2025-02-03T17:25:14-06:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2023-07-01 475608703 PCC FOUNDATION PCCF 7083830113 14 LAKE STREET OAK PARK IL 60302 ALYSSA SIANGHIO PRESIDENT 7083830113 2025-01-21 1 0 CHRIS MANDERFIELD P01238973 6305738600 2025-01-21 2023 2025-03-06 01:10:19Z ALYSSA SIANGHIO 14 LAKE STREET OAK PARK IL 60302 477828 0 X WWW.PCCWELLNESS.ORG X 2015 IL THE PCC FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES FOR PCC COMMUNITY WELLNESS CENTER, A 501(C)(3) ORGANIZATION WHICH HAS A STRONG TRACK-RECORD OF SPEARHEADING IMPACTFUL HEALTH CARE INITIATIVES IN THE CHICAGO AREA, AND INTENDS TO AWARD GRANTS TO THE CENTER UPON REQUEST. 5 3 0 0 0 0 0 0 0 0 140622 337275 87834 140553 228456 477828 35000 550000 0 0 0 0 0 0 0 9891 13649 44891 563649 183565 -85821 18309679 15639338 44 43 18309635 15639295 THE PCC FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES FOR PCC COMMUNITY WELLNESS CENTER ("PCC"), A 501(C)(3) ORGANIZATION WHICH HAS A STRONG TRACK-RECORD OF SPEARHEADING IMPACTFUL HEALTHCARE INITIATIVES IN THE CHICAGO AREA AND INTENDS TO AWARD GRANTS TO PCC UPON REQUEST. 0 0 563649 550000 PCC FOUNDATION IS ORGANIZED AND OPERATED AT ALL TIMES EXCLUSIVELY FOR THE BENEFIT OF PCC COMMUNITY WELLNESS CENTER ("PCC"). PCC FOUNDATION WAS CREATED TO SEPARATE CERTAIN CONSIDERATIONS FROM PCC'S GENERAL OPERATIONS AS A FEDERALLY QUALIFIED HEALTH CENTER, INCLUDING: (1) ISOLATING CERTAIN REAL ESTATE ACTIVITIES AND LIABILITIES FROM PCC'S OVERALL CHARITABLE ACTIVITIES AND ASSETS, (2) SEPARATING CERTAIN FINANCING AND FUNDRAISING CONSIDERATIONS FROM PCC'S GENERAL OPERATIONS AS A FEDERALLY QUALIFIED HEALTH CENTER, AND (3) ALLOWING FOR MORE FINANCIAL AND FUNDRAISING TALENT TO PARTCIPATE IN PCC FUNDRAISING EFFORTS. PCC FOUNDATION ENGAGES IN FUNDRAISING EFFORTS TO SOLICIT CHARITABLE DONATIONS FOR PCC, MOST SIGNIFICANTLY THE COORDINATION OF AN ANNUAL GALA. 563649 1 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X HIREN PATEL 7083830113 14 LAKE STREET OAK PARK IL 60302 RONALD AUSTIN JR CHAIRPERSON 2.00 2.00 X X 0 0 0 KENNETH BLAIR MD TREASURER 2.00 2.00 X X 0 0 0 JOHN MCDONNELL SECRETARY 2.00 2.00 X X 0 0 0 TONI BUSH PRESIDENT, UNTIL 11/30/2023 2.00 40.00 X X 0 295805 13373 PATRICK R GARRICK DIRECTOR 2.00 40.00 X 0 129870 0 MARNIE ROBINSON DIRECTOR 2.00 40.00 X 0 99081 9680 MARIANA OSORIA DIRECTOR, UNTIL 12/20/2023 2.00 2.00 X 0 0 0 0 524756 23053 0 0 1 0 0 337275 337275 OTHER INCOME 900099 140553 140553 140553 477828 0 0 477828 550000 550000 13649 13649 563649 563649 0 0 5496571 5796885 3000000 9783108 9812453 30000 30000 18309679 15639338 44 43 44 43 X 18309635 15639295 18309635 15639295 18309679 15639338 X -85821 -2584519 X 0 1 X 1 0 X X X 1 PCC COMMUNITY WELLNESS CENTER 363828320 3 1 3134519 0 1 3134519 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 X PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND RELATED STATE OF ILLINOIS STATUTES; THEREFORE, THE FOUNDATION HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE FOUNDATION ADOPTED THE REQUIREMENTS IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU) 2009-06 REGARDING UNCERTAIN TAX POSITIONS. ASU 2009-06 DEFINES HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED, AND DISCLOSED IN THE FINANCIAL STATEMENTS. THE AUTHORITATIVE GUIDANCE REQUIRES ENTITIES TO RECOGNIZE A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION IS SUSTAINABLE BASED SOLELY ON ITS TECHNICAL MERITS AND CONSIDERATION OF THE RELEVANT TAXING AUTHORITY'S WIDELY UNDERSTOOD ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE FOUNDATION EVALUATED ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED BY THE APPLICABLE TAXING AUTHORITY, AND HAS DETERMINