2012-03-28T18:43:31-05:00 2011-06-30 G & J SEIBERLICH & CO LLP 3264 VILLA LANE NAPA CA 94558 990 2010-07-01 251924934 CHILDREN'S HEALTH INITIATIVE NAPA COUNTY CHIL 7072270830 2160 JEFFERSON STREET SUITE 110 NAPA CA 94559 DALE W BERRY 7072270830 2012-03-07 1 WENDELL R COATS 7072247948 2010 2016-02-24 21:20:13Z MARK DIEL 2160 JEFFERSON STREET SUITE 110 NAPA CA 94559 733496 0 X WWW.NAPACHI.ORG X 2005 CA TO PROVIDE ACCESS FOR ALL CHILDREN IN NAPA COUNTY TO AFFORDABLE HEALTH INSURANCE AND ACCESS TO COMPREHENSIVE QUALITY CARE. 10 10 11 0 0 0 1064396 668055 7790 45864 4536 4289 -28882 -33381 1047840 684827 0 0 0 0 506135 573674 0 0 66687 408133 218855 914268 792529 133572 -107702 464019 347659 30099 21441 433920 326218 CREATE AMD MAINTAIN A SYSTEM WHEREBY ALL NAPA COUNTY CHILDREN HAVE ADEQUATE HEALTH INSURANCE COVERAGE AND ACCESS TO ALL NEEDED HEALTH CARE. 0 0 443000 PROVIDE ENROLLMENT ASSISTANCE TO, AND MAINTAIN, OVER 6,000 LOW INCOME CHILDREN IN SUBSIDIZED HEALTH INSURANCE COVERAGE USING ACTIVE CASE MANAGEMENT SERVICES. 137591 45864 PROVIDE ENROLLMENT ASSISTANCE TO, AND MAINTAIN, OVER 600 LOW INCOME CHILDREN IN CALFRESH (FOOD STAMPS) USING ACTIVE CASE MANAGEMENT SERVICES. 51733 TRAIN, LEAD AND PROVIDE ONGOING CONSULTATION SERVICES TO A COUNTY WIDE NETWORK OF CHILDRENS HEALTH INSURANCE "CERTIFIED APPLICATION ASSISTANTS" EMPLOYED BY OTHER NON-PROFITS AND LOCAL GOVERNMENT AGENCIES. 632324 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X X DALE BERRY 7072270830 2160 JEFFERSON STREET SUITE 110 NAPA CA 94559 BRAD ONORATO 2.00 X X 0 0 0 MIKE MCCLURE 2.00 X X 0 0 0 JOELLE GALLAGHER 2.00 X X 0 0 0 HOLLY FINKELSTEIN 2.00 X X 0 0 0 MARK BONTRAGER 2.00 X 0 0 0 JAMES COTTER 2.00 X 0 0 0 DENNIS PEDISICH 2.00 X 0 0 0 CLIFFORD SARKIN 2.00 X 0 0 0 PAMELA KRELL 2.00 X 0 0 0 DOLORES CAKEBREAD 2.00 X 0 0 0 MARK DIEL 40.00 X X 138499 0 0 138499 0 0 1 0 0 0 0 73429 100000 494626 15288 668055 PROGRAM FEES 900099 45864 45864 45864 4289 4289 15288 73429 48669 -33381 -33381 684827 45864 0 -29092 138499 113569 19390 5540 297170 243679 41604 11887 116651 95654 16331 4666 21354 17510 2990 854 15160 14534 313 313 50268 41219 7038 2011 7509 7134 225 150 16519 14983 768 768 5779 4739 809 231 7192 5897 1007 288 SUPPLIES 59477 29306 498 29673 TELEPHONE 15355 14587 461 307 PROFESSIONAL FEES 12371 10919 860 592 CONSULTING EXPENSE 8931 0 0 8931 TRAINING 7483 7483 0 0 12811 11111 1224 476 792529 632324 93518 66687 433478 280432 8000 46134 1431 1431 36971 26850 15567 10121 3667 5543 5874 464019 347659 8936 10552 21163 10889 30099 21441 X 268611 219968 165309 106250 433920 326218 464019 347659 -107702 0 X 1 0 1 X 0 X 685290 1319762 1048752 1064396 668055 4786255 37230 10310 15280 7790 45864 116474 722520 1330072 1064032 1072186 713919 4902729 0 0 0 4902729 13401 4138 2054 4536 4289 28418 13401 4138 2054 4536 4289 28418 735921 1334210 1066086 1076722 718208 4931147 0.99420 0.99460 0.00580 0.00540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36971 26850 10121 10121 ACCRUED EXPENSES 10889 10889 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION ADOPTED THE PROVISIONS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2009. IT EVALUATES ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE-LIKELY-THAN-NOT OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD ARE RECORDED AS AN EXPENSE IN THE APPLICABLE YEAR. AS OF JUNE 30, 2011, THE ORGANIZATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. X X X X X X 1 ESSEX & DRAKE 1202 UNIVERSITY AVENUE SAN JOSE CA 95126 MAJOR GIFT PROGRAM DEVELOPMENT 0 26500 57600 0 26500 57600 CA ANNUAL EVENT 50898 42803 8095 5000 17777 ANNIVERSARY EVENT 36145 28952 7193 1642 21238 2 1674 1674 3012 88717 73429 15288 6642 42027 48669 -33381 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS OR ISSUES WILL BE DISCUSSED. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, EMPLOYEE SHALL BE PROVIDED WITH AND ASKED TO REVIEW A COPY OF THE POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO. ANNUALLY EACH DIRECTOR, OFFICER, EMPLOYEE SHALL COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH S/HE IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMMITTEE, WHICH DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 CONSISTENT WITH THE REQUIREMENTS OF SECTION 6104(D) OF THE INTERNAL REVENUE CODE AND THE REGULATIONS THERE UNDER, COPIES OF THE ORGANIZATION'S FORM 990 SHALL BE MADE AVAILABLE, UPON REQUEST, IN A TIMELY MANNER, AND [WITHOUT CHARGE OR SUBJECT TO THE CHARGES PERMITTED BY LAW] TO ANY INDIVIDUALS WHO REQUEST IT.