Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
AHB FOUNDATION INC
C/O STEINER & ELLIS PLLC
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 52206
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KNOXVILLE, TN37950
A Employer identification number

62-1867424
B Telephone number (see instructions)

(865) 212-3800
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,054,869J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 425,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 35,512 35,419  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 18,768
b Gross sales price for all assets on line 6a 18,768
7 Capital gain net income (from Part IV, line 2)... 16,628
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)....... Click to see attachment 621 155  
12 Total. Add lines 1 through 11........ 479,901 52,202  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 11,500 11,500   0
c Other professional fees (attach schedule)....        
17 Interest............... 567 567   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,448 1,451   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 10,728 10,091   281
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,243 23,609   281
25 Contributions, gifts, grants paid....... 405,000 405,000
26 Total expenses and disbursements. Add lines 24 and 25 429,243 23,609   405,281
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 50,658
b Net investment income (if negative, enter -0-) 28,593
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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
Assets 1 Cash—non-interest-bearing............. 9,914 17,030 17,030
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment1,702,837 Click to see attachment1,746,375 Click to see attachment2,037,839
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,712,751 1,763,405 2,054,869
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 1,712,751 1,763,405
29 Total net assets or fund balances (see instructions)..... 1,712,751 1,763,405
30 Total liabilities and net assets/fund balances (see instructions). 1,712,751 1,763,405
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,712,751
2
Enter amount from Part I, line 27a .....................
2
50,658
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,763,409
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,763,405
Form 990-PF (2021)
Form 990-PF (2021)
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 HASLAM FOUNDATIONS PARTNERSHIP P    
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 16,628     16,628
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       16,628
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 16,628
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 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 397
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 397
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,285
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,285
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,888
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,888 RefundedBullet 11 0
Part VI-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 the instructions
for the 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. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 addressbulletN/A
    14
    The books are in care ofbulletSTEINER ELLIS PLLC Telephone no.bullet (865) 212-3800

    Located atbullet8351 EWALKER SPRINGS LANE SUITE 302KNOXVILLETN ZIP+4bullet37923
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    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)? ......................
    1a(5)
     
    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.) ...............
    1a(6)
     
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 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.
    bullet20, 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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    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? .............
    5a(5)
     
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    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?
    7a
     
    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? .........................
    8
     
