-
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
ANDREA WAITT CARLTON FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 58389
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NASHVILLE
,
TN
37205
A Employer identification number
86-0910220
B
Telephone number (see instructions)
(615) 873-4142
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)
$
56,598,011
J
Accounting method:
Cash
Accrual
Other (specify)
MODIFIED CASH
(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)
0
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
1,192,406
1,191,940
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
430,444
b
Gross sales price for all assets on line 6a
732,250
7
Capital gain net income (from Part IV, line 2)
...
439,980
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)
.......
264,727
67,592
12
Total.
Add lines 1 through 11
........
1,887,577
1,699,512
13
Compensation of officers, directors, trustees, etc.
184,936
17,287
167,649
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
34,465
4,018
28,594
16a
Legal fees (attach schedule)
.........
3,005
301
2,705
b
Accounting fees (attach schedule)
.......
37,731
3,773
33,958
c
Other professional fees (attach schedule)
....
125,534
125,534
0
17
Interest
...............
3,849
3,849
0
18
Taxes (attach schedule) (see instructions)
...
35,643
26,109
9,280
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
14,227
0
14,227
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
288,191
71,648
34,651
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
727,581
252,519
291,064
25
Contributions, gifts, grants paid
.......
2,815,900
2,815,900
26
Total expenses and disbursements.
Add lines 24 and 25
3,543,481
252,519
3,106,964
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-1,655,904
b
Net investment income
(if negative, enter -0-)
1,446,993
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
.............
222,144
26,033
26,033
2
Savings and temporary cash investments
.........
272,542
684,771
684,771
3
Accounts receivable
Less: allowance for doubtful accounts
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
..............
9
Prepaid expenses and deferred charges
..........
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
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
54,905,360
52,401,453
55,235,917
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
21,258
651,290
651,290
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
55,421,304
53,763,547
56,598,011
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
)
2,482
629
23
Total liabilities
(add lines 17 through 22)
.........
2,482
629
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
55,418,822
53,762,918
29
Total net assets or fund balances
(see instructions)
.....
55,418,822
53,762,918
30
Total liabilities and net assets/fund balances
(see instructions)
.
55,421,304
53,763,547
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
55,418,822
2
Enter amount from Part I, line 27a
.....................
2
-1,655,904
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
53,762,918
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
53,762,918
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
P
2019-12-31
b
CAPITAL GAIN DISTRIBUTION
P
2019-12-31
c
MHR INSTITUTIONAL PARTNERS II, LP
P
2019-12-31
d
MHR INSTITUTIONAL PARTNERS III, LP
P
2019-12-31
e
IP III BLOCKER-I LP - AIV OF MHR IP III LP
P
2019-12-31
NEW MEXICO COMMUNITY CAPITAL FUND I, LP
P
2019-12-31
EIG ENERGY FUND XIV-A, LP
P
2019-12-31
VCFA VENTURE PARTNERS III, LP
P
2019-12-31
YORKTOWN ENERGY PARTNERS VII, LP
P
2019-12-31
YORKTOWN ENERGY PARTNERS VIII, LP
P
2019-12-31
YORKTOWN ENERGY PARTNERS X, LP
P
2019-12-31
YORKTOWN ENERGY PARTNERS XI, LP
P
2019-12-31
KYLIN- LOSS ON REDEMPTION
P
2019-12-31
EIG ENERGY- GAIN ON REDEMPTION
P
2019-12-31
(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
96,727
-96,727
b
408,074
408,074
c
381
-381
d
3,029
3,029
e
3,179
3,179
1,211
-1,211
86,573
-86,573
352
352
55,414
55,414
51,967
51,967
116,538
116,538
91,722
91,722
107,378
-107,378
1,975
1,975
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
-96,727
b
408,074
c
-381
d
3,029
e
3,179
-1,211
-86,573
352
55,414
51,967
116,538
91,722
-107,378
1,975
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
439,980
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
3,358,706
56,592,770
0.059349
2017
3,026,670
57,317,715
0.052805
2016
2,534,000
52,475,382
0.048289
2015
2,852,362
56,263,676
0.050696
2014
2,863,101
57,867,313
0.049477
2
Total
of line 1, column (d)
.....................
