POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-13
IRS object ID
202413189349101136
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-13T11:27:45-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1901 NORTH GLEBE ROAD SUITE 200AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22203ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521340920EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POTOMAC HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOTOBusinessNameControlTxt
Phone7035230620PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGAYLE WHITLOCKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7035230620PhoneNum
Signature2024-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WILLIAMSPreparerPersonNm
PTINP01345960PTIN
Phone5712279500PhoneNum
Preparation2024-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$107,812,905FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,695InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,695InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$4,495,804DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,767,773DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$727,819NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$24,083,609GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,100,045CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$56,743OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$5,225,318TotalRevAndExpnssAmt
Total Net Invst Incm$5,926,256TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$213,672CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$32,051CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$185,239CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$129,676OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$85,077OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$67,074PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$7,372PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$50,276PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$8,369LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$8,369LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$47,607AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$47,607AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$766,472OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$612,572OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$163,900OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$53,518TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,523TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$3,124DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$37,706OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$8,214TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$2,025TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$60,067OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$246,962OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$60,882OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,395,499TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$900,480TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$603,375TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$6,375,907ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,972,302ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$7,771,406TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$900,480TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$6,575,677TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,546,088ExcessRevenueOverExpensesAmt
Net Investment Income$5,025,776NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$286,722SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$211,095SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$211,095SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$103,441AcctRcvblAmt
Acct Rcvbl BOY$89,717AcctRcvblBOYAmt
Acct Rcvbl EOY$103,441AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$103,441AcctRcvblEOYFMVAmt
Pledges Rcvbl$138,967PledgesRcvblAmt
Pledges Rcvbl BOY$233,411PledgesRcvblBOYAmt
Pledges Rcvbl EOY$138,967PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$138,967PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$17,550PrepaidExpensesBOYAmt
Prepaid Expenses EOY$122,098PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$122,098PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$334,683USGovernmentObligationsBOYAmt
US Government Obligations EOY$340,132USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$340,132USGovtObligationsEOYFMVAmt
