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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)4801 COURTHOUSE STREET NO 200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILLIAMSBURG, VA23188
A Employer identification number

54-1822359
B Telephone number (see instructions)

(757) 345-0912
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$116,562,946
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,060,954 1,060,954  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 7,081,150
b Gross sales price for all assets on line 6a 15,298,199
7 Capital gain net income (from Part IV, line 2)... 7,017,346
8 Net short-term capital gain.........  
9 Income modifications...........  
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)....... 1,640,789 1,651,784  
12 Total. Add lines 1 through 11........ 9,782,893 9,730,084  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 352,769 138,737   214,032
14 Other employee salaries and wages...... 477,488 0   477,488
15 Pension plans, employee benefits....... 133,747 0   133,747
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 48,385 0   48,385
c Other professional fees (attach schedule).... 209,125 161,422   47,703
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,426 0   0
19 Depreciation (attach schedule) and depletion... 7,247 0  
20 Occupancy.............. 141,432 14,143   127,289
21 Travel, conferences, and meetings....... 47,406 0   47,406
22 Printing and publications.......... 9,173 0   9,173
23 Other expenses (attach schedule)....... 1,528,889 1,246,102   276,716
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,957,087 1,560,404   1,381,939
25 Contributions, gifts, grants paid....... 4,657,978 4,644,200
26 Total expenses and disbursements. Add lines 24 and 25 7,615,065 1,560,404   6,026,139
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,167,828
b Net investment income (if negative, enter -0-) 8,169,680
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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............. 118,284 343,603 343,603
2 Savings and temporary cash investments......... 3,832,604 3,976,108 3,976,108
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.......... 88,402 58,082 58,082
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 121,864,991 Click to see attachment112,175,630 112,175,630
14 Land, buildings, and equipment: basis bullet104,136
Less: accumulated depreciation (attach schedule) bullet94,613 16,770 Click to see attachment9,523 9,523
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 125,921,051 116,562,946 116,562,946
Liabilities 17 Accounts payable and accrued expenses.......... 95,976 115,057
18 Grants payable................. 299,078 250,834
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment322,085 Click to see attachment217,657
23 Total liabilities (add lines 17 through 22)......... 717,139 583,548
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 125,203,912 115,979,398
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here 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 instructions)..... 125,203,912 115,979,398
31 Total liabilities and net assets/fund balances (see instructions). 125,921,051 116,562,946
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
125,203,912
2
Enter amount from Part I, line 27a .....................
2
2,167,828
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
104,428
4
Add lines 1, 2, and 3 ..........................
4
127,476,168
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
11,496,770
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
115,979,398
Form 990-PF (2018)
Form 990-PF (2018)
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 PUBLICLY-TRADED SECURITIES P    
b PASSTHROUGH K-1 CAPITAL GAIN P    
c
d
e
(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 10,400,280   8,217,722 2,182,558
b 4,834,788     4,834,788
c
d
e
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       2,182,558
b       4,834,788
c
d
e
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 7,017,346
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  
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 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))
2017 5,684,797 118,613,649 0.047927
2016 5,875,323 114,916,294 0.051127
2015 6,169,988 120,813,645 0.051070
2014 5,536,213 124,885,135 0.044330
2013 5,139,123 119,354,753 0.043058
2
Total of line 1, column (d) .....................
2
0.237512
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.047502
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
121,338,369
5
Multiply line 4 by line 3......................
5
5,763,815
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
81,697
7
Add lines 5 and 6........................
7
5,845,512
8
Enter qualifying distributions from Part XII, line 4,.............
8
6,026,139
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 81,697
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 0
3 Add lines 1 and 2........................... 3 81,697
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 81,697
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 32,775
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 32,775
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 1,650
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 50,572
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   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 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 2018 or the taxable year beginning in 2018? See the 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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 addressbulletWWW.WILLIAMSBURGHEALTHFOUNDATION.ORG
    14
    The books are in care ofbulletSOLA MONIZ Telephone no.bullet (757) 345-0912

    Located atbullet4801 COURTHOUSE STREET NO 200WILLIAMSBURGVA ZIP+4bullet23188
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    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 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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    3b
     
    No
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (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 4945(d)(4)(A)? 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
     
