TY 2018 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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 04-01-2018 , and ending 03-31-2019

Name of foundation
OBICI HEALTHCARE FOUNDATION INC

Number and street (or P.O. box number if mail is not delivered to street address)106 W FINNEY AVENUE
Room/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 If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$122,259,650J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	182,569		182,569
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		10,279,454
b	Gross sales price for all assets on line 6a 27,840,922
7	Capital gain net income (from Part IV, line 2)...			1,429,160
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).......		18,733	4,869,300	0
12	Total. Add lines 1 through 11........	10,480,756		6,481,029	0
13	Compensation of officers, directors, trustees, etc.	297,899		0	0	297,899
14	Other employee salaries and wages......	347,100		0	0	347,100
15	Pension plans, employee benefits.......	152,709		0	0	148,040
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		48,957	0	0	48,957
c	Other professional fees (attach schedule)....		672,343	672,343	0	0
17	Interest...............	51,117		0	0	0
18	Taxes (attach schedule) (see instructions)...		415	0	0	425
19	Depreciation (attach schedule) and depletion...		98,189	0	0
20	Occupancy..............	34,157		0	0	34,155
21	Travel, conferences, and meetings.......	37,419		0	0	36,962
22	Printing and publications..........
23	Other expenses (attach schedule).......		1,135,210	0	0	479,486
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	2,875,515		672,343	0	1,393,024
25	Contributions, gifts, grants paid.......	3,610,764				3,601,097
26	Total expenses and disbursements. Add lines 24 and 25	6,486,279		672,343	0	4,994,121
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	3,994,477
b	Net investment income (if negative, enter -0-)			5,808,686
c	Adjusted net income (if negative, enter -0-)...				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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	26,138	24,790	24,790
	2	Savings and temporary cash investments.........	8,974,543	5,894,805	5,894,805
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	64,866	78,985	78,985
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	8,806,976	7,741,825	7,741,825
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	103,147,461	106,259,153	106,259,153
	14	Land, buildings, and equipment: basis 2,420,562
		Less: accumulated depreciation (attach schedule) 920,985	1,585,015	1,499,577	1,499,577
	15	Other assets (describe )	693,425	760,515	760,515
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	123,298,424	122,259,650	122,259,650
	17	Accounts payable and accrued expenses..........	167,509	31,855
	18	Grants payable.................	1,481,665	1,275,226
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......	1,285,970	1,204,658
	22	Other liabilities (describe )	657,236	575,969
	23	Total liabilities (add lines 17 through 22).........	3,592,380	3,087,708
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................	119,706,044	119,171,942
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		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).....	119,706,044	119,171,942
	31	Total liabilities and net assets/fund balances (see instructions).	123,298,424	122,259,650

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

119,706,044

Enter amount from Part I, line 27a .....................

3,994,477

Other increases not included in line 2 (itemize) bullet

13,696

Add lines 1, 2, and 3 ..........................

123,714,217

Decreases not included in line 2 (itemize) bullet

4,542,275

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .

119,171,942

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	BARES SMALL CAP SHORT	P	2014-09-30	2019-03-31
b	SHAPIRO	P	2014-07-23	2019-03-31
c	BIOMEDICAL OFFSHORE VAL FD J	P	2016-06-29	2018-06-30
d	SPDR S&P OILGAS EXPLORATION FUND	P	2015-02-02	2018-06-20
e	THE MANGROVE PRTNERS FD - 1A INITIAL	P	2017-12-27	2019-02-28
	TP PARTNERS FD CAYMAN LIQUID POOL	P	2014-12-31	2018-12-31
	TP PARTNERS FD SOMOS EDU SIDE POCKET	P	2014-11-30	2018-11-29
	TP PARTNERS SOMOS EDU SIDE POCKET II	P	2015-04-30	2018-11-29
	CEVIAN CAPITAL II LTD USD A-04/13	P	2013-04-01	2018-09-30
	HOUND PARTNERS LONG FUND CL A-1-1	P	2013-12-27	2018-12-31
	HOUND PARTNERS LONG FUND CL A-1-1	P	2013-12-27	2019-03-31
	LANCASTER EURO EQ LTD A A2 US$ 1 201	P	2013-12-27	2019-02-01
	TENG YUE PARTNERS OFFSHORE FD LP	P	2013-05-31	2018-09-30
	VR GLOBAL OFFSHORE CL A SERIES 0599	P	2016-01-01	2018-06-30
	ACACIA INSTITUTIONAL PARTNERS, L.P.	P	2007-03-30	2018-10-01
	BLUESTEM PARTNERS, L.P.	P	2007-12-27	2018-09-28
	1607 CAPITAL GLOBAL EX US FUND, LP	P	2015-03-20	2018-12-31
	AG NET LEASE REALTY FUND III, LP	P	2014-03-10	2019-02-21
	BLUESTEM PARTNERS, L.P.	P	2007-12-27	2018-09-28
	BROADVAIL CAPITAL PARTNERS FUND I, LP	P	2017-08-14	2019-03-28
	CEDAR ROCK CAPITAL PARTNERS, LLC	P	2006-09-28	2019-03-29
	IR&M INTERMEDIATE FUND, LLC	P	2016-09-06	2019-02-01
	MERCED PARTNERS IV, LP	P	2014-04-01	2019-03-18
	MERCED PARTNERS V, LP	P	2017-01-25	2018-09-28
	NEXUS SPECIAL SITUATIONS II, LP	P	2018-09-26	2019-01-16
	PARTNERS FOR GROWTH IV, LP	P	2014-06-06	2019-03-22
	REALTY ASSOCIATES FD X UPT, LP	P	2013-10-15	2019-01-15
	REGIMENT CAP SPEC SITUATIONS FUND V, LP	P	2017-01-01	2018-11-23
	TAILWATER ENERGY FUND III, LP	P	2018-09-26	2019-01-16
	VORTUS INVESTMENTS II, LP	P	2017-08-28	2018-11-20
	VY CAPITAL HOLDINGS EXCESS CASH	P	2018-02-01	2019-01-23
	WHITMAN PETERSON PARTNERS III, LP	P	2017-08-23	2018-10-23

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	2,030,749	1,739,456	291,293
b	3,890,495	3,602,412	288,083
c	1,000,000	573,813	426,187
d	400,029	452,693	-52,664
e	36,109	37,125	-1,016
	146,536	623,841	-477,305
	116,383	86,693	29,690
	503,023	324,132	178,891
	349,218	225,625	123,593
	2,384,524	1,802,032	582,492
	734,546	545,760	188,786
	2,000,000	1,667,189	332,811
	798,843	600,000	198,843
	1,000,000	679,235	320,765
	2,800,000	2,375,864	424,136
	4,026,991	5,452,416	-1,425,425
	20,724	20,724	0
	262,950	262,950	0
	758,446	758,446	0
	245,405	245,405	0
	44,097	44,097	0
	19,852	19,852	0
	204,000	204,000	0
	566	566	0
	3,464	3,464	0
	2,583,740	2,583,740	0
	623,425	623,425	0
	211,811	211,811	0
	364,114	364,114	0
	277,861	277,861	0
	1,263	1,263	0
	1,758	1,758	0

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			291,293
b			288,083
c			426,187
d			-52,664
e			-1,016
			-477,305
			29,690
			178,891
			123,593
			582,492
			188,786
			332,811
			198,843
			320,765
			424,136
			-1,425,425
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0
			0

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	1,429,160
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 ...................		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? Yes No

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	5,353,624	116,763,646	0.045850
2016	5,511,690	107,219,885	0.051405
2015	5,681,173	109,186,883	0.052032
2014	5,283,993	113,701,688	0.046472
2013	4,524,276	106,786,977	0.042367

Total of line 1, column (d) .....................

0.238126

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 ......

0.047625

Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......

117,620,262

Multiply line 4 by line 3......................

5,601,665

Enter 1% of net investment income (1% of Part I, line 27b)...........

58,087

Add lines 5 and 6........................

5,659,752

Enter qualifying distributions from Part XII, line 4,.............

