POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2021-11-01 to 2022-10-31
Filed
2023-09-27
IRS object ID
202322709349100112
Schema version
2021v4.2
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)
Return2023-09-27T11:58:05-05:00ReturnTs
Tax Period End2022-10-31TaxPeriodEndDt

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 Begin2021-11-01TaxPeriodBeginDt

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)
PersonR MICHAEL SORENSENPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7035230620PhoneNum
Signature2023-09-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRPersonFirstNm
Person LastMICHAEL SORENSENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WILLIAMSPreparerPersonNm
PTINP01345960PTIN
Phone5712279500PhoneNum
Preparation2023-09-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$104,353,678FMVAssetsEOYAmt
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$154InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$154InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,962,730DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,207,740DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$4,046,306NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$26,839,833GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$4,572,977CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$79,576OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$6,009,190TotalRevAndExpnssAmt
Total Net Invst Incm$6,860,447TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$149,694CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$22,454CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$115,317CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$162,329OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$92,952OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$71,765PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$5,165PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$47,901PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$25,324AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$25,324AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$710,829OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$652,479OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$58,350OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$80,833TaxesRevAndExpnssAmt
Taxes Net Invst Incm$381TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$1,679DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$36,607OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$6,203TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$6,203TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$74,482OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$155,807OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$54,344OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,319,745TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$836,286TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$400,391TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$5,072,118ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$6,744,287ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$6,391,863TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$836,286TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$7,144,678TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$382,673ExcessRevenueOverExpensesAmt
Net Investment Income$6,024,161NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$432,671SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$70,630SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$70,630SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$80,873AcctRcvblAmt
Acct Rcvbl BOY$48,590AcctRcvblBOYAmt
Acct Rcvbl EOY$80,873AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$80,873AcctRcvblEOYFMVAmt
Pledges Rcvbl$252,258PledgesRcvblAmt
Pledges Rcvbl BOY$364,238PledgesRcvblBOYAmt
Pledges Rcvbl EOY$252,258PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$252,258PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$34,516PrepaidExpensesBOYAmt
Prepaid Expenses EOY$42,907PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$42,907PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$65USGovernmentObligationsBOYAmt
US Government Obligations EOY$65USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$65USGovtObligationsEOYFMVAmt
Corporate Stock BOY$61,678,651CorporateStockBOYAmt
Corporate Stock EOY$46,174,205CorporateStockEOYAmt
Corporate Stock EOYFMV$46,174,205CorporateStockEOYFMVAmt
Corporate Bonds BOY$38,980,572CorporateBondsBOYAmt
Corporate Bonds EOY$29,585,290CorporateBondsEOYAmt
Corporate Bonds EOYFMV$29,585,290CorporateBondsEOYFMVAmt
Other Investments BOY$23,247,679OtherInvestmentsBOYAmt
Other Investments EOY$28,136,645OtherInvestmentsEOYAmt
Other Investments EOYFMV$28,136,645OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$61,243LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,438LandBldgEquipAccumDeprecAmt
Land BOY$2,454LandBOYAmt
Land EOY$10,805LandEOYAmt
Land EOYFMV$10,805LandEOYFMVAmt
Total Assets BOY$124,789,436TotalAssetsBOYAmt
Total Assets EOY$104,353,678TotalAssetsEOYAmt
Total Assets EOYFMV$104,353,678TotalAssetsEOYFMVAmt
Accounts Payable BOY$214,711AccountsPayableBOYAmt
