-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE HARVEST FOUNDATION OF THE PIEDMONT
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 5183
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MARTINSVILLE
,
VA
24115
A Employer identification number
31-1496872
B
Telephone number (see instructions)
(276) 632-3329
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)
$
232,410,283
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
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
4,248,521
4,248,521
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
4,855,224
b
Gross sales price for all assets on line 6a
33,784,079
7
Capital gain net income (from Part IV, line 2)
...
4,855,224
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)
.......
330,896
220,400
12
Total.
Add lines 1 through 11
........
9,434,641
9,324,145
13
Compensation of officers, directors, trustees, etc.
221,388
22,139
199,178
14
Other employee salaries and wages
......
463,270
29,426
432,197
15
Pension plans, employee benefits
.......
175,002
12,935
162,301
16a
Legal fees (attach schedule)
.........
39,684
3,968
64,647
b
Accounting fees (attach schedule)
.......
7,160
3,580
3,380
c
Other professional fees (attach schedule)
....
2,707,549
2,432,872
268,549
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
98,842
92,647
6,195
19
Depreciation (attach schedule) and depletion
...
135,602
20
Occupancy
..............
36,437
3,294
33,117
21
Travel, conferences, and meetings
.......
41,498
217
46,855
22
Printing and publications
..........
3,672
367
3,305
23
Other expenses (attach schedule)
.......
159,503
10,681
143,273
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
4,089,607
2,612,126
1,362,997
25
Contributions, gifts, grants paid
.......
3,038,934
9,876,478
26
Total expenses and disbursements.
Add lines 24 and 25
7,128,541
2,612,126
11,239,475
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,306,100
b
Net investment income
(if negative, enter -0-)
6,712,019
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
.............
609,295
3,620,173
3,620,173
2
Savings and temporary cash investments
.........
2,063,509
5,012,565
5,012,565
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)
250,000
Less: allowance for doubtful accounts
250,000
250,000
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
35,952
271,408
271,408
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
7,513,116
10,545,471
10,545,471
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)
..........
194,711,085
205,130,291
205,130,291
14
Land, buildings, and equipment: basis
1,414,952
Less: accumulated depreciation (attach schedule)
204,577
1,307,220
1,210,375
1,210,375
15
Other assets (describe
)
2,739,136
6,370,000
6,370,000
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
208,979,313
232,410,283
232,410,283
17
Accounts payable and accrued expenses
..........
352,441
124,453
18
Grants payable
.................
16,963,841
10,126,297
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
)
307,814
666,744
23
Total liabilities
(add lines 17 through 22)
.........
17,624,096
10,917,494
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
191,355,217
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
........
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)
.....
191,355,217
221,492,789
30
Total liabilities and net assets/fund balances
(see instructions)
.
208,979,313
232,410,283
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
191,355,217
2
Enter amount from Part I, line 27a
.....................
2
2,306,100
3
Other increases not included in line 2 (itemize)
3
28,270,660
4
Add lines 1, 2, and 3
..........................
4
221,931,977
5
Decreases not included in line 2 (itemize)
5
439,188
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
221,492,789
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
1 ST CAPITAL GAIN FROM K-1
P
2019-01-01
2019-12-31
b
1 LT CAPITAL GAIN FROM K-1
P
2010-01-01
2019-12-31
c
1 CAPITAL GAIN DISTRIBUTIONS
P
2010-01-01
2019-12-31
d
1 VARIOUS INVESTMENTS
P
2010-01-01
2019-12-31
e
1 VARIOUS EQUIPMENT
P
2010-01-01
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
1,290,107
1,290,107
b
5,795,046
5,795,046
c
3,986
3,986
d
26,694,940
28,928,855
-2,233,915
e
83,515
83,515
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
1,290,107
b
5,795,046
c
3,986
d
-2,233,915
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
4,855,224
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
7,670,968
220,898,683
0.03473
2017
10,167,360
213,543,361
0.04761
2016
11,383,813
198,588,336
0.05732
2015
6,123,922
208,519,055
0.02937
2014
11,305,301
214,732,223
0.05265
2
Total
of line 1, column (d)
.....................
2
0.221680
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
0.044336
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
217,681,870
5
Multiply line 4 by line 3
......................