2
0.260616
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
0.052123
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
54,254,682
5
Multiply line 4 by line 3
......................
5
2,827,917
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
14,470
7
Add lines 5 and 6
........................
7
2,842,387
8
Enter qualifying distributions from Part XII, line 4
,.............
8
3,106,964
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
14,470
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
14,470
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
14,470
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
60,029
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
60,029
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
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
45,559
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
45,559
Refunded
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.
$
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
Yes
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
Yes
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)
TN
,
DE
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
N/A
14
The books are in care of
SPENCE MANERS CPA
Telephone no.
(615) 873-4142
Located at
PO BOX 58389
NASHVILLE
TN
ZIP+4
37205
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
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
ANDREA WAITT CARLTON
PRESIDENT/DIRECTOR
4.00
0
0
0
PO BOX 58389
NASHVILLE
,
TN
37205
JENNIFER KRONEBUSCH
SECRETARY/TREASURER/DIRECT
2.00
8,000
0
2,843
PO BOX 58389
NASHVILLE
,
TN
37205
JACQUE J ROBERTS
ASSISTANT SECRETARY
1.00
0
0
0
PO BOX 58389
NASHVILLE
,
TN
37205
CHARLES MOSLEY
DIRECTOR
1.00
6,000
0
820
PO BOX 58389
NASHVILLE
,
TN
37205
STEVEN RASMUSSEN
EXECUTIVE DIRECTOR
40.00
142,869
5,715
2,454
PO BOX 58389
NASHVILLE
,
TN
37205
JASON GANT
DIRECTOR
1.00
8,000
0
235
PO BOX 58389
NASHVILLE
,
TN
37205
SAMUEL A WAITT
DIRECTOR
1.00
8,000
0
0
PO BOX 58389
NASHVILLE
,
TN
37205
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
...................
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
JPMORGAN CHASE BANK NA
INVESTMENT MANAGEMENT FEE
125,534
3424 PEACHTREE ROAD NE 24TH FLOOR
ATLANTA
,
GA
30326
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
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
.........................
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
54,144,989
b
Average of monthly cash balances
.......................
1b
935,906
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
55,080,895
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
55,080,895
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
826,213
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
54,254,682
6
Minimum investment return.
Enter 5% of line 5
..................
6
2,712,734
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
2,712,734
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
14,470
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
14,470
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
2,698,264
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
2,698,264
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
2,698,264
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
3,106,964
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
3,106,964
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
14,470
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
3,092,494
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
2,698,264
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
......
15,033
b
From 2015
......
49,454
c
From 2016
......
332,568
d
From 2017
......
516,890
e
From 2018
......
659,009
f
Total
of lines 3a through e
........
1,572,954
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
3,106,964
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
.....
2,698,264
e
Remaining amount distributed out of corpus
408,700
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
1,981,654
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)
...
15,033
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
1,966,621
10
Analysis of line 9:
a
Excess from 2015
....
49,454
b
Excess from 2016
....
332,568
c
Excess from 2017
....
516,890
d
Excess from 2018
....
659,009
e
Excess from 2019
....
408,700
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).)
ANDREA WAITT CARLTON
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:
STEVEN RASMUSSEN
PO BOX 58389
NASHVILLE
,
TN
37205
(615) 873-4142
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN APPLICATIONS SHOULD INCLUDE: AN OVERVIEW OF THE ORGANIZATION; GOALS & NEEDS FOR THE PROJECT OR PROGRAM; PROPOSED ACTIVITIES AND RELATIONSHIP TO PROJECT OR PROGRAM; DOLLAR AMOUNT REQUESTED, WITH DETAILED BUDGET; LIST OF BOARD OF DIRECTORS MEMBERS; COPY OF IRS DETERMINATION LETTER INDICATING 501(C)(3) STATUS; CONTACT PERSON'S NAME, PHONE AND FAX NUMBERS.
c
Any submission deadlines:
PROPOSALS MAY BE SUBMITTED AT ANY TIME AND ARE REVIEWED ON A REVOLVING BASIS.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
MAJOR GRANTS ARE USUALLY LIMITED TO NASHVILLE, TN, THE LAKE REGION OF NORTHWEST IOWA, SELECTED AREAS OF FLORIDA, SOUTH DAKOTA, AND COLORADO. PROPOSALS RELATED TO ENVIRONMENTAL AND CONSERVATION CONCERNS WILL BE CONSIDERED ON A NATIONAL BASIS. TO ENCOURAGE OTHERS TO PARTICIPATE, CHALLENGE GRANTS AND MATCHING GIFT PROPOSALS WILL RECEIVE SPECIAL CONSIDERATION. ONLY REQUESTS FROM IRC 501(C)(3) TAX EXEMPT CHARITABLE ORGANIZAIONS AND INSTITUTIONS ARE ACCEPTED.
