Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 04-01-2013 , and ending 03-31-2014
Name of foundation
OBICI HEALTHCARE FOUNDATION INC
 
% MICHAEL BRINKLEY
Number and street (or P.O. box number if mail is not delivered to street address)106 W FINNEY AVENUESuiteRoom/suite
City or town, state or province, country, and ZIP or foreign postal code
SUFFOLK, VA23434
A Employer identification number

51-0249728
B Telephone number (see instructions)

(757) 539-8810
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$117,388,046J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 9,621
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 371,961 371,961  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 5,189,769
b Gross sales price for all assets on line 6a 21,915,549
7 Capital gain net income (from Part IV, line 2)... 5,788,789
8 Net short-term capital gain.........  
9 Income modifications........... 27,915
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 2,453,518 5,544,576  
12 Total. Add lines 1 through 11........ 8,024,869 11,705,326 27,915
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 223,114     223,114
14 Other employee salaries and wages...... 295,098     295,098
15 Pension plans, employee benefits....... 143,445     139,928
16a Legal fees (attach schedule)......... Click to see attachment 3,413 0 0 435
b Accounting fees (attach schedule)....... Click to see attachment 48,209 0 0 48,209
c Other professional fees (attach schedule).... Click to see attachment 976,018 944,002   29,220
17 Interest............... 68,357 1,650    
18 Taxes (attach schedule) (see instructions) Click to see attachment 396,422     409
19 Depreciation (attach schedule) and depletion... Click to see attachment 113,469    
20 Occupancy.............. 28,003     28,008
21 Travel, conferences, and meetings....... 19,040     18,281
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 138,712     131,615
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,453,300 945,652 0 914,317
25 Contributions, gifts, grants paid........ 4,004,821 3,599,033
26 Total expenses and disbursements. Add lines 24 and 25 6,458,121 945,652 0 4,513,350
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,566,748
b Net investment income (if negative, enter -0-) 10,759,674
c Adjusted net income (if negative, enter -0-)... 27,915
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 30,275 46,699 46,699
2 Savings and temporary cash investments.......... 8,085,912 9,681,367 9,681,367
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 17,368    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 23,402,763 Click to see attachment12,435,505 12,435,505
c Investments—corporate bonds (attach schedule)........ 3,245,423 Click to see attachment1,127,827 1,127,827
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 68,058,499 Click to see attachment91,459,690 91,459,690
14 Land, buildings, and equipment: basis bullet2,435,335
Less: accumulated depreciation (attach schedule) bullet502,150 2,039,754 Click to see attachment1,933,185 1,933,185
15 Other assets (describe bullet) Click to see attachment705,275 Click to see attachment703,773 Click to see attachment703,773
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 105,585,269 117,388,046 117,388,046
Liabilities 17 Accounts payable and accrued expenses.......... 90,616 212,486
18 Grants payable................... 946,337 1,352,124
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 1,663,333 1,594,621
22 Other liabilities (describe bullet) Click to see attachment423,256 Click to see attachment648,839
23 Total liabilities (add lines 17 through 22).......... 3,123,542 3,808,070
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 102,461,727 113,579,976
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 102,461,727 113,579,976
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 105,585,269 117,388,046
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 102,461,727
2 Enter amount from Part I, line 27a..................... 2 1,566,748
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 11,426,513
4 Add lines 1, 2, and 3.......................... 4 115,454,988
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 1,875,012
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 113,579,976
Form 990-PF (2013)
Form 990-PF (2013)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a KYLIN      
b MERCHANTS GATE      
c NANTAHALA      
d MUTUAL FUNDS: EQUITIES 7042065      
e MUTUAL FUNDS: BONDS 7042066      
BARES MICRO-CAP 7916949      
BARES SMALL-CAP 7947946      
FIDUCIARY MANAGEMENT 7943096      
SHAPIRO      
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 330,447   330,447  
b 3,696,522   3,000,000 696,522
c 1,000,000   1,097,502 -97,502
d 3,287,892   2,818,442 469,450
e 2,059,725   2,038,711 21,014
447,678     447,678
163,025     163,025
5,540,964   3,774,090 1,766,874
6,000,000   3,678,272 2,321,728
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a        
b       696,522
c       -97,502
d       469,450
e       21,014
      447,678
      163,025
      1,766,874
      2,321,728
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 5,788,789
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3 0
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2012 5,048,525 97,275,806 0.051899
2011 4,880,044 98,061,055 0.049765
2010 2,922,574 95,843,857 0.030493
2009 5,568,576 87,471,067 0.063662
2008 5,862,506 88,420,528 0.066303
2 Total of line 1, column (d) ...................... 2 0.262122
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.052424
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 106,786,977
5 Multiply line 4 by line 3....................... 5 5,598,200
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 107,597
7 Add lines 5 and 6......................... 7 5,705,797
8 Enter qualifying distributions from Part XII, line 4.............. 8 4,524,276
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2013)
Form 990-PF (2013)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 215,193
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 215,193
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 215,193
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 54,000
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 165,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 219,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,807
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet3,807 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletVA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletHTTP://WWW.OBICIHCF.ORG/
    14
    The books are in care ofbulletMICHAEL BRINKLEY Telephone no.bullet (757) 539-8810
    Located atbullet106 W FINNEY AVENUESUFFOLKVA ZIP+4bullet23434
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
    foreign country bullet  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2013?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If "Yes," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2013.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2013?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    GEORGE Y BIRDSONG CHAIRMAN
    1.0     		0 0 441
    1514 HOLLAND ROAD SUITE 104
    Suffolk,VA23434
    J SAMUEL GLASSCOCK VICE CHAIRMAN
    1.0     		0 0 441
    1514 Holland Road Suite 104
    Suffolk,VA23434
    GINA PITRONE EXECUTIVE DIRECTOR
    40.0     		162,712 28,233 441
    1514 Holland Road Suite 104
    Suffolk,VA23434
    MICHAEL K BRINKLEY DIRECTOR OF FINANCE
    20.4     		60,402 3,020 441
    1514 Holland Road Suite 104
    Suffolk,VA23434
    FRANK A SPADY III TREASURER
    1.0     		0 0 441
    1514 Holland Road Suite 104
    Suffolk,VA23434
    RICHARD F BARRY III BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    ROBERT C CLAUD BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    JEFFREY D FORMAN MD BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    WILLIAM G JACKSON MD BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    DR DOUGLAS C NAISMITH BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    B J WILLIE BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    LULA B HOLLAND SECRETARY
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    HAROLD U BLYTHE BOARD OF DIRECTORS
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    Clarissa McAdoo Board of Directors
    1.0     		0 0 441
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    RICHARD E SPENCER JR SR. PROGRAM OFFICER
    40.0     		90,303 27,162 0
    1514 HOLLAND ROAD SUITE 104
    SUFFOLK,VA23434
    TAMMIE A MULLINS-RICE PROGRAM OFFICER
    40.0     		62,296 17,251 0
    1514 HOLLAND ROAD SUITE 104
    SUFFOLK,VA23434
    CATHY J HUBBARD GRANTS ASSOCIATE
    40.0     		51,563 4,853 0
    1514 HOLLAND ROAD SUITE 104
    SUFFOLK,VA23434
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    CORNERSTONE PARTNERS LLC INVESTMENT MGMT 673,316
    675 PETER JEFFERSON PARKWAY
    CHARLOTTESVILLE,VA22911
    SHAPIRO CAPITAL MANAGEMENT LLC INVESTMENT MGMT 78,334
    3060 PEACHTREE ROAD NW SUITE 1555
    ATLANTA,GA30305
    Bares Capital Management Inc INVESTMENT MGMT 86,261
    12600 Hill Country Blvd Suite R-2
    AUSTIN,TX78738
    SUNTRUST BANK INC HDQ 5307 INVESTMENT CUSTODIAN 69,728
    919 EAST MAIN STREET
    RICHMOND,VA23219
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    5,339,349
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    215,193
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    215,193
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    5,124,156
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    27,915
    5
    Add lines 3 and 4............................
    5
    5,152,071
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    5,152,071
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 5,152,071
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 4,253,175
    b Total for prior years:2011, 2010, 2009  
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009....... 0
    c From 2010....... 0
    d From 2011....... 0
    e From 2012....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 4,524,276
    a Applied to 2012, but not more than line 2a 4,253,175
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2013 distributable amount..... 271,101
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2013. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		4,880,970
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010.... 0
