a' O MB No . 1545-0047 Return of Organization Exempt From Income Tax 990 Form P016 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code (except private foundations) ^ Departme me nt of the Treasury internal R e venue Service ^ Do not enter social security numbers on this form as it may be made public. Information about Form 990 and its instructions Is at www. lrs. 9 ov/form990. For the 2016 calendar y ear, or tax y ear beg innin g A I Address change C Name of organization Doing business as 71 Name change 8865 SUDLEY ROAD Check if applicable B and endin Number and street (or P 0 box if mail is not delivered to street address) Initial return Final retumltermmated Roorn/sulte 26 -2046485 E Telephone number 182 City or town MANASSAS ZIP code 20110 state VA Foreign country name Foreign provmce/state/county 571 247-3688 Foreign postal code Application pending F Name and address of pnnapai officer H (a) Is this a group return for subordinates? NEIL CORKERY 8665 SUDLEY RD STE 182, MANASSAS, VA 20110 Tax-exempt status J Website : ^ El 501(c)(3) 501(c) ( 4 ) A (insert no ) No H ( c ) Grou p exem pt ion number ^ El Corporation Trust 0 Association Other ^ L Year of formation- Summa ry Briefly describe the organization's mission or most significant activities- 1 F-1 yes FAI No H(b) Are all subordinates included'? If "No," attach a list ( see instructions) 0 4947 (a)(1) or ^ 527 N/A K Form of organization 32 , 227 , 01( Gross repel is $ G 71 Amended return I Employer Identification number D WELLSPRING COMMITTEE INC M State of legal domicile 2008 VA The Organization's mission is to advance ------------------ ------------------ limited government and free markets ----------------------------------------------- -------------------------------- ------------------ - - - --- E 2 3 0 a 4 Number of independent voting members of the governing body (Part VI, line 1 b) 5 6 Total number of individuals employed in calendar year 2016 (Part V, line 2a) Total number of volunteers (estimate if necessa 7a b Total unrelated business revenue from Part V`II, col D AM Ime34 Net unrelated business taxable income from orrn" 9 plo t/ ,R, 2 2097 05 NOV !9 y r Contributions and grants (Part VIII, line 1 h) 8 9 Q C if the organization discontinued its operations or disposed of more than 25% of its net assets. Check this box ^ . . 3 Number of voting members of the governing body (Part VI, line 1a) . 4 . . . . 5 6 YD 7a 7b 0 Prior Year P rogram se r vice reve nu e ( Part VIII , line 2 g ) t^1 LLJ 10 11 3, 40QIDr_-(JT Investment income (Part VIII, column (A), lines Other revenue (Part VIII, column (A), fines 5, 6d, 8c, 9c, 10c, and T1e) L 12 13 Total revenue-add lines 8 throu g h 11 ( must eq ual Part VIII, column (A) , line 12) Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line 4) in 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) X 'l' 16a b 17 Professional fundraising fees (Part IX, column (A), line 1 le) Total fundraising expenses (Part IX, column (D), line 25) 11Other expenses (Part IX, column (A), fines 1 la-11d, 11f-24e) . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 19 Revenue less ex penses. Subtract line 18 from line 12. Current Year 9,350,000 0 32,225,00( 40 0 2,01( 9,350,040 7,884,000 32,227 01( 29,124 , 99-1 0 _ 162,416 0 . . 920,468 2,189 , 75,e 8,966,884 31,554,57( 383,156 Beginning of Current Year pq zLL 20 21 22 ffm In= . Total assets (Part X, line 16) Total liabilities (Part X, line 26) . . Net assets or fund balances Subtract line 21 from line 20 Si nature Block arruned this re Under penalties of perjury, I declare that I have ar on of p r and belief , It is true , correct, and complete D Sign Here ZZ. Signature o f o ffs Type or pnnt name and title Pnnt/Type preparer's name Paid Preparer Use Only , including accom other than officer) Prepa er's T Ra ymond Conlon Firm's name ^ Conlon and Associates LLC Firm's address ^ P O Box 6213, Silver Spring, MD 2 May the IRS discuss this return with the preparer shown above? (s . 239,81c 0 . . 573,347 0 573 347 672,44( End of Year 1 , 245,78-1 1 245 78-1 Form 990 ( 2016 ) WELLSPRING COMMITTEE INC Statement of Program Service Accomplishments 26-2046485 Check if Schedule 0 contains a response or note to any line in this Part III . . . . . . . . , Pa ge 2 . . LI 1 Briefly describe the organization's mission markets -limited government and-free Organization's-m-issionis-to advanceThe------------------------- - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 2 Did the organization undertake any significant program services during the year which were not listed on . . . . . . . . the prior Form 990 or 990-EZ? . . Yes XQ No If "Yes ," describe these new services on Schedule 0 Did the organization cease conducting , or make significant changes in how it