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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 916,034 | 885,618 | 1,092,055 | 861,420 | 1,732,007 | 5,487,134 |
| 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 | 916,034 | 885,618 | 1,092,055 | 861,420 | 1,732,007 | 5,487,134 |
| 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).. | 449,579 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 5,037,555 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 916,034 | 885,618 | 1,092,055 | 861,420 | 1,732,007 | 5,487,134 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 25 | 6,101 | 12,522 | 15,018 | 33,666 | |
| 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 | 5,520,800 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 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 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 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.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| 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, PART III, LINE 4A | SUMMER CAMPS AND FEEDING PROGRAM: IN FISCAL YEAR 2021, AHA CONTINUED TO ASSIST THE CHILDREN EVEN AFTER THEY EXITED THE SCHOOL SYSTEM FOR THE SUMMER BY SPONSORING SUMMER FEEDING PROGRAMS AND SUMMER CAMPS. AT AHA SPONSORED SUMMER CAMPS, CHILDREN WERE ABLE TO CONTINUE EDUCATION, PREVENT SUMMER BRAIN DRAIN, MAKE NEW FRIENDS, AND LEARN NEW VALUABLE LIFE SKILLS. PARENTS WERE ABLE TO CONTINUE WORKING TO PROVIDE FOR THE FAMILY WHILE THEIR CHILD WAS TAKEN CARE OF. AHA MAKES SUMMER CAMP, WHICH USUALLY WOULD BE EXPENSIVE, ACCESSIBLE THROUGH $13,500 TOTAL GRANTS TO PARTNERS ALLOWING 108 CAMPERS TO ATTEND. IN AN AREA WHERE MALNOURISHMENT IS ALREADY EXTREMELY HIGH, SUMMER MONTHS CAN BE ESPECIALLY HARSH SINCE FAMILIES AREN'T BENEFITING FROM SCHOOL FEEDING PROGRAMS. ALONG WITH THE HEALTHY MEALS SERVED AT CAMP TO THE CHILDREN, THE AHA SPONSORED LUNCH BOX BUS TRAVELS THROUGH ROGERSVILLE, TN TO POOR COMMUNITIES DELIVERING 4,518 MEALS TO CHILDREN WITH A $10,000 GRANT. IN ADDITION TO THE LUNCH BOX BUS DELIVERING MEALS TO CHILDREN, AHA SPONSORED CARING HANDS MINISTRY MISSION TO DELIVER MEALS TO 139 INDIVIDUALS AT THEIR HOMES, ENSURING THOSE WHO ARE UNABLE TO MAKE IT TO FOOD PANTRIES ARE STILL SERVED WITH A $7,500 GRANT. UTILITIES: ONE IN SIX APPALACHIAN RESIDENTS LIVE BELOW THE POVERTY LINE. PEOPLE IN 56 OUT OF 420 COUNTIES WITHIN APPALACHIA HAVE A MEDIAN INCOME OF $30,000. THIS HAUNTING FACT MAKES PAYING MORTGAGE, RENT, AND UTILITIES A DAUNTING TASK FOR THESE AMERICANS. EVEN IF TENANTS PAY RENT, LANDLORDS WILL EVICT TENANTS WHO HAVE THEIR UTILITIES CUT OFF FEARING THAT PIPES ON THEIR PROPERTIES COULD FREEZE AND BURST IN UNHEATED APARTMENTS. LANDLORDS ALSO FEAR THAT IF A TENANT CAN'T PAY THEIR ELECTRIC BILL THAT MONTH, THEY MAY NOT BE ABLE TO PAY THEIR RENT THE NEXT. PARENTS COULD TEMPORARILY LOSE CUSTODY OF THEIR CHILDREN AS STATE HUMAN SERVICES AGENCIES WILL NOT ALLOW CHILDREN TO REMAIN IN A HOME WITHOUT UTILITIES. ELECTRICITY IS REQUIRED FOR OXYGEN CONCENTRATORS, DIALYSIS MACHINES, FEEDING EQUIPMENT AND TREATMENT OF MANY OTHER CHRONIC ILLNESSES. WITHOUT UTILITIES, POOR FAMILIES WILL SINK DEEPER INTO POVERTY. AMERICANS HELPING AMERICANS DOUBLED OUR COMMITMENT TO ENSURE THE UTILITIES ARE PAID DURING THE COVID-19 PANDEMIC GRANTING $55,000 IN TOTAL TO ASSIST 1,980 RESIDENTS. ALSO, AHA DONATED 1,800 DENTAL KITS TO HELP CHILDREN CONTINUE PROPER ORAL CARE EQUIPPED WITH TOOTHBRUSHES, TOOTHPASTE, FLOSS, A TIMER, AND TWO-WEEK BRUSHING CALENDAR. 1,000 KIDS' COATS, 500 ADULTS' COATS, AND 700 BLANKETS WERE DISTRIBUTED SO THAT RESIDENTS WILL STAY WARM. 353 SHOES WERE GIVEN TO CHILDREN, MANY OF WHOM RECEIVED THEIR 1ST EVER NEW SHOE. FINALLY, 5,100 FOOD BOXES WERE DELIVERED LAST YEAR WITH EACH BOX WEIGHING 35LBS AND ENSURING A FAMILY OF FOUR FOOD FOR A WEEK IN THE MIDST OF A GLOBAL PANDEMIC. |
