POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2018-11-01 to 2019-10-31
Filed
2020-03-12
IRS object ID
202020729349100002
Schema version
2018v3.1
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)
Return2020-03-12T08:42:54-05:00ReturnTs
Tax Period End2019-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1901 N GLEBE ROAD SUITE 200AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22203ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-11-01TaxPeriodBeginDt

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
Signature2020-03-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CHAPMANPreparerPersonNm
PTINP00843460PTIN
Phone5712279500PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$111,326,130FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$314InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$314InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$6,400,450DividendsRevAndExpnssAmt
Dividends Net Invst Incm$6,709,854DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$50NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$20,747,424GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$92,770OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$6,493,484TotalRevAndExpnssAmt
Total Net Invst Incm$6,710,168TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$136,591CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$20,489CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$116,102CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$161,517OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$110,887OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$62,603PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$4,303PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$58,300PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,780LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$2,276LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$51,881AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$56,401AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$668,012OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$609,714OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$93,765OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$95,145TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$4,195DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$33,501OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$13,974TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$13,974TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$64,674OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$369OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$29,329OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,293,873TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$634,875TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$481,034TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$5,705,948ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,221,318ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$6,999,821TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$634,875TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,702,352TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$506,337ExcessRevenueOverExpensesAmt
Net Investment Income$6,075,293NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$66,997SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$129,873SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$129,873SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$62,555AcctRcvblAmt
Acct Rcvbl BOY$70,477AcctRcvblBOYAmt
Acct Rcvbl EOY$62,555AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$62,555AcctRcvblEOYFMVAmt
Pledges Rcvbl$47,757PledgesRcvblAmt
Pledges Rcvbl BOY$142,521PledgesRcvblBOYAmt
Pledges Rcvbl EOY$47,757PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$47,757PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$57,558PrepaidExpensesBOYAmt
Prepaid Expenses EOY$85,835PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$85,835PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$50,155,806CorporateStockBOYAmt
Corporate Stock EOY$52,521,193CorporateStockEOYAmt
Corporate Stock EOYFMV$52,521,193CorporateStockEOYFMVAmt
Corporate Bonds BOY$37,287,637CorporateBondsBOYAmt
Corporate Bonds EOY$36,451,613CorporateBondsEOYAmt
