Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: WONDER TOWER. Grantee Name: CHILDRENS HOSPITAL FOUNDATION. Grantee Address: 2924 BROOK ROAD RICHMOND, VA 23220. Property Description: CASH. Date of Gift: 09/27/22. Amount Given: 25000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: MEDICATIONS. Grantee Name: BERNARD HEALTH CARE CENTER. Grantee Address: 1117 FRANKLIN STREET ROCKY MOUNT, VA 24151. Property Description: CASH. Date of Gift: 09/13/22. Amount Given: 5750. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: HOSPITALITY HOUSE FURNISHINGS. Grantee Name: UVA HOSPITAL AUXILIARY . Grantee Address: 1215 LEE STREET CHARLOTTESVILLE, VA 22903. Property Description: CASH. Date of Gift: 09/13/22. Amount Given: 5750. Total included on Form 990-EZ, line 10: 36500. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: MISCELLANEOUS. Amount: 100. Description: MEALS. Amount: 522. Description: MILEAGE. Amount: 723. Description: INSURANCE. Amount: 103. Total to Form 990-EZ, line 16: 1448. |
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