FURP.ORG / PUBLIC DATA EXPLORER

PATRICIA AND RODES HART FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PATRICIA AND RODES HART FOUNDATION (EIN 62-1355032)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201341359349101714
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)
Timestamp2013-05-15T12:26:39-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PURYEAR HAMILTON HAUSMAN & WOOD PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11000 CORPORATE CENTRE DRIVE SUITEAddressLine1
CityFRANKLINCity
StateTNState
ZIP Code37067ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621355032EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PATRICIA AND RODES HART FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPATRNameControl
Phone6153705801Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 HILLSBORO ROADAddressLine1
CityBRENTWOODCity
StateTNState
ZIP Code37027ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRODES HARTName
TitleOFFICERTitle
Phone6153705801Phone
Date Signed2013-05-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameRONALD WOODName
Phone6157713600Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY1800156FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss4001824ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss1343InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm1343InterestOnSavingsNetInvstIncm
Total Revenue And Expenses4003167TotalRevenueAndExpenses
Total Net Investment Income1343TotalNetInvestmentIncome
Accounting Fees Rev And Expnss1824AccountingFeesRevAndExpnss
Other Expenses Rev And Expnss73OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss1897TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss2326997ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps2326997ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss2328894TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps2326997TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses1674273ExcessOfRevenueOverExpenses
Net Investment Income1343NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY105883SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY1800156SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV1800156SavingsAndTempCashInvstEOYFMV
Total Assets BOY105883TotalAssetsBOY
Total Assets EOY1800156TotalAssetsEOY
Total Assets EOYFMV1800156TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY105883RetainedEarningsBOY
Retained Earnings EOY1800156RetainedEarningsEOY
Total Net Assets BOY105883TotalNetAssetsBOY
Total Net Assets EOY1800156TotalNetAssetsEOY
Total Liabilities Net Assets BOY105883TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1800156TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY105883TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses1674273ExcessOfRevenueOverExpenses
Other Increases20000OtherIncreases
Subtotal1800156Subtotal
Total Net Assets Fund Balances EOY1800156TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year11647970QualifyingDistributionsYear1
Noncharitable Assets Year1123181NoncharitableAssetsYear1
Distribution Ratio Year113.378443DistributionRatioYear1
Qualifying Distributions Year22251627QualifyingDistributionsYear2
Noncharitable Assets Year2103094NoncharitableAssetsYear2
Distribution Ratio Year221.840524DistributionRatioYear2
Qualifying Distributions Year31197938QualifyingDistributionsYear3
Noncharitable Assets Year3132902NoncharitableAssetsYear3
Distribution Ratio Year39.013694DistributionRatioYear3
Qualifying Distributions Year4338419QualifyingDistributionsYear4
Noncharitable Assets Year4173660NoncharitableAssetsYear4
Distribution Ratio Year41.948745DistributionRatioYear4
Qualifying Distributions Year51089985QualifyingDistributionsYear5
Noncharitable Assets Year5820889NoncharitableAssetsYear5
Distribution Ratio Year51.327810DistributionRatioYear5
Total Distribution Ratio47.509216TotalDistributionRatio
Average Distribution Ratio9.501843AverageDistributionRatio
Net Noncharitable Assets868737NetNoncharitableAssets
Adjusted Noncharitable Assets8254603AdjustedNoncharitableAssets
One Percent Net Investment Income13OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One8254616AdjNonchrtblAssetsAndOnePct
