2022-05-12T13:58:00-05:00 2021-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2020-07-01 943101464 ON LOK INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 KANWAR SINGH CFO 4152928888 2022-05-11 1 KANWAR SINGH 999009999 MATTHEW PETROSKI P00853132 9257902600 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 19288089 0 X WWW.ONLOK.ORG X 1989 CA DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 14 13 98 17 -13366 0 698380 1143566 13182861 14723293 -624738 891059 1687841 -103144 14944344 16654774 2354244 3341609 0 0 9758497 11350510 0 0 1261272 6269999 5948195 18382740 20640314 -3438396 -3985540 13329530 25722793 2046909 3642945 11282621 22079848 DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 0 0 17411342 3341609 14723293 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. 339783 PROVIDE TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT SERVICES TO ORGANIZATIONS DEVELOPING OR OPERATING A PACE PROGRAM (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). 17751125 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 77 0 1 98 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X KANWAR SINGH 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 KEVIN GERBER CHAIR 2.00 X X 0 0 0 IRENE RILEY VICE CHAIR 2.00 X X 0 0 0 LYZ FERGUSON TREASURER 2.00 2.00 X X 0 0 0 ERIC HARRISON SECRETARY 2.00 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 2.00 X 0 0 0 DIANE LEE DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM LOCK DIRECTOR 1.00 X 0 0 0 DARLENE MAR EX-OFFICIO DIRECTOR 1.00 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 SHARON YOW DIRECTOR 1.00 2.00 X 0 0 0 GRACE LI HARPER CHIEF EXECUTIVE OFFICER 40.00 9.00 X X 588393 0 18422 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 40.00 X 308999 0 19752 KANWAR SINGH CHIEF FINANCIAL OFFICER (START 04/21) 40.00 X 0 0 0 DIANA C YIN CHIEF STRATEGY ANALYTICS 40.00 X 321153 0 19569 MICHAEL WEBB CHIEF TECH INFO SEC OFCR 40.00 X 298337 0 22793 JOHN V BLAZEK CHIEF DEV OFF & ED OLDS 40.00 X 273834 0 8394 JOY A MOORE CHIEF HUMAN RESOURCES OFF 40.00 X 265788 0 19805 TIFFANY L LUONG DIR FIN PLAN & ANALYSIS 40.00 X 189256 0 17428 SIU K MAN CONTROLLER 40.00 X 179729 0 17163 HELEN HUCKLEBERRY DIR MARKETING 40.00 X 175531 0 19399 BRIDGET A WILSON ASSISTANT CONTROLLER 40.00 X 170993 0 14587 AMAN DHILLON DIR TECH PROG MGMT 40.00 X 167426 0 13167 2939439 0 190479 28 0 1 0 TEK SYSTEMS PO BOX 198568 ATLANTA GA 30384 STAFFING 408708 FLG PARTNERS LLC PO BOX 556 ROSS CA 94957 CONSULTING 407750 INTERVISION SYSTEMS LLC 2270 MARTIN AVENUE SANTA CLARA CA 95050 IT 262360 GARTNER INC 50 TOP GALLANT ROAD STAMFORD CT 06902 CONSULTING 192450 IT SOURCE LLC 1860 W UNIVERSITY DR SUITE 100 TEMPE AZ 85281 IT 164229 8 276963 866603 1143566 MGMT SUPPORT CONTRACT 561000 14573714 14573714 OTHER PROGRAM REVENUE 900099 149579 149579 14723293 261171 261171 3173425 2543537 629888 629888 629888 0 276963 89778 -89778 -89778 S-CORP INCOME 621610 -13366 -13366 -13366 16654774 14723293 -13366 801281 3341609 3341609 2180648 1282581 619755 278312 7109921 6251807 318215 539899 223673 183611 23096 16966 1202017 1003092 110853 88072 634251 532051 46534 55666 3241724 2926478 218815 96431 76391 792 75599 84381 64844 19537 64975 64975 84163 56173 27990 874107 794979 13994 65134 704202 703381 821 99209 81955 3690 13564 500691 458764 16027 25900 40937 2639 38298 OTHER EXPENSES 177415 66369 57708 53338 20640314 17751125 1627917 1261272 747173 1126378 475104 799367 1942892 2812692 1025516 1157133 3633305 2806517 1289821 826788 7849024 17986547 0 1013888 13329530 25722793 1711153 2751160 15000 0 320756 891785 2046909 3642945 X 10745320 21308981 537301 770867 11282621 22079848 13329530 25722793 X -3985540 1769401 13013366 X X 0 1 X 1 0 X 425863 361440 826160 698380 1143566 3455409 425863 361440 826160 698380 1143566 3455409 3455409 181267 183538 226816 276238 261171 1129030 289647 207234 