** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax

Transcription

1 Form Under setion 501, 57, or 4947(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) Deprtment of the Tresury Internl Revenue Servie The orgniztion my hve to use opy of this return to stisfy stte reporting requirements. A For the 009 lendr yer, or tx yer eginning JUL 1, 009 nd ending JUN 0, 010 OMB Open to Puli Inspetion B Chek if pplile: Plese C Nme of orgniztion D Employer identifition numer use IRS Address lel or hnge print orcenterstone OF TENNESSEE, INC. Nme type. hnge Doing Business As Initil return See Numer nd street (or P.O. ox if mil is not delivered to street ddress) Room/suite E Telephone numer Terminted Instru-P.O. BO Speifi Amended tions. return City or town, stte or ountry, nd ZIP + 4 G Gross reeipts $ 59,884,70. Applition NASHVILLE, TN H Is this group return pending F Nme nd ddress of prinipl offier: ROBERT VERO for ffilites? Yes No SAME AS C ABOVE H() Are ll ffilites inluded? Yes No I Tx-exempt sttus: 501 ( ) (insert no.) 4947(1) or 57 If "No," tth list. (see instrutions) J Wesite: H Group exemption numer K Form of orgniztion: Corportion Trust Assoition Other L Yer of formtion: 1997 M Stte of legl domiile: TN Prt I Summry 1 Briefly desrie the orgniztion s mission or most signifint tivities: SEE SCHEDULE O. Ativities & Governne Revenue Expenses Net Assets or Fund Blnes Professionl fundrising fees (Prt I, olumn (A), line 11e) ~~~~~~~~~~~~~~ Totl fundrising expenses (Prt I, olumn (D), line 5) 99, Totl liilities (Prt, line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net ssets or fund lnes. Sutrt line 1 from line 0 Prt II Signture Blok Sign Here Return of Orgniztion Exempt From Inome Tx Chek this ox Beginning of Current Yer End of Yer 4,506,18. 7,878,887. 1,,787. 1,40,546. 0,8,51. 5,58,41. Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge. Signture of offier ROBERT VERO, CEO Type or print nme nd title if the orgniztion disontinued its opertions or disposed of more thn 5% of its net ssets. Numer of voting memers of the governing ody (Prt VI, line 1) Numer of independent voting memers of the governing ody (Prt VI, line 1) ~~~~~~~~~~~~~~ Totl numer of employees (Prt V, line ) ~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl numer of volunteers (estimte if neessry) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Totl gross unrelted usiness revenue from Prt VIII, olumn (C), line 1 ~~~~~~~~~~~~~~~~~ Net unrelted usiness txle inome from Form 990-T, line 4 Contriutions nd grnts (Prt VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Progrm servie revenue (Prt VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Prt VIII, olumn (A), lines, 4, nd 7d) ~~~~~~~~~~~~~ Other revenue (Prt VIII, olumn (A), lines 5, 6d, 8, 9, 10, nd 11e) ~~~~~~~~ Totl revenue - dd lines 8 through 11 (must equl Prt VIII, olumn (A), line 1) Grnts nd similr mounts pid (Prt I, olumn (A), lines 1-) Benefits pid to or for memers (Prt I, olumn (A), line 4) ~~~~~~~~~~~ ~~~~~~~~~~~~~ Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines 5-10) ~~~ Other expenses (Prt I, olumn (A), lines 11-11d, 11f-4f) ~~~~~~~~~~~~~ Totl expenses. Add lines 1-17 (must equl Prt I, olumn (A), line 5) ~~~~~~~ Revenue less expenses. Sutrt line 18 from line 1 Totl ssets (Prt, line 16) = = ** PUBLIC DISCLOSURE COPY ** ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ = Prior Yer Current Yer 18,80, ,491, ,587,140. 9,817, ,06. -4, , ,96. 66,0,46. 59,86, Preprer s identifying numer Preprer s Dte Chek if (see instrutions) Pid selfemployed signture Preprer s Firm s nme (or BLUE & CO., LLC Use Only yours if EIN self-employed), ONE AMERICAN SQUARE, #00 ddress, nd ZIP + 4 = INDIANAPOLIS, IN 468 Phone no. (17) My the IRS disuss this return with the preprer shown ove? (see instrutions) Yes No LHA For Privy At nd Pperwork Redution At Notie, see the seprte instrutions. Form 990 (009) SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT CONTINUATION Dte ,575,1. 8,150,881. 8,506,9. 4,864,50. 74,081,65. 6,016, ,861,190. -,15,807.

