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WALTON COUNTY HEALTH CARE FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WALTON COUNTY HEALTH CARE FOUNDATION INC (EIN 20-1376389)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201232279349301288
Schema version
2010v3.2
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

FieldValueIRS element (for citing)
Timestamp2012-08-14T08:18:00-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BYRD & BAKER LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11829 HIGHWAY 81 SUITE 105AddressLine1
CityLOGANVILLECity
StateGAState
ZIP Code30052ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201376389EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WALTON COUNTY HEALTH CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWALTNameControl
Phone7702071408Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTROY PRESTONName
TitleEXECUTIVE DIRECTORTitle
Phone7702071408Phone
Date Signed2012-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA T BYRD CPAName
Phone7705549691Phone
Date Prepared2012-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTROY PRESTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13486122GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCHCFI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2366250InvestmentIncomePriorYear
Investment Income Current Year1442324InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2366250TotalRevenuePriorYear
Total Revenue Current Year1442324TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year107885GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY301290GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year64792SalariesEtcPriorYear
Salaries Etc Current Year66109SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year240380OtherExpensePriorYear
Other Expenses Current Year224923OtherExpensesCurrentYear
Total Expenses Prior Year413057TotalExpensesPriorYear
Total Expenses Current Year592322TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1953193RevenuesLessExpensesPriorYear
Revenues Less Expenses CY850002RevenuesLessExpensesCY
Total Assets BOY44001139TotalAssetsBOY
Total Assets EOY44792891TotalAssetsEOY
Total Liabilities BOY1677TotalLiabilitiesBOY
Total Liabilities EOY1655TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY43999462NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY44791236NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROMOTE HEALTH OF CITIZENS OF WALTON COUNTY, GEORGIAMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense150286Expense
Grants83320Grants
DescriptionA GRANTS WERE MADE TO WALTON COUNTY BOARD OF COMMISSIONERS TO PURCHASE EXERCISE EQUIPMENT FOR COUNTY GYMS AND INITIAL PAYMENT ON NEW AMBULANCE UNITDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense175131Expense
Grants97094Grants
DescriptionGRANTS WERE ISSUED TO ADVANTAGE BEHAVIORAL HEALTH SYSTEMS TO PURCHASE 2 VANS FOR UNLIMITED SERVICES USED TO TRANSPORT CHALLENGED CITIZENS AROUND WALTON COUNTYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense66979Expense
Grants37134Grants
DescriptionA GRANT WAS ISSUED TO WALTON WELLNESS, INC TO IMPLEMENT FITNESS PROGRAMS WITH EMPLOYERS IN WALTON COUNTY AND PROMOTE FITNESS TO ALL THE CITIZENS OF THE COUNTYDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense151048Expense
Grants83743Grants
DescriptionGRANTS ISSUED TO ATHENS TECH, PREVENT BLINDNESS GEORGIA, FAITH IN SERVING HUMANITY, BOC PARTNERSHIP, GEORGIA, FAITH IN SERVING HUMANITY, BOC PARTNERSHIP, GEORGIA, FAITH IN SERVING HUMANITY, BOC PARTNERSHIP, GEORGIA, FAITH IN SERVING HUMANITY, BOC PARTNERSHIP, GEORGIA, FAITH IN SERVING HUMANITY, BOC PARTNERSHIP,Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp151048TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt83743TotalOfOtherProgramServiceGrnt
Total Program Service Expense543444TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBYRD BAKER LLCNamePerson
Telephone Number7705549691TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11829 HWY 81 STE 105AddressLine1
CityLOGANVILLECity
StateGAState
ZIP Code30052ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOHN T PRESTON III
EXECUTIVE DIRECTOR30.00XXX5550000
T HENRY WALL
CHAIRMAN1.00000X
SUE MCCULLERS
VICE CHAIRMAN1.00000X
BEN E GARRETT
SECRETARY1.00000X
MYRA C SMITH
TREASURER1.00000X
ALAN DUVAL
DIRECTOR1.00X000
BOBBY BOSS
DIRECTOR1.00X000
RANDY GARRETT
DIRECTOR1.00X000
CHARLOTTE GEORGE
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org55500TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1648100TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11838022Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12043798Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-205776Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-205776TotalRevenueColumn
Related Or Exempt Function Income-205776RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1442324TotalRevenueColumn
Related Or Exempt Function Income1442324RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total301290Total
Program Services301290ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total55500Total
Program Services47175ProgramServices
Management And General8325ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6363Total
Program Services5408ProgramServices
Management And General955ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4246Total
Program Services3609ProgramServices
Management And General637ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3727Total
Program Services3168ProgramServices
Management And General559ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19720Total
Program Services16761ProgramServices
Management And General2959ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total173241Total
Program Services147255ProgramServices
Management And General25986ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2967Total
Program Services2967ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total393Total
Program Services334ProgramServices
Management And General59ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4364Total