Qualifying Distributions2326997QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax27InvestmentIncomeExciseTax
Subtotal27Subtotal
Tax Based On Investment Income27TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment285EstTaxPaymentsAndOverpayment
Total Credits And Payments285TotalCreditsAndPayments
Overpayment258Overpayment
Amount Credited To Next Year258AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithTNStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorstrueNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameH RODES HARTBooksInCareOfPersonName
Books In Care Of Phone Number6153705801BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line13001 HILLSBORO ROADAddressLine1
CityBRENTWOODCity
StateTNState
ZIP Code37027ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
PATRICIA I HART
3001 HILLSBORO ROADBRENTWOODTN37027TRUSTEE1.00000
H RODES HART
3001 HILLSBORO ROADBRENTWOODTN37027TRUSTEE1.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Description1N/ADescription1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances881967AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets881967TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets881967AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable13230CashDeemedCharitable
Net Noncharitable Assets868737NetNoncharitableAssets
Minimum Investment Return43437MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return43437MinimumInvestmentReturn
Tax Based On Investment Income27TaxBasedOnInvestmentIncome
Total Tax27TotalTax
Distributable Amount Before Adj43410DistributableAmountBeforeAdj
Recoveries Qlfy Distributions20000RecoveriesQlfyDistributions
Distributable Amount Before Ded63410DistributableAmountBeforeDed
Distributable Amount As Adjusted63410DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions2326997ExpensesAndContributions
Qualifying Distributions2326997QualifyingDistributions
Adj Qualifying Distributions2326997AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted63410DistributableAmountAsAdjusted
Excess Distri Carryover Year51049401ExcessDistriCarryoverYear5
Excess Distri Carryover Year4329746ExcessDistriCarryoverYear4
Excess Distri Carryover Year31191297ExcessDistriCarryoverYear3
Excess Distri Carryover Year22246476ExcessDistriCarryoverYear2
Excess Distri Carryover Year11641815ExcessDistriCarryoverYear1
Total Excess Distri Carryover6458735TotalExcessDistriCarryover
Qualifying Distributions2326997QualifyingDistributions
Applied To Current Year63410AppliedToCurrentYear
Remaining Distri From Corpus2263587RemainingDistriFromCorpus
Total Corpus8722322TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov From Year51049401ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year7672921ExcessDistriCyovToNextYear
Excess From Year4329746ExcessFromYear4
Excess From Year31191297ExcessFromYear3
Excess From Year22246476ExcessFromYear2
Excess From Year11641815ExcessFromYear1
Excess From Current Year2263587ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerRODES PATRICIA HARTContributingManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (47 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
ALIVE HOSPICE
1718 PATTERSON STREETNASHVILLETN37203NONEPUB. CHARITYDONATION$500
ALL ABOUT WOMEN
PO BOX 198155NASHVILLETN37219NONEPUB. CHARITYDONATION$5,000
AMER FRIENDS FOR THE PRESERVATION
PO BOX 814DOVERMA02030NONEPUB. CHARITYDONATION$10,000
AMERICAN RED CROSS
2201 CHARLOTTE AVENUENASHVILLETN37203NONEPUB. CHARITYDONATION$1,000
ASPEN MUSIC FESTIVAL SC
225 MUSIC SCHOOL ROADASPENCO81611NONEPUB. CHARITYDONATION$50,000
BRIDGES
PO BOX 1592FRANKLINTN37065NONEPUB. CHARITYDONATION$5,000
CENTER FOR LIVING AND LEARNING
PO BOX 50272NASHVILLETN37205NONEPUB. CHARITYDONATION$1,000
CHEEKWOOD
1200 FORREST PARK DRIVENASHVILLETN37205NONEPUB. CHARITYDONATION$25,000
CURREY INGRAM ACADEMY
6544 MURRAY LANEBRENTWOODTN37027NONEPUB. CHARITYDONATION$100,000
DAYSTAR MINISTRIES
2801 AZALEA PLACENASHVILLETN37204NONEPUB. CHARITYDONATION$83,000
DISCOVERY PLACE INC
1635 SPENCER MILL ROADBURNSTN37029NONEPUB. CHARITYDONATION$25,000
DOCTORS WITHOUT BORDERS
