2022-10-28T17:39:42-07:00 2021-12-31 475278347 ALLISON & GIBB LLP 601 E DAILY DRIVE SUITE 117 CAMARILLO CA 93010 990PF 2021-01-01 223850021 AMGEN SAFETY NET FOUNDATION AMGE 8887626436 ONE AMGEN CENTER DR MS 28-4-C THOUSAND OAKS CA 91320 ALAN JAMIJIAN Treasurer 2022-10-28 true ALAN JAMIJIAN 999009999 LISA A ALLISON CPA P01971329 8059871999 2 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z X 299987244 X 1910039859 2 2 2 11420 11420 11420 1910051281 11422 11422 24724 24724 252356 255174 159 1737606712 1736242297 1737883951 0 1736522195 0 0 1737883951 0 1736522195 172167330 11422 11422 53982571 49419558 49419558 74665514 250564781 250564781 2379 2220 2220 1242 685 685 128651706 299987244 299987244 2184477 3546075 3702329 1508939 5886806 5055014 X 122764900 294932230 122764900 294932230 128651706 299987244 122764900 172167330 294932230 294932230 159 159 159 2379 2379 2220 2220 false false false false false false false true true CA DC true true true false false true WWW.AMGENSAFETYNETFOUNDATION.COM ALLISON & GIBB LLP 8183946680 31351 VIA COLINAS STE 202 WESTLAKE VILLAGE CA 91362 false false false true false false false false false false false false false false false false false false false false false false EDUARDO CETLIN ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 President 2.00 0 W BLAIR FIELDS ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Vice President 8.00 0 EILEEN CUI ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Treasurer 2.00 0 DENNIS YAI ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Secretary 2.00 0 ANDREA ROBINSON ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Asst. Secretary 1.00 0 ELAIN CLEARY ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 DAVID COLLIER ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 JAMES LOPER JR ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 PAUL MOWAD ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 SAL KULKARNI ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 JUDY BROWN ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 CASPER PARTOVI ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 EMILY MASON ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 MATT BUSCH ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 JIM WILKINSON ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 Director 1.00 0 NONE RXC Acquisition Company 1901 EASTPOINT PARKWAY LOUISVILLE KY 40223 PRODUCT DISTRIBUTION 9961530 REGALO RX PO BOX 15566 LENEXA KS 66285 PRODUCT DISTRIBUTION 3847181 360CX LLC 103 SHAIRPIN LANE GREENVILLE SC 29607 CONSULTING SERVICES 265126 KPMG PO BOX 120511 DALLAS TX 753120511 AUDIT 233852 UPS PO BOX 894820 LOS ANGELES CA 901894820 PRODUCT SHIPPING 3014489 3 THE PRIMARY FUNCTION OF AMGEN SAFETY NET FOUNDATION ("ASNF") IS TO PROVIDE POOR, INDIGENT AND FINANCIALLY DISTRESSED PATIENTS WITH ACCESS TO CERTAIN PRESCRIPTION DRUG THERAPIES THAT THEY COULD NOT OTHERWISE AFFORD. THE PRESCRIPTION DRUGS THAT ASNF DISTRIBUTES ARE PRODUCTS PRODUCED BY AMGEN INC. AND ITS AFFILIATES. AMGEN INC. AND ITS AFFILIATES