-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE UNITED COMPANY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
1005 GLENWAY AVENUE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BRISTOL
,
VA
242013473
A Employer identification number
54-1390453
B
Telephone number (see instructions)
(276) 645-1406
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
48,239,885
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
1,740
2
Check
.............
3
Interest on savings and temporary cash investments
35,020
35,020
4
Dividends and interest from securities
...
896,094
892,493
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,114,348
b
Gross sales price for all assets on line 6a
21,403,668
7
Capital gain net income (from Part IV, line 2)
...
1,110,672
8
Net short-term capital gain
.........
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
........
2,047,202
2,038,185
13
Compensation of officers, directors, trustees, etc.
106,841
0
106,841
14
Other employee salaries and wages
......
291,052
0
291,052
15
Pension plans, employee benefits
.......
63,467
0
63,467
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
16,500
0
16,500
c
Other professional fees (attach schedule)
....
255,814
255,814
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
36,568
0
0
19
Depreciation (attach schedule) and depletion
...
7,820
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,686
0
1,686
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
257,563
624
256,939
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
1,037,311
256,438
736,485
25
Contributions, gifts, grants paid
.......
1,531,752
2,026,676
26
Total expenses and disbursements.
Add lines 24 and 25
2,569,063
256,438
2,763,161
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-521,861
b
Net investment income
(if negative, enter -0-)
1,781,747
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
2,496,124
2,534,871
2,534,871
3
Accounts receivable
116,145
Less: allowance for doubtful accounts
100,053
116,145
116,145
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
11,394
9,851
9,851
9
Prepaid expenses and deferred charges
..........
8,295
8,134
8,134
10a
Investments—U.S. and state government obligations (attach schedule)
997,585
504,165
504,165
b
Investments—corporate stock (attach schedule)
.......
23,602,118
27,413,848
27,413,848
c
Investments—corporate bonds (attach schedule)
.......
8,741,519
7,792,739
7,792,739
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
6,103,153
9,826,493
9,826,493
14
Land, buildings, and equipment: basis
136,856
Less: accumulated depreciation (attach schedule)
103,217
41,459
33,639
33,639
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
42,101,700
48,239,885
48,239,885
17
Accounts payable and accrued expenses
..........
83,217
86,018
18
Grants payable
.................
1,476,065
981,141
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
)
23
Total liabilities
(add lines 17 through 22)
.........
1,559,282
1,067,159
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
38,955,059
45,695,384
25
Net assets with donor restrictions
............
1,587,359
1,477,342
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
40,542,418
47,172,726
30
Total liabilities and net assets/fund balances
(see instructions)
.
42,101,700
48,239,885
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
40,542,418
2
Enter amount from Part I, line 27a
.....................
2
-521,861
3
Other increases not included in line 2 (itemize)
3
7,152,169
4
Add lines 1, 2, and 3
..........................
4
47,172,726
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
47,172,726
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1 a
PUBLICLY-TRADED SECURITIES
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
21,403,668
20,292,996
1,110,672
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
1,110,672
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
1,110,672
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
...................
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?
Yes
No
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))
2018
2,650,928
45,114,337
0.058760
2017
2,842,768
43,989,558
0.064624
2016
3,184,999
41,968,805
0.075890
2015
3,542,596
43,749,142
0.080975
2014
3,703,729
45,701,649
0.081041
2
Total
of line 1, column (d)
.....................
2
0.361290
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.072258
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
45,458,298
5
Multiply line 4 by line 3
......................
5
3,284,726
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
17,817
7
Add lines 5 and 6
........................
7
3,302,543
8
Enter qualifying distributions from Part XII, line 4
,.............
8
2,763,161
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
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
35,635
here
and 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
35,635
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
35,635
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
33,000
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
33,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
2,635
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
VA
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 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
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
(2019)
Form 990-PF (2019)
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 address
WWW.UNITEDCOFOUNDATION.ORG
14
The books are in care of
THE ORGANIZATION
Telephone no.
