2025-06-12T17:50:33-05:00 2024-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2023-10-01 852793713 OBCC OTHELLO QALICB OBCC 2068842351 PO BOX 5371 MS 818-FI SEATTLE WA 981455005 SUZANNE BEITEL TREASURER 2068842351 2025-06-12 1 0 SARA ELIZABETH H JONES P00235495 4254544919 2025-06-11 2023 2025-03-06 01:10:19Z SUZANNE BEITEL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 363286 0 X N/A X 2020 WA TO SUPPORT SEATTLE CHILDREN'S HOSPITAL BY SUPPORTING THE FINANCING OF A NEW HEALTHCARE CLINIC. 5 3 0 3 0 0 0 0 357000 357000 4887 6286 0 0 361887 363286 0 0 0 0 0 0 0 0 0 3282196 3276931 3282196 3276931 -2920309 -2913645 47143367 44229722 33933401 33933401 13209966 10296321 TO FURTHER SEATTLE CHILDREN'S HOSPITAL'S (SCH) MISSION OF PROVIDING MORE CARE, CURES, AND HOPE TO FAMILIES BY SUPPORTING THE CONSTRUCTION OF A NEW HEALTHCARE CLINIC LOCATED WITHIN A MEDICALLY UNDERSERVED COMMUNITY FOR USE BY SCH, THE SUPPORTED ORGANIZATION. 0 0 3234860 0 357000 DURING THE FISCAL YEAR, OBCC OTHELLO QALICB (WHICH STANDS FOR ODESSA BROWN CHILDREN'S CLINIC AT OTHELLO - QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS) CONTINUED TO SUPPORT THE MISSION OF SCH BY FINANCING THE NEW HEALTHCARE CLINIC AND LEASING THE CLINIC PROPERTY AND EQUIPMENT TO SCH. 3234860 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X SAMANTHA SLOANE 2068842351 818 STEWART ST 8TH FLOOR SEATTLE WA 98101 SUZANNE BEITEL TREASURER 1.00 0.00 X X 0 83307 0 TANYA SEATON PRESIDENT 1.00 55.00 X X 0 472454 31941 LAURIE OKI SECRETARY 1.00 0.00 X X 0 0 0 MOLLY NORDSTROM DIRECTOR 1.00 0.00 X 0 0 0 DENNIS WILLIAMS JR DIRECTOR 2.00 0.00 X 0 0 0 0 555761 31941 0 0 1 0 0 CLINIC LEASE REVENUE 531120 357000 357000 357000 6286 6286 363286 357000 0 6286 38674 38674 111596 111596 336800 336800 2786464 2786464 LICENSES AND TAXES 3397 3397 3276931 3234860 42071 0 0 41700 691031 544461 696804 674493 50167433 7198365 45755532 42969068 47143367 44229722 252600 252600 33680000 33680000 801 801 33933401 33933401 X 13209966 10296321 13209966 10296321 47143367 44229722 -2913645 0 X 0 0 0 X X X 1 SEATTLE CHILDREN'S HOSPITAL 910564748 3 1 3276931 0 1 3276931 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 1 1 PART IV, SECTION D, LINE 2: THE DIRECTORS OF OBCC OTHELLO QALICB MAINTAINED A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE SUPPORTED ORGANIZATION, SCH, IN THE FOLLOWING WAYS: - THE PRESIDENT IS A SENIOR VICE PRESIDENT (A KEY EMPLOYEE) OF SCH. - THE TREASURER IS THE CHIEF FINANCIAL OFFICER OF SCH. - OTHER DIRECTORS ARE TRUSTEES OF OTHER RELATED ORGANIZATIONS TO SCH. PART IV, SECTION D, LINE 3: AS THE SOLE LESSEE OF THE PROPERTY OWNED BY OBCC OTHELLO QALICB, SCH HAS A SIGNIFICANT VOICE IN DAILY OPERATIONS RELATING TO THE PROPERTY AND HAS A LEASE FOR EXCLUSIVE USE OF THE FURNITURE, FIXTURES, AND EQUIPMENT OWNED BY OBCC OTHELLO QALICB. ADDITIONALLY, THE ORGANIZATION RELIED ON SCH RESOURCES AND STAFF TO MAKE CONTRACT PAYMENTS ON ITS BEHALF AND CARRY OUT OTHER ADMINISTRATIVE FUNCTIONS. PART IV, SECTION E, LINE 2A: THE GOVERNING DOCUMENTS STATE THAT THE ORGANIZATION WAS CREATED TO EXCLUSIVELY SUPPORT AND BENEFIT, FINANCIALLY AND/OR OPERATIONALLY, THE EXEMPT ACTIVITIES OF SCH. FURTHERMORE, THE