conducts , any program services? . Yes No If "Yes ," describe these changes on Schedule 0 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 3 4 4a (Code _______________ ) (Expenses $ ___- 31,459,673 including grants of $ _____ 29,124,997_ ) (Revenue $ 0 ) During 2016 the organization identified, funded, and supported activities and_organizations that ------------------------------------------------------foster the advancement of free markets and limited constitutional government - ---------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 4b (Code _______________ ) (Expenses $ ------------------ including grants of $ ------------------ ) (Revenue $ ___________________ ) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 4c (Code- _______________ ) (Expenses $ ------------------ including grants of $ ------------------ ) (Revenue $ ) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------4d 4e Other program services. (Describe in Schedule O ) (Expenses $ 0 including grants of $ ^ 31,459,673 Total program service expenses 0 ) (Revenue $ 0 Form 990 (2016) Form 990 (2016 ) WELLSPRIN( E INC 3 Checklist of Req uired Schedules Yes 1 2 3 4 5 6 7 8 9 10 11 a b c d e Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," . . complete Schedule A . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . 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/. . . . . . 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 It. . . . . . . . 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 Revenue Procedure 98-19? If "Yes, " complete Schedule C, . . . . . . Part /// 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 I 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 // . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes, " . . . . . . complete Schedule D, Part Ill . . 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 IV . . . . . . . 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 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 Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes, " complete . . . . . . . . . . . . Schedule D, Part VI . . . amount for investments-other Part line 12 Did the organization report an securities in X, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part Vll.. . . . . amount for investments-program line related in Part X, 13 that is 5% or more Did the organization report an of its total assets reported in Part X, line 16? If "Yes, " complete Schedule D, Part Vlll.. . . . . . amount for other assets in Part X, line 15 more of its that is 5% or total assets Did the organization report an reported in Part X, line 16? If "Yes, " complete Schedule D, Part IX. Did the organization report an amount for other liabilities in Part X, line 25? If "Yes, complete Schedule D, Part X 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 X . . 12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts Xl and XII. 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 . . section 170(b)(1)(A)(n)2 school described in If Schedule E. 13 Is the organization a "Yes, " complete 14a Did the organization maintain an office, employees, or agents outside of the United States? . . 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 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 // and IV. 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 Ill and IV. . . . . 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) . . . . 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 /1 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 1 2 3 No X X X 4 5 X 6 X 7 X 8 X 9 X 10 X 11a X 11b X 11 c X 11d 11e X X 11f X 12a X 121b 13 14a X X X 14b X 15 X 16 X 17 X 18 X 19 X Form 990 (20 1 6) Form 990 (2016) WELLSPRING COMMITTEE INC 26-2046485 Pa e 4 Checklist of Req uired Schedules (continued) Yes 20a Did the organization operate one or more hospital facilities? If "Yes, " complete Schedule H b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return's 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 1, Parts l and 11. 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 1, Parts I and 111. . . 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. . . . 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 . . . . . . . . . . . . . . b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 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? . . . . . d Did the organization act as an "on behalf of' issuer for bonds outstanding at any time during the year? . 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 . . . 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/. . . . 26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part/l. . 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons' If "Yes, " complete Schedule L, Part 111 . . 