5
9,651,143
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
67,120
7
Add lines 5 and 6
........................
7
9,718,263
8
Enter qualifying distributions from Part XII, line 4
,.............
8
11,489,475
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
67,120
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
3
Add lines 1 and 2
...........................
3
67,120
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
67,120
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
320,179
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
320,179
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
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
253,059
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
253,059
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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
Yes
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
VA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
WWW.THEHARVESTFOUNDATION.ORG
14
The books are in care of
KATE KELLER
Telephone no.
(276) 632-3329
Located at
134 EAST CHURCH STREET
MARTINSVILLE
VA
ZIP+4
24112
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
Yes
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
OC
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
No
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
KELVIN G PERRY
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
CHARLES R WHITFIELD
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
JOHN PATRICK FAVERO DO
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
WILLIAM L KIRBY IV
Vice Chair
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
MONICA T MONDAY ESQ
Treasurer
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
PAUL R EASON MD
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
VIRGINIA W HAMLET
Secretary
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
VALENICA EGGLESTON-CLARK MD
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
JAMES M TOBIN
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
DAVID L STONE JR
Chairman
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
ALLYSON ROTHROCK
President
40.00
221,308
33,375
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
DANNY WULFF
Director
2.00
0
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
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
LATALA HODGES
DIRECTOR OF COMM.
40.00
58,649
11,892
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
GEORGIA COMPTON
CONTROLLER
40.00
84,362
17,686
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
FRANKLIN HOUSE JR
SR PROG OFFCR
40.00
109,454
22,723
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
KIMBERLY HARRIS
EXEC. ASSIST.
40.00
56,811
18,065
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
SHERYL AGEE
IMPACT OFFCR
40.00
73,907
17,335
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
Total
number of other employees paid over $50,000
...................
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
COLONIAL CONSULTING CORPORATION
INVESTMENT CONSULTIN
167,867
750 THIRD AVE
NEW YORK
,
NY
100172703
HUNTON ANDREWS KURTH
LEGAL SERVICES
71,829
951 EAST BYRD STREET
RICHMOND
,
VA
23219
ANTHEM BLUE CROSS BLUE SHIELD
HEALTH INSURANCE
101,051
602 S JEFFERSON STREET
ROANOKE
,
VA
24011
MARTINSVILLE HENRY COUNTY EDC
ADVISORY SERVICES
60,200
191 FAYETTE STREET
MARTINSVILLE
,
VA
24112
BLAIR CONSTRUCTION INC
CONSTRUCTION
60,869
23020 US HIGHWAY 29
GRETNA
,
VA
24557
Total
number of others receiving over $50,000 for professional services
.............
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
LOW INTEREST RATE LOAN TO SUPPORT ECONOMIC DEVELOPMENT
250,000
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
250,000
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
215,077,512
b
Average of monthly cash balances
.......................
1b
5,919,310
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
220,996,822
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
3
Subtract line 2 from line 1d
.........................
3
220,996,822
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
3,314,952
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
217,681,870
6
Minimum investment return.
Enter 5% of line 5
..................
6
10,884,094
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
10,884,094
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
67,120
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
67,120
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
10,816,974
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
10,816,974
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
10,816,974
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
11,239,475
b
Program-related investments—total from Part IX-B
..................
1b
250,000
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
11,489,475
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
67,120
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
11,422,355
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
10,816,974
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
2,427,088
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
11,489,475
a
Applied to 2018, but not more than line 2a
2,427,088
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
9,062,387
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
(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
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
1,754,587
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
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:
HARVEST FOUNDATION OF THE PIEDMONT
134 EAST CHURCH STREET
MARTINSVILLE
,
VA
24112
(276) 632-3329
INFO@THEHARVESTFOUNDATION.ORG
b
The form in which applications should be submitted and information and materials they should include:
APPLICANTS SHOULD FIRST FILL OUT A NEEDS STATEMENT DETAILING THE IDENTIFIED COMMUNITY NEED THE PROJECT WILL ADDRESS. THIS CAN BE SUBMITTED ON-LINE AT WWW.THEHARVESTFOUNDATION.ORG.IF THE NEEDS STATEMENT SHOWS ALIGNMENT WITH HARVEST FOUNDATION GOALS AND STRATEGIES, AND MAKES A COMPELLING CASE FOR LOCAL NEED AND OUTCOMES, THE APPLICANT WILL BE INVITED TO COMPLETE A FULL PROJECT PROPOSAL. THE FULL PROPOSAL APPLICATION WILL DETAIL:THE PROPOSED PROJECTEVALUATION PLANPARTNERSHIPS AND COLLABORATIONFINANCIALSORGANIZATIONAL INFRASTRUCTURE AND CAPACITY.IT MAKES THE CASE OF WHY IT IS THE BEST PLAN TO ADDRESS THE NEED, AND WHY THE ORGANIZATION HAS THE ABILITY AND CAPACITY TO EXECUTE THE PLAN.
