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Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter Social Security numbers on this form as it may be made public. Information about Form 990 and its instructi ons is at /form990. A For the 2013 calendar year or tax year beg innin g Jul 1 20 B Check if applicable C Name of organization Tennessee State Universi ty Foundation q Address change Doing Business As q Name change Number and street (or P.O box if mail is not delivered to street address) q Initial return 3500 John A Merritt Blvd, Box 9542 q Terminated City or town, state or province, country, and ZIP or foreign postal code q Amended return Nashville TN 37209-1561 q Application pending F Name and address of principal officer I Tax-exem pt status 21501 (c)(3) q 501 c ) A (insert no.) q 4947 a 1 J Website: www.tnstate.edu/foundation K Form of oroanizathon n Corporation F-1 Trust F1 Association M Other OMB No 1545-0047 20013 id ending June 30 , 20 14 D Employer identification number 23-7105693 Room/sude E Telephone number 615-963-5481 G Gross receipts $ 3,673,3 Hla) Is this a group return for subordinates? q Yes q No H(b) Are all subordinates included? q Yes q No or q 527 If "No,* attach a list . (see instructions) H(c) Group exemption number L Year of formation 1970 M State of legal domicile: TN Summary 1 Briefly describe the organization's mission or most significant activities: To promote and support literacy,-scientific, educational , scholarship , research , charitable and-dev_elopmentalpurposesand Is at Tennessee State University. a 0 2 ----------------------------------------------------------------------------------------------------------- Check this box q if the organization discontinued its operations or disposed ----------------------------- of more than 25% of -------------------------------- its net assets. ty 3 Number of voting members of the governing body (Part VI, line 1 a) . . . . . . . . . 3 21 c6 4 Number of independent voting members of the governing body (Part VI, line 1 b) . . . . 4 0 5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) . . . . . 5 0 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . 6 21 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a 0 b Net unrelated business taxable income fro - ine 34 7b 0 ^' Prior Year current Year 8 =^^ Contributions and grants (Part VIII, line 1 h) u^ 4,395 , 180 3 , 673,352 m 9 Program service revenue (Part VIII, line 2g N 00 10 Investment income (Part VIII, column (A), I rig 3, 4," a A 2014 3,549, 373 6, 251 , 849 11 Other revenue (Part VIII, column (A), lines , c, 10c, and 1 12 t l dd l 8 th h 11 t T 12 ) revenue-a ines roug (m eq o a 7,944 553 9, 925 , 201 13 Grants and similar amounts paid (Part IX, co um 965 , 442 1 , 694,495 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . w 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 16a Professional fundraising fees (Part IX, column (A), line 1le) . . . . . . C b Total fundraising expenses (Part IX, column (D), line 25) ------ ---- ---- ---- ---- -- 17 - - - - - Other expenses (Part IX, column (A), lines 11 a-11 d, 111f-24e) 889124 884 053 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . 1 , 854 , 566 2, 57 8, 548 19 Revenue less ex penses. Subtract line 18 from line 12 6,089 987 7346 653 6 s4 ^5 Beginning of Current Year End of Year 20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . 56,038,114 63 , 543,982 21 Total liabilities (Part X, line 26) . . 34 242 193,457 Zi 22 Net assets or fund balances. Subtract line 21 from line 20 56003 872 63 350,525 I&M Signature Block Under penalties of per)ury , I declare that I h e examined true , correct , and corn J `aration of (other Sign I re of officer Here ' - Type or ' nt name and title Paid Print/Type preparer's name Preparer Use Only Firm's name Firm's address May the IRS discuss this return with the prepa including accompanying schedules and statements, and to the best of my knowledge and belief, it is is based on all information of which preparer has any knowledge t5 Preparer' s signature shown above? i-or raperworx iseaucoon Act nonce , see me separate insu'ucuons.

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Page 1: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Form 990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

► Do not enter Social Security numbers on this form as it may be made public.

► Information about Form 990 and its instructions is at /form990.

A For the 2013 calendar year or tax year beginning Jul 1 20

B Check if applicable C Name of organization Tennessee State University Foundation

q Address change Doing Business As

q Name change Number and street (or P.O box if mail is not delivered to street address)

q Initial return 3500 John A Merritt Blvd, Box 9542

q Terminated City or town, state or province, country, and ZIP or foreign postal code

q Amended return Nashville TN 37209-1561

q Application pending F Name and address of principal officer

I Tax-exempt status 21501 (c)(3) q 501 c ) A (insert no.) q 4947 a 1

J Website: ► www.tnstate.edu/foundation

K Form of oroanizathon n Corporation F-1 Trust F1 Association M Other ►

OMB No 1545-0047

20013

id ending June 30 , 20 14D Employer identification number

23-7105693

Room/sude E Telephone number

615-963-5481

G Gross receipts $ 3,673,3

Hla) Is this a group return for subordinates? q Yes q No

H(b) Are all subordinates included? q Yes q No

or q 527 If "No,* attach a list . (see instructions)

H(c) Group exemption number ►

L Year of formation 1970 M State of legal domicile: TN

Summary1 Briefly describe the organization's mission or most significant activities: To promote and support literacy,-scientific,

educational , scholarship, research , charitable and-dev_elopmentalpurposesand Is at Tennessee State University.a

0 2-----------------------------------------------------------------------------------------------------------Check this box ►q if the organization discontinued its operations or disposed

-----------------------------of more than 25% of

--------------------------------its net assets.

ty 3 Number of voting members of the governing body (Part VI, line 1 a) . . . . . . . . . 3 21c6 4 Number of independent voting members of the governing body (Part VI, line 1 b) . . . . 4 0

5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) . . . . . 5 06 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . 6 217a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a 0

b Net unrelated business taxable income fro - ine 34 7b 0

^'

Prior Year current Year

8 =^^Contributions and grants (Part VIII, line 1 h) u^ 4,395 , 180 3 ,673,352

m 9 Program service revenue (Part VIII, line 2g N

00 10 Investment income (Part VIII, column (A), I rig 3, 4," a A 2014 • 3,549, 373 6, 251 ,849

11 Other revenue (Part VIII, column (A), lines , c, 10c, and 1

12t l dd l 8 th h 11 tT12 )revenue-a ines roug (m eqo a 7,944 553 9,925 , 20113 Grants and similar amounts paid (Part IX, co um 965, 442 1 , 694,495

14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . .

w 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)

16a Professional fundraising fees (Part IX, column (A), line 1le) . . . . . .