| FORM 990, PART III, LINE 4B | AHA SEES THIS AS A NEED AND FOR THAT, AWARDED $69,900 TOTAL GRANTS TO PARTNERS IN WEST VIRGINIA, TENNESSEE, GEORGIA, AND KENTUCKY. |
| FORM 990, PART III, LINE 4C | AFTER SCHOOL AND EDUCATION SUPPLIES SUPPORT: EARLY CHILDHOOD EDUCATION REMAINS A CRITICAL NEED WITH 30% OF ADULTS CONSIDERED FUNCTIONALLY ILLITERATE. TO ENSURE THE YOUTH RECEIVES THE SUPPORT THEY NEED TO PERFORM WELL IN SCHOOL, AHA PROVIDED 2,655 BACK PACKS FILLED WITH SCHOOL SUPPLIES AND SPONSORED AFTER SCHOOL PROGRAMS WHICH PROVIDED HEALTHY MEALS AND TUTORING SERVICES WITH $17,000 IN GRANTS ASSISTING 1,749 CHILDREN. AHA ALSO SPONSORED THE 'LEARNING POD' IN LEE COUNTY, KY TO HELP STUDENTS WHO HAD ISSUES WITH REMOTE LEARNING, ACCESS TO INTERNET, PROBLEMS AT HOME, ISSUES WITH CONCENTRATION, CONTINUE THEIR EDUCATION SAFELY. DIGITAL DIVIDE: AHA PROVIDED 34 LAPTOP COMPUTERS TO BEATTYVILLE ELEMENTARY IN LEE COUNTY KENTUCKY FOR STUDENTS TO TAKE HOME AND CONTINUE THEIR EDUCATION FROM HOME. MANY ROADS IN BEATTYVILLE ARE LOOSE GRAVEL AND WHEN SNOWSTORMS COME THROUGH DEPOSITING SEVERAL INCHES, THOSE ROADS DO NOT GET CLEARED LEAVING FAMILIES STRANDED AND SCHOOLS CLOSED. IN ORDER TO STAY ON TOP OF THEIR EDUCATION, THESE LAPTOP COMPUTERS ARE CONNECTED WITH THE TEACHER SO STUDENTS CAN CONTINUE TO LEARN. STUDENTS ARE ALSO ABLE TO USE THE COMPUTERS TO CONNECT WITH THEIR PARENTS WHO COULD BE SERVING IN THE MILITARY OVERSEAS OR RESEARCH INTERESTING CAREERS THEY MAY WANT TO PURSUE. PARENTS CAN USE THE COMPUTERS TO APPLY FOR JOBS ONLINE AS WELL. |
| FORM 990, PART VI, SECTION A, LINE 2 | BRYAN L. KRIZEK, PRESIDENT/CEO, AND PAUL E. KRIZEK, VICE PRESIDENT/GENERAL COUNSEL, HAVE A FAMILY RELATIONSHIP. ADDITIONALLY, BOARD MEMBERS JAMES J. O'BRIEN, CHAIRMAN, AND THOMAS O'BRIEN, DIRECTOR, HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 8B | AHA DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE INTERNAL REVENUE SERVICE FORM 990 IS PREPARED BY A FIRM OF CERTIFIED PUBLIC ACCOUNTANTS WITH EXPERTISE IN TAX AND AUDIT ISSUES RELATED TO TAX-EXEMPT ORGANIZATIONS. THE FORM 990 IN DRAFT FORM IS SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS. THE DIRECTORS AND OFFICERS ARE INSTRUCTED TO SEND THEIR QUESTIONS, COMMENTS, AND SUGGESTIONS DIRECTLY TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE AUDIT COMMITTEE, STAFF AND THE AUDITOR, THEN MAKE A FINAL REVIEW OF THE DRAFT FORM 990. THE AUDIT COMMITTEE ADDRESSES ANY CONCERNS AND RESPONDS TO THE COMMENTS OF DIRECTORS AND OFFICERS PRIOR TO SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | AHA HAS ADOPTED A DETAILED WRITTEN CONFLICT OF INTEREST POLICY WHICH DEFINES CONFLICTS OF INTEREST AND REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO AFFIRMATIVELY AND PROMPTLY DISCLOSE ALL AND ANY POTENTIAL CONFLICTS. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MANDATORY. IT ALSO REQUIRES ALL PERSONS SUBJECT TO THE CONFLICT OF INTEREST POLICY TO SIGN A STATEMENT ANNUALLY AFFIRMING THAT THEY ARE FAMILIAR WITH THE TERMS OF THE POLICY. THE POLICY REQUIRES ALL PERSONS SUBJECT TO THE POLICY TO ANNUALLY PROVIDE WRITTEN RESPONSES TO A QUESTIONNAIRE ENTITLED "CONFLICT OF INTEREST DISCLOSURE STATEMENT." ALL PERSONS SUBJECT TO THE CONFLICT OF INTEREST POLICY ARE OBLIGATED BY THE POLICY TO PROMPTLY INFORM THE CHAIR OF THE BOARD OF DIRECTORS OF ANY MATERIAL CHANGE THAT DEVELOPS WITH REGARD TO THEIR DISCLOSURE STATEMENT, WHICH IS DISTRIBUTED TO DIRECTORS AND OFFICERS AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AHA MAKES PUBLICLY AVAILABLE ON ITS WEBSITE THE MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE PRECEDING THREE YEARS. AHA ALSO PROVIDES A LINK TO GUIDESTAR'S WEBSITE WHICH POSTS FORMS 990S FOR THE THREE PRECEDING YEARS. UPON REQUEST, AHA ALSO MAKES AVAILABLE COPIES OF ITS ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND COMPENSATION GUIDELINES. |
| Software ID: | |
| Software Version: |