c
Any submission deadlines:
PLEASE SEE HARVEST FOUNDATION WEBSITE FOR DETAILS
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ORGANIZATION MUST BE A 501(C)(3) CHARITABLE ORGANIZATION OR A POLITICAL SUBDIVISION ELIGIBLE FOR A CHARITABLE CONTRIBUTION UNDER THE INTERNAL REVENUE CODE. ORGANIZATION'S PROGRAM WILL DIRECTLY SERVE THE COMMUNITY OF MARTINSVILLE AND/OR HENRY COUNTY, VIRGINIA. ORGANIZATION'S PROGRAM WILL DIRECTLY ALIGN WITH HARVEST FOUNDATION'S ECONOMIC DEVELOPMENT STATEGIC FOCUS AROUND WORKFORCE, INVESTMENT OR ADVOCACY. THE HARVEST FOUNDATION DOES NOT FUND:INSTITUTIONS THAT DISCRIMINATE ON THE BASIS OF RACE, CREED, GENDER, OR SEXUAL ORIENTATION;DIRECT GRANTS TO INDIVIDUALS INCLUDING SCHOLARSHIPS AND FELLOWSHIPS;PROGRAMS OUTSIDE THE GEOGRAPHIC BOUNDARIES OF HENRY COUNTY;DEBT REDUCTION;SECTARIAN RELIGIOUS ACTIVITIES OR DIRECT POLITICAL LOBBYING;FOR PROFIT ORGANIZATIONS;MEDICAL RESEARCH;DIRECT REPLACEMENT OF DISCONTINUED GOVERNMENT SUPPORT;EMERGENCY FUNDING OR EXTREMELY TIME SENSITIVE REQUESTS;GRANTS THAT, IN THE JUDGMENT OF THE BOARD OF DIRECTORS, ARE THE RESPONSIBILITY OF THE GOVERNMENT;ENDOWMENT FUNDS;
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
CITY OF MARTINSVILLE
PO BOX 1112 55 W CHURCH STREET
MARTINSVILLE
,
VA
24114
N/A
GOV
CONTINUATION OF OPERATIONAL SUPPORT FOR SMITH RIVER SPORTS COMPLEX OVER THREE YEARS
100,000
MARTINSVILLE-HENRY CO ECONOMIC DEVELOP
134 EAST CHURCH STREET SUITE 200
MARTINSVILLE
,
VA
24114
N/A
PC
TO SUPPORT GENERAL OPERATIONS
1,742,525
UNITED WAY OF HENRY CO AND MARTINSVILLE
134 East Church Street PO BOX 951
MARTINSVILLE
,
VA
24114
N/A
PC
DOLLY PARTON IMAGINATION LIBRARY TO PROVIDE CHILDREN AN AGE APPROPRIATE BOOK MAILED TO THEIR RESIDENCE EVERY MONTH FOR NO COST.
2,500
UNITED WAY OF HENRY CO AND MARTINSVILLE
134 East Church Street PO BOX 951
BASSETT
,
VA
24114
N/A
PC
GETTING AHEAD IN MHC PROGRAM
73,591
HENRY COUNTY
PO BOX 7 3300 KINGS MOUNTAIN RD
COLLINSVILLE
,
VA
24078
N/A
GOV
COMMONWEALTH CROSSING BUSINESS CENTER FOR GRADING AND INFRASTRUCTURE IMPROVEMENTS
62,500
MARTINSVILLE HC FOR HEALTH AND WELLNESS
22 CHURCH STREET SUITE 311
MARTINSVILLE
,
VA
24112
N/A
PC
Live Well MHC-improve health of individualsby leading a shift in focus from treatment to prevention and wellness
495,559
PIEDMONT REGIONAL COMMUNITY SERVICES BOA
24 CLAY STREET
MARTINSVILLE
,
VA
24112
N/A
PC
FOR THE MOBILIZING A COMMUNITY TOWARDS RECOVERY PROGRAM.