    No
    Part VII
    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
    ANN HASLAM BAILEY PRESIDENT & DIRECTOR
    0.00     		0 0 0
    806 SCENIC DRIVE
    KNOXVILLE,TN37919
    STEPHEN W BAILEY VICE PRESIDENT & DIRECTOR
    0.00     		0 0 0
    806 SCENIC DRIVE
    KNOXVILLE,TN37919
    J TODD ELLIS SECRETARY, TREASURER & DIR
    0.00     		0 0 0
    8351 E WALKER SPRINGS LANE
    KNOXVILLE,TN37923
    WHITFIELD BAILEY DIRECTOR
    0.00     		0 0 0
    806 SCENIC DRIVE
    KNOXVILLE,TN37919
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-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 NO DIRECT CHARITABLE ACTIVITIES DURING THE CURRENT TAX YEAR. 0
    2  
    3  
    4  
    Part VIII-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 NO PROGRAM RELATED INVESTMENTS DURING THE CURRENT TAX YEAR. 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    1,934,704
    b
    Average of monthly cash balances.......................
    1b
    44,805
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,979,509
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,979,509
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    29,693
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,949,816
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    97,491
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    97,491
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    397
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    284
    c
    Add lines 2a and 2b............................
    2c
    681
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    96,810
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    96,810
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    96,810
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 96,810
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 51,227
    b From 2017...... 313,791
    c From 2018...... 309,819
    d From 2019...... 322,423
    e From 2020...... 339,182
    f Total of lines 3a through e ........ 1,336,442
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 405,281
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 96,810
    e Remaining amount distributed out of corpus 308,471
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,644,913
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		51,227
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,593,686
    10 Analysis of line 9:
    a Excess from 2017.... 313,791
    b Excess from 2018.... 309,819
    c Excess from 2019.... 322,423
    d Excess from 2020.... 339,182
    e Excess from 2021.... 308,471
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList 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).)
    ANN HASLAM BAILEY
    STEPHEN W BAILEY
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    J TODD ELLIS CO STEINER ELLIS PLLC
    PO BOX 52206
    KNOXVILLE,TN37950
    (865) 212-3800
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN REQUEST STATING AMOUNT AND PURPOSE OF REQUEST, MOST RECENT AUDITED FINANCIAL STATEMENTS, AND COPY OF TAX EXEMPT RULING
    cAny submission deadlines:
    MAY 31, NOVEMBER 30
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ONLY TO 501(C)(3) ORGANIZATIONS; PREFERENCE GIVEN TO ORGANIZATIONS IN THE EAST TENNESSEE AREA.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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)
    aPaid during the year
    AMAZON WATCH
    520 3RD STREET SUITE 108
