2023-12-19T18:51:50-06:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-07-01 862954398 EVERGREEN SOCIAL IMPACT EVER 2065695587 PO BOX 429 BOTHELL WA 98041 BETH HARVEY EXECUTIVE DIRECTOR 2065695587 2023-12-19 1 BETH HARVEY XXX-XX-XXXX 0 ALLEN GILBERT CPA P01380103 4252506100 2023-12-19 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BETH HARVEY PO BOX 429 BOTHELL WA 98041 3368052 0 X HTTPS://WWW.EVERGREENSOCIALIMPACT.ORG/ X 2021 WA EVERGREEN SOCIAL IMPACT WORKS TO STRENGTHEN MISSION-DRIVEN ORGANIZATIONS AND ACHIEVE ENDURING IMPACT IN THE PACIFIC NORTHWEST BY DEVELOPING SHARED INFRASTRUCTURE AND EXPERTISE, BUILDING A CULTURE OF PARTNERSHIP, AND ADVANCING EQUITY. 5 5 9 10 0 0 10 532078 2060518 2832465 549 1769 539 1740 2061616 3368052 250 28500 0 0 839614 1170325 0 0 0 881646 1446189 1721510 2645014 340106 723038 19289930 53386542 18949824 52323398 340106 1063144 X EVERGREEN SOCIAL IMPACT WORKS TO STRENGTHEN MISSION-DRIVEN ORGANIZATIONS AND ACHIEVE ENDURING IMPACT IN THE PACIFIC NORTHWEST BY DEVELOPING SHARED INFRASTRUCTURE AND EXPERTISE, BUILDING A CULTURE OF PARTNERSHIP, AND ADVANCING EQUITY. 0 0 2257195 28500 2832465 SEE SCHEDULE O 2257195 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 9 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X X BETH HARVEY 2065695587 PO BOX 429 BOTHELL WA 98041 ANNIE BLACKLEDGE CHAIR 1.00 X X 0 0 0 PETER BLOCH GARCIA VICE CHAIR 1.00 X X 0 0 0 ALEJANDRA TRES BOARD MEMBER 1.00 X 0 0 0 DON DOERING SECRETARY/TREASURER 1.00 X X 0 0 0 JARAH MACFARLANE BOARD MEMBER 0.00 X 0 0 0 BETH HARVEY EXECUTIVE DIRECTOR 36.00 X 138301 0 19451 LAURA CANTRELL CARE FUND EXEC. DIR. 36.00 X 197042 0 40315 SARAH HILLER OPERATIONS DIRECTOR 36.00 X 134187 0 41824 469530 0 101590 3 0 1 0 AMERICAN INSTITUTE OF BIOLOGICAL SCIENCE 950 HERNDON PARKWAY STE 450 HERNDON VA 20170 PEER REVIEW, CARE FUND GRANT PROPOSALS; 465317 FRED HUTCHINSON CANCER CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 COVID-19 DATA RESEARCH PROJECT - CARE FU 259106 2 500000 32078 532078 STATE CONTRACT ADMIN 561000 2824000 2824000 FISCAL SPONSORSHIP 561000 6187 6187 PROJECT ADMIN FEE 561000 2278 2278 2832465 1769 1769 MISC INCOME 561000 1740 1740 1740 3368052 2832465 0 3509 X 28500 28500 389007 307994 81013 566569 424042 142527 44733 35398 9335 97349 76701 20648 72667 54834 17833 13760 13760 1218939 1170469 48470 8017 5065 2952 21848 15072 6776 32362 20446 11916 22158 21804 354 15029 14789 240 24491 15473 9018 TAXES & LICENSES 50379 31829 18550 STAFF DEVELOPMENT 17078 16805 273 MISC 13578 12572 1006 DUES, SUBSCRIPTIONS AND 8550 5402 3148 2645014 2257195 387819 0 580800 385482 612239 117287 212917 20039 45163 18571804 52130741 19289930 53386542 109021 192657 18840803 52130741 18949824 52323398 X 340106 1063144 340106 1063144 19289930 53386542 723038 0 X 0 1 X 0 0 X 10 532078 532088 10 532078 532088 532088 549 1769 2318 539 1740 2279 536685 5448770 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 539. 2022 AMOUNT: $ 1,740. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16000 16000 2620714 2636714 281836 70459 0 0 236076 281836 517912 776868 14500 16000 30500 59019 70459 129478 194217 0 1 X 0 FUNDS HELD FOR OTHERS 52130741 52130741 3388252 20200 20200 3368052 0 3368052 2665214 20200 20200 2645014 0 2645014 PART IV, LINE 2B: AS PART OF ESI'S MISSION, CERTAIN FUNDS ARE HELD IN TRUST UNDER THE MANAGEMENT OF ESI, BUT UNDER THE DIRECTION AND CONTROL OF SPONSORED PROGRAMS. AT JUNE 30, 2023 AND 2022, ESI HAD A SIGNIFICANT CONTRACT WITH THE WASHINGTON DEPARTMENT OF COMMERCE. UNDER THE PROVISION OF THE CONTRACT, ESI IS THE PROGRAM ADMINISTRATOR OF THE ANDY HILL CANCER RESEARCH ENDOWMENT. RELEVANT HISTORY OF THIS CONTRACT IS INCLUDED BELOW. ON JULY 1, 2021, ESI ENTERED INTO A CONTRACT WITH THE LATINO COMMUNITY FUND (LCF) TO ACT AS PROGRAM ADMINISTRATOR FOR THE ANDY HILL CANCER RESEARCH ENDOWMENT FUND (CARE FUND). THE LATINO COMMUNITY FUND ENTERED INTO A CONTRACT WITH THE WASHINGTON DEPARTMENT OF COMMERCE AS PROGRAM ADMINISTRATOR EFFECTIVE JULY 1, 2021, AND, WITH COMMERCE APPROVAL, SUBCONTRACTED THE PROGRAM ADMINISTRATOR ROLE TO EVERGREEN SOCIAL IMPACT. AT THE TIME THESE CONTRACTS WERE EXECUTED, EVERGREEN SOCIAL IMPACT RECEIVED $12,863,203 IN FUNDS FROM THE CARE FUND'S FORMER PROGRAM ADMINISTRATOR. THIS INCLUDED $12,266,397 IN GRANTMAKING FUNDS AND $596,806 IN OPERATING FUNDS THAT WERE HELD BY THE FORMER PROGRAM ADMINISTRATOR ON BEHALF OF THE CARE FUND. THE DEPARTMENT OF COMMERCE/LCF CONTRACT WAS SUBSEQUENTLY ASSIGNED TO EVERGREEN SOCIAL IMPACT EFFECTIVE FEBRUARY 1, 2022. THE CARE FUND IS A LEGISLATIVELY CREATED AND FUNDED EFFORT BY WASHINGTON STATE, UNDER CHAPTER 43.348 OF THE REVISED CODE OF WASHINGTON (RCW), TO ACHIEVE SUSTAINABLE INVESTMENT IN CANCER RESEARCH, PREVENTION, AND CARE. THE FUND ITSELF, INCLUDING THE SOLICITATION AND SELECTION OF PROPOSALS AND THE FUNDING OF GRANTS, IS OVERSEEN BY A GOVERNOR-APPOINTED BOARD OF DIRECTORS THAT IS SEPARATE AND APART FROM THE EVERGREEN SOCIAL IMPACT BOARD OF DIRECTORS. CARE FUND GRANTMAKING FUNDS ARE HELD IN INVESTMENT ACCOUNTS IN THE CARE FUND'S NAME. PURSUANT TO THE CONTRACT, THESE FUNDS ARE NOT CONSIDERED AS BELONGING TO EVERGREEN SOCIAL IMPACT OR OVER WHICH EVERGREEN SOCIAL IMPACT HAS DISCRETION. CONSEQUENTLY, THESE FUNDS ARE REPORTED IN THE STATEMENT OF FINANCIAL POSITION AS A LIABILITY FOR FUNDS HELD FOR OTHERS. SCHEDULE D, PAGE 4, PART XI, LINE 2D ESI'S SPONSORED PROJECT, THE CARE FUND, MAKES CANCER RESEARCH GRANTS IN THE STATE OF WASHINGTON. THE CARE FUND WAS ESTABLISHED BY THE WA STATE LEGISLATURE AND IS GOVERNED BY STATUTE (RCW 43.348). GRANTS ARE MADE ONLY TO ENTITIES DOING RESEARCH IN WASHINGTON, AS REQUIRED BY STATUTE. THE CARE FUND HAS A GOVERNOR-APPOINTED BOARD THAT MAKES FINAL AWARD DECISIONS BASED ON RECOMMENDATIONS MADE BY AN INDEPENDENT PEER REVIEW PANEL. THE CARE FUND'S PROGRAMS TEAM RESPONSIBLE FOR MONITORING AND ENSURING FULL COMPLIANCE WITH ALL TERMS AND CONDITIONS OF THE GRANT AWARD CONTRACTS. GRANT RECIPIENTS ARE REQUIRED TO SUBMIT DETAILED REPORTS AS OUTLINED IN THE GRANT AWARDS AND THE PROGRAMS TEAM REVIEWS AND EVALUATES ALL REPORTS PRIOR TO AUTHORIZING PAYMENTS. 