     
    .........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).
    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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    JAMES R GOLDEN CHAIR
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    LOUIS F ROSSITER VICE CHAIR
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    CLARENCE A WILSON TREASURER
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    M ANDERSON BRADSHAW TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    DAVID E BUSH TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    NANCY N CAMPBELL TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    BETH F DAVIS TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    PAUL W GERHARDT TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    EARL T GRANGER III TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    JOYCE M JARRETT TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    LAURA J LODA TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    RICHARD H RIZK TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    MARIBEL O SAIMRE TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    ROBERT J SINGLEY TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    ROBERT B TAYLOR TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    THOMAS G TINGLE TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    GLENDA H TURNER TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    JACKSON C TUTTLE II TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    MARSHALL N WARNER TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    KIMBERLY ZEULI TRUSTEE
    1.00
    0 0 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    CAROL L SALE PRESIDENT & CEO, SECRETARY
    40.00
    84,059 12,983 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    JEANETTE F ZEIDLER PRESIDENT & CEO (THROUGH 5/15/18)
    40.00
    81,058 11,449 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    SOLA MONIZ CFO
    40.00
    103,314 59,906 0
    4801 COURTHOUSE STREET SUITE 200
    WILLIAMSBURG,VA23188
    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
    ALLISON J BRODY DIRECTOR, COMMUNITY
    40.00
    95,565 33,034 0
    4801 COURTHOUSE STREET STE 200
    WILLIAMSBURG,VA23188
    KYRA A COOK DIRECTOR, STRATEGIC
    40.00
    89,796 24,162 0
    4801 COURTHOUSE STREET STE 200
    WILLIAMSBURG,VA23188
    PAULETTE A PARKER SENIOR PROGRAM OFFIC
    40.00
    85,930 21,291 0
    4801 COURTHOUSE STREET STE 200
    WILLIAMSBURG,VA23188
    WILLIAM D PRIBBLE PROGRAM OFFICER/GRAN
    40.00
    72,325 10,753 0
    4801 COURTHOUSE STREET STE 200
    WILLIAMSBURG,VA23188
    SHELBY E BOLTZ EXECUTIVE ASSISTANT/
    40.00
    62,679 18,942 0
    4801 COURTHOUSE STREET STE 200
    WILLIAMSBURG,VA23188
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
    THE INVESTMENT FUND FOR FOUNDATIONS INVESTMENT CONSULTING 97,353
    170 NORTH RADNOR CHESTER ROAD STE
    300
    RADNOR,PA19087
    COMMUNITY HEALTH SOLUTIONS GRANT CONSULTING 84,668
    9603 BC GAYTON RD 201 RICHMOND
    RICHMOND,VA23238
    NORTHERN TRUST BANK CUSTODIAL SERVICES 64,069
    50 SOUTH LA SALLE STREET B-8
    CHICAGO,IL60603
    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 CHRONIC CARE INITIATIVE- A COLLABORATIVE WITH HEALTHCARE ORGANIZATIONS THAT PROVIDE DIRECT SERVICES TO UNINSURED AND UNDER-INSURED, CHRONICALLY ILL INDIVIDUALS IN THE GREATER WILLIAMSBURG AREA. THE GOAL IS TO IMPROVE THE HEALTH OF THE UNDERSERVED COMMUNITY BY IMPROVING THE ORGANIZATIONS' INDIVIDUAL AND COLLECTIVE CAPACITY TO SERVE THIS POPULATION. 44,092