226,388
PATRICK HENRY COMMUNITY COLLEGE ED FDN
645 PATRIOT AVENUE
MARTINSVILLE
,
VA
24112
N/A
PC
NJCAA Men's Division National SoccerTournament
1,166,802
CARLISLE SCHOOL
300 CARLISLE RD
MARTINSVILLE
,
VA
24112
N/A
PC
K-12 Initiative Phase III
66,535
HENRY COUNTY PUBLIC SCHOOLS
PO BOX 8958
COLLINSVILLE
,
VA
24078
N/A
GOV
K-12 Initiative Phase III
542,626
MARTINSVILLE CITY PUBLIC SCHOOLS
PO BOX 5548
MARTINSVILLE
,
VA
24112
N/A
GOV
K-12 Initiative Phase III
146,180
SPENCER PENN SCHOOL PRESERVATION
PO BOX 506
SPENCER
,
VA
24165
N/A
PC
MAP COLLABORATIVE WITH BOYS & GIRLS CLUB. BUILDS ON THE LEARNING THAT HAPPENS DURING THE SCHOOL DAY.
39,875
PIEDMONT VIRGINIA DENTAL HEALTH FDN
407 STARLING AVE
MARTINSVILLE
,
VA
24112
N/A
PC
Community Dental Clinic operations
201,066
HENRY COUNTY
PO BOX 7 3300 KINGS MOUNTAIN RD
COLLINSVILLE
,
VA
24078
N/A
GOV
FOR DICK AND WILLIE PASSAGE PHASE 6B PROJECT.
600,000
MARTINSVILLE-HENRY CO ECONOMIC DEVELOP
134 EAST CHURCH STREET SUITE 200
MARTINSVILLE
,
VA
24114
N/A
PC
FOCUSED SUMMER INTERNSHIP FOR 3RD AND 4TH YEAR COLLEGE STUDENTS.
12,330
MARTINSVILLE-HENRY CO ECONOMIC DEVELOP
134 EAST CHURCH STREET SUITE 200
MARTINSVILLE
,
VA
24114
N/A
PC
DECORATIVE UPTOWN LIGHTS.
10,000
CITY OF MARTINSVILLE
PO BOX 1112 55 W CHURCH STREET
MARTINSVILLE
,
VA
24114
N/A
GOV
CONTINUATION OF OPERATIONAL SUPPORT FOR SMITH RIVER SPORTS COMPLEX OVER FIVE YEARS
1,552,468
HENRY COUNTY
PO BOX 7 3300 KINGS MOUNTAIN RD
COLLINSVILLE
,
VA
24078
N/A
GOV
FOR DICK AND WILLIE PASSAGE PHASE 6B PROJECT.
200,000
HENRY COUNTY
PO BOX 7 3300 KINGS MOUNTAIN RD
COLLINSVILLE
,
VA
24078
NONE
GOV
SMALL RIVER TOWNS BUSINESS DISTRICT REVITALIZATION (SRSTC PHASE 1) PROJECT.
75,000
HOPE CENTER MINISTRIES
1510 CENTER MINISTRIES
WAVERLY
,
TN
37185
N/A
PC
INCREASE SERVICE CAPACITY PROJECT
99,419
PATRICK HENRY COMMUNITY COLLEGE ED FDN
645 PATRIOT AVENUE
MARTINSVILLE
,
VA
24112
N/A
PC
PHCC PATHWAYS PROMISE PROGRAM
2,147,652
SMART BEGINNINGS MHC
149 E MAIN ST
MARTINSVILLE
,
VA
24114
N/A
PC
TO HELP EDUCATE THE YOUTH OF MARTINSVILLE & HENRY COUNTY.
