2023-11-16T19:30:40-06:00 2022-12-31 330310569 HASKELL & WHITE LLP 300 SPECTRUM CENTER DR STE 300 IRVINE CA 92618 990 2022-01-01 850673475 COVID CLINIC INC COVI 8582831234 18800 DELAWARE STREET HUNTINGTON BEACH CA 926486019 WENDY DAHL INTERIM CHIEF EXECUTIVE OFFICER 8582831234 2023-11-16 1 WENDY DAHL 999009999 0 WAYNE PINNELL P01691781 9496506200 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z WENDY DAHL 18800 DELAWARE STREET HUNTINGTON BEACH CA 926486019 127395164 0 X WWW.COVIDCLINIC.ORG X 2020 CA TO PROVIDE FULL SERVICE COVID-19 CARE TO COMMUNITIES NATIONWIDE, WITH SAFE AND CONVENIENT LOCATIONS 2 2 3150 2 0 0 9000 25250 196951947 124721295 137366 -3103420 1724723 2271164 198823036 123914289 0 0 0 0 53020336 62541558 0 0 0 148060593 84422333 201080929 146963891 -2257893 -23049602 42754746 21908968 5288544 11055798 37466202 10853170 X COVID CLINIC'S MISSION IS TO PROVIDE ESSENTIAL MEDICAL CARE TO COMMUNITIES AND INDIVIDUALS WHO ARE DISADVANTAGED OR UNDERSERVED BY HOSTING FULL SERVICE COVID-19 MOBILE CLINICS TO COMMUNITY MEMBERS NATIONWIDE, AT SAFE AND CONVENIENT LOCATIONS. OUR GOAL IS TO HEAL OUR NATION WITH CARING, COST-EFFECTIVE AND ACCESSIBLE SOLUTIONS TO PREVENT THE SPREAD OF COVID-19. 0 0 121684709 126992459 COVID CLINIC, INC. BUILDS AND OPERATES MOBILE COVID-19 TESTING SITES THAT ARE AVAILABLE TO INDIVIDUALS WITHOUT A DOCTOR'S REFERRAL. THE MOBILE TESTING SITES HAVE SO FAR ALLOWED MILLIONS OF PEOPLE ACCESS COVID-19 TESTING WITH QUICK RESULTS HELPING THE WORLDWIDE BATTLE AGAINST THE COVID-19 PANDEMIC. THE FIRST MOBILE TESTING SITE WAS LAUNCHED IN HUNTINGTON BEACH, CA ON APRIL 4, 2020 AND HAS OPERATED SINCE THAT DATE. COVID CLINIC OPERATES AT OVER 150 LOCATIONS THROUGHOUT THE UNITED STATES. 121684709 1 1 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 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 66 0 1 3150 1 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 1 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA GA X RON CENKO 8582831234 5120 SHOREHAM PLACE SUITE 280 SAN DIEGO CA 92122 CHRIS COBURN DIRECTOR 1.00 X 0 0 0 THOMAS SHAFFER DIRECTOR 5.00 X 0 0 0 ALAN RUIZ CHIEF OPERATIONS OFFICER 40.00 X 147997 0 0 MATTHEW LEDUC CHIEF OPERATIONS OFFICER 40.00 X 123460 0 0 BRIAN HAWKINS CHIEF INFORMATION OFFICER 40.00 X 192149 0 0 WENDY DAHL INTERIM CHIEF EXECUTIVE OFFICER 40.00 X 152339 0 0 TOMMY LE CHIEF DEVELOPMENT OFFICER 40.00 X 121386 0 0 KENNETH CORBIT SR, VP OF SALES 40.00 X 206771 0 0 RICHARD LOPEZ HEAD OF ENTERPRISE SYSTEMS 40.00 X 150308 0 0 MATTHEW ABINANTE FOUNDER AND PRESIDENT 30.00 X 211718 0 0 1306128 0 0 8 1 1 0 IHEART MEDIA & ENTERTAINMENT INC 20880 STONE OAK PARKWAY SAN ANTONIO TX 78258 ADVERTISING 5681366 GOOGLE 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW CA 94043 MARKETING/ADVERTISING 3284375 FIRSTLINE CREATIVEW MEDIA LLC 8215 ROSWELL ROAD BLDG 1000 ATLANTA GA 30350 MARKETING/ADVERTISING 2696325 HERO DIGITAL LLC 150 