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v^^

2949'33342-03518

Form 990

OMB No 1545-0047

Return of Organization Exempt From Income Tax

17

Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code ( except private foundations)
^

^
B Check if applicable
Address rhanne

C

Name of organization

.

and endin g
D

WELLSPRING COMMITTEE INC

Employer Identification number

DOlna business as

Number and street ( or P 0 box if mad is not delivered to street address )
Name chan ge

El initial return
Final retumrtermnatea

Room/suite

8665 SUDLEY ROAD
City or town

State

182
DP code

MANASSAS

VA

20110

Foreign country name

Foreign prowncelsfate/county

26-2046485

E

Foreign postal code

G

0 Application pending

Gross receipts $

F Name and address of pnnapai officer

H(a) is this a group return for subord,nates"

NEIL CORKERY 8665 SUDLEY RD, STE 182, MANASSAS. VA 20110

Hfq( Are all subordinates nduded7

Tax-exempt status

501(c)(3) [X 501( c)

(

4

) 44 (insert no )

4947( a)(1) or

Mc
Grou
[] Corporation

E] Trust [] Association

11 Other ^

16 650.162
Yes OX No
No

It "No" attach a trst (see mstrudronsi

52

J Website : ^ N/A
K Form of organization

Telephone number

561 563-3547

A mended return

I

• . -

Do not enter social security numbers on this form as it may be made public .
0- Go to www.ir s. gov1Fonn990 for instructions and the latest information.

Department or are Treasury
Internal Revenue Service
A For the 2017 calendar y ear, or tax y ear be g innin g

8

p exem ption number ^

L Year of formation

2008

M State of legal domicile

VA

Summa ry
I
ra

rn
0
CV

GV

0
0
06

2
3
4
5
6
7a
b

'

L)
4

W
LL_

Briefly describe the organization 's mission or most significant activities
limited -go_v_emment and free markets
-- -------- - ----

The Organization 's mission is to advance- - - - ------------- ___ __
__

- -------- --- - ---------- ---------------------Check this box
if the- organization
discontinued
its operations or disposed of more than 25% of its net assets
Number of voting members of the governing body (Part VI, tine 1 a)
3
Number of independent voting members of the governing body (Part VI, line 1b)
4
Total number of individuals employed in calendar year 2017 (Part V, line 2a)
5
Total number of volunteers ( estimate if necessary)
6
Total unrelated business revenue from Part VIII, column (C), line 12
7a
Net unrelated business taxable income from Form 990-T , line 34
7b
Prior Year

a

W
Z

1
0
2
0
0
0

Current Year

8
9
10
11

Contributions and grants (Part VIII, line lh )
Program service revenue (Part VIII, line 2g)
Investment income (Part VIII, column (A), lines 3, 4. and 7d)
Other revenue (Part VIII, column (A), lines 5 , 6d, 8c, 9c, 10c, and 1 le)

32,225 000
0
2 , 010
0

12

Total revenue-add lines 8 throu g h 11 ( must eq ual Part VIII, column (A), line 12

32 227,010

16,650,162

13
14

Grants and similar amounts paid (Part IX, column ( A), lines 1 -3)
Benefits paid to or for members ( Part IX, column (A), line 4)

29.124.997
0

15,612.998
0

239,819

230,469

0

0

2.189 754
31.554,570
672,440

1,812.818
17.656.285
-1 006,123

WT

16 650 000
0
162
0

15

Salaries , other compensation, employee benefits (Part IX, column (A), lines 5-10)

W

16a
b
17
18
19

Professional fundraising fees ( Part IX , column (A), line 11e)
Total fundraising expenses (Part IX, column (D), line 25) ^
Other expenses (Part IX. column (A). lines 11a-1ld, 11f-24e)
Total expenses Add lines 13- 17 (must equal Part IX, column (A), line 25)
Revenue less ex pe nses Subtract line 18 from line 12

eA

20

Total assets (Part X, line 16 )

1,245,787

226 171

Total liabilities (Part X. line 26)
Net assets or fund balances Subtract line 21 from line 20

0
1,245.787

0
226 171

C
CD

0

Beginning of Current Year

am 21
22
SE

Signature tfIOCK
Under penalties of perjury . I declare that I have examined this return mg
g ac companying schedules and statements and to the best of my knowledge
and belief , it is true , correct and compl ete Dedar
n of
pa rer (ptherAa n officer ) is based on all information of which pr
rer has any knowled e
Sign

Signature of officr

/n

t

Here
Type or print name and title

Pnntrrype preparer's name

Preparer's

Paid

Prepare'
Use Only

T Ra y mond Conlon

Firm's name

^ Conlon and Associates LLC

Firm' s address ^ P 0 Box 6213, Silver S p rin g , MD
May the IRS discuss this return with the preparer shown above?

For Paperwork Reduction Act Notice, see the separate instructions.
HTA

End of Year

 Form 990 (2017)

WELLSPRING COMMITTEE INC
Statement of Program Service Accomplishments

26-2046485

Pa g e 2

Check if Schedule 0 contains a response or note to any line in this Part III

0

1-Briefly-describe-the-organization's-mission
The Organization's mission is -to- advance limited_government and free markets
------ - - -----------------------------------------------------------

2

3

4

4a

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ2
Yes
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
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

No

X

No

15,612,998 ) (Revenue $ - ---------------- 0
(Code _______________ ) (Expenses $ ____ 17,531,503 including grants of $
- - - - - - -----------During_2017 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

Other program services (Describe in Schedule 0 )
(Expenses $
0 including grants of $
17,531,503
Total program service expenses
^

4e

0 ) (Revenue $

__________________ )

0
Form 990 (2017)

 P rm 990 (2017 )

WELLSPRING COMMITTEE INC

OL

Checklist of Re q uired Schedules
Yes

No

-1-19-theorganization-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 1
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 11
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 98-192 If "Yes, " complete Schedule C,
Part 111
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 1
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 11
Did the organization maintain collections of works of art, historical treasures, or other similar assets' If "Yes,"

2
3
4
5

6

7
8

complete Schedule D, Part 111

9

10
11
a
b
c
d
e

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 102 If "Yes,"complete
Schedule D, Part VI
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 Vll
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 VIII
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 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 XI 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 Xl and XII is optional
13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
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 1 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 11 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 111 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 11
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 111

1
2

X
X
X

3
4

5

X

6

X

7

X

8

X

9

X

10

X
+

11a

X

11b

X

11c

X

11d
11e

X
X

11f

X

12a

X

12b
13
14a

X
X
X

14b

X

15

X

16

X

17

X

18

X

19

X

Form 990 (2017)

 Form 990 (2017)

WELLSPRING COMMITTEE INC

26-2046485

Pa g e 4

Checklist of Req uired Schedules (continued)
Yes

20a- Did-the-organization-operate-one-or-more-hospital-facilities2lf"Y_es,-complete_Schedule_H_--____._
b If "Yep" to line 20a, did the organization attach a copy of its audited financial statements to this return'?
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 1 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 I, 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 I
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 11
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 Il
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 1
34 Was the organization related to any tax-exempt or taxable entity? If "Yes, " complete Schedule R, Part II,
lll, or IV, and Part V, line 1
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
VI
38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11b 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

m o vie
X
28a
28b

X

28c
29

X
X

30

X

31

X

32

X

33

X

34
35a

X
X

35b
36

X

37
38

X

Form 990 (2017)

 Form 990 (2017 )

WELLSPRING COMMITTEE INC
Statements Regarding Other IRS Filings and Tax Compliance

26- 2046485

Pa g e 5

Check if Schedule 0 contains a response or note to any line in this Part V .
la
b
c
2a
b
3a
b
4a

b

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 e-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)'
If "Yes," enter the name of the foreign country

d
e
f

g

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

h

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
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
10a
Initiation fees and capital contributions included on Part VIII, line 12
10b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
Section 501 ( c)(12) organizations. Enter
l 11a
Gross income from members or shareholders
Gross income from other sources (Do not net amounts due or paid to other sources
11b
against amounts due or received from them)
Section 4947( a)(1) non -exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041
12b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year
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 0
Enter the amount of reserves the organization is required to maintain by the states in which
13b
the organization is licensed to issue qualified health plans
13c
Enter the amount of reserves on hand
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

b
7
a
b
c

8
9
a
b
10
a
b
11
a
b
12a
b
13
a
b
c
14a
b

1c

X

2b

X

2
X
3a

4a

X

5a
5b
5c

X
X

^

-----------------------------------------------------------------See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts
(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-T?
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'
If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible?
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?
If "Yes," did the organization notify the donor of the value of the goods or services provided'
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282?
17d
If "Yes," indicate the number of Forms 8282 filed during the year
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?

5a
b
c
6a

10
0

6a

X

6b

X

7b
7c
7e
7f
7

7h
8
9a

12a

X
Form 990 (2017)

 Form 990 ( 20 7 )

26-2046485
WELLSPRING COMMITTEE INC
Page 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
Che-ck _If_Schedule_O_contains_a_r_esponse_or_note_to_any line_in_this_P_art_V_I_.--_.-.---.-.--.---_0_
Yes

1a

b
2
3

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 0
b
Enter the number of voting members included in line 1 a, above , who are independent
relations
hip
with
or
employee
have
family
relationship
or
business
Did any officer, director, trustee ,
key
a
a
any other officer, director, trustee, or key employee's
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?

No

1

0
2

X

3

X

4

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed'

4

X

5
6
7a

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?
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 0

5
6

X
X

7a

X

7b

X

b
8
a
b
9

8a
8b

X
X
X

9

Section B. Policies (This Section B re q uests information about policies not required b y the Internal Revenue Code
Yes

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,
affiliates , and branches to ensure their operations are consistent with the organization ' s exempt purposes'

10a

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?

11a

X

b
12a

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

.
12a

X

12b

X

b Were officers , directors , or trustees , and key employees required to disclose annually interests that could give rise to conflicts'
c
13
14
15
a
b
16a

b

No

X

10a
b

10b
;

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

12c
13
14

X

15a
15b

X
X

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?

16a

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

11 J

X
X

X

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
Other (explain in Schedule 0)
Another's website
Q Upon request
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
NedCorke ry ---------------------------------------------------------------------(571)_247.3688---------------------8665 Sudlev Rd, Ste 182 . Manassas , VA 20110
Form 990 (2017)

 Form 990 (2017)

WELLSPRING COMMITTEE INC
26-2046485
Compensation of Officers , Directors , Trustees, Key Employees , Highest Compensated

Pag e 7

Employees, and Independent Contractors
Check if Schedule 0 contains a response or note to any line in this Part VII
Section A .

Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees
Ia 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)

(B)

Position
(do not check more than one

(D)

(E)

(F)

Name and Title

Average
hours per
week ( list any

box, unless person is both an
officer and a director/trustee
o > > 0
CD s T

Reportable
compensation
from

Reportable
compensation
from related

Estimated
amount of
other

the
organization

organizations
(W-2/1099-MISC)

compensation
from the

hours for
related
organizations
below dotted
line)

9a

Se
c

o d
-' 2

g
9

31
$

CD
-

3
o (

m

organization
and related
organizations

(W-2/1099-MISC)

C

ip
W

CD
CD

-Nell_Corkery.................................... .......... 10 00
--(l)
President
0 00

,$

X

X

36,000

0

0

-(?) ------------------------------------------------- -- - - - - - - - - - - - - - -0) --------------------------------------------------

---------------

-------=------------------------------------------ ----------------------------------------------------------------- -------------------------------------------------------------- -- ---------------AD ------------------------------------------------- - - - - - -- - - -- - - ----(8) ------------------------------------------------- -- - - - - - - - - - - - - -------------------------------------------------- - - -- - - - - - - - - - - -(101-------------------------------------------------- ---------------_0 1Z-------------------------------------------------- ---------------(12)-------------------------------------------------- ---------------_(13) -------------------------------------------------- ---------------_(14)-------------------------------------------------

---------------Form 990 (2017)

 8

Form 990

Section A . Officers, Directors , Trustees , Key Em p lo y ees , and Hi g hest Com p ensated Em p lo y ees (continued)
(C)
Position

(A)
Name and title

(13)
Average
hours per

(do not check more than one
box, unless person is both an
officer and a director/trustee

week ( list any
hours for

a -

>

related
organizations
below dotted
line)

@ a
o m
f

(e)
Reportable
compensation

(F)
Estimated
amount of

CD =
3 ^

-"
2

from
the

from related
organizations

other
compensation

r° U ^
- C
3
m

9;

organization
(W-2/1099-MISC)

(W-2/1099-MISC)

C
°-'

from the
organization
and related
organizations

C

d

c

0
31

( U)
Reportable
compensation

CD
CL

_(15) .................................................. ................
_(16).................................................. ................
_(17)..................................................
(181-------------------------------------------------

-------------------------------

(191-------------------------------------------------- ---------------_M) -------------------------------------------------- ---------------_M) -------------------------------------------------- ---------------_(22)................................................. .
_(23)-------------------------------------------------- ---------------_(?4) .................................................. ................
_(25)-------------------------------------------------

----------------

lb
c
d
2

^
36,000
Sub -total
^
0
Total from continuation sheets to Part VII, Section A
^
Total add lines lb and 1c
36,000 ,
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
^
reportable compensation from the organization
0

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

X

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from
the organization and related organizations greater than $150,0002 If "Yes, " complete Schedule J for such
individual

4

X

0
0
0

0
0
0

Yes No

4

Did any person listed on line 1 a 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
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

j
X

5

ve

r

(A)
Name and business address

BH Grou p LLC

2

(B)
Description of services

1655 N Fort Mey er Dr, Ste 700 Arlin g ton, VA 22209 Consultin g

Total number of independent contractors (including but not limited to those listed above) who received
P.
1
more than $100 , 000 of com pensation from the org anization

(C)
Compensation

919,900
0
0
0
0
• f
Form 990 (2017)

 Form 990 (2017)

WELLSPRING COMMITTEE INC

26-2046485

Pa g e 9

Statement of Revenue
Check If Schedule 0 contains a response or note to any line in this Part VIII

E]

Total revenue

Related or
exempt
function
revenue

C

Q
E

M o
S
0 a

1a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions, gifts, grants, and
similar amounts not included above
g Noncash contributions included in lines 1a-1f
h Total. Add lines la-1f

1a
1b
1c
1d
le

Unrelated
business
revenue

Revenue
excluded from
tax under sections
512-514

0
0
0
0
0

if
16,650,000
$ -----------------0
^

16,650,000

Business Code

d

2b

----------------------------------------------

C

----------------------------------------------

Si

d
e
f
a

E
a
3
4
5

0

---------------------------------------------------------------------------------------------------------------------------------------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

b
c
d
a>
C
a>
ar

8a

r
0

b
c
9a
b
c
10a
b
c

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)

11a
b
c

162
0
0

0
^

0
(i) Securities

0

0
0

0
0
^

0

0
0
Do.

0

0
0
^

0

0
0
^

0

a

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 inventory

b

a
b

Business Code

^

0
0
0
0
0

^

16.650.162

---------------------------------------------------------------------------All other revenue

e

Total . Add lines 11a-11d

n

0

See Part IV, line 19

d

162

(u) Other

Gross income from fundraising
events (not including $ ---------------- 0
of contributions reported on line 1c)
See Part IV, line 18
a
Less direct expenses
b
Net income or (loss) from fundraising events
Gross income from gaming activities

Miscellaneous Revenue

^
^
^

(u) Personal

(i) Real

6a
b
c
d
7a

^

0
0
0
0
0

Form 990 (2017)

 Form 990 (2017)

WELLSPRING COMMITTEE INC
26-2046485
Statement of Functional Expenses
IE^
Section 501(c)(3).and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)

Pa g e 10

Check-if-Schedule-O-contains- a-response -or_note-to-any-line-in-this-P-art-IX
Do not include amounts reported on lines 6b, 7b,
8b, 9b, and 10b of Part Vlll.
Grants and other assistance to domestic organizations
domestic governments See Part IV, line 21
Grants and other assistance to domestic
individuals See Part IV, line 22

1
2
3

Grants and other assistance to foreign
organizations, foreign governments, and foreign
individuals See Part IV, lines 15 and 16

4
5

Benefits paid to or for members
Compensation of current officers, directors,
trustees, and key employees
Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B)
Other salaries and wages
Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)
Other employee benefits
Payroll taxes
Fees for services (non-employees)
Management
Legal
Accounting
Lobbying

