2021-05-13T20:42:47-05:00 2020-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2019-07-01 943101464 ON LOK INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 GARY P CAMPANELLA CFO 4152928888 2021-05-13 1 MATTHEW PETROSKI P00853132 9257902600 2021-05-05 2019 2022-09-23 18:48:47Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 19525893 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 93 215 1687841 0 826160 698380 12821167 13182861 -5003132 -624738 -813333 1687841 7830862 14944344 587593 2354244 0 0 9373076 9758497 0 0 1409139 4591927 6269999 14552596 18382740 -6721734 -3438396 14882484 13329530 1477029 2046909 13405455 11282621 DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 0 0 15065451 2354244 13037001 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. 172591 145860 PROVIDE TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT SERVICES TO ORGANIZATIONS DEVELOPING OR OPERATING A PACE PROGRAM (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). 15238042 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 1 0 0 0 0 1 1 0 0 0 1 97 0 1 93 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GARY P CAMPANELLA 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 KEVIN GERBER CHAIR 2.00 0.00 X X 0 0 0 IRENE RILEY VICE CHAIR 2.00 0.00 X X 0 0 0 LYZ FERGUSON TREASURER 2.00 2.00 X X 0 0 0 ERIC HARRISON SECRETARY 2.00 1.00 X X 0 0 0 JOSEPH BARBACCIA MD DIRECTOR 1.00 2.00 X 0 0 0 GREGORY CHUN DIRECTOR 1.00 2.00 X 0 0 0 ALINA LAGUNA DIRECTOR 1.00 1.50 X 0 0 0 DIANE LEE DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM LOCK DIRECTOR 1.00 0.00 X 0 0 0 DARLENE MAR EX-OFFICIO DIRECTOR 1.00 0.00 X 0 0 0 CANDY RUPP DIRECTOR 1.00 4.00 X 0 0 0 BARBARA SOLOMON DIRECTOR 1.00 1.00 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 505423 0 18160 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 40.00 X 319168 0 20084 DIANA C YIN CHIEF STRATEGY ANALYTICS 40.00 X 293964 0 19419 MICHAEL WEBB CHIEF TECH INFO SEC OFCR 40.00 X 272569 0 17376 JOHN V BLAZEK CHIEF DEV OFF & ED OLDS 32.00 8.00 X 246063 0 7480 JOY A MOORE CHIEF HUMAN RESOURCES OFF. 40.00 X 242046 0 19089 TIFFANY L LUONG DIR FIN PLAN & ANALYSIS 40.00 X 169655 0 16873 SIU K MAN CONTROLLER 40.00 X 166984 0 15756 BRIDGET A WILSON ASSISTANT CONTROLLER 40.00 X 158758 0 13643 2374630 0 147880 22 0 1 0 IT1 SOURCE 1860 W UNIVERSITY DR SUITE 100 TEMPE AZ 85281 CONTRACT SERVICE 398747 TEK SYSTEMS PO BOX 198568 ATLANTA GA 303848568 CONTRACT SERVICE 342904 AJILON PROFESSIONAL STAFFING DEPT CH 14031 PALATINE IL 60055 CONTRACT SERVICE 290836 INTERVISION SYSTEMS LLC 2270 MARTIN AVENUE SANTA CLARA CA 95050 CONTRACT SERVICE 238767 GROUPWARE TECHNOLOGY 541 DIVISION ST CAMPELL CA 95008 CONTRACT SERVICE 191439 5 42464 655916 177566 698380 MGMT SUPPORT CONTRACT 561000 12958807 12958807 TECHNICAL ASSISTANCE 541900 145860 145860 OTHER PROGRAM REVENUE 900099 78194 78194 13182861 276238 276238 3548568 3591694 857850 -43126 -857850 -900976 -900976 132005 42464 132005 0 S-CORP INCOME 621610 1687841 1687841 1687841 14944344 13182861 1687841 -624738 2354244 2354244 1980840 1203714 523583 253543 6235523 5299567 435218 500738 198624 140660 38205 19759 806100 687024 62233 56843 