2025-11-14T18:44:41-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 950 NORTH GLEBE ROAD SUITE 1200 ARLINGTON VA 22203 990PF 2024-01-01 521340920 POTOMAC HEALTH FOUNDATION POTO 7035230620 2296 OPITZ BLVD 200 WOODBRIDGE VA 22191 GAYLE WHITLOCK TREASURER 7035230620 2025-11-12 1 0 ROBERT WILLIAMS P01345960 5712279500 2025-11-12 2024 2025-03-06 01:10:19Z X 109573060 X X 1609 1609 2660063 3001093 7066739 55245148 7667471 0 81810 9728411 10751983 141601 21240 124055 117053 0 96197 59790 4885 50957 1883 0 100 48927 0 40422 760769 609094 151675 163261 1340 0 3709 0 38837 0 0 24342 0 30531 85618 204685 59982 1445790 841244 553919 8655647 5865522 10101437 841244 6419441 -373026 9910739 211095 76923 76923 148896 103441 148896 148896 70343 138967 70343 70343 122098 14767 14767 340132 571657 571657 48437334 40587930 40587930 31618874 42737508 42737508 26833850 25356689 25356689 66185 57838 7114 8347 8347 107812905 109573060 109573060 375173 345109 4809861 7599986 180145 167630 5365179 8112725 X 102447726 101460335 102447726 101460335 107812905 109573060 102447726 -373026 0 102074700 614365 101460335 PUBLICLY TRADED SECURITIES 49333647 47009353 2324294 2324294 SEI CORE PROPERTY FUND LP P 2016-01-01 2024-02-08 584499 212839 371660 371660 SEI CORE PROPERTY FUND LP P 2016-01-01 2024-05-07 807202 298403 508799 508799 SEI CORE PROPERTY FUND LP P 2016-01-01 2024-08-06 384590 142835 241755 241755 SEI CORE PROPERTY FUND LP P 2016-01-01 2024-11-06 1386443 514979 871464 871464 SEI GLOBAL PRIVATE ASSETS V, LP P 39933 39933 SEI GLOBAL PRIVATE ASSETS IV, LP P 201305 201305 SEI CORE PROPERTY FUND LP P 375117 375117 REMOVE UBI P -15623 -15623 CAPITAL GAINS DIVIDENDS P 2748767 2748767 2748767 7667471 137759 0 137759 0 137759 162125 0 0 0 162125 0 24366 24366 0 0 0 0 0 0 0 0 0 1 1 0 1 1 VA 1 0 0 0 0 1 WWW.POTOMACHEALTHFOUNDATION.ORG ERIN MATTHEWS THOMAS 7035230620 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ERIN THOMAS-MATTHEWS 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 EXECUTIVE DIRECTOR 40.00 141601 32568 600 MARION M WALL 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 CHAIR 4.00 0 0 0 CAROL S SHAPIRO MD MBA 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 VICE-CHAIR 4.00 0 0 0 GAYLE WHITLOCK 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 TREASURER 3.00 0 0 0 WAYNE MALLARD 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 SECRETARY 2.00 0 0 0 CARLOS CASTRO 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 PAUL GADEN 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 SAM HILL EDD 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 DEBRA LEE MD 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR AS OF MARCH 2024 1.00 0 0 0 PHYLLIS MORGAN PHD 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 WILLIAM M MOSS 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 SARAH PITKIN PHD 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 WILIAM C REHA MD MBA 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 R MICHAEL SORENSEN 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 ALICE TANG DO MBA 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR TO JANUARY 2024 1.00 0 0 0 CLARICE TORIAN MED 2296 OPITZ BOULEVARD SUITE 200 WOODBRIDGE VA 22191 DIRECTOR 1.00 0 0 0 IMANI AMPONSAH 2296 OPITZ BLVD SUITE 200 WOODBRIDGE VA 22191 SENIOR GRANT OFFICER 40.00 95938 22066 600 0 SEI GLOBAL INSTITUTIONAL GROUP 1 FREEDOM VALLEY DRIVE OAKS PA 19456 INVESTMENT MANAGEMENT 609094 CATHCAFIRE 31 EAST 32ND STREET SUITE 1001 NEW YORK NY 10016 SUPPORT TO GRANTEES 82500 0 0 108543037 166328 0 108709365 0 0 108709365 1630640 107078725 5353936 5353936 137759 982 138741 5215195 0 5215195 0 5215195 6419441 0 6419441 5215195 192951 0 0 6419441 192951 0 0 5215195 1011295 0 0 1011295 0 0 0 0 0 0 0 1011295 1011295 IMANI AMPONSAH CO POTOMAC HEALTH FO 2296 OPITZ BLVD SUITE 200 WOODBRIDGE VA 22191 7035230624 IMANI@POTOMACHEALTHFOUNDATION.ORG ALL APPLICATIONS ARE SUBMITTED ONLINE AT THE FOUNDATION'S WEBSITE. ANNOUNCEMENTS ARE SENT OUT IN DECEMBER, AND APPLICATIONS ARE SUBMITTED IN THE SPRING. THE FOUNDATION GRANTS GENERAL OPERATING SUPPORT AWARDS BY INVITATION ONLY TO AGENCIES MAKING UP THE HEALTH SAFETY NET FOR THE MEDICALLY UNDERSERVED. THIS INCLUDES SUPPORT FOR THOSE AGENCIES THAT PROVIDE DIRECT CLINICAL SERVICES TO PATIENTS, INCLUDING PRIMARY, DENTAL, MEDICATION, MENTAL HEALTH, VISION OR OTHER HEALTH SERVICES. THESE GRANTS ARE MADE ON AN ANNUAL BASIS AND THERE IS NO LIMIT TO NUMBER OF YEARS FUNDED. GRANTS ARE AWARDED TO SECTION 501(C)(3) PUBLIC CHARITIES, INCLUDING SECTION 509(A)(1), SECTION 509(A)(2), SECTION 509(A)(3), DOMESTIC UNITS OF GOVERNMENT, AND EXEMPT OPERATING FOUNDATIONS. ALL OTHER AGENCIES WOULD ONLY BE ELIGIBLE IF APPLYING WITH A TAX-EXEMPT FISCAL SPONSOR. THE FOUNDATION PROVIDES GRANT SUPPORT TO ORGANIZATIONS THAT SERVE THE PEOPLE OF EASTERN PRINCE WILLIAM COUNTY, VIRGINIA, AND THE IMMEDIATELY ADJACENT COMMUNITIES IN EASTERN FAIRFAX AND STAFFORD COUNTIES. IMANI AMPONSAH CO POTOMAC HEALTH FO 2296 OPITZ BLVD SUITE 200 WOODBRIDGE VA 22191 7035230624 IMANI@POTOMACHEALTHFOUNDATION.ORG ALL APPLICATIONS ARE SUBMITTED ONLINE AT THE FOUNDATION'S WEBSITE. ANNOUNCEMENTS ARE SENT OUT IN DECEMBER, AND APPLICATIONS ARE SUBMITTED IN THE SPRING. THIS PROGRAM MAKES PROJECT-BASED GRANTS, RENEWABLE ON AN ANNUAL BASIS, THROUGH AN OPEN REQUEST FOR PROPOSALS (RFP) PROCESS. THE MAXIMUM GRANT AMOUNT IS $250,000 ANNUALLY. GRANTS ARE AWARDED TO SECTION 501(C)(3) PUBLIC CHARITIES, INCLUDING SECTION 509(A)(1), SECTION 509(A)(2), SECTION 509(A)(3), DOMESTIC UNITS OF GOVERNMENT, AND EXEMPT OPERATING FOUNDATIONS. ALL OTHER AGENCIES WOULD ONLY BE ELIGIBLE IF APPLYING WITH A TAX-EXEMPT FISCAL SPONSOR. THE FOUNDATION PROVIDES GRANT SUPPORT TO ORGANIZATIONS THAT SERVE THE PEOPLE OF EASTERN PRINCE WILLIAM COUNTY, VIRGINIA, AND THE IMMEDIATELY ADJACENT COMMUNITIES IN EASTERN FAIRFAX AND STAFFORD COUNTIES. ACTION IN COMMUNITY THROUGH SERVICE INC PO BOX 74 DUMFRIES VA 22026 PC OPERATING SUPPORT 250000 BOYS & GIRLS CLUB OF GREATER WASHINGTON 4103 BENNING RD NE WASHINGTON DC 20019 PC PROMOTING HEALTHY LIFESTYLES FOR YOUTH AT HYLTON & HEISER BOYS & GIRLS CLUB 146762 BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS) 133 PARK STREET NE SUITE 3B VIENNA VA 22180 PC SUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY ($16,200); SUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO EASTERN PRINCE WILLIAM COUNTY AND SOUTHERN FAIRFAX COUNTY ($41,580) 57780 CAPITAL AREA FOOD BANK 4900 PUERTO RICO AVENUE NE WASHINGTON DC 20017 PC SHORT-TERM EMERGENCY FOOD IN PFH SERVICE AREA ($22,500); SHORT-TERM EMERGENCY FOOD, WITH A FOCUS ON WELLNESS ($52,500) 75000 CAPITAL CARING HEALTH 3180 FAIRVIEW PARK DRIVE SUITE 600 FALLS CHURCH VA 22042 PC COMMUNITY GRIEF AND COUNSELING PROGRAM ($11,370); COMMUNITY GRIEF AND BEREAVEMENT ($30,937) 42307 CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC 9380 FORESTWOOD LANE UNIT B MANASSAS VA 20110 PC OPERATING SUPPORT 100000 CFH INC 702 DONEGAN DR MANASSAS VA 20109 PC CREATING FOUNDATIONS FOR HEALTHY LIVING THROUGH ACCESS TO HEALTHY FOOD 35000 FOODS & FRIENDS INC 219 RIGGS ROAD NE WASHINGTON DC 20011 PC SPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS 40000 GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS 4400 UNIVERSITY DRIVE MSN 4C6 FAIRFAX VA 220304422 PC OPERATING SUPPORT 150000 GREATER DC DIAPER BANK 5614 CONNECTICUT AVENUE NW 285 WASHINGTON DC 20015 PC PROVIDING AND EMPOWERING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE 31084 GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER 4379 RIDGEWOOD CENTER DRIVE SUITE 102 WOODBRIDGE VA 22192 PC OPERATING SUPPORT 100000 HAMKAE CENTER 11350 RANDOM HILLS RD SUITE 230 FAIRFAX VA 22030 PC ASIAN AMERICAN COMMUNITY HEALTH ACCESS PROGRAM 90715 HEPATITIS B INITIATIVE OF DC 1725 I ST NW SUITE 300 WASHINGTON DC 20006 PC COMPREHENSIVE HEALTH AND WELLNESS PROGRAM 35000 INSTITUTE OF PUBLIC HEALTH INNOVATION 1301 CONNECTICUT AVENUE NW SUITE 200 WASHINGTON DC 20036 PC CAPACITY BUILDING 178574 JUST NEIGHBORS 7630 LITTLE RIVER TURNPIKE SUITE 900 ANNANDALE VA 22003 PC IMMIGRANT-FOCUSED MEDICAL-LEGAL PARTNERSHIP 75000 LEGAL AID JUSTICE CENTER 1000 PRESTON AVENUE