2 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt III Sttement of Progrm Servie Aomplishments 1 Briefly desrie the orgniztion s mission: TO PREVENT AND CURE MENTAL ILLNESS AND ADDICTION Pge 4 Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," desrie these new servies on Shedule O. Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? ~~~~~~ If "Yes," desrie these hnges on Shedule O. Desrie the exempt purpose hievements for eh of the orgniztion s three lrgest progrm servies y expenses. Setion 501() nd 501(4) orgniztions nd setion 4947(1) trusts re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. Yes Yes No No 4 (Code: ) (Expenses $ inluding grnts of $ ) (Revenue $ ) CLINIC SERVICES: COMPRISED LARGELY OF TRADITIONAL OUTPATIENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THESE SERVICES ALSO INCLUDE PSYCHIATRIC EVALUATION, MEDICATION PRESCRIBING AND MEDICATION MONITORING. 85,90 SERVICES WERE PROVIDED TO 5,861 CLIENTS. 4 (Code: ) (Expenses $ inluding grnts of $ ) (Revenue $ ) ADULT SERVICES: LARGELY SPECIALIZED IN NATURE AND INCLUDE SUCH SERVICES AS COMMUNITY BASED CASE MANAGEMENT, RESIDENTIAL TREATMENT, SUPPORTIVE HOUSING, PSYCHO-SOCIAL REHABILITATION, EMPLOYMENT, PATIENT/CONSUMER-DRIVEN SERVICES (PEER SUPPORT), AND SPECIALIZED EVALUATION AND TREATMENT FOR LATE IN LIFE ADULT CLIENTS. 149,79 SERVICES WERE PROVIDED TO 7,086 CLIENTS. 4 (Code: ) (Expenses $ inluding grnts of $ ) (Revenue $ ) CHILD, ADOLESCENT & FAMILY SERVICES: LARGELY SPECIALIZED IN NATURE AND INCLUDE BOTH PREVENTION AND EDUCATION INTERVENTIONS AS WELL AS COMMUNITY-BASED TREATMENT SERVICES SUCH AS CHILD AND YOUTH CASE MANAGEMENT, SCHOOL-BASED CASE MANAGEMENT, RESIDENTIAL TREATMENT, FOSTER CARE PARENT TRAINING, INTENSIVE IN-HOME SERVICES, AND A SPECIALIZED ACADEMIC ACADEMY. 11,88 SERVICES WERE PROVIDED TO 9,660 CLIENTS. 4d Other progrm servies. (Desrie in Shedule O.) (Expenses $ 5,541,746. inluding grnts of $ 700. ) (Revenue $,61,476. ) 4e Totl progrm servie expenses J $ 5,94, Form 990 (009)

3 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt IV Cheklist of Required Shedules A Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? Yes No If "Yes," ompleting Shedule D, Prts I, II, nd III is optionl ~~~~~~~~~~~~~~~~~~~~ 1A 1 Is the orgniztion shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~ Is the orgniztion desried in setion 501() or 4947(1) (other thn privte foundtion)? If "Yes," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If "Yes," omplete Shedule C, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501() orgniztions. Did the orgniztion engge in loying tivities? If "Yes," omplete Shedule C, Prt II ~ Setion 501(4), 501(5), nd 501(6) orgniztions. Is the orgniztion sujet to the setion 60(e) notie nd reporting requirement nd proxy tx? If "Yes," omplete Shedule C, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts where donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If "Yes," omplete Shedule D, Prt I Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If "Yes," omplete Shedule D, Prt II~~~~~~~~~~~~~~ Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," omplete Shedule D, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount in Prt, line 1; serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If "Yes," omplete Shedule D, Prt IV ~~ Did the orgniztion, diretly or through relted orgniztion, hold ssets in term, permnent, or qusi-endowments? If "Yes," omplete Shedule D, Prt V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion s nswer to ny of the following questions "Yes"? If so, omplete Shedule D, Prts VI, VII, VIII, I, or s pplile ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 10? If "Yes," omplete Shedule D, Prt VI. Did the orgniztion report n mount for investments - other seurities in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? If "Yes," omplete Shedule D, Prt VII. Did the orgniztion report n mount for investments - progrm relted in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? If "Yes," omplete Shedule D, Prt VIII. Did the orgniztion report n mount for other ssets in Prt, line 15 tht is 5% or more of its totl ssets reported in Prt, line 16? If "Yes," omplete Shedule D, Prt I. Did the orgniztion report n mount for other liilities in Prt, line 5? If "Yes," omplete Shedule D, Prt. Did the orgniztion s seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion s liility for unertin tx positions under FIN 48? If "Yes," omplete Shedule D, Prt. Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If "Yes," omplete Shedule D, Prts I, II, nd III. 14 Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? ~~~~~~~~~~~~~~~~ Did the orgniztion hve ggregte revenues or expenses of more thn $10,000 from grntmking, fundrising, usiness, nd progrm servie tivities outside the United Sttes? If "Yes," omplete Shedule F, Prt I ~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $5,000 of grnts or ssistne to ny orgniztion or entity loted outside the United Sttes? If "Yes," omplete Shedule F, Prt II ~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $5,000 of ggregte grnts or ssistne to individuls loted outside the United Sttes? If "Yes," omplete Shedule F, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report totl of more thn $15,000 of expenses for professionl fundrising servies on Prt I, olumn (A), lines 6 nd 11e? If "Yes," omplete Shedule G, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $15,000 totl of fundrising event gross inome nd ontriutions on Prt VIII, lines 1 nd 8? If "Yes," omplete Shedule G, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $15,000 of gross inome from gming tivities on Prt VIII, line 9? If "Yes," omplete Shedule G, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion operte one or more hospitls? If "Yes," omplete Shedule H Yes Pge No 19 0 Form 990 (009)

