Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 61,909 | 262,744 | 167,255 | 239,147 | 137,153 | 868,208 |
| 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 | 43,753 | 47,420 | 41,991 | 48,356 | 45,702 | 227,222 |
| 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 | 105,662 | 310,164 | 209,246 | 287,503 | 182,855 | 1,095,430 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 1,095,430 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 105,662 | 310,164 | 209,246 | 287,503 | 182,855 | 1,095,430 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 32 | 51 | 42 | 62 | 52 | 239 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 32 | 51 | 42 | 62 | 52 | 239 |
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 105,694 | 310,215 | 209,288 | 287,565 | 182,907 | 1,095,669 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | -PROVIDED FINANCIAL SUPPORT TO COMMUNITY COALITION AGAINST HUMAN TRAFFICKING -PROVIDED FINANCIAL SUPPORT TO CAC BEARDSLEY COMMUNITY FARM, AN URBAN DEMONSTRATION FARM IN KNOXVILLE THAT HAS PROMOTED FOOD SECURITY AND SUSTAINABLE URBAN AGRICULTURE THROUGH PRACTICE, EDUCATION, AND COMMUNITY OUTREACH SINCE 1998. -SPONSORED THE ROTARY CLUB OF KNOXVILLE'S 2ND ANNUAL PEACE LUNCHEON. AWARDED A MEMBER OF THIS COMMUNITY WITH THE PEACE AWARD, A 1,000 DONATION TO THE CHARITY OF THE RECIPIENT'S CHOICE. THIS YEAR'S AWARD WINNER WAS YASSIN TEROU, A LOCAL RESTAURANTEUR WHO FLED TO THE UNITED STATES AS A REFUGEE FROM SYRIA. THE WORK OF MR. TEROU EXPRESSES BOTH HIS CULTURE AND MESSAGE OF ACCEPTANCE OF PEOPLE FROM ALL WALKS OF LIFE AND REMINDS US OF THE CHALLENGING JOURNEY FOR REFUGEES LEAVING THEIR BIRTH COUNTRY TO SETTLE IN KNOXVILLE. AS PART OF THE AWARD, MR. TEROU WAS ASKED TO DESIGNATE A RECIPIENT OF A 1,000 DONATION FROM THE ROTARY FOUNDATION OF KNOXVILLE. MR. TEROU ASKED THAT THE DONATION BE MADE TO SEEDS OF ABRAHAM. THE LOCAL NON-PROFIT ORGANIZATION HAS A "GOAL TO HELP YOUTH FROM MANY DIFFERENT BACKGROUNDS FIND COMMON GROUND AND SEE THAT WE ARE MORE ALIKE THAN WE ARE DIFFERENT. THEIR HOPE IS THAT THESE YOUTH WILL MAKE FRIENDS, OPEN UP AN AVENUE FOR CONVERSATION, DISPEL HATEFUL PREJUDICES, OPEN THEIR HEARTS AND MINDS, AND CULTIVATE A CULTURE OF PEACE. THEY NEVER ENCOURAGE YOUTH TO CHANGE ANYTHING ABOUT THEMSELVES EXCEPT THEIR PRECONCEIVED IDEAS ABOUT WHO THEIR NEIGHBORS ARE." THE ROTARY FOUNDATION OF KNOXVILLE PEACE COMMITTEE ALSO OFFERS SCHOLARSHIPS FOR ROTARY FOUNDATION OF KNOXVILLE MEMBERS TO ATTEND MEDIATION TRAINING. ONE MEMBER PARTICIPATED IN THE TRAINING DURING THE 2017-2018 ROTARY YEAR. -PROVIDED FINANCIAL AND VOLUNTEER SUPPORT FOR THE AREA ROTARY CLUBS' WORLD ROTARY DAY PROJECT AT GREEN MAGNET ACADEMY. -SERVED PARTICIPANTS OF THE WISE PROGRAM AT THE WESLEY HOUSE COMMUNITY CENTER OF KNOXVILLE BY SERVING LUNCH, PLAYING BINGO AND PROVIDING A LARGE ASSORTMENT OF GIFTS OF NECESSITITES TO EACH OF THE PROGRAM PARTICIPANTS. -PROVIDED A 10,000 GRANT AND VOLUNTEER SERVICE FOR THE SECOND HARVEST FOOD BANK OF EAST TENNESSEE FOOD FOR KIDS PROGRAM. FOOD FOR KIDS IS A COLLABORATIVE EFFORT BETWEEN SECOND HARVEST AND AN EVER-INCREASING NUMBER OF PUBLIC SCHOOLS WITHIN THE FOOD BANK'S 18-COUNTY SERVICE AREA. THE PROGRAM IS DESIGNED