Financial Report

Senior Services Form 990 - FY24

Financial Report · 47 pages · 6.8 MB

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PBMARES,

LLP

4801 COURTHOUSE ST., SUITE WILLIAMSBURG, VA 23188

128

SOUTHEASTERN VIRGINIA AREAWIDE PROGRAM,

2551

ELTHAM AVENUE,

NORFOLK,

326340 04-01-23

INC.

23513

MODEL

Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing specifications. When using Acrobat, select the "Actual Size" in the Adobe "Print" dialog.

CLIENT'S

17480813

758849

212220

agency

COPY

2023.06010

SOUTHEASTERN VIRGINIA ARE

212220_1

- PBMares.. August 13, 2025

Southeastern Virginia Areawide Model Program, Inc. 2551 Eltham Avenue Q Norfolk, VA 23513 Southeastern Virginia Areawide Model Program, Inc.: Enclosed is the organization's 2023 Exempt Organization return. Specific filing instructions are as follows. Please note, we must receive your signed e-file forms before we can transmit your return(s). FORM 990 RETURN: This return has been prepared for electronic filing. If you wish to have it transmitted electronically to the

IRS, please sign, date, and return Form 8879-TE to our office. We will then submit the electronic return to the IRS. Do not mail a paper copy of the return to the IRS.

A copy of the return is enclosed for your files. We suggest that you retain this copy indefinitely. Sincerely,

PBMares, LLP PBMares, LLP

IRS E-file Signature Authorization For calendar year 2023, or fiscal year beginning

OCT

, 2023, andending

SEP

Department of the Treasury

Do not send to the IRS. Keep for your records.

Internal Revenue Service

Go to www.irs.gov/Form8879TE for the latest information.

Name of filer

, 2024

2023

GOUTHEASTERN VIRGINIA AREAWIDE MODEL

EIN or SSN

PROGRAM,

54-6069786

INC.

Name and title of officer or person subject to tax

STEPHEN CHIEF

|Part! |

OMB No. 1545-0047

for a Tax Exempt Entity

rom OO19-TE

ZOLLOS

EXECUTIVE

OFFICER

Type of Return and Return Information

Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line

1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a,

1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b,

whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -O- on the applicable line below.

Do not complete more

than one line in Part I.

2a 3a 4a 5a 6a 7a 8a 9a 10a

Form990checkhere

| Part Il

KX |

L] [| [| L] [| [| L] [| [|

b Total revenue, if any (Form 990, Part VIII, column (A), line12)

b Total revenue, if any (Form 990-EZ, line9) = b Total tax (Form 1120-POL, line22) b Tax based on investment income (Form 990-PF, PartV,line5) ss, b Balance due (Form 8868, line3c) = b Total tax (Form 990-T, Part lll, line4) b Total tax (Form 4720, Part Ill, line 1) oo... eee ec cece ceeccecce cee eceeseeseanees b FMV of assets at end of tax year (Form 5227, ItemD) b Tax due (Form 5330, Part ll, line 19) b Amount of credit payment requested (Form 8038-CP, Part Ill, line 22)

Declaration and Signature Authorization of Officer or Person Subject to Tax

Under penalties of perjury, | declare that

tblL1,350,068.

2b 3b 4b 5b 6b 7b 8b 9b 10b

| am an officer of the above entity or [| | am a person subject to tax with respect to (name

of entity)

, (EIN)

and that | have examined a copy of the

2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. | further declare that the amount in Part | above is the amount shown on the copy of the electronic return. | consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS_ (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, | authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, | must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. | also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. | have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.

PIN: check one box only

| authorize PBMARES LLP

to enter my PIN | ERO firm name

12345

Enter five numbers, but do not enter all zeros

as my signature on the tax year 2023 electronically filed return. If | have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, | also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen.

L] As an officer or person subject to tax with respect to the entity, | will enter my PIN as my signature on the tax year 2023 electronically filed return. If | have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the

IRS Fed/State program, | will enter my PIN on the return’s disclosure consent screen.

Signature of officer or person subject to tax

Part Ill

Date

Certification and Authentication

ERO’s EFIN/PIN. Enter your six-digit electronic filing identification

number (EFIN) followed by your five-digit self-selected PIN.

54155445678

Do not enter all zeros | certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. | confirm that

|am

submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns.

ERO's signature

PBMARES

LLP

Date

08/13/25

ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So

For Privacy Act and Paperwork Reduction Act Notice, see instructions. LHA

Form 8879-TE (2023)

302521 01-05-24

17480813

758849

212220

2023.06010

SOUTHEASTERN VIRGINIA ARE

212220_1

Fom 8868

Application for Extension of Time To File an Exempt Organization

(Rev. January 2024)

Return or Excise Taxes Related to Employee Benefit Plans

Department of the Treasury

Fi le a separate application ication for for each h retu return.

Internal Revenue Service

Go to www.irs.gov/Form8868 for the latest information.

OMB No. 1545-0047

Electronic filing (e-file). You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form 8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.

Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions.

All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns.

Part | - Identification Type or

Name of exempt organization, employer, or other filer, see instructions.

Print |

SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, INC.

Ae raion

Taxpayer identification number (TIN)

54-6069786

Number, street, and room or suite no. If a P.O. box, see instructions.

ftingyour | 2551

ELTHAM AVENUE,

instructions. | City, town or post office, state, and ZIP code. For a foreign address, see instructions.

NORFOLK,

23513

Enter the Return Code for the return that this application is for (file a separate application foreach return) Application Is For

| 01

Return | Application Is For

Return

Code

Form 990 or Form 990-EZ

Form 4720 (other than individual)

Form 4720 (individual)

Form 5227

Form 990-PF

Form 6069

Form 990-T (sec. 401(a) or 408(a) trust)

Form 8870

Form 990-T (trust other than above)

Form 5330 (individual)

Form 990-T (corporation)

Form 5330 (other than individual)

Form 1041-A

® After you enter your Return Code, complete either Part Il or Part Ill. Part Ill, including signature, is applicable only for an extension of time to file Form 5330. ® |f this application is for an extension of time to file Form 5330, you must enter the following information.

Plan Name Plan Number Plan Year Ending (MM/DD/YYYY) Part Il - Automatic Extension of Time To File for Exempt Organizations (see instructions)

The books are in the careof BRIGID MILLER, CFO 2551 ELTHAM AVENUE,

Telephone No.

SUITE

757-461-9481

NORFOLK,

|f the organization does not have an office or place of business in the United States, check this box

lf this is fora Group Return, enter the organization’s four-digit Group Exemption Number (GEN)

box 1

23513

Fax No.

[| . If it is for part of the group, check this box | request an automatic 6-month extension of time until

. If this is for the whole group, check this

[| and attach a list with the names and TINs of all members the extension is for. AUGUST

, 20

, to file the exempt organization return for

the organization named above. The extension is for the organization’s return for:

[| calendar year 20

[IX] tax year beginning

ocT 1

,20 23

‘If the tax year entered in line 1 is for less than 12 months, check reason: [| Change in accounting period

, and ending

[| Initial return

SEP

30.

,2024

[| Final return

3a__If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less

any nonrefundable credits. See instructions. b_

estimated tax payments made. Include any prior year overpayment allowed as a credit. c

3b | $

QO.

Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by

using EFTPS (Electronic Federal Tax Payment System). See instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions.

LHA

3a | $

If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and

323841 12-22-23

3c | $

0. Form 8868 (Rev. 1-2024)

Return of Organization Exempt From Income Tax

rom 990

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

ocT

2023

andending

SEP

C Name of organization

Doing businessas

raturn

INC.

SENIOR SERVICES OF SOUTHEASTERN

Number and street (or P.O. box if mail is not delivered to street address)

Final

2551

2024

54-6069786

Room/suite | E Telephone number

ELTHAM AVENUE

757-461-9481

ated

City or town, state or province, country, and ZIP or foreign postal code

G_Gross receipts $

run’|

NORFOLK,

H(a) Is this a group return

23513

L__]tisk'°* | F Name and address of principal officer: STEPHEN ZOLLOS

SAME AS Cc ABOVE | Tax-exempt status: 501(c)(3) [] 504(c)( J Website:

| L Year of formation: 19 '72| Mm State of legal domicile: VA

[| Other

Briefly describe the organization’s mission or most significant activities:

SENIOR WITH

AND

THEIR

If "No," attach a list. See instructions H(c) Group exemption number

PROVIDE

SENIORS

H(b) Are all subordinates included? L__lYes [| No

(insert no.) [__] 4947(a)(1 yor |__| 527

Corporation [| | Trust [ | Association

K_Form of organization:

| Part!| Summary 1.

)

WWW. SSSEVA.ORG

11,350,068.

for subordinates? —_ | lYes

Pending

30,

D Employer identification number

sppicav’ | SOUTHEASTERN VIRGINIA AREAWIDE MODEL

[_Jetsnge | PROGRAM,

Change

Open to Public Inspection

Go to www.irs.gov/Form990 for instructions and the latest information.

A For the 2023 calendar year, or tax year beginning

Check if

2023

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

Department of the Treasury Internal Revenue Service

OMB No. 1545-0047

CAREGIVERS

SERVICES'

ACCESS

MISSION

PROGRAMS

AND

L | 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, line 1a) oo lolocccccececccecceetetceeeeeeeeeeeeees 3

g % =

4 5 6

Number of independent voting members of the governing body (Part VI, line1b) Total number of individuals employed in calendar year 2023 (Part V, line 2a) Total number of volunteers (estimate if necessary)

4 5 6

14 104 91

Total unrelated business revenue from Part VII, column (C), He 12

Check this box

occ ceccceccecsesssesesesesesesevesevssersveseeeee

b Net unrelated business taxable income from Form 990-T, Partl, line 11

ecco cee cece e ee cee ee eee sees

Prior Year

»| 8

e 9 3| 10

Contributions and grants (Part VII, Time VA)

ooo ccccccccsecsseeesseseseesssessseeeseessseeeseees

Program service revenue (Part VII, line2g) 5s Investment income (Part VIII, column (A), lines 3,4, and 7d)

9,775,155.|

370,736. 6,984.

©) 44 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c,10c,and11e)

10,894,776. 429,801. 4,207.

15,617.

12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line4) | 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10). 2} 16a Professional fundraising fees (Part IX, column (A), line 11@) oo eeeeeeeeeeeeee & b Total fundraising expenses (Part IX, column (D), line 25) 106,093 WW! 47 Other expenses (Part IX, column (A), lines 11a-11d,11f#24e) 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line25) 19 Revenue less expenses. Subtract line 18 from line 12 cece 5

rte 20 Totalassets(PartX,line16) <2] 21 Totalliabilities (Part X, Me 26)

Current Year

21,284.

10,168,492. 1,941,837. 0. 5,399,189. QO.

11,350,068. 1,889,214. 0. 5,711,458. QO.

2,398,777. 9,739,803. 428,689.

2,772,190. 10,372,862.

Beginning of Current Year

ooo

ccc cccceesessssssssssssssssnunnnnnnnvesveverennnneeeeeeeeee

25 22 Net assets or fund balances. Subtract line 21 from line 20

oo cccccccsccceeccceseececeeee

| Part Il_ | Signature Block

5,987,015. 3,959,342.

2,027,673.

977,206. End of Year

6,506,975. 3,470,493. 3,036,482.

Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign

Signature of officer

Here

STEPHEN ZOLLOS,

! Date

CHIEF

EXECUTIVE

OFFICER

Type or print name and title

Print/Type preparer's name

Paid

JENNIFER N. FRENCH, CPA

Preparer

|Firm'sname

Use Only | Firm'saddress

PBMARES,

4801

Preparer's signature

WENNIFER N. FRENCH,

LLP

theck

Firm's EIN

COURTHOUSE ST.,

WILLIAMSBURG,

Date

SUITE

PTIN

(08/13/25 sltemployed P00659678 54-0737372

128

23188

Phone no. 757-229-7180

Yes

May the IRS discuss this return with the preparer shown above? See instructions LHA

For Paperwork Reduction Act Notice, see the separate instructions.

SEE

SCHEDULE

FOR

332001

ORGANIZATION MISSION

12-21-23

STATEMENT CONTINUATION

[| No

Form 990 (2023)

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

| Part Ill | Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part Wl

ooo...