4 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt IV Cheklist of Required Shedules (ontinued) d 5 Setion 501() nd 501(4) orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If "Yes," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $5,000 of grnts nd other ssistne to governments nd orgniztions in the United Sttes on Prt I, olumn (A), line 1? If "Yes," omplete Shedule I, Prts I nd II ~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $5,000 of grnts nd other ssistne to individuls in the United Sttes on Prt I, olumn (A), line? If "Yes," omplete Shedule I, Prts I nd III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion nswer "Yes" to Prt VII, Setion A, line, 4, or 5 out ompenstion of the orgniztion s urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "Yes," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $100,000 s of the lst dy of the yer, tht ws issued fter Deemer 1, 00? If "Yes," nswer lines 4 through 4d nd omplete Shedule K. If "No", go to line 5 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption? ~~~~~~~~~~~ Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion t s n "on ehlf of" issuer for onds outstnding t ny time during the yer? ~~~~~~~~~~~ Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion s prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws lon to or y urrent or former offier, diretor, trustee, key employee, highly ompensted employee, or disqulified person outstnding s of the end of the orgniztion s tx yer? If "Yes," omplete Shedule L, Prt II ~~~~~~~~~~~ Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor, or grnt seletion ommittee memer, or to person relted to suh n individul? If "Yes," omplete Shedule L, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion prty to usiness trnstion with one of the following prties, (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Prt IV ~~~~~~~~~~~ A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Prt IV ~~ An entity of whih urrent or former offier, diretor, trustee, or key employee of the orgniztion (or fmily memer) ws n offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Prt IV ~~~~~~~~~~~~~~~ Did the orgniztion reeive more thn $5,000 in non-sh ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~ Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If "Yes," omplete Shedule N, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn 5% of its net ssets? If "Yes," omplete Shedule N, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion own 100% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? If "Yes," omplete Shedule R, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion relted to ny tx-exempt or txle entity? If "Yes," omplete Shedule R, Prts II, III, IV, nd V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is ny relted orgniztion ontrolled entity within the mening of setion 51()(1)? If "Yes," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If "Yes," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ondut more thn 5% of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If "Yes," omplete Shedule R, Prt VI ~~~~~~~~ Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines 11 nd 19? Note. All Form 990 filers re required to omplete Shedule O d Yes Pge 4 No 8 Form 990 (009)

5 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt V Sttements Regrding Other IRS Filings nd Tx Compline 1 Enter the numer reported in Box of Form 1096, Annul Summry nd Trnsmittl of d e f g h U.S. Informtion Returns. Enter -0- if not pplile ~~~~~~~~~~~~~~~~~~~~~~~ Enter the numer of Forms W-G inluded in line 1. Enter -0- if not pplile ~~~~~~~~~~ 1 Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming (gmling) winnings to prize winners? Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return ~~~~~~~~~~ If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? ~~~~~~~~~~ Note. If the sum of lines 1 nd is greter thn 50, you my e required to e-file this return. (see instrutions) Did the orgniztion hve unrelted usiness gross inome of $1,000 or more during the yer overed y this return? ~~~ If "Yes," hs it filed Form 990-T for this yer? If "No," provide n explntion in Shedule O ~~~~~~~~~~~~~~~ 4 At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)?~~~~~~~ If "Yes," enter the nme of the foreign ountry: J See the instrutions for exeptions nd filing requirements for Form TD F 90-.1, Report of Foreign Bnk nd Finnil Aounts. 5 Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? ~~~~~~~~~~~~ Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? ~~~~~~~~~ If "Yes," to line 5 or 5, did the orgniztion file Form 8886-T, Dislosure y Tx-Exempt Entity Regrding Prohiited Tx Shelter Trnstion? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $100,000, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile? Orgniztions tht my reeive dedutile ontriutions under setion 170. Sponsoring orgniztions mintining donor dvised funds nd setion 509() supporting orgniztions. Did the Sponsoring orgniztions mintining donor dvised funds. Setion 501(7) orgniztions. Enter: Setion 501(1) orgniztions. Enter: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion reeive pyment in exess of $75 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion notify the donor of the vlue of the goods or servies provided? Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form 88? 1 Setion 4947(1) non-exempt hritle trusts. Is the orgniztion filing Form 990 in lieu of Form 1041? 1 ~~~~~~~~~~~~~~~ If "Yes," indite the numer of Forms 88 filed during the yer ~~~~~~~~~~~~~~~~ Did the orgniztion, during the yer, reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? For ll ontriutions of qulified intelletul property, did the orgniztion file Form 8899 s required? 7d ~~~~~~~~~ ~~~~~~~~~~~ For ontriutions of rs, ots, irplnes, nd other vehiles, did the orgniztion file Form 1098-C s required? ~~~~~ supporting orgniztion, or donor dvised fund mintined y sponsoring orgniztion, hve exess usiness holdings t ny time during the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion mke ny txle distriutions under setion 4966? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion mke distriution to donor, donor dvisor, or relted person? ~~~~~~~~~~~~~~~~~~~ Initition fees nd pitl ontriutions inluded on Prt VIII, line 1 ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 990, Prt VIII, line 1, for puli use of lu filities ~~~~~~ Gross inome from memers or shreholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the mount of tx-exempt interest reeived or rued during the yer e 7f 7g 7h Yes Pge 5 No Form 990 (009)