TO PROVIDE HEALTHY, EASILY-PREPARED FOOD TO SOME OF THE MOST VULNERABLE CHILDREN IN OUR COMMUNITY. TEACHERS AT EACH SCHOOL COMPILE A LIST OF KIDS IN THEIR CLASSROOM WHO THEY FEEL ARE AT RISK OF HUNGER. IN ADDITION TO SIMPLY TELLING THEIR TEACHERS THEY ARE GOING HUNGRY, MANY KIDS ARE OBSERVED HOARDING FOOD FROM THE LUNCHROOM, TAKING FOOD FROM OTHER CHILDREN'S TRAYS AND EVEN TAKING FOOD FROM TRASHCANS IN ORDER TO HAVE SOMETHING TO EAT AFTER SCHOOL AND OVER THE WEEKENDS. THESE CHILDREN ARE DISCREETLY GIVEN FOOD FOR THEMSELVES (AND ANY SIBLINGS THEY MAY HAVE AT HOME) EVERY FRIDAY THROUGHOUT THE SCHOOL YEAR. REPORTS OF IMPROVED SELF- ESTEEM, BEHAVIOR AND CONCENTRATION AMONG PARTICIPANTS ARE COMMON. THE ROTARY FOUNDATION OF KNOXVILLE PROVIDED VOLUNTEERS ON THE SECOND SATURDAY OF EACH MONTH OF THE 2017-2018 ROTARY YEAR TO SORT AND BAG FOOD FOR THE FOOD FOR KIDS PROGRAM. |
| FORM 990, PAGE 2, PART III, LINE 4B | -PROVIDED 50 TO EVERY TEACHER AT BEAUMONT MAGNET ACADEMY TO BE USED FOR SCHOOL SUPPLIES NEEDED IN THE CLASSROOM. -SUBSIDIZED THE BEAUMONT MAGNET ACADEMY'S FRESH FRUIT PROGRAM TO PROVIDE WEEKLY FOOD TO STUDENT IN NEED. -SPONSORED THE TENNESSEE VALLEY FAIR MEDAL OF HONOR PHOTOGRAPHY COMPETITION. -PROVIDES SUPPORT FOR THE FOLLOWING LOCAL YOUTH ROTARY CLUBS: UNIVERSITY OF TN ROTARACT CLUB, KNOXVILLE COMMUNITY ROTARACT CLUB, THE WEBB SCHOOL INTERACT CLUB, AND THE KNOXVILLE CATHOLIC HIGH SCHOOL INTERACT CLUB BY PROVIDING MATCHING CONTRIBUTIONS AND VOLUNTEER MENTORSHIP AND SERVICE HOURS. -CREATED A READING PROGRAM AT BEAUMONT MAGNET ACADEMY AND PROVIDED BOOKS AND VOLUNTEER HOURS FOR THE PROGRAM. -PROVIDED A BOOK ON BEHALF OF EACH SPEAKER AT ROTARY CLUB OF KNOXVILLE MEETINGS TO THE RITTA ELEMENTARY SCHOOL LIBRARY. -DONATED TO THE AREA ROTARY CLUBS' YOUTH EXCHANGE GRANT, ALLOWING A DESERVING AREA STUDENT THE ABILITY TO STUDY ABROAD. |
| FORM 990, PAGE 2, PART III, LINE 4C | -SPONSORED DINNERS FOR INCOMING INTERNATIONAL STUDENTS AT THE UNIVERSITY OF TENNESSEE AND PELLISSIPPI STATE COMMUNITY COLLEGE. -PROVIDED FINANCIAL SUPPORT TO THE ROTARY CLUBS OF KISVARDA, HUNGARY, BULAWAYO SOUTH, ZIMBABWE AND THE INTERACT CLUB OF KNYSNA, SOUTH AFRICA. -PROVIDED FINANCIAL SUPPORT TO THE ROTARY CLUB OF MATESZALKA, HUNGARY FOR THE PURCHASE OF MEDICAL SUPPLIES, EQUIPMENT AND FOR LANDSCAPING AT A LOCAL SKATE PARK ESTABLISHED BY THE RCM. -PROVIDED FINANCIAL SUPPORT TO HELP REBUILD A DAM IN KESARI, ZIMBABWE, -PROVIDED FINANCIAL SUPPORT FOR KIDNEY TRANSPLANTS IN MEXICO CITY, PACHUCA AND CUERNAVACA, MEXICO. -PROVIDED FINANCIAL SUPPORT TO THE ROTARY CLUB OF KNYSNA TO PURCHASE SHOES FOR CHILDREN WHO LOST THEIRS IN A DEVASTING WILDFIRE IN KNYSNA. -PROVIDED FINANCIAL SUPPORT FOR THE CONSTRUCTION OF A SCHOOL IN MAURITANIA, AFRICA, FOR ROTARY INTERNATIONAL'S END POLIO NOW CAMPAIGN TO THE KEEPING KIDS IN SCHOOL PORJECT IN BULAWAYO AND VICTORIA FALLS, ZIMBABWE AND TO SUPPORT A RED CROSS HOSPITAL PROJECT MANAGED BY THE ROTARY CLUB OF KNYSNA, SOUTH AFRICA. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WILL BE REVIEWED BY THE ORGANIZATION'S TREASURER BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGES IN FMV OF ENDOWMENT ASSETS 77,348 |
| Software ID: | |
| Software Version: |