-
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
EASTMAN FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 431
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KINGSPORT
,
TN
37662
A Employer identification number
62-1614800
B
Telephone number (see instructions)
(423) 229-6407
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)
$
6,352,953
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)
2,829,155
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
166,989
166,989
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
b
Gross sales price for all assets on line 6a
7
Capital gain net income (from Part IV, line 2)
...
0
8
Net short-term capital gain
.........
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)
.......
752
0
12
Total.
Add lines 1 through 11
........
2,996,896
166,989
13
Compensation of officers, directors, trustees, etc.
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
27,810
20,858
0
c
Other professional fees (attach schedule)
....
21,600
16,200
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
13,307
13,307
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
62,717
50,365
0
25
Contributions, gifts, grants paid
.......
1,698,448
1,698,448
26
Total expenses and disbursements.
Add lines 24 and 25
1,761,165
50,365
1,698,448
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
1,235,731
b
Net investment income
(if negative, enter -0-)
116,624
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
.........
1,218,280
2,290,229
2,290,229
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)
.......
1,652,522
1,652,522
4,026,249
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)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
34,082
36,475
36,475
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,904,884
3,979,226
6,352,953
17
Accounts payable and accrued expenses
..........
3,000
18
Grants payable
.................
1,793,631
1,708,860
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)
.........
1,793,631
1,711,860
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
1,031,120
2,173,441
25
Net assets with donor restrictions
............
80,133
93,925
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)
.....
1,111,253
2,267,366
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,904,884
3,979,226
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
1,111,253
2
Enter amount from Part I, line 27a
.....................
2
1,235,731
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
2,346,984
5
Decreases not included in line 2 (itemize)
5
79,618
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,267,366
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.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
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
3,322,178
4,846,137
0.685531
2017
2,516,269
4,272,768
0.588908
2016
2,474,461
4,475,378
0.552905
2015
2,512,720
4,012,779
0.626180
2014
2,505,234
4,538,154
0.552038
2
Total
of line 1, column (d)
.....................
2
3.005562
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
0.601112
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
3,494,524
5
Multiply line 4 by line 3
......................
5
2,100,600
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,166
7
Add lines 5 and 6
........................
7
2,101,766
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,698,448
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
2,332
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
2,332
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
2,332
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
0
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
1,100
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,100
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
40
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
1,272
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)
TN
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
HTTPS://EASTMANFOUNDATION.COM/
14
The books are in care of
THE FOUNDATION
Telephone no.
(423) 229-6407
Located at
PO BOX 431
KINGSPORT
TN
ZIP+4
37662
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
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
PERRY STUCKEY
DIRECTOR
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
SHALINI RAJOO
CORPORATE SECRETARY
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
DONNY CHIA
DIRECTOR & TREASURER
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
CEEGEE MCCORD
DIRECTOR & VICE PRESIDENT
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
DAVID GOLDEN
DIRECTOR
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
WILLIE MCLAIN
DIRECTOR & PRESIDENT
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
STEVE G CRAWFORD
DIRECTOR
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
GREGORY A RIDDLE
DIRECTOR
0.00
0
0
0
PO BOX 431
KINGSPORT
,
TN
37662
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
NONE
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
3,837,789
b
Average of monthly cash balances
.......................
1b
1,910,489
c
Fair market value of all other assets (see instructions)
................
1c
36,475
d
Total
(add lines 1a, b, and c)
.........................
1d
5,784,753
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
5,784,753
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
2,290,229
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,494,524
6
Minimum investment return.
Enter 5% of line 5
..................
6
174,726
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
174,726
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,332
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,332
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
172,394
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
172,394
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
172,394
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
1,698,448
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
1,698,448
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
1,698,448
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
172,394
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
......
2,279,360
b
From 2015
......
2,313,407
c
From 2016
......
2,226,836
d
From 2017
......
2,331,493
e
From 2018
......
3,082,077
f
Total
of lines 3a through e
........
12,233,173
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,698,448
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
.....
172,394
e
Remaining amount distributed out of corpus
1,526,054
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
13,759,227
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)
...
2,279,360
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
11,479,867
10
Analysis of line 9:
a
Excess from 2015
....
2,313,407
b
Excess from 2016
....
2,226,836
c
Excess from 2017
....
2,331,493
d
Excess from 2018
....
3,082,077
e
Excess from 2019
....