    c Excess from 2011.... 0
    d Excess from 2012.... 0
    e Excess from 2013.... 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CATHY HUBAND
    106 W FINNEY AVENUE
    SUFFOLK,VA23434
    (757) 539-8810
    bThe form in which applications should be submitted and information and materials they should include:
    GRANT SEEKERS MUST SUBMIT THE REQUEST FOR PROJECT SUPPORT AND CONDITIONS OF GRANT FORM. IN ADDITION: 1. IRS DETERMINATION LETTER OR A WRITTEN DOCUMENT CERTIFYING TAX EXEMPT STATUS 2. BIOGRAPHICAL PROFILE OF KEY STAFF 3. ANNUAL REPORT, IF AVAILABLE 4. DETAILED ANNUAL BUDGET
    cAny submission deadlines:
    RENEWALS - JANUARY 15 & JULY 15 OF EACH YEAR GRANTS - JANUARY 15 & JULY 15 OF EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    RESTRICTIONS: - LOBBYING OR POLITICAL PROGRAMS OR EVENTS - ACTIVITIES THAT EXCLUSIVELY BENEFIT THE MEMBERS OF SECTARIAN OR RELIGIOUS ORGANIZATIONS - ORGANIZATIONS THAT DISCRIMINATE BY RACE, COLOR, CREED, GENDER OR NATIONAL ORIGIN - BIOMEDICAL, CLINICAL OR EDUCATIONAL RESEARCH - INDIVIDUAL SCHOLARSHIPS - DIRECT SUPPORT TO ENDOWMENTS - FUNDING THAT SUPPLANTS EXISTING SOURCES OF SUPPORT - INDIVIDUALS, INCLUDING PATIENT ASSISTANCE FUNDS - ANNUAL FUND DRIVES - PROJECTS OUTSIDE OF THE FOUNDATION'S SERVICE AREA - MEETINGS AND CONFERENCES, UNLESS THEY ARE ESSENTIAL TO A LARGER PROJECT - DIRECT FUNDING FOR MEDICAL OR SOCIAL SERVICES TAHT ARE ALREADY FUNDED THROUGH EXISTING THIRD-PARTY REIMBURSEMENT SOURCES
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Access Partnership
    P O Box 41093
    Norfolk,VA23451     		  PC To fund Access Partnership's strategic planning review and update for years 2013 - 2016. 5,000
    Albemarle Regional Health Services
    711 Roanoke Avenue P O Box 189
    Elizabeth City,NC27909     		  PC To implement a comprehensive diabetes plan in Gates County, North Carolina. 2,456
    Alzheimer's AssN - Southeastern Virginia ChAPTER
    6350 Center Drive Suite 102
    Norfolk,VA23502     		  PC The Walk to End Alzheimer's is fund raising event which raises awareness and funds for Alzheimer's care, support and research. 1,000
    American Cancer Society
    4416 Expressway Dr
    Virginia Beach,VA23452     		  PC To support the 2013 Suffolk Relay for Life fundraiser to benefit the American Cancer Society efforts to find a cure for cancer. 1,000
    American Diabetes Association
    870 Greenbrier Circle Suite 404
    Chesapeake,VA23320     		  PC To train ambassadors in high health-risk congregations to raise awareness of diabetes and stress the importance of early detection, disease management and health risk factors. 17,428
    American Diabetes Association
    870 Greenbrier Circle Suite 404
    Chesapeake,VA23320     		  PC To support the 2014 Tour de Cure, a regional cycling event that raises funds and awareness about diabetes and its effects on health. 2,500
    Applewood Farms Home Owners Association
    112 Benham Court
    Suffolk,VA23434     		  NC To sponsor the 2013 National Night Out event to promote and educate neighborhoods' involvement in crime prevention, police-community partnerships, neighborhood camaraderie and to include information on health and wellness and to offer healthful foods and dancing and exercise. 5,000
    Bon Secours Maryview Foundation
    150 Kingsley Lane
    Norfolk,VA23505     		  SO I To provide free, mobile medical services to medically underserved in Western Tidewater. 112,500
    Bon Secours Maryview Foundation
    150 Kingsley Lane
    Norfolk,VA23505     		  SO I To fund supplies for the free Community Diabetes Screening. 915
    Bon Secours Maryview Foundation
    150 Kingsley Lane
    Norfolk,VA23505     		  SO I To fund the Bon Secours Care-A-Van at the 2014 Mission of Mercy event to be used for the screening of uninsured, underinsured or unemployed individuals prior to their dental care. 3,404
    Catholic Charities of Eastern Virginia
    5361 Virginia Beach Blvd
    Virginia Beach,VA23462     		  PC To provide Life Coaches in Sentara Obici Hospitals Emergency Room to help uninsured or underinsured patients secure primary care services or other resources. 17,855
    Catholic Charities of Eastern Virginia
    5361 Virginia Beach Blvd
    Virginia Beach,VA23462     		  PC Capacity building funding for the "Companion Care" program which will focus on senior citizen's ability to live independently at home. 3,200
    Cerebral Palsy of Virginia
    5825 Arrowhead Drive Suite 201
    Virginia Beach,VA23462     		  PC To give primary caregivers a respite (meals, entertainment, overnight stay and a respite provider) from daily stresses of caring for a family member with a disability. 3,000
    City of Suffolk
    PO Box 1858
    Suffolk,VA23439     		  PC To provide adults and youth with increased physical activity and better nutrition using the Get Up and Get Out program. 3,179
    City of Suffolk
    PO Box 1858
    Suffolk,VA23439     		  PC To provide youth with opportunities to increase physical activity and improve healthy eating choices. 11,922
    Colonial Virginia Council Boy Scouts of America
    11721 Jefferson Avenue
    Newport News,VA23606     		  PC To support the annual fundraising dinner celebrating recent Eagle Scouts and Lifetime Achievement Awards and Community Pillars. 2,500
    Cover 3 Foundation
    P O Box 456
    Franklin,VA23851     		  PC To support an after-school and summer feeding program for at-risk and low-income children. 7,500
    Cover 3 Foundation
    P O Box 456
    Franklin,VA23851     		  PC To relocate the kitchen and administration to a larger facility enabling the feeding of more children. 18,000
    Cover 3 Foundation
    P O Box 456
    Franklin,VA23851     		  PC To support Cover 3's New Year's Eve fundraiser where proceeds to go toward the purchase of fresh fruits and vegetables for the C3 Kid's Meals. 1,000
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To increase the number of medical encounters at the Western Tidewater Free Clinic by scheduling family medicine residents, third-year medical students and an attending physician. 41
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To raise awareness and reduce the risk of diabetes by educating physicians, conducting screenings and implementing a telephonic care management plan. 17,741
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To engage medical residents and third-year medical students in giving care to patients at the Western Tidewater Free Clinic, thereby increasing medical care access. 50,625
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To reduce the risk of diabetes by educating physicians, conducting screenings and implementing a telephonic care management plan for referred patients. 77,173
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To plan for the establishment of a Specialty Care Center that will improve access to specialty care and decrease complications associated with pre-diabetes and diabetes. 12,500
    Education Fdtn for Isle of Wight Public Schools
    820 West Main Street
    Smithfield,VA23430     		  PC To support the 7th Annual Students First Dinner and Auction to benefit the students in Isle of Wight County Public Schools. 1,000
    Eternawell
    6546 Hampton Roads Parkway No 12
    Suffolk,VA23434     		  NC To support a Healthy People Healthy Suffolk Walking Group in North Suffolk. 250
    First Tee Hampton Roads
    2400 Tournament Drive
    Virginia Beach,VA23456     		  PC To honor the service of Mr. Robert Hayes, Board Emeritus, with support of First Tee of Hampton Roads. 1,000
    Foodbank of Southeastern Virginia
    PO Box 1940
    Norfolk,VA23501     		  PC To provide free food with high nutritional value from the Foodbank's Suffolk Mobile Pantry for diabetic clients. 25,000
    Foodbank of Southeastern Virginia
    PO Box 1940
    Norfolk,VA23501     		  PC To provide diabetic clients with high nutritional value foods from the Foodbank's Suffolk Mobile Pantry. 18,750
    ForKids Inc
    PO Box 6044
    Norfolk,VA23508     		  PC To expand homeless prevention and permanent supportive housing programming in Western Tidewater and to provide medical case management services. 12,500
    ForKids Inc
    PO Box 6044
    Norfolk,VA23508     		  PC To improve access to medical and mental health services for homeless families. 56,250
    Franklin City Department of Social Services
    306 N Main Street
    Franklin,VA23851     		  PC To support the third annual "No Excuse for Child Abuse" Poker Run. 300
    Gates Partners for Health
    29 Medical Center Rd
    Gates,NC27937     		  PC To support a heart healthy seminar, dinner and panel discussion directed at health centers and churches. 1,500
    Gateway Community Health Center
    P O Box 297
    Gatesville,NC27938     		  PC To expand services that support Gates County residents who are diabetic, pre-diabetic or at high risk for developing diabetes. 67,849
    Girls on the Run South Hampton Roads
    921 First Colonial Rd Suite 1707
    Virginia Beach,VA23454     		  PC To fund the purchase of curriculum, water bottles and lesson materials for an after-school running and exercise program for 8-12 year old girls. 5,000
    Hampton Roads Chamber of Commerce
    500 East Main Street Suite 700
    Norfolk,VA23510     		  NC To sponsor the May 2013 Suffolk Mingle on Main event featuring the Peanut City Cloggers. 500
    Horizon Health Services
    PO Box 29
    Waverly,VA23890     		  PC To provide dental care and smoking cessation services in Franklin, Southampton, Surry and Sussex service areas. 37,500
    Isle of Wight Christian Outreach Program
    P O Box 253
    Smithfield,VA23431     		  PC To provide basic dental healthcare access to the uninsured elderly in the Isle of Wight area, most of whom are at or below the poverty level. 1,550
    Isle of Wight Christian Outreach Program
    P O Box 253
    Isle of Wight,VA23431     		  PC To help remodel a facility where low-income persons can receive health and social services. 90,000
    Isle of Wight County Department of Social Services
    17100 Monument Circle Suite A
    Smithfield,VA23397     		  PC For a proactive outreach program to increase the number of children and families enrolled in Medicaid and FAMIS in Isle of Wight County. 65,796
    Isle of Wight Educational Foundation Inc
    17111 Courthouse Highway P O Box
    Isle of Wight,VA23397     		  PC To purchase a commercial salad bar for the Isle of Wight Academy's lunch room. 3,900