Accounts Payable EOY$463,290AccountsPayableEOYAmt
Grants Payable BOY$5,749,825GrantsPayableBOYAmt
Grants Payable EOY$4,077,656GrantsPayableEOYAmt
Other Liabilities BOY$376,702OtherLiabilitiesBOYAmt
Other Liabilities EOY$127,587OtherLiabilitiesEOYAmt
Total Liabilities BOY$6,341,238TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,668,533TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$118,448,198NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$99,685,145NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$118,448,198TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$99,685,145TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$124,789,436TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$104,353,678TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$118,448,198TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$382,673ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$118,065,525SubtotalAmt
Other Decreases$18,380,380OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$99,685,145TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES$22,519,052$22,793,527-$274,475-$274,475
SEI GLOBAL PRIVATE ASSETS V LP$21,739$21,739P
SEI GLOBAL PRIVATE ASSETS IV,LP$187,720$187,720P
SEI CORE PROPERTY FUND LP$317,212$317,212P
CAPITAL GAINS DIVIDENDS$4,320,781$4,320,781$4,320,781P
FieldValueIRS element (for citing)
Capital Gain Net Income$4,572,977CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$83,736InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$83,736SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$83,736TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$115,048EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$115,048TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$31,312OverpaymentAmt
Applied To ES Tax$31,312AppliedToESTaxAmt
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 Limit0UnrelatedBusIncmOverLimitInd
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
Individual With BooksERIN MATTHEWS THOMASIndividualWithBooksNm
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 (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEVEN LIGA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR AS OF AUG 202240.00$35,769$8,226$150
SUSIE LEE
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR TO JUL 202240.00$113,925$26,203$400
MARION M WALL
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191CHAIR4.00$0$0$0
CAROL S SHAPIRO MD MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191VICE-CHAIR4.00$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
PAUL GADEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
HOWARD L GREENHOUSE
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR EMERITUS TO AUG 20221.00$0$0$0
SAM HILL EDD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
KATHIE JOHNSON
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
PHYLLIS MORGAN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
ALA S MORTAZAVI MD
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
CLARICE TORAN MED
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonERIN MATTHEWS THOMASPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
FieldValueIRS element (for citing)
TitleSENIOR PROGRAM OFFICTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$101,050CompensationAmt
Employee Benefits$23,241EmployeeBenefitsAmt
Expense Account$600ExpenseAccountAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEI GLOBAL INSTITUTIONAL GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 FREEDOM VALLEY DRIVEAddressLine1Txt
CityOAKSCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19456ZIPCd
FieldValueIRS element (for citing)
Service TypeINVESTMENT MANAGEMENTServiceTypeTxt
Compensation$652,479CompensationAmt
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$112,390,475AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$233,150AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$112,623,625TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$112,623,625AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,689,354CashDeemedCharitableAmt
Net Vl Noncharitable Assets$110,934,271NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,546,714MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,546,714MinimumInvestmentReturnAmt
Tax Based On Investment Income$83,736TaxBasedOnInvestmentIncomeAmt
Total Tax$83,736TotalTaxAmt
Distributable Before Adj$5,462,978DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,462,978DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,462,978DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$7,144,678ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$7,144,678QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,462,978DistributableAsAdjustedAmt
Undistributed Income PY$3,425,432UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$7,144,678QualifyingDistributionsAmt
Applied To Year1$3,425,432AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$3,719,246AppliedToCurrentYearAmt
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$1,743,732UndistributedIncomeCYAmt
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 (79 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
