POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2013-11-01 to 2014-10-31
Filed
2015-03-09
IRS object ID
201530689349100003
Schema version
2013v4.0
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)
Return2015-03-09T12:15:43-05:00ReturnTs
Tax Period End2014-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14250 N FAIRFAX DRIVE SUITE 1020AddressLine1
CityARLINGTONCity
StateVAState
ZIP Code22203ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521340920EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POTOMAC HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPOTOBusinessNameControlTxt
Phone7035230620PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD NO 200AddressLine1
CityWOODBRIDGECity
StateVAState
ZIP Code22191ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSIE LEEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7035230620PhoneNum
Signature2015-03-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELISSA LAFFERTYPreparerPersonNm
PTINP01222987PTIN
Phone5712279500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$103,420,799FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$100ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$457InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$457InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$4,506,808DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,641,872DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,998,779NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$24,506,912GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$2,046,949CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$6,506,144TotalRevAndExpnssAmt
Total Net Invst Incm$6,689,278TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$103,885CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$11,687CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$92,198CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$141,198OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$3,730OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$137,468OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$49,773PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$3,238PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$46,534PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$100LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$100LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$37,605AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$37,010AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$389,555OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$389,045OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$510OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$60,984TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$5,944DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$34,832OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$10,004TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$11,165TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$30,329OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$34,319OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$14,385OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$864,209TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$442,019TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$339,370TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$4,800,435ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$4,395,810ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,664,644TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$442,019TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$4,735,180TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$841,500ExcessRevenueOverExpensesAmt
Net Investment Income$6,247,259NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$247,722SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$337,890SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$337,890SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$31,648AcctRcvblAmt
Acct Rcvbl BOY$54,843AcctRcvblBOYAmt
Acct Rcvbl EOY$31,648AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$31,648AcctRcvblEOYFMVAmt
Pledges Rcvbl$447,367PledgesRcvblAmt
Pledges Rcvbl BOY$532,816PledgesRcvblBOYAmt