    OAKLAND,CA94607     		N/A 501(C)(3) 509(A)(1) TO PROTECT THE RAINFOREST AND ADVANCE THE RIGHTS OF INDIGENOUS PEOPLES IN THE AMAZON BASIN. 10,000
    BOY SCOUTS OF AMERICA TRUST
    PO BOX 51885
    KNOXVILLE,TN37950     		N/A 501(C)(3) 509(A)(1) TO PREPARE YOUNG PEOPLE TO MAKE ETHICAL CHOICES OVER THEIR LIFETIME THROUGH A YOUTH PROGRAM OF CHARACTER DEVELOPMENT AND VALUES-BASED LEADERSHIP TRAINING. 30,000
    CENTER FOR REPRODUCTIVE RIGHTS
    199 WATER STREET 22ND FLOOR
    NEW YORK,NY10038     		N/A 501(C)(3) 509(A)(1) TO USE THE POWER OF LAW TO ADVANCE REPRODUCTIVE RIGHTS AS FUNDAMENTAL HUMAN RIGHTS AROUND THE WORLD. 6,000
    COMMUNITY SCHOOL OF THE ARTS
    620 STATE STREET
    KNOXVILLE,TN37902     		N/A 501(C)(3) 509(A)(1) TO PROVIDE AFFORDABLE QUALITY INSTRUCTION IN THE VISUAL AND PERFORMING ARTS TO CHILDREN OF VARIED SOCIO ECONOMIC BACKGROUNDS IN KNOX COUNTY AND THE SURROUNDING REGION. 5,000
    CONSERVATION COLORADO EDUCATION FUND
    1536 WYNKOOP STREET SUITE 510
    DENVER,CO80202     		N/A 501(C)(3) 509(A)(1) TO PROTECT COLORADO'S CLIMATE, AIR, LAND, WATER, AND COMMUNITIES THROUGH ORGANIZING, ADVOCACY, AND EDUCATION. 5,000
    CONTEMPORARY ARTS CENTER
    900 CAMP ST
    NEW ORLEANS,LA70130     		N/A 501(C)(3) 509(A)(1) TO ORGANIZE, PRESENT AND TOUR CURATED EXHIBITIONS, PERFORMANCES AND PROGRAMS BY LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL ARTISTS. 20,000
    DEFENDERS OF WILDLIFE
    1130 17TH ST NW
    WASHINGTON,DC20036     		N/A 501(C)(3) 509(A)(2) TO PROTECT AND RESTORE IMPERILED SPECIES THROUGHOUT NORTH AMERICA BY TRANSFORMING POLICIES AND INSTITUTIONS AND PROMOTING INNOVATIVE SOLUTIONS. 40,000
    EAST TENNESSEE CHILDREN'S HOSPITAL
    2018 W CLLINCH AVE
    KNOXVILLE,TN37916     		N/A 501(C)(3) 509(A)(1) TO IMPROVE THE HEALTH OF CHILDREN. 30,000
    EMERALD YOUTH FOUNDATION
    1014 HEISKELL AVENUE
    KNOXVILLE,TN37921     		N/A 501(C)(3) 509(A)(1) SERVE URBAN YOUTH, ELEMENTARY THROUGH YOUNG ADULT UP TO APPROXIMATELY 25 YEARS OLD, THROUGH A COMPREHENSIVE AND CHRISTIAN MINISTRY OF GAITH, EDUCATION AND SPORTS PROGRAMS IMPLEMENTED THROUGH A NETWORK OF NEIGHBORHOOD CHURCHES. EMERALD YOUTH FOUNDATION'S PROGRAMS INCLUDE: JUST LEAD, A NEIGHBORHOOD MINISTRY MODEL WHICH IM BEDS YOUTH WORKERS TOGETHER WITH CHURCHES ACROSS THE CITY TO PROVIDE AFTERSCHOOL, DISCIPLESHIP, SUMMER AND MENTORING EXPERIENCES; EMERALD YOUTH FELLOWS, A PROGRAM IN WHICH A SELECT GROUP OF GRADUATING HIGH SCHOOL SENIORS ARE CHOSEN TO RECEIVE INTENSIVE MENTORING, CHRISTIAN LEADERSHIP TRAINING, AND COLLEGE/CAREER GUIDANCE TO HELP THEM TRANSITION INTO POST-SECONDARY TRAINING AND HELP THEM MOVE INTO THEIR PROFESSIONAL LIVES AND SERVANT LEADERSHIP ROLES; AND EMERALD YOUTH SPORTS, A COLLABORATION BETWEEN THE FOUNDATION AND FELLOWSHIP OF CHRISTIAN ATHLETES THAT PROVIDES CARING CHRISTIAN MINISTRY AND PRE-GAME DEVOTIONALS, ALONG WITH HIGH QUALITY CLINIC 20,000
    EPIC FOUNDATION
    396 W BROADWAY
    NEW YORK,NY10012     		N/A 501(C)(3) 509(A)(1) TO SUPPORT DOMESTIC AND FOREIGN CHARITABLE AND NON-GOVERNMENTAL ORGANIZATIONS WHICH ARE FOCUSED ON CHILD DEVELOPMENT AND WELFARE. 30,000
    FARM SANCTUARY
    PO BOX 150
    WATKINS GLEN,NY14891     		N/A 501(C)(3) 509(A)(1) TO PROTECT FARM ANIMALS FROM CRUELTY, INSPIRE CHANGE IN THE WAY SOCIETY VIEWS AND TREATS FARM ANIMALS, AND PROMOTE COMPASSIONATE VEGAN LIVING. 22,000
    HAPPY DOG RANCH FOUNDATION
    7811 W TITAN ROAD
    LITTLETON,CO80125     		N/A 501(C)(3) 509(A)(1) TO PROVIDE EQUINE ASSISTED THERAPY AND INSTRUCTION, AS WELL AS LIFE-SKILLS TRAINING AND VOCATIONAL EDUCATION FOR INDIVIDUALS WITH SPECIAL NEEDS. 3,000
