2013-05-15T11:40:49-05:00 2012-06-30 946214841 ARMANINO LLP 12667 ALCOSTA BOULEVARD SUITE 500 SAN RAMON CA 945834427 990 2011-07-01 943101464 ON LOK INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 ROBERT EDMONDSON 4152928888 2013-05-13 1 LYNN HENLEY P00356034 9257902600 2011 2016-02-25 16:41:14Z ROBERT EDMONDSON 1333 BUSH STREET SAN FRANCISCO CA 94109 7257577 0 X WWW.ONLOK.ORG X 1989 CA DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 18 17 43 95 0 0 299035 522528 5011765 5086765 244149 211782 374554 449047 5929503 6270122 393320 350000 0 0 3295257 3604522 0 0 732520 1282087 1660484 4970664 5615006 958839 655116 8483146 9151958 600800 785724 7882346 8366234 DEVELOP AND SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF THE ELDERLY AND CHRONICALLY ILL. 0 0 3884885 350000 4897962 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 SENIORS. APPROXIMATELY $3.1 MILLION ($1.5 MILLION IN FOUNDATION GRANTS AND CONTRIBUTIONS AND $1.6 MILLION IN CITY GRANTS) WAS RAISED THAT WENT DIRECTLY TO THESE AFFILIATED ORGANIZATIONS. 665428 516899 PROVIDE TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT SERVICES TO ORGANIZATIONS DEVELOPING OR OPERATING A PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) PROGRAM. 4550313 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 35 0 1 43 1 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X SUE WONG 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 WELLMAN TSANG MD 2.00 X X 0 0 0 TOM MARAVILLA 2.00 X X 0 0 0 IRENE RILEY 2.00 X X 0 0 0 JOHN JENKS 2.00 X X 0 0 0 JOSEPH BARBACCIA MD 1.00 X 0 0 0 TEVEIA BARNES 1.00 X 0 0 0 GREGORY CHUN 1.00 X 0 0 0 ELIZABETH FERGUSON 1.00 X 0 0 0 ERIC HARRISON 1.00 X 0 0 0 ANDREW JUNIUS 1.00 X 0 0 0 WILLIAM LOCK 1.00 X 0 0 0 SONIA MELARA 1.00 X 0 0 0 LILLIAN POON THRU 62012 0.50 X 0 0 0 TOM RUNDALL PHD 1.00 X 0 0 0 CANDY RUPP 1.00 X 0 0 0 LINDA TROWBRIDGE 1.00 X 0 0 0 SHARON YOW 1.00 X 0 0 0 ROBERT EDMONDSON 40.00 X X 418598 0 16267 CYNTHIA YEE THRU 122011 0.50 X 0 0 0 SUE WONG 40.00 X 202528 0 14001 DEBORAH STUART-MIDDLETON 40.00 X 131498 0 11039 RANDAL SMITH 40.00 X 158018 0 11834 BELINDA ONG 40.00 X 125948 0 11585 SIU KUK MAN 40.00 X 107515 0 3739 1144105 0 68465 6 0 1 0 ELIZABETH CARTY 7209 WALDO AVENUE EL CERRITO CA 94530 CONSULTING 162128 EPSTEIN BECKER & GREEN PC ONE CALIFORNIA STREET 26TH FLOOR SAN FRANCISCO CA 941115427 LEGAL 119683 2 522528 522528 MGMT SUPPORT CONTRACT 561000 4897962 4897962 TECHNICAL ASSISTANCE 541900 188803 188803 5086765 183954 183954 856498 828670 27828 27828 27828 185764 158785 26979 26979 ADMIN SERVICES 900099 328096 328096 EXPENSE RECOVERY 900099 93972 93972 422068 6270122 5414861 0 332733 350000 350000 670716 613102 57614 2364079 1948670 155802 259607 65753 55411 4677 5665 312047 262969 22195 26883 191927 161741 13651 16535 20781 20781 156833 156833 30000 30000 15468 15468 483223 432059 42140 9024 73318 73318 63345 21536 1786 40023 148318 146493 1804 21 79514 73544 4607 1363 60971 55734 5237 48410 44252 4158 MISCELLANEOUS 181685 5594 176091 SUPPLIES 153910 87730 6626 59554 DONATIONS 64269 6707 348 57214 REPAIR & MAINTENANCE 54649 44628 4194 5827 25790 22655 1740 1395 5615006 4550313 332173 732520 1737729 1538153 27365 14087 503065 704719 1242448 1792448 107232 137809 720160 419463 193245 300697 4182535 4664045 372928 116599 0 8483146 9151958 600800 785724 600800 785724 X 7834871 8318759 27475 27475 20000 20000 7882346 8366234 8483146 9151958 X 655116 -171228 X X 0 1 1 X 0 X 297675 387678 335700 299035 495798 1815886 297675 387678 335700 299035 495798 1815886 201978 1613908 200155 155382 121072 185928 183954 846491 148933 99194 124180 243774 422068 1038149 3700526 25986691 0.43610 0.48200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 86271 75469 10802 633889 343994 289895 300697 6270122 5615006 655116 -171228 -171228 483888 6257679 -171228 158785 -12443 6270122 0 6270122 5773791 158785 158785 5615006 0 5615006 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT HAS EVALUATED ITS CURRENT TAX POSITION AND HAS CONCLUDED AS OF JUNE 30, 2012, THE ORGANIZATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED WITH REVENUE 158,785. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED WITH REVENUE 158,785. SPRING BANQUET 113161 113161 1250 98243 FASHION SHOW 49616 49616 1500 27008 2 22987 22987 1112 29672 185764 185764 3862 154923 158785 26979 1 ON LOK DAY SERVICES INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 501(C)(3) 350000 0 OPERATIONS 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS ARE USED TO SUPPORT THE OPERATIONS OF THE RECIPIENT. ON LOK, INC. IS THE PARENT ORGANIZATION OF THE RECIPIENT AND HAS KNOWLEDGE OF ANY DONOR DESIGNATIONS OF DONATIONS AND THE OPERATIONS OF THE RECIPIENT. X X X 0 0 0 0 0 0 0 0 0 ROBERT EDMONDSON 418598 0 0 0 0 0 7350 0 8917 0 434865 0 0 0 SUE WONG 202528 0 0 0 0 0 6194 0 7807 0 216529 0 0 0 RANDAL SMITH 158018 0 0 0 0 0 4740 0 7094 0 169852 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 REVIEW OF THE FORM 990 HAS BEEN DELEGATED TO THE EXECUTIVE COMMITTEE OF ON LOK, INC. UPON REVIEW AND APPROVAL, THE 990 WILL BE 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 15A 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. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -171,228. 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 AND SUPPORTIVE CARE TO FRAIL ELDERLY CA 501(C)(3) LINE 9 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 9 ON LOK INC 1 ON LOK HOUSE INC 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 HOUSING FOR LOW-INCOME FRAIL ELDERLY CA 501(C)(3) LINE 7 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 9 ON LOK INC 1 0 1 0 0 0 0 0 0 0 1 1 1 0 1 0 1 0 0