Corporate Bonds EOYFMV$36,451,613CorporateBondsEOYFMVAmt
Other Investments BOY$19,887,722OtherInvestmentsBOYAmt
Other Investments EOY$22,024,114OtherInvestmentsEOYAmt
Other Investments EOYFMV$22,024,114OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$48,098LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,908LandBldgEquipAccumDeprecAmt
Land BOY$6,385LandBOYAmt
Land EOY$3,190LandEOYAmt
Land EOYFMV$3,190LandEOYFMVAmt
Total Assets BOY$107,675,103TotalAssetsBOYAmt
Total Assets EOY$111,326,130TotalAssetsEOYAmt
Total Assets EOYFMV$111,326,130TotalAssetsEOYFMVAmt
Accounts Payable BOY$209,270AccountsPayableBOYAmt
Accounts Payable EOY$209,788AccountsPayableEOYAmt
Grants Payable BOY$891,105GrantsPayableBOYAmt
Grants Payable EOY$1,383,718GrantsPayableEOYAmt
Other Liabilities BOY$151,526OtherLiabilitiesBOYAmt
Other Liabilities EOY$183,484OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,251,901TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,776,990TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$106,423,202UnrestrictedBOYAmt
Unrestricted EOY$109,549,140UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$106,423,202TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$109,549,140TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$107,675,103TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$111,326,130TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$106,423,202TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$506,337ExcessRevenueOverExpensesAmt
Other Increases$3,632,275OtherIncreasesAmt
Subtotal$109,549,140SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$109,549,140TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (84 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmt
SEI CORE PROPERTY FUND, LLCP$0$0
59,995.25 UNITS OF GOVERNMENT FUND (SEOXX)$0$02018-11-05$59,995$59,995
20,100.502 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)-$427-$4272018-11-15$200,000$200,427
152,068.95 UNITS OF GOVERNMENT FUND (SEOXX)$0$02018-11-23$152,069$152,069
15,283.311 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)-$325-$3252018-11-23$152,069$152,394
213.757 UNITS OF SEI LARGE CAP INDEX FUND (LCIAX)$3,882$3,8822018-11-28$42,200$38,318
3,486.239 UNITS OF SEI CORE FIXED INCOME FUND (SCOAX)-$1,681-$1,6812018-11-28$34,200$35,881
1,714.286 UNITS OF SEI WORLD EQUITY EX-US FUND (WEUSX)$1,434$1,4342018-11-28$21,000$19,566
1,505.729 UNITS OF SEI GLOBAL MGD VOLATILITY FD (SGMAX)$5,274$5,2742018-11-28$18,400$13,126
1,468,298 UNITS OF EMERGING MRKTS DEBT FUND (SEDAX)-$2,426-$2,4262018-11-28$13,200$15,626
1,617.647 UNITS OF SEI OPPORTUNISTIC INC FD-A (ENIAX)-$54-$542018-11-28$13,200$13,254
674.847 UNITS OF SEI DYNAMIC ASSET ALLOC FUND (SDLAX)$1,762$1,7622018-11-28$13,200$11,438
712.845 UNITS OF U.S. MANAGED VOL FUND (SVYAX)$1,897$1,8972018-11-28$10,600$8,703
1,329.987 UNITS OF SEI MULTI ASSET REAL RETURN (SEIAX)-$1,331-$1,3312018-11-28$10,600$11,931
911.215 UNITS OF SEI HIGH YIELD BOND FUND (SGYAX)-$419-$4192018-11-28$7,800$8,219
812.5 UNITS OF SEI EMERGING MRKTS EQ-A (SMQFX)$729$7292018-11-28$7,800$7,071
524.899 UNITS OF SEI EXTENDED MKT INDEX-A (SMXAX)-$571-$5712018-11-28$7,800$8,371
58,424.1 UNITS OF GOVERNMENT FUND (SEOXX)$0$02018-12-06$58,424$58,424
3,967,707.07 UNITS OF GOVERNMENT FUND (SEOXX)$0$02018-12-18$3,967,707$3,967,707
3,967,707.07 UNITS OF GOVERNMENT FUND (SEOXX)$0$02018-12-19$3,967,707$3,967,707
55,436.757 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)-$1,140-$1,1402018-12-21$550,487$551,627
158,934.321 UNITS OF SEI CORE FIXED INCOME FUND (SCOAX)-$49,617-$49,6172019-01-02$1,586,165$1,635,782
32,438.615 UNITS OF SEI OPPORTUNISTIC INC FD-A (ENIAX)-$4,319-$4,3192019-01-02$261,455$265,774
833,354.16 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-01-03$833,354$833,354
61,700.33 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-01-04$61,700$61,700
55,749.93 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-02-05$55,750$55,750
149,693.75 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-02-25$149,694$149,694
15,029.493 UNITS OF SEI ULTRA SH FURATION BD FD (SUSAX)$176$1762019-02-25$149,694$149,518
5,050.828 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$59$592019-02-26$50,306$50,247
15,029.493 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$176$1762019-02-27$149,694$149,518