(276) 645-1436
Located at
1005 GLENWAY AVENUE
BRISTOL
VA
ZIP+4
242013473
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
No
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
No
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
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
JAMES W MCGLOTHLIN
CHAIRMAN/DIRECTOR
5.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
LOIS A CLARKE
PRESIDENT/TREASURER/DIRECT
5.00
52,686
1,546
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
N D STREET
SECRETARY/DIRECTOR
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
BARBARA J BJERKE
ASSISTANT TREASURER
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
JULIA K SMITH
ASSISTANT SECRETARY
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
FRANCES G MCGLOTHLIN
DIRECTOR
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
MARTHA MCGLOTHLIN
DIRECTOR
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
DAVID A STREET
DIRECTOR
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
FAY H STREET
DIRECTOR
1.00
0
0
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
PEGGY LITTLETON
EXECUTIVE DIRECTOR
20.00
54,155
7,941
0
1005 GLENWAY AVENUE
BRISTOL
,
VA
242013473
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
ROSE HURLEY
COLLEGE & CAREER COU
40.00
53,138
2,790
0
1760 EDGEWATER DRIVE
GRUNDY
,
VA
24614
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
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
UNITED MANAGEMENT COMPANY LLC
INVESTMENT MANAGEMENT
169,879
1005 GLENWAY AVENUE
BRISTOL
,
VA
24201
Total
number of others receiving over $50,000 for professional services
.............
0
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 ONE MEAL/DAY FIVE DAYS A WEEK TO 760 LOW-INCOME PEOPLE IN THE BRISTOL, VA COMMUNITY. MEALS ARE DELIVERED VIA 2 VANS THAT TRAVEL TO THE HOMES OF THE RECIPIENTS.
375,585
2
CAMP SUCCESS IS A PROGRAM FOR MOUNTAIN MISSION SCHOOL SENIORS THAT EMPHASIZES LEADERSHIP, EDUCATION, AND INTELLECTUAL CURIOSITY. IN 2019, PARTICIPANTS SPENT SEVERAL DAYS AND NIGHTS IN ATLANTA, GA & WASHINGTON, D.C. EXPLORING AND LEARNING.
43,357
3
MOUNTAIN MISSION SCHOOL JUNIORS PARTICIPATED IN SEVERAL LOCAL COLLEGE VISITS THAT HIGHLIGHTED THREE CAMPUSES (EMORY & HENRY, ETSU, MILLIGAN COLLEGE IN 2019) THAT INTRODUCED THE COLLEGE EXPERIENCE TO STUDENTS TO ASSIST THEM IN THINKING AHEAD FOR THEIR HIGHER EDUCATION PLANS.
0
4
A COLLEGE AND CAREER COUNSELOR WORKS AT MOUNTAIN MISSION SCHOOL (GRUNDY, VA) AND ASSISTS STUDENTS WITH COLLEGE AND APPLICATION PROCESSES, FINANCIAL AID, AND MATRICULATION PROCEDURES. THE COUNSELOR ALSO OVERSEES THE SCHOLARSHIP PROGRAM FOR MOUNTAIN MISSION SCHOOL GRADUATES.
68,009
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
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
43,702,711
b
Average of monthly cash balances
.......................
1b
2,447,845
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
46,150,556
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
46,150,556
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
692,258
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
45,458,298
6
Minimum investment return.
Enter 5% of line 5
..................
6
2,272,915
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
2,272,915
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
35,635
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
35,635
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
2,237,280
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
2,237,280
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
2,237,280
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
2,763,161
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
2,763,161
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
2,763,161
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
2,237,280
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
1,511,625
b
From 2015
......
1,454,093
c
From 2016
......
1,148,915
d
From 2017
......
652,463
e
From 2018
......
462,143
f
Total
of lines 3a through e
........
5,229,239
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
2,763,161
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
2,237,280
e
Remaining amount distributed out of corpus
525,881
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
5,755,120
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
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
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
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)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
1,511,625
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
4,243,495
10
Analysis of line 9:
a
Excess from 2015
....
