POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2016-11-01 to 2017-10-31
Filed
2018-03-13
IRS object ID
201810729349100006
Schema version
2016v3.0
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)
Return2018-03-13T11:16:33-05:00ReturnTs
Tax Period End2017-10-31TaxPeriodEndDt

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 Begin2016-11-01TaxPeriodBeginDt

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 BOULEVARD NO 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSIE LEEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7035230620PhoneNum
Signature2018-03-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonIVY BECKHAMPreparerPersonNm
PTINP01316131PTIN
Phone5712279500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-13IPDt
IP Tm09:25:45IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA1F046B953991414D17544BCF233C1AB5D570FBAAtSubmissionCreationDeviceId
At Submission Filing Device Id60F31D54205A46123D6C2BF5A51A8C0A19B7F535AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$111,686,263FMVAssetsEOYAmt
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$333InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$333InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$3,277,689DividendsRevAndExpnssAmt
Dividends Net Invst Incm$3,588,392DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,654,422NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$43,895,976GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,654,422CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$4,932,444TotalRevAndExpnssAmt
Total Net Invst Incm$5,243,147TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$129,615CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$19,442CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$110,173CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$151,119OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$106,806OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$58,954PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$4,083PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$54,871PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$48,843AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$49,298AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$603,541OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$546,111OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$57,430OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$134,902TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$4,104DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$31,578OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$16,757TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$16,757TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$59,219OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$46,722OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,236OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,238,632TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$616,358TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$454,571TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,970,662ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$4,396,044ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,209,294TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$616,358TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$4,850,615TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$276,850ExcessRevenueOverExpensesAmt
Net Investment Income$4,626,789NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$76,653SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$84,797SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$84,797SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$60,475AcctRcvblAmt
Acct Rcvbl BOY$47,446AcctRcvblBOYAmt
Acct Rcvbl EOY$60,475AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$60,475AcctRcvblEOYFMVAmt
Pledges Rcvbl$228,858PledgesRcvblAmt
Pledges Rcvbl BOY$314,054PledgesRcvblBOYAmt
Pledges Rcvbl EOY$228,858PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$228,858PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$38,889PrepaidExpensesBOYAmt
Prepaid Expenses EOY$43,656PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$43,656PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$50,731,534CorporateStockBOYAmt
Corporate Stock EOY$56,075,377CorporateStockEOYAmt
Corporate Stock EOYFMV$56,075,377CorporateStockEOYFMVAmt
Corporate Bonds BOY$33,772,200CorporateBondsBOYAmt
Corporate Bonds EOY$37,218,030CorporateBondsEOYAmt
Corporate Bonds EOYFMV$37,218,030CorporateBondsEOYFMVAmt
Other Investments BOY$19,109,016OtherInvestmentsBOYAmt
Other Investments EOY$17,968,993OtherInvestmentsEOYAmt
Other Investments EOYFMV$17,968,993OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$43,648LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,571LandBldgEquipAccumDeprecAmt
Land BOY$2,681LandBOYAmt
Land EOY$6,077LandEOYAmt
Land EOYFMV$6,077LandEOYFMVAmt
Total Assets BOY$104,092,473TotalAssetsBOYAmt
Total Assets EOY$111,686,263TotalAssetsEOYAmt
Total Assets EOYFMV$111,686,263TotalAssetsEOYFMVAmt
Accounts Payable BOY$169,032AccountsPayableBOYAmt
Accounts Payable EOY$192,253AccountsPayableEOYAmt
Grants Payable BOY$1,877,020GrantsPayableBOYAmt
Grants Payable EOY$1,451,944GrantsPayableEOYAmt
Other Liabilities BOY$113,071OtherLiabilitiesBOYAmt
Other Liabilities EOY$186,590OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,159,123TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,830,787TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$101,933,350UnrestrictedBOYAmt
Unrestricted EOY$109,855,476UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$101,933,350TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$109,855,476TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$104,092,473TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$111,686,263TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$101,933,350TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$276,850ExcessRevenueOverExpensesAmt
Other Increases$8,198,976OtherIncreasesAmt
Subtotal$109,855,476SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$109,855,476TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (60 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmt
SEI CORE PROPERTY FUND, LLCP$0$0
40,428.6 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$40,429$40,429
125,985.37 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$125,985$125,985
12,598.537 UNITS OF SEI ULTRA SH DURATION BD FD$169$169$125,985$125,816
2,403.656 UNITS OF SEI ULTRA SH DURATION BD FD$9$9$24,013$24,004
20,876.877 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$72$72$208,560$208,488
40,663.18 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$40,663$40,663
1,259,734.62 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$1,259,735$1,259,735
1,259,734.62 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$1,259,735$1,259,735
21,958.74 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$21,959$21,959
832,068.71 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$832,069$832,069
43,628.11 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$43,628$43,628
161.642 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$1$1$1,615$1,614
2,600,000 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$2,600,000$2,600,000
1,306.027 UNITS OF SEI CORE PROPERTY FUND LPP$1,057,819$1,057,819$2,600,000$1,542,181
2,600,000 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$2,600,000$2,600,000
30.78 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$31$31
42,121.21 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$42,121$42,121
20,020.02 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$84$84$200,000$199,916
130,162.26 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$130,162$130,162
13,016.226 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$184$184$130,162$129,978
97,443.993 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$1,383$1,383$974,440$973,057
40,701.71 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$40,702$40,702
964,713.812 UNITS OF SEI LARGE CAP FUND (SLCAX)$210,435$210,435$19,506,513$19,296,078
938,666.54 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$938,667$938,667
44,122.68 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$44,123$44,123
84,833.94 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$84,834$84,834
13.67 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$14$14
43,544.15 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$43,544$43,544
129,486.95 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$129,487$129,487
12,948.695 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$177$177$129,487$129,310
1,250 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$17$17$12,500$12,483
44,635.16 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$44,635$44,635
20,000 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$270$270$200,000$199,730
15,513.494 UNITS OF SEI LARGE CAP INDEX FUND (LCIAX)$77,984$77,984$2,856,034$2,778,050
135,359.061 UNITS OF SEI WORLD EQUITY EX-US FUND (WEUSX)$174,150$174,150$1,719,060$1,544,910
30,356.061 UNITS OF SEI GLOBAL MGD VOLATILITY FD (SGMAX)$90,841$90,841$355,471$264,630
12,866.06 UNITS OF SEI DYNAMIC ASSET ALLOC FUND (SDLAX)$22,400$22,400$240,467$218,067
2,640.439 UNITS OF SEI SMALL CAP FUND (SLPAX)$14,036$14,036$48,241$34,205
42,684.84 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$42,685$42,685
148,706.28 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$1,992$1,992$1,487,063$1,485,071
45,688.38 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$587$587$456,884$456,297
162,802.97 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$162,803$162,803
3,000 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$39$39$30,000$29,961
7,569 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$97$97$75,690$75,593
51,974.97 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$51,975$51,975
12,078 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$152$152$120,780$120,628
61,007.328 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$770$770$610,073$609,303
601,891 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$14$14$6,025$6,011
55,612.56 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$55,613$55,613
3,904 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$49$49$39,040$38,991
136,616.83 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$136,617$136,617
13,661.683 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$172$172$136,617$136,445
6,000 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$76$76$60,000$59,924
54,520.99 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$0$0$54,521$54,521
10,648.90 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$131$131$106,489$106,358
95,101.84 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$95,102$95,102
235,671.45 UNITS OF GOVERNMENT FUND (SEOXX)$0$0$235,671$235,671
24,300 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$273$273$243,000$242,727
3,425.9 UNITS OF SEI ULTRA SH DURATION BD FD (SUSAX)$39$39$34,257$34,218
FieldValueIRS element (for citing)
Capital Gain Net Income$1,654,422CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$5,247,271AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$98,321,142NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.053369DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,980,260AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$100,254,131NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049676DistributionYr2Rt
Adjusted Qlfy Distri Yr3$4,672,707AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$100,774,355NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.046368DistributionYr3Rt
Adjusted Qlfy Distri Yr4$4,370,054AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$95,756,146NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.045637DistributionYr4Rt
Adjusted Qlfy Distri Yr5$3,863,779AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$90,901,681NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.042505DistributionYr5Rt
Total Distribution0.237555TotalDistributionRt
Average Distribution0.047511AverageDistributionRt
Net Vl Noncharitable Assets$106,530,115NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$5,061,352AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$46,268NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$5,107,620AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$4,850,615QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$92,536InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$92,536SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$92,536TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$58,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$58,000TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$476EsPenaltyAmt
Tax Due$35,012TaxDueAmt

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

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$129,615$27,219$809

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$106,806CompensationAmt
Employee Benefits$22,429EmployeeBenefitsAmt
Expense Account$981ExpenseAccountAmt
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$546,111CompensationAmt
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$107,999,368AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$153,033AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$108,152,401TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$108,152,401AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,622,286CashDeemedCharitableAmt
Net Vl Noncharitable Assets$106,530,115NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,326,506MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,326,506MinimumInvestmentReturnAmt
Tax Based On Investment Income$92,536TaxBasedOnInvestmentIncomeAmt
Total Tax$92,536TotalTaxAmt
Distributable Before Adj$5,233,970DistributableBeforeAdjAmt
Recoveries Qualfied Distri$306RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,234,276DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,234,276DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$4,850,615ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$4,850,615QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$4,850,615AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,234,276DistributableAsAdjustedAmt
Undistributed Income PY$4,484,284UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$4,850,615QualifyingDistributionsAmt
Applied To Year1$4,484,284AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$366,331AppliedToCurrentYearAmt
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$4,867,945UndistributedIncomeCYAmt
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 PersonTIMOTHY MCCUERecipientPersonNm

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 AddressTIMOTHY@POTOMACHEALTHFOUNDATION.ORGRecipientEmailAddressTxt
Form And Info And MaterialsLETTER OF INTENT TO INCLUDE NARRATIVE AND BUDGET PLAN, COMPLETED AND SUBMITTED ONLINE.FormAndInfoAndMaterialsTxt
Submission DeadlinesJANUARY 25, 2017SubmissionDeadlinesTxt
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 (93 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCCOMPREHENSIVE CASE MANAGEMENT SYSTEM$18,600
AMERICAN HEART ASSOCIATION
4301 FAIRFAX DRIVE SUITE 530ARLINGTONVA22203NONEPCCPR ANYTIME$43,750
BOARDSOURCE
750 9TH STREET NW SUITE 650WASHINGTONDC20001NONEPCPOTOMAC HEALTH FOUNDATION BOARDSOURCE COHORT$76,504
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCCREST: COLLABORATIVE REHABILITATION TO ENHANCE STROKE TREATMENT$67,447
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCCREST: COLLABORATIVE REHABILITATION TO ENHANCE STROKE TREATMENT$110,437
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCMAP$8,010
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR TRAUMATIC EXPOSURE$67,304
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR TRAUMATIC EXPOSURE$75,690
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$10,000
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$13,800
EMPOWERHOUSE
PO BOX 1007FREDRICKSBURGVA22402NONEPCINTERPERSONAL VIOLENCE HEALTHCARE PARTNERSHIP PROGRAM$30,402
EMPOWERHOUSE
PO BOX 1007FREDRICKSBURGVA22402NONEPCMAP$8,792
EMPOWERHOUSE
PO BOX 1007FREDRICKSBURGVA22402NONEPCINTERPERSONAL VIOLENCE HEALTHCARE PARTNERSHIP PROGRAM$37,882
GANG RESPONSE INTERVENTION TEAM (GRIT)
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCMAC TATTOO REMOVAL PROGRAM$1,615102
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMIDDLE SCHOOL ACHIEVES$24,013
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMIDDLE SCHOOL ACHIEVES (ADVANCING HEALTHCARE INITIATIVES FOR UNDERSERVED STUDENTS)$102,800
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCPOISED (PRECISION OUTREACH INTERVENTION, SCREENING, SURVEILLANCE AND EXERCISE FOR FALLS PREVENTION IN DIABETES) PRINCE WILLIAM$84,336
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMIDDLE SCHOOL ACHIEVES (ADVANCING HEALTHCARE INITIATIVES FOR UNDERSERVED STUDENTS)$149,849
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCPOISED (PRECISION OUTREACH INTERVENTION, SCREENING, SURVEILLANCE AND EXERCISE FOR FALLS PREVENTION IN DIABETES) PRINCE WILLIAM$126,245
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCA FAMILY-BASED EMPOWERMENT PROGRAM TO TARGET EARLY TREATMENT FOR CHILDHOOD OBESITY IN LOW INCOME LATINO COMMUNITIES$70,481
GEORGE WASHINGTON REGIONAL COMMISSION
406 PRINCESS ANNE STREETFREDRICKSBURGVA22402NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$15,080
GEORGE WASHINGTON REGIONAL COMMISSION
406 PRINCESS ANNE STREETFREDRICKSBURGVA22402NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$28,640
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCINCREASED ACCESS TO INTEGRATED CARE AT OUR MEDICAL HOME IN DUMFRIES$60,000102
GUIDESTAR USA INC
1250 H STREET NW SUITE 1150WASHINGTONDC20005NONEPCGUIDESTAR'S NONPROFIT PROFILE PROGRAM$6,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING FUNDS$15,210
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING FUNDS$60,840
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCPOISON CONTROL SERVICES TO FOUNDATION'S SERVICE AREA$12,341
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCWEBPOISONCONTROL: ENHANCEMENT OF AN ON-LINE PROTOTYPE TRIAGE APPLICATION TO INCREASE ACCESS TO POISON CONTROL SERVICES AND MINIMIZE INJURY FROM POISONINGS.$100,000
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCPOISON CONTROL SERVICES TO FOUNDATION'S SERVICE AREA$43,702
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCWEBPOISONCONTROL: ENHANCEMENT OF AN ON-LINE PROTOTYPE TRIAGE APPLICATION TO INCREASE ACCESS TO POISON CONTROL SERVICES AND MINIMIZE INJURY FROM POISONINGS$117,603
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCIMPROVING NUTRITION FOR LOW-INCOME FAMILIES$117,655
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPCCOLON CANCER PROJECT$29,400
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPCDIABETES AWARENESS PROJECT$58,800
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCIMPROVING NUTRITION FOR LOW-INCOME FAMILIES$76,898
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCHEALTHLINK$27,931
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCKIDS CONNECT$3,500
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCKIDS CONNECT$14,000
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$67,200
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCIMPROVING HEALTH ACCESS IN PRINCE WILLIAM, STAFFORD AND LORTON; PRESCRIPTION MEDICATIONS FOR THE LOW-INCOME AND UNINSURED$22,141
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOULEVARD SUITE 120FALLS CHURCHVA22042NONEPCIMPROVING HEALTH ACCESS IN PRINCE WILLIAM, STAFFORD AND LORTON; PRESCRIPTION MEDICATIONS FOR THE LOW-INCOME AND UNINSURED$88,564
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$50,000
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$58,496
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS$50,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$75,000
POTOMAC AND RAPPAHANNOCK TRANSPORTATION COMMISSION
14700 POTOMAC MILLS ROADWOODBRIDGEVA22192NONEPCMOBILITY ON DEMAND STUDY$30,000
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCPRINCE WILLIAM AREA FREE CLINIC UNIFIED HEALTH CENTER$19,003
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCPWAFC NAVIGATION$19,425
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCPRINCE WILLIAM AREA FREE CLINIC UNIFIED HEALTH CENTER$76,012
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCPWAFC NAVIGATION$29,679
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCIMPROVING PATIENT CARE WITH ELECTRONIC HEALTH RECORDS$24,000
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCCOORDINATED MENTAL HEALTH SUPPORT FOR AT-RISK YOUTH$27,451
PRINCE WILLIAM SOCCER INC
14716 MINNIEVILLE ROADWOODBRIDGEVA22193NONEPCTHE COURAGE F.U.N. PROJECT$27,542
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCPREVENTING HEALTH COMPLICATIONS THROUGH PARTICIPATION IN THE STANFORD CHRONIC DISEASES SELF-MANAGEMENT PROGRAM AND THE DIABETES SELF- MANAGEMENT PROGRAM$16,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCPREVENTING HEALTH COMPLICATIONS THROUGH PARTICIPATION IN THE STANFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) AND THE DIABETES SELF-MANAGEMENT PROGRAM (DSMP)$24,000