51,730.17 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-03-05$51,730$51,730
3.35 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-03-06$3$3
88,665.316 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$1,914$1,9142019-03-08$883,993$882,079
1,694.628 UNITS OF SEI LARGE CAP INDEX FUND (LCIAX)$505$5052019-03-26$300,000$299,495
90,180.361 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$2,849$2,8492019-04-01$900,000$897,151
57,087.03 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-04-03$57,087$57,087
1,662.746 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$52$522019-04-10$16,594$16,542
216,253.21 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-04-15$216,253$216,253
161.13 UNITS OF SEI LARGE CAP INDEX FUND (LCIAX)$1,059$1,0592019-04-23$29,540$28,481
2,358.621 UNITS OF SEI CORE FIXED INCOME FUND (SCOAX)-$333-$3332019-04-23$23,940$24,273
1,152.038 UNITS OF SEI WORLD EQUITY EX-US FUND (WEUSX)$1,538$1,5382019-04-23$14,700$13,162
1,089.679 UNITS OF SEI GLOBAL MGD VOLATILITY FD (SGMAX)$3,345$3,3452019-04-23$12,880$9,535
951.596 UNITS OF EMERGING MRKTS DEBT FUND (SEDAX)-$877-$8772019-04-23$9,240$10,117
1,126.829 UNITS OF SEI OPPORTUNISTIC INC FD-A (ENIAX)$7$72019-04-23$9,240$9,233
445.516 UNITS OF SEI DYNAMIC ASSET ALLOC FUND (SDLAX)$1,674$1,6742019-04-23$9,240$7,566
554.973 UNITS OF U.S. MANAGED VOL FUND (SVYAX)$637$6372019-04-23$7,420$6,783
948.849 UNITS OF SEI MULTI ASSET REAL RETURN (SEIAX)-$1,081-$1,0812019-04-23$7,420$8,501
624 UNITS OF SEI HIGH YIELD BOND FUND (SGYAX)-$166-$1662019-04-23$5,460$5,626
572.327 UNITS OF SEI EMERGING MRKTS EQ-A (SMQFX)$475$4752019-04-23$5,460$4,985
356.164 UNITS OF SEI EXTENDED MKT INDEX-A (SMXAX)-$217-$2172019-04-23$5,460$5,677
300,000 UNITS OF CASH PENDING PURCH SPECIAL SITUATION$0$02019-04-30$300,000$300,000
55,154.11 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-05-03$55,154$55,154
149,878.84 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-05-10$149,879$149,879
15,002.886 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$597$5972019-05-10$149,879$149,282
54,721.65 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-06-05$54,722$54,722
123,544.965 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$7,324$7,3242019-06-26$1,236,685$1,229,361
34,298.11 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$1,685$1,6852019-07-02$342,981$341,296
54,082.19 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-07-03$54,082$54,082
19,588 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$953$9532019-07-08$195,880$194,927
200,000 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-07-11$200,000$200,000
44,909.06 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$2,185$2,1852019-07-11$449,091$446,906
69,695.4 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-07-12$69,695$69,695
9,639 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$462$4622019-07-17$96,390$95,928
14,091 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$675$6752019-07-18$140,910$140,235
7.21 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-08-06$7$7
53,970.24 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-08-06$53,970$53,970
8,718.9 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$411$4112019-08-14$87,189$86,778
154,068.35 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-08-20$154,068$154,068
15,391.445 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$878$8782019-08-20$154,068$153,190
55,574.01 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-09-05$55,574$55,574
15,728.2 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$727$7272019-09-09$157,282$156,555
13.813 UNITS OF SEI HIGH YIELD BOND FUND (SGYAX)-$4-$42019-09-12$121$125
1,809.298 UNITS OF EMERGING MRKTS DEBT FUND (SEDAX)-$1,197-$1,1972019-09-12$18,039$19,236
1,470.938 UNITS OF SEI DYNAMIC ASSET ALLOC FUND (SDLAX)$6,365$6,3652019-09-12$31,346$24,981
1440.3 UNITS OF SEI GLOBAL MGD VOLATILITY FD (SGMAX)$5,214$5,2142019-09-12$17,817$12,603
378.642 UNITS OF SEI LARGE CAP INDEX FUND (LCIAX)$4,775$4,7752019-09-12$71,704$66,929
124.047 UNITS OF SEI MULTI ASSET REAL RETURN (SEIAX)-$136-$1362019-09-12$975$1,111
14,150 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$645$6452019-10-03$141,500$140,855
52,338.85 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-10-03$52,339$52,339
60,112.8 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$2,738$2,7382019-10-09$601,128$598,390