1,454,093
b
Excess from 2016
....
1,148,915
c
Excess from 2017
....
652,463
d
Excess from 2018
....
462,143
e
Excess from 2019
....
525,881
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
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)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
ROSE HURLEY MOUNTAIN MISSION SCHOOL
1760 EDGEWATER DRIVE
GRUNDY
,
VA
24614
(276) 791-1514
b
The form in which applications should be submitted and information and materials they should include:
APPLICANTS MUST HAVE PREVIOUSLY APPLIED TO, AND RECEIVED AN OFFICIAL NOTIFICATION OF ACCEPTANCE FROM, AN ACCREDITED UNIVERSITY OR COLLEGE IN THE UNITED STATES. APPLICATIONS MUST BE SUBMITTED USING THE FOUNDATION'S SCHOLARSHIP APPLICATION FORM. THE FOLLOWING ITEMS MUST BE INCLUDED: OFFICIAL HIGH SCHOOL OR COLLEGE TRANSCRIPT, FINANCIAL AID AWARD LETTER, STUDENT AID REPORT FROM FAFSA, AND OFFICIAL SCHOOL INVOICE AND CLASS SCHEDULE. ALL SCHOLARSHIP REQUESTS FOR THE SPRING SEMESTER MUST ALSO INCLUDE A COPY OF THE STUDENT'S GRADES FROM THE FALL (EITHER AN OFFICIAL GRADE REPORT OR A TRANSCRIPT FROM THE SCHOOL). STUDENTS MUST REAPPLY FOR A SCHOLARSHIP EACH YEAR.
c
Any submission deadlines:
DEADLINES FOR APPLICATIONS ARE JULY 1 FOR FALL SEMESTER AND DECEMBER 1 FOR SPRING SEMESTER.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE SCHOLARSHIP PROGRAM SUPPLEMENTS FINANCIAL AID AND OTHER SUPPORT TO HELP COVER THE COST OF COLLEGE TUITION, FEES, ROOM AND BOARD, BOOKS, AND SUPPLIES. STUDENTS MUST BE ENROLLED WITH A MINIMUM OF 12 CREDIT HOURS PER SEMESTER. STUDENTS MAY REQUEST A MAXIMUM OF $15,000 PER YEAR. STUDENTS MUST BE ENROLLED AT MOUNTAIN MISSION SCHOOL, GRUNDY, VA (MMS) FROM GRADES 9 THROUGH 12 TO BE ELIGIBLE FOR SUPPORT. SCHOLARSHIPS ARE GIVEN FOR THE BENEFIT OF INDIVIDUAL STUDENTS WHO HAVE NO RELATIONSHIP TO DISQUALIFIED PERSONS. STUDENTS MUST DEMONSTRATE FINANCIAL NEED BY QUALIFYING FOR A FEDERAL PELL GRANT. STUDENTS MUST ACCEPT ANY FEDERAL DIRECT SUBSIDIZED LOANS OR PERKINS LOANS OFFERED. STUDENTS ARE ELIGIBLE FOR 4 CONSECUTIVE CALENDAR YEARS AFTER GRADUATION FROM MMS. STUDENTS SHOULD HAVE AT LEAST A 3.00 CUMULATIVE GPA FROM MMS (ON A 4.0 SCALE) AND MAINTAIN A 2.75 CUMULATIVE GPA IN COLLEGE (ON A 4.0 SCALE). THE MAX FOR BOOKS AND SUPPLIES PER STUDENT IS $750 FOR THE FIRST SEMSESTER AND $500 THEREAFTER.
