THE GOVERNOR'S FOUNDATION FOR HEALTH AND: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE GOVERNOR'S FOUNDATION FOR HEALTH AND (EIN 45-3635908)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-03-28
- IRS object ID
- 201940879349300704
- Schema version
- 2017v2.3
- 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 | 2019-03-28T08:30:58-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 620713250 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRAFTCPAS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 GREAT CIRCLE ROAD | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37228 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453635908 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOVERNOR'S FOUNDATION FOR HEALTH AND | BusinessNameLine1Txt |
| Business Name Line2 | WELLNESS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOVE | BusinessNameControlTxt |
| Phone | 6156101880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 UNION STREET NO 720 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37219 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALFRED RICHARD JOHNSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6156101880 | PhoneNum |
| Signature | 2019-03-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRANCES E LEAHY | PreparerPersonNm |
| PTIN | P00713593 | PTIN |
| Phone | 6152427351 | PhoneNum |
| Preparation | 2019-03-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.86.221.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-27 | IPDt |
| IP Tm | 08:53:17 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8956978200CA2D7F1C5DA5399CE61FC425DA87B2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EE7BB5FE320B8FB13B25121C5E937124580CA208 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALFRED RICHARD JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 UNION STREET NO 720 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $192,999 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HEALTHIERTN.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 14 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,600 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,135,684 | PYContributionsGrantsAmt |
| CY Contributions Grants | $135,826 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,749 | PYInvestmentIncomeAmt |
| CY Investment Income | $45,060 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $11,301 | CYOtherRevenueAmt |
| PY Total Revenue | $2,154,433 | PYTotalRevenueAmt |
| CY Total Revenue | $192,187 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $108,378 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $187,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,047,887 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,199,074 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,423 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $385,548 | PYOtherExpensesAmt |
| CY Other Expenses | $324,718 | CYOtherExpensesAmt |
| PY Total Expenses | $1,541,813 | PYTotalExpensesAmt |
| CY Total Expenses | $1,711,292 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $612,620 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,519,105 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,746,010 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,266,617 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,395 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,627 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,735,615 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,214,990 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS IS TO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,263,279 | ExpenseAmt |
| Grant | $187,500 | GrantAmt |
| Revenue | $10,000 | RevenueAmt |