6 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Pge 6 Prt VI Governne, Mngement, nd Dislosure For eh "Yes" response to lines through 7 elow, nd for "No" response to line 8, 8, or 10 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Setion A. Governing Body nd Mngement 1 Enter the numer of voting memers of the governing ody ~~~~~~~~~~~~~~~~~~~ Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If "Yes," provide the nmes nd ddresses in Shedule O Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) 11A exempt sttus with respet to suh rrngements? Setion C. Dislosure 17 List the sttes with whih opy of this Form 990 is required to e filed JTN Enter the numer of voting memers tht re independent ~~~~~~~~~~~~~~~~~~~ Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors or trustees, or key employees to mngement ompny or other person? ~~~~~~~~~~~~~~ Did the orgniztion mke ny signifint hnges to its orgniztionl douments sine the prior Form 990 ws filed? ~~~ Did the orgniztion eome wre during the yer of mteril diversion of the orgniztion s ssets? Does the orgniztion hve memers or stokholders? Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form 990. Does the orgniztion hve written onflit of interest poliy? If "No," go to line 1 ~~~~~~~~~~~~~~~~~~~~ to onflits? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Does the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If "Yes," desrie in Shedule O how this is done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 ~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Does the orgniztion hve memers, stokholders, or other persons who my elet one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are ny deisions of the governing ody sujet to pprovl y memers, stokholders, or other persons? ~~~~~~~~~ Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eh ommittee with uthority to t on ehlf of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 Does the orgniztion hve lol hpters, rnhes, or ffilites? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," does the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with those of the orgniztion? ~~~~~~~~~~~~~~~~~~ Hs the orgniztion provided opy of this Form 990 to ll memers of its governing ody efore filing the form? ~~~~~ Are offiers, diretors or trustees, nd key employees required to dislose nnully interests tht ould give rise Does the orgniztion hve written whistlelower poliy? Does the orgniztion hve written doument retention nd destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 15 or 15, desrie the proess in Shedule O. (See instrutions.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," hs the orgniztion dopted written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tken steps to sfegurd the orgniztion s Setion 6104 requires n orgniztion to mke its Forms 10 (or 104 if pplile), 990, nd 990-T (501()s only) ville for puli inspetion. Indite how you mke these ville. Chek ll tht pply. Own wesite Another s wesite Upon request Desrie in Shedule O whether (nd if so, how), the orgniztion mkes its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli. Stte the nme, physil ddress, nd telephone numer of the person who possesses the ooks nd reords of the orgniztion: JULIE SPEARS TH AVENUE NORTH, NASHVILLE, TN 708 Form 990 (009) Yes Yes No No

7 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees 1 Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. Use Shedule J- if dditionl spe is needed. List ll of the orgniztion s urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion s urrent key employees. See instrutions for definition of "key employee." List the orgniztion s five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box 5 of Form W- nd/or Box 7 of Form 1099-MISC) of more thn $100,000 from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former offiers, key employees, nd highest ompensted employees who reeived more thn $100,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $10,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. Chek this ox if the orgniztion did not ompenste ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week Position (hek ll tht pply) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/1099-MISC) Reportle ompenstion from relted orgniztions (W-/1099-MISC) Pge 7 Estimted mount of other ompenstion from the orgniztion nd relted orgniztions LEE ANN INGRAM CHAIR JANET AYERS VICE-CHAIR JIM SWEETEN SECRETARY RICHARD BATER, MBA, PHD, DBA BOARD DIRECTOR BRENDA CORBIN BOARD DIRECTOR ANSEL DAVIS BOARD DIRECTOR FATHER FRED DETTWILLER BOARD DIRECTOR VINCENT DURNAN, JR. BOARD DIRECTOR MARK FAULKNER BOARD DIRECTOR R. PARKER GRIFFITH BOARD DIRECTOR CHRISTA HOLLEMAN BOARD DIRECTOR LAVINIA JOHNSTON BOARD DIRECTOR ALBERT MENEFEE III BOARD DIRECTOR DANA OMAN BOARD DIRECTOR CARMEN REAGAN, EDD BOARD DIRECTOR STEVE SALIBA BOARD DIRECTOR JOAN SIVLEY BOARD DIRECTOR Form 990 (009) 7