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
ADAMS STATE UNIVERSITY
208 EDGEMONT BLVD
ALAMOSA
,
CO
88012
N/A
GOV
EDUCATION - TUITION
10,000
ALICE LLOYD COLLEGE
100 PURPOSE ROAD
PIPPA PASSES
,
KY
37620
N/A
PC
SCHOLARSHIPS FOR NEEDY STUDENTS
5,000
BACKPACK BLESSINGS INC
PO BOX 24
GRUNDY
,
VA
24614
N/A
PC
BACKPACK PROGRAM IN BUCHANAN CO. VA
5,000
BARRY UNIVERSITY
11300 NE 2ND AVENUE
MIAMI SHORES
,
FL
33161
N/A
PC
EDUCATION - TUITION
13,473
BARTER FOUNDATION INC
160 CUMMINGS STREET
ABINGDON
,
VA
24210
N/A
PC
GENERAL SUPPORT/ARTS EDUCATION
25,000
BLUEFIELD COLLEGE
3000 COLLEGE AVENUE
BLUEFIELD
,
VA
24605
N/A
PC
SCHOLARSHIPS FOR OFF-SITE TRAINING IN CHRISTIAN MINISTERIAL LEADERSHIP CLASSES
50,000
BOWIE STATE UNIVERSITY
14000 JERICHO PARK RD
BOWIE
,
MD
20715
N/A
GOV
EDUCATION - TUITION
2,405
BOY SCOUTS OF AMERICA SEQUOYAH COUNCIL
PO BOX 3010
JOHNSON CITY
,
TN
37602
N/A
PC
SEQUOYAH COUNCIL CAPITAL PROGRAM - CAMP DAVY CROCKETT
25,000
BOYS & GIRLS CLUB OF CENTRAL APPALACHIA
PO BOX 1505
GRUNDY
,
VA
24614
N/A
PC
SUPPORT OF POWER HOUR WITH EMPHASIS ON STEAM
50,000
BOYS AND GIRLS CLUB OF BRISTOL INC
334 REBECCA STREET
BRISTOL
,
VA
24201
N/A
PC
INSPIRE DISADVANTAGED YOUTH TO REALIZE THEIR FULL POTENTIAL
30,000
BRISTOL EMERGENCY FOOD PANTRY
21 WASHINGTON STREET
BRISTOL
,
VA
24201
N/A
PC
GENERAL SUPPORT LOCAL FOOD BANK
25,000
BRISTOL FAITH IN ACTION
1534 EUCLID AVENUE
BRISTOL
,
VA
24201
N/A
PC
ASSIST HOUSEHOLD OF DISABLED IN BRISTOL AREA
25,000
BRISTOL LIFE SAVING CREW
PO BOX 302
BRISTOL
,
VA
24203
N/A
PC
GENERAL SUPPORT
5,000
BRISTOL TENNESSEE POLICE DEPARTMENT
801 ANDERSON STREET
BRISTOL
,
VA
37620
N/A
GOV
BENEVOLENT FUND
5,000
BRISTOL VIRGINIA FIRE DEPARTMENT
211 LEE ST
BRISTOL
,
VA
24201
N/A
GOV
GENERAL SUPPORT
5,000
BRISTOL VIRGINIA POLICE DEPARTMENT
501 SCOTT STREET
BRISTOL
,
VA
24201
N/A
GOV
GENERAL SUPPORT
5,000
COMMUNITIES IN SCHOOLS OF SOUTHWEST VIRGINIA
220 LEE STREET
BRISTOL
,
VA
24201
N/A
PC
COATS, SHOES, & BACKPACKS FOR STUDENTS IN NEED; BRISTOL, VA & BUCHANAN COUNTY PUBLIC SCHOOLS
32,500
COMMUNITY SCHOOL OF NAPLES
13275 LIVINGSTON ROAD
NAPLES
,
FL
34109
N/A
PC
GENERAL SUPPORT/ANNUAL FUND
25,000
CROSSROADS MEDICAL MISSION
PO BOX 16852
BRISTOL
,
VA
24209
N/A
PC
SUPPORT MOBILE MEDICAL CLINIC FOR THE UNDERSERVED & TRI CITIES REMOTE AREA MEDICAL CLINIC
50,000
DARTMOUTH COLLEGE
