POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2019-11-01 to 2020-10-31
Filed
2021-03-08
IRS object ID
202110679349100206
Schema version
2019v5.2
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)
Return2021-03-08T13:36:55-06:00ReturnTs
Tax Period End2020-10-31TaxPeriodEndDt

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 Begin2019-11-01TaxPeriodBeginDt

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
Signature2021-03-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CHAPMANPreparerPersonNm
PTINP00843460PTIN
Phone4078021200PhoneNum
Preparation2021-03-04PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$109,559,427FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$544,463ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$395InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$395InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$6,087,323DividendsRevAndExpnssAmt
Dividends Net Invst Incm$6,394,539DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,895,064NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$54,416,365GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,895,064CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$126,688OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$8,653,933TotalRevAndExpnssAmt
Total Net Invst Incm$8,289,998TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$139,739CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$20,961CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$118,778CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$143,416OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$89,833OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$59,463PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$12,487PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$46,976PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$52,034AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$52,034AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$667,734OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$625,149OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$42,585OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$33,633TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$2,582DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$34,506OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$4,229TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$4,229TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$104,835OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$513OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$75,567OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,242,171TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$659,110TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$430,002TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$5,168,290ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,181,821ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$6,410,461TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$659,110TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,611,823TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$2,243,472ExcessRevenueOverExpensesAmt
Net Investment Income$7,630,888NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$129,873SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$147,069SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$147,069SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$48,100AcctRcvblAmt
Acct Rcvbl BOY$62,555AcctRcvblBOYAmt
Acct Rcvbl EOY$48,100AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$48,100AcctRcvblEOYFMVAmt
Pledges Rcvbl$450,803PledgesRcvblAmt
Pledges Rcvbl BOY$47,757PledgesRcvblBOYAmt
Pledges Rcvbl EOY$450,803PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$450,803PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$85,835PrepaidExpensesBOYAmt
Prepaid Expenses EOY$32,480PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$32,480PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$0USGovernmentObligationsBOYAmt
US Government Obligations EOY$5,000,000USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$5,000,000USGovtObligationsEOYFMVAmt
Corporate Stock BOY$52,521,193CorporateStockBOYAmt
Corporate Stock EOY$54,402,407CorporateStockEOYAmt
Corporate Stock EOYFMV$54,402,407CorporateStockEOYFMVAmt
Corporate Bonds BOY$36,451,613CorporateBondsBOYAmt
Corporate Bonds EOY$31,122,223CorporateBondsEOYAmt
Corporate Bonds EOYFMV$31,122,223CorporateBondsEOYFMVAmt
Other Investments BOY$22,024,114OtherInvestmentsBOYAmt