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
AMERICAN BIRD CONSERVANCY
4249 LOUDOUN AVE PO BOX 249
THE PLAINS
,
VA
20198
PC
GENERAL OPERATING SUPPORT
5,000
AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
520 8TH AVENUE 7TH FLOOR
NEW YORK
,
NY
10018
PC
GENERAL OPERATING SUPPORT
5,000
ARIZONA CANTILENA
2866 E CABALLERO ST
MESA
,
AZ
85213
PC
GENERAL OPERATING SUPPORT
4,000
BAREFOOT REPUBLIC INC
1226 LAKEVIEW DRIVE SUITE G
FRANKLIN
,
TN
37067
PC
GENERAL OPERATING SUPPORT
15,000
BARRY GOLDWATER INSTITUTE
500 EAST CORONADO ROAD
PHOENIX
,
AZ
85004
PC
GENERAL OPERATING SUPPORT
20,000
BEACON CENTER OF TENNESSEE
PO BOX 198646
NASHVILLE
,
TN
37219
PC
GENERAL OPERATING SUPPORT
25,000
BELMONT UNIVERSITY
1900 BELMONT BOULEVARD
NASHVILLE
,
TN
372123757
PC
GENERAL OPERATING SUPPORT
100,000
BILL OF RIGHTS INSTITUTE
1310 NORTH COURTHOUSE ROAD SUITE
620
ARLINGTON
,
VA
22201
PC
GENERAL OPERATING SUPPORT
10,000
BLACK HILLS WILD HORSE SANCTUARY
PO BOX 998
HOT SPRINGS
,
SD
57747
PC
GENERAL OPERATING SUPPORT
25,000
BOCA GRANDE PRESERVATION ASSOCIATION INC
PO BOX 399
BOCA GRANDE
,
FL
33921
PC
GENERAL OPERATING SUPPORT
4,900
BRAMBLE PARK ZOO
PO BOX 484
WATERTOWN
,
SD
572010484
PC
GENERAL OPERATING SUPPORT
55,000
CASA OF SUMNER COUNTY
182 WEST FRANKLIN STREET
GALLATIN
,
TN
37066
PC
GENERAL OPERATING SUPPORT
2,000
CHEYENNE MOUNTAIN ZOO
4250 CHEYENNE MT ZOO RD
COLORADO SPRINGS
,
CO
80906
PC
GENERAL OPERATING SUPPORT
10,000
CHILDREN ARE PEOPLE
117 EAST WINCHESTER STREET
GALLATIN
,
TN
37066
PC
GENERAL OPERATING SUPPORT
2,000
CHILDREN'S HOME SOCIETY OF SOUTH DAKOTA
801 NORTH SYCAMORE PO BOX 1749
SIOUX FALLS
,
SD
571011749
PC
GENERAL OPERATING SUPPORT
2,500
CHIMP HAVEN INC
12600 CHIMPANZEE PLACE
KEITHVILLE
,
LA
71047
PC
GENERAL OPERATING SUPPORT
15,000
CHRIST PRESBYTERIAN CHURCH
2323 OLD HICKORY BLVD
NASHVILLE
,
TN
37215
PC
GENERAL OPERATING SUPPORT
1,500
CLINIC FOR THE REHABILITATION OF WILDLIFE
PO BOX 150
SANIBEL ISLAND
,
FL
33957
PC
GENERAL OPERATING SUPPORT
13,500
CONSERVATIVE PARTNERSHIP INSTITUTE
611 PENNSYLVANIA AVE SE 407
WASHINGTON
,
DC
20003
PC
GENERAL OPERATING SUPPORT
20,000
CRAZY HORSE MEMORIAL FOUNDATION
12151 AVENUE OF THE CHIEFS
CRAZY HOUSE
,
SD
57730
PC
GENERAL OPERATING SUPPORT
2,000
CROSSROADS CAMPUS
707 MONROE ST
NASHVILLE
,
TN
37208
PC
GENERAL OPERATING SUPPORT
20,000
DEZZY'S SECOND CHANCE ANIMAL R
11545 OLD OCEAN BLVD UNIT C
OCEAN RIDGE
,
FL
33435
PC
GENERAL OPERATING SUPPORT
2,500
DOANE COLLEGE
