TELFORD FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TELFORD FOUNDATION INC (EIN 59-6194413)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349302593
Schema version
2012v2.1
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)
Timestamp2013-11-15T09:47:58-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14099 TAMIAMI TRAIL N STE 300AddressLine1
CityNAPLESCity
StateFLState
ZIP Code34103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN596194413EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TELFORD FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTELFNameControl
Phone2396244000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 7TH ST NORTHAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALLEN WEISS MDName
TitlePRESIDENTTitle
Phone2396244000Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARTIN REDOVAN CPAName
PTINP01281045PTIN
Phone2392628686Phone
Date Prepared2013-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALLEN WEISS MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 7TH ST NORTHAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8269618GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionGIFTS TO PRESELECTED CHARITIESActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1757646InvestmentIncomePriorYear
Investment Income Current Year1791703InvestmentIncomeCurrentYear
Other Revenue Prior Year24617OtherRevenuePriorYear
Other Revenue Current Year20617OtherRevenueCurrentYear
Total Revenue Prior Year1782263TotalRevenuePriorYear
Total Revenue Current Year1812320TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1550000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1472500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year174298OtherExpensePriorYear
Other Expenses Current Year170713OtherExpensesCurrentYear
Total Expenses Prior Year1724298TotalExpensesPriorYear
Total Expenses Current Year1643213TotalExpensesCurrentYear
Revenues Less Expenses Prior Year57965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY169107RevenuesLessExpensesCY
Total Assets BOY42430889TotalAssetsBOY
Total Assets EOY44823522TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42430889NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY44823522NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE EXCLUSIVELY FOR THE BENEFIT OF CERTAIN DESIGNATED ORGANIZATIONS, ALL OF WHICH ARE PUBLICLY SUPPORTED ORGANIZATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1472500Expense
Grants1472500Grants
DescriptionGRANTS TO DESIGNATED SUPPORTED ORGANIZATIONS. SEE SCHEDULE I.Description
Total Program Service Expense1472500TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALLEN WEISS MD PRESIDENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2396244000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 7TH ST NORTHAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34102ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEAN C LOGUE
VICE PRESIDENT/DIRECTOR2.00XX000
WILLIAM LICKERT
DIRECTOR1.00X000
F JOSEPH MCMACKIN III
SECRETARY/TREAS(1/1-2/7/12)/DIRECTOR2.00XX000
KEVIN D COOPER ESQ
SECRETARY/TREAS(2/7-12/31/12/DIRECTOR2.00XX046309533284
ALLEN WEISS MD
PRESIDENT2.00XX0133374926068
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1796844TotalReportableCompFrmRltdOrgs
Total Other Compensation59352TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1515517TotalRevenueColumn
Exclusion$1,515,517ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6733484Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6457298Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities276186Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column276186TotalRevenueColumn
Exclusion$276,186ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PROCEEDS FROM ENRON INVESTMENT SE90009914654$14,654
REFUND TAX WITHHELD ON DIVIDENDS9000995742$5,742
PROCEEDS FROM RAYTHEON CO SECURIT900099221$221
FieldValueIRS element (for citing)
Total Other Revenue20617TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1812320TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,812,320ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1472500Total
Program Services1472500ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1418Total
Management And General1418ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total156243Total