CHARLOTTESVILLE VA 22903 PC LEGAL AID JUSTICE CENTER ($45,000); PROTECTING THE LIVES AND LIVELIHOOD OF LOW-INCOME IMMIGRANTS ($105,000) 150000 LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM 4326 DALE BLVD SUITE 2 WOODBRIDGE VA 22193 PC B4 HEALTH LITERACY PROGRAM 60000 LLOYD F MOSS FREE CLINIC 1301 SAM PERRY BOULEVARD FREDERICKSBURG VA 22401 PC OPERATING SUPPORT 93000 LORTON COMMUNITY ACTION CENTER 9518 RICHMOND HWY LORTON VA 22079 PC ALL CAN BE HEALTHY INITIATIVE 110000 NAMI PRINCE WILLIAM PO BOX 1423 WOODBRIDGE VA 22195 PC COMMUNITY MENTAL HEALTH AWARENESS: FOCUS ON YOUTH AND FAMILY IN UNDER-SERVED POPULATIONS 20972 NATIONAL CAPITAL TREATMENT & RECOVERY 200 N GLEBE ROAD SUITE 104 ARLINGTON VA 22203 PC PATIENT ASSISTANCE FUND - PHF SERVICE AREA 25000 NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER PO BOX 1166 DUMFRIES VA 22026 PC HEALTH EQUITY: PROMOTING ORAL HEALTH ($24,600); ORAL HEALTH FOCUSING ON IMPROVING KNOWLEDGE, PREVENTION, SCREENING AND TREATMENT OF ORAL DISEASE ($59,500) 84100 NORTHERN VIRGINIA FAMILY SERVICE 10455 WHITE GRANITE DRIVE SUITE 100 OAKTON VA 22124 PC PUBLIC HEALTH BENEFITS & INSURANCE NAVIGATION ($25,343); OPERATING SUPPORT ($227,500) 252843 NORTHERN VIRGINIA FOOD RESCUE PO BOX 74 DUMFRIES VA 22026 PC FOOD RESCUE EXPANSION 52500 NOVA FOOD RESCUE PO BOX 74 DUMFRIES VA 22026 PC FOOD RESCUE PROGRAM 119350 NOVA SCRIPTSCENTRAL INC 6400 ARLINGTON BOUOLEVARD SUITE 120 FALLS CHURCH VA 22042 PC OPERATING SUPPORT 115000 NUEVA VIDA INC 206 N WASHINGTON STREET SUITE 300 ALEXANDRIA VA 22314 PC OPERATING SUPPORT 105000 PATHWAY HOMES 10201 FAIRFAX BOULEVARD FAIRFAX VA 22030 PC OPERATING SUPPORT 250000 POSTPARTUM SUPPORT VA PO BOX 5742 FREDERICKSBURG VA 22403 PC HEALTHY MOMS, HEALTHY BABIES PROGRAM 42003 PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC PO BOX 5148 WOODBRIDGE VA 22194 PC COMBATING HUNGER ON WHEELS (C.H.O.W.) WAGON INITIATIVES 73230 PRINCE WILLIAM COUNTY COMMUNITY SERVICES 7969 ASHTON AVENUE MANASSAS VA 20109 GOV CRISIS RECEIVING AND STABILIZATION CENTER 500000 PRINCE WILLIAM DROP-IN CENTER 13184 CENTERPOINTE WAY WOODBRIDGE VA 22192 PC OPERATING SUPPORT 51500 PROJECT MEND-A-HOUSE INC 9500 TECHNOLOGY DRIVE SUITE 101 MANASSAS VA 20110 PC OPERATING SUPPORT 42000 PW LIBRARY FOUNDATION 13083 CHINN PARK DRIVE WOODBRIDGE VA 22192 PC ACCESS TO HEALTH SCREENINGS AND EDUCATION FOR ALL 17500 RX PARTNERSHIP 2924 EMERYWOOD PARKWAY SUITE 300 RICHMOND VA 23294 PC OPERATING SUPPORT 30000 SCAN OF NORTHERN VIRGINIA 205 S WHITING STREET SUITE 205 ALEXANDRIA VA 22304 PC OPERATING SUPPORT 133333 SENTARA NORTHERN VIRGINIA MEDICAL CENTER 2300 OPITZ BOULEVARD WOODBRIDGE VA 22191 PC NURSING SCHOLARSHIP PROGRAM ($9,000); WORKFORCE DEVELOPMENT ($21,000); OPERATING