15,202.32 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$692$6922019-10-15$152,023$151,331
213,996.17 UNITS OF GOVERNMENT FUND (SEOXX)$0$02019-10-16$213,996$213,996
5,700 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$244$2442019-10-18$57,000$56,756
6,000 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$257$2572019-10-24$60,000$59,743
FieldValueIRS element (for citing)
Capital Gain Net Income-$50CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$5,562,672AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$110,334,651NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.050416DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,850,615AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$106,530,115NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.045533DistributionYr2Rt
Adjusted Qlfy Distri Yr3$5,247,271AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$98,321,142NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.053369DistributionYr3Rt
Adjusted Qlfy Distri Yr4$4,980,260AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$100,254,131NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.049676DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,672,707AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$100,774,355NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046368DistributionYr5Rt
Total Distribution0.245362TotalDistributionRt
Average Distribution0.049072AverageDistributionRt
Net Vl Noncharitable Assets$107,583,852NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$5,279,355AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$60,753NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$5,340,108AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$5,702,352QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$60,753InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$60,753SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$60,753TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$95,061EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$95,061TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$34,308OverpaymentAmt
Applied To ES Tax$34,308AppliedToESTaxAmt
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
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
CARLOS CASTRO
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
SUSIE LEE
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR40.00$136,591$28,684$875

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonTIMOTHY MCCUEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
FieldValueIRS element (for citing)
TitleDIRECTOR OF GRANTS PTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$75,727CompensationAmt
Employee Benefits$15,903EmployeeBenefitsAmt
Expense Account$278ExpenseAccountAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SEI GLOBAL INSTITUTIONAL GROUP
1 FREEDOM VALLEY DRIVEOAKSPA19456INVESTMENT MANAGEMENT$609,714
COMMUNITY HEALTH SOLUTIONS INC
9603 GAYTON ROAD SUITE 201HENRICOVA23238GRANT MANAGEMENT$53,200
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$109,067,414AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$154,771AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$109,222,185TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$109,222,185AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,638,333CashDeemedCharitableAmt
Net Vl Noncharitable Assets$107,583,852NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,379,193MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,379,193MinimumInvestmentReturnAmt
Tax Based On Investment Income$60,753TaxBasedOnInvestmentIncomeAmt
Total Tax$60,753TotalTaxAmt
Distributable Before Adj$5,318,440DistributableBeforeAdjAmt
Recoveries Qualfied Distri$92,770RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,411,210DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,411,210DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,702,352ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$5,702,352QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$60,753PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$5,641,599AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,411,210DistributableAsAdjustedAmt
Undistributed Income PY$4,705,210UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$5,702,352QualifyingDistributionsAmt
