Form990-EZ
Click to see list of attachments
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)
bullet Do not enter Social Security numbers on this form as it may be made public. By law, the
IRS generally cannot redact the information on the form.
bullet Information about Form 990-EZ and its instructions is at www.irs.gov/form990.
OMB No. 1545-1150
2013
Open to Public
Inspection
A
For the 2013 calendar year, or tax year beginning 07-01-2013, and ending 06-30-2014
B
Check if applicable:
C Name of organization
CUMBERLAND HOLDING CORPORATION
 
Number and street (or P. O. box, if mail is not delivered to street address)1101 6TH AVE N
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code NASHVILLE, TN37208
D Employer identification number

62-1234354
E Telephone number

(615) 463-6537
F Group Exemption
Number. . bullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletN/AJ Tax-exempt status(check only one)?Click to see attachment(   ) bullet(insert no.) or
K Form of organization:  
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . bullet $ 58,874
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1  
2 Program service revenue including government fees and contracts ............ 2 57,973
3 Membership dues and assessments...................... 3  
4 Investment income........................... 4 901
5a Gross amount from sale of assets other than inventory........ 5a  
b Less: cost or other basis and sales expenses........... 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a  
b Gross income from fundraising events (not including $   of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b  
c Less: direct expenses from gaming and fundraising events....... 6c  
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances........ 7a  
b Less: cost of goods sold................. 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c  
8 Other revenue (describe in Schedule O) ..................... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 58,874
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10  
11 Benefits paid to or for members........................ 11  
12 Salaries, other compensation, and employee benefits................ 12  
13 Professional fees and other payments to independent contractors............ 13 244
14 Occupancy, rent, utilities, and maintenance................... 14 20,492
15 Printing, publications, postage, and shipping................... 15 53
16 Other expenses (describe in Schedule O) .................... 16 32,048
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 52,837
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 6,037
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 -108,623
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 -102,586
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2013)
Form 990-EZ (2013)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
115,876
22
131,459
23Land and buildings....................
95,183
23
90,084
24Other assets (describe in Schedule O) ..........
 