Page2

cecc cece cece ccc cce ccc ecc eee cecseeceecesecs ees eeceeesesiaess

Briefly describe the organization’s mission:

SEVAMP THE

ENCOMPASSES THE

AREA

AGENCY

OVERALL MANAGEMENT AND

ON AGING,

COORDINATED COMPREHENSIVE ACCESS 2

NEEDED

WELL

SYSTEM

THE

FOR

SUPERVISORY

LEAD

OLDER

ROLE

PERSONS

FOR TO

FUNCTIONS

PROVIDING A LOCATE AND

SERVICES.

___Did the organization undertake any significant program services during the year which were not listed on the

prior Form 990 or 990-EZ?

L_lyes

L__lYes

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? If "Yes," describe these changes on Schedule O.

_ Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses.

Section 501(c)(8) 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.

(Code:

) (Expenses $

SUPPORTIVE

PROVIDED 166

THE

HOURS;

250

12,942

including grants of $

TITLE

SERVICES:

III-B

LEGAL

TRANSPORTATION TO

CONTACTS, FOR

3,554

EVENTS,

HOURS

PROVIDED

LONG

HOURS,

PROVIDED

22 1 0) 0 0 e ) (Revenue $

27 1 984 e )

THE

ACT:

SERVICES 1,101

INFORMATION ASSISTANCE AND

5,323

ACTIVITIES FOR

FUNDED

FOLLOWING

PROVIDED

WAY TRIPS, FOR

2 1 51 7 I 8 2 2 e

SERVICES

REFERRALS

AND WE

INDIVIDUALS

123

FOR

3,519

26,805

FOR ONE

INDIVIDUALS PLANNING

INFORMATION AND

EDUCATION

PUBLIC

HELPED

COORDINATING AND

SOCIALIZATION EVENTS

OF ACTIVITY,

FOR

INDIVIDUALS

TERM CARE

PROVIDED

OLDER AMERICANS

FOR

239

INDIVIDUALS

INDIVIDUALS WITH

FOR

EMERGENCY

NEEDS.

(Code: ) (Expenses $ CONGREGATE MEALS PROVIDED

59,537

1 ' 52 6 r 745 e C-1 MEALS

including grants of $

898

INDIVDUALS

1 3 3 U 9 42 e ) (Revenue $

IN A

SOCIAL

30 I 331 e )

CONGREGATE

SETTING.

(Code:

) (Expenses $

HOME

1 1 1 82 1 0 14 °

DELIVERED MEALS

PROVIDED

135,084

FUNDED

MEALS

TITLE

DELIVERED

Other program services (Describe on Schedule O.)

Total program service expenses

(Expenses $

including grants of $ BY

C-2

TO THE

3,469,035. including grants of $

1 1 1 0 0 1 0 6 6 ° ) (Revenue $ OF

THE

HOME

OLDER AMERICANS

633,206.) (Revenue $

977

38 1 293 ° ) ACT

INDIVIDUALS.

354,477.)

8,695,616. Form 990 (2023)

332002

12-21-23

3 17480813

758849

212220

2023.06010

SOUTHEASTERN VIRGINIA ARE

212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

| Part IV | Checklist of Required Schedules

Page 3 Yes | No

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?

If "Yes," complete Schedule A o.oo... o.oo cc cece ccc ccc cece cect eee e eee ee eee cee cee aeeda eee eeeeeeeeeseeceeeaueseeaeeseesaeereeseeeeeseeeaeeseeteeeseeseeeaess

Is the organization required to complete Schedule B, Schedule of Contributors? See instructions ooo

2|X

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501 (h) election in effect

public office? /f "Yes," complete Schedule C, Part)

oe eeecceeeeeeeseeeees

oo.....cccccccccccceccceceescceceveceeceverececeveeccecerecessustetseceetssesettsseesestsseeetsttsteeseees

during the tax year? /f "Yes," complete Schedule C, Part Il oo......ccccccccccceccceesceceseceecsecececeusreceusseceuseeeesseceesececesterteeeesteeenereeeess 5

Is the organization a section 501 (c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or

similar amounts as defined in Rev. Proc. 98-19? /f "Yes," complete Schedule C, Part Ill ........cccccccccccccceecccecesecceeeeveceecusseeeeesees 6

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to

provide advice on the distribution or investment of amounts in such funds or accounts? /f "Yes," complete Schedule D, Part | 7

Did the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures? /f "Yes," complete Schedule D, Part Il ............cccccccsecceceeceeseeeeeseeees 8

Did the organization maintain collections of works of art, historical treasures, or other similar assets? /f "Yes," complete

Schedule D, Part Io. o.cccccccccsscessseesscessseesssessseessseveseessietaseessestassssistssetasietssetaresssiearetisetsstsrstsitsasetseetasetietaresssersaseeeveesares 9

Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for

amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?

If "Yes," complete Schedule D, Part IV o.........cccccccccccecccceecccsceccueeseeeceecceececeeseseeeeceuersseceseceveeueescesecensnreseeeeeseneresesecseeenttteeeeess 10

Did the organization, directly or through a related organization, hold assets in donor-restricted endowments

or in quasi-endowments? /f "Yes," complete Schedule D, Part Vioo......ccccccccccccceecseseeesseteeteseeseeeeesseesseessesetssecsteeseesiseseeeeeees 11.

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.

a_Did the organization report an amount for land, buildings, and equipment in Part X, line 10? /f "Yes," complete Schedule D,

Part Vio occ ccccccccsseessesssessessvessessvessessusssvssvsssessvsssessessusesvssusasssseasessevssessssssseressssssessavsresssessssessssssessiveresssesessvseseseessessesseseeee b

assets reported in Part X, line 16? /f "Yes," complete Schedule D, Part VI c_

........cccccccccccececccccceseccevevsceceveeeceessssteestvtseceestseetens

Part X, line 16? if "Yes," complete Schedule D, Part IX ooo... ccsceccssssesesessevesesisvetetevttatiesrieatiesitestrnststinsaetterenseseesaseee

Did the organization obtain separate, independent audited financial statements for the tax year?

Is the organization a school described in section 170(b)(1)(A)(li)? If "Yes," complete Schedule Eo

14a _ Did the organization maintain an office, employees, or agents outside of the United States? b

tid | X 11e|

1if | X

12a

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 XiIlis optional 13

lic

/f "Yes," complete

Schedule D, Parts XI and XI .....cccccccccsccssvessessesssessessvessessvessessvessesssessessesssessvessessessssesessussrssivssssssessessesssssessssssesseesseseesseeseee b

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)? /f "Yes," complete Schedule D, Part X ............ 12a

11b

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

e Did the organization report an amount for other liabilities in Part X, line 25? /f "Yes," complete Schedule D, PartX .............0.... f

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? /f "Yes," complete Schedule D, Part VIII ....0....ccccccccccccceccceesceeeeecceeeceueseceutseecesecereevensesentaes d_

tia}

Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total

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

o.oo... coccccccccccccecccceecceeeveees

12b | X 13

14a

14b

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? /f "Yes," complete Schedule F, Parts | ANG IV i... ...ccccccccccecccccceecccecevsecccevesseecesesesceeseecsseneeeeecevseecevsrececeeenseseeentseesens 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? /f "Yes," complete Schedule F, Parts I] AN IV 16

ooo. occcccccccccecccccvesececeevececevesescesersessevevsteserteseeetsteeenes

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? /f "Yes," complete Schedule F, Parts Ill ANG IV o.oo. ccccccccccccecccevveececeveveccecetseeseeveseseeettteceeeeteseeeees 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? /f "Yes," complete Schedule G, Part |. S€@ iNStrUCTIONS 18

oe ceceececceseceeeteceeseeeettsteeeseeees

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines

1c and 8a? /f "Yes," complete Schedule G, Part Io......cccccccccccccccccceescceveceeeseccessevevsscevsecesteeceuseseusseeceseeeseeseseeetseesetseeenteeeess 19

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? /f "Yes,"

complete Schedule G, Part Il oo......ccccccccecccccccccececceeccccccccenerseeecceseceusseeeeceuseetseseeceeseseuetssececeeserersreseceeseceutseeceseseesttseeeeeeeene:

20a _Did the organization operate one or more hospital facilities? /f "Yes," complete Schedule H ............cccccccccecccceeveeceeeesssecereseceees b

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

—=

20a

20b

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? /f "Yes." complete Schedule |, Parts | and Il. .

332003 12-21-23

occ cceeeeeeeecceeceeeeeeeesscsttis

Form 990 (2023)

4 17480813

758849

212220

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SOUTHEASTERN VIRGINIA ARE

212220_1

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Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

| Part IV | Checklist of Required Schedules (continued)

Page 4 Yes | No

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? /f "Yes," complete Schedule |, Parts | ANC Ill... 23

.oceccccccccccccccesccccevesececevsesceeeesececeetvsseeetetseceestseeeeees:

22 | X

~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?

/f "Yes," complete

SCHEQUIC J oooee ccc ccsccccessessessessessesevesvssssssestsesesssesssesssssvsssessessesssssessessessessvevssesssssissistesessesetssssssissivssseesssstesseestssesesseeseeees

23 | X

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? /f "Yes," answer lines 24b through 24d and complete

b c

Schedule K. If "NO," GO to lin@ 258 oo... 0... occ cece ccc cc cece cece cece cece eeeeeeeeeecece cece eecaeeeeeeteeceaeeetaeseseeeseceseseaneesaestseseeaeernesreeetneereees

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

24b

—

Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease

any tax-exempt bonds?

—

24c

d_ Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 25a

24d

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? /f "Yes," complete Schedule L, Part| .........cccccccccecccccececececeseeeceveseeees b

25a

25b

28a

28c

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?

Schedule L, Part)

/f "Yes," complete

occccccccccccscsssessesssessvsssessessssssesssesvessvsssessvessssesssessesessssassvsssessseesessessssssessessessevesessessissssssssssesssssseseesesseeees

26 __ Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35%

controlled entity or family member of any of these persons? /f "Yes," complete Schedule L, Part Il 27

oo.......ccccccccccecccceeseceeeeseees

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity (including an employee thereof) or family member of any of these persons? /f "Yes," complete Schedule L, Part Ill ......... 28

Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions):

Acurrent or former officer, director, trustee, Key employee, creator or founder, or substantial contributor?

"Yes," complete Schedule L, Part IV o.....cccccccccccccceccecccecccceueveceecceccusuceeeeeseeeeecersescesececeussseseeseceunetteseseseesesteseseeeveneeseeseeseneees

b A family member of any individual described in line 28a? /f "Yes," complete Schedule L, Part IV o.........cccccccccscccececeeeseeeerseeessees c

A35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? /f

"Yes," complete Schedule L, Part IV o.....ccccccccccccccecceccccccccecececeeccescuseveeseeeseeceueerseeceseveceusesesseseceusrtteseseeeestrsteseseeeeenereeeeeeeseneees

28b

Did the organization receive more than $25,000 in noncash contributions? /f "Yes," complete Schedule M

............c.ccccccceeeee

30 __ Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation

contributions? /f "Yes," complete SCHEQUIC M oon... ..cccccccccccecccccecsccccueescceceusecceceuseeeecuvseceecerseeeeceuseeeecerstecectritecesttteteeettteeeetses

Did the organization liquidate, terminate, or dissolve and cease operations? /f "Yes," complete Schedule N, Part| ..................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? /f "Yes," complete

Schedule N, Part Wo o.ccccccccccccscscessvessesssvessvessesssesssesesevssessvesssesssetsessesesesssesesetssetesetssetssetssetiisisesesestietesesietesersisssereistsesevessees 33

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

Was the organization related to any tax-exempt or taxable entity? /f "Yes," complete Schedule R, Part Il, Ill, or IV, and

sections 301.7701-2 and 301.7701-3? /f "Yes," complete Schedule R, Part| ............ 2c... cccccccccecceeeceevteeetettertsseetsseceeeeeeeeeeeeeees

Part V, lI 10 occcccccccsccsecssecsessscssesssessessusssvsssessessessessvsssessvessesivessessussucssesivessessusssessusssesivsssessesuessesssessesivessessuessesseessesieeeveen 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)? /f "Yes," complete Schedule R, Part V, lin€ 20 o.......cccccccccecccecceccecteceuveceesteceeseeeeereeens 36

34 | X 35a 35b

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, lin@ 2 oo... .occccccccccccccecccccccceccucevceeeceseceeecereeeceeecccereseeeeececeusrseeceseseeereeteseseeeesueseteeeeseneees 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? /f "Yes," complete Schedule R, Part VI 38

Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines

Note: All Form 990 filers are required to complete Schedule O oo... ccc ccc cece |PartV| Statements Regarding Other IRS Filings and Tax Compliance

..........cccccceecceee

11b and 19?

ce ce eee bee cence:

38 | X

Check if Schedule O contains a response or note to any line in this Part V Yes | No

1a Enter the number reported in box 3 of Form 1096. Enter -0-ifnotapplicable = b Enter the number of Forms W-2G included on line 1a. Enter -O- if not applicable c

1a 1b

Al )

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming

(gambling) winnings to prize winners? es

332004 12-21-23

Form 990 (2023) 5

17480813

758849

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SOUTHEASTERN VIRGINIA ARE

212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

|PartV|

PROGRAM,

MODEL

INC.