Applied To Year1$4,705,210AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$997,142AppliedToCurrentYearAmt
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$4,414,068UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonERIN THOMASRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BOULEVARD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7035230630RecipientPhoneNum
Recipient Email AddressERIN@POTOMACHEALTHFOUNDATION.ORGRecipientEmailAddressTxt
Form And Info And MaterialsLETTER OF INTENT TO INCLUDE NARRATIVE AND BUDGET PLAN, COMPLETED AND SUBMITTED ONLINE.FormAndInfoAndMaterialsTxt
Submission DeadlinesJANUARY 25, 2020SubmissionDeadlinesTxt
Restrictions On AwardsTHE FOUNDATION AWARDS GRANTS TO TAX-EXEMPT ORGANIZATIONS THAT SERVE INDIVIDUALS IN EASTERN PRINCE WILLIAM COUNTY, LORTON, NORTH STAFFORD IN VIRGINIA. PROJECTS MUST WORK TOWARD IMPROVING THE HEALTH OF THE COMMUNITY. PROJECTS ARE FUNDED FOR A 12 MONTH PERIOD. THE FOUNDATION DOES NOT FUND SPONSORSHIPS, INCLUDING FUNDRAISING EVENTS, ENDOWMENTS, LOBBYING, DIRECT SUPPORT TO INDIVIDUALS, PROGRAMS OF RELIGIOUS, FRATERNAL, ATHLETIC, OR VETERANS GROUPS WHEN THE PRIMARY BENEFICIARIES OF SUCH UNDERTAKINGS WOULD BE THEIR MEMBERS EXCLUSIVELY, GRANTS TO RETIRE ANY FORM OF DEBT, SCIENTIFIC RESEARCH GRANTS, AND INDIRECT COST PERCENTAGES.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (98 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$34,638
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$80,822
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCSPONSORSHIP OF 50TH ACTS GALA$1,000
ACTION IN COMMUNITY THROUGH SERVICE (ACTS)
3900 ACTS LANEDUMFRIESVA22026NONEPCPRINCE WILLIAM FOOD RESCUE$84,000
AMERICAN CANCER SOCIETY
555 11TH ST NW 300WASHINGTONDC20004NONEPCGOLD SPONSOR$5,000
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVE NEWASHINGTONDC20017NONEPCYOU ARE WHAT YOU EAT$113,958
CATALOGUE FOR PHILANTHROPY GREATER WASHINGTON
10 G STREET NE SUITE 600WASHINGTONDC20002NONEPCLEARNING COMMONS- RECURRING IN-PERSON WORKSHOPS$10,000
CATCHAFIRE
2000 P ST NW 240WASHINGTONDC20036NONEPCBRIDGING TALENT GAPS AND RESOURCES FOR NONPROFITS$105,000
COMMUNITY FOUNDATION FOR NORTHERN VIRGINIA
2940 HUNTER MILL RD SUITE 201OAKTONVA22124NONEPCCOUNT THE REGION$17,500
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$16,594
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$17,500
COURT APPOINTED SPECIAL ADVOCATES
9384 FORESTWOOD LANE SUITE CMANASSASVA20110NONEPCEVENING UNDER THE STAR TABLE SPONSORSHIP$2,000
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCA FAMILY-BASED EMPOWERMENT PROGRAM TO TARGET EARLY TREATMENT FOR CHILDHOOD OBESITY IN LOW INCOME LATINO COMMUNITIES$38,153
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCVAL: A MULTIDISCIPLINARY PROGRAM FOR CHILDHOOD OBESITY TREATMENT AMONG LATINO COMMUNITIES$89,023
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCINTEGRATING SERVICES TO IMPROVE SOCIAL DETERMINANTS OF HEALTH$96,390
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCCHHS TOWN HALL MEETING & RECEPTION W/ VA HLTH COMMISSIONER$2,000
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCBRIDGING THE BEHAVIORAL HEALTH GAP - GPWCHC/GMU PRECEPTORSHIP PIPELINE$45,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$15,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCBRIDGING THE BEHAVIORAL HEALTH GAP - GPWCHC/GMU PRECEPTORSHIP PIPELINE$136,500102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$135,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCINCREASE MEDICAL ACCESS$42,000102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$120,000102
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PRINCE WILLIAM COUNTY$49,861
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PRINCE WILLIAM COUNTY$101,792
LEADERSHIP PRINCE WILLIAM
9720 CAPITAL COURT SUITE 204MANASSASVA20110NONEPCSIGNATURE PROGRAM SCHOLARSHIP FOR PEOPLE OF COLOR$16,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$15,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$139,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOMMUNITY BRIDGE - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH$28,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$124,000
MASON & PARTNERS CLINIC (GMU)
4400 UNIVERSITY DRIVEFAIRFAXVA22030NONEPCGENERAL OPERATING SUPPORT$60,000
NAMIHOLA