ADVANCEMENT OFFICE 1014 BOSEWELL
AVE
CRETE
,
NE
683332430
PC
GENERAL OPERATING SUPPORT
1,000
FELLOWSHIP OF CHRISTIAN ATHLETES
449 METROPLEX DRIVE
NASHVILLE
,
TN
37211
PC
GENERAL OPERATING SUPPORT
30,000
FOUNDATION FOR INDIVIDUAL RIGHTS IN EDUCATION
510 WALNUT STREET SUITE 1250
PHILADELPHIA
,
PA
18106
PC
GENERAL OPERATING SUPPORT
15,000
FREEDOM ALLIANCE
22570 MARKEY CT SUITE 240
DULLES
,
VA
20166
PC
GENERAL OPERATING SUPPORT
5,000
FREEDOMWORKS FOUNDATION
400 NORTH CAPITOL STREET NW SUITE
765
WASHINGTON
,
DC
20001
PC
GENERAL OPERATING SUPPORT
25,000
FRIENDS OF RADNOR LAKE
PO BOX 40324
NASHVILLE
,
TN
37204
PC
GENERAL OPERATING SUPPORT
250,000
FRIENDS OF WARNER PARKS
WARNER PARKS HEADQUARTERS 50 VAUGHN
ROAD
NASHVILLE
,
TN
37221
PC
GENERAL OPERATING SUPPORT
15,000
FURMAN UNIVERSITY
3300 POINSETT HIGHWAY
GREENVILLE
,
SC
29613
PC
GENERAL OPERATING SUPPORT
45,000
GRACE PLACE MINISTRY INC
176 WALTON TRACE S
HENDERSONVILLE
,
TN
37075
PC
GENERAL OPERATING SUPPORT
2,000
GRASSLAND SCHOOL COMMUNITY ASSOCIATION INC
6803 MANLEY LN
BRENTWOOD
,
TN
37027
PC
GENERAL OPERATING SUPPORT
1,000
HARPETH CONSERVANCY
215 JAMESTOWN PARK SUITE 101
BRENTWOOD
,
TN
37027
PC
GENERAL OPERATING SUPPORT
10,000
HENDERSONVILLE FIRST UNITED METHODIST CHURCH
217 EAST MAIN STREET
HENDERSONVILLE
,
TN
37075
PC
GENERAL OPERATING SUPPORT
1,000
HISTORIC ARNOLD'S PARK INC
PO BOX 609
ARNOLDS PARK
,
IA
51331
PC
GENERAL OPERATING SUPPORT
250,000
INDEPENDENT INSTITUTE
100 SWAN WAY
OAKLAND
,
CA
94621
PC
GENERAL OPERATING SUPPORT
20,000
INTERCOLLEGIATE STUDIES INSTITUTE INC
3901 CENTERVILLE ROAD
WILMINGTON
,
DE
198071938
PC
GENERAL OPERATING SUPPORT
25,000
IOWA NATURAL HERITAGE FOUNDATION
505 5TH AVE STE 444
DES MOINES
,
IA
50309
PC
GENERAL OPERATING SUPPORT
10,000
JENNIFER O'NEILL MINISTRIES
30 HILLENGLADE DRIVE
NASHVILLE
,
TN
37207
PC
GENERAL OPERATING SUPPORT
25,000
JUNGLE FRIENDS PRIMATE SANCTUARY INC
13915 NORTH SR 121
GAINESVILLE
,
FL
32653
PC
GENERAL OPERATING SUPPORT
40,000
LIBERTY JUSTICE CENTER
190 SOUTH LASALLE STREET SUITE 1500
CHICAGO
,
IL
60603
PC
GENERAL OPERATING SUPPORT
5,000
LOGGERHEAD MARINELIFE CENTER
14200 US HIGHWAY ONE
JUNO BEACH
,
FL
33408
PC
GENERAL OPERATING SUPPORT
165,000
MANHATTAN INSTITUTE FOR POLICY RESEARCH INC
52 VANDERBILT AVENUE
NEW YORK
,
NY
10017
PC
GENERAL OPERATING SUPPORT
15,000
MARTHA O'BRYAN CENTER INC
711 SOUTH SEVENTH STREET
NASHVILLE
,
TN
37206
PC
GENERAL OPERATING SUPPORT
20,000
MEN OF VALOR
504 VALOR WAY
ANTIOCH
,
