2025-09-03T13:55:43-05:00 2024-12-31 621142155 PUGH & COMPANY PC 315 N CEDAR BLUFF RD SUITE 200 KNOXVILLE TN 37923 990PF 2024-01-01 204901729 LAFOLLETTE MEDICAL FOUNDATION INC LAFO 4239126963 PO BOX 128 JACKSBORO TN 37757 STACEY WOOD-HEATHERLY PRESIDENT 4239126963 2025-08-21 1 1 KELLY A TUCKER CPA P01015909 8657690660 2025-08-15 2024 2025-03-06 01:10:19Z X 9899194 X X 64715 64715 174102 174102 316538 3097106 316538 555355 555355 0 0 0 3630 2723 907 18325 12237 6088 63805 63805 0 9346 2925 0 32063 12000 20063 127169 93690 27058 525838 562779 653007 93690 589837 -97652 461665 312286 372926 372926 976145 1392221 1392221 7727980 7454519 7454518 579983 663076 663076 14708 16453 16453 9611102 9899195 9899194 0 557 0 557 X 9611102 9898638 9611102 9898638 9611102 9899195 9611102 -97652 385188 9898638 0 9898638 PUBLICLY TRADED SECURITIES P 3081683 2780568 301115 301115 CAPITAL GAINS DIVIDENDS P 15423 15423 15423 316538 6417 0 6417 0 6417 5920 0 5500 0 11420 0 5003 5003 0 0 0 0 0 0 0 0 0 0 0 1 1 TN 1 0 0 0 0 1 WWW.LAFOLLETTEMEDICALFOUNDATION.ORG JUNE WILBURN 4239126963 905 RIVERVIEW DRIVE LAFOLLETTE TN 37766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 STACEY WOOD-HEATHERLY PO BOX 128 JACKSBORO TN 37757 PRESIDENT 1.00 0 0 0 MICHAEL E WALDEN PO BOX 128 JACKSBORO TN 37757 TREASURER 1.00 0 0 0 DR RICHARD BURDEAUX PO BOX 128 JACKSBORO TN 37757 DIRECTOR 1.00 0 0 0 WAYNE KITTS PO BOX 128 JACKSBORO TN 37757 DIRECTOR 1.00 0 0 0 JIM FARRIS JR PO BOX 128 JACKSBORO TN 37757 DIRECTOR 1.00 0 0 0 DEBRA A NELSON PO BOX 128 JACKSBORO TN 37757 DIRECTOR 1.00 0 0 0 TRACI CHAMBERS PO BOX 128 JACKSBORO TN 37757 SECRETARY 1.00 0 0 0 NONE 0 NONE 0 0 9522598 335577 0 9858175 0 0 9858175 147873 9710302 485515 485515 6417 6417 479098 36940 516038 0 516038 589837 0 589837 516038 0 0 35051 103417 159203 97059 111729 506459 589837 0 0 0 516038 73799 0 0 580258 0 0 0 0 0 0 35051 545207 103417 159203 97059 111729 73799 LAFOLLETTE MEDICAL FOUNDATION PO BOX 128 JACKSBORO TN 37757 4239126963 GRANTS@LAFOLLETTEMEDICALFOUNDATION.ORG PLEASE VISIT THE ORGANIZATION'S WEBSITE AT WWW.LAFOLLETTEMEDICALFOUNDATION.ORG TO OBTAIN THE GRANT APPLICATION NONE IN ORDER TO BE ELIGIBLE FOR A GRANT FROM THE FOUNDATION, AN ORGANIZATION MUST QUALIFY FOR EXEMPTION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND MUST NOT BE A PRIVATE FOUNDATION AS DEFINED BY SECTION 509(A) OF THE CODE, OR IT MUST BE A PUBLIC INSTRUMENTALITY. GRANTS MAY NOT BE MADE TO INDIVIDUALS. THE FOUNDATION MAY MAKE GRANTS TO ORGANIZATIONS PROVIDING SERVICES TO CAMPBELL COUNTY, TN RESIDENTS FOR THE FOLLOWING PURPOSES: HEALTH SERVICES, PREVENTATIVE ILLNESS, CHILDREN HEALTH AND WELL-BEING, SENIOR SAFETY AND WELLNESS AND ANY HEALTH PROGRAM THAT HAS MERIT AND IS RELATED TO THE FOUNDATION'S MISSION AND OBJECTIVES. BRIDGES TO RECOVERY PO BOX 417 JACKSBORO TN 37757 NONE 501(C)(3) MENTAL HEALTH PROGRAMS 33000 CASA OF CAMPBELL COUNTY PO BOX 1054 165 EAST STREET JACKSBORO TN 