5,009,791

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)

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 and enter “N/A" on line 1.
	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	116,174
	hereand 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	116,174
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	116,174
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	183,509
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	183,509
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	67,335
11	Enter the amount of line 10 to be: Credited to 2019 estimated tax67,335	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

Yes

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Yes

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2018)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

HTTP://WWW.OBICIHCF.ORG/

The books are in care of bullet

ANNETTE C BEUCHLER Telephone no. bullet

(757) 539-8810

Located at bullet

106 W FINNEY AVENUESUFFOLKVA ZIP+4 bullet

23434

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

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2018)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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
R SCOTT CARR	CHAIRMAN 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	CHAIRMAN 1.00	0	0
LYNNE RABIL	VICE-CHAIRMAN 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	VICE-CHAIRMAN 1.00	0	0
THOMAS WOODWARD III	TREASURER 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	TREASURER 1.00	0	0
ANNETTE C BEUCHLER	PRESIDENT & CEO 40.00	207,030	25,052
106 W FINNEY AVENUE SUFFOLK,VA23434	PRESIDENT & CEO 40.00	207,030	25,052
MICHAEL K BRINKLEY	DIRECTOR OF FINANCE 21.00	90,868	4,954
106 W FINNEY AVENUE SUFFOLK,VA23434	DIRECTOR OF FINANCE 21.00	90,868	4,954
ROBERT C BARCLAY IV	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
ROBERT C CLAUD	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
PAT EDWARDS	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
JEFFERY D FORMAN	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
RALPH HOWELL JR	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
EMANUEL MYRICK	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
BILL PEAK	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0
JANICE WHITE	BOARD OF DIRECTORS 1.00	0	0
106 W FINNEY AVENUE SUFFOLK,VA23434	BOARD OF DIRECTORS 1.00	0	0

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
DIANE NELMS	COMMUNICATIONS DIREC 40.00	73,886	20,856	0
106 W FINNEY AVENUE SUFFOLK,VA23434	COMMUNICATIONS DIREC 40.00	73,886	20,856	0
MELISSA EGGEN	PROGRAM OFFICER 40.00	78,229	13,102	0
106 W FINNEY AVENUE SUFFOLK,VA23434	PROGRAM OFFICER 40.00	78,229	13,102	0
ANNA ROBERTS	EXECUTIVE ASSISTANT 40.00	53,973	17,034	0
106 W FINNEY AVENUE SUFFOLK,VA23434	EXECUTIVE ASSISTANT 40.00	53,973	17,034	0
SARAH CROUCH	PROGRAM OFFICER 40.00	52,372	7,987	0
106 W FINNEY AVENUE SUFFOLK,VA23434	PROGRAM OFFICER 40.00	52,372	7,987	0


Total number of other employees paid over $50,000...................				0

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
CORNERSTONE PARTNERS LLC	INVESTMENT MANAGEMENT	498,965
675 PETER JEFFERSON PKWY STE 160 CHARLOTTESVILLE,VA22911	INVESTMENT MANAGEMENT	498,965
SUNTRUST BANK INC HDQ 5307	INVESTMENT CUSTODIAN	97,667
919 EAST MAIN STREET RICHMOND,VA23219	INVESTMENT CUSTODIAN	97,667

Total number of others receiving over $50,000 for professional services............. bullet

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

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......................... bullet

Form 990-PF (2018)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

113,017,035

Average of monthly cash balances.......................

5,712,158

Fair market value of all other assets (see instructions)................

682,240

Total (add lines 1a, b, and c).........................

119,411,433

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

119,411,433

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

1,791,171

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

117,620,262

Minimum investment return. Enter 5% of line 5..................

5,881,013

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.)

Minimum investment return from Part X, line 6....................

5,881,013

Tax on investment income for 2018 from Part VI, line 5......

116,174

Income tax for 2018. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

116,174

Distributable amount before adjustments. Subtract line 2c from line 1............

5,764,839

Recoveries of amounts treated as qualifying distributions................

13,697

Add lines 3 and 4............................

5,778,536

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

5,778,536

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

4,994,121

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

15,670

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

5,009,791

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.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

5,009,791

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)

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				5,778,536
2 Undistributed income, if any, as of the end of 2018:
a Enter amount for 2017 only.......			4,917,477
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: $ 5,009,791
a Applied to 2017, but not more than line 2a			4,917,477
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.....				92,314
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 ..........				5,686,222
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)

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

GRANTS MANAGER
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:

PRIORITY GRANTS- DEADLINES VARY PER RFP'S ON OBICI WEBSITE COMMUNITY ENGAGEMENT GRANTS- NO DEADLINES

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 - 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 THAT ARE ALREADY FUNDED THROUGH EXISTING THIRD-PARTY REIMBURSEMENT SOURCES

