POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2020-11-01 to 2021-10-31
Filed
2022-03-12
IRS object ID
202210719349100401
Schema version
2020v4.2
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)
Return2022-03-12T08:13:56-06:00ReturnTs
Tax Period End2021-10-31TaxPeriodEndDt

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 Line1420 SOUTH ORANGE AVENUE SUITE 500AddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-11-01TaxPeriodBeginDt

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 NO 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSIE LEEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7035230620PhoneNum
Signature2022-03-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSIEPersonFirstNm
Person LastLEEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CHAPMANPreparerPersonNm
PTINP00843460PTIN
Phone4078021200PhoneNum
Preparation2022-03-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$124,789,436FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$152ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$211InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$211InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$6,200,215DividendsRevAndExpnssAmt
Dividends Net Invst Incm$6,464,805DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$2,690,689NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$83,020,126GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$2,690,689CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$40,929OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$8,932,196TotalRevAndExpnssAmt
Total Net Invst Incm$9,155,705TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$118,846CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$17,827CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$101,019CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$130,265OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$130,265OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$56,632PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$3,744PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$52,888PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$55,846AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$55,846AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$629,895OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$627,194OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$2,701OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$356,342TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$1,270DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$35,541OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$2,344TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$2,344TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$58,675OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$53,527OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$64,238OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,445,656TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$702,292TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$409,301TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$10,659,213ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$6,238,645ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$12,104,869TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$702,292TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$6,647,946TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$3,172,673ExcessRevenueOverExpensesAmt
Net Investment Income$8,453,413NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$147,069SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$432,671SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$432,671SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$48,590AcctRcvblAmt
Acct Rcvbl BOY$48,100AcctRcvblBOYAmt
Acct Rcvbl EOY$48,590AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$48,590AcctRcvblEOYFMVAmt
Pledges Rcvbl$364,238PledgesRcvblAmt
Pledges Rcvbl BOY$450,803PledgesRcvblBOYAmt
Pledges Rcvbl EOY$364,238PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$364,238PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$32,480PrepaidExpensesBOYAmt
Prepaid Expenses EOY$34,516PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$34,516PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$5,000,000USGovernmentObligationsBOYAmt
US Government Obligations EOY$65USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$65USGovtObligationsEOYFMVAmt
Corporate Stock BOY$54,402,407CorporateStockBOYAmt
Corporate Stock EOY$61,678,651CorporateStockEOYAmt
Corporate Stock EOYFMV$61,678,651CorporateStockEOYFMVAmt
Corporate Bonds BOY$31,122,223CorporateBondsBOYAmt
Corporate Bonds EOY$38,980,572CorporateBondsEOYAmt
Corporate Bonds EOYFMV$38,980,572CorporateBondsEOYFMVAmt
Other Investments BOY$18,354,737OtherInvestmentsBOYAmt
Other Investments EOY$23,247,679OtherInvestmentsEOYAmt
Other Investments EOYFMV$23,247,679OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$51,213LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$48,759LandBldgEquipAccumDeprecAmt
Land BOY$1,608LandBOYAmt
Land EOY$2,454LandEOYAmt
Land EOYFMV$2,454LandEOYFMVAmt
Total Assets BOY$109,559,427TotalAssetsBOYAmt
Total Assets EOY$124,789,436TotalAssetsEOYAmt
Total Assets EOYFMV$124,789,436TotalAssetsEOYFMVAmt
Accounts Payable BOY$207,187AccountsPayableBOYAmt
Accounts Payable EOY$214,711AccountsPayableEOYAmt
Grants Payable BOY$1,370,187GrantsPayableBOYAmt
Grants Payable EOY$5,749,825GrantsPayableEOYAmt
Other Liabilities BOY$144,293OtherLiabilitiesBOYAmt
Other Liabilities EOY$376,702OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,721,667TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,341,238TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$107,837,760NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$118,448,198NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$107,837,760TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$118,448,198TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$109,559,427TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$124,789,436TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$107,837,760TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$3,172,673ExcessRevenueOverExpensesAmt
Other Increases$13,783,111OtherIncreasesAmt
Subtotal$118,448,198SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$118,448,198TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIES - SEI ACCT # 17100PropertyDesc
Sold2021-10-18SoldDt
Gross Sales Price$83,020,126GrossSalesPriceAmt
Cost Or Other Basis$80,329,437CostOrOtherBasisAmt
Gain Or Loss$2,690,689GainOrLossAmt
Gains Minus Excess Or Losses$2,690,689GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$2,690,689CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$117,502InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$117,502SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$117,502TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$132,999EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$132,999TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$9EsPenaltyAmt
Overpayment$15,488OverpaymentAmt
Applied To ES Tax$15,488AppliedToESTaxAmt
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 BooksSUSIE LEEIndividualWithBooksNm
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 (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SUSIE LEE
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR40.00$147,321$33,884$600
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
HOWARD L GREENHOUSE
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SAM HILL EDD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILLIAM M MOSS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
KATHIE JOHNSON
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
PAUL GADEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SARAH PITKIN PHD
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)
TitleSR. PROGRAM OFFICERTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$92,702CompensationAmt
Employee Benefits$21,321EmployeeBenefitsAmt
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$627,194CompensationAmt
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$119,704,985AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$281,114AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$119,986,099TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$119,986,099AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,799,791CashDeemedCharitableAmt
Net Vl Noncharitable Assets$118,186,308NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,909,315MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,909,315MinimumInvestmentReturnAmt
Tax Based On Investment Income$117,502TaxBasedOnInvestmentIncomeAmt
Total Tax$117,502TotalTaxAmt
Distributable Before Adj$5,791,813DistributableBeforeAdjAmt
Recoveries Qualfied Distri$40,929RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,832,742DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,832,742DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$6,647,946ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$6,647,946QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$6,647,946AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,832,742DistributableAsAdjustedAmt
Undistributed Income PY$4,240,636UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$6,647,946QualifyingDistributionsAmt
Applied To Year1$4,240,636AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,407,310AppliedToCurrentYearAmt
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$3,425,432UndistributedIncomeCYAmt
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 (94 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCSECURITY & TRANSPORTATION$18,750
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCPRINCE WILLIAM FOOD RESCUE$36,000
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$34,500
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCRENT & UTILITY ASSISTANCE$35,000
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCGEN OPS$250,000
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCIWALK FOR ACTS 2021$5,000
ALTERNATIVE PATHS TRAINING SCHOOL
2525 POINT CENTER COURT STE 300DUMFRIESVA22026NONEACCESS TO HEALTH-APTS SCHOOL CLINICS$8,172
BOYS & GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019NONECAPACITY BUILDING: BUILDING YOUTH OUTCOMES OF HEALTH$22,500
BRAIN INJURY SERVICESBRAIN INJURY SERVICES
8136 OLD KEENE MILL RD SUITE B102SPRINGFIELDVA22152NONERECENTLY RELEASED WOMEN'S BRAIN INJURY AWARENESS & ASSESSMENT$19,338
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042NONEEXPANDING STAY AT HOME SERVICES$59,808
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011NONENUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$7,500
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422NONEVALE A MULTIDISCIPLINARY PROGRAM FOR CHILDHOOD OBESITY TREATMENT AMONG LATINO COMMUNITIES$38,152
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422NONEPHF SCHOLARSHIP AT THE COLLEGE OF HEALTH & HUMAN SERVICES$30,000
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCENHANCED EXPANDED ACCESS-2020$77,363102
HOUSING VIRGINIA
203 N ROBINSON STREETRICHMONDVA23220NONEHOUSING & HEALTH RESEARCH & COMMUNITY ENGAGEMENT$7,500
BRAWS
133 PARK STREET NE SUITE 3BVIENNAVA22180NONEPCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO EPWC & SFFXCO$35,755
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 500FALLS CHURCHVA22042NONEPCEXPANDING STAY AT HOME SVCS$139,184
CATCHAFIRE
2000 P ST NW 240WASHINGTONDC20036NONEPCCAPACITY BUILDING 2021$115,000
COURT APPOINTED SPECIAL ADVOCATES
9384 FORESTWOOD LANE SUITE CMANASSASVA20110NONEPCEVENING UNDER THE STARS 2021$5,000
EDU-FUTURO
2110 WASHINGTON BLVD 3RD FLOORARLINGTONVA22204NONEPCCOVID-19 IMMIGRANT FAMILY SVCS$35,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011NONEPCSPECIALIZED NUTRITION SVCS FOR SERIOUSLY ILL VIRGINIANS$17,500
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGEN OPS SUPPORT$150,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCADDRESSING PATIENT SOCIAL DETERMINANTS OF HLTH$70,000102
HOUSE OF MERCY
8170 FLANNERY COURTMANASSASVA20109NONEPCCOVID-19 FOOD INSECURITY RELIEF & ASSISTANCE$35,000
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HLTH SVC CAPACITY IN PWC$145,853
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PWC$43,625
INSTITUTE OF PUBLIC HEALTH INNOVATION
1250 CONNECTICUT AVE NW SUITE 601WASHINGTONDC20036NONEPCSTRENGTHENING THE INFRASTRUCTURE OF THE COMM HLTH COALITION OF GPWC$78,400
INSTITUTE OF PUBLIC HEALTH INNOVATION
1250 CONNECTICUT AVE NW SUITE 601WASHINGTONDC20036NONEPCHEALTH EQUITY & THE COMMUNITY HEALTHCARE COALITION OF GREATER PRINCE WILLIAM$33,749
KOREAN AMERICAN OUTREACH GROUP
4404 STARR JORDAN DRANNANDALEVA22003NONEPREVENT STOMACH & LIVER CANCER$7,500
LEADERSHIP PRINCE WILLIAM
9720 CAPITAL COURT SUITE 204MANASSASVA20110NONEPCCAPACITY BUILDING 2021$16,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGEN OPS SUPPORT$155,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOMMUNITY BRIDGE-ADDRESSING THE SOCIAL DETERMINANT OF HEALTH$9,000
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONERESPONDING & PROTECTING MS STUDENTS, PARENTS, ADOLESCENTS, & ADULTS$18,474
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079NONEPCCONTINUED COVID-19 RESPONSE$35,000
MASON & PARTNERS CLINIC (GMU)
4400 UNIVERSITY DRIVEFAIRFAXVA22030NONEPCGEN OPS SSUPPORT$100,000
MCCP FOUNDATION
6699 SPRINGFIELD CENTER DRIVE SUITESPRINGFIELDVA22150NONEPCEXPANDING HLTH SVCS TO LORTON CHILDREN$24,500303
MOTHER OF MERCY
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCGEN OPS SUPPORT$125,000
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCGEN OPS SUPPORT$10,500
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCSTRENGTHENING COMM HLTH ACCESS THROUGH SVC & ADVOCACY$82,434
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE & ADVOCACY$80,622
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$40,756
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGEN OPS SUPPORT$48,000
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCAGENCY-WIDE EQUITY, DIVERSITY & INCLUSION TRAINING$59,233
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGEN OPS SUPPORT$250,000
NORTHERN VIRGINIA FOOD RESCUE
10535 BATTLEVIEW PARKWAYMANASSASVA20109NONEPCFOOD RESCUE EXPANSION$122,500
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGEN OPS SUPPORT$230,000
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION & IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$31,500
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCACCESS & CONTINUITY OF CARE FOR MEDICALLY UNDERSERVED LATINAS$105,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS$52,500
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING$175,000
POSTPARTUM SUPPORT VIRGINIA
P O BOX 7521ARLINGTONVA22207NONESUPPORT FOR WOMEN EXPERIENCING POSTPARTUM DEPRESSION: WOODBRIDGE MATERNAL MENTAL HEALTH COALITION$15,900
PRINCE WILLIAM AREA AGENCY ON AGING
5 COUNTY COMPLEX COURT SUITE 240WOODBRIDGEVA22192NONETRAININGS TO BUILD PROFESSIONAL SKILLS OF STAFF$45,000
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192NONEPCOPERATING SUPPORT$51,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCHOME REPAIRS & MODIFICATIONS FOR THOSE WHO CAN'T AFFORD THESE REPAIRS THEMSELVES$18,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCREPAIRING FOR SAFE & HEALTHY HOMES$60,000
RINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194NONEPCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$35,000
RINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194NONEPCPWC GIVES$2,500
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGEN OPS SUPPORT$50,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCVIRTUAL AUDIT IMPROVEMENTS$17,500
SCAN OF NOVA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCBUILDING RESILIENT YOUTH & FAMILIES IN PWC$36,706
SCAN OF NOVA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCCHILDHOOD TRAUMA & HLTH PROGRAMMATIC & OPS SUPPORT$125,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCMOBILE HEALTH CLINIC REPLACEMENT PROJECT$71,550
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGEN OPS SUPPORT-MOBILE VAN$175,000
STAFFORD SCHOOL HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S INSURANCE OUTREACH PROGRAM$4,348
STAFFORD SCHOOL HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCCHILDREN'S HLTH INSURANCE OUTREACH$10,144
TENANTS & WORKERS UNITED
3801 MT VERNON AVE 215ALEXANDRIAVA22305NONEPCWOODBRIDGE EVICTION PREVENTION, HLTH & HOUSING INFO SHARING & COMM DEV'T$37,198
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCPURCHASE MEDICAL EQUIPMENT$75,000
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III$14,513
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22405NONEPCBUILDING & IMPROVING CAPACITY$122,500
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCSUPPORTING INDIVIDUALS W/ DEVELOPMENTAL DISABILITIES & THEIR FAMILIES$250,000
THE COMMONWEALTH INSTITUTE
1329 E CARY ST 200RICHMONDVA23219NONEPOWER-BUILDING FOR RACIAL & HEALTH EQUITY IN THE PHF REGION & VA$18,000
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125NONEPCMOBILE MEALS$35,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
1400 16TH STREET NW SUITE 710WOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$60,600
THE HOUSE INC STUDENT LEADERSHIP CENTER
1400 16TH STREET NW SUITE 710WOODBRIDGEVA22193NONEPCGEN OPS SUPPORT$250,000
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPCMARKETING OUTREACH$15,450
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPC15TH ANNUAL MENTAL HEALTH AWARENESS EVENT$2,500
VA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCIMPROVING SNAP ACCESS TO AFFORDABLE FRESH FOOD FOR COMMUNITY HEALTH$17,552
VA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCMULTI-YEAR OPS SUPPORT$60,000
VA CONSORTIUM FOR HEALTH PHILANTHROPY
C/O WILLIAMSBURG HEALTH FOUNDATIONWILLIAMSBURGVA23188NONEPC2021 ADDITIONAL FUNDING$6674801 COURTHOUSE ST 200
VA HEALTH CATALYST
4200 INNSLAKE DR 202GLEN ALLENVA23060NONEPC2021 VA ORAL HEALTH SUMMIT$4,000
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STREETRICHMONDVA23223NONEHEALTH CARE HOPE: EXPANDING MEDICAID THROUGH CONGRESSIONAL OUTREACH$18,000
VA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VIRGINIA - POTOMAC$18,713
VA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VA POTOMAC$198,806
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPHF FELLOWS PROGRAM$37,500
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPHF FELLOWS PROGRAM$125,000
VOICES FOR VA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HLTH SVCS$18,000
VOICES FOR VA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HLTH SVCS$60,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE MILITARY ARTS INITIATIVE$23,115
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE MILITARY IN THE ARTS INITIATIVES$77,050
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA -NOVA CAMPAIGN$37,500
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA -NOVA CAMPAIGN$125,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCMENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$58,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCCOORDINATED BEHAVIORAL HLTH SVCS-DUMFRIES$291,165
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT BEHAVIORAL MENTAL HLTH SVCSM FOR THE UNDERSERVED$136,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$6,238,645TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (39 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCRENT & UTILITY ASSISTANCE$15,000
ACTION IN COMMUNITY THROUGH SERVICE INC
3900 ACTS LANEDUMFRIESVA22026NONEPCGEN OPS$500,000
BRAWS
133 PARK STREET NE SUITE 3BVIENNAVA22180NONEPCSUPPLYING MENSTRUAL SUPPLIES & UNDERGARMENTS TO EPWC & SFFXCO$15,323
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017NONEYOU ARE WHAT YOU EAT$48,000
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 500FALLS CHURCHVA22042NONEPCEXPANDING STAY AT HOME SVCS$59,650
EDU-FUTURO
2110 WASHINGTON BLVD 3RD FLOORARLINGTONVA22204NONEPCCOVID-19 IMMIGRANT FAMILY SVCS$15,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011NONEPCSPECIALIZED NUTRITION SVCS FOR SERIOUSLY ILL VIRGINIANS$7,500
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCADDRESSING PATIENT SOCIAL DETERMINANTS OF HLTH$30,000102
HOUSE OF MERCY
8170 FLANNERY COURTMANASSASVA20109NONEPCCOVID-19 FOOD INSECURITY RELIEF & ASSISTANCE$15,000
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HLTH SVC CAPACITY IN PWC$291,706
INSTITUTE OF PUBLIC HEALTH INNOVATION
1250 CONNECTICUT AVE NW SUITE 601WASHINGTONDC20036NONEPCSTRENGTHENING THE INFRASTRUCTURE OF THE COMM HLTH COALITION OF GPWC$33,600
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079NONEPCCONTINUED COVID-19 RESPONSE$15,000
MCCP FOUNDATION
6699 SPRINGFIELD CENTER DRIVE SUITESPRINGFIELDVA22150NONEPCEXPANDING HLTH SVCS TO LORTON CHILDREN$10,500303
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCGEN OPS SUPPORT$4,500
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCSTRENGTHENING COMM HLTH ACCESS THROUGH SVC & ADVOCACY$35,329
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCAGENCY-WIDE EQUITY, DIVERSITY & INCLUSION TRAINING$25,385
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGEN OPS SUPPORT$500,000
NORTHERN VIRGINIA FOOD RESCUE
10535 BATTLEVIEW PARKWAYMANASSASVA20109NONEPCFOOD RESCUE EXPANSION$52,500
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCACCESS & CONTINUITY OF CARE FOR MEDICALLY UNDERSERVED LATINAS$210,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING$350,000
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192NONEPCOPERATING SUPPORT$103,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCREPAIRING FOR SAFE & HEALTHY HOMES$120,000
RINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194NONEPCCOMBATING HUNGER ON WHEELS WAGON INITIATIVE$15,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCVIRTUAL AUDIT IMPROVEMENTS$7,500
SCAN OF NOVA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCCHILDHOOD TRAUMA & HLTH PROGRAMMATIC & OPS SUPPORT$250,000
STAFFORD SCHOOL HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCCHILDREN'S HLTH INSURANCE OUTREACH$4,348
TENANTS & WORKERS UNITED
3801 MT VERNON AVE 215ALEXANDRIAVA22305NONEPCWOODBRIDGE EVICTION PREVENTION, HLTH & HOUSING INFO SHARING & COMM DEV'T$15,942
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22405NONEPCBUILDING & IMPROVING CAPACITY$52,500
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCSUPPORTING INDIVIDUALS W/ DEVELOPMENTAL DISABILITIES & THEIR FAMILIES$500,000
THE GOOD NEWS COMMUNITY KITCHEN
308 POPLAR ALLEY BOCCOQUANVA22125NONEPCMOBILE MEALS$15,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
1400 16TH STREET NW SUITE 710WOODBRIDGEVA22193NONEPCGEN OPS SUPPORT$500,000
VA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCMULTI-YEAR OPS SUPPORT$120,000
VA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VA POTOMAC$397,612
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPHF FELLOWS PROGRAM$250,000
VOICES FOR VA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HLTH SVCS$120,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE MILITARY IN THE ARTS INITIATIVES$154,100
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA -NOVA CAMPAIGN$250,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCCOORDINATED BEHAVIORAL HLTH SVCS-DUMFRIES$582,329
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT BEHAVIORAL MENTAL HLTH SVCSM FOR THE UNDERSERVED$58,500
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$5,749,824TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$211ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,200,215ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$2,690,689ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Related Or Exempt Function Incm$40,929RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$8,891,115ExclusionAmt
Related Or Exempt Function Incm$40,929RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$8,932,044TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship StatementGRANTS PREVIOUSLY USED AS A QUALIFYING DISTRIBUTION THAT WAS LATER REFUNDED.RelationshipStatementTxt

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$55,846Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$55,846DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI CORE FIXED INCOME FUND #285$30,447,713$30,447,713
SEI SIIT REAL RETURN A$2,443,133$2,443,133
SIIT ULTRA SHORT DURATION BOND FUND$6,089,726$6,089,726

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI EXTENDED MKT INDEX-A$3,714,499$3,714,499
SEI ISHARES MSCI USA MIN VOL FACTOR ETF$9,342,061$9,342,061
SEI LARGE CAP FUND$26,523,043$26,523,043
SEI STATE ST EMG MKT EQTY INDX-K$3,668,462$3,668,462
SEI STATE STREET GLB ALL CAP EQ X US IN$8,590,650$8,590,650
SEI WORLD EQUITY EX-US FUND$9,839,936$9,839,936

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 (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI CORE PROPERTY FUND LPFMV$13,627,734$13,627,734
SEI GPA IV PRIVATE EQUITY FUND (GLOBAL PRIVATE ASSETS)FMV$3,611,804$3,611,804
SEI SPECIAL SITUATIONS FUND LTDFMV$6,008,141$6,008,141

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$51,213CostOrOtherBasisAmt
Accumulated Depreciation$48,759AccumulatedDepreciationAmt
Book Value$2,454BookValueAmt
EOYFMV$2,454EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$35,304$0$42,721
TECH EXPENSE$19,007$0$26,340
OTHER EXPENSE$2,157$120-$7,030
INSURANCE$2,207$0$2,207
SEI CORE PROPERTY FUND, LP OTHER DEDUCTIONS$0$47,655$0
SEI GLOBAL PRIVATE ASSETS OTHER DEDUCTIONS$0$5,752$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Revenue And Expenses Per Books$40,929RevenueAndExpensesPerBooksAmt
Adjusted Net Income$40,929AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED GAIN$13,775,557
GRANT RECOVERY ADJUSTMENT$7,554

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$23,919$18,254
DEFERRED TAX LIABILITY$120,374$358,448

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTANT FEES$2,701$0$2,701
INVESTMENT MANAGEMENT FEES$627,194$627,194$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$356,342Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.