    KID SMART
    2533 COLUMBUS ST SUITE 201
    NEW ORLEANS,LA70119     		N/A 501(C)(3) 509(A)(2) INTEGRATING THE ARTS INTO THE CLASSROOM. 10,000
    KISS THE GROUND
    PO BOX 515381 PMB 63508
    LOS ANGELES,CA900516681     		N/A 501(C)(3) 509(A)(1) TO PROMOTE, RAISE AWARENEWSS AND EDUCATE ABOUT KEY ENVIRONMENTAL ISSUES, INCLUDING SOIL HEALTH, GLOBAL WARMING, AND NUTRITION. 5,000
    KNOX YOUTH SPORTS INC
    PO BOX 52363
    KNOXVILLE,TN37950     		N/A 501(C)(3) 509(A)(2) TO ORGANIZE AND OPERATE BASEBALL, SOFTBALL, AND BASKETBALL LEAGUES FOR CHILDREN AGES 4-12. 5,000
    KNOXVILLE MUSEUM OF ART
    1050 WORLDS FAIR PARK DRIVE
    KNOXVILLE,TN37916     		N/A 501(C)(3) 509(A)(2) TO PRESENT ART DISPLAYS WHICH REPRESENT DIVERSE CULTURES, PERIODS, STYLES AND MEDIAS. 25,000
    KNOXVILLE OPERA COMPANY
    612 E DEPOT AVE
    KNOXVILLE,TN37917     		N/A 501(C)(3) 509(A)(1) TO PERFORM OPERA AND MUSICALS. 5,000
    KNOXVILLE ZOOLOGICAL GARDENS INC
    PO BOX 6040
    KNOXVILLE,TN37914     		N/A 501(C)(3) 509(A)(2) TO CELEBRATE THE WONDERS OF THE NATURAL WORLD. THROUGH EDUCATION, CONSERVATION, EXHIBITION, RESEARCH AND RECREATION, THE ZOO WILL TELL THE STORIES OF THE ANIMALS, THE PLANTS AND THE PEOPLE WHO MAKE UP THE COMMUNITIES OF THE EARTH. 6,000
    NEW ORLEANS AIRLIFT
    1031 PIETY ST
    NEW ORLEANS,LA70117     		N/A 501(C)(3) 509(A)(1) TO INSPIRE WONDER, CONNECT COMMUNITIES AND FOSTER OPPORTUNIITES THROUGH ARTS EDUCATION AND THE CREATION OF PUBLIC ARTWORKS. 20,000
    OCEANA INC
    1025 CONNECTICUT AVE NW SUITE 200
    WASHINGTON,DC20036     		N/A 501(C)(3) 509(A)(1) RESTORE AND PROTECT THE OCEAN ABUNDANCE. 8,000
    PLANNED PARENTHOOD FEDOF AMERICA INC
    PO BOX 97166
    WASHINGTON,DC200907166     		N/A 501(C)(3) 509(A)(1) TO PROVIDE COMPREHENSIVE REPRODUCTIVE HEALTH CARE SVCS, ADVOCATE FOR PUBLIC POLICIES AND ENSURE ACCESS TO SVCS AND PROVIDEE SEX EDUC. TO ENHANCE UNDERSTANDING OF HUMAN SEXUALITY. 6,000
    REVISION
    3800 MORRISON ROAD
    DENVER,CO80219     		N/A 501(C)(3) 509(A)(1) TO WORK WITH PEOPLE IN ECONOMICALLY MARGNALIZED NEIGHBORHOODS TO DEVELOP RESIDENT LEADERS, CULTIVATE COMMUNITY FOOD SYSTEMS, AND CREATE AN ECONOMY OWNED BY THE COMMUNITY. 3,000
    SECOND HARVEST FOOD BANK OF EAST TN
    136 HARVEST LANE
    MARYVILLE,TN37801     		N/A 501(C)(3) 509(A)(1) TO LEAD OUR COMMUNITY IN THE FIGHT TO END HUNGER. 10,000
    SEQUOYAH ELEMENTARY FOUNDATION
    PO BOX 11709
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(1) TO FUND INITIATIVES AND INFRASTRUCTURES OF SEQUOYAH ELEMENTARY SCHOOL INCLUDING UPGRADING COMPUTERS, UPGRADING SCHOOL SECURITY, PROVIDING AFTER-SCHOOL ARTS AND LANGUAGE PROGRAMS AND IMPROVING THE PLAYGROUND, ALL TO ENHANCE THE CORE CURRICULUM OF THE SCHOOL. 2,500
    SISTERREACH
    2811 CLARKE ROAD
    MEMPHIS,TN38115     		N/A 501(C)(3) 509(A)(1) WOMENS REPRODUCTIVE JUSTICE SUPPORTING REPRODUCTIVE AUTONOMY FOR WOMEN. 3,000
    SJOGREN'S FOUNDATION
    10701 PARKRIDGE BLVD SUITE 170
    RESTON,VA20191     		N/A 501(C)(3) 509(A)(1) TO CREATE A COMMUNITY WHERE PATIENTS, HEALTHCARE PROFESSIONALS AND RESEARCHERS COME TOGETHER TO CONQUER THE COMPLEXITITES OF SJOGREN'S. 3,500
    SON OF A SAINT
    701 POYDRAS ST
    NEW ORLEANS,LA70139     		N/A 501(C)(3) 509(A)(1) A NON-PROFIT ORGANIZATION FORMED TO ENHANCE THE LIVES OF FATHERLESS BOYS THROUGH MENTORSHIP, EMOTIONAL SUPPORT, DEVELOPMENT OF LIFE SKILLS, EXPOSURE TO CONSTRUCTIVE EXPERIENCES AND FORMATION OF POSITIVE, LASTING PEER-TO- PEER RELATIONSHIPS. WE SERVE THE NEW ORLEANS METRO AREA. WE ACHIEVE OUR MISSION THROUGH BEHAVIORAL HEALTH, RECREATIONAL ACCESS, GROUP AND ONE ON ONE MENTORSHIP, BROADENING OF HORIZONS, TUTORING AND TUITION ASSISTANCE. 5,000
