THE GOVERNOR'S FOUNDATION FOR HEALTH AND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE GOVERNOR'S FOUNDATION FOR HEALTH AND (EIN 45-3635908)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-02-20
IRS object ID
201820519349301207
Schema version
2016v3.0
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)
Return2018-02-20T16:32:32-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN620713250PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KRAFTCPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 GREAT CIRCLE ROADAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37228ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453635908EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GOVERNOR'S FOUNDATION FOR HEALTH ANDBusinessNameLine1Txt
Business Name Line2WELLNESSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGOVEBusinessNameControlTxt
Phone6156101880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1511 UNION STREET NO 720AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD JOHNSONPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone6156101880PhoneNum
Signature2018-02-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRANCES E LEAHYPreparerPersonNm
PTINP00713593PTIN
Phone6152427351PhoneNum
Preparation2018-02-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.86.221.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-20IPDt
IP Tm14:35:26IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF861D0A0FB6A0BD4A646A7A57E346BAA24CB08ECAtSubmissionCreationDeviceId
At Submission Filing Device IdFEF7EA5384E569CF9440904B7F4F35CEFEB20160AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1511 UNION STREET NO 720AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,172,160GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHEALTHIERTN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO ENCOURAGE AND ENABLE MORE TENNESSEANS TO LEAD HEALTHIER LIVES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,595,446PYContributionsGrantsAmt
CY Contributions Grants$2,135,684CYContributionsGrantsAmt
PY Program Service Revenue$15,000PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$15,849PYInvestmentIncomeAmt
CY Investment Income$18,749CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,626,295PYTotalRevenueAmt
CY Total Revenue$2,154,433CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$108,378CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,042,797PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,047,887CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,633CYTotalFundraisingExpenseAmt
PY Other Expenses$1,001,251PYOtherExpensesAmt
CY Other Expenses$385,548CYOtherExpensesAmt
PY Total Expenses$2,044,048PYTotalExpensesAmt
CY Total Expenses$1,541,813CYTotalExpensesAmt
PY Revenues Less Expenses-$417,753PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$612,620CYRevenuesLessExpensesAmt
Total Assets BOY$5,132,470TotalAssetsBOYAmt
Total Assets EOY$5,746,010TotalAssetsEOYAmt
Total Liabilities BOY$3,068TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,395TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,129,402NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,735,615NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$821,050ExpenseAmt
Grant$106,626GrantAmt
DescTHE HEALTHIER TENNESSEE COMMUNITIES PROGRAM WAS LAUNCHED IN MARCH 2015 WITH NINE PILOT COMMUNITIES. AT THE END OF JUNE 2017, THERE WERE 97 COMMUNITIES ACROSS THE STATE THAT WERE PARTICIPATING. THE INITIATIVE IS GEARED TOWARDS CREATING HEALTHIER CITIES, TOWNS, COUNTIES, AND NEIGHBORHOODS 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 SEVEN REGIONAL DIRECTORS WHO ARE RESPONSIBLE FOR RECRUITING AND SUPPORTING COMMUNITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$166,864ExpenseAmt
Grant$876GrantAmt
DescTHE 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 75,000 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 1,500 WORKPLACES HAD ACCESSED ITS ON-LINE TOOLS FOR EMPLOYEE WELLNESS, AND MORE THAN 400 FAITH-BASED ORGANIZATIONS THAT HAD ACCESSED ITS TOOLS FOR WELLNESS PROGRAMS AT PLACES OF WORSHIP.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$127,887ExpenseAmt
Grant$876GrantAmt
DescTHE 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

FieldValueIRS element (for citing)
DescOTHER PROGRAM SERVICES INCLUDE GENERAL MARKETING, RESEARCH, AND ASSISTANCE GIVEN TO OTHER ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,115,801TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6156101880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1511 UNION STREET NO 720AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37219ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BILL CARPENTER END 12017
DIRECTOR1.00Yes (X)$0$0$0
AGENIA CLARK
DIRECTOR1.00Yes (X)$0$0$0
REGINALD COOPWOOD MD
DIRECTOR1.00Yes (X)$0$0$0
STEVE CORBEIL END 52017
DIRECTOR1.00Yes (X)$0$0$0
CYNTHIA GIBSON END 61317
DIRECTOR1.00Yes (X)$0$0$0
ALFRED RICHARD JOHNSON
CEO40.00Yes (X)$230,567$0$18,121Yes (X)
BRYAN JORDAN
DIRECTOR1.00Yes (X)$0$0$0
LARRY MARTIN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
C WRIGHT PINSON MD
BOARD CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
PERRY STUCKEY
DIRECTOR1.00Yes (X)$0$0$0
JAMIE WOODSON
DIRECTOR1.00Yes (X)$0$0$0
HEATHER J ROHAN
DIRECTOR1.00Yes (X)$0$0$0
DR ANDREA WILLIS END 62017
DIRECTOR1.00Yes (X)$0$0$0
JOHN CHOBANIAN
VP OF OPERATIONS40.00$148,064$0$15,019Yes (X)
MOLLY SUDDERTH
DIRECTOR OF COMMUNITY RELATIONS40.00$103,749$0$3,162Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$482,380TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$36,302TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REDPEPPER LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 29TH AVE N SUITE 100AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
ServicesMEDIA SERVICESServicesDesc
Compensation$285,782CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,000,000GovernmentGrantsAmt
All Other Contributions$1,135,684AllOtherContributionsAmt
Total Contributions$2,135,684TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,441TotalRevenueColumnAmt
Exclusion$27,441ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$9,035OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$17,727OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$8,692OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,692TotalRevenueColumnAmt
