2021-05-13T20:51:38-05:00 2020-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2019-07-01 942326678 ON LOK HOUSE INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 GARY P CAMPANELLA CFO 4152928888 2021-05-13 1 MATTHEW PETROSKI P00853132 9257902600 2021-04-27 2019 2022-09-23 18:48:47Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 1968857 0 X WWW.ONLOK.ORG X 1975 CA HOUSING FOR FRAIL, LOW-INCOME, ELDERLY PERSONS. 7 6 0 6 0 0 936384 1487201 0 0 3577 2356 468217 479300 1408178 1968857 0 0 0 0 53364 78193 0 0 0 1613423 1653907 1666787 1732100 -258609 236757 7465856 7532854 8649865 8480106 -1184009 -947252 HOUSING FOR FRAIL, LOW-INCOME, ELDERLY PERSONS. 0 0 1664899 478940 OPERATES HOUSING FACILITY WITH 54 STUDIO UNITS FOR FRAIL, LOW-INCOME, ELDERLY PERSONS. 1664899 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X GARY P CAMPANELLA 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 X CANDY RUPP CHAIR 1.00 4.00 X X 0 0 0 KEVIN HINRICHS VICE CHAIR 1.00 1.00 X X 0 0 0 GREGORY CHUN SECRETARY 1.00 2.00 X X 0 0 0 MIKE NEUMANN DIRECTOR 0.50 2.50 X 0 0 0 ERIC HARRISON DIRECTOR 0.50 2.50 X 0 0 0 ALINA LAGUNA DIRECTOR 0.50 2.00 X 0 0 0 GRACE LI HARPER CEO, ON LOK, INC. 1.00 48.00 X X 0 505423 18160 0 505423 18160 0 0 1 0 OTIS ELEVATOR COMPANY 8 FARMS SPRING ROAD FARMINGTON CT 06032 ELEVATOR SERVICES 275166 BEYOND THE HORIZON CONSTRUCTION INC 77 VAN NESS AVENUE 101 SAN FRANCISCO CA 94102 FULL SERVICE REMODELING, RENOVATION, REP 210600 2 525693 959988 1520 1487201 2356 2356 478940 0 478940 478940 478940 MISCELLANEOUS INCOME 900099 360 360 360 1968857 478940 0 2716 50759 50759 23551 23551 3883 3883 87340 50972 36368 8841 8841 21992 21992 23105 23105 347318 347318 353786 353786 495980 495980 57107 57107 JANITORIAL SERVICES 258042 258042 396 396 1732100 1664899 67201 0 111254 214264 8813 56372 90677 138336 11230325 4467011 6790899 6763314 464213 360568 7465856 7532854 212211 170292 8373607 8274661 64047 35153 8649865 8480106 X -1184009 -947252 -1184009 -947252 7465856 7532854 236757 0 X X 0 1 X 1 1 1 X 424406 503834 925314 936384 1487201 4277139 424406 503834 925314 936384 1487201 4277139 4277139 17 1222 2732 3577 2356 9904 40500 43442 232 360 84534 4371577 1838382 0.97840 0.96790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 301608 301608 10579039 4407479 6171560 118078 59532 58546 231600 231600 6763314 TENANT SECURITY DEPOSITS 17945 PAYABLE TO OLCHI 17208 35153 X 1968857 0 1968857 0 1968857 1732100 0 1732100 0 1732100 PART X, LINE 2: OLHI IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) SUBSECTION (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 PROVIDED FOR IN THE ACCOMPANYING FINANCIAL STATEMENTS. OLHI IS REQUIRED TO FILE ANNUAL INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD. THE ORGANIZATION 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. 0 0 0 0 0 0 0 0 0 GRACE LI HARPER CEO, ON LOK, INC. 0 505423 0 0 0 0 0 8400 0 9760 0 523583 0 0 FORM 990, PART VI, SECTION A, LINE 6 ON LOK, INC. 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 ON LOK HOUSE, INC. HAS NO EMPLOYEES. THEREFORE, THE QUESTION IS ANSWERED "NO." THE EXECUTIVE COMMITTEE OF ON LOK, INC. DETERMINES THE COMPENSATION OF THE CEO OF THE ORGANIZATION, BASED ON THE 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 HOUSE, INC. AND OTHER RELATED ON LOK ORGANIZATIONS. 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 COMMUNITY HOUSING INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943053383 HOUSING FOR LOW-INCOME SENIORS CA 501(C)(3) LINE 12A, I 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 CARE AT HOME 910 CAMPISI WAY SUITE 2C CAMPBELL CA 95008 770578465 ASSIST WITH ADULT AND PEDIATRIC CARE WITHIN THE PATIENT'S HOME CA N/A S 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0