2022-06-01T11:28:58-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 852861558 NEIGHBORCARE HEALTH FOUNDATION NEIG 2065483264 1200 12TH AVENUE SOUTH 901 SEATTLE WA 98144 TABITHA CLAUS DIRECTOR OF DEVELOPMENT 2065483264 2022-06-01 1 TABITHA CLAUS 999009999 KURT BENNION CPA P01469618 4252506100 2022-05-23 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X X TABITHA CLAUS 1200 12TH AVENUE SOUTH 901 SEATTLE WA 98144 489724 0 X N/A X 2020 WA TO SUPPORT AND BENEFIT, FINANCIALLY AND OPERATIONALLY, NEIGHBORCARE HEALTH. 7 7 0 9 0 0 414617 0 0 71476 486093 0 0 269517 0 0 22775 292292 193801 271910 78109 193801 TO SUPPORT AND BENEFIT, FINANCIALLY AND OPERATIONALLY, NEIGHBORCARE HEALTH. 0 0 292292 0 0 NEIGHBORCARE HEALTH FOUNDATION PLANS TO ANNUALLY SOLICIT DONATIONS FROM INDIVIDUALS, CORPORATIONS, AND PRIVATE FOUNDATIONS. THIS WILL DONE THROUGH DIRECT MAIL ASKS, EMAIL SOLICITATIONS, FUNDRAISING EVENTS, AND PERSONAL SOLICITATIONS. DONATED FUNDS WILL BE GRANTED TO NEIGHBORCARE HEALTH TO SUPPORT ITS CHARITABLE ACTIVITIES, FOLLOWING ANY RESTRICTIONS MADE BY DONORS, AND AS AGREED UPON BETWEEN NEIGHBORCARE HEALTH AND NEIGHBORCARE HEALTH FOUNDATION. 292292 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 1 1 0 0 0 0 0 0 X 7 7 0 1 1 0 0 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X JANINE CHILDS 2065483034 1200 12TH AVENUE S SUITE 901 SEATTLE WA 98144 JANINE CHILDS CFO 0.10 49.90 X 0 237639 45590 TABITHA CLAUS DIRECTOR OF DEVELOPMENT 0.50 49.50 X 0 92810 9525 ELISE PETERSON DIRECTOR OF DEVELOPMENT (THROUGH JUNE 2021) 24.00 16.00 X 0 52986 18895 DAYNA LURIE PARRAMORE CO-CHAIR & CHAIR 0.50 0.00 X X 0 0 0 THOMAS HALLSTROM CO-CHAIR (THROUGH DEC 2021) 0.50 0.00 X X 0 0 0 SARAH RAMSAY SECRETARY (THROUGH DEC 2021) 0.50 0.00 X X 0 0 0 ANDREA LACY DIRECTOR & SECRETARY 0.50 0.00 X X 0 0 0 LAURA ZAICHKIN TREASURER 0.50 0.00 X X 0 0 0 SHAHIDA CHOUDARY DIRECTOR 0.50 0.00 X 0 0 0 NATHAN JOHNSON DIRECTOR 0.50 0.00 X 0 0 0 JEN NISHIO DIRECTOR 0.50 0.00 X 0 0 0 LORI OLIVER DIRECTOR 0.50 0.00 X 0 0 0 0 383435 74010 0 0 1 0 0 166699 247918 414617 75107 166699 3631 71476 71476 486093 0 0 71476 269517 269517 2000 2000 750 750 727 727 13385 13385 1005 1005 BANK FEES 3321 3321 OTHER EXPENSES 987 987 DUES & SUBSCRIPTIONS 600 600 292292 292292 0 0 0 241008 0 25883 0 5019 0 271910 0 10296 0 67813 0 78109 X 0 193801 0 0 0 193801 0 271910 193801 0 X 0 0 0 X 414617 414617 414617 414617 414617 75107 75107 489724 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ORGANIZATIONS 67813 67813 SPRING EVENT 197824 139674 58150 2440 FEAST AT THE MARKET 43982 27025 16957 1191 241806 166699 75107 3631 3631 71476 0 0 0 0 0 0 0 0 0 JANINE CHILDS CFO 0 236639 0 1000 0 0 0 37720 0 7870 0 283229 0 0 FORM 990, PART VI, SECTION A, LINE 3 DAY-TO-DAY MANAGEMENT IS PROVIDED BY NEIGHBORCARE HEALTH. FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION'S BYLAWS WERE AMENDED IN JULY 2021 TO ELIMINATE THE REQUIREMENT THAT AT LEAST ONE, BUT NO MORE THAN TWO, OF THE FOUNDATION'S BOARD MEMBERS ALSO SERVE ON NEIGHBORCARE HEALTH'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A ALL FOUNDATION DIRECTORS ARE ELECTED OR APPOINTED BY NEIGHBORCARE HEALTH'S BOARD OF DIRECTORS. THROUGH JULY 2021, AT LEAST ONE, BUT NO MORE THAN TWO, OF THE FOUNDATION'S DIRECTORS WERE REQUIRED TO BE MEMBERS OF NEIGHBORCARE HEALTH'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS REQUIRE APPROVAL FROM NEIGHBORCARE HEALTH'S BOARD OF DIRECTORS. NEIGHBORCARE HEALTH'S BOARD OF DIRECTORS HAS THE POWER AND AUTHORITY TO MODIFY, AMEND, RESCIND OR REPEAL ANY ACTION TAKEN BY THE FOUNDATION'S BOARD OF DIRECTORS (INCLUDING ANY DECISION TO DISSOLVE THE FOUNDATION) AND TO DIRECT THE FOUNDATION'S BOARD OF DIRECTORS TO DISSOLVE THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 8B THE FOUNDATION HAS NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR ANNUALLY SIGNS A DECLARATION IDENTIFYING CONFLICTS BETWEEN PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION OF WHICH HE/SHE IS AWARE. IF A CONFLICT EXISTS, IT SHALL BE FULLY DISCLOSED TO THE BOARD OF DIRECTORS AND IN CASES WHERE THE CONFLICT MIGHT INFLUENCE A DECISION, THE PERSON WITH THE CONFLICT SHALL NOT PARTICIPATE IN THE DISCUSSION OR VOTE RELATING TO THE MATTER IN WHICH THE CONFLICT EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. NEIGHBORCARE HEALTH 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 910893287 HEALTH CARE WA 501(C)(3) LINE 7 N/A 0 MERIDIAN CENTER FOR HEALTH 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 471766892 SUPPORT NEIGHBORCARE HEALTH WA 501(C)(3) LINE 12C, III-FI NEIGHBORCARE HEALTH 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0