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0 TELEOMED LABS CORP 2902 CANYON RD BURLINGAME CA 94010 RESEARCH PROJECT 528625 WEST FAMILY INVESTMENTS INC 1603 ORRINGTON SUITE 810 EVANSTON IL 60201 INVESTMENT MANAGEMENT 401444 WEST MANAGEMENT COMPANY INC 15 EMBARCADERO COVE OAKLAND CA 94606 PROFESSIONAL AND MANAGERIAL SERVICES 397705 CLS STRATEGIES 1850 M STREET NW SUITE 900 WASHINGTON DC 20036 RESEARCH PROJECT 175375 EMOTA 3911 5TH AVENUE SUITE 302 SAN DIEGO CA 92103 PROFESSIONAL SERVICES 154934 2 A MULTI-DIMENSIONAL RESEARCH PROJECT TO: 1) CREATE A MODEL FOR CARE COORDINATION AT A LOW-INCOME SENIOR WELLNESS CENTER BETWEEN VARIOUS CO-LOCATED NON-PROFIT ORGANIZATIONS AND PRIMARY CARE PHYSICIANS; 2) USE THE COORDINATED SYSTEM TO RESEARCH IMPACT OF PARTICIPATING SERVICES ON THE HEALTH OUTCOMES OF SENIORS, 3) POTENTIALLY USE FINDINGS TO REPLICATE SIMILAR SERVICE MODELS IN OTHER COMMUNITIES. 529315 AN INITIAL RESEARCH STUDY TO EVALUATE CO-LOCATED, MULTI-DIMENSIONAL SENIOR SERVICES ON HEALTH CARE UTILIZATION AND COSTS. 3385 RESEARCH 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920960001 NONE PC TO SUPPORT THE PALLIATIVE CARE RESEARCH GRANTS. 10000 CHALLENGE CENTER 5540 LAKE PARK WAY LA MESA CA 91942 NONE PC TO SUPPORT THE HEALTH, WELLNESS, AND INDEPENDENCE INITIATIVE FOR SENIORS. 34000 CHALLENGE CENTER 5540 LAKE PARK WAY LA MESA CA 91942 NONE PC TO SUPPORT THE HEALTH, WELLNESS, AND INDEPENDENCE PROGRAM FOR SENIORS. 25000 DENTAL LIFELINE NETWORK 1800 15TH STREET SUITE 100 DENVER CO 80202 NONE PC TO SUPPORT SAN DIEGO COUNTY DONATED DENTAL SERVICES (DDS) PROGRAM. 26125 ELDERHELP OF SAN DIEGO 3860 CALLE FORTUNADA SUITE 101 SAN DIEGO CA 92123 NONE PC TO SUPPORT STRATEGIC PLANNING AND CAPACITY BUILDING. 15000 FIRST RESPONDERS FOUNDATION 14916 MIAMI STREET OMAHA NE 68137 NONE PC TO SUPPORT GENERAL OPERATIONS. 1000 GARY AND MARY WEST HEALTH POLICY CENTER INC 1909 K ST NW SUITE 730 WASHINGTON DC 20006 NONE POF TO SUPPORT SUCCESSFUL AGING OBJECTIVES IN THE AREAS OF HOME-BASED PRIMARY CARE, VALUE-BASED INSURANCE DESIGN, LONG-TERM SERVICES AND SUPPORTS, AND CARE COORDINATION. 3124260 GARY AND MARY WEST SENIOR DENTAL CENTER INC 1525 4TH AVENUE SAN DIEGO CA 92101 NONE PC GENERAL OPERATING GRANT TO PROVIDE LOW-INCOME SENIORS ORAL HEALTHCARE AT AN INTEGRATED, SENIOR WELLNESS FACILITY. 761000 GARY AND MARY WEST SENIOR DENTAL CENTER INC 1525 4TH AVENUE SAN DIEGO CA 92101 NONE PC TO SUPPORT START UP ACTIVITIES. 