C b Total fundraising expenses (Part IX, column (D), line 25) ►------ ---- ---- ---- ---- --17 - - - - -Other expenses (Part IX, column (A), lines 11 a-11 d, 111f-24e) 889124 884 053

18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . 1 , 854 , 566 2, 57 8, 54819 Revenue less expenses. Subtract line 18 from line 12 6,089 987 7346 653

6 s4

^5

Beginning of Current Year End of Year

20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . 56,038,114 63 , 543,982

21 Total liabilities (Part X, line 26) . . 34 242 193,457

Zi 22 Net assets or fund balances. Subtract line 21 from line 20 56003 872 63 350,525I&M Signature BlockUnder penalties of per)ury , I declare that I h e examinedtrue , correct , and corn J `aration of (other

Sign I re of officer

Here ' -Type or ' nt name and title

PaidPrint/Type preparer's name

PreparerUse Only Firm's name ►

Firm's address ►May the IRS discuss this return with the prepa

including accompanying schedules and statements, and to the best of my knowledge and belief, it isis based on all information of which preparer has any knowledge

t5

Preparer's signature

shown above?

i-or raperworx iseaucoon Act nonce , see me separate insu'ucuons.

Page 2: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Forth 990 (2b13) Page 2

Uj= Statement of Program Service Accomplishments

Check if Schedule 0 contains a response or note to any line in this Part III . . . . . . . . . . . . . q

1 Briefly describe the organization's mission:

To promote and support literacy,_ scientifc , educational. scholarship, research,_charitable and_developmentalpurposes and_goals

at Tennessee State University- - --------- --------- --------- --------- --------- - --------- ------- --------- ------------

2 Did the organization undertake any significant program services during the year which were not listed on theprior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes 0 NoIf "Yes," describe these new services on Schedule 0.

3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices? q Yes Q NoIf "Yes," describe these changes on Schedule 0.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured byexpenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ 1,694 ,495 including grants of $ ) (Revenue $ )

Scholarship aid_to individual students attending Tennessee State -University_and other academic gifts andawards-__________________- - - - - - - - - - - - - --- ---

4b (Code: ) (Expenses $ 732,652 including grants of $ ) (Revenue $

Other general support to Tennessee State University___________________________

4c (Code: _______________ ) (Expenses $----------- --151,401 including grants of $ ------------------------- ) (Revenue $Grants to Tennessee State_Univ_ersity

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

4d Other program services (Describe in Schedule 0.)(Expenses $ including grants of $ ) (Revenue $

4e Total orooram service expenses ► 2,578,548

Form 990 (2013)

Page 3: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Form 990 (2013) Page 3

Checklist of Required SchedulesYes No

1 Is the organization described in section 501(c)(3) or 4947(aXl) (other than a private foundation)? If "Yes,"complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . . . 2 33 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . . . 3 34 Section 501 (c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)

election in effect during the tax year? If "Yes," complete Schedule C, Part// . . . . . . . . . . . 4 3

5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, 3Part /II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donorshave the right to provide advice on the distribution or investment of amounts in such funds or accounts? If"Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . 6 3

7 Did the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part 11 . . . 7 3

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"complete Schedule D, Part 111 . . . . . . . . . . . . . . . . . . . . . . . . . . 8 3

9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as acustodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, ordebt negotiation services? If "Yes," complete Schedule D, Part /V . . . . . . . . . . . . . . 9

10 Did the organization, directly or through a related organization, hold assets in temporarily restrictedendowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V . . 10 3

11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable. W1a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"

complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . 11 a 3b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . 11 b 3c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . 11c 3d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . 11de Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes," complete Schedule D, Part X 11e 3f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes," complete Schedule D, Part X . 11f 312a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete 3

Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . 12a

b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if" "

3the organization answered No to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . 12b

13 Is the organization a school described in section 170(b)(1)(A)(i)? If "Yes," complete Schedule E . . . . 13 314 a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . 14a 3

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,fundraising, business, investment, and program service activities outside the United States, or aggregateforeign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV. . . . . 14b 3

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to orfor any foreign organization? If "Yes," complete Schedule F, Parts 11 and IV . . . . . . . . . . . 15 3

16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or otherassistance to or for foreign individuals? If "Yes," complete Schedule F, Parts Ill and IV. . . . . . . . 16 3

17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services onPart IX, column (A), lines 6 and 11e? If Wes," complete Schedule G, Part I (see instructions) . . . . . 17 3

18 Did the organization report more than $15,000 total of fundraising event gross income and contributions onPart VIII, lines 1 c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . . . . . 18 3

19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?If "Yes," complete Schedule G, Part Ill . . . . . . . . . . . . . . . . . . . . . . . 19 3

20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . . . . . . 20a 3b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 20b

Form 990 (2013)

Page 4: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Form 990 (2b13) Page 4

UGM Checklist of Required Schedules (continued)Yes No

21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization orgovernment on Part IX, column (A), line 1? If "Yes,"complete Schedule 1, Parts 1 and Il . . . . . . . 21 3

22 Did the organization report more than $5,000 of grants or other assistance to individuals in the United Stateson Part IX, column (A), line 2? If "Yes," complete Schedule 1, Parts I and 111 . . . . . . . . . . . 22 v/

23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of theorganization's current and former officers, directors, trustees, key employees, and highest compensatedemployees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . 23 3

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24bthrough 24d and complete Schedule K. If "No,"go to line 25a . . . . . . . . . . . . . . . 24a 3

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . 24b 3c Did the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . 24c 3

d Did the organization act as an "on behalf or issuer for bonds outstanding at any time during the year? . . 24d 325a Section 501(c)(3) and 501 (c)(4) organizations. Did the organization engage in an excess benefit transaction

with a disqualified person during the year? If "Yes," complete Schedule L, Pant I . . . . . . . . . 2

b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prioryear, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-FZ?If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . 25b 3

26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to anycurrent or former officers, directors, trustees, key employees, highest compensated employees, ordisqualified persons? If so, complete Schedule L, Part II . . . . . . . . . . . . . . . . . 26 3

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlledentity or family member of any of these persons? If "Yes, " complete Schedule L, Part 111 . . . . . . . 27 3

28 Was the organization a party to a business transaction with one of the following parties (see Schedule L,Part IV instructions for applicable filing thresholds, conditions, and exceptions):

a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV . 28a 3b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28b 3c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV . . . 2

29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M 29 330 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M . . . . . . . . . . . . . . . . 3031 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 3

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . 32

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulationssections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I . . . . . . . . . . . 33

34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part 11, Ill,or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 3

35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . 35a 3b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2. . 35b3

36 Section 501(c)(3) organizations . Did the organization make any transfers to an exempt non-chantablerelated organization? If 'Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 36

3

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organizationand that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3

38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 b and19? Note. All Form 990 filers are required to complete Schedule 0 . . . . . . . . . . . . 38 3

Form 990 (2013)

Page 5: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Form 990(2013) Page 5

Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule 0 contains a response or note to any line in this Part V . q

Yes No

la Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . la

b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . 1bc Did the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c 32a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return 2a

b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b

Note. If the sum of lines la and 2a is greater than 250, you may be required to e-file (see instructions)

3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . 3a 3

b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule 0 . . 3b

4a At any time during the calendar year, did the organization have an interest in, or a signature or other authorityover, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 3

b If "Yes," enter the name of the foreign country: ► __-- --__ --------------------------------------------------------------------See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . 5a 3

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b 3c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 5c

6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the

organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . 6a 3

b If "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 6b7 Organizations that may receive deductible contributions under section 170(c).a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods

and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . 7a 3

b If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . 7b 3c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c 3

d If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . 7d

e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e 3

f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . 7f 3

g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7gh If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h

8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting

organizations . Did the supporting organization, or a donor advised fund maintained by a sponsoringorganization, have excess business holdings at any time during the year? . . . . . . . . . . . 8

9 Sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 4966? . . . . . . . . . . . . 9a 3

b Did the organization make a distribution to a donor, donor advisor, or related person? . . . . . . . 9b 3

10 Section 501(c)(7) organizations . Enter:

a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10ab Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b

11 Section 501(c)(12) organizations . Enter:

a Gross income from members or shareholders . . . . . . . . . . . . . . . 11ab Gross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.) . . . . . . . . . . . . . . . 11b JI

12a Section 4947(a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041? 12ab If "Yes," enter the amount of tax-exempt interest received or accrued during the year. 12b

13 Section 501(c)(29) qualified nonprofit health insurance issuers.a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . 13a

Note. See the instructions for additional information the organization must report on Schedule 0.b Enter the amount of reserves the organization is required to maintain by the states in which

the organization is licensed to issue qualified health plans . . . . . . . . - 13bc Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c

14a Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . 14ab If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule 0 . 14b

Form 990 (2013)

Page 6: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Form 990 (2013) Page 6

LEM Governance , Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No"response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.Check if Schedule 0 contains a response or note to any line in this Part VI . q

Section A. Governing Body and ManagementYes No

la Enter the number of voting members of the governing body at the end of the tax year. . la 21If there are material differences in voting rights among members of the governing body, orif the governing body delegated broad authority to an executive committee or similarcommittee, explain in Schedule O.

b Enter the number of voting members included in line 1a, above, who are independent . lb 02 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 2

3 Did the organization delegate control over management duties customanly performed by or under the directsupervision of officers, directors, or trustees, or key employees to a management company or other person? 3

4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 3

5 Did the organization become aware during the year of a significant diversion of the organization's assets? . 5 3

6 Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . 6 37a Did the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body? . . . . . . . . . . . . . . . . . . . 7a

b Are any governance decisions of the organization reserved to (or subject to approval by) members,stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 7b

8 Did the organization contemporaneously document the meetings held or written actions undertaken duringthe year by the following:

a The govemmg body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 3

b Each committee with authonty to act on behalf of the governing body? . . . . . . . . . . . . 8b 39 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at

the organization's mailing address? If "Yes," provide the names and addresses in Schedule 0 . . . . . 9 3Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Y. No

10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . 10a 3

b If "Yes," did the organization have written policies and procedures governing the activities of such chapters,affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b

11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? 11 a 3b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990.

12a Did the organization have a written conflict of interest policy? If "No,"go to line 13 . . . . . . . 12a 3b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 12b 3c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule 0 how this was done . . . . . . . . . . . . . . . . . . . . . . 12c 3

13 Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . 13 314 Did the organization have a written document retention and destruction policy? . . . . . . . . . 14 3

15 Did the process for determining compensation of the following persons include a review and approval byindependent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

a The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . 15a 3b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . 15b 3

If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions).16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity dunng the year? . . . . . . . . . . . . . . . . . . . . . . . . 16a 3b If "Yes," did the organization follow a wntten policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . 16b

Section C. Disclosure17 list the states with which a copy of this Form 990 is required to be filed ► Tennessee

--------------------------------=-------------------------------18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)

available for public inspection. Indicate how you made these available. Check all that apply.

q Own website [J Another's website Upon request q Other (explain in Schedule 0)19 Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, conflict of interest policy, and

financial statements available to the public during the tax year20 State the name, physical address, and telephone number of the person who possesses the books and records of the

organization : ► 3500 John A Merritt Blvd. Box 9542 Nashville . TN 37209. 615-963-5481

Form 990 (2013)

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Form 990 (2013) Page 7

Compensation of Officers, Directors , Trustees , Key Employees, Highest Compensated Employees, andIndependent ContractorsCheck if Schedule 0 contains a response or note to any line in this Part VII . q

Section A. Officers, Directors , Trustees, Key Employees , and Highest Compensated Employeesla Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

• List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

• List all of the organization' s current key employees, if any. See instructions for definition of "key employee."• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)

who received reportable compensation (Box 5 of Form W-2 and/or Box .7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

• List all of the organization' s former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

• List all of the organization 's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

q Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.(C)

(S)Position

(D)(do not check more than one

Name and Title Average box, unless person is both an Reportable Reportable Estimated

hours Per officer and a director/trustee) compensation compensation from amount ofeek fist an

' ofrom related other

hours for ao the organizations compensation

related $

1

m o m`^

organization (W-2/1099-MISC) from theorganization w o (W-2J1099 MISC) organizationbelow dotted

2m 3 and related

line) „mm

qaa

m m

mCL

organizations

(1) Dwayne Tucker-------------------------------------- -------------

Chair .25 3 3

(2) Michael Holmes-- - ------------------------------------------------------------ -------------Vice Chair .25 3 3

--(3)-Amos-Otis------------------------------------------------------------- -------------Treasurer .25 3 3

A4.) Jamye Merritt

Secrete .25 3 3

- ------------Trustee .25 3

(6)-Robert ChurchwellAM-Robert

.25 3

(7) Dwight Beard------------------------------------------ -------------

Trustee .25 3

J8) Charles McTorry-------------------------------------Trustee .25 3

(9) Harvey Hoskins------------------------------------- -------------

Trustee .25 3

(1-0)-Harold-Love,-Jr---------------------------------------- - - ------------- -Trustee .25 3

(11) Roderick J. Glatt----------------------------------------------------------------- -------------Trustee .25 3

(12) Kevin Williams- ------------------------------------------------------------ -------------

Trustee .25 3

(13) Wade Hinton----------------------------------------------------------------- -------------Trustee .25 3

(14) Thomas Gaiter------------------------------------------------------------- -------------

Trustee .25 3

Form 990 (2013)

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Form 990 (2013) Page 8

Section A. Officers. Directors. Trustees. Kev Emolovees. and Hiahest Compensated Emnlovees (continued)

(C)

^)Position

(C)(do not check more than oneName and title Average box, unless person is both an Reportable Reportable Estimated

hours per officer and a director/trustee) compensation compensation from amount ofweek (list an from related other

hours for o m3

the organizations compensationrelated m n m a o 0 m organization (W-211099 from the

organization 2 m°

. .0 (W-2/1099 MISC) organizationbelow dotted - - 3 and related

line) yo

N

N

0

m m7

d

d

organizations

(1 Joseph-Cleveland- ---------------------------------------- -------------

Trustee .25 3

(1-6)

-Carietta J.