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions) a A current or former officer, director, trustee, or key employee? If "Yes, " complete Schedule L, Part IV, . . b A family member of a current or former officer, director, trustee, or key employee? If "Yes, " complete Schedule L, Part IV . . . . . . c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes, " complete Schedule L, Part IV 29 Did the organization receive more than $25,000 in non-cash contributions' If "Yes, " complete Schedule M 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes, " complete Schedule M 31 Did the organization liquidate, terminate, or dissolve and cease operations' If "Yes, complete Schedule N, . . . . . . . . . . Part l . 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? . . . . If "Yes, " complete Schedule N, Part 11 . . 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 l . . . . 34 Was the organization related to any tax-exempt or taxable entity? If "Yes, " complete Schedule R, Part Il, lll, or/ V, and Part V. line I . . . . . . . . 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)' . 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 . . 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. 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 V/ 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 b and . . 19? Note. All Form 990 filers are required to complete Schedule 0 20a 20b 21 . No X X 22 X 23 X 24a 24b X 24c • 24d 25a X 25b X 26 X 27 X 28a X 28b X .. 28c 29 X X 30 X 31 X 32 X 33 X 34 35a X . 35b 36 37 38 X X Form 990 (2016) Form 990 (2016) WELLSPRING COMMITTEE INC Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part V . 26-2046485 . . . . . . . . . 6 0 d e f Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable . . . . . . 1a Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . lb Did the organization comply with backup withholding rules for reportable payments to vendors and reportable . . gaming (gambling) winnings to prize winners? . . . . . . . . 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 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 la and 2a is greater than 250, you may be required to a-file. (see instructions) Did the organization have unrelated business gross income of $1,000 or more during the year? . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule 0. 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)? . . "Yes," enter name of country the the foreign If -----------------------------------------------------------------instructions filing for FinCEN Form 114, Report of Foreign Bank and Financial Accounts for requirements See (FBAR) Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-To . . gross the organization have annual receipts that are normally greater Does than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions' If "Yes," did the organization include with every solicitation an express statement that such contributions or . . . . . . . . . . . gifts were not tax deductible's Organizations that may receive deductible contributions under section 170(c). 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?. organization notify the donor of the value of the goods or services provided? . If "Yes," did the the organization sell, exchange, or otherwise dispose of tangible personal property for which it was Did required to file Form 82822 . . . If "Yes," indicate the number of Forms 8282 filed during the year 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g h If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?. . . Pag e 5 . El No 1a b c 2a b 3a b 4a b 5a b c 6a b 7 a b c 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 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? . Sponsoring organizations maintaining donor advised funds. . Did the sponsoring organization make any taxable distributions under section 4966? Did the sponsoring organization make a distribution to a donor. donor advisor. or related person? Section 501(c )( 7) organizations. Enter Initiation fees and capital contributions included on Part VIII, line 12 . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 10b Section 501(c )( 12) organizations . Enter: . . . Gross income from members or shareholders . . . . . . . 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) 11b Section 4947( a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 10412. If "Yes," enter the amount of tax-exempt interest received or accrued during the year. 12b Section 501(c)(29) qualified nonprofit health insurance issuers. 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. 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 Enter the amount of reserves on hand . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . if "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule 0 1c X 2b X 3 _ X 3a 3b • 4a X 5a 5b 5c X X 6a X 6b X 7a 7b 7c 7e if 7 7h 8 9a 9b 12a 13a 14a 14b X Form 990 (2016) Form 990 (2016) WELLSPRING COMMITTEE INC 26-2046485 Pa ge 6 Governance , Management , and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response or note to any line in this Part VI . . . . . . . . . . . . . Q Section A. Governing Body and Management Yes 1a b 2 3 4 5 6 7a b 8 a b 9 1a Enter the number of voting members of the governing body at the end of the tax year . 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. 1b Enter the number of voting members included in line 1a, above, who are independent 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? . 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? Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets?. Did the organization have members or stockholders? . . . . 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? . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following The governing body?. . . Each committee with authority to act on behalf of the governing body? . trustee, or key employee listed in Part A, who Is there any officer, director, VII, Section cannot be reached at the organization's mailinq address? If "Yes. "provide the names and addresses in Schedule 0 No 1 0 2 X 3 4 5 6 X X X X 7a X 7b X 8a 8b X X 9 X Section B. Policies (This Section B requests in form a tion about policies not required by the Internal Revenue Code.) Yes 10a b 11a b 12a b c 13 14 15 a b 16a b Did the organization have local chapters, branches, or affiliates' If "Yes," did the organization have written policies and procedures governing the activities of such chapters, 10a affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes' Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?. Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If'No,"go to line 13 . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," descnbe in Schedule 0 how this was done Did the organization have a written whistleblower policy? . . Did the organization have a written document retention and destruction policy? . . . . 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? . . . . . . The organization's CEO, Executive Director, or top management official . . . Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions) Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement . . with a taxable entity during the year? If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in point venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to s uch a rrangements' 10b 11a X 12a 12b X X 12c 13 14 X 15a 15b X X 16a No X X X X 16b Section C . Disclosure 17 18 19 20 List the states with which a copy of this Form 990 is required to be filed ^ --------------------------------------------------------Section 6104 requires an organization to make its Forms 1023 (or 1024 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 a ply Another' s website Q Upon request Other (explain in Schedule 0) Own website Describe in Schedule 0 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 ^ State the name , address, and telephone number of the person who possesses the organization's books and records NeilCorkery ---------------------------------------------------------------------(571)_247.3688-------------------8665 Sudley Rd, Ste 182 , Manassas, VA 20110 Form 990 (2016) Form 990 (2016) WELLSPRING COMMITTEE INC 26-2046485 Compensation of Officers , Directors , Trustees, Key Employees , Highest Compensated Page 7 Employees , and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII . . . . . . . . . . . Officers, Directors, Trustees, Key Employees , and Highest Compensated Employees Section A . 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 • 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. • List all of the organization' s current key employees, if any See instructions for definition of "key employee " • 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 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations • List all of the organization' s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • 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 List persons in the following order- individual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and former such persons Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (c) (A) Name and Tide (B) Average hours per week ( list any hours for related organizations below dotted line) --(1)- Nell Corkery----------------------------------- ----------10 00 0.00 President ------------------------------------------------- ---------------- ------------------------------------------------- ---------------- --M------------------------------------------------- --------------- A5)------------------------------------------------- ---------------- Position (do not check more than one box, unless person is both an officer and a director/trustee o > > cD x -n a . . n m o y o oi ^ g v g 2r n+ 2 m $ X X (D) Reportable compensation from the organization (W-2/1099- MISC) 30,000 (E) Reportable compensation from related organizations (W-2/1099- MISC) 0 (F) Estimated amount of other compensation from the organization and related organizations 0 -------------------------------------------------- --------------- -------------------------------------------------- ---------------- ------------------------------------------------- ---------------- AP) ------------------------------------------------- ---------------- _(10)------------------------------------------------- ---------------- _(11I------------------------------------------------- ---------------- _(12)-------------------------------------------------- ---------------_(13)------------------------------------------------- ---------------- _(N -------------------------------------------------- ---------------Form 990 (2016) Form 990 ( 2016 ) 26-2046485 WELLSPRING COMMITTEE INC Page 8 Section A . Officers, Directors , Trustees , Key t=m to ees , and rii nest tom ensatea tm to ees conrmuea (C) (B) Average hours per week ( list any hours for related organizations below dotted line) (A) Name and title Position (do not check more than one box, unless person is both an officer and a director/trustee o > > m = .$ _ n a a' m 3 o w 8 v+ (D ) Reportable compensation from the organization (W 2/1099 MISC) ( E) Reportable compensation from related organizations (W-2/1099-MISC) $ (F) Estimated amount of other compensation from the organization and related organizations a _(151 -------------------------------------------------- ---------------_(16) .................................................. ................ _(17) ------------------------------------------------- ---------------- _(.18Z-------------------------------------------------- ---------------_M_)-------------------------------------------------- ---------------_W) -------------------------------------------------- ---------------(21^-------------------------------------------------- ---------------_(22)------------------------------------------------- ---------------- _(23)-------------------------------------------------- ---------------- (25Z------------------------------------------------- ---------------- lb c d 2 . . ^ 30,000 . . . . . . . . . . Sub -total ^ . . 0 . . Total from continuation sheets to Part VII, Section A . 30,000 , ^ Total (add lines lb and 1c Total number of individuals (Including but not limited to those listed above) who received more than $100,000 of ^ 0 reportable compensation from the organization 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 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. . . . . 0 0 . . 0 0 0 3 No _ X 4 X 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes, " complete Schedule J for such person . .. 1 5 1 Section B. Independent Contractors Complete this table for your five highest compensated independent contractors that received more than $100,000 of I compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address BH Grou p LLC Creative Res p onse Conce pts 2 (B) Description of services 1655 N Fort Meyer Dr, Ste 700 Arlin gton, VA 22209 Public Relations 2760 Eisenhower Ave, 4th Floor Alexandria, VA 2231 Public Relations Total number of independent contractors (including but not limited to those listed above) who received 2 ^ more than $100 , 000 of com pensation from the org anization I X (C) Compensation 750,000 600,000 0 0 0 Form 990 (2016) Form 990 ( 2016 ) WELLSPRING COMMITTEE INC Statement of Revenue Check if Schedu le 0 contains a response or note to any line in this Part VIII 26- 2046485 . (A) Total revenue (B) Related or exempt function . . . (C) Unrelated business revenue (D) Revenue excluded from tax under sections revenue C E ° m a Ia b c d e f o 0 v W Federated campaigns . . . Membership dues. . . . . Fundraising events. . . . . Related organizations . . Government grants (contributions) . . All other contributions, gifts, grants, and similar amounts not included above la lb Ic Id le 0 0 0 0 0 If 32,225,000 g Noncash contributions included in lines la-1f: h Total . Add lines la-1f $ -------------- 0 - e ^ . m Pa g e 9 512-514 32,225,000 Business Code 2a b C d e f 3 4 5 ----------------------------------------------_ ---------------------------------All other program service revenue Total . Add lines 2a-2f . Investment income (including dividends, interest, and other similar amounts) . . . . . . Income from investment of tax-exempt bond proceeds. . Royalties (i) Real 6a b c d 7a b c d 8a b c 9a