| Desc | THE HEALTHIER TENNESSEE COMMUNITIES PROGRAM WAS LAUNCHED IN MARCH 2015 WITH NINE PILOT COMMUNITIES. AT THE END OF JUNE 2018, THERE WERE 104 COMMUNITIES ACROSS THE STATE THAT WERE PARTICIPATING. THE INITIATIVE IS GEARED TOWARDS CREATING HEALTHIER CITIES, TOWNS, COUNTIES, AND NEIGHBORHOODS AND CAMPUSES AT THE GRASSROOTS LEVEL. EACH COMMUNITY MUST FORM A COMMITTEE THAT DRIVES THE EFFORT. THEY MUST DEVELOP AND IMPLEMENT SEVEN HEALTHY INITIATIVES - THREE FOCUSED ON INCREASING PHYSICAL EXERCISE, THREE FOCUSED ON BETTER NUTRITION, AND AT LEAST ONE FOCUSED ON TOBACCO ABSTINENCE. THE INITIATIVES MUST BE MEASURABLE, SUSTAINABLE, AND AVAILABLE TO THE ENTIRE COMMUNITY. THERE ARE TEN REGIONAL DIRECTORS WHO ARE RESPONSIBLE FOR RECRUITING AND SUPPORTING COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS CONTINUED TO COMMUNICATE ITS KEY MESSAGES THROUGH NON-PAID, NEWS MEDIA COVERAGE OF PROGRAMS AND SERVICES, INCLUDING ARTICLES AND PHOTOGRAPHS IN DAILY AND WEEKLY NEWSPAPERS, NEWSLETTERS, AND OTHER MEDIA OUTLETS. IT ALSO SUSTAINED ITS ON-LINE PRESENCE THROUGH ITS WEBSITE AND THE USE OF SOCIAL MEDIA OUTLETS THAT INCLUDED FACEBOOK, TWITTER, AND INSTAGRAM. AT THE END OF THE FISCAL YEAR, THERE WERE MORE THAN 89,000 INDIVIDUALS WHO HAD ACCESSED AT LEAST ONCE THE FOUNDATION'S WEB-BASED TOOLS, CALLED "SMALL STARTS, AND AN APP DEVELOPED BY THE FOUNDATION CALLED "STREAKS FOR SMALL STARTS." MORE THAN 2,400 WORKPLACES HAD ACCESSED ITS ON-LINE TOOLS FOR EMPLOYEE WELLNESS, AND MORE THAN 740 FAITH-BASED ORGANIZATIONS THAT HAD ACCESSED ITS TOOLS FOR WELLNESS PROGRAMS AT PLACES OF WORSHIP.THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS CONTINUED TO PROMOTE ITS WEB-BASED PROGRAM FOR PARENTS AND CAREGIVERS OF CHILDREN FROM BIRTH TO EARLY CHILDHOOD, CALLED "SMALL STARTS FOR FAMILIES." THIS RESOURCE PROVIDES TIPS AND TOOLS THAT ARE DIVIDED INTO FOUR HEALTH-RELATED CATEGORIES - NUTRITION, PHYSICAL ACTIVITY, TOBACCO ABSTINENCE, AVOIDANCE OF SECOND-HAND SMOKE, DENTAL AND ORAL HYGIENE, AND BETTER SLEEP. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER PROGRAM SERVICES INCLUDE GENERAL MARKETING, RESEARCH, AND ASSISTANCE GIVEN TO OTHER ORGANIZATIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,263,279 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 14 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6156101880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 UNION STREET NO 720 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37219 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| AGENIA CLARK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REGINALD COOPWOOD MD END 32018 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRYAN JORDAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY MARTIN | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| C WRIGHT PINSON MD | |||||||
| BOARD CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PERRY STUCKEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMIE WOODSON END 62018 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER J ROHAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR KENNETH ROBINSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CRYSTAL WASHINGTON END 62018 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALFRED RICHARD JOHNSON | |||||||
| CEO | 40.00 | Yes (X) | $235,600 | $0 | $18,076 | Yes (X) | |
| JOHN CHOBANIAN | |||||||
| VP OF OPERATIONS | 40.00 | $150,856 | $0 | $17,736 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $386,456 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $35,812 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $135,826 | AllOtherContributionsAmt |
| Total Contributions | $135,826 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,087 | TotalRevenueColumnAmt |
| Exclusion | $45,087 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,301 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,301 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,301 | TotalRevenueColumnAmt |
| Exclusion | $1,301 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $785 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $812 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$27 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27 | TotalRevenueColumnAmt |
| Exclusion | -$27 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ONE-TIME LEASE BUYOUT | Desc |
| Business | 531390 | BusinessCd |
| Total Revenue Column | $10,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,187 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,000 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,361 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,500 | TotalAmt |