1,526,054
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:
CEEGEE MCCORD
PO BOX 431
KINGSPORT
,
TN
37662
(423) 229-6407
b
The form in which applications should be submitted and information and materials they should include:
GRANT APPLICATION, A COPY OF THEIR 501(C)(3) TAX EXEMPT LETTER, AND AN INVOICE
c
Any submission deadlines:
JULY 31ST OF THE PREVIOUS YEAR
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
CONTRIBUTIONS ARE USUALLY DIRECTED TOWARD COMMUNITIES IN WHICH COMPANY HAS OPERATING UNITS. THE COMPANY DOES NOT MAKE CASH CONTRIBUTIONS TO INDIVIDUAL AGENCIES SUPPORTED BY THE AREA UNITED WAY ORGANIZATION. GENERALLY, CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, TEAMS, LABOR, VETERANS, FRATERNAL, SOCIAL, RELIGIOUS, POLITICAL, OR NATIONAL HEALTH ORGANIZATIONS.
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 CANCER SOCIETY
508 PRINCETON ROAD
JOHNSON CITY
,
TN
37601
NONE
PC
RELAY FOR LIFE
500
AMERICAN INSTITUTE OF CHEMICAL ENGINEERS
120 WALL STREET
NEW YORK
,
NY
10005
NONE
PC
GRANT
500
APPALACHIAN SUSTAINABLE DEVELOPMENT
1096 OLD BERRY DRIVE
ABINGDON
,
VA
24210
NONE
PC
GRANT
25,000
AXTON ELEMENTARY SCHOOL
1500 AXTON ROAD
AXTON
,
VA
24054
NONE
I
SCHOLARSHIP
1,000
BALLAD HEALTH FOUNDATION
1019 W OAKLAND AVE SUITE 2
JOHNSON CITY
,
TN
37604
NONE
PC
OPERATIONS
10,000
BARTER THEATER
127 W MAIN STREET
ABINGDON
,
VA
24210
NONE
I
STUDENT MATINEE PROGRAM
15,000
BAY AREA COUNCIL
353 SACREMENTO ST 10TH FLOOR
SAN FRANCISCO
,
CA
94111
NONE
PC
CHARITABLE CONTRIBUTIONS
1,000
CAMPBELL COURT ELEMENTARY SCHOOL
220 CAMPBELL COURT
BASSETT
,
VA
24055
NONE
I
SCHOLARSHIP
1,000
CARLISLE SCHOOL
300 CARLISLE ROAD
MARTINSVILLE
,
VA
24115
NONE
I
SCHOLARSHIP
1,500
CENTER FOR COMMUNITY LEARNING - COL
15 PRIMARY ROAD
COLLINSVILLE
,
VA
24078
NONE
I
SCHOLARSHIP
250
CHALLENGED OUTDOORSMEN OF AMERICA NORTHEAST TEXAS
3389 QUAIL LN
LONGVIEW
,
TX
75602
NONE
PC
OPERATIONS
1,000
CHEMICAL EDUCATION FOUNDATION
1560 WILSON BLVD
ARLINGTON
,
VA
22209
NONE
PC
CEF GENERAL CONTRIBUTION
15,000
CHRISTUS GOOD SHEPHERD MIDDLE SCHOO
2525 OLD JACKSONVILLE HWY
TYLER
,
TX
75701
NONE
I
EASTMAN GRANT
5,000
CLEMSON UNIVERSITY
CLEMSON
CLEMSON
,
SC
29634
NONE
PC
GRANT
6,750
DISCOVERE
1420 KING STREET
ALEXANDRIA
,
VA
22314
NONE
PC
NATIONAL ENGINEERS WEEK
5,000
DOBYNS-BENNETT HIGH SCHOOL
1 TRIBE WAY
KINGSPORT
,
TN
37664
NONE
I
VOLUNTEER STATE SCIENCE BOWL
31,000
DREWRY MASON ELEMENTARY SCHOOL
45 DREWRY MASON SCHOOL RD
RIDGEWAY
,
VA
24148
NONE
I
OPERATIONS
750
EAST TENNESSEE STATE UNIVERSITY
1276 GILBREATH DRIVE
