Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1800 DIAGONAL ROAD SUITE 600
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ALEXANDRIA, VA223142840
D Employer identification number

56-2273242
E Telephone number

G Gross receipts $ 4,264,994
F Name and address of principal officer:
NICOLE LAMOUREUX
1800 DIAGONAL ROAD SUITE 600
ALEXANDRIA,VA223142840
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NAFCCLINICS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2003
M State of legal domicile: VA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ENSURE THAT THE MEDICALLY UNDERSERVED HAVE ACCESS TO AFFORDABLE QUALITY HEALTH CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 5
6 Total number of volunteers (estimate if necessary) ............. 6 14
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 7,703,358 3,382,370
9 Program service revenue (Part VIII, line 2g) ......... 616,955 716,693
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,822 26,831
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 8,345,135 4,125,894
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,685,359 3,530,340
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 532,486 606,443
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet89,106    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,492,300 1,156,912
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 7,710,145 5,293,695
19 Revenue less expenses. Subtract line 18 from line 12....... 634,990 -1,167,801
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,287,397 2,875,563
21 Total liabilities (Part X, line 26)............. 483,859 779,229
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,803,538 2,096,334
Part II
Signature Block
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 officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: BUILDING HEALTHY COMMUNITIES FOR ALL THROUGH QUALITY, EQUITABLE, ACCESSIBLE HEALTHCARE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,028,724 including grants of $   ) (Revenue $ 676,693 )
THE NAFC ANNUAL SYMPOSIUM AND ADDITIONAL EDUCATION SERVICES ARE THE ONLY NATIONAL MEETING SOLELY DEDICATED TO PROVIDING HEALTH EDUCATION AND TRAINING FOR NAFC STAFF AND VOLUNTEERS WHO PROVIDE HEALTH CARE TO THE MEDICALLY UNDERSERVED.
4b (Code:   ) (Expenses $ 3,684,206 including grants of $ 3,530,340 ) (Revenue $ 40,000 )
CLINICS ESTABLISH AND MAINTAIN SERVICES THAT SUPPORT AND BENEFIT THE WORK OF THE MEMBERS IN THEIR EFFORTS TO PROVIDE HEALTH CARE TO THE UNINSURED AND UNDERINSURED.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet4,712,930
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
7
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
5
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
AL , AR , CA , FL , GA , IL , KS , KY , MD , MA , MI , MN , NH , NJ , NM , NY , NC , OR , PA , RI , SC , TN , UT , VT , VA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTHE ORGANIZATION1800 DIAGONAL ROAD SUITE 600   ALEXANDRIA,VA223142840 (703) 647-7427
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) STEPHANIE NELSON GARRIS JD......................................................................
CHAIRMAN
3.00
.................
 
X   X       0 0 0
(2) MAUREEN TOMOSCHUK......................................................................
VICE CHAIRMAN
3.00
.................
 
X   X       0 0 0
(3) BETH ARMSTRONG......................................................................
TREASURER
3.00
.................
 
X   X       0 0 0
(4) ISI IKHAREBHA GREEN......................................................................
SECRETARY
3.00
.................
 
X   X       0 0 0
(5) DR HINA AZAM......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(6) ADAM BRADLEY......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(7) GISELA BRETONES......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(8) NANCY W HUDSON......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(9) AVONTE JACKSON......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(10) BOBBY KAPUR......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(11) KAT MASTRANGELO......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(12) ANGIE MCLAUGHLIN......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(13) LARRY S ROBINS......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(14) SHANNON WATSON......................................................................
BOARD MEMBER
3.00
.................
 
X           0 0 0
(15) NICOLE LAMOUREUX......................................................................
CHIEF EXECUTIVE OFFICER
40.00
.................
 
    X       196,032 0 5,881
(16) KERRY THOMPSON......................................................................
VICE PRESIDENT
40.00
.................
 