PW COUNTY LIBRARY
13083 CHINN PARK DRIVEPRINCE WILLIAMVA22192NONEPCLAUNCH OF THE COMMUNITY FOUNDATION OF GREATER PRINCE WILLIAM$34,259
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCMEDICATION ACCESS FOR THE UNINSURED$2,500
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCMEDICATION ACCESS FOR THE UNINSURED$10,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCRXP ACCESS TO MEDICATION PROGRAM (AMP)$30,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCMAP$4,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCSAFE BABIES AND CHILD ABUSE PREVENTION$10,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCSAFE BABIES AND CHILD ABUSE PREVENTION$15,000
SEMPER K9 ASSISTANCE DOGS
14867 PRESTIGE DRIVEWOODBRIDGEVA22193NONEPCFAMILY INTEGRATION PROGRAM$15,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN PERSON INTERPRETING SERVICES$20,130
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION MOBILE CLINIC$15,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCSNVMC DIABETES PREVENTION PROGRAM$25,070
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION MOBILE CLINIC$60,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN PERSON INTERPRETING SERVICES (1/1/2017 - 6/30/2017)$97,600
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCSNVMC DIABETES PREVENTION PROGRAM$36,767
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$120,780
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCBEHAVIORAL HEALTH FEASIBILITY STUDY$119,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCMEDICAL ONCOLOGY FOR LOW INCOME PATIENTS$60,000
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S INSURANCE OUTREACH PROGRAM$8,695
STAFFORD SCHOOLS HEAD STARTVPI EARLY HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S INSURANCE OUTREACH PROGRAM$7,729
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCMEDICAL CASE MANAGEMENT$27,200
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCCOMPLETION OF THERAPEUTIC SERVICES$44,240
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III DAY SUPPORT FOR THE MEDICALLY FRAGILE$25,000
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCCOMPLETION OF THERAPEUTIC SERVICES$48,000
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III$77,400
THE CITY OF MANASSAS PARK
1 PARK CENTER COURTMANASSASVA20111NONEPCMASON AND PARTNERS BRIDGE CLINIC$25,000
THE DOORWAYS
612 E MARSHALL SREETRICHMONDVA23219NONEPCPATIENT AND FAMILY ACCESS PROGRAM$15,200
THE DOORWAYS
612 E MARSHALL STREETRICHMONDVA23219NONEPCPATIENT AND FAMILY ACCESS PROGRAM$22,800
THE FOUNDATION CENTER & CHINN LIBRARY
1627 K STREET NW 3RD FLOORWASHINGTONDC20005NONEPCFUNDING INFORMATION NETWORK AT CHINN$23,985
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCPROJECT PLAY$82,800
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCPROJECT PLAY$114,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$76,200
TRILLIUM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22193NONEPCTRILLIUM DROP IN CENTER CAPITAL SUPPORT$64,000
VIRGINIA CENTER FOR HEALTH INNOVATION
3831 WESTERRE PARKWAY SUITE CHENRICOVA23233NONEPCPOTOMAC PRIMARY CARE COLLABORATIVE$89,717
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$26,902
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$75,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCCAMPAIGN FOR CHILDREN'S MENTAL HEALTH$27,000
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA - NORTHERN VIRGINIA CAMPAIGN$40,000
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA-NORTHERN VIRGINIA CAMPAIGN$60,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$120,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$4,396,044TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (36 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCMAP$5,000
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCCOMPREHENSIVE CASE MANAGEMENT SYSTEM$12,400
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCCREST: COLLABORATIVE REHABILITATION TO ENHANCE STROKE TREATMENT$73,625
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR TRAUMATIC EXPOSURE$50,460
CONSUMER HEALTH FOUNDATION
1400 16TH STREET NW SUITE 710WASHINGTONDC20036NONEPCREGIONAL PRIMARY CARE COALITION$9,200