Exclusion-$8,692ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,154,433TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$18,749ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$108,378TotalAmt
Program Services$108,378ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$429,849TotalAmt
Program Services$268,760ProgramServicesAmt
Management And General$150,728ManagementAndGeneralAmt
Fundraising$10,361FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$494,996TotalAmt
Program Services$455,311ProgramServicesAmt
Management And General$37,749ManagementAndGeneralAmt
Fundraising$1,936FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,099TotalAmt
Program Services$12,398ProgramServicesAmt
Management And General$1,588ManagementAndGeneralAmt
Fundraising$113FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,738TotalAmt
Program Services$41,116ProgramServicesAmt
Management And General$6,195ManagementAndGeneralAmt
Fundraising$427FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$61,205TotalAmt
Program Services$48,235ProgramServicesAmt
Management And General$12,174ManagementAndGeneralAmt
Fundraising$796FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$84,071TotalAmt
Program Services$33,628ProgramServicesAmt
Management And General$50,443ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,878TotalAmt
Management And General$20,878ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,731TotalAmt
Program Services$37,731ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,074TotalAmt
Program Services$883ProgramServicesAmt
Management And General$7,191ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,519TotalAmt
Program Services$3,519ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,381TotalAmt
Management And General$57,381ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,149TotalAmt
Program Services$34,127ProgramServicesAmt
Management And General$6,022ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,964TotalAmt
Management And General$8,964ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,348TotalAmt
Management And General$10,348ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTHIER TN COMMUNITIE$33,313$33,313
RESEARCH, ANALYSIS & RE$30,000$30,000
DUES & SUBSCRIPTIONS$20,672$20,672
LEASED PARKING$11,001$11,001

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,447TotalAmt
Program Services$8,402ProgramServicesAmt
Management And General$11,045ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,541,813TotalAmt
Program Services$1,115,801ProgramServicesAmt
Management And General$412,379ManagementAndGeneralAmt
Fundraising$13,633FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$729,633BOYAmt
EOY$283,462EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,190,850BOYAmt
EOY$3,724,442EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,138,333BOYAmt
EOY$1,688,478EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,878BOYAmt
EOY$13,394EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$59,605LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,948LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,640BOYAmt
EOY$28,657EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,136BOYAmt
EOY$7,577EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,132,470BOYAmt
EOY$5,746,010EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,068BOYAmt
EOY$10,395EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,068BOYAmt
EOY$10,395EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,991,069BOYAmt
EOY$4,088,948EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,138,333BOYAmt
EOY$1,646,667EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,129,402BOYAmt
EOY$5,735,615EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,132,470BOYAmt
EOY$5,746,010EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$612,620ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,407NetUnrlzdGainsLossesInvstAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,450,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,592,208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,610,446CurrentTaxYearMinus1YearAmt
Current Tax Year$2,135,684CurrentTaxYearAmt
Total$17,076,338TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,450,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,592,208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,610,446CurrentTaxYearMinus1YearAmt
Current Tax Year$2,135,684CurrentTaxYearAmt
Total$17,076,338TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,835,590SubstantialContributorsTotAmt
Public Support Total170$12,240,748PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$11,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,209CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,849CurrentTaxYearMinus1YearAmt
Current Tax Year$27,441CurrentTaxYearAmt
Total$67,534TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$85CurrentTaxYearMinus1YearAmt
Total$235TotalAmt
FieldValueIRS element (for citing)
Total Support$17,144,107TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,163OtherCostOrOtherBasisAmt
Depreciation$13,248DepreciationAmt
Book Value$11,915BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,442OtherCostOrOtherBasisAmt
Depreciation$17,700DepreciationAmt
Book Value$16,742BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,657TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,156,718TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$6,407NetUnrealizedGainsInvstAmt
Revenue Not Reported-$6,407RevenueNotReportedAmt
Revenue Subtotal$2,163,125RevenueSubtotalAmt
Other Revenues Not Included-$8,692OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$8,692RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,154,433TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,550,505TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$8,692OtherExpensesIncludedAmt
Expenses Not Reported$8,692ExpensesNotReportedAmt
Expenses Subtotal$1,541,813ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,541,813TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -8,692.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OF ASSETS RECLASSED 8,692.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
TROUSDALE CO HEALTH COUNCIL
541 EAST MAIN ST PO BOX 366HARTSVILLETN37074454855963501(C)3$5,000TO ADD EXERCISE EQUIPMENT AND WATER BOTTLE REFILL STATION FOR THEIR COMMUNITY PARK.