Other Investments EOY$18,354,737OtherInvestmentsEOYAmt
Other Investments EOYFMV$18,354,737OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$49,098LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$47,490LandBldgEquipAccumDeprecAmt
Land BOY$3,190LandBOYAmt
Land EOY$1,608LandEOYAmt
Land EOYFMV$1,608LandEOYFMVAmt
Total Assets BOY$111,326,130TotalAssetsBOYAmt
Total Assets EOY$109,559,427TotalAssetsEOYAmt
Total Assets EOYFMV$109,559,427TotalAssetsEOYFMVAmt
Accounts Payable BOY$209,788AccountsPayableBOYAmt
Accounts Payable EOY$207,187AccountsPayableEOYAmt
Grants Payable BOY$1,383,718GrantsPayableBOYAmt
Grants Payable EOY$1,370,187GrantsPayableEOYAmt
Other Liabilities BOY$183,484OtherLiabilitiesBOYAmt
Other Liabilities EOY$144,293OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,776,990TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,721,667TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$109,549,140NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$107,837,760NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$109,549,140TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$107,837,760TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$111,326,130TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$109,559,427TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$109,549,140TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$2,243,472ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$111,792,612SubtotalAmt
Other Decreases$3,954,852OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$107,837,760TotNetAstOrFundBalancesEOYAmt

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
Sold2020-10-30SoldDt
Gross Sales Price$54,416,365GrossSalesPriceAmt
Cost Or Other Basis$52,521,301CostOrOtherBasisAmt
Gain Or Loss$1,895,064GainOrLossAmt
Gains Minus Excess Or Losses$1,895,064GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,895,064CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$5,641,599AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$107,583,852NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.052439DistributionYr1Rt
Adjusted Qlfy Distri Yr2$5,562,672AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$110,334,651NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.050416DistributionYr2Rt
Adjusted Qlfy Distri Yr3$4,850,615AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$106,530,115NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.045533DistributionYr3Rt
Adjusted Qlfy Distri Yr4$5,247,271AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$98,321,142NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.053369DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,980,260AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$100,254,131NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.049676DistributionYr5Rt
Total Distribution0.251433TotalDistributionRt
Average Distribution0.050287AverageDistributionRt
Net Vl Noncharitable Assets$107,760,260NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$5,418,940AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$76,309NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$5,495,249AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$5,611,823QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$76,309InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$76,309SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$76,309TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$94,308EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$94,308TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$17,999OverpaymentAmt
Applied To ES Tax$17,999AppliedToESTaxAmt
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 (10 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$142,110$29,843$815
MARION M WALL
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191CHAIR4.00$0$0$0
CAROL S SHAPIRO MD
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
SARAH PITKIN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILLIAM M MOSS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SAM HILL EDD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
MEGAN PERRY
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$90,002CompensationAmt
Employee Benefits$18,900EmployeeBenefitsAmt
Expense Account$1,018ExpenseAccountAmt
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$625,227CompensationAmt