Pledges Rcvbl EOY$447,367PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$447,367PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$25,548PrepaidExpensesBOYAmt
Prepaid Expenses EOY$6,417PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$6,417PrepaidExpensesEOYFMVAmt
Other Investments BOY$100,443,660OtherInvestmentsBOYAmt
Other Investments EOY$102,569,934OtherInvestmentsEOYAmt
Other Investments EOYFMV$102,569,934OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$33,563LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,014LandBldgEquipAccumDeprecAmt
Land BOY$16,493LandBOYAmt
Land EOY$10,549LandEOYAmt
Land EOYFMV$10,549LandEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$16,994OtherAssetsEOYAmt
Other Assets EOYFMV$16,994OtherAssetsEOYFMVAmt
Total Assets BOY$101,321,082TotalAssetsBOYAmt
Total Assets EOY$103,420,799TotalAssetsEOYAmt
Total Assets EOYFMV$103,420,799TotalAssetsEOYFMVAmt
Accounts Payable BOY$117,848AccountsPayableBOYAmt
Accounts Payable EOY$130,098AccountsPayableEOYAmt
Grants Payable BOY$987,370GrantsPayableBOYAmt
Grants Payable EOY$1,391,995GrantsPayableEOYAmt
Other Liabilities BOY$113,343OtherLiabilitiesBOYAmt
Other Liabilities EOY$113,598OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,218,561TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,635,691TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$100,102,521UnrestrictedBOYAmt
Unrestricted EOY$101,785,108UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$100,102,521TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$101,785,108TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$101,321,082TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$103,420,799TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$100,102,521TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$841,500ExcessRevenueOverExpensesAmt
Other Increases$841,087OtherIncreasesAmt
Subtotal$101,785,108SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$101,785,108TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES$24,506,912$22,508,133$1,998,779$1,998,779
SEI CORE PROPERTY FUND, LP$26,177$26,177
SEI CORE PROPERTY FUND, LP$21,993$21,993
FieldValueIRS element (for citing)
Capital Gain Net Income$2,046,949CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$4,370,054AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$95,756,146NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.045637DistributionYr1Rt
Adjusted Qlfy Distri Yr2$3,863,779AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$90,901,681NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.042505DistributionYr2Rt
Adjusted Qlfy Distri Yr3$4,515,859AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$92,210,303NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.048973DistributionYr3Rt
Adjusted Qlfy Distri Yr4$99,713AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$84,790,383NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.001176DistributionYr4Rt
Total Distribution0.138291TotalDistributionRt
Average Distribution0.034573AverageDistributionRt
Net Vl Noncharitable Assets$100,774,355NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$3,484,072AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$62,473NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$3,546,545AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$4,735,180QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$62,473InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$62,473SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$62,473TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$66,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$66,000TotalPaymentsAndCreditsAmt
Overpayment$3,527OverpaymentAmt
Applied To ES Tax$3,527AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateVAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.POTOMACHEALTHFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksSUSIE LEEIndividualWithBooksNm
Phone7035230620PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD STE 200AddressLine1
CityWOODBRIDGECity
StateVAState
ZIP Code22191ZIPCode
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 (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHEN V BATSCHE