PO BOX 1423WOODBRIDGEVA22195NONEPCLATINX MENTAL HEALTH AWARENESS AND OUTREACH$25,000
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCGENERAL OPERATING SUPPORT$6,000
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPCRESPONDING & PROTECTING (RAP) MIDDLE SCHOOL STUDENTS AND PARENTS$43,200
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPCRESPONDING & PROTECTING (RAP) MIDDLE SCHOOL STUDENTS AND PARENTS$100,800
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPC7TH ANNUAL GALA$1,000
NATIONAL KOREAN AMERICAN SERVICE & EDUCATION CONSORTIUM (NAKASEC) AND CASA
4304 EVERGREEN LN SUITE 104ANNANDALEVA22003NONEPCBUILDING POWER THROUGH HEALTH$174,656
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$37,328
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$98,859
NORTHERN VIRGINIA FAMILY SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$3,500
NORTHERN VIRGINIA FAMILY SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$31,500
NORTHERN VIRGINIA FAMILY SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$32,000
NOVA COALITION FOR REFUGEE WELLNESS
10360 NORTH STFAIRFAXVA22030NONEPC2019 ANNUAL CONFERENCE$2,000
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$22,141
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$199,269
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$177,128
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$29,233
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$73,030
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$45,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$122,500
POSTPARTUM SUPPORT VIRGINIA
PO BOX 7521ARLINGTONVA22207NONEPCSUPPORT FOR WOMEN EXPERIENCING POSTPARTUM DEPRESSION$7,500
POSTPARTUM SUPPORT VIRGINIA
PO BOX 7521ARLINGTONVA22207NONEPCSUPPORT FOR WOMEN EXPERIENCING POSTPARTUM DEPRESSION$37,581
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$19,003
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$152,023
PRINCE WILLIAM CHAMBER OF COMMERCE
9720 CAPITAL COURT SUITE 203MANASSASVA20110NONEPCPARTNERING WITH BUSINESS SERIES$10,000
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW RDMANASSASVA20112NONEPCEXAMINING OUR DIMENSIONS OF CULTURE TO CULTIVATE CULTURALLY RESPONSIVE LEARNING ENVIRONMENTS.$28,831
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192NONEPCOUTREACH & EDUCATION$13,200
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192NONEPCOUTREACH & EDUCATION$36,050
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCBRICK & MORTAR$1,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCBUILDING FOR THE FUTURE$42,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$2,500
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$45,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$40,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCIMMIGRANT FAMILY REUNIFICATION: BUILDING RESILIENT YOUTH AND FAMILIES$31,596
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCIMMIGRANT FAMILY REUNIFICATION: BUILDING RESILIENT YOUTH AND FAMILIES$85,649
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$60,390
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$15,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$140,910
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$157,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$140,000
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S HEALTH INSURANCE OUTREACH PROGRAM$4,348
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S HEALTH INSURANCE OUTREACH PROGRAM$10,144
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCINCREASE AGENCY CAPACITY TO BETTER SERVE PERSONS WHO ARE DUALLY DIAGNOSED (DD/MH)$15,000
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCINCREASE AGENCY CAPACITY TO BETTER SERVE PERSONS WHO ARE DUALLY DIAGNOSED (DD/MH)$33,863
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCCIRCLE OF SUPPORT$1,000
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCTHE KRINGLE$2,000
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCCOMPLETION OF THERAPEUTIC SERVICES$23,700
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III$29,025
THE DOORWAYS
612 E MARSHALL SREETRICHMONDVA23219NONEPCPATIENT AND FAMILY ACCESS PROGRAM$11,400
THE HOUSE INC
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$38,100
THE HOUSE INC
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$141,400
THE VIRGINIA CIVIC ENGAGEMENT TABLE