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$109,195,452AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$205,827AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$109,401,279TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$109,401,279AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,641,019CashDeemedCharitableAmt
Net Vl Noncharitable Assets$107,760,260NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,388,013MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,388,013MinimumInvestmentReturnAmt
Tax Based On Investment Income$76,309TaxBasedOnInvestmentIncomeAmt
Total Tax$76,309TotalTaxAmt
Distributable Before Adj$5,311,704DistributableBeforeAdjAmt
Recoveries Qualfied Distri$126,687RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,438,391DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,438,391DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,611,823ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$5,611,823QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$76,309PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$5,535,514AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,438,391DistributableAsAdjustedAmt
Undistributed Income PY$4,414,068UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$5,611,823QualifyingDistributionsAmt
Applied To Year1$4,414,068AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,197,755AppliedToCurrentYearAmt
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$4,240,636UndistributedIncomeCYAmt
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 (91 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCCOVID-19$50,000
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCSECURITY AND TRANSPORTATION$43,750
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCANNUAL IWALK FOR ACTS 2020$2,500
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$115,138
ACTION IN COMMUNITY THROUGH SERVICE (ACTS)
3900 ACTS LANEDUMFRIESVA22026NONEPCPRINCE WILLIAM FOOD RESCUE$120,000
ALTERNATIVE PATHS TRAINING SCHOOL
2525 POINTE CENTER COURT SUITE 300DUMFRIESVA22026NONEPCACCESS TO HEALTH-APTS SCHOOL CLINICS$19,068
AMERICAN CANCER SOCIETY
555 11TH ST NW 300WASHINGTONDC20004NONEPCRELAY FOR LIFE PRINCE WILLIAM COUNTY$5,000
BOYS AND GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019NONEPCCAPACITY BUILDING: BUILDING YOUTH OUTCOMES OF HEALTH$52,500
BOYS AND GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019NONEPCGREAT BIG KID CLUB CRUSADERS$2,500
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROAD SUIE B-102SPRINGFIELDVA22152NONEPCRECENTLY RELEASED WOMEN'S BRAIN INJURY AWARENESS AND ASSESSMENT$45,122
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVE NEWASHINGTONDC20017NONEPCYOU ARE WHAT YOU EAT$160,839
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 500FALLS CHURCHVA22042NONEPCEXPANDING STAY AT HOME SERVICES$139,554
CATCHAFIRE
2000 P ST NW 240WASHINGTONDC20036NONEPCBRIDGING TALENT GAPS AND RESOURCES FOR NONPROFITS$115,000
COMMUNITY FOUNDATION FOR NORTHERN VIRGINIA
2940 HUNTER MILL RD SUITE 201OAKTONVA22124NONEPCCOUNT THE REGION$7,500
COMMUNITY FOUNDATION FOR NORTHERN VIRGINIA
2940 HUNTER MILL RD SUITE 201OAKTONVA22124NONEPCCOVID-19$100,000
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$7,500
COURT APPOINTED SPECIAL ADVOCATES
9384 FORESTWOOD LANE SUITE CMANASSASVA20110NONEPC2020 EVENING UNDER THE STARS$2,500
FOOD AND FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011NONEPCNUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$17,500
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMASON AND PARTNERS CLINIC - COVID-19$20,000
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMULTIDISCIPLINARY PROGRAM FOR CHILDHOOD OBESITY TREATMENT AMONG LATINO COMMUNITIES$127,176
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCINTEGRATING SERVICES TO IMPROVE SOCIAL DETERMINANTS OF HEALTH$41,310
GEORGE MASON UNIVERSITY FOUNDATION
4400 UNIVERSITY DRIVE MS 143FAIRFAXVA22030NONEPCPHF SCHOLARSHIP AT THE COLLEGE OF HEALTH AND HUMAN SERVICES$70,000
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCCOVID-19$50,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCINCREASE MEDICAL ACCESS$18,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCBRIDGING THE BEHAVIORAL HEALTH GAP - GPWCHC/GMU PRECEPTORSHIP PIPELINE$58,500102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCENHANCED EXPANDED ACCESS-2020$180,515102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$45,000102
HOUSING VIRGINIA
203 N ROBINSON STREETRICHMONDVA23220NONEPCHOUSING, HEALTH RESEARCH AND COMMUNITY ENGAGEMENT$17,500
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PRINCE WILLIAM COUNTY$145,417