        X   135,000 0 9,531


Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 331,032 0 15,412
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MWW GROUP LLC

PO BOX 67186
NEWARK,NJ071016602
PUBLIC RELATIONS 153,539
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 3,382,370
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 3,382,370
 Program Service RevenueAmt Business Code
2a MEMBERSHIP DUES 621400 413,588 413,588    
b SYMPOSIUM 621400 263,105 263,105    
c BIOGEN 621400 40,000 40,000    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 716,693
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 28,077     28,077
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   137,854 7a
b Less: cost or other basis and sales expenses   139,100 7b
c Gain or (loss)   -1,246 7c
d Net gain or (loss).........MediumBullet -1,246     -1,246
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 4,125,894 716,693 0 26,831
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 3,530,340 3,530,340
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 163,338 127,631 12,784 22,923
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 380,953 255,729 120,556 4,668
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 62,152 44,595 14,336 3,221
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 402,575 201,101 148,254 53,220
12 Advertising and promotion .... 100,396 23,128 77,268  
13 Office expenses ....... 2,181 1,714 467  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 126,587 70,240 51,273 5,074
17 Travel ............ 37,891 37,825 66  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 12,325   12,325  
23 Insurance ... 10,516   10,516  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SYMPOSIUM 347,218 347,218    
b TELEPHONE AND WEBSITE 112,380 68,673 43,707  
c POSTAGE AND SHIPPING 4,843 4,736 107  
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 5,293,695 4,712,930 491,659 89,106
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 538,605 1 1,789,377
2 Savings and temporary cash investments ......... 826,273 2 67,077
3 Pledges and grants receivable, net ......   3 52,005
4 Accounts receivable, net ............. 146,048 4 15,200
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 24,620 9 56,256
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 45,403
b Less: accumulated depreciation 10b 30,371 18,190 10c 15,032
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 692,378 12 671,313
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 41,283 15 209,303
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,287,397 16 2,875,563
Liabilities 17 Accounts payable and accrued expenses ..... 220,994 17 195,952
18 Grants payable ... 10,000 18 195,000
19 Deferred revenue ......... 252,865 19 186,345
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 0 25 201,932
26 Total liabilities. Add lines 17 through 25.. 483,859 26 779,229
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,803,538 27 1,663,600
28 Net assets with donor restrictions ...........   28 432,734
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,803,538 32 2,096,334
33 Total liabilities and net assets/fund balances ........ 2,287,397 33 2,875,563
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,125,894
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,293,695
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-1,167,801
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,803,538
5
Net unrealized gains (losses) on investments ...............
5
-66,532
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
1,527,129
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,096,334
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 3,517,698 3,180,507 4,631,838 7,108,792 3,475,267 21,914,102
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose         716,693 716,693
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5 3,517,698 3,180,507 4,631,838 7,108,792 4,191,960 22,630,795
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support. (Subtract line 7c from line 6.) 22,630,795
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6... 3,517,698 3,180,507 4,631,838 7,108,792 4,191,960 22,630,795
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 16,704 42,284 30,323 25,335 35,138 149,784
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 16,704 42,284 30,323 25,335 35,138 149,784
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..     299,573     299,573
13 Total support. (Add lines 9, 10c, 11, and 12.).. 3,534,402 3,222,791 4,961,734 7,134,127 4,227,098 23,080,152
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
98.050 %
16
16
97.870 %
Section D. Computation of Investment Income Percentage
17
17
0.650 %
18
18
0.650 %
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number
56-2273242
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....   32,253 18,380 13,873
e Other .....   13,150 11,991 1,159
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 15,032
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) INVESTMENTS
671,313 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 671,313
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)WEBSITE DEVELOPMENT COSTS 16,041
(2)SECURITY DEPOSIT 8,680
(3)RIGHT OF USE ASSETS 183,882
(4)DUE FROM OTHERS 700
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 209,303
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 201,932
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 4,128,761
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -66,532
b Donated services and use of facilities ......... 2b 69,399
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 2,867
3 Subtract line 2e from line 1.................. 3 4,125,894
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 4,125,894
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 5,363,092
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 69,397
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 69,397
3 Subtract line 2e from line 1................... 3 5,293,695
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 5,293,695
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: THE ASSOCIATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX EFFECT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES WHEN ASSESSED. THE ASSOCIATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) AND ITS DETERMINATION THAT IT HAS NO UNRELATED BUSINESS INCOME AS TAX POSITIONS; HOWEVER, THE ASSOCIATION HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. INCOME TAX YEARS ENDED PRIOR TO DECEMBER 31, 2019 ARE NO LONGER SUBJECT TO AUDIT BY TAXING AUTHORITIES.
Schedule D (Form 990) 2021


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number
56-2273242
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ARLINGTON FREE CLINIC
2921 11TH STREET
SOUTH ARLINGTON,VA22204
54-1671883 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(2) CITY ON A HILL HEALTH CLINIC
100 PINE ST
ZEELAND,MI49464
20-3901260 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(3) COMMUNITY ADVANCED PRACTICE NURSES
173 BOULEVARD NE
ATLANTA,GA303121468
58-2435328 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(4) COMMUNITYHEALTH
2611 W CHICAGO AVE
CHICAGO,IL60622
36-3831793 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(5) GRACE CLINIC OF YADKIN VALLEY
948 JOHNSON RIDGE RD
ELKIN,NC28621
76-0800084 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(6) HEAL THE CITY FREE CLINIC
P O BOX 2556
AMARILLO,TX79105
46-5694050 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(7) HEALTHNET OF ROCK COUNTY INC
23 W MILWAUKEE ST STE 201
JANESVILLE,WI53548
39-1778804 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(8) JEWISH FAMILY SERVICE OF COLORADO
3201 S TAMARAC DR
DENVER,CO802314360
84-0402701 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(9) MATTHEWS FREE MEDICAL CLINIC
196 S TRADE ST MATTHEWS
MATTHEWS,NC281055772
51-0468874 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(10) MOUNTAIN HOPE GOOD SHEPHERD CLINIC INC
PO BOX 5937
SEVIERVILLE,TN37864
62-1747037 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(11) POINT WASHINGTON MEDICAL CLINIC INC
1290 N CO HWY 395
SANTA ROSA BEACH,FL32459
83-1125021 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(12) REFUGE CLINIC
2349 RICHMOND ROAD SUITE 220
LEXINGTON,KY40502
37-1547506 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(13) SALEM FREE CLINICS
1300 BROADWAY ST NE STE 104
SALEM,OR97301
20-3549992 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(14) SHEPHERD'S CLINIC
2800 KIRK AVE
BALTIMORE,MD21218
52-1739001 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(15) SMITHVILLE COMMUNITY CLINIC
PO BOX 38 300 LYNCH STREET
SMITHVILLE,TX78957
20-4515999 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(16) ST LUKE'S FREE MEDICAL CLINIC
PO BOX 3466
SPARTANBURG,SC29304
57-0943232 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(17) TEMPLE COMMUNITY CLINIC
1905 CURTIS B ELLIOTT DRIVE
TEMPLE,TX76501
74-2634500 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(18) THE HEALTH HUT
310 WEST MISSISSIPPI AVE
RUSTON,LA71270
27-3764078 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(19) UNIVERSAL MEDICAL INSTITUTE INC
99 NW 183RD ST SUITE 133A
MIAMI,FL33027
85-0504960 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(20) VIM BERKSHIRES
777 MAIN STREET SUITE 4
GREAT BARRINGTON,MA01230
90-0140004 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(21) VOLUNTEERS IN MEDICINE - PA
190 N PENNSYLVANIA AVE
WILKES BARRE,PA18702
20-3531527 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(22) C-ASSIST
30260 CHERRY HILL
GARDEN CITY,MI48135
81-3386484 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(23) CARELINK OF NORTHWEST GEORGIA INC
PO BOX 182
DALLAS,GA30132
47-5094465 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(24) CATHOLIC CHARITIES OF CENTRAL FLORIDA
1819 N SEMORAN BLVD
ORLANDO,FL32807
59-1214353 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(25) CENTRE VOLUNTEERS IN MEDICINE
2520 GREEN TECH DRIVE SUITE D
STATE COLLEGE,PA16803
25-1897969 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(26) CHICAGO WOMEN'S HEALTH CENTER
1025 WEST SUNNYSIDE AVE 201
CHICAGO,IL60640
36-2922469 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(27) COMMUNITY HEALTH CLINIC INC
1113 WOODLAND DR
ELIZABETHTOWN,KY42701
30-0042070 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(28) FREE CLINIC OF CENTRAL VIRGINIA INC
1016 MAIN STREET
LYNCHBURG,VA24504
54-1420756 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(29) FREE CLINIC OF ROCKINGHAM COUNTY INC
PO BOX 2668
REIDSVILLE,NC27323
56-2003143 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(30) GEORGIA CHARITABLE CARE NETWORK INC
PO BOX 133224
ATLANTA,GA30333
80-0100336 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(31) GRATIS HEALTHCARE
PO BOX 644
FRANKLIN,MA02038
31-1741660 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(32) ILLINOIS ASSOCIATION OF FREE AND CHARITABLE CLINICS
