2024-05-14T15:45:48-05:00 2023-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2023-01-01 943214711 THE EVERETT CLINIC FOUNDATION EVER 4252590966 3901 HOYT AVENUE EVERETT WA 98201 DR SRILATHA SHOROFF PRESIDENT 4252590966 2024-05-09 1 DR SRILATHA SHOROFF 999009999 1 COLLEEN RAMIRES P01251320 4252597227 2024-05-09 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z DR SRILATHA SHOROFF 3901 HOYT AVENUE EVERETT WA 98201 145878 0 X WWW.EVERETTCLINIC.COM/COMMUNITY/FOUNDATION X 1994 WA TO PROVIDE ONGOING PHILANTHROPIC SUPPORT TO CHARITABLE ORGANIZATIONS IN SNOHOMISH COUNTY. 7 7 0 20 0 0 276502 144778 0 0 196 1100 0 0 276698 145878 192200 198900 0 0 0 0 0 0 90 13739 5203 205939 204103 70759 -58225 257783 192543 7015 0 250768 192543 THE GOAL OF THE FOUNDATION IS TO PROVIDE ONGOING PHILANTHROPIC SUPPORT TO CHARITABLE ORGANIZATIONS IN SNOHOMISH COUNTY. 0 0 198900 198900 PROVIDE DONATIONS AND GRANTS TO OTHER EXEMPT ORGANIZATIONS. 198900 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X LINDA LANGENWALTER 4253395465 3901 HOYT AVE EVERETT WA 98201 X DR SRILATHA SHOROFF PRESIDENT 0.25 40.00 X X 0 0 0 CONNIE WITTREN DIRECTOR 0.25 X 0 0 0 AMANDA STANFIELD DIRECTOR (THRU 5/23) 0.25 X 0 0 0 DR CHRISTOPHER HEMPEL DIRECTOR 0.25 40.00 X 0 0 0 DEANNA SCOTT DIRECTOR 0.25 40.00 X 0 0 0 AMANDA JAKOSITZ DIRECTOR 0.25 40.00 X 0 0 0 MELANIE ACKLIN DIRECTOR 0.25 40.00 X 0 0 0 SANJIV KASHYAP DIRECTOR (THRU 5/23) 0.25 X 0 0 0 SHERYL ESPESETH DIRECTOR 0.50 X 0 0 0 0 0 0 0 0 0 0 0 144778 144778 1100 1100 145878 0 0 1100 196500 196500 2400 2400 4620 4620 90 90 61 61 432 432 204103 198900 5113 90 225452 171229 20214 21314 12117 0 257783 192543 7015 0 7015 0 X 0 0 0 0 250768 192543 250768 192543 257783 192543 -58225 0 X 0 0 0 X 325326 271025 160152 276502 144778 1177783 325326 271025 160152 276502 144778 1177783 508625 669158 459 145 6 196 1100 1906 1179689 0.56720 0.50000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 ARC OF SNOHOMISH CO 127 E INTERCITY AVE SUITE C EVERETT WA 98208 910991444 501(C)(3) 16000 0 SIBSHOPS LITTLE BIT THERAPEUTIC RIDING 18675 NE 106TH STREET REDMOND WA 98052 911012131 501(C)(3) 10500 0 THERAPY FOR PEOPLE WITH DISABILITIES EVERETT RECOVERY CAFE PO BOX 2373 EVERETT WA 98213 611667048 501(C)(3) 10000 0 PEER SUPPORT RECOVERY PROGRAM PARENT TRUST FOR WA CHILDREN 2200 RAINIER AVENUE SOUTH SEATTLE WA 98144 911036940 501(C)(3) 6000 0 PROMOTING SAFE & HEALTHY FAMILIES EVERETT COMMUNITY COLLEGE 2000 TOWER ST STOP 22 EVERETT WA 982011352 911280495 GOVERNMENT 15000 0 SCHOLARSHIPS HAND IN HAND 14 E CASINO RD SUITE F EVERETT WA 98208 010962762 501(C)(3) 10000 0 SAFE PLACE HOUSING HOPE 5830 EVERGREEN WAY EVERETT WA 98203 943060709 501(C)(3) 7500 0 HOMELESS FAMILY SERVICES IMAGINE CHILDREN'S MUSEUM 1502 WALL ST EVERETT WA 98201 943153591 501(C)(3) 37500 0 CAPITAL FUND SAFE HARBOR FREE CLINIC 7209 265TH ST NW STE 204 STANWOOD WA 982926292 263825107 501(C)(3) 7000 0 HEALTHCARE FOR UNINSURED/UNDERINSURED STANWOOD CAMANO FOOD BANK SVCS PO BOX 1285 STANWOOD WA 98292 911155426 501(C)(3) 7000 0 BACKPACK PROGRAM PROVIDING MEALS FOR CHILDREN 10 0 LEND A HAND - EMPLOYEE EMERGENCY ASSISTANCE 4 2400 PART I, LINE 2: ASSISTANCE TO ORGANIZATIONS - ANY AGENCY REQUESTING FUNDS IS ASKED TO COMPLETE A GRANT APPLICATION FORM. TO BE