2020-06-04T22:21:40-05:00 2019-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2018-07-01 680149424 OLE HEALTH FOUNDATION OLEH 7076037100 1141 PEAR TREE LANE NO 100 NAPA CA 94558 ROSE MACISAAC CFO 7076037100 2020-06-02 1 MICHAEL LUMSDEN P01262236 4159561500 2020-06-02 76.14.38.113 2020-06-02 14:42:08 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 00C4359F54289D19625D58AABAD73364CEA05A5F 2018 2021-01-29 14:40:06Z X ALICIA HARDY 1141 PEAR TREE LANE NO 100 NAPA CA 94558 3339354 0 X WWW.OLEHEALTH.ORG X 1987 CA FUNDRAISING AND OTHER SERVICES TO SUPPORT OLE HEALTH. 10 10 3 11 0 0 1100097 1486471 0 0 20032 83366 122927 -172848 1243056 1396989 148095 130244 0 0 503089 303742 0 0 363124 201292 139562 852476 573548 390580 823441 8297037 7709512 1867528 449962 6429509 7259550 OUR MISSION IS TO INSPIRE PHILANTHROPIC CONTRIBUTIONS TO ENSURE THAT OLE HEALTH IS ALWAYS HERE TO CARE FOR EVERYONE IN OUR BEAUTIFUL AND DIVERSE COMMUNITY. 0 0 130244 130244 FUNDRAISING SERVICES IN SUPPORT OF OLE HEALTH, A HEALTH CENTER FOR LOW INCOME INDIVIDUALS AND OTHERS WITHOUT HEALTH INSURANCE. DURING THE YEAR, OLE HEALTH FOUNDATION GAVE A $130,244 GRANT TO OLE HEALTH NMTC, A SUPPORTING ORGANIZATION OF OLE HEALTH ORGANIZED TO SUPPORT THE FINANCING AND CONSTRUCTION OF THE NEW SOUTH NAPA CAMPUS OF OLE HEALTH. 130244 1 1 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 1 0 0 0 1 14 0 1 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X X ROSE MACISAAC 7072665739 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 TODD ZAPOLSKI CHAIR 1.00 0.00 X X 0 0 0 BLAKESLEY CHAPPELLET VICE CHAIR 1.00 0.00 X X 0 0 0 SUZANNE BESU TRUCHARD SECRETARY 1.00 0.00 X X 0 0 0 DAN LYNCH TREASURER 1.00 0.00 X X 0 0 0 JANETTE BROOKS BOARD MEMBER 1.00 0.00 X 0 0 0 NAOKO DALLA VALLE BOARD MEMBER 1.00 0.00 X 0 0 0 ALICIA HARDY BOARD MEMBER / CEO OF OLE HEALTH 1.00 39.00 X 0 279959 23478 RICK JONES BOARD MEMBER 1.00 2.00 X 0 0 0 DARIOUSH KHALEDI BOARD MEMBER 1.00 0.00 X 0 0 0 PETER MCCREA BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN R SHAFER BOARD MEMBER THROUGH 3/2019 1.00 0.00 X 0 0 0 TANIR AMI EXECUTIVE DIRECTOR THROUGH 7/2018 40.00 0.00 X 0 95724 21758 JESSICA THOMASON EXECUTIVE DIRECTOR 40.00 0.00 X 0 12494 746 BILL DEANE CFO THROUGH 6/2019 8.00 32.00 X 0 69108 7116 0 457285 53098 0 0 1 0 0 394414 1092057 48935 1486471 83438 83438 1747245 1747317 -72 -72 -72 22200 394414 195048 -172848 -172848 1396989 0 0 -89482 130244 130244 220239 220239 8385 8385 55951 55951 19167 19167 15343 15343 4163 4163 13000 9000 4000 82 82 25473 525 24948 2683 2683 10791 10791 332 332 809 809 40393 40393 1335 1335 DONOR RECOGNITION 11192 5421 5771 NEWSLETTERS 5000 5000 DUES AND SUBSCRIPTIONS 3734 3734 STORAGE 1530 1530 3702 71 3631 573548 130244 80180 363124 2874446 1743576 3788878 853890 1619117 5100370 14596 11676 8297037 7709512 425415 1629595 0 237933 24547 1867528 449962 X 5929509 7259550 500000 0 6429509 7259550 8297037 7709512 823441 6600 0 X 0 1 X 1 0 X X 1 OLE HEALTH 237221695 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ORGANIZATIONS 24547 24547 X PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2019 AND 2018, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ISALUD! EVENT 416614 394414 22200 71067 27548 13664 82769 416614 394414 22200 71067 27548 13664 82769 195048 -172848 1 OLE HEALTH NMTC 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 815395044 501(C)(3) 130244 GENERAL SUPPORT FROM RELATED ORGANIZATION 1 PART I, LINE 2: DURING THE JUNE 30, 2019 TAX YEAR, THE ORGANIZATION PROVIDED GRANTS SOLELY TO OLE HEALTH NMTC, A RELATED ORGANIZATION. BOTH ORGANIZAITONS MAINTAIN AN OVERLAP OF OFFICERS, WHO MONITOR PROPER USE OF THE GRANT FUNDS. X 0 0 0 0 0 0 0 0 0 ALICIA