42 STEPHEN STREET 416
LEMONT,IL60439
20-1942444 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(33) LAHAI HEALTH
19820 SCRIBER LAKE RD 2
LYNNWOOD,WA98036
33-1052418 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(34) LIFESPRING COMMUNITY HEALTH
1042 EAST 3RD STREET SUITE 200
CHATTANOOGA,TN37403
27-3856741 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(35) MEMPHIS MUSLIM MEDICAL SERVICES INC
1055 STRATFORD ROAD
MEMPHIS,TN38122
41-2153994 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(36) OPEN ARMS HEALTH CLINIC INC
3311 LITTLE ROAD
ARLINGTON,TX76016
45-0621201 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(37) PEOPLE'S HEALTH & WELLNESS CLINIC
PO BOX 544
BARRE,VT05641
03-0343290 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(38) SOUTH COUNTY COMMUNITY CLINIC DBA INTERFAITH COMMUNITY CLINIC
101 PINE MANOR WAY
OAK RIDGE NORTH,TX77385
75-2634623 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(39) THE COMMUNITY CLINIC OF SOUTHWEST MISSOURI
701 S JOPLIN AVENUE
JOPLIN,MO64801
43-1643962 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(40) THE LUKE PROJECT 52 CLINIC (DBA THE LUKE CLINIC)
9615 MAIN ST SUITE B
WHITMORE LAKE,MI48189
81-2779813 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(41) TRS HEALTH INC
3727 GREENBRIAR DR STE 114
STAFFORD,TX77477
84-2546001 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(42) WEST VIRGINIA HEALTH RIGHT INC
1520 WASHINGTON STREET EAST
CHARLESTON,WV25311
31-1066881 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(43) WORRY FREE COMMUNITY
1701 BLOOMINGDALE RD
GLENDALE HEIGHTS,IL60139
47-4911621 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(44) MEDICAL UNIVERSITY OF SOUTH CAROLINA FOUNDATION
PO BOX 250450
CHARLESTON,SC29425
57-6028985 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(45) GREENVILLE FREE MEDICAL CLINIC
PO BOX 8993
GREENVILLE,SC29604
57-0855205 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(46) HEALTH ALLIANCE FOR THE UNINSURED
3000 UNITED FOUNDERS BLVD STE 244
OKLAHOMA CITY,OK73112
26-1789292 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(47) TXACC
PO BOX 684127
AUSTIN,TX78768
33-1115138 501(C)(3) 15,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(48) VAFCC
1401 LIBBIE AVENUE SUITE 104
RICHMOND,VA23226
54-1802019 501(C)(3) 15,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(49) WHEELING HEALTH RIGHT INC
61-29TH ST
WHEELING,WV26003
31-1149085 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(50) 4TH SECOND
839 VALLE VISTA AVE
VALLEJO,CA94590
27-3215926 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(51) BERKELEY COMMUNITY HEALTH PROJECT
2339 DURANT AVE
BERKELEY,CA94704
94-1697002 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(52) CALIFORNIA ASSOCIATION OF FREE AND CHARITABLE CLINICS
2752 ABEJORRO ST
CARLSBAD,CA92009
20-2198446 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(53) CENTER FOR FAMILY HEALTH AND EDUCATION INC
8727 VAN NUYS BLVD STE 101
PANORAMA CITY,CA91402
27-0224623 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(54) CLINICA TEPATI
1820 J STREET
SACRAMENTO,CA95811
94-2324682 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(55) COACHELLA VALLEY VOLUNTEERS IN MEDICINE
PO BOX 10090
INDIO,CA92202
26-3312826 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(56) COMMUNITY SERVICE EDUCATION AND RESEARCH FUND OF SEDMS
5380 ELVAS AVE SUITE 101
SACRAMENTO,CA95819
23-7003581 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(57) CONEJO FREE CLINIC
80 E HILLCREST DRIVE SUITE 102
THOUSAND OAKS,CA91360
95-3177953 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(58) GRASSROOTS HEALTHCARE FOUNDATION
743 E TABOR AVE FAIRFIELD CA 94533
FAIRFIELD,CA94533
32-0600776 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(59) HEALING GROVE HEALTH CENTER INC A SOCIAL PURPOSE CORPORATION
226 W ALMA AVE SUITE 10
SAN JOSE,CA95110
84-4194962 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(60) INLAND EMPIRE FREE CLINIC
1501 VIOLET ST OFFICE 386
COLTON,CA92324
87-1142032 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(61) NADEZHDA HEALTH PROJECT
1 SHIELDS AVENUE CSI BOX 795
DAVIS,CA95616
82-2852928 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(62) NAPA ACUPUNCTURE PRACTICE
411 FREEWAY DR
NAPA,CA945585869