24
 
25Total assets......................
211,059
25
221,543
26
Total liabilities (describe in Schedule O) .............
319,682
26
324,129
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
-108,623
27
-102,586
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? PROVIDE HUD HOUSING FOR CHRONICALLY MENTALLY ILL AND PROVIDE PSYCHOSOCIAL ACTIVITIES THAT WILL ASSIST CLIENTS TO LIVE IN THEIR COMMUNITIES. SPECIFIC SKILLS TAUGHT ARE: CHOOSING HEALTHY LIFESYLES, HOME BUDGETING, MEAL PLANNING AND GROCERY SHOPPING, PERSONAL HYGIENE, MANAGEMENT OF CLOTHING AND HOME SUPPLIES, DEALING WITH CONFLICT, HOW TO ENGAGE FRIENDS, USE OF PUBLIC TRANSPORTATION, AND NAVIGATING THE HEALTH CARE SYSTEM.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 PROVIDING SAFE AND COMFORTABLE HOUSING, COMPLETE WITH FURNISHINGS, APPLIANCES, AND BATHROOMS FOR RESIDENTS WITH SEVERE AND PERSISTANT MENTAL ILLNESS. TEACH THE RESIDENTS DAILY LIVING SKILLS.CUMBERLAND HOLDING CORPORATION IS AFFILIATED WITH CENTERSTONE OF AMERICA, INC. CENTERSTONE OF AMERICA, INC. AND ITS AFFILIATES ARE PRIVATE, NON-PROFIT CORPORATIONS THAT PROVIDE MULTI-FUNDED, LOCALLY DIRECTED MENTAL HEALTH AND ADDICTION SERVICES TO PEOPLE OF ALL AGES. CENTERSTONE OF AMERICA MAINTAINS OUTPATIENT CLINICS IN MULTIPLE TENNESSEE AND INDIANA COUNTIES, WITH THE MAIN ADMINISTRATIVE OFFICES LOCATED IN NASHVILLE, TENNESSEE. CENTERSTONE OF AMERICA IS THE SOLE CORPORATE MEMBER OF ITS PRIMARY AFFILIATES AND THE AFFILIATES SHARE A COMMON LEADERSHIP TEAM.CENTERSTONE OF AMERICA'S PRIMARY AFFILIATES INCLUDE CENTERSTONE OF TENNESSEE, CENTERSTONE OF INDIANA, CENTERSTONE RESEARCH INSTITUTE, VANTAGE POINT, JOHNSON NICHOLS HEALTH CLINIC AND CENTERSTONE MILITARY SERVICES.FOR THE 2013 TAX YEAR ENDED JUNE 30, 2014, CENTERSTONE OF AMERICA AND ITS AFFILIATES EARNED GROSS REVENUE OF $137 MILLION; EMPLOYED 2,478 INDIVIDUALS THROUGH MORE THAN 110 FACILITIES; AND, PROVIDED SERVICES TO APPROXIMATELY 110,780 CHILDREN, ADULTS AND FAMILIES. FOR THE TAX YEAR ENDED JUNE 30, 2014, CENTERSTONE OF AMERICA EARNED GROSS REVENUE OF $9,820,608 AND USED A TOTAL OF $9,822,286 IN CARRYING OUT ITS OVERALL CHARITABLE PURPOSE.CENTERSTONE OF INDIANA, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH MORE THAN 60 LOCATIONS IN SEVERAL COUNTIES THROUGHOUT SOUTH CENTRAL INDIANA. CENTERSTONE OF INDIANA, INC.'S SUBSIDIARIES INCLUDE CENTERSTONE FOUNDATION, INC., CENTERSTONE SUPPORTIVE HOUSING, LLC AND INDEPENDENT LIVING. CENTERSTONE OF INDIANA HAS PROVIDED A WIDE RANGE OF MENTAL HEALTH AND ADDICTION SERVICES TO INDIANA RESIDENTS FOR MORE THAN 50 YEARS. THE ORGANIZATION IS ACCREDITED BY CARF INTERNATIONAL. THROUGH MORE THAN 60 FACILITIES IN 17 INDIANA COUNTIES, CENTERSTONE SERVES MORE THAN 24,000 CHILDREN, ADOLESCENTS, ADULTS AND SENIORS EACH YEAR. THE ORGANIZATION IS KNOWN NATIONALLY FOR ITS RECOVERY MODEL FOR ADDICTIONS. IT ALSO OPERATES THE FOSTER CARE SELECT PROGRAM IN 24 COUNTIES.CENTERSTONE OF TENNESSEE, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH MORE THAN 50 LOCATIONS IN VARIOUS COUNTIES THROUGHOUT TENNESSEE. CENTERSTONE OF TENNESSEE, INC.'S SUBSIDIARIES INCLUDE ADVANTAGE BEHAVIORAL HEALTH, CUMBERLAND HOLDING CORPORATION AND CENTERSTONE HOUSING RESOURCES. CENTERSTONE OF TENNESSEE HAS PROVIDED A WIDE RANGE OF MENTAL HEALTH AND ADDICTION SERVICES TO PEOPLE OF ALL AGES FOR MORE THAN 58 YEARS. THROUGH MORE THAN 50 FACILITIES AND 160 PARTNERSHIP LOCATIONS ACROSS THE MIDDLE TENNESSEE REGION, CENTERSTONE SERVES NEARLY 60,000 CHILDREN, ADOLESCENTS, ADULTS AND SENIORS EACH YEAR. CENTERSTONE IS ACCREDITED BY CARF INTERNATIONAL AND IS A MEMBER ORGANIZATION OF THE NATIONAL FOOTBALL LEAGUE'S NFL LIFELINE.CENTERSTONE RESEARCH INSTITUTE, INC. EXISTS TO IMPROVE THE QUALITY AND EFFECTIVENESS OF CARE FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH DISORDERS. CRI WORKS TO BRIDGE THE GAP BETWEEN SCIENCE AND SERVICE. PARTNERING WITH CLINICIANS AND OTHER RESEARCH PROFESSIONALS IN ACADEMIA AND INDUSTRY, CRI PROVIDES RESEARCH, ANALYTICS AND EVALUATION SERVICES. CRI'S EFFORTS - INCLUDING THE DEVELOPMENT OF ENLIGHTEN ANALYTICS (AN ADVANCED BUSINESS INTELLIGENCE TOOL) - ARE FUNDED THROUGH CONTRACTS, GRANTS, FOUNDATIONS AND INDIVIDUAL DONORS WHO SHARE THE SAME COMMITMENT TO ADVANCING BEHAVIORAL HEALTHCARE AND RECOVERY.ADVANTAGE BEHAVIORAL HEALTH'S MISSION IS TO ADVANCE A VALUE-BASED HEALTHCARE DELIVERY SYSTEM THAT HONORS THE UNIQUENESS AND DIGNITY OF EACH INDIVIDUAL, UTILIZING A PERSON-CENTERED PHILOSOPHY OF CARE, OPTIMIZING INTEGRATIVE HEALTHCARE MANAGEMENT SOLUTIONS TO IMPROVE ACCESS, CARE COORDINATION AND TREATMENT EFFICACY FOR POSITIVE HEALTH AND WELLNESS OUTCOMES. THE ADVANTAGE TEAM BRINGS EXPERTISE IN MANAGED SERVICES AND ORGANIZATIONAL CONTRACTING. IN ADDITION, ADVANTAGE OPERATES AN EXPANSIVE PROVIDER NETWORK, INNOVATIVE SYSTEMS OF CARE, AND SOLUTIONS EAP, WHICH PROVIDES AND/OR OVERSEES THE PROVISION OF EAP AND OTHER SERVICES TO OVER 45 EMPLOYERS AND 50,000 EMPLOYEES IN 20 STATES.CENTERSTONE MILITARY SERVICES, INC. (FORMERLY KNOWN AS NOT ALONE, INC.) OFFERS PROGRAMS AND SERVICES TO AMERICAN SERVICE MEMBERS, VETERANS AND THEIR FAMILIES. THE ORGANIZATION WORKS TO ENSURE THAT ALL SERVICE MEMBERS AND THEIR LOVED ONES HAVE THE RESOURCES AND SUPPORTS THEY NEED TO LEAD HEALTHY AND FULFILLING LIVES BEYOND MILITARY SERVICE. PROGRAMS ARE PROVIDED THROUGH A VARIETY OF INITIATIVES INCLUDING FACE-TO-FACE COUNSELING, COUPLES AND FAMILY COUNSELING, THERAPEUTIC RETREATS, HOUSING ASSISTANCE, EMPLOYMENT COUNSELING, PHYSICAL HEALTH AND WELLNESS SERVICES, SUPPORT GROUPS, ONLINE RESOURCES, AND 24/7 CRISIS SERVICES. SELECT GRANT-BASED SERVICES ARE OFFERED IN TN AND IN. THE NATIONALLY RECOGNIZED PROGRAM COURAGE BEYOND AT CENTERSTONE, OFFERS FREE OR LOW-COST SERVICES AND CAN BE ACCESSED ANYWHERE IN THE U.S. AND CANADA THROUGH A NATIONAL PROVIDER NETWORK.VANTAGE POINT IS A PROVIDER OF OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING. VANTAGE POINT HAS DISCONTINUED OPERATIONS DURING THE 2014 FISCAL YEAR END.FINALLY, JOHNSON NICHOLS, INC. IS AN INTEGRATED CARE OFFICE LOCATED IN INDIANA.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 28a 52,837
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 52,837
Part IV
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
JANET AYERSCHAIR 0.00 0 0 0
MARK FAULKNERVICE CHAIR 0.00 0 0 0
LEE ANN INGRAMIMMEDIATE PAST CHAIR 0.00 0 0 0
DR CARMEN REAGANSECRETARY 0.00 0 0 0
BRENDA CORBINDIRECTOR 0.00 0 0 0
KELLY CROCKETTDIRECTOR 0.00 0 0 0
FATHER FRED DETTWILLERDIRECTOR 0.00 0 0 0
VINCENT DURNANDIRECTOR 0.00 0 0 0
R PARKER GRIFFITHDIRECTOR 0.00 0 0 0
CHRISTA HOLLEMANDIRECTOR 0.00 0 0 0
LAVINIA JOHNSTONDIRECTOR 0.00 0 0 0
ORVILLE KRONKDIRECTOR 0.00 0 0 0
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year?...................
37b
 
