Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 02-01-2015 , and ending 01-31-2016
Name of foundation
DOLLAR GENERAL EMPLOYEE ASSISTANCE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)100 MISSION RIDGE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GOODLETSVILLE, TN37072
A Employer identification number

61-1492355
B Telephone number (see instructions)

(615) 855-4000
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,219,669J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,097,831
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 823 823 823
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,098,654 823 823
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 14,400 0 0 0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 43 0 0 0
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 12,577 0 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 27,020 0 0 0
25 Contributions, gifts, grants paid....... 727,752 727,752
26 Total expenses and disbursements. Add lines 24 and 25 754,772 0 0 727,752
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 343,882
b Net investment income (if negative, enter -0-) 823
c Adjusted net income (if negative, enter -0-)... 823
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 970,086 1,216,293 1,216,293
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet1,002,946
Less: allowance for doubtful accounts bullet   905,271 1,002,946 1,002,946
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 430 430 430
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,875,787 2,219,669 2,219,669
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 1,875,787 2,219,669
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,875,787 2,219,669
31 Total liabilities and net assets/fund balances (see instructions). 1,875,787 2,219,669
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,875,787
2
Enter amount from Part I, line 27a .....................
2
343,882
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,219,669
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,219,669
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 672,739 850,450 0.791039
2013 560,826 641,128 0.874749
2012 621,972 492,477 1.262946
2011 468,847 381,024 1.230492
2010 416,761 320,432 1.300622
2
Total of line 1, column (d) .....................
25.459848
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
1.091970
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,079,113
5
Multiply line 4 by line 3......................
5
1,178,359
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
8
7
Add lines 5 and 6........................
7
1,178,367
8
Enter qualifying distributions from Part XII, line 4.............
8
727,752
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 16
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 16
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 16
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 430
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 430
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 414
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet414 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletDENINE TORR Telephone no.bullet (615) 855-5208

    Located atbullet100 MISSION RIDGEGOODLETTSVILLETN ZIP+4bullet370722170
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    GREG SPARKS PRESIDENT
    0.00     		0 0 0
    100 MISSION RIDGE
    GOODLETTSVILLE,TN37072
    ANITA ELLIOTT TREASURER
    0.00     		0 0 0
    100 MISSION RIDGE
    GOODLETTSVILLE,TN37072
    ROD WEST DIRECTOR
    0.00     		0 0 0
    100 MISSION RIDGE
    GOODLETTSVILLE,TN37072
    RHONDA TAYLOR DIRECTOR
    0.00     		0 0 0
    100 MISSION RIDGE
    GOODLETTSVILLE,TN37072
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 PROVIDE AID TO DISTRESSED DOLLAR GENERAL EMPLOYEES AND THEIR FAMILIES WHO ARE EXPERIENCING FINANCIAL HARDSHIP DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL SUCH AS DEATH OR DISASTER. 727,752
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    1,095,116
    c
    Fair market value of all other assets (see instructions)................