JOHNSON CITY
,
TN
37614
NONE
PC
REGIONAL SCIENCE FAIR, ACADEMIC ALLIANCE, MATHLETES PROGRAM
85,483
EAST TEXAS ANGEL NETWORK
PO BOX 9544
LONGVIEW
,
TX
75608
NONE
PC
GRANT
2,500
EAST TEXAS LITERACY NETWORK
320 E METHVIN ST
LONGVIEW
,
TX
75601
NONE
PC
EASTMAN GRANT
2,500
EAST TEXAS SYMPHONIC BAND
PO BOX 251
LONGVIEW
,
TX
75606
NONE
PC
GRANT
1,500
EASTER SEALS
141 W JACKSON BLVD
CHICAGO
,
IL
60604
NONE
PC
CAMP FAIRLEE
500
EASTMAN RECREATION CLUB
400 S WILCOX DRIVE
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
105,586
ECHO HILL OUTDOOR SCHOOL
13655 BLOOMINGNECK ROAD
WORTON
,
MD
21678
NONE
I
EASTMAN GRANT
500
FAMILY PROMISE OF LONGVIEW - INTERFAITH HOSPITALITY NETWORK
700 N EDITH ST
LONGVIEW
,
TX
75601
NONE
PC
DONATION
1,500
FIELDALE-COLLINSVILLE MIDDLE SCHOOL
645 MILES RD
COLLINSVILLE
,
VA
24078
NONE
I
SCHOLARSHIPS
1,500
FIRST BOOK - GREATER KINGSPORT
1319 F ST NW
WASHINGTON
,
DC
20004
NONE
PC
OPERATIONS
3,000
FIRST TEE OF THE PINEY WOODS
2695 ALPINE ROAD
LONGVIEW
,
TX
75605
NONE
PC
OPERATIONS
3,000
FRIENDS IN NEED HEALTH CENTER
1105 WEST STONE DRIVE
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
10,000
GARFIELD CENTER FOUNDATION INC
210 HIGH ST
CHESTERTOWN
,
MD
21620
NONE
PC
CHARITABLE CONTRIBUTIONS
2,500
GATE CITY HIGH SCHOOL
178 HARRY FRY DRIVE
GATE CITY
,
VA
24251
NONE
PC
US FIRST TECH CHALLENGE
500
GEORGE WASHINGTON CARVER ELEMENTARY
5393 QUINCY AVENUE
CLEVELAND
,
OH
44104
NONE
I
SCHOLARSHIPS
1,750
GEORGIA INSTITUTE OF TECHNOLOGY
NORTH AVENUE NW
ATLANTA
,
GA
30332
NONE
PC
DEPARTMENT OF ENGINEERING
700
GREATER KINGSPORT FAMILY YMCA
1840 MEADOWVIEW PKWY
KINGSPORT
,
TN
37660
NONE
PC
CHARITABLE CONTRIBUTIONS
25,000
GREATER LONGVIEW ORG FOR BUSINESS AND EDUCATION
PO BOX 3441
LONGVIEW
,
TX
75606
NONE
PC
EASTMAN GRANT
6,000
GREATER LONGVIEW UNITED WAY
310 S FREDONIA ST
LONGVIEW
,
TX
75601
NONE
PC
EASTMAN GRANT
30,000
GREGG CO HISTORICAL MUSEUM
214 N FREDONIA STREET
LONGVIEW
,
TX
75601
NONE
PC
OPERATIONS
500
HALLSVILLE ISD EDUCATION FOUNDATION
300 WILLOW STREET
HALLSVILLE
,
TX
75650
NONE
PC
GRANT FOR TEACHERS
1,000
HANDS ON REGIONAL MUSEUM
315 E MAIN STREET
JOHNSON CITY
,
TN
37601
NONE
PC
EXHIBIT SPONSORSHIP
7,500
HAYNESFIELD ELEMENTARY SCHOOL
201 BLUFF CITY HWY
BRISTOL
,
TN
37620
NONE
I
SCHOLARSHIP
350
HENRY COUNTY PUBLIC SCHOOLS
3300 KINGS MOUNTAIN ROAD ADMIN BLDG
COLLINSVILLE
,
VA
24078
NONE
I
OPERATIONS
3,750
HOLSTON HABITIAT FOR HUMANITY AND RESTORE
100 GREENWOOD LANE
KINGSPORT
,
TN
37663
NONE
PC
OPERATIONS
15,000
HOLSTON SECTION ASME
TWO PARK AVENUE
NEW YORK
,
NY
10016