89578 GRANTMAKERS IN AGING 2001 JEFFERSON DAVIS HIGHWAY SUITE 504 ARLINGTON VA 22202 NONE PC TO SUPPORT GENERAL OPERATIONS. 20000 GRANTMAKERS IN HEALTH 1100 CONNECTICUT AVENUE NW SUITE 1200 WASHINGTON DC 200364110 NONE PC TO SUPPORT GENERAL OPERATIONS. 5750 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI - CENTER TO ADVANCE PALLIATIVE CARE 55 W 125TH ST SUITE 1302 NEW YORK NY 10027 NONE PC TO SUPPORT ACCESS TO HIGH QUALITY PALLIATIVE CARE. 250000 INTERCULTURAL SENIOR CENTER 3010 R STREET OMAHA NE 68107 NONE PC TO SUPPORT GENERAL OPERATIONS, HOME VISITATION PILOT, AND LANGUAGE CAPACITY BUILDING. 25000 INTERNATIONAL DOCUMENTARY 3470 WILSHIRE BOULEVARD SUITE 980 LOS ANGELES CA 90010 NONE PC TO SUPPORT A TELEVISION SERIES ENTITLED, "REFLECT: OLD ISN'T WHAT YOU THINK IT IS". 48405 LEGAL AID SOCIETY OF SAN DIEGO INC 110 SOUTH EUCLID AVENUE SAN DIEGO CA 92114 NONE PC TO SUPPORT THE HEALTH ADVOCACY PROJECT AND CYBER CAFE AT THE GARY AND MARY WEST SENIOR WELLNESS CENTER. 100000 MEALS ON WHEELS ASSOCIATION OF AMERICA INC 1550 CRYSTAL DRIVE SUITE 1004 ARLINGTON VA 22202 NONE PC TO SUPPORT THE MORE THAN A MEAL PHASE II MEDICARE CLAIMS ANALYSIS STUDY. 100000 MERRYMAKERS ASSOCIATION 12020 SHAMROCK PLAZA SUITE 200 OMAHA NE 68154 NONE PC TO SUPPORT A SENIOR MUSIC PROJECT. 15000 NOTRE DAME HOUSING INC 3439 STATE STREET OMAHA NE 68112 NONE PC TO SUPPORT A LIFE ENRICHMENT POSITION. 30000 OMAHA COMMUNITY FOUNDATION 302 SOUTH 36TH STREET SUITE 100 OMAHA NE 68131 NONE PC TO SUPPORT GENERAL OPERATIONS. 61500 OUTLOOK NEBRASKA INC 4125 S 72ND STREET OMAHA NE 68127 NONE PC TO SUPPORT PROGRAMS TO IMPROVE THE QUALITY OF LIFE FOR BLIND AND VISUALLY IMPAIRED SENIORS. 19600 PAWS'ITIVE TEAMS 10727 ESCOBAR DRIVE SAN DIEGO CA 92124 NONE PC TO SUPPORT PERSONNEL COSTS. 25000 PROJECT HOPE THE PEOPLE TO PEOPLE HEALTH FOUNDATION INC 7500 OLD GEORGETOWN ROAD SUITE 600 BETHESDA MD 20814 NONE PC TO SUPPORT HEALTH AFFAIRS ORAL HEALTH ISSUE AND POLICY BRIEFING. 25000 REBUILDING TOGETHER OMAHA 7831 WAKELEY PLAZA OMAHA NE 68114 NONE PC TO SUPPORT HEALTHY AT HOME PROGRAM, SENIOR HOUSING REPAIRS. 50000 REBUILDING TOGETHER OMAHA 7831 WAKELEY PLAZA OMAHA NE 68114 NONE PC TO SUPPORT GENERAL OPERATIONS. 500 REBUILDING TOGETHER OMAHA 7831 WAKELEY PLAZA OMAHA NE 68114 NONE PC TO SUPPORT HEALTHY AT HOME PROGRAM, SENIOR HOUSING REPAIRS. 50000 SAN DIEGO REGIONAL ECONOMIC DEVELOPMENT FOUNDATION 530 B STREET SUITE 700 SAN DIEGO CA 92101 NONE PC TO SUPPORT AWARENESS FOR SAN DIEGO'S SENIOR ORAL HEALTH PROJECTS AND TO ATTRACT TOP TALENT TO THE REGION FOR SUCCESSFUL AGING INITIATIVES. 