2021-10-28T11:41:25-05:00 2020-12-31 540737372 PBMARES LLP 558 SOUTH MAIN STREET HARRISONBURG VA 22801 990 2020-01-01 521366700 CULPEPER WELLNESS FOUNDATION INC CULP 5404312397 19002 CROSSROAD PKWY CULPEPER VA 22701 SHARI J LANDRY PRESIDENT 5404312397 2021-10-20 1 SHARI LANDRY 999009999 EDWARD T YODER CPA P00239134 5404345975 2021-10-20 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X SHARI J LANDRY 19002 CROSSROAD PKWY CULPEPER VA 22701 6513947 0 X WWW.CULPEPERWELLNESSFOUNDATION.ORG X 1985 VA THE MISSION OF CULPEPER WELLNESS FOUNDATION IS TO IMPROVE HEALTH AND PROMOTE WELLNESS IN CULPEPER, MADISON AND ORANGE COUNTIES. 15 15 114 50 0 0 1088721 1592136 2416301 1409837 1836613 1753341 381605 495486 5723240 5250800 1092077 414832 0 0 2005088 1763573 0 0 4596 2489771 2228494 5586936 4406899 136304 843901 36868842 37337163 267344 200824 36601498 37136339 THE MISSION OF CULPEPER WELLNESS FOUNDATION IS TO IMPROVE HEALTH AND PROMOTE WELLNESS IN CULPEPER, MADISON AND ORANGE COUNTIES. 0 0 2524250 33616 1409837 THE POWELL WELLNESS CENTER HELPS INDIVIDUALS ACHIEVE PHYSICAL AND EMOTIONAL WELL-BEING THROUGH EXERCISE, PHYSICAL ACTIVITY, AND MEDICALLY INTEGRATED SERVICES. CULPEPER SPORT AND FITNESS HELPS INDIVIDUALS - WITH AN EMPHASIS ON YOUTH - IMPROVE THEIR HEALTH AND WELLNESS THROUGH PARTICIPATION IN FITNESS PROGRAMS AND ACTIVITIES. 978991 THE FREE CLINIC OF CULPEPER DELIVERS HIGH-QUALITY MEDICAL CARE TO UNINSURED ADULTS IN CULPEPER COUNTY. 381432 381216 THE FOUNDATION SEEKS TO IMPROVE HEATH AND PROMOTE WELLNESS THROUGH LOCAL COLLABORATIONS AND HEALTH-RELATED INITIATIVES AS WELL AS THROUGH GRANTS TO LOCAL NONPROFITS WORKING IN SUPPORT OF ITS MISSION. 3884673 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 29 0 1 114 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X DEBRA DODSON 5404455412 19002 CROSSROAD PKWY CULPEPER VA 22701 DAVID JONES CHAIR 4.00 X X 0 0 0 TRIPP BUTLER VICE CHAIR 2.00 X X 0 0 0 DEBBIE BENNETT TREASURER 2.00 X X 0 0 0 LAURA GRIGSBY SECRETARY 2.00 X X 0 0 0 CHARLES BARRELL DIRECTOR 2.00 X 0 0 0 SHIRLEY ANN BAYNE DIRECTOR 2.00 X 0 0 0 KELSEY CARLSON SETTLE DIRECTOR 2.00 X 0 0 0 MORT CHILES MD DIRECTOR 2.00 X 0 0 0 CATHY DALRYMPLE DIRECTOR 2.00 X 0 0 0 SPENCER DEJARNETTE DIRECTOR 2.00 X 0 0 0 CYNDY GRANO DIRECTOR 2.00 X 0 0 0 RICHARD HARRINGTON DIRECTOR 2.00 X 0 0 0 DR THOMAS REYNOLDS MD DIRECTOR 2.00 X 0 0 0 ED SCOTT DIRECTOR 2.00 X 0 0 0 ANN TIDBALL DIRECTOR 2.00 X 0 0 0 SHARI J LANDRY PRESIDENT 40.00 X 158772 0 19841 ERIC GOOD DIRECTOR, POWELL WELLNESS 40.00 X 102613 0 17451 261385 0 37292 2 0 1 0 0 37338 6000 1548798 544313 1592136 MEMBERSHIP DUES 713940 1110133 1110133 OTHER FEE REVENUE 713940 299704 299704 1409837 482934 482934 664668 165427 499241 499241 499241 2345000 1074593 1270407 1270407 1270407 0 37338 0 0 19372 23127 -3755 -3755 5250800 1406082 0 2252582 414832 414832 178613 178613 1379515 1379515 26732 26732 64000 64000 114713 104804 9909 1343 413 930 62829 53193 9636 173358 173358 82305 59900 22405 23196 14122 4478 4596 90748 77639 13109 617363 538518 78845 7018 5933 1085 504271 494593 9678 59914 49442 10472 MEDICAL SUPPLIES AND DR 548383 548383 PROGRAM SUPPLIES 