 
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bulletTN
42aThe organization's books are in care of bulletMICHAEL BUTLER Telephone no. bullet (615) 463-6537
Located at bullet1101 6TH AVE NNASHVILLE,TN ZIP + 4bullet37208
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes," enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes," enter the name of the foreign country: bullet
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
 
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ...............bullet
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2013)


Form 990-EZ, Special Condition Description:
Special Condition Description

Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CUMBERLAND HOLDING CORPORATION
 
Employer identification number

62-1234354
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 35,267 59,703 54,705 60,830 57,973 268,478
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 35,267 59,703 54,705 60,830 57,973 268,478
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support (Subtract line 7c from line 6.) 268,478
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 35,267 59,703 54,705 60,830 57,973 268,478
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 1,958 40 1,869 1,864 901 6,632
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 1,958 40 1,869 1,864 901 6,632
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.).. 37,225 59,743 56,574 62,694 58,874 275,110
14
Section C. Computation of Public Support Percentage
15
15
97.590 %
16
16
97.700 %
Section D. Computation of Investment Income Percentage
17
17
2.410 %
18
18
2.300 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CUMBERLAND HOLDING CORPORATION
 
Employer identification number

62-1234354
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 901. TOTAL TO FORM 990-EZ, LINE 14: 20,492.
FORM 990-EZ, PART I, LINE 14 DESCRIPTION: DEPRECIATION. AMOUNT: 5,100. DESCRIPTION: OTHER EXPENSES. AMOUNT: 15,392.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: TELEPHONE. AMOUNT: 1,256. DESCRIPTION: TRAVEL. AMOUNT: 4,377. DESCRIPTION: SUPPLIES. AMOUNT: 11,000. DESCRIPTION: INTEREST EXPENSE. AMOUNT: 13,427. DESCRIPTION: MISCELLANEOUS. AMOUNT: 1,988. TOTAL TO FORM 990-EZ, LINE 16: 32,048.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: NOTES PAYABLE. BEG. OF YEAR AMOUNT: 162,820. END OF YEAR AMOUNT: 158,736. DESCRIPTION: AP/ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 1,821. END OF YEAR AMOUNT: 13. DESCRIPTION: DUE TO AFFILIATED ENTITIES. BEG. OF YEAR AMOUNT: 151,864. END OF YEAR AMOUNT: 162,188. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 3,177. END OF YEAR AMOUNT: 3,192.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  

TY 2013 TransferPrsnlBnftContractsDecl
Name:
CUMBERLAND HOLDING CORPORATION
EIN: 62-1234354
Declaration:
THE 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.