25000 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC CAPITAL GRANT FOR BUILDOUT OF SENIOR DENTAL CENTER SPACE. 22033 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC TO SUPPORT GENERAL OPERATIONS FOR FY 2016 AT THE GARY AND MARY WEST SENIOR WELLNESS CENTER. 209500 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC TO SUPPORT CARE COORDINATION AT THE GARY AND MARY WEST SENIOR WELLNESS CENTER. 15000 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC TO SUPPORT GENERAL OPERATIONS FOR FY 2017 AT THE GARY AND MARY WEST SENIOR WELLNESS CENTER. 254500 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC CHALLENGE GRANT TO SUPPLEMENT THE FY 2017 OPERATING GRANT. 150000 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC TO SUPPORT STAFF DEVELOPMENT AND INTEGRATION. 2500 UC SAN DIEGO FOUNDATION 9500 GILMAN DRIVE 0664 LA JOLLA CA 920930664 NONE PC TO SUPPORT GENERAL OPERATIONS. 3000 UC SAN DIEGO FOUNDATION 9500 GILMAN DRIVE 0664 LA JOLLA CA 920930664 NONE PC TO SUPPORT THE BUILDING OF THE GARY AND MARY WEST SENIOR EMERGENCY DEPARTMENT AT UC SAN DIEGO HEALTH, LA JOLLA. 6307659 UNIVERSITY OF ROCHESTER CHET 265 CRITTENDEN BOULEVARD CU 420694 ROCHESTER NY 14642 NONE PC TO ADVANCE PROGRAMS FOR INNOVATIVE HEALTH CARE MODELS AND TECHNOLOGY-ENABLED SOLUTIONS TO IMPROVE THE HEALTH OF SENIORS. 10000 UNIVERSITY OF ROCHESTER CHET 265 CRITTENDEN BOULEVARD CU 420694 ROCHESTER NY 14642 NONE PC TO SUPPORT 2017 DENTAL HEALTH SUMMIT CONFERENCE. 150000 UNIVERSITY OF SOUTHERN CALIFORNIA - SCHAEFFER CENTER FOR HEALTH POLICY UNIVERSITY OF SOUTHERN CALIFORNIA LOS ANGELES CA 900893333 NONE PC TO SUPPORT AN ADVOCACY SERIES: THE OTHER CALIFORNIA - HEALTH POLICY CHALLENGES FACING OLDER CALIFORNIANS. 100000 VOLUNTEERS ASSISTING SENIORS 1941 SOUTH 42ND STREET SUITE 312 OMAHA NE 68105 NONE PC TO SUPPORT AN INTAKE COORDINATOR. 19000 12217410 AMERICAN SOCIETY ON AGING 575 MARKET STREET SUITE 2100 SAN FRANCISCO CA 941052869 NONE PC TO SUPPORT BROAD DISSEMINATION OF RESOURCES AND EDUCATIONAL MATERIALS TO IMPROVE THE BUSINESS ACUMEN OF NON-PROFIT ORGANIZATIONS THAT SERVE OLDER ADULTS. 30000 CHALLENGE CENTER 5540 LAKE PARK WAY LA MESA CA 91942 NONE PC TO SUPPORT THE HEALTH, WELLNESS, AND INDEPENDENCE INITIATIVE FOR SENIORS. 