2296 OPITZ BLVD 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR40.00$103,885$22,140$700
CAROL S SHAPIRO MD
2296 OPITZ BLVD 200WOODBRIDGEVA22191VICE-CHAIR3.00$0$0$0
R MICHAEL SORENSEN
2296 OPITZ BLVD 200WOODBRIDGEVA22191TREASURER2.50$0$0$0
WAYNE MALLARD
2296 OPITZ BLVD 200WOODBRIDGEVA22191SECRETARY1.50$0$0$0
MARION M WALL
2296 OPITZ BLVD 200WOODBRIDGEVA22191CHAIR3.00$0$0$0
HOWARD L GREENHOUSE
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
DONNIE HYLTON
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
DEBORAH JOHNSON
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SARAH PITKIN PHD
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILLIAM M MOSS
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
CARLOS CASTRO
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SAM HILL EDD
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
MEGAN PERRY
2296 OPITZ BLVD 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonSUSIE LEEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD 200AddressLine1
CityWOODBRIDGECity
StateVAState
ZIP Code22191ZIPCode
FieldValueIRS element (for citing)
TitleDIRECTOR OF GRANT PRTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$99,465CompensationAmt
Employee Benefits$18,747EmployeeBenefitsAmt
Expense Account$1,158ExpenseAccountAmt
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 GROUPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 FREEDOM VALLEY DRIVEAddressLine1
CityOAKSCity
StatePAState
ZIP Code19456ZIPCode
FieldValueIRS element (for citing)
Service TypeINVESTMENT MANAGEMENTServiceTypeTxt
Compensation$389,045CompensationAmt
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$101,908,022AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$400,968AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$102,308,990TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$102,308,990AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,534,635CashDeemedCharitableAmt
Net Vl Noncharitable Assets$100,774,355NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,038,718MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,038,718MinimumInvestmentReturnAmt
Tax Based On Investment Income$62,473TaxBasedOnInvestmentIncomeAmt
Total Tax$62,473TotalTaxAmt
Distributable Before Adj$4,976,245DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$4,976,245DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$4,976,245DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$4,735,180ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$4,735,180QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$62,473PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$4,672,707AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$4,976,245DistributableAsAdjustedAmt
Undistributed Income PY$4,618,696UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$4,735,180QualifyingDistributionsAmt
Applied To Year1$4,618,696AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$116,484AppliedToCurrentYearAmt
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$4,859,761UndistributedIncomeCYAmt
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 PersonSUSIE LEE EXECUTIVE DIRECTORRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD STE 200AddressLine1
CityWOODBRIDGECity
StateVAState
ZIP Code22191ZIPCode
FieldValueIRS element (for citing)
Recipient Phone7035230630RecipientPhoneNum
Recipient Email AddressSUSIE@POTOMACHEALTHFOUNDATION.ORGRecipientEmailAddressTxt
Form And Info And MaterialsTHE REQUEST FOR FUNDING OCCURS IN TWO STEPS. THE FIRST STEP ISTHE INITIAL APPLICATION, KNOWN AS THE LETTER OF INTENT (LOI), HIGHLIGHTING THE PURPOSE AND OBJECTIVES OF THE PROJECT. PROGRESSION TO THE SECOND STEP OF THE APPLICATION PROCESS, KNOWN AS THEFORMAL PROPOSAL, IS BY INVITATION ONLY. THE INITIAL APPLICATION IS SUBMITTED ONLINE AT WWW.CTKODM.COM/POTOMACHEALTHFOUNDATION.FormAndInfoAndMaterialsTxt
Submission DeadlinesCONSULT THE ORGANIZATION'S WEBSITE (WWW.POTOMACHEALTHFOUNDATION.ORG) FOR SPECIFIC INFORMATION.SubmissionDeadlinesTxt
Restrictions On AwardsTHE FOUNDATION AWARDS GRANTS TO TAX-EXEMPT ORGANIZATIONS THAT SERVE PERSONS IN EASTERN PRINCE WILLIAM COUNTY, NORTH STAFFORD COUNTY, AND LORTON, ALL OF VIRGINIA. PROJECTS MUST BE HEALTH RELATED, PROMOTING ACCESS TO CARE, PREVENTION, AND INNOVATION. PROJECTS ARE FUNDED FOR PERIOD OF 12-MONTHS. 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. FOR DETAILS ON HOW TO APPLY, COMMUNITIES SERVED, FUNDING PRIORITIES AND OTHER FAQ, GO TO THE FOUNDATION WEBSITE WWW.POTOMACHEALTHFOUNDATION.ORGRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (95 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCACTS HELPLINE ASSISTANCE AND OUTREACH PROJECT$14,060
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCHELPLINE ASSISTANCE AND OUTREACH PROJECT & MEDICAL CAREGIVER PRGM$36,000
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCHELPLINE ASSISTANCE AND OUTREACH PROJECT$119,385
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCACTS MEDICAL CAREGIVERS TRAINING PROGRAM$15,408
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCMEDICAL CAREGIVERS TRAINING PROGRAM$124,830
ACTIONINCOMMUNITYTHROUGHSERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCSUPPORTIVE AFTER CARE WELLNESS PROGRAM FOR HOMELESS INDIVIDUALS.$18,164
AMERICAN HEART ASSOCIATION
4301 FAIRFAX DRIVE SUITE 530ARLINGTONVA22203NONEPCCPR ANYTIME$30,240
ASPIRA ASSOCIATION INC
1444 I STREET NW SUITE 800WASHINGTONDC20005NONEPCPROMOTING HEALTH AND WELLNESS BY EMPOWERING LATINO YOUTH AND COMMUNITY$54,205
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCAN INNOVATIVE APPROACH TO NEUROBEHAVIORAL TREATMENT FOR BRAIN INJURY IN EASTERN PRINCE WILLIAM COUNTY$13,884
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCNEUROBEHAVIORAL TREATMENT FOR BRAIN INJURY IN EASTERN PRINCE WILLIAM COUNTY$187,040
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCNEUROBEHAVIORAL TREATMENT FOR BRAIN INJURY$8,520
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR HEALTHY RELATIONSHIPS$94,578
CHANGEINACTIONINC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR HEALTH RELATIONSHIPS. EDUCATION AND THERAPY FOR INDIVIDUALS TO MANAGE ANGER, REDUCE STRESS.$50,406
EMPLOYMENT SOLUTIONS FOR DEAF AND HARD OF HEARING
1984 OPTIZ BLVDWOODBRIDGEVA22191NONEPCHELPING ACCESS HEALTHCARE FOR THE DEAF COMMUNITY.$39,128
EMPLOYMENT SOLUTIONS FOR DEAF AND HARD OF HEARING
1984 OPTIZ BLVDWOODBRIDGEVA22191NONEPCCAPACITY BUILDING GRANT FOR DEVELOPING EXECUTIVE STAFF AND BOARD OF AGENCY.$22,500
EMPLOYMENT SOLUTIONS FOR DEAF AND HARD OF HEARING
1984 OPTIZ BLVDWOODBRIDGEVA22191NONEPCPROVIDING ACCESS TO HEALTHCARE FOR THE DEAF COMMUNITY (PAH!)$4,348
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BLVD MS 4E5MANASSASVA20110NONEPCTHE ACHIEVES PROJECT (ADVANCING HEALTHCARE INITIATIVES FOR UNDERSERVED STUDENTS)$38,008
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BLVD MS 4E5MANASSASVA20110NONEPCCONCUSSION PREVENTION AND EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS.$267,006
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCMEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION/ INTEGRATED & COORDINATED HEALTH CARE HOME$18,793102
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCEXPANDING ACCESS TO DENTAL SERVICES IN PRINCE WILLIAM COUNTY$42,306102
GREATER PW COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCDENTAL SERVICES TO ADULTS AND CHILDREN IN PRINCE WILLIAM COUNTY$28,204102
GREATER PW COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCINTEGRATED & COORDINATED HEALTH CARE AHOME$135,000102
GREATER PW COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCGANG RESPONSE INTERVENTION TEAM$15,461102
LAKE RIDGE LIONS CLUB CHARITIES
3688 RUSSELL ROADLAKE RIDGEVA22192NONEPCREGION V LIONS CLUBS EARLY CHILDHOOD EYE SCREENING PROJECT$4,500
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BLVDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING FUNDS$17,723
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BLVDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING FUNDS$135,000
MANASSAS MIDWIFERY
9171 KEY COMMONS COURTMANASSASVA20110NONEPCCENTERING PREGNANCY AND CENTERING PARENTING PROGRAM.$28,944
MANASSAS MIDWIFERY
9171 KEY COMMONS COURTMANASSASVA20110NONEPCIMPROVING BIRTH & EARLY CHILDHOOD OUTCOMES$22,500
MATTHEW'S CENTER
10651 LOMOND DRIVEMANASSASVA20109NONEPCSCHOOL FOR CHILDREN WITH AUTISM.$5,914
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCMCCP FOUNDATION PROJECT PEARLY WHITES - LORTON$25,204