    1c
    430
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,095,546
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,095,546
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    16,433
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,079,113
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    53,956
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
     
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    727,752
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    727,752
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    727,752
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
    823 0 0 0 823
    b 85% of line 2a ......... 700 0 0 0 700
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		727,752 672,739 560,826 621,972 2,583,289
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		727,752 672,739 560,826 621,972 2,583,289
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		         0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		35,971 28,349 21,371 16,416 102,107
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		        0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		        0
    (3) Largest amount of support
    from an exempt organization    		         0
    (4) Gross investment income         0
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    DENINE TORR
    100 MISSION RIDGE
    GOODLETTSVILLE,TN370722170
    (615) 855-5208
    DTORR@DOLLARGENERAL.COM
    bThe form in which applications should be submitted and information and materials they should include:
    AN ASSISTANCE REQUEST FOR CAN BE COMPLETED BY DOLLAR GENERAL EMPLOYEES. DOCUMENTED SUPPORT OF THE NEED, SUCH AS A POLICE REPORT, FIRE OR INSURANCE REPORT, PICTURES, OR OTHER EVIDENCE OF THE NEED MUST BE PROVIDED.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS ARE ONLY FOR ACTIVE EMPLOYEES OF DOLLAR GENERAL CORPORATION WHO ARE EXPERIENCING FINANCIAL HARDSHIP DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL SUCH AS THE LOSS OF HOME DUE TO FIRE OR NATUARL DISASTER, EXTRAORDINARY EXPENSES RELATED TO THE DEATH OF AN EMPLOYEE OR HIS OR HER ELIGIBLE DEPENDENT, DISPLACEMENT OF AN EMPLOYEE DUE TO STATE OR FEDERAL DECLARED DISASTER, AND THE OCCURRENCE OF A LIFE-THREATENING ILLNESS OR INJURY OR AN OTHERWISE UNEXPECTED ACUTE ILLNESS OR INJURY THAT REQUIRES EXTENDED HOSPITALIZATION OR EXTENSIVE MEDICAL CARE FOR EITHER THE EMPLOYEE OR IMMEDIATE FAMILY MEMBER. ALL APPLICANTS MUST FULLY COMPLETE AN APPLICATION AND PROVIDE APPROPRIATE EVIDENCE OF THE SITUATION GENERATING THE NEED.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    TAMMY LANCASTER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    JACQUELINE KLOCEK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    THOMAS LEFAN III
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,791
    TERRIKO HOLMES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    LELA PIERSALL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    TINA SCHAELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TRACY MURRAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    TARA PAGE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,582
    BECKY MARTINEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    TIFFANY NEWMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    PEGGY JAMES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SANDRA MARSH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CINDY DYLLA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KRISTA WARNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    RANDY LOONEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,136
    ROBERTO ALCALA HERNANDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KYLE BAKER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LARA DAVIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JIMMY HERNANDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 387
    DJUNA TRICE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    LEE MINTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BROOKE UHRLAUB
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,013
    BILLIE BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,005
    STEPHANIE LAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    BRENDA ROYER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SUSAN NOTGRASS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JOHN KAELIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DEXTER OWSLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    RAUL TREVINO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    REBECCA BARBER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ROBBIE ELMORE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DOUGLAS CAMPBELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JENNIFER CAMPBELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DENISE EASON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    LEONORA MAJID
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,075
    KESHAWNNA JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    MARGIE FOWLER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LAURA BELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 725
    RENATA MANUEL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,500
    DENNIS HEISLEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,013
    MICHAEL LOPEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LINDA BOWERS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    THERESA ASHLINE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    STEPHAN PORINCHOK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,500
    LAUTRECIA SIMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    DELAWRENCE BROWNLAW
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    EVELYN MELLINGTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JAMES JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTINA LEWIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    AMANDA SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 860
    TINA BAACK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 844
    CRTSTAL HIERONYMUS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SYLVIA JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    AMY BRANDT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 965
    DEANA BOYD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 800
    LAUREN JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 895
    DUSOWN KENNEDY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 133
    BRENDA BAILLIE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TOMMIKKIA PHILLIPS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    RODERICK BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARILYN HAGAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ROYAL LUKE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    DANYELLE JAMES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DANYELLE JAMES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 472
    LINDA WEST
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JOHN LUNA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DALVIN PRUITT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DIAN EDWARDS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DIAN EDWARDS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,181
    RAYSHON SCOTT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,275
    RAYSHON SCOTT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 219
    BRIANNE TIPPIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    TIA ANDERSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    MICHELLE BELTRAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    FRANCHESCA WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    BRENDA FRIDDLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BRENDA FRIDDLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,005
    KRISTINA POWLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    PHYLLIS MCMANUS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHERIE COLEMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANITA APPLEGATE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    MARYLOUISE HASEKOESTER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    ALFRED O'NEIL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 536
    JASMINE ESCO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LISA STALVEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,248
    ANGELA D AMBOISE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 290
    LOUISE WELLS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    GLADYS TATE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JIMMY PARDUE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 389
    DEBRA SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    NELSON LEON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 364
    SONIA LEON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 364