168,900
VA MUSEUM OF NATURAL HISTORY
21 STARLING AVE
MARTINSVILLE
,
VA
24112
N/A
PC
TO HELP SUPPORT THE MUSEUM'S OPERATIONS AND KEEP THE EXHIBITS OPEN.
30,000
UNITED WAY OF HENRY COUNTY & MARTINSVILL
PO BOX 951
MARTINSVILLE
,
VA
24114
N/A
PC
CENSUS OUTREACH AND ENGAGEMENT PLAN TO INCREASE CENSUS PARTICIPATION.
10,000
HENRY COUNTY FURNITURE MUSEUM
PO BOX 626
BASSETT
,
VA
24055
NONE
PC
ADDITION OF SANDWICH SHOP/CAFE IN BASSETT AREA.
35,900
HENRY COUNTY
PO BOX 7
COLLINSVILLE
,
VA
24078
NONE
GOV
CENSUS OUTREACH AND ENGAGEMENT PLAN TO INCREASE CENSUS PARTICIPATION.
10,000
PIEDMONT ARTS
215 STARLING AVENUE
MARTINSVILLE
,
VA
24112
NONE
PC
WORKSHOP FOR DEVELOPING NEW WAYS TO THINK ABOUT ART, BUSINESS, COMMUNITY, AND MONEY.
10,000
COUNTY OF HENRY - DEPT OF PUBLIC SAFETY
1024 DUPONT ROAD
MARTINSVILLE
,
VA
24112
NONE
GOV
RIVER RELATED INCIDENT RESPONSE PROGRAM.
10,000
BOYS AND GIRLS CLUBS OF THE BLUE RIDGE
603B MEMORIAL BOULEVARD
MARTINSVILLE
,
VA
24112
NONE
PC
SAFE PLAYGROUNDS FOR EARLY LEARNING CENTER AND AFTER SCHOOL.
10,000
PIEDMONT REGIONAL TRAINING ACADEMY
1000 DUPONT ROAD
MARTINSVILLE
,
VA
24112
NONE
PC
INTERACTIVE MOBILE SITUATIONAL TRAINING SIMULATOR.
10,000
HENRY COUNTY
PO BOX 7
COLLINSVILLE
,
VA
24078
NONE
GOV
HENRY COUNTY AGRICULTURAL FAIR.
10,000
FRATERNAL ORDER OF POLICE LODGE #73
55 WEST CHURCH STREET
MARTINSVILLE
,
VA
24112
NONE
PC
PROVIDES OPPORTUNITY FOR CHILDREN FROM LOW INCOME HOUSEHOLDS TO SHOP FOR CHRISTMAS GIFTS.
3,500
MOTORSPORTS CHARITIES INC
ONE DAYTONA BOULEVARD
DAYTONA BEACH
,
FL
32114
NONE
PC
FIT KITS AT SPEEDIATRICS EVENT TO PROMOTE HEALTHY LIVING IN YOUTH.
5,000
Total
.................................
3a
9,876,316
b
Approved for future payment
WEST PIEDMONT WORKFORCE INVESTMENT BOARD
300 FRANKLIN STREET SUITE 241
MARTINSVILLE
,
VA
24112
N/A
PC
MENTORING AND TRAINING OF YOUNG ADULTS TO BE READY TO ENTER THE WORKFORCE.