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ACCESS COLLEGE FOUNDATION 7300 NEWPORT AVENUE SUITE 500 NORFOLK,VA23505	NONE	PC	ACCESS TO HEALTH CARE IN WESTERN TIDEWATER THROUGH WORKFORCE DEVELOPMENT	200,000
ALBEMARLE REGIONAL HEALTH SERVICES P O BOX 189 ELIZABETH CITY,NC27907	NONE	PC	CREATING HEALTHY BEGINNINGS FOR GATES COUNTY FAMILIES	55,722
ALS ASSOCIATION DCMDVA CHAPTER 8100 THREE CHOPT ROAD SUITE 147 RICHMOND,VA23229	NONE	PC	HAMPTON ROADS WALK TO DEFEAT ALS	1,000
ALZHEIMER'S ASSOCIATION - SOUTHEASTERN VIRGINIA 6350 CENTER DRIVE SUITE 102 NORFOLK,VA23502	NONE	PC	BRAIN SUMMIT: A RESEARCH CONFERENCE ON ALZHEIMER'S AND DEMENTIA	3,500
AMERICAN DIABETES ASSOCIATION 870 GREENBRIER CIRCLE SUITE 404 CHESAPEAKE,VA23320	NONE	PC	DIABETES SELF-MANAGEMENT EDUCATION PROGRAM EXTENSION	36,196
AMERICAN FOUNDATION FOR SUICIDE PREVENTION 120 WALL STREET 29TH FLOOR NEW YORK,NY10005	NONE	PC	AMERICAN FOUNDATION FOR SUICIDE PREVENTION OUT OF THE DARKNESS WALK SUFFOLK, VA	1,250
AMERICAN HEART ASSOCIATION 4601 NORTH FAIRFAX DRIVE SUITE 700 ARLINGTON,VA22203	NONE	PC	SIMPLE COOKING WITH HEART MOBILE KITCHEN IN FRANKLIN	20,158
ASSOCIATION OF FUNDRAISING PROFESSIONALS - HAMPTON ROADS PO BOX 2338 NORFOLK,VA23501	NONE	NC	NATIONAL PHILANTHROPY DAY - WEDNESDAY, NOVEMBER 28, 2018 THE MAIN IN NORFOLK	1,000
BOYS AND GIRLS CLUBS OF SOUTHEAST VIRGINIA 1300 DIAMOND SPRINGS ROAD SUITE 300 VIRGINIA BEACH,VA23455	NONE	PC	TRIPLE PLAY: MIND, BODY, AND SOUL	30,000
CATHOLIC CHARITIES OF EASTERN VIRGINIA 5361 VIRGINIA BEACH BLVD VIRGINIA BEACH,VA23462	NONE	PC	WESTERN TIDEWATER DENTAL VOUCHER PROGRAM	163,071
CEREBRAL PALSY OF VIRGINIA 5825 ARROWHEAD DRIVE SUITE 201 VIRGINIA BEACH,VA23462	NONE	PC	WINNING THE GRANT WRITING GAME 2018: A FOUR-PART SERIES ON WRITING, RESEARCHING, EVALUATING & REPORTING	280
CHILDREN'S LITERACY OF SUFFOLK 908 VIRGINIA AVENUE SUFFOLK,VA23434	NONE	PC	BOOK BUDDIES AND KINDER BUDDIES	16,172
CITY OF FRANKLIN 207 W SECOND AVE FRANKLIN,VA23851	NONE	GOV	ARMORY DRIVE RECREATIONAL PARK TENNIS COURT RENOVATION	50,000
CITY OF FRANKLIN 207 W SECOND AVE FRANKLIN,VA23851	NONE	GOV	FUTURE PARKS AND RECREATIONAL OPPORTUNITIES PARTNERSHIP	5,000
CITY OF FRANKLIN POLICE DEPARTMENT 1018 PRETLOW ST FRANKLIN,VA23851	NONE	GOV	EMERGENCY MEDICAL DISPATCH PURCHASE AND IMPLEMENTATION	5,000
CITY OF SUFFOLK 442 W WASHINGTON STREET SUFFOLK,VA23439	NONE	GOV	INCLUSIVE PLAYGROUND AT LAKE MEADE PARK	50,000
CITY OF SUFFOLK 442 W WASHINGTON STREET SUFFOLK,VA23439	NONE	GOV	PLAYGROUND AT BOOKER T. WASHINGTON JOINT USE RECREATION CENTER	45,000
COMMUNITIES IN SCHOOLS OF HAMPTON ROADS PO BOX 1668 NORFOLK,VA23501	NONE	PC	GOLFING FOR KIDS TOURNAMENT	5,000
COVER 3 FOUNDATION 125 S COLLEGE DRIVE PO BOX 456 FRANKLIN,VA23851	NONE	PC	C3'S KID'S MEALS	5,000
EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK,VA23501	NONE	PC	EVMS STRELITZ DIABETES CENTER CLINIC AT WESTERN TIDEWATER FREE CLINIC	81,044
EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK,VA23501	NONE	PC	EVMS CONTINUITY OF CARE FOR WESTERN TIDEWATER	45,000
EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK,VA23501	NONE	PC	SPECIALTY CARE CLINIC: SUFFOLK	131,675
EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK,VA23501	NONE	PC	EVMS CINCH- ASTHMA & ALLERGY SCHOOL NURSE EXPERT PROGRAM (A2)	3,600
FORKIDS INC 4200 COLLEY AVENUE SUITE A NORFOLK,VA23508	NONE	PC	CHILDREN'S OUTDOOR RECREATION AND GARDENING PROJECT	4,500
FORKIDS INC 4200 COLLEY AVENUE SUITE A NORFOLK,VA23508	NONE	PC	HEALTHCARE SUPPORT FOR HOMELESS FAMILIES	12,000
FORKIDS INC 4200 COLLEY AVENUE SUITE A NORFOLK,VA23508	NONE	PC	SUFFOLK REGIONAL SERVICES CENTER AND THE CENTER FOR CHILDREN AND FAMILIES	25,000
FORKIDS INC 4200 COLLEY AVENUE SUITE A NORFOLK,VA23508	NONE	PC	STRENGTHENING THE SAFETY NET	30,000
FRANKLIN CITY PUBLIC SCHOOLS 207 W SECOND AVENUE FRANKLIN,VA23851	NONE	GOV	2018-2019 SCHOOL DIVISION PARTNERSHIP GRANTS	5,228
GIRLS ON THE RUN HAMPTON ROADS 287 INDEPENDENCE BLVD SUITE 120 VIRGINIA BEACH,VA23462	NONE	PC	HEALTHY, JOYFUL, CONFIDENT GIRLS IN WESTERN TIDEWATER	34,893
GIRLS ON THE RUN HAMPTON ROADS 287 INDEPENDENCE BLVD SUITE 120 VIRGINIA BEACH,VA23462	NONE	PC	SERVICE EXPANSION TO FRANKLIN AND TO SOUTHAMPTON, SURRY, AND GATES COUNTIES	17,515
HAMPTON ROADS COMMUNITY HEALTH CENTER 664 LINCOLN ST PORTSMOUTH,VA23704	NONE	PC	LEAP = LEARNING & ENRICHMENT FOR ACADEMIC PROGRESS	5,000
HORIZON HEALTH SERVICES INC 8314 MAIN STREET PO BOX 210 IVOR,VA23866	NONE	PC	THE IVOR DENTAL CENTER	100,000
ISLE OF WIGHT COUNTY PUBLIC SCHOOLS 802 WEST MAIN ST SMITHFIELD,VA23430	NONE	GOV	2018-2019 SCHOOL DIVISION PARTNERSHIP GRANTS	5,039
KIDS KAB INC PO BOX 124 BOYKINS,VA23827	NONE	PC	KIDS OF THE YEAR CELEBRATION	5,000
LAKE PRINCE WOODS 100 ANNA GOODE WAY SUFFOLK,VA23434	NONE	SO1	4PAWS 5K AND 1 MILE FUN RUN TO BENEFIT LAKE PRINCE WOODS AND SUFFOLK HUMANE SOCIETY	2,000
NATIONAL KIDNEY FOUNDATION SERVING VIRGINIA 1622 EAST PARHAM ROAD RICHMOND,VA23228	NONE	PC	2019 HAMPTON ROADS KIDNEY WALK	1,500
NURSING CAP INC PO BOX 5593 SUFFOLK,VA23435	NONE	PC	TIDEWATER COMMUNITY COLLEGE ACADEMY OF NONPROFIT EXCELLENCE CLASSES COMPLETED	345
NURSING CAP INC PO BOX 5593 SUFFOLK,VA23435	NONE	PC	ENCOURAGING STUDENTS TO CHOOSE HEALTHY LIFESTYLES AND A HEALTH RELATED CAREER PATH	20,063
PENINSULA COMMUNITY FOUNDATION OF VIRGINIA 48 W QUEENS WAY HAMPTON,VA23669	NONE	PC	GIVE LOCAL 757 PROGRAM	5,000
PRECIOUS GEMS INC 3543 DUNEDIN DR APT 101 CHESAPEAKE,VA23321	NONE	PC	PRECIOUS G.E.M.S., INC. 6TH ANNUAL AUTISM AWARENESS WALK	1,750
