FURP.ORG / PUBLIC DATA EXPLORER

THE PRUITT FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE PRUITT FOUNDATION INC (EIN 20-1151002)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-13
IRS object ID
201711949349100201
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)
Return2017-07-13T07:51:38-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541029635PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THOMPSON GREENSPONBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14035 RIDGE TOP RD SUITE 700AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22030ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201151002EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PRUITT FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRUIBusinessNameControlTxt
Phone7036312217PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114900 BOGLE DRIVE SUITE 204AddressLine1Txt
CityCHANTILLYCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20151ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCECIL PRUITT JRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7036312217PhoneNum
Signature2017-07-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES F HELME III CPAPreparerPersonNm
PTINP00118452PTIN
Phone7033858888PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.172.28.234IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-11IPDt
IP Tm10:29:11IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id51D4891EB6368BAE8020355E7FCAC17B6941F6D6AtSubmissionCreationDeviceId
At Submission Filing Device IdBB36927F8A6AD96886FF6D028FF2B0ACC0360AF5AtSubmissionFilingDeviceId
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$15,583,638FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,310InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,310InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$135,387DividendsRevAndExpnssAmt
Dividends Net Invst Incm$135,387DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$56,754NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$680,086GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,014,902OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,004,143OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,094,845TotalRevAndExpnssAmt
Total Net Invst Incm$1,140,840TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$3,876LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$3,876LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$16,971AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$13,506AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$36,000OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$36,000OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$11,485TaxesRevAndExpnssAmt
Taxes Net Invst Incm$961TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$31,195OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$28,316OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$2,879OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$99,527TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$33,153TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$52,385TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$699,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$699,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$798,527TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$33,153TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$751,385TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$296,318ExcessRevenueOverExpensesAmt
Net Investment Income$1,107,687NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$283,491SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$600,477SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$600,477SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$3,465AcctRcvblAmt
Acct Rcvbl BOY$25,633AcctRcvblBOYAmt
Acct Rcvbl EOY$3,465AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$3,465AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$35PrepaidExpensesBOYAmt
Corporate Stock BOY$1,308,505CorporateStockBOYAmt
Corporate Stock EOY$1,409,713CorporateStockEOYAmt
Corporate Stock EOYFMV$2,016,560CorporateStockEOYFMVAmt
Corporate Bonds BOY$95,305CorporateBondsBOYAmt
Corporate Bonds EOY$95,305CorporateBondsEOYAmt
Corporate Bonds EOYFMV$147,319CorporateBondsEOYFMVAmt
Other Investments BOY$3,754,057OtherInvestmentsBOYAmt
Other Investments EOY$3,654,384OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,767,752OtherInvestmentsEOYFMVAmt
Other Assets BOY$12,707,601OtherAssetsBOYAmt
Other Assets EOY$12,707,601OtherAssetsEOYAmt
