WORKSAFE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WORKSAFE INC (EIN 94-2927954)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-01-21
IRS object ID
202230219349300758
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-01-21T10:11:29-08:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Crosby & Kaneda CPAs LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11970 Broadway STE 930AddressLine1Txt
CityOaklandCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942927954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Worksafe IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWORKBusinessNameControlTxt
Phone5109228075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11736 Franklin St Ste 500AddressLine1Txt
CityOaklandCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephen KnightPersonNm
Person TitleExecutive Dir.PersonTitleTxt
Signature2022-01-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstStephenPersonFirstNm
Person LastKnightPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFelix GorrindoPreparerPersonNm
PTINP01658413PTIN
Phone5108352727PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerStephen KnightPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11736 Franklin St Ste 500AddressLine1Txt
CityOaklandCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,534,160GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.worksafe.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo promote safety and health through technical support, advocacy support, education, and training. We focus on eliminating all types of workplace hazards and also on workplace-created toxic hazards that impact at-risk communities in California.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,496,295PYContributionsGrantsAmt
CY Contributions Grants$1,451,695CYContributionsGrantsAmt
CY Program Service Revenue$25,000CYProgramServiceRevenueAmt
PY Investment Income$374PYInvestmentIncomeAmt
CY Investment Income$1,764CYInvestmentIncomeAmt
PY Other Revenue$30,609PYOtherRevenueAmt
CY Other Revenue$39,178CYOtherRevenueAmt
PY Total Revenue$1,527,278PYTotalRevenueAmt
CY Total Revenue$1,517,637CYTotalRevenueAmt
PY Grants And Similar Paid$75,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$37,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$717,036PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$741,983CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,632CYTotalFundraisingExpenseAmt
PY Other Expenses$235,278PYOtherExpensesAmt
CY Other Expenses$207,379CYOtherExpensesAmt
PY Total Expenses$1,027,314PYTotalExpensesAmt
CY Total Expenses$986,862CYTotalExpensesAmt
PY Revenues Less Expenses$499,964PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$530,775CYRevenuesLessExpensesAmt
Total Assets BOY$1,064,603TotalAssetsBOYAmt
Total Assets EOY$1,592,673TotalAssetsEOYAmt
Total Liabilities BOY$122,714TotalLiabilitiesBOYAmt
Total Liabilities EOY$120,009TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$941,889NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,472,664NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur mission is to prevent worker illness, injury, and death by bringing justice to the workplace.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$532,096ExpenseAmt
Revenue$15,999RevenueAmt
DescInterest On Lawyers' Trust Accounts (IOLTA) - Provide technical assistance and advice, training, educational materials, and advocacy support to the approximately 75 State Bar qualified legal services providers throughout California on health and safety issues faced by their clients.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$299,348ExpenseAmt
Grant$37,500GrantAmt
Revenue$9,001RevenueAmt
DescEqual Access Fund (EAF) - Provide technical assistance and advice, training, educational materials, and advocacy support in an effort to increase the awareness of legal aid and other public interest attorneys about the dire unmet needs of Californias most vulnerable injured workers, and increase their capacity to serve this community.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$831,444TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBriones International LLCPersonNm
Phone5108414585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11918 University Ave Ste 1BAddressLine1Txt
CityBerkeleyCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94704ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Stephen Knight
Executive Dir.45.000.00Yes (X)$114,275$0$14,502
Jora Trang
Chief Staff & Eqty45.000.00$100,302$0$14,293
Danielle Dan Lucido JD
Board Chair0.500.00Yes (X)$0$0$0Yes (X)
Alor Calderon
Board Chair0.500.00Yes (X)$0$0$0Yes (X)
Suzanne Teran MP
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Ryan Spillers JD
Secretary0.250.00Yes (X)$0$0$0Yes (X)
Purva Grover
Secretary0.250.00$0$0$0Yes (X)
Matthew DeCarolis
Board Member0.250.00$0$0$0Yes (X)
Carisa Harris Adamson PhD CPE
Board Member0.250.00$0$0$0Yes (X)
Robert Harrison MD MPH
Board Member0.250.00$0$0$0Yes (X)
Laura Kurre MPH
Board Member0.250.00$0$0$0Yes (X)
Mitch Steiger
Board Member0.250.00$0$0$0Yes (X)
Laura Boatman
Board Member0.250.00$0$0$0Yes (X)
Cheryl Wallach
Board Member0.250.00$0$0$0Yes (X)
Justin Bosl JD
Board Member0.250.00$0$0$0Yes (X)
Veronica Alvarado
Board Member0.250.00$0$0$0Yes (X)
Xochitl Lopez
Board Member0.250.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$214,577TotalReportableCompFromOrgAmt
Total Other Compensation$28,795TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$43,927FundraisingAmt
Government Grants$522,337GovernmentGrantsAmt
All Other Contributions$885,431AllOtherContributionsAmt
Total Contributions$1,451,695TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEarned feesDesc
Business900099BusinessCd
Total Revenue Column$25,000TotalRevenueColumnAmt
Related Or Exempt Func Income$25,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,764TotalRevenueColumnAmt
Exclusion$1,764ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,042RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,042RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,042TotalRevenueColumnAmt
Exclusion$32,042ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$16,523FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$43,927ContriRptFundraisingEventAmt
Fundraising Direct Expenses$16,523FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOtherDesc
Business900099BusinessCd
Total Revenue Column$7,136TotalRevenueColumnAmt
Exclusion$7,136ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,136OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,517,637TotalRevenueColumnAmt
Related Or Exempt Func Income$25,000RelatedOrExemptFuncIncomeAmt
Exclusion$40,942ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$37,500TotalAmt
Program Services$37,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$141,010TotalAmt
Program Services$121,269ProgramServicesAmt
Management And General$16,921ManagementAndGeneralAmt
Fundraising$2,820FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$487,469TotalAmt
Program Services$431,044ProgramServicesAmt
Management And General$37,955ManagementAndGeneralAmt
Fundraising$18,470FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,349TotalAmt
Program Services$16,993ProgramServicesAmt
Management And General$1,630ManagementAndGeneralAmt
Fundraising$726FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$45,417TotalAmt
Program Services$39,930ProgramServicesAmt
Management And General$3,742ManagementAndGeneralAmt
Fundraising$1,745FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$48,738TotalAmt
Program Services$42,965ProgramServicesAmt
Management And General$4,174ManagementAndGeneralAmt
Fundraising$1,599FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,025TotalAmt
Management And General$15,025ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,765TotalAmt
Program Services$13,241ProgramServicesAmt
Fundraising$524FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Program Services$569ProgramServicesAmt
Management And General$31ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,406TotalAmt
Program Services$32,986ProgramServicesAmt
Management And General$2,307ManagementAndGeneralAmt
Fundraising$1,113FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$114,338TotalAmt
Program Services$72,010ProgramServicesAmt
Management And General$39,527ManagementAndGeneralAmt
Fundraising$2,801FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,697TotalAmt
Program Services$7,399ProgramServicesAmt
Management And General$296ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,568TotalAmt
Program Services$2,260ProgramServicesAmt
Management And General$231ManagementAndGeneralAmt
Fundraising$77FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,397TotalAmt
Management And General$1,397ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,084TotalAmt
Program Services$4,982ProgramServicesAmt
Management And General$1,471ManagementAndGeneralAmt
Fundraising$631FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Total$8,499TotalAmt
Program Services$8,296ProgramServicesAmt
Management And General$79ManagementAndGeneralAmt
Fundraising$124FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$986,862TotalAmt
Program Services$831,444ProgramServicesAmt
Management And General$124,786ManagementAndGeneralAmt
Fundraising$30,632FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$875,672BOYAmt
EOY$864,093EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$120,310BOYAmt
EOY$571,803EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$50,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$68,391EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$65,204BOYAmt
EOY$29,996EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,731LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,341LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,417BOYAmt
EOY$8,390EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,064,603BOYAmt
EOY$1,592,673EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,383BOYAmt
EOY$71,735EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$48,274EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,331BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,714BOYAmt
EOY$120,009EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$570,430BOYAmt
EOY$1,304,959EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$371,459BOYAmt
EOY$167,705EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$941,889BOYAmt
EOY$1,472,664EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,064,603BOYAmt
EOY$1,592,673EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$530,775ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$681,914CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$738,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,496,295CurrentTaxYearMinus1YearAmt
Current Tax Year$1,451,695CurrentTaxYearAmt
Total$5,125,690TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$681,914CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$738,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,496,295CurrentTaxYearMinus1YearAmt
Current Tax Year$1,451,695CurrentTaxYearAmt
Total$5,125,690TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$590,076SubstantialContributorsTotAmt
Public Support Total170$4,535,614PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$374CurrentTaxYearMinus1YearAmt
Current Tax Year$1,764CurrentTaxYearAmt
Total$2,322TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,366CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,679CurrentTaxYearMinus1YearAmt