6016 MCNUTT HALL
HANOVER
,
NH
03755
N/A
PC
EDUCATION - TUITION
3,947
EDWARD VIA VA COLLEGE OF OSTEOPATHIC MEDICINE
2265 KRAFT DR SW
BLACKSBURG
,
VA
24060
N/A
PC
SCHOLARSHIP FUND FOR MEDICAL STUDENTS AT VCOM WHO COMMIT TO PRACTICE IN SOUTHWEST VA
100,000
EMORY AND HENRY COLLEGE
PO BOX 947
EMORY
,
VA
243270947
N/A
PC
EDUCATION - TUITION
28,568
EMORY AND HENRY COLLEGE
PO BOX 947
EMORY
,
VA
243270947
N/A
PC
EDUCATION - BOOKS
404
FEEDING AMERICA SOUTHWEST VIRGINIA
1025 ELECTRIC ROAD
SALEM
,
VA
24153
N/A
PC
MOBILE FOOD PANTRY ASSISTANCE
75,000
FEEDING MY SHEEP INC
PO BOX 970
VANSANT
,
VA
24656
N/A
PC
PROVIDE FOOD ASSISTANCE IN BUCHANAN COUNTY
30,000
FOOD BANK OF WISE COUNTY INCORPORATED
PO BOX 2977
WISE
,
VA
24293
N/A
PC
PROVIDE FOOD ASSISTANCE IN WISE COUNTY
30,000
FOUNDATION FOR EDUCATIONAL AND DEVELOPMENTAL OPPORTUNITIES INC (DBA MORRIS
139 TERRACE DRIVE
BRISTOL
,
VA
24202
N/A
PC
SCHOLARSHIP FUND
25,000
GEORGE MASON UNIVERSITY
4400 UNIVERSITY DR
FAIRFAX
,
VA
22030
N/A
GOV
EDUCATION - TUITION
45,894
GEORGE MASON UNIVERSITY
4400 UNIVERSITY DR
FAIRFAX
,
VA
22030
N/A
GOV
EDUCATION - BOOKS
3,500
GIRL SCOUT COUNCIL OF THE SOUTHERN APPALACHIANS INC
1567 DOWNTOWN WEST BLVD
KNOXVILLE
,
TN
37919
N/A
PC
FINANCIAL ASSISTANCE IN DICKENSON, WISE, RUSSELL, LEE, SCOTT, WASHINGTON & SMYTH COUNTIES IN VA
5,000
GIRLS INC OF BRISTOL
613 HIGHLAND AVENUE
BRISTOL
,
VA
24201
N/A
PC
FUNDING AFTER SCHOOL AND SUMMER PROGRAMS
5,000
GRAND CANYON UNIVERSITY
3300 W CAMELBACK RD
PHOENIX
,
AZ
85017
N/A
PC
EDUCATION - TUITION
15,000
HAVEN OF REST RESCUE MISSION OF BRISTOL
624 ANDERSON STREET
BRISTOL
,
TN
37620
N/A
PC
ASSIST WITH PURCHASING 15 PASSENGER VAN
10,000
HEAL FOUNDATION INC
PO BOX 140
PONTE VEDRA BEACH
,
FL
32004
N/A
PC
SUPPORT PROGRAMS WHICH SERVE THOSE WITH AUTISM SPECTRUM DISORDERS
17,500
HEALING HANDS HEALTH CENTER INC
245 MIDWAY MEDICAL PARK
BRISTOL
,
TN
37620
N/A
PC
DENTAL PROGRAM FOR WORKING, UNINSURED IN NE TN, SW VA
75,000
JACKSONVILLE UNIVERSITY
2800 UNIVERSITY BLVD N
JACKSONVILLE
,
FL
32211
N/A
PC
EDUCATION - TUITION
33,903
JACKSONVILLE UNIVERSITY
2800 UNIVERSITY BLVD N
JACKSONVILLE
,
FL
32211
N/A
PC
EDUCATION - BOOKS
2,000
JACKSONVILLE UNIVERSITY
2800 UNIVERSITY BLVD N
JACKSONVILLE
,
FL
32211
N/A
PC
EDUCATION - ROOM & BOARD
1,097
JOHN HOPKINS UNIVERSITY
750 E PRATT STREET
BALTIMORE
