2025-11-10T11:22:46-06:00 2024-12-31 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 994326836 ONE SOUTHSIDE FOUNDATION ONES 6128212025 4243 4TH AVENUE SOUTH MINNEAPOLIS MN 55409 ANN CAZABAN PRESIDENT 6128212025 2025-11-07 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-11-05 2024 2025-03-06 01:10:19Z X ANN CAZABAN 4243 4TH AVENUE SOUTH MINNEAPOLIS MN 55409 923138 0 X N/A X 2024 MN TO BENEFIT AND SUPPORT SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. 6 5 0 5 0 0 923138 0 0 0 923138 0 0 0 0 0 0 0 923138 20398138 19475000 923138 TO BENEFIT AND SUPPORT SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. 0 0 0 0 0 THE ORGANIZATION WILL SUPPORT SOUTHSIDE COMMUNITY HEALTH SERVICE, INC.'S MISSION OF PROVIDING HIGH QUALITY PRIMARY CARE TO UNDERSERVED FAMILIES BY CONSTRUCTING A NEW 30,000 SQUARE FOOT STATE-OF-THE-ART INTEGRATED HEALTH COMMUNITY CLINIC, WHICH, UPON COMPLETION, WILL BE LEASED FOR MEDICAL, DENTAL, OPTOMETRY, BEHAVIORAL HEALTH, AND ADMINISTRATIVE OPERATIONS. 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X JOHN PATRIKUS 6128212025 4243 4TH AVENUE SOUTH MINNEAPOLIS MN 55409 ANN CAZABAN PRESIDENT 1.00 41.00 X X 0 189737 14888 BRIAN OSBERG CHAIR AND DIRECTOR 1.00 2.00 X X 0 0 0 RHONDA EASTLUND TREASURER 1.00 1.00 X 0 0 0 MICHELLE STENBECK SECRETARY 1.00 1.00 X X 0 0 0 AMBAREESH RAO DIRECTOR 1.00 1.00 X 0 0 0 KYLE WALTON DIRECTOR 1.00 1.00 X 0 0 0 0 189737 14888 0 0 1 0 0 923138 923138 923138 0 0 0 0 0 0 0 16793023 3605115 0 0 3605115 0 20398138 19475000 0 19475000 X 923138 0 923138 0 20398138 923138 0 X 0 1 X 1 0 X X 1 SOUTHSIDE COMMUNITY HEALTH SERVICES INC 237113799 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3605115 3605115 3605115 0 0 0 0 0 0 0 0 0 ANN CAZABAN PRESIDENT 0 156637 0 2600 0 30500 0 1377 0 13511 0 204625 0 0 PART I, LINE 3 THE ORGANIZATION DOES NOT COMPENSATE OR DETERMINE COMPENSATION FOR ANY PERSONS LISTED. THEIR RELATED PARTY, SUPPORTED ORGANIZATION IS RESPONSIBLE FOR THIS, AND THEY UTILIZE THE FOLLOWING IN DETERMINING, REVIEWING AND APPROVING EXECUTIVE DIRECTOR COMPENSATION: -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SUPPORTED ORGANIZATION, SOUTHSIDE COMMUNITY HEALTH SERVICES, HAS THE POWER TO APPOINT AND REMOVE THE DIRECTORS OF ONE SOUTHSIDE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SUPPORTED ORGANIZATION, SOUTHSIDE COMMUNITY HEALTH SERVICES, MUST GIVE APPROVAL BEFORE THE BOARD OF DIRECTORS CAN MAKE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE FOR REVIEW AND QUESTIONS. ONCE APPROVED BY THE COMMITTEE, FORM 990 WILL BE FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED ANNUALLY FOR ALL BOARD MEMBERS AND EMPLOYEES. ANY CONFLICT OF INTEREST MUST BE IMMEDIATELY DISCLOSED TO THE EXECUTIVE DIRECTOR IN WRITING. NO MEMBER OF THE BOARD MAY VOTE ON MATTERS ON ANY AREA WHERE THEY MAY RECEIVE FINANCIAL GAIN, OR WHICH MAY CONFLICT WITH MEMBER OBLIGATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. SOUTHSIDE COMMUNITY HEALTH SERVICES INC 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 237113799 FEDERALLY QUALIFIED HEALTH CENTER MN 501(C)(3) LINE 10 0 SCHS INC 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 994384742 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 12A, I SOUTHSIDE COMMUNITY HEALTH SERVICES INC 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0