54-6069786

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Page 5 Yes | No

2a _ Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,

filed for the calendar year ending with or within the year covered by thisreturn ss

104

b_ If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 3a_Did the organization have unrelated business gross income of $1,000 or more during the year? = b 4a

If "Yes," has it filed a Form 990-T for this year? /f "No" to line 3b, provide an explanation on Schedule O

2b | X 3a oo.....ccecccccceceseeeeeeseee

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)? b

If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

5a _ Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c

If "Yes" to line Sa or Sb, did the organization file Form 8886-02

= ss

ccc cec cee eeeseeteeteesseteeteeteeeeesteettestetsetttesetteneeee:

6a _ Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit

any contributions that were not tax deductible as charitable contributions? b

were nottax deductible? 7

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts = eee

Organizations that may receive deductible contributions under section 170(c).

a_ Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? | 7a b c

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 82827

ooo co cececcecececececcevecesesvevevececssvevevevecesvevevecsesevevevessevevevsvesssvevevevessavsvevevevesvaveveveveseseesevesesveveveseseevevesesesesees

d If "Yes," indicate the number of Forms 8282 filed during the year

— ss

— 3,

| 7d |

e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f

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

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?

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the

Sponsoring organizations maintaining donor advised funds.

sponsoring organization have excess business holdings at any time during the year?

7g 7h

Did the sponsoring organization make any taxable distributions under section 4966?

Did the sponsoring organization make a distribution to a donor, donor advisor, orrelated person?

9a =

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIll, line12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10a ==

10b

a Gross income from members or shareholders ooo cecccccceccceeceeeseesecesccetevessevteceseesteeeses

11a

11.

Section 501(c)(12) organizations. Enter:

Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.)

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

Section 501(c)(29) qualified nonprofit health insurance issuers.

12a

b If "Yes," enter the amount of tax-exempt interest received or accrued during the year... 2... | 12b |

ls the organization licensed to issue qualified health plans in more than one state?

18a

Note: See the instructions for additional information the organization must report on Schedule O. b

Enter the amount of reserves the organization is required to maintain by the states in which the

organization is licensed to issue qualified health plans c

Enterthe amount ofreservesonhand

ccc

eeeeeeeeeeseteetetteteees

13b 13¢

14a _ Did the organization receive any payments for indoor tanning services during the tax year? b If "Yes," has it filed a Form 720 to report these payments? /f "No," provide an explanation on Schedule O 15

14a o....c.ccccccceceeceeeeeeee

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment(s) during the year?

If "Yes," see the instructions and file Form 4720, Schedule N.

‘Is the organization an educational institution subject to the section 4968 excise tax on net investment income?

If "Yes," complete Form 4720, Schedule O. 17

Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953?

If "Yes," complete Form 6069.

332005 12-21-23

Form 990 (2023) 6

17480813

758849

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2023.06010

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

Page 6

| Part VI | Governance, Management, and Disclosure. Fo, each "Yes" response to lines 2 through 7b below, and fora "No" response to line 8a, 8b, or

10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.

Check if Schedule O contains a response or note to any line inthis Part VI.

cccecc ccc c cece ccc ccc ccc cec desc eccseseeceesceeeseecieess

Section A. Governing Body and Management Yes | No

1a Enter the number of voting members of the governing body at the end of the tax year

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 on Schedule 0.

b Enter the number of voting members included on line 1a, above, who are independent 2

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other

officer, director, trustee, or key EMPlOVCS? 3

i ccceccececeesesvatesvateevavases vases visits tates titisatittetitestettstisesvetitestteseetes

Did the organization delegate control over management duties customarily performed by or under the direct supervision

of officers, directors, trustees, or key employees to

amanagement company orotherperson?

= =—ss—s—s— ss

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?

7a_

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or

== sss

sss

more members of the governing body?

persons other than the governing Ody?

ccc cccssecesessvssssuseseriussstivssestessesisssstissisiusssastssttitessstssstitssssetsssessesseee

8 __ Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

@_ TNE GOVEFMING DOD Y? oo ccceecceccceceeesseses ees eatsesesueseasuesiasuaseassassassissnssiasiasiasiatiasiasisssitesteatessttsstittiseetesseesesetteeeeeee:

8a_|

b Each committee with authority to act on behalf of the governing body?

8b | X

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? /f "Yes " provide the names and addresses on Schedule O .ccccccccccccccccce ccc cccecccecceeseeeeeeseeceeeees

Section B. Policies (his section B requests information about policies not required by the Internal Revenue Code.) Yes | No

10a _ Did the organization have local chapters, branches, or affiliates? b

10a

and branches to ensure their operations are consistent with the organization’s exempt purposes?

11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b

10b

11a|

Describe on Schedule O the process, if any, used by the organization to review this Form 990.

12a Did the organization have a written conflict of interest policy? /f "No," go to liN€ 13 o.oo... cecccccccceccesececeseceesececereceuteceeetseeetrecenes b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c_

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,

Did the organization regularly and consistently monitor and enforce compliance with the policy?

12a|

12b|

/f "Yes," describe

on Schedule O how thiS WAS CONE |............ ccc ccc cece cece cece cee ee cece eee e ee ece cue eeeeceeceeueeseeceeeeeceeeeeeueeeeesaeeseseeettrieeserseestesseeeseeseernneeees

12c | X

Did the organization have a written document retention and destruction policy?

14 | X

Did the process for determining compensation of the following persons include a review and approval by independent

Did the organization have a written whistleblower policy?

13 | X

persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

a_ The organization’s CEO, Executive Director, or top management OFFICIAL b Other officers or key employees of the organization

cece cece cee cee ccecceteeeeeesetteeeesteetteteeeestees

1a | X

15b | X

If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a _ Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a

taxable entity duringthe year? b

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?

eco

r beet bebe

16b

Section C. Disclosure

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 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available

NONE

for public inspection. Indicate how you made these available. Check all that apply.

[| Own website

Another’s website

Upon request

[| Other (explain on Schedule O)

Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial

State the name, address, and telephone number of the person who possesses the organization’s books and records

statements available to the public during the tax year.

BRIGID MILLER, 2551

CFO

ELTHAM AVENUE,

757-461-9481 SUITE

NORFOLK,

332006 12-21-23

23513

Form 990 (2023) 7

17480813

758849

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SOUTHEASTERN VIRGINIA ARE

212220 1

SOUTHEASTERN VIRGINIA AREAWIDE

MODEL

Form 990 (2023) PROGRAM, INC. 54-6069786 | Part Vil] Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated

Page7

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

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

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. ® 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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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. See the instructions for the order in which to list the persons above.

[| Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A)

Name and title

(B)

(C)

Average | do not or.osition

one

compensation

amount of

the

organizations

compensation

organization

(W-2/1099-MISC/

from the

(W-2/1099-MISC/

1099-NEC)

organization

officer and a director/trustee)

(list any

hours for

| =

below

(1)

STEPHEN ZOLLOS

= | =

3/2]

BRIGID MILLER

40.00

PAM BARTON

10.00

BOARD OF DIRECTORS (4)

BARBARA BOOKER-WILLIAMS

FRAN RICHARDSON ROBERT HOLT

SONDRA KENDRICK

158,314.

40,920.

105,350.

29,370.

QO.

10.00

SECRETARY

(8)

GREG GROOTENDORST

WILLIAM BANE

10.00

TREASURER

(10) THELMA DRAKE (11) DICK GRICE

10.00

BOARD OF DIRECTORS

(12) AMY PUCCI

10.00

1ST VICE-PRESIDENT

CARYN WEST

10.00

BOARD OF DIRECTORS (14) GARY ZALAS

10.00

BOARD OF DIRECTORS (15)

10.00

PRESIDENT

(13)

10.00

BOARD OF DIRECTORS (9)

and related

organizations

10.00

BOARD OF DIRECTORS (7)

1099-NEC)

10.00

BOARD OF DIRECTORS (6)

other

10.00

BOARD OF DIRECTORS (5)

from related

CFO (3)

SJE

,/2/22) s

from

40.00

CEO & EX-OFFICIO (2)

(F)

Estimated

week

organizations]

(E)

Reportable

hours per | box, unless person is both an

(D)

Reportable

CHANDA CHANN

10.00

BOARD OF DIRECTORS (16) JOHN MIHALY

10.00

BOARD OF DIRECTORS

332007 12-21-23

Form 990 (2023) 8

17480813

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2023.06010

SOUTHEASTERN VIRGINIA ARE

212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

Page8

| Part VII | Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A)

(B)

Name and title

(C)

Average

Position (do not check more than one

week

officer and a director/trustee)

hours per | pox, unless person is both an

(listany | s hours for | s related 3|é organizations} = | = below

Wo Subtotal

3 3 BIE

2/2|./2

Z2|

(E)

(F)

Reportable.

Estimated

compensation

amount of

the organization (W-2/1099-MISC/ 1099-NEC)

organizations (W-2/1099-MISC/ 1099-NEC)

compensation from the organization and related

from

from related

other

i cccccsssssssnveveennsssesssttnetmmnteessssesnnnnvvettmneeseeeeeetinneeee

c Total from continuation sheets to Part VII, SectionA ss d_Total (add lines 1b and 1c)... ee

(D)

Reportable.

organizations

263,664.

0. 263,664.

Q.|

70,290.

0. QO.

0. 70,290.

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable

compensation from the organization

2 Yes | No

Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on

line 1a? /f "Yes," complete Schedule J for SUCH INCIVIAUAl 4

oe. .eeecccceeccccccceesceceseceeeseceveceusseceecseecuseceeereceusececersterteeeesteeentseene:

and related organizations greater than $150,000? /f "Yes," complete Schedule J for such individual ................cccccccccccsecseeseeeee 5

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services

rendered to the organization? /f "Yes." complete Schedule J for SUCH DCCSON eee c ence ees

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address

(B) Description of services

NONE

‘Total number of independent contractors (including but not limited to those listed above) who received more than

$100,000 of compensation from the organization

0 Form 990 (2023)

332008

12-21-23

9 17480813

758849

212220

2023.06010

SOUTHEASTERN VIRGINIA ARE

212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

| Part VIII |

PROGRAM,

MODEL

INC.

Statement of Revenue

54-6069786

Check if Schedule O contains a response or note to any line in this Part VI

Page9

ccc ccec cece cc cecceecec eee cecceeeeeseceeeseeunecrees

(A) (B) (C) Total revenue _ | Related or exempt Unrelated Revenue excluded function revenue |business revenue} from tax under

sections 512 - 514

Federated campaigns

sss

d Related organizations

e Government grants (contributions) | 1e

9,601,680.

similar amounts not included above __ | 1f

1,248,546,

Membership dues

1a 1b

-ss—s—i(“#

f All other contributions, gifts, grants, and

Q Noncash contributions included in lines 1a-1f

2 5

h Total. Add lines 1-16

44,550.

1g $

occ ee eece cece ceeeseceeceeeeneeeeteeii

10,894,776.

Business Code

FEE

FOR

SERVICE

CLIENT

900099

429, 801.