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCMEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION$28,295
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCPEARLY WHITES - LORTON$17,292
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCENROLLING CHILDREN INTO PROGRAM TO PROVIDE THEM A MEDICAL HOME.$16,153
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCPOISON CONTROL SERVICES AND HOTLINE FOR INDIVIDUALS IN POTOMAC HEALTH FOUNDATION SERVICE AREA.$123,001
NAT'L COALITION OF 100 BLACK WOMEN - PWC CHAPTER
PO BOX 1166DUMFRIESVA22026NONEPCEDUCATING BLACK WOMEN AGAINST TRIPLE-NEGATIVE BC$23,400
NO VA RESOURCE CENTER FOR DEAF AND HARD OF HEARING PERSONS
3951 PENDER DRIVE SUITE 130FAIRFAXVA22042NONEPCHEARING, EDUCATION, ACCESS AND RESOURCES - PRINCE WILLIAM COUNTY (HEAR - PWC)$1,500
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCPRINCE WILLIAM HEALTHLINK$41,896
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BLVD SUITE 120FALLS CHURCHVA22042NONEPCIMPROVING HEALTH ACCESS IN PRINCE WILLIAM, STAFFORD AND LORTON: PRESCRIPTION MEDICATIONS FOR THE LOW-INCOME UNISURED$22,942
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BLVD SUITE 120FALLS CHURCHVA22042NONEPCHSN - RX MEDICATIONS FOR LOW INCOME$180,000
NUEVA VIDA INC
5225 WISCONSIN AVE NW SUITE 503WASHINGTONDC20015NONEPCREDUCING FRAGMENTATION & IMPROVING CONTINUITY OF CARE ACROSS THE BC CONTINUUM$26,398
NUEVA VIDA INC
5225 WISCONSIN AVE NW SUITE 503WASHINGTONDC20015NONEPCREDUCING FRAGMENTATION AND IMPROVING CONTINUITY OF CARE ACROSS THE BREAST CANCER CONTINUUM$54,646
PEDIATRIC PRIMARY CARE PROJECT (NVFS)
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCKIDS CONNECT$3,310
PEDIATRIC PRIMARY CARE PROJECT (NVFS)
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCKIDS CONNECT$36,000
POTOMAC AND RAPPAHANNOCK TRANSPORTATION COMMISSION
14700 POTOMAC MILLS ROADWOODBRIDGEVA22192NONEPCTRANSPORTATION VOUCHER PROGRAM TO FACILITATE ACCESS TO HEALTH CARE NEEDS$149,139
POTOMAC AND RAPPAHANNOCK TRANSPORTATION COMMISSION
14700 POTOMAC MILLS ROADWOODBRIDGEVA22192NONEPCTRANSPORTATION FOR MEDICAL SERVICES FOR SENIORS, INDIVIDUALS WITH DISABILITIES, AND LOW INCOME.$13,182
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCMEDICATION ACCESS CASE MANAGEMENT$13,097
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCMEDICATION ACCESS CASE MANAGEMENT$77,747
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCUNIFIED HEALTH CENTER$101,571
PRINCE WILLIAM COUNTY DEPT OF SOCIAL SERVICES
15941 DONALD CURTIS DRIVE SUITE 180WOODBRIDGEVA22191NONEPCCASE COORDINATOR FOR HEALTH AND SUPPORTING SERVICES: ACCESS FOR THE MOST VULNERABLE HOMELESS ADULTS$17,994
PRINCE WILLIAM COUNTY DEPT OF SOCIAL SERVICES
15941 DONALD CURTIS DRIVE SUITE 180WOODBRIDGEVA22191NONEPCCASE MANAGEMENT FOR HEALTH FOR VULNERABLE HOMELESS ADULTS.$11,960
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCPRINCE WILLIAM COUNTY SCHOOL OF PRACTICAL NURSING$16,051
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCCOORDINATED MENTAL HEALTH SUPPORT FOR AT-RISK YOUTH$51,742
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCHUMAN TRAFFICKING PREVENTION, IDENTIFICATION, AND REFERRAL$25,978
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCPRINCE WILLIAM COUNTY SCHOOL OF PRACTICAL NURSING$18,900
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCHUMAN TRAFFICKING$9,971
PRINCE WILLIAM HEALTH DISTRICT
9301 LEE AVENUEMANASSASVA20110NONEPCBEAT CANCER BREAST EDUCATION AWARENESS & TREATMENT$28,075
PRINCE WILLIAM HEALTH DISTRICT
9301 LEE AVENUEMANASSASVA20110NONEPCBEAT CANCER$24,432
PRINCE WILLIAM HEALTH PARTNERSHIP
2296 OPITZ BLVDWOODBRIDGEVA22191NONEPCHEAL$11,500
PRINCE WILLIAM HEALTH PARTNERSHIP
2296 OPITZ BLVDWOODBRIDGEVA22191NONEPCHEAL$45,000
PRINCE WILLIAM HEALTH PARTNERSHIP
2296 OPITZ BLVDWOODBRIDGEVA22191NONEPCLIVE WELL! EMPLOYEE WELLNESS PROGRAM$4,500
PRINCE WILLIAM SOCCER INC
14716 MINNIEVILLE RDWOODBRIDGEVA22193NONEPCTHE COURAGE F.U.N. PROJECT$15,466
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCPREVENTING FALLS FOR SENIORS AND PERSONS WITH DISABILITIES$59,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCFALL PREVENTION PROGRAM FOR SENIORS AND OTHER AT RISK PROGRAMS. HOME REPAIRS AND SCREENINGS.$17,000