-Harland

--------------------------------------------------------------Trustee .25 3

(17)Ton. Wells

Trustee .25 3

(1-8)

-R.

-Tanya Watson

----------- ------------------------------------- -------------Trustee .25 3

(1-9)

-Alvin

-Crawford

-------------------------------------------------------------- -------------Trustee .25 3

(20)-William

-Freeman

--------------------------------------------------------------- -------------Trustee .25 3

(21)-Charles west

---------------------------------------------------------------- -------------Trustee .25 3

(22)----------------------------------------------------------------- -------------

(23)----------------------------------------------------------------- -------------

(24)----------------------------------------------------------------- -------------

()----------------------------------------------------------------- -------------

1 b Sub-total . . . . . . . . . . . . . . . . . . . . . ►c Total from continuation sheets to Part VII, Section A . . . . . ►d Total (add lines 1b and 1c) . . ►

2 Total number of individuals (Including but not limited to those listed above) who received more than $100.000 ofreportable compensation from the organization ► p

Yes No3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated

employee on line 1a? If "Yes,"complete Schedule J for such individual . . . . . . . . . . . . 3

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If Wes," complete Schedule J for suchindividual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If Wes, " complete Schedule J for such person . . . . . . 5

Section B. Independent Contractors1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of

compensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A) (B) (c)Name and business address Description of services Compensation

2 Total number of independent contractors (including but not limited to those listed above) whoreceived more than $100,000 of compensation from the organization ►

Form YWJU (2013)

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Form 990 0013) Page 9

Statement of RevenueCheck if Schedule 0 contains a response or note to any line in this Part VIII . . q

cv nTotal revenue Related or Unrelated Re ee ue

exempt business excluded from taxfunction revenue under sectionsrevenue 512-514

.4-1c c la Federated campaigns . . . la

o b Membership dues . . . . lbEa c Fundraising events . . . . 1c

d Related organizations . . . Idu .E e Government grants (contributions) le 43,674o f All other contributions, grits, grants,

« and similar amounts not included above if 3 629 678, ,

g Noncash contributions included in lines la-1f: $

ci m---------------------

h Total. Add lines 1a-1f . ► 3 ,673 , 352Business Code

2a-------------------------------------------------

cc b--------------------------------------------- --- -

c

in d -------------------------------------------------E e

- -- ------- ----------------------- --- ----- -- - -- - - -f All other program service revenue.

CL g Total . Add lines 2a-2f . ►3 Investment income (including dividends, interest,

and other similar amounts) . . . . . . . ► 6 251849 6, 251 ,489

4 Income from investment of tax-exempt bond proceeds Pp-5 Royalties . . ►

O Real (ii) Personal

6a Gross rents .b Less: rental expensesc Rental income or (loss)

d Net rental income or (loss) . ►7a Gross amount from sales of f Securities (ii) Other

assets other than inventory

b Less: cost or other basisand sales expenses

c Gain or (loss)d Net gain or (loss) . . . . . ►

8a Gross income from fundraisingevents (not including $

of contributions reported on line 1c)

CD See Part IV, line 18 . . . . . a

b Less: direct expenses . . . . bc Net income or (loss) from fundraising events ►

9a Gross income from gaming activities.See Part IV, line 19 . . . . . a

b Less: direct expenses . . . . b Jc Net income or (loss) from gaming activities . . ►

_

10a Gross sales of inventory, lessreturns and allowances . . . a

b Less: cost of goods sold . . . bc Net income or (loss) from sales of inventory . . ►

Miscellaneous Revenue Business Code

-118-------------------------------------------------

- - - -b

------------------------------ -------------------c

-------------------------------------------------d All other revenue . . . . .e Total. Add lines 11a-11d . . . . . . . . ►

12 Total revenue. See instructions. . ► 9 ,925 , 201 6, 251 ,489Form 990 (2013)

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Forth 990 (013) Page 10

Section 501(c)(3) and 501(c)(4) organizations must comAlete all columns. All other organizations must complete column (A).

Check if Schedule 0 contains a response or note to any line in this Part IX . q

Do not include amounts reported on lines 6b, 7b,8b 9b and 106 of Para Vlll., ,

(A)Total expenses

(8)Program service

expenses

(C)Management andgeneral expenses

(D)Fundraisingexpenses

1 Grants and other assistance to governments andorganizations in the United States. See Part IV, line 21 151 ,401 151 ,401

2 Grants and other assistance to individuals in

the United States. See Part IV, line 22 . . 1 ,694 ,495 1 ,694 ,495

3 Grants and other assistance to governments,organizations, and individuals outside theUnited States. See Part IV, lines 15 and 16

4 Benefits paid to or for members . . . .5 Compensation of current officers, directors,

trustees, and key employees . . . . .

6 Compensation not included above, to disqualifiedpersons (as defined under section 4958(f)(1)) andpersons described in section 4958(c)(3)(B) . .

7 Other salaries and wages . . . . . .8 Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions)

9 Other employee benefits . . . . . . .

10 Payroll taxes . . . . . . . . . .

11 Fees for services (non-employees):

a Management . . . . . . . . . .

b Legal . . . . . . . . . . . . .

c Accounting . . . . . . . . . . .

d Lobbying . . . . . . . . . . . .

e Professional fundraising services. See Part IV, line 17

f Investment management fees . . . . .g Other. (If line 11g amount exceeds 10% of line 25, column

(l) amount, list line 11g expenses on Schedule 0.) . .

