2023-11-15T21:23:46-06:00 2022-12-31 910189318 MOSS ADAMS LLP 4747 EXECUTIVE DR SUITE 1300 SAN DIEGO CA 92121 990 2022-01-01 472364652 THE TRANSLATIONAL PULMONARY AND IMMUNOLOGY RESEARCH CENTER TRAN 5624909900 701 E 28TH STREET SUITE 116 LONG BEACH CA 90806 DR INDERPAL RANDHAWA CEO/CHAIRMAN 5624909900 2023-11-14 1 DR INDERPAL RANDHAWA 999009999 1 PATRICIA J MAYER P00188643 8586271400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR INDERPAL RANDHAWA 701 E 28TH STREET SUITE 116 LONG BEACH CA 90806 13971244 0 X WWW.TPRIC.ORG X 2014 CA TO CREATE THE UNIQUE OPPORTUNITY FOR SPECIALISTS WITHIN THE RAREDISEASE COMMUNITY, INCLUDING CLINICAL PHYSICIAN RESEARCHERS,SCIENTISTS AND ADVOCATES, TO WORK IN A SINGLE COLLABORATIVEAND MORE EFFICIENT ENVIRONMENT. THE CENTER WILL FOCUS ON FIVEMEDICAL CONDITIONS: ADULT CYSTIC FIBROSIS, FOOD ALLERGY ANDINTOLERANCE, BRONCHIECTASIS, IMMUNE DEFICIENCY AND AIREWAYINFLAMMATORY DISORDERS. X 5 3 228 6 0 0 1409700 340793 20092757 11894955 260 72 0 1735424 21502717 13971244 0 0 0 0 11511863 5626870 0 0 597758 8469988 6942466 19981851 12569336 1520866 1401908 5349856 5168526 3920880 2963128 1428976 2205398 X TPIRC IS A NON-PROFIT CLINICAL CARE AND RESEARCH CENTER THAT FOCUSES ONTHE DEVELOPMENT OF CUTTING-EDGE, INDIVIDUALIZED TREATMENT PROTOCOLSFOR RARE AND ORPHAN DISEASES UTILIZING COMPREHENSIVE DIAGNOSTIC TOOLSAND PATIENTDRIVEN RESEARCH. OUR MISSION IS TWO-FOLD TO ADVANCETREATMENT DISCOVERY AT A PACE WHICH HELPS OUR PATIENTS TODAY,WHILE BUILDING A SCALABLE MODEL OF SUCCESS TO ACCELERATE THE RATEOF RESEARCH DISCOVERY FOR ALL DISEASES. 0 1 5727972 11894955 THE CENTER OPERATES AS A RARE DISEASE-SPECIFIC INSTITUTE THAT COMBINES BASIC/TRANSLATIONAL RESEARCH, CUTTING EDGE CLINICAL CARE AND ADVOCACY (DISEASE EDUCATION AND AWAREMENSS, AND FUNDRAISING) UNDER ONE PHYSICAL STRUCTURE IN LONG BEACH, CALIFORNIA. THE CENTER FOCUSES ON FIVE MEDICAL CONDITIONS; ADULT CYSTIC FIBROSIS, FOOD ALLERGY AND INTOLERANCE, BRONCHIECTASIS, IMMUNE DEFICIENCY AND AIRWAY INFAMMATORY DISORDERS. 5727972 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 24 0 1 228 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 1 0 CA X ANOOP LOHARA 5624909900 701 E 28TH STREET SUITE 116 LONG BEACH CA 90806 INDERPAL RANDHAWA MD FOUNDER/CEO/CHAIRMAN 40.00 X X 360000 0 0 JEFFREY SHAPACK BOARD OF DIRECTOR - MEMBER 5.00 X 0 0 0 PALMA GALLEGOS BOARD OF DIRECTOR - MEMBER 5.00 X 0 0 0 PAUL ORLIN BOARD OF DIRECTOR - MEMBER 5.00 X 0 0 0 ANOOP LOHARA CHIEF OPERATING OFFICER 40.00 X X 18383 0 1395 LIDA MOHTASHAM PHYSICIAN 40.00 X 206881 0 16067 DIBANNI VASQUEZ PHYSICIAN (THRU 8/31/22) 40.00 X 160898 0 8622 VIVIAN ARANEZ PHYSICIAN (THRU 7/31/22) 40.00 X 147628 0 4328 PETER NGO LABORATORY MANAGER 40.00 X 141795 0 0 NATHAN MARSTELLER LAB