34000 GARY AND MARY WEST SENIOR DENTAL CENTER INC 1525 4TH AVENUE SAN DIEGO CA 92101 NONE PC THE GARY AND MARY WEST SENIOR DENTAL CENTER: PROVIDING LOW-INCOME SENIORS WITH ORAL HEALTHCARE THROUGH AN INTEGRATED, COMMUNITY-BASED MODEL OF CARE. 1055685 GARY AND MARY WEST SENIOR DENTAL CENTER INC 1525 4TH AVENUE SAN DIEGO CA 92101 NONE PC CHALLENGE GRANT TO SUPPORT FUNDRAISING EFFORTS. 12062 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI - CENTER TO ADVANCE PALLIATIVE CARE 55 W 125TH ST SUITE 1302 NEW YORK NY 10027 NONE PC TO SUPPORT PALLIATIVE CARE EVERYWHERE. 500000 LEGAL AID SOCIETY OF SAN DIEGO INC 110 SOUTH EUCLID AVENUE SAN DIEGO CA 92114 NONE PC TO SUPPORT THE HEALTH ADVOCACY PROJECT. 204076 OUTLOOK NEBRASKA INC 4125 S 72ND ST OMAHA NE 68127 NONE PC TO SUPPORT THE ONI ENRICHMENT PROGRAMS - SENIORS. 19600 PAWS'ITIVE TEAMS 10727 ESCOBAR DR SAN DIEGO CA 92124 NONE PC TO SUPPORT PERSONNEL COSTS. 25000 REBUILDING TOGETHER OMAHA 7831 WAKELEY PLAZA OMAHA NE 68114 NONE PC TO SUPPORT HEALTHY AT HOME PROGRAM, SENIOR HOUSING REPAIRS. 50000 SAN DIEGO REGIONAL ECONOMIC DEVELOPMENT FOUNDATION 530 B STREET SUITE 700 SAN DIEGO CA 92101 NONE PC TO SUPPORT AWARENESS FOR SAN DIEGO'S SENIOR ORAL HEALTH PROJECTS AND TO ATTRACT TOP TALENT TO THE REGION FOR SUCCESSFUL AGING INITIATIVES. 25000 SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 NONE PC TO SUPPORT FY 2017 GENERAL OPERATIONS. 254500 VOLUNTEERS ASSISTING SENIORS 1941 SOUTH 42ND STREET SUITE 312 OMAHA NE 68105 NONE PC TO SUPPORT INTAKE COORDINATOR / RECEPTIONIST. 19000 2228923 14 6388040 14 572917 18 967772 0 7928729 0 7928729 0 0 0 0 0 0 0 0 0 0 X X 1 GARY L WEST 2013 DE TRUST 5796 ARMADA DRIVE SUITE 300 CARLSBAD CA 92008 4200000 X 2 MARY E WEST 2013 DE TRUST 5796 ARMADA DRIVE SUITE 300 CARLSBAD CA 92008 4200000 X ACCOUNTING FEES 41646 33317 8329 GARY AND MARY WEST HEALTH POLICY CENTER INC (EIN 27-5388874) 1909 K STREET NW SUITE 730 WASHINGTON DC 20006 2016-01-07 3206417 TO SUPPORT THE GARY AND MARY WEST HEALTH POLICY CENTER (THE "POLICY CENTER") IN CARRYING OUT ITS CHARITABLE PURPOSES RELATED TO RESEARCH OBJECTIVES IN THE AREAS OF MEDICARE REFORM AND VALUE-BASED INSURANCE DESIGN. THE AMOUNT EXPENDED BY THE POLICY CENTER IN 2016 WAS $3,090,913. THE AMOUNT DISTRIBUTED BY THE GARY AND MARY WEST FOUNDATION WAS $3,206,417. $115,504 OF FUNDS, IN EXCESS OF EXPENDITURES IN 2016, WAS RETURNED TO THE FOUNDATION IN 2017. SIMILARLY, $82,157 WAS REFUNDED IN 2016 FOR EXCESS DISTRIBUTIONS IN 2015. 