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LAFOLLETTE MEDICAL FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LAFOLLETTE MEDICAL FOUNDATION INC (EIN 20-4901729)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-09-22
IRS object ID
201512659349300006
Schema version
2014v5.0
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)
Return2015-09-22T07:47:20-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621142155PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PUGH & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1315 N CEDAR BLUFF RD SUITE 200AddressLine1Txt
CityKNOXVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37923ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204901729EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAFOLLETTE MEDICAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAFOBusinessNameControlTxt
Phone4239126963PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 128AddressLine1Txt
CityJACKSBOROCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37757ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR JAMES FARRISPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4239126963PhoneNum
Signature2015-08-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRE FOUSTPreparerPersonNm
PTINP00745365PTIN
Phone8657690660PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR JAMES FARRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 128AddressLine1Txt
CityJACKSBOROCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37757ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,802,659GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LAFOLLETTEMEDICALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO SUPPORT ORGANIZATIONS THAT PROVIDE FOR THE HEALTHCARE OF THE LAFOLLETTE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$653,005PYInvestmentIncomeAmt
CY Investment Income$937,863CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$653,005PYTotalRevenueAmt
CY Total Revenue$937,863CYTotalRevenueAmt
PY Grants And Similar Paid$641,412PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$453,079CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$140,397PYOtherExpensesAmt
CY Other Expenses$146,453CYOtherExpensesAmt
PY Total Expenses$781,809PYTotalExpensesAmt
CY Total Expenses$599,532CYTotalExpensesAmt
PY Revenues Less Expenses-$128,804PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$338,331CYRevenuesLessExpensesAmt
Total Assets BOY$10,425,668TotalAssetsBOYAmt
Total Assets EOY$10,306,860TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,450TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,425,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,272,410NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLAFOLLETTE MEDICAL FOUNDATION, INC. ("THE FOUNDATION") IS ORGANIZED AS A PUBLIC BENEFIT CORPORATION FOR THE CHARITABLE PURPOSE OF MAKING DISTRIBUTIONS TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT PROVIDE FOR THE HEALTHCARE OF THE RESIDENTS OF LAFOLLETTE COMMUNITY, WHICH INCLUDES ALL OF CAMPBELL COUNTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$453,079ExpenseAmt
Grant$453,079GrantAmt
DescDURING 2014, THE ORGANIZATION CONTINUED TO CARRY-OUT IT'S EXEMPT MISSION BY ALLOCATING $453,079 IN GRANTS TO ORGANIZATIONS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE LAFOLLETTE AREA AND IN THE COMMUNITY OF CAMPBELL COUNTY, TENNESSEE.Desc
Total Program Service Expenses$453,079TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 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 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 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 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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
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 Line1JUNE WILBURNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4239126963PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1905 RIVERVIEW DRIVEAddressLine1Txt
CityLAFOLLETTECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37766ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRENDA ROBARDS
TREASURER1.00Yes (X)$0$0$0
MIKE STANFIELD
DIRECTOR1.00Yes (X)$0$0$0
LUCY LOBERTINI
DIRECTOR1.00Yes (X)$0$0$0
KATHY MYERS
SECRETARY1.00Yes (X)$0$0$0
JUDGE SHAYNE SEXTON
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH ASBURY
DIRECTOR1.00Yes (X)$0$0$0
DR JAMES FARRIS
PRESIDENT AND CHAIRMAN1.00Yes (X)$0$0$0
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

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,661TotalRevenueColumnAmt
Exclusion$328,661ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,473,998SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,864,796SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$609,202SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$609,202TotalRevenueColumnAmt
Exclusion$609,202ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$937,863TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$937,863ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$453,079TotalAmt