333 SEVENTH AVE 2ND FLNEW YORKNY10001NONEPUB. CHARITYDONATION$500
FANNIE BATTLE DAY HOME
108 CHAPEL AVENUENASHVILLETN37206NONEPUB. CHARITYDONATION$1,000
FIFTY FORWARD
174 RAINS AVENUENASHVILLETN37203NONEPUB. CHARITYDONATION$72,750
FRANKLIN FIRE FIGHTERS AS
PO BOX 1172FRANKLINTN37064NONEPUB. CHARITYDONATION$52
THE FRICK COLLECTION
1 EAST 70TH STREETNEW YORKNY10021NONEPUB. CHARITYDONATION$30,000
GILDA'S CLUB NASHVILLE
1707 DIVISION STREETNASHVILLETN37203NONEPUB. CHARITYDONATION$300
HARPETH HALL SCHOOL
3801 HOBBS ROADNASHVILLETN37215NONEPUB. CHARITYDONATION$1,000
HARPETH RIVER WATERSHED ASSOCIATION
PO BOX 1127FRANKLINTN37065NONEPUB. CHARITYDONATION$1,000
HOMEWORK HOTLINE
4805 PARK AVENUENASHVILLETN37209NONEPUB. CHARITYDONATION$2,000
JUST HOPE
3001 HILLSBORO ROADBRENTWOODTN37027NONEPUB. CHARITYDONATION$1,000,000
MARCH OF DIMES
1101 KERMIT DRIVENASHVILLETN37217NONEPUB. CHARITYDONATION$500
MCNEILLY CENTER FOR CHILDREN
400 MERIDIAN STREETNASHVILLETN37207NONEPUB. CHARITYDONATION$1,000
METROPOLITAN MUSEUM
1000 FIFTH AVENUENEW YORKNY10028NONEPUB. CHARITYDONATION$25,000
MOUNDS PARK ACADEMY
2051 LARPENTEUR AVE EST PAULMN55109NONEPUB. CHARITYDONATION$1,000
NASHVILLE HUMANE SOCIETY
213 OCEOLA AVENUENASHVILLETN37209NONEPUB. CHARITYDONATION$1,000
NASHVILLE OPERA
3622 REDMON STREETNASHVILLETN37209NONEPUB. CHARITYDONATION$100,000
NASHVILLE SYMPHONY
1 SYMPHONY PLACENASHVILLETN37201NONEPUB. CHARITYDONATION$10,250
NEW HOPE ACADEMY
1820 DOWNS BLVDFRANKLINTN37064NONEPUB. CHARITYDONATION$1,000
PARK CENTER
801 12TH AVENUE SOUTHNASHVILLETN37203NONEPUB. CHARITYDONATION$500
PHILLIPS EXETER ACADEMY
20 MAIN STREETEXETERNH03833NONEPUB. CHARITYDONATION$10,000
PLANNED PARENTHOOD
50 VANTAGE WAY 102NASHVILLETN37228NONEPUB. CHARITYDONATION$1,000
SADDLE UP
1549 OLD HILLSBORO ROADFRANKLINTN37069NONEPUB. CHARITYDONATION$1,500
SECOND HARVEST FOOD BANK
331 GREAT CIRCLE ROADNASHVILLETN37228NONEPUB. CHARITYDONATION$50,000
SPECIAL OLYMPICS TN
1900 12TH AVENUE SOUTHNASHVILLETN37203NONEPUB. CHARITYDONATION$100
STARS
1704 CHARLOTTE AVENUENASHVILLETN37203NONEPUB. CHARITYDONATION$213,600
THE COMMUNITY FOUNDATION
3833 CLEGHORN AVE 400NASHVILLETN37215NONEPUB. CHARITYDONATION$1,000
THE ENSWORTH SCHOOL
211 ENSWORTH AVENUENASHVILLETN37205NONEPUB. CHARITYDONATION$200,000
THE FRIST CENTER
919 BROADWAYNASHVILLETN37203NONEPUB. CHARITYDONATION$10,000
THE METROPOLITAN OPERA
30 LINCOLN CENTERNEW YORKNY10023NONEPUB. CHARITYDONATION$25,000
THE NASHVILLE ZOO
3777 NOLENSVILLE ROADNASHVILLETN37211NONEPUB. CHARITYDONATION$50,000
THE RETREAT
1221 WAYZATA BLVD EWAYZATAMN55391NONEPUB. CHARITYDONATION$46,000
THE SALVATION ARMY
631 DICKERSON PIKENASHVILLETN37207NONEPUB. CHARITYDONATION$10,000
UNITED WAY OF WILLIAMSON
209 GOTHIC COURT STE 107FRANKLINTN37067NONEPUB. CHARITYDONATION$50,270
VANDERBILT -VARIOUS
2301 VANDERBILT PLACENASHVILLETN37240NONEPUB. CHARITYDONATION$100,000
YOUTH VILLAGES
3310 PERIMETER HILL DRIVENASHVILLETN37211NONEPUB. CHARITYDONATION$1,000
YWCA
1608 WOODMONT BLVDNASHVILLETN37215NONEPUB. CHARITYDONATION$3,175
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year2326997TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$1,343ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$1,343ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA1343TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualRODES PATRICIA HARTContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line13001 HILLSBORO ROADAddressLine1
CityBRENTWOODCity
StateTNState
ZIP Code37027ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions4001824AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryTAX PREPARATIONCategory
Amount$1,824Amount

Compensation Explanation CompensationExplanation

Compensation Compensation (2 entries)

PATRICIA I HART
H RODES HART

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooks
EXPENSES
MISCELLANEOUS39
BANK FEES34

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionPRIOR YEAR CHECK NOT CLEAREDDescription
Amount$20,000Amount

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameRODES PATRICIA HARTPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 HILLSBORO ROADAddressLine1
CityBRENTWOODCity
StateTNState
ZIP Code37027ZIPCode