6

7
8
9
10
11
a
b
c
d

12
13
14
15
16
17
18
19
20
21
22
23
24

Investment management fees

g

Other (If line 11g amount exceeds 10% of line 25, column
(A) amount, list line 11g expenses on Schedule O)

a Memberships -------------------------------------------b
c ----------------------------------------------------------d ----------------------------------------------------------e All other expenses
-----------------------------------Total functional ex p enses . Add lines 1 throu g 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
followin g SOP 98-2 ASC 958-720

(D)

Management and

Fundraising

general ex p enses

expenses

15,612,998

0

0

0

{

36,000

32,040

3,960

0

0
180,000

166,140

13,860

0

0
0
14,469

13,355

1,114

0

50,000

59,886

0

1,071,887

40,681

0

2,369

5,281

0

532,714

0

0

0

0

0

0
109,886
0
0

0
0
1,112,568
0
7,650
0
0
0
532,714

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
Interest
Payments to affiliates
Depreciation, depletion, and amortization
Insurance
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)

(c)

Program service
ex p enses

15,612,998

e Professional fundraising services See Part IV, line 17
f

(B)

(A)

Total expenses

0
0
0
0
0
0
w. ,,, „ -^,
-r
50,000
0
0
0
0
17,656,285

^.... its

r,,

•. _

^, ,, ^, ..

r„,:^

,
50,000

0

0

17,531,503

124,782

0

Form 990 (2017)

 11

Form 990 (2017)

Check if Schedule 0 contains a response or note to any line in this Part X

U
(A)
Beginning of year

,

1
2
3
4
5

6

LO

7
8
9
10a
b
11
12
13
14

Intangible assets

15
16
17
18
19
20
21
22

Other assets See Part IV, line 11
Total assets . Add lines 1 throu g h 15 ( must e q ual line 34 )
Accounts payable and accrued expenses
Grants payable
Deferred revenue
Tax-exempt bond liabilities
Escrow or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers, directors,
trustees, key employees, highest compensated employees, and
disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
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
Total liabilities . Add lines 17 throu g h 25

23
24
25

26

Organizations that follow SFAS 117 ( ASC 958 ), check here
complete lines 27 through 29, and lines 33 and 34 .

ai

z

^

1,036,290
209,497
0
0
^^•^-'`

^, '

1
2
3
4
Y '.

ay" s-•

;.^ ^','

9,002
102,169
0
0
`14^ `4

Z

0

5

0
4'

0
0
0
0
' ;^
a..;

,4

0
0

K

0
0
0
0
`^ ^:'^^ a *;' ^^` •'"" ^

4_
0
0
0
0

6
7
8
9
-°6"
^
10c
11
12
13

0

14

0

a

0
0
0
0

0 15
115,000
1,245,787 16
226,171
0 17
0
0 18
0
0 19
0
0 20
0
0 21
0
=; 1^
.
'"• ,.,;_'.` ^^' i' ;;^` .x ,:t-?^r:_;_^
0 22
0
0 23
0
0 24
0

25
26

0
0

and `' ;'ra
r'-^;. r;
3^i^; ;,; =''^ 3^

27
28
29

Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets

30
31
32
33
34

^ LI and
Organizations that do not follow SFAS 117 (ASC958), check here
complete lines 30 through 34.
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

ILL7
o
Q

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
Loans and other receivables from other disqualified persons (as defined under section
4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and
sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
Land, buildings, and equipment cost or
other base s Complete Part VI of Schedule D
10a
Less accumulated depreciation
10b
Investments-publicly traded securities
Investments-other securities See Part IV, line 11
Investments-program-related See Part IV, line 11

(B)
End of year

1 ,245,787
0
0
't`a'i 3 :-^^ r

•,^

p^^tf"^ ^'^-`

0
0
0
1,245,787
1 , 245 , 787

0
0
"^ '^^B• y',t;
*; a ^r.•
^' ^^j ^

27
28
29
r

226,171
0
0

.i ^ A ^;`^.YF

i'v2
30
31
32
33
34

Xc^.F^,•,'r^ ^ ,`;+wn

G =4
0
0
0
226,171
226 , 171
Form 990 (2017)

 Form 990 (20 7)

WELLSPRING COMMITTEE INC

26-2046485

Pag e 12

Reconciliation of Net Assets
Check if Schedule 0 contains a response or note to any line in this Part XI
1Total-revenue-( must-equal -Part-VIIl-column-(A)-line-12 )
Total expenses ( must equal Part IX , column ( A), line 25 )
2
3
Revenue less expenses Subtract line 2 from line 1
4
Net assets or fund balances at beginning of year ( must equal Part X, line 33 , column (A))
5
Net unrealized gains ( losses ) on investments
6
Donated services and use of facilities
Investment expenses
7
Prior period adjustments
8
Other changes in net assets or fund balances ( explain in Schedule 0)
9
10
Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,
column ( B))

-12
3
4
5
6
7
8
9

16;650,,16217,656,285
-1,006,123
1,245,787

-13,493

10

226,171

Financial Statements and Reporting
Check if Schedule 0 contains a response or note to any line in this Part XII
Yes

1

2a

Accounting method used to prepare the Form 990
Cash
Accrual
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule 0
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
Separate basis

b

ElConsolidated basis

No

2a

X

2b

X

F Both consolidated and separate basis

Were the organization's financial statements audited by an independent accountant?
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
0 Separate basis

c

Consolidated basis
El Both consolidated and separate basis
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

If the organization changed either its oversight process or selection process during the tax year, explain in

3a
b

Schedule 0
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-1339
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 0 and describe any steps taken to underqo such audits

3a

X

3b
Form 990 (20 1 7)

 -SCHEDULE C

OMB No

Political Campaign and Lobbying Activities

(Form 990 or 990 -EZ)

1545-0047

For Organizations Exempt From Income Tax Under section 501(c ) and section 527
Department of the Treasury
Internal Revenue Service

^Attachto For-m990or Form990=EZC om
p Iete tf the organization isdescribed - below.
' Go to www.irs . ov/Form990 for instructions and the latest information.