Program Services3631ProgramServices
Management And General733ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total220Total
Program Services187ProgramServices
Management And General33ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2404Total
Program Services2043ProgramServices
Management And General361ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4590Total
Program Services0ProgramServices
Management And General4590ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total729Total
Program Services620ProgramServices
Management And General109ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total7396Total
Program Services6287ProgramServices
Management And General1109ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
AUTO119910191800
DUES & SUBSCRIPTIONS1670016700
MISCELLENOUS26502650
MEALS & ENTERTAINMENT198816902980
LICENSES & PERMITS500500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total592322Total
Program Services543444ProgramServices
Management And General48878ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21567BOY
EOY19639EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8935BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19539BOY
EOY13076EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3771LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1595LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2905BOY
EOY2176EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY43948193BOY
EOY44758000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44001139BOY
EOY44792891EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1677BOY
EOY1655EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1677BOY
EOY1655EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43999462BOY
EOY44791236EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43999462BOY
EOY44791236EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44001139BOY
EOY44792891EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses850002ReconcilationRevenueExpenses
Reconcilation Other Changes-58228ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHBusinessNameLine1
FieldValueIRS element (for citing)
EIN586001917EIN
Type Of Organization6TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$301,138Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts301138SumOfAmounts
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3771OtherCostOrOtherBasis
Depreciation1595Depreciation
Book Value2176BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2176TotalOfBookValueLandBuildings
Total Revenue1442324TotalRevenue
Total Expenses592322TotalExpenses
Excess Or Deficit For Year850002ExcessOrDeficitForYear
Excess Or Deficit Per FS850002ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1332329TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-109995NetUnrealizedGainsInvestments
Revenue Not Rptd F990-109995RevenueNotRptdF990
Revenue Subtotal1442324RevenueSubtotal
Total Revenue Per Form9901442324TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt592319TotExpensesEtcAuditedFinclStmt
Other Expenses Included-3OtherExpensesIncluded
Expenses Not Rptd F990-3ExpensesNotRptdF990
Expenses Subtotal592322ExpensesSubtotal
Total Expenses Per Form990592322TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
WALTON COUNTY BOARD OF COMMISSIONERS
303 S HAMMOND DRMONROEGA30655586000902WALTON CO GA83320HEALTH SERVICES
FAITH IN SERVING HUMANITY
700 S MADISON AVEMONROEGA30655582113889501C310000NUTRITIONAL LUNCHES
ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
250 NORTH AVEATHENSGA30601582112427501C397094TRANSPORTATION EQUIPMENT
WALTON WELLNESS
324 EDWARDS STMONROEGA30655273659660501C337134EDUCATION
A CENTER OF HOPE CPC INC
3060 HWY 81 SLOGANVILLEGA30052582581209501C320000EDUCATION
ATHENS TECHNICAL COLLEGE
800 US HWY 29ATHENSGA30601581824771501C315118EDUCATION
WALTON CO BOC - PARTNERSHIP
303 S HAMMOND DRMONROEGA30655586000902WALTON CO GA10000EDUCATION
WALTON CO SENIOR CITIZENS COUNCIL INC
P O BOX 764MONROEGA30655581076363501C38376MEALS & TRANSPORTATION
GEORGIA SOCIETY TO PREVENT BLINDNESS INC
739 WEST PEACHTREE ST NW SUITE 200ATLANTAGA30308586050305501C310150HEALTH CARE

Form990 Schedule I Part IV Form990ScheduleIPartIV (5 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2THE GRANTEE IS ASKED TO COMPLETE A PROGRESS REPORT. THE REPORTS
Pt I Line 2ARE REVIEWD BY THE EXECUTIVE DIRECTOR AND COMPARED TO THE PURPOSE STATED
Pt I Line 2IN THE GRANT APPLICATION. IF THERE ARE DEVIATIONS, THE EXECUTIVE
Pt I Line 2DIRECTOR MAKES A SITE VISIT FOR A PERSONAL INTERVIEW WITH THE PERSON
Pt I Line 2RESPONSIBLE FOR ADMINISTERING THE GRANT AND REPORTS TO DIRECTORS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aEXECUTIVE DIRECTOR REVIEWS THE 990 WITH THE PREPARER AND
Pt VI-B, Line 11aDISTRIBUTES COPIES TO OFFICERS AND DIRECTORS FOR THEIR REVIEW.
Pt VI-B, Line 12cCONFLICT OF INTEREST POLICY IS INCLUDED IN THE BY-LAWS WHICH
Pt VI-B, Line 12cARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND MONITORED BY
Pt VI-B, Line 12cTHE FOUNDATION STAFF
Pt VI-B, Line 15THE FOUNDATION CHAIRMAN AND TREASURER REVIEW SALARY COMPARABILITY
Pt VI-B, Line 15DATA ANNUALLY AND MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS
Pt VI-B, Line 15CONCERNING COMPENSATION OF THE EXECUTIVE DIRECTOR.
Pt VI-C, Line 19DOCUMENTS ARE AVAILABLE UPON REQUEST AND POSTED ON THE
Pt VI-C, Line 19THE FOUNDATION'S WEBSITE
Pt XIADJUSTMENT TO NET ASSETS FOR DIFFERENCE IN REALIZED
Pt XILOSSES ON INVESTMENTS AND UNREALIZED/REALIZED PER BOOKS
Form 990, Part III, Line 4dGRANTS ISSUED TO ATHENS TECH, PREVENT BLINDNESS 151048. 83743. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 1026AddressLine1
CityMONROECity
StateGAState
ZIP Code30655ZIPCode
FieldValueIRS element (for citing)
EIN586001917EIN
Primary ActivitiesLOCAL GOVN'T AUTHORITYPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code SectionSEC 170C1ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WALTON COUNTY HOSPITAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved8935AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination