2021-07-26T09:11:44-05:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD SUITE 500 TYSONS VA 221023056 990PF 2020-01-01 550730152 MCDAVID FOUNDATION MCDA 3045423303 1060 FENNER LANE GALLATIN TN 37066 DIANA LONG SECRETARY 3045423303 2021-06-30 1 DIANA LONG 999009999 LAKRISHA J WATSON P01677333 7039700400 2021-06-30 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 2828440 X X 48491 48491 152979 250238 152979 201470 201470 0 0 0 3500 3150 350 4126 533 26 7626 3683 376 77378 77378 85004 3683 77754 116466 197787 2588 40118 40118 2213504 2292440 2788322 2216092 2332558 2828440 0 0 X 0 0 0 0 2216092 2332558 2216092 2332558 2216092 2332558 2216092 116466 0 2332558 0 2332558 STAR FUND - 249.643 SHS P 2015-07-17 2020-07-07 7000 6295 705 705 STAR FUND - 3,607.277 SHS P 2015-07-17 2020-11-25 115000 90964 24036 24036 CAPITAL GAINS DIVIDENDS P 128238 128238 128238 152979 2749 0 2749 0 2749 3410 0 0 0 3410 0 661 661 0 0 0 0 0 0 0 0 0 0 0 1 1 WV 1 0 0 0 0 1 N/A DIANA LONG 3045423303 1060 FENNER LANE GALLATIN TN 37066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BRADFORD A MCDAVID 4883 EAST US HIGHWAY 36 URBANA OH 25314 PRESIDENT 0.50 0 0 0 DIANA L LONG 1060 FENNER LANE GALLATIN TN 37066 SECRETARY 0.50 0 0 0 SANDRA MCDAVID 4883 EAST US HIGHWAY 36 URBANA OH 43078 DIRECTOR 0.50 0 0 0 ANNE R HAAKENSON 317 MCCONNELL DRIVE LYONS CO 80540 DIRECTOR 0.50 0 0 0 DEAN HAAKENSON 317 MCCONNELL DRIVE LYONS CO 80540 DIRECTOR 0.50 0 0 0 NONE 0 NONE 0 0 2456232 14159 0 2470391 0 0 2470391 37056 2433335 121667 121667 2749 2749 118918 0 118918 0 118918 77754 0 77754 0 77754 118918 0 0 32622 32622 77754 0 0 0 77754 0 32622 32622 0 0 0 0 0 8542 0 0 0 DIANA LONG 1060 FENNER LANE GALLATIN TN 37066 3045423303 CONTACT ABOVE FOR CURRENT GUIDELINES AND ADDITIONAL INFORMATION AND MATERIALS TO INCLUDE WITH APPLICATION. DECEMBER 1 CONTACT ABOVE FOR INFORMATION ON RESTRICTIONS OR LIMITATIONS. BARELY USED PETS 844 JACKSON HILL ROAD URBANA OH 43078 N/A PC GENERAL PURPOSES: TO PROVIDE SHELTER FOR STRAY AND UNWANTED DOGS, SPAY, NEUTER, AND ADOPT OUT. 632 CAMC FOUNDATION 3414 STAUTON AVE CHARELSTON WV 25304 N/A PC GENERAL PURPOSES: TO PROVIDE HEALTH CARE AND IMPROVE THE QUALITY OF LIFE. 5000 CARING KITCHEN INC 300 MIAMI STREET URBANA OH 43078 N/A PC GENERAL PURPOSES: TO PROVIDE MEALS TO THOSE IN NEED. 9763 CHAMPAIGN COUNTY PRESERVATION ALLIANCE PO BOX 748 URBANA OH 43078 N/A PC GENERAL PURPOSES: TO RESTORE A HISTORIC PROPERTY IN THE MONUMENT SQUARE DISTRICT. 1000 CHAMPAIGN LAND PRESERVATION PO BOX 38154 URBANA OH 43078 N/A PC GENERAL PURPOSES: TO PRESERVE FARMLAND IN CHAMPAIGN COUNTY. 632 CHILDREN'S HOSPITAL COLORADO FOUNDATION 13123 E 16TH AVENUE BOX 045 AURORA CO 80045 N/A PC GENERAL PURPOSES: TO SERVE CHILDREN IN THE COMMUNITY WITH ONGOING ILLNESSES AND INJURIES. 1263 THE CHURCH OF THE EPIPHANY 230 SCIOTO STREET URBANA OH 43078 N/A PC GENERAL PURPOSES: TO ENCOURAGE POSITIVE CHANGE. 1000 EMERGENCY FAMILY ASSISTANCE ASSOCIATION 1575 YARMOUTH AVE BOULDER CO 80304 N/A PC GENERAL PURPOSES: TO HELP THOSE IN OUR COMMUNITY WHOSE IMMEDIATE NEEDS FOR FOOD, SHELTER, AND OTHER BASIC NECESSITIES CANNOT ADEQUATELY BE MET BY OTHER MEANS AND SUPPORTS THEIR EFFORTS TOWARD FINANCIAL STABILITY AND SELF-SUFFICIENCY. 5000 GOLDEN ENDINGS GOLDEN RETRIEVER RESCUE 1043 ELMWOOD AVE COLUMBUS OH 43212 N/A PC GENERAL PURPOSES: FOSTERING, INTAKE, AND PLACEMENT OF DOGS. 1000 GOLDEN RETRIEVER FOUNDATION PO BOX 952732 ST LOUIS MO 63195 N/A PC GENERAL PURPOSES: TO FOSTER AND PROMOTE THE PUBLIC'S KNOWLEDGE AND APPRECIATION OF DOGS IN GENERAL AND GOLDEN RETRIEVERS IN PARTICULAR. 1000 LONGMONT HUMANE SOCIETY 9595 NELSON RD LONGMONT CO 80501 N/A PC GENERAL PURPOSES: CARING, SERVING AND EDUCATING TO IMPROVE THE LIVES OF COMPANION ANIMALS. 1263 RECOVERY POINT WEST VIRGINIA 1040 ADAMS AVENUE HUNTINGTON WV 25704 N/A PC GENERAL PURPOSES: TO PROVIDE HYGINE PRODUCTS FOR THE WOMEN IN THEIR CARE. 5000 SAINT JOHN'S HEALTH CENTER FOUNDATION 2121 SANTA MONICA BOULEVARD SANTA MONICA CA 90404 N/A PC GENERAL PURPOSES: TO PROVIDE LEADERSHIP AND PHILANTHROPIC SUPPORT TO PROVIDENCE SAINT JOHNS HEALTH CENTER, SAINT JOHNS CANCER INSTITUTE AND PACIFIC NEUROSCIENCE INSTITUTE, THAT SERVE AS CATALYSTS FOR EXCEPTIONAL HEALTH CARE AND RESEARCH. 10000 SYCAMORE HOUSE PO BOX 775 315 SYCAMORE ST URBANA OH 43078 N/A PC GENERAL PURPOSES: TO PROVIDE COMPASSIONATE SUPPORT AND EDUCATION IN THE AREAS OF PRENATAL NEEDS, CHILD REARING SKILLS, AND EVEN RELATIONSHIP INFORMATION FOR MOTHERS AND FATHERS. 10000 URBANA YOUTH CENTER 160 W MARKET STREET URBANA OH 43078 N/A PC GENERAL PURPOSES: TO HELP CHILDREN LEARN ESSENTIAL LIFE SKILLS, GET HOMEWORK ASSISTANCE, AND CONNECT WITH LOCAL EMPLOYERS TO BUILD STRONG FOUNDATIONS. 12500 LYONS EMERGENCY ASSISTANCE FUND PO BOX 324 LYONS CO 80540 N/A PC GENERAL PURPOSES: OFFERS A HUMAN SERVICES SAFETY NET TO THOSE IN NEED IN THE GREATER LYONS AREA. 5000 COLORADO OUTWARD BOUND SCHOOL 5161 SHERIDAN BOULEVARD DENVER CO 80212 N/A PC GENERAL PURPOSES: TO PROVIDE NEW OPPORTUNITIES TO STUDENTS 7325 77378 0 14 48491 18 152979 0 201470 0 201470 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 3500 3150 350 VANGUARD 2292440 2788322 FEDERAL EXCISE TAX 3567 0 0 FOREIGN TAXES PAID 533 533 0 STATE FILING FEE 26 0 26