SUPPORT ($87,500) 117500 STREETLIGHT COMMUNITY OUTREACH MINISTRIES 14806 BLACKBURN ROAD WOODBRIDGE VA 22191 PC RN POSITION FOR MEDICALLY FRAGILE HOUSING AND SUPPORTIVE SHELTER CLIENTS 76938 TAHIRIH JUSTICE CENTER 6400 ARLINGTON BLVD 400 FALLS CHURCH VA 22042 PC ADDRESSING SOCIAL DETERMINANTS OF HEALTH OF IMMIGRANT SURVIVORS OF GENDER-BASED VIOLENCE 15000 THE ARC OF GREATER PRINCE WILLIAM 13505 HILLENDALE DRIVE DALE CITY VA 22193 PC OPERATING SUPPORT 250000 THE CHRIS ATWOOD FOUNDATION PO BOX 9282 RESTON VA 20195 PC IMPROVING INDIVIDUAL HEALTH ($32,565); REVIVE TO THRIVE PROGRAM ($88,863) 121428 THE FENWICK FOUNDATION 23 N FENWICK STREET ARLINGTON VA 22201 PC PROJECT ADAPT - ORAL CARE FOR LOW-RESOURCE ADULTS 167500 THE HOUSE STUDENT LEADERSHIP CENTER 1400 CROWN COURT SUITE 105 WOODBRIDGE VA 22193 PC OPERATING SUPPORT 250000 THE SALVATION ARMY OF PRINCE WILLIAM 1483 OLD BRIDGE ROAD UNIT 102 WOODBRIDGE VA 22192 PC EMERGENCY RENT AND UTILITIES ASSISTANCE EXPANSION 105000 THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC 9248 CENTER STREET MANASSAS VA 20110 PC VETS -VETERANS ENHANCED TRANSPORTATION SERVICE 35000 THE WOMEN'S CENTER 133 PARK STREET NE VIENNA VA 22180 PC ENHANCED ACCESS TO MENTAL HEALTH PROGRAM 15000 VIRGINIA COMMUNITY FOOD CONNECTIONS 406 PRINCESS ANNE STREET FREDERICKSBURG VA 22401 PC OPERATING SUPPORT 75000 VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION 300 ARBORETUM PLACE SUITE 200 RICHMOND VA 23219 PC PHF FELLOWS PROGRAM 127355 VIRGINIA POVERTY LAW CENTER 919 E MAIN STREET SUITE 610 RICHMOND VA 23219 PC ENROLL VA POTOMAC PROGRAM 192135 VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE) 4444 ARLINGTON BLVD ARLINGTON VA 22204 PC PRINCE WILLIAM COUNTY CRISIS RECEIVING CENTER 65000 VOICES FOR VIRGINIA'S CHILDREN 701 E FRANKLIN STREET SUITE 807 RICHMOND VA 23219 PC OPERATING SUPPORT 52500 VOLUNTEER PRINCE WILIAM 9283 CORPORATE CIR MANASSAS VA 20110 PC VETERANS ENHANCED TRANSPORTATION SERVICE 15000 WORKHOUSE ARTS FOUNDATION INC 9518 WORKHOUSE WAY BUILDING 16 LORTON VA 22079 PC WORKHOUSE MILITARY IN THE ARTS INITIATIVES (WMAI) 70000 YOUNG INVINCIBLES 1411 K STREET NW SUITE 400 WASHINGTON DC 20005 PC HEALTHY YOUNG AMERICA - NOVA 133333 YOUTH FOR TOMORROW 11835 HAZEL CIRCLE DRIVE BRISTOW VA 20136 PC BEHAVIORAL HEALTHCARE AND SUBSTANCE ABUSE TREATMENT SERVICES ($175,000); OPERATING SUPPORT ($72,280) 247280 5865522 ACTION IN COMMUNITY THROUGH SERVICE INC PO BOX 74 DUMFRIES VA 22026 PC OPERATING SUPPORT 500000 BOYS & GIRLS CLUB OF GREATER WASHINGTON 4103 BENNING RD NE WASHINGTON DC 20019 PC PROMOTING HEALTHY LIFESTYLES FOR YOUTH AT HYLTON & HEISER BOYS & GIRLS CLUB 62898 BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS) 133 PARK STREET NE SUITE 3B