429, 801,

f Allother program service revenue ss g Total. Add lines 2a-2f 3

429,801.

Investment income (including dividends, interest, and

other similaramounts)

sss ————ii

Income from investment of tax-exempt bond proceeds

RoyaltieS ooo...

Grossrents

4,207.

cece cccce cee cce eee ees ee eee ee ce aces ceecee eee eesseesees (i) Real

ss.

Less: rentalexpenses __

|6b

Rental income or (loss)

Net rental income or (lOSS) ..ow..

7 a Gross amount from sales of

(ii) Personal

eee eee:

(i) Securities

(ii) Other

assets other than inventory | 7a

o w g

Less: cost or other basis

and sales expenses

c Gainor (loss) oo...

d Net gain or (loss) ooo... cece eee cee eeg eee eee ee reece reece ees 8 a_ Gross income from fundraising events (not

re)

including $

contributions reported on line 1c). See

Part lV, line 18 b

eee

Less: directexpenses

sss

Net income or (loss) from fundraising events...

9 a

Gross income from gaming activities. See PartlV, line 19

Less: directexpenses

Netincome or (loss) from gaming activities...

10 a

Gross sales of inventory, less returns and allowances

10a

Less: costofgoodssold

sss

Net income or (loss) from sales of inventory

41 q INSURANCE REIMBURSEMENT

b STATE GAS TAX REFUND

c REVENUE REFUND

10b)

BEd Allother revente nse e Total. Add lines 11-140

......0....

i...

Business Code

900099

13,320.

900099

7,947,

900099

17.

oe,

17.

21,284,

12 _ Totalrevenue. See instructions

11,350,068,

332009 12-21-23

451,085,

4,207.

Form 990 (2023) 10

17480813

758849

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

MODEL

INC.

54-6069786

| Part IX | Statement of Functional Expenses

Page 10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response or note to any line in this Part IX ooo...

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part Vill. 1

Total penses

Program service

1,889,214.

expenses

cece cece cece ccc cec ccc cec cece eecuecsesesseseseteseeces

Management and

general expenses

Fundraising

expenses

Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21

Grants and other assistance to domestic

individuals. See Part IV, line22. 3

Grants and other assistance to foreign organizations, foreign governments, and foreign

individuals. See Part IV, lines 15 and16 4

Benefits paidtoorformembers sss

Compensation of current officers, directors,

trustees, and key employees 6

384,887.

372,571.

12,316.

Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)

Othersalaries and wages ssi

Pension plan accruals and contributions (include

4,061,769.

3,550,735.

511,034.

section 401(k) and 403(b) employer contributions) Otheremployee benefits sss

258,814. 689,423.

231,983. 570,758.

26,831. 118,567.

98.

Payroll taxes

316,565.

179,582.

134,287.

2,696.

11.

Fees for services (nonemployees): a

Management

cece teeeceteeeenneeee ee.

le | cree

c Accounting ee d

Lobbying

Professional fundraising services. See Part IV, line 17

Investment managementfees sss

Other. (If line 11g amount exceeds 10% of line 25,

77,338.

529,660. 112,937. 245,522. 210,243.

376,000. 95,152. 199,844. 163,630.

86,492. 13,184. 41,836. 40,988.

67,168. 4,601. 3,842. 5,625.

197,323.

124,387.

72,489.

447.

72,879.

62,360.

10,519.

46,442.

38,172.

8,270.

316,631. 65,423.

316,631. 51,898.

13,525.

312,480. 255,467.

311,454. 239,921.

1,026. 15,546.

d PROGRAM EXPENSES

101,561. 82,773.

101,561. 69,738.

e All other expenses

145,511.

122,596.

9,663. 16,987.

3,372. 5,928.

25 Total functional expenses. Add lines 1 through 24e | 10,372,862.

8,695,616.

1,571,153.

106,093.

12 13 14

column (A), amount, list line 11g expenses on Sch 0.) Advertising and promotion Office expenses. Informationtechnology §.+—=s—si—si‘ isré‘sésés~s~stS

77,338.

Royalties

Occupancy

TrAVEL ooo ccccccccsssecesssevesssesesssevessressessen

Payments of travel or entertainment expenses for any federal, state, or local public officials __.

Conferences, conventions, and meetings

Interest

Payments to affiliates

22 23

Depreciation, depletion, and amortization —_ Insurance ——————eeeeee

Other expenses. Itemize expenses not covered

above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule 0.)

a VEHICLE EXPENSE b RENT STORAGE AND OTHER c FOOD PURCHASES

Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined

educational campaign and fundraising solicitation.

Check here [| if following SOP 98-2 (ASC 958-720) 332010 12-21-23

Form 990 (2023) 11

17480813

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Form 990 (2023)

| Part X | Balance Sheet

PROGRAM,

MODEL

INC.

54-6069786

Check if Schedule O contains a response or note to any line in this Part X ooo...

ee cee ccc eccceecee cee cee cee ceceeces ees sucess eeesussrseesunseress [| (A)

(B)

Beginning of year

Cash- non-interest-bearing ooo oecceccessssssessessevssssseeetereenessstestenserseesevees

2 3

Savings and temporary cashinvestments Pledges and grants receivable,net ss

Accounts receivable, Met

Loans and other receivables from any current or former officer, director,

ioc

Page 11

866,120.|

160 ' 150.] 537 ' 838.]|

ceeseeceeteetesteeesteeteeteteteeteteees

End of year

2 3

1,792,881.

200 1 399. 420 ' 428.

trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons.

a | 7

B <

8 9

_Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(8)(B)

Notes and loans receivable, met

ooo ccecccesssssessssessssseeessesssssseeetnteesee

Inventories forsaleoruse Prepaid expenses and deferred charges

124 1 928.]|

8 9

105 ' 103.

1,054,968.|

10c

1,104,582.

10a _ Land, buildings, and equipment: cost or other

basis. Complete Part Viof ScheduleD | ___ b Less: accumulated depreciation «sss is

10a 10b

3,251,570. 2,146,988.

Investments - publicly traded securities

Investments - other securities. See Part IV, line11

13.

Investments - program-related. See Part IV, line11

14 = Intangible assets

icc cceececeececeeeneeeeeees

cic ccccec cee ceecceeceeeestesterseeteestenseestenetenteeteeses

15 Otherassets.SeePartlV,line11 16 _ Total assets. Add lines 1 through 15 (must equal line 33) ow.

Accounts payable and accrued expenses

Tax-exempt bond liabilities

~+Escrow or custodial account liability. Complete Part lV of ScheduleD

18 19

» | 22

ooo ccescesssessssseeevessereteesveesen

Grantspayable Deferredrevenue

3,243,011.} 5,987,015.]

15 16

2,883,582. 6,506,975.

979,504.|

766,918.

592,686.] 59,139.|

i ceeeeecccce cee ceeceeteeteeteeteteeeteteeees

18 19

293,759. 30,425.

ss.

Loans and other payables to any current or former officer, director,

trustee, key employee, creator or founder, substantial contributor, or 35%

controlled entity or family member of any of these persons

+ | 23

Secured mortgages and notes payable to unrelated third parties

si sss

=. ssssisi‘(as

===

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 SCHEDDo iccccsssssseseveneeeeessssessstntvenseesesssustnnivernmesssesetennteneeee

Total liabilities. Add lines 17 through 25

ose ccececeeceeececeeeeccescesseesesesssseiss

2,728,013.

2,379,391.

1,393,879.| 633 1 794.|

27 28

2,315,029. 721 ' 453.

3,959 ,342.| 26

3,470,493.

Organizations that follow FASB ASC 958, check here

g 5 oO

and complete lines 27, 28, 32, and 33. 27 28

Net assets without donor restrictions = Netassets with donor restrictions

Organizations that do not follow FASB ASC 958, check here

and complete lines 29 through 33.

Capital stock or trust principal, or currentfunds

% | 30

Paid-in or capital surplus, or land, building, or equipment fund

< 2

31 32

Retained earnings, endowment, accumulated income, or otherfunds Totalnet assets orfundbalances

2,027,673.]

31 32

Total liabilities and net assets/fund balances

5,987,015.]

332011

oo.

ooo... ccc:

3,036,482. 6,506,975. Form 990 (2023)

12-21-23

12 17480813

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Form 990 (2023)

PROGRAM,

| Part XI | Reconciliation of Net Assets

MODEL

INC.

54-6069786

Check if Schedule O contains a response or note to any line in this Part Xl

ooo...

ccc ecc cece cece ccc cce ccc eec eee decseeceecseeet ees eeseecseeiess

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), Fie 25)

Net unrealized gains (losses) On investMeNts

Donated services and use of facilities

Investmentexpenses

Prior period adjustments

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32,

3 4

ccc cccccessecessessveseseesiessretesessretseteeeveete

Revenue less expenses. Subtractline2fromline1 ss ee Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A))

Page 12

11,350,068.

10,372,862.

37,217.

3 4

coc ccceeceeceseseeseeteeeeeetesseeceeeeesesseteeseeteeeseteeseneeseeees

977,206. 2,027,673.

ooo

cece ecccecceesccesseeetsesceeececescceseeceteususeesssesssensseestectsenstevetscrsseetevsteensees

Other changes in net assets or fund balances (explainon Schedule O)

COVUII (BY) anaes

| Part XI] Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XI

oo...

-5,61 4.

3,036,482.

cece cece cece ccc e cee nec eee eecuece cesses seeneeneceees Yes | No

Accounting method used to prepare the Form 990:

L] Cash

Accrual

L] Other

If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.

2a_ Were the organization’s financial statements compiled or reviewed by an independent accountant?

If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed ona separate basis, consolidated basis, or both:

[| Separate basis

[| Consolidated basis

[| Both consolidated and separate basis

b Were the organization’s financial statements audited by an independent accountant?

2b|

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:

[] Separate basis c

Consolidated basis

[] 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 | X

If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.

3a _ As aresult of a federal award, was the organization required to undergo an audit or audits as set forth in the

Uniform Guidance, 2 C.F.R. Part 200, Subpart Fcc cee cseseeaeeseas as eases eteissistissiaseesescetcettistitteteestsesteesetees b

3a|

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit

or audits, explain why on Schedule O and describe any steps taken to undergo such auditS

o.oo...

eee ecc cece ccc eec eee

3b | X

Form 990 (2023)

332012

12-21-23

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212220_1

SCHEDULE A (Form 990)

OMB No. 1545-0047

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section

2023

Attach to Form 990 or Form 990-EZ.

Open to Public

4947(a)(1) nonexempt charitable trust.

Department of the Treasury Internal Revenue Service

Name of the organization

Go to www.irs.gov/Form990 for instructions and the latest information. SOUTHEASTERN VIRGINIA AREAWIDE PROGRAM,

| Part! |

MODEL

Inspection Employer identification number

54-6069786

INC.

Reason for Public Charity Status. (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A medical research organization operated in conjunction with a hospital described in

BU O ooo

@© ND

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

1 L] A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). section 170(b)(1)(A)(iii). Enter the hospital’s name,

city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or

university: An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from

activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment

income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part Ill.)

41 L_]

An organization organized and operated exclusively to test for public safety. See

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or

section 509(a)(4).

more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a

[| Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

b [| Type Il. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported

organization(s). You must complete Part IV, Sections A and C.

c [| Type Ill functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

d L | Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness

requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

L | Check this box if the organization received a written determination from the IRS that it is a Type I, Type Il, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported Organizations

Provide the following information about the supported organization(s).

(i) Name of supported organization

(ii) EIN

oc cccecccccececseceseseesveseeeasuessesuteteteetasateetsissiteseseeersieseneeees vrosc bed organization above (see instructions)

| {us the organization step Yes

(v) Amount of monetary

(vi) Amount of other

support (see instructions) | support (see instructions)

Total LHA

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

332021 12-21-23

Schedule A (Form 990) 2023

SOUTHEASTERN VIRGINIA AREAWIDE

Schedule A (Form 990) 2023

| Part Il |

PROGRAM,

MODEL

INC.

