2022-05-12T13:52:25-05:00 2021-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2020-07-01 943053383 ON LOK COMMUNITY HOUSING INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 KANWAR SINGH CFO 4152928888 2022-05-11 1 KANWAR SINGH 999009999 MATTHEW PETROSKI P00853132 9257902600 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 5588441 0 X WWW.ONLOK.ORG X 1987 CA DEVELOP, OPERATE AND MAINTAIN PROPERTY SUITABLE FOR HOUSING AND/OR CARE OF THE ELDERLY. 6 5 13 5 0 0 3200 1250 3312081 3432736 155952 507993 0 5 3471233 3941984 0 0 0 0 1014561 1016901 0 0 0 2361318 3143392 3375879 4160293 95354 -218309 15572542 29494109 4420885 17651689 11151657 11842420 DEVELOP, OPERATE AND MAINTAIN PROPERTY SUITABLE FOR HOUSING AND/OR CARE OF THE ELDERLY. 0 0 3618565 3432741 PROVIDES OVER 80 UNITS OF HOUSING TO FRAIL ELDERS IN THE COMMUNITY. IT ALSO PROVIDES MAINTENANCE SERVICES AND SPACE TO AFFILIATED NON-PROFIT ORGANIZATIONS FOR THE PURPOSE OF CARING FOR FRAIL SENIORS WHO LIVE IN THE COMMUNITY. 3618565 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X KANWAR SINGH 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 X KEVIN HINRICHS CHAIR 1.00 0.50 X X 0 0 0 MIKE NEUMANN VICE-CHAIR 1.00 2.50 X X 0 0 0 GREGORY CHUN SECRETARY 1.00 1.50 X X 0 0 0 CANDY RUPP DIRECTOR 0.50 4.00 X 0 0 0 ALINA LAGUNA DIRECTOR 0.50 2.50 X 0 0 0 GRACE LI HARPER CEO, ON LOK, INC. 2.00 47.00 X X 0 588393 18422 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 308999 19752 KANWAR SINGH CHIEF FINANCIAL OFFICER (START 04/21) 0.00 40.00 X 0 0 0 JOSE H TIRADOCRESPO DIRECTOR OF LPWP SERVICES 40.00 X 147260 0 631 147260 897392 38805 1 0 1 0 AEROTEK INC 7301 PARKWAY DR HANOVER MD 21076 STAFFING AGENCY 410407 OTIS ELEVATOR COMPANY 8 FARMS SPRING ROAD FARMINGTON CT 06032 ELEVATOR SERVICES 207935 DAHLIN GROUP INC 5865 OWENS DRIVE PLEASANTON CA 94588 CONSTRUCTION 189596 3 1250 1250 RENT 531110 2249618 2249618 MAINTENANCE CONTRACTS 811000 1183118 1183118 3432736 306051 306051 1848399 1646457 201942 201942 201942 MISCELLANEOUS REVENUE 900099 5 5 5 3941984 3432741 0 507993 X 868667 868667 18052 18052 67113 67113 63069 63069 367417 367417 50044 50044 25478 25478 37914 37914 494913 494913 18788 18788 477209 477209 27025 27025 383637 383637 435476 435476 60975 31780 29195 JANITORIAL SERVICES 429093 429093 SECURITY SERVICES 277248 277248 58175 26495 31680 4160293 3618565 541728 0 733126 236207 106861 418678 49947 88091 14445514 8017968 6398097 6427546 7714395 9113851 546607 588320 23509 12621416 15572542 29494109 228157 562425 4153772 16956005 38956 133259 4420885 17651689 X 11021083 11711846 130574 130574 11151657 11842420 15572542 29494109 X -218309 970177 -61105 X X 0 1 X 1 0 X X 2 ON LOK INC 943101464 7 1 1027203 0 ON LOK SENIOR HEALTH SERVICES 942162549 10 1 3133090 0 2 4160293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 PART I, LINE 12G, COLUMN (VI) ON LOK COMMUNITY HOUSING, INC. PROVIDES RESIDENTIAL HOUSING AT BELOW FAIR MARKET VALUE TO THE CHARITABLE CLASS OF INDIVIDUALS BENEFITTED BY IT AND ITS SUPPORTED ORGANIZATIONS, I.E., ELDERLY PERSONS IN SAN FRANCISCO. IT ALSO HOLDS REAL PROPERTY THAT IT LEASES TO ITS SUPPORTED ORGANIZATION ON LOK SENIOR