132005 276963 905849 5490288 60616009 0.62940 0.62640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22677 5310 27987 22312 365 22677 20979 1333 22312 20175 804 20979 20073 102 20175 0.00000 1.00000 0.00000 0 0 52606 52606 0 3518299 2692551 825748 62400 61360 1040 826788 PAYABLE TO OLDS 123062 LEASE LIABILITY 768723 891785 X 18462344 1769401 1769401 16692943 64975 -103144 -38169 16654774 20665117 89778 89778 20575339 64975 64975 20640314 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, 2021, 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: FUNDRAISING ACTIVITY -89,778. S-CORP PASSTHROUGH LOSS -13,366. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 89,778. CELEBRATES 2021 276963 276963 13977 75801 276963 276963 13977 75801 89778 -89778 0 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 501(C)(3) 3172524 GENERAL PROGRAM SUPPORT ON LOK HOUSE 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 501(C)(3) 19901 GENERAL PROGRAM SUPPORT 2 0 X X X 0 0 0 0 0 0 0 1 0 GRACE LI HARPER CHIEF EXECUTIVE OFFICER 519357 0 69036 0 0 0 8550 0 9872 0 606815 0 0 0 DIANA C YIN CHIEF STRATEGY ANALYTICS 306153 0 15000 0 0 0 8550 0 11019 0 340722 0 0 0 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 305699 0 3300 0 0 0 8550 0 11202 0 328751 0 0 0 MICHAEL WEBB CHIEF TECH INFO SEC OFCR 283337 0 15000 0 0 0 8550 0 14243 0 321130 0 0 0 JOY A MOORE CHIEF HUMAN RESOURCES OFF 250788 0 15000 0 0 0 8155 0 11650 0 285593 0 0 0 JOHN V BLAZEK CHIEF DEV OFF & ED OLDS 261334 0 12500 0 0 0 8394 0 0 0 282228 0 0 0 TIFFANY L LUONG DIR FIN PLAN & ANALYSIS 179256 0 10000 0 0 0 5778 0 11650 0 206684 0 0 0 SIU K MAN CONTROLLER 179729 0 0 0 0 0 5513 0 11650 0 196892 0 0 0 HELEN HUCKLEBERRY DIR MARKETING 175531 0 0 0 0 0 2811 0 16588 0 194930 0 0 0 BRIDGET A WILSON ASSISTANT CONTROLLER 170993 0 0 0 0 0 5200 0 9387 0 185580 0 0 0 AMAN DHILLON DIR TECH PROG MGMT 167426 0 0 0 0 0 3648 0 9519 0 180593 0 0 0 PART I, LINE 7 OLI'S SENIOR LEADERS ARE ELIGIBLE FOR AN ANNUAL INCENTIVE REWARD. THE REASONABLENESS AND APPROPRIATENESS OF THE ANNUAL INCENTIVE PLAN DESIGN AND SPECIFIC GOALS AND REWARDS ARE ASSESSED BY THE EXECUTIVE COMMITTEE OF THE BOARD EACH YEAR. THE INCENTIVE PLAN, WHICH IS ALIGNED WITH THE ORGANIZATION'S FISCAL YEAR, HAS SPECIFIED ORGANIZATIONAL AND INDIVIDUAL GOALS LINKED TO THE ANNUAL BUSINESS AND FINANCIAL PLANS AND PREDEFINED FINANCIAL REWARD OPPORTUNITIES ARE SET FOR EACH GOAL. A MINIMUM, TARGET AND MAXIMUM INCENTIVE REWARD OPPORTUNITY IS ESTABLISHED FOR EACH SENIOR LEADER. FOR THE CEO AND CFO, THE EXECUTIVE COMMITTEE OF THE BOARD SETS THE CEO'S AND CFO'S GOALS AND RELATED GOAL WEIGHTS AT THE BEGINNING OF THE FISCAL YEAR AND DETERMINES THE APPROVED DEGREE OF GOAL ATTAINMENT AND RELATED REWARDS EARNED AT FISCAL YEAR END. THE CEO FOLLOWS THE SAME PROCESS FOR HER DIRECT REPORTS AND SHARES HER FINAL DECISIONS WITH THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 4 ON LOK, INC AMENDED ITS BYLAWS DURING THE FISCAL YEAR END 06/30/21. CHANGES MADE WITH THE AMENDMENT INCLUDE: -UPDATED POWERS OF DIRECTORS TO CLARIFY THAT BOARD CAN (AND SHOULD) FORMALLY REVIEW AND APPROVE ORGANIZATIONAL POLICIES. -DIRECTORS ARE LIMITED TO 3 CONSECUTIVE TERMS. -UPDATED CONFLICT OF INTEREST POLICY. 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 13,000,000. S-CORP PASSTHROUGH INCOME NOT RECORDED IN FINANCIAL STATEMENTS 13,366. 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 12A, I 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 -13366 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 ON LOK DAY SERVICES B 3172524 CASH ON LOK SENIOR HEALTH SERVICES C 13000000 CASH ON LOK SENIOR HEALTH SERVICES K 530298 CASH ON LOK SENIOR HEALTH SERVICES L 13020519 CASH ON LOK COMMUNITY HOUSING INC L 366418 CASH ON LOK HOUSE L 170078 CASH ON LOK DAY SERVICES L 1016699 CASH ON LOK HOUSE O 135092 CASH ON LOK SENIOR HEALTH SERVICES P 317627 CASH