    2 CHILD HEALTH INITIATIVE- A COLLABORATIVE OF HUMAN SERVICE AND HEALTHCARE PROVIDERS DESIGNED TO IMPROVE LONG-TERM HEALTH OUTCOMES FOR CHILDREN LIVING IN POVERTY IN THE COMMUNITY. THE COLLABORATIVE EMPLOYS A MULTI-DISCIPLINARY, HOME-BASED SERVICE DELIVERY APPROACH TO WORK IN PARTNERSHIP WITH FAMILIES. 38,076
    3 WILLIAMSBURG HOUSING COLLABORATIVE - A GROUP OF LOCAL AGENCIES THAT ARE FOCUSED ON LEARNING FROM EACH OTHER AND SHARING INFORMATION ABOUT HOUSING IN OUR COMMUNITY WITH A GOAL OF "MAPPING" THE HOUSING NEEDS WITH A FOCUS ON THE POPULATIONS MOST IMPACTED. 30,500
    4 SCHOOL HEALTH INITIATIVE PROJECT- A CONTRACT WITH THE SCHROEDER CENTER FOR HEALTH POLICY AT THE COLLEGE OF WILLIAM AND MARY TO PROVIDE SUPPORT TO THE SCHOOL HEALTH INITIATIVE PROGRAM (SHIP) THE SCHROEDER CENTER WORKS WITH SHIP TO ADMINISTER SURVEYS THAT EXAMINE CHANGES IN KNOWLEDGE, ATTITUDE AND BEHAVIORS IN THE AREAS OF PHYSICAL ACTIVITY AND WELLNESS DATA IS COLLECTED AND ANALYZED BY THE SCHROEDER CENTER AND RESULTS ARE USED TO EVALUATE PROGRAM IMPACT 10,902
    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 instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    7,287,357
    c
    Fair market value of all other assets (see instructions)................
    1c
    115,898,804
    d
    Total (add lines 1a, b, and c).........................
    1d
    123,186,161
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    123,186,161
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,847,792
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    121,338,369
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    6,066,918
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    6,066,918
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    81,697
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    81,697
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    5,985,221
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    5,985,221
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    5,985,221
    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
    6,026,139
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    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
    6,026,139
    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
    81,697
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    5,944,442
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 5,985,221
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 685,428
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 6,026,139
    a Applied to 2017, but not more than line 2a 685,428
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 5,340,711
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 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 ..........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    644,510
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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).)
    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.
    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:
    CAROL SALE
    4801 COURTHOUSE STREET 200
    WILLIAMSBURG,VA23188
    (757) 345-0912
    bThe form in which applications should be submitted and information and materials they should include:
    WCHF APPLICATION SHOULD INCLUDE THE BOARD ROSTER, ANNUAL REPORT, IRS FORM 990 AND ANNUAL AUDIT IN ACCORDANCE WITH WCHF POLICIES, PLUS ALLOWABLE COSTS AS OUTLINED IN GRANT APPLICATION.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONDITIONS FOR GRANT AWARDS DO NOT ALLOW EXPENDITURES FOR ANNUAL APPEALS AND FUNDRAISING, ENDOWMENTS, REAL ESTATE ACQUISITIONS, RESTORATION OF FUNDS CUT BY GOVERNMENTS OR OTHER ORGANIZATIONS, AND LOBBYING.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    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
    ANGELS OF MERCY MEDICAL MISSION
    7151 RICHMOND RD STE 401
    WILLIAMSBURG,VA231887234
    N/A PC CHRONIC CARE COLLABORATIVE 113,000
    CENTER FOR CHILD AND FAMILY SERVICES INC
    2021 CUNNINGHAM DR STE 400
    HAMPTON,VA236663301
    N/A PC CHILD AND FAMILY CONNECTION'S MULTICULTURAL COUNSELING AND OUTREACH PROGRAM 40,000
    CENTER FOR CHILD AND FAMILY SERVICES INC
    2021 CUNNINGHAM DR STE 400
    HAMPTON,VA236663301
    N/A PC CHILD AND FAMILY CONNECTION'S VIOLENCE PREVENTION AND INTERVENTION PROGRAM (VPIP) 35,000
    CHILD DEVELOPMENT RESOURCES
    PO BOX 280
    NORGE,VA23127
    N/A PC INFANT PARENT PROGRAM 100,000
    CHILD DEVELOPMENT RESOURCES
    PO BOX 280
    NORGE,VA23127
    N/A PC PARENTS AS TEACHERS 84,000
    CHILD DEVELOPMENT RESOURCES
    PO BOX 280
    NORGE,VA23127
    N/A PC BREASTFEEDING: BUILDING CONFIDENCE AND COMPETENCE 12,000
    CHILD DEVELOPMENT RESOURCES
    PO BOX 280
    NORGE,VA23127
    N/A PC BOARD DISCRETIONARY GRANTS 500
    CITY OF WILLIAMSBURG
    401 LAFAYETTE STREET
    WILLIAMSBURG,VA23185
    N/A GOV CHILD HEALTH INITIATIVE 260,000
    CITY OF WILLIAMSBURG
    401 LAFAYETTE STREET
    WILLIAMSBURG,VA23185
    N/A GOV WALKING WORKS 500
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC GREATER WILLIAMSBURG CHILD ASSESSMENT CENTER (GWCAC) 271,000
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC CHRONIC CARE COLLABORATIVE 175,000
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC INTENSIVE OUTPATIENT PROGRAM 45,000
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC ADVANCING OPIOID-ADDICTION TREATMENT 40,000
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC GREATER WILLIAMSBURG NETWORK OF CARE WEBSITE (NOC) 37,000
    COMMUNITY HOUSING PARTNERS
    448 DEPOT STREET
    CHRISTIANSBURG,VA24073
    N/A PC BUILDING HEALTHY COMMUNITIES 45,000
    COMMUNITY HOUSING PARTNERS
    448 DEPOT STREET
    CHRISTIANSBURG,VA24073
    N/A PC MOBILE FOOD PANTRY 5,000
    ELK HILL FARM INC
    PO BOX 99 1975 ELK HILL RD
    GOOCHLAND,VA23063
    N/A PC ELK HILLS SCHOOL-BASED MENTAL HEALTH PROGRAM 20,000
    FISH INC
    312 WALLER MILL ROAD SUITE 800
    WILLIAMSBURG,VA23185
    N/A PC BOARD DISCRETIONARY GRANTS 500
    FREE FOUNDATION FOR REHABILITATION EQUIPMENT & ENDOWMENT
    PO BOX 8873
    ROANOKE,VA240140752
    N/A PC F.R.E.E. OF WILLIAMSBURG 25,000
    FREE FOUNDATION FOR REHABILITATION EQUIPMENT & ENDOWMENT
    PO BOX 8873
    ROANOKE,VA240140752
    N/A PC WALKING WORKS 500
    GLOUCESTER MATHEWS CARE CLINIC
    6031 INDUSTRIAL DR
    GLOUCESTER,VA230613767
    N/A PC CHRONIC CARE COLLABORATIVE 200,000
    GREATER WILLIAMSBURG HEARTSAFE ALLIANCE
    WILLIAMSBURG AREA CHAMBER FOUNDATIO
    421 NORTH BOUNDARY STREET
    WILLIAMSBURG,VA23185
    N/A PC GREATER WILLIAMSBURG HEARTSAFE ALLIANCE 40,000
    GROVE CHRISTIAN OUTREACH CENTER
    8800 POCAHONTAS TRAIL
    WILLIAMSBURG,VA23185
    N/A PC CHILDREN'S SUMMER LUNCH PROGRAM 5,000
    JAMES CITY COUNTY
    PO BOX 8784
    WILLIAMSBURG,VA23187
    N/A GOV CHILD HEALTH INITIATIVE 250,000
    LITERACY FOR LIFE AT THE RITA WELSH ADULT LEARNING CENTER
    301 MONTICELLO AVENUE
    WILLIAMSBURG,VA231878795