INSTITUTE OF PUBLIC HEALTH INNOVATION
1250 CONNECTICUT AVE NW SUITE 601WASHINGTONDC20036NONEPCHEALTH EQUITY AND THE COMMUNITY HEALTHCARE COALITION OF GREATER PRINCE WILLIAM$78,749
KOREAN AMERICAN OUTREACH GROUP
8280 WILLOW OAKS CORPORATE DRIVEFAIRFAXVA22031NONEPCPREVENT STOMACH AND LIVER CANCER$17,500SUITE 600
LEADERSHIP PRINCE WILLIAM
9720 CAPITAL COURT SUITE 204MANASSASVA20110NONEPCSIGNATURE PROGRAM SCHOLARSHIP FOR PEOPLE OF COLOR$16,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOVID-19$10,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOMMUNITY BRIDGE - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH$33,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$46,500
MASON & PARTNERS CLINIC (GMU)
4400 UNIVERSITY DRIVEFAIRFAXVA22030NONEPCGENERAL OPERATING SUPPORT$15,000
METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS
777 NORTH CAPITAL STREET NE SUITEWASHINGTONDC20002NONEGOVHOC VCU RACIAL EQUITY REPORT$2,000300
MOTHER OF MERCY
230 CHURCH AVE PO BOX 676ALBANYMN56307NONEPCCOVID-19$50,000
NAMI
PO BOX 1423WOODBRIDGEVA22195NONEPCLATINX MENTAL HEALTH AWARENESS$25,000
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCRESPONDING AND PROTECTING MS STUDENTS, PARENTS, ADOLESCENTS, AND ADULTS$43,107
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCRESPONDING & PROTECTING (RAP) MIDDLE SCHOOL STUDENTS AND PARENTS$43,200
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC) AND CASA
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE AND ADVOCACY$188,119
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC) AND CASA
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCBUILDING POWER THROUGH HEALTH$74,852
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$30,096
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCCOVID-19$40,000
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$95,098
NORTHERN VIRGINIA FAMILY SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$11,500
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCCOVID-19$20,000
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$66,423
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$104,799
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$175,000
POSTPARTUM SUPPORT VIRGINIA
PO BOX 7521ARLINGTONVA22207NONEPCSUPPORT FOR WOMEN EXPERIENCING POSTPARTUM DEPRESSION$53,206
PRINCE WILLIAM AREA AGENCY ON AGING
9320 MOSBY STMANASSASVA20110NONEPCTRAINING TO BUILD PROFESSIONAL SKILLS OF STAFF$105,000
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$38,006
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW RDMANASSASVA20112NONEPCEXAMINING OUR DIMENSIONS OF CULTURE TO CULTIVATE CULTURALLY RESPONSIVE LEARNING ENVIRONMENTS.$12,356
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192NONEPCOUTREACH & EDUCATION$15,450
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCBUILDING FOR THE FUTURE$18,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCHOME REPAIRS AND MODIFICATIONS FOR THOSE WHO CAN'T AFFORD THESE REPAIRS$42,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$15,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCBUILDING RESIIENT YOUTH AND FAMILIES IN PWC$85,648
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCIMMIGRANT FAMILY REUNIFICATION: BUILDING RESILIENT YOUTH AND FAMILIES$36,706
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$52,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCMOBILE HEALTH CLINIC REPLACEMENT PROJECT$166,950
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$60,390
SPARK
67 E MADISON SUITE 2101CHICAGOIL60603NONEPCGENERAL OPERATIONS$1,500
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S HEALTH INSURANCE OUTREACH PROGRAM$14,492
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III$33,862
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCINCREASE AGENCY CAPACITY TO BETTER SERVE PERSONS WHO ARE DUALLY DIAGNOSED (DD/MH)$14,512
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCPURCHASE MEDICAL EQUIPMENT$175,000
THE COMMONWEALTH INSTITUTE
PO BOX 473MAYNARDMA01754NONEPCPOWER-BUILDING FOR RACIAL AND HEALTH EQUITY IN THE PHF REGION AND VA$42,000
THE HOUSE INC
14001 CROWN COURTWOODBRIDGEVA22193NONEPCCOVID-19$20,000
THE HOUSE INC
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$202,000
THE VIRGINIA CIVIC ENGAGEMENT TABLE
1705 E MAIN STRICHMONDVA23223NONEPCVIRGINIA COUNTS COALITION (VCC) - COMPLETE COUNT COMMITTEES$7,500
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPCMARKETING OUTREACH$36,050
VA CONSORTIUM FOR HEALTH PHILANTHROPY