SPEAR STREET STE 600 SAN FRANCISCO CA 94105 IT CONSULTING 2408145 SIMON BRAND VENTURES 225 WEST WASHINGTON ST INDIANAPOLIS IN 46204 LEASE MANAGEMENT 2285000 50 25250 25250 COVID CLINICS - SERVICES & FEES 900099 124721295 124721295 124721295 100455 100455 277000 3480875 -3203875 -3203875 -3203875 REVENUE FROM OTHER SOURCES 900099 1881668 1881668 CREDIT CARD REBATES 900099 209040 209040 SALES OF PRODUCT REVENUE 900099 84557 84557 95899 95899 2271164 123914289 126992459 0 -3103420 1481290 1271104 210186 53575355 45973350 7602005 2738927 2312093 426834 4745986 4108616 637370 4461983 4461983 212530 212530 1018001 1018001 12279499 11708378 571121 20285873 20285873 3554847 3554847 10374440 5183882 5190558 8128470 8128470 960083 960083 632 632 333094 333094 2976489 2738370 238119 2758794 1936892 821902 SUPPLIES AND TESTING KI 12216968 12216968 SITE FUEL 3651598 3651598 AUTO EXPENSE 1209032 1209032 146963891 121684709 25279182 0 19930649 10906697 6607078 1969976 1625721 151180 782385 10577677 3319819 14076488 7257858 363630 992052 42754746 21908968 5246987 7795891 41557 45324 0 3214583 5288544 11055798 X 37466202 10853170 37466202 10853170 42754746 21908968 X -23049602 -42681 -3520750 X 0 0 0 X 9000 25250 34250 86902367 196951947 124721295 408575609 86902367 196960947 124746545 408609859 0 0 0 408609859 137366 57774 195140 137366 57774 195140 1724723 2271164 3995887 86902367 198823036 127075483 412800886 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 539694 161776 377918 10037983 3158043 6879940 7257858 DUE TO/FROM RELATED PARTIES: SMARTTECC 2969755 PAGA LEGAL SETTLEMENT 116567 RAMP CARD 128261 3214583 X 0 0 X X X X 0 0 0 0 0 0 0 0 0 MATTHEW ABINANTE FOUNDER AND PRESIDENT 211718 0 0 0 0 0 0 0 0 0 211718 0 0 0 KENNETH CORBIT SR, VP OF SALES 206771 0 0 0 0 0 0 0 0 0 206771 0 0 0 BRIAN HAWKINS CHIEF INFORMATION OFFICER 192149 0 0 0 0 0 0 0 0 0 192149 0 0 0 WENDY DAHL INTERIM CHIEF EXECUTIVE OFFICER 152339 0 0 0 0 0 0 0 0 0 152339 0 0 0 RICHARD LOPEZ HEAD OF ENTERPRISE SYSTEMS 150308 0 0 0 0 0 0 0 0 0 150308 0 0 0 PART I, LINE 3 COVID CLINIC USES MARKET COMPENSATION SURVEYS AND THE FORM 990S FROM OTHER ORGANIZATIONS TO REVIEW THE COMPENSATION GIVEN TO THE CEO AND OTHER EXECUTIVE OFFICERS. COMPENSATION AMOUNTS UNDERGO AN APPROVAL PROCESS WITH THE BOARD OF DIRECTORS. SMARTTECC FORMER CEO IS AN OWNER OF SMARTTECC 2969755 SMARTTECC PURCHASED SUPPLIES ON BEHALF OF COVID CLINIC 0 ELEVATED HEALTH FORMER PRESIDENT IS AN OWNER OF ELEVATED HEALTH 3475847 COVID CLINIC HAS RECEIVABLE FROM ELEVATED HEALTH 0 MEDLAB2020 FORMER CEO IS AN OWNER OF MEDLAB2020 1570790 COVID CLINIC HAS RECEIVABLE FROM MEDLAB2020 0 FORM 990, PART VI, SECTION A, LINE 5 COVID CLINIC PREVIOUSLY AGREED TO SELL CERTAIN ASSETS TO, AND BE PAID TO PROVIDE CERTAIN SERVICES TO, A THIRD-PARTY ENTITY. COVID CLINIC BECAME AWARE DURING THE ORGANIZATION'S TAX YEAR THAT THE THIRD PARTY BREACHED ITS AGREEMENT TO PAY COVID CLINIC FOR