TN
37013
PC
GENERAL OPERATING SUPPORT
26,000
MONTGOMERY BELL ACADEMY
4001 HARDING ROAD
NASHVILLE
,
TN
37205
PC
GENERAL OPERATING SUPPORT
200,000
MOTHER TO MOTHER INC
478 ALLIED DRIVE SUITE 105
NASHVILLE
,
TN
37211
PC
GENERAL OPERATING SUPPORT
3,500
NASHVILLE RESCUE MISSION
639 LAFAYETTE STREET
NASHVILLE
,
TN
37203
PC
GENERAL OPERATING SUPPORT
2,500
NASHVILLE ZOO
3777 NOLENSVILLE PIKE
NASHVILLE
,
TN
37211
PC
GENERAL OPERATING SUPPORT
100,000
NEXT DOOR
PO BOX 23336
NASHVILLE
,
TN
37202
PC
GENERAL OPERATING SUPPORT
56,000
OLD FRIENDS SENIOR DOG INC
PO BOX 93
MOUNT JULIET
,
TN
37121
PC
GENERAL OPERATING SUPPORT
5,000
OPERATION STAND DOWN NASHVILLE INC
1125 12TH AVENUE SOUTH
NASHVILLE
,
TN
372034709
PC
GENERAL OPERATING SUPPORT
5,000
OWL'S HILL NATURE SANCTUARY
545 BEECH CREEK ROAD
BRENTWOOD
,
TN
37027
PC
GENERAL OPERATING SUPPORT
25,500
PEER PLACE
1 LYNWOOD LN
NASHVILLE
,
TN
37205
PC
GENERAL OPERATING SUPPORT
2,000
PET COMMUNITY CENTER INC
943-B DR RICHARD G ADAMS DRIVE
NASHVILLE
,
TN
37207
PC
GENERAL OPERATING SUPPORT
23,000
PILES OF PUPPIES
16055 SW WALKER ROAD SUITE 318
BEAVERTON
,
OR
97006
PC
GENERAL OPERATING SUPPORT
500
REBOOT COMBAT RECOVERY
PO BOX 1223
FT CAMPBELL
,
KY
42223
PC
GENERAL OPERATING SUPPORT
20,000
ROOM IN THE INN
PO BOX 25309
NASHVILLE
,
TN
372025309
PC
GENERAL OPERATING SUPPORT
30,000
SADDLE UP
1549 OLD HILLSBORO ROAD
FRANKLIN
,
TN
37069
PC
GENERAL OPERATING SUPPORT
25,000
SAFE HAVEN FAMILY SHELTER
1234 THIRD AVENUE SOUTH
NASHVILLE
,
TN
37210
PC
GENERAL OPERATING SUPPORT
1,000
SALVUS CENTER
556 HARTSVILLE PIKE SUITE 200
GALLATIN
,
TN
37066
PC
GENERAL OPERATING SUPPORT
1,000
SAMARITAN'S PURSE
PO BOX 3000
BOONE
,
NC
28607
PC
GENERAL OPERATING SUPPORT
32,500
SEA SHEPHERD CONSERVATION SOCIETY
PO BOX 2616
ALEXANDRIA
,
VA
22306
PC
GENERAL OPERATING SUPPORT
2,500
SEA TURTLE CONSERVANCY
4424 NW 13TH STREET SUITE B-11
GAINESVILLE
,
FL
32609
PC
GENERAL OPERATING SUPPORT
10,000
SECOND HARVEST FOOD BANK
331 GREAT CIRCLE ROAD
NASHVILLE
,
TN
37228
PC
GENERAL OPERATING SUPPORT
55,000
SOUTH DAKOTA HUMANITIES COUNCIL
1215 TRAIL RIDGE ROAD SUITE A
BROOKINGS
,
SD
57006
PC
GENERAL OPERATING SUPPORT
10,000
SPECIAL KIDS INC
2208 E MAIN STREET
MURFREESBORO
,
TN
37130
PC
GENERAL OPERATING SUPPORT
5,000
SPRINGS AREA COUNCIL OF ARTS
210 BARRET AVE S
WESSINGTON SPRINGS
,
SD
57382
PC
GENERAL OPERATING SUPPORT
2,000
ST HENRY CHURCH
6401 HARDING PIKE
NASHVILLE
,
TN
37205
PC
GENERAL OPERATING SUPPORT
500
STEPHENS COLLEGE