112 NORTH MAIN STREET PO BOX 1606HOPEWELLVA23860NONEPCADVOCACY FOR COMPREHENSIVE DENTAL FOR MEDICAID ENROLLED ADULTS$25,000
VIRGINIA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCIMPROVING SNAP ACCESS TO AFFORDABLE FRESH FOOD FOR COMMUNITY HEALTH$40,953
VIRGINIA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$17,552
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$125,000
VIRGINIA FUNDERS NETWORK
3409 MOORE STREETRICHMONDVA23230NONEPCPATH PARTNERSHIPS FOR SUPPORT OF VFN$10,000
VIRGINIA HEALTH CATALYST (FORMERLY VIRGINIA ORAL HEALTH COALITION)
4200 INNSLAKE DR 202GLEN ALLENVA23060NONEPC2020 VIRTUAL VA ORAL HEALTH SUMMIT$2,500
VIRGINIA HEALTH CATALYST (VIRGINIA ORAL HEALTH COALITION)
4200 INNSLAKE DR 202GLEN ALLENVA23060NONEPC2019 VA ORAL HEALTH SUMMIT$2,000
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STRICHMONDVA23223NONEPCHEALTH CARE HOPE: EXPANDING MEDICAID THROUGH CONGREGATIONAL OUTREACH$60,000
VIRGINIA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VIRGINIA - POTOMAC$198,806
VIRGINIA TECH FOUNDATION
902 PRICES FORK RDBLACKSBURGVA24061NONEPCCOOKWARE FOR NUTRITION EDUCATION PROGRAM$4,000
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204NONEPCCAP BLDG FOR HOUSING AND EVICTIONS RELATED TO COVID-19$25,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCCAMPAIGN FOR CHILDREN'S MENTAL HEALTH$18,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HEALTH SERVICES$42,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE ARTS CENTER - MILITARY IN THE ARTS INITIATIVE$23,115
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE ARTS CENTER - MILITARY IN THE ARTS INITIATIVE$53,935
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA-NORTHERN VIRGINIA CAMPAIGN$125,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$195,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,181,821TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (41 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCPRINCE WILLIAM FOOD RESCUE$36,000
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22003NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$34,500
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCSECURITY AND TRANSPORTATION$18,750
ALTERNATIVE PATHS TRAINING SCHOOL
2525 POINTE CENTER COURT SUITE 300DUMFRIESVA22026NONEPCACCESS TO HEALTH-APTS SCHOOL CLINICS$8,172
BOYS AND GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019NONEPCCAPACITY BUILDING: BUILDING YOUTH OUTCOMES OF HEALTH$22,500
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROAD SUIE B-102SPRINGFIELDVA22152NONEPCRECENTLY RELEASED WOMEN'S BRAIN INJURY AWARENESS AND ASSESSMENT$19,338
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVE NEWASHINGTONDC20017NONEPCYOU ARE WHAT YOU EAT$48,000
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 500FALLS CHURCHVA22042NONEPCEXPANDING STAY AT HOME SERVICES$59,808
FOOD AND FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011NONEPCNUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$7,500
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCVALE A MULTIDISCIPLINARY PROGRAM FOR CHILDHOOD OBESITY TREATMENT AMONT LATINO COMMUNITIES$38,153
GEORGE MASON UNIVERSITY FOUNDATION
4400 UNIVERSITY DRIVE MS 143FAIRFAXVA22030NONEPCPHF SCHOLARSHIP AT THE COLLEGE OF HEALTH AND 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 STREETRICHMONDVA23220NONEPCHOUSING AND HEALTH RESEARCH AND COMMUNITY ENGAGEMENT$7,500
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PWC$43,626
INSTITUTE OF PUBLIC HEALTH INNOVATION
1250 CONNECTICUT AVE NW SUITE 601WASHINGTONDC20036NONEPCHEALTH EQUITY AND THE COMMUNITY HEALTHCARE COALITION OF GREATER PRINCE WILLIAM$33,749
KOREAN AMERICAN OUTREACH GROUP
8280 WILLOW OAKS CORPORATE DRIVEFAIRFAXVA22031NONEPCPREVENT STOMACH AND LIVER CANCER$7,500SUITE 600
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOMMUNITY BRIDGE-ADDRESSING THE SOCIAL DETERMINANT OF HEALTH$9,000
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCRESPONDING AND PROTECTING MS STUDENTS, PARENTS, ADOLESCENTS, AND ADULTS$18,474
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCSTRENGTHENING COMMUNITY HEALTH CARE THROUGH SERVICE AND ADVOCACY$80,622
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$40,756
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$31,500
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$52,500
POSTPARTUM SUPPORT VIRGINIA
PO BOX 7521ARLINGTONVA22207NONEPCSUPPORT FOR WOMEN EXPERIENCING POSTPARTUM DEPRESSION: WOODBRIDGE MATERNAL MENTAL HEALTH COALITION$15,900
PRINCE WILLIAM AREA AGENCY ON AGING