3090913 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED. MIDTERM 07/28/16, FINAL 01/30/17. MONTHLY EXPENSE REPORTS THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE. FORM 990-PF; PART VII-B; QUESTION 1A(4) WEST FAMILY INVESTMENTS, INC. PROVIDED INVESTMENT MANAGEMENT SERVICES TO THE GARY AND MARY WEST FOUNDATION DURING 2016 FOR A MARKET BASED FEE. WEST FAMILY INVESTMENTS, INC. IS OWNED BY GARY AND MARY WEST, SUBSTANTIAL CONTRIBUTORS TO THE FOUNDATION AND TWO ADDITIONAL MEMBERS OF THE FOUNDATION. THIS IS EXCEPTED FROM SELF-DEALING BY IRC SECTION 4941(D)(2)(E).WEST DEVELOPMENT, LLC PROVIDED PROFESSIONAL INFORMATION TECHNOLOGY SERVICES TO THE GARY AND MARY WEST FOUNDATION DURING 2016 FOR A MARKET BASED FEE. WEST FAMILY HOLDINGS, LLC IS THE SOLE MEMBER OF WEST DEVELOPMENT, LLC. THE TWO MEMBERS OF WEST FAMILY HOLDINGS, LLC ARE THE GARY L. WEST 2010 REVOCABLE LIVING TRUST AND THE MARY E. WEST 2010 REVOCABLE LIVING TRUST. BOTH MEMBERS OWN 50% OF WEST FAMILY HOLDINGS, LLC. THIS IS EXCEPTED FROM SELF-DEALING BY IRC SECTION 4941(D)(2)(E). EXPLANATION PART XV, QUESTION 1B GARY WEST AND MARY WEST COLLECTIVELY OWN 10% OR MORE OF PASSIVE INVESTMENT PARTNERSHIPS. FORM 990-PF THE FOUNDATION'S FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (U.S. GAAP). 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CMN 19580 19580 NEWTEK BUSINESS SVCS CORPORATION CMN 713449 713449 NSTAR ELEC CO PFD 4.25% 720000 720000 PENNANTPARK FLOATING RATE CAT LTD 936170 936170 PENNANTPARK INVESTMENT CORP. MUTUAL FUND 1336019 1336019 PFIZER, INC. CMN 2285682 2285682 REDDY ICE HOLDINGS, INC. CMN 10929 10929 REDDY ICE HOLDINGS, INC. CONV PFD USD0.0000 CLASS A 31655 31655 REVERSE MORTGAGE INVESTMENT TR INC COM USD100 144A 900000 900000 SIERRA METALS, INC. CMN 495472 495472 SILVER BAY REALTY TRUST CORP. CMN 85940 85940 SOLAR CAPITAL LTD. CMN 2176668 2176668 SOLAR SENIOR CAPITAL LTD. CMN 1385317 1385317 STARWOOD PROPERTY TRUST INC. CMN 1152419 1152419 SUN COMMUNITIES INC COM 360221 360221 SUTHERLAND ASSET MANAGEMENT CORPORA COM 673374 673374 SYNCHRONY FINANCIAL CMN 1340068 1340068 TCP CAP CORP 744648 744648 TETRAGON FINANCIAL GROUP LTD. CMN 751395 751395 THL CREDIT INC CMN 866245 866245 TOTAL SA SPONSORED ADR CMN 71358 71358 TRANSATLANTIC PETROLEUM LTD. CMN 60792 60792 TRANSOCEAN LTD. CMN 244684 244684 TRIPLEPOINT VENTURE GROWTH BDC CORP COMMON STOCK 281766 281766 TWO HARBORS INVESTMENT CORP. CMN 1288912 1288912 VALE SA ADR 34290 34290 ZIMMER HLDGS, INC. CMN 206400 206400 ZOETIS, INC. CMN