2020-05-15T14:15:29-05:00 2019-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2018-07-01 943101464 ON LOK INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 GARY P CAMPANELLA CFO 4152928888 2020-05-14 1 MATTHEW PETROSKI P00853132 9257902600 2020-05-14 34.104.2.3 2020-05-14 15:59:09 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ACF7EA52F79257D774E2772E2964339222AEE04B 2018 2021-01-29 14:40:06Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 50060734 0 X WWW.ONLOK.ORG X 1989 CA DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 15 14 77 88 -813333 -813333 361440 826160 10785953 12821167 463441 -5003132 -666255 -813333 10944579 7830862 2113191 587593 0 0 8485536 9373076 0 0 1319220 3355548 4591927 13954275 14552596 -3009696 -6721734 17682926 14882484 1752919 1477029 15930007 13405455 DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 0 0 11436536 587593 12726974 PROVIDE VARIOUS MANAGEMENT SUPPORT SERVICES (SUCH AS EXECUTIVE OVERSIGHT, STRATEGIC PLANNING, FINANCIAL MANAGEMENT AND ACCOUNTING, HUMAN RESOURCES MANAGEMENT, INFORMATION SYSTEMS, FUNDRAISING) TO AFFILIATED 501(C)(3) NONPROFIT ORGANIZATIONS, WHICH PROVIDE HOUSING AND COMPREHENSIVE HEALTH CARE TO THE FRAIL ELDERLY AND OTHER SERVICES TO INDIVIDUALS AGE 60 AND OLDER. 154194 94193 PROVIDE TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT SERVICES TO ORGANIZATIONS DEVELOPING OR OPERATING A PACE PROGRAM (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). 11590730 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 81 0 1 77 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GARY P CAMPANELLA 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 KEVIN GERBER CHAIR 2.00 1.00 X X 0 0 0 IRENE RILEY VICE CHAIR 2.00 X X 0 0 0 ELIZABETH FERGUSON TREASURER 2.00 2.00 X X 0 0 0 ERIC HARRISON SECRETARY 2.00 1.50 X X 0 0 0 JOSEPH BARBACCIA MD DIRECTOR 1.00 1.00 X 0 0 0 GREGORY CHUN DIRECTOR 1.00 1.50 X 0 0 0 ALINA LAGUNA DIRECTOR 1.00 2.50 X 0 0 0 DIANE LEE DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM LOCK DIRECTOR 1.00 X 0 0 0 DARLENE MAR EX-OFFICIO DIRECTOR 1.00 2.00 X 0 0 0 CANDY RUPP DIRECTOR 1.00 3.50 X 0 0 0 BARBARA SOLOMON DIRECTOR 1.00 0.50 X 0 0 0 WELLMAN TSANG MD DIRECTOR 1.00 2.00 X 0 0 0 SHARON YOW DIRECTOR 1.00 2.00 X 0 0 0 JOHN JENKS TREASURER (THRU 07/16/18) 2.00 2.00 X 0 0 0 GRACE LI HARPER CEO, ON LOK INC. 40.00 9.00 X X 537221 0 17420 GARY P CAMPANELLA CFO 40.00 X 308371 0 19890 NEIL B WRIGHT CIO 40.00 X 277205 0 26879 JOY A MOORE CHIEF HR OFFICER 40.00 X 230844 0 18717 JOHN B BLAZEK CHIEF DEVELOPMENT OFFICER 40.00 X 231568 0 7681 DIANA C YIN CHIEF STRATEGY ANALYTICS 40.00 X 271621 0 18797 BRIDGET A WILSON ASSISTANT CONTROLLER 40.00 X 152227 0 13025 TIFFANY L LUONG DIRECTOR FIN PLAN & ANALYSIS 40.00 X 167062 0 15529 IAN N KENNEDY DIR INFRA ENG & ARCH 40.00 X 153974 0 18294 ROY M ALOJADO DIRECTOR MARKETING 40.00 X 146873 0 16133 2476966 0 172365 22 0 1 0 IT1 SOURCE 1860 W UNIVERSITY DR SUITE 100 TEMPE AZ 85281 CONTRACT SERVICE 415969 CONNECTION 730 MILFORD ROAD MERRIMACK NH 03054 CONTRACT SERVICE 404937 AJILON PROFESSIONAL STAFFING DEPT CH 14031 PALATINE IL 60055 CONTRACT SERVICE 224192 LANDIS COMMUNICATIONS 1388 SUTTER ST SUITE 901 SAN FRANCISCO CA 94109 CONTRACT SERVICE 205920 EFFECTIVE CONSULTING 56425 WOODS COURT WARREN OR 97053 CONTRACT SERVICE 150156 7 92071 734089 826160 MGMT SUPPORT CONTRACT 561000 12631049 12631049 OTHER PROGRAM REVENUE 900099 95925 95925 TECHNICAL ASSISTANCE 541900 94193 94193 12821167 226816 226816 36792690 36824894 5197744 -32204 -5197744 -5229948 -5229948 207234 92071 207234 0 S-CORP INCOME 621610 -813333 -813333 -813333 7830862 12821167 -813333 -5003132 587593 587593 1675796 881906 554641 239249 6191250 5246380 479970 464900 134555 111862 9647 13046 868569 668857 129393 70319 502906 407006 51927 43973 1688095 1539208 35241 113646 61556 61556 76066 57610 18456 40812 40812 1334904 