Corporate Stock BOY$46,681,801CorporateStockBOYAmt
Corporate Stock EOY$48,437,334CorporateStockEOYAmt
Corporate Stock EOYFMV$48,437,334CorporateStockEOYFMVAmt
Corporate Bonds BOY$29,781,276CorporateBondsBOYAmt
Corporate Bonds EOY$31,618,874CorporateBondsEOYAmt
Corporate Bonds EOYFMV$31,618,874CorporateBondsEOYFMVAmt
Other Investments BOY$28,203,230OtherInvestmentsBOYAmt
Other Investments EOY$26,833,850OtherInvestmentsEOYAmt
Other Investments EOYFMV$26,833,850OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$61,243LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$54,129LandBldgEquipAccumDeprecAmt
Land BOY$10,238LandBOYAmt
Land EOY$7,114LandEOYAmt
Land EOYFMV$7,114LandEOYFMVAmt
Total Assets BOY$105,638,628TotalAssetsBOYAmt
Total Assets EOY$107,812,905TotalAssetsEOYAmt
Total Assets EOYFMV$107,812,905TotalAssetsEOYFMVAmt
Accounts Payable BOY$445,176AccountsPayableBOYAmt
Accounts Payable EOY$375,173AccountsPayableEOYAmt
Grants Payable BOY$4,406,256GrantsPayableBOYAmt
Grants Payable EOY$4,809,861GrantsPayableEOYAmt
Other Liabilities BOY$126,250OtherLiabilitiesBOYAmt
Other Liabilities EOY$180,145OtherLiabilitiesEOYAmt
Total Liabilities BOY$4,977,682TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,365,179TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$100,660,946NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$102,447,726NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$100,660,946TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$102,447,726TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$105,638,628TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$107,812,905TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$100,660,946TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,546,088ExcessRevenueOverExpensesAmt
Other Increases$4,332,868OtherIncreasesAmt
Subtotal$102,447,726SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$102,447,726TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
PUBLICLY TRADED SECURITIES$23,435,121$23,127,985$307,136$307,136
SEI CORE PROPERTY FUND LP$648,488$227,805$420,683$420,683P2016-01-012023-11-08
PASS-THROUGH GAINS$386,767$386,767P
REMOVE UBI-$14,541-$14,541P
FieldValueIRS element (for citing)
Capital Gain Net Income$1,100,045CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$69,858InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$69,858SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$69,858TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$131,074EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$131,074TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$61,216OverpaymentAmt
Applied To ES Tax$61,216AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateVAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.POTOMACHEALTHFOUNDATION.ORGWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1ERIN MATTHEWS THOMASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7035230620PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BOULEVARD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ERIN THOMAS-MATTHEWS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR40.00$102,080$23,478$600
STEVEN LIGA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR TO JUL 202340.00$111,592$25,666$300
CAROL S SHAPIRO MD MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191VICE-CHAIR4.00$0$0$0
MARION M WALL
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191CHAIR4.00$0$0$0
R MICHAEL SORENSEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191TREASURER3.00$0$0$0
WAYNE MALLARD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191SECRETARY2.00$0$0$0
CARLOS CASTRO
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
PAUL GADEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SAM HILL EDD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
PHYLLIS MORGAN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILLIAM M MOSS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SARAH PITKIN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILIAM C REHA MD MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
ALICE TANG DO MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
CLARICE TORIAN MED
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
GAYLE WHITLOCK
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SEI GLOBAL INSTITUTIONAL GROUP
1 FREEDOM VALLEY DRIVEOAKSPA19456INVESTMENT MANAGEMENT$612,572
CATCHAFIRE