VIENNA VA 22180 PC SUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO EASTERN PRINCE WILLIAM COUNTY AND SOUTHERN FAIRFAX COUNTY 17820 CAPITAL AREA FOOD BANK 4900 PUERTO RICO AVENUE NE WASHINGTON DC 20017 PC SHORT-TERM EMERGENCY FOOD, WITH A FOCUS ON WELLNESS 22500 CAPITAL CARING HEALTH 3180 FAIRVIEW PARK DRIVE SUITE 600 FALLS CHURCH VA 22042 PC COMMUNITY GRIEF AND BEREAVEMENT 13259 CFH INC 702 DONEGAN DR MANASSAS VA 20109 PC CREATING FOUNDATIONS FOR HEALTHY LIVING THROUGH ACCESS TO HEALTHY FOOD 15000 FOODS & FRIENDS INC 219 RIGGS ROAD NE WASHINGTON DC 20011 PC SPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS 12000 GREATER DC DIAPER BANK 5614 CONNECTICUT AVENUE NW 285 WASHINGTON DC 20015 PC EMPOWERING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE 10107 HAMKAE CENTER 11350 RANDOM HILLS RD SUITE 230 FAIRFAX VA 22030 PC ASIAN AMERICAN COMMUNITY HEALTH ACCESS PROGRAM 38878 HEPATITIS B INITIATIVE OF DC 1301 CONNECTICUT AVENUE NW SUITE 200 WASHINGTON DC 20036 PC COMPREHENSIVE HEALTH AND WELLNESS PROGRAM 15000 JUST NEIGHBORS 7630 LITTLE RIVER TURNPIKE SUITE 900 ANNANDALE VA 22003 PC IMMIGRANT-FOCUSED MEDICAL-LEGAL PARTNERSHIP 22500 LEGAL AID JUSTICE CENTER 1000 PRESTON AVENUE CHARLOTTESVILLE VA 22903 PC PROTECTING THE LIVES AND LIVELIHOOD OF LOW-INCOME IMMIGRANTS 45000 LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM 4326 DALE BLVD SUITE 2 WOODBRIDGE VA 22193 PC B4HEALTHLITERACY PROGRAM 18000 LORTON COMMUNITY ACTION CENTER 9518 RICHMOND HWY LORTON VA 22079 PC ALL CAN BE HEALTHY INITIATIVE 37500 NAMI PRINCE WILLIAM POBOX 1423 WOODBRIDGE VA 22195 PC COMMUNITY MENTAL HEALTH AWARENESS: FOCUS ON YOUTH AND FAMILY IN UNDER-SERVED POPULATIONS 8988 NATIONAL CAPITAL TREATMENT & RECOVERY 200 N GLEBE ROAD SUITE 104 ARLINGTON VA 22203 PC PATIENT ASSISTANCE FUND 7500 NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER PO BOX 1166 DUMFRIES VA 22026 PC ORAL HEALTH FOCUSING ON IMPROVING KNOWLEDGE, PREVENTION, SCREENING AND TREATMENT OF ORAL DISEASE 25500 NORTHERN VIRGINIA FAMILY SERVICE 10455 WHITE GRANITE DRIVE SUITE 100 OAKTON VA 22124 PC OPERATING SUPPORT 60000 NOVA FOOD RESCUE PO BOX 74 DUMFRIES VA 22026 PC FOOD RESCUE PROGRAM 51150 NUEVA VIDA INC 206 N WASHINGTON STREET SUITE 300 ALEXANDRIA VA 22314 PC OPERATING SUPPORT 210000 PATHWAY HOMES 10201 FAIRFAX BOULEVARD FAIRFAX VA 22030 PC OPERATING SUPPORT 500000 POSTPARTUM SUPPORT VA PO BOX 5742 FREDERICKSBURG VA 22403 PC HEALTY MOMS, HEALTHY BABIES PROGRAM 18001 PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC PO BOX 5148 WOODBRIDGE VA 22194 PC COMBATING HUNGER ON WHEELS (C.H.O.W.) WAGON INITIATIVES 22942 PRINCE WILLIAM DROP-IN CENTER 13184 CENTERPOINTE WAY WOODBRIDGE VA 22192 PC OPERATING SUPPORT 103000 PROJECT