12 Advertising and promotion . . . . . .

13 Office expenses . . . . . . . . .

14 Information technology . . . . . . .

15 Royalties . . . . . . . . . . . .

16 Occupancy . . . . . . . . . . .

17 Travel . . . . . . . . . . . . . 87,922 80,732 7,19018 Payments of travel or entertainment expenses

for any federal, state, or local public officials

19 Conferences, conventions, and meetings . 243 324 201,426 41,898

20 Interest . . . . . . . . . . . .

21 Payments to affiliates . . . . . . . .

22 Depreciation, depletion, and amortization .

23 Insurance . . . . . . . . . . . . 8,154 3,992 4,162

24 Other expenses. Itemize expenses not coveredabove (List miscellaneous expenses in line 24e. Ifline 24e amount exceeds 10% of line 25, column(A) amount, list line 24e expenses on Schedule 0.)

a Professional Services--- - ---------------- -- --------------- --

54,332 22 ,667 31,665- - ----------- - --- -- --

b Printing--------------------------------------------------- 43,504 33,937 9,567

c SuQpIies------------------------------------------------- 116,313 99 , 146 17,167

d------------------------------------------------------------

e All other expenses 179,103 109,850 69,25325 Total functional expenses. Add lines 1 through 24e 2. 578,548 2,397, 646 180,90226 Joint costs. Complete this line only if the

organization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation. Check here ► q iffollowing SOP 98-2 (ASC 958-720) .

Form 990 (2013)

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Form 990('2013) 11

Check if Schedule 0 contains a response or note to any line in this Part X . q

(A) (B)Beginning of year End of year

1 Cash-non-interest-bearing . . . . . . . . . . . . . . 4 133 251 1 4 ,066,394

2 Savings and temporary cash investments . . . . . . . . . . 2 979,033 2 2,985 289

3 Pledges and grants receivable, net . . . . . . . . . . . . 34 Accounts receivable, net . . . . . . . . . . . . . . . 20, 862 4 500

5 Loans and other receivables from current and former officers, directors,trustees, key employees, and highest compensated employees.Complete Part II of Schedule L . . . . . . . . . . . . . 5

6 Loans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers andsponsoring organizations of section 501(c)(9) voluntary employees' beneficiaryorganizations (see instructions). Complete Part li of Schedule L . . . . . . . 6

0 7 Notes and loans receivable, net . . . . . . . . . . . . . 7a 8 Inventories for sale or use . . . . . . . . . . . . . . . 8

9 Prepaid expenses and deferred charges . . . . . 910a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D 10ab Less: accumulated depreciation . . . . 10b 10c

11 Investments-publicly traded secunties . . . . . . . . . . 42,904 967 11 50, 491 ,79912 Investments-other securities. See Part IV, line 11 . . . . . . . 12

13 Investments-program-related. See Part IV, line 11 . . . . . . . 1314 Intangible assets . . . . . . . . . . . . . . . . . . 1415 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 6 000,000 15 6,000,00016 Total assets. Add lines 1 throug h 15 (must eq ual line 34) 56,038, 114 16 63 , 543 ,982

17 Accounts payable and accrued expenses . . . . . . . . . . 34,242 17 193 ,45718 Grants payable . . . . . . . . . . . . . . . . . . . 1819 Deferred revenue . . . . . . . . . . . . . . . . . . 1920 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 2021 Escrow or custodial account liability. Complete Part IV of Schedule D . 21

y 22 Loans and other payables to current and former officers, directors, ^trustees, key employees, highest compensated employees, and

M disqualified persons. Complete Part II of Schedule L . . . . . . 22

-- -

23 Secured mortgages and notes payable to unrelated third parties 2324 Unsecured notes and loans payable to unrelated third parties . 24

25 Other liabilities (including federal income tax, payables to related thirdparties, and other liabilities not included on lines 17-24). Complete Part Xof Schedule D . . . . . . . . . . . . . . . . . . . 0 25 0

26 Total liabilities . Add lines 17 throu gh 25 34 ,242 26 193 ,457Organizations that follow SFAS 117 (ASC 958), check here ► q andcomplete lines 27 through 29, and lines 33 and 34.

2to 27 Unrestricted net assets . . . . . . . . . . . . . . . . 7 098905 27 6,858,726c0co 28 Temporarily restricted net assets . . . . . . . . . . . . . 6,000,000 28 6,000,000

29 Permanently restricted net assets . . . . . . . . . . . . . 42,904 , 967 29 50 491,799LL Organizations that do not follow SFAS 117 (ASC 958), check here ► q and I

complete lines 30 through 34.o

J2 30 Capital stock or trust principal, or current funds . . . . . . . . 30y 31 Paid-in or capital surplus, or land, building, or equipment fund . . . 31a 32 Retained earnings, endowment, accumulated income, or other funds 32°'Z 33 Total net assets or fund balances . . . . . . . . . . . . . 56,003 , 872 33 63 350,525

34 Total liabilities and net assets/fund balances 56 038114 34 63M3,982Form 990 (2013)

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Form 990 P01 3) Page 12

JU^ Reconciliation of Net Assets

Check if Schedule 0 contains a response or note to any line in this Part XI . q

1 Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . 1 9.925,2012 Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . 2 2,578,5483 Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . 3 7,346,6534 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . . . 4 56,003 8725 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . 56 Donated services and use of facilities . . . . . . . . . . . . . . . . . 67 Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . 78 Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . 89 Other changes in net assets or fund balances (explain in Schedule 0) . . . . . . . . . 9

10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line

33, column ( B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 63, 350,525

Financial Statements and ReportingCheck if Schedule 0 contains a response or note to any line in this Part XII Q

Yes No

1 Accounting method used to prepare the Form 990: q Cash 0 Accrual q OtherIf the organization changed its method of accounting from a prior year or checked "Other," explain in

Schedule O.

2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . .If "Yes," check a box below to indicate whether the financial statements for the year were compiled orreviewed on a separate basis, consolidated basis, or both:

q Separate basis q Consolidated basis q Both consolidated and separate basisb Were the organization's financial statements audited by an independent accountant? . . . . . . .

If "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both:

q Separate basis q Consolidated basis q Both consolidated and separate basisc If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight

of the audit, review, or compilation of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain inSchedule O.

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . . . .

b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo therequired audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits.

3

2c

3bForm 9W (2013)

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w

SCHEDULE A Public Charity Status and Public SupportOMB No 1545-0047

(Form 990 or 990-EZ)2013Complete if the organization is a section 501(c)(3) organization or a section

4947(a)(1) nonexempt charitable trust

Department of the Treasury ► Attach to Form 990 or Form 990-E7- • • - • •Internal Revenue Service ► Information about Schedule A (Form 990 or 990-E2) and its instructions is at www.frs.gov/form990. • _ •

Name of the organization Employer identification number

must instructions.The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1 q A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

2 q A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)3 q A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).4 q A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:oru---------------niversity----own------ed---or------operated------------by

---ag-----ov-------ernmental-----------un--itd----------e--s-c--n- ----in-5 R] An organization operated for the benefit

----of

---a__c_o__1_1_e_g__e---

section 170(b)(1)(A)(iv ). (Complete Part II.)

6 q A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).7 q An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vi). (Complete Part II.)