    Isle of Wight Educational Foundation Inc
    17111 Courthouse Highway P O Box
    Isle of Wight,VA23397     		  PC To fund early childhood specialized play equipment designed to aid in the prevention of early childhood obesity. 5,000
    Johns Hopkins Scleroderma Center
    5200 Eastern Avenue Mason F Lord
    Baltimore,MD212242735     		  PC To support the Scleroderma Win the Fight Walk and Car Show awareness and fundraiser. 500
    Nansemond-Suffolk Academy
    3373 Pruden Blvd
    Suffolk,VA23434     		  PC To develop a "kid-to-kid" social marketing obesity prevention awareness campaign. 347
    National Kidney Foundation Serving Virginia
    1742 East Parham
    Richmond,VA23228     		  PC The Hampton Roads Kidney Walk community fundraiser creates an opportunity to celebrate life, build lasting community advocacy and to call attention to the prevention of kidney disease and the need for organ donation. 2,000
    Paul D Camp Community College
    PO Box 737
    Franklin,VA23851     		  PC To renovate the Suffolk Health Sciences Skills Laboratory into a modern, innovative space to meet the needs of today's nursing students. 36,000
    Recovery for LifeRecovery for the City Intl
    3419 B6 Virginia Beach Blvd
    Virginia Beach,VA23452     		  PC To fund the development of health ministries through the education and distribution of health materials to faith and lay leaders. 5,000
    Rushmere Community Development Corporation
    4796 Old Stage Hwy
    Smithfield,VA23430     		  PC Training Assistance for Volunteer Hampton Road's Board Boot Camp. 150
    RX Partnership
    2924 Emerywood Pkwy Suite 300
    Richmond,VA23294     		  PC TO PROVIDE FREE PRESCRIPTION MEDICATION AND LOW-COST SUPPLIES TO LOW-INCOME, UNINSURED RESIDENTS SERVED BY WESTERN TIDEWATER FREE CLINIC. 7,500
    RX Partnership
    2924 Emerywood Pkwy Suite 300
    Richmond,VA23294     		  PC To sponsor the Rx Partnership Annual Affiliate Roundtable in July 2013. 2,000
    RX Partnership
    2924 Emerywood Pkwy Suite 300
    Richmond,VA23294     		  PC To provide free prescription medication and low-cost supplies to low-income, uninsured residents served by the Western Tidewater Free Clinic. 5,625
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC To expand the MedCare Access program by training volunteer benefit counselors. 7,501
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC For training Benefit Counselor volunteers in an expansion of the MedCare Access program. 67,500
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC To sponsor the Medicare Health Fair and Expo at the Silver Level which provided educational programs and Medicare counseling for senior citizens. 2,500
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC To rehabilitate the historical Hayden High school in Franklin, Virginia, and provide inter-generational health and wellness services to the community. 250,000
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To develop and implement a hospital-based, universal risk screening during pregnancy or at birth that connects new parents with appropriate community resources. 13,728
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide uninsured patients with case management services that improve self-care disease management skills from hospital to home. 28,125
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC For a hospital-based, universal risk screening during pregnancy or at birth that connects new parents with appropriate community resources. 92,666
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To purchase necessary telemedicine equipment to improve access to behavioral health services in the emergency departments at Sentara Obici Hospital and BelleHarbour. 11,282
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To support analysis by a cardiac nurse and a clinical dietician of local restaurant menus and further to indicate on the analyzed menus those heart and diabetic healthy options. 4,000
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide uninsured patients with case management services that improve self-care disease management skills from hospital to home. 18,750
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide Life Coaches in Sentara Obici Hospitals Emergency Room who will help uninsured and underinsured patients obtain primary care services or other resources. 37,500
    Smart Beginnings Western Tidewater
    601 North Mechanic StreetSuite 203
    Franklin,VA23851     		  PC To increase the number of Western Tidewater children enrolled in FAMIS. 16,000
    Smart Beginnings Western Tidewater
    601 North Mechanic StreetSuite 203
    Franklin,VA23851     		  PC To fund quarterly workshops for the professional development of preschool providers on the subjects of nutrition and health. 2,500
    Smithfield and IOW Convention and Visitor Bureau
    319 Main Street PO Box 37
    Smithfield,VA23430     		  PC To provide funding so that the Smithfield Farmers Market can advertise the local, fresh produce and educate the public on supporting local farms and the benefit of eating healthy. 2,500
    Southeastern Council of Foundations
    50 Hurt Plaza Suite 350
    Atlanta,GA30303     		  PC To sponsor the Southeastern Council of Foundations Annual Meeting. 5,000
    Southeastern Virginia Health System
    1033 28th St 2nd Floor
    Newport News,VA23607     		  PC To provide access to clinical intervention/ primary care services for the diagnosis and management of diabetes and oral health. 25,000
    Southeastern Virginia Health System
    1033 28th St 2nd Floor
    Newport News,VA23607     		  PC To provide access to clinical intervention/ primary care services for the diagnosis and management of diabetes and oral health. 225,000
    Southeastern Virginia Health System
    1033 28th St 2nd Floor
    Newport News,VA23607     		  PC To support a fundraiser to cover procedures such as colonoscopies, breast and prostate screenings for the uninsured/underinsured patient populations. 1,000
    Suffolk Department of Social Services
    135 Hall Avenue
    Suffolk,VA23434     		  PC To increase the number of children and families enrolled in Medicaid and FAMIS. 23,007
    Suffolk Family YMCA
    2769 Godwin Blvd
    Suffolk,VA23434     		  PC To increase cardiovascular fitness, physical strength and life skills for youth participating in an after-school jump rope program. 30,938
    Suffolk Literacy Council
    157 North Main Street 2nd Floor
    Suffolk,VA23434     		  PC Support for two bi-annual Suffolk Literacy events, 2 Your Health, where reading of both prescription labels and food labels is taught by pharmacists and dieticians. 2,000
    Suffolk Meals on Wheels
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC For meal delivery to seniors and disabled recipients who are homebound and/or home alone in Suffolk and Isle of Wight County. 42,496
    Suffolk Meals on Wheels
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide funds for marketing to short-term and young disability individuals who may be in need of the nutritious meal delivery service. 2,000
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC To develop a comprehensive plan encouraging active lifestyles for Suffolk citizens that includes community engagement, environmental change and measurable outcomes. 9,848
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC For implementation of a 10-year community wellness plan that promotes active lifestyles, access to healthy foods and neighborhood engagement. 149,575
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC To develop a comprehensive plan encouraging active lifestyles for Suffolk citizens that includes community engagement, environmental change and measurable outcomes. 7,830
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC For implementation of a 10-year community wellness plan that promotes active lifestyles, access to healthy foods and neighborhood engagement. 17,915
    Suffolk Public Schools
    100 N Main StPO Box 1549
    Suffolk,VA23434     		  PC To develop and implement After-School Challenge Clubs focused on obesity prevention and to establish salad bars in cafeterias for better nutrition. 95,246
    Suffolk Redevelopment and Housing Authority
    530 E Pinner Street
    Suffolk,VA23434     		  PC To raise awareness among residents of public housing communities in Suffolk about the health hazards from exposure to secondhand smoke in public places and reduce the number of smokers 25,000
    Suffolk Redevelopment and Housing Authority
    530 E Pinner Street
    Suffolk,VA23434     		  PC To help public housing residents become more aware of both the prevention and management of chronic disease. 30,690
    Suffolk Salvation Army Corps
    400 Bank St
    Suffolk,VA23434     		  PC To provide low-income persons with improved access to their doctors, hospitals and pharmacies. 7,500
    The Genieve Shelter
    157 N Main St 2nd Floor Ste R3
    Suffolk,VA23434     		  PC To support the establishment of the Development Coordinator position to encourage community participation, and financial support for The Genieve Shelters programs and special events. 17,500
    The Genieve Shelter
    157 N Main St 2nd Floor Ste R3
    Suffolk,VA23434     		  PC To support a Walk-A-Thon and fundraising event that will bring awareness to domestic violence and encourage victims to walk away from abuse. 500
    The Genieve Shelter
    157 N Main St 2nd Floor Ste R3
    Suffolk,VA23434     		  PC Volunteer Hampton Roads Board Boot Camp. 200
    The Healing Place of Hampton Roads
    5265 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To provide seed funding for the start-up phase and operational needs for a program to help homeless men and women, including veterans, to recover from alcohol and drug addiction. 5,000
    The Horses Helping Heroes Project
    1807 Church Street Suite 100 PMB
    Smithfield,VA23430     		  PC Funding so that Horses Helping Heroes might provide free horse therapy classes to veterans or first responders with special needs and disabilities. 2,500
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To prevent and address obesity among children within private childcare settings and before/after school programs across Western Tidewater. 65,998
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To coordinate the homelessness continuum of care process, which includes the management of housing, healthcare and support services. 8,023
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To coordinate services among homelessness continuum of care providers, including the management of housing, healthcare and support services. 6,000
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To support a Suffolk outreach initiative that enrolls uninsured children in FAMIS. 26,513
    The Rensselaerville Institute
    2 Oakwood Place
    Delmar,NY12054     		  PC To define, track, achieve, communicate and improve results over the life of the Healthy People/Healthy Suffolk initiative. 75,000
    The Up Center
    222 W 19th St
    Norfolk,VA23517     		  PC To expand trauma-informed-care groups for adults who have experienced trauma; to implement trauma-informed groups for children and adolescents based on best-practice concepts; and to educate human service providers in Trauma-Informed-Care techniques. 7,669
    The Up Center
    222 W 19th St
    Norfolk,VA23517     		  PC To offer a traumatic stress symptom education and referral system to community providers and to conduct traumatic stress therapy for individuals referred. 55,243
    The Wakefield Foundation
    PO Box 8
    Wakefield,VA23888     		  PC To help fund the production of an hour-long documentary film about the history of peanut farmers and peanut production. 5,000
    Town of Smithfield
    P O Box 246
    Smithfield,VA23431     		  PC To implement the Town of Smithfield community wellness initiative, Smithfield on the Move. This culture-based plan includes broad-based education, marketing, infrastructure and programs that promote healthy nutritional choices while encouraging on-going physical activity to combat and prevent obesity in both children and adults. 5,500
    Town of Smithfield
    P O Box 246
    Smithfield,VA23431     		  PC To continue Smithfields community wellness initiative and to include incentives for Supplemental Nutrition Assistance Program (SNAP) households to shop at the Farmers Market for fresh produce. 22,500
    Virginia Dental Association Foundation
    3460 Mayland Court Suite 110
    Richmond,VA23233     		  SO I To support the 2014 day of free dental care, the "Mission of Mercy" project. 20,000
    Virginia Diabetes Council
    2618 Iron Forge Road
    Herndon,VA20171     		  PC To provide an evidence-based, self-management program for Type 2 diabetics and promote healthy dining choices and active lifestyles. 9,528
    Virginia Diabetes Council
    2618 Iron Forge Road
    Herndon,VA20171     		  PC Tidewater Community College: Social Media for Your Nonprofit; Building for the Future: Leadership & Capital Campaigns MindEdge: Fundraising for Nonprofit Organizations; Introduction to Grant Writing and Principles of Marketing for Nonprofit Organizations 150
    Virginia Faith Based Outreach Initiative
    822 Seminole Drive
    Suffolk,VA23434     		  PC To fund the development of health ministries through the education and distribution of health materials to faith and lay leaders. 5,000
    Virginia Health Care Foundation
    707 East Main Street Suite 1350
    Richmond,VA23219     		  PC To continue participation in the patient Medication Assistance Program with technological upgrades. 12,500
    Virginia Legal Aid Society
    PO Box 6200 513 Church Street
    Lynchburg,VA24505     		  PC To help eligible, disabled clients obtain Medicaid and/or Medicare coverage. 37,500
    Virginia Legal Aid Society
    PO Box 6200 513 Church Street
    Lynchburg,VA24505     		  PC To help disabled clients navigate the complex Medicaid and Medicare application and appeals processes. 37,500
    Virginia Poverty Law Center
    700 East Main Street Suite 1410
    RICHMOND,VA23219     		  PC Advocacy for the expansion of Medicaid for low-income Virginians. 500
    Virginia Supportive Housing
    P O Box 8585
    Richmond,VA23226     		  PC To provide medical and mental health services to disabled persons residing in permanent supportive housing. 7,500
    Virginia Supportive Housing
    P O Box 8585
    Richmond,VA23226     		  PC To provide case management and access to medical and mental health services to disabled persons residing in permanent supportive housing. 5,625
    Voices for Kids CASA Program
    P O Box 949 409 Main Street
    Smithfield,VA23431     		  PC For program expansion to serve and advocate for children involved in Suffolk juvenile courts due to neglect and abuse. 4,293
    Voices for Kids CASA Program
    P O Box 949 409 Main Street
    Smithfield,VA23431     		  PC To expand advocacy services for children involved in Suffolk juvenile courts due to neglect and abuse. 28,980
    VOLUNTEER Hampton Roads
    400 West Olney Road Suite B
    Norfolk,VA23507     		  PC To honor members of the community for their outstanding contributions of volunteer time and talent for positive impact on our community. 1,500
    VOLUNTEER Hampton Roads
    400 West Olney Road Suite B
    Norfolk,VA23507     		  PC To support the 2013 Institute for Nonprofit Leadership Conference that brings together local nonprofits and national caliber speakers to assist in capacity building. 1,500
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For on-site security services 6 hours per day, 7 days per week for 6 months in the Outpatient Medical Detox Program. 4,368
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For additional weekly outpatient pediatric counseling and psychiatry in Western Tidewater. 15,000
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For a Licensed Practical Nurse to provide medical care monitoring and intervention for participants with severe/profound intellectual disabilities and physical disabilities in the Day Support programs. 4,083
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To establish Western Tidewaters first outpatient medical detoxification program that provides daily testing, counseling, support and referral services to substance abusers. 50,000
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To support a telemedicine link to crisis services for children, adolescents and adults to local law enforcement agencies and hospitals. 24,063
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC Western Tidewater Community Services Board staff training 150
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To continue Western Tidewaters first outpatient medical detoxification program that provides daily testing, counseling, support and referral services to substance abusers. 50,000
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To support a telemedicine link to crisis services for children, adolescents and adults to local law enforcement agencies and hospitals. 19,250
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For expanded outpatient pediatric counseling and psychiatry in Western Tidewater. 101,250
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For medical care monitoring and intervention for participants with severe/profound intellectual disabilities and physical disabilities in the Day Support programs. 22,024
    Western Tidewater Free Clinic
    2019 Meade Parkway
    Suffolk,VA23434     		  PC To provide operational support for medical care and chronic disease management of uninsured patients. 225,000
    Western Tidewater Free Clinic
    2019 Meade Parkway
    Suffolk,VA23434     		  PC To provide operational support for medical and dental care, and chronic disease management of uninsured patients. 250,000
    Western Tidewater Free Clinic
    2019 Meade Parkway
    Suffolk,VA23434     		  PC To purchase A1C testing cassettes and supplies for the Obici Healthcare Foundation health fair. 500
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To implement a national model - the Nurse Family Partnership program - to help improve prenatal health, child health and development though age two in Suffolk and Isle of Wight County. 38,845
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC A Dental Health Promotion Project. To improve the oral health of children in Isle of Wight County, City of Franklin and Southampton County by improving the Medicaid/FAMIS utilization rate. 2,103
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To provide underinsured and uninsured diabetics with one-on-one chronic disease case management services. 20,000
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To implement a national model - the Nurse Family Partnership program - to help reduce undesirable birth outcomes through education, nurse-case management, home visitations and transportation assistance for pregnant women in Suffolk and Isle of Wight County. 132,885
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC TO PROVIDE SUPPLIES FOR THE ORAL SCREENING AND HEALTH INFORMATION AT THE 2013 OBICI HEALTHCARE FOUNDATION COMMUNITY HEALTH SCREENING. 400
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To offer mobile dental services to improve the oral health of children in Isle of Wight County, the City of Franklin and Southampton County by increasing the Medicaid/FAMIS utilization rate to rate. 6,950
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To provide telehealth monitoring services for chronic disease patients who frequently visit emergency rooms, and to improve chronic disease self-management. 67,137
    WHRO
    5200 Hampton Blvd
    Norfolk,VA23508     		  PC To sponsor Another View, a monthly, call-in program, that addresses the health concerns of the African-American community. 5,000
    Total .................................bullet 3a 3,599,033
    bApproved for future payment
    Albemarle Regional Health Services
    711 Roanoke Avenue PO Box 189
    Elizabeth City,NC27909     		  PC Gateway Community Health Center will expand services to support the needs of Gates County residents who are diabetic, pre-diabetic or at high risk for developing diabetes. 67,849
    American Diabetes Association
    870 Greenbrier Circle Suite 404
    Chesapeake,VA23320     		  PC To train ambassadors in high health-risk congregations to raise awareness of diabetes and stress the importance of early detection, disease management and health risk factors. 6,928
    Bon Secours Maryview Foundation
    150 Kingsley Lane
    Norfolk,VA23505     		  SO I To provide free, mobile medical services to medically underserved in Western Tidewater. 56,250
    City of Suffolk
    PO Box 1858