1705 E MAIN STRICHMONDVA23223NONEPCVIRGINIA COUNTS COALITION (VCC) - COMPLETE COUNT COMMITTEES$17,500
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPCMENTAL HLTH AWARENESS EVENT SPONSORSHIP$1,000
VA CONSORTIUM FOR HEALTH PHILANTHROPY
112 NORTH MAIN STREET PO BOX 1606HOPEWELLVA23860NONEPCMEDEX RESEARCH FUNDING$2,000
VIRGINIA CENTER FOR HEALTH INNOVATION
3831 WESTERRE PARKWAY SUITE CHENRICOVA23233NONEPCHEALTHY MINDS, HEALTHY CHILDREN$54,736
VIRGINIA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$40,954
VIRGINIA COMMUNITY FOOD CONNECTIONS (GWRC)
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$14,041
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$37,500
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$87,500
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STRICHMONDVA23223NONEPCHEALTH CARE HOPE: EXPANDING MEDICAID THROUGH CONGREGATIONAL OUTREACH$42,000
VIRGINIA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VIRGINIA - POTOMAC$139,164
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 807RICHMONDVA23219NONEPCCAMPAIGN FOR CHILDREN'S MENTAL HEALTH$42,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE ARTS CENTER - MILITARY IN THE ARTS INITIATIVE$21,900
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$37,500
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA-NORTHERN VIRGINIA CAMPAIGN$87,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$45,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$136,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,221,318TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (48 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCBEHAVIORAL HEALTH TREATMENT FOR HOMELESS CLIENTS$34,638
ACTION IN COMMUNITY THROUGH SERVICE (ACTS)
3900 ACTS LANEDUMFRIESVA22026NONEPCPRINCE WILLIAM FOOD RESCUE$36,000
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVE NEWASHINGTONDC20017NONEPCYOU ARE WHAT YOU EAT$48,839
COMMUNITY FOUNDATION FOR NORTHERN VIRGINIA
2940 HUNTER MILL RD SUITE 201OAKTONVA22124NONEPCCOUNT THE REGION$7,500
CONSUMER HEALTH FOUNDATION-REGIONAL PRIMARY CARE COALITION (GREATER WASHING
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$7,500
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCVAL: A MULTIDISCIPLINARY PROGRAM FOR CHILDHOOD OBESITY TREATMENT AMONG LATINO COMMUNITIES$38,153
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCINTEGRATING SERVICES TO IMPROVE SOCIAL DETERMINANTS OF HEALTH$41,310
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 SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$15,000102
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 SUITEWOODBRIDGEVA22192NONEPCGENERAL OPERATING SUPPORT$30,000102
INOVA HEALTH CARE SERVICES
2740 PROSPERITY AVENUE SUITE 200FAIRFAXVA22031NONEPCEXPANDING BEHAVIORAL HEALTH SERVICE CAPACITY IN PRINCE WILLIAM COUNTY$43,625
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$15,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCCOMMUNITY BRIDGE - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH$12,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING SUPPORT$31,000
MASON & PARTNERS CLINIC (GMU)
4400 UNIVERSITY DRIVEFAIRFAXVA22030NONEPCGENERAL OPERATING SUPPORT$15,000
NATIONAL COALITION OF 100 BLACK WOMEN
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 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 SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$3,500
NORTHERN VIRGINIA FAMILY SERVICES (NVFS) PEDIATRIC PRIMARY CARE PROJECT (PP
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCGENERAL OPERATING SUPPORT$8,000
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$22,141
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCGENERAL OPERATING SUPPORT$44,282
NUEVA VIDA
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$31,299
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$16,106
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
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCBUILDING FOR THE FUTURE$18,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$5,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCGENERAL OPERATING SUPPORT$10,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCIMMIGRANT FAMILY REUNIFICATION: BUILDING RESILIENT YOUTH AND FAMILIES$36,707
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$60,390