EMPOWERHOUSE
PO BOX 1007FREDRICKSBURGVA22402NONEPCINTERPERSONAL VIOLENCE HEALTHCARE PARTNERSHIP PROGRAM$25,255
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCMIDDLE SCHOOL ACHIEVES (ADVANCING HEALTHCARE INITIATIVES FOR UNDERSERVED STUDENTS)$99,899
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCPOISED (PRECISION OUTREACH INTERVENTION, SCREENING, SURVEILLANCE AND EXERCISE FOR FALLS PREVENTION IN DIABETES) PRINCE WILLIAM$84,164
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BOULEVARD MS 4E5MANASSASVA20110NONEPCA FAMILY-BASED EMPOWERMENT PROGRAM TO TARGET EARLY TREATMENT FOR CHILDHOOD OBESITY IN LOW INCOME LATINO COMMUNITIES$46,987
GEORGE WASHINGTON REGIONAL COMMISSION
406 PRINCESS ANNE STREETFREDRICKSBURGVA22402NONEPCFRESH FOOD ACCESS FOR COMMUNITY HEALTH$19,094
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCWEBPOISONCONTROL: ENHANCEMENT OF AN ON-LINE PROTOTYPE TRIAGE APPLICATION TO INCREASE ACCESS TO POISON CONTROL SERVICES AND MINIMIZE INJURY FROM POISONINGS$78,402
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCIMPROVING NUTRITION FOR LOW-INCOME FAMILIES$78,436
NATIONAL COALITION OF 100 BLACK WOMEN
PO BOX 1166DUMFRIESVA22026NONEPCDIABETES AWARENESS PROJECT$39,200
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCMENTAL HEALTH FOR FAMILIES WITH CHILDREN$44,800
NUEVA VIDA INC
5225 WISCONSIN AVENUE NW SUITE 503WASHINGTONDC20015NONEPCINCREASING CANCER PREVENTION AND IMPROVING CONTINUITY OF CARE TO UNDERSERVED LATINAS IN PWC$38,997
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030NONEPCPERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES$50,000
POTOMAC AND RAPPAHANNOCK TRANSPORTATION COMMISSION
14700 POTOMAC MILLS ROADWOODBRIDGEVA22192NONEPCMOBILITY ON DEMAND STUDY$20,000
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCPWAFC NAVIGATION$19,786
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCIMPROVING PATIENT CARE WITH ELECTRONIC HEALTH RECORDS$16,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCPREVENTING HEALTH COMPLICATIONS THROUGH PARTICIPATION IN THE STANFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) AND THE DIABETES SELF-MANAGEMENT PROGRAM (DSMP)$16,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCRXP ACCESS TO MEDICATION PROGRAM (AMP)$20,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304NONEPCSAFE BABIES AND CHILD ABUSE PREVENTION$10,000
SEMPER K9 ASSISTANCE DOGS
14867 PRESTIGE DRIVEWOODBRIDGEVA22193NONEPCFAMILY INTEGRATION PROGRAM$10,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCSNVMC DIABETES PREVENTION PROGRAM$24,512
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191NONEPCIN-PERSON INTERPRETER$80,520
STAFFORD SCHOOLS HEAD START
610 GAYLE STREETFALMOUTHVA22405NONEPCSTAFFORD CHILDREN'S INSURANCE OUTREACH PROGRAM$5,797
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCCOMPLETION OF THERAPEUTIC SERVICES$32,000
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCVOSAC III$51,600
THE DOORWAYS
612 E MARSHALL STREETRICHMONDVA23219NONEPCPATIENT AND FAMILY ACCESS PROGRAM$15,200
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCPROJECT PLAY$76,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS$50,800
VIRGINIA CENTER FOR HEALTH INNOVATION
3831 WESTERRE PARKWAY SUITE CHENRICOVA23233NONEPCPOTOMAC PRIMARY CARE COLLABORATIVE$59,811
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STREETRICHMONDVA23219NONEPCPOTOMAC HEALTH FOUNDATION FELLOWS PROGRAM$50,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219NONEPCCAMPAIGN FOR CHILDREN'S MENTAL HEALTH$18,000
YOUNG INVINCIBLES
1411 K STREET NWWASHINGTONDC20005NONEPCHEALTHY YOUNG AMERICA-NORTHERN VIRGINIA CAMPAIGN$40,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136NONEPCYFT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THE UNDERSERVED$80,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,451,945TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$333ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$3,277,689ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,654,422ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$4,932,444ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$4,932,444TotalIncomeProducingActyAmt