NONE
PC
EGG DROP
500
HOLSTON VIEW ELEMENTARY SCHOOL
1840 KING COLLEGE ROAD
BRISTOL
,
TN
37620
NONE
I
SCHOLARSHIP
700
JUNIOR ACHIEVEMENT OF EAST TEXAS
911 W LOOP 281
LONGVIEW
,
TX
75604
NONE
PC
FINANCE CLASSES
36,000
JUNIOR LEAGUE OF LONGVIEW
1109 N 4TH STREET
LONGVIEW
,
TX
75601
NONE
PC
OPERATIONS
2,500
KENT -QUEEN ANNE'S RESCUE SQUAD
140 MORGNEC RD
CHESTERTOWN
,
MD
21620
NONE
PC
OPERATIONS
500
KENT ASSOCIATION OF RIDING THERAPY INC
PO BOX 126
WORTON
,
MD
21678
NONE
PC
RIDING THERAPY PROGRAM
500
KENT COUNTY COMMUNITY FOOD BANK
401 HIGH ST
CHESTERTOWN
,
MD
21620
NONE
PC
OPERATIONS
1,000
KENT COUNTY HIGHSCHOOL
25301 LAMBS MEADOW RD
WORTON
,
MD
21678
NONE
I
OPERATIONS
3,000
KILGORE COLLEGE
1100 BROADWAY BLVD
KILGORE
,
TX
75662
NONE
I
CHEMISTRY DEPARTMENT GRANT
75,000
KING UNIVERSITY
1350 KING COLLEGE RD
BRISTOL
,
TN
37620
NONE
I
CHEMISTRY DEPARTMENT
4,000
KINGSPORT ART GUILD
1200 E CENTER STREET
KINGSPORT
,
TN
37660
NONE
PC
2018 APPALACHIAN ART SHOW
3,000
KINGSPORT BALLET
201 CHEROKEE ST
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
5,000
KINGSPORT CONVENTION AND VISITORS BUREAU
400 CLINCHFIELD ST
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
9,381
LAUREL PARK MIDDLE SCHOOL
280 LAUREL PARK AVE
MARTINSVILLE
,
VA
24112
NONE
I
SCHOLARSHIP
250
LETOURNEAU UNIVERSITY
2100 S MOBBERLY AVE
LONGVIEW
,
TX
75602
NONE
I
AMERICAN SOCIETY OF MECHANICAL ENGINEERS
500
LIFETIME FITNESS FOUNDATION
2901 CORPORATE PL
CHANHASSEN
,
MN
55317
NONE
PC
OPERATIONS
89,949
LIPSCOMB UNIVERSITY
1 UNIVERSITY PARK DR
NASHVILLE
,
TN
37204
NONE
I
5 YEAR SERVICE INITIATIVES
10,000
LITERACY COUNCIL OF KINGSPORT
326 COMMERCE ST
KINGSPORT
,
TN
37660
NONE
PC
LITERACY LEGACY PROJECT
5,000
LONGVIEW COMMUNITY MINISTRIES
506 N SECOND ST
LONGVIEW
,
TX
75601
NONE
PC
OPERATIONS
2,500
LONGVIEW GREGGTON ROTARY CHARITIES
209 E SOUTH STREET
LONGVIEW
,
TX
75601
NONE
PC
DONATION
2,500
LONGVIEW ISD EDUCATION FOUNDATION
1301 EAST YOUNG ST
LONGVIEW
,
TX
75602
NONE
PC
DONATION
2,900
LOUISIANA TECH UNIVERSITY
201 MAYFIELD AVE
RUSTON
,
LA
71270
NONE
I
NSBE, STUDENT ORGANIZATIONS
4,000
MARTINSVILLE CITY PUBLIC SCHOOLS
746 INDIAN TRAIL POST OFFICE BOX
5548
MARTINSVILLE
,
VA
24112
NONE
I
SCHOLARSHIP
10,250
MARTINSVILLE HIGH SCHOOL
351 COMMONWEALTH BLVD E
MARTINSVILLE
,
VA
24112
NONE
I
ROBOTICS
2,500
MATE INSPIRATION FOR INNOVATION
980 FREMONT STREEET
MONTERAY
,
CA
93940
NONE
PC
GREAT BLUE CHALLENGE
20,000
MATHCOUNTS
1420 KING STREET
ALEXANDRIA
,
VA
22314
NONE
PC
PAYMENT FOR COMPETITION
450
MATHLETES OF AMERICA CORP
3809 HOLY CROSS DR