•

•

If the organization answered " Yes," on Form 990, Part IV, line 3, or Form 990-EZ , Part V, line 46 (Political Campaign Activities), then

• Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C
• Section 501(c) (other than section 501 (c)(3 )) organizations Complete Parts I-A and C below Do not complete Part I-B
• Section 527 organizations Complete Part I-A only
If the organization answered " Yes," on Form 990, Part IV, line 4, or Form 990-EZ, Part VI , line 47 ( Lobbying Activities), then
• Section 501 (c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A Do not complete Part II-B
• Section 501 ( c)(3) organizations that have NOT filed Form 5768 ( election under section 501 ( h)) Complete Part II-B Do not complete Part II-A
If the organization answered " Yes," on Form 990, Part IV, line 5 ( Proxy Tax ) ( see separate instructions ) or Form 990-EZ , Part V, line 35c
(Proxy Tax ) ( see separate instructions), then
• Section 501 ( c)(4 ) , ( 5 ) , or ( 6 ) org anizations Com p lete Part III

Employer identification number
Name of organization
26-2046485
WELLSPRING COMMITTEE INC
Complete if the organization is exempt under section 501(c ) or is a section 527 organization.
1
Provide a description of the organization's direct and indirect political campaign activities in Part IV (see instructions for
definition of "political campaign activities")
2 Political campaign activity expenditures (see instructions)
^ $ ----------------------------hours
for
activities
see
instructions
)
Volunteer
p
olitical
cam
p
ai
g
n
(
3

Complete if the organization is exempt under section 501 (c)(3).
Enter the amount of any excise tax incurred by the organization under section 4955
I
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
4a Was a correction made?

^ $ ----------------------------^ $ ----------------------------Yes
No
Yes
7 No

b If "Yes," describe in Part IV

• ._ .
1
2
3
4
5

Complete if the organization is exempt under section 501(c), except section 501 (c)(3).
Enter the amount directly expended by the filing organization for section 527 exempt function
activities
^ $ ----------------------------Enter the amount of the filing organization's funds contributed to other organizations for section
^ $
527 exempt function activities
----------------------------Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL,
line 17b
^ $
0
Yes
J No
Did the filing organization file Form 1120 -POL for this year?
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter
the amount of political contributions received that were promptly and directly delivered to a separate political organization, such
as a separate segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV
(a) Name

( b) Address

( c) EIN

(d ) Amount paid from
filing organization ' s
funds If none , enter -0-

(e) Amount of political
contributions received and
promptly and directly
delivered to a separate
political organization If
none, enter -0-

-------------------------------------

(2)

-------------------------------------

(3)

-------------------------------------

(4)

-------------------------------------

(5)

-------------------------------------

(6)

-------------------------------------

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
HTA

Schedule C (Form 990 or 990 -EZ) 2017

 WELLSPRING COMMITTEE INC

•

26-2046485

Schedule C (Form 990 or 990-EZ) 2017

Pa g e 2

Complete if the organization is exempt under section 501 ( c)(3) and filed Form 5768 ( election
------ ---under- section - 501(h ))•
-- ---------------------------- ---- - A Check
if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's
name, address, EIN, expenses, and share of excess lobbying expenditures)
B Check ^ 0 if the filing organization checked box A and "limited control" provisions apply
Limits on Lobbying Expenditures
(The term " expenditures " means amounts paid or incurred .)
1a
b
c
d
e
f

Total lobbying expenditures to influence public opinion (grass roots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 1a and 1b)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 1c and 1d)
Lobbying nontaxable amount Enter the amount from the following table in both
columns
If the amount on line 1e , column ( a) or (b) is:
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000

g
In
i
j

( a) Filing
organization's totals

(b) Affiliated
group totals

0

0
0
0
0
0

0

0

0
0
0

0
0
0

0

The lobbying nontaxable amount is:
20% of the amount on line 1e
$100,000 p lus 15% of the excess over $500,000
$175,000 p lus 10% of the excess over $1,000,000
$225,000 p lus 5% of the excess over $1,500,000
$1,000,000

•

_ '

Grassroots nontaxable amount (enter 25% of line 10
Subtract line 1 g from line 1 a If zero or less, enter -0Subtract line 1f from line 1c If zero or less, enter -0If there is an amount other than zero on either line 1 h or line 11, did the organization file Form 4720 reporting
section 4911 tax for this year?