    SURFRIDER FOUNDATION
    PO BOX 73550
    SAN CLEMENTE,CA92673     		N/A 501(C)(3) 509(A)(2) TO PRESERVE BEACH ACCESS, PREVENT BEACH LOSS, PROTECT SPECIAL PLACES AND ELIMINATE PLASTIC AND WATER POLLUTION. 8,000
    TELLURIDE COUNCIL FOR THE ARTS
    600 MAIN ST
    OURAY,CO81427     		N/A 501(C)(3) 509(A)(2) PROVIDES SERVICES TO ELEVATE THE ARTS IN THE REGION THROUGH FOUR MAIN AREAS THAT SUPPORT ARTISTS, PROMOTE ALL OF THE ARTS AND CULTURAL ACTIVITIES, EVENTS, INSTITUTIONS, ELEVATE CULTURAL PROGRAMMING THROUGH EXHIBITIONS AND EVENTS, AND EXPAND ACCESS TO THE ARTS 10,000
    US BIENNIAL INC (AKA PROSPECT NEW ORLEANS)
    PO BOX 58800
    NEW ORLEANS,LA70158     		N/A 501(C)(3) 509(A)(1) CITYWIDE CONTEMPORARY ART TRIENNIAL. EVERY THREE YEARS, WE BRING NEW ART TO AN OLD CITY BY INVITING ARTISTS FROM ALL OVER THE WORLD TO CREATE PROJECTS IN A WIDE VARIETY OF VENUES SPREAD THROUGHOUT NEW ORLEANS. EACH ITERATION OF PROSPECT IS ORGANIZED BY A LEADING VOICE IN THE CURATORIAL FIELD. FOR RESIDENTS AND VISITORS ALIKE, PROSPECT IS AN INVIATATION TO EXPERIENCE THE CITY THROUGH THE EYES OF ARTISTS. 5,000
    WEBB SCHOOL OF KNOXVILLE
    9800 WEBB SCHOOL DRIVE
    KNOXVILLE,TN37923     		N/A 501(C)(3) 509(A)(1) TO FULLY NURTURE THE POTENTIAL OF EACH INDIVIDUAL AND TO PREPARE OUR STUDENTS TO SERVE AS LEADERS IN TOMORROW'S WORLD. THIS PREPARATION EMPHASIZES THE DEVELOPMENT OF CRITICAL, CREATIVE, AND SOCIALLY CONSCIOUS THINKING; A STRONG SENSE OF HONOR AND PERSONAL INTEGRITY; THE ABILITY TO INTERACT WITH OTHERS IN A RESPECTFUL AND PRODUCTIVE MANNER; AND THE DESIRE TO MAKE A CONTRIBUTION TO THE WORLD COMMUNITY. 25,000
    WESTERN RESOURCE ADVOCATES
    2260 BASELINE ROAD STE 200
    BOULDER,CO80302     		N/A 501(C)(3) 509(A)(1) PROTECTS THE WEST'S LAND, AIR & WATRE TO ENSURE VIBRANT COMMUNITIES EXIST IN BALANCE WITH NATURE. 8,000
    YELLOWHAMMER FUND
    PO BOX 2269
    TUSCALOOSA,AL35403     		N/A 501(C)(3) 509(A)(1) AN ABORTION FUND AND REPRODUCTIVE JUSTICE ORGANIZATION SERVING ALABAMA AND THE DEEP SOUTH. WE ENVISION A SOCIETY IN WHICH REPRODUCTIVE DECISIONS ARE MADE FREE FROM COERCION, SHAME, OR STATE INTERFERENCE, A SOCIETY IN WHICH INDIVIDUALS AND COMMUNITIES HAVE AUTONOMY IN MAKING HEALTHY CHOICES REGARDING THEIR BODIES AND THEIR FUTURES. WE COMMIT OURSELVES TO COMMUNITY EDUCATION AND EMPOWERMENT, POLICY ADVOCACY, AND THE DEVELOPMENT OF SYSTEMS OF MUTUAL AID TO ENSURE THAT OUR FRIENDS, FAMILIES, AND NEIGHBORS NEVER GO WITHOUT THE THINGS THEY NEED. 3,000
    YOUNG-WILLIAMS ANIMAL CENTER OF EAST TN
    3201 DIVISION ST
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(1) TO SERVE OUR COMMUNITY THROUGH INNOVATIVE APPROACHES TO SHELTERING, PLACEMENT, AND SPAYING/NEUTERING OF ANIMALS, AS WELL AS THROUGH PUBLIC EDUCATION ABOUT ANIMAL WELFARE. 8,000
    Total .................................bullet 3a 405,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 ............     		523000 2,140 18 16,628  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INVESTMENT     		523000 466 14 155  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 2,699 52,202 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    54,901
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    AHB FOUNDATION INC
    C/O STEINER & ELLIS PLLC
    Employer identification number