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$48,843Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$49,298DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (6 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SIIT MULTI ASSET REAL RETURN FUND SHARES 581,296.029$4,708,498$4,708,498
SEI CORE FIXED INCOME FUND #285 SCOAX SHARES 1,459,237.028$15,015,549$15,015,549
SEI INSTITUTIONAL INVESTMENT TRUST HIGH YIELD BOND FUND SGYAX SHARES 377,590$3,447,398$3,447,398
SEI SIIT OPPORTUNISTIC INCOME FD-A SHARES 698,977.017$5,808,499$5,808,499
SIIT EMERGING MARKETS DEBT FUND SEDAX SHARES 567,377.543$5,861,010$5,861,010
SIIT ULTRA SHORT DURATION BOND FUND SUSAX SHARES 237,707.635$2,377,076$2,377,076

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (7 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI DYNAMIC ASSET ALLOC. FUND SDLAX SHARES 307,863.827$6,132,648$6,132,648
SEI LARGE CAP FUND SLCAX SHARES 93,416.939$18,201,356$18,201,356
SEI SMALL CAP FUND SLPAX SHARES 253,760.079$4,867,118$4,867,118
SEI U.S. MANAGED VOL FUND SVYAX SHARES 312,299.684$4,784,431$4,784,431
SEI EMERGING MRKTS EQ-A SMQFX SHARES 331,404.011$3,744,865$3,744,865
SEI GLOBAL MGD VOLATILITY FD SGMAX SHARES 685,929.113$8,375,195$8,375,195
SEI WORLD EQUITY EX-US FUND WEUSX SHARES 720,879.529$9,969,764$9,969,764

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI CORE PROPERTY FUND LP SHARES 6,569.866FMV$13,896,173$13,896,173
SEI SPECIAL SITUATIONS FUND LTD SHARES 2,904FMV$4,072,820$4,072,820

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$43,648CostOrOtherBasisAmt
Accumulated Depreciation$37,571AccumulatedDepreciationAmt
Book Value$6,077BookValueAmt
EOYFMV$6,077EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$32,929$0$57,745
TECH EXPENSE$15,080$0$22,172
OTHER EXPENSE$9,003$53-$22,888
INSURANCE$2,207$0$2,207
SEI CORE PROPERTY FUND, LP OTHER DEDUCTIONS$0$46,669$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
REVERSE PRIOR PERIOD ADJUSTMENT$115
UNREALIZED GAIN$8,198,861

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$24,084$24,686
DEFERRED TAX LIABILITY$88,987$161,904

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$546,111$546,111$0
CONSULTANT FEES$57,430$0$57,430

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$134,902Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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