Other Assets EOYFMV$9,048,065OtherAssetsEOYFMVAmt
Total Assets BOY$18,174,627TotalAssetsBOYAmt
Total Assets EOY$18,470,945TotalAssetsEOYAmt
Total Assets EOYFMV$15,583,638TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$18,174,627RetainedEarningBOYAmt
Retained Earning EOY$18,470,945RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$18,174,627TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$18,470,945TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$18,174,627TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$18,470,945TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$18,174,627TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$296,318ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$18,470,945SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$18,470,945TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES-LT NON COVERED$207,836$166,903$40,933$40,933
PUBLICLY TRADED SECURITIES-LT NON COVERED$365,653$504,473-$138,820-$138,820
PUBLICLY TRADED SECURITIES-LT NON COVERED$94,642$63,377$31,265$31,265
NET S/T CAPITAL GAIN/LOSS-RFP4$836$836P
NET L/T CAPITAL GAIN/LOSS-RFP4-$2,923-$2,923P
CAPITAL GAINS DIVIDENDS$11,955$11,955$11,955P
FieldValueIRS element (for citing)
Capital Gain Net Income-$56,754CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$960,695AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$14,217,819NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.067570DistributionYr1Rt
Adjusted Qlfy Distri Yr2$980,233AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$14,190,752NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.069075DistributionYr2Rt
Adjusted Qlfy Distri Yr3$849,703AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$13,986,154NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.060753DistributionYr3Rt
Adjusted Qlfy Distri Yr4$502,407AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$13,617,307NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.036895DistributionYr4Rt
Total Distribution0.234293TotalDistributionRt
Average Distribution0.058573AverageDistributionRt
Net Vl Noncharitable Assets$14,610,257NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$855,767AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$11,077NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$866,844AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$751,385QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$22,154InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$22,154SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$22,154TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$12,280EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$16,000AppliedToEsTaxAmt
Total Payments And Credits$28,280TotalPaymentsAndCreditsAmt
Overpayment$6,126OverpaymentAmt
Applied To ES Tax$6,126AppliedToESTaxAmt
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 EntityYes (1)OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressPRUITTFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksCECIL PRUITT JRIndividualWithBooksNm
Phone7036312217PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line114900 BOGLE DRIVE SUITE 204AddressLine1Txt
CityCHANTILLYCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20151ZIPCd
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 Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CECIL PRUITT JR
14900 BOGLE DRIVE SUITE 204CHANTILLYVA20151PRESIDENT/TREAS/DIRECTOR0.30$0$0$0
PETER F MCCABE
14900 BOGLE DRIVE SUITE 204CHANTILLYVA20151DIRECTOR0.30$0$0$0
TRACY M BEAN
14900 BOGLE DRIVE SUITE 204CHANTILLYVA20151SECRETARY0.30$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
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$3,997,352AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$497,652AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$10,337,744FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,832,748TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$14,832,748AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$222,491CashDeemedCharitableAmt
Net Vl Noncharitable Assets$14,610,257NetVlNoncharitableAssetsAmt
Minimum Investment Return$730,513MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$730,513MinimumInvestmentReturnAmt
Tax Based On Investment Income$22,154TaxBasedOnInvestmentIncomeAmt
Total Tax$22,154TotalTaxAmt