375,671
DAN RIVER BASIN ASSOCIATION
3300 KINGS MOUNTAIN ROAD
COLLINSVILLE
,
VA
24078
N/A
PC
MASTER PLAN FOR OUTDOOR RECREATIONAL DEVELOPMENT
300,000
CARLISLE SCHOOL
300 CARLISLE RD
MARTINSVILLE
,
VA
24112
N/A
PC
K-12 Initiative Phase III
110,855
HENRY COUNTY PUBLIC SCHOOLS
PO BOX 8958
COLLINSVILLE
,
VA
24078
N/A
GOV
K-12 Initiative Phase III
696,857
MARTINSVILLE CITY PUBLIC SCHOOLS
PO BOX 5548
MARTINSVILLE
,
VA
24112
N/A
GOV
K-12 Initiative Phase III
269,940
UNITED WAY OF HENRY CO AND MARTINSVILLE
134 East Church Street PO BOX 951
MARTINSVILLE
,
VA
24114
N/A
PC
Smart Beginnings-System Building Continutation
73,591
MARTINSVILLE HC FOR HEALTH AND WELLNESS
22 CHURCH STREET SUITE 311
MARTINSVILLE
,
VA
24112
N/A
PC
Live Well MHC-improve health of individualsby leading a shift in focus from treatment to prevention and wellness
434,161
CITY OF MARTINSVILLE
PO BOX 1112 55 W CHURCH STREET
MARTINSVILLE
,
VA
24114
N/A
GOV
CONTINUATION OF OPERATIONAL SUPPORT FOR SMITH RIVER SPORTS COMPLEX OVER THREE YEARS
541,856
MARTINSVILLE-HENRY CO ECONOMIC DEVELOP
134 EAST CHURCH STREET SUITE 200
MARTINSVILLE
,
VA
24114
N/A
PC
FOCUSED SUMMER INTERNSHIP FOR 3RD AND 4TH YEAR COLLEGE STUDENTS.
163,810
PIEDMONT VIRGINIA DENTAL HEALTH FDN
407 STARLING AVE
MARTINSVILLE
,
VA
24112
N/A
PC
Community Dental Clinic operations
301,597
PATRICK HENRY COMMUNITY COLLEGE ED FDN
645 PATRIOT AVENUE
MARTINSVILLE
,
VA
24112
N/A
PC
PHCC PATHWAYS PROMISE PROGRAM
1,166,802
VIRGINIA HEALTH CARE FOUNDATION
707 EAST MAIN ST SUITE 1350
RICHMOND
,
VA
23219
N/A
PC
CREATING A NEW MARKET FOR HEALTHCARE SERVICES PROJECT
32,500
HENRY COUNTY
PO BOX 7 3300 KINGS MOUNTAIN RD
COLLINSVILLE
,
VA
24078
NONE
GOV
DICK AND WILLIE PASSAGE COMPLETION.
320,600
VIRGINIA LEGAL AID SOCIETY
513 CHURCH STREET
LYNCHBURG
,
VA
24505
NONE
PC
ATTORNEY IN MHC TO FOCUS ON PROBLEMS RELATED TO STABLE HOUSING.
300,000
BLUE RIDGE REGIONAL AIRPORT
525 AIRPORT ROAD
MARTINSVILLE
,
VA
24112
NONE
GOV
RUNWAY EXTENSION.
63,000
MARTINSVILLE COMMUNITY RECREATION ASSOC
PO BOX 301
MARTINSVILLE
,
VA
24114
NONE
GOV
RENOVATIONS TO HOOKER FIELD.
203,885
SPENCER PENN SCHOOL PRESERVATION
PO BOX 506
SPENCER
,
VA
24165
NONE
PC
MAP COLLABORATIVE WITH BOYS & GIRLS CLUB. BUILDS ON THE LEARNING THAT HAPPENS DURING THE SCHOOL DAY.
39,875
MARTINSVILLE-HENRY CO ECONOMIC DEVELOP
134 EAST CHURCH STREET SUITE 200
MARTINSVILLE
,
VA
24114
NONE
PC
JOB GROWTH.
876,777
HOPE CENTER MINISTRIES
1510 CENTER MINISTRIES
WAVERLY
,
TN
37185
NONE
PC
INCREASE SERVICE CAPACITY PROJECT
126,520
PATRICK HENRY COMMUNITY COLLEGE ED FDN
645 PATRIOT AVENUE
MARTINSVILLE
,
VA
24112
NONE
PC
SOW TO REAP PROGRAM.
3,706,249
SMART BEGINNINGS MHC
149 E MAIN ST
MARTINSVILLE
,
VA
24114
NONE
PC
TO HELP EDUCATE THE YOUTH OF MARTINSVILLE & HENRY COUNTY.
99,468
Total
.................................
3b
10,204,014
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
4,248,521
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
4,855,224
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
ORDINARY K-1 INCOME(LOSS)
14
220,400
b
OTHER INCOME
1
78,699
c
TAX EXEMPT K-1 INCOME
14
1
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
9,402,845
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
9,402,845
(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:
19009920
Software Version:
2019v5.0
Form 990PF - Special Condition Description:
Special Condition Description