HEALTH SERVICES FOR USE IN CARRYING ON ITS CHARITABLE ACTIVITIES. PART IV, SECTION A, LINE 1 ON LOK, INC. WAS SPECIFICALLY NAMED AS A SUPPORTED ORGANIZATION IN AMENDMENTS TO ON LOK COMMUNITY HOUSING, INC.'S ARTICLES OF INCORPORATION DATED OCTOBER 26, 2020. ON LOK, INC. WAS CREATED IN 1989 TO BECOME THE PARENT OF ON LOK COMMUNITY HOUSING, INC. PRIOR TO OCTOBER 26, 2020, ON LOK COMMUNITY HOUSING, INC. SATISFIED THE ORGANIZATIONAL REQUIREMENT REGARDING IDENTIFICATION OF SUPPORTED ORGANIZATIONS WITH RESPECT TO ON LOK, INC. BY VIRTUE OF THE "HISTORIC AND CONTINUING RELATIONSHIP" BETWEEN ON LOK COMMUNITY HOUSING, INC. AND ON LOK, INC., BY REASON OF WHICH "THERE [HAD] DEVELOPED A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN SUCH ORGANIZATIONS" WITHIN THE MEANING OF TREAS. REG. SECTION 1.509(A)-4(D)(IV). THEY HAVE BEEN MEMBERS OF THE SAME CONTROLLED GROUP, BOTH USING THE ON LOK NAME, AND FURTHERING THE COMMON MISSION OF BENEFITTING THE CHARITABLE CLASS OF ELDERLY PERSONS IN THE SAN FRANCISCO AREA, FOR OVER 30 YEARS. PART IV, SECTION B, LINE 2 ON LOK COMMUNITY HOUSING, INC. AND ON LOK SENIOR HEALTH SERVICES ARE SIBLING ORGANIZATIONS, BOTH CONTROLLED BY ON LOK, INC. ON LOK COMMUNITY HOUSING, INC.'S PROVISION OF FACILITIES TO ON LOK HEALTH SERVICES FURTHERED THE COMMON PURPOSE OF THE THREE ORGANIZATIONS TO BENEFIT THE CHARITABLE CLASS OF ELDERLY PERSONS IN THE SAN FRANCISCO AREA. 2125000 2125000 11071845 7568604 3503241 610459 449364 161095 638210 638210 6427546 TENANTS' SECURITY DEPOSITS 15300 ROU ASSET 81765 BOND PROJECT FUND 11626697 DEBT SERVICE RESERVE 897654 12621416 TENANT SECURITY DEPOSITS 15500 PAYABLE TO OLI 29279 OPERATING LEASE 88480 133259 X 4813142 970177 -61105 909072 3904070 37914 37914 3941984 4122379 0 4122379 37914 37914 4160293 PART X, LINE 2: OLCHI IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) SUBECTION (C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE INTERNAL REVENUE CODE AND SIMILAR CODE SECTIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE, IS SUBJECT TO INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. OLCHI IS REQUIRED TO FILE ANNUAL INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD. MANAGEMENT HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED AS OF JUNE 30, 2021, OLCHI DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. THE TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES GENERALLY FOR THREE YEARS AND FOUR YEARS FOR FEDERAL AND STATE, RESPECTIVELY, STARTING WITH THE DATE OF FILING OR THE DUE DATE OF THE TAX RETURN, WHICHEVER IS LATER. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EXTINGUISHMENT OF DEBT -61,105. 0 0 0 0 0 0 0 0 0 GRACE LI HARPER CEO, ON LOK, INC. 0 519357 0 69036 0 0 0 8550 0 9872 0 606815 0 0 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 0 305699 0 3300 0 0 0 8550 0 11202 0 328751 0 0 A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UYK8 2020-11-19 17360891 REFUND PRIOR LOAN, FUND ACQUISITION 0 0 0 A 17360891 11626697 897654 333463 392504 4117299 2020 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 PART 1, LINE A THIS BOND ISSUE WAS MADE TO BOTH ON LOK SENIOR HEALTH SERVICES (OLSHS) AND ON LOK COMMUNITY HOUSING, INC. (OLCHI), ITS RELATED ORGANIZATION. THE FULL AMOUNT OF THE ISSUE IS $45,810,008 WHICH WAS USED TO REFUND ITS 2014 BOND ISSUE AND TO INCREASE FACILITIES. 