9320 MOSBY STMANASSASVA20110NONEPCTRANINGS TO BUILD PROFESSIONAL SKILLS OF STAFF$45,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCHOME REPAIRS AND MODIFICATIONS FOR THOSE WHO CAN NOT AFFORD THESE REPAIRS THEMSELVES$18,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCBUILDING RESILIENT YOUTH AND FAMILIES IN PWC$36,707
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCMOBILE HEALTH CLINIC REPLACEMENT PROJECT$71,550
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S INSURANCE OUTREACH PROGRAM$4,348
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22405NONEPCPURCHASE MEDICAL EQUIPMENT$75,000
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22405NONEPCVOSAC III$14,513
THE COMMONWEALTH INSTITUTE
PO BOX 473MAYNARDMA01754NONEPCPOWER-BUILDING FOR RACIAL AND HEALTH EQUITY IN THE PHF REGION AND VA$18,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
1400 16TH STREET NW SUITE 710WOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$60,600
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPCMARKETING OUTREACH$15,450
VA CONSORTIUM FOR HEALTH PHILANTHROPY
112 NORTH MAIN STREET PO BOX 1606HOPEWELLVA23860NONEPCIMPROVING SNAP ACCESS TO AFFORDABLE FRESH FOOD FOR COMMUNITY HEALTH$17,551
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPHF FELLOW PRGRAM$37,500
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STRICHMONDVA23223NONEPCHEALTH CARE HOPE: EXPANDING MEDICAID THROUGH CONGRESSIONAL OUTREACH$18,000
VIRGINIA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VIRGINIA- POTOMAC$59,642
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCEQUITABLE ACCESS TO TRAUMA-INFORMED CHILDREN'S MENTAL HEALTH SERVICES$18,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE MILITARY ARTS INITIATIVE$23,115
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA - NOVA CAMPAIGN$37,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCMENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$58,500
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,370,187TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$395ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,087,323ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,895,064ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Related Or Exempt Function Incm$126,688RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$7,982,782ExclusionAmt
Related Or Exempt Function Incm$126,688RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$8,109,470TotalIncomeProducingActyAmt

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$52,034Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$52,034DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI CORE FIXED INCOME FUND #285$26,161,329$26,161,329
SIIT ULTRA SHORT DURATION BOND FUND$2,854,249$2,854,249
SEI SIIT REAL RETURN A$2,106,645$2,106,645

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI LARGE CAP FUND$23,646,363$23,646,363
SEI EXTENDED MKT INDEX-A$3,578,376$3,578,376
SEI EMERGING MRKTS EQ-A$3,641,975$3,641,975
SEI GLOBAL MGD VOLATILITY FD$7,218,289$7,218,289
SEI WORLD EQUITY EX-US FUND$9,086,570$9,086,570
SEI U.S. MANAGED VOL FUND$7,230,834$7,230,834

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$5,000,000USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$5,000,000USGovtObligationsEOYFMVAmt
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 CORE PROPERTY FUND LPFMV$11,560,162$11,560,162
SEI SPECIAL SITUATIONS FUND LTDFMV$5,168,289$5,168,289
SEI GPA IV PRIVATE EQUITY FUND (GLOBAL PRIVATE ASSETS)FMV$1,537,175$1,537,175
SEI GLOBAL PRIVATE ASSETS V (P), L.PFMV$89,111$89,111

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$49,098CostOrOtherBasisAmt
Accumulated Depreciation$47,490AccumulatedDepreciationAmt
Book Value$1,608BookValueAmt
EOYFMV$1,608EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$3,954,852Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$38,002$0$45,865
TECH EXPENSE$18,530$0$20,113
OTHER EXPENSE$46,096$157$7,382
INSURANCE$2,207$0$2,207
SEI CORE PROPERTY FUND, LP OTHER DEDUCTIONS$0$356$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Revenue And Expenses Per Books$126,688RevenueAndExpensesPerBooksAmt
Adjusted Net Income$126,688AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$23,562$23,919
DEFERRED TAX LIABILITY$159,922$120,374

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTANT FEES$42,585$0$42,585
INVESTMENT MANAGEMENT FEES$625,149$625,149$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$33,633Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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