    Suffolk,VA23439     		  PC To provide youth with opportunities to increase physical activity and improve healthy eating choices. 11,922
    Cover 3 Foundation
    P O Box 456
    Franklin,VA23851     		  PC To relocate the kitchen and administration to a larger facility enabling the feeding of more children. 2,000
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To reduce the risk of diabetes by educating physicians, conducting screenings and implementing a telephonic care management plan for referred patients. 8,575
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To engage medical residents and third-year medical students in giving care to patients at the Western Tidewater Free Clinic, thereby increasing medical care access. 5,625
    Eastern Virginia Medical School
    PO Box 1980
    Norfolk,VA235011980     		  PC To plan for the establishment of a Specialty Care Center that will improve access to specialty care and decrease complications associated with pre-diabetes and diabetes. 12,500
    Foodbank of Southeastern Virginia
    PO Box 1940
    Norfolk,VA23501     		  PC To provide diabetic clients with high nutritional value foods from the Foodbank's Suffolk Mobile Pantry. 18,750
    ForKids Inc
    PO Box 6044
    Norfolk,VA23508     		  PC To improve access to medical and mental health services for homeless families by connecting them to services. 28,125
    Horizon Health Services Waverly Medical Center
    PO Box 29
    Waverly,VA23890     		  PC To provide dental care and smoking cessation services in Franklin, Southampton, Surry and Sussex service areas. 37,500
    Isle of Wight Christian Outreach Program
    P O Box 253
    Smithfield,VA23431     		  PC To help remodel a facility where low-income persons can receive health and social services. 10,000
    Isle of Wight County Department of Social Services
    17100 Monument Circle Suite A
    Isle of Wight,VA23397     		  PC For a proactive outreach program to increase the number of children and families enrolled in Medicaid and FAMIS in Isle of Wight County. 7,311
    Paul D Camp Community College
    PO Box 737
    Franklin,VA23851     		  PC To renovate the Suffolk Health Sciences Skills Laboratory into a modern, innovative space to meets the needs of today's nursing students. 36,000
    RX Partnership
    2924 Emerywood Pkwy suite 300
    Richmond,VA23294     		  PC To provide free prescription medication and low-cost supplies to low-income, uninsured residents served by the Western Tidewater Free Clinic. 5,625
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC For training Benefit Counselor volunteers in an expansion of the MedCare Access program. 7,500
    Senior Services of Southeastern Virginia
    6350 Center Dr Suite 101
    Norfolk,VA23502     		  PC To rehabilitate the historical Hayden High school in Franklin, Virginia, and provide inter-generational health and wellness services to the community. 250,000
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC For a hospital-based, universal risk screening during pregnancy or at birth that connects new parents with appropriate community resources. 10,296
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide uninsured patients with case management services that improve self-care disease management skills from hospital to home. 18,750
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To provide Life Coaches in Sentara Obici Hospitals Emergency Room who will help uninsured and underinsured patients obtain primary care services or other resources. 37,500
    Sentara Obici Hospital
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC To purchase necessary telemedicine equipment to improve access to behavioral health services in the emergency departments at Sentara Obici Hospital and BelleHarbour. 11,282
    Southeastern Virginia Health System
    1033 28th St 2nd Floor
    Newport News,VA23607     		  PC To provide access to clinical intervention/ primary care services for the diagnosis and management of diabetes and oral health. 25,000
    Suffolk Family YMCA
    2769 Godwin Blvd
    Suffolk,VA23434     		  PC To increase cardiovascular fitness, physical strength and life skills for youth participating in an after-school jump rope program. 10,313
    Suffolk Meals on Wheels
    2800 Godwin Blvd
    Suffolk,VA23434     		  PC For meal delivery to seniors and disabled recipients who are homebound and/or home alone in Suffolk and Isle of Wight County. 3,868
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC To implement an individualized, comprehensive wellness care management program in Suffolk. 12,113
    Suffolk Partnership for a Healthy Community
    1707 N Main Street
    Suffolk,VA23434     		  PC For implementation of a 10-year community wellness plan that promotes active lifestyles, access to healthy foods and neighborhood engagement. 18,610
    Suffolk Public Schools
    100 N Main St PO Box 1549
    Suffolk,VA23434     		  PC To develop and implement After-School Challenge Clubs focused on obesity prevention and to sustain salad bars in cafeterias for better nutrition. 37,500
    Suffolk Redevelopment and Housing Authority
    530 E Pinner Street
    Suffolk,VA23434     		  PC To raise awareness among residents of public housing communities in Suffolk about the health hazards from exposure to secondhand smoke in public places and reduce the number of smokers 25,000
    Suffolk Redevelopment and Housing Authority
    530 E Pinner Street
    Suffolk,VA23434     		  PC To help public housing residents become more aware of both the prevention and management of chronic disease. 30,690
    The Genieve Shelter
    157 N Main St 2nd Floor Ste R3
    Suffolk,VA23434     		  PC To support the establishment of the Development Coordinator position to encourage community participation, and financial support for The Genieve Shelters programs and special events. 17,500
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To prevent and address obesity among children within private childcare settings and before/after school programs across Western Tidewater. 6,386
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To coordinate services among homelessness continuum of care providers, including the management of housing, healthcare and support services. 6,000
    The Planning Council
    5365 Robin Hood Road Suite 700
    Norfolk,VA23513     		  PC To support a Suffolk outreach initiative that enrolls uninsured children in FAMIS. 26,513
    The Rensselaerville Institute
    2 Oakwood Place
    Delmar,NY12054     		  PC To define, track, achieve, communicate and improve results over the life of the Healthy People/Healthy Suffolk initiative. 7,500
    The Up Center
    222 W 19th St
    Norfolk,VA23517     		  PC To offer a traumatic stress symptom education and referral system to community providers and to conduct traumatic stress therpy for individuals referred. 6,138
    Town of Smithfield
    P O Box 246
    Smithfield,VA23431     		  PC To continue Smithfields community wellness initiative and to include incentives for Supplemental Nutrition Assistance Program (SNAP) households to shop at the Farmers Market for fresh produce. 2,500
    Virginia Health Care Foundation
    707 East Main Street Suite 1350
    Richmond,VA23219     		  PC To continue participation in the patient Medication Assistance Program with technological upgrades. 12,500
    Virginia Legal Aid Society
    PO Box 6200513 Church Street
    Lynchburg,VA24505     		  PC To help disabled clients navigate the complex Medicaid and Medicare application and appeals processes. 37,500
    Virginia Supportive Housing
    P O Box 8585
    Richmond,VA23226     		  PC To provide case management and access to medical and mental health services to disabled persons residing in permanent supportive housing. 5,625
    Voices for Kids CASA Program
    P O Box 949 409 Main Street
    Smithfield,VA23431     		  PC To expand advocacy services for children involved in Suffolk juvenile courts due to neglect and abuse. 3,220
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For expanded outpatient pediatric counseling and psychiatry in Western Tidewater. 11,250
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC For medical care monitoring and intervention for participants with severe/profound intellectual disabilities and physical disabilities in the Day Support programs. 2,447
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To support a telemedicine link to crisis services for children, adolescents and adults to local law enforcement agencies and hospitals. 4,812
    Western Tidewater Community Services Board
    5268 Godwin Blvd
    Suffolk,VA23434     		  PC To continue Western Tidewaters first outpatient medical detoxification program that provides daily testing, counseling, support and referral services to substance abusers. 50,000
    Western Tidewater Free Clinic
    2019 Meade Parkway
    Suffolk,VA23434     		  PC TO PROVIDE OPERATIONAL SUPPORT FOR MEDICAL AND DENTAL CARE, AND CHRONIC DISEASE MANAGEMENT OF UNINSURED PATIENTS. 250,000
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To implement a national model - the Nurse Family Partnership program - to help reduce undesirable birth outcomes through education, nurse-case management, home visitations and transportation assistance for pregnant women in Suffolk and Isle of Wight County. 14,765
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To offer mobile dental services to improve the oral health of children in Isle of Wight County, the City of Franklin and Southampton County by increasing the Medicaid/FAMIS utilization rate. 6,950
    Western Tidewater Health District
    135 Hall Ave Suite A
    Suffolk,VA234344654     		  PC To provide telehealth monitoring services for chronic disease patients who frequently visit emergency rooms, and to improve chronic disease self-management. 67,137
    Total .................................bullet 3b 1,352,125
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....     14 371,961  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 5,189,769  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aPARTNERSHIP INCOME     14 2,452,198  
    bOTHER INCOME     01 1,320  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   8,015,248  
    13Total. Add line 12, columns (b), (d), and (e)..................
    138,015,248
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    OBICI HEALTHCARE FOUNDATION INC
     