THE ASSETS AND SERVICES THAT HAD BEEN PROVIDED. RELATEDLY, THE SAME THIRD PARTY CONTRACTED TO REIMBURSE COVID CLINIC FOR EXPENSES INCURRED AS PART OF A TRANSITION OF THE ASSETS AND RELATED SERVICES. COVID CLINIC BECAME AWARE THAT THE THIRD PARTY HAD ALSO BREACHED ITS AGREEMENT TO REIMBURSE COVID CLINIC FOR THESE EXPENSES. COVID CLINIC IS STILL ASSESSING THE AMOUNT OF MONEY OWED IT BY THIS THIRD PARTY, BUT SUSPECTS THAT AMOUNT MAY BE AS MUCH AS $50 MILLION. COVID CLINIC MADE A FORMAL DEMAND TO THE THIRD PARTY. THE PARTIES PARTICIPATED IN A FORMAL MEDIATION THAT DID NOT LEAD TO SETTLEMENT. THE PARTIES AGREED TO ARBITRATE THE CLAIMS WITH JAMS. AT THE TIME OF FILING, COVID CLINIC COUNSEL ANTICIPATES FILING A DEMAND FOR ARBITRATION WITHIN THE NEAR TERM. SEPARATELY, COVID CLINIC BECAME AWARE THAT IT HAD OVERPAID WHEN REIMBURSING A DIFFERENT THIRD PARTY FOR EXPENSES INCURRED ON BEHALF OF COVID CLINIC BY APPROXIMATELY $3.4 MILLION. COVID CLINIC IS MAKING EVERY EFFORT TO TAKE CORRECTIVE ACTION AND SECURE RECOVERY. COVID CLINIC HAS ENGAGED COUNSEL, MADE DEMANDS TO THE THIRD PARTY TO RETURN THE $3.4 MILLION OVERPAYMENT, AND FILED SUIT. THE PARTIES AGREED TO ARBITRATE THE CLAIMS WITH JAMS. THE COURT ACTION WILL BE STAYED PENDING THE ARBITRATION. COVID CLINIC'S INVESTIGATION REMAINS ONGOING. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE BEEN GRANTED AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE A DRAFT OF THE RETURN IS AVAILABLE, IT IS REVIEWED BY MANAGEMENT WITH ANY CHANGES OR REVISIONS INCORPORATED INTO THE FILING. THE REVISED RETURN IS THEN SUBMITTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS, DIRECTORS, AND THE TRUSTEES ARE REQUIRED TO DISCLOSE ALL POTENTIAL CONFLICTS OF INTEREST. MONITORING IS PERFORMED REGULARLY BY THE OFFICERS TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST. THE BOARD REVIEWS ANY CONFLICTS PRESENTED BY INTERESTED PARTIES. THE CHAIRPERSON APPOINTS A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE TRANSACTION IN QUESTION AND REPORT FINDINGS TO THE BOARD. ALTERNATIVES TO THE PROPOSED TRANSACTION ARE IDENTIFIED AND COMPARED TO THE PROPOSED TRANSACTION. THE BOARD VOTES ON THE MOST BENEFICIAL OPTION FOR THE ORGANIZATION. IF THE BOARD HAS REASON TO BELIEVE AN INTERESTED PERSON HAS FAILED TO DISCLOSE THE POTENTIAL CONFLICT, THE BOARD WILL INVESTIGATE FURTHER AND IF NECESSARY, TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COVID CLINIC, INC PERFORMS MARKET RESEARCH BASED ON INDUSTRY AND SIZE WHEN DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES COMPENSATION AMOUNTS. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PRIOR PERIOD ADJUSTMENTS -3,520,750. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: THE ORGANIZATION IS CURRENTLY UNDERGOING ITS FYE 2022 AND 2021 AUDITS. THE 2022 RETURN WAS BASED ON UNADJUSTED NUMBERS AND THE ORGANIZATION EXPECTS TO AMEND ITS 2021 / 2022 RETURNS UPON FINALIZATION OF THE AUDIT.