31 E 32ND STREETMANHATTANNY10016SUPPORT FOR GRANTEES$80,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$106,095,029AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$230,498AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$106,325,527TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$106,325,527AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,594,883CashDeemedCharitableAmt
Net Vl Noncharitable Assets$104,730,644NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,236,532MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,236,532MinimumInvestmentReturnAmt
Tax Based On Investment Income$69,858TaxBasedOnInvestmentIncomeAmt
Income Tax$8,040IncomeTaxAmt
Total Tax$77,898TotalTaxAmt
Distributable Before Adj$5,158,634DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,158,634DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,158,634DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$6,575,677ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$6,575,677QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,158,634DistributableAsAdjustedAmt
Undistributed Income PY$811,015UndistributedIncomePYAmt
Prior Year12021PriorYear1Yr
Total For Prior Years$798,979TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$6,575,677QualifyingDistributionsAmt
Applied To Year1$811,015AppliedToYear1Amt
Applied To Prior Years$798,979AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,965,683AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$192,951UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (85 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
PO BOX 74DUMFRIESVA22026PCOPERATING SUPPORT$250,000
BOYS & GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019PCREFURBISH GYM AT BGCGWS HYLTON CLUB IN DALE CITY$18,955
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY$37,800
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY$16,194
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCTACKLING FOOD INSECURITY IN PRINCE WILLIAM COUNTY BOTH DURING AND POST-PANDEMIC$15,000
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCSHORT-TERM EMERGENCY FOOD IN PHF SERVICE AREA$52,500
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCCOMMUNITY GRIEF & COUNSELING PROGRAM$26,530
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCEXPANDING STAY AT HOME SERVICES$20,830
CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC
9380 FORESTWOOD LANE UNIT BMANASSASVA20110PCOPERATING SUPPORT$30,000
CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC
9380 FORESTWOOD LANE UNIT BMANASSASVA20110PCOPERATING SUPPORT$100,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$12,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$28,000
FORMED FAMILIES FORWARD
4031 UNIVERSITY DRIVE SECOND FLOORFAIRFAXVA22030PCTRAUMA-INFORMED CARE FOR CHILDREN WITH DISABILITIES: EMPOWERING FAMILIES TO PARTNER FOR SAFETY$8,858
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422PCOPERATING SUPPORT$25,000
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422PCOPERATING SUPPORT$150,000
GOOD SHEPHERD HOUSING AND FAMILY SERVICES
PO BOX 15096ALEXANDRIAVA22309PCHALO FOR HEALTH IMPROVEMENTS$17,400
GREATER DC DIAPER BANK
5614 CONNECTICUT AVENUE NW 285WASHINGTONDC20015PCPROVIDING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE$17,500
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCOPERATING SUPPORT$30,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCOPERATING SUPPORT$100,000102
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031PCINCREASE AVAILABILITY & ACCESS TO FORENSIC SERVICES IN PRINCE WILLIAM COUNTY$77,000
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031PCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PRINCE WILLIAM COUNTY$145,853
INSTITUTE OF PUBLIC HEALTH INNOVATION
1301 CONNECTICUT AVENUE NW SUITEWASHINGTONDC20036PCCAPACITY BUILDING$87,700200
JUST NEIGHBORS
7630 LITTLE RIVER TURNPIKE SUITEANNANDALEVA22003PCIMMIGRANT-FOCUSED MEDICAL LEGAL PARTNERSHIP$52,500900
LEADERSHIP PRINCE WILLIAM
9720 CAPITAL COURT SUITE 204MANASSASVA20110PCSCHOLARSHIPS FOR PEOPLE OF COLOR$16,500
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCPROTECTING THE LIVES AND LIVELIHOODS OF LOW-INCOME IMMIGRANTS$45,000
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCLEGAL AID JUSTICE CENTER$105,000
LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM
4326 DALE BLVD SUITE 2WOODBRIDGEVA22193PCB4 HEALTH LITERACY$42,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401PCOPERATING SUPPORT$31,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401PCOPERATING SUPPORT$93,000