Program Services$453,079ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,227TotalAmt
Management And General$14,227ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,550TotalAmt
Management And General$12,550ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$97,804TotalAmt
Management And General$97,804ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt
Management And General$15,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,613TotalAmt
Management And General$4,613ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,259TotalAmt
Management And General$2,259ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$599,532TotalAmt
Program Services$453,079ProgramServicesAmt
Management And General$146,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$524,529BOYAmt
EOY$685,107EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,901,139BOYAmt
EOY$9,621,753EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,425,668BOYAmt
EOY$10,306,860EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$34,450EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$34,450EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,425,668BOYAmt
EOY$10,272,410EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,425,668BOYAmt
EOY$10,272,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,425,668BOYAmt
EOY$10,306,860EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$338,331ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$491,589NetUnrlzdGainsLossesInvstAmt
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 Minus3 Years$1,498,158CurrentTaxYearMinus3YearsAmt
Total$1,498,158TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,498,158CurrentTaxYearMinus3YearsAmt
Total$1,498,158TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,498,158PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$251,778CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$260,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$277,932CurrentTaxYearMinus1YearAmt
Current Tax Year$328,661CurrentTaxYearAmt
Total$1,398,504TotalAmt
FieldValueIRS element (for citing)
Total Support$2,896,662TotalSupportAmt
Public Support CY1700.51720PublicSupportCY170Pct
Public Support PY1700.53510PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$348,470TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$491,589NetUnrealizedGainsInvstAmt
Revenue Not Reported-$491,589RevenueNotReportedAmt
Revenue Subtotal$840,059RevenueSubtotalAmt
Investment Expenses Not Incld$97,804InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$97,804RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$937,863TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$501,728TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$501,728ExpensesSubtotalAmt
Investment Expenses Not Incld2$97,804InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$97,804ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$599,532TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
THE SHEPHERD'S HOME INC
P O BOX 707JACKSBOROTN37757270988603501(C)(3)$59,000CASH GRANTCAMPBELL COUNTY FIRST WOMEN'S TRANSITIONAL HOME
FOOD LIFE SERVICES OF CAMPBELL COUNTY
206 S INDIANA AVELAFOLLETTETN37766621812105501(C)(3)$55,000CASH GRANTEXPANDED NUTRITIONAL DISTRIBUTION
CAMPBELL COUNTY SENIOR CITIZENS
102 8TH STREETLAFOLLETTETN37766620988347501(C)(3)$54,661CASH GRANTHEALTH CARE
CAMPBELL COUNTY CHILDREN'S CENTER
2315 JACKSBORO PIKEJACKSBOROTN37766780251005501(C)(3)$58,249CASH GRANTHEALTH CARE
COMMUNITY HEALTH OF EAST TENNESSEE
P O BOX 209 507 MAIN STJACKSBOROTN37757581470587501(C)(3)$38,345CASH GRANTHEALTH CARE
TN BAPTIST ADULT HOMES
PO BOX 728BRENTWOODTN37024620934533501(C)(3)$27,000CASH GRANTRAINBOW ACRES, JACKSBORO RESIDENT HARDSHIP & WELLNESS
CASA OF CAMPBELL COUNTY
PO BOX 1054JACKSBOROTN37757205755609501(C)(3)$18,000CASH GRANTHEALTH CARE
LAFOLLETTE LIFE SAVINGS AND RESCUE SQUAD INCORPORATED
P O BOX 282LA FOLLETTETN37766621128575501(C)(3)$43,964CASH GRANT21ST CENTURY RESCUE SYSTEMS
CATHOLIC CARITIES OF EAST TENNESSEE
3009 LAKE BROOK BLVDKNOXVILLETN37909621377551501(C)(3)$21,450CASH GRANTHEALTH CARE
CAMPBELL COUNTY BOARD OF EDUCATION
172 VALLEY STJACKSBOROTN37757606000507GOVERMENT AGENCY$77,410CASH GRANT2014 INFLUENZA VACCINATION PROGRAM; JELLICO HIGH SCHOOL ATHLETIC PERSONAL TRAINER
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION GRANTS FUNDS TO SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS WHOSE PURPOSE IS IN LINE WITH THAT OF THE ORGANIZATION. THE ORGANIZATION REQUIRES MID-GRANT REPORTS AND EXIT REPORTS FROM GRANTEES REGARDING THEIR USE OF GRANT FUNDS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND MADE AVAILABLE TO ALL MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THE BOARD TO REVIEW THE POLICY AND SIGN AN ANNUAL STATEMENT TO ACKNOWLEDGE THEIR UNDERSTANDING OF THE POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OR INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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