81-4145087 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(63) POINT LOMA NAZARENE UNIVERSITY HEALTH PROMOTION CENTER
4101 UNIVERSITY AVE
SAN DIEGO,CA92105
95-1644035 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(64) SAN FRANCISCO FREE CLINIC
4900 CALIFORNIA STREET
SAN FRANCISCO,CA94118
94-3186248 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(65) SOUTHERN CALIFORNIA CARE COMMUNITY
120 N ASH ST
ESCONDIDO,CA92027
85-0858493 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(66) THE WILLOW CLINIC
1200 NORTH B STREET
SACRAMENTO,CA95814
80-0721010 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(67) UMI COMMUNITY IMAGING CLINIC
24901 VIA VERDE
LAGUNA NIGUEL,CA92677
83-2309570 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(68) VIDA MOBILE CLINIC
10718 WHITE OAK AVE UNIT 6
GRANADA HILLS,CA913444628
81-4209248 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(69) WOMEN AND INFANTS MOBILE HEALTH
1 GRAND AVE
SAN LUIS OBISPO,CA93407
95-1648180 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(70) ROTACARE BAY AREA INC
514 VALLEY WAY
MILPITAS,CA95035
77-0328723 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(71) SLO NOOR FOUNDATION A NON-PROFIT CORPORATION
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO,CA93401
27-1412176 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(72) SYMBA CENTER
20601 HWY 18 SUITE 171
APPLE VALLEY,CA92307
84-3729902 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(73) VOLUNTEERS IN MEDICINE SAN FRANCISCO - DBA CLINIC BY THE BAY
4877 MISSION ST
SAN FRANCISCO,CA94112
26-2593712 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(74) JEWISH COMMUNITY FREE CLINIC
50 MONTGOMERY DRIVE
SANTA ROSA,CA95405
94-3386103 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(75) DESERT ROSE TRAUMA RECOVERY
15431 ANACAPA RD STE H
VICTORVILLE,CA92392
20-4172018 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(76) WESTMINSTER FREE CLINIC
2673 SAN MIGUEL CIRCLE
THOUSAND OAKS,CA81360
77-0563241 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(77) LESTONNAC FREE CLINIC
1215 E CHAPMAN
ORANGE,CA92866
95-3499011 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(78) CLARA'S HOUSE
2700 L STREET
SACRAMENTO,CA95819
61-1591265 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(79) JACKSON FREE CLINIC
925 MARTIN LUTHER KING JR DRIVE
JACKSON,MS39203
64-0945749 501(C)(3) 43,570 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(80) SISTERS IN BIRTH
5839 S PEAR ORCHARD ROAD
JACKSON,MS39211
81-2072883 501(C)(3) 43,570 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(81) FREE CLINIC ASSOCIATION OF PENNSYLVANIA
2520 GREEN TECH DRIVE
STATE COLLEGE,PA16803
26-0099669 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(82) THE GOOD SAMARITAN HEALTH CENTER
1015 DONALD LEE HOLLOWELL PARKWAY
ATLANTA,GA30329
58-2373395 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(83) CARE RING
601 E FIFTH STREET SUITE 140
CHARLOTTE,NC28202
56-0621073 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(84) GRACE MEDICAL HOME INC
1417 E CONCORD STREET
ORLANDO,FL32803
26-1817966 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(85) IBN SINA FOUNDATION INC
11226 SOUTH WILCREST DR
HOUSTON,TX77099
501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(86) IMANI CLINIC
2425 ALHAMBRA BLVD
SACRAMENTO,CA95817
35-2505613 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(87) LUKE PROJECT - 52 CLINIC INCORPORATED
9615 MAIN ST SUITE B
WHITMORE LAKE,MI48189
81-2779813 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(88) PREMIER MOBILE HEALTH SERVICES
10676 COLONIAL BLVD STE 20
FORT MYERS,FL339138715
82-5372657 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(89) UNR STUDENT OUTREACH CLINIC
745 W MOANA LANE
RENO,NV89509
94-2781749 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(90) UBI CARITAS
4450 HIGHLAND AVE
BEAUMONT,TX77705
76-0558225 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(91) UBUNTU BLACK FAMILY WELLNESS COLLECTIVE
2611 GOVERNOR PRINTZ BLVD
WILMINGTON,DE19802
84-4324815 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(92) WAY FREE MEDICAL CLINIC INC
479 HOUSTON ST
GREEN COVE SPRINGS,FL320432411
76-0828154 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(93) HELPING HANDS OF MIDDLE & WEST TENNESSEE
1408 NORTH HIGHLAND AVENUE
JACKSON,TN38301