RELAY FOR LIFE OF ISLE OF WIGHTSURRY 4240 PARK PLACE CT GLEN ALLEN,VA23060	NONE	PC	RELAY FOR LIFE OF ISLE OF WIGHT/SURRY	2,500
RELAY FOR LIFE OF SUFFOLK 4416 EXPRESSWAY DRIVE VIRGINIA BEACH,VA23452	NONE	PC	THE RELAY FOR LIFE OF SUFFOLK	3,000
SENTARA OBICI HOSPITAL 2800 GODWIN BLVD SUFFOLK,VA23434	NONE	PC	COMMUNITY CARE COORDINATION GRANT	48,922
SENTARA OBICI HOSPITAL 2800 GODWIN BLVD SUFFOLK,VA23434	NONE	PC	ANNUAL SENTARA OBICI AUXILIARY HOSPITAL GOLF TOURNAMENT	3,000
SMART BEGINNINGS SOUTHEAST 209 E CAWSON ST HOPEWELL,VA23860	NONE	PC	EARLY CHILDHOOD FOOD INSECURITY COLLABORATIVE	5,000
SMART BEGINNINGS WESTERN TIDEWATER 601 NORTH MECHANIC STREET SUITE 301 FRANKLIN,VA23851	NONE	PC	STARTING LIFE HEALTHY AND READY TO LEARN	13,044
SOUTHAMPTON COUNTY PUBLIC SCHOOLS 21308 PLANK ROAD P O BOX 96 COURTLAND,VA23837	NONE	GOV	2018-2019 SCHOOL DIVISION PARTNERSHIP GRANTS	11,894
SOUTHEASTERN VIRGINIA HEALTH SYSTEM 1033 28TH ST 2ND FLOOR NEWPORT NEWS,VA23607	NONE	PC	MAIN STREET DENTAL PROGRAM	200,000
SUFFOLK ART LEAGUE PO BOX 1086 118 BOSLEY AVE SUFFOLK,VA234391086	NONE	PC	ART THERAPY WORKSHOPS AT WESTERN TIDEWATER COMMUNITY SERVICES BOARD'S "TIDEWATER HOUSE"	900
SUFFOLK CENTER FOR CULTURAL ARTS 110 W FINNEY AVE SUFFOLK,VA23434	NONE	PC	PINKALICIOUS THE MUSICAL	4,000
SUFFOLK EDUCATION FOUNDATION P O BOX 394 SUFFOLK,VA234390394	NONE	PC	HEALTH SAFETY ITEMS FOR THE TEACHER STORE	1,978
SUFFOLK FAMILY YMCA 2769 GODWIN BLVD SUFFOLK,VA23434	NONE	PC	YMCA HEALTHY CHOICES PROGRAM	5,000
SUFFOLK FAMILY YMCA 2769 GODWIN BLVD SUFFOLK,VA23434	NONE	PC	ALL KIDS SWIM	5,000
SUFFOLK HUMANE SOCIETY 412 KINGS FORK ROAD SUFFOLK,VA23434	NONE	PC	HUMAN-ANIMAL BOND PROJECT	5,000
SUFFOLK MEALS ON WHEELS 2800 GODWIN BLVD SUFFOLK,VA23434	NONE	PC	EMERGENCY MEALS FOR NEED-BASED RECIPIENTS	23,488
SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY INC 425 N MAIN STREET SUITE 4 SUFFOLK,VA23434	NONE	PC	CATALYSTS FOR WELLNESS	82,149
SUFFOLK PROJECT LIFESAVER SEARCH AND RESCUE 300 KINGS FORK ROAD SUFFOLK,VA23434	NONE	PC	SUFFOLK PROJECT LIFESAVER SEARCH AND RESCUE KENTUCKY DERBY FUNDRAISER	1,000
SUFFOLK PUBLIC SCHOOLS 100 N MAIN ST SUFFOLK,VA23434	NONE	GOV	LEARNING & ENRICHMENT FOR ACADEMIC PROGRESS (LEAP)	65,000
SUFFOLK PUBLIC SCHOOLS 100 N MAIN ST SUFFOLK,VA23434	NONE	GOV	2018-2019 SCHOOL DIVISION PARTNERSHIP GRANTS	20,895
SUFFOLK PUBLIC SCHOOLS 100 N MAIN ST SUFFOLK,VA23434	NONE	GOV	WELLNESS INITIATIVES FOR A HAPPY, HEALTHY, PRODUCTIVE STAFF	5,000
SURRY COUNTY PO BOX 65 SURRY,VA23883	NONE	GOV	COMMUNITY WELLNESS PROGRAM	25,000
SURRY COUNTY PO BOX 65 SURRY,VA23883	NONE	GOV	HEALTHY FOOD ACCESS INITIATIVE	50,000
SURRY COUNTY PUBLIC SCHOOLS PO BOX 317 SURRY,VA23883	NONE	GOV	2018-2019 SCHOOL DIVISION PARTNERSHIP GRANTS	4,659
SUSAN G KOMEN TIDEWATER 420 N CENTER DR SUITE 143 NORFOLK,VA23502	NONE	PC	SUSAN G. KOMEN TIDEWATER'S RACE FOR THE CURE AND PINK-O DE MAYO	2,500
THE CHILDREN'S CENTER 700 CAMPBELL AVENUE FRANKLIN,VA23851	NONE	PC	SUFFOLK CLASSROOM EXPANSION	25,000
THE FOODBANK OF SOUTHEASTERN VIRGINIA AND THE EASTERN SHORE 800 TIDEWATER DRIVE NORFOLK,VA23504	NONE	PC	COMMUNITY PRODUCE HUB	100,000
THE IMPROVEMENT ASSOCIATION 1750 E ATLANTIC ST EMPORIA,VA23847	NONE	PC	EARLY CHILDHOOD LEARNING AND WORKFORCE CENTER PLAYGROUND	50,000
THE PLANNING COUNCIL 5365 ROBIN HOOD ROAD SUITE 700 NORFOLK,VA23513	NONE	PC	FARM2CHILDCARE	11,377
THE SUFFOLK FOUNDATION 110 W FINNEY AVE SUFFOLK,VA23434	NONE	PC	2018 FALL FORUM & LUNCHEON	5,000
THE UP CENTER 150 BOUSH STREET SUITE 500 NORFOLK,VA23510	NONE	PC	WESTERN TIDEWATER TRAUMA INFORMED COUNSELING COLLABORATIVE PARTNERSHIP	75,000
UNIVERSITY OF VIRGINIA PO BOX 400195 CHARLOTTESVILLE,VA229044195	NONE	PC	ASSIGNMENT: IMPACT! CREATING A FOUNDATION FOR SUCCESS IN WESTERN TIDEWATER	500,000
VIRGINIA LEGAL AID SOCIETY PO BOX 6200 LYNCHBURG,VA24504	NONE	PC	MEDICAL ACCESS PROJECT (MAP)	40,000
VIRGINIA LEGAL AID SOCIETY PO BOX 6200 LYNCHBURG,VA24504	NONE	PC	MEDICAID ACCESS IN A TRANSITION YEAR FOR VIRGINIA	90,000
VIRGINIA SUPPORTIVE HOUSING P O BOX 8585 RICHMOND,VA23226	NONE	PC	SUPPORTIVE SERVICES FOR SUFFOLK AND ISLE OF WIGHT RESIDENTS	3,970
VOICES FOR KIDS CASA PROGRAM OF SOUTHEAST VIRGINIA P O BOX 949 409 MAIN STREET SMITHFIELD,VA23431	NONE	PC	FIFTH ANNUAL VOICES FOR KIDS GALA	2,000
WALK IN IT INC PO BOX 1447 SUFFOLK,VA23439	NONE	PC	LADIES OF DISTINCTION	30,000
WESTERN TIDEWATER COMMUNITY SERVICES BOARD 7025 HARBOUR VIEW BLVD SUITE 119 SUFFOLK,VA23435	NONE	PC	OUTPATIENT MEDICAL DETOX	30,000
WESTERN TIDEWATER COMMUNITY SERVICES BOARD 7025 HARBOUR VIEW BLVD SUITE 119 SUFFOLK,VA23435	NONE	PC	INTEGRATED PSYCHIATRY AND WRAP AROUND CARE COORDINATION	67,440
WESTERN TIDEWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK,VA23434	NONE	PC	ACCESS TO COMPREHENSIVE HEALTHCARE	357,000
WESTERN TIDEWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK,VA23434	NONE	PC	EXPAND ACCESS TO COMPREHENSIVE CARE	212,000
WESTERN TIDEWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK,VA23434	NONE	PC	2019 MEDICAID EXPANSION	41,458
WESTERN TIDEWATER HEALTH DISTRICT 135 HALL AVE SUITE A SUFFOLK,VA234344654	NONE	GOV	NURSE-FAMILY PARTNERSHIP	84,253
WESTERN TIDEWATER HEALTH DISTRICT 135 HALL AVE SUITE A SUFFOLK,VA234344654	NONE	GOV	NURSE-FAMILY PARTNERSHIP	56,169
WESTERN TIDEWATER TENNIS ASSOCIATION 136 WYNNWOOD DRIVE FRANKLIN,VA23851	NONE	PC	"ACE OBESITY IN SCHOOLS" TENNIS PROGRAM	2,000
Total ................................. 3a				3,601,097