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079PCALL CAN BE HEALTH INITIATIVE$52,500
MEDICAL SOCIETY OF VIRGINIA
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCVMAP PROVIDER EDUCATION/REACH TRAINING SUPPORT$10,000
NATIONAL CAPITAL TREATMENT & RECOVERY
200 N GLEBE ROAD SUITE 104ARLINGTONVA22203PCPATIENT ASSISTANCE FUND - PHF SERVICE AREA$17,500
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCOPERATING SUPPORT$4,500
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCHEALTH EQUITY: PROMOTING ORAL HEALTH$57,400
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC)
4304 EVERGREEN LANE SUITE 104ANNANDALEVA22003PCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE & ADVOCACY$31,142
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$250,000
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCKIDS CONNECT$9,600
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCPUBLIC HEALTH BENEFITS & INSURANCE NAVIGATION$59,113
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$87,500
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$52,500
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$122,500
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042PCOPERATING SUPPORT$46,000
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042PCOPERATING SUPPORT$115,000
NUEVA VIDA INC
206 N WASHINGTON STREET SUITE 300ALEXANDRIAVA22314PCACCESS & CONTINUITY OF CARE FOR MEDICALLY UNDERSERVED LATINAS$105,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030PCPERMANENT SUPPORTIVE HOUSING$175,000
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$16,584
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$45,990
PRINCE WILLIAM COUNTY COMMUNITY SERVICES
7969 ASHTON AVENUEMANASSASVA20109GOVCRISIS RECEIVING AND STABILIZATION CENTER$500,000
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192PCOPERATING SUPPORT$51,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110PCREPAIRING FOR SAFE & HEALTHY HOMES$60,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCOPERATING SUPPORT$10,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCVIRTUAL AUDIT IMPROVEMENTS$30,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304PCCHILDHOOD TRAUMA & HEALTH PROGRAMMATIC & OPERATIONS SUPPORT$125,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCNURSING SCHOLARSHIP PROGRAM$21,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCOPERATING SUPPORT$87,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCMOBILE VAN$35,000
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405PCCHILDREN'S HEALTH INSURANCE OUTREACH$21,000
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405PCCHILDREN'S HEALTH INSURANCE OUTREACH$4,348
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCREGISTERED NURSE POSITION FOR STREETLIGHT MEDICALLY FRAGILE SUPPORTIVE HOUSING AND SHELTER CLIENTS$19,745
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCREGISTERED NURSE POSITION FOR STREETLIGHT MEDICALLY FRAGILE SUPPORTIVE HOUSING AND SHELTER CLIENTS$52,748
TENANTS AND WORKERS UNITED
3801 MOUNT VERNON AVE 215ALEXANDRIAVA22305PCWOODBRIDGE EVICTION PREVENTION, HEALTH & HOUSING INFORMATION SHARING, AND COMMUNITY DEVELOPMENT$15,942
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193PCBUILDING & IMPROVING CAPACITY$250,000
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCREVIVE TO THRIVE$32,565
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCIMPROVING INDIVIDUAL HEALTH$75,985
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - DENTAL CARE FOR PRINCE WILLIAM COUNTY LOW-RESOURCE OLDER ADULTS$9,000
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - DENTAL CARE FOR PRINCE WILLIAM COUNTY LOW-RESOURCE OLDER ADULTS$105,000
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125PCMOBILE MEALS$22,500
THE HOUSE STUDENT LEADERSHIP CENTER
1400 CROWN COURT SUITE 105WOODBRIDGEVA22193PCOPERATING SUPPORT$250,000
THE SALVATION ARMY OF PRINCE WILLIAM
1483 OLD BRIDGE ROAD UNIT 102WOODBRIDGEVA22192PCEMERGENCY FOOD, RENT & UTILITIES ASSISTANCE PROGRAM$49,000
THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC
9248 CENTER STREETMANASSASVA20110PCVETS - VETERANS ENHANCED TRANSPORTATION SERVICES$15,000
THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC
9248 CENTER STREETMANASSASVA20110PCVETS - VETERANS ENHANCED TRANSPORTATION SERVICES$35,000
THE WOMEN'S CENTER
133 PARK STREET NEVIENNAVA22180PCENHANCED ACCESS TO MENTAL HEALTH PROGRAM$22,500
THE WOMEN'S CENTER
133 PARK STREET NEVIENNAVA22180PCENHANCED ACCESS TO MENTAL HEALTH PROGRAM$35,000
VIRGINIA COMMUNITY FOOD CONNECTIONS