Yes

No

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the separate instructions for lines 2a through 2f.)
Lobbvina Expenditures Durina 4 -Year Averaaina Period
Calendar year (or fiscal year
beginning in)

2a

Lobbying nontaxable amount

b

Lobbying ceiling amount
(150% of line 2a, column(e))

c

Total lobbying expenditures

d

Grassroots nontaxable amount

e

Grassroots ceiling amount
(150% of line 2d, column (e))

f

Grassroots lobbying expenditures

(a) 2014

(b) 2015

(c) 2016

(d) 2017

(e) Total

0

0
0

0

0

0

0

"
0

0

0

Schedule C (Form 990 or 990-EZ) 2017

 WELLSPRING COMMITTEE INC

26-2046485

Schedule C (Form 990 or 990-EZ) 2017

Pa g e 3

.Complete if the organization is exempt under section 501(c )( 3) and has NOT filed Form 5768
( election under section 5"h ) .
(b)
(a)
For each "Yes, " response on lines 1 a through I/ below, provide in Part IV a detailed
description of the lobbying activity
Yes No
Amount
1

a
b
c
d
e
f
g
h
i

j
2a
b
c
d

During the year, did the filing organization attempt to influence foreign, national, state or local
legislation, including any attempt to influence public opinion on a legislative matter or
referendum, through the use of
Volunteers'
Paid staff or management (include compensation in expenses reported on lines 1c through 11)?
Media advertisements?
Mailings to members, legislators, or the public?
Publications, or published or broadcast statements?
Grants to other organizations for lobbying purposes?
Direct contact with legislators, their staffs, government officials, or a legislative body?
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?

-

Other activities?

Total Add lines lc through 11
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
If "Yes," enter the amount of any tax incurred under section 4912
If "Yes," enter the amount of any tax incurred by organization managers under section 4912
If the filin g org anization incurred a section 4912 tax, did it file Form 4720 for this y ear?

0

Complete if the organization is exempt under section 501(c )(4), section 501(c )( 5), or section
501 ( c )( 6 ) .
Yes
1

Were substantially all (90% or more) dues received nondeductible by members'

2
3

Did the organization make only in-house lobbying expenditures of $2,000 or less'
2
Did the org anization a g ree to carry over lobb y in g and political cam p ai g n activity ex p enditures from the p rior year?
3
Complete if the organization is exempt under section 501(c )( 4), section 501(c )( 5), or section

1

No

X

X
X

501(c )( 6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered " No," OR (b) Part III -A, line 3, is
answered "Yes."
1
2

Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of

1

political expenses for which the section 527( f) tax was paid).
Current year
2a
Carryover from last year
2b
Total
2c
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
3
3
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the
excess does the organization agree to carryover to the reasonable estimate of nondeductible
lobbying and political expenditure next year?
4
Taxable amount of lobby in g and p olitical ex p enditures ( see instructions )
5
5
SuDDlemental Information
Provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part II-A, lines 1 and
2 (see instructions), and Part II-B, line 1 Also, complete this part for any additional information
a
b
c

0

0

------------------------------------------------------------------------------------------------------------------------------------------

Schedule C (Form 990 or 990-EZ) 2017

 •

WELLSPRING COMMITTEE INC

26- 2046485

Schedule C ( Form 990 or 990-EZ ) 2017

Pa g e 4

Supplemental Information (continued)
--------------------

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --

----------- ------

- ---------

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Schedule C (Form 990 or 990-EZ) 2017

 • SCHEDULE D
(Form 990 )

OMB No 1545-0047

Supplemental Financial Statements
^ Complete if the organization answered " Yes " on Form 990,
Part IV, line 6, 7 , 8, 9, 10 , 11a, 11b , 11c, 11 d, 11e, 11f, 12a, or 12b .

-Ueparlment of the Tieasury
Internal Revenue Service

Attach t0 FOrm 990.

^

Go to www.irs

ov/Form990 for instructions and the latest information.

Name of the organization

Employer identification number

26-2046485

WELLSPRING COMMITTEE INC

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Com p lete if the org anization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds

1
2
3
4
5

(b) Funds and other accounts

Total number at end of year
Aggregate value of contributions to (during year)
Aggregate value of grants from (during year)
Aggregate value at end of year
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?
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?

6

Yes

No

Ye s

No

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (e g , recreation or education) F1 Preservation of a historically important land area
F1 Preservation of a certified historic structure
Protection of natural habitat

1

Fj Preservation of open space
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation

2
a

easement on the last day of the tax year
Total number of conservation easements

%' £:•
2a

Held at the End of the Tax Year

4
5

2b
Total acreage restricted by conservation easements
2c
Number of conservation easements on a certified historic structure included in (a)
Number of conservation easements included in (c) acquired after 7/25/06, and not on a
2d
historic structure listed in the National Register
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year ^
----------------^ -----------------Number of states where property subject to conservation easement is located
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

6

7 Yes
violations, and enforcement of the conservation easements it holds'?
during
the year
conservation
easements
violations,
and
enforcing
Staff and volunteer hours devoted to monitoring, inspecting, handling of

b
c
d
3

No

11-

8

--------------------Amount of expenses incurred in monitoring, inspecting , handling of violations, and enforcing conservation easements during the year
^ $
----------------Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)

9

Yes
and section 170(h)(4)(B)(n)7
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and

7

No

balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes
the org anization's accountin g for conservation easements

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

b

2
a
b

If the organization elected, as permitted under SFAS 116 (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
If the organization elected, as permitted under SFAS 116 (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
^ $
(ii) Assets Included in Form 990, Part X
gain,
provide the
for
financial
other
similar
assets
treasures,
or
of
historical
held
works
art,
received
or
organization
If the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items
^ $ -----------------------Revenue included on Form 990, Part VIII, line 1
^ $
Assets included in Form 990, Part X

For Paperwork Reduction Act Notice , see the Instructions for Form 990.
HTA

Schedule D ( Form 990) 2017

 Schedule D (Form 990) 2017

WELLSPRING COMMITTEE INC
26-2046485
Pag e 2
CMET 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
Coll_e_c_Uon item$_(che ck all th at apply)
_-----_-_------------_____.
a

F -

c

Public exhibition
Scholarly research

b
0

d

Loan or exchange programs

e

Other

------------------------------------------------------

Preservation for future generations

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?