RAINBOW CENTER
5605 ANTIOCH RDHAYMARKETVA20169NONEPCTHE MANE EXPERIENCE$6,504
RAINBOW CENTER
5605 ANTIOCH RDHAYMARKETVA20169NONEPCTHE MANE EXPERIENCE$63,549
RAPPAHANNOCK AREA AGENCY ON AGING
460 LENDALL LANEFREDERICKSBURGVA22405NONEPCRAAA AQUIA GARRISONVILLE HEALTHCARE PROJECT$3,000
RAPPAHANNOCK AREA AGENCY ON AGING
460 LENDALL LANEFREDERICKSBURGVA22405NONEPCTHE RAAA AQUIA GARRISONVILLE HEATHCARE PROJECT$10,369
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCMEDICATION ACCESS FOR THE UNINSURED$2,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCMEDICATION ACCESS FOR THE UNINSURED$22,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCRETURN OF GRANT FUNDS-$101,955
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCEVERY BABY, EVERY TIME!$10,684
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCEVERY BABY, EVERY TIME!$110,147
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION MOBILE VANS$19,575
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCCHF CARE TRANSITIONS$75,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION OUTREACH WORKER$15,220
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION MOBILE VANS$135,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCHISPANIC DIABETES OUTREACH PROGRAM$36,388
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCSENTARA POTOMAC WOMEN'S HEALTH MAMMOVAN$168,357
SENTARA POTOMAC HOSPITAL
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCCARE COORDINATION FOR LOW INCOME, UNINSURED PATIENTS FROM SENTARA TO REFER THEM TO A MEDICAL HOME.$10,227
SENTARA POTOMAC HOSPITAL
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCDIABETES EDUCATION PROGRAM THROUGH INDIVIDUAL AND GROUP EDUCATION SESSIONS.$12,937
SENTARA POTOMAC HOSPITAL
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCSUPPORT FOR MAMMOGRAPHY VAN. PROVISION OF MAMMOGRAPHIES AND FOLLOW UP CARE FOR LOW INCOME, UNINSURED WOMEN.$119,462
SIDS MID-ATLANTIC
PO BOX 799HAYMARKETVA20168NONEPCCRIBS FOR KIDS$1,500
STREET LIGHT COMMUNITY OUTREACH MINISTRIES
1550 PRINCE WILLIAM PKWY SUITE BWOODBRIDGEVA22191NONEPCPERMANENT SUPPORTED HOUSING & RESPITE CARE FOR MEDICALLY FRAGILE HOMELESS ADULT$19,500
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCMEDICAL CASE MANAGEMENT$44,800
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCEQUIPMENT & SUPPLIES FOR MEDICAL & THERAPEUTIC SVCS$8,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCFITTING IN$11,400
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCFITTING IN$94,500
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCFITTING IN$10,800
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE HOUSE, INC.'S EMPOWERMENT CENTER$95,400
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCMENTAL HEALTH SERVICES FOR UNDERSERVED YOUTH.$50,970
VA FDN FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STRICHMONDVA23219NONESO III FIFELLOWS PROGRAM$75,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCYOUTH FOR TOMORROW CRISIS INTERVENTION COUNSELING PROGRAM$14,058
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCYOUTH FOR TOMORROW CRISIS INTERVENTION COUNSELING PROGRAM$155,340
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCYFT DIAGNOSTIC AND ASSESSMENT CENTER$127,874
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCACCESS TO DIAGNOSTIC AND ASSESSMENT SERVICES FOR CHILDREN, YOUTH, AND FAMILIES.$62,813
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$4,395,816TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (51 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCHELPLINE ASSISTANCE AND OUTREACH PROJECT & MEDICAL CAREGIVER PRGM$4,000
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCHELPLINE ASSISTANCE AND OUTREACH PROJECT$13,265
ACTION IN COMMUNITY THROUGH SERVICE
3900 ACTS LANEDUMFRIESVA22026NONEPCMEDICAL CAREGIVERS TRAINING PROGRAM$13,870
AMERICAN HEART ASSOCIATION
4301 FAIRFAX DRIVE SUITE 530ARLINGTONVA22203NONEPCCPR ANYTIME$20,160
ASPIRA ASSOCIATION INC
1444 I STREET NW SUITE 800WASHINGTONDC20005NONEPCPROMOTING HEALTH AND WELLNESS BY EMPOWERING LATINO YOUTH AND COMMUNITY$36,137
BRAIN INJURY SERVICES
4301 FAIRFAX DRIVE SUITE 530ARLINGTONVA22203NONEPCNEUROBEHAVIORAL TREATMENT FOR BRAIN INJURY IN EASTERN PRINCE WILLIAM COUNTY$8,949