DECATUR
,
GA
30034
NONE
PC
OPERATIONS
49,200
MICHELIN CAREER CENTER
MCMILLAN RD
CLEMSON
,
SC
29634
NONE
PC
OPERATIONS
1,200
MISSISSIPPI STATE UNIVERSITY
75 B S HOOD ROAD
MISSISSIPPI
,
MS
39762
NONE
I
OPERATIONS
5,000
MOUNT OLIVET ELEMENTARY
255 LANCER LN
MARTINSVILLE
,
VA
24112
NONE
I
SCHOLARSHIPS
500
NATIONAL MERIT SCHOLARSHIP CORPORATION
1560 SHERMAN AVE SUITE 200
EVANSTON
,
IL
60201
NONE
PC
SCHOLARSHIP
25,300
NC STATE UNIVERSITY
NC STATE
RALEIGH
,
NC
27695
NONE
I
OPERATIONS
2,900
NORTH AMERICAN PROCESS TECHNOLOGY ALLIANCE
1501 N AMBURN RD 3
TEXAS CITY
,
TX
77591
NONE
PC
CHARITABLE CONTRIBUTIONS
1,600
NORTHEAST TN COLLEGE
2425 TN-75
BLOUNTVILLE
,
TN
37617
NONE
I
SCHOLARSHIPS
3,000
OLIVET PRESBYTERIAN CHURCH FOOD BANK
2575 GARTH RD
CHARLOTTESVILLE
,
VA
22901
NONE
PC
OPERATIONS
4,500
PANOLA COLLEGE SCHOOL OF ENERGY
1109 W PANOLA
CARTHAGE
,
TX
75633
NONE
I
SCHOLARSHIPS
1,000
PATRICK HENRY COMMUNITY COLLEGE FOU
645 PATRIOT AVE
MARTINSVILLE
,
VA
24112
NONE
I
SCHOLARSHIPS
1,000
POWER UP FOUNDATION INC
707 HASKINS ROAD
BOWLING GREEN
,
OH
43402
NONE
PC
OPERATIONS
1,000
PRAIRIE VIEW AM UNIVERSITY
100 UNIVERSITY DR
PRAIRIE VIEW
,
TX
77446
NONE
I
SCHOLARSHIPS
1,500
PURDUE UNIVERSITY FOUNDATION
610 PURDUE MALL
WEST LAFAYETTE
,
IN
47907
NONE
PC
CHEMICAL ENGINEERING DEPARTMENT GRANT
27,000
RADCLIFFE CREEK SCHOOL
201 TALBOT BLVD SUITE A
CHESTERTOWN
,
MD
21620
NONE
I
SCHOLARSHIP
1,000
RICH ACRES ELEMENTARY
400 RICH ACRES SCHOOL RD
MARTINSVILLE
,
VA
24112
NONE
I
SCHOLARSHIPSMARTINSVILLE
750
ROSC GLOBAL
155 SOMERSET ST
BELMONT
,
MA
02478
NONE
PC
THE OVERMOUNTAIN PROJECT
91,000
SALVATION ARMY
615 SLATERS LN
ALEXANDRIA
,
VA
22314
NONE
PC
OPERATIONS
2,000
SCIENCE HILL HIGH SCHOOL
1509 JOHN EXUM PKWY
JOHNSON CITY
,
TN
37604
NONE
PC
ROBOTICS
2,500
SEESAW CHILDREN'S PLACE
1450 W FAIRMONT ST
LONGVIEW
,
TX
75604
NONE
PC
OPERATIONS
1,500
SISTERS PLACE INC
418 MITCHELL AVE
CLAIRTON
,
PA
15025
NONE
PC
CHARITABLE CONTRIBUTIONS
2,500
SPEARHEAD TRAILS
502 FRONT ST E
COEBURN
,
VA
24230
NONE
PC
OPERATIONS
62,000
STANLEY TOWN ELEMENTARY SCHOOL
74 EDGEWOOD DR
STANLEYTOWN
,
VA
24168
NONE
I
OPERATIONS
250
STREAMWORKS INC
400 CLINCHFIELD STREET STE 100
KINGSPORT
,
TN
37660
NONE
PC
STREAMWORKS STREAMGYM PLEDGE
20,630
SULLIVAN CENTRAL HIGH SCHOOL
131 SHIPLEY FERRY RD
BLOUNTVILLE
,
TN
37615
NONE
I
SCHOLARSHIPS
2,500
SULLIVAN COUNTY IMAGINATION LIBRARY
PO BOX 3045
KINGSPORT
,
TN
37664
NONE
PC
OPERATIONS
5,000
SWVHECR FOUNDATION
1 PARTNERSHIP CIR
ABINGDON
,
VA
24210
NONE
PC
FASTEM
1,500
SYMPHONY OF MOUNTAINS