Yes

No

F3-M, 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
b

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X?
If "Yes ," explain the arrangement in Part XIII and complete the following table

c
d
e
f

Beginning balance
Additions during the year
Distributions during the year
Ending balance

Yes

No

Amount

2a
b

1c
1d
le
if

0

Did the organization include an amount on Form 990 , Part X , line 21, for escrow or custodial account liability?

Yes

No

If "Yes ," explain the arrangement in Part XIII Check here if the explanation has been provided on Part XIII

CM Endowment Funds.
Com p lete if the org anization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year

1a
b
c

( b) prior year

( c) Two years back

( d) Three years back

Beginning of year balance
Contributions
Net investment earnings, gains,
and losses

d

Grants or scholarships

e

Other expenditures for facilities
and programs
Administrative expenses
End of year balance
0
0
0
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as
Board designated or quasi-endowment
^ --------------%
Permanent endowment
^
%
-------------------Temporarily restricted endowment
^ --------------The percentages on lines 2a, 2b, and 2c should equal 100%
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
unrelated organizations
(I)
(ii)
related organizations
If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?
Describe in Part XIII the intended uses of the org anization's endowment funds

f
g
2
a
b
c
3a

b
4

(e) Four years back

0

0

Yes

No

3a i
3a ii
3b

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

1a
b
c
d
e
Total .

( a) Cost or other basis
(investment )

( b) Cost or other
basis ( other )

0
Land
0
0
Buildings
0
Leasehold improvements
0
0
0
Equipment
0
0
0
Other
Add lines 1 a throu g h 1 e (Column (d) must e qual Form 990, Part X, column (B) , line 10c

( c) Accumulated
depreciation

(d) Book value

0
0
0
0
^

0
0
0
0
0
0

Schedule D (Form 990) 2017

 Schedule D (Form 990) 2017

WELLSPRING COMMITTEE INC
IITZ= Investments - Other Securities.

26-2046485

Pa g e 3

Complete if the organization answered "Yes" on Form 990, Part IV, line 11 b See Form 990, Part X, line 12
(including name of security)

I

I

(1) Financial derivatives
(2) Closely - held equity interests
(3) Other

0
0

Total . (Column (b) must equal Form 990, PartX, col (B) line 12 ) 01 1

0

Cost or end-of-year market value

----------------------------------------------------------------------------------------------------------------------------------------------( C)
---------------------------------------------------------------------------------------------------------------------------------------------------------(F) ..................................................
P-------------------------------------------------- ^

^s

r • •

• ,ra • .f•?.•Y

.v+

Investments-Program Related.
Complete if the oraanlzatlon answered "Yes" on Form 990. Part IV. line 11c See Form 990. Part X line 13
(a) Description of investment

( c) Method of valuation
Cost or end-of-year market value

(b) Book value

1
(2)
(3)
(4)
(5)
(6)
(7)

(8)
(9)
Total . (Column (b) must equal Form 990, Part X, col (B) line 13 ) ^

0

; ' .':F^i^^.,; -l'

F"_

If

r„%•;J

Other Assets.
Complete if the oraanlzatlon answered "Yes" on Form 990. Part IV. line 11d See Form 990. Part X. line 15
( a) Descnption

( b) Book value

( 1 ) Accounts receivable

115,000

(2)
(3)
(4)
(5)
(6)
(7)
(8)

(9)
Total (Column (b) must equal Form 990, Part X, col (B) line 15 )

^

115,000

Other Liabilities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f See Form 990 , Part X,
line 25
(a) Description of liability
( 1 ) Federal income taxes

( b) Book value
0

4^` r
r

LTr

fi

lr
`z,
,r
}ty°

f .'r'- L:n" "r'+ ,'^
(3)

c:
t
M'^`^`p^. 1;i
r; ^•4: ' .:^lt `.w`

''i;:,
h f s

^' `t,`r"; si`'• "
^ ". ky , T.• k" " w r: r

u '^'?,^":i^^i.^' iryya-^
t•'^ru Cr.;

: ^.

• ^}a^
'+•:'.

'•y.,k ^R
"^.^.,^U

5

l ^,i l 'I

.x....+'

f rj'^,

'T: :yrU`^y^^ •n'

Total . (Column (b) must equal Form 990, Part X, co/ (B) line 25 ) ^

0 '* `+^_*,' _

t'

.c

CL`'^ ^'_'^., t^::•`f;^tfS .4.f^.

e1 +I'' ','^

i. `Pl'^I", 4^

; yF';

•. 7,

lu

..,

W.'

zr k _'[x, > ±eh'

`

t`ac't

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

r
E

Schedule D ( Form 990) 2017

 Schedule D (Form 990) 2017

WELLSPRING COMMITTEE INC

26-2046485

Pa g e 4

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Com p lete if the org anization answered "Yes" on Form 990, Part IV, line 12a
2
a
b
c
d
e
3
4
a
b
c
5

Total-revenue, gains, and other support- per- audited financial statements
Amounts included on line 1 but not on Form 990, Part VIII, line 12
Net unrealized gains (losses) on investments
Donated services and use of facilities
Recoveries of prior year grants
Other (Describe in Part XIII
Add lines 2a through 2d
Subtract line 2e from line 1
Amounts included on Form 990, Part VIII, line 12, but not on line 1
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII
Add lines 4a and 4b
Total revenue Add lines 3 and 4c. (This must equal Form 990, Part line 12)