406 PRINCESS ANNE STREETFREDERICKSBURGVA22401PCOPERATING SUPPORT$60,000
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
300 ARBORETUM PLACE SUITE 200RICHMONDVA23219PCPHF FELLOWS PROGRAM$125,000
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STREETRICHMONDVA23223PCDEEPENING HEALTH ADVOCACY CAPACITY$22,500
VIRGINIA POVERTY LAW CENTER
919 E MAIN STREET SUITE 610RICHMONDVA23219PCENROLL VIRGINIA - POTOMAC$198,805
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS STABILIZATION UNIT$25,500
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS STABILIZATION UNIT$70,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219PCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HEALTH SERVICES$60,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAY BUILDING 16LORTONVA22079PCWORKHOUSE TESSITURA DATABASE IMPLEMENTATION$13,500
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAY BUILDING 16LORTONVA22079PCWORKHOUSE MILITARY IN THE ARTS INITIATIVES$77,050
YOUNG INVINCIBLES
1411 K STREET NW SUITE 400WASHINGTONDC20005PCHEALTHY YOUNG AMERICA - NOVA CAMPAIGN$125,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCCOORDINATED BEHAVIORAL HEALTH SERVICES - DUMFRIES$291,165
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCYFT BEHAVIORAL MENTAL HEALTH SERVICES FOR THE UNDERSERVED$58,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,972,302TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (32 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY$16,200
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCSHORT-TERM EMERGENCY FOOD IN PHF SERVICE AREA$22,500
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCCOMMUNITY GRIEF & COUNSELING PROGRAM$11,370
CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC
9380 FORESTWOOD LANE UNIT BMANASSASVA20110PCOPERATING SUPPORT$500,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$12,000
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422PCOPERATING SUPPORT$750,000
GREATER DC DIAPER BANK
5614 CONNECTICUT AVENUE NW 285WASHINGTONDC20015PCPROVIDING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE$7,500
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCOPERATING SUPPORT$500,000102
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031PCINCREASE AVAILABILITY & ACCESS TO FORENSIC SERVICES IN PRINCE WILLIAM COUNTY$33,000
JUST NEIGHBORS
7630 LITTLE RIVER TURNPIKE SUITEANNANDALEVA22003PCIMMIGRANT-FOCUSED MEDICAL LEGAL PARTNERSHIP$22,500900
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCLEGAL AID JUSTICE CENTER$45,000
LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM
4326 DALE BLVD SUITE 2WOODBRIDGEVA22193PCB4 HEALTH LITERACY$18,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401PCOPERATING SUPPORT$465,000
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079PCALL CAN BE HEALTH INITIATIVE$22,500
NATIONAL CAPITAL TREATMENT & RECOVERY
200 N GLEBE ROAD SUITE 104ARLINGTONVA22203PCPATIENT ASSISTANCE FUND - PHF SERVICE AREA$7,500
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCHEALTH EQUITY: PROMOTING ORAL HEALTH$24,600
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCPUBLIC HEALTH BENEFITS & INSURANCE NAVIGATION$25,363
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$437,500
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$52,500
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042PCOPERATING SUPPORT$575,000
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$19,710
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCOPERATING SUPPORT$150,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCNURSING SCHOLARSHIP PROGRAM$9,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCOPERATING SUPPORT$437,500
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405PCCHILDREN'S HEALTH INSURANCE OUTREACH$9,000
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCREGISTERED NURSE POSITION FOR STREETLIGHT MEDICALLY FRAGILE SUPPORTIVE HOUSING AND SHELTER CLIENTS$22,607
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCIMPROVING INDIVIDUAL HEALTH$32,565
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - DENTAL CARE FOR PRINCE WILLIAM COUNTY LOW-RESOURCE OLDER ADULTS$45,000
THE SALVATION ARMY OF PRINCE WILLIAM
1483 OLD BRIDGE ROAD UNIT 102WOODBRIDGEVA22192PCEMERGENCY FOOD, RENT & UTILITIES ASSISTANCE PROGRAM$21,000
THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC
9248 CENTER STREETMANASSASVA20110PCVETS - VETERANS ENHANCED TRANSPORTATION SERVICES$15,000
THE WOMEN'S CENTER
133 PARK STREET NEVIENNAVA22180PCENHANCED ACCESS TO MENTAL HEALTH PROGRAM$15,000
