2025-05-07T11:35:28-05:00 2024-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-07-01 943101292 ON LOK DAY SERVICES ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 ROB JENKINS CHIEF FINANCIAL OFFICER 4152928888 2025-05-06 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-05-06 2023 2025-03-06 01:10:19Z GRACE LI 1333 BUSH STREET SAN FRANCISCO CA 94109 10769497 0 X WWW.ONLOK.ORG X 1989 CA ON LOK DAY SERVICES (OLDS) DEVELOPS AND PROVIDES HEALTH AND SOCIAL SERVICES TO THE ELDERLY THAT PROMOTE WELLNESS AND INDEPENDENCE. IN ADDITION, OLDS DEVELOPS INTERGENERATIONAL ACTIVITIES FOR SHARED LEARNING BETWEEN SENIORS AND CHILDREN. 9 8 68 185 0 0 6283766 8793707 333657 1975525 370 265 732347 0 7350140 10769497 0 0 0 0 3368919 5693943 0 0 0 5493467 5517710 8862386 11211653 -1512246 -442156 7845492 7365475 1302644 1364070 6542848 6001405 X ON LOK DAY SERVICES (OLDS) DEVELOPS AND PROVIDES HEALTH AND SOCIAL SERVICES TO THE ELDERLY THAT PROMOTE WELLNESS AND INDEPENDENCE. IN ADDITION, OLDS DEVELOPS INTERGENERATIONAL ACTIVITIES FOR SHARED LEARNING BETWEEN SENIORS AND CHILDREN. 0 0 3666605 0 242157 OLDS PROVIDES MEAL SERVICES TO INDIVIDUALS AGES 60 AND OLDER; OVER 316,000 MEALS WERE SERVED DURING THE FISCAL YEAR. 1520195 0 0 OLDS PROVIDES CASE MANAGEMENT, EDUCATIONAL, AND RECREATIONAL ACTIVITIES TO INDIVIDUALS AGES 60 AND OLDER. 1179490 0 44640 OLDS PROVIDES A COMMUNITY-BASED ADULT DAY PROGRAM DESIGNED FOR AND WITH THE LGBTQ+ COMMUNITY. 3908974 0 1688728 OTHER PROGRAM SERVICES INCLUDE ENHANCED CARE MANAGEMENT, HEALTH FACILITIES RENTAL, SENIOR HEALTH PROMOTION, SENIOR HEALTHIER LIVING, MEDICALLY-TAILORED MEALS, THE AGING AND DISABILITY RESOURCE CENTER, THE WELL PROGRAM, SENIOR ACTIVITIES, THE INTERGENERATIONAL PROGRAM, AND THE RENTAL OF FACILITIES TO RELATED ORGANIZATIONS FOR USES ALIGNING WITH THE ORGANIZATION'S CHARITABLE PURPOSE. 3908974 0 1688728 10275264 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 49 0 1 68 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X LINDA CADOGAN 4152928723 1333 BUSH STREET SAN FRANCISCO CA 94109 GRACE LI CHIEF EXECUTIVE OFFICER 1.00 48.00 X X 0 661573 32512 JOHN V BLAZEK EXECUTIVE DIRECTOR 12.00 28.00 X 0 302589 39386 CARL GERLACH CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 164616 0 SANDRA G RIVAS DIRECTOR OF PROGRAMS & OPERATIONS 40.00 0.00 X 146490 0 15277 WILLIAM L GOODNESS III NUTRITION SERVICES MANAGER 40.00 0.00 X 120686 0 14327 VICKY PALACIOS ASST DIRECTOR OF PROGRAM & OPERATIONS 40.00 0.00 X 108913 0 15277 MICHELE LEW CHAIR THRU 1/2024 / DIR START 1/2024 0.80 0.80 X X 0 0 0 BARBARA SOLOMON VICE CHAIR THRU 1/2024 / CHAIR START 1/2024 1.00 2.00 X X 0 0 0 EVA GAMBOA DIRECTOR / VICE CHAIR START 1/2024 0.70 0.00 X X 0 0 0 WANDA WONG SECRETARY 1.00 0.00 X X 0 0 0 MAYA ALTMAN DIRECTOR 0.20 1.00 X 0 0 0 ANNA CHODOS MD DIRECTOR 0.50 0.00 X 0 0 0 LINDA EDELSTEIN DIRECTOR 0.20 1.20 X 0 0 0 ALINA LAGUNA DIRECTOR 0.50 1.00 X 0 0 0 376089 1128778 116779 3 0 1 0 TRIO COMMUNITY MEALS PO BOX 742992 ATLANTA GA 303742992 MEAL SERVICES 1297772 OPENHOUSE 65 LAGUNA ST SAN FRANCISCO CA 94102 CONSULTING 316712 ADO PROFESSIONAL SOLUTIONS INC DEPT CH 14031 PALATINE IL 600554031 STAFFING AGENCY 224682 ROYALONWARD LLC 14468 WICKS BLVD SAN LEANDRO CA 94577 TRANSPORTATION SERVICES 105845 4 2996698 4610904 1186105 69329 8793707 RENTAL REVENUE - RELATED ORGS 531110 839163 839163 ENHANCED CARE MGMT INCOME 624100 587900 587900 NUTRITION FEES 624210 242157 242157 MEDICALLY TAILORED MEALS INCOME 624210 180628 180628 SENIOR ACTIVITIES INCOME 624100 29059 29059 96618 96618 1975525 265 265 10769497 1975525 0 265 4435606 