bApproved for future payment
ALBEMARLE REGIONAL HEALTH SERVICES P O BOX 189 ELIZABETH CITY,NC27907	NONE	PC	GATES COUNTY BEHAVIORAL HEALTH PROGRAM	33,814
EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK,VA23508	NONE	PC	EVMS STRELITZ DIABETES CENTER CLINIC AT WESTERN TIDEWATER FREE CLINIC	54,029
HORIZON HEALTH SERVICES INC PO BOX 29 WAVERLY,VA23890	NONE	PC	THE IVOR DENTAL CENTER	40,000
SOUTHEASTERN VIRGINIA HEALTH SYSTEM 1033 28TH STREET 2ND FLOOR NEWPORT NEWS,VA23607	NONE	PC	MAIN STREET DENTAL PROGRAM	50,000
SUFFOLK MEALS ON WHEELS 2800 GOODWIN BLVD SUFFOLK,VA23434	NONE	PC	EMERGENCY MEALS FOR NEED-BASED RECIPIENTS	5,872
THE FOODBANK OF SOUTHEASTERN VIRGINIA AND THE EASTERN SHORE 800 TIDEWATER DRIVE NORFOLK,VA23504	NONE	PC	COMMUNITY PRODUCE HUB	200,000
THE UP CENTER 150 BOUSH STREET SUITE 500 NORFOLK,VA23510	NONE	PC	WESTERN TIDEWATER TRAUMA INFORMED COUNSELING COLLABORATIVE PARTNERSHIP	18,750
UNIVERSITY OF VIRGINIA PO BOX 400195 CHARLOTTESVILLE,VA229044195	NONE	PC	ASSIGNMENT: IMPACT! CREATING A FOUNDATION FOR SUCCESS IN WESTERN	500,000
VIRGINIA LEGAL AID SOCIETY PO BOX 6200 LYNCHBURG,VA24505	NONE	PC	MEDICAID ACCESS IN A TRANSITION YEAR FOR VIRGINIA	60,000
WESTERN TIDEWATER COMMUNITY SERVICES BOARD 7025 HARBOUR VIEW BLVD SUITE 119 SUFFOLK,VA23435	NONE	PC	INTEGRATED PSYCHIATRY AND WRAP AROUND CARE COORDINATION	44,960
WESTERN TIDEWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK,VA23434	NONE	PC	ACCESS TO COMPREHENSIVE HEALTHCARE	238,000
WESTERN TIDEWATER HEALTH DISTRICT 135 HALL AVE SUITE A SUFFOLK,VA23434	NONE	GOV	NURSE-FAMILY PARTNERSHIP	4,800
Total ................................. 3b				1,250,225

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	(e) Related or exempt function income (See instructions.)
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	182,569
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	10,279,454
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aOTHER INCOME				1,120
bEXCISE & UBIT TAXES REFUND				17,613
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..		0		10,480,756	0

13Total. Add line 12, columns (b), (d), and (e)..................

