2024-11-14T17:34:20-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2023-01-01 843155527 EMPIRE HEALTH COMMUNITY ADVOCACY FUND EMPI 5093217506 PO BOX 244 SPOKANE WA 99210 THOMAS E 'ZEKE' SMITH PRESIDENT 5093217506 2024-11-12 1 1 TINA HENTON P00630282 4078021200 2024-11-12 2023 2024-10-15 13:58:12Z THOMAS E 'ZEKE' SMITH PO BOX 244 SPOKANE WA 99210 29241109 0 X N/A X 2019 WA PROMOTE IMPROVED HEALTH CARE ACCESS, EDUCATION, COMMUNITY HEALTH/WELLNESS, AND RESEARCH. 4 3 0 4 0 0 212195 0 0 0 -148601 51395 0 0 63594 51395 110000 1108664 0 0 62052 240024 0 0 0 91428 182894 263480 1531582 -199886 -1480187 18895512 19787536 48768 37156 18846744 19750380 X PROMOTE IMPROVED HEALTH CARE ACCESS; PROMOTE HEALTH PROFESSIONS EDUCATION; PROMOTE COMMUNITY HEALTH/WELLNESS; PROMOTE ENHANCED HEALTHCARE THROUGH RESEARCH; IMPROVE PUBLIC POLICY DISCOURSE FOR SOLUTIONS TO LOCAL HEALTH CHALLENGES. 0 0 418045 310314 0 THROUGH THE COMMUNITY STORY FUND, THE ORGANIZATION ENGAGES A DIVERSE SET OF COMMUNITY PARTNERS, FROM ACROSS ITS REGION, IN A STORY-TELLING PROJECT. SPECIFICALLY, THE ORGANIZATION RESOURCES COMMUNITIES TO TELL A SPECIFIC STORY ABOUT THEIR IDENTITY, STRENGTHS, NEEDS, AND/OR VISION. PAST, PRESENT, OR FUTURE, THESE STORIES PROVIDE CRITICAL INFORMATION ABOUT WHERE THE ORGANIZATION AND OTHERS MIGHT BUILD DEEPER AND AUTHENTIC RELATIONSHIP WITH COMMUNITIES, INVEST IN COMMUNITY-DEFINED CAPACITY, OR MORE EFFECTIVELY SUPPORT AN ADVOCACY AGENDA DRIVEN BY COMMUNITY VISION. GRANT FUNDS RECEIVED ORGINALLY IN 2020, WITH RENEWED FUNDING IN 2021 TO CONTINUE THE WORK IN 2022 AND BEYOND. ELEVEN GRANTS WERE GIVEN IN THE CURRENT YEAR TO ORGANIZATIONS TO SUPPORT GENERAL OPERATION. 403000 403000 0 CAPITAL LEVERAGE FUND WILL BE USED TO ASSIST CHARITABLE ORGANIZATIONS WITH ACCESSING AND/OR LEVERAGING AMERICAN RESCUE PLAN ACT (ARPA) FUNDING FOR ACQUISITION OR CONSTRUCTION OF REAL PROPERTY AND/OR CAPITAL ASSETS. FUNDING FROM THE ORGANIZATION MAY BE IN THE FORM OF DIRECT GRANTS OR IN THE FORM OF GRANTWRITING OR TECHNICAL ASSISTANCE. FUNDING WAS RECEIVED IN BOTH 2021 AND 2022 FOR WORK TO BE PERFORMED IN 2023 AND LATER. THIS EFFORT MAY LEVERAGE THE LEARNINGS AND CONNECTIONS MADE FROM THE COMMUNITY STORY FUND WORK REPORTED ABOVE. FOUR GRANTS WERE GIVEN IN THE CURRENT YEAR. TWO GRANTS TO SUPPORT REMODEL OF BUILDING. ONE GRANT IS A CONDITIONAL GRANT FOR CAPITAL CAMPAIGN (REQUIRES 70% OF PROJECT FUNDING BY 12/31/2024). ONE GRANT SPECIAL TO SUPPORT PURCHASE THE BUILDING IN SPOKANE 240500 240500 0 ENHANCING HEALTH CARE AND RELATED PUBLIC POLICY DISCOURSE ON A STATE AND LOCAL LEVEL, WITH A LENS OF HEALTH EQUITY. ONE GRANT TO A POLITICAL ACTION COMMITTEE IN RECOGNITION OF THE PAC COMMITMENT TO ADDRESSING SYSTEMIC INEQUITIES AND INJUSTICE IMPACTING UNDERREPRESENTED COMMUNITIES IN THE INLAND NORTHWEST 170704 154850 0 OTHER GENERAL CHARITABLE WORK: ANY WORK THAT GENERALLY SATISFIES THE NONPROFIT MISSION OF THE ORGANIZATION. TEN GRANTS TO NINE ORGANIZATIONS TO SUPPORT GENERAL OPERATING EXPENSES, EIGHT SPONSORSHIPS TO SUPPORT COMMUNITY EVENTS. 170704 154850 0 1232249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 1 0 0 1 9 0 1 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 1 1 0 X JANAE PERKINS 5093217506 1020 W RIVERSIDE AVENUE SPOKANE WA 99201 JO ANN KAUFFMAN BOARD CHAIR 0.50 0.50 X X 0 0 0 BILL BOUTEN BOARD VICE CHAIR 0.50 0.50 X X 0 0 0 LUISITA FRANCIS SECRETARY 0.50 0.50 X X 0 0 0 KIM PEARMAN-GILLMAN DIRECTOR 0.50 0.50 X 0 0 0 THOMAS E SMITH PRESIDENT 2.50 37.50 X 17843 263531 62779 LILY H ZHANG CHIEF FINANCIAL OFFICER 1.90 38.10 X 8767 175652 37671 JONATHAN TEETERS POLICY DIRECTOR 40.00 0.00 X 110904 0 33744 137514 439183 134194 1 0 1 0 0 356691 356691 28884418 29189714 -305296 -305296 -305296 51395 0 0 51395 1108664 1108664 32206 111 32095 145622 7073 138549 10111 1079 9032 35217 1727 33490 16868 852 16016 17579 17579 4043 4043 21473 21473 25053 22696 2357 3458 3458 4185 32 4153 1096 1096 75842 72834 3008 2187 28 2159 4534 4534 CONSULTING 20950 17000 3950 MEALS AND CATERING 1674 153 1521 BANK AND CREDIT CARD FE 733 733 87 87 1531582 1232249 299333 0 51813 88983 1910384 1332905 200000 359 380 16705803 18319737 27153 45531 18895512 19787536 48768 37156 48768 37156 X 17716905 19033380 1129839 717000 18846744 19750380 18895512 19787536 -1480187 2383823 0 X 0 1 X 0 0 0 X PART X, LINE 2: MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. 1 CONFEDERATED TRIBES COLVILLE RESERVATION 21 COLVILLE STREET NESPELEM NESPELEM WA 99155 910557683 GOVERNMENT 9839 0 GENERAL OPERATIONS SUPPORT INCLUDING STORY FUND SPOKANE COMMUNITY AGAINST RACISM (SCAR) 3311 E 14TH AVE SPOKANE WA 99202 852524944 OTHER 10000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION OMPRAKASH INC 7511 GREENWOOD AVENUE NORTH 4161 SEATTLE WA 98103 208655418 501(C)(3) 15000 0 SUPPORT A BIPOC FEATURED FESTIVAL INCLUDING STORY FUND CONFEDERATED TRIBES COLVILLE RESERVATION 21 COLVILLE STREET NESPELEM WA 99155 910557683 GOVERNMENT 15161 0 GENERAL OPERATIONS SUPPORT INCLUDING STORY FUND HEALTH & JUSTICE RECOVERY ALLIANCE BOX 9895 SPOKANE WA 99209 862233559 501(C)(3) 20000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION SPOKANE COMMUNITY AGAINST RACISM (SCAR) 3311 E 14TH AVE SPOKANE WA 99202 852524944 OTHER 40000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION MOVIN PROPERTIES LLC 5727 N DIVISION ST SPOKANE WA 99208 921969723 OTHER 20000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION YOYOT SP'Q'N'I 5403 NORTH ADDISON STREET SPOKANE WA 99207 873388318 501(C)(3) 20000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION TENANTS UNION OF WASHINGTON 5425 RAINIER AVE S STE B SEATTLE WA 98118 910967863 501(C)(3) 20000 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION SPOKANE ALLIANCE 1526 E 11TH AVE SPOKANE WA 99202 911937810 OTHER 20350 0 GENERAL OPERATIONS SUPPORT INCLUDING GENERAL ADMINISTRATION, SUPPORT THE TRAING FYRE 23 ASH STREET SOUTH OMAK WA 98841 851201630 501(C)(3) 50000 0 CAPITAL PROJECT SPOKANE TRIBAL NETWORK PO BOX 390 WELLPINIT WA 99040 455319560 501(C)(3) 53000 0 CAPITAL PROJECT SPOKANE TRIBAL NETWORK PO BOX 390 WELLPINIT WA 99040 455319560 501(C)(3) 100000 0 CAPITAL PROJECT INVESTIGATE WEST 1120 EAST 18TH AVENUE SPOKANE WA 99203 270170663 501(C)(3) 100000 0 GENERAL OPERATIONS SUPPORT INCLUDING STORY FUND, SUPPORT EFFORT IN FUNDING A REPORTER/EDITOR TEAM RANGE MEDIA 304 WEST PACIFIC AVENUE SUITE 210 SUITE 210 SPOKANE WA 99201 863230666 OTHER 150000 0 GENERAL OPERATIONS SUPPORT INCLUDING STORY FUND, SUPPORT EFFORT IN FUNDING DEVELOPMENT/LAUNCH OF THE DOCUMENTER'S PROGRAM TAKE UP THE CAUSE 3003 E NORA AVE SPOKANE WA 99207 871338350 501(C)(3) 