54-6069786

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)

Page2

(Complete only if you checked the box on line 5, 7, or 8 of Part | or if the organization failed to qualify under Part Ill. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support Calendar year (or fiscal year beginning in) 1

(a) 2019

(b) 2020

(d) 2022

(e) 2023

(f) Total

Gifts, grants, contributions, and membership fees received. (Do not

include any "unusual grants.") 2

7859246.|

8464703./10126936.|

9775155.(10894776.47120816.

7859246.|

8464703. [L0126936.| 9775155.10894776.47120816.

Tax revenues levied for the organization’s benefit and either paid to

or expended on its behalf 3

The value of services or facilities furnished by a governmental unit to the organization without charge

4 Total. Addlines1through3 5

The portion of total contributions

by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the

amount shown on line 11, column (f)

Public support. Subtract line 5 from line 4.

A7120816 e

Section B. Total Support

Calendar year (or fiscal year beginning in)

7 Amounts fromline4 8

(a) 2019

7859246.|

(b) 2020

(d) 2022

8464703.110126936.|

(e) 2023

(f) Total

9775155.(10894776.47120816.

Gross income from interest, dividends, payments received on securities loans, rents, royalties,

and income from similar sources __ 9

1,460.

6,910.

4,221.

2,484.

4,207.

19,282.

8,558.

8,318.

12,550.

15,617.

21,284.

66,327. 47206425.

Net income from unrelated business activities, whether or not the

business is regularly carried on 10

Other income. Do not include gain or loss from the sale of capital

assets (Explain in Part VI.) 11. Total support. Add lines 7 through 10

12 Gross receipts from related activities, etc. (See INStrUCTIONS) 13

ice cecccccccecessesseseesesseseeseesesseseeseeseeees

12 |

1,565,228.

First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(8)

organization, check this box and stop here _................ ccc ccccecccc ccc cce cee cee cee cee cee ced ece cee eee eeedee dee ve euedes ved euedue ces seusueuesssssisaescrssssaeesessdsaeeseereesserss [|

Section C. Computation of Public Support Percentage

14 Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) 15 Public support percentage from 2022 Schedule A, Part ll, line14

eee.

14 15

99.82 99.73

% %

16a 33 1/3% support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/38% or more, check this box and stop here. The organization qualifies as a publicly supported organization

b 33 1/3% support test - 2022, If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box

and stop here. The organization qualifies as a publicly supported Organization 17a 10% -facts-and-circumstances test - 2023.

occ ccccccecceceeeseeseeseeteeteeteeteeeteteeteeseetseteeteteneees L]

If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,

and if the organization meets the facts-and-circumstances test, check this box and _ stop here. Explain in Part VI how the organization

meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization b 10% -facts-and-circumstances test - 2022.

If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or

more, and if the organization meets the facts-and-circumstances test, check this box and

stop here, Explain in Part VI how the

organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization

18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ............... [| Schedule A (Form 990) 2023

332022

12-21-23

15 17480813

758849

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

Schedule A (Form 990) 2023

PROGRAM,

MODEL

INC.

54-6069786

| Part Ill | Support Schedule for Organizations Described in Section 509(a)(2)

Page3

(Complete only if you checked the box on line 10 of Part | or if the organization failed to qualify under Part Il. If the organization fails to

qualify under the tests listed below, please complete Part II.)

Section A. Public Support Calendar year (or fiscal year beginning in) 1

(a) 2019

(b) 2020

(d) 2022

(e) 2023

(f) Total

(a) 2019

(b) 2020

(d) 2022

(e) 2023

(f) Total

Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.")

Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose

Gross receipts from activities that are not an unrelated trade or bus-

iness under section 513 4

Tax revenues levied for the organization’s benefit and either paid to

or expended on its behalf 5

The value of services or facilities furnished by a governmental unit to the organization without charge

Total. Add lines 1through5

.......

7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that

exceed the greater of $5,000 or 1% of the amount on line 13 for the year

c Add lines 7a and 7b

Public support. (Subtract line 7c from line 6.)

Section B. Total Support Calendar year (or fiscal year beginning in) 9

Amounts from line 6

10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources __.

b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 cAddlines10aand10b 11

—es

Net income from unrelated business activities not included on line 10b, whether or not the business is

regularly carriedon

Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) -----------

Total support. (Add lines 9, 10c, 11, and 12.)

First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(8) organization,

check this box and stop here ...............cccecccceccccccc ccc ecc cee cee ces ce cee eeuesueeeaee dee deeues senses eed eeueuureedessedesdeedseueasensersrseessersesieaeedeetsessessrssrsstersenersers [| Section C. Computation of Public Support Percentage 15

Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f))

Public support percentage from 2022 Schedule A, Part Ill line 15

ccc eeeces

Section D. Computation of Investment Income Percentage 17

Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f))

Investment income percentage from 2022 Schedule A, Part lll, line17

19a 33 1/3% support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not

more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization

ssi

b 33 1/3% support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/8%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization

20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .........0..0..0 [| 332023 12-21-23

Schedule A (Form 990) 2023

16 17480813

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212220 1

SOUTHEASTERN VIRGINIA AREAWIDE

Schedule A (Form 990) 2023 PROGRAM, | Part IV | Supporting Organizations

MODEL

INC.

54-6069786

Page4

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part |, complete Sections A

and B. If you checked box 12b, Part |, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part 1, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations Yes | No 1.

Are all of the organization’s supported organizations listed by name in the organization’s governing

documents? /f "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 2

Did the organization have any supported organization that does not have an IRS determination of status

under section 509(a)(1) or (2)? /f "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

3a_Did the organization have a supported organization described in section 501(c)(4), (5), or (6)?

/f "Yes," answer

lines 3b and 3c below. b

Did the organization confirm that each supported organization qualified under section 501(c)(4), (6), or (6) and satisfied the public support tests under section 509(a)(2)?

/f "Yes," describe in Part VI when and how the

organization made the determination. c_

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)

purposes? /f "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a

Was any supported organization not organized in the United States ("foreign supported organization")?

3c /f

"Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign

supported organization? /f "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. c

Did the organization support any foreign supported organization that does not have an IRS determination

under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)

purposes. 5a_

Did the organization add, substitute, or remove any supported organizations during the tax year?

/f "Yes,"

answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;

(iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action

was accomplished (such as by amendment to the organizing document).

Type lor Type Il only. Was any added or substituted supported organization part of a class already designated in the organization’s organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization’s control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class

benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? /f "Yes," provide detail in Part VI. 7

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with

regard to a substantial contributor? /f "Yes," complete Part | of Schedule L (Form 990). 8

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7?

If "Yes," complete Part | of Schedule L (Form 990).

9a _ Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? /f "Yes," provide detail in Part VI. b

Did one or more disqualified persons (as defined on line Ya) hold a controlling interest in any entity in which the supporting organization had an interest? /f "Yes," provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? /f "Yes," provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type Ill non-functionally integrated

supporting organizations)? /f "Yes," answer line 10b below. b

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to

—___determine whether the organization had excess business

holdings.)

10b

332024 12-21-23

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Schedule A (Form 990) 2023 PROGRAM, INC. | Part IV | Supporting Organizations (continued)

54-6069786

Pages

Yes | No

11.

Has the organization accepted a gift or contribution from any of the following persons? a

Aperson who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on line 11a above?

11b

A35% controlled entity of a person described on line 11a or 11b above? /f "Yes" to line 11a, 11b, or 11c, provide

dic

detail in Part VI.

Section B. Type | Supporting Organizations Yes | No 1

Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers,

directors, or trustees at all times during the tax year? /f "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the

supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

2 __ Did the organization operate for the benefit of any supported organization other than the supported

organization(s) that operated, supervised, or controlled the supporting organization?

/f "Yes," explain in

Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, ——_ supervised, or controlled the supporting organization

Section C. Type II Supporting Organizations

Yes | No 1.

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors

or trustees of each of the organization’s supported organization(s)? /f "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed

the supported organization(s)

Section D. All Type III Supporting Organizations

Yes | No 1.

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax

year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided? 2

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization?

/f "No," explain in Part Vi how

the organization maintained a close and continuous working relationship with the supported organization(s). 3

Byreason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s

income or assets at all times during the tax year? /f "Yes," describe in Part VI the role the organization's

rganizations pla played in this regard. ———_supported organizations

Section E. Type Ill Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).

a [| The organization satisfied the Activities Test. Complete line 2 below. b [| The organization is the parent of each of its supported organizations. Complete line 3 below. c [_|The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instruction

Activities Test. Answer lines 2a and 2b below.

—

Yes | No

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive?

/f "Yes," then in Part VI identify

those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined

that these activities constituted substantially all of its activities. b

Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in?

/f "Yes," explain in

Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3

Parent of Supported Organizations. Answer lines 3a and 3b below. a_

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? /f "Yes" or "No" provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each

of its supported organizations? /f "Yes." describe in Part VI the role plaved by the organization in this regard 332025 12-21-23

3b Schedule A (Form 990) 2023

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Schedule A (Form 990) 2023 PROGRAM, INC. | Part V | Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations

54-6069786

Pages

[| Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

Section A - Adjusted Net Income

(A) Prior Year

IND

(optional)

[NM 1®

Depreciation and depletion Portion of operating expenses paid or incurred for production or

oOo]

Add lines 1 through 3.

Recoveries of prior-year distributions Other gross income (see instructions)

Net short-term capital gain

(B) Current Year

collection of gross income or for management, conservation, or

Other expenses (see instructions)

ba | o

maintenance of property held for production of income (see instructions) 7

Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)

Section B - Minimum Asset Amount 1

(A) Prior Year

(B) Current Year

(optional)

Aggregate fair market value of all non-exempt-use assets (see

Average monthly cash balances

Oo ja

j9O

instructions for short tax year or assets held for part of year): Average monthly value of securities

Fair market value of other non-exempt-use assets

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

Discount claimed for blockage or other factors

2 ie¥)

Subtract line 2 from line 1d.

Acquisition indebtedness applicable to non-exempt-use assets

ie%)

(explain in detail in Part VI): 2

Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount,

[Oo

Multiply line 5 by 0.035.

Recoveries of prior-year distributions

Minimum Asset Amount (add line 7 to line 6)

[Oo

[oO

Net value of non-exempt-use assets (subtract line 4 from line 3)

see instructions).

[IN

Enter 0.85 of line 1. Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3.

Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions).

Income tax imposed in prior year

IND

Adjusted net income for prior year (from Section A, line 8, column A)

J®

Current Year

Section C - Distributable Amount

[| Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions).

Schedule A (Form 990) 2023

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Schedule A (Form 990) 2023 PROGRAM, INC. 54-6069786 | PartV | Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section D - Distributions

Page7

Current Year

Amounts paid to supported organizations to accomplish exempt purposes

Amounts paid to perform activity that directly furthers exempt purposes of supported

Administrative expenses paid to accomplish exempt purposes of supported organizations

Amounts paid to acquire exempt-use assets

Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)

Other distributions (describe jn Part VI). See instructions.

Total annual distributions. Add lines 1 through 6.

Distributions to attentive supported organizations to which the organization is responsive

organizations, in excess of income from activity

____ (provide details in Part VI). See instructions. 9

Distributable amount for 2023 from Section C, line 6

Line 8 amount divided by line 9 amount

Section E - Distribution Allocations (see instructions) 1

Distributable amount for 2023 from Section C, line 6

Underdistributions, if any, for years prior to 2023 (reason-

(i)

Excess Distributions

(ii)

Underdistributions Pre-2023

(iii)

Distributable

Amount for 2023

able cause required - exp/gin in Part Vi). See instructions. Excess distributions carryover, if any, to 2023 From 2018

From 2019 From 2020 From 2021

From 2022

eo j*

Total of lines 3a through 3e Applied to underdistributions of prior years

1/0

[So

Applied to 2023 distributable amount

Carryover from 2018 not applied (see instructions)

j._

Remainder. Subtract lines 3g, 3h, and 3i from line 3f.

Distributions for 2023 from Section D,

line 7:

Applied to underdistributions of prior years

Applied to 2023 distributable amount

c_ 5

Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.

Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in

Part VI. See instructions. 7

Excess distributions carryover to 2024, Add lines 3} and 4c.

|g |o

Excess from 2020 Excess from 2021

Oo jQ

Excess from 2019

8 _ Breakdown of line 7:

Excess from 2022 Excess from 2023

Schedule A (Form 990) 2023

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Schedule A (Form 990) 2023

PROGRAM,

INC.