CONSIDERED, THE REQUESTING ORGANIZATION MUST BE CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS A 501(C)(3) ENTITY. GRANT REQUESTS MUST SPECIFY BENEFITS TO SNOHOMISH COUNTY RESIDENTS. FUNDS ARE ALLOCATED ON A QUARTERLY BASIS BY THE EVERETT CLINIC FOUNDATION BOARD. LEND A HAND ASSISTANCE - EMPLOYEES ARE REQUIRED TO FILL OUT AN APPLICATION WHICH IS SUBMITTED AND FORWARDED TO REPRESENTATIVES OF HR, FOUNDATION BOARD AND FOUNDATION COMMITTEE BEFORE APPROVAL IS GRANTED. EMPLOYEES MUST PROVIDE EXPLANATION OF HOW FUNDS NEEDED ARE DUE TO A CRISIS OR CATASTROPHIC SITUATION. IF CRITERIA IS NOT MET, FUNDS ARE NOT AWARDED. FUNDS MUST BE PAID TO THE COMPANY DIRECTLY THE EMPLOYEE IS NEEDING ASSISTANCE WITH (UTILITIES, MORTGAGE/RENT, ETC.) AND NOT PAID DIRECTLY TO THE EMPLOYEE. FORM 990, PART VI, SECTION A, LINE 7A PER THE BYLAWS OF THE EVERETT CLINIC FOUNDATION, THE EVERETT CLINIC HAS THE AUTHORITY TO ELECT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THIS FORM 990 AND SCHEDULE B WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF THE EVERETT CLINIC FOUNDATION IN COLLABORATION WITH ITS OUTSIDE ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 AND SCHEDULE B WAS REVIEWED BY THE FOUNDATION'S MANAGEMENT AND PRESIDENT. A COPY OF THIS FORM 990 AND SCHEDULE B WAS ALSO PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE EVERETT CLINIC FOUNDATION HAS A PROCEDURE IN PLACE THAT IS FOLLOWED IN INSTANCES WHERE A CONFLICT OF INTEREST ARISES. BOARD MEMBERS ARE REQUIRED TO CONDUCT HIM/HERSELF SOLELY IN THE INTERESTS OF THE FOUNDATION WITHOUT CONSIDERATION OF PERSONAL ADVANTAGE OR GAIN IN THE INTERESTS OF ANY COMPANY, AGENCY, ORGANIZATION OR ASSOCIATION. HE OR SHE IS REQUIRED TO DISCLOSE ANY MATERIAL PERSONAL, FINANCIAL, OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ASKING FOR FUNDS FROM TEC FOUNDATION. IN THE EVENT THERE IS AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE BOARD MEMBER MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST. ANY DIRECTOR MAY RECUSE HIM/HERSELF AT ANY TIME FROM INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTOR BELIEVES HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST. AFTER DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST AND ALL MATERIAL FACTS, THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE EVERETT CLINIC FOUNDATION GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1B, INDEPENDENT BOARD MEMBERS ALL BOARD MEMBERS, WITH THE EXCEPTION OF TWO, ARE EMPLOYEES OF THE EVERETT CLINIC A RELATED ENTITY AND THUS ARE NOT CONSIDERED TO BE INDEPENDENT. AS THE EVERETT CLINIC IS A TAXABLE ENTITY, IS NOT OWNED OR CONTROLLED BY THE FOUNDATION, DOES NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THE FOUNDATION AND THE BOARD MEMBERS OF THE FOUNDATION ARE ON A VOLUNTEER BASIS, THE VOLUNTEER EXCEPTION APPLIES. AS SUCH RELATED PARTY COMPENSATION IS NOT REQUIRED TO BE REPORTED ON FORM 990, PART VII, SECTION A. NPN IPA WASHINGTON PLLC 1304 FAWCETT AVE SUITE 200 TACOMA WA 98402 611855159 MEDICAL SERVICES WA N/A 0 0 THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WA 98201 910214500 MEDICAL SERVICES WA N/A C 0 EVERETT PHYSICIANS INC 3901 HOYT AVENUE EVERETT WA 98201 811625636 MEDICAL SERVICES WA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0