    BONNIE EISENHARDT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TIFFANY HOWELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ROSE VANDEWARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 322
    MELISSA LYNCH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,365
    AMY HOUSE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 784
    KEARSTEN CLARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    PATRICK CHARLES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CLEARTHUR WHITLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 324
    LYNN WEISHUHN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LINDA ROWE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    LLOYD JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ERICA MORRIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    NATHANIEL BIBBS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    VIRGINIA NICHOLS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ERICA JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARTIN SCHAEFER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,094
    CARRIE TRAVIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JERRY RICHARDSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JENNIFER GORUM
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SARA BISHOP
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 528
    CHRISTOPHER JONES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CHRISTIAN GAMEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTIAN GAMEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 525
    LISA CHAPUT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,321
    GABRIELLE BYRON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ELTON CHAFFIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JOSEPH TESTA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JEREMY JONES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RENDA PAYNE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ASHLEY BOWMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    PAUL DEBASE SR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    CHRISTIE JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    VANESA THOMPSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TAMMY ROSENBAUM
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KIMBERLY FOELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JOHN CHARLES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JOHN GLADWELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JOSEPH HARMON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KELVIN KNIGHT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CYNTHIA KNIGHT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BETTY BALL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BETTY BALL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BOBBI JO MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    NATHAN MIMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    MENDI BRINLEE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    VANESA THOMPSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 149
    JAKE POWERS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    MATT BEHRMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SHANTRELL MURPHY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    KATHRYN TEODORCZYK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    SANDRA WILLIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    JOHN RYAN HILL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    CHRISTIAN SILVA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    KATHY WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    PAMELA GOZA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 392
    PENNY KEYSER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    MARK WALKER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    DANIEL NICHOLS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CRYSTAL WRIGHT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,195
    CASSANDRA TAYLOR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JESSICA STANTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    AYESHA BEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,175
    CYNTHIA POIRIER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    JENNY KAEB
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 482
    MARY HANEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JUANY MEDRANO-GAMEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DONNA MILLER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 750
    REYNALDO HUDSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TABITHA TURNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KENT ACHESON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    TRACEY BAIRD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHELSEA HUBBARD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SHIRLEY CHAFFIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BARBARA CAUDILL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    BRITTANY JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    CRYSTAL BINGHAM
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 563
    BRAD TURNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    CHAZ CAMPTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTINA TURNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SHAWN SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    SUSAN COSIMENO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SHANNON SIMMONS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ALICIA SUMMERS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    LYNN STAGES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    DENISE GILLILAND
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 672
    DENISE GILLILAND
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANN HORNIK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    SYLVIA FOSTER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHARNEL KELLAM
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    VICTOR PRESTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CODY CLARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SUSAN CORBIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CLIFTON HAMMIT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    TRACI COPAS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    SHAWN SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ALBERTA GRAVES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    DEBORAH KOOIKER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,639
    JENNIFER WILTZ-MILES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 375
    MARVIN MCCULLOUGH JR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTY STEVENS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I UNINHABITABLE RENTAL 1,000
    QUENISHA RUFFIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SONDRA TAYLOR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    APRIL WEAVER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,000
    MAXENE GONZALES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    TAMIKA DAVIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,500
    JAMES WHITE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ROBERT LUCAS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    LINDA YI
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ERICH HAYDEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 494
    ERICH HAYDEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DARIUS HAYDEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 489
    ANNE MARIE SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,231
    MARSHA BURNS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LADONNA HENRY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LINDA BERZONSKI
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ALISSA CLINEBELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 343
    REYNALDO LAMAS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 397
    MELINA RICHARDSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LORY KNACKSTEDT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 66
    MICHAEL COOGAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,707
    THELMA MURTHA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 851
    TODSHA BECK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 678
    RICHARD GAY JR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    STEPHANIE CHAMBLESS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MELISSA GRANT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 350
    TAYLOR GREEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,071
    SYLVIA BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JIMMETRIOUS CLARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,241