537410 442821 44538 50051 2664650 2413364 176337 74949 151377 151377 84349 63003 21346 38116 38116 1785320 1698199 19544 67577 153921 122171 15399 16351 567153 496220 19978 50955 48258 6641 41617 OTHER EXPENSES 776855 310414 148068 318373 18382740 15238042 1735559 1409139 1149958 747173 297538 475104 1386010 1942892 774843 1025516 3595646 2305825 1628928 1289821 9645207 7849024 14882484 13329530 1315083 1711153 15000 161946 320756 1477029 2046909 X 12987917 10745320 417538 537301 13405455 11282621 14882484 13329530 X -3438396 3403 1312159 X X 0 1 X 1 0 X 566992 425863 361440 826160 698380 2878835 566992 425863 361440 826160 698380 2878835 2878835 220232 181267 183538 226816 276238 1088091 289647 207234 132005 628886 4595812 54001903 0.62640 0.62550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22312 365 22677 20979 1333 22312 20175 804 20979 20073 102 20175 20016 57 20073 0.00000 1.00000 0.00000 0 0 52606 52323 283 3480640 2204622 1276018 62400 48880 13520 1289821 PAYABLE TO OLDS 293059 PAYABLE TO OLH 27697 320756 X 13221835 3403 45 3448 13218387 38116 1687841 1725957 14944344 18344669 45 45 18344624 38116 38116 18382740 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, 2020, 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: S-CORP PASSTHROUGH INCOME 1,687,841. 30TH STREET - 40TH ANNIVERSARY 117130 11288 105842 74008 13575 18259 FRIENDS OF ON LOK - FASHION SHOW 57339 31176 26163 14033 700 11430 174469 42464 132005 88041 14275 29689 132005 0 0 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 501(C)(3) 1828551 GENERAL PROGRAM SUPPORT ON LOK HOUSE 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 501(C)(3) 525693 GENERAL PROGRAM SUPPORT 2 0 X X X 0 0 0 0 0 0 0 0 0 GRACE LI HARPER CHIEF EXECUTIVE OFFICER 505423 0 0 0 0 0 8400 0 9760 0 523583 0 0 0 GARY P CAMPANELLA CHIEF FINANCIAL OFFICER 319168 0 0 0 0 0 8400 0 11684 0 339252 0 0 0 DIANA C YIN CHIEF STRATEGY ANALYTICS 293964 0 0 0 0 0 8400 0 11019 0 313383 0 0 0 MICHAEL WEBB CHIEF TECH INFO SEC OFCR 272569 0 0 0 0 0 2963 0 14413 0 289945 0 0 0 JOHN V BLAZEK CHIEF DEV OFF & ED OLDS 246063 0 0 0 0 0 7480 0 0 0 253543 0 0 0 JOY A MOORE CHIEF HUMAN RESOURCES OFF. 242046 0 0 0 0 0 7405 0 11684 0 261135 0 0 0 TIFFANY L LUONG DIR FIN PLAN & ANALYSIS 169655 0 0 0 0 0 5189 0 11684 0 186528 0 0 0 SIU K MAN CONTROLLER 166984 0 0 0 0 0 4007 0 11749 0 182740 0 0 0 BRIDGET A WILSON ASSISTANT CONTROLLER 158758 0 0 0 0 0 4798 0 8845 0 172401 0 0 0 X 1 177566 FMV 0 0 0 0 PART I, COLUMN (B): THE NUMBER REPRESENTS THE NUMBER OF CONTRIBUTORS NOT THE NUMBER OF ITEMS CONTRIBUTED. 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 3,000,000. S-CORP PASSTHROUGH INCOME NOT RECORDED IN FINANCIAL STATEMENTS -1,687,841. 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 1687841 15646 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 ON LOK COMMUNITY HOUSING INC L 214743 CASH ON LOK DAY SERVICES B 1828551 CASH ON LOK DAY SERVICES L 265420 CASH ON LOK HOUSE B 525693 CASH ON LOK HOUSE O 114633 CASH ON LOK SENIOR HEALTH SERVICES K 578854 CASH ON LOK SENIOR HEALTH SERVICES L 12442205 CASH ON LOK SENIOR HEALTH SERVICES P 153429 CASH ON LOK SENIOR HEALTH SERVICES C 3000000 CASH