2023-06-27T15:33:43-05:00 2022-12-31 450250958 EIDE BAILLY LLP 5929 FASHION POINT DR STE 300 OGDEN UT 844034684 990 2022-01-01 844514428 CIVICA FOUNDATION CIVI 8883040120 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 8883040120 2023-06-26 1 EAMON FITZMAURICE 999009999 1 CHETT CAMPBELL CPA P01301037 8016211575 2023-06-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NED MCCOY 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 47381169 0 X N/A X 2019 DE ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. 4 4 0 5 0 0 28127500 46710000 0 0 566 671169 0 0 28128066 47381169 0 7552514 0 0 0 1963781 0 0 0 255640 8975853 255640 18492148 27872426 28889021 27999890 63531224 127464 6769777 27872426 56761447 X ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. THE FOUNDATION SEEKS BOLD PHILANTHROPIC PARTNERS WHO ARE: 1) PASSIONATE ABOUT IMPROVING AND SAVING THE LIVES OF MILLIONS OF PEOPLE ACROSS THE UNITED STATES, 2) COMMITTED TO BUILDING PATHWAYS TO RELIABLE DRUG ACCESS AND AFFORDABILITY AND 3) INSPIRED BY THE OPPORTUNITY TO INNOVATE FOR LIFE. 0 0 18492148 7552514 ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. THE FOUNDATION SEEKS BOLD PHILANTHROPIC PARTNERS WHO ARE: 1) PASSIONATE ABOUT IMPROVING AND SAVING THE LIVES OF MILLIONS OF PEOPLE ACROSS THE UNITED STATES, 2) COMMITTED TO BUILDING PATHWAYS TO RELIABLE DRUG ACCESS AND AFFORDABILITY AND 3) INSPIRED BY THE OPPORTUNITY TO INNOVATE FOR LIFE. 18492148 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 UT X JENNIFER SPALDING 8883040120 2912 W EXECUTIVE PARKWAY STE 325 LEHI UT 84043 X LOUIS FIERENS DIRECTOR AND CHAIR 2.00 1.00 X X 0 0 0 MARTIN VANTRIESTE DIRECTOR AND PRESIDENT EMERITUS 2.00 1.00 X X 0 0 0 SHELLEY LYFORD DIRECTOR 2.00 1.00 X 0 0 0 DANIEL LILJENQUIST DIRECTOR 2.00 1.00 X 0 0 0 EAMON FITZMAURICE CFO 4.00 36.00 X 41638 374745 197000 JENNIFER SPALDING GENERAL COUNSEL AND CCO 8.00 32.00 X 171344 685372 14286 NED MCCOY CHIEF EXECUTIVE OFFICER 4.00 36.00 X 97479 877298 13932 KEN BOYDEN EXECUTIVE DIRECTOR 40.00 X 299486 0 13759 DONNA GULBINSKI CHIEF QUALITY & REGULATORY AFFAIRS OFFICER 4.00 36.00 X 84754 762786 34830 DEBBI FORD CHIEF COMMUNICATIONS 12.00 28.00 X 256109 597583 29791 KRISTOPHER WEIDLING CHIEF HUMAN RESOURCES 2.00 38.00 X 29355 557750 43959 980165 3855534 347557 0 0 1 0 0 46710000 46710000 671169 671169 47381169 0 0 671169 7552514 7552514 640688 640688 1293185 1293185 9736 9736 5918 5918 14254 14254 1163125 1163125 885366 885366 517 517 32276 32276 10634 10634 R&D EXPENSE 6249490 6249490 STARTUP COSTS 631342 631342 MISCELLANEOUS 2005 2005 DUES AND SUBSCRIPTIONS 1000 1000 98 98 18492148 18492148 0 0 27999890 45481588 6049636 12000000 27999890 63531224 127464 441214 6328563 127464 6769777 X 566 756735 27871860 56004712 27872426 56761447 27999890 63531224 28889021 0 X 0 1 X 1 0 X 28127500 46710000 74837500 28127500 46710000 74837500 35408335 39429165 566 671169 671735 75509235 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 CIVICA INC 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 831246927 501(C)(4) 7552514 0 ALLEVIATE SUPPLY SHORTAGES 1 0 PART I, LINE 2: DOCUMENTATION IS REQUIRED ON A MONTHLY BASIS TO VERIFY THE GRANTS ARE BEING UTILIZED FOR THE INTENDED PURPOSE. 