    Employer identification number

    51-0249728
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    OBICI HEALTHCARE FOUNDATION INC
          		Employer identification number

    51-0249728
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    Virginia R Rawls Trust  
    332 W Constance RD
     
    SUFFOLK, VA23434

    		$9,621


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    OBICI HEALTHCARE FOUNDATION INC
          		Employer identification number

    51-0249728
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    OBICI HEALTHCARE FOUNDATION INC
          		Employer identification number

    51-0249728
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 AccountingFeesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX COMPLIANCE AND AUDIT SVCS 48,209     48,209

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2013 DepreciationSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    LAND 2010-03-01 102,507   L          
    LAND-CONSTRUCTION 2010-03-01 349,632 56,242 SL   18,243      
    LAND IMPR FENCE 2010-04-09 1,300 487 SL 8 163      
    BRONZE SIGN 2010-04-12 3,449 689 SL 15 230      
    LANDSCAPING CONTRA 2010-05-13 54,997 15,582 SL 10 5,500      
    CIVIL CONSTRUCTION 2010-08-31 2,373 136 SL 45 53      
    FINAL UNDERCUTTING 2010-09-01 1,524 262 SL 15 102      
    REVIEW OF FINAL DR 2010-09-01 210 12 SL 45 5      
    ORIGINAL CONSTRUCT 2010-03-01 1,594,184 178,690 SL   57,953      
    STAIRS & CABINETS 2010-09-01 7,431 495 SL 45 165      
    CONSTRUCTION ADMN 2010-09-01 4,653 267 SL 45 103      
    SNOW GUARDS 2011-03-10 10,200 453 SL 45 227      
    COMPUTER 2006-12-18 1,447 1,447 SL 5 0      
    COPIER 2006-12-18 6,100 6,100 SL 5        
    2 COMPUTER MONITOR 2006-12-18 3,423 3,423 SL 5        
    BROTHER LASER PRIN 2006-12-18 707 707 SL 5        
    COMPUTER EQUIPMENT 2006-12-18 980 980 SL 5        
    3 COMPUTER MONITOR 2007-01-02 5,308 5,308 SL 5        
    COMPUTER EQUIPMENT 2007-01-02 912 912 SL 5        
    PHONE SYSTEM 2007-01-19 2,939 2,588 SL 7 351      
    PHONES 2007-01-24 591 520 SL 7 71      
    PHONE - VOICEMAIL 2007-02-14 2,601 2,292 SL 7 309      
    PRINTER 2007-02-15 657 657 SL 5        
    LAPTOP COMPUTER 2007-04-23 1,344 1,344 SL 5        
    PROJECTOR 2007-04-23 1,302 1,302 SL 5        
    GIFTS MGT SOFTWARE 2007-06-01 14,960 14,960 SL 3        
    3 POWER POINT SOFT 2007-06-01 595 595 SL 3        
    AVAYA PHONE- LISA 2007-07-13 435 352 SL 7 62      
    2 ADOBE DREAM WEAV 2007-07-21 1,065 1,065 SL 3        
    2 ADOBE CREATIVE S 2007-09-21 837 837 SL 3        
    DESKTOP COMPUTER 2008-08-06 2,066 1,962 SL 5 104      
    MICROSOFT OFFICE P 2008-09-22 897 897 SL 3        
    FILE ROOM SYSTEM 2008-10-03 1,300 1,300 SL 10        
    DOCUMENTS MANAGER 2009-06-02 3,156 3,156 SL 3        
    ESSENTIAL'S GIFTS 2010-01-01 13,720 13,720 SL 3        
    2 HP DESKTOP COMP 2010-06-11 2,596 1,428 SL 5 519      
    WIRELESS KEYBOARD 2010-11-05 351 169 SL 5 70      
    FURNITURE 2006-12-07 5,255 4,755 SL 7 500      
    CONFERENCE TABLE 2008-02-01 4,370 3,225 SL 7 624      
    8 CONFERENCE CHAIR 2008-02-01 1,253 925 SL 7 179      
    2 LEATHER MESH CHA 2008-08-04 713 476 SL 7 102      
    DESK & FILE CABINE 2008-08-01 781 447 SL 7 112      
    CONFERENCE TABLE 2010-03-01 1,750 542 SL 7 250      
    DESK, FILE CABINET 2009-12-14 3,386 1,094 SL 7 484      
    OFFICE CHAIR 2010-01-01 362 130 SL 7 52      
    BUILDING PROJECT C 2010-03-01 98,435 34,700 SL   11,254      
    SAFE 2010-07-02 582 228 SL 7 83      
    OAK BASE TABLE 2010-12-20 600 193 SL 7 86      
    TASK CHAIR & KEYBO 2011-01-10 543 175 SL 7 78      
    LANDSCAPING-NEAR C 2011-10-03 6,008 901 SL 10 601      
    LOCATION SIGN (MAI 2012-03-06 1,680 121 SL 15 112      
    LANDSCAPING - MAIN 2012-03-28 4,993 499 SL 10 499      
    CS5 SOFTWARE (3) 2011-04-06 1,832 1,221 SL 3 611      
    HP DESKTOP COMPUTE 2011-04-20 5,291 2,028 SL 5 1,058      
    ADOBE COTRIBUTE LI 2011-05-01 339 216 SL 3 113      
    HP DESKTOP COMP 2011-08-25 1,890 599 SL 5 378      
    SONIC WALL (COMPUT 2011-08-25 1,115 353 SL 5 223      
    COMPUTER PROJECTOR 2011-08-26 917 290 SL 5 183      
    I- PAD (& APPS) 2011-09-26 650 195 SL 5 130      
    DELL DESKTOP COMPU 2012-03-26 2,800 560 SL 5 560      
    COMPUTER MONITOR 2012-03-26 240 48 SL 5 48      
    CHAIR (PROGRAM OFF 2011-05-12 366 100 SL 7 52      
    BOOKCASE (PROGRAM 2011-07-18 224 53 SL 7 32      
    TASK CHAIR (EXECUT 2011-08-01 387 92 SL 7 55      
    FOUNDERS PLAQ 2011-10-01 549 117 SL 7 78      
    DESK HUTCH 2012-03-19 458 65 SL 7 65      
    WIRE SHELVING (3-4 2012-03-19 825 118 SL 7 118      
    PRINTER STAND 2012-03-19 377 54 SL 7 54      
    LATERAL FILE CABIN 2012-03-19 2,430 347 SL 7 347      
    EXECUTIVE CHAIRS 2012-03-19 817 117 SL 7 117      
    LANDSCAPING- CAC 2011-10-03 6,008 901 SL 10 601      
    LOCATION SIGN 2012-03-06 1,680 121 SL 15 112      
    LANDSCAPING-MAIN 2012-03-28 4,993 499 SL 10 499      
    CS5 SOFTWARE (3) 2011-04-06 1,832 1,222 SL 3 610      
    HP DESKTOP COMPUTE 2011-04-20 5,291 2,028 SL 5 1,058      
    ADOBE COTRIBUTE LI 2011-05-01 339 217 SL 3 113      
    HP DESKTOP COMPUTE 2011-08-25 1,890 599 SL 5 378      
    SONIC WALL 2011-08-25 1,115 353 SL 5 223      
    COMPUTER PROJECTOR 2011-08-26 917 290 SL 5 183      
    I- PAD (&APPS) 2011-09-26 650 195 SL 5 130      
    DELL DESKTOP COMPU 2012-03-26 2,800 560 SL 5 560      
    COMPUTER MONITOR 2012-03-26 240 48 SL 5 48      
    CHAIR (PROGRAM OFF 2011-05-12 366 100 SL 7 52      
    BOOKCASE 2011-07-18 224 53 SL 7 32      
    TASK CHAIR 2011-08-01 387 92 SL 7 55      
    FOUNDERS PLAQUE 2011-10-01 549 117 SL 7 78      
    DESK HUTCH 2012-03-19 458 65 SL 7 65      
    WIRE SHELVING 2012-03-19 825 118 SL 7 118      
    PRINTER STAND 2012-03-19 377 54 SL 7 54      
    LATERAL FILE CABIN 2012-03-19 2,430 347 SL 7 347      
    EXECUTIVE CHAIRS 2012-03-19 816 117 SL 7 117      
    SOFTWARE 2007-01-02 730 730 SL 3        
    SOFTWARE 2006-12-18 452 452 SL 3        
    SOFTWARE 2007-03-31 849 849 DS 3        
    VITEX TREES (2) 2013-01-31 680 17 SL 10 68      
    DESK SCANNER (EXEC 2012-04-26 430 79 SL 5 86      
    SHARP 80" TV (BOAR 2012-12-26 5,399 270 SL 5 1,080      
    PRINTER, LASERJET 2013-02-05 210 7 SL 5 42      
    ROUND TABLE (2ND F 2012-04-12 519 74 SL 7 74      
    PADDED FOLDING CHA 2012-05-02 560 73 SL 7 80      
    GUEST CHAIRS, ROLL 2012-05-24 2,262 269 SL 7 323      
    GUEST CHAIRS, WOOD 2012-06-27 722 77 SL 7 103      
    GUEST CHAIRS, WOOD 2012-05-24 2,507 298 SL 7 358      
    CRENDENZA (ED) 2012-05-24 2,898 345 SL 7 414      
    SOFA TABLE (PROGRA 2012-05-24 519 62 SL 7 74      
    OPEN BOOKCASE UNIT 2012-05-24 1,031 123 SL 7 147      
    GUEST CHAIRS, OPEN 2012-06-27 1,247 134 SL 7 178      
    ROUND TABLE (DIREC 2012-08-29 846 71 SL 7 121      
    RUGS, AREA 2013-02-18 7,051 168 SL 7 1,007      
    SOFA TABLE (GRANTS 2013-02-01 519 12 SL 7 74      
    LATERAL FILES, 2-D 2013-03-06 3,137 37 SL 7 448      
    STAND-UP TABLE (ED 2013-07-31 1,855   SL 7 265      
    BOOKCASE 3-SHELF ( 2013-11-14 579   SL 7 83      
    LATERAL FILE 2-DRA 2014-03-31 1,623   SL 7        
    DESKTOP COMPUTER H 2013-05-31 950   SL 5 158      
    LAPTOP COMPUTER 10 2013-05-31 950   SL 5 158      
    SOFTWARE MICROSOFT 2013-05-31 660   SL 3 183      
    SERVER HP PROLIENT 2013-06-18 3,500   SL 5 525      
    SOFTWARE SERVER LI 2013-06-26 317   SL 3 79      
    COMPUTER HP (TOWER 2014-02-07 1,595   SL 5 53      
    CANOPY TENT 2013-11-26 519   SL 5 35      
    BUILDING PROJECT 2010-03-01 16,945 10,069 SL   1,228      
    BUILDING PROJECT 2010-03-01 35,250 9,436 SL   2,556      