81-1043752 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(94) CHARITABLE PHARMACY OF CENTRAL OHIO
200 E LIVINGSTON AVE
COLUMBUS,OH43215
27-0147099 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(95) LA CLINICA LATINA
2231 N HIGH STREET
COLUMBUS,OH43201
20-5260283 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(96) MATTHEW 25 INC
413 E JEFFERSON BLVDFORT WAYNE
FORT WAYNE,IN46845
501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(97) MIDVALE COMMUNITY BUILDING COMMUNITY INC
49 W CENTER STREET
MIDVALE,UT84047
501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(98) RHODE ISLAND FREE CLINIC
655 BROAD STREET 3RD FLOOR
PROVIDENCE,RI02907
501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(99) THE HEALTH WAGON
PO BOX 7070
WISE,VA24293
501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(100) STUDENT OUTREACH TO AREA RESIDENTS LLC
4209 ST RT 44
ROOTSTOWN,OH44272
46-4173762 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(101) MIDVALE COMMUNITY BUILDING COMMUNITY INC
49 WEST CENTER STREET 1
MIDVALE,UT84047
501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(102) THE BREATHING ASSOCIATION
788 MOUNT VERNON AVENUE
COLUMBUS,OH43203
31-4387540 501(C)(3) 10,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(103) MEDICAL MISSION ADVENTURES
425 SIERRA MADRE VILLA AVE
PASADENA,CA91107
501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(104) CHARITABLE HEALTHCARE NETWORK
88 E BROAD ST STE 1475
COLUMBUS,OH43215
22-3769296 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(105) CHARITABLE PHARMACY OF CENTRAL OHIO
200 E LIVINGSTON AVE
COLUMBUS,OH43215
27-0147099 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(106) COLUMBUS FREE CLINIC
2231 N HIGH ST
COLUMBUS,OH43201
501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(107) GOOD NEIGHBOR HOUSE
627 EAST FIRST STREET
DAYTON,OH45402
31-1374154 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(108) GRACE CLINICS OF OHIO
PO BOX 444
DELAWARE,OH43015
27-0415624 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(109) HELPING HANDS HEALTH AND WELLNESS CENTER
5100 KARL RD
COLUMBUS,OH43229
20-5937457 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(110) LAKE COUNTY FREE CLINIC
125 E ERIE STREET LOWER LEVEL
PAINESVILLE,OH44077
34-1081191 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(111) LIVING WELL CLINIC
1160 N MONROE DR
XENIA,OH45385
27-4307745 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(112) OHIO LATINO HEALTHCARE NETWORK
2231 N HIGH ST
COLUMBUS,OH43201
20-5260283 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(113) OHIO VALLEY HEALTH CENTER
423 SOUTH ST
STEUBENVILLE,OH43952
20-3924355 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(114) PHYSICIANS CARECONNECTION
1390 DUBLIN RD
COLUMBUS,OH43215
31-1373719 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(115) REACH OUT OF MONTGOMERY COUNTY
25 E FORAKER
DAYTON,OH45409
31-1434292 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(116) RISING SUNS NON - PROFIT PHARMACY
PO BOX 193
ATHENS,OH45701
84-2852530 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(117) SOAR STUDENT RUN FREE CLINIC LLC AT NEOMED CLINICAL INITIATIVES
4209 STATE ROUTE 44
ROOTSTOWN,OH44272
46-4173762 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(118) SALAAM CLEVELAND DBA SALAAM CLINIC
1925 ST CLAIR AVE NE
CLEVELAND,OH44114
26-1368320 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(119) ST VINCENT DE PAUL CHARITABLE PHARMACY
1125 BANK STREET
CINCINNATI,OH45214
30-0272954 501(C)(3) 30,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(120) THE BREATHING ASSOCIATION
788 MOUNT VERNON AVE
COLUMBUS,OH43203
31-4387540 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(121) VIOLA STARTZMAN CLINIC
1874 CLEVELAND RD
WOOSTER,OH44691
34-1758151 501(C)(3) 25,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
(122) TOLEDOLUCAS COUNTY CARENET
3231 CENTRAL PARK W STE 200
TOLEDO,OH43617
43-1986672 501(C)(3) 20,000 0     TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
122
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANT FUNDING CLINICS MUST SIGN A LETTER THAT STATES THEY UNDERSTAND THE REQUIREMENTS OF THE GRANT AND THEY MUST REPORT TWO TIMES A YEAR USING AN ELECTRONIC PORTAL. A REPORT IS MADE TO SUMMARIZE THE FUNDS STATUS.
Schedule I (Form 990) 2022



Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1NICOLE LAMOUREUX
CHIEF EXECUTIVE OFFICER
(i)

(ii)
196,032
-------------
0
0
-------------
0
0
-------------
0
5,881
-------------
0
0
-------------
0
201,913
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2022

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF FREE AND
CHARITABLE CLINICS INC
Employer identification number

56-2273242
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP IS COMPOSED OF FREE CLINICS AROUND THE COUNTRY THAT PAY DUES TO BE A MEMBER. THE BOARD IS ELECTED AT AN ANNUAL MEETING OF THE MEMBERSHIP OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT OFFICERS AT THE ANNUAL MEETING OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS ARE PROVIDED WITH A DRAFT OF THE 990 AND GIVEN A PERIOD OF TIME FOR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MUST SIGN THE CONFLICT OF INTEREST FORM AND BOARD COMMITMENT FORM ANNUALLY AND RETURN TO THE NAFC STAFF.
FORM 990, PART VI, SECTION B, LINE 15 THERE IS AN EXECUTIVE COMMETTEE ESTABLISHED WHO REVIEWS AND SETS THE GOALS FOR THE CEO POSITION. THE CEO IS THEN ASSESSED AND EVALUATED ANNUALLY BASED ON GOALS. THE COMMITTEE RESEARCHES INDUSTRY WAGE REPORTS AND ANNUALLY REVIEWS SALARY LEVELS FOR COMPARABILITY. OTHER TOP MANAGEMENT POSITIONS ARE REVIEWED BY BOARD MEMBERS BASED ON ANNUAL GOAL CRITERIA.
FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE AT THE OFFICES OF THE ORGANIZATION.
PART XI LINE 8 PRIOR PERIOD ADJUSTMENT LISTED REPRESENTS PRIMARILY GRANTS THAT SHOULD HAVE BEEN RECORDED IN PREVIOUS YEARS' UNDER GAAP. THESE GRANTS ARE INCLUDED IN THIS YEAR'S SCHEDULE B AS THEY WERE NOT ON LAST YEAR'S FORM 990.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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