CLASS A 1133444 1133444 ARENA-PLASTIC VENTURES FMV 699919 699919 ARIAS RESOURCE CAPITAL FMV 712472 712472 BLUE RIVER ARBITRAGE FMV 2627264 2627264 CONATUS CAPITAL OVERSEAS FMV 1571777 1571777 DIALECTIC ANTITHESIS OFF FMV 487160 487160 ELM PARK CREDIT OPP FUND II FMV 261463 261463 EMERGING EUROPE FMV 832215 832215 ETON PARK OVERSEAS FUND FMV 2382384 2382384 FORTRESS LIFE SETTLEMENTS FMV 789719 789719 FORTRESS MSR FMV 653457 653457 GCP FUND III REIT & CORP FMV 3510371 3510371 GCP FUND IV REIT FMV 140939 140939 GLOBAL PARTNERS FMV 1871677 1871677 GS ANCHORAGE FMV 29833 29833 GS LIBERTY HARBOR FMV 232 232 GS MEZZANINE FMV 457365 457365 INVESCO MORTG RECOVERY FMV 295407 295407 LARGO RES LTD WARRANT CERT W-2016-63 FMV 150578 150578 MARATHON EUROPEAN CREDIT FMV 282929 282929 OAKTREE RE DEBT FUND CAYMAN FMV 272325 272325 OHA EUROPEAN SCF OFFSHORE FMV 394785 394785 OHA SCF PARALLEL FMV 252144 252144 PASSPORT MATERIAL FMV 111 111 PONDFIELD CAPITAL, LLC FMV 2004625 2004625 SCG ATLAS FMV 993080 993080 SKELLIG OFFSHORE FMV 51587 51587 STARWOOD OPPORTUNITY FUND FMV 625068 625068 SUMMIT WATER DEVELOPMENT FMV 339264 339264 VIRGO-WALNUT FMV 497216 497216 WTS/GENERAL MOTORS COMPANY 18.3300 EXP 07/10/2019 FMV 4591 4591 XPV WATER FUND FMV 1058602 1058602 FURNITURE & EQUIPMENT 288416 92136 196280 196280 COMPUTER EQUIPMENT 93448 46825 46623 46623 LEASEHOLD IMPROVEMENTS 539084 130317 408767 408767 LEGAL FEES 20442 2280 19856 SECURITY DEPOSIT 15096 15096 15096 INTEREST RECEIVABLE 190495 152712 152712 DIVIDENDS RECEIVABLE 950912 883330 883330 PARTNERSHIP DISTRIBUTION RECEIVABLE 1022908 73864 73864 ELM PARK CREDIT OPP FUND II -5204 0 0 NT - TRANSACTIONS RECEIVABLE 0 73380 73380 UNREALIZED LOSS ON FOREIGN CURRENCY 992 GRANTEE PROJECT EXPENSES 658167 0 790497 COMPUTER EXPENSE 46684 11671 40024 DUES & SUBSCRIPTIONS 26237 484 21174 INSURANCE 18593 4223 15072 TELEPHONE 28295 7074 21339 SUPPLIES 15759 3940 11524 IT SUPPORT 12494 3124 9370 FEES 7671 1918 4637 POSTAGE 2917 729 2175 MINOR FURNITURE & EQUIPMENT 3365 841 2524 MISCELLANEOUS EXPENSES 1914 478 1235 PARTNERSHIP INCOME 568861 568861 0 LEGAL SETTLEMENT INCOME 3017 3017 0 FOREIGN CURRENCY GAIN 1039 1039 0 UNREALIZED GAIN ON INVESTMENTS 9675694 LIABILITIES UNDER OPTION CONTRACTS 27960 386525 INVESTMENT FEES 627511 627511 0 PROFESSIONAL AND MANAGERIAL SERVICES 735181 0 485816 FEDERAL EXCISE TAX 136954 0 0 PAYROLL TAXES 51071 11600 39471 USE TAX 301 75 226 OTHER TAXES 2310 578 2050