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS STABILIZATION UNIT$30,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$4,354,415TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,695ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm$9,258UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$4,486,546ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm$14,541UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$713,278ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$23,799UnrelatedBusinessTaxblIncmAmt
Exclusion$5,201,519ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$5,225,318TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$47,607Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$47,607DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionSECTION 4942(H)(2) ELECTION A TO THE TREATMENT OF QUALIFYING DISTRIBUTIONSPURSUANT TO IRS SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2), THE POTOMAC HEALTH FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR 2022.SIGNED: GAYLE WHITLOCK, TREASURERDATE: 11/8/2024THIS RETURN IS BEING ELECTRONICALLY FILED. THE FORM 8879-TE IS BEING SIGNED BY AN INDIVIDUAL WHO IS ALSO AUTHORIZED TO SIGN THIS ELECTION, GAYLE WHITLOCK, TREASURER. THE SIGNATURE ON THE FORM 8879-TE IS DEEMED A SIGNATURE BY AN AUTHORIZED INDIVIDUAL FOR THIS ELECTION.ElectionDesc

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI CORE FIXED INCOME FUND #285$24,808,624$24,808,624
SEI SIIT REAL RETURN A$1,953,091$1,953,091
SIIT ULTRA SHORT DURATION BOND FUND$4,857,159$4,857,159

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI ISHARES MSCI USA MIN VOL FACTOR ETF$6,932,107$6,932,107
SEI LARGE CAP FUND$20,319,951$20,319,951
SEI EXTENDED MKT INDEX-A$3,231,901$3,231,901
SEI WORLD EQUITY EX-US FUND$8,037,217$8,037,217
SEI STATE ST EMG MKT EQTY INDX-K$2,925,938$2,925,938
SEI STATE STREET GLB ALL CAP EQ X US IN$6,990,220$6,990,220

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$340,132USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$340,132USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI GLOBAL PRIVATE ASSETS V LPFMV$1,698,746$1,698,746
SEI GLOBAL PRIVATE ASSETS IV LPFMV$4,047,727$4,047,727
SEI SPECIAL SITUATIONS FUND LTDFMV$6,319,656$6,319,656
SEI CORE PROPERTY FUND LPFMV$14,767,721$14,767,721

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$61,243CostOrOtherBasisAmt
Accumulated Depreciation$54,129AccumulatedDepreciationAmt
Book Value$7,114BookValueAmt
EOYFMV$7,114EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$8,369LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$8,369DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$24,237$0$29,772
TECHNOLOGY EXPENSE$19,402$0$13,117
INSURANCE$2,207$0$3,832
BANK FEES$40$40$0
OTHER EXPENSES$1,623$0$1,603
SPONSORSHIPS$12,558$0$12,558
SEI CORE PROPERTY FUND LP OTHER DEDUCTIONS$0$120,359$0
SEI GLOBAL PRIVATE ASSETS IV, LP OTHER DEDUCTIONS$0$123,001$0
SEI GLOBAL PRIVATE ASSETS V, LP OTHER DEDUCTIONS$0$62,678$0
SEI GLOBAL PRIVATE ASSETS IV, LP OTHER DEDUCTIONS REMOVE UBI$0-$55,033$0
SEI GLOBAL PRIVATE ASSETS V, LP OTHER DEDUCTIONS REMOVE UBI$0-$4,083$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (10 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
SEI CORE PROPERTY FUND LP OTHER INCOME$0$39,068$0
SEI GLOBAL PRIVATE ASSETS IV, LP ORDINARY INCOME$0$87,995$0
SEI GLOBAL PRIVATE ASSETS IV, LP OTHER INCOME$0$26,282$0
SEI GLOBAL PRIVATE ASSETS IV, LP RENTAL LOSS$0-$6,196$0
SEI GLOBAL PRIVATE ASSETS IV, LP ROYALTY INCOME$0$4,137$0
SEI GLOBAL PRIVATE ASSETS V, LP ORDINARY LOSS$0-$10,298$0
SEI GLOBAL PRIVATE ASSETS V, LP OTHER INCOME$0$1,292$0
SEI GLOBAL PRIVATE ASSETS V, LP RENTAL LOSS$0-$3,998$0
SEI GLOBAL PRIVATE ASSETS IV, LP REMOVE UBI$0$7,039$0
SEI GLOBAL PRIVATE ASSETS V, LP REMOVE UBI$0-$88,578$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$4,332,868Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$37,839$31,507
DEFERRED TAX LIABILITY$88,411$148,638

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTANT FEES$153,900$0$163,900
INVESTMENT MANAGEMENT FEES$612,572$612,572$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (6 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$48,521$0$0
UNRELATED BUSINESS INCOME TAX$4,997$0$0
SEI GLOBAL PRIVATE ASSETS IV, LP$0$1,316$0
SEI GLOBAL PRIVATE ASSETS V, LP$0$391$0
SEI GLOBAL PRIVATE ASSETS IV, LP REMOVE UBI$0-$116$0
SEI GLOBAL PRIVATE ASSETS V, LP REMOVE UBI$0-$68$0

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