1200 E CENTER STREET 311
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
30,000
TCISD FOUNDATION FOR THE FUTURE
1700 NINTH AVENUE NORTH
TEXAS CITY
,
TX
77590
NONE
PC
CHARITABLE CONTRIBUTIONS
5,000
TENNESSEE STATE MUSEUM
1000 ROSA L PARKS BLVD
NASHVILLE
,
TN
37208
NONE
PC
OPERATIONSOPERATIONS
100,000
TENNESSEE STATE SCHOLARS
3500 JOHN A MERRITT BLVD
NASHVILLE
,
TN
37209
NONE
PC
SCHOLARSHIP
3,000
TENNESSEE TECHNOLOGICAL UNIVERSITY FOUNDATION
1 WILLIAM L JONES DR
COOKEVILLE
,
TN
38505
NONE
PC
REFURBISHMENT OF ELECTRICAL & MECHANICAL ENGINEERING LOUNGE
26,000
TEXAS A&M UNIVERSITY
400 BIZZELL ST
COLLEGE STATION
,
TX
77843
NONE
SCHOLARSHIP
SOPHMORE RETREAT, WOMEN ENGINEERS, CAREER CENTER, NSBE
1,000
TEXAS CONSERVATION FUND
1655 N FORT MYER DRIVE SUITE 1300
ARLINGTON
,
VA
22209
NONE
PC
TRASH BASH 2018
1,000
TEXAS ENGINEERING FOUNDATION
1001 S CONGRESS AVE 260
AUSTIN
,
TX
78704
NONE
PC
OPERATIONS
2,000
THE BIOBUILDER EDUCATIONAL FOUNDATI
78 DALTON ROAD
NEWTON
,
MA
02459
NONE
I
SCHOLARSHIPS
75,502
THE NATURE CONSERVANCY IN TENNESSEE
210 25TH AVE N 810
NASHVILLE
,
TN
37203
NONE
PC
NATURE CONSERVANCY
10,000
TIMPSON HIGH SCHOOL
836 BEAR DR
TIMPSON
,
TX
75975
NONE
I
OPERATIONS
1,500
TRI-CITIES MILITARY AFFAIRS COUNCIL INC
124 GLENDORA DRIVE
KINGSPORT
,
TN
37663
NONE
PC
CHARITABLE CONTRIBUTIONS
10,000
TRIPRIDE TN
PO BOX 4545
JOHNSON CITY
,
TN
37602
NONE
PC
OPERATIONS
8,500
TYLER JUNIOR COLLEGE
1327 S BAXTER AVE
TYLER
,
TX
75701
NONE
I
SCHOLARSHIP
5,000
UNITED METHODIST CHURCH UNION
971 BEECH AVENUE
PITTSBURGH
,
PA
15233
NONE
PC
KIDS MEAL NETWORK PROGRAM
3,000
UNITED WAY GALVESTON
2200 MARKET ST 850
GALVESTON
,
TX
77550
NONE
PC
CHARITABLE CONTRIBUTION
11,000
UNITED WAY OF EAST CENTRAL ALABAMA
1505 WILMER AVE
ANNISTON
,
AL
36201
NONE
PC
OPERATIONS
5,000
UNITED WAY OF GREATER KINGSPORT
301 LOUIS ST SUITE 201
KINGSPORT
,
TN
37660
NONE
PC
OPERATIONS
138,000
UNITED WAY OF GREATER ST LOUIS
910 N11TH ST
ST LOUIS
,
MO
63101
NONE
PC
OPERATIONS
5,000
UNITED WAY OF HENRY COUNTY & MARTINSVILLE
149 E MAIN ST
MARTINSVILLE
,
VA
24112
NONE
PC
OPERATIONS
10,000
UNITED WAY OF MON VALLEY
304 CHAMBER PLAZA
CHARLEROI
,
PA
15022
NONE
PC
CHARITABLE CONTRIBUTIONS
2,000
UNITED WAY OF PIONEER VALLEY
1441 MAIN ST SUITE 147
SPRINGFIELD
,
MA
01103
NONE
PC
OPERATIONS
10,000
UNITED WAY OF SUMMIT COUNTY
37 N HIGH ST
AKRON
,
OH
44308
NONE
PC
CHARITABLE CONTRIBUTIONS
2,000
UNIVERSITY OF AKRON FOUNDATION
185 E MILL STREET
AKRON
,
OH
44325
NONE
PC
OPERATIONS
5,000
UNIVERSITY OF ALABAMA NSBE CHAPTER
205 DAINGERFIELD ROAD
ALEXANDRIA