| Program Services | $187,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,500 | TotalAmt |
| Program Services | $214,608 | ProgramServicesAmt |
| Management And General | $216,637 | ManagementAndGeneralAmt |
| Fundraising | $5,255 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,040 | TotalAmt |
| Program Services | $573,760 | ProgramServicesAmt |
| Management And General | $2,334 | ManagementAndGeneralAmt |
| Fundraising | $6,946 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,361 | TotalAmt |
| Program Services | $16,221 | ProgramServicesAmt |
| Management And General | $914 | ManagementAndGeneralAmt |
| Fundraising | $226 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,418 | TotalAmt |
| Program Services | $80,269 | ProgramServicesAmt |
| Management And General | $12,968 | ManagementAndGeneralAmt |
| Fundraising | $1,181 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,755 | TotalAmt |
| Program Services | $52,994 | ProgramServicesAmt |
| Management And General | $13,946 | ManagementAndGeneralAmt |
| Fundraising | $815 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,406 | TotalAmt |
| Program Services | $29,762 | ProgramServicesAmt |
| Management And General | $44,644 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,034 | TotalAmt |
| Management And General | $18,034 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,948 | TotalAmt |
| Program Services | $13,948 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,789 | TotalAmt |
| Program Services | $835 | ProgramServicesAmt |
| Management And General | $9,954 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,393 | TotalAmt |
| Management And General | $66,393 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,263 | TotalAmt |
| Program Services | $45,274 | ProgramServicesAmt |
| Management And General | $7,989 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248 | TotalAmt |
| Program Services | $1,248 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,289 | TotalAmt |
| Management And General | $10,289 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,034 | TotalAmt |
| Management And General | $10,034 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HTC SUPPORT MATERIALS | $17,728 | $17,728 | |
| RESEARCH, ANALYSIS, & R | $15,000 | $15,000 | |
| DUES & SUBSCRIPTIONS | $12,076 | $12,076 | |
| MEALS & ENTERTAINMENT | $10,225 | $3,068 | $7,157 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,285 | TotalAmt |
| Program Services | $11,064 | ProgramServicesAmt |
| Management And General | $221 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,711,292 | TotalAmt |
| Program Services | $1,263,279 | ProgramServicesAmt |
| Management And General | $433,590 | ManagementAndGeneralAmt |
| Fundraising | $14,423 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,462 | BOYAmt |
| EOY | $766,843 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,724,442 | BOYAmt |
| EOY | $2,921,922 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,688,478 | BOYAmt |
| EOY | $531,668 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,394 | BOYAmt |
| EOY | $13,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,772 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,158 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,657 | BOYAmt |
| EOY | $24,614 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,577 | BOYAmt |
| EOY | $7,721 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,746,010 | BOYAmt |
| EOY | $4,266,617 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,395 | BOYAmt |
| EOY | $51,627 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,395 | BOYAmt |
| EOY | $51,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,088,948 | BOYAmt |
| EOY | $3,634,326 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,646,667 | BOYAmt |
| EOY | $580,664 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,735,615 | BOYAmt |
| EOY | $4,214,990 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,746,010 | BOYAmt |