,
MD
21202
N/A
PC
SIDNEY KIMMEL COMPREHENSIVE CANCER CENTER FOR PANCREATIC
400,000
JUNIOR ACHIEVEMENT OF TRI-CITIES
330 BROAD STREET SUITE 1
KINGSPORT
,
TN
37660
N/A
PC
HALL OF FAME SPONSOR - GENERAL SUPPORT
5,000
LEE STREET BAPTIST CHURCHLEE STREET COMMUNITY CENTER
1 WEST MARY STREET
BRISTOL
,
VA
24201
N/A
PC
COMMUNITY TEEN CENTER
10,000
LIBERTY UNIVERSITY
1971 UNIVERSITY BOULEVARD
LYNCHBURG
,
VA
24502
N/A
PC
EDUCATION - TUITION
22,699
LIBERTY UNIVERSITY
1971 UNIVERSITY BOULEVARD
LYNCHBURG
,
VA
24502
N/A
PC
EDUCATION - BOOKS
1,428
LOYOLA UNIVERSITY
6363 ST CHARLES AVE
NEW ORLEANS
,
LA
70118
N/A
PC
EDUCATION - BOOKS
1,140
MARYMOUNT UNIVERSITY
1000 NORTH GLEBE ROAD
ARLINGTON
,
VA
22201
N/A
PC
EDUCATION - TUITION
7,500
MILLIGAN COLLEGE
PO BOX 500
MILLIGAN COLLEGE
,
TN
37682
N/A
PC
EDUCATION - TUITION
91,502
MILLIGAN COLLEGE
PO BOX 500
MILLIGAN COLLEGE
,
TN
37682
N/A
PC
EDUCATION - BOOKS
7,591
MOUNT VERNON NAZARENE UNIVERSITY
800 MARTINSBURG RD
MT VERNON
,
OH
43050
N/A
PC
EDUCATION - TUITION
11,340
MOUNT VERNON NAZARENE UNIVERSITY
800 MARTINSBURG RD
MT VERNON
,
OH
43050
N/A
PC
EDUCATION - BOOKS
250
NEW HOPE MISSIONS
PO BOX 2038
GRUNDY
,
VA
24614
N/A
PC
GENERAL SUPPORT: FOOD ASSISTANCE, CONTINUED GROWTH & OPERATIONAL EXPENSES
25,000
OHIO UNIVERSITY
1 OHIO UNIVERSITY
ATHENS
,
OH
45701
N/A
GOV
EDUCATION - TUITION
5,134
OLD DOMINION UNIVERSITY
5115 HAMPTON BOULEVARD
NORFOLK
,
VA
23529
N/A
GOV
EDUCATION - TUITION
14,258
PARAMOUNT FOUNDATION
518 STATE STREET
BRISTOL
,
TN
37620
N/A
PC
GENERAL SUPPORT FOR PERFORMING ARTS PROGRAMS-$15,000; BUILDING REPAIR-$25,000
40,000
PAUL MITCHELL THE SCHOOL
8380 KINGSTON PIKE
KNOXVILLE
,
TN
37919
N/A
PC
EDUCATION - TUITION
7,500
PENN STATE
UNIVERSITY PARK
STATE COLLEGE
,
PA
16801
N/A
PC
EDUCATION - TUITION
5,286
PENN STATE
UNIVERSITY PARK
STATE COLLEGE
,
PA
16801
N/A
PC
EDUCATION - BOOKS
500
PENN STATE BERKS
1801 BROADCASTING ROAD
READING
,
PA
19610
N/A
PC
EDUCATION - TUITION
12,481
PENN STATE BERKS
1801 BROADCASTING ROAD
READING
,
PA
19610
N/A
PC
EDUCATION - BOOKS
500
PRESBYTERIAN CHILDREN'S HOME OF THE HIGHLANDS INC
425 GRAYSON ROAD
WYTHEVILLE
,
VA
24382
N/A
PC
HELP SERVE YOUNG PEOPLE/FAMILIES IN CRISIS
20,000
QUINNIPIAC UNIVERSITY
275 MOUNT CARMEL AVENUE
HAMDEN
,
CT
06518
N/A
PC
EDUCATION - TUITION
87,646
QUINNIPIAC UNIVERSITY
275 MOUNT CARMEL AVENUE