8 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Pge 9 Prt VIII Sttement of Revenue (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exluded from exempt funtion usiness tx under revenue revenue setions 51, 51, or Federted mpigns ~~~~~~ Contriutions, gifts, grnts nd other similr mounts Progrm Servie Revenue Other Revenue d e f g Nonsh ontriutions inluded in lines 1-1f: $ h 4 5 d e f g 6 d d d Memership dues ~~~~~~~~ Fundrising events ~~~~~~~~ Relted orgniztions ~~~~~~ Government grnts (ontriutions) All other ontriutions, gifts, grnts, nd similr mounts not inluded ove ~~ 1 1 1d 1e e Totl. Add lines 11-11d ~~~~~~~~~~~~~~~ Totl revenue. See instrutions. 1f Totl. Add lines 1-1f All other progrm servie revenue ~~~~~ Totl. Add lines -f Investment inome (inluding dividends, interest, nd other similr mounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tx-exempt ond proeeds Roylties Gross Rents ~~~~~~~ Less: rentl expenses~~~ Rentl inome or (loss) ~~ Net rentl inome or (loss) 7 Gross mount from sles of ssets other thn inventory Less: ost or other sis nd sles expenses ~~~ Gin or (loss) ~~~~~~~ (i) Rel (ii) Personl (i) Seurities (ii) Other,500. Net gin or (loss) Gross inome from fundrising events (not inluding $ of ontriutions reported on line 1). See Prt IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundrising events Gross inome from gming tivities. See Prt IV, line 19 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gming tivities Gross sles of inventory, less returns nd llownes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ Net inome or (loss) from sles of inventory Misellneous Revenue Business Code OTHER OPERATING REV , ,446. All other revenue ~~~~~~~~~~~~~ 17,70, ,07. 19,491,809. Business Code NET CLIENT SERVICE REV ,55,4. 7,55,4. GOVERNMENT CONTRACTS RESIDENTIAL HOUSING ,781. 5, , , ,119. 9,817,116. 1,40. 1, ,0. 171,0. -5, , , ,70. 87, ,86,04. 40,75, ,71. Form 990 (009) 9

9 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt I Sttement of Funtionl Expenses All other expenses Totl funtionl expenses. Add lines 1 through 4f Joint osts. Chek here if following SOP 98-. Complete this line only if the orgniztion Setion 501() nd 501(4) orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A) ut re not required to omplete olumns (B), (C), nd (D). (A) (B) (C) (D) Do not inlude mounts reported on lines 6, 7, 8, 9, nd 10 of Prt VIII d e f g d e f Grnts nd other ssistne to governments nd orgniztions in the U.S. See Prt IV, line 1 ~~ Grnts nd other ssistne to individuls in the U.S. See Prt IV, line ~~~~~~~~~ Grnts nd other ssistne to governments, orgniztions, nd individuls outside the U.S. See Prt IV, lines 15 nd 16 ~~~~~~~~~ Benefits pid to or for memers ~~~~~~~ Compenstion of urrent offiers, diretors, trustees, nd key employees ~~~~~~~~ Compenstion not inluded ove, to disqulified persons (s defined under setion 4958(f)(1)) nd persons desried in setion 4958()(B) Other slries nd wges ~~~~~~~~~~ Pension pln ontriutions (inlude setion 401(k) nd setion 40() employer ontriutions) ~~~ ~~~ Other employee enefits ~~~~~~~~~~ txes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Mngement ~~~~~~~~~~~~~~~~ Legl ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professionl fundrising servies. See Prt IV, line 17 Investment mngement fees ~~~~~~~~ Other ~~~~~~~~~~~~~~~~~~~~ Advertising nd promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Informtion tehnology ~~~~~~~~~~~ Roylties ~~~~~~~~~~~~~~~~~~ Oupny ~~~~~~~~~~~~~~~~~ Trvel ~~~~~~~~~~~~~~~~~~~ Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Pyments to ffilites ~~~~~~~~~~~~ Depreition, depletion, nd mortiztion ~~ Insurne ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not overed ove. (Expenses grouped together nd leled misellneous my not exeed 5% of totl reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion Totl expenses Progrm servie expenses Mngement nd generl expenses 1,474,47. 1,97, ,91. Fundrising expenses Pge 10 9,84,49. 6,470,96.,197, ,095. 6,851,96. 6,469,51. 50,64. 1,807. 4,089,079.,778,499. 1,70, ,10. 55,59. 1,048. 1,11. 89, ,509. 5,967,87. 6,87, , , ,90. 94,810.,7. 1,866. 4,860,776.,49,794.,494, ,996.,960,067.,478, ,990. 1,859. 1,41,994. 1,81, ,887. 1,951. 9,850. 9,850. 1,704, ,96. 78,56. 6, ,149., , expenses shown on line 5 elow.) ~~~~~~~ BAD DEBT,674,6.,674,6. DUES & SUBSCRIPTIONS 7,751. 8,917. 4,65. 1,569. CAMPAIGN EPENSES 6,90. 6, , ,705. 7, ,077. 6,016,111. 5,94,510. 8,681, , Form 990 (009)

