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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-20T16:32:32-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | 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 | RICHARD JOHNSON | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 6156101880 | PhoneNum |
| Signature | 2018-02-20 | 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 | 2018-02-19 | 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 | 2018-02-20 | IPDt |
| IP Tm | 14:35:26 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F861D0A0FB6A0BD4A646A7A57E346BAA24CB08EC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FEF7EA5384E569CF9440904B7F4F35CEFEB20160 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | 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 | $2,172,160 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 10 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,595,446 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,135,684 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,849 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,749 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,626,295 | PYTotalRevenueAmt |
| CY Total Revenue | $2,154,433 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $108,378 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,042,797 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,047,887 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $13,633 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,001,251 | PYOtherExpensesAmt |
| CY Other Expenses | $385,548 | CYOtherExpensesAmt |
| PY Total Expenses | $2,044,048 | PYTotalExpensesAmt |
| CY Total Expenses | $1,541,813 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$417,753 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $612,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,132,470 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,746,010 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,068 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,395 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,129,402 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,735,615 | 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 | $821,050 | ExpenseAmt |
| Grant | $106,626 | GrantAmt |
| Desc | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $166,864 | ExpenseAmt |
| Grant | $876 | GrantAmt |
| 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,887 | ExpenseAmt |
| Grant | $876 | GrantAmt |
| Desc | 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 | $1,115,801 | 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 | 10 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| BILL CARPENTER END 12017 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AGENIA CLARK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REGINALD COOPWOOD MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE CORBEIL END 52017 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA GIBSON END 61317 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALFRED RICHARD JOHNSON | |||||||
| CEO | 40.00 | Yes (X) | $230,567 | $0 | $18,121 | Yes (X) | |
| 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 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER J ROHAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR ANDREA WILLIS END 62017 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN CHOBANIAN | |||||||
| VP OF OPERATIONS | 40.00 | $148,064 | $0 | $15,019 | Yes (X) | ||
| MOLLY SUDDERTH | |||||||
| DIRECTOR OF COMMUNITY RELATIONS | 40.00 | $103,749 | $0 | $3,162 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $482,380 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $36,302 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDPEPPER LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 29TH AVE N SUITE 100 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDIA SERVICES | ServicesDesc |
| Compensation | $285,782 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,000,000 | GovernmentGrantsAmt |
| All Other Contributions | $1,135,684 | AllOtherContributionsAmt |
| Total Contributions | $2,135,684 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,441 | TotalRevenueColumnAmt |
| Exclusion | $27,441 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,035 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,727 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,692 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,692 | TotalRevenueColumnAmt |
| Exclusion | -$8,692 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,154,433 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,749 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,378 | TotalAmt |
| Program Services | $108,378 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,849 | TotalAmt |
| Program Services | $268,760 | ProgramServicesAmt |
| Management And General | $150,728 | ManagementAndGeneralAmt |
| Fundraising | $10,361 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,996 | TotalAmt |
| Program Services | $455,311 | ProgramServicesAmt |
| Management And General | $37,749 | ManagementAndGeneralAmt |
| Fundraising | $1,936 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,099 | TotalAmt |
| Program Services | $12,398 | ProgramServicesAmt |
| Management And General | $1,588 | ManagementAndGeneralAmt |
| Fundraising | $113 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,738 | TotalAmt |
| Program Services | $41,116 | ProgramServicesAmt |
| Management And General | $6,195 | ManagementAndGeneralAmt |
| Fundraising | $427 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,205 | TotalAmt |
| Program Services | $48,235 | ProgramServicesAmt |
| Management And General | $12,174 | ManagementAndGeneralAmt |
| Fundraising | $796 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,071 | TotalAmt |
| Program Services | $33,628 | ProgramServicesAmt |
| Management And General | $50,443 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,878 | TotalAmt |
| Management And General | $20,878 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,731 | TotalAmt |
| Program Services | $37,731 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,074 | TotalAmt |
| Program Services | $883 | ProgramServicesAmt |
| Management And General | $7,191 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,519 | TotalAmt |
| Program Services | $3,519 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,381 | TotalAmt |
| Management And General | $57,381 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,149 | TotalAmt |
| Program Services | $34,127 | ProgramServicesAmt |
| Management And General | $6,022 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,964 | TotalAmt |
| Management And General | $8,964 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,348 | TotalAmt |
| Management And General | $10,348 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,447 | TotalAmt |
| Program Services | $8,402 | ProgramServicesAmt |
| Management And General | $11,045 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,541,813 | TotalAmt |
| Program Services | $1,115,801 | ProgramServicesAmt |
| Management And General | $412,379 | ManagementAndGeneralAmt |
| Fundraising | $13,633 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,633 | BOYAmt |
| EOY | $283,462 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,190,850 | BOYAmt |