1200 E BROADWAY
COLUMBIA
,
MO
65215
PC
GENERAL OPERATING SUPPORT
10,000
TENNESSEE GOLF FOUNDATION
400 FRANKLIN ROAD
FRANKLIN
,
TN
37069
PC
GENERAL OPERATING SUPPORT
90,000
TENNESSEE STATE MUSEUM FOUNDATION
505 DEADERICK ST
NASHVILLE
,
TN
372431402
PC
GENERAL OPERATING SUPPORT
100,000
TENNESSEE WORLD AFFAIRS COUNCIL
1900 BELMONT BOULEVARD
NASHVILLE
,
TN
37212
PC
GENERAL OPERATING SUPPORT
15,000
THE AMERICAN CONSERVATIVE
910 17TH ST SUITE 312
WASHINGTON
,
DC
20006
PC
GENERAL OPERATING SUPPORT
25,000
THE COMMUNITY FOUNDATION OF MIDDLE TN
3833 CLEGHORN AVENUE
NASHVILLE
,
TN
37215
PC
GENERAL OPERATING SUPPORT
40,000
THE HERITAGE FOUNDATION
214 MASSACHUSETTS AVENUE NE
WASHINGTON
,
DC
20001
PC
GENERAL OPERATING SUPPORT
250,000
THE JOHN JAY INSTITUTE
PO BOX 28221
PHILADELPHIA
,
PA
19131
PC
GENERAL OPERATING SUPPORT
20,000
THE NASHVILLE FOOD PROJECT
5904 CALIFORNIA AVENUE
NASHVILLE
,
TN
37209
PC
GENERAL OPERATING SUPPORT
100,000
THE PHILANTHROPY ROUNDTABLE
1120 20TH STREET NW SUITE 550 SOUTH
WASHINGTON
,
DC
20036
PC
GENERAL OPERATING SUPPORT
25,000
THE SALVATION ARMY OF NASHVILLE
PO BOX 78265
NASHVILLE
,
TN
37207
PC
GENERAL OPERATING SUPPORT
15,000
THE SANIBEL-CAPTIVA CONSERVATION FOUNDATION
333 SANIBEL-CAPTIVA RD PO BOX 839
SANIBEL
,
FL
33957
PC
GENERAL OPERATING SUPPORT
30,000
UNDERCOVER PROJECT INC
PO BOX 120092
NASHVILLE
,
TN
372120092
PC
GENERAL OPERATING SUPPORT
500
UNITED STATES ORGANIZATION INC
USO FORT CAMPBELL/NASHVILLE PO BOX
1121
FORT CAMPBELL
,
KY
42223
PC
GENERAL OPERATING SUPPORT
5,000
UNIVERSITY OF FLORIDA FOUNDATION
PO BOX 14425
GAINESVILLE
,
FL
32604
PC
GENERAL OPERATING SUPPORT
2,500
UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550
IOWA CITY
,
IA
52244
PC
GENERAL OPERATING SUPPORT
21,000
WALDEN'S PUDDLE
PO BOX 641 8131 JACKMAN ROAD
JOELTON
,
TN
37080
PC
GENERAL OPERATING SUPPORT
15,000
WALTON FERRY ELEMENTARY PRIDE PTO
732 WALTON FERRY ROAD
HENDERSONVILLE
,
TN
37075
PC
GENERAL OPERATING SUPPORT
1,500
WREATHS ACROSS AMERICA
9140 JENKINS RD
COTTON
,
MN
55724
PC
GENERAL OPERATING SUPPORT
5,000
YMCA OF MIDDLE TENNESSEE
1000 CHURCH STREET
NASHVILLE
,
TN
37203
PC
GENERAL OPERATING SUPPORT
25,000
YOUNG AMERICANS AGAINST SOCIALISM
53 W JACKSON BLVD SUITE 1734
CHICAGO
,
IL
60604
PC
GENERAL OPERATING SUPPORT
37,000
YOUNG AMERICA'S FOUNDATION
NATIONAL HEADQUARTERS 11480
COMMERCE PARK DRIVE SUITE 600
RESTON
,
VA
20191
PC
GENERAL OPERATING SUPPORT
5,000
Total
.................................