LAUDERDALE CO GOVERNMENT
100 COURT SQUARERIPLEYTN38063626000705$5,000WATER BOTTLE REFILL STATIONS IN RICE PARK
HEALTHIER CROSSVILLE
392 NORTH MAIN STREETCROSSVILLETN38555626000277$5,000EQUIPMENT FOR SCHOOLS/ COMMUNITY HEALTH AND WELL BEING PURPOSES. CITY WIDE EVENTS SUCH AS A 5K (SUCH AS START UP FUNDING).
CANNON COUNTY GOVERNMENT
200 W MAIN STWOODBURYTN37190620695041$5,000SUPPORT 3 ONGOING PROJECTS THAT WILL AFFECT OVER 300 PEOPLE, SUCH AS CONTINUING WALKING CLUBS IN SCHOOLS.
LAKE COUNTY COORDINATED SCHOOL
819 MCBRIDE STREETTIPTONVILLETN38079626000704$5,000OUTDOOR EXERCISE STATIONS AND SIGNS FOR PARKS
HOUSTON COUNTY LION'S CHARITY
5 E HURRICANE RDTENNESSEE RIDGETN37178320061320501(C)3$5,000WATER BOTTLE REFILL STATIONS AND MILEAGE MARKERS AT THE PARK.
UNIVERSITY OF TN EXTENSION
703 INDUSTRIAL PARK RDSELMERTN38375626001636$5,000OUTDOOR WATER BOTTLE REFILL STATIONS IN VARIOUS PUBLIC SITES IN THE COMMUNITY.
YMCA OF DICKSON COUNTY
225 HENSLEE DRIVEDICKSONTN37055471215122501(C)3$5,000WATER BOTTLE REFILL STATIONS IN 5 LOCATIONS. (LIBRARY, HEALTH DEPARTMENT, SCHOOLS)
VAN BUREN COUNTY
445 COLLEGE STREETSPENCERTN38585626000887$5,000HELP FUND OUR PROJECT OF BUILDING WALKING TRACKS AT 3 OF OUR COMMUNITY CENTERS SO THAT COMMUNITY MEMBERS HAVE MORE ACCESS TO AN ENVIRONMENT WHICH PROMOTES PHYSICAL ACTIVITY.
BODENHAM COMMUNITY CLUB
390 CHICKEN CREEK ROADPULASKITN38478$5,000ASSIST WITH CURRENT PROJECT TO DEVELOP A WALKING TRACK FOR THE BODENHAM COMMUNITY CENTER.
ANDERSON CO GOVERNMENT
100 NORTH MAIN ST RM 203CLINTONTN37716626000477$5,000PROMOTIONAL VIDEO FOR ACTIVEANDERSONTN THROUGH ANDY GARRETT. THE VIDEOS WILL BE DISTINCTLY RECOGNIZABLE AS ANDERSON COUNTY AND NOT GENERIC. KEY FEATURE WILL INCLUDE ALL FOCUS AREA INITIATIVES AND INTERVIEWS WITH COMMUNITY LEADERS.