| EOY | $3,724,442 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,333 | BOYAmt |
| EOY | $1,688,478 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,878 | BOYAmt |
| EOY | $13,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,605 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,948 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,640 | BOYAmt |
| EOY | $28,657 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,136 | BOYAmt |
| EOY | $7,577 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132,470 | BOYAmt |
| EOY | $5,746,010 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,068 | BOYAmt |
| EOY | $10,395 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,068 | BOYAmt |
| EOY | $10,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,991,069 | BOYAmt |
| EOY | $4,088,948 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,333 | BOYAmt |
| EOY | $1,646,667 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,129,402 | BOYAmt |
| EOY | $5,735,615 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132,470 | BOYAmt |
| EOY | $5,746,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $612,620 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,407 | 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 | $1,450,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,592,208 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $288,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,610,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,135,684 | CurrentTaxYearAmt |
| Total | $17,076,338 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,450,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,592,208 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $288,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,610,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,135,684 | CurrentTaxYearAmt |
| Total | $17,076,338 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,835,590 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,240,748 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $11,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,849 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,441 | CurrentTaxYearAmt |
| Total | $67,534 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $85 | CurrentTaxYearMinus1YearAmt |
| Total | $235 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,144,107 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,163 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,248 | DepreciationAmt |
| Book Value | $11,915 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,700 | DepreciationAmt |
| Book Value | $16,742 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,657 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,156,718 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$6,407 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$6,407 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,163,125 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$8,692 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$8,692 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,154,433 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,550,505 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,692 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,692 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,541,813 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,541,813 | 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 -8,692. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS RECLASSED 8,692. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| TROUSDALE CO HEALTH COUNCIL | ||||||||
| 541 EAST MAIN ST PO BOX 366 | HARTSVILLE | TN | 37074 | 454855963 | 501(C)3 | $5,000 | TO ADD EXERCISE EQUIPMENT AND WATER BOTTLE REFILL STATION FOR THEIR COMMUNITY PARK. | |
| LAUDERDALE CO GOVERNMENT | ||||||||
| 100 COURT SQUARE | RIPLEY | TN | 38063 | 626000705 | $5,000 | WATER BOTTLE REFILL STATIONS IN RICE PARK | ||
| HEALTHIER CROSSVILLE | ||||||||
| 392 NORTH MAIN STREET | CROSSVILLE | TN | 38555 | 626000277 | $5,000 | EQUIPMENT 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 ST | WOODBURY | TN | 37190 | 620695041 | $5,000 | SUPPORT 3 ONGOING PROJECTS THAT WILL AFFECT OVER 300 PEOPLE, SUCH AS CONTINUING WALKING CLUBS IN SCHOOLS. | ||
| LAKE COUNTY COORDINATED SCHOOL | ||||||||
| 819 MCBRIDE STREET | TIPTONVILLE | TN | 38079 | 626000704 | $5,000 | OUTDOOR EXERCISE STATIONS AND SIGNS FOR PARKS | ||
| HOUSTON COUNTY LION'S CHARITY | ||||||||
| 5 E HURRICANE RD | TENNESSEE RIDGE | TN | 37178 | 320061320 | 501(C)3 | $5,000 | WATER BOTTLE REFILL STATIONS AND MILEAGE MARKERS AT THE PARK. | |
| UNIVERSITY OF TN EXTENSION | ||||||||
| 703 INDUSTRIAL PARK RD | SELMER | TN | 38375 | 626001636 | $5,000 | OUTDOOR WATER BOTTLE REFILL STATIONS IN VARIOUS PUBLIC SITES IN THE COMMUNITY. | ||
| YMCA OF DICKSON COUNTY | ||||||||
| 225 HENSLEE DRIVE | DICKSON | TN | 37055 | 471215122 | 501(C)3 | $5,000 | WATER BOTTLE REFILL STATIONS IN 5 LOCATIONS. (LIBRARY, HEALTH DEPARTMENT, SCHOOLS) | |
| VAN BUREN COUNTY | ||||||||
| 445 COLLEGE STREET | SPENCER | TN | 38585 | 626000887 | $5,000 | HELP 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 ROAD | PULASKI | TN | 38478 | $5,000 | ASSIST WITH CURRENT PROJECT TO DEVELOP A WALKING TRACK FOR THE BODENHAM COMMUNITY CENTER. | |||
| ANDERSON CO GOVERNMENT | ||||||||
| 100 NORTH MAIN ST RM 203 | CLINTON | TN | 37716 | 626000477 | $5,000 | PROMOTIONAL 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 ROAD | WARTBURG | TN | 37887 | 626000772 | $5,000 | WATER BOTTLE REFILL STATIONS AT SCHOOL LOCATIONS WITH OPEN USE POLICIES. | ||
| GRUNDY COUNTY GOVERNMENT | ||||||||
| C/O OFFICE OF COUNTY MAYOR 68 | ALTAMONT | TN | 37301 | 626000626 | $5,000 | TO 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 204 | SMITHVILLE | TN | 37166 | 265003829 | $5,000 | FITNESS CHALLENGE - PROVIDING FREE FITNESS CLASSES FOR RESIDENTS | ||
| TIPTON COUNTY GOVERNMENT | ||||||||
| TIPTON COUNTY COURTHOUSE PO BOX 686 | COVINGTON | TN | 38019 | 626000874 | $5,000 | WATER BOTTLE REFILL STATIONS, BRAND AWARENESS EFFORTS AND OUTDOOR EXERCISE EQUIPMENT | ||
| CITY OF PIKEVILLE | ||||||||
| 25 MUNICIPAL DRIVE | PIKEVILLE | TN | 37367 | 620714825 | $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 AVENUE | LEWISBURG | TN | 37091 | 626000739 | $5,000 | PURCHASE 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 STREET | MORRISTOWN | TN | 37814 | 821413072 | $5,000 | WATER 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 ST | MADISONVILLE | TN | 37354 | 582046314 | 501(C)3 | $5,000 | PROMOTING 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 1880 | COLLEGEDALE | TN | 37315 | 620806474 | $5,000 | SMOKING CESSATION, SPONSORING COOKING & ACTIVITY EVENTS, AND PRINTING MATERIAL. | ||
| JEFFERSON COUNTY HEALTH COUNCIL | ||||||||
| 931 INDUSTRIAL PARK RD | DANDRIDGE | TN | 37725 | 201487777 | 501(C)3 | $5,000 | TO SUPPLY THE SENIOR PRODUCE PROGRAM AND MARKETING/PROMOTIONAL ITEMS LIKE A VIDEO FEATURING OUR HEALTHIER TN BUSINESSES AND PLACES OF WORSHIP. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART 1, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DURING 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
| 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 | $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 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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