10,480,756

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2018)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2018 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 SERVICES	48,957	0	0	48,957

- TIN:

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

TY 2018 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
LAND	2010-03-01	102,507		L		0
SITEWORK	2010-03-01	301,205	121,736	SL	20.000000000000	15,060
REMOVE WATER LAT.	2010-03-01	5,367	2,168	SL	20.000000000000	268
PAVERS / COLORED SIDEWALK	2010-03-01	8,415	4,535	SL	15.000000000000	561
WELL	2010-03-01	16,499	6,669	SL	20.000000000000	825
FENCING	2010-03-01	4,498	4,498	SL	8.000000000000	0
LANDSCAPING	2010-03-01	1,686	1,364	SL	10.000000000000	169
WHEEL STOPS	2010-03-01	1,169	630	SL	15.000000000000	78
PARKING LOT UNDERCUTTING	2010-03-01	6,289	3,388	SL	15.000000000000	419
TREE PRUNING	2010-03-01	695	374	SL	15.000000000000	46
SIDEWALK DESIGN	2010-03-01	2,090	1,125	SL	15.000000000000	139
LOC - CITY OF SUFFOLK LANDSCAPING	2010-03-01	1,250	666	SL	15.000000000000	83
SIGN FOR NEW CONSTRUCTION	2010-03-01	468	252	SL	15.000000000000	31
FENCE - AIR HANDLER	2010-04-09	1,300	1,300	SL	8.000000000000	0
BRONZE SIGN	2010-04-12	3,449	1,840	SL	15.000000000000	230
LANDSCAPING CONTRACT	2010-05-13	54,997	43,082	SL	10.000000000000	5,500
CIVIL CONSTRUCTION DRAWINGS	2010-08-31	2,373	401	SL	45.000000000000	53
FINAL UNDERCUTTING	2010-09-01	1,524	772	SL	15.000000000000	102
REVIEW OF FINAL DRAWINGS	2010-09-01	210	36	SL	45.000000000000	5
LANDSCAPING - NEAR CAC (ADOPT-A-SPOT)	2011-10-03	6,008	3,906	SL	10.000000000000	601
LOCATION SIGN (MAIN STREET)	2012-03-06	1,680	681	SL	15.000000000000	112
LANDSCAPING - MAIN & FINNEY	2012-03-28	4,993	2,995	SL	10.000000000000	499
VITEX TREES (2)	2013-01-31	680	357	SL	10.000000000000	68
COMMUNITY GARDEN BOX (MATERIALS & LABOR)	2014-04-23	3,844	1,923	SL	8.000000000000	481
REPLACE SERVICE BERRIES ALONG MAIN STREET	2016-03-31	2,057	412	SL	10.000000000000	206
BUILDING SHELL	2010-03-01	1,098,759	197,370	SL	45.000000000000	24,417
CARPET	2010-03-01	14,868	14,868	SL	5.000000000000	0
PAINTING	2010-03-01	43,570	43,570	SL	5.000000000000	0
ELEVATOR	2010-03-01	57,065	23,063	SL	20.000000000000	2,853
FIRE PROTECTION	2010-03-01	39,557	15,988	SL	20.000000000000	1,978
PLUMBING	2010-03-01	43,957	17,766	SL	20.000000000000	2,198
HVAC	2010-03-01	80,106	32,375	SL	20.000000000000	4,005
GEOTHERMAL SYSTEM	2010-03-01	64,356	26,011	SL	20.000000000000	3,218
ELECTRICAL	2010-03-01	151,944	61,410	SL	20.000000000000	7,597
STAIRS AND CABINETS	2010-09-01	7,431	1,321	SL	45.000000000000	165
CONSTRUCTION ADMINISTRATION	2010-09-01	4,653	783	SL	45.000000000000	103
SNOW GUARDS	2011-03-10	10,200	1,588	SL	45.000000000000	227
PAINT FRONT PORCH	2015-05-21	3,450	1,955	SL	5.000000000000	690
BATHROOM HEATERS (4-INSTALLED)	2015-11-10	1,700	822	SL	5.000000000000	340
2 CS3 ADOBE CREATIVE SUITE DESIGN SOFTWARE	2007-09-21	837	837	SL	3.000000000000	0
RANGE AND DISWASHER	2010-03-01	1,443	1,166	SL	10.000000000000	144
REFRIGERATOR	2010-03-01	1,462	1,181	SL	10.000000000000	146
VOICE AND DATA CABLING EQUIPMENT	2010-03-01	8,607	3,478	SL	20.000000000000	430
ACCESS CONTROL SYSTEM	2010-03-01	4,355	1,761	SL	20.000000000000	218
SECURITY SYSTEM EQUIPMENT	2010-03-01	2,790	1,129	SL	20.000000000000	140
CCTV SYSTEM	2010-03-01	6,374	5,151	SL	10.000000000000	637
CS5 SOFTWARE (3)	2011-04-06	1,832	1,832	SL	3.000000000000	0
COMPUTER PROJECTOR	2011-08-26	917	917	SL	5.000000000000	0
DELL DESKTOP COMPUTER (RS TO INTERN)	2012-03-26	1,400	1,400	SL	5.000000000000	0
DESK SCANNER (EXECUTIVE ASSISTANT)	2012-04-26	430	430	SL	5.000000000000	0
SHARP 80" TV (BOARD ROOM)	2012-12-26	5,399	5,399	SL	5.000000000000	0
PRINTER, LASERJET PRO (DIRECTOR OF FINANCE)	2013-02-05	210	210	SL	5.000000000000	0
LAPTOP COMPUTER 10" (DOF)	2013-05-31	950	918	SL	5.000000000000	32
SERVER HP PROLIENT ML	2013-06-18	3,500	3,325	SL	5.000000000000	175
CANOPY TENT	2013-11-26	520	451	SL	5.000000000000	69
GOOGLE CHROME TABLET (FOR SURVEYS)	2014-06-26	317	237	SL	5.000000000000	63
SURFACE PRO TABLET (EXECUTIVE DIRECTOR)	2015-01-26	1,106	700	SL	5.000000000000	221
HEATING/COOLING UNIT (OUTDOOR FOR SERVER ROOM)	2015-02-26	4,200	2,590	SL	5.000000000000	840
VACUUM CLEANER WINDSOR S12 COMMERCIAL	2015-04-26	569	332	SL	5.000000000000	114
COMPUTER (EXECUTIVE DIRECTOR)	2015-08-21	1,407	726	SL	5.000000000000	281
COMPUTER(COMM/PROG SPECIALIST)	2015-08-21	1,407	726	SL	5.000000000000	281
COMPUTER (FOUNDATION ASSISTANT)	2015-08-21	1,407	726	SL	5.000000000000	281
TV - LG 55LF6100 LCD HDTV (CONF ROOM)	2015-11-05	992	479	SL	5.000000000000	198
COMPUTER (PRO TAMMIE)	2016-03-31	1,100	440	SL	5.000000000000	220
IPAD PRO & KEYBD APPLE (EXECUTIVE DIRECTOR)	2016-02-26	1,192	496	SL	5.000000000000	238
IPAD PRO & KEYBD APPLE (COMM/PROG SPECIALIST)	2016-02-26	1,192	496	SL	5.000000000000	238
SURFACE PRO TABLET (FINANCE DIRECTOR)	2016-02-26	1,409	587	SL	5.000000000000	282
SURFACE PRO TABLET (FOUNDATION ASSISTANT)	2016-02-26	1,409	587	SL	5.000000000000	282
MINI LAPTOP LENOVO (PRO RICK)	2016-03-26	1,166	466	SL	5.000000000000	233
FURNITURE	2006-12-07	5,255	5,255	SL	7.000000000000	0
CONFERENCE TABLE	2008-02-01	4,370	4,370	SL	7.000000000000	0
8 CONFERENCE CHAIRS	2008-02-01	1,253	1,253	SL	7.000000000000	0
2 LEATHER MESH CHAIRS	2008-08-04	713	713	SL	7.000000000000	0
DESK AND FILE CABINET	2008-08-01	781	781	SL	7.000000000000	0
CONFERENCE TABLE	2010-03-01	1,750	1,542	SL	7.000000000000	0
DESK, FILE CABINET & BOOKCASE FINANCE	2009-12-14	3,386	3,028	SL	7.000000000000	0
OFFICE CHAIR	2010-01-01	362	337	SL	7.000000000000	0
INTERIOR DESIGN FEES	2010-03-01	13,675	11,055	SL	10.000000000000	1,368
(3 ) 5 DRW , LATERAL FILE CABINETS	2010-03-01	3,421	3,421	SL	7.000000000000	0
FINANCE SHELVING - FILE ROOM	2010-03-01	861	696	SL	10.000000000000	86
CREDENZA	2010-03-01	963	963	SL	7.000000000000	0
TABLE - FINANCE OFFICE	2010-03-01	704	704	SL	7.000000000000	0
DESK ADM FILE ROOM	2010-03-01	357	357	SL	7.000000000000	0
( 10 ) OFFICE SIDE CHAIRS	2010-03-01	6,035	6,035	SL	7.000000000000	0
SIDE TABLE - ED OFFICE	2010-03-01	340	340	SL	7.000000000000	0
LECTERN - BOARD ROOM	2010-03-01	1,843	1,843	SL	7.000000000000	0
( 3) BUFFET CREDENZAS	2010-03-01	7,616	7,616	SL	7.000000000000	0
SIDE TABLE - BOARD ROOM	2010-03-01	929	929	SL	7.000000000000	0
CONFERENCE TABLE - BOARD ROOM	2010-03-01	10,421	8,423	SL	10.000000000000	1,042
( 18 ) BOARD ROOM CHAIRS	2010-03-01	13,778	11,138	SL	10.000000000000	1,378
WINDOW TREATMENTS	2010-03-01	24,827	20,069	SL	10.000000000000	2,483
OBICI ROOM WOOD TABLES ( 3 )	2010-03-01	3,339	3,339	SL	7.000000000000	0
OBICI ROOM AREA RUG	2010-03-01	1,470	1,470	SL	5.000000000000	0
OBICI ROOM FRIEZE WALL COVERING	2010-03-01	1,140	921	SL	10.000000000000	114
UPHOLSTER SOFA & BOARD ROOM CHAIRS	2010-03-01	3,934	3,934	SL	7.000000000000	0
OBICI ROOM TILE / FIREPLACE	2010-03-01	163	131	SL	10.000000000000	16
MOVING OFFICE FURNITURE & EQUIPMENT	2010-03-01	1,820	1,471	SL	10.000000000000	182
RENTAL OF SPACE - CONSTRUCTION MEETINGS	2010-03-01	800	647	SL	10.000000000000	80
SAFE	2010-07-02	582	582	SL	7.000000000000	0
OAK BASE TABLE	2010-12-20	600	600	SL	7.000000000000	0
TASK CHAIR AND KEYBOARD PLATFORM	2011-01-10	544	544	SL	7.000000000000	0
CHAIR (PROGRAM OFFICER)	2011-05-12	366	361	SL	7.000000000000	5
BOOKCASE (PROGRAM ASSOCIATE)	2011-07-18	224	213	SL	7.000000000000	11
TASK CHAIR (EXECUTIVE ASSISTANT)	2011-08-01	387	368	SL	7.000000000000	19
FOUNDERS PLAQUE (ENTRANCE HALLWAY)	2011-10-01	549	509	SL	7.000000000000	40
DESK HUTCH	2012-03-19	458	392	SL	7.000000000000	65
WIRE SHELVING (3 - 48")	2012-03-19	825	708	SL	7.000000000000	117
PRINTER STAND	2012-03-19	377	324	SL	7.000000000000	53
LATERAL FILE CABINETS (2 - 42")	2012-03-19	2,430	2,082	SL	7.000000000000	347
EXECUTIVE CHAIRS (2 - MESHBACK)	2012-03-19	817	701	SL	7.000000000000	116
ROUND TABLE (2ND FLOOR HALLWAY)	2012-04-12	519	444	SL	7.000000000000	74
PADDED FOLDING CHAIRS (8) (KITCHEN)	2012-05-02	560	473	SL	7.000000000000	80
GUEST CHAIRS, ROLLED ARM (2) (PROGRAM ASSOCIATE)	2012-05-24	2,262	1,884	SL	7.000000000000	323
GUEST CHAIRS, WOOD FRAME, CHARCOAL (2) (CREDIT FOR ERROR)	2012-06-27	722	593	SL	7.000000000000	103
GUEST CHAIRS, WOOD FRAME, CRANBERRY (4)(DOF)	2012-05-24	2,507	2,089	SL	7.000000000000	358
CRENDENZA (ED)	2012-05-24	2,898	2,415	SL	7.000000000000	414
SOFA TABLE (PROGRAM ASSOCIATE)	2012-05-24	519	432	SL	7.000000000000	74
OPEN BOOKCASE UNIT (PROGRAM ASSOCIATE)	2012-05-24	1,031	858	SL	7.000000000000	147
GUEST CHAIRS, OPEN WOOD BACK (2)(ED)(TEA LEAVE FABRIC)	2012-06-27	1,248	1,024	SL	7.000000000000	178
ROUND TABLE (DIRECTOR OF FINANCE)	2012-08-29	846	675	SL	7.000000000000	121
RUGS, AREA (4 ON 2ND, 2 ON 1ST)	2013-02-18	7,051	5,203	SL	7.000000000000	1,007
SOFA TABLE (GRANTS ASSOCIATE)	2013-02-01	519	383	SL	7.000000000000	74
LATERAL FILES, 2-DRAWER, ED (2)	2013-03-06	3,137	2,278	SL	7.000000000000	448
STAND-UP TABLE (ED)	2013-07-31	1,855	1,325	SL	7.000000000000	265
BOOKCASE 3-SHELF (PO)	2013-11-14	579	414	SL	7.000000000000	83
LATERAL FILE 2-DRAWER (PO)	2014-03-31	1,623	928	SL	7.000000000000	232
EXECUTIVE DESK W/ BRIDGE (PROG RESOUR OFFICER)	2014-04-29	4,870	2,784	SL	7.000000000000	696
PORCH FURNITURE ADIRONDACK 5-PIECE	2015-04-26	1,402	584	SL	7.000000000000	200
DESK SET 3-PIECE (FOUNDATION ASSISTANT)	2015-08-01	3,844	1,510	SL	7.000000000000	549
KITCHEN TABLE 36X84 OVAL	2016-02-02	802	251	SL	7.000000000000	115
TABLE - SUFFOLK FOUNDATION	2016-08-05	1,689	402	SL	7.000000000000	241
CHAIR - SUFFOLK FOUNDATION	2016-08-05	564	135	SL	7.000000000000	81
RUG, FIRST FLOOR HALLWAY	2017-02-04	4,058	677	SL	7.000000000000	580
CHAIR - PRESIDENT	2017-02-21	563	87	SL	7.000000000000	80
TABLE, ROUND, JASPER (PRESIDENT)	2017-03-20	1,817	260	SL	7.000000000000	260
DESK, DOUBLE PED, JASPER (PRESIDENT)	2017-03-20	3,903	558	SL	7.000000000000	558
PRINTER, HP OFFICE JET (PRESIDENT)	2016-04-26	138	53	SL	5.000000000000	28
DISHWASHER, BOSCH	2016-04-26	1,007	276	SL	7.000000000000	144
TELEPHONE EQUIPMENT, TOSHIBA	2017-02-07	6,465	1,671	SL	7.000000000000	924
COMPUTER (DOF)	2017-04-10	1,288	258	SL	5.000000000000	258
COMPUTER (GRANTS ADMIN)	2017-04-10	1,288	258	SL	5.000000000000	258
A/C UNIT MINI-SPLIT (2ND FLOOR ELEVATOR ROOM)	2017-04-10	4,200	840	SL	5.000000000000	840
TABLE DESK W/CPU CABINET (JASPER) (BD RM)	2017-11-28	1,542	73	SL	7.000000000000	220
LATERAL FILE CABINET 3-DRAWER (GEORGIAN) (CEO)	2018-02-09	1,949	46	SL	7.000000000000	278
CONFERENCE ROOM AREA RUG	2018-08-03	3,158		SL	7.000000000000	301
OFFICE FURNITURE-CREDENZA BRIDGE PED DESK AND CENTER DRAWER	2018-09-24	3,551		SL	7.000000000000	254
AMAZON CPU FOR EXEC ASSISTANT	2018-05-26	950		SL	5.000000000000	158
AMAZON CPU FOR CROUCH	2018-07-26	1,299		SL	5.000000000000	173
MICROSOFT SURFACE PRO- A. BEUCHLER	2018-08-26	1,971		SL	5.000000000000	230
DELL XPS 8920 CPU- F. CHARLES	2018-09-26	1,089		SL	5.000000000000	109
CISCO MERAKI MXX67 SECURITY APPLICANCE WITH 5 YEAR ADVANCED SECURITY	2019-02-26	2,015		SL	5.000000000000	34
2018 PREMIUM HP 17.3" BUSINESS LAPTOP- CONF ROOM	2019-02-26	829		SL	5.000000000000	14
LENOVA 2018 YOGA 730 LAPTOP- ASSIST DIR OF FINANCE & GRANTS	2019-02-26	808		SL	5.000000000000	13