SCIENTIST 40.00 X 132745 0 7454 1168330 0 37866 6 0 1 0 GGG IMMUNOTHERAPY 1440 EL MIRADOR LONG BEACH CA 90806 FOOD ALLERGY TREATMENT ANALYSIS PLANS FO 360000 TRACY ANN CLARK MD APC PO BOX 4065 HUNTINGTON BEACH CA 92605 PHYSICIAN SERVICES 322083 AMG PEDIATRICS LLC 18767 ASHFORD LN HUNTINGTON BEACH CA 92648 PHYSICIAN SERVICES 129750 KAMBRIA RIPP 16549 TEAK CIR FOUNTAIN VALLEY CA 92708 PHYSICIAN SERVICES 128150 4 337293 3500 340793 DIAGNOSTIC SERVICES 621110 8269366 8269366 PATIENT REVENUE 621110 3326273 3326273 CLINICAL PATIENT SERVI 621110 293256 293256 OTHER REVENUE 621110 6060 6060 11894955 72 72 LOAN FORGIVENESS 900099 1735424 1735424 1735424 13971244 11894955 0 1735496 360000 334262 25738 4653188 2408971 2012701 231516 50824 22467 27515 842 150703 40998 105752 3953 412155 188604 207504 16047 40497 17838 20265 2394 107219 107219 73353 73353 380880 167767 190600 22513 511474 168531 295501 47442 392853 148733 228174 15946 222023 151720 68353 1950 608504 118970 485864 3670 22318 8247 14048 23 65486 65486 275774 63703 207430 4641 49371 49371 LAB CONSUMABLES 3253133 1432917 1627930 192286 CLINIC FOOD PANTRY 115573 70371 45202 GIFTS AND DONATIONS 10664 20 9427 1217 CLINICAL SUPPLIES (CONS 3780 5705 -2258 333 809564 378148 378431 52985 12569336 5727972 6243606 597758 453294 408931 196357 6381 593827 0 2176931 3172792 0 195653 1591364 1096121 1803389 495243 0 297286 126058 592240 5349856 5168526 2298316 925764 112664 0 1509900 1500000 0 537364 3920880 2963128 X 727726 2126975 701250 78423 1428976 2205398 5349856 5168526 1401908 -1414895 789409 0 X 0 1 X 1 0 X VA WEST LOS ANGELES MEDICAL CENTER UCLA LOS ANGELES CA LOS ANGELES COUNTY - USC MEDICAL CENTER IRVINE CA MILLER CHILDREN'S HOSPITAL UNIVERSITY OF CALIFORNIA IRVINE CA PART I, LINE 4: ADDITIONALLY, THE ORGANIZATION OPERATES CLINICAL CARE OPERATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 887373 564581 322792 479641 379477 100164 224350 152063 72287 495243 INVESTMENT IN FAI 297286 C 297286 OPERATING LEASE RIGHT OF USE ASSET 418921 FINANCE LEASE RIGHT OF USE ASSET 173319 592240 LEASE LIABILITY 537364 537364 X 11400028 -1414895 -1414895 12814923 1156321 1156321 13971244 11413015 0 11413015 1156321 1156321 12569336 PART X, LINE 2: AS A QUALIFIED NONPROFIT CENTER, THE ORGANIZATION HAS BEEN RECOGNIZED AS BEING EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, EXCEPT TO THE EXTENT OF UNRELATED TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AND A MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IN MAKING THIS ASSESSMENT, THE ORGANIZATION MUST DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, AND MUST ASSUME THAT THE TAX POSITION WILL BE EXAMINED BY TAXING AUTHORITIES. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S POLICY IS TO INCLUDE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE. THE ORGANIZATION FILES INFORMATION RETURNS WITH THE INTERNAL REVENUE SERVICE (IRS) AND THE STATE OF CALIFORNIA. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,156,321. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,156,321. X 0 0 0 0 0 0 0 0 0 INDERPAL RANDHAWA MD FOUNDER/CEO/CHAIRMAN 0 0 0 0 360000 0 0 0 0 0 360000 0 0 0 LIDA MOHTASHAM PHYSICIAN 206881 0 0 0 0 0 4400 0 11667 0 222948 0 0 0 DIBANNI VASQUEZ PHYSICIAN (THRU 8/31/22) 160898 0 0 0 0 0 4800 0 3822 0 169520 0 0 0 VIVIAN ARANEZ PHYSICIAN (THRU 7/31/22) 147628 0 0 0 0 0 4328 0 0 0 151956 0 0 0 PETER NGO LABORATORY MANAGER 141795 0 0 0 0 0 0 0 0 0 141795 0 0 0 PART I, LINE 3 THE ORGANIZATION USES A COMPENSATION SURVEY TO ESTABLISH GUIDELINES FOR COMPENSATION OF THE CEO AND OFFICERS. GGG IMMUNOTHERAPY 35% CONTROLLED ENTITY OF CEO 360000 ANALYTICAL TREATMENT PLANS AND SLIT PRESCRIBING COVERING ACTIVE PATIENT BASE. 0 LEASEHOLD IMPROVEMENTS; EQUIPMENT; CUSTOMER/VENDOR RELATIONSHIPS 2022-03-31 1200000 APPRAISALS 873004130 FOOD ALLERGY INSTITUTE 701 E 28TH ST STE 101 LONG BEACH CA 90809 C CORPORATION 1 0 0 0 SCHEDULE N, PART II, LINE 1 TRANSFER OF ASSETS TO FOOD ALERGY INSTITUTE IN EXCHANGE FOR A NONCONTROLLING INTEREST IN COMMON STOCK. JEFFREY SHAPACK IS A DIRECTOR ON THE BOARD OF TPIRC AND A REPRESENTATIVE AT FAI. THE TRANSACTION WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL'S OFFICE DURING 2022. FORM 990, PART III, LINE 3 IN MARCH 2022, THE ORGANIZATION CONTRIBUTED ASSETS TO FOOD ALLERGY INSTITUTE, IN EXCHANGE FOR COMMON STOCK UNDER SECTION 351 OF THE INTERNAL REVENUE CODE RELATING TO ITS PROGRAM TREATMENT. AS A RESULT OF THIS TRANSFER THE ORGANIZATION'S PROGRAM TREATMENT WAS REPORTED BY THE ORGANIZATION THROUGH MARCH OF 2022. THE TRANSACTION WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL'S OFFICE DURING 2022. FORM 990, PART VI, SECTION A, LINE 2 JEFFREY SHAPACK AND MAGGIE SHAPACK ARE FAMILY MEMBERS AND BOTH SERVE ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS EITHER REVIEWED AT A BOARD MEETING OR DISTRIBUTED ELECTRONICALLY TO BOARD MEMBERS IF MEETING SCHEDULING DOESN'T ALIGN WITH TIMING OF FILING. THUS, REVIEW AND DISTRIBUTION OF THE FORM 990 IS DONE PRIOR TO SUBMISSION OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES A COMPENSATION SURVEY TO ESTABLISH GUIDELINES FOR COMPENSATION OF THE CEO AND OFFICERS. ALL COMPENSATION FOR MANAGER AND ABOVE ARE REVIEWED AND APPROVED BY THE MANAGEMENT TEAM. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 14: THE ORGANIZATION FOLLOWS RETENTION POLICIES AS REQUIRED BY HIPPA, PCI AND MEDICAL REVIEW BOARD REQUIREMENTS. FOUNDATION LABS LLC 701 E 28TH STREET 317 LONG BEACH CA 90806 DIAGNOSTIC LAB CA 7116378 4257650 TPIRC