37757 NONE 501(C)(3) MEDICAL, PSYCHOLOGICAL, & EDUCATIONAL SERVICES FOR ABUSED & NEGLECTED CHILDREN IN THE JUVENILE COURT OF CAMPBELL COUNTY 25600 CAMPBELL COUNTY BOARD OF EDUCATION 172 VALLEY STREET JACKSBORO TN 37757 NONE GOVERNMENT AGENCY INFLUENZA VACCINATION PROGRAM, JELLICO HIGH SCHOOL ATHLETIC PERSONAL TRAINER 40000 CAMPBELL COUNTY CHILDREN'S CENTER 203 INDEPENDENCE LANE LAFOLLETTE TN 37766 NONE 501(C)(3) HEALTH EDUCATION/PREVENTION PROGRAM 40076 CAMPBELL COUNTY HEALTH COUNCIL 162 SHARP AND PERKINS ROAD JACKSBORO TN 37757 NONE 501(C)(3) COMMUNITY HEALTH 10000 CAMPBELL COUNTY RURAL FIRE SERVICE 4422 VICTORY ROAD LAFOLLETTE TN 37766 NONE 501(C)(3) FIRE PROTECTION FOR CAMPBELL COUNTY 36450 CAMPBELL COUNTY SENIOR CITIZENS 102 8TH STREET LAFOLLETTE TN 37766 NONE 501(C)(3) HOME DELIVERED MEALS FOR ELIGIBLE SENIORS 69977 CATHOLIC CHARITIES OF EAST TENNESSEE 3009 LAKE BROOK BLVD KNOXVILLE TN 37909 NONE 501(C)(3) PREGNANCY HELP CENTER 23000 CITY OF LAFOLLETTE FIRE DEPARTMENT 105 E BEECH STREET LAFOLLETTE TN 37766 NONE GOVERNMENT AGENCY FIRE PROTECTION FOR THE CITY OF LAFOLLETTE 71476 COMMUNITY HEALTH OF EAST TENNESSEE PO BOX 209 507 MAIN STREET JACKSBORO TN 37757 NONE 501(C)(3) PATIENT CARE PROGRAM 5000 EAST TENNESSEE HUMAN RESOURCES AGENCY 9111 CROSS PARK DR STE D10 KNOXVILLE TN 37766 NONE 501(C)(3) SENIOR SAFETY AND WELLNESS SUPPORT 15000 FOOD LIFE SERVICES OF CAMBELL CO 800 E CHESTNUT ST LAFOLLETTE TN 37766 NONE GOVERNMENT AGENCY EXPANDED NUTRITIONAL DISTRIBUTION 5000 HOL HEALTH COUNSELING 507 MAIN ST JACKSBORO TN 37757 NONE 501(C)(3) MENTAL/BEHAVIORAL HEALTH TREATMENT 36500 OPEN ARMS MINISTRY FOOD PANTRY 1112 MCGHEE LN JACKSBORO TN 37757 NONE 501(C)(3) FOOD PURCHASES 50000 LAFOLLETTE POLICE DEPARTMENT 215 S TENNESSEE AVE LAFOLLETTE TN 37766 NONE GOVERNMENT AGENCY SAFETY EQUIPMENT 56700 SPRINGS OF LIFE RECOVERY CENTER PO BOX 893 JELLICO TN 37762 NONE 501(C)(3) RECOVERY CENTER FOR MEN 45000 562779 0 14 64715 14 174102 18 316538 0 555355 0 555355 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 18325 12237 6088 DETAIL INFO REQUEST FORM 990 PF, PART II, LINE 10B AND LINE 10C THE INSTRUCTIONS FOR FORM 990-PF REQUIRE A SCHEDULE THAT LISTS EACH SECURITY HELD AT THE END OF THE YEAR, AND TO SHOW WHETHER THAT SECURITY IS REPORTED AT COST BASIS OR FMV. ALL SECURITIES ARE HELD IN A BROKERAGE ACCOUNT THROUGHOUT THE YEAR AND ARE REPORTED AT FMV. THIS SCHEDULE CAN BE PROVIDED TO THE IRS AT THEIR REQUEST. UBS #KAXX118 (HELD IN BROKERAGE A/C DETAIL AVAILABLE UPON REQUEST) 663076 663076 UBS #KAXX118 (HELD IN BROKERAGE ACCOUNT - DETAIL AVAILABLE UPON REQUEST) 7454519 7454518 1392221 1392221 0 0 LEGAL FEES 3630 2723 907 ACCRUED INTEREST RECEIVABLE 11519 16453 16453 PREPAID TAXES 3189 0 0 INSURANCE 2598 0 2598 OFFICE EXPENSES 5465 0 5465 CONTRACT LABOR 24000 12000 12000 UNREALIZED GAIN 385188 TAXES PAYABLE 0 557 UBS FEES 63805 63805 0 FEDERAL EXCISE TAX 6421 0 0 FOREIGN TAX WITHHOLDING 2925 2925 0