BRAIN INJURY SERVICES
8136 OLD KEENE MILL ROADSPRINGFIELDVA22152NONEPCNEUROBEHAVIORAL TREATMENT FOR BRAIN INJURY$12,780
CHANGE IN ACTION INC
128884 HARBOR DRIVE SUITE 203WOODBRIDGEVA22192NONEPCBEHAVIORAL MANAGEMENT FOR HEALTHY RELATIONSHIPS$72,725
EMPLOYMENT SOLUTIONS FOR DEAF AND HARD OF HEARING
1984 OPTIZ BLVDWOODBRIDGEVA22191NONEPCPROVIDING ACCESS TO HEALTHCARE FOR THE DEAF COMMUNITY (PAH!)$4,348
EMPLOYMENT SOLUTIONS FOR DEAF AND HARD OF HEARING
1984 OPTIZ BLVDWOODBRIDGEVA22191NONEPCPROVIDING ACCESS TO HEALTHCARE FOR THE DEAF COMMUNITY (PAH!)$2,500
GEORGE MASON UNIVERSITY
10900 UNIVERSITY BLVD MS 4E5MANASSASVA20110NONEPCCONCUSSION PREVENTION AND EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS.$114,431
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCEXPANDING ACCESS TO DENTAL SERVICES IN PRINCE WILLIAM COUNTY$28,204102
GREATER PW COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192NONEPCINTEGRATED & COORDINATED HEALTH CARE AHOME$15,000102
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BLVDFREDERICKSBURGVA22401NONEPCGENERAL OPERATING FUNDS$15,000
MANASSAS MIDWIFERY
9171 KEY COMMONS COURTMANASSASVA20110NONEPCIMPROVING BIRTH & EARLY CHILDHOOD OUTCOMES$2,500
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCMCCP FOUNDATION PROJECT PEARLY WHITES - LORTON$16,803
MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION
1616 ANDERSON ROADMCLEANVA22102NONEPCMEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION$18,863
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVENUE SUITE 310WASHINGTONDC20016NONEPCPOISON CONTROL SERVICES AND HOTLINE FOR INDIVIDUALS IN POTOMAC HEALTH FOUNDATION SERVICE AREA.$16,500
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCPRINCE WILLIAM HEALTHLINK$27,931
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BLVD SUITE 120FALLS CHURCHVA22042NONEPCHSN - RX MEDICATIONS FOR LOW INCOME$20,000
NUEVA VIDA INC
5225 WISCONSIN AVE NW SUITE 503WASHINGTONDC20015NONEPCREDUCING FRAGMENTATION AND IMPROVING CONTINUITY OF CARE ACROSS THE BREAST CANCER CONTINUUM$36,430
PEDIATRIC PRIMARY CARE PROJECT (NVFS)
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124NONEPCKIDS CONNECT-$1,000
POTOMAC AND RAPPAHANNOCK TRANSPORTATION COMMISSION
14700 POTOMAC MILLS ROADWOODBRIDGEVA22192NONEPCTRANSPORTATION VOUCHER PROGRAM TO FACILITATE ACCESS TO HEALTH CARE NEEDS$160,680
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCMEDICATION ACCESS CASE MANAGEMENT$8,639
PRINCE WILLIAM AREA FREE CLINIC
13900 CHURCH HILL DRIVEWOODBRIDGEVA22191NONEPCCYCLE 14A UNIFIED HEALTH CENTER$13,492
PRINCE WILLIAM COUNTY DEPT OF SOCIAL SERVICES
15941 DONALD CURTIS DRIVE SUITE 180WOODBRIDGEVA22191NONEPCCASE COORDINATOR FOR HEALTH AND SUPPORTING SERVICES: ACCESS FOR THE MOST VULNERABLE HOMELESS ADULTS$11,996
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCCOORDINATED MENTAL HEALTH SUPPORT FOR AT-RISK YOUTH$34,494
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCHUMAN TRAFFICKING PREVENTION, IDENTIFICATION, AND REFERRAL$31,485
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS
14715 BRISTOW ROADMANASSASVA20112NONEPCPRINCE WILLIAM COUNTY SCHOOL OF PRACTICAL NURSING$12,600
PRINCE WILLIAM HEALTH DISTRICT
9301 LEE AVENUEMANASSASVA20110NONEPCBEAT CANCER BREAST EDUCATION AWARENESS & TREATMENT$24,312
PRINCE WILLIAM SOCCER INC
14716 MINNIEVILLE RDWOODBRIDGEVA22193NONEPCYR1 THE COURAGE F.U.N. PROJECT$10,311
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCYR3 PREVENTING FALLS FOR SENIORS AND PERSONS WITH DISABILITIES$25,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110NONEPCFALL PREVENTION PROGRAM FOR SENIORS AND OTHER AT RISK PROGRAMS. HOME REPAIRS AND SCREENINGS.$8,500
RAINBOW CENTER
5605 ANTIOCH RDHAYMARKETVA20169NONEPCCYCLE 14A THE MANE EXPERIENCE$7,061
RAPPAHANNOCK AREA AGENCY ON AGING
460 LENDALL LANEFREDERICKSBURGVA22405NONEPCTHE RAAA AQUIA GARRISONVILLE HEATHCARE PROJECT$12,000
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294NONEPCCYCLE 14A MEDICATION ACCESS FOR THE UNINSURED$2,500
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCEVERY BABY, EVERY TIME!$12,239
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCCARE TRANSITIONS$50,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION OUTREACH WORKER$10,147