10 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Prt Blne Sheet Assets Liilities Net Assets or Fund Blnes Csh - non-interest-ering ~~~~~~~~~~~~~~~~~~~~~~~~~ Svings nd temporry sh investments ~~~~~~~~~~~~~~~~~~ Pledges nd grnts reeivle, net (A) (B) Beginning of yer End of yer 1, ,755.,59,. 01,494. 5,76,590. 4,875,66. 5,54,8. 4,707, , , , , , Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D ~~~ 10 4,90,189. Less: umulted depreition ~~~~~~ 10 1,184,96. 7,514, ,05, Investments - pulily trded seurities ~~~~~~~~~~~~~~~~~~~ 11 6,966. Totl ssets. Add lines 1 through 15 (must equl line 4) Totl liilities. Add lines 17 through 5 Orgniztions tht follow SFAS 117, hek here nd omplete lines 7 through 9, nd lines nd 4. Orgniztions tht do not follow SFAS 117, hek here omplete lines 0 through 4. ~~~~~~~~~~~~~~~~~~~~~ Aounts reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Reeivles from other disqulified persons (s defined under setion 4958(f)(1)) nd persons desried in setion 4958()(B). Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Notes nd lons reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~ Inventories for sle or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ Prepid expenses nd deferred hrges ~~~~~~~~~~~~~~~~~~ Investments - other seurities. See Prt IV, line 11 ~~~~~~~~~~~~~~ Investments - progrm-relted. See Prt IV, line 11 ~~~~~~~~~~~~~ Intngile ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other ssets. See Prt IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ Aounts pyle nd rued expenses ~~~~~~~~~~~~~~~~~~ Grnts pyle ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tx-exempt ond liilities ~~~~~~~~~~~~~~~~~~~~~~~~~ Esrow or ustodil ount liility. Complete Prt IV of Shedule D ~~~~ Pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgges nd notes pyle to unrelted third prties ~~~~~~ Unseured notes nd lons pyle to unrelted third prties ~~~~~~~~ Other liilities. Complete Prt of Shedule D ~~~~~~~~~~~~~~~ Unrestrited net ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Temporrily restrited net ssets Permnently restrited net ssets ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ Cpitl stok or trust prinipl, or urrent funds ~~~~~~~~~~~~~~~ Pid-in or pitl surplus, or lnd, uilding, or equipment fund ~~~~~~~~ Retined ernings, endowment, umulted inome, or other funds nd ~~~~ Totl net ssets or fund lnes ~~~~~~~~~~~~~~~~~~~~~~ Totl liilities nd net ssets/fund lnes 1,965, , ,47,579. 4,506, ,878,887. 8,05, ,54, , , ,664,77.,08,841. 4,196,750. 5,876,750. 1,, ,40,546. 5,498, ,858,110. 4,78, ,680, Pge 11 0,8,51. 5,58,41. 4,506, ,878,887. Form 990 (009)

11 Form 990 (009) CENTERSTONE OF TENNESSEE, INC Pge 1 Prt I Finnil Sttements nd Reporting Yes No 1 Aounting method used to prepre the Form 990: Csh Arul Other If the orgniztion hnged its method of ounting from prior yer or heked "Other," explin in Shedule O. Were the orgniztion s finnil sttements ompiled or reviewed y n independent ountnt? ~~~~~~~~~~~~ Were the orgniztion s finnil sttements udited y n independent ountnt? ~~~~~~~~~~~~~~~~~~~ If "Yes" to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt? ~~~~~~~~~~~~~~~ If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in Shedule O. d If "Yes" to line or, hek ox elow to indite whether the finnil sttements for the yer were issued on onsolidted sis, seprte sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit At nd OMB Cirulr A-1? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits. Form 990 (009)