HAMDEN
,
CT
06518
N/A
PC
EDUCATION - BOOKS
4,893
REGENT UNIVERSITY
1000 REGENT UNIVERSITY DR
VIRGINIA BEACH
,
VA
23464
N/A
PC
EDUCATION - TUITION
15,962
RIVERS WAY INC
10 6TH STREET
BRISTOL
,
TN
37620
N/A
PC
FUND ALIVE & WELL PROGRAMS
10,000
ROANOKE COLLEGE
221 COLLEGE LANE
ROANOKE
,
VA
24153
N/A
PC
EDUCATION - TUITION
7,500
ROANOKE COLLEGE
221 COLLEGE LANE
ROANOKE
,
VA
24153
N/A
PC
EDUCATION - BOOKS
815
RUTGERS UNIVERSITY
7 COLLEGE AVE
NEW BRUNSWICK
,
NJ
08901
N/A
GOV
EDUCATION - TUITION
8,366
RUTGERS UNIVERSITY
7 COLLEGE AVE
NEW BRUNSWICK
,
NJ
08901
N/A
GOV
EDUCATION - BOOKS
209
SEATTLE CENTRAL COLLEGE
1701 BROADWAY
SEATTLE
,
WA
98122
N/A
GOV
EDUCATION - TUITION
582
SERVING ORPHANS WORLDWIDE INC
PO BOX 1403
BRISTOL
,
TN
37621
N/A
PC
GENERAL SUPPORT FOR ASSISTING STRUGGLING ORPHANAGES
25,000
SULLINS ACADEMY
22218 SULLINS ACADEMY
BRISTOL
,
VA
24202
N/A
PC
SCHOLARSHIPS
25,000
SYMPHONY OF THE MOUNTAINS
1200 EAST CENTER STREET STE 311
KINGSPORT
,
TN
37660
N/A
PC
GENERAL SUPPORT
20,000
SYRACUSE UNIVERSITY
900 SOUTH CROUSE AVE
SYRACUSE
,
NY
13244
N/A
PC
EDUCATION - TUITION
7,500
THEATRE BRISTOL
512 STATE STREET
BRISTOL
,
TN
37620
N/A
PC
REVIVAL OF BRISTOL'S CHILDREN'S THEATRE & EDUCATION
10,000
UNIVERSITY OF CINCINNATI
2600 CLIFTON AVE
CINCINNATI
,
OH
45221
N/A
GOV
EDUCATION - TUITION
4,974
UNIVERSITY OF CINCINNATI
2600 CLIFTON AVE
CINCINNATI
,
OH
45221
N/A
GOV
EDUCATION - BOOKS
728
UNIVERSITY OF CINCINNATI
2600 CLIFTON AVE
CINCINNATI
,
OH
45221
N/A
GOV
EDUCATION - ROOM & BOARD
491
UNIVERSITY OF NEW MEXICO
MSC 11 6315 1 UNIVERSITY OF NEW
MEXICO
ALBUQUERQUE
,
NM
87131
N/A
GOV
EDUCATION - TUITION
14,536
UNIVERSITY OF NEW MEXICO
MSC 11 6315 1 UNIVERSITY OF NEW
MEXICO
ALBUQUERQUE
,
NM
87131
N/A
GOV
EDUCATION - BOOKS
1,114
UNIVERSITY OF NORTHWESTERN OHIO
1441 N CABLE RD
LIMA
,
OH
45805
N/A
PC
EDUCATION - TUITION
3,983
UNIVERSITY OF PENNSYLVANIA
UNIVERSITY OF PENNSYLVANIA
PHILADELPHIA
,
PA
19104
N/A
PC
EDUCATION - TUITION
1,250
UNIVERSITY OF SAN FRANCISCO
2130 FULTON ST
SAN FRANCISCO
,
CA
94117
N/A
PC
EDUCATION - TUITION
9,923
UNIVERSITY OF SAN FRANCISCO
2130 FULTON ST
SAN FRANCISCO
,
CA
94117
N/A
PC
EDUCATION - BOOKS
313
UNIVERSITY OF SOUTH CAROLINA
902 SUMTER STREET ACCESS
COLUMBIA
,
SC
29208
N/A
GOV
EDUCATION - TUITION
3,107
UNIVERSITY OF SOUTH CAROLINA
902 SUMTER STREET ACCESS