Management And General156243ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2962Total
Management And General2962ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10090Total
Management And General10090ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1643213Total
Program Services1472500ProgramServices
Management And General170713ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY498946BOY
EOY751018EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41931943BOY
EOY44072504EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42430889BOY
EOY44823522EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42430889BOY
EOY44823522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42430889BOY
EOY44823522EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42430889BOY
EOY44823522EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses169107ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2223526ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting OtherXMethodOfAccountingOther
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (12 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
NCH HEALTH CARE SYSTEM
592314655501(C)(3)111$368,125
THE FIRST PRESBYTERIAN CHURCH OF RICHMOND
616002944501(C)(3)111$147,250
PATTIE A CLAY HOSPITAL
610461940501(C)(3)111$147,250
THE UNIVERSITY OF KENTUCKY MEDICAL CENTER FOR OVARIAN CANCER RESEARCH
616001218501(C)(3)111$147,250
WASHINGTON AND LEE UNIVERSITY
540505977501(C)(3)111$147,250
DAVID LAWRENCE FOUNDATION FOR MENTAL HEALTH INC
592206025501(C)(3)111$73,625
GREENBRIER HISTORICAL SOCIETY
237015222501(C)(3)111$73,625
INTER-VARSITY CHRISTIAN FELLOWSHIP
362171714501(C)(3)111$73,625
HAZARD COMMUNITY COLLEGE
611320380501(C)(3)111$73,625
TELFORD COMMUNITY CENTER YMCA INC
616000619501(C)(3)111$73,625
WORLD VISION INTERNATIONAL
953202116501(C)(3)111$73,625
YOUTH HAVEN OF NAPLES INC
237065187501(C)(3)111$73,625
FieldValueIRS element (for citing)
Total Number Of Supported Orgs12TotalNumberOfSupportedOrgs
Sum Of Amounts1472500SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt4035846TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2223526NetUnrealizedGainsInvestments
Revenue Not Rptd F9902223526RevenueNotRptdF990
Revenue Subtotal1812320RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901812320TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1643213TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1643213ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901643213TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE FOUNDATION IS IN COMPLIANCE WITH THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A FOUNDATION'S FINANCIAL STATEMENTS. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION'S TAX RETURNS FROM THE TAX YEARS ENDED DECEMBER 31, 2009 THROUGH DECEMBER 31, 2011 ARE OPEN TO EXAMINATION BY THE IRS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
NCH HEALTH CARE SYSTEM
350 7TH STREET NORTHNAPLESFL34102592314655501(C)(3)368125TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
THE FIRST PRESBYTERIAN CHURCH OF RICHMOND
PO BOX 165RICHMONDKY40476616002944501(C)(3)147250TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
PATTIE A CLAY HOSPITAL
PO BOX 1600RICHMONDKY40475610461940501(C)(3)147250TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
THE UNIVERSITY OF KENTUCKY MEDICAL CENTER FOR OVARIAN CANCER RESEARCH
800 ROSE STREETLEXINGTONKY40536616001218501(C)(3)147250TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
WASHINGTON AND LEE UNIVERSITY
204 W WASHINGTON STLEXINGTONVA24450540505977501(C)(3)147250TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
DAVID LAWRENCE FOUNDATION FOR MENTAL HEALTH INC
6075 BARTLEY LANENAPLESFL34116592206025501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
GREENBRIER HISTORICAL SOCIETY
301 WEST WASHINGTON STREETLEWISBURGWV24901237015222501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
INTER-VARSITY CHRISTIAN FELLOWSHIP
3121 OVERTON DRIVEBIRMINGHAMAL35209362171714501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
HAZARD COMMUNITY COLLEGE
ONE COMMUNITY COLLEGE DRIVEHAZARDKY41701611320380501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
TELFORD COMMUNITY CENTER YMCA INC
1100 EAST MAIN STREETRICHMONDKY40475616000619501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