8 q A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

9 q An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and grossreceipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% of itssupport from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

10 q An organization organized and operated exclusively to test for public safety. See section 509(a)(4).11 q An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the

purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section509(a)(3). Check the box that describes the type of supporting organization and complete lines 11 a through 11 h.

a q Type I b q Type II c q Type III-Functionally integrated d q Type III-Non-functionally integratede q By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons

other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1)or section 509(a)(2).

f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supportingorganization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q

g Since August 17, 2006, has the organization accepted any gift or contribution from any of thefollowing persons?

() A person who directly or indirectly controls, either alone or together with persons described in (ii) and Yes No(III) below, the governing body of the supported organization? . . . . . . . . . . . . . . ""9C1

(ii) A family member of a person described in () above? . . . . . . . . . . . . . . . . . 11goi)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? . . . . . . . . . . . . . »golh Provide the following information about the supported organization(s).

(1) Name of supportedorganization

(ii) EIN (iii) Type of organization(described on lines 1-9above or IRC section(see instructions))

(iv) is the organizationin col n listed in yourgoverning document?

(v) Did you notifythe organization in

col (1) of yoursupport?

(vi) Is theorganization in col.in organized in the

US?

(vi) Amount of monetarysupport

Yes No Yes No Yes No

(A)

(B)

(C)

(D)

(E)

Total

For Paperwork Reduction Act Notice , see the Instructions for Cat No.11285F Schedule A (Form 990 or 990-EZ) 2013Form 990 or 990EZ.

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Schedule A (Form 990 or 990-Q) 2013 Page 2

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart Ill. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

1 Gifts, grants, contributions, andmembership fees received. (Do notinclude any 'unusual grants.') . . . 2,823 244 2,367 , 219 2 , 979,865 4,395 , 180 3,673,352 16,238 860

2 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf . . . 0 0 0 o 0 0

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge . . . .

4 Total. Add lines 1 through 3 . . . . 2,823 244 2,367, 219 2, 979,865 4 , 395, 180 3,673 ,352 16,238,860

5 The portion of total contributions byeach person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amountshown on line 11, column (f). .

6 Public support. Subtract line 5 from line 4. 16 , 238 ,860Section B. Total SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 c) 2011 (d) 2012 (e) 2013 (f) Total7 Amounts from line 4 . . . . . . 2 823 244 2, 367 219 2 , 979, 865 4 , 395, 180 3,673 , 352 16,238,860

8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsources . . . . . . . . . . 1 ,807,439 5 , 333,396 740 , 897 3 , 549,373 6,251,849 17 682,954

9 Net income from unrelated business

activities, whether or not the businessis regularly camed on . . . . . o 0 0 0 0 0

10 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part IV.) . . . . . . . n n n n n

11 Total support. Add lines 7 through 10 33,921.81412 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . 1213 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ► q

Section C. Computation of Public Support Percentage14 Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) . . . . 14 47.9 %15 Public support percentage from 2012 Schedule A, Part II, line 14 . . . . . . . . . . 15 63.3 %16a 331/3% support test-2013. If the organization did not check the box on line 13, and line 14 is 331r3% or more, check this

box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . ►b 33'/3% support test-2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33',3% or more,

check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . ► q

17a 10%-facts-and-circumstances test-2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain inPart IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supportedorganization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► q

b 10%-facts-and-circumstances test-2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publiclysupported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► q

18 Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and seeinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► q

Schedule A (Form 990 or 990-EZ) 2013

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Schedule A (Form 990 or 990-2 ) 2013 Page 3

Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

1 Gifts, grants, contributions, and membership feesreceived (Do not include any 'unusual grants.')

2 Gross receipts from admissions, merchandisesold or services performed, or facilitiesfurnished in any activity that is related to theorganization's tax-exempt purpose . . .

3 Gross receipts from activities that are not anunrelated trade or business under section 513

4 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf . . .

5 The value of services or facilitiesfurnished by a governmental unit to theorganization 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 3received from other than disqualifiedpersons that exceed the greater of $5,000or 1 % of the amount on line 13 for the year

c Add lines 7a and 7b . . . . . .

8 Public support (Subtract line 7c fromline 6.) . . . . . . . . . . .

Section B. Total SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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 (lesssection 511 taxes) from businessesacquired after June 30, 1975 . . . .

c Add lines 1 Oa and 1Ob . . . . .

11 Net income from unrelated business

activities not included in line 1 Ob, 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 IV.) . . . . . . .

13 Total support. (Add lines 9, 10c, 11,and 12.) . . . . . . . . . .

14 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ► [

Section C. Computation of Public Support Percentage15 Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) . . . 15 %16 Public support percentage from 2012 Schedule A, Part III, line 15 16 %Section D. Computation of Investment Income Percentage17 Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) . . 17 %

18 Investment income percentage from 2012 Schedule A, Part III, line 17 . . . . . . . . 18 %

19a 33'/3% support tests-2013. If the organization did not check the box on line 14, and line 15 is more than 33'/3%, and line17 is not more than 331 a%, check this box and stop here. The organization qualifies as a publicly supported organization . ► q

b 33'/3% support tests-2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33'i%, andline 18 is not more than 33'ri%, check this box and stop here . The organization qualifies as a publicly supported organization ► q

20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ► q

Schedule A (Form 990 or 990-EZ) 2013

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Schedule A (Form 990 or 990-EZ) 2013 Page 4

Jjr&W Supplemental Information . Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; andPart 111, line 12. Also complete this part for any additional information. (See instructions).

Schedule A (Form 990 or 990-EZ) 2013

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A Donor B1'11 of Rights.L XPHILANTHROPY is based on voluntary action for the common good. It is a tradition

of giving and sharing that is primary to the quality of life. To assure that philanthropy

merits the respect and trust of the general public, and that donors and prospective

donors can have full confidence in the not-for-profit organizations and causes they are

asked to support, we declare that all donors have these rights:

I .To be informed of the organization's mission,

of the wail the organization intend to

use donated resoinres, and of its capacity to use

donations effectively for their intended purposes

II.To be informed of the identity of those serving

on the organizations governing board,

and to expect the board to exercise prudent judgernent

in its stewardship responsibilities

Til eTo have access to the organizations

most recent financial statements

IV.To be assured their gifts will be used for

the pu r poses for which they wet e gi (,en.

V.To i et ewe appropriate

acknowledgement and recognition

VI.To be assured that information about

their donat ions is handled with respect and with

confidentiality to th.c extent provided by late

VII.To expect that all relationships with

individuals representing organizations of interest

to the donor will be professional rn nature.

VIII.To be informed whether those seeking

donations are volunteers, employees of the

organization or lured solicitor s

TX.To have the opportunity for their

names to be deleted from mailing lists that

an organizations may intend to share.