MODEL

54-6069786

| Part VI | Supplemental Information. Provide the explanations required by Part Il, line 10; Part Il, line 17a or 17b; Part Ill, line 12;

Pages

Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C,

line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information.

(See instructions.)

332028 12-21-23

Schedule A (Form 990) 2023

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Schedule B (Form 990)

Department of the Treasury

Schedule of Contributors

OMB No. 1545-0047

Attach to Form 990, 990-EZ, or 990-PF.

20 20

Go to www.irs.gov/Form990 for the latest information.

Internal Revenue Service

Name of the organization

Employer identification number

SOUTHEASTERN VIRGINIA AREAWIDE

PROGRAM,

MODEL

INC.

54-6069786

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)(

3 ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(8) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

[| For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts | and Il. See instructions for determining a contributor’s total contributions.

Special Rules

For an organization described in section 501 (c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part Il, line 13, 16a, or 16b, and that received from any one

contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts | and Il.

L] For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts | (entering "N/A" in column (b) instead of the contributor name and address), Il, and Ill.

[| For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the General Rule applies to this organization because it received nonexclusively

religious, charitable, etc., contributions totaling $5,000 or more during the year

Caution: An organization that isn’t covered by the General Rule and/or the Special Rules doesn’t file Schedule B (Form 990), but it

must

answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn’t meet the filing requirements of Schedule B (Form 990).

For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.

LHA

323451 12-26-23

Schedule B (Form 990) (2023)

Page 2

Schedule B (Form 990) (2023) Name of organization

Employer identification number

SOUTHEASTERN VIRGINIA AREAWIDE PROGRAM, Part |

MODEL

54-6069786

INC.

Contributors (see instructions). Use duplicate copies of Part | if additional space is needed.

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

| VIRGINIA DEPARTMENT FOR

1610

FOREST AVENUE,

THE AGING

SUITE

100

Person

5,795,759.

Payroll

Noncash

|_|

(Complete Part II for

RICHMOND,

23229

noncash contributions.)

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

| ESTATE OF

2551

LINDA C.

PEACOCK

Person

ELTHAM AVENUE

494,031.

Payroll

Noncash

[_ |

(Complete Part II for

NORFOLK,

23513

noncash contributions.)

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

VIRGINIA

DEPARTMENT

RAIL

AND

PUBLIC

| TRANSPORTATION

600

Person

MAIN STREET,

SUITE

2102

463,404.

Payroll

[ ]

Noncash

[_ |

(Complete Part II for

RICHMOND,

VA 23219

noncash contributions.)

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

CORPORATION FOR NATIONAL AND

COMMUNITY

4 | SERVICE

1201

Person

NEW YORK AVENUE,

328,740.

Payroll

[ ]

Noncash

[_ |

(Complete Part II for

WASHINGTON,

20525

noncash contributions.)

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

Person

Noncash

[_ |

Payroll

(Complete Part Il for noncash contributions.)

(a)

(b)

(c)

(d)

No.

Name, address, and ZIP + 4

Total contributions

Type of contribution

Person

L |

Noncash

[_ |

Payroll

(Complete Part II for noncash contributions.) 323452

Schedule B (Form 990) (2023)

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Page 3

Schedule B (Form 990) (2023) Name of organization

Employer identification number

SOUTHEASTERN VIRGINIA AREAWIDE PROGRAM, Partil

MODEL

54-6069786

INC.

Noncash Property (see instructions). Use duplicate copies of Part Il if additional space is needed.

(a) No.

from

Part I

(c)

. (b) a Description of noncash property given

estimate) FMV (or . .

. (b) a Description of noncash property given

estimate) FMV (or . .

. (b) a Description of noncash property given

estimate) FMV (or . .

. (b) a Description of noncash property given

estimate) FMV (or . .

. (b) a Description of noncash property given

estimate) FMV (or . .

. (b) a Description of noncash property given

estimate) FMV (or . .

(See instructions.)

(a) No.

from

Part I

(c)

(See instructions.)

(a) No.

from

Part I

(c)

(See instructions.)

(a) No.

from

Part I

(c)

(See instructions.)

(a) No.

from

Part I

(c)

(See instructions.)

(a) No.

from

Part I

323453

(c)

(See instructions.)

(d) .

Date received

(d) .

Date received

(d) .

Date received

(d) .

Date received

(d) .

Date received

(d) .

Date received

Schedule B (Form 990) (2023)

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Schedule B (Form 990) (2023)

Page 4

Name of organization

Employer identification number

SOUTHEASTERN VIRGINIA AREAWIDE

PROGRAM, Part [I]

MODEL

INC.

54-6069786

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations

completing Part Ill, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this info. once.) $ Use duplicate copies of Part Ill if additional space is needed.

(a) No.

oom

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift

Transferee’s name, address, and ZIP + 4

(a) No.

from

(b) Purpose of gift

Relationship of transferor to transferee

(d) Description of how gift is held

(e) Transfer of gift

Transferee’s name, address, and ZIP + 4

(a) No.

from

(b) Purpose of gift

Relationship of transferor to transferee

(d) Description of how gift is held

(e) Transfer of gift

Transferee’s name, address, and ZIP + 4

(a) No.

nom

(b) Purpose of gift

Relationship of transferor to transferee

(d) Description of how gift is held

(e) Transfer of gift

Transferee’s name, address, and ZIP + 4

Relationship of transferor to transferee

323454 12-26-23

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SCHEDULE D (Form 990)

Supplemental Financial Statements Complete if the organization answered "Yes" on Form 990,

OMB No. 1545-0047 2023

Attach to Form 990.

Open to Public

Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.

Department of the Treasury

Internal Revenue Service

Go to www.irs.gov/Form990 for instructions and the latest information.

Inspection

Name of the organization

SOUTHEASTERN VIRGINIA AREAWIDE MODEL Employer identification number PROGRAM, INC. 54-6069786 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the

| Part | |

organization answered "Yes" on Form 990, Part IV, line 6.

(a) Donor advised funds

(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) BORN

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?

bocce eceecesececeeseseseseeseseetseeetseetsseneeeses |] Yes

[__] No

6 __ Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring

impermissible private benefit?

| Part il 1

ooo...

ececcecc ccc ccc cece ececueceeceeseuceuecuea eeu ceaceerseesuerseduedsedseuseussssssesssserssiesteriereessessensess [| Yes

| Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

[| No

Purpose(s) of conservation easements held by the organization (check all that apply).

[| Preservation of land for public use (for example, recreation or education) [| Protection of natural habitat [| Preservation of open space 2

[| Preservation of a historically important land area [| Preservation of a certified historic structure

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last

day of the tax year. a

Held at the End of the Tax Year

Total number of conservation easements

—

b Total acreage restricted by conservation CaSeMeNtS

ic oceecceeeseeeseseeseeeteseeteeeeeeeeteateeeteteeeeeteees

Number of conservation easements on a certified historic structure included online2a

Number of conservation easements included on line 2c acquired after July 25, 2006, and not

on a historic structure listed in the National Register ooo occ cecececccecceecececeeeececseseseensteesseveseeesseenses 3

2b 2c

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

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

violations, and enforcement of the conservation easements it holds?

oc oovbveeeeebeebececceeeeeeeeeeeibeeeetebeneeees L_] Yes

[__] No

Does each conservation easement reported on line 2d above satisfy the requirements of section 1 70(h)(4)(B)(i) and section 170(h)(4)(B)(ii)?

EN [| Yes

[| No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.

| Part Ill | Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

1a_

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIll the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.

(i)

Revenue included on Form 990, Part VII, line

(ii) Assets included in Form 990, Part X

‘If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a_

Revenue included on Form 990, Part VIII, line 1

Assets included in Form 990, Part X

LHA

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

332051

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Schedule D (Form 990) 2023

PROGRAM,

MODEL

INC.

54-6069786

Page2

| Part Ill | 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 make significant use of its collection items (check all that apply).

a [| Public exhibition b [| Scholarly research c [| Preservation for future generations

d [| Loan or exchange program e [| Other

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIll.

During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets

ls the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included

to be sold to raise funds rather than to be maintained as part of the organization’s collection? oo... [| Yes | Part IV | Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or

[| No

reported an amount on Form 990, Part X, line 21.

on Form 990, Part X?

[| Yes

If "Yes," explain the arrangement in Part XIIl and complete the following table:

Beginning balance

[| No

Amount

d Additions during the year

ccc ccccccceecceeseseeeseeses esas estittetussistiasiatisssatesttetteteeietittitteteeseseeees

Distributions during the year

Endingbalance

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

Beginning of year balance

| PartV

| Endowment Funds complete if the organization answered "Yes" on Form 990, Part IV, line 10.

(a) Current year

[| No

[| Yes

2a _ Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

(b) Prior year

Contributions Net investment earnings, gains, and losses

Grants or scholarships Other expenditures for facilities

ANd programs g 2

eects

Administrative expenses

Endofyearbalance

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a_

Board designated or quasi-endowment

Permanent endowment

Term 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:

Yes | No

(i)

Unrelated organizations?

(ii)

Related organizations?

8a(i)

8a(ii)

If "Yes" on line 3ai(ii), are the related organizations listed as required on Schedule R?

[Part Vi | Land, Buildings, and Equipment

Describein Part XIll the intended uses of the organization’s endowment funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property

ao rrr

Buildings

(a) Cost or other

(b) Cost or other

basis (investment)

basis (other)

depreciation

(d) Book value

c Leaseholdimprovements ...——ssssisisisisisi‘(‘i‘it

96 ,693.

9, 996.

86 ,697.

A Equipment oo cccccccssssssseseetteeeeeseeen

3,154,877.|

2,136,992.|

1,017,885.

Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)).. eee

1,104,582.

Other cece ccc cece ee eecce eee:

Schedule D (Form 990) 2023

332052 09-28-23

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

MODEL

Schedule D (Form 990) 2023 PROGRAM, INC. | Part Vil] Investments - Other Securities

54-6069786

Page3

Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security) (1)

Financial derivatives

(2)

Closely held equity interests

(b) Book value

(3) Other

(A) (B) (C) (D) (E)

(F) (G) (H) Total. (Col. (0) must equal Form 990, Part X, line 12, col. (B))

| Part Vill Investments - Program Related. Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment

(b) Book value

(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Col. (b) must equal Form 990, Part X, line 13, col. (B))

| Part IX | Other Assets

Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description

(1) INVESTMENT

(b) Book value

IN HAYDEN VILLAGE CENTER,

LLC

678,752.

(2) RIGHT OF USE ASSET

2,204,830.

(3) (4) (5) (6) (7) (8) (9)

Total. (Column (b) must equal Form 990, Part X, line 15, COl. (B)) ........ccccccccccccccccc cee cececccce ce eeneeceeeuuesescce sis eeccestisuesesessssssenses

| Part X | Other Liabilities

2,883,582.

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

(2)

LONG TERM LEASE

(b) Book value

2,379,391.

(3)

(4) (5) (6)

(7) (8) (9)

Total. (Column (b) must equal Form 990, Part X. line 25, Col. (B)).---- eee 2.

2,379,391.

Liability for uncertain tax positions. In Part XIll, provide the text of the footnote to the organization’s financial statements that reports the organization’s liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIll_...

Schedule D (Form 990) 2023

332053 09-28-23

28 17480813

758849

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212220_1

SOUTHEASTERN VIRGINIA AREAWIDE

MODEL

Schedule D (Form 990) 2023 PROGRAM, INC. 54-6069786 | Part Xl | Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

Page4

Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Total revenue, gains, and other support per audited financialstatements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

a Net unrealized gains (losses) on investments

oe cceeceeeeceeccececeeteeteeees

«se

ooo ccccccscessssssseessesessrevsssssssesnssesssvneetessvenseesenvees

b Donated services anduse offacilities

Recoveries of prior yeargrants

d Other (Describe in Part XI)

= i sss

37,217.

183,506.

-5,614.

e Addlines2athrough2d si i s—— 3 Subtractline2efromline1 ss ee 4

|/11,565,177.

2e 215,109. 3 | 11,350,068.