| EOY | $4,266,617 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,519,105 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,520 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $11,592,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $288,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,610,446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,135,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,567 | CurrentTaxYearAmt |
| Total | $15,779,905 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,592,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $288,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,610,446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,135,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,567 | CurrentTaxYearAmt |
| Total | $15,779,905 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,995,541 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,784,364 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,035 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,209 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,441 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,087 | CurrentTaxYearAmt |
| Total | $112,621 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,750 | CurrentTaxYearAmt |
| Total | $3,750 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $85 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $11,301 | CurrentTaxYearAmt |
| Total | $11,386 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,907,662 | TotalSupportAmt |
| Public Support CY170 | 0.74080 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,869 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,619 | DepreciationAmt |
| Book Value | $11,250 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,903 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,539 | DepreciationAmt |
| Book Value | $13,364 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,614 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $190,694 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,520 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$1,520 | RevenueNotReportedAmt |
| Revenue Subtotal | $192,214 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$27 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$27 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $192,187 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,711,319 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $27 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $27 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,711,292 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,711,292 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOUNDATION FOLLOWS FASB ASC GUIDANCE CONCERNING THE ACCOUNTING FOR INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A MINIMUM PROBABILITY THRESHOLD THAT A TAX POSITION MUST MEET BEFORE A FINANCIAL STATEMENT BENEFIT IS RECOGNIZED. THE MINIMUM THRESHOLD IS DEFINED AS A TAX POSITION THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION HAS NOT RECOGNIZED ANY TAX RELATED INTEREST AND PENALTIES IN THE ACCOMPANYING FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS RECLASSED -27. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS RECLASSED 27. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BARTLETT CHAMBER FOUNDATION | |||||||
| 2969 ELMORE PARK ROAD | BARTLETT | TN | 381348309 | 261993309 | 501(C)3 | $5,000 | GRANT TO FUND SEVERALT INITIATIVES SUCH AS MARATHON IN A MONTH AND NUTRITION CLASSES IN CONJUNCTION WITH HEALTHCHOICE (RENTAL SPACE AND INGREDIENTS). |
| CAMPBELL COUNTY HEALTH COUNCIL | |||||||
| PO BOX 149 | JACKSBORO | TN | 37757 | 621688206 | $5,000 | HYDRATION STATIONS IN COUNTY SCHOOLS. | |
| CHEATHAM COUNTY | |||||||
| 162 COUNTY SERVICES RD SUITE 200 | ASHLAND CITY | TN | 37015 | 862846976 | $5,000 | FOR OUR WELLNESS TRACK AT THE CHEATHAM COUNTY HEALTH DEPARTMENT/LIBRARY; AND FOR INSURANCE FOR OUR BIKE EVENT. | |
| CITY OF JAMESTOWN | |||||||
| POBOX 670 | JAMESTOWN | TN | 38556 | 626007757 | $5,000 | TO RESURFACE THE CITY'S PARK BASKETBALL COURT. | |
| CLAIBORNE CO CHAMBER OF COMM | |||||||