X •

To feel free to ask questions when making

a donation and to receive prompt, truthful and

forthright answers.

D E V E L O P E D B Y

AMERIc.r. A---- of Fwm R,I_I,s C w,;EL )AAFRC1

A---N EDP HEncTMCoRo PE LerTror, (AHP)

C-CIL FOR AC-'EMENT n,D Sura,P- CF EDuLanorl (CASE)

Ass.-no + of Fu DRAlsmc P.crFCCIoSAL, I AFP,

E N D O R 5 E D B Y

ON EDRMA-IrN)

I-LPENDENr SECTOR

NATIONAL Cofl oLic DEVELOPMENT C014EEREN 'E (NCDC )

WTI. uL CDUMInEE on PEOOl ED G,. NO (NCPG)

CouM1_ cc, RESGckCE DC1ELC.RE-Ir (CRD)

UNITED Woo or Ah=FIC4

Please held us distribute tills louleh

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4

SCHEDULE D(Form 990)

Department of the TreasuryInternal Revenue Service

Supplemental Financial Statements► Complete if the organization answered "Yes," to Form 990,

Part IV, line 6, 7, 8, 9, 10, 1la, iib, 11c, 11d, 11e, 11f, 12a, or 12b.► Attach to Form 990.

► Information about Schedule D (Form 990) and its instructions is at www.irs.gov1fomi990.

Tennessee State University FoundationOrganizations Main1CorDlete if the oraar

OMB No 1545-0047

2013

23-71

Donor Advised Funds or Other Similar Funds or Accounts.answered "Yes" to Form 990, Part IV, line 6.

(a) Donor advised funds (b) Funds and other accounts

1 Total number at end of year . . . 1 02 Aggregate contributions to (during year) . 0 03 Aggregate grants from (during year) . . 0.00 0.004 Aggregate value at end of year . . . . 314,323 0.005 Did the organization inform all donors and donor advisors in wnting that the assets held in donor advised

funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . EI Yes q No6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used

only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purposeconferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . q Yes q No

Conservation Easements.Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

1 Purpose(s) of conservation easements held by the organization (check all that apply).q Preservation of land for public use (e.g., recreation or education) q Preservation of an historically important land areaq Protection of natural habitat q Preservation of a certified historic structureq Preservation of open space

2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year. Held at the end of the Tax Year

a Total number of conservation easements . . . . . . . . . . . . . . . . . 2ab Total acreage restricted by conservation easements . . . . . . . . . . . . . . 2bc Number of conservation easements on a certified historic structure included in (a) . . . . 2cd Number of conservation easements included in (c) acquired after 8/17/06, and not on a

historic structure listed in the National Register . . . . . . . . . . . . . . . 2d3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the

tax year ►-------------------------

4 Number of states where property subject to conservation easement is located ►----------------------

5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling ofviolations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . q Yes q No

6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year

7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year

----------------------8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)

(i) and section 170(h)(4)(B)(i)? . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No9 In Part XIII, descnbe how the organization reports conservation easements in its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that descnbes theorganization's accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

1a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide the following amounts relating to these items:

(i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . ► $(ii) Assets included in Form 990, Part X . . ► $

2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide thefollowing amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

a Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . ► $-----------------------------

b Assets included in Form 990, Part X . ► $For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 52283D Schedule 0 (Form 990) 2013

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Schedule D (Form 990) 2013 Page 2

Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its

collection items (check all that apply):

a q Public exhibition d q Loan or exchange programsb q Scholarly research e q Other

------------------------------------------------------------------c q Preservation for future generations

4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in PartXIII.

5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection ? q Yes q No

JIMM Escrow and Custodial Arrangements.Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form990, Part X, line 21.

1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No

b If "Yes," explain the arrangement in Part XIII and complete the following table:Amount

c Beginning balance . . . . . . . . . . . . . . . . . . . . . . 1cd Additions during the year . . . . . . . . . . . . . . . . . . . Ide Distributions during the year . . . . . . . . . . . . . . . . . . 1ef Ending balance . . . . . . . . . . . . . . . . . . . . . . . If2a Did the organization include an amount on Form 990, Part X, line 21 ? . . . . . . . . . . . . . q Yes q Nob If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII q

ffaaa Endowment Funds.Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

la Beginning of year balance . . .b Contributions . . . . . . .c Net investment earnings, gains, and

losses . . . . . . . . . .

d Grants or scholarships . . . .e Other expenditures for facilities and

programs . . . . . . . . .

f Administrative expenses . . .g End of year balance . . . .2 Provide the estimated percentage of the current year end balance (line 1 g, column (a)) held as:a Board designated or quasi-endowment ►

-- ----------------1%

b Permanent endowment 10- 99%

c Temporanly restricted endowment 10 %-------------------

The percentages in lines 2a, 2b, and 2c should equal 100%.3a Are there endowment funds not in the possession of the organization that are held and administered for the

organization by: Yes No() unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3a(^ 3(ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) 3

b If "Yes" to 3a(H), are the related organizations listed as required on Schedule R? . . . . . . . 3b4 Describe in Part All the intended uses of the organization's endowment funds.

Land, Buildings, and EquipmentComplete if the organization answered "Yes" to Form 990, Part IV, line 11 a. See Form 990, Part X, line 10.

Description of property (a) Cost or other basis(investment)

(b) Cost or other basis(other)

(c) Accumulateddepreciation

(d) Book value

is Land . . . . . . . . . . .b Buildings . . . . . . . . . .c Leasehold improvements . . . .d Equipment . . . . . . . . .e Other .

Total . Add lines 1 a throug h 1 e. (Column (d) must equal Form 990, Part X, column (B), line 10(c) .) . ►

(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back

41,037,009 36, 610,353 35,958,281 31 ,029,271 28,723,991

594,843 1, 191,999 282,483 114,482 547,167

6,251 ,849 3,549,373 740,897 5, 333,396 1,807,439

(317,497) 224,800 (303 ,018) (350,086) (19 , 557)

91,874 69,916 68, 290 (168,782) (68,883)

47,474,330 41,037,009 36,610,353 35 958,281 31 ,029,271

Schedule D (Form 990) 2013

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Schedule b (Form 990) 2013 Page 3

JjMM Investments-Other Securities.Complete if the organization answered "Yes" to Form 990, Part IV, line 11 b. See Form 990, Part X, line 12.