    62-1867424
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    AHB FOUNDATION INC
    C/O STEINER & ELLIS PLLC         		Employer identification number
    62-1867424
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    ANN HASLAM BAILEY
    806 SCENIC DRIVE
     
    KNOXVILLE, TN37919

    		$ 425,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    AHB FOUNDATION INC
    C/O STEINER & ELLIS PLLC         		Employer identification number

    62-1867424
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    AHB FOUNDATION INC
    C/O STEINER & ELLIS PLLC         		Employer identification number

    62-1867424
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 11,500 11,500   0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    HASLAM FOUNDATIONS PARTNERSHIP   PURCHASED     2,140   COST 0 2,140  

    TY 2021 OtherAssetsSchedule
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    HASLAM FOUNDATIONS PARTNERSHIP 1,702,837 1,746,375 2,037,839


    TY 2021 OtherDecreasesSchedule
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Description Amount
    ROUNDING ADJUSTMENT 4


    TY 2021 OtherExpensesSchedule
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK CHARGES 261 0   261
    LICENSES 20 0   20
    SECTION 59(E)(2) EXPENDITURES 20 20   0
    NONDEDUCTIBLE EXPENSES 5 0   0
    OTHER DEDUCTIONS 10,385 10,034   0
    ROYALTY EXPENSE 1 1   0
    SECTION 179 DEDUCTION 1 1   0
    TRADER EXPENSES 26 26   0
    SECTION 743(B) NEGATIVE ADJUSTMENTS 9 9   0


    TY 2021 OtherIncomeSchedule2
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INVESTMENT 621 155 621


    TY 2021 TaxesSchedule
    Name:
    AHB FOUNDATION INC
     
    C/O STEINER & ELLIS PLLC
    EIN:
    62-1867424
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN 8 11   0
    STATE AND LOCAL 340 340   0
    EXCISE TAX ON INVESTMENT INCOME 1,100 1,100   0