Amounts included on Form 990, Part VIII, line 12, but not on line 1:

Investment expenses not included on Form 990, Part Vill, line 7b

Other (Describe in Part XII.)

4a 4b

© Add lines 4a ANd Ac ccccccsecsssesssecssvesssesstvsessessseserisestetsrssstesssestisesssesssiesssessstsevesstetsisessitsseessves Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part|, line 12.)

.ss:sc:cscsssecsesscsesissststitetistesiteiii:

QO.

5 | 11,350,068.

| part Xll | Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:

«ss ——s—————————

a Donated services and use Of facilities ooo cecccccccsceessssessesseseseeseevssseeeveveeesveee

Prior yearadjustments

Otherlosses

Other (Describe in Part XI.)

1 | 10,556,368.

183,506.

2c ooo cc occecocceeeccccecceeeeeeceebeseeebbesetibtsetinetetnesens

e Addlines2athrough2d 3 Subtractline 2efromline1 4

2e 3

183,506. 10,372,862.

QO.

Amounts included on Form 990, Part IX, line 25, but not on line 1:

Investment expenses not included on Form 990, Part Vill, line 7b

Other (Describe in Part XII.)

ccc ccsseccsvesssecssvesssesstvsessessreserisessessressatesssessiiesssessseesssenssetsitenssettiesstasessve

Total expenses. Add lines 3 and 4c. (This must equal Form 990. Part|, line 18.)

.:-:ss:s:cssssvsvsesvsvsesssecetesesvesites:

Part XIII} Supplemental Information

5 | 10,372,862.

Provide the descriptions required for Part Il, lines 3, 5, and 9; Part Ill, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part Xl,

lines 2d and 4b; and Part XIl, lines 2d and 4b. Also complete this part to provide any additional information.

PART X,

LINE

SSSEVA IS

EXEMPT FROM FEDERAL

INTERNAL REVENUE BUSINESS OR

ACTIVITIES,

BUSINESS

NOT

CODE

(IRC), IF

AN EXEMPT

ANY.

INCOME

CURRENTLY,

TAX.

EXCEPT ON NET IRC

SECTION

ORGANIZATION AS

SUBSTANTIALLY RELATED TO

PURPOSE.

INCOME TAXES UNDER SECTION

THE

SSSEVA HAS LIMITED

LIABILITY

11)

AND NO

INCURRED

2024

AND

ANY

2023.

THE

TAX POSITIONS

AND

SUCH,

OR BUSINESS

PERFORMANCE ANY

WHICH

ITS

DOES

YEARS HAS

NOT

332054 09-28-23

ENDED

EXEMPT

SSSEVA.

ANY

(SEE

SEPTEMBER

APPROPRIATE

HAVE

UNRELATED BUSINESS

SEPARATELY FROM SSSEVA

ORGANIZATION BELIEVES

TAKEN,

TRADE

FOR THE

THE

FROM UNRELATED

COMPANY WHOLLY-OWNED

TAX RETURNS

TAXES WERE

ANY

DEFINES AN UNRELATED TRADE

OBLIGATION FOR

HAS MADE AN ELECTION TO FILE INCOME

INCOME DERIVED

513(A)

EXERCISE

501(C)(3)

NOTE 30,

SUPPORT

FOR

UNCERTAIN TAX Schedule D (Form 990) 2023

29 17480813

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212220 1

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MODEL

Schedule D (Form 990) 2023 PROGRAM, INC. |Part XIll | Supplemental Information (continued) POSITIONS

THAT ARE

ORGANIZATION'S AUTHORITIES,

MATERIAL

INCOME

GENERALLY

54-6069786

THE

CONSOLIDATED FINANCIAL

TAX RETURNS ARE FOR

PERIOD

SUBJECT

THREE

YEARS

STATEMENTS.

EXAMINATION BY FROM

THE

DATE

Pages

THE

TAXING THEY

WERE

FILED.

THE

ORGANIZATION'S POLICY

PENALTIES,

PART XI,

LINE

REMOVAL OF

CLASSIFY

ANY,

OTHER ADJUSTMENTS:

GENERAL

HAYDEN CENTER

LLC

AND

INCOME

ADMINISTRATIVE

INCOME

TAX RELATED

INTEREST AND

EXPENSES.

-5,614.

Schedule D (Form 990) 2023 332055 09-28-23

30 17480813

758849

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212220_1

Grants and Other Assistance to Organizations, Governments, and Individuals in the United States

SCHEDULE | (Form 990)

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

2023

Attach to Form 990.

Open to Public

Department of the Treasury

Internal Revenue Service

Name of the organization

Inspection

Go to www.irs.gov/Form990 for the latest information.

SOUTHEASTERN PROGRAM,

Part |

OMB No. 1545-0047

VIRGINIA

AREAWIDE

MODEL

Employer identification number

54-6069786

INC.

General Information on Grants and Assistance

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

Yes

criteria used to award the grants or assistance?

| No

2 __ Describe in Part IV the organization’s procedures for monitoring the use of grant funds in the United States.

| Part Il

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 Il can be duplicated if additional space is needed. 1 (a) Name and address of organization or government

(b) EIN

(d) Amount of

(e) Amount of

(if applicable)

cash grant

noncash assistance

Enter total number of section 501(c)(3) 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.

LHA

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

(g) Description of

(h) Purpose of grant

noncash assistance

or assistance

Schedule I (Form 990) 2023

332101 11-01-23

SOUTHEASTERN VIRGINIA

Schedule | (Form 990) 2023

PROGRAM,

AREAWIDE

MODEL

INC.

| Part Ill | Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.

54-6069786

Page 2

Part Ill can be duplicated if additional space is needed.

(b) Number of

(a) Type of grant or assistance

LEGAL

recipients

SERVICES

cash grant

(d) Amount of non-

(e) Method of valuation

cash assistance | (book, FMV, appraisal, other)

(f) Description of noncash assistance

22,000.

0. FMV

ASSISTANCE TO

SENIORS

CONGREGATE MEALS

898

133,942,

0. FMV

ASSISTANCE TO

SENIORS

HOME

977

1,100,066.

0. FMV

ASSISTANCE TO

SENIORS

365,545,

0. FMV

ASSISTANCE TO

SENIORS

268

267,661,

0. FMV

ASSISTANCE TO

SENIORS

DELIVERED MEALS

ADULT DAYCARE

IN HOME

Part IV

332102

SERVICES

(HOMEMAKER AND

PERSONAL

CARE)

Supplemental Information. Provide the information required in Part I, line 2; Part Ill, column (b); and any other additional information.

Schedule | (Form 990) 2023

11-01-23

SCHEDULE J (Form 990)

Compensation Information

OMB No, 145-0047

For certain Officers, Directors, Trustees, Key Employees, and Highest

20 20

Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23.

Department of the Treasury

Attach to Form 990.

Internal Revenue Service

Open to Public

Go to www.irs.gov/Form990 for instructions and the latest information.

Name of the organization

SOUTHEASTERN

VIRGINIA

AREAWIDE

MODEL

Inspection

Employer identification number

PROGRAM, INC. | Part! | Questions Regarding Compensation

54-6069786 Yes | No

Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part Ill to provide any relevant information regarding these items.

[| First-class or charter travel L] Travel for companions [| Tax indemnification and gross-up payments [| Discretionary spending account b_

[| Housing allowance or residence for personal use L] Payments for business use of personal residence [| Health or social club dues or initiation fees [| Personal services (such as maid, chauffeur, chef)

If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part IlIlto explain

2 __ Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,

trustees, and officers, including the CEO/Executive Director, regarding the items checked online1a?

Indicate which, if any, of the following the organization used to establish the compensation of the organization’s

CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part Ill.

L | Compensation committee [| Independent compensation consultant [| Form 990 of other organizations 4

Written employment contract Compensation survey or study Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

a Receive a severance payment or change-of-control payment?

b Participate in or receive payment from a supplemental nonqualified retirement plan?

c Participate in or receive payment from an equity-based compensation arrangement?

oc ccecec ccc eeceeeceeseeteetesteseenes

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part Ill.

Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. 5

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of:

A TH] OFGAMIZALIOM?

ee ecccececcecceseetseseesvaseasiasias vases ississississisiassassassasesssiesississsstiatiatitesstestesseetesssteetesetteeeteeees

b Any related organization?

If "Yes" on line 5a or 5b, describe in Part Ill. 6

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of:

a Theorganization?

b Any related Orgamization?

ccc ccceccccseeseeseeseeeeas eases assesses sas sus siasiasiasiasiasisssasisssiaiatsttstsatateteatesssiteseeesesteesereeees

If "Yes" on line 6a or 6b, describe in Part Ill. 7

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments

Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the

not described on lines 5 and 6? If "Yes," describe in Part ME

ooo ceececcceeccececceeesenucceececereceseeceescssseeteversesseesseenseenets

initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part Il] 9

Regulations section 53.4958-6(C)?

o.oo eee ecas

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

LHA

If"Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in

Schedule J (Form 990) 2023

332111 11-06-23

33 17480813

758849

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212220_1

SOUTHEASTERN VIRGINIA Schedule J (Form 990) 2023

PROGRAM,

AREAWIDE

MODEL

54-6069786

INC.

Page 2

| Part Il | Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that aren’t listed on Form 990, Part VII.

Note: The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(B) Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC | (C) Retirement and

compensation

(A) Name and Title (1) STEPHEN ZOLLOS CEO & EX-OFFICIO

(i) Base

compensation (i) (ii)

(ii) Bonus &

other deferred

(iii) Other

incentive

compensation

(D) Nontaxable

benefits

| (E) Total of columns|

(B)(i)-(D)

compensation

reportable

(F) Compensation

in column (B)

reported as deferred on prior Form 990

compensation

153,175.

QO.

5,139.

11,101.

29,819.

199,234.

QO.

(i) (ii)

(i) (ii) (i) (ii)

(i) (ii)

(i) (ii) (i) (ii)

(i) (ii)

(i) (ii) Schedule J (Form 990) 2023 332112

11-06-23

SOUTHEASTERN VIRGINIA

Schedule J (Form 990) 2023

| Part Ill | Supplemental Information

PROGRAM,

AREAWIDE

MODEL

INC.

54-6069786

Page 3

Provide the information, explanation, or descriptions required for Part |, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part Il. Also complete this part for any additional information.

Schedule J (Form 990) 2023

332113 11-06-23

SCHEDULE O (Form 990)

Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on

OMB No. 1845-0087 2023

Attach to Form 990 or Form 990-EZ.

Open to Public

Form 990 or 990-EZ or to provide any additional information.

Department of the Treasury

Internal Revenue Service

Go to www.irs.gov/Form990 for the latest information.

Name of the organization

FORM

990,

SENIOR

FORM

ITEM

SERVICES

990,

PART

SERVICES,

Inspection

SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, INC.

DOING

THEY

BUSINESS

Employer identification number 54-6069786

AS:

SOUTHEASTERN VIRGINIA

LINE

DESCRIPTION OF

MAY

LIVE

THEIR

LIVES

ORGANIZATION MISSION:

WITH

CHOICE

AND

DIGNITY

THEIR

COMMUNITIES.

FORM

990,

PART

CAREGIVER

THE

SERVICES

CAREGIVER

VARIETY OF

SENIORS HOURS;

III,

213

SERVICES

FOR

HEALTH

CAREGIVERS

HOME

THE

FOR

COUNSELING 9

804,522.

AND

THEIR

INCLUDE:

CARE

INDIVIDUALS

PROVIDED PROVIDED

2,457 96

84 FOR

HOURS

PUBLIC

RECEIVE

COORDINATION FOR

SENIORS 1,786

INFORMATION ASSISTANCE AND

AND

3,772

FOR

ONE

38,376

WAY

REFERRALS

362

HOMEMAKER

INFORMATION AND

CAREGIVERS.

INCLUDING GRANTS

365,545.

FOLLOWING

142

FOR

INDIVIDUALS

SERVICES;

INDIVIDUALS

510

WITH

INDIVIDUALS

CONCERNING

PROVIDED

292

FOR

CONTACTS;

1.290

ELDER ABUSE;

CARE

REVENUE

TRANSITION

PROVIDED

HOURS;

MADE

2,502

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

CAREGIVERS

PROVIDED ADULT DAY CARE

CONTACTS:

FOR

SERVICES:

1,143.