b c 10a b c ^ ^ . pop. 2,010 0 0 Gross rents Less rental expenses Rental income or (loss) Net rental income or (loss) Gross amount from sales of assets other than inventory . Less cost or other basis and sales expenses. Gain or (loss) . . . . Net gain or (loss) (ii ) Personal 0 0 . ^ (I) Securities Gross income from fundraising events (not including $ 0 of contributions reported on line 1c). See Part IV line 18 Less direct expenses . . Net income or (loss) from fundraising events Gross income from gaming activities See Part IV, line 19 . . Less. direct expenses . Net income or (loss) from gaming activities Gross sales of inventory, less returns and allowances . . Less- cost of goods sold . . . Net income or ( loss) from sales of invento ry ----------------------------------------------------------------------------------------------------------------------------------------All other revenue . . . . Total . Add lines 11a-11d . . . Total revenue . See instructions 0 (i) Other 0 0 0 0 0 0 ^ 0 0 0 ^ 0 0 0 ^ 0 0 0 ^ 0 a b a b a b . Miscellaneous Revenue Ila b c d e 12 ^ 0 0 0 0 0 0 0 ----------------------------------------------- _ Business Code . . . 0 0 0 0 . ^ 0 ^ F -32 , 227 , 010 1 0 0 0 Form 990 (2016) Form 990 (2016) WELLSPRING COMMITTEE INC 26-2046485 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 0 contains a response or note to any line in this Part IX . . . . . . (A) Total expenses Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part V111. Grants and other assistance to domestic organizations 1 domestic governments See Part IV, line 21 . . . . 2 Grants and other assistance to domestic . . individuals See Part IV, line 22 Grants and other assistance to foreign 3 organizations , foreign governments , and foreign . . . individuals See Part IV, lines 15 and 16 4 Benefits paid to or for members Compensation of current officers , directors, 5 trustees , and key employees Compensation not included above , to disqualified 6 persons ( as defined under section 4958 ( 0(1)) and . . persons described in section 4958 ( c)(3)(B) Other salaries and wages . . 7 Pension plan accruals and contributions ( include 8 section 401(k) and 403 ( b) employer contributions) Other employee benefits . . . . . . . 9 Payroll taxes 10 11 Fees for services (non-employees) . . . . . . a Management . . . . . . . . b Legal . . c Accounting . . . d Lobbying . 29,124,997 . . Investment management fees . g Other ( If line 11g amount exceeds 10 % of line 25 , column (A) amount , list line 11g expenses on Schedule O) b 26 ,700 3,300 0 195,000 180 , 000 15,000 0 0 14,819 12 , 369 2,450 55,804 4,300 0 1,665,850 0 7,443 0 0 0 187,625 . . 211,313 0 . . . . . . 29 ,124,997 30,000 211,313 55,804 4,300 0 Professional fundraising services . See Part IV, line 17 . EX (p) Fundraising ex penses __ 0 0 f . . . . Advertising and promotion . . . . . . . Office expenses Information technology . . . . Royalties . . . . . Occupancy . . . . . . Travel. . Payments of travel or entertainment expenses for any federal , state , or local public officials . Conferences, conventions , and meetings 19 . . . . . Interest 20 . . . . Payments to affiliates . 21 Depreciation , depletion , and amortization . . 22 . . . 23 Insurance Other expenses Itemize expenses not covered 24 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 Memberships (c) Management and eneralex ex p enses 0 e 12 13 14 15 16 17 18 (B) Program service expenses Pa g e 10 . ---- - ---------- ---- -- --- -- ---- -- ---- -- --------------------c ---- - ---------- ---- - ---- -- ----- - ----- - --------------------d ---- - ----- - ---- ---- - ----- - --------------------------------____________________________________ e All other expenses Total functional ex penses . Add lines 1 throw h 24e 25 26 Joint costs . Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and ^ El if fundraising solicitation Check here ASC 958-720 98-2 SOP followin g 0 2,000 0 0 0 5,419 50,000 1,659,250 6,600 7,443 187,625 2,000 0 5,419 0 0 94,897 0 50,000 0 0 0 0 31,554,570 31,459,673 Form 990 (2016) Form 990 (2016 ) 26-2046485 WELLSPRING COMMITTEE INC Balance Sheet Page 11 Check if Schedule 0 contains a response or note to any line in this Part X (B) End of year (A) Beginning of year Cash-non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees . . Complete Part II of Schedule L persons (as defined under section 6 Loans and other receivables from other disqualified and contributing employers and 4958(c)(3)(B), 4958(f)(1)), persons described in section employees' beneficiary voluntary sponsoring organizations of section 501(c)(9) . . organizations (see instructions) Complete Part II of Schedule L . . . . 7 Notes and loans receivable, net . . . . . . . . Inventories for sale or use 8 . Prepaid expenses and deferred charges . 9 10a Land, buildings, and equipment cost or 10a other basis Complete Part VI of Schedule D 10b b Less accumulated depreciation Investments-publicly traded securities . . 11 Investments-other securities. See Part IV, line 11 12 Investments-program-related See Part IV, line 11 . . 13 . . . . Intangible assets 14 . . . Other assets See Part IV, line 11 15 Total assets. Add lines 1 throu g h 15 ( must e q ual line 34) 16 . . . . Accounts payable and accrued expenses 17 . . . . . . . Grants payable . . . . 18 . . . . . . . . . . Deferred revenue 19 . . . . . . . . . Tax-exempt bond liabilities 20 IV of Schedule D . Escrow or custodial account liability. Complete Part 21 officers, directors, Loans and other payables to current and former 22 trustees, key employees, highest compensated employees, and . . disqualified persons. Complete Part II of Schedule L . unrelated third parties . . Secured mortgages and notes payable to 23 24 Unsecured notes and loans payable to unrelated third parties . Other liabilities (including federal income tax, payables to related third 25 parties, and other liabilities not included on lines 17-24) Complete . . . . . Part X of Schedule D Total liabilities. Add lines 17 throu g h 25 . 26 334,358 238,989 0 0 1 2 3 4 5 a R Z 1036,290 209,497 0 0 5 0 0 0 27 28 29 Organizations that follow SFAS 117 (ASC 958), check here ^ XQ and complete lines 27 through 29, and lines 33 and 34. . . Unrestricted net assets . . . . . Temporarily restricted net assets Permanently restricted net assets . . . 30 31 32 33 34 ^ and Organizations that do not follow SFAS 117 (ASC958), check here 34. complete lines 30 through . . . . Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund . . Retained earnings, endowment, accumulated income, or other funds. . . Total net assets or fund balances Total liabilities and net assets/fund balances U. o 1 2 3 4 6 7 8 9 0 10c 0 11 0 12 0 13 0 14 0 15 573,347 16 17 18 19 20 21 0 0 0 0 0 0 0 1,245,787 0 0 22 23 24 0 0 0 0 25 26 0 0 573,347 27 28 29 1,245,787 573,347 573 347 30 31 32 33 34 1,245,787 1 , 245 , 787 Form 990 (2016) Form 990 (2016) 26-2046485 WELLSPRING COMMITTEE INC Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI . . . . . . . Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . Revenue less expenses. Subtract line 2 from line 1 . . . . Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . . . . . . . . . Net unrealized gains (losses) on investments . . . . Donated services and use of facilities . Investment expenses . Prior period adjustments . . Other changes in net assets or fund balances (explain in Schedule 0) lines Combine 3 through line or fund balances end of year 9 (must equal Part X, 33, Net assets at column (B 1 2 3 4 5 6 7 8 9 10 FURI UKFinancial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII . . . . . . . . . . Pag e 12 . E 1 2 3 4 5 6 7 8 9 32,227,010 31,554,570 672,440 573,347 10 1,245,787 . . . . . . . Yes 1 2a Other R Cash XQ Accrual Accounting method used to prepare the Form 990 If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. . Were the organization's financial statements compiled or reviewed by an independent accountant? 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. E Separate basis Consolidated basis Were the organization's financial statements audited by an independent accountants . 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: Both consolidated and separate basis Separate basis E1 Consolidated basis 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? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O . 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? 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. . b No 2a X 2b X El Both consolidated and separate basis b 3a F-I 2c . . 3a X 3b Form 990 (2016 Grants and Other Assistance to Organizations, SCHEDULE I (Form 990) 1545-0047 OMB No Governments, and Individuals in the United States ^©16 Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Department of the Treasury Internal Revenue Service Name of the organization 10, Attach to Form 990. •• • ' ^ Information about Schedule I ( Form 990) and its instructions is at www.irs. ov/form990. • • Employer Identification number 26-2046485 WELLSPRING COMMITTEE INC General information on Grants and Assistance I 2 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' Describe in Part IV the organization's proced ures for monitoring the use of grant funds in the United States. EMU Yes No 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. I (a) Name and address of organization or government (b) EIN (c) 1RC section if applicable 26-0620554 501 c 4 (d) Amount of cash grant (f) Method of valuation (book, FMV, appraisal, other) (e) Amount of noncash assistance (9) Description of non-cash assistance General Support (1) Amencan Future Fund ----------------------------------- 6601 Westown Pkwy Ste 240 W Des 2,000,000 General Support (2) Annual Fund ------------------------------------ 14001 C St. Germain Dr Centreville, V (3) Federalist Society 1776 I St NW Ste 300 Washin g ton, D 27-3379004 501 c 4 45,000 36-3235550 501 c 3 100,000 General Support General Support (4)_Illlnois PoilcyActlon_----______45-4204629 502 c 4 2,500,000 72212th NW 4th Floor Washin gton, D 20-2303252 501 c 4 23,454,997 (s) Missouri Retailers Association ------------------------------------P0 Box 1336 Jefferson City, MO 651 43-0416210 501 c 6 35,000 20-8820889 502 c 4 40,000 190 S LaSalle St Ste 1630 Chica o, I General Support (5) Judicial Crisis Network ----------------------------------- General Support General Support (7) - The Adam Smith Foundation P.O. Box 21 Jefferson City, MO 65102 General Support CathollcAssociation _________ _(8)_ The ------------------------ 3220 N St NW Ste 126 Washin ton, D (9) United in Purpose Education 2995 Woodside Rd Ste 400A Woodsid 20-8476893 501 c 4 755,000 27-0455540 501 c 3 75,000 47-4739395 501 c4 120,000 General Support (110) Veterans A ainst the Deal P.O. Box 13031 Arlin gton, VA 22219 ctrl ------------------------------------ (h) Purpose of grant or assistance General Support (12) Z 3 tnter total number of section -)u1(c)(i) and government organizations listed in the line 1 table . Enter total number of other organizations listed in the line 1 table . For Paperwork Reduction Act Notice, see the Instructions for Form 990 . HTA . . . . . . ... . . . . . . . . . ... . P, ,^ 28 Schedule I (Form 990) (2016) 1. Schedule I (Form 990) ( 2016) EYM 1 26-2046485 WELLSPRING COMMITTEE INC Pag e 2 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 2 3 4 5 6 7 JjM Supplemental Information . Provide the information required in Part I, line 2; Part III, column (b); and any other additional information. Part I Line 2 The Organization requires grantees to submit budget, and progress and financial reports-during grant period. --------------------- Schedule I (Form 990) (2016) SCHEDULE 0 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization ^ Supplemental Information to Form 990 or 990-EZ OMB No 1545-0047 Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. ^ Attach to Form 990 or 990-EZ. 1©016 Information about Schedule O (Form 990 or 990 -EZ) and Its Instructions is at www lrs ovNorm990 9 • • Employer Identification number WELLSPRING COMMITTEE INC 26-2046485 1 -b:The -Form is_prepared_by_a Certified Public - Form-990,-Part -, - Li ne-1 - - Vi, - -Section-B ---------------------------------------------------------------Accountant The Officer reviews-the-Form-990 and all Comments are addressedpnor to IRS ---------------------------------------------------------------------------------------------------------------------------fiU ng-----------------------------------------------------------------------------------------------------------------------------------Form 990,_Part_Vi, Section_B,_Line_12c The officer is_reculred to disclose annually anY---------------------- -- ----------------------- -- interests that could give rise to conflicts, and comply with the conflict of interest policy. --------------------- ------------- Form 990, PartVI, --------Line15 The compensation of the officer is determined annually ....... .. ... .... . ......................... B, ---------------------Section--------------and it is based on performance - the- levels of compensation of similar or^anlzatlons- In -the ---------------------------------------------------------------and _geographic area.__- ---------------------------------------------------------------------------------------------------------------------- Form 990, Part-VI, Section C, Line- 19 The Articles of Incorporation -are-available-from-the -------------------------------------------------------------------------------------------------------------------Vir^lnla State Corporation Commission, and-as-an attachment to- Form- 1023 Other Governing---___----_ -----------------------------documents are not available to the public -----------------------------------------------------------------------------------------------------------------------------------Form 990, PartIX, Line 119_ The amount of $166 5,850 consist of Public Relations -------------------------- --------------------------------------------------------------------------------------------------$1,450,000, Consulting/Research $200,000, Writing- $9,250, Administration $6,600 - -------------------------------------------------------- For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 - EZ. HTA Schedule 0 (Form 990 or 990 -EZ) (2016)