PO BOX 74DUMFRIESVA22026PCRENT & UTILITY ASSISTANCE PROGRAM$15,000
ACTION IN COMMUNITY THROUGH SERVICE INC
PO BOX 74DUMFRIESVA22026PCOPERATING SUPPORT$250,000
AMERICAN KIDNEY FUND
11921 ROCKVILLE PIKE SUITE 300ROCKVILLEMD20852PCSAFETYNET FINANCIAL ASSISTANCE FOR PRINCE WILLIAM COUNTY$17,500
BOYS & GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019PCREFURBISH GYM AT BGCGWS HYLTON CLUB IN DALE CITY$44,230
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY$37,785
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO EPWC & SFFXCO$15,323
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCTACKLING FOOD INSECURITY IN PRINCE WILLIAM COUNTY BOTH DURING AND POST-PANDEMIC$35,000
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCYOU ARE WHAT YOU EAT$48,000
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCEXPANDING STAY AT HOME SERVICES$38,820
CATCHAFIRE
2000 P ST NW 240WASHINGTONDC20036PCCAPACITY BUILDING - FOUNDATION PLATFORM FEES$77,500
CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC
9380 FORESTWOOD LANE UNIT BMANASSASVA20110PCOPERATING SUPPORT$150,000
COMMUNITY FOUNDATION OF NORTHERN VIRGINIA
3201 JERMANTOWN ROAD SUITE 660FAIRFAXVA22030PCFINDING YOUR WAY BACK TO MENTAL HEALTH$5,000
EDU-FUTURO
2110 WASHINGTON BLVD THIRD FLOORARLINGTONVA22204PCCOVID-19 IMMIGRANT FAMILY SERVICES$15,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$28,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$7,500
FORMED FAMILIES FORWARD
4031 UNIVERSITY DRIVE SECOND FLOORFAIRFAXVA22030PCTRAUMA-INFORMED CARE FOR CHILDREN WITH DISABILITIES: EMPOWERING FAMILIES TO PARTNER FOR SAFETY$20,667
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422PCOPERATING SUPPORT$125,000
GOOD SHEPHERD HOUSING AND FAMILY SERVICES
PO BOX 15096ALEXANDRIAVA22309PCHALO FOR HEALTH IMPROVEMENTS$40,600
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCADDRESSING PATIENT SOCIAL DETERMINANTS OF HEALTH$30,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCOPERATING SUPPORT$150,000102
HOUSE OF MERCY
8170 FLANNERY COURTMANASSASVA20109PCCOVID-19 FOOD INSECURITY RELIEF & ASSISTANCE$15,000
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 SUITEWASHINGTONDC20036PCSTRENGTHENING THE INFRASTRUCTURE OF THE COMMUNITY HEALTH COALITION OF GREATHER PRINCE WILLIAM COUNTY$33,600200
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCPROTECTING THE LIVES AND LIVELIHOODS OF LOW-INCOME IMMIGRANTS$105,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401PCOPERATING SUPPORT$155,000
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079PCCONTINUED COVID-19 RESPONSE$15,000
MEDICAL CARE FOR CHILDREN PARTNERSHIP (MCCP) FOUNDATION
6699 SPRINGFIELD CENTER DRIVE SUITESPRINGFIELDVA22150PCEXPANDING HEALTH SERVCIES TO LORTON CHILDREN$10,500303
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026PCOPERATING SUPPORT$4,500
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCOPERATING SUPPORT$10,500
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC)
4304 EVERGREEN LANE SUITE 104ANNANDALEVA22003PCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE & ADVOCACY$72,664
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC)
4304 EVERGREEN LANE SUITE 104ANNANDALEVA22003PCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE & ADVOCACY$35,329
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCAGENCY-WIDE EQUITY, DIVERSITY & INCLUSION TRAINING$25,385
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$259,600
NORTHERN VIRGINIA FAMILY SERVICE (KIDS CONNECT)
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$38,400
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$122,500
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$52,500
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042PCOPERATING SUPPORT$230,000
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$38,696
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$15,000
PRINCE WILLIAM COUNTY COMMUNITY SERVICES
7969 ASHTON AVENUEMANASSASVA20109GOVCRISIS RECEIVING AND STABILIZATION CENTER$1,000,000
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192PCOPERATING SUPPORT$51,500
PRINCE WILLIAM HEALTH DISTRICT
9301 LEE AVENUEMANASSASVA20110GOVPLATFORM LICENSE FEE FOR "BE HEALTHY BE HAPPY PWHD"$4,800
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110PCREPAIRING FOR SAFE & HEALTHY HOMES$60,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCOPERATING SUPPORT$50,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCVIRTUAL AUDIT IMPROVEMENTS$7,500
SCAN OF NOVA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304PCCHILDHOOD TRAUMA & HEALTH PROGRAMMATIC & OPERATIONS SUPPORT$125,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCOPERATING SUPPORT$175,000
STAFFORD SCHOOL HEAD START
610 GAYLE STREETFALMOUTHVA22405PCCHILDREN'S HEALTH INSURANCE OUTREACH$4,348
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405PCCHILDREN'S HEALTH INSURANCE OUTREACH$10,144
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCREGISTERED NURSE POSITION FOR STREETLIGHT MEDICALLY FRAGILE SUPPORTIVE HOUSING AND SHELTER CLIENTS$46,071
TAHIRIH JUSTICE CENTER
6400 ARLINGTON BLVD SUITE 400FALLS CHURCHVA22042PCADDRESSING SOCIAL DETERMINANTS OF HEALTH OF IMMIGRANT SURVIVORS OF GENDER-BASED VIOLENCE$35,000
TENANTS AND WORKERS UNITED