41610 41610 DUES & SUBSCRIPTIONS 13860 8748 5112 LAUNDRY 2296 2296 4406899 3884673 517630 4596 343332 299690 1956000 1478000 88945 230659 20549 16827 60182 59321 20250016 8001500 10630378 12248516 23717668 22958092 43930 38200 7858 7858 36868842 37337163 227634 116928 14398 58575 25312 25321 267344 200824 X 34645498 35638678 1956000 1497661 36601498 37136339 36868842 37337163 X 843901 -296203 -12857 X X 0 1 X 1 0 X 398274 541751 808782 1084712 1592136 4425655 1880888 1971947 2315804 2459949 1429209 10057797 2279162 2513698 3124586 3544661 3021345 14483452 0 0 0 14483452 1032751 1140300 1135244 1104635 1147602 5560532 1032751 1140300 1135244 1104635 1147602 5560532 3311913 3653998 4259830 4649296 4168947 20043984 0.72260 0.70150 0.27740 0.29850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3510018 44000 205093 375200 3383911 2662346 232000 615672 3510018 2796386 37500 145658 90717 2662346 2406784 127500 390095 125993 2796386 2413628 216855 223699 2406784 1.00000 0 0 2263072 2263072 16677518 7014767 9662751 374240 220550 153690 884667 738103 146564 50519 28080 22439 12248516 ANNUITY PAYABLE 25321 25321 X 6528679 -296203 1558886 188554 1451237 5077442 173358 173358 5250800 5993838 1558886 201411 1760297 4233541 173358 173358 4406899 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). IN ADDITION, CWF QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) OF THE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE ORGANIZATION UNDER CODE SECTION 509(A)(2). PWC IS A LIMITED LIABILITY COMPANY THAT HAS NOT ELECTED TO BE TAXED AS A CORPORATION UNDER CURRENT INTERNAL REVENUE SERVICE REGULATIONS. AS SUCH, PWC IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES AND DOES NOT HAVE TO FILE AN ANNUAL FEDERAL RETURN. RATHER, ITS TAX RESULTS ARE REFLECTED ON THE ANNUAL TAX FILINGS OF ITS MEMBER AS IF THE ACTIVITIES OF PWC WERE ACTIVITIES OF THE MEMBER. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND DETERMINED THAT THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AT DECEMBER 31, 2020 AND 2019. THE ORGANIZATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ANNUALLY WITH THE UNITED STATES DEPARTMENT OF THE TREASURY. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 165,427. COST OF GOODS SOLD 23,127. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 165,427. COST OF GOODS SOLD 23,127. LOSS ON UNCOLLECTIBLE PLEDGES 12,857. SCHEDULE D, PART V, LINE 4 QUASI-ENDOWMENT FUNDS ARE INTENDED TO PROVIDE INCOME TO SUPPLEMENT GRANTS AWARDED AND OTHER GENERAL FOUNDATION OPERATIONS. 1 MANNA MINISTRY 215 S MAIN STREET CULPEPER VA 22701 546044240 5000 START OF BAG LUNCH PROGRAM MADISON EMERGENCY SERVICES ASSOC 927 ORANGE ROAD MADISON VA 22727 541226851 5000 FOOD PANTRY PEOPLE INC 1173 W MAIN STREET ABINGTON VA 24210 540763686 5000 GENERAL SUPPORT MADISON LEARNING CENTER PO BOX 665 MADISON VA 22727 842128523 5000 GENERAL SUPPORT THE SALVATION ARMY PO BOX 3474 WARRENTON VA 20188 580660607 5000 SUPPORT MEDS FOR CULPEPER RESIDENTS. ORANGE COUNTY FREE CLINIC PO BOX 441 ORANGE VA 22960 251922019 5000 DENTAL SERVICES GEORGE MASON UNIVERSITY FOUNDATION INC 4400 UNIVERSITY DRIVE MSN 1A3 FAIRFAX VA 22030 