2023-11-13T19:18:28-06:00 2022-12-31 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2022-01-01 454825887 ALLIANCE IN MENTORSHIP ALLI 5628227098 2548 KNOXVILLE AVENUE LONG BEACH CA 90815 DIEGO GONZALEZ CHIEF FINANCIAL OFFICER 5628227098 2023-11-03 1 DIEGO GONZALEZ 999009999 0 REGINA L PRINCE P00576936 2138731700 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DIEGO GONZALEZ 2548 KNOXVILLE AVENUE LONG BEACH CA 90815 542759 0 X WWW.MIMENTOR.ORG X 2012 CA ALLIANCE IN MENTORSHIP (MIMENTOR) IS A NATIONAL MENTORING ORGANIZATION. 15 15 7 195 0 0 75710 530227 0 0 0 0 0 0 75710 530227 0 39624 0 0 0 72542 0 0 1227 48873 52989 48873 165155 26837 365072 60738 432759 0 7770 60738 424989 THE PRIMARY PURPOSE OF THE CORPORATION IS TO DEVELOP AND SUPPORT EDUCATIONAL MENTORSHIP OUTREACH ACTIVITIES AND SCHOLARSHIP AWARDS FOR STUDENTS PURSUING HEALTHCARE CAREERS. 0 0 140907 39624 DEVELOPED AND DELIVERED EDUCATIONAL MENTORSHIP OUTREACH ACTIVITIES FOR STUDENTS PURSUING HEALTHCARE CAREERS. 140907 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 7 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 CA X EFRAIN TALAMANTES MD 5628227098 2548 KNOXVILLE AVENUE LONG BEACH CA 90815 ALFRED GLOVER DPM BOARD MEMBER 2.00 X 0 0 0 CAROLINA QUEZADA MD BOARD MEMBER 2.00 X 0 0 0 CESAR PADILLA MD BOARD MEMBER 5.00 X 0 0 0 CONSUELO CASILLAS MD PRESIDENT/CEO 23.00 X X 0 0 0 DIEGO GONZALES MD TREASURER/CFO 2.00 X X 0 0 0 DINO BARAJAS ESQ BOARD MEMBER 3.00 X 0 0 0 EFRAIN TALAMANTES MD BOARD MEMBER 5.00 X 0 0 0 JORGE TORRES MD BOARD MEMBER (UNTIL 02/2022) 2.00 X 0 0 0 LISA MONTES-TAN MD SECRETARY 5.00 X X 0 0 0 MARGARITA LOEZA MD VICE PRESIDENT 5.00 X X 0 0 0 MAURICIO JIMMY FRANCO MS MD BOARD MEMBER 2.00 X 0 0 0 NORBERTO FAS MD BOARD MEMBER 2.00 X 0 0 0 PATRICIA BARAJAS TAVERA BOARD MEMBER 3.00 X 0 0 0 RAMON HERNANDEZ DR PHD BOARD MEMBER 3.00 X 0 0 0 VERONICA PALOMINO MD BOARD MEMBER (UNTIL 02/2022) 2.00 X 0 0 0 MUTYA MITHI DEL ROSARIO MD BOARD MEMBER 2.00 X 0 0 0 MICHAEL GALVEZ MD BOARD MEMBER 2.00 X 0 0 0 SHIELA YOUNG-MERCADO MD INTERIM EXECUTIVE DIRECTOR 40.00 X 44937 0 5240 JENNIFER MOREL EXECUTIVE DIRECTOR 27.00 X 13044 0 0 57981 0 5240 0 0 0 0 0 4276 38400 487551 530227 12532 4276 12532 0 530227 0 0 0 39624 39624 63221 50577 11745 899 5189 4151 934 104 4132 3305 745 82 6650 5320 1330 555 444 111 5221 4177 940 104 1894 1515 341 38 26284 21027 5257 1952 1562 390 4694 3755 939 HONORARIUM 3750 3750 OTHER FEES & SERVICES 790 632 158 BANK FEES 441 353 88 PROGRAM COSTS 316 316 442 399 43 165155 140907 23021 1227 60738 432759 60738 432759 7770 0 7770 X 60738 386589 38400 60738 424989 60738 432759 365072 -821 0 X 0 0 0 X 61621 69494 89755 75710 530227 826807 61621 69494 89755 75710 530227 826807 337389 489418 400 400 827207 0.59170 0.86280 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REFUND - 2018 AMOUNT: $ 400. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6TH ANNUAL GALA 16808 4276 12532 12532 16808 4276 12532 12532 12532 0 1 STIPEND 59 39624 PART I, LINE 2: THE ORGANIZATION MAINTAINS DETAILED RECORDS TO SUBSTANTIATE THE AMOUNT OF EDUCATIONAL ASSISTANCE GIVEN AND THE SELECTION CRITERIA USED TO REMIT THAT ASSISTANCE. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS DINO BARAJAS AND PATRICIA BARAJAS TAVERA ARE HUSBAND & WIFE. FORM 990, PART VI, SECTION B, LINE 11B ALLIANCE IN MENTORSHIP'S OUTSIDE CPA FIRM AND THE EXECUTIVE DIRECTOR PREPARED THE FORM 990. THE FORM IS SUBSEQUENTLY REVIEWED AND APPROVED BY THE ORGANIZATION'S CEO, CFO, AND EXECUTIVE DIRECTOR. THE COMPLETE FORM 990 IS THEN PROVIDED TO AND REVIEWED WITH THE ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE COVERED PERSONS UNDER ALLIANCE IN MENTORSHIP'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THIS POLICY IS TO PROTECT THE CORPORATION'S INTERESTS WHEN IT IS CONSIDERING TAKING AN ACTION OR ENTERING INTO A TRANSACTION THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A DIRECTOR, OFFICER, KEY PERSON, OR OTHER PERSON IN A POSITION OF AUTHORITY WITHIN THE ORGANIZATION. THE ORGANIZATION STRIVES TO AVOID POTENTIAL AND ACTUAL CONFLICTS OF INTEREST, AS WELL AS PERCEPTIONS OF CONFLICTS OF INTEREST TO ENSURE THAT IT CONTINUES TO OPERATE IN ACCORDANCE WITH ITS TAX-EXEMPT PURPOSE. EVEN THE APPEARANCE OF A CONFLICT OF INTEREST SHOULD BE AVOIDED, AS IT COULD UNDERMINE PUBLIC SUPPORT FOR THE ORGANIZATION. A POTENTIAL CONFLICT OF INTEREST ARISES WHEN A DIRECTOR, OFFICER, KEY PERSON, OR THAT PERSON'S RELATIVE OR BUSINESS (A) STANDS TO GAIN A FINANCIAL BENEFIT FROM AN ACTION THE CORPORATION TAKES OR A TRANSACTION INTO WHICH THE ORGANIZATION ENTERS; OR (B) HAS ANOTHER INTEREST THAT IMPAIRS, OR COULD BE SEEN TO IMPAIR, THE INDEPENDENCE OR OBJECTIVITY OF THE DIRECTOR, OFFICER, OR KEY PERSON IN DISCHARGING THEIR DUTIES TO THE ORGANIZATION. DIRECTORS, OFFICERS, AND KEY PERSONS MUST DISCLOSE, TO THE BEST OF THEIR KNOWLEDGE, ALL ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF THEM AND ALWAYS BEFORE ANY ACTIONS INVOLVING THE POTENTIAL CONFLICT ARE TAKEN. 1- DISCLOSURE MUST BE MADE IN WRITING AND BE SIGNED AND DATED BY THE PERSON DISCLOSING THE POTENTIAL CONFLICT. 2- DIRECTORS AND OFFICERS MUST FILE AN ANNUAL DISCLOSURE STATEMENT USING THE CONFLICT OF INTEREST CERTIFICATION AND DISCLOSURE FORM ATTACHED TO THIS POLICY. 3- DIRECTORS MUST FILE THIS STATEMENT PRIOR TO HIS/HER/THEIR INITIAL ELECTION. 4- SUBMIT THE FORM TO THE CEO/PRESIDENT. THE ORGANIZATION MAY NOT TAKE ANY ACTION THAT MAY BE SUBJECT OF A CONFLICT OF INTEREST, UNLESS AFTER GOOD FAITH DISCLOSURE OF THE MATERIAL FACTS BY THE DIRECTOR, OFFICER, OR KEY PERSON, THE BOARD DETERMINES BY A MAJORITY VOTE THAT THE ACTION IS FAIR, REASONABLE, AND IN THE ORGANIZATION'S BEST INTEREST AT THE TIME OF SUCH DETERMINATION. THE DIRECTOR, OFFICER, OR KEY PERSON WHO HAS DISCLOSED A CONFLICT CANNOT VOTE ON OR PARTICIPATE IN ANY DISCUSSION ABOUT AN ACTION THAT IS THE SUBJECT OF THE CONFLICT. AN INDIVIDUAL DIRECTOR, OFFICER, OR KEY PERSON WHO BELIEVES THEY, OR THAT PERSON'S RELATIVE OR BUSINESS, MIGHT HAVE AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, MUST ABSTAIN FROM PARTICIPATING IN BOARD DISCUSSIONS WITH RESPECT TO THE SUBJECT OF THE CONFLICT, OR VOTING ON SUCH MATTERS, OR MAKING MOTIONS ON SUCH MATTERS, OR USING THEIR PERSONAL INFLUENCE TO AFFECT BOARD OR INTERNAL DELIBERATIONS REGARDING THE SUBJECT OF THE CONFLICT. ANY INDIVIDUAL DIRECTOR, OFFICER, OR KEY PERSON WHO IS ABSTAINING IN THIS FASHION SHOULD PHYSICALLY LEAVE THE MEETING UNTIL THE DISCUSSION OF THE MATTER INVOLVING THE CONFLICT IS CONCLUDED. THE MINUTES OF ANY MEETING AT WHICH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS DELIBERATED SHALL RECORD THE MATERIAL FACTS DISCLOSED BY THE AFFECTED PERSON, THE BOARD'S DETERMINATION AND REASON THEREFORE, AND RECORD ALL VOTES AND ABSTENTIONS. ALL EXECUTED CONFLICT OF INTEREST CERTIFICATION AND DISCLOSURE WRITTEN NOTICES SHALL BE FILED WITH THE BOARD AND ATTACHED TO THE ANNUAL BOARD OF DIRECTOR MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION B LINE 13 & 14 AS OF DECEMBER 31, 2022, WHILE THE ORGANIZATION'S BOARD WAS REVIEWING BOTH A WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION POLICY, THE POLICIES WERE ADOPTED SUBSEQUENT TO THE ORGANIZATION'S YEAR END.