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    TY 2013 ExpenditureResponsibilityStmt
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    Applewood Farms Home Owners Association
          		112 Benham Court
    Suffolk,VA23434     		  5,000 To sponsor the 2013 National Night Out Event 5,000 NO 08/08/2013    
    Eternawell
          		6546 Hampton Roads Parkway No 12
    Suffolk,VA23434     		  250 To support a healthy people Suffolk walking group in North Suffolk 250 NO 4/16/2014    
    Hampton Roads Chamber of Commerce
          		500 East Main Street Suite 700
    Norfolk,VA23510     		  500 To sponsor the May 2013 Suffolk Mingle on Main event featuring the Peanut City Cloggers 500 NO 05/30/2013    

    TY 2013 InvestmentsCorpBondsSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Name of Bond End of Year Book Value End of Year Fair Market Value
    RIDGEWORTH FD TOTAL RETURN BD 0 0
    PIMCO GLOBAL BOND FUND 1,127,827 1,127,827

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BABCOCK & WILCOX CO 106,240 106,240
    CHECKPOINT SYS INC COM 128,161 128,161
    PHARMERICA CORP COM 0 0
    FEMALE HEALTH CO/THE COM 231,535 231,535
    HALLMARK FINL SVCS INC COM 0 0
    INTERACTIVE INTELLIGENCE    
    GROUP COM 0 0
    INTL FCSTONE INC COM 0 0
    OMEGA FLEX INC COM 81,322 81,322
    STAMPS COM INC COM NEW 0 0
    TANDY LEATHER FACTORY INC COM 0 0
    UTAH MED PRODS INC COM 0 0
    WINMARK CORP COM 0 0
    BARRETT BILL CORP COM 0 0
    CABOT MICRO CORP COM 0 0
    CALGON CARBON CORP COM 0 0
    CIRCOR INTL INC COM 0 0
    EXELIS INC COM 131,169 131,169
    FEDERATED INVESTORS INC    
    CL B COM 0 0
    HANESBRANDS INC COM 0 0
    JOHN BEAN TECHNOLOGIES COM 0 0
    LENDER PROC SVC INC COM 0 0
    LIVE NATION ENTERTAINMENT    
    INC COM 204,450 204,450
    PENSKE AUTOMOTIVE GRP    
    INC COM 132,556 132,556
    PERKINELMER INC COM 162,216 162,216
    TIDEWATER INC COM 0 0
    VCA ANTECH INC COM 166,500 166,500
    ZEBRA TECHNOLOGIES CORP    
    CORP COM CL A 0 0
    PIMCO COMMODITY REALRTN 2,746,108 2,746,108
    STRATEGY-I 0 0
    3M CO COM 0 0
    ACCENTURE PLC CL A COM 0 0
    AMERICAN EXPRESS CO COM 0 0
    AMERISOURCEBERGEN CORP COM 0 0
    AUTOMATIC DATA PROCESSING    
    INC COM 0 0
    BANK OF NEW YORK MELLON    
    CORP COM 0 0
    BERKSHIRE HATHAWAY INC    
    CL B COM NEW 0 0
    CINTAS CORP COM 0 0
    COMERICA INC COM 0 0
    COVIDEN PLC COM 0 0
    DEVON ENERGY CORP NEW COM 0 0
    GLAXOSMITHKLINE PLC ADR 0 0
    ILLINOIS TOOL WKS INC COM 0 0
    INGERSOLL-RAND PLC COM 0 0
    KIMBERLY CLARK CORP COM 0 0
    MICROSOFT CORP COM 0 0
    MONSANTO CO NEW COM 0 0
    NESTLE SA SPONS ADR 0 0
    OMNICOM GROUP COM 0 0
    SCHLUMBERGER LTD COM 0 0
    SYSCO CORP COM 0 0
    TE CONNECTIVITY LTD COM 0 0
    TIME WARNER INC NEW COM 0 0
    WAL-MART STORES INC COM 0 0
    WILLIS GROUP HLDGS PLC    
    USD.00011 COM 0 0
    NEUBERGER BERMAN EQUITY INCOME    
    CHEROKEE INC DEL NEW COM 100,965 100,965
    REIS INC COM 108,913 108,913
    AXIALL CORP COM 220,108 220,108
    BARNES & NOBLE INC COM 0 0
    DYNEGY INC COM 236,905 236,905
    GRAFTECH INTL LTD COM 159,432 159,432
    ISHARES TR RUSSELL 2000 INDEX    
    ETF 151,242 151,242
    SAIC INC COM 0 0
    WHITEWAVE FOODS CO COM-A 85,620 85,620
    WPX ENERGY INC COM 223,572 223,572
    DANONE SA SPONS ADR 0 0
    EXPEDITORS INTL WASH INC COM 0 0
    PACCAR INC COM 0 0
    ACTUANT CORP CL A COM 454,127 454,127
    AMERICAN PUBLIC EDUCATION COM 0 0
    COLFAX CORP COM 383,113 383,113
    CORPORATE EXECUTIVE BOARD CO C 363,504 363,504
    INTERVAL LEISURE GROUP INC COM 0 0
    MASIMO CORP COM 0 0
    MIDDLEBY CORP COM 285,347 285,347
    MORNINGSTAR INC COM 0 0
    REALD INC COM 332,989 332,989
    TRAVELZOO INC COM 140,492 140,492
    HEICO CORP NEW CL A COM 220,957 220,957
    XPO LOGISTICS INC COM 700,634 700,634
    AMERICA'S CAR-MART INC 170,616 170,616
    USG CORP 107,976 107,976
    LINDSAY CORPORATION 229,268 229,268
    LEIDOS HOLDINGS INC 53,055 53,055
    KNOWLES CORPORATION 44,198 44,198
    ENTEGRIS INC 222,824 222,824
    CST BRANDS INC 171,820 171,820
    COMPASS MINERALS INTERNATIONAL    
    INC 222,804 222,804
    CALGON CARBON CORP 213,934 213,934
    CABLEVISION NY GROUP CLASS A 212,241 212,241
    ADT CORP 209,650 209,650
    AARONS INC 205,632 205,632
    WINMARK CORP 468,865 468,865
    UTAH MED PRODS INC 155,563 155,563
    TANDY LEATHER FACTORY INC 112,636 112,636
    MESA LABS INC 75,269 75,269
    JTH HOLDING-CL A 20,139 20,139
    INTL FCSTONE INC 331,169 331,169
    HALLMARK FINL SVCS INC 5,119 5,119
    US ECOLOGY, INC. 193,321 193,321
    POST HOLDINGS INC 464,496 464,496
    PLATFORM SPECIALTY PRODUCTS 191,757 191,757
    GRAHAM CORP 94,976 94,976