1250594 24122 60188 135125 83525 39841 11759 586355 525240 31190 29925 84926 9574 75352 OTHER EXPENSES 584088 221375 90498 272215 14552596 11590730 1642646 1319220 882179 1149958 36680 297538 2925454 1386010 715825 774843 3367600 1738672 1790884 1628928 8113564 9645207 3218340 0 17682926 14882484 1637180 1315083 5025 0 110714 161946 1752919 1477029 X 15810007 12987917 100000 397538 20000 20000 15930007 13405455 17682926 14882484 X -6721734 383849 3813333 X X 0 1 X 1 0 X 382366 566992 425863 361440 826160 2562821 382366 566992 425863 361440 826160 2562821 1062 2561759 223991 220232 181267 183538 226816 1035844 289647 207234 496881 4095546 47575643 0.62550 0.63550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20979 1333 22312 20175 804 20979 20073 102 20175 20016 57 20073 20000 16 20016 0.00000 1.00000 0.00000 0 0 52606 51375 1231 3116057 1650897 1465160 198937 36400 162537 1628928 PAYABLE TO OLDS 161946 161946 X 8987232 383849 383849 8603383 40812 -813333 -772521 7830862 14511784 0 14511784 40812 40812 14552596 PART V, LINE 4: ENDOWMENT FUNDS ARE INTENDED TO GENERATE INVESTMENT INCOME TO BE USED FOR OPERATING SUPPORT, ACCORDING TO THE BOARD'S DISCRETION. PART X, LINE 2: THE ORGANIZATION 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. THE ORGANIZATION IS REQUIRED TO FILE ANNUAL INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD. MANAGEMENT HAS EVALUATED ITS CURRENT TAX POSITION AND HAS CONCLUDED AS OF JUNE 30, 2019, 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: S-CORP PASSTRHOUGH LOSS -813,333. GALA 2019 250758 67255 183503 17100 78970 67477 19955 FRIENDS OF ON LOK 48547 24816 23731 14820 8912 299305 92071 207234 17100 93790 67477 28867 207234 0 0 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 501(C)(3) 487702 GENERAL PROGRAM SUPPORT 2 0 X X X 0 0 0 0 0 0 0 0 0 GRACE LI HARPER CEO, ON LOK INC. 537221 0 0 0 0 0 8250 0 9170 0 554641 0 0 0 GARY P CAMPANELLA CFO 308371 0 0 0 0 0 8250 0 11640 0 328261 0 0 0 NEIL B WRIGHT CIO 277205 0 0 0 0 0 8250 0 18629 0 304084 0 0 0 JOY A MOORE CHIEF HR OFFICER 230844 0 0 0 0 0 7077 0 11640 0 249561 0 0 0 JOHN B BLAZEK CHIEF DEVELOPMENT OFFICER 231568 0 0 0 0 0 7060 0 621 0 239249 0 0 0 DIANA C YIN CHIEF STRATEGY ANALYTICS 271621 0 0 0 0 0 7778 0 11019 0 290418 0 0 0 BRIDGET A WILSON ASSISTANT CONTROLLER 152227 0 0 0 0 0 4648 0 8377 0 165252 0 0 0 TIFFANY L LUONG DIRECTOR FIN PLAN & ANALYSIS 167062 0 0 0 0 0 3889 0 11640 0 182591 0 0 0 IAN N KENNEDY DIR INFRA ENG & ARCH 153974 0 0 0 0 0 4742 0 13552 0 172268 0 0 0 ROY M ALOJADO DIRECTOR MARKETING 146873 0 0 0 0 0 4493 0 11640 0 163006 0 0 0 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 DETERMINES THE COMPENSATION OF THE CEO AND CFO 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 XI, LINE 9: TRANSFER FROM RELATED ORGANIZATION 3,000,000. S-CORP PASSTHROUGH INCOME NOT RECORDED IN FINANCIAL STATEMENTS 813,333. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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 1 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 1 ON LOK COMMUNITY HOUSING INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943053383 HOUSING FOR LOW-INCOME SENIORS CA 501(C)(3) LINE 10 ON LOK INC 1 ON LOK HOUSE 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 HOUSING FOR LOW-INCOME FRAIL ELDERLY CA 501(C)(3) LINE 7 ON LOK INC 1 CARE AT HOME INC 1333 BUSH STREET SAN FRANCISCO CA 94109 770578465 ASSIST WITH ADULT AND PEDIATRIC CARE WITHIN THE PATIENT'S HOME CA ON LOK INC S -813333 779081 1.00000 1 0 1 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 CARE AT HOME D 772000 CASH CARE AT HOME L 138431 CASH ON LOK COMMUNITY HOUSING INC L 186219 CASH ON LOK DAY SERVICES B 487702 CASH ON LOK DAY SERVICES L 240286 CASH ON LOK HOUSING O 88439 CASH ON LOK SENIOR HEALTH SERVICES C 3000000 CASH ON LOK SENIOR HEALTH SERVICES K 553068 CASH ON LOK SENIOR HEALTH SERVICES L 12030416 CASH