2022-07-12T16:45:53-05:00 2021-12-31 450250958 EIDE BAILLY LLP 5929 FASHION POINT DR STE 300 OGDEN UT 844034684 990 2021-01-01 844514428 CIVICA FOUNDATION CIVI 8883040120 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 8883040120 2022-07-11 1 EAMON FITZMAURICE 999009999 CHETT CAMPBELL CPA P01301037 8016211575 2022-07-11 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z EAMON FITZMAURICE 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 28128066 0 X N/A X 2019 DE ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. 4 4 0 4 0 0 0 28127500 0 0 0 566 0 0 0 28128066 0 0 0 0 0 0 0 0 0 0 255640 0 255640 0 27872426 0 27999890 0 127464 0 27872426 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 255640 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. 255640 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 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 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 UT X JENNIFER SPALDING 8883040120 2912 W EXECUTIVE PARKWAY STE 325 LEHI UT 84043 LOUIS FIERENS DIRECTOR AND CHAIR 2.00 1.00 X X 0 0 0 MARTIN VANTRIESTE DIRECTOR AND PRESIDENT 2.00 1.00 X X 0 0 10579 SHELLY LYFORD DIRECTOR 2.00 1.00 X 0 0 0 DANIEL LILJENQUIST DIRECTOR 2.00 1.00 X 0 0 0 KEN BOYDEN PRESIDENT AND EXECUTIVE DIRECTOR 40.00 X 0 184098 7 EAMON FITZMAURICE CFO 5.00 35.00 X 0 245764 4562 JENNIFER SPALDING GENERAL COUNSEL AND CCO 5.00 35.00 X 0 740239 397 0 1170101 15545 0 0 1 0 BUCHANAN INGERSOLL AND ROONEY 501 GRANT STREET STE 200 PITTSBURGH PA 152194413 LEGAL FEES 128176 1 28127500 28127500 566 566 28128066 0 0 566 X 191419 191419 64221 64221 255640 255640 0 0 27999890 0 27999890 127464 0 127464 X 566 27871860 0 27872426 0 27999890 27872426 0 X 0 1 X 1 0 X 28127500 28127500 28127500 28127500 5312317 22815183 566 566 28128066 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 28128066 0 28128066 0 28128066 255640 0 255640 0 255640 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. 0 0 0 0 0 0 0 0 0 JENNIFER SPALDING GENERAL COUNSEL AND CCO 0 370087 0 369950 0 202 0 0 0 397 0 740636 0 0 EAMON FITZMAURICE CFO 0 195377 0 50000 0 387 0 0 0 4562 0 250326 0 0 KEN BOYDEN PRESIDENT AND EXECUTIVE DIRECTOR 0 158647 0 25000 0 451 0 0 0 7 0 184105 0 0 PART I, LINE 3 COMPENSATION IS PAID BY CIVICA, INC., A RELATED ORGANIZATION. 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 C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 64,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,221. CIVICA INC 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 831246927 ALLEVIATE SUPPLY SHORTAGES DE 501(C)(3) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 CIVICA INC P 112227 EXPENSES TO BE REIMBURSED