| 1732 MAIN STREET SUITE 1 | TAZEWELL | TN | 37879 | 621165041 | $5,000 | BUY PROMOTIONAL MATERIALS, WATER BOTTLE REFILL STATIONS FOR A FEW SCHOOLS IN CLAIBORNE COUNTY TO KICK OFF OUR 'RETHINK YOUR DRINK' CAMPAIGN. | |
| CLAY COUNTY CHAMBER OF COMM | |||||||
| 424 BROWN ST | CELINA | TN | 38551 | 626000537 | $5,000 | STUDENT MEDIA SCHOLARSHIPS, WATER BOTTLE FILLING STATIONS, COMMUNITY EVENTS AND PROMOTION | |
| FAYETTE COUNTY GOVERNMENT | |||||||
| 13095 NORTH MAIN STREET | SOMERVILLE | TN | 38068 | 626000586 | $5,000 | FOR "YOUNG LUNGS AT PLAY" SIGNAGE AND BENCHES TO BE PUT IN THE PARK IN MOSCOW, TN. AND TO PROMOTE THE LOCAL FARMER'S MARKET. | |
| GRAINGER COUNTY HEALTH DEPT | |||||||
| 771 RUTLEDGE PIKE | BLAINE | TN | 37709 | 626000614 | $5,000 | FOR WATER REFILLING STATIONS IN THE HIGH SCHOOL, MIDDLE SCHOOL, ELEMENTARY SCHOOLS AND ONE IN THE COMMUNITY BUILDING. | |
| HANCOCK COUNTY | |||||||
| PO BOX 267 | SNEEDVILLE | TN | 37869 | 620985124 | $5,000 | INCREASE NUMBER/FREQUENCY OF COMMUNITY FITNESS PROGRAMS, EXPAND PHYSICAL ACTIVITY PROGRAMS IN SCHOOLS, IMPLEMENT PROGRAMS NUTRITION, EXPAND EMPLOYEE WELLNESS CHALLENGE. PROMOTE TOBACCO CESSATION. | |
| HAWKINS COUNTY HEALTH DEPT | |||||||
| 201 PARK BOULEVARD | ROGERSVILLE | TN | 37857 | 626016563 | $5,000 | SCHOOL WALKING TRAIL, COMMUNITY GARDEN, AND PROMOTION AND SUPPLIES | |
| HENRY COUNTY HEALTH DEPT | |||||||
| 803 JOY ST | PARIS | TN | 38242 | 626001445 | $5,000 | WATER REFILL STATIONS IN COUNTY ELEMENTARY SCHOOLS | |
| LAUGHLIN HEALTH CARE FDN | |||||||
| 335 GRAPEVINE TRAIL | GREENEVILLE | TN | 37745 | 582105493 | 501(C)3 | $5,000 | BUY WATER BOTTLE REFILL STATIONS FOR GREENE COUNTY SCHOOLS AND POSSIBLY $25 INCENTIVES TO ELEMENTARY TEACHERS FOR PROMOTING HEALTHY CHOICES IN THEIR CLASSROOMS. |
| LAWRENCE COUNTY GOVERNMENT | |||||||
| 202 DELLER STREET | LAWRENCEBURG | TN | 38464 | 626000709 | $5,000 | ASSISTING THE CITY OF ETHRIDGE WITH OUTDOOR FITNESS EQUIPMENT FOR THEIR PARK REVITALIZATION PROJECT FOR ALEXANDER FIELD. | |
| LINCOLN COUNTY GOVERNMENT | |||||||
| 112 MAIN AVENUE SOUTH ROOM B104 | FAYETTEVILLE | TN | 37334 | 621451254 | $5,000 | FOR MARATHON IN A MONTH EVENT HELD IN LINCOLN COUNTY. FUNDS WILL GO TOWARDS SIGNAGE, INCENTIVES, T-SHIRTS, WATER, WATER BOTTLES, GRAND PRIZES, ETC. IF THERE IS A REMAINING BALANCE, ALL FUNDS WILL GO TOWARDS A COMMUNITY GARDEN FOR THE 2019 YEAR. | |
| PERRY COUNTY MEDICAL CTR | |||||||
| PO BOX 916 | LINDEN | TN | 37096 | 621027042 | 501(C)3 | $5,000 | CONTINUE PREMIUM GONOODLE IN ELEMENTARY SCHOOLS, PROMOTE SMOKE FREE INITIATIVE WITH PARK SIGNAGE |
| PICKETT COUNTY GOVERNMENT | |||||||
| 1 COURTHOUSE SQUARE SUITE 200 | BYRDSTOWN | TN | 38549 | 620934254 | $5,000 | REFILLABLE WATER STATIONS AT THE TWO SCHOOLS IN THE PICKETT COUNTY SCHOOL SYSTEM. WILL PURCHASE REFILLABLE WATER BOTTLES FOR THE STUDENTS IN THE PICKETT COUNTY SCHOOL SYSTEM. | |
| ROANE COUNTY | |||||||
| PO BOX 703 | KINGSTON | TN | 37763 | 620900159 | $5,000 | INTERACTIVE EDUCATIONAL JOURNALISM, PROMOTIONAL PRODUCTS, PUBLIC RELATIONS REGARDING THE HEALTH OF OUR COMMUNITY | |
| SEQUATCHIE COUNTY | |||||||
| PO BOX 595 | DUNLAP | TN | 37327 | 626000826 | $5,000 | PLACE 1 RETROFIT WATER FOUNTAIN BETWEEN THE K-1ST HALLWAY. PROVIDE ALL K-1ST GRADE STUDENTS WITH NEW WATER BOTTLES. CONDUCT OPEN HOUSE EXHIBIT ON SUGAR DRINKS VS. WATER. HOST A PROMOTIONAL BREAKFAST KICK-OFF FOR BUSINESS OWNERS/MANAGERS | |
| SMITH COUNTY GOVERNMENT | |||||||
| 122 TURNER HIGH CIRCLE | CARTHAGE | TN | 37030 | 626000849 | $5,000 | REFILL WATER FOUNTAIN FOR ONE COUNTY SCHOOL. MILEAGE SIGN FOR LOCAL TRAILS, WATER FOUNTAIN FOR LOCAL WALKING/RUNNING TRACK. | |
| SPRING HILL PARKS & RECREATION | |||||||
| PO BOX 789 | SPRING HILL | TN | 37174 | 620692693 | $5,000 | INSTALL WATER BOTTLE REFILL STATIONS IN OUR PARKS, PLAN TO USE THE REMAINING MONEY ON PROMOTIONAL MATERIALS. | |
| STEWART CO HEALTHY SCHOOLS | |||||||
| PO 367 110 NACTOR DRIVE | DOVER | TN | 37058 | 813707911 | $5,000 | TO INSTALL BASKETBALL EQUIPMENT (POLES, RIMS, BACKBOARDS, ETC.) ON AN ALREADY ESTABLISHED COURT IN CUMBERLAND CITY | |
| THREE RIVERS HOSPITAL | |||||||
| 451 HWY 13S | WAVERLY | TN | 37185 | 261861676 | 501(C)3 | $5,000 | WATER BOTTLE REFILL STATIONS IN SCHOOLS |
| TOWN OF ARLINGTON | |||||||