    N/A GOV HEAL PROGRAM 50,000
    LITERACY FOR LIFE AT THE RITA WELSH ADULT LEARNING CENTER
    301 MONTICELLO AVENUE
    WILLIAMSBURG,VA231878795
    N/A PC BOARD DISCRETIONARY GRANTS 500
    OLDE TOWNE MEDICAL & DENTAL CENTER
    5249 OLDE TOWNE ROAD
    WILLIAMSBURG,VA23188
    N/A PC BASIC OPERATING SUPPORT 450,000
    OLDE TOWNE MEDICAL & DENTAL CENTER
    5249 OLDE TOWNE ROAD
    WILLIAMSBURG,VA23188
    N/A PC CHRONIC CARE COLLABORATIVE 250,000
    OLDE TOWNE MEDICAL & DENTAL CENTER
    5249 OLDE TOWNE ROAD
    WILLIAMSBURG,VA23188
    N/A PC IMPROVING DIABETIC SELF-MANAGEMENT THROUGH HEALTH COACHING 30,000
    OLIVET MEDICAL MINISTRY INC DBA LACKEY CLINIC
    1620 OLD WILLIAMSBURG ROAD
    YORKTOWN,VA23690
    N/A PC CHRONIC CARE COLLABORATIVE 400,000
    OLIVET MEDICAL MINISTRY INC DBA LACKEY CLINIC
    1620 OLD WILLIAMSBURG ROAD
    YORKTOWN,VA23690
    N/A PC WALKING WORKS 500
    ONE CHILD CENTER FOR AUTISM
    201 BULIFANTS BLVD STE A
    WILLIAMSBURG,VA23188
    N/A PC KIDS' NIGHT 15,000
    PENINSULA AGENCY ON AGING
    739 THIMBLE SHOALS BLVD STE 1006
    NEWPORT NEWS,VA23606
    N/A PC PAA RIDES PROGRAM 110,000
    PENINSULA AGENCY ON AGING
    739 THIMBLE SHOALS BLVD STE 1006
    NEWPORT NEWS,VA23606
    N/A PC AGING AND DISABILITY RESOURCE CENTER 64,000
    PENINSULA AGENCY ON AGING
    739 THIMBLE SHOALS BLVD STE 1006
    NEWPORT NEWS,VA23606
    N/A PC NUTRITIOUS NOONTIME MEALS 50,000
    PENINSULA AGENCY ON AGING
    739 THIMBLE SHOALS BLVD STE 1006
    NEWPORT NEWS,VA23606
    N/A PC HOMEMEDS 15,000
    POSTPARTUM SUPPORT VIRGINIA INC
    PO BOX 7521
    ARLINGTON,VA22207
    N/A PC HEALTHY MOTHER, HEALTHY FAMILY 8,000
    RX PARTNERSHIP
    2924 EMERYWOOD PARKWAY SUITE 300
    RICHMOND,VA23294
    N/A PC CHRONIC CARE COLLABORATIVE 35,000
    RX PARTNERSHIP
    2924 EMERYWOOD PARKWAY SUITE 300
    RICHMOND,VA23294
    N/A PC ACCESS TO MEDICATION PROGRAM (AMP) 25,000
    THE ARC OF GREATER WILLIAMSBURG
    150 STRAWBERRY PLAINS ROAD SUITE D
    WILLIAMSBURG,VA23188
    N/A PC FITNESS PROGRAM 25,000
    THE COLLEGE OF WILLIAM & MARY NEW HORIZONS FAMILY COUNSELING CENTER
    301 MONTICELLO AVENUE PO BOX 8795
    WILLIAMSBURG,VA23185
    N/A GOV YOUTH AND FAMILY COUNSELING PROGRAM 100,000
    THE DOORWAYS
    612 E MARSHALL STREET
    RICHMOND,VA23219
    N/A PC BASIC OPERATING SUPPORT 12,000
    VIRGINIA HEALTH CARE FOUNDATION
    707 EAST MAIN STREET SUITE 1350
    RICHMOND,VA23219
    N/A PC GREATER WILLIAMSBURG MEDICATION ACCESS PROGRAM (GWMAP) 400,000
    VIRGINIA PENINSULA FOODBANK
    2401 ALUMINUM AVENUE
    HAMPTON,VA23661
    N/A PC MOBILE FOOD PANTRY: FRESH PRODUCE PROGRAM 20,000
    VIRGINIA PENINSULA FOODBANK
    2401 ALUMINUM AVENUE
    HAMPTON,VA23661
    N/A PC BOARD DISCRETIONARY GRANTS 500
    VIRGINIA ORAL HEALTH COALITION
    4200 INNSLAKE DRIVE SUITE 103
    GLEN ALLEN,VA23060
    N/A PC ANNUAL AWARDS 10,000
    WILLIAMSBURG AREA FAITH IN ACTION
    354 MCLAWS CIRCLE SUITE 2
    WILLIAMSBURG,VA23185
    N/A PC MEDICAL TRANSPORTATION 50,000
    WILLIAMSBURG AREA FAITH IN ACTION
    354 MCLAWS CIRCLE SUITE 2
    WILLIAMSBURG,VA23185
    N/A PC SUPPORT FOR DEVELOPMENT DIRECTOR 42,000
    WILLIAMSBURG AREA FAITH IN ACTION
    354 MCLAWS CIRCLE SUITE 2
    WILLIAMSBURG,VA23185
    N/A PC BOARD DISCRETIONARY GRANTS 500
    WILLIAMSBURG HOUSE OF MERCY INC
    10 HARRISON AVENUE
    WILLIAMSBURG,VA231853572
    N/A PC SUMMER MEALS FOR KIDS 600
    WILLIAMSBURG SOCCER FOUNDATION
    809 RICHMOND ROAD WSF
    WILLIAMSBURG,VA23185
