CLARKSVILLE MONTGOMERY COUNTYCOMMUNITY HEALTH FOUNDATION INC: Form 990, tax year 2010
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- Organization
- CLARKSVILLE MONTGOMERY COUNTYCOMMUNITY HEALTH FOUNDATION INC (EIN 20-4862825)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-03
- IRS object ID
- 201122159349300532
- Schema version
- 2010v3.2
- 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) |
|---|---|---|
| Timestamp | 2011-08-03T14:44:11-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THURMAN CAMPBELL GROUP PLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 FRANKLIN ST | AddressLine1 |
| City | CLARKSVILLE | City |
| State | TN | State |
| ZIP Code | 37040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204862825 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARKSVILLE-MONTGOMERY COUNTY | BusinessNameLine1 |
| Business Name Line2 | COMMUNITY HEALTH FOUNDATION INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CLAR | NameControl |
| Phone | 9315021131 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 31003 | AddressLine1 |
| City | CLARKSVILLE | City |
| State | TN | State |
| ZIP Code | 37040 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BEN KIMBROUGH | Name |
| Title | CHAIRMAN OF THE BOARD | Title |
| Phone | 9315021131 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFERY PROCTOR | Name |
| Phone | 9315527474 | Phone |
| Date Prepared | 2011-08-02 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2613276 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | COMMUNITYHEALTHFOUNDATION.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION IS OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE RESIDENTS OF CLARKSVILLE,TN; MONTGOMERY COUNTY, TN; AND THE COUNTIES OF NORTHERN MIDDLE TN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3001897 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1662636 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 71610 | InvestmentIncomePriorYear |
| Investment Income Current Year | 173564 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 444798 | OtherRevenuePriorYear |
| Other Revenue Current Year | 580503 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3518305 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2416703 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 329400 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 437939 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4421 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4629 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 73221 | OtherExpensePriorYear |
| Other Expenses Current Year | 63642 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 407042 | TotalExpensesPriorYear |
| Total Expenses Current Year | 506210 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3111263 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1910493 | RevenuesLessExpensesCY |
| Total Assets BOY | 9792753 | TotalAssetsBOY |
| Total Assets EOY | 12359716 | TotalAssetsEOY |
| Total Liabilities BOY | 19777 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1716 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9772976 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12358000 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION IS OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE RESIDENTS OF CLARKSVILLE,TN; MONTGOMERY COUNTY, TN; AND THE COUNTIES OF NORTHERN MIDDLE TN. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 437939 | Expense |
| Grants | 437939 | Grants |
| Description | HEALTH INITIATIVES, EDUCATION, AND PROJECTS SUPPORTING THE COMMUNITY. | Description |
| Total Program Service Expense | 437939 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | false | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAULA JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9315021131 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 DUNLOP LANE | AddressLine1 |
| City | CLARKSVILLE | City |
| State | TN | State |
| ZIP Code | 37040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|
| ANNE BLACK | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| KAY DREW | |||||
| SECRETARY | X | 0 | 0 | 0 | X |
| JENNIFER ELLIS | |||||
| VICE PRESIDE | X | 0 | 0 | 0 | X |
| LM ELLIS | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| MARCOS A ARANCIBIA | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| BEN KIMBROUGH | |||||
| CHAIRMAN | X | 0 | 0 | 0 | X |
| ANDRE S FRESCO | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| MIKE O'MALLEY | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| PRISCILLA G STORY | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| KIM MCMILLAN | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| JACK B TURNER | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| HAROLD VANN | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| CAROLYN BOWERS | |||||
| BOARD MEMBER | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Related Organizations | 1662636 | RelatedOrganizations |
| Total Contributions | 1662636 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173564 | TotalRevenueColumn |
| Exclusion | $173,564 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 775076 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 196573 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 578503 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 578503 | TotalRevenueColumn |
| Exclusion | $578,503 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Total Revenue Column | 2000 | TotalRevenueColumn |
| Exclusion | $2,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2000 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2416703 | TotalRevenueColumn |
| Exclusion | $754,067 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437939 | Total |
| Program Services | 437939 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4629 | Total |
| Management And General | 4629 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8283 | Total |
| Management And General | 8283 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20247 | Total |
| Management And General | 20247 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33852 | Total |
| Management And General | 33852 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 327 | Total |
| Management And General | 327 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933 | Total |
