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PERMOBIL FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PERMOBIL FOUNDATION (EIN 81-3029754)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349307334
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

FieldValueIRS element (for citing)
Return2018-11-14T14:22:03-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621199757PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LBMC PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1869AddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP370241869ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN813029754EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PERMOBIL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPERMBusinessNameControlTxt
Phone8007360925PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 DUKE DRAddressLine1Txt
CityLEBANONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37090ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonASHLEY DAVISPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8007360925PhoneNum
Signature2018-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL HUDSONPreparerPersonNm
PTINP00061190PTIN
Phone6153774600PhoneNum
Preparation2018-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address8.42.53.250IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm13:00:20IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0D8586D12C81D50A4A05476305D750AB2177D11CAtSubmissionCreationDeviceId
At Submission Filing Device IdAFDE505084F49E7B2BCD9E9BCFC3CBBE149BAFE5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PEREMOBIL CARESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerASHLEY DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 DUKE DRIVEAddressLine1Txt
CityLEBANONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37090ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,069,221GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PEREMOBILFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTHE PERMOBIL FOUNDATION IS DEDICATED TO ENHANCING THE QUALITY OF LIFE BY EMPOWERING STRENGTH AND INDEPENDENCE THROUGH COMMUNITY SUPPORT, EMPLOYEE ENGAGEMENT AND GRANT FUNDING. WE WORK IN PARTNERSHIP WITH NON-PROFIT ORGANIZATIONS AND AGENCIES TO PROVIDE SUPPORT AND SERVICES SO INDIVIDUALS CAN LIVE A LIFE WITHOUT LIMITATIONS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$982,548CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$70,285CYOtherRevenueAmt
CY Total Revenue$1,052,833CYTotalRevenueAmt
CY Grants And Similar Paid$740,507CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$176,006CYOtherExpensesAmt
CY Total Expenses$916,513CYTotalExpensesAmt
CY Revenues Less Expenses$136,320CYRevenuesLessExpensesAmt
Total Assets BOY$6,290TotalAssetsBOYAmt
Total Assets EOY$142,610TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,290NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$142,610NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PERMOBIL FOUNDATION IS DEDICATED TO ENHANCING THE QUALITY OF LIFE BY EMPOWERING STRENGTH AND INDEPENDENCE THROUGH COMMUNITY SUPPORT, EMPLOYEE ENGAGEMENT AND GRANT FUNDING. WE WORK IN PARTNERSHIP WITH NON-PROFIT ORGANIZATIONS AND AGENCIES TO PROVIDE SUPPORT AND SERVICES SO INDIVIDUALS CAN LIVE A LIFE WITHOUT LIMITATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$740,507ExpenseAmt
Grant$740,507GrantAmt
DescPARTNERSHIPS WITH NON-PROFIT ORGANIZATIONS THAT INCLUDE: DONATIONS FOR CHILDREN CAMPS, ACCESSIBLE PLAYGROUNDS, DURABLE MEDICAL EQUIPMENT, ETC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescDONATIONS OF WHEELCHAIRS & REHAB TECHNOLOGY ACCESSORIES TO INDIVIDUALS DENIED BY INSURANCEDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescCOLLEGE SCHOLARSHIPS FOR WHEELCHAIR USERSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$740,507TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLEY DAVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8007360925PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 DUKE DRIVEAddressLine1Txt
CityLEBANONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37090ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CAMILLA JACKSON
COMMUNITY LEADER1.00Yes (X)$0$0$0
LARRY JACKSON
DIRECTOR1.00Yes (X)$0$0$0
DAVE MCCAUSLAND
BOARD CHAIR2.00$0$0$0Yes (X)
TODD WALLING
TREASURER1.00$0$0$0Yes (X)
CHRIS JAVILLONAR
SECRETARY1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$969,891RelatedOrganizationsAmt
All Other Contributions$12,657AllOtherContributionsAmt
Noncash Contributions$446,634NoncashContributionsAmt
Total Contributions$982,548TotalContributionsAmt
Fundraising Gross Income$86,673FundraisingGrossIncomeAmt
Fundraising Direct Expenses$16,388FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,285TotalRevenueColumnAmt
Exclusion$70,285ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,052,833TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$70,285ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$237,530TotalAmt
Program Services$237,530ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$502,977TotalAmt
Program Services$502,977ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$108,058TotalAmt
Management And General$108,058ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$67,848TotalAmt
Management And General$67,848ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Total$100TotalAmt
Management And General$100ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$916,513TotalAmt
Program Services$740,507ProgramServicesAmt