HARDY BOARD MEMBER / CEO OF OLE HEALTH 0 271888 0 7500 0 571 0 10319 0 13159 0 303437 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR IS ESTABLISHED BY OLE HEALTH, A RELATED ORGANIZATION. OLE HEALTH UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF OLE HEALTH FOUNDATION'S EXECUTIVE DIRECTOR: COMPENSATION SURVEY AND APPROVAL BY THE BOARD OF DIRECTORS. X 1 1640 FAIR MARKET VALUE X 5000 FAIR MARKET VALUE X 1500 FAIR MARKET VALUE X 3 15392 FAIR MARKET VALUE X 11 9098 FAIR MARKET VALUE X WINE & BEER 10 12330 FAIR MARKET VALUE X LODGING 1 3975 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS, RATHER THAN THE NUMBER OF ITEMS CONTRIBUTED, IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTED WITH BILL DEANE, AN INDEPENDENT CONSULTANT EMPLOYED WITH WIPFLI, LLP, TO FULFILL THE ROLE OF INTERIM CFO UNTIL AUGUST 2018, WHEN THE INTERIM TITLE WAS REMOVED AND HE WAS ELEVATED TO A FULL-TIME EMPLOYEE. PAYMENTS MADE TO WIPFLI, LLP FROM OLE HEALTH (A RELATED ORGANIZATION) IN EXCHANGE FOR THESE SERVICES TOTALED $112,655 FOR THE 2018 CALENDAR YEAR AND $32,270 FOR THE 6/30/2019 FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 6 OLE HEALTH FOUNDATION DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE A "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS, HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE (INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY). ACCORDINGLY, OLE HEALTH FOUNDATION HAS ONE SOLE MEMBER: OLE HEALTH. FORM 990, PART VI, SECTION A, LINE 7A OLE HEALTH (OLE HEALTH FOUNDATION'S SUPPORTED ORGANIZATION) HAS THE POWER TO APPOINT EACH OF THE DIRECTORS OF OLE HEALTH FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION UTILIZED A PROFESSIONAL ACCOUNTING FIRM TO PREPARE THE FORM 990, WHO WORKED WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM TO GATHER THE REQUIRED INFORMATION. UPON REVIEW OF THE FORM 990 BY THE ORGANIZATION'S MANAGEMENT TEAM, A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES AND STATEMENTS WAS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING IN ORDER TO ALLOW SUFFICIENT TIME FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS OF OLE HEALTH FOUNDATION HAVE A RESPONSIBILITY TO MAKE FULL DISCLOSURE OF INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN SATISFYING THEIR FIDUCIARY OBLIGATIONS TO OLE HEALTH FOUNDATION. IN THAT REGARD, IT IS THE POLICY OF OLE HEALTH FOUNDATION TO REFRAIN FROM CONSUMMATING ANY TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST UNTIL ALL RELEVANT AND PERTINENT FACTS REGARDING THE POTENTIAL CONFLICT HAVE BEEN DISCLOSED AND CONSIDERED, DURING WHICH THE INTERESTED PARTY WOULD REFRAIN FROM DELIBERATIONS. DIRECTORS AND OFFICERS ARE REQUIRED TO REVIEW AND SIGN THE "STATEMENT PERTAINING TO CONFLICT OF INTEREST AND CONFIDENTIALITY" UPON APPOINTMENT, ELECTION AND HIRE, AND THEN ANNUALLY THEREAFTER. ACTIVITIES THAT MAY CAUSE A CONFLICT OF INTEREST ARE REPORTED TO AND MONITORED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY INDIVIDUALS; ALL EMPLOYEES PERFORMING WORK FOR OLE HEALTH FOUNDATION ARE COMPENSATED BY OLE HEALTH CLINIC, A REALTED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINES 15A AND 15B HAVE BEEN ANSWERED "NO" AS MANDATED BY THE FORM 990 INSTRUCTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE ALL AVAILABLE UPON REQUEST. OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 237221695 HEALTH CARE TO LOW INCOME AND UNINSURED RESIDENTS CA 501(C)(3) LINE 3 N/A 0 OLE HEALTH NMTC 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 815395044 SUPPORT THE CHARITABLE PURPOSES OF OLE HEALTH AND OLE HEALTH FOUNDATION CA 501(C)(3) LINE 12A, I OLE HEALTH 0 0 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 0 0