541603842 8000 CONTACT TRACING PROGRAM CULPEPER BAPTIST CDC 318 S WEST STREET CULPEPER VA 22701 611667752 8000 CHILDCARE FOR RRCSB STAFF. PATH FOUNDATION 301 WALKER DRIVE SUITE 301 WARRENTON VA 20186 300219424 8868 COVID-19 FLYERS TO ORANGE & MADISON. MADISON DEPARTMENT OF SOCIAL SERVICES PO BOX 176 MADISON VA 22727 546001408 10000 ESTABLISH EMERGENCY FUND. VIRGINIA REGIONAL TRANSIT 109 N BAILEY LN PURCEVILLE VA 20132 621441965 10000 GENERAL SUPPORT NOVANT HEALTH UVA HEALTH SYSTEMS CULPEPER MEDICAL CENTER 501 SUNSET LANE CULPEPER VA 22701 810868533 10670 PAMPER ME PINK FUND, FINGER PULSE OXIMETER CULPEPER HOUSING AND SHELTER SERVICES 602 S MAIN ST SUITE 3 CULPEPER VA 22701 541463631 20000 SHELTER AND SHELTER SUPPLIES FOR HOMELESS SERVICES TO ABUSED FAMILIES PO BOX 402 CULPEPER VA 22701 521227834 20000 SHELTER & SERVICES, COMPUTER EQUIPMENT RAPPAHANNOCK RAPIDAN COMM SERVICES 15361 BRADFORD ROAD CULPEPER VA 22701 237238218 30400 HEALTH CARE PROFESSIONAL PILOT PROGRAM PIEDMONT REGIONAL DENTAL CLINIC 13296 JAMES MADISON HWY ORANGE VA 22960 270625764 40000 CONSTRUCTION COUNTY OF CULPEPER 302 N MAIN STREET CULPEPER VA 22701 546001236 48708 OXIDE CLEANER, LIFEPAK 15 TOWN OF CULPEPER 400 S MAIN STREET SUITE 109 CULPEPER VA 22701 546001234 67000 ROCKWATER PARK PLAY STRUCTURE 18 PART I, LINE 2: THE ORGANIZATION MAINTAINS CLEAR CRITERIA FOR THE HEALTHY LIVING GRANT PROGRAM AND STRATEGIC GRANTS ARE MADE ONLY BY BOARD APPROVAL. THE ORGANIZATION MANDATES THAT FUNDS AWARDED MUST BE USED WITHIN 90 DAYS OF BEING GRANTED AND STAYS IN CLOSE COMMUNICATION WITH GRANTEES TO MONITOR THEIR USE. GRANTEES MUST PROVIDE A FINAL ACCOUNTING ON THE USE OF FUNDS, INCLUDING THE POPULATION SERVED AND HEALTH IMPACT. REPORTS MUST BE COMPLETED WITHIN 30 DAYS OF PROJECT COMPLETION. X 1 0 0 0 0 0 0 0 0 0 0 SHARI J LANDRY PRESIDENT 158772 0 0 0 0 0 6801 0 13040 0 178613 0 0 0 CHARLES BARRELL DIRECTOR 527832 THE DIRECTOR IS A VOTING MEMBER OF NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER WHICH PAYS RENT TO POWELL WELLNESS CENTER AND CULPEPER WELLNESS FOUNDATION. 0 RICHARD HARRINGTON DIRECTOR 527832 THE DIRECTOR IS A NON-VOTING MEMBER OF NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER WHICH PAYS RENT TO POWELL WELLNESS CENTER AND CULPEPER WELLNESS FOUNDATION. 0 DR THOMAS REYNOLDS DIRECTOR 527832 THE DIRECTOR IS A VOTING MEMBER OF NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER WHICH PAYS RENT TO POWELL WELLNESS CENTER AND CULPEPER WELLNESS FOUNDATION. 0 X 2 20633 FMV X 7374 544313 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND MADE AVAILABLE TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO AFFIRM THEIR COMMITMENT TO UPHOLD THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD WILL REVIEW AND DETERMINE ANNUALLY COMPENSATION OF OFFICERS OR KEY EMPLOYEES. FOR THIS REPORTING PERIOD, COMPENSATION WAS DETERMINED BY BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTED PLEDGES -12,857. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR THE SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT. POWELL WELLNESS CENTER 1005 GOLF DRIVE CULPEPER VA 22701 204803079 WELLNESS CENTER VA 282612 6664692 CWF