- TIN:

TY 2018 InvestmentsCorpStockSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Name of Stock	End of Year Book Value	End of Year Fair Market Value
ALARM.COM HOLDINGS INC	436,452	436,452
ALLSCRIPTS HEALTHCARE SOLUTIONS INC	147,870	147,870
AMC NETWORKS	130,548	130,548
ACUSHNET HOLDINGS CORP	155,038	155,038
AXALTA COATING SYSTEMS LTD	176,470	176,470
BOX INC	747,220	747,220
BWX TECHNOLOGIES INC	183,446	183,446
CAESARS ENTERTAINMENT CORP.	179,883	179,883
CHANNELADVISOR CORP	112,056	112,056
CIENA CORP	93,350	93,350
CIMPRESS NV	139,586	139,586
COMPASS MINERALS INTERNATIONAL INC	168,547	168,547
COMSCORE INC	289,271	289,271
DESPEGAR.COM CORP	78,970	78,970
ELF BEAUTY INC	111,671	111,671
ELEMENT SOLUTIONS INC	768,792	768,792
ENTEGRIS INC	146,329	146,329
FIREEYE INC	179,653	179,653
GRAPHIC PACKAGING CORP	205,869	205,869
GREENSKY INC CL A	163,044	163,044
HANES BRANDS INC	216,348	216,348
IMAX CORP	183,708	183,708
ISHARES RUSSELL 2000 VALUE ETF	71,940	71,940
LIBERTY BRAVES GROUP CL A	55,880	55,880
LIBERTY BRAVES GROUP CL C	41,655	41,655
LIONS GATE ENTMT CORP	172,578	172,578
LIVE NATION ENTERTAINMENT, INC.	85,779	85,779
LIVENT CORP	33,156	33,156
MAXAR TECHNOLOGIES LTD	20,040	20,040
PAPA JOHNS INTL INC	462,889	462,889
PQ GROUP HOLDINGS INC	112,258	112,258
SEMGROUP CORPORATION	57,486	57,486
SPDR S&P OILGAS EXPLORATION FUND	1,315,549	1,315,549
VALVOLINE INC	128,064	128,064
WPX ENERGY INC	170,430	170,430

- TIN:

TY 2018 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 - FOREIGN CORPORATIONS	FMV	50,978,195	50,978,195
ALTERNATIVE INVESTMENTS - LIMITED PARTNERSHIPS AND CORPORATIONS	FMV	55,280,958	55,280,958

- TIN:

TY 2018 LandEtcSchedule2

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value
LAND	102,507	0	102,507
SITEWORK	301,205	136,796	164,409
REMOVE WATER LAT.	5,367	2,436	2,931
PAVERS / COLORED SIDEWALK	8,415	5,096	3,319
WELL	16,499	7,494	9,005
FENCING	4,498	4,498	0
LANDSCAPING	1,686	1,533	153
WHEEL STOPS	1,169	708	461
PARKING LOT UNDERCUTTING	6,289	3,807	2,482
TREE PRUNING	695	420	275
SIDEWALK DESIGN	2,090	1,264	826
LOC - CITY OF SUFFOLK LANDSCAPING	1,250	749	501
SIGN FOR NEW CONSTRUCTION	468	283	185
FENCE - AIR HANDLER	1,300	1,300	0
BRONZE SIGN	3,449	2,070	1,379
LANDSCAPING CONTRACT	54,997	48,582	6,415
CIVIL CONSTRUCTION DRAWINGS	2,373	454	1,919
FINAL UNDERCUTTING	1,524	874	650
REVIEW OF FINAL DRAWINGS	210	41	169
LANDSCAPING - NEAR CAC (ADOPT-A-SPOT)	6,008	4,507	1,501
LOCATION SIGN (MAIN STREET)	1,680	793	887
LANDSCAPING - MAIN & FINNEY	4,993	3,494	1,499
VITEX TREES (2)	680	425	255
COMMUNITY GARDEN BOX (MATERIALS & LABOR)	3,844	2,404	1,440
REPLACE SERVICE BERRIES ALONG MAIN STREET	2,057	618	1,439
BUILDING SHELL	1,098,759	221,787	876,972
CARPET	14,868	14,868	0
PAINTING	43,570	43,570	0
ELEVATOR	57,065	25,916	31,149
FIRE PROTECTION	39,557	17,966	21,591
PLUMBING	43,957	19,964	23,993
HVAC	80,106	36,380	43,726
GEOTHERMAL SYSTEM	64,356	29,229	35,127
ELECTRICAL	151,944	69,007	82,937
STAIRS AND CABINETS	7,431	1,486	5,945
CONSTRUCTION ADMINISTRATION	4,653	886	3,767
SNOW GUARDS	10,200	1,815	8,385
PAINT FRONT PORCH	3,450	2,645	805
BATHROOM HEATERS (4-INSTALLED)	1,700	1,162	538
2 CS3 ADOBE CREATIVE SUITE DESIGN SOFTWARE	837	837	0
RANGE AND DISWASHER	1,443	1,310	133
REFRIGERATOR	1,462	1,327	135
VOICE AND DATA CABLING EQUIPMENT	8,607	3,908	4,699
ACCESS CONTROL SYSTEM	4,355	1,979	2,376
SECURITY SYSTEM EQUIPMENT	2,790	1,269	1,521
CCTV SYSTEM	6,374	5,788	586
CS5 SOFTWARE (3)	1,832	1,832	0
COMPUTER PROJECTOR	917	917	0
DELL DESKTOP COMPUTER (RS TO INTERN)	1,400	1,400	0
DESK SCANNER (EXECUTIVE ASSISTANT)	430	430	0
SHARP 80" TV (BOARD ROOM)	5,399	5,399	0
PRINTER, LASERJET PRO (DIRECTOR OF FINANCE)	210	210	0
LAPTOP COMPUTER 10" (DOF)	950	950	0
SERVER HP PROLIENT ML	3,500	3,500	0
CANOPY TENT	520	520	0
GOOGLE CHROME TABLET (FOR SURVEYS)	317	300	17
SURFACE PRO TABLET (EXECUTIVE DIRECTOR)	1,106	921	185
HEATING/COOLING UNIT (OUTDOOR FOR SERVER ROOM)	4,200	3,430	770
VACUUM CLEANER WINDSOR S12 COMMERCIAL	569	446	123
COMPUTER(COMM/PROG SPECIALIST)	1,407	1,007	400
COMPUTER (FOUNDATION ASSISTANT)	1,407	1,007	400
TV - LG 55LF6100 LCD HDTV (CONF ROOM)	992	677	315
COMPUTER (PRO TAMMIE)	1,100	660	440
IPAD PRO & KEYBD APPLE (EXECUTIVE DIRECTOR)	1,192	734	458
IPAD PRO & KEYBD APPLE (COMM/PROG SPECIALIST)	1,192	734	458
SURFACE PRO TABLET (FINANCE DIRECTOR)	1,409	869	540
SURFACE PRO TABLET (FOUNDATION ASSISTANT)	1,409	869	540
MINI LAPTOP LENOVO (PRO RICK)	1,166	699	467
FURNITURE	5,255	5,255	0
CONFERENCE TABLE	4,370	4,370	0
8 CONFERENCE CHAIRS	1,253	1,253	0
2 LEATHER MESH CHAIRS	713	713	0
DESK AND FILE CABINET	781	781	0
CONFERENCE TABLE	1,750	1,542	208
DESK, FILE CABINET & BOOKCASE FINANCE	3,386	3,028	358
OFFICE CHAIR	362	337	25
INTERIOR DESIGN FEES	13,675	12,423	1,252
(3 ) 5 DRW , LATERAL FILE CABINETS	3,421	3,421	0
FINANCE SHELVING - FILE ROOM	861	782	79
CREDENZA	963	963	0
TABLE - FINANCE OFFICE	704	704	0
DESK ADM FILE ROOM	357	357	0
( 10 ) OFFICE SIDE CHAIRS	6,035	6,035	0
SIDE TABLE - ED OFFICE	340	340	0
LECTERN - BOARD ROOM	1,843	1,843	0
( 3) BUFFET CREDENZAS	7,616	7,616	0
SIDE TABLE - BOARD ROOM	929	929	0
CONFERENCE TABLE - BOARD ROOM	10,421	9,465	956
( 18 ) BOARD ROOM CHAIRS	13,778	12,516	1,262
WINDOW TREATMENTS	24,827	22,552	2,275
OBICI ROOM WOOD TABLES ( 3 )	3,339	3,339	0
OBICI ROOM AREA RUG	1,470	1,470	0
OBICI ROOM FRIEZE WALL COVERING	1,140	1,035	105
UPHOLSTER SOFA & BOARD ROOM CHAIRS	3,934	3,934	0
OBICI ROOM TILE / FIREPLACE	163	147	16
MOVING OFFICE FURNITURE & EQUIPMENT	1,820	1,653	167
RENTAL OF SPACE - CONSTRUCTION MEETINGS	800	727	73
SAFE	582	582	0
OAK BASE TABLE	600	600	0
TASK CHAIR AND KEYBOARD PLATFORM	544	544	0
CHAIR (PROGRAM OFFICER)	366	366	0
BOOKCASE (PROGRAM ASSOCIATE)	224	224	0
TASK CHAIR (EXECUTIVE ASSISTANT)	387	387	0
FOUNDERS PLAQUE (ENTRANCE HALLWAY)	549	549	0
DESK HUTCH	458	457	1
WIRE SHELVING (3 - 48")	825	825	0
PRINTER STAND	377	377	0
LATERAL FILE CABINETS (2 - 42")	2,430	2,429	1
EXECUTIVE CHAIRS (2 - MESHBACK)	817	817	0
ROUND TABLE (2ND FLOOR HALLWAY)	519	518	1
PADDED FOLDING CHAIRS (8) (KITCHEN)	560	553	7
GUEST CHAIRS, ROLLED ARM (2) (PROGRAM ASSOCIATE)	2,262	2,207	55
GUEST CHAIRS, WOOD FRAME, CHARCOAL (2) (CREDIT FOR ERROR)	722	696	26
GUEST CHAIRS, WOOD FRAME, CRANBERRY (4)(DOF)	2,507	2,447	60
CRENDENZA (ED)	2,898	2,829	69
SOFA TABLE (PROGRAM ASSOCIATE)	519	506	13
OPEN BOOKCASE UNIT (PROGRAM ASSOCIATE)	1,031	1,005	26
GUEST CHAIRS, OPEN WOOD BACK (2)(ED)(TEA LEAVE FABRIC)	1,248	1,202	46
ROUND TABLE (DIRECTOR OF FINANCE)	846	796	50
RUGS, AREA (4 ON 2ND, 2 ON 1ST)	7,051	6,210	841
SOFA TABLE (GRANTS ASSOCIATE)	519	457	62
LATERAL FILES, 2-DRAWER, ED (2)	3,137	2,726	411
STAND-UP TABLE (ED)	1,855	1,590	265
BOOKCASE 3-SHELF (PO)	579	497	82
LATERAL FILE 2-DRAWER (PO)	1,623	1,160	463
EXECUTIVE DESK W/ BRIDGE (PROG RESOUR OFFICER)	4,870	3,480	1,390
PORCH FURNITURE ADIRONDACK 5-PIECE	1,402	784	618
DESK SET 3-PIECE (FOUNDATION ASSISTANT)	3,844	2,059	1,785
KITCHEN TABLE 36X84 OVAL	802	366	436
TABLE - SUFFOLK FOUNDATION	1,689	643	1,046
CHAIR - SUFFOLK FOUNDATION	564	216	348
RUG, FIRST FLOOR HALLWAY	4,058	1,257	2,801
CHAIR - PRESIDENT	563	167	396
TABLE, ROUND, JASPER (PRESIDENT)	1,817	520	1,297
DESK, DOUBLE PED, JASPER (PRESIDENT)	3,903	1,116	2,787
PRINTER, HP OFFICE JET (PRESIDENT)	138	81	57
DISHWASHER, BOSCH	1,007	420	587
TELEPHONE EQUIPMENT, TOSHIBA	6,465	2,595	3,870
COMPUTER (DOF)	1,288	516	772
COMPUTER (GRANTS ADMIN)	1,288	516	772
TABLE DESK W/CPU CABINET (JASPER) (BD RM)	1,542	293	1,249
LATERAL FILE CABINET 3-DRAWER (GEORGIAN) (CEO)	1,949	324	1,625
CONFERENCE ROOM AREA RUG	3,158	301	2,857
OFFICE FURNITURE-CREDENZA BRIDGE PED DESK AND CENTER DRAWER	3,551	254	3,297
AMAZON CPU FOR EXEC ASSISTANT	950	158	792
AMAZON CPU FOR CROUCH	1,299	173	1,126
MICROSOFT SURFACE PRO- A. BEUCHLER	1,971	230	1,741
DELL XPS 8920 CPU- F. CHARLES	1,089	109	980
CISCO MERAKI MXX67 SECURITY APPLICANCE WITH 5 YEAR ADVANCED SECURITY	2,015	34	1,981
2018 PREMIUM HP 17.3" BUSINESS LAPTOP- CONF ROOM	829	14	815
LENOVA 2018 YOGA 730 LAPTOP- ASSIST DIR OF FINANCE & GRANTS	808	13	795

- TIN:

TY 2018 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	11,085	11,445	11,445
DEPOSITS	100	100	100
EXCISE TAXES RECEIVABLE	0	66,730	66,730

- TIN:

TY 2018 OtherDecreasesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Description	Amount
UNREALIZED LOSSES IN INVESTMENTS, PARTNERSHIPS & FOREIGN INVESTMENTS	4,542,275

- TIN:

TY 2018 OtherExpensesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Description	Revenue and Expenses per Books	Adjusted Net Income	Disbursements for Charitable Purposes
DUES & SUBSCRIPTIONS	25,581	0	25,581
COMMUNICATIONS	37,870	0	37,254
INSURANCE	14,157	0	17,917
MISCELLANEOUS	3,762	0	3,941
OFFICE EXPENSES	15,426	0	16,001
BUILDING & GROUNDS MAINTENANCE	43,045	0	43,822
TECHNOLOGY EXPENSE	47,055	0	96,662
CONTRACTED SERVICES AND RECRUITING EXPENSES	6,780	0	22,202
PARTNERSHIP UNRELATED BUSINESS INCOME LOSS	939,062	0	0
GRANT PROGRAM EXPENSES	0	0	216,106
AMORTIZATION	2,472		0

- TIN:

TY 2018 OtherIncomeSchedule2

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
PARTNERSHIP INCOME		4,869,300
OTHER INCOME	1,120		1,120
EXCISE & UBIT TAXES REFUND	17,613		17,613

- TIN:

TY 2018 OtherIncreasesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Description	Amount
PRIOR YEAR GRANTS RECOVERED	13,696

- TIN:

TY 2018 OtherLiabilitiesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Description	Beginning of Year - Book Value	End of Year - Book Value
DEFERRED EXCISE TAXES PAYABLE	657,236	575,969

- TIN:

TY 2018 OtherProfessionalFeesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT FEES	672,343	672,343	0	0

- TIN:

TY 2018 TaxesSchedule

Name:

OBICI HEALTHCARE FOUNDATION INC

EIN:

51-0249728

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
OTHER FEES & TAXES	415	0	0	425