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCFAMILY HEALTH CONNECTION MOBILE VANS$15,000
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCHISPANIC DIABETES OUTREACH PROGRAM$24,258
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BLVDWOODBRIDGEVA22191NONEPCSENTARA POTOMAC WOMEN'S HEALTH MAMMOVAN$144,184
STREET LIGHT COMMUNITY OUTREACH MINISTRIES
1550 PRINCE WILLIAM PKWY SUITE BWOODBRIDGEVA22191NONEPCPERMANENT SUPPORTED HOUSING & RESPITE CARE FOR MEDICALLY FRAGILE HOMELESS ADULTS$18,192
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCMEDICAL CASE MANAGEMENT$23,200
THE ARC OF GREATER PRINCE WILLIAMINSIGHT INC
13505 HILLENDALE DRIVEDALE CITYVA22193NONEPCEQUIPMENT & SUPPLIES FOR MEDICAL & THERAPEUTIC SVCS$4,000
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCFITTING IN$10,500
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCFITTING IN$1,200
THE HOUSE INC STUDENT LEADERSHIP CENTER
14001 CROWN COURTWOODBRIDGEVA22193NONEPCTHE HOUSE, INC.'S EMPOWERMENT CENTER$63,600
VA FDN FOR COMMUNITY COLLEGE EDUCATION
101 N 14TH STRICHMONDVA23219NONESO III FIFELLOWS PROGRAM$50,000
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCYOUTH FOR TOMORROW CRISIS INTERVENTION COUNSELING PROGRAM$17,260
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA22136NONEPCDIAGNOSTIC AND ASSESSMENT CENTER$85,249
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,391,995TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$457ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$4,506,808ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,998,779ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$6,506,044ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$6,506,044TotalIncomeProducingActyAmt

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$37,605Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$37,010DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (15 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI CORE FIXED INCOME FUND 1,279,256.134 SHARESFMV$13,534,532$13,534,532
SEI SPECIAL SITUATIONS FUND LTD 2,903.787 SHARESFMV$3,851,128$3,851,128
SEI SMALL CAP FUND (SLPAX) 164,674.78 SHARESFMV$3,062,951$3,062,951
SEI INSTITUTIONAL INVESTMENT TRUST 307,131.879 SHARESFMV$2,988,393$2,988,393
SIIT EMERGING MARKETS DEBT FUND SEDAX 484,173.825 SHARESFMV$4,962,782$4,962,782
SIIT ULTRA SHORT DURATION BOND FUND 815,792.132 SHARESFMV$8,174,237$8,174,237
SEI CORE PROPERTY FUND 7,875.893 SHARESFMV$12,120,461$12,120,461
SEI US MANAGED VOL FUND 280,043.855 SHARESFMV$4,332,278$4,332,278
SIIT MULTI ASSET REAL RETURN FUND 775,881.785 SHARESFMV$7,013,971$7,013,971
GLOBAL MANAGED VOL FUND (SVTAX) 644,560.532 SHARESFMV$7,554,249$7,554,249
SEI LARGE CAP FUND (SLCAX) 715,312.62 SHARESFMV$16,967,215$16,967,215
SEI SIIT OPPORTUNISTIC INCOME FD-A 624,165.876 SHARESFMV$5,149,368$5,149,368
SEI WORLD EQUITY EX-US FUND (WEUSX) 796,509.739 SHARESFMV$9,900,616$9,900,616
SEI OFFSHORE OPP II CLASS F ESCROW 449,864.730 SHARESFMV$0$0
EMERGING MARKETS EQUITY FUND (SIEMX) 271,852.311 SHARESFMV$2,957,753$2,957,753

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE & EQUIPMENTCategoryOrItemTxt
Cost Or Other Basis$33,563CostOrOtherBasisAmt
Accumulated Depreciation$23,014AccumulatedDepreciationAmt
Book Value$10,549BookValueAmt
EOYFMV$10,549EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$100LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$100DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescEXCISE TAX OVERPAYMENTDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$16,994EOYBookValueAmt
EOYFMV$16,994EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$10,795$0$19,101
TECH EXPENSE$13,541$0$14,941
OTHER EXPENSE$3,859$0-$21,791
INSURANCE$2,134$0$2,134
SEI CORE PROPERTY FUND, LP OTHER DEDUCTIONS$0$34,319$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINDescription
Amount$841,087Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$13,769$10,621
DEFERRED TAX LIABILITY$99,574$102,977

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$389,045$389,045$0
CONSULTANT FEES$510$0$510

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$60,984Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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