MEND-A-HOUSE INC 9500 TECHNOLOGY DRIVE SUITE 101 MANASSAS VA 20110 PC OPERATING SUPPORT 18000 PW LIBRARY FOUNDATION 13083 CHINN PARK DRIVE WOODBRIDGE VA 22192 PC ACCESS TO HEALTH SCREENINGS AND EDUCATION FOR ALL 7500 SCAN OF NORTHERN VIRGINIA 205 S WHITING STREET SUITE 205 ALEXANDRIA VA 22304 PC OPERATING SUPPORT 266667 SENTARA NORTHERN VIRGINIA MEDICAL CENTER 2300 OPITZ BOULEVARD WOODBRIDGE VA 22191 PC WORKFORCE DEVELOPMENT 9000 STREETLIGHT COMMUNITY OUTREACH MINISTRIES 14806 BLACKBURN ROAD WOODBRIDGE VA 22191 PC RN POSITION FOR MEDICALLY FRAGILE HOUSING AND SUPPORTIVE SHELTER CLIENTS 23285 THE ARC OF GREATER PRINCE WILLIAM 13505 HILLENDALE DRIVE DALE CITY VA 22193 PC OPERATING SUPPORT 500000 THE CHRIS ATWOOD FOUNDATION PO BOX 9282 RESTON VA 20195 PC REVIVE TO THRIVE PROGRAM 38084 THE FENWICK FOUNDATION 23 N FENWICK STREET ARLINGTON VA 22201 PC PROJECT ADAPT - ORAL CARE FOR LOW-RESOURCE ADULTS 52500 THE HOUSE STUDENT LEADERSHIP CENTER 1400 CROWN COURT SUITE 105 WOODBRIDGE VA 22193 PC OPERATING SUPPORT 500000 THE SALVATION ARMY OF PRINCE WILLIAM 1483 OLD BRIDGE ROAD UNIT 102 WOODBRIDGE VA 22192 PC EMERGENCY RENT AND UTILITIES ASSISTANCE EXPANSION 36000 THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC 9248 CENTER STREET MANASSAS VA 20110 PC VETS -VETERANS ENHANCED TRANSPORTATION SERVICE 15000 VIRGINIA COMMUNITY FOOD CONNECTIONS 406 PRINCESS ANNE STREET FREDERICKSBURG VA 22401 PC OPERATING SUPPORT 150000 VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION 300 ARBORETUM PLACE SUITE 200 RICHMOND VA 23219 PC PHF FELLOWS PROGRAM 254710 VIRGINIA POVERTY LAW CENTER 919 E MAIN STREET SUITE 610 RICHMOND VA 23219 PC ENROLL VA POTOMAC PROGRAM 384270 VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE) 4444 ARLINGTON BLVD ARLINGTON VA 22204 PC PRINCE WILLIAM COUNTY CRISIS RECEIVING CENTER 15000 VOICES FOR VIRGINIA'S CHILDREN 701 E FRANKLIN STREET SUITE 807 RICHMOND VA 23219 PC OPERATING SUPPORT 22500 WORKHOUSE ARTS FOUNDATION INC 9518 WORKHOUSE WAY BUILDING 16 LORTON VA 22079 PC WORKHOUSE MILITARY IN THE ARTS INITIATIVES (WMAI) 140000 YOUNG INVINCIBLES 1411 K STREET NW SUITE 400 WASHINGTON DC 20005 PC HEALTHY YOUNG AMERICA - NOVA 266667 YOUTH FOR TOMORROW 11835 HAZEL CIRCLE DRIVE BRISTOW VA 20136 PC BEHAVIORAL HEALTHCARE AND SUBSTANCE ABUSE TREATMENT SERVICES 75000 4611726 14 1609 525990 15623 14 2644440 525990 -5594 18 7072333 10029 9718382 0 9728411 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 48927 0 40422 SECTION 4942(H)(2) ELECTION A TO THE TREATMENT OF QUALIFYING DISTRIBUTIONSPURSUANT TO IRS SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2), THE POTOMAC HEALTH FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR 2022.SIGNED: GAYLE WHITLOCK, TREASURERDATE: 