62.10% OF THE PROCEEDS ARE ALLOCATED TO OLSHS, AND 37.90% ARE ALLOCATED TO OLCHI. FORM 990, PART VI, SECTION A, LINE 4 ON LOK COMMUNITY HOUSING, INC AMENDED ITS BYLAWS DURING THE FISCAL YEAR END 06/30/21. CHANGES MADE WITH THE AMENDMENT INCLUDE: -CHANGING REQUIREMENT FROM 50% OVERLAP TO 25% FOR OLCHI BOARD TO ALSO BE ON OLI BOARD. -ADD REQUIREMENT FOR RELATED ENTITY OLI TO CALL SPECIAL MEETING OF AFFILIATE'S BOARD PRIOR TO REMOVING ANY DIRECTOR OF OLCHI WITHOUT CAUSE. -UPDATED CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION A, LINE 6 ON LOK, INC., THE PARENT ORGANIZATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, ON LOK, INC. HAS THE RIGHT TO ELECT AND REMOVE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER, ON LOK, INC., ALSO HAS THE RIGHT TO APPROVE KEY DECISIONS, SUCH AS ANNUAL OPERATING AND CAPITAL BUDGETS AND THE INCURRENCE OF LONG-TERM DEBT. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF ON LOK, INC. AFTER REVIEW AND APPROVAL, THE 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO DIRECTORS, OFFICERS AND SENIOR MANAGEMENT, ALONG WITH ANNUAL DISCLOSURE OF CONFLICT OF INTEREST FORMS WHICH ARE REQUIRED TO BE COMPLETED, SIGNED AND RETURNED TO THE COMPLIANCE OFFICER EACH YEAR. THESE FORMS ARE REVIEWED CAREFULLY BY THE COMPLIANCE OFFICER AND THE CHIEF EXECUTIVE OFFICER SO THAT ANY POTENTIAL CONFLICTS ARE HANDLED APPROPRIATELY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF ON LOK, INC. DETERMINES THE COMPENSATION OF THE CEO OF THE ORGANIZATION, BASED ON COMPARABILITY DATA PROVIDED BY A FIRM SPECIALIZING IN COMPENSATION. IN ADDITION TO THE BASE COMPENSATION, THE EXECUTIVE COMMITTEE MAY ALSO ESTABLISH INCENTIVE COMPENSATION AT A PRE-DETERMINED LEVEL BASED ON SPECIFIC GOALS TO BE ACHIEVED BY YEAR-END. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART VI: THE CEO IS A FULL-TIME EMPLOYEE OF ON LOK, INC., THE PARENT ORGANIZATION, AND SERVES AS THE CEO OF ON LOK COMMUNITY HOUSING, INC. AND OTHER RELATED ON LOK ORGANIZATIONS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 494,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 494,913. FORM 990, PART XI, LINE 9: LOSS ON EXTINGUISHMENT OF DEBT -61,105. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ON LOK INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943101464 SUPPORTING SERVICE FOR AFFILIATES, MAINTAIN HEALTH CARE MODEL CA 501(C)(3) LINE 7 0 ON LOK SENIOR HEALTH SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 942162549 MEDICAL & SUPPORTIVE CARE FOR FRAIL ELDERLY CA 501(C)(3) LINE 10 ON LOK INC 0 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 VARIOUS SERVICES FOR SENIORS CA 501(C)(3) LINE 10 ON LOK INC 0 ON LOK HOUSE INC 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 HOUSING FOR LOW-INCOME FRAIL ELDERLY CA 501(C)(3) LINE 7 ON LOK INC 0 CARE AT HOME 1333 BUSH STREET SAN FRANCISCO CA 94109 770578465 ASSIST WITH ADULT AND PEDIATRIC CARE WITHIN THE PATIENT'S HOME CA N/A S 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0