200000 0 CAPITAL PROJECT JUSTICE NOT JAILS 35 W MAIN AVE STE 120M SPOKANE WA 99201 932767050 OTHER 240500 0 CONTRIBUTION TO ADDRESS SYSTEMIC INEQUITIES IN THE JUSTICE SYSTEM 9 18 PART I, LINE 2: GRANTS AWARDED IN 2023 WERE INTENDED AS GENERAL OPERATING FUNDS FOR THE GRANTEES' APPROVED PROJECT PROPOSALS OR TO ASSIST WITH CAPITAL PROJECTS. THE GRANTOR WILL NOT REQUIRE A DETAILED BUDGET, PRE-AUTHORIZATION OR APPROVAL OF EXPENSES, OR A FINANCIAL ACCOUNTING OF GRANTEES' EXPENDITURE OF GRANT FUNDS FOR GENERAL OPERATING SUPPORT. FOR CAPITAL PROJECTS, GRANTEES SUBMITTED CAPITAL BUDGETS. A WRITTEN DESCRIPTION OF THE PROGRESS THAT GRANTEES HAVE MADE TOWARD ACHIEVING THE PURPOSES FOR WHICH THESE GRANTS WERE MADE WILL NOT BE REQUIRED. GRANTEES MAY BE INVITED TO INFORM THE PLANNING OF AND PARTICIPATE IN A PROJECT END CELEBRATION AND LEARNING COLLABORATIVE, AS INITIATED BY THE GRANTOR WITHIN ONE YEAR OF THE PROJECT COMPLETION. ADDITIONALLY, THE GRANTOR MAY REQUEST AN INTERVIEW WITH GRANTEE REPRESENTATIVES AT THE COMPLETION OF THE PROJECT TO UNDERSTAND HOW THIS GRANT HAS CONTRIBUTED TO COMMUNITY STORYTELLING. 0 0 0 0 0 0 0 0 0 THOMAS E SMITH PRESIDENT 17843 263531 0 0 0 0 1072 3730 2912 55065 21827 322326 0 0 LILY H ZHANG CHIEF FINANCIAL OFFICER 8366 167532 401 8120 0 0 529 5021 1083 31038 10379 211711 0 0 PART I, LINE 3 THE PRESIDENT'S COMPENSATION IS SET BY EMPIRE HEALTH FOUNDATION. THE FOLLOWING ARE USED BY EMPIRE HEALTH FOUNDATION TO SET THE PRESIDENT'S COMPENSATION: A) COMPENSATION COMMITTEE B) WRITTEN EMPLOYMENT CONTRACT C) COMPENSATION SURVEY OR STUDY D) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF EMPIRE HEALTH COMMUNITY ADVOCACY FUND IS EMPIRE HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT/REMOVE ALL DIRECTORS, AMEND THE BYLAWS, SUBSTANTIALLY DISPOSE OF ASSETS AND TO APPROVE MERGERS OR DISSOLUTIONS. IN ADDITION, ANY OTHER RIGHTS BY OPERATION OF LAW. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO AMEND THE BYLAWS, SUBSTANTIALLY DISPOSE OF ASSETS AND TO APPROVE MERGERS OR DISSOLUTIONS. IN ADDITION, THE MEMBER HAS ANY OTHER RIGHTS AFFORDED BY OPERATION OF LAW. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B EXECUTIVE DIRECTOR AND CFO WILL BE PROVIDED A PRE-FILING COPY FOR REVIEW AND COMMENT. AFTER THIS STEP, THE BOARD WILL BE PROVIDED WITH COPY FOR REVIEW AND COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN POLICY REQUIRES AFFIRMATIVE DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS ANNUALLY--REVIEWED BY BOARD. COVERS BOARD MEMBERS AND STAFFS FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION SHARES ITS EXECUTIVE LEADERSHIP WITH THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION'S BOARD APPROVES THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. THE ORGANIZATION SHARES ITS EXECUTIVE LEADERSHIP WITH THE MEMBER ORGANIZATION. THE MEMBER ORGANIZATION'S COMPENSATION SCALES ARE REVIEWED BY ITS HUMAN RESOURCES DEPARTMENT AND WITH ASSISTANCE FROM OUTSIDE RESOURCES SUCH AS A CONSULTING FIRM. THIS PROCESS WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE WEBSITE OF EMPIRE HEALTH FOUNDATION AND IN CONSOLIDATION WITH SAME. EMPIRE HEALTH FOUNDATION 1020 W RIVERSIDE AVENUE SPOKANE WA 99201 263375286 PRIVATE GRANTMAKING FOUNDATION WA 501(C)(3) PF N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0