| Management And General | 933 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506210 | Total |
| Program Services | 437939 | ProgramServices |
| Management And General | 68271 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41074 | BOY |
| EOY | 62968 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469053 | BOY |
| EOY | 443314 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1662636 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8269 | BOY |
| EOY | 8295 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3681101 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 655492 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3095820 | BOY |
| EOY | 3025609 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35212 | BOY |
| EOY | 3664310 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3143325 | BOY |
| EOY | 3492584 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9792753 | BOY |
| EOY | 12359716 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2107 | BOY |
| EOY | 1716 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17670 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19777 | BOY |
| EOY | 1716 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6440732 | BOY |
| EOY | 8676691 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2910037 | BOY |
| EOY | 3230178 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 422207 | BOY |
| EOY | 451131 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9772976 | BOY |
| EOY | 12358000 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9792753 | BOY |
| EOY | 12359716 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1910493 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 674531 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Community Trust170b1 Avi | X | CommunityTrust170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3001897 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1662636 | CurrentTaxYear |
| Total | 4664863 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3001897 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1662636 | CurrentTaxYear |
| Total | 4664863 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 4664863 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 253573 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -1266213 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 673495 | CurrentTaxYearMinus1Year |
| Current Tax Year | 948640 | CurrentTaxYear |
| Total | 609540 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 538782 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 693956 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 728896 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1000 | CurrentTaxYear |
| Total | 1962634 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7237037 | TotalSupport |
| Public Support Pertcentage170 | 0.64460 | PublicSupportPertcentage170 |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3143325 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 476046 | InvestmentEarningsOrLosses |
| Other Expenditures | 110108 | OtherExpenditures |
| Administrative Expenses | 16678 | AdministrativeExpenses |
| End Of Year Balance | 3492585 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2591410 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 684199 | InvestmentEarningsOrLosses |
| Other Expenditures | 115747 | OtherExpenditures |
| Administrative Expenses | 16537 | AdministrativeExpenses |
| End Of Year Balance | 3143325 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3974059 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1233537 | InvestmentEarningsOrLosses |
| Other Expenditures | 128705 | OtherExpenditures |
| Administrative Expenses | 20407 | AdministrativeExpenses |
| End Of Year Balance | 2591410 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.13500 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.86500 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2265537 | OtherCostOrOtherBasis |
| Book Value | 2265537 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1415564 | OtherCostOrOtherBasis |
| Depreciation | 655492 | Depreciation |
| Book Value | 760072 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3025609 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST IN TRUSTS HELD BY OTHERS | 3041453 |
| BENEFICIAL INTEREST IN PERPETUAL TRU | 451131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3492584 | TotalBookValueOtherAssets |
| Total Revenue | 2416703 | TotalRevenue |
| Total Expenses | 506210 | TotalExpenses |
| Excess Or Deficit For Year | 1910493 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 674531 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 674531 | TotalAdjustments |
| Excess Or Deficit Per FS | 2585024 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3091234 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 674531 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 674531 | RevenueNotRptdF990 |
| Revenue Subtotal | 2416703 | RevenueSubtotal |
| Total Revenue Per Form990 | 2416703 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 506210 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 506210 | ExpensesSubtotal |
| Total Expenses Per Form990 | 506210 | TotalExpensesPerForm990 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Business Name Line2RecipientNameBusiness/BusinessNameLine2 |
|---|---|---|---|---|---|---|
| AUSTIN PEAY FOUNDATION | ||||||
| PO BOX 4417 | CLARKSVILLE | TN | 37044 | 239000 | NURSING EDUCATION | |
| CENTERSTONE OF TENNESSEE | ||||||
| 1101 6TH AVE NORTH | NASHVILLE | TN | 37208 | 59334 | THERAPY POSITIONS | |
| CLARKSVILLE-MONTGOMERY COUNTY | ||||||
| 621 GRACEY AVE | CLARKSVILLE | TN | 37040 | 51232 | SALARY/BENEFITS | SCHOOL SYSTEM |
| EMERGENCY MEDICAL SERVICES | ||||||
| 1608 HAYNES ST | CLARKSVILLE | TN | 37043 | 22000 | EKG'S FOR AMBULANCES | |
| YOUNG MEN'S CHRISTIAN ASSOC OF | ||||||
| 260 HILLCREST DR | CLARKSVILLE | TN | 37043 | 33212 | COUNSELING | NASH & MID TN(FOR CLARKSVILLE YMCA) |
| YOUNG MEN'S CHRISTIAN ASSOC OF | ||||||
| 260 HILLCREST DR | CLARKSVILLE | TN | 37043 | 33161 | BREAST CANCER SURVIV | NASH & MID TN(FOR CLARKSVILLE YMCA) |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 WAS REVIEWED BY THE CHAIRMAN OF THE BOARD |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
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