| Charitable Contributions Total | 54500 | CharitableContributionsTotal |
| Gross Revenue Total Events | 272977 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 33040 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5121 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 6916 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 103768 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 54533 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 203378 | DirectExpenseSummaryEvents |
| Net Income Summary | 69599 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| St Jude Children's Research Hospital | |||||||
| 501 St Jude Place | Memphis | TN | 38105 | 351044585 | 501C3 | 5000 | Medical research |
| LeBonheur Children's Hospital | |||||||
| 50 North Dunlap Road | Memphis | TN | 38105 | 621872938 | 501C3 | 5000 | Medical research |
| Cystic Fibrosos | |||||||
| 115 Kenneth Lane | Savannah | TN | 38372 | 912059167 | 501C3 | 5000 | Medical research |
| Shriners Children's Hospital | |||||||
| 2001S Lindberg Blvd | St Louis | MO | 63131 | 362193608 | 501C3 | 2000 | Hospital services |
| Christian Assistance Ministries | |||||||
| 2030 Wayne Road | Savannah | TN | 38372 | 311569911 | 501C3 | 4500 | Assistance to indigent |
| Hardin Medical Center | |||||||
| 935 Wayne Road | Savannah | TN | 38372 | 626002428 | Govt | 650 | Hospital services |
| Dixie Youth League | |||||||
| 235 Wayne Road | Savannah | TN | 38372 | 621843839 | 501C3 | 1000 | Youth sports activites |
| T C Thomas Clhildrens Home | |||||||
| 975 East Third Street | Chattanooga | TN | 37403 | 626000101 | 501C3 | 500 | Childrens home |
| Adamsville Church of God | |||||||
| P O Box 232 | Adamsville | TN | 38310 | 621155247 | Church | 250 | Assistance to indigent |
| Teen Challenge | |||||||
| 1450 Florence Road | Savannah | TN | 38372 | 621865658 | 501C3 | 20000 | Assistance to indigent |
| Our Daily Bread | |||||||
| 1245 Smokey Road | Savannah | TN | 38372 | 273220201 | 501C3 | 1000 | Assistance to indigent |
| Country Christmas | |||||||
| 325 Main Street | Savannah | TN | 38372 | 621522221 | 501C3 | 2500 | Christmas for children |
| Pickwick United Methodist Church | |||||||
| P O Box 28 | Pickwick Dam | TN | 38326 | 621540545 | Church | 500 | Assistance to indigent |
| Sharon Baptist Church | |||||||
| P O Box 1656 | Savannah | TN | 38372 | 621274589 | Church | 850 | School for Artistic |
| Savannah Church of Christ | |||||||
| 1175 Pickwick Street | Savannah | TN | 38372 | 621200999 | Church | 500 | Assistance to indigent |
| Hardin County EMS | |||||||
| 2006 Wayne Road | Savannah | TN | 38372 | 626000650 | Govt | 500 | Community center |
| New Chapel Freewill Church | |||||||
| Old SR 57 | Counce | TN | 38362 | 621788122 | Church | 400 | Assistance to indigent |
| Loyal Order of the Moose | |||||||
| P O Box 258 | Pickwick Dam | TN | 38365 | 900533665 | 501C3 | 1000 | Assistance to indigent |
| Hardin County Jesus Cares | |||||||
| P O Box 1431 | Savannah | TN | 38372 | 460782594 | 501C3 | 5000 | Assistance to indigent |
| Jack Gean Shelter | |||||||
| 64 Jack Gean Drive | Savannah | TN | 38372 | 593147000 | 501C3 | 5000 | Drug/alcohol program |
| Hardin County Cancer Society | |||||||
| 235 Wayne Road | Savannah | TN | 38372 | 621853738 | 501C3 | 400 | Assistance to indigent |
| Adamsville High School | |||||||
| P O Box 407 | Adamsville | TN | 38310 | 626000754 | Govt | 500 | Graduation project |
| Hardin County High School | |||||||
| P O Box 434 | Savannah | TN | 38372 | 626000651 | Govt | 500 | Graduation project |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of Other Organizations | 23 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Medical needs | TypeOfGrant |
| Number Of Recipients | 5 | NumberOfRecipients |
| Amount Of Cash Grant | 2575 | AmountOfCashGrant |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| ExplanationExplanation |
|---|
| Form 990 Part VI Section B Line 11 The Form 990 is prepared by the Treasurer and presented to Board of Directors for review. |
| Form 990 Part VI Section B Line 12c Each of the Board Members are familiar with each othes business interest and outside activities. |
| Form 990 Part VI Section C Line 18 All documentation is available at the Foundations office or the Treasurers office. |