4435606 85604 85604 864073 864073 308660 308660 845807 845807 45641 45641 27213 27213 864269 864269 38141 38141 54118 54118 13000 13000 275139 275139 40432 40432 14764 14764 679769 679769 69991 52263 17728 FOOD & PROGRAM SUPPLIES 1961383 1961383 MAINTENANCE & REPAIRS 374510 374510 RECRUITING 112646 112646 SUBSCRIPTIONS & BOOKS 5004 5004 95883 95883 11211653 10275264 936389 0 650 700 401806 808779 1556846 806282 52056 320538 698288 610139 10883254 6589953 4905006 4293301 10000 79329 220840 446407 7845492 7365475 1278447 1114434 24197 249636 1302644 1364070 X 5380112 4722043 1162736 1279362 6542848 6001405 7845492 7365475 -442156 -99287 0 X 0 1 X 1 0 X 5615286 7489066 6235374 6283766 8793707 34417199 5615286 7489066 6235374 6283766 8793707 34417199 34417199 91 46 40 370 265 812 1479 2350 3829 34421840 3138614 0.99990 0.99990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 1,479. 2020 AMOUNT: $ 2,350. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 817100 817100 8375423 5678080 2697343 270207 99900 170307 527085 443312 83773 893439 368661 524778 4293301 DUE FROM RELATED ORGANIZATIONS 446407 446407 DUE TO RELATED ORGANIZATIONS 249636 249636 X 10779662 10165 10165 10769497 0 10769497 11321105 109452 109452 11211653 0 11211653 PART X, LINE 2: OLDS IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(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 MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. OLDS 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, 2024, OLDS 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 RETURNS, RESPECTIVELY, STARTING WITH THE DATE OF FILING OR THE DUE DATE OF THE TAX RETURN, WHICHEVER IS LATER. 0 0 0 0 0 0 0 0 0 GRACE LI CHIEF EXECUTIVE OFFICER 0 586573 0 75000 0 0 0 20322 0 12190 0 694085 0 0 JOHN V BLAZEK EXECUTIVE DIRECTOR 0 280285 0 22304 0 0 0 29400 0 9986 0 341975 0 0 CARL GERLACH CHIEF FINANCIAL OFFICER 0 159616 0 5000 0 0 0 0 0 0 0 164616 0 0 SANDRA G RIVAS DIRECTOR OF PROGRAMS & OPERATIONS 146490 0 0 0 0 0 4425 0 10852 0 161767 0 0 0 PART I, LINE 3 THE ORGANIZATION'S CEO AND EXECUTIVE DIRECTOR ARE COMPENSATED BY ON LOK, INC., A RELATED ORGANIZATION. ON LOK, INC. UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE CEO AND EXECUTIVE DIRECTOR: INDEPENDENT COMPENSATION CONSULTANT; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. X 1 69329 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED, DEFINED AS EACH SEPARATE GIFT, IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 3 FROM SEPTEMBER 2022 THROUGH AUGUST 2023, THE ORGANIZATION ENGAGED WITH CARL GERLACH, A CONSULTANT WITH KORN FERRY, TO FULFILL THE DUTIES OF INTERIM CFO; COMPENSATION PAID TO KORN FERRY FROM ON LOK, INC. (A RELATED ORGANIZATION) IN EXCHANGE FOR THESE SERVICES TOTALED $607,138 FOR THE 2023 CALENDAR YEAR AND $165,700 FOR THE FISCAL YEAR-ENDING JUNE 30, 2024. EFFECTIVE AUGUST 2023, CARL GERLACH TRANSITIONED FROM INTERIM CFO TO CFO. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE SOLE MEMBER: ON LOK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER, ON LOK, INC., HAS THE POWER TO ELECT ALL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ON LOK DAY SERVICES' (OLDS) SOLE MEMBER, ON LOK, INC., HAS FOLLOWING EXCLUSIVE RIGHTS WITH REGARD TO OLDS: (I) TO APPROVE THE AUTHORIZED NUMBER OF DIRECTORS AND TO ELECT AND REMOVE THE ELECTED DIRECTORS; (II) TO DETERMINE, CHANGE AND/OR MAINTAIN THE PHILOSOPHY AND PURPOSE OF OLDS; (III) TO AMEND, ALTER, REPEAL OR MODIFY OLDS' ARTICLES OF INCORPORATION AND BYLAWS; (IV) TO APPROVE ANY MERGER OR CONSOLIDATION, THE FORMATION OF ANY DIVISION OR SUBSIDIARY AND