Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 70,090 | 85,003 | 66,204 | 64,389 | 69,883 | 355,569 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 801 | 1,190 | 1,769 | 1,281 | 1,590 | 6,631 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 70,891 | 86,193 | 67,973 | 65,670 | 71,473 | 362,200 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 362,200 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 70,891 | 86,193 | 67,973 | 65,670 | 71,473 | 362,200 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5 | 3 | 4 | 6 | 12 | 30 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5 | 3 | 4 | 6 | 12 | 30 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 200 | 200 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 70,896 | 86,396 | 67,977 | 65,676 | 71,485 | 362,430 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | GAIN FROM SALE OF DAMAGED 2000 TOYOTA CAMRY - 2016 AMOUNT: $ 200. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST ON CASH BALANCES. AMOUNT: 12. |
| FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORY | INCOME: GROSS RECEIPTS: 1,590. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 403. GROSS PROFIT: 1,187. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 1,992. MERCHANDISE PURCHASED: 1,319. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 0. INVENTORY AT END OF YEAR: 2,908. COST OF GOODS SOLD: 403. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: ALABAMA DISTRICT COUNCIL. GRANTEE ADDRESS: 5919 CARMICHAEL ROAD MONTGOMERY, AL 36117. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 41. DATE OF GIFT: 04/30/19. AMOUNT GIVEN: 41. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: APPALACHIAN DISTRICT COUNCIL. GRANTEE ADDRESS: P O BOX 310 GHENT, WV 25843. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 153. DATE OF GIFT: 01/19/19. AMOUNT GIVEN: 153. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: ARKANSAS DISTRICT COUNCIL ASSEMBLIES OF GOD. GRANTEE ADDRESS: P O BOX 191680 LITTLE ROCK, AR 72219. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 158. DATE OF GIFT: 04/30/19. AMOUNT GIVEN: 158. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: BIBLE CHURCH OF GOD. GRANTEE ADDRESS: 644 WASHINGTON AVE CLARKSBURG, WV 26301. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 150. DATE OF GIFT: 06/05/19. AMOUNT GIVEN: 150. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: BRIDGE COMMUNITY CHURCH OF NICHOLSON. GRANTEE ADDRESS: 23 STATE STREET NICHOLSON, PA 18446. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 80. DATE OF GIFT: 04/12/19. AMOUNT GIVEN: 80. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: CHI APLHA. GRANTEE ADDRESS: 966 CHLOYDS CHURCH ROAD GREENBACK, TN 37742. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 300. DATE OF GIFT: 01/08/19. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: CHRIST TEMPLE ASSEMBLY OF GOD. GRANTEE ADDRESS: 285 HIGHWAY 104 SALTILLO, TN 38370. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 38. DATE OF GIFT: 12/03/19. AMOUNT GIVEN: 38. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: CIRCLE ASSEMBLY OF GOD. GRANTEE ADDRESS: 8529 RUTLEDGE PIKE KNOXVILLE, TN 37924. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 300. DATE OF GIFT: 03/05/19. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: EVANGEL NORTH. GRANTEE ADDRESS: 5400 MINORS LANE NEW ALBANY, IN 40259. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 180. DATE OF GIFT: 03/05/19. AMOUNT GIVEN: 180. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: EVANGEL WORLD PRAYER CENTER. GRANTEE ADDRESS: P O BOX 19229 LOUISVILLE, KY 40259. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 200. DATE OF GIFT: 09/02/19. AMOUNT GIVEN: 200. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FAITH ASSEMBLY OF GOD. GRANTEE ADDRESS: 11830 S PRESTON LEBANON JUNCTION, KY 40150. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 110. DATE OF GIFT: 08/01/19. AMOUNT GIVEN: 110. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FAITH ASSEMBLY OF GOD. GRANTEE ADDRESS: 2866 RIPLEY ROAD RIPLEY, WV 25271. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 150. DATE OF GIFT: 06/05/19. AMOUNT GIVEN: 150. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FIRST ASSEMBLY OF GOD. GRANTEE ADDRESS: 810 SACO LOWELL ROAD EASLEY, SC 29540. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 50. DATE OF GIFT: 08/10/19. AMOUNT GIVEN: 50. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FAITH ASSEMBLY OF GOD. GRANTEE ADDRESS: 2021 PULASKI ROAD NEW CASTLE, PA 16105. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/02/19. AMOUNT GIVEN: 140. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FAITH ASSEMBLY OF GOD. GRANTEE ADDRESS: 1900 N KILLOUGH WYNNE, AR 72396. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 180. DATE OF GIFT: 07/02/19. AMOUNT GIVEN: 180. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: FOUNTAIN OF LIFE ASSEMBLY OF GOD. GRANTEE ADDRESS: 2510 HWY 41 A BYP CLARKSVILLE, TN 37043. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 65. DATE OF GIFT: 10/11/19. AMOUNT GIVEN: 65. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: GLASGOW FIRST ASSEMBLY OF GOD. GRANTEE ADDRESS: 1217 S GREEN STREET GLASGOW, KY 42141. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 250. DATE OF GIFT: 04/30/19. AMOUNT GIVEN: 250. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: GOODMAN ASSEMBLY OF GOD. GRANTEE ADDRESS: 238 COUNTY ROAD 533 NEW BROCKTON, AL 36351. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 93. AMOUNT GIVEN: 93. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: HOHENWALD FIRST ASSEMBLY OF GOD. GRANTEE ADDRESS: 1776 SUMMERTOWN HWY HOHENWALD, TN 38462. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 20. DATE OF GIFT: 01/15/19. AMOUNT GIVEN: 20. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: JACKSONJ FIRST ASSEMBLY OF GOD. GRANTEE ADDRESS: 1027 W FOREST AVE JACKSON, TN 38301. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 30. DATE OF GIFT: 01/15/19. AMOUNT GIVEN: 30. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: JOURNEY CHURCH. GRANTEE ADDRESS: ALTOONA GRAND HOTEL ALTOONA, PA 16601. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 568. DATE OF GIFT: 04/12/19. AMOUNT GIVEN: 568. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: KENTUCKY DISTRICT COUNCIL ASSEMBLIES OF GOD. GRANTEE ADDRESS: P O BOX 98 CRESTWOOD, KY 40014. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 272. DATE OF GIFT: 04/30/19. AMOUNT GIVEN: 272. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PUBLIC CHARITY. GRANTEE NAME: KNOX AREA RESCUE MINISTRIES. GRANTEE ADDRESS: 418 N BROADWAY KNOXVILLE, TN 37917. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 300. DATE OF GIFT: 01/09/19. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: KNOXVILLE CHRISTIAN CENTER. GRANTEE ADDRESS: 818 CEDAR BLUFF ROAD KNOXVILLE, TN 37923. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 3,299. DATE OF GIFT: 02/01/19. AMOUNT GIVEN: 3,299. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: LIGHTHOUSE ASSEMBLY OF GOD. GRANTEE ADDRESS: 3518 LICK CREEK ROAD LINDEN, TN 37096. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 100. DATE OF GIFT: 11/05/19. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: LIVING WORD FELLOWSHIP. GRANTEE ADDRESS: 18775 HIGHWAY 69 S SAVANNAH, TN 38372. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 120. DATE OF GIFT: 07/02/19. AMOUNT GIVEN: 120. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: MILL CITY ASSEMBLY OF GOD. GRANTEE ADDRESS: 167 MERCY LANE DALTON, PA 18414. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 110. DATE OF GIFT: 10/07/19. AMOUNT GIVEN: 110. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: N NEW ENGLAND DISTRICT COUNCIL. GRANTEE ADDRESS: 501 RIVERSIDE ST PORTLAND, ME 04103. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 45. DATE OF GIFT: 10/07/19. AMOUNT GIVEN: 45. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: NEW BEGINNINGS MINISTRIES. GRANTEE ADDRESS: 1147 BEHRINGER HWY RTE 322 DU BOIS, PA 15801. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 100. DATE OF GIFT: 04/12/19. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: PENN-DEL DISTRICT COUNCIL ASSEMBLIES OF GOD. GRANTEE ADDRESS: 4651 WESTPORT DRIVE MECHANICSBURG, PA 17055. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 148. DATE OF GIFT: 04/12/19. AMOUNT GIVEN: 148. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: PERRYVILLE ASSEMBLY OF GOD. GRANTEE ADDRESS: P O BOX 368 PERRYVILLE, AR 72126. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 420. DATE OF GIFT: 04/30/19. AMOUNT GIVEN: 420. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: PRINCETON EAST ASSEMBLY OF GOD. GRANTEE ADDRESS: 270 ASSENBLY LANE PRINCETON, WV 24739. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 190. DATE OF GIFT: 08/01/19. AMOUNT GIVEN: 190. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: SOUTH CAROLINA DISTRICT COUNCIL. GRANTEE ADDRESS: 101 MEDICAL CIRCLE STE B WEST COLUMBIA, SC 29169. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 23. DATE OF GIFT: 08/10/19. AMOUNT GIVEN: 23. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: SOUTH KNOXVILLE WORSHIP CENTER. GRANTEE ADDRESS: 3910 WOODLAWN PIKE KNOXVILLE, TN 37920. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 120. DATE OF GIFT: 12/03/19. AMOUNT GIVEN: 120. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: THE ASSEMBLIES OF GOD. GRANTEE ADDRESS: 1445 N BOONVILLE AVE SPRINGFIELD, MO 65805. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 1,005. DATE OF GIFT: 04/09/19. AMOUNT GIVEN: 1,005. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: TRINITY ASSEMBLY OF GOD. GRANTEE ADDRESS: 2411 CASSADY AVE HUNTINGDON, PA 16652. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 80. DATE OF GIFT: 09/13/19. AMOUNT GIVEN: 80. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: TENNESSEE DISTRICT COUNCIL ASSEMBLIES OF GOD. GRANTEE ADDRESS: P O BOX 358 MADISON, TN 37116. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 705. DATE OF GIFT: 03/05/19. AMOUNT GIVEN: 705. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: WESTGATE CHRISTIAN FELLOWSHIP. GRANTEE ADDRESS: 416 N CAMPBELL STATION ROAD KNOXVILLE, TN 37934. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 130. DATE OF GIFT: 06/05/19. AMOUNT GIVEN: 130. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHURCH. GRANTEE NAME: WINDHAM ASSEMBLY OF GOD. GRANTEE ADDRESS: 1051 ROOSEVELT TRAIL WINDOM, ME 04062. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 100. DATE OF GIFT: 10/07/19. AMOUNT GIVEN: 100. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 10,523. |
| FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 1,875. DESCRIPTION: OTHER EXPENSES. AMOUNT: 493. TOTAL TO FORM 990-EZ, LINE 14: 2,368. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TELEPHONE. AMOUNT: 3,806. DESCRIPTION: VEHICLE MAINTENANCE. AMOUNT: 4,396. DESCRIPTION: TRAVEL. AMOUNT: 8,284. DESCRIPTION: DUES. AMOUNT: 1,113. DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 174. DESCRIPTION: PAYROLL TAXES. AMOUNT: 841. DESCRIPTION: INSURANCE. AMOUNT: 1,719. DESCRIPTION: SUPPLIES. AMOUNT: 653. DESCRIPTION: INTEREST EXPENSE. AMOUNT: 4. TOTAL TO FORM 990-EZ, LINE 16: 20,990. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVENTORY. BEG. OF YEAR AMOUNT: 1,992. END OF YEAR AMOUNT: 2,908. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 6,467. END OF YEAR AMOUNT: 4,592. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCRUED PAYROLL TAXES. BEG. OF YEAR AMOUNT: 258. END OF YEAR AMOUNT: 193. DESCRIPTION: CREDIT CARD. BEG. OF YEAR AMOUNT: 9,509. END OF YEAR AMOUNT: 17,117. |
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