Management And General$176,006ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,290BOYAmt
EOY$142,610EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,290BOYAmt
EOY$142,610EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,290BOYAmt
EOY$142,610EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,290BOYAmt
EOY$142,610EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,290BOYAmt
EOY$142,610EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$136,320ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community TrustYes (X)CommunityTrustInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$982,548CurrentTaxYearAmt
Total$982,548TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$982,548CurrentTaxYearAmt
Total$982,548TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$982,548PublicSupportTotal170Amt
Total Support$982,548TotalSupportAmt
Gross Receipts Rltd Activities$86,673GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,069,221TotalRevEtcAuditedFinclStmtAmt
Other Revenue$16,388OtherRevenueAmt
Revenue Not Reported$16,388RevenueNotReportedAmt
Revenue Subtotal$1,052,833RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,052,833TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$932,901TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$16,388OtherExpensesIncludedAmt
Expenses Not Reported$16,388ExpensesNotReportedAmt
Expenses Subtotal$916,513ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$916,513TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FOUNDATION IS AN EXEMPT ORGANIZATION FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. THE FOUNDATION RECOGNIZES THE TAX BENEFIT ASSOCIATED WITH A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL BE SUSTAINED. THE FOUNDATION DOES NOT BELEIVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. IT IS THE FOUNDATION'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. AS OF DECEMBER 31, 2017, THE FOUNDATION HAS ACCRUED NO INTEREST AND NO PENALTIES RELATED TO UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 16,388.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 16,388.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$86,673GrossReceiptsEvent1Amt
Gross Revenue Event1$86,673GrossRevenueEvent1Amt
Other Direct Expenses Event1$16,388OtherDirectExpensesEvent1Amt
Gross Receipts Total$86,673GrossReceiptsTotalAmt
Gross Revenue Total Events$86,673GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$16,388OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$16,388DirectExpenseSummaryEventsAmt
Net Income Summary$70,285NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ALS ASSOCIATION OF TENNESSEE CHAPTER
4300 SIDCO DRIVE SUITE 200NASHVILLETN37204943124723501 (C)(3)$10,000TENNESSEE WALK
ALS ASSOCIATION ARIZONA CHAPTER
360 E CORONADO RD SUITE 140PHOENIXAZ85004860727136501 (C)(3)$9,000GRANT
THE ALS ASSOCIATION NATIONAL OFFICE
1275 K STREET NW SUITE 250WASHINGTONDC20005133271855501 (C)(3)$20,500CLINICAL CONFERENCE/PUBLIC POLICY AND SOCIAL MEDIA CAMPAIGN
THE ALS ASSOCIATION ST LOUIS CHAPTER
2258 WELDON PARKWAYST LOUISMO63146431458163501 (C)(3)$7,500GRANT
MUSCULAR DYSTROPHY ASSOCIATION IN TENNESSEE
161 N CLARK STREET SUITE 3550CHICAGOIL60603131665552501 (C)(3)$40,000TN MUSCLE GALA, TN SUMMER CAMP, LIVE UNLIMITED, & ALS CLINIC BOOKS
CRAIG HOSPITAL FOUNDATION
3425 S CLARKSON STENGLEWOODCO80113237352287501 (C)(3)$8,000GRANT
RAELEE'S LEGACY INC
6300 STEWARTS FERRY PIKEMT JULIETTN37122812855839501 (C)(3)$13,500GLADEVILLE PARK
HENDERSONVILLE ROTARY FOUNDATION
P0 BOX 2703HENDERSONVILLETN37077300071383501 (C)(3)$7,000MARY'S MAGICAL PLACE
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeELEVATOR SEATS AND CHAIR PARTSGrantTypeTxt
Recipient95RecipientCnt
Cash Grant$0CashGrantAmt
Non Cash Assistance$502,977NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceELEVATOR SEATS AND CHAIR PARTSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPERIODIC REPORTS THROUGH CALENDAR SCHEDULES SET-UP AS GRANTS ARE RECEIVED TO ENSURE FUNDS ARE USED AS GRANT OUTLINES.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSEAT ELEVATORS AND PARTSDesc
Contribution95ContributionCnt
Noncash Contributions Rpt F990$446,634NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2LARRY JACKSON, PRESIDENT OF PERMOBIL INC. IS MARRIED TO CAMILLA JACKSON. BOTH SERVE AS BOARD MEMBERS TO THE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11BPERMOBIL FOUNDATION WILL REVIEW FORM 990 AT MONTHLY BOARD MEETING WITH THE BOARD OF DIRECTORS AND THE 990 WILL BE USED TO ASSIST WITH APPLICATIONS FOR GRANT WRITING AND GUIDESTAR.
FORM 990, PART VI, SECTION B, LINE 12CPERMOBIL FOUNDATION'S CONFLICT OF INTEREST POLICY IS MONITORED THROUGHOUT THE YEAR AS THE BOARD OF DIRECTORS MEET ON A MONTHLY BASIS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER ADMINISTRATIVE SUPPORT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 108,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,058.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PERMOBIL INC
300 DUKE DRIVELEBANONTN37090043189589MANUFACTURER OF WHEELCHAIRSTNN/AC0
TRILITE
2701 W COURT STREETPASCOWA99301911895455MEDICAL DEVICE MANUFACTURERWAN/AC0
ROHO GROUP
100 N FLORIDA AVEBELLEVILLEIL62221204546288MANUFACTURER OF SEATING AND POSITIONING SYSTEMSILN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PERMOBIL INC
C$317,040CASH
PERMOBIL INC
Q$109,198ADMINISTRATIVE EXPENSES
PERMOBIL INC
C$446,634FMV
TRILITE INC
C$58,420CASH
ROHO GROUP
C$38,599CASH

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