12 SCHEDULE A (Form 990 or 990-EZ) Deprtment of the Tresury Internl Revenue Servie Complete if the orgniztion is setion 501() orgniztion or setion 4947(1) nonexempt hritle trust. Atth to Form 990 or Form 990-EZ. See seprte instrutions. OMB Open to Puli Inspetion Nme of the orgniztion Employer identifition numer CENTERSTONE OF TENNESSEE, INC Prt I Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines 1 through 11, hek only one ox.) e f g h A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Atth Shedule E.) A hospitl or oopertive hospitl servie orgniztion desried in setion 170()(1)(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 170()(1)(A)(iii). Enter the hospitl s nme, ity, nd stte: An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 170()(1)(A)(iv). (Complete Prt II.) A federl, stte, or lol government or governmentl unit desried in setion 170()(1)(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 170()(1)(A)(vi). (Complete Prt II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Prt II.) An orgniztion tht normlly reeives: (1) more thn 1/% of its support from ontriutions, memership fees, nd gross reeipts from tivities relted to its exempt funtions - sujet to ertin exeptions, nd () no more thn 1/% of its support from gross investment inome nd unrelted usiness txle inome (less setion 511 tx) from usinesses quired y the orgniztion fter June 0, See setion 509(). (Complete Prt III.) An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion 509(4). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion 509(1) or setion 509(). See setion 509(). Chek the ox tht desries the type of supporting orgniztion nd omplete lines 11e through 11h. Type I Type II Type III - Funtionlly integrted d Type III - Other By heking this ox, I ertify tht the orgniztion is not ontrolled diretly or indiretly y one or more disqulified persons other thn foundtion mngers nd other thn one or more pulily supported orgniztions desried in setion 509(1) or setion 509(). If the orgniztion reeived written determintion from the IRS tht it is Type I, Type II, or Type III supporting orgniztion, hek this ox (i) (ii) (iii) Puli Chrity Sttus nd Puli Support ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sine August 17, 006, hs the orgniztion epted ny gift or ontriution from ny of the following persons? A person who diretly or indiretly ontrols, either lone or together with persons desried in (ii) nd (iii) elow, the governing ody of the supported orgniztion? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A fmily memer of person desried in (i) ove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A 5% ontrolled entity of person desried in (i) or (ii) ove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following informtion out the supported orgniztion(s). 009 (iii) Type of (i) Nme of supported (ii) EIN (iv) Is the orgniztion (v) Did you notify the (vi) Is the (vii) orgniztion in ol. (i) listed in your orgniztion in ol. orgniztion in ol. Amount of orgniztion (desried on lines 1-9 (i) orgnized in the support governing doument? (i) of your support? U.S.? ove or IRC setion (see instrutions) ) Yes No Yes No Yes No 11g(i) 11g(ii) 11g(iii) Yes No Totl LHA For Privy At nd Pperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ)

13 Shedule A (Form 990 or 990-EZ) 009 Prt II Support Shedule for Orgniztions Desried in Setions 170()(1)(A)(iv) nd 170()(1)(A)(vi) (Complete only if you heked the ox on line 5, 7, or 8 of Prt I.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) 005 () (e) 009 (f) Totl Totl. Add lines 1 through ~~~ 6 Puli support. Sutrt line 5 from line 4. Clendr yer (or fisl yer eginning in) 005 () (e) 009 (f) Totl ssets (Explin in Prt IV.) ~~~~ Totl support. Add lines 7 through 10 First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 501() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge /% support test If the orgniztion did not hek the ox on line 1, nd line 14 is 1/% or more, hek this ox nd 17 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, or 16, nd line 14 is 10% or more, 18 Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supported orgniztion) inluded on line 1 tht exeeds % of the mount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Totl Support Amounts from line 4 ~~~~~~~ Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Net inome from unrelted usiness tivities, whether or not the usiness is regulrly rried on ~ Other inome. Do not inlude gin or loss from the sle of pitl Gross reeipts from relted tivities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentge for 009 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentge from 008 Shedule A, Prt II, line 14 ~~~~~~~~~~~~~~~~~~~~~ stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1/% support test If the orgniztion did not hek ox on line 1 or 16, nd line 15 is 1/% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~ 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, 16, or 17, nd line 15 is 10% or more, nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~ Privte foundtion. If the orgniztion did not hek ox on line 1, 16, 16, 17, or 17, hek this ox nd see instrutions Pge Shedule A (Form 990 or 990-EZ) 009 % %