    N/A PC VIRGINIA LEGACY COMMUNITY PARTNERSHIP PROGRAM 20,000
    WILLIAMSBURG-JAMES CITY COUNTY COMMUNITY ACTION AGENCY
    312 WALLER MILL RD SUITE 405
    WILLIAMSBURG,VA23185
    N/A PC EQUIPMENT FOR THE HEALTHY HEAD START PROGRAM 6,100
    WILLIAMSBURG-JAMES CITY COUNTY PUBLIC SCHOOL DIVISION
    117 IRONBOUND ROAD
    WILLIAMSBURG,VA23187
    N/A GOV SCHOOL HEALTH INITIATIVE PROGRAM (SHIP) 650,000
    WILLIAMSBURG-JAMES CITY COUNTY PUBLIC SCHOOL DIVISION
    117 IRONBOUND ROAD
    WILLIAMSBURG,VA23187
    N/A GOV WALKING WORKS 500
    Total .................................bullet 3a 4,644,200
    bApproved for future payment
    ANGELS OF MERCY MEDICAL MISSION
    7151 RICHMOND RD STE 401
    WILLIAMSBURG,VA231887234
    N/A PC CHRONIC CARE COLLABORATIVE 56,500
    CHILD DEVELOPMENT RESOURCES
    PO BOX 280
    NORGE,VA23127
    N/A PC BREASTFEEDING: BUILDING CONFIDENCE AND COMPETENCE 6,000
    CITY OF WILLIAMSBURG
    401 LAFAYETTE STREET
    WILLIAMSBURG,VA23185
    N/A GOV CHILD HEALTH INITIATIVE 16,538
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC GREATER WILLIAMSBURG CHILD ASSESSMENT CENTER (GWCAC) 3,750
    COLONIAL BEHAVIORAL HEALTH
    473 MCLAWS CIRCLE
    WILLIAMSBURG,VA23185
    N/A PC ADVANCING OPIOID-ADDICTION TREATMENT 20,000
    COMMUNITY HOUSING PARTNERS
    448 DEPOT STREET
    CHRISTIANSBURG,VA24073
    N/A PC BUILDING HEALTHY COMMUNITIES 22,500
    ELK HILL FARM INC
    PO BOX 99 1975 ELK HILL RD
    GOOCHLAND,VA23063
    N/A PC ELK HILLS SCHOOL-BASED MENTAL HEALTH PROGRAM 10,000
    GREATER WILLIAMSBURG HEARTSAFE ALLIANCE
    WILLIAMSBURG AREA CHAMBER FOUNDATIO
    421 NORTH BOUNDARY STREET
    WILLIAMSBURG,VA23185
    N/A PC GREATER WILLIAMSBURG HEARTSAFE ALLIANCE 20,000
    JAMES CITY COUNTY
    PO BOX 8784
    WILLIAMSBURG,VA23187
    N/A GOV CHILD HEALTH INITIATIVE 22,046
    OLDE TOWNE MEDICAL & DENTAL CENTER
    5249 OLDE TOWNE ROAD
    WILLIAMSBURG,VA23188
    N/A PC IMPROVING DIABETIC SELF-MANAGEMENT THROUGH HEALTH COACHING 15,000
    RX PARTNERSHIP
    2924 EMERYWOOD PARKWAY SUITE 300
    RICHMOND,VA23294
    N/A PC ACCESS TO MEDICATION PROGRAM (AMP) 12,500
    WILLIAMSBURG AREA FAITH IN ACTION
    354 MCLAWS CIRCLE SUITE 2
    WILLIAMSBURG,VA23185
    N/A PC MEDICAL TRANSPORTATION 25,000
    WILLIAMSBURG AREA FAITH IN ACTION
    354 MCLAWS CIRCLE SUITE 2
    WILLIAMSBURG,VA23185
    N/A PC SUPPORT FOR DEVELOPMENT DIRECTOR 21,000
    Total .................................bullet 3b 250,834
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    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 1,060,954  
    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 ............
    525990 63,131 18 7,018,019  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPASSTHROUGH K-1 INCOME
    525990 -11,263 14 1,651,696  
    bK-1 INCOME NOT INCLUDED IN INVESTMENT INCOME 525990   14 268  
    cSECTION 965 INCOME     14 88  
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 51,868 9,731,025 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    9,782,893
    (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 (2018)
    Form 990-PF (2018)
    Page 13
    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) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    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) (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) 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 name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING & TAX RETURN PREPARATION FEES 48,385 0   48,385