0 0 0 0 0 0 0 0 0 NED MCCOY CHIEF EXECUTIVE OFFICER 50659 455930 46820 421368 0 0 1219 10981 388 3497 99086 891776 0 0 DEBBI FORD CHIEF COMMUNICATIONS 115652 269854 140457 327729 0 0 3660 8540 5932 13841 265701 619964 0 0 DONNA GULBINSKI CHIEF QUALITY & REGULATORY AFFAIRS O 37935 341418 46819 421368 0 0 1220 10980 2481 22331 88455 796097 0 0 JENNIFER SPALDING GENERAL COUNSEL AND CCO 77706 310823 93638 374549 0 0 2440 9759 854 3415 174638 698546 0 0 KRISTOPHER WEIDLING CHIEF HUMAN RESOURCES 18789 356990 10566 200760 0 0 610 11590 1697 32243 31662 601583 0 0 EAMON FITZMAURICE CFO 38276 344480 3362 30265 0 0 17720 159480 2252 20271 61610 554496 0 0 KEN BOYDEN EXECUTIVE DIRECTOR 227741 0 71745 0 0 0 9030 0 5838 0 314354 0 0 0 PART I, LINE 3 COMPENSATION IS PAID BY CIVICA, INC., A RELATED ORGANIZATION. CIVICA, INC. USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 7 THERE ARE DISCRETIONARY BONUSES THAT ARE AWARDED DETERMINED BY THE COMPENSATION COMMITTEE. THE BONUSES ARE BASED UPON OVERALL BUSINESS ACCOMPLISHMENTS COMPARED TO THE GOALS SET BY THE ORGANIZATION. BONUSES ARE PAID THROUGH CIVICA, INC. FORM 990, PART VI, SECTION A, LINE 6 CIVICA, INC. SELECTS THE BOARD OF DIRECTORS FOR CIVICA FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CIVICA, INC IS THE SOLE MEMBER WITH AUTHORITY TO APPOINT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED BY THE BOARD, PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS HAVE BEEN PROVIDED TRAINING ON THE CONFLICT OF INTEREST POLICY AND PROCESS, ARE SURVEYED FOR POSSIBLE CONFLICTS OF INTEREST, AND REQUIRED TO DISCLOSE POTENTIAL CONFLICTS ON AN ANNUAL BASIS. THE ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE COLLECTED AND REVIEWED BY GENERAL COUNSEL AND CHIEF COMPLIANCE OFFICER. IF A CONFLICT IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WILL NOT PARTICIPATE IN THE DELIBERATIVE DISCUSSION OR VOTE ON THE TRANSACTION INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 CIVICA CONDUCTED AN INDEPENDENT COMPENSATION BENCHMARKING STUDY IN DECEMBER 2022 TO ASSESS ITS CURRENT COMPENSATION STRUCTURE AND LEVELS AGAINST THE INDUSTRY PEERS. THE RESULTS WERE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE THROUGH THE IRS AND OTHER PUBLIC DISCLOSURE WEBSITES. FORM 990, PART VII: ALL EMPLOYEES LISTED IN PART VII ARE PAID BY A RELATED ORGANIZATION, CIVICA, INC. CIVICA INC ISSUES ALL W-2'S RELATED TO COMPENSATION PAID. COMPENSATION LISTED IN PART VII AND IN PART IX REFLECTS THE PORTION OF TOTAL COMPENSATION AND BENEFITS ALLOCATED TO THIS ORGANIZATION BASED ON HOURS DEVOTED TO THIS ORGANIZATION BY THE EMPLOYEES. CIVICA INC 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 831246927 ALLEVIATE SUPPLY SHORTAGES DE 501(C)(4) N/A N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CIVICA INC B 7552514 CASH PAID