11/8/2024THIS RETURN IS BEING ELECTRONICALLY FILED. THE FORM 8879-TE IS BEING SIGNED BY AN INDIVIDUAL WHO IS ALSO AUTHORIZED TO SIGN THIS ELECTION, GAYLE WHITLOCK, TREASURER. THE SIGNATURE ON THE FORM 8879-TE IS DEEMED A SIGNATURE BY AN AUTHORIZED INDIVIDUAL FOR THIS ELECTION. SEI SIIT REAL RETURN A FUND 2127591 2127591 SIIT EMERGING MARKETS DEBT FUND 4145579 4145579 SEI HIGH YIELD BOND FUND 4283914 4283914 SIIT ULTRA SHORT DURATION BOND FUND 5609288 5609288 SEI CORE FIXED INCOME FUND #285 26571136 26571136 SEI SMALL CAP FUND 3127710 3127710 STATE STREET GIB ALL CAP EQ EX US FUND 5045611 5045611 SEI US EQUITY FCTR ALLOC FUND 5178518 5178518 SEI WORLD EQUITY EX-US FUND 9134372 9134372 SEI LARGE CAP INDEX FUND 18101719 18101719 571657 571657 0 0 SEI GLOBAL PRIVATE ASSETS VII LP FMV 907188 907188 SEI GLOBAL PRIVATE ASSETS V LP FMV 2183393 2183393 SEI SPECIAL SITUATIONS FUND LTD FMV 4017951 4017951 SEI GPA IV PRIVATE EQUITY FUND FMV 7429033 7429033 SEI CORE PROPERTY FUND LP FMV 10819124 10819124 FURNITURE, EQUIPMENT AND TECHNOLOGY 66185 57838 8347 8347 LEGAL 1883 0 100 UNREALIZED LOSS ON INVESTMENTS 614365 PROFESSIONAL DEVELOPMENT 39006 0 39006 TECHNOLOGY EXPENSE 21282 0 16134 INSURANCE 2234 0 2234 BANK FEES 68 68 0 OTHER EXPENSES 3028 0 2608 SPONSORSHIPS 20000 0 0 SEI GLOBAL PRIVATE ASSETS V, LP - OTHER DEDUCTIONS 0 62310 0 SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER DEDUCTIONS 0 109191 0 SEI CORE PROPERTY FUND LP - OTHER DEDUCTIONS 0 56284 0 SEI GLOBAL PRIVATE ASSETS VII, LP - OTHER DEDUCTIONS 0 14277 0 SEI GLOBAL PRIVATE ASSETS V, LP - OTHER DEDUCTIONS, REMOVE UBI 0 -3700 0 SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER DEDUCTIONS, REMOVE UBI 0 -33745 0 SEI GLOBAL PRIVATE ASSETS V, LP - ORDINARY LOSS 0 -9053 0 SEI GLOBAL PRIVATE ASSETS IV, LP - ORDINARY INCOME 0 16074 0 SEI GLOBAL PRIVATE ASSETS V, LP - RENTAL LOSS 0 -6294 0 SEI GLOBAL PRIVATE ASSETS IV, LP - RENTAL LOSS 0 -4417 0 SEI GLOBAL PRIVATE ASSETS V, LP - ROYALTIES 0 7 0 SEI GLOBAL PRIVATE ASSETS IV, LP - ROYALTIES 0 4629 0 SEI GLOBAL PRIVATE ASSETS V, LP - OTHER INCOME 0 8785 0 SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER INCOME 0 65260 0 SEI CORE PROPERTY FUND LP - OTHER INCOME 0 30294 0 SEI GLOBAL PRIVATE ASSETS V, LP - REMOVE UBI LOSS 0 4538 0 SEI GLOBAL PRIVATE ASSETS IV, LP - REMOVE UBI 0 -28013 0 DUE TO RELATED PARTY 31507 0 DEFERRED TAX LIABILITY 148638 167630 CONSULTANT FEES 151675 0 151675 INVESTMENT MANAGEMENT FEES 609094 609094 0 EXCISE TAX 150000 0 0 UNRELATED BUSINESS INCOME TAX 13261 0 0 SEI GLOBAL PRIVATE ASSETS IV, LP 0 534 0 SEI GLOBAL PRIVATE ASSETS V, LP 0 943 0 SEI GLOBAL PRIVATE ASSETS IV, LP REMOVE UBI 0 -119 0 SEI GLOBAL PRIVATE ASSETS V, LP REMOVE UBI 0 -18 0