--,- 1--- --

------------

2a
2b
2c
2d
2e
3

0
0

4c
5

0
0

4a
4b

EMOM Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Com p lete if the org anization answered "Yes" on Form 990, Part IV, line 12a
1
2

a

Total expenses and losses per audited financial statements
Amounts included on line 1 but not on Form 990, Part IX, line 25
Donated services and use of facilities
Prior year adjustments
Other losses
Other (Describe in Part XIII)
Add lines 2a through 2d
Subtract line 2e from line 1
Amounts included on Form 990, Part IX, line 25, but not on line 1
Investment expenses not included on Form 990, Part VIII, line 7b

b

Other (Describe in Part XIII

c

Add lines 4a and 4b
Total expenses Add lines 3 and 4c. (This must equal Form 990, Part

a
b
c
d
e
3
4

5

1
2a
2b
2c
2d
2e
3

0
0

4c
5

0
0

4a
4b

line 18)

Su pp lemental Information.
Provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b, PartV, line 4, PartX, line
2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional information

Schedule D (Form 990) 2017

 •

Schedule D (Form 990) 2017

WELLSPRING COMMITTEE INC
Supplemental Information (continued)

26-2046485

Pag e 5

------- ------------------------- ------ ----------------------------------------------------------------------------------------------------------------------------------------------------

Schedule D (Form 990) 2017

 OMB Nc

Grants and Other Assistance to Organizations,

SCHEDULEI
(Form 990)

Governments, and Individuals in the United States

lI 17

Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.

O pe n to Public
Ins pe cti o n

^ Attach to Form 990.
Department of the Treasury
Internal Revenue Service

^ Go to www.bs.aov/Form990 for the latest information.

Employer identification

Name of the organization

Lb-ZU4b42551

WELLSPRING COMMITTEE INC
97W General Information on Grants and Assistance
1
2

1545-0047

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 procedures for monitoring the use of grant funds in the United States

No

I
Yes

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.
1 (a) Name and address of organization

( b) EIN

or government

l1) Annual Fund
14001 C St Germain Dr Centreville, V
(2) Judicial Crisis Network
722 12th NW 4th Floor Washin gton, D
(3) The Catholic Association
--------------------------------

3220 N St NW Ste 126 Washing ton, D

(c ) IRC section

( d) Amount of cash

( e) Amount of non-

if applicable

grant

cash assistance

(f) Method of valuation
(book , FMV, appraisal ,
other )

(h) Purpose of grant

(g) Description of
noncash assistance

or as

General SI upport
27-3379004

501 c 4

48,000
General Support

20-2303252

501 c 4

14,814,998
General Slupport

20-8476893

501 c 4

400,000
General Support

(4) - FGAActlon
- ----------------------

75 N Woodward Ave, Ste 80038 Talla

47-3125722

501 c 4

350,000

(5)

(6)

(7)

(8)
(9)
---------------------------------

( 10)

----------------------------------

(» )

(12)
-------------------------------------

2

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table

^

___________i -_-_-__-_ 0

3

Enter total number of other organizations listed in the line 1 table

^

I

For Paperwork Reduction Act Notice , see the Instructions for Form 990.
HTA

4

Schedule I (Form 990) (2017)

 26-2046485

WELLSPRING COMMITTEE INC

2

Schedule I (Form 990) (2017)

Grants and Other Assistance to Domestic Individuals . Complete if the organization answered "Yes" on Form 990, Part IV, line 22
Part III can be duollcated 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,

(f) Description of noncash

ssistance
a

FMV, appraisal, other)

2
3
4
5
6

7
O ..

Sunolemental Information . Provide the information reaulred in Part I. line 2: Part Ill. column (bl. and any other add itional information

______
period ____________________________________________
Part I Line 2 The Organization requires _grantees to submit budget, and progress and financial_ reportsdunng grant
_
--------------------------------------------

------------

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=------------

Schedule I (Fora 990) (2017)

 SCHEDULE 0
(Form 990 or 990-EZ)

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.
^ Attach to Form 990 or 990-EZ.

OMB No 1545-0047

220017
• . - .

. -

Department of the

Name of the organization

Employer identification number

WELLSPRING COMMITTEE INC

26-2046485

Form 990, PartVI,
Public
B-,-Line- 11b The -Form -is- prepared by a_Certlfied
-----------------Section-----------------------------------------------------------------------------Accountant The Officer reviews the Form 990 and all Comments are addressedPrior-to IRS
------------------------------------------------------------------------------------------------------------------filling- --------------------------------- ---------------------------------------------------------------------------------------------------Form 990, PartVI, Section B, Line 12c The officer is required to disclose_annually any__________________________________________________
-------------------------------------------interests that could give--------rise to conflicts,
complwith
theconflict
- -- ----- -- -------- ------- of interest policy
- ------- - --and
----------------

--------------------

Form 990, Part VI, Section B, Line 15 The compensation of the officer is determined annually __________________________________________
----------------------------------------------------------------------------------similar organizations-in the_______________________
and it- is based on performance and the levels of compensation of
of-similar
---------------------------------------------------------------------------------------------------------------------------------------------------------------Form 990, Part VI, Section C, Line 19 The Articles of Incorporation are available from the
- ----------------------------------------------------------------------------------------------------------- Virglnia State Corporation Commission, and as an attachment to Form_ 1023. Other Governing
documents are not available to the public

-------------------------------------

-----------------------------------------------

Form 990, PartIX, Line 11g The amount of $1,112,568 consist of General Consultmq/Research

-------------------

------------------------------------------

,-Adminlstration $2,854_____________________________ -------------------------------------------------------$1,067,-137-,-Writin-g_$42,577-------------------------------------

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990 - EZ.
HTA

Schedule 0 (Form 990 or 990.EZ) (2017)

------