THE AFFILIATION OF OLDS WITH ANY OTHER CORPORATION OR ENTITY, THE RESULT OF WHICH AFFECTS THE AUTONOMY OR GOVERNANCE OF OLDS; (V) TO APPROVE OF CHANGES, ALTERATIONS, INCREASES TO OR REFINANCING OF THE LONG TERM DEBT OF OLDS; (VI) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS FOR OLDS (THE "OPERATING AND CAPITAL BUDGETS OF THE CORPORATION"); (VII) TO APPROVE ANY EXPENDITURES OR INCURRENCE OF DEBT NOT DESCRIBED IN OR PROVIDED FOR BY THE OPERATING OR CAPITAL BUDGETS OF OLDS AND THAT ARE IN EXCESS OF THE AMOUNT(S) DESCRIBED IN THOSE BUDGETS AS REQUIRING APPROVAL BY THE MEMBER; (VIII) TO APPROVE THE DISSOLUTION OF OLDS; (IX) TO APPROVE THE PURCHASE, ACQUISITION OR SALE OF LAND OR BUILDINGS; (X) TO APPROVE THE DEMOLITION OF OLDS' BUILDINGS, CONSTRUCTION OF NEW BUILDINGS ON OLDS' PROPERTY, OR THE RENOVATION OF EXISTING BUILDINGS WHERE THE COST OF THE RENOVATION IS IN EXCESS OF THE AMOUNT(S) DESCRIBED THEREFORE IN THE OPERATING OR CAPITAL BUDGETS OF OLDS; (XI) TO APPOINT OLDS' AUDITOR AND LEGAL COUNSEL; (XII) TO APPROVE THE LONG-RANGE STRATEGIC PLAN OF OLDS; (XIII) TO APPROVE CERTAIN ORGANIZATIONAL PROCEDURE(S) DESCRIBED IN SECTION 4.1(C) OF THE BYLAWS FOR AUTHORIZING EXPENDITURES OF MORE THAN THE AMOUNT(S) SPECIFIED IN THE OPERATING OR CAPITAL BUDGETS OF THE CORPORATION; AND (XIV) TO APPROVE THE RECEIPT OF ANY GIFT OR GRANT TO OLDS THAT INCLUDES RESTRICTIONS OR CONDITIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT AND REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE AT LEAST ANNUALLY BY ALL DIRECTORS AND OFFICERS OF THE CORPORATION, AND OTHER KEY STAFF WHO ARE IN A POSITION TO INFLUENCE CORPORATE DECISIONS, OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. THE CHAIR, WITH THE ASSISTANCE OF THE CORPORATION'S COMPLIANCE OFFICER AND/OR OUTSIDE COUNSEL, IF NECESSARY, WILL RESOLVE ANY CONFLICTS IN ACCORDANCE WITH THE ADOPTED CONFLICTS POLICY. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST MAY BE COUNTED IN ORDER TO QUALIFY A QUORUM, AND MAY PARTICIPATE IN THE DISCUSSION OF THE ISSUE, MOTION OR RESOLUTION TO THE EXTENT PERMITTED BY THE CHAIR IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY OR AS OTHERWISE DIRECTED BY THE BOARD. IF THE CHAIR IS THE DIRECTOR WITH THE REPORTED CONFLICT, THEN THE VICE CHAIR SHALL EXECUTE THE DUTIES OF THE CHAIR UNDER THIS SECTION. IF BOTH THE CHAIR AND VICE CHAIR HAVE REPORTED CONFLICTS, THEN THE REMAINING BOARD MEMBERS WITHOUT ANY CONFLICTS ON THE MATTER AT HAND SHALL VOTE TO DETERMINE HOW TO HANDLE THE CONFLICT IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, AND CFO ARE COMPENSATED BY ON LOK, INC., A RELATED ORGANIZATION; ACCORDINGLY, FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAS BEEN MARKED "NO", IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. PLEASE REFERENCE THE FORM 990 FOR ON LOK, INC. FOR A DISCUSSION ON THE PROCESSES UTILIZED BY ON LOK, INC. TO DETERMINE COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, AND CFO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ON LOK INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943101464 SUPPORTING SERVICES FOR AFFILIATES, MAINTAIN HEALTH CARE MODEL CA 501(C)(3) LINE 7 N/A 0 ON LOK SENIOR HEALTH SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 942162549 MEDICAL AND SUPPORTIVE CARE FOR FRAIL ELDERLY CA 501(C)(3) LINE 10 ON LOK INC 0 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 0 ON LOK HOUSE INC 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 HOUSING FOR LOW-INCOME FRAIL ELDERLY CA 501(C)(3) LINE 7 ON LOK INC 0 0 0 1 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0