WORLD VISION INTERNATIONAL
34834 WEYERHAEUSER WAY SOUTHFEDERAL WAYWA98063953202116501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
YOUTH HAVEN OF NAPLES INC
5867 WHITAKER ROADNAPLESFL34112237065187501(C)(3)73625TO BENEFIT CHARITABLE ORGANIZATION'S EXEMPT PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE FOUNDATION MONITORS THE RECIPIENTS OF ITS FUNDS ON A REGULAR BASIS. THE FOUNDATION REVIEWS ALL RELEVANT FINANCIAL INFORMATION FOR EACH OF ITS GRANTEES. ALSO, THE FOUNDATION REGULARLY MEETS WITH THE MANAGEMENT OF EACH RECIPIENT ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEVIN D COOPER ESQ
SECRETARY/TREAS(2/7-12/31/12/DIRECTO038234206375301700009800023484049637900
ALLEN WEISS MD
PRESIDENT012064530110296017000098000162680135981700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationDR. ALLEN WEISS, $537,124 IN 1996, THE NCH HEALTHCARE SYSTEM, INC. BOARD OF TRUSTEES APPROVED A RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE THAT CERTAIN EXECUTIVES OF THE NCH HEALTHCARE SYSTEM WOULD BE PROVIDED WITH A SERP THAT WAS SUPPORTED THROUGH THE USE OF LIFE INSURANCE PROGRAMS. DUE TO CHANGES IN THE IRS TAX CODE, EFFECTIVE OCTOBER 1, 2003, THE FUNDING MECHANISM FOR ACTIVE EMPLOYEES WAS CHANGED FROM USING LIFE INSURANCE TO FUNDING RABBI TRUSTS. HOWEVER, THE PLAN DESIGN WAS NOT CHANGED. THE TRUST WAS OWNED BY NCH AND IS SUBJECT TO THE RISK OF CREDITORS OF NCH. CONSEQUENTLY, DEPOSITS MADE TO THE TRUSTS REMAIN AS ASSETS OF NCH UNTIL THE PARTICIPANT VESTS IN ACCORDANCE WITH THE PLAN. THE SERP HAS BEEN DISCONTINUED WITH THE EXCEPTION OF DR. ALLEN WEISS, PRESIDENT & CEO, WHO IS NO LONGER RECEIVING CONTRIBUTIONS TO THE PLAN, BUT WHOSE PLAN CONTINUES TO REALIZE INVESTMENT INCOME/LOSSES ON PREVIOUS CONTRIBUTIONS WHICH HAVE BEEN REPORTED ON PRIOR YEAR FORMS 990. IN 2012 DR. WEISS BECAME ELIGIBLE FOR THE SERP DISTRIBUTION AND THE NCH BOARD APPROVED THE DISTRIBUTION. THIS SERP DISTRIBUTION WAS $537,124 AND WAS INCLUDED IN THE BASE COMPENSATION FOR CALENDAR YEAR 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND INPUT BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CONGOING TRANSACTIONS ARE MONITORED AND RESEARCHED BY THE BOARD OF DIRECTORS. ALL PARTICIPANTS ARE COVERED BY THE POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 1:THE FINANCIAL STATEMENTS OF THE FOUNDATION HAVE BEEN PREPARED ON THE MODIFIED CASH BASIS OF ACCOUNTING, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. UNDER THIS METHOD, ACCOUNTING RECOGNITION IS NOT GIVEN TO ACCRUED INTEREST AND DISTRIBUTIONS PAYABLE. THESE AMOUNTS WOULD HAVE BEEN INCLUDED IN THE STATEMENTS OF ASSETS, LIABILITIES, AND NET ASSETS IF PREPARED IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
NCH HEALTH CARE SYSTEM
350 7TH STREET NORTHNAPLESFL34102592314655CHARITABLE ORGANIZATIONFL501(C)(3)LINE 7N/A0
THE FIRST PRESBYTERIAN CHURCH OF RICHMOND
PO BOX 165RICHMONDKY40475616002944CHARITABLE ORGANIZATIONKY501(C)(3)LINE 7N/A0
PATTIE A CLAY HOSPITAL
PO BOX 1600RICHMONDKY40475610461940CHARITABLE ORGANIZATIONKY501(C)(3)LINE 7N/A0
THE UNIVERSITY OF KENTUCKY MEDICAL CENTER FOR OVARIAN CANCER RESEARCH
800 ROSE STREETLEXINGTONKY40536616001218CHARITABLE ORGANIZATIONKY501(C)(3)LINE 7N/A0
WASHINGTON AND LEE UNIVERSITY
204 W WASHINGTON STLEXINGTONVA24450540505977CHARITABLE ORGANIZATIONVA501(C)(3)LINE 7N/A0
DAVID LAWRENCE FOUNDATION FOR MENTAL HEALTH INC
6075 BARTLEY LANENAPLESFL34116592206025CHARITABLE ORGANIZATIONFL501(C)(3)LINE 7N/A0
GREENBRIER HISTORICAL SOCIETY
301 WEST WASHINGTON STREETLEWISBURGWV24901237015222CHARITABLE ORGANIZATIONWV501(C)(3)LINE 7N/A0
INTER-VARSITY CHRISTIAN FELLOWSHIP
3121 OVERTON DRIVEBIRMINGHAMAL35209362171714CHARITABLE ORGANIZATIONAL501(C)(3)LINE 7N/A0
HAZARD COMMUNITY COLLEGE
ONE COMMUNITY COLLEGE DRIVEHAZARDKY41701611320380CHARITABLE ORGANIZATIONKY501(C)(3)LINE 7N/A0
TELFORD COMMUNITY CENTER YMCA INC
1100 EAST MAIN STREETRICHMONDKY23219616000619CHARITABLE ORGANIZATIONKY501(C)(3)LINE 7N/A0
WORLD VISION INTERNATIONAL
800 WEST CHESTNUT AVENUEMONROVIACA91016953202116CHARITABLE ORGANIZATIONCA501(C)(3)LINE 7N/A0
YOUTH HAVEN OF NAPLES INC
5867 WHITAKER ROADNAPLESFL34112237065187CHARITABLE ORGANIZATIONFL501(C)(3)LINE 7N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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