ORGANIZATION IS THE HOLDER OF THE LEASE AND FUNDING USED TO CONSTRUCT A HEALTHCARE CLINIC IN A LOW-INCOME AREA. THIS DIRECTLY FURTHERS SCH'S EXEMPT PURPOSE BY ALLOWING SCH TO CONTINUE TO BE A LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH PROVISION OF CARE FOR ALL CHILDREN IN THEIR REGION, REGARDLESS OF A FAMILY'S ABILITY TO PAY. PART IV, SECTION E, LINE 2B: IN ORDER TO FULFILL ITS MISSION TO CARE FOR MORE CHILDREN ACROSS THE REGION AND REACH COMMUNITIES THAT ARE CURRENTLY UNDERSERVED BY THE PEDIATRIC HEALTHCARE COMMUNITY, SCH WOULD HAVE CONTINUED ITS WORK TO BECOME MORE ACCESSIBLE TO FAMILIES IN THE REGION. 20422703 1352786 19069917 24577298 4232757 20344541 5167432 1612822 3554610 42969068 PAYABLE TO SEATTLE CHILDREN'S HOSPITAL 801 801 0 0 0 0 0 0 0 0 0 TANYA SEATON PRESIDENT 0 416627 0 48572 0 7255 0 19793 0 12148 0 504395 0 0 FORM 990, PART I, LINE 6: 3 MEMBERS OF THE BOARD OF DIRECTORS PERFORMED THEIR DUTIES UNCOMPENSATED. FORM 990, PART VI, SECTION A, LINE 2 TANYA SEATON HAD A BUSINESS RELATIONSHIP WITH SUZANNE BEITEL. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAD NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY AND REVIEWED BY INDEPENDENT TAX PROFESSIONALS. THE ENTIRE BOARD OF DIRECTORS OF OBCC OTHELLO QALICB RECEIVES AND REVIEWS A COPY OF THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C OBCC OTHELLO QALICB (THE ORGANIZATION") HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO ITS DIRECTORS AND ANY MEMBER OF A COMMITTEE WITH BOARD DELEGATED AUTHORITY ("COVERED PERSONS"). EVERY COVERED PERSON IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST CONCERNING ANY MATTER UNDER CONSIDERATION AS SOON AS THE POTENTIAL CONFLICT IS DETERMINED. ANY PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT OF INTEREST IS EVALUATED BY THE FULL BOARD OF DIRECTORS. IN ANY TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON MUST RECUSE HIMSELF OR HERSELF FROM DELIBERATION AND VOTING ON THE MATTER UNDER CONSIDERATION. IN ADDITION, ANY COVERED PERSON WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT COVERED PERSON'S COMPENSATION. FURTHERMORE, FOR ANY MATTER IN WHICH A COVERED PERSON HAS A MATERIAL FINANCIAL INTEREST, THE BOARD OF DIRECTORS MUST DETERMINE IN GOOD FAITH THAT (A) THE ORGANIZATION WILL ENTER INTO THE TRANSACTION FOR ITS OWN BENEFIT; (B) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION; AND (C) THE ORGANIZATION COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES. EACH COVERED PERSON IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY, DISCLOSING WHETHER THE COVERED PERSON, OR SOMEONE WITH WHOM A COVERED PERSON HAS A CLOSE RELATIONSHIP (A FAMILY MEMBER OR CLOSE COMPANION), HAS OR HAS HAD A FINANCIAL, EMPLOYMENT, OR PERSONAL RELATIONSHIP WITH AN APPLICANT, GRANTEE OR VENDOR TO THE ORGANIZATION. EACH COVERED PERSON IS REQUIRED TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (2) HAS READ AND UNDERSTANDS THE POLICY (3) HAS AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION C, LINE 19 OBCC OTHELLO QALICB MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 910564748 PEDIATRIC MEDICAL CARE WA 501(C)(3) LINE 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0