    STEPHANIA CLARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SARAH FRICK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CRISANTA PATRICK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    OCIE BATTLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ALBERT EDWARDS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 510
    BRUCE LAWILL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TERI TRACY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 500
    JUSTIN TRACY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 500
    ALICIA PACHECO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    SEVADA ROBERTS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JENNIFER CAIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    NELLIE MOORE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 492
    ANGELINA ALVAREZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TAMARA EMMERT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    PEGGY HARRIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JANICE GRAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 729
    SUSAN MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    BRIDGET GREER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    BRIAN ARRIOLA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 754
    CLARENCE REED
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 495
    TAMARA WILSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ERIK CROSS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,765
    TRAVIS DILE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ELOIS STAFFORD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 80
    KATHY MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    KATHY MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANTHONY MELONAS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,561
    CRYSTAL LEACH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LUIS IRAOLA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 264
    DESAREE JONES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,518
    MATILDA DELGADO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JUDY HESS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,000
    CHARLOTTE WOOD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LAURA SANTIAGO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LAURA SANTIAGO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 158
    SUSAN ROBERTSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JODIE TURNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    MICHELLE HANEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CHARLES BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,320
    JANET COLLMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    MICHAEL BARKER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,867
    KAITLYN MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JANET TOLLIVER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,045
    LYNDELLE DENCZEK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MELISSA SHAW
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANGELA WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,608
    ANGELA WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 647
    DECARLOS BUTLER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KIMBERLY SMALLWOOD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JUSTINE BLACKWELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 506
    REGENIA ANDERSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    NORA ORISKOVICH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANDRICK WALTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANNETTE JOHNSTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,409
    YOULANDNETTE DENNIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    HEATHER GREGORY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 804
    DONNA BAILEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 279
    PATRICIA KIRK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SIERRA MAYS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    VALERIE FRANKLIN-HOLLIFIELD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    PAUL DEBASE SR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTINA NARGASSANS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 269
    THOMAS CROCKETT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    DEBBIE KELLY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LUCY MCMILLAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 915
    EDNA EDWARDS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,184
    YVETTE BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BEVERLY JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    OTHA COLLINS-MOORE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 346
    TERESA TANNER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LORRIE SARVER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 592
    OCIE BATTLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MICHAEL CUDD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANTHONY NUNLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    WILLIE LUCAS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 525
    ANNETTE RHYMER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 130
    ANNETTE RHYMER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ELLEN ROBERTS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RONNIE MUSSER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SYLVIA ADAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    LARESA LOWERY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SHANATHA RICHARD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 846
    SARA SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SARA SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    FELICIA MCCONNELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RODERICK PHIFER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    GINA KELLY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DELILAH HINTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RONALD ROBERTS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TODD HART
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KELLY BAYNE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    DIANA REY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BARBARA TESTA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 705
    ANDREA MITCHELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    EVELYN STARKS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,052
    ALBERT EDWARDS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 321
    MONIQUE BERGERON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KYLE BOULWARE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ALANA RAMOUTAR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARY BURKHART
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SANDRA RIVERA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    EVANGELINE MOSES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    EVANGELINE MOSES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 746
    DEITRA MARTIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LOLA BUZARD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,392
    KAREN DEMOTT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,100
    MARGOT COX
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    STEWART ROBERTS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    TERRANCE O'REGAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    MARY RUGGLES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,865
    MELODIE PEARMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RICHARD SEGERS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 860
    CALISTA RAGINFULTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    KELLY DEGNAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    RHONDA SHAW
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KATHY SCHWAB
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 950
    TAWANDA JENNINGS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KATIE HAMILTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    LEO BADER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    EVELYN STARKS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SHERRY THOMPSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JEFF CARRINGTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    ETHEL GIBBS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ELAINE DAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    FELICIA BRUNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ROBERT PETERSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 649
    LAQUESHA WEARING
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JESSICA GARCIA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    KENTORRA WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CINDY KOLLMORGAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,270
    LINDA CLARK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DOMINIC REED
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 500