14 Shedule A (Form 990 or 990-EZ) 009 Pge Prt III Support Shedule for Orgniztions Desried in Setion 509() (Complete only if you heked the ox on line 9 of Prt I.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) 005 () (e) 009 (f) Totl The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ Totl. Add lines 1 through 5 ~~~ 7 Amounts inluded on lines 1,, nd reeived from disqulified persons Amounts inluded on lines nd reeived from other thn disqulified persons tht exeed the greter of $5,000 or 1% of the mount on line 1 for the yer ~~~~~~ Add lines 7 nd 7 ~~~~~~~ 8 Puli support (Sutrt line 7 from line 6.) Clendr yer (or fisl yer eginning in) 005 () (e) 009 (f) Totl 9 Amounts from line 6 ~~~~~~~ 10 Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Unrelted usiness txle inome (less setion 511 txes) from usinesses quired fter June 0, 1975 ~~~~ First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 501() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge 15 Puli support perentge for 009 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ 15 % 16 Puli support perentge from 008 Shedule A, Prt III, line 15 Setion D. Computtion of Investment Inome Perentge /% support tests If the orgniztion did not hek the ox on line 14, nd line 15 is more thn 1/%, nd line 17 is not 0 Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Gross reeipts from dmissions, merhndise sold or servies performed, or filities furnished in ny tivity tht is relted to the orgniztion s tx-exempt purpose Gross reeipts from tivities tht re not n unrelted trde or usiness under setion 51 ~~~~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ Setion B. Totl Support Add lines 10 nd 10 ~~~~~~ Net inome from unrelted usiness tivities not inluded in line 10, whether or not the usiness is regulrly rried on ~~~~~~~ Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt IV.) ~~~~ Totl support (Add lines 9, 10, 11, nd 1.) Investment inome perentge for 009 (line 10, olumn (f) divided y line 1, olumn (f)) Investment inome perentge from 008 Shedule A, Prt III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 % more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~ 1/% support tests If the orgniztion did not hek ox on line 14 or line 19, nd line 16 is more thn 1/%, nd line 18 is not more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~ Privte foundtion. If the orgniztion did not hek ox on line 14, 19, or 19, hek this ox nd see instrutions 18 % % Shedule A (Form 990 or 990-EZ)

15 ** PUBLIC DISCLOSURE COPY ** Shedule B (Form 990, 990-EZ, or 990-PF) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion Shedule of Contriutors Atth to Form 990, 990-EZ, or 990-PF. OMB Employer identifition numer Orgniztion type(hek one): CENTERSTONE OF TENNESSEE, INC Filers of: Setion: Form 990 or 990-EZ 501( ) (enter numer) orgniztion 4947(1) nonexempt hritle trust not treted s privte foundtion 57 politil orgniztion Form 990-PF 501() exempt privte foundtion 4947(1) nonexempt hritle trust treted s privte foundtion 501() txle privte foundtion Chek if your orgniztion is overed y the Generl Rule or Speil Rule. Note. Only setion 501(7), (8), or (10) orgniztion n hek oxes for oth the Generl Rule nd Speil Rule. See instrutions. Generl Rule For n orgniztion filing Form 990, 990-EZ, or 990-PF tht reeived, during the yer, $5,000 or more (in money or property) from ny one ontriutor. Complete Prts I nd II. Speil Rules For setion 501() orgniztion filing Form 990 or 990-EZ tht met the 1/% support test of the regultions under setions 509(1) nd 170()(1)(A)(vi), nd reeived from ny one ontriutor, during the yer, ontriution of the greter of (1) $5,000 or () % of the mount on (i) Form 990, Prt VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Prts I nd II. For setion 501(7), (8), or (10) orgniztion filing Form 990 or 990-EZ tht reeived from ny one ontriutor, during the yer, ggregte ontriutions of more thn $1,000 for use exlusively for religious, hritle, sientifi, literry, or edutionl purposes, or the prevention of ruelty to hildren or nimls. Complete Prts I, II, nd III. For setion 501(7), (8), or (10) orgniztion filing Form 990 or 990-EZ tht reeived from ny one ontriutor, during the yer, ontriutions for use exlusively for religious, hritle, et., purposes, ut these ontriutions did not ggregte to more thn $1,000. If this ox is heked, enter here the totl ontriutions tht were reeived during the yer for n exlusively religious, hritle, et., purpose. Do not omplete ny of the prts unless the Generl Rule pplies to this orgniztion euse it reeived nonexlusively religious, hritle, et., ontriutions of $5,000 or more during the yer. ~~~~~~~~~~~~~~~~~ $ Cution. An orgniztion tht is not overed y the Generl Rule nd/or the Speil Rules does not file Shedule B (Form 990, 990-EZ, or 990-PF), ut it must nswer "No" on Prt IV, line of its Form 990, or hek the ox on line H of its Form 990-EZ, or on line of its Form 990-PF, to ertify tht it does not meet the filing requirements of Shedule B (Form 990, 990-EZ, or 990-PF). LHA For Privy At nd Pperwork Redution At Notie, see the Instrutions for Form 990, 990-EZ, or 990-PF. Shedule B (Form 990, 990-EZ, or 990-PF) (009)