CONTRIBUTE ALL DRUG PRODUCTS TO ASNF AT NO COST. (AMGEN INC. IS A GLOBAL BIOTECHNOLOGY COMPANY THAT DISCOVERS, DEVELOPS, MANUFACTURES AND MARKETS HUMAN THERAPEUTICS BASED ON ADVANCES IN CELLULAR AND MOLECULAR BIOLOGY.) IN PARTICULAR ASNF DISTRIBUTES ARANESP, EPOGEN, NEULASTA, N-PLATE, NEUPOGEN, PROLIA, XGEVA, SENSIPAR, VECTIBIX, CORLANOR, REPATHA, BLINCYTO, KYPROLIS, IMLYGIC, ENBREL, PARSABIV, AIMOVIG, EVENITY, KANJINTI, MVASI, AVSOLA, RIABNI, LUMAKRAS, & OTEZLA. 1737883951 0 44629119 2905 44632024 0 44632024 669480 43962544 2198127 X 1736522195 1736522195 2003-08-26 X 11422 175500 984086 501369 1672377 9709 149175 836473 426164 1421521 1736522195 1616745342 1489029598 1274532284 1821862123 1736522195 1616745342 1489029598 1274532284 1821862123 1465418 1954856 1963284 1192247 6575805 AMGEN SAFETY NET FOUNDATION ONE AMGEN CENTER DRIVE MS 28-4-C THOUSAND OAKS CA 91320 8887626436 APPLICATIONS CAN BE DOWNLOADED AT WWW.AMGENSAFETYNETFOUNDATION.COM. FAX COPIES OF APPLICATION ARE ACCEPTED. THE FAX NUMBER IS (866) 549-7239. N/A IN GENERAL, APPLICANTS MUST: 1) BE A RESIDENT OF THE UNITED STATES. 2) DEMONSTRATE FINANCIAL NEED, WHICH IS BASED ON THE PATIENT'S ANNUAL HOUSEHOLD INCOME AS A MULTIPLE OF THE FEDERAL POVERTY LEVEL (FPL) AND FAMILY SIZE. 3) PROOF OF INCOME MAY BE REQUIRED.4) IN ADDITION TO SATISFYING THE GENERAL ELIGIBILITY CRITERIA, AN APPLICANT MUST MEET ADDITIONAL CRITERIA WHICH ARE BASED ON INSURANCE COVERAGE STATUS. 14 2 14 11420 11422 11422 false false false false false false false false false false X X 1 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 15000000 X 2 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 420525704 X 3 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 437298513 X 4 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 561999688 X 5 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 475215954 X 2 PRODUCT CONTRIBUTIONS OF ARANESP, EPOGEN, NEULASTA, N-PLATE, NEUPOGEN, PROLIA, XGEVA, SENSIPAR, VECT 420525704 2021-03-31 3 PRODUCT CONTRIBUTIONS OF ARANESP, EPOGEN, NEULASTA, N-PLATE, NEUPOGEN, PROLIA, XGEVA, SENSIPAR, VECT 437298513 2021-06-30 4 PRODUCT CONTRIBUTIONS OF ARANESP, EPOGEN, NEULASTA, N-PLATE, NEUPOGEN, PROLIA, XGEVA, SENSIPAR, VECT 561999688 2021-09-30 5 PRODUCT CONTRIBUTIONS OF ARANESP, EPOGEN, NEULASTA, N-PLATE, NEUPOGEN, PROLIA, XGEVA, SENSIPAR, VECT 475215954 2021-12-31 ACCOUNTING & AUDIT FEES 252356 0 0 255174 LEGAL FEES 24724 0 0 24724 INTEREST RECEIVABLE 1241 685 685 BANK CHARGES 2320 2399 COST OF PRESCRIPTION PRODUCTS - Q1 394623230 394623230 COST OF PRESCRIPTION PRODUCTS - Q2 408917736 408917736 COST OF PRESCRIPTION PRODUCTS - Q3 447846477 447846477 COST OF PRESCRIPTION PRODUCTS - Q4 461244183 461244183 DEVELOPMENT COSTS 424371 358200 LOST INVENTORY 4315577 4315577 OUTSIDE SERVICES 846387 847898 PATIENT ENROLLMENT SERVICES 11080615 10082273 PRODUCT DISTRIBUTION FEES 3492105 3246744 SHIPPING AND PACKAGING COSTS 4813711 4757580 PRODUCT DONATIONS PAYABLE 3702329 1508939 AMGEN USA INC ONE AMGEN CENTER DRIVE THOUSAND OAKS CA 91320 EXCISE TAX 159