3801 MOUNT VERNON AVE 215ALEXANDRIAVA22305PCWOODBRIDGE EVICTION PREVENTION, HEALTH & HOUSING INFORMATION SHARING, AND COMMUNITY DEVELOPMENT$37,198
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$52,500
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193PCSUPPORTING INDIVIDUALS W/ DEVELOPMENTAL DISABILITIES & THEIR FAMILIES$250,000
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCREVIVE TO THRIVE$75,985
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - DENTAL CARE FOR PRINCE WILLIAM COUNTY LOW-RESOURCE OLDER ADULTS$21,000
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125PCMOBILE MEALS$52,500
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125PCMOBILE MEALS$15,000
THE HOUSE STUDENT LEADERSHIP CENTER
1400 CROWN COURT SUITE 105WOODBRIDGEVA22193PCOPERATING SUPPORT$250,000
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$52,500
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193PCBOOK SPONSORHIP$4,000
VIRGINIA COMMUNITY FOOD CONNECTIONS
406 PRINCESS ANNE STREETFREDERICKSBURGVA22401PCOPERATING SUPPORT$60,000
VIRGINIA DENTAL ASSOCIATION FOUNDATION
3460 MARYLAND COURT SUITE 110RICHMONDVA23233SO-DPDONATED DENTAL SERVICES (DDS) PROGRAM$17,500
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$52,500
VIRGINIA POVERTY LAW CENTER
919 E MAIN STREET SUITE 610RICHMONDVA23219PCENROLL VIRGINIA - POTOMAC$198,806
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS STABILIZATION UNIT$59,500
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$31,500
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$363,445
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCYFT BEHAVIORAL MENTAL HEALTH SERVICES FOR THE UNDERSERVED$58,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCYFT BEHAVIORAL MENTAL HEALTH SERVICES FOR THE UNDERSERVED$136,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCBEHAVIORAL HEALTH SERVICES$132,046
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$6,744,287TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (26 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN KIDNEY FUND
11921 ROCKVILLE PIKE SUITE 300ROCKVILLEMD20852PCSAFETYNET FINANCIAL ASSISTANCE FOR PRINCE WILLIAM COUNTY$7,500
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$16,194
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCTACKLING FOOD INSECURITY IN PRINCE WILLIAM COUNTY BOTH DURING AND POST-PANDEMIC$15,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$12,000
FORMED FAMILIES FORWARD
4031 UNIVERSITY DRIVE SECOND FLOORFAIRFAXVA22030PCTRAUMA-INFORMED CARE FOR CHILDREN WITH DISABILITIES: EMPOWERING FAMILIES TO PARTNER FOR SAFETY$8,858
GOOD SHEPHERD HOUSING AND FAMILY SERVICES
PO BOX 15096ALEXANDRIAVA22309PCHALO FOR HEALTH IMPROVEMENTS$17,400
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCPROTECTING THE LIVES AND LIVELIHOODS OF LOW-INCOME IMMIGRANTS$45,000
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCOPERATING SUPPORT$4,500
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC)
4304 EVERGREEN LANE SUITE 104ANNANDALEVA22003PCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE & ADVOCACY$31,142
NORTHERN VIRGINIA FAMILY SERVICE (KIDS CONNECT)
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$9,600
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$52,500
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$16,584
PRINCE WILLIAM COUNTY COMMUNITY SERVICES
7969 ASHTON AVENUEMANASSASVA20109GOVCRISIS RECEIVING AND STABILIZATION CENTER$1,000,000
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCREGISTERED NURSE POSITION FOR STREETLIGHT MEDICALLY FRAGILE SUPPORTIVE HOUSING AND SHELTER CLIENTS$19,745
TAHIRIH JUSTICE CENTER
6400 ARLINGTON BLVD SUITE 400FALLS CHURCHVA22042PCADDRESSING SOCIAL DETERMINANTS OF HEALTH OF IMMIGRANT SURVIVORS OF GENDER-BASED VIOLENCE$15,000
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCREVIVE TO THRIVE$32,565
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - DENTAL CARE FOR PRINCE WILLIAM COUNTY LOW-RESOURCE OLDER ADULTS$9,000
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125PCMOBILE MEALS$22,500
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$22,500
VIRGINIA DENTAL ASSOCIATION FOUNDATION
3460 MARYLAND COURT SUITE 110RICHMONDVA23233SO-DPDONATED DENTAL SERVICES (DDS) PROGRAM$7,500
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STREETRICHMONDVA23223PCDEEPENING HEALTH ADVOCACY CAPACITY$22,500
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS STABILIZATION UNIT$25,500
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAY BUILDING 16LORTONVA22079PCWORKHOUSE TESSITURA DATABASE IMPLEMENTATION$13,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCYFT BEHAVIORAL MENTAL HEALTH SERVICES FOR THE UNDERSERVED$58,500
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,519,043TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$154ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,962,730ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$4,046,306ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$6,009,190ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$6,009,190TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOYes (1)TrnsfrOfCashToNonchrtblEOInd
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

