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WILLIAMSON MEDICAL FOUNDATION INC: Form 990EZ, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WILLIAMSON MEDICAL FOUNDATION INC (EIN 04-3717044)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-09
IRS object ID
201140409349201204
Schema version
2009v1.7
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)
Timestamp2011-02-09T18:00:48-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lattimore Black Morgan & Cain PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1869AddressLine1
CityBrentwoodCity
StateTNState
ZIP Code370241869ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043717044EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLIAMSON MEDICAL CENTER FOUNDATIONINCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone6154355170Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 CAROTHERS PKWY No 200AddressLine1
CityFRANKLINCity
StateTNState
ZIP Code37067ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namesteve smithName
Titleexecutive directorTitle
Phone6154355170Phone
Date Signed2011-02-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBriana J MullenaxName
Phone6153774600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Web Sitewww.williamsonmedicalcenter.org/wmcfoundationWebSite
Organization501cXOrganization501c
Gross Receipts185649GrossReceipts
Contributions Gifts Grants Etc98868ContributionsGiftsGrantsEtc
Investment Income7843InvestmentIncome
Cost Other Basis And Sales Expenses504CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets-504GainOrLossFromSaleOfAssets
Special Events Gross Revenue75404SpecialEventsGrossRevenue
Special Events Direct Expenses26336SpecialEventsDirectExpenses
Special Events Net Income Loss49068SpecialEventsNetIncomeLoss
Other Revenue Total3534OtherRevenueTotal
Total Revenue158809TotalRevenue
Grants And Similar Amounts Paid90580GrantsAndSimilarAmountsPaid
Fees And Oth Pymt To Ind Contractors7930FeesAndOthPymtToIndContractors
Printing Publications Postage927PrintingPublicationsPostage
Other Expenses Total6503OtherExpensesTotal
Total Expenses105940TotalExpenses
Excess Or Deficit For Year52869ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY586729NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY639598NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY477720BOY
EOY639598EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY112544BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY590264BOY
EOY639598EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY3535BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY586729BOY
EOY639598EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeTHE MISSION OF WILLIAMSON MEDICAL FOUNDATION INC. IS TO SERVE AS ACHARITABLE AND DEVELOPMENT ARM TO SUPPORT WILLIAMSON MEDICAL CENTER INPROVIDING HEALTH CARE SERVICES. TO FUND CAPITAL PROJECTS AND HEALTH OUTREACHPROGRAMS OF WILLIAMSON MEDICAL CENTER, THE FOUNDATION SEEKS CHARITABLE GIFTSOF ALL TYPES, RESTRICTED AND UNRESTRICTED.DONATIONS TO WILLIAMSON MEDICAL FOUNDATION SUPPORT PROGRAMS AND SERVICESTHAT FALL OUTSIDE THE NORMAL STRUCTURE OF HOSPITAL OPERATING EXPENDITURES.GIFTS MAY BE MADE TO HONOR OR MEMORIALIZE SOMEONE, ESTABLISH OR SUPPORT APARTICULAR FUND, PURCHASE NEW EQUIPMENT OR EXPAND OR BUILD NEW AREAS.CONTRIBUTIONS MAY COME IN MANY FORMS, INCLUDING CASH, SECURITIES, REAL PROPERTY, ESTATE, PERSONAL LIFE INSURANCE, AND WILLS AND BEQUESTS. GIFTS MAY BE SMALL OR LARGE, ANONYMOUS OR RECOGNIZED, ONE-TIME OR PLANNED OVER TIME.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (2 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
Purchased furntiure, equipment, and educational resource materials to benefit Williamson Medical Center.069580
Provided scholarships for students enrolled in Healthcare field.021000
FieldValueIRS element (for citing)
Total Program Service Expenses90580TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Starling Evins
4321 Carothers ParkwayFranklinTN37067Chairman0.00000
C Thomas Neill
4321 Carothers ParkwayFranklinTN37067Vice chairman0.00000
Jerry Sharber
4321 Carothers ParkwayFranklinTN37067Treasurer0.00000
Dennis Miller
4321 Carothers ParkwayFranklinTN37067Secretary0.00000
Cynthia Himmelfarb
4321 Carothers ParkwayFranklinTN37067director0.00000
nancy Conway
4321 Carothers ParkwayFranklinTN37067Director0.00000
Russell Little
4321 Carothers ParkwayFranklinTN37067Director0.00000
Robert Ring
4321 Carothers ParkwayFranklinTN37067Director0.00000
Charles Sargent
4321 Carothers ParkwayFranklinTN37067Director0.00000
Judy Hayes
4321 Carothers ParkwayFranklinTN37067director0.00000
Shannon Curtis
4321 Carothers ParkwayfranklinTN37067director0.00000
Ronald Ligon
4321 Carothers ParkwayFranklinTN37067Director0.00000
Darryl Edmonds
4321 Carothers ParkwayFranklinTN37067Director0.00000
Ellen More
4321 Carothers ParkwayFranklinTN37067Director0.00000
Tom Bain
4321 Carothers ParkwayFranklinTN37067Director0.00000
Larry King
4321 Carothers ParkwayFranklinTN37067Director0.00000
Norman Urmy
4321 Carothers ParkwayFranklinTN37067Director0.00000
ralph Drury
4321 Carothers ParkwayFranklinTN37067Director0.00000
Beverly Speake
4321 Carothers ParkwayFranklinTN37067Director0.00000
Betsy Kohan
4321 Carothers ParkwayFranklinTN37067Director0.00000
David White
4321 Carothers ParkwayFranklinTN37067Director0.00000
Larry Hough
4321 Carothers ParkwayFranklinTN37067Director0.00000
Steve Smith
4321 Carothers ParkwayFranklinTN37067Executive Director0.00000
Don Webb
4321 Carothers ParkwayFranklinTN37067Chief Financial officer0.00000
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1R STEVE SMITHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14321 CAROTHERS PARKWAY SUITE 200AddressLine1
CityFRANKLINCity
StateTNState
ZIP Code37067ZIPCode
FieldValueIRS element (for citing)
Telephone Number6154355170TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer

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

Name Name

FieldValueIRS element (for citing)
Business Name Line1Williamson Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN311702931EIN
Type Of Organizationline 6TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$69,580Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts69580SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event152099GrossReceiptsEvent1
Gross Revenue Event152099GrossRevenueEvent1
Other Direct Expenses Event121440OtherDirectExpensesEvent1
Name Of Event2Sporting ClaysNameOfEvent2
Gross Receipts Event223305GrossReceiptsEvent2
Gross Revenue Event223305GrossRevenueEvent2
Other Direct Expenses Event24897OtherDirectExpensesEvent2
Gross Receipts Total75404GrossReceiptsTotal
Gross Revenue Total Events75404GrossRevenueTotalEvents
Other Direct Expenses Total Events26337OtherDirectExpensesTotalEvents
Direct Expense Summary Events26337DirectExpenseSummaryEvents
Net Income Summary49067NetIncomeSummary

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationThe organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.Declaration

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