(a) Description of security or category (b) Book value (c) Method of valuation:(including name of security) Cost or end-of-year market value

(1) Financial derivatives . . . . . . . . . . . . . . .(2) Closely-held equity interests . . . . . . . . . . . . .(3) Other

-----------------------------------------------------------------------------------(A)

------------------------------------------------------------------------------------------------(B)

------------------------------------------------------------------------------------------------(C)

-----------------------------------------------------------------------------------------------(D)

------------------------------------------------------------------------------------------------(^

------------------------------------------------------------------------------------------------(F)

------------------------------------------------------------------------------------------------(G)

--------------------------------------------------------------------------------------------- ---(M

--------------------------------------------- ------ - --- -- ------- - -- --- --- - - - --- - - - - -----------Total. Column must equal Form 990, Part X co!. line 12) ►

Investments- Program Related.Complete if the organization answered "Yes" to Form 990, Part IV, line 11 c. See Form 990, Part X, line 13.

(a) Description of investment

I I

(b) Book value (c) Method of valuation.Cost or end-of-year market value

must equal Form 990, Part )X co/ (B) line

Ii Other Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description (b) Book value

Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.) . . . . . . . . . . . . . . ►

Complete if the organization answered "Yes" to Form 990, Part IV, line 11 a or 11 f. See Form 990, Part X,line 25.

(a) Description of liability (b) Book value

income taxes

(4)

(6)

(7)(8)

(9)

Total. (Column (b) must equal Favor 990, Part x cot. (B) line 25.) ►2. Liability for uncertain tax positions. In Part All , provide the text of the footnote to the organization's financial statements that reports theorganization 's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2013

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Schedule b (Forth 990) 2013 Page 4

JU^ Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.

1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . 12 Amounts included on line 1 but not on Form 990, Part VIII, line 12:a Net unrealized gains on investments . . . . . . . . . . . . 2a

b Donated services and use of facilities . . . . . . . . . . . 2bc Recoveries of prior year grants . . . . . . . . . . . . . . 2c

d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . 34 Amounts included on Form 990, Part VIII, line 12, but not on line 1:

a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a

b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b

c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c5 Total revenue. Add lines 3 and 4c. (This must equal Foam 990, Part 1, line 12.) 5

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.

1 Total expenses and losses per audited financial statements . . . . . . . . . . . . . 1

2 Amounts included on line 1 but not on Form 990, Part IX, line 25:

a Donated services and use of facilities . . . . . . . . . . . 2a

b Prior year adjustments . . . . . . . . . . . . . . . . 2b

c Other losses . . . . . . . . . . . . . . . . . . . . 2c

d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract line 2e from line I . . . . . . . . . . . . . . . . . . . 34 Amounts included on Form 990, Part IX, line 25, but not on line 1:a Investment expenses not included on Form 990, Part VIII, line 7b . . 4ab Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c

5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 18.) . 5

[jMMM Supplemental Information.Provide the descriptions required for Part II , lines 3 , 5, and 9; Part III, lines 1 a and 4; Part IV, lines 1 b and 2b; Part V, line 4; Part X, line2; Part XI , lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Schedule D (Form 990) 2013

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Schedule b (Form 990) 2013 Page 5

5MEM Supplemental Information (continued)

Schedule D (Form 990) 2013

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SCHEDULEI(Form 990)

Department of the TreasuryInternal Revenue Service ►

Grants and Other Assistance to Organizations,Governments, and Individuals in the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.

► Attach to Form 990.

)rmation about Schedule I (Form 990) and its instructions is at www.irs.aov/four

onn on Grants and Assistance

1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and

the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I] Yes q No2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

EMM Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" to Form 990,Part IV. line 21. for any recioient that received more than $5.000. Part II can be duplicated if additional space is needed.

1 (a) Name and address of organizationor government

(b) EIN (c) IRC sectionIf applicable

(d) Amount of cashrantgrant

(e) Amount of non-cash assistance

(f) Method of valuation(book, FMV, appraisal,

(g) Description ofnon-cash assistance

(h) Purpose of grantor assistance

ity------.(1) Tennessee -- State- Univ ---ers- ---- - -- -----------------3500 John Merritt Blvd Nashville , TN 2-0786119 51 ,401 MV epartmental Supp ort

(2)- ---------------------------------------------

3- ---------------------------------------------

(4- -- -------------------------------------------

- N-------------------------------------------

6- - -------------------------------------------

- M-------------------------------------------

8

9

(1-0)

-----------------------------------------------

(1-1)----------------------------------------------

(12)

2 Enter total number of section 501(c)(3) and government organizations listed in the l ine 1 table . . . . . . . . . . . . . . . . . . ► 1

OMB No . 1 545-0047

20013

3 Enter total number of other organizations listed in the line 1 table . ► 0

For Paperwork Reduction Act Notice , see the Instructions for Form 990. Cat. No. 50055P Schedule I (Form 990) (2013)

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N

Schedule I (Form 990) (2013) Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance (b) Number ofrecipients

(c) Amount ofcash grant

(d) Amount ofnon-cash assistance

(e) Method of valuation (book,FMV, appraisal, other)

(f) Description of non-cash assistance

1 Scholarshi ps to Tennessee State University 600 1 ,694 , 495 0 FMV None

2

3

4

5

6

7

Supplemental Information . Provide the information reauired in Part I. line 2. Part Ill. column (b). and any other additional information.

Part Im Line 2_Criteria is used to choose recipients each veer by_thescholarship committee based on financial need, grade point average and academic progress.- - - -- - - ---- - -- - --- -- -- ------ ----- - -----------------------------------

All recipients arregistered_and enrolled at_Tennessee State University-. FuI ding_is also transferred to Tennessee State Universityto support departmental instruction, supplies________________

-other general purposes_______________travel-and------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Schedule I (Form 990) (2013)

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SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ OMB No 1545-0047(Form 990 or 990-EZ) Complete to provide information for responses to specific questions on O

Form 990 or 990-EZ or to provide any additional information.

Department of the Treasury ► Attach to Form 990 or 990-EZ • • - •

Internal Revenue Service ► Information about Schedule 0 (Form 990 or 990-Q) and its instructions is at www.irs.gov1fonn990. • -

Name of the organization Employer identification number

Tennessee State University Foundation 23-7105693

Part VI -Line- 1 1b - - -Form-990- is presented to designatedtrustee for review and -then-data is shared-with-the-full -board---------------------------------- - - - - -- --- -

Part VI Line 19 Financial statements. conflict of interest olicy and all oovernina documents are available upon request by the public- - - - - ---------------------------- - --------------------------------

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EL Cat No. 51056K Schedule 0 (Form 990 or 990-E4 (2013)

Page 26: ReturnofOrganization ExemptFrom IncomeTax 20013990s.foundationcenter.org/990_pdf_archive/237/237105693/...q Amendedreturn Nashville TN 37209-1561 qApplication pending FNameand addressof

Schedule d (Form 990 or

Name of the organvation

Page 2Employer identification number

23-7105693

Schedule 0 (Form 990 or 990-E2) (2013)