MORGAN COUNTY SCHOOLS
136 FLAT FORK ROADWARTBURGTN37887626000772$5,000WATER BOTTLE REFILL STATIONS AT SCHOOL LOCATIONS WITH OPEN USE POLICIES.
GRUNDY COUNTY GOVERNMENT
C/O OFFICE OF COUNTY MAYOR 68ALTAMONTTN37301626000626$5,000TO PURCHASE AND INSTALL WATER FILLING STATIONS IN 5 SEPARATE LOCATIONS THROUGHOUT THE COUNTY, RANGING FROM WORKPLACES, PARKS, AND OFFICE BUILDINGS.CUMBERLAND STREET PO BOX 177
DEKALB COUNTY GOVERNMENT
1 PUBLIC SQUARE ROOM 204SMITHVILLETN37166265003829$5,000FITNESS CHALLENGE - PROVIDING FREE FITNESS CLASSES FOR RESIDENTS
TIPTON COUNTY GOVERNMENT
TIPTON COUNTY COURTHOUSE PO BOX 686COVINGTONTN38019626000874$5,000WATER BOTTLE REFILL STATIONS, BRAND AWARENESS EFFORTS AND OUTDOOR EXERCISE EQUIPMENT
CITY OF PIKEVILLE
25 MUNICIPAL DRIVEPIKEVILLETN37367620714825$5,000$3,000 SPENT ON BASKETBALL GOALS FOR COUNTY PARK. COUNTY PICKING UP COST OF RESURFACING THE BASKETBALL COURTS. $2,000 PROPOSED FOR MATCHING FUNDS FOR FUTURE GRANTS.
MARSHALL COUNTY HEALTH DEPARTMENT
206 LEGION AVENUELEWISBURGTN37091626000739$5,000PURCHASE OF WATER BOTTLE REFILL STATIONS FOR PUBLIC USE AND PURCHASE OF "HEALTHY" SNACK SAMPLES TO PROVIDE AT EVENTS.
HAMBLEN COUNTY HEALTHY HAMBLEN
331 WEST MAIN STREETMORRISTOWNTN37814821413072$5,000WATER BOTTLE FILLER IN PUBLIC PARK AND SCHOOL SYSTEM/NUTRITION IN FARMERS MARKET/SET UP NON PROFIT STATUS/MARKETING HEALTHIER INITIATIVE.
MONROE COUNTY HEALTH COUNCIL
615 WARREN STMADISONVILLETN37354582046314501(C)3$5,000PROMOTING FARMER'S MARKETS AND POP UP MARKETS WITHIN MONROE COUNTY AND DOING ANOTHER MONROE ON THE MOVE FITNESS FITNESS EXPO IN THE SPRING OF 2018. WE WILL ALSO PROMOTE THE USAGE OF GO NOODLE IN MONROE COUNTY AND SWEETWATER CITY SCHOOLS. WE HAVE CREATED A "TRAVELING GYM BAG" FOR CHURCHES AND BUSINESSES TO UTILIZE AND ARE DEVELOPING RESOURCES THAT WILL BE AVAILABLE TO CHURCHES AND BUSINESSES IN MONROE COUNTY TO PROMOTE HEALTHY LIFE CHOICES INCLUDING THE DEVELOPMENT OF A 6 WEEK TOBACCO CESSATION COURSE.
CITY OF COLLEGEDALE
4910 SWINYAR DRIVE PO BOX 1880COLLEGEDALETN37315620806474$5,000SMOKING CESSATION, SPONSORING COOKING & ACTIVITY EVENTS, AND PRINTING MATERIAL.
JEFFERSON COUNTY HEALTH COUNCIL
931 INDUSTRIAL PARK RDDANDRIDGETN37725201487777501(C)3$5,000TO SUPPLY THE SENIOR PRODUCE PROGRAM AND MARKETING/PROMOTIONAL ITEMS LIKE A VIDEO FEATURING OUR HEALTHIER TN BUSINESSES AND PLACES OF WORSHIP.
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART 1, LINE 2FormAndLineReferenceDesc
ExplanationDURING THE APPLICATION PROCESS, COMMUNITIES NEED TO DESCRIBE TO US HOW THEY PLAN TO UTILIZE THE FUNDS, HOW MANY PEOPLE THEIR PROJECT(S) WILL IMPACT, DURING WHAT TIME FRAME THEY PLAN TO SPEND THE FUNDS (ALL AT ONCE OR OVER A PERIOD OF TIME), AND WHO WILL OVERSEE THE GRANT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALFRED RICHARD JOHNSON
CEO$230,567$0$0$0$0$0$4,775$0$13,346$0$248,688$0$0$0
JOHN CHOBANIAN
VP OF OPERATIONS$148,064$0$0$0$0$0$4,573$0$10,446$0$163,083$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15BTHE 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 18THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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