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

    TY 2018 GainLossSaleOtherAssetsSch
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    PASSTHROUGH K-1 CAPITAL GAIN UBI   PURCHASED     63,131     0 63,131  

    TY 2018 InvestmentsOtherSchedule2
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MIT PRIVATE EQUITY II FUND FMV 164,405 164,405
    TIFF ABSOLUTE RETURN POOL II FMV 12,112,965 12,112,965
    TIFF PARTNERS V - US FMV 108,249 108,249
    TIFF PARTNERS V - INTERNATIONAL FMV 44,455 44,455
    TIFF SECONDARY PARTNERS I, LLC FMV 5,507 5,507
    TIFF REAL ESTATE PARTNERS II, LLC FMV 318,070 318,070
    TRG FORESTRY FUND 7-B LP FMV 431,901 431,901
    TIFF PRIVATE EQUITY PARTNERS 2007, LLC FMV 1,013,783 1,013,783
    MA INVESTORS FUND 1, LLC FMV 1,601,273 1,601,273
    PRIVATE ADVISORS SMALL COMPANY BUYOUT FUND FMV 552,452 552,452
    TIFF PRIVATE EQUITY PARTNERS 2008, LLC FMV 919,378 919,378
    TIFF SHORT TERM FUND FMV 2,989,690 2,989,690
    METROPOLITAN REAL ESTATE PARTNERS 2008 DISTRESSED CO-INVESTMENT FUND, LP FMV 51,832 51,832
    TIFF SECONDARY PARTNERS II, LLC FMV 300,210 300,210
    TIFF MULTI-ASSET FUND FMV 39,866,971 39,866,971
    TIFF KEYSTONE FUND FMV 41,489,115 41,489,115
    TIFF PRIVATE EQUITY PARTNERS 2012, LLC FMV 1,268,894 1,268,894
    TIFF SPECIAL OPPORTUNITIES FUND, LLC FMV 2,264,321 2,264,321
    TIFF PRIVATE EQUITY PARTNERS 2013 FMV 3,620,264 3,620,264
    TIFF PRIVATE EQUITY PARTNERS 2014 FMV 888,813 888,813
    TIFF REALTY AND RESOURCES IV, LLC FMV 474,274 474,274
    TIFF PRIVATE EQUITY PARTNERS 2015 FMV 739,092 739,092
    TIFF PRIVATE EQUITY PARTNERS 2016 FMV 499,231 499,231
    TIFF PRIVATE EQUITY PARTNERS 2017 FMV 117,618 117,618
    TIFF SPECIAL OPPORTUNITIES FUND II FMV 256,194 256,194
    TIFF PRIVATE EQUITY PARTNERS 2018 FMV 76,673 76,673

    TY 2018 LandEtcSchedule2
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE, FIXTURES, & EQUIPMENT 78,174 68,699 9,475 9,475
    COMPUTERS & SOFTWARE 25,962 25,914 48 48


    TY 2018 OtherDecreasesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Description Amount
    UNREALIZED DECLINE IN VALUE OF INVESTMENTS 11,496,770


    TY 2018 OtherExpensesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL AWARDS 13,097 0   13,097
    EQUIPMENT RENTAL/MAINTENANCE 33,778 0   33,778
    INSURANCE 12,969 0   12,969
    ADMINISTRATIVE EXPENSE 25,104 0   25,104
    MARKETING 8,525 0   8,525
    DCA EXPENSE - CHRONIC CARE 84,668 0   84,668
    DCA EXPENSE - OTHER 71,640 0   71,640
    MEMBERSHIP DUES 26,935 0   26,935
    PASSTHROUGH K-1 EXPENSES 1,252,173 1,246,102   0


    TY 2018 OtherIncomeSchedule2
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PASSTHROUGH K-1 INCOME 1,640,433 1,651,696 1,640,433
    K-1 INCOME NOT INCLUDED IN INVESTMENT INCOME 268   268
    SECTION 965 INCOME 88 88 88


    TY 2018 OtherIncreasesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Description Amount
    CHANGE IN DEFERRED EXCISE TAX LIABILITY 104,428


    TY 2018 OtherLiabilitiesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED FEDERAL EXCISE TAX LIABILITY 322,085 217,657


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT 161,422 161,422   0
    OTHER PROFESSIONAL FEES 47,703 0   47,703


    TY 2018 TaxesSchedule
    Name:
    WILLIAMSBURG COMMUNITY HEALTH FOUNDATION
    EIN:
    54-1822359
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MUNICIPAL PROPERTY TAXES 1,041 0   0
    EXCISE TAX 385 0   0