0 AMERICAN CANCER SOCIETY 3380 CHASTAIN MEADOWS PKWY NW KENNESAW GA 30144 131788491 501C3 12500 0 SUPPORT FOR CANCER RESEARCH 1 X X 0 0 0 0 0 0 0 1 0 LAURA CANTRELL CARE FUND EXEC. DIR. 197042 0 0 0 0 0 13793 0 26522 0 237357 0 0 0 SARAH HILLER OPERATIONS DIRECTOR 134187 0 0 0 0 0 9393 0 32431 0 176011 0 0 0 BETH HARVEY EXECUTIVE DIRECTOR 138301 0 0 0 0 0 9681 0 9770 0 157752 0 0 0 PART I, LINE 3 EXECUTIVE DIRECTOR COMPENSATION IS ESTABLISHED BY THE BOARD BASED ON COMPARABLE REGIONAL SALARY SURVEY DATA (ARCHBRIGHT ANNUAL NONPROFIT SALARY SURVEY). ED SALARY IS APPROVED ANNUALLY AS PART OF THE BUDGET PROCESS. PART I, LINE 7 ANNUAL BONUSES BASED ON EMPLOYEE PERFORMANCE FOR ELIGIBLE EMPLOYEES. ELIGIBILITY BASED ON LENGTH OF SERVICE. THESE BONUSES ARE BASED ON ANNUAL PERFORMANCE REVIEWS AND ARE SUBJECT TO BUDGET AVAILABILITY. FORM 990, PART III, LINE 4A EVERGREEN SOCIAL IMPACT PROVIDES FIDUCIARY SERVICES, INCLUDING GOVERNANCE, FUNDS MANAGEMENT, AND OTHER ADMINISTRATIVE SERVICES TO PROJECTS WITH SOCIAL-IMPACT MISSIONS. IT CAN ACT AS A LONG-TERM ADMINISTRATIVE HOME FOR NEW OR ESTABLISHED PROJECTS, OR AS A 'NONPROFIT INCUBATOR' FOR PROJECTS SEEKING TO BECOME INDEPENDENT NONPROFIT ORGANIZATIONS. BY PROVIDING AN ADMINISTRATIVE AND OPERATIONS HUB, IT SUPPORTS THEIR SPONSORED PROJECTS IN FOCUSING ON THEIR MISSIONS AND BUILDING CAPACITY. IN FY 2023, EVERGREEN SOCIAL IMPACT SERVED AS FISCAL SPONSOR FOR THREE SPONSORED PROJECTS. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE BEEN FORMED AS OF JUNE 30, 2023. FORM 990, PART VI, SECTION B, LINE 11B AFTER BEING REVIEWED BY STAFF, A DRAFT OF THE 990 IS SENT TO THE BOARD PRIOR TO A REGULARLY SCHEDULED MEETING AND IS REVIEWED/DISCUSSED/VOTED ON AT THAT MEETING. THIS IS DONE PRIOR TO ISSUANCE AND FILING OF THE FINAL 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR COMPENSATION IS ESTABLISHED/APPROVED BY THE BOARD OF DIRECTORS AND IS BASED UPON RELEVANT MARKET DATA (ARCHBRIGHT WASHINGTON NONPROFIT SALARY SURVEY). SALARY IS APPROVED AS PART OF ANNUAL BUDGET APPROVAL. COMPENSATION FOR SPONSORED PROJECT EXECUTIVE DIRECTOR IS RECOMMENDED BY ESI EXECUTIVE DIRECTOR TO SPONSORED PROJECT BOARD CHAIR BASED ON RELEVANT MARKET DATA (EITHER ARCHBRIGHT OR THE COUNCIL ON FOUNDATIONS). SPONSORED PROJECT BOARD CHAIR APPROVES SPONSORED PROJECT ED COMPENSATION. COMPENSATION FOR ESI AND SPONSORED PROJECT EDS IS ESTABLISHED BY EDS BASED ON RELEVANT MARKET DATA WITHIN BUDGET CONSTRAINTS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023 FORM 990, PART VI, SECTION C, LINE 19 990S AND AUDITED FINANCIAL STATEMENTS ARE POSTED ON ESI WEBSITE. FORM 1023, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEE: PROGRAM SERVICE EXPENSES 1,168,191. MANAGEMENT AND GENERAL EXPENSES 40,822. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,209,013. PR & TPA FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,648. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,648. PROJECT ADMIN FEE: PROGRAM SERVICE EXPENSES 2,278. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,278.