| PO BOX 545 | ARLINGTON | TN | 38002 | 621644959 | $5,000 | PRIZES FOR 1ST ANNUAL WALK ACROSS TN, HEALTHY RECIPE CARD DESIGN AND PRINTING, POSSIBLE WATER BOTTLE REFILL STATIONS IN SCHOOLS | |
| UNITED WAY OF ELIZABETHTON | |||||||
| PO BOX 1715 | ELIZABETHTON | TN | 37643 | 621104204 | 501(C)3 | $5,000 | SUPPORT YOUTH TOBACCO/SUBSTANCE ABUSE BOARD IN CONDUCTING A TOBACCO TAKE BACK DAY. PLACE STORY PLAQUES ALONG WALKING TRAILS FOR FAMILIES TO WALK AND READ PORTIONS OF STORIES ALONG THE WAY. LAUNCH FROM TWEETSIE TRAIL AND OTHER WALKING TRAILS USING THE HASHTAG #HEALTHYSELFIE TO PROMOTE LOCAL WALKING TRAILS VENUES; WATER BOTTLE REFILL STATIONS. INSTALL WATER BOTTLE STATIONS, PARTICULARLY AT HAMPTON HIGH SCHOOL. MARKETING & PROMOTION |
| WARREN COUNTY | |||||||
| 2548 MORRISON STREET | MCMINNVILLE | TN | 37110 | 626000894 | $5,000 | PUT INDOOR BOTTLE REFILL STATIONS IN 5 OR MORE SCHOOLS IN WARREN COUNTY. ALSO PLAN TO USE $ FOR MARKETING. | |
| WAYNE COUNTY GOVERNMENT | |||||||
| 100 COURT CIRCLE SUITE 300 | WAYNESBORO | TN | 38485 | 626014122 | $5,000 | WATER BOTTLE REFILL STATIONS | |
| WHITE COUNTY SCHOOL HEALTH | |||||||
| 136 BAKER STREET | SPARTA | TN | 38583 | 626000911 | $5,000 | PURCHASE INDOOR WATER BOTTLE REFILL STATIONS. | |
| WILLIAMSON COUNTY HEALTH DEPT | |||||||
| 1324 WEST MAIN STREET | FRANKLIN | TN | 37064 | 626000913 | 501(C)3 | $5,000 | MONTHLY FAMILY NIGHTS FOCUSED ON GOOD NUTRITION AND REDUCING OBESITY AND PHYSICAL ACTIVITY, FOR COOKING CLASSES TO PROMOTE HEALTHY EATING, EXPLORING THE POSSIBILITY OF BUILDING A GAGA PIT TO INCREASE PHYSICAL ACTIVITY FOR THE COMMUNITY |
| YMCA AT SCHILLING FARMS | |||||||
| 1185 SCHILLING BLVD E | COLLERVILLE | TN | 38017 | 620476304 | 501(C)3 | $5,000 | PURCHASE PROMO ITEMS WITH THE HEALTHIER COLLIERVILLE LOGO ON IT TO BE GIVEN AT VARIOUS EVENTS AS WELL AS OUR COUCH TO 5K INITIATIVE. |
| FIRST CHRISTIAN CHURCH | |||||||
| 401 W MAIN ST | MOUNTAIN CITY | TN | 37683 | 100035883 | 501(C)3 | $7,500 | BRAND DEVELOPMENT SUCH AS PROMOTIONAL ITEMS AND INCENTIVES, EQUIPMENT FOR SUSTAINABLE PHYSICAL ACTIVITY AND COOKING PROGRAMS. SIGNAGE AND MAPS DIRECTING THE PUBLIC TO THE DOWNTOWN MILE+, TO THE GOOSE CREEK TRAIL AND RALPH STOUT PARK. |
| UNITED WAY OF ROBERTSON CO | |||||||
| 408 NORTH MAIN STREET | SPRINGFIELD | TN | 37172 | 780052471 | $7,500 | SMALL STARTS STARTER KIT FOR WORKPLACES AND CHURCHES. MARKETING AND ADVERTISING. PURCHASING WATER STATIONS FOR WORKPLACES AND CHURCHES. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 31 | Total501c3OrgCnt |
| Total Other Org | 31 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ONLY PARTICIPATING HEALTHIER TENNESSEE COMMUNITIES ARE ELIGIBLE FOR GRANT FUNDS FROM THE FOUNDATION. FOR CRITERIA-BASED GRANTS - COMMUNITIES WERE REQUIRED TO SUBMIT A "USE OF FUNDS" PLAN OUTLINING THEIR BUDGET, INTENDED PROJECT, AND EXPECTED OUTCOMES. FOR CURRENT PROJECT BASED GRANT OPPORTUNITIES - COMMUNITIES ARE REQUIRED TO SUBMIT A PROJECT PROPOSAL, BUDGET, AND EXPECTED OUTCOMES. ADDITIONALLY, THESE AWARDEES ARE REQUIRED TO SUBMIT A PROJECT SUMMARY/OUTCOMES REPORT WITHIN ONE-YEAR OF RECEIVING THE FUNDING. IN ADDITION TO THE FORMAL DOCUMENTATION REQUIRED WITH THE GRANT OPPORTUNITIES, ALL FUNDED PROJECTS ARE MONITORED BY THE COMMUNITY'S ASSIGNED HEALTHIER TENNESSEE REGIONAL OR NEIGHBORHOOD DIRECTOR ON A MONTHLY BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED RICHARD JOHNSON | ||||||||||||||
| CEO | $235,600 | $0 | $0 | $0 | $0 | $0 | $4,871 | $0 | $13,205 | $0 | $253,676 | $0 | $0 | $0 |
| JOHN CHOBANIAN | ||||||||||||||
| VP OF OPERATIONS | $150,856 | $0 | $0 | $0 | $0 | $0 | $4,676 | $0 | $13,060 | $0 | $168,592 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS PREPARED BY AN ACCOUNTING FIRM AND SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION FOR INTERNAL REVIEW. COPIES ARE THEN PROVIDED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE BOARD OF DIRECTORS HAS FORMED A COMPENSATION COMMITTEE. THIS COMMITTEE EVALUATES THE CEO'S PERFORMANCE AND APPROVES ANY COMPENSATION CHANGES FOR ALL STAFF. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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