PROMOTION

PROVIDED

SENIORS

SERVICES

SERVICES,

EDUCATION SESSIONS

EXPENSES

THE

PROGRAM

IIIE

TRANSPORTATION TO

1,003

OTHER

HELPED

HOURS;

DAY CARE

CAREGIVERS

4D,

TITLE

SERVICES.

FOR

PROGRAM

PROVIDED

TRIPS

LINE

FROM

HOSPITAL

OPTIONS

PROVIDED ASSISTANCE FOR CONTACTS WITH Schedule O (Form 990) 2023

= 332211 11-14-23

36 17480813

758849

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212220_1

Schedule O (Form 990) 2023

Name of the organization

INDIVIDUALS

Page 2

SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, INC.

CONCERNING THEIR MEDICARE

PARTICIPATED IN PEOPLE

WITH

EXPENSES

ALL

3,093

NUTRITION

BASED

BENEFIT;

259

INDIVIDUALS

WELLNESS

CLASSES

AND

PROVIDED

COUNSELING.

507,162.

INCLUDING GRANTS

72,662.

AREAS

SENIOR

REVENUE

30,630.

OTHERS

OTHER

PROGRAM

SENIORS WITH HOURS

9,028

HOURS

FORM

IN HOME

WAS

990,

YEARLY

FORM

PART VI,

EXECUTIVE

FORM

LOCAL

PRESENTED

EMPLOYMENT

SERVCIES;

COMPANIONS SERVED

PROVIDED

126

PEOPLE WITH

3,929

INDIVIDUALS WITH

CARE

LINE

RECEIVED

194,999.

REVENUE

322,704.

11B: AN

SIGNED

SECTION B,

THE

BOARD

AND TO

CONTRACT

LINE

INTEREST

COMPENSATION STUDY

RESEARCHING

SERVICES,

INCLUDING GRANTS

SECTION

CONFLICT

PRESIDENT

ELECTRONIC

COPY

THE

TAX RETURN

FILED.

AND

990,

PERSONAL

BOARD

PART VI,

THE

INCLUDE

SECTION B,

THE

DIRECTORS

WILL

HOURS

HOMEMAKER

PART VI,

EACH MEMBER

FORM

49,014

2,157,351.

990,

BEFORE

SERVICE

IN HOME

EXPENSES

THE

EVIDENCED

Employer identification number 54-6069786

12C:

POLICY BY

EACH MEMBER

LINE

THE

CHIEF

NATIONAL NON-PROFIT THE

FOR

EXECUTIVE THE

THE

BOARD

DIRECTORS.

15:

DIRECTORS

FOR

REVIEWED

HIS

DESIGNEE

EXECUTIVE

WILL

OFFICER

PERFORM AN

(CEO)

COMPENSATION SURVEYS.

COMMITTEE

PRIOR

THE

RENEWAL

THIS OF

STUDY THE

CEO.

332212 11-14-23

Schedule O (Form 990) 2023

37 17480813

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212220 1

Schedule O (Form 990) 2023

Name of the organization

FORM THE

990,

Page 2

SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, INC.

PART VI,

SECTION

ORGANIZATION MAKES

POLICY,

FORM

AND

990,

REMOVAL

FINANCIAL

PART XI,

INCOME

ITS

LINE

19:

GOVERNING

DOCUMENTS,

STATEMENTS AVAILABLE

LINE FROM

CHANGES

Employer identification number 54-6069786

CONFLICT

THE

PUBLIC

INTEREST

UPON

REQUEST.

IN NET ASSETS:

HAYDEN CENTER,

LLC

NOW

TAXED AS

CORPORATION

FORM THE

990,

-5,614.

PART XII,

ORGANIZATION HAS

COMMITTEE FROM

THE

AND

LINE

EXPLANATION:

AN AUDIT

EXECUTIVE

PRIOR

COMMITTEE

COMMITTEE.

THAT

THERE

COMPRISES

THE

CHANGE

FINANCE THE

PROCESS

YEAR.

332212 11-14-23

Schedule O (Form 990) 2023

38 17480813

758849

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2023.06010

SOUTHEASTERN VIRGINIA ARE

212220 1

SCHEDULE R (Form 990)

OMB No, 1545-0047

Related Organizations and Unrelated Partnerships Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.

2023

Attach to Form 990. Department of the Treasury

Internal Revenue Service

Employer identification number

INC.

54-6069786

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a)

(b)

(c)

(d)

(e)

(f)

Name, address, and EIN (if applicable)

Primary activity

Legal domicile (state or

Total income

End-of-year assets

Direct controlling

of disregarded entity

alr

Open to Public Inspection

SOUTHEASTERN VIRGINIA AREAWIDE MODEL

PROGRAM,

Part Il

Go to www.irs.gov/Form990 for instructions and the latest information.

Name of the organization

Part |

foreign country)

entity

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related tax-exempt

organizations during the tax year. (a) Name, address, and EIN

(b)

Primary activity

(c)

(d)

Legal domicile (state or

Exempt Code

Public charity

Direct controlling

foreign country)

section

status (if section

entity

of related organization

(e)

501(¢)(3))

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

332161 09-28-23

(f)

_ (9)

Section 512(b)(13)

controlled

entity?

Yes

Schedule R (Form 990) 2023

LHA

SOUTHEASTERN

Schedule R (Form 990) 2023. Part Ill

PROGRAM,

VIRGINIA

AREAWIDE

54-6069786

Identification of Related Organizations Taxable as a Partnership. organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization

(b) Primary activity

82-2210437,

CENTER,

2601

GRANBY

STREET, NORFOLK, VA

Part IV

LLC

Page 2

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related

(d) (e) Direct controlling | Predominant income entity (related, unrelated,

country)

sections 512-514)

excluded from tax under

foreign

HOLDS HAYDEN VILLAGE

MODEL

INC.

(f) Share of total income

(g) Share of end-of-year

(h) (i) Disproportionate Code V-UBI allocations? | @mount in box

“|

assets

20 of Schedule

(i) (k) |General or|Percentage |TManasing) ownership

[Lpattner?

Yes | No | K-1 (Form 1065) Yes! No

[INTEREST

HAYDEN VILLAGE

23517

ASSOCIATES, LLC

N/A

UNRELATED

Identification of Related Organizations Taxable as a Corporation or Trust.

678,752,

N/A

40.00%

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related

organizations treated as a corporation or trust during the tax year.

(a)

(b)

Name, address, and EIN

Primary activity

of related organization

HAYDEN CENTER, 2551

LLC

ELTHAM AVE,

NORFOLK,

82-2188208

SUITE

23513

foreign country)

HOLDS

40%

INTEREST

LLC

entity

(e) (C corp, S corp,

or trust)

(f) Share of total

income

(9)

(h)

sell) on

Share of

Percentage}

512(b)(13)

end-of-year

assets

ownership | controlled

entity?

Yes | No

SOUTHEASTERN

HAYDEN VILLAGE

CENTER,

(d)

Legal domicile | Direct controlling | Type of entity

VIRGINIA

(AREAWIDE MODEL

[C CORP

678,752.

Schedule R (Form 990) 2023

332162 09-28-23

SEE PART VII

FOR CONTINUATIONS40

SOUTHEASTERN

Schedule R (Form 990) 2023. PartV

PROGRAM,

VIRGINIA

AREAWIDE

MODEL

INC.

54-6069786

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36,

Note: Complete line 1 if any entity is listed in Parts Il, Ill, or IV of this schedule. 1.

Page 3

Yes | No

During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity

b Gift, grant, or capital contribution to related organization(s)

c Gift, grant, or capital contribution from related organization(s)

d_ Loans or loan guarantees to or for related organiZation(S) ooo. cecccccecccecesecsececcecevesssecescvscessesevercessesssrsvesserscessesevessessesstessceusassesecrsvessersesecerevesesssesecerevessseeseverseseseess e Loans or loan guarantees by related organization(s) ooo... ooo coc ceccecccceccesesvesvesvesesescvscesveccercescesveceesessvscessvavescescescervesvesveevesvetesveressesvassssessvsssssesvereerververveseesescessesvertesvesvertetess

1d | X te

i occcccee tenes

g Sale of assets to related organization(S) ence

Dividends from related organization(S)

h_ Purchase of assets from related organization(s)

Exchange of assets with related organization(s)

Lease of facilities, equipment, or other assets to related organization(S)

bie bie bebid tit rin tit litt eebebtbetetebetieuueseesennnenss

k Lease of facilities, equipment, or other assets from related Orgamization(S) occ ccccccccsesesesesesesesesescsssessscscscisscsssessesevssasesasssesssesessusisisisisssisisisisisasisssscatseececseseseeteeetaneees | Performance of services or membership or fundraising solicitations for related organization(s) ooo occ ccccccecceeesseseseseesvesesuese es tesa asus asus tases asesvasuesetsteststeeteeeessesestessatens

ik 1

Xx X

m Performance of services or membership or fundraising solicitations by related organization(s)

cceeccccceeeeeeeee eee ebb eebeecee te bl beLlEr EN EEE EEE bebe bebe bebe

n_ Sharing of facilities, equipment, mailing lists, or other assets with related organization(S)

0 Sharing of paid employees with related organization(s)

ooo ccccccccecessssesssesesesssssescssssscevssesavasassussesessssisssisisssisisisisasisisssssicicscavssesasesessssuesessssisisisiestisasicisisisesssseecseseeeseeees

p Reimbursement paid to related organization(s) for ExPeEMSeS

ccc ce cee eeveseseenenae tes ena tate vetei teeta aaa tasasasis taatasesvabavais avis tititiatetititetiststetetetetetteteeseteseseeeetes

r Other transfer of cash or property to related organization(S)

ooo cece cc cecesesesee ses esau asus tas teesuvasus tususbasussasus tisusnassssssusvsbastasisvatisnssitiasisissitestetisestistetesveteseetieeseeteeseees

q Reimbursement paid by related organization(s) forexpenses ee oe

s_ Other transfer of cash or property from related organization(S)

ooo... eee e

cee eee c eee ee eee eee ce eens eee ccc ee eee cece eect

e epee eee nese pee eee eee pee eee ge gee ee gee esse cee eeeeeeeseseeeieteesenesteiss

2 __ If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

Name of related organization

(b)

Transaction

(c)

Amount involved

(d)

Method of determining amount involved

type (a-s) (1) (2) (3) (4) (5) (6) 332163 09-28-23

Schedule R (Form 990) 2023

SOUTHEASTERN

Schedule R (Form 990) 2023. Part VI

PROGRAM,

VIRGINIA

AREAWIDE

MODEL

INC.

54-6069786

Page 4

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a)

(b)

Name, address, and EIN

Primary activity

‘ of entity

(c)

(d)

(e)

Are all

Legal domicile | Predominant income _ |partners sec.

i (state or foreign

country)

(related, unrelated, excluded ffom tax OC ert 501(c)(3) aie

sections 512-514)

—|yes| No

(f)

(9)

(h)

Share of

Dispropor-

Code V-UBI _ |General or|Percentage

Yes|No|

(Form 1065)

total

-of end-of-year

income

assets

(i)

lonaté amount in box allocations?| “oF Schedule K-120) managing Partner?

(k) ; ownership

|ves!No

Schedule R (Form 990) 2023

332164 09-28-23

SOUTHEASTERN VIRGINIA AREAWIDE

Schedule R (Form 990) 2023 PROGRAM, | Part Vil | Supplemental Information

MODEL

INC.

54-6069786

Pages

Provide additional information for responses to questions on Schedule R. See instructions.

PART

IV,

NAME

IDENTIFICATION OF

TAXABLE AS

CORP

TRUST:

RELATED ORGANIZATION:

HAYDEN CENTER, DIRECT

RELATED ORGANIZATIONS

LLC

CONTROLLING

ENTITY:

SOUTHEASTERN VIRGINIA AREAWIDE

MODEL

PROGRAM,

INC.

332165 09-28-23

Schedule R (Form 990) 2023

43 17480813

758849

212220

2023.06010

SOUTHEASTERN VIRGINIA ARE

212220 1

Senior Services Form 990 - FY24

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