,
VA
22314
NONE
I
STUDENTS ATTEND THE NATIONAL CONFERENCE
3,500
UNIVERSITY OF ALABAMA
CAMPUS DRIVE
TUSCALOOSA
,
AL
35487
NONE
PC
CHARITABLE CONTRIBUTIONS
15,000
UNIVERSITY OF ARKANSAS
W DICKSON STREET
FAYETTEVILLE
,
AR
72701
NONE
PC
OPERATIONS
10,500
UNIVERSITY OF CALIFORNIA BERKELEY
SOUTH DRIVE
BERKELEY
,
CA
94710
NONE
I
SCHOLARSHIP
10,000
UNIVERSITY OF FLORIDA DEPT OF CHEMI
LEIGH HALL
GAINESVILLE
,
FL
32603
NONE
I
EMILY GILL PHD FELLOWSHIP AWARD
1,000
UNIVERSITY OF HOUSTON-CLEAR LAKE
2700 BAY ARENA BLVD
HOUSTON
,
TX
77058
NONE
PC
ENVIROTHON PROGRAM
5,000
UNIVERSITY OF ILLINOIS
S MATHEWS AVENUE
CHAMPAIGN
,
IL
61820
NONE
I
SCHOLARSHIP
1,000
UNIVERSITY OF PUERTO RICO
2534 AV UNIVERSIDAD STE 1401
SAN JUAN
,
PR
00925
NONE
I
OPERATIONS
3,300
UNIVERSITY OF SOUTH CAROLINA
902 SUMTER STREET
COLUMBIA
,
SC
29208
NONE
PC
SCOPE
14,000
UNIVERSITY OF SOUTHERN MISSISSIPPI
118 COLLEGE DR
HATTIESBURG
,
MS
39406
NONE
PC
POSTER COMPETITION, GRANT FOR DEPARTMENT SERIES.
10,000
UNIVERSITY OF TENNESSEE
CUMBERLAND AVENUE
KNOXVILLE
,
TN
37996
NONE
PC
CHARITABLE CONTRIBUTIONS
17,100
UNIVERSITY OF WISCONSIN FOUNDATION
1848 UNIVERSITY AVENUE
MADISON
,
WI
53726
NONE
I
SCHOLARSHIP
10,000
VANDERBILT UNIVERSITY
2201 WEST END AVE
NASHVILLE
,
TN
37235
NONE
PC
SPONSOR
500
VARIOUS
PO BOX 431
KINGSPORT
,
TN
37662
NONE
PC
CHARITABLE CONTRIBUTIONS
15,467
VIRGINIA TECH FOUNDATION
902 PRICES FORK RD 140
BLACKSBURG
,
VA
24060
NONE
PC
DESIGN PROGRAM
5,000
VIRGINIA TECH
902 PRICES FORK RD 140
BLACKSBURG
,
VA
24060
NONE
I
OPERATIONS
19,000
WCDEFRC
684 OLD STATE ROUTE 34
JONESBOROUGH
,
TN
37659
NONE
PC
US FIRST ROBOTICS
2,500
WGU TENNESSEE UNIVERSITY
501 CORPORATE CENTRE DR 100
FRANKLIN
,
TN
37067
NONE
I
OPERATIONS
20,000
WOMEN LEADERS IN COLLEGE SPORTS
2024 MAIN ST
KANSAS CITY
,
MO
64108
NONE
PC
LEADERS ELITE PARTNERSHIP AGREEMENT
22,000
ZONTA CLUB OF LONGVIEW FOUNDATION
PO BOX 3452
LONGVIEW
,
TX
75606
NONE
PC
OPERATIONS
2,000
Total
.................................
3a
1,698,448
b
Approved for future payment
Total
.................................
3b
0
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
166,989
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
............
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL REFUND
752
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
166,989
752
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
167,741
(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.)
11
REFUND ON AMENDED 990 RETURN FOR 2018
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