Distributable Before Adj$708,359DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$708,359DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$708,359DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$751,385ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$751,385QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$751,385AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$708,359DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$169,862ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$169,855ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$307,784ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$274,342ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$921,843TotalExcessDistributionCyovAmt
Qualifying Distributions$751,385QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$708,359AppliedToCurrentYearAmt
Remaining Distri From Corpus$43,026RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$964,869TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$964,869ExcessDistriCyovToNextYrAmt
Excess From Year4$169,862ExcessFromYear4Amt
Excess From Year3$169,855ExcessFromYear3Amt
Excess From Year2$307,784ExcessFromYear2Amt
Excess From Year1$274,342ExcessFromYear1Amt
Excess From Current Year$43,026ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerCECIL PRUITT JRContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (48 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
KIWANIS CLUB
7400 CRESTWAY DRIVE 818SAN ANTONIOTX78239NONEPCFURTHERANCE OF CHARITABLE PURPOSES$2,000
LOUDOUN COUNTRY DAY SCHOOL INC
20600 RED CEDAR DRIVELEESBURGVA20175NONEPCFURTHERANCE OF CHARITABLE PURPOSES$50,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRBRISTOWVA20136NONEPCFURTHERANCE OF CHARITABLE PURPOSES$30,000
COLLEGE ACCESS FAIRFAX
8115 GATEHOUSE ROAD 1512FAIRFAXVA22042NONEPCFURTHERANCE OF CHARITABLE PURPOSES$1,000
MY LIFE MY POWER
8251 SW 52ND STREETMIAMIFL33143NONEPCFURTHERANCE OF CHARITABLE PURPOSES$16,000
GEORGE MASON UNIVERSITY FOUNDATION INC
4400 UNIVERSITY DRIVE MS-1-A3FAIRFAXVA22030NONEPCFURTHERANCE OF CHARITABLE PURPOSES$50,000
NATIONAL PARKINSON FOUNDATION INC
200 SOUTHEAST 1ST STREETMIAMIFL33131NONEPCFURTHERANCE OF CHARITABLE PURPOSES$1,000
DISABLED SPORTS USA
451 HUNGERFORD DRIVE SUITE 100ROCKVILLEMD20850NONEPCFURTHERANCE OF CHARITABLE PURPOSES$1,000
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERENATIONAL DRIVE SUITE 200RYE BROOKNY10573NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
ST JUDE CHILDRENS HOSPITAL
501 ST JUDE PLACEMEMPHISTN38105NONEPCFURTHERANCE OF CHARITABLE PURPOSES$6,000
THE ELEPHANT SANCTUARY
PO BOX 393HOHENWALDTN38462NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
CYSITC FIBROSIS FOUNDATION
6931 ARLINGTON ROADBETHESDAMD20814NONEPCFURTHERANCE OF CHARITABLE PURPOSES$20,000
THE FLORIDA CENTER
4620 17TH STREETSARASOTAFL34235NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
HEALTHWELL FOUNDATION
20440 CENTURY BLVD SUITE 250GERMANTOWNMD20874NONEPCFURTHERANCE OF CHARITABLE PURPOSES$7,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRBRISTOWVA20136NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
THE COMMUNITY FOUNDATION OF NORTHERN VA
2940 HUNTER MILL ROAD SUITE 201OAKTONVA22124NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
HEALTHWELL FOUNDATION
20440 CENTURY BLVD SUITE 250GERMANTOWNMD20874NONEPCFURTHERANCE OF CHARITABLE PURPOSES$17,000
WE WILL SURVIVE CANCER
5903 MOUNT EAGLE DR SUITE 318ALEXANDRIAVA22303NONEPCFURTHERANCE OF CHARITABLE PURPOSES$10,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
DISABLED SPORTS USA
451 HUNGERFORD DRIVEROCKVILLEMD20850NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
PRAYER & CARE MINISTRIES
9541 TAPOK DRIVE SUITE 202MANASSASVA20110NONEPCFURTHERANCE OF CHARITABLE PURPOSES$23,000
EMERGING SCHOLARS PROGRAMS
4401 FORD AVENUE SUITE 400ALEXANDRIAVA22302NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
BOY SCOUTS OF AMERICAN
9190 ROCKVILLE PIKEBETHESDAMD20814NONEPCFURTHERANCE OF CHARITABLE PURPOSES$2,500
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
SERENDIPITY SANCTUARY INC
PO BOX 101WHITE POSTVA22663NONEPCFURTHERANCE OF CHARITABLE PURPOSES$130,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
CALVERT HIGH SCHOOL NJROTC UNIT 46268
520 FOX RUN BOULEVARDPRINCE FREDERICKMD46268NONEPCFURTHERANCE OF CHARITABLE PURPOSES$1,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
MT BETHEL CHRISTIAN ACADEMY INC
4385 LOWER ROSWELL ROADMARIETTAGA30068NONEPCFURTHERANCE OF CHARITABLE PURPOSES$500
BLESSED ANGELS COMMUNITY CENTER
14040 NACOGDOCHES SUITE 105NACOGDOCHESTX75961NONEPCFURTHERANCE OF CHARITABLE PURPOSES$10,000
HEALTHWELL FOUNDATION
20440 CENTURY BLVD SUITE 250GERMANTOWNMD20874NONEPCFURTHERANCE OF CHARITABLE PURPOSES$10,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRBRISTOWVA20136NONEPCFURTHERANCE OF CHARITABLE PURPOSES$50,000