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$17,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCGENERAL OPERATING SUPPORT$35,000
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S HEALTH INSURANCE OUTREACH PROGRAM$4,348
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCINCREASE AGENCY CAPACITY TO BETTER SERVE PERSONS WHO ARE DUALLY DIAGNOSED (DD/MH)$14,513
THE HOUSE INC STUDENT LEADERSHIP CENTER INC
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$60,600
THE VIRGINIA CIVIC ENGAGEMENT TABLE
1705 E MAIN STRICHMONDVA23223NONEPCVIRGINIA COUNTS COALITION (VCC) - COMPLETE COUNT COMMITTEES$7,500
VIRGINIA COMMUNITY FOOD CONNECTIONS
1287 CENTRAL PARK BOULEVARDFREDERICKSBURGVA22401NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$17,551
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$37,500
VIRGINIA INTERFAITH CENTER FOR PUBLIC POLICY
1716 E FRANKLIN STRICHMONDVA23223NONEPCHEALTH CARE HOPE: EXPANDING MEDICAID THROUGH CONGREGATIONAL OUTREACH$18,000
VIRGINIA POVERTY LAW CENTER
919 E MAIN ST 610RICHMONDVA23219NONEPCENROLL VIRGINIA - POTOMAC$59,641
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCCAMPAIGN FOR CHILDREN'S MENTAL HEALTH$18,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAYLORTONVA22079NONEPCWORKHOUSE ARTS CENTER - MILITARY IN THE ARTS INITIATIVE$23,115
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA-NORTHERN VIRGINIA CAMPAIGN$37,500
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$58,500
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,383,718TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$314ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,400,450ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$50ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Related Or Exempt Function Incm$92,770RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$6,400,714ExclusionAmt
Related Or Exempt Function Incm$92,770RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$6,493,484TotalIncomeProducingActyAmt

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$51,881Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$56,401DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (6 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SIIT MULTI ASSET REAL RETURN FUND$4,470,064$4,470,064
SEI CORE FIXED INCOME FUND #285$13,965,240$13,965,240
SEI INSTITUTIONAL INVESTMENT TRUST HIGH YIELD BOND FUND$3,308,313$3,308,313
SEI SIIT OPPORTUNISTIC INCOME FD-A$5,386,786$5,386,786
SIIT EMERGING MARKETS DEBT FUND$5,873,672$5,873,672
SIIT ULTRA SHORT DURATION BOND FUND$3,447,538$3,447,538

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (7 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI DYNAMIC ASSET ALLOC. FUND$6,116,975$6,116,975
SEI LARGE CAP FUND$19,127,949$19,127,949
SEI EXTENDED MKT INDEX-A$3,240,557$3,240,557
SEI EMERGING MRKTS EQ-A$2,865,609$2,865,609
SEI GLOBAL MGD VOLATILITY FD$8,197,375$8,197,375
SEI WORLD EQUITY EX-US FUND$8,513,009$8,513,009
SEI U.S. MANAGED VOL FUND$4,459,719$4,459,719

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI CORE PROPERTY FUND LPFMV$16,217,006$16,217,006
SEI SPECIAL SITUATIONS FUND LTDFMV$4,792,321$4,792,321
SEI GPA IV PRIVATE EQUITY FUND (GLOBAL PRIVATE ASSETS)FMV$1,014,787$1,014,787

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$48,098CostOrOtherBasisAmt
Accumulated Depreciation$44,908AccumulatedDepreciationAmt
Book Value$3,190BookValueAmt
EOYFMV$3,190EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$1,780LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,276DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$33,255$0$41,075
TECH EXPENSE$17,657$0$23,990
OTHER EXPENSE$11,555$48-$37,943
INSURANCE$2,207$0$2,207
SEI CORE PROPERTY FUND, LP OTHER DEDUCTIONS$0$321$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescGRANT RECOVERYDesc
Revenue And Expenses Per Books$92,770RevenueAndExpensesPerBooksAmt
Adjusted Net Income$92,770AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$3,632,275Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$27,927$23,562
DEFERRED TAX LIABILITY$123,599$159,922

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$609,714$609,714$0
CONSULTANT FEES$58,298$0$93,765

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$95,145Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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