3a
2,815,900
b
Approved for future payment
BELMONT UNIVERSITY
1900 BELMONT BOULEVARD
NASHVILLE
,
TN
372123757
PC
CARLTON FAMILY ENDOWED SCHOLARSHIP FOR GLOBAL LEADERSHIP STUDIES
100,000
DUCKS UNLIMITED INC
ONE WATERFOWL WAY
MEMPHIS
,
TN
38120
PC
ESTABLISHING THE ANDREA WAITT CARLTON FAMILY FOUNDATION WILDLIFE MANAGEMENT AREA FOR PUBLIC USE AND MIGRATORY BIRD HABITAT
750,000
HERITAGE FOUNDATION THE
214 MASSACHUSETTS AVENUE NE
WASHINGTON
,
DC
20001
PC
AWCFAMILY FOUNDATION FELLOW: PROMOTING AMERICA'S FOUNDING PRINCIPLES
250,000
HISTORIC ARNOLD'S PARK INC
PO BOX 609
ARNOLDS PARK
,
IA
51331
PC
RESTORE THE PARK - ENDOWMENT
250,000
INDEPENDENT INSTITUTE
100 SWAN WAY
OAKLAND
,
CA
94621
PC
ENGAGING AND INSPIRING MILLENNIALS FOR LIBERTY
20,000
LAKE AREA ZOOLOGICAL SOCIETY (BRAMBLE PARK ZOO)
PO BOX 484
WATERTOWN
,
SD
572010484
PC
MODERNIZE PRIMATE, CAT AND BEAR HABITATS
20,000
LOGGERHEAD MARINELIFE CENTER INC
14200 US HIGHWAY ONE
JUNO BEACH
,
FL
33408
PC
WAVES OF PROGRESS CAPITAL EXPANSION
160,000
MONTGOMERY BELL ACADEMY
4001 HARDING ROAD
NASHVILLE
,
TN
37205
PC
CHURCH PROPERTY ACQUISITION
600,000
NASHVILLE ZOO
3777 NOLENSVILLE PIKE
NASHVILLE
,
TN
37211
PC
GROW WILD CAPITAL CAMPAIGN
200,000
SECOND HARVEST FOOD BANK
331 GREAT CIRCLE ROAD
NASHVILLE
,
TN
37228
PC
SECOND HARVEST'S CAPITAL CAMPAIGN, "SETTING THE TABLE FOR THE FUTURE"
50,000
TENNESSEE GOLF FOUNDATION
400 FRANKLIN ROAD
FRANKLIN
,
TN
37069
PC
FIRST TEE PROGRAM FOR TENNESSEE
80,000
TENNESSEE STATE MUSEUM FOUNDATION
505 DEADERICK ST
NASHVILLE
,
TN
372431402
PC
GALLERY INTRODUCTION THEATRE EXPERIENCE, FORGING A NATION
300,000
YOUNG AMERICANS AGAINST SOCIALISM
53 W JACKSON BLVD SUITE 1734
CHICAGO
,
IL
60604
PC
SOCIAL MEDIA ACCOUNT
18,000
Total
.................................
3b
2,798,000
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
...........
4
Dividends and interest from securities
....
14
1,192,406
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
.....
14
273,299
8
Gain or (loss) from sales of assets other than
inventory
............
523000
468
18
429,976
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
OTHER INVESTMENT INCOME
523000
-8,572
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
-8,104
1,895,681
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,887,577
(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