    TY 2013 InvestmentsLandSchedule2
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value

    TY 2013 InvestmentsOtherSchedule2
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ALTERNATIVE INVESTMENTS - L/P      
    AND CORPORATIONS   30,824,128 30,824,128
    ALTERNATIVE INVESTMENTS -      
    FOREIGN CORPORATIONS   51,452,411 51,452,411
    ALTERNATIVE INVESTMENTS -      
    COLLECTIVE TRUSTS   9,183,151 9,183,151

    TY 2013 LandEtcSchedule2
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    LAND 102,507   102,507  
    LAND-CONSTRUCTION 349,632 74,485 275,147  
    LAND IMPR FENCE 1,300 650 650  
    BRONZE SIGN 3,449 919 2,530  
    LANDSCAPING CONTRA 54,997 21,082 33,915  
    CIVIL CONSTRUCTION 2,373 189 2,184  
    FINAL UNDERCUTTING 1,524 364 1,160  
    REVIEW OF FINAL DR 210 17 193  
    ORIGINAL CONSTRUCT 1,594,184 236,643 1,357,541  
    STAIRS & CABINETS 7,431 660 6,771  
    CONSTRUCTION ADMN 4,653 370 4,283  
    SNOW GUARDS 10,200 680 9,520  
    COMPUTER 1,447 1,447    
    COPIER 6,100 6,100    
    2 COMPUTER MONITOR 3,423 3,423    
    BROTHER LASER PRIN 707 707    
    COMPUTER EQUIPMENT 980 980    
    3 COMPUTER MONITOR 5,308 5,308    
    COMPUTER EQUIPMENT 912 912    
    PHONE SYSTEM 2,939 2,939    
    PHONES 591 591    
    PHONE - VOICEMAIL 2,601 2,601    
    PRINTER 657 657    
    LAPTOP COMPUTER 1,344 1,344    
    PROJECTOR 1,302 1,302    
    GIFTS MGT SOFTWARE 14,960 14,960    
    3 POWER POINT SOFT 595 595    
    AVAYA PHONE- LISA 435 414 21  
    2 ADOBE DREAM WEAV 1,065 1,065    
    2 ADOBE CREATIVE S 837 837    
    DESKTOP COMPUTER 2,066 2,066    
    MICROSOFT OFFICE P 897 897    
    FILE ROOM SYSTEM 1,300 1,300    
    DOCUMENTS MANAGER 3,156 3,156    
    ESSENTIAL'S GIFTS 13,720 13,720    
    2 HP DESKTOP COMP 2,596 1,947 649  
    WIRELESS KEYBOARD 351 239 112  
    FURNITURE 5,255 5,255    
    CONFERENCE TABLE 4,370 3,849 521  
    8 CONFERENCE CHAIR 1,253 1,104 149  
    2 LEATHER MESH CHA 713 578 135  
    DESK & FILE CABINE 781 559 222  
    CONFERENCE TABLE 1,750 792 958  
    DESK, FILE CABINET 3,386 1,578 1,808  
    OFFICE CHAIR 362 182 180  
    BUILDING PROJECT C 98,435 45,954 52,481  
    SAFE 582 311 271  
    OAK BASE TABLE 600 279 321  
    TASK CHAIR & KEYBO 543 253 290  
    LANDSCAPING- CAC 6,008 1,502 4,506  
    LOCATION SIGN 1,680 233 1,447  
    LANDSCAPING-MAIN 4,993 998 3,995  
    CS5 SOFTWARE (3) 1,832 1,832    
    HP DESKTOP COMPUTE 5,291 3,086 2,205  
    ADOBE COTRIBUTE LI 339 330 9  
    HP DESKTOP COMPUTE 1,890 977 913  
    SONIC WALL 1,115 576 539  
    COMPUTER PROJECTOR 917 473 444  
    I- PAD (&APPS) 650 325 325  
    DELL DESKTOP COMPU 2,800 1,120 1,680  
    COMPUTER MONITOR 240 96 144  
    CHAIR (PROGRAM OFF 366 152 214  
    BOOKCASE 224 85 139  
    TASK CHAIR 387 147 240  
    FOUNDERS PLAQUE 549 195 354  
    DESK HUTCH 458 130 328  
    WIRE SHELVING 825 236 589  
    PRINTER STAND 377 108 269  
    LATERAL FILE CABIN 2,430 694 1,736  
    EXECUTIVE CHAIRS 816 234 582  
    SOFTWARE 730 730    
    SOFTWARE 452 452    
    SOFTWARE 849 849    
    VITEX TREES (2) 680 85 595  
    DESK SCANNER (EXEC 430 165 265  
    SHARP 80" TV (BOAR 5,399 1,350 4,049  
    PRINTER, LASERJET 210 49 161  
    ROUND TABLE (2ND F 519 148 371  
    PADDED FOLDING CHA 560 153 407  
    GUEST CHAIRS, ROLL 2,262 592 1,670  
    GUEST CHAIRS, WOOD 722 180 542  
    GUEST CHAIRS, WOOD 2,507 656 1,851  
    CRENDENZA (ED) 2,898 759 2,139  
    SOFA TABLE (PROGRA 519 136 383  
    OPEN BOOKCASE UNIT 1,031 270 761  
    GUEST CHAIRS, OPEN 1,247 312 935  
    ROUND TABLE (DIREC 846 192 654  
    RUGS, AREA 7,051 1,175 5,876  
    SOFA TABLE (GRANTS 519 86 433  
    LATERAL FILES, 2-D 3,137 485 2,652  
    STAND-UP TABLE (ED 1,855 265 1,590  
    BOOKCASE 3-SHELF ( 579 83 496  
    LATERAL FILE 2-DRA 1,623   1,623  
    DESKTOP COMPUTER H 950 158 792  
    LAPTOP COMPUTER 10 950 158 792  
    SOFTWARE MICROSOFT 660 183 477  
    SERVER HP PROLIENT 3,500 525 2,975  
    SOFTWARE SERVER LI 317 79 238  
    COMPUTER HP (TOWER 1,595 53 1,542  
    CANOPY TENT 519 35 484  
    BUILDING PROJECT        
    BUILDING PROJECT 35,250 11,992 23,258  


    TY 2013 LegalFeesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL SERVICES - RESPOND TO        
    AUDIT CONFIRMATION 435     435
    LEGAL SERVICES - REVIEW        
    RETIREMENT PLAN 2,978     0


    TY 2013 OtherAssetsSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ART COLLECTION 658,240 658,240 658,240
    CEMETERY LOTS 24,000 24,000 24,000
    ACCRUED INTEREST ON      
    INVESTMENTS 22,935 6,537 6,537
    DEPOSITS 100 100 100
    DEFERRED FINANCING COSTS 0 14,896 14,896


    TY 2013 OtherDecreasesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 1,875,012


    TY 2013 OtherExpensesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DUES & SUBSCRIPTIONS 16,089     16,089
    FOOD & CATERING 11,259     10,807
    MAINTENANCE AGREEMENTS 48,018     48,137
    INSURANCE 11,455     11,455
    OFFICE EXPENSES 30,076     30,570
    AMORTIZATION 2,472      
    MISCELLANEOUS 12,272     12,335
    LOSS ON DISPOSITION OF ASSETS 5,648      
    FACILITY RENTAL 1,423     2,222


    TY 2013 OtherIncomeSchedule2
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME 2,452,198 5,544,576  
    OTHER INCOME 1,320    


    TY 2013 OtherIncreasesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Amount
    PRIOR YEAR GRANTS RECOVERED 27,915
    UNREALIZED GAINS IN PARTNERSHIPS AND 0
    FOREIGN INVESTMENTS 11,398,597
    ROUNDING 1


    TY 2013 OtherLiabilitiesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED EXCISE TAXES PAYABLE 423,256 648,839


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGMENT FEES 944,002 944,002    
    CONSULTANT FEES 32,016     29,220


    TY 2013 TaxesSchedule
    Name:
    OBICI HEALTHCARE FOUNDATION INC
    EIN: 51-0249728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER FEES AND TAXES 409     409
    FEDERAL EXCISE TAXES 396,013