Transfer Schedule Detail TransferScheduleDetail

FieldValueIRS element (for citing)
Line Number1a(1)LineNumberTxt
Involved$1,500InvolvedAmt

Noncharitable Exempt Org Name NoncharitableExemptOrgName

FieldValueIRS element (for citing)
Business Name Line1ROTARY CLUB OF LAKE RIDGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transfers Trans And Shr ArrngmSPONSORSHIP OF 2022 CELEBRITY WAITER LUNCHEONTransfersTransAndShrArrngmDesc
FieldValueIRS element (for citing)
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$25,324Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$25,324DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI CORE FIXED INCOME FUND #285$22,424,046$22,424,046
SEI SIIT REAL RETURN A$1,821,283$1,821,283
SIIT ULTRA SHORT DURATION BOND FUND$5,339,961$5,339,961

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI ISHARES MSCI USA MIN VOL FACTOR ETF$8,575,903$8,575,903
SEI LARGE CAP FUND$19,031,626$19,031,626
SEI EXTENDED MKT INDEX-A$2,719,614$2,719,614
SEI WORLD EQUITY EX-US FUND$7,176,354$7,176,354
SEI STATE ST EMG MKT EQTY INDX-K$2,494,925$2,494,925
SEI STATE STREET GLB ALL CAP EQ X US IN$6,175,783$6,175,783

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$65USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$65USGovtObligationsEOYFMVAmt
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$1,186,726$1,186,726
SEI GLOBAL PRIVATE ASSETS IV LPFMV$4,210,237$4,210,237
SEI SPECIAL SITUATIONS FUND LTDFMV$5,788,778$5,788,778
SEI CORE PROPERTY FUND LPFMV$16,950,904$16,950,904

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$50,438AccumulatedDepreciationAmt
Book Value$10,805BookValueAmt
EOYFMV$10,805EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSS ON INVESTMENTSDesc
Amt$18,380,380Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$33,655$0$35,655
TECHNOLOGY EXPENSE$19,415$0$13,915
INSURANCE$2,207$0$2,207
BANK FEES$50$50$0
OTHER EXPENSES$3,155$0$2,567
SPONSORSHIPS$16,000$0$0
SEI GLOBAL PRIVATE ASSETS IV LP DEDUCTIONS - ROYALTY INCOME$0$354$0
SEI GLOBAL PRIVATE ASSETS V LP OTHER DEDUCTIONS$0$15,341$0
SEI GLOBAL PRIVATE ASSETS IV LP OTHER DEDUCTIONS$0$92,972$0
SEI CORE PROPERTY FUND LP OTHER DEDUCTIONS$0$41,077$0
SEI GLOBAL PRIVATE ASSETS V LP INVESTMENT INTEREST EXPENSE$0$1,009$0
SEI GLOBAL PRIVATE ASSETS IV LP INVESTMENT INTEREST EXPENSE$0$5,004$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
SEI GLOBAL PRIVATE ASSETS V LP ORDINARY LOSS$0-$1,357$0
SEI GLOBAL PRIVATE ASSETS IV LP ORDINARY INCOME$0$9,712$0
SEI GLOBAL PRIVATE ASSETS V LP RENTAL INCOME$0$1$0
SEI GLOBAL PRIVATE ASSETS IV LP RENTAL LOSS$0-$2,981$0
SEI GLOBAL PRIVATE ASSETS IV LP ROYALTY INCOME$0$2,304$0
SEI GLOBAL PRIVATE ASSETS V LP OTHER LOSS$0-$41$0
SEI GLOBAL PRIVATE ASSETS IV LP OTHER INCOME$0$29,782$0
SEI CORE PROPERTY FUND LP OTHER INCOME$0$42,156$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$18,254$24,626
DEFERRED TAX LIABILITY$358,448$102,961

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTANT FEES$58,350$0$58,350
INVESTMENT MANAGEMENT FEES$652,479$652,479$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$80,833$0$0
SEI GLOBAL PRIVATE ASSETS V LP FOREIGN TAXES$0$50$0
SEI GLOBAL PRIVATE ASSETS IV LP FOREIGN TAXES$0$331$0

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