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Governance Register
US nonprofit · EIN 204901729 · Jacksboro, TNiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 204901729) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PF), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Lafollette Medical Foundation Inc's network

7 people1 organisationi7 people and 1 organisation on this map.The large node is the subject of this page. Solid lines are what the register itself records (7). Violet dotted lines (1) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

7 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record.
NameRole as filedSinceOn the board
Debra Ayers Nelson (also filed as Debra A Nelson, Debra Nelson)Director2020
6 yrs
Dr Richard BurdeauxDirector2020
6 yrs
Jim Farris JRDirector2022
4 yrs
Michael E WaldenTreasurer2024
2 yrs
Stacey Wood-HeatherlyPresident2020
6 yrs
Traci ChambersCompany secretary2021
5 yrs
Wayne KittsDirector2022
4 yrs
Under 5 years5 to 6 years6 years or more

About

Legal name
Lafollette Medical Foundation Inc
EIN
204901729
Address
Po Box 128, Jacksboro, TN, 37757-0128
State
Tennessee
Activity (NTEE)
T20 Philanthropy, voluntary services and grantmaking
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Philanthropy, Voluntarism & Grantmaking Foundations
Size band
7 (IRS master file code)
IRS ruling date
1 April 2007
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2024
IRS Publication 78
PF (contributions deductible)

Most connected

Longest observed on the filings

≥6years on the filingsDebra Ayers Nelson
≥6years on the filingsDr Richard Burdeaux
≥6years on the filingsStacey Wood-Heatherly
≥5years on the filingsTraci Chambers

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$0$653kDeficit $653k

As filed on the IRS Form 990. US dollars.