COLUMBIA
,
SC
29208
N/A
GOV
EDUCATION - BOOKS
527
UNIVERSITY OF VIRGINIA
UNIVERSITY OF VIRGINIA
CHARLOTTESVILLE
,
VA
22904
N/A
GOV
EDUCATION - TUITION
739
UNIVERSITY OF VIRGINIA
UNIVERSITY OF VIRGINIA
CHARLOTTESVILLE
,
VA
22904
N/A
GOV
EDUCATION - BOOKS
274
VIRGINIA HIGHLANDS COMMUNITY COLLEGE
1000 VHCC DR
ABINGDON
,
VA
24210
N/A
GOV
EDUCATION - TUITION
4,285
VIRGINIA TECH
210 BURRUSS HALL
BLACKSBURG
,
VA
24061
N/A
GOV
EDUCATION - TUITION
11,941
VIRGINIA TECH
210 BURRUSS HALL
BLACKSBURG
,
VA
24061
N/A
GOV
EDUCATION - BOOKS
249
VIRGINIA TECH FOUNDATION
902 PRICES FORK ROAD
BLACKSBURG
,
VA
24060
N/A
PC
STEM PROGRAM, KIDS TECH UNIVERSITY, SUMMER STEM INSTITUTE
35,000
WAKE FOREST UNIVERSITY
1834 WAKE FOREST RD
WINSTONSALEM
,
NC
27109
N/A
PC
EDUCATION - TUITION
3,250
WAKE FOREST UNIVERSITY
1834 WAKE FOREST RD
WINSTONSALEM
,
NC
27109
N/A
PC
EDUCATION - BOOKS
2,465
WASHINGTON STATE UNIVERSITY
1815 WILSON RD PO BOX 641068
PULLMAN
,
WA
991641068
N/A
GOV
EDUCATION - TUITION
5,938
WASHINGTON STATE UNIVERSITY
1815 WILSON RD PO BOX 641068
PULLMAN
,
WA
991641068
N/A
GOV
EDUCATION - BOOKS
2,380
WASHINGTON STATE UNIVERSITY
1815 WILSON RD PO BOX 641068
PULLMAN
,
WA
991641068
N/A
GOV
EDUCATION - ROOM & BOARD
962
YMCA OF BUCHANAN COUNTY
PO BOX 1450
GRUNDY
,
VA
24614
N/A
PC
GENERAL SUPPORT
70,474
YWCA - BRISTOL
106 STATE STREET
BRISTOL
,
TN
37620
N/A
PC
GENERAL SUPPORT
35,000
Total
.................................
3a
2,026,676
b
Approved for future payment
BOYS AND GIRLS CLUB OF BRISTOL INC
334 REBECCA STREET
BRISTOL
,
VA
24201
N/A
PC
GENERAL SUPPORT
30,000
PRESBYTERIAN CHILDREN'S HOME OF THE HIGHLANDS INC
425 GRAYSON ROAD
WYTHEVILLE
,
VA
24382
N/A
PC
HELP SERVE YOUNG PEOPLE/FAMILIES IN CRISIS
20,000
Total
.................................
3b
50,000
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
35,020
4
Dividends and interest from securities
....
14
896,094
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
............
18
1,114,348
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
2,045,462
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,045,462
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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) (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) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description