SAVE OUR SEABIRDS
1708 KEN THOMPSON PARKWAYSARASOTAFL34236NONEPCFURTHERANCE OF CHARITABLE PURPOSES$1,000
NETWORK FOR GOOD
7920 NORFOLK AVE SUITE 520BETHESDAMD20814NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
FEDERATION OF TEXAS A&M UNIVERSITY MOTHERS CLUB
PO BOX 1648SEQUINTX78155NONEPCFURTHERANCE OF CHARITABLE PURPOSES$25,000
CONGREGATIONAL COMMUNITY ACTION PROJECT (CCAP)
PO BOX 2112WINCHESTERVA22604NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
CYSITC FIBROSIS FOUNDATION
6931 ARLINGTON ROADBETHESDAMD20814NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
THE ELEPHANT SANCTUARY
PO BOX 393HOHENWALDTN38462NONEPCFURTHERANCE OF CHARITABLE PURPOSES$10,000
LAUREL CENTER
SHELTER FOR ABUSED WOMEN PO BOX 14WINCHESTERVA22604NONEPCFURTHERANCE OF CHARITABLE PURPOSES$3,000
MASTIFFS TO MUTTS RESCUE INC
3974 EDENVILLE ROAD CHAMBERBURG VACHAMBERSBURGPA17201NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,00017202 OR PO BOX 754
THE MOTE MARINA LABORATORY
1600 KEN THOMPSON PKWYSARASOTAFL34236NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
SALVATION ARMY
PO BOX 2745WINCHESTERVA22604NONEPCFURTHERANCE OF CHARITABLE PURPOSES$7,000
LEARY EDCATIONAL FOUNDATION INC
PO BOX 3160WINCHESTERVA22604NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
S MARY'S HEALTH WAGON
5626 PATRIOT DRIVEWISEVA24293NONEPCFURTHERANCE OF CHARITABLE PURPOSES$5,000
SHENANDOAH UNIVERSITY
1460 UNIVERSITY DRIVEWINCHESTERVA22601NONEPCFURTHERANCE OF CHARITABLE PURPOSES$50,000
CHARITY BENEVOLENT FUND
PO BOX 1014GRAYGA31032NONEPCFURTHERANCE OF CHARITABLE PURPOSES$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$699,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,310ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$135,387ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$1,014,902ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$56,754ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,094,845ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,094,845TotalIncomeProducingActyAmt

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 (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ACCOUNTING (PREPARATION OF FORM 990)$9,295$0$5,830
ACCOUNTING (BOOKKEEPING)$7,676$0$7,676

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierDETAILS OF CONTROLLED ENTITIESIdentifierTxt
Form And Line ReferenceFORM 990-PF, PART VII-A, LINE 11FormAndLineReferenceDesc
Medium ExplanationCONTROLLED ENTITY 1NAME OF THE ENTITY: WHITE BEAR LLCEIN: 54-1614786ADDRESS:14900 BOGLE DRIVE SUITE 204CHANTILLY, VA 20151CONTROLLED ENTITY 2NAME OF THE ENTITY: ROLLING-PULLERTON PHASE IV LLCEIN: 541614944ADDRESS: 14900 BOGLE DRIVE SUITE 204CHANTILLY, VA 20151MediumExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondMORGAN STANLEY - CORPORATE BONDSBondNm
EOY Book Value$95,305EOYBookValueAmt
EOYFMV$147,319EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockMORGAN STANLEY - CORPORATE STOCKStockNm
EOY Book Value$1,409,713EOYBookValueAmt
EOYFMV$2,016,560EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
LOANS ACQUIRED AS INVESTMENTSAT COST$191,931$191,931
MORGAN STANLEY - EXCHANGE TRADED FUNDSAT COST$1,411,271$1,540,321
MORGAN STANLEY - MONEY MARKET FUNDAT COST$171,137$171,137
MORGAN STANLEY - MUTUAL FUNDSAT COST$525,746$524,959
ROLLING FULLERTON PHASE IV, LLC (99% INTEREST HELD)AT COST$790,816$844,686
WHITE BEAR, LLC (99% INTEREST HELD)AT COST$563,483$494,718

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$3,876LegalFeesAmt
Net Investment Income$3,876NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ADD'L FMV ON DATE OF CONTRIBUTION - ROLLING FULLERTON PHASE IV, LLC$5,012,163$5,012,163$3,324,885
ADD'L FMV ON DATE OF CONTRIBUTION - WHITE BEAR, LLC$7,695,438$7,695,438$5,723,180

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSE$854$0$854
REGISTRATION FEES$25$0$25
INSURANCE$2,000$0$2,000
MORGAN STANLEY INVESTMENT FEES$28,043$28,043$0
INVESTMENT EXPENSES - RFP4$273$273$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
FROM K-1 - WHITE BEAR LLC$530,784$530,784$530,784
FROM K-1 - ROLLING-FULLERTON PHASE IV LLC$473,359$473,359$473,359
MISCELLANIOUS INCOME-TAX EXEMPT$188$0$188
MISCELLANIOUS INCOME-MS$10,571$0$10,571

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCONSULTANT (PROGRAM MANAGEMENT )CategoryTxt
Amt$36,000Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$36,000DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES WITHHELD$961$961$0
EXCISE TAX$10,524$0$0