Current Tax Year$7,136CurrentTaxYearAmt
Total$28,213TotalAmt
FieldValueIRS element (for citing)
Total Support$5,156,225TotalSupportAmt
Gross Receipts Rltd Activities$54,128GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87960PublicSupportCY170Pct
Public Support PY1700.83490PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$598FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$598FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$986,264FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$986,862FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$173,029FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$43,257FilingOrganizationsTotalAmt
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$143,403CurrentYearMinus3Amt
Current Year Minus2$154,491CurrentYearMinus2Amt
Current Year Minus1$177,731CurrentYearMinus1Amt
Current Year$173,029CurrentYearAmt
Total$648,654TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$972,981LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$7,404CurrentYearMinus3Amt
Current Year Minus2$13,003CurrentYearMinus2Amt
Current Year Minus1$8,113CurrentYearMinus1Amt
Current Year$598CurrentYearAmt
Total$29,118TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$35,851CurrentYearMinus3Amt
Current Year Minus2$38,623CurrentYearMinus2Amt
Current Year Minus1$44,433CurrentYearMinus1Amt
Current Year$43,257CurrentYearAmt
Total$162,164TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$243,246GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$3,901CurrentYearMinus2Amt
Current Year Minus1$1,667CurrentYearMinus1Amt
Total$5,568TotalAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,731OtherCostOrOtherBasisAmt
Depreciation$4,341DepreciationAmt
Book Value$8,390BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,390TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,517,637TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,517,637RevenueSubtotalAmt
Total Revenue Per Form990$1,517,637TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$986,862TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$986,862ExpensesSubtotalAmt
Total Expenses Per Form990$986,862TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Internal Revenue Service and the California Franchise Tax Board have determined that the Organization is exempt from federal and state income taxes under IRC 501(c)(3) and California RTC 23701(d). The Organization has evaluated its current tax positions as of June 30, 2021 and is not aware of any significant uncertain tax positions for which a reserve would be necessary. The Organizations tax returns are generally subject to examination by federal and state taxing authorities for three and four years, respectively, after they are filed.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Annual EventEvent1Nm
Gross Receipts Event1$60,450GrossReceiptsEvent1Amt
Charitable Contri Event1$43,927CharitableContriEvent1Amt
Gross Revenue Event1$16,523GrossRevenueEvent1Amt
Rent Facility Costs Event1$10,245RentFacilityCostsEvent1Amt
Entertainment Event1$850EntertainmentEvent1Amt
Other Direct Expenses Event1$5,428OtherDirectExpensesEvent1Amt
Gross Receipts Total$60,450GrossReceiptsTotalAmt
Charitable Contributions Tot$43,927CharitableContributionsTotAmt
Gross Revenue Total Events$16,523GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$10,245RentFcltyCostsTotalEventsAmt
Entertainment Total Events$850EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,428OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$16,523DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Warehouse Worker Resouce CtrBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 N Euclid AveAddressLine1Txt
CityOntarioCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91762ZIPCd
FieldValueIRS element (for citing)
Recipient EIN452287926RecipientEIN
IRC Section501c3IRCSectionDesc
Cash Grant$37,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTemp Worker ProgramPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationAs fiscal agent for the grant we monitor performance under the terms of the grant in the usual course of business managing the project. We submit financial reports to the state bar, which reviews the expenditures under the grant and compares them to the budget approved in the grant.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2: New ServicesWorksafe contracted with the California Labor and Workforce Development Agency (LWDA) in late 2020 to be a regional organizer in efforts to outreach workers and teach them about COVID prevention. This contract was extended in July 2021 until January 2022.
Form 990, Part VI, Line 11b: Form 990 Review ProcessOnce we receive a copy of the 990, management reviews it and send it to the executive board. Once we agree that it is accurate, we share the document with the entire board.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe ED actively engages the Board on these matters, meeting with the Executive Board several times quarterly, and the entire Board quarterly as well where concerns regarding these issues can be addressed. Staff meet on a weekly basis at weekly staff meetings and in 1:1s with management where these issues can be addressed. The staff and Board conduct a 360 evaluation/review of the E.D. and in turn the E.D. evaluates staff on a regular basis.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe executive board meets and deliberates to determine the ED compensation after they receive staff's feedback about the ED performance.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon written or verbal request

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