    DOMINIC REED
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 89
    DENNIS KIEDROWSKI
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LATASHA DEMPS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    NIKKI KAKURIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    CHENITA DENNIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SARAH LYNCH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,200
    ERIKA AGUIRRE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JOETTA ESTEP
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    MICHELLE TAYLOR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 1,122
    WANDA LAWSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    ERIC STINSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 570
    QUIMBY OXENREIDER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    CARMEN MORENO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TIKELA MORRIS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    TIMOTHY KNALL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MATILDA BERMUDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CYNTHIA PARSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 732
    RONALD RHOADES SR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    JAMIE FREEMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JOELINDA ROSS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JENNIFER WILTZ-MILES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    AMANDA CONLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JAMES ALLEN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    ANN THIBODEAUX
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    KELLY SLUDER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SHAMIKA ROBINSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    KAVAAN SEWELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 736
    EBONI BERRY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    MYSTI MATTHEWS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARGARET BRYANT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ROSE JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,190
    COURTNEY KEITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JESSICA WILLIAMS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,014
    DEBORAH FLOYD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    DEBBIE MCKUIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JUANA ALMAZAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,496
    TAJAI THOMPSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KATIE BURLESON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    BRANDON MURPHY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    LAURA CZAJKOWSKI
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    JASON WOERLEIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 332
    JERI HOLMAN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    OUIDA CARTER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    SHANNON ASHLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LESLIE TUNE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SHANA GRANT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CHRISHENA CRADDIETH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHASITY BLACKSTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARY EARLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,612
    SONIA WOMACK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    NATHANIEL BIBBS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 558
    HEATHER FOSNIGHT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TIFFANI HILL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    JAMES HARR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    TABITHA SANCHEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    DONNA BIRD
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 527
    KELVIN KNIGHT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    AMANDA BEYERLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    LOUISE HOSIER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    ANGELA MINK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 332
    SYLINA HERNANDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    LISA ROSSI
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ZACHARIAH GALLOWAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TERESA GARRETT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 443
    KEVIN HERNANDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    CHRISTINA ROSA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    LAVENIA WHITE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    JEFF PATILLO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ERIK ARISPE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 495
    BILLY FAIRLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 993
    REBECCA SUMMERLIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    PATRICIA BALDWIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TINA COLLINS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 592
    JERRY ELKINS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 639
    THERESE CALDWELL
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,046
    LAKESHIA JOHNSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    LAURIE VAUGHN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    TERESA LEEPER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,240
    ERIN VANBEBBER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    SUE COVAULT
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 316
    SAMANTHA GENTHER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    VERLONN STUBBS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    FRANK SALADINO
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 582
    SANDRA CUMMINGS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 170
    CHRISTINE JAMES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 513
    JONATHAN EYLER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,500
    ERIC SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    THOMAS NORTON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    WILLIAM SOZA
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 368
    CAROL LARKIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    MARGARET LYLE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 815
    SCOTT WADE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ALEXIS JENNINGS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    LISA PEELE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    KENYA SMITH
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    CHARLES FARLEY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    TRACY MURRAY
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I EXTRAORD EXPENSES 1,500
    RENEE HERNANDEZ
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I TRAVEL 665
    ERIC STINSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    J'SHARONIQUE WEATHERSPOON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    MARY ROSENBERG
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    AMY MAULDIN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ZACHARY QUERTERMOUS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    LAQUETTO COOPER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    TRACY TAYLOR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BARBARA BOUCHER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    ANGELA JONES
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    COURTNEY FLACK
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    BETTY BROCKHAUS
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    ASHLEY WALKER
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 1,500
    ZENOBIA BROWN
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I LOSS OF HOME 2,000
    WILMA CRANOR
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 1,197
    MELVIN WALLACE
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    HEATHER PETERSON
    100 MISSION RIDGE DRIVE
    GOODLETTSVILLE,TN37072     		  I FUNERAL 2,000
    Total .................................bullet 3a 727,752
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 823  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 823 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13823
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    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 taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    DOLLAR GENERAL EMPLOYEE ASSISTANCE
     
    FOUNDATION
    EIN:
    61-1492355
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 14,400 0 0 0

    TY 2015 OtherExpensesSchedule
    Name:
    DOLLAR GENERAL EMPLOYEE ASSISTANCE
     
    FOUNDATION
    EIN:
    61-1492355
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    REGISTRATION EXPENSE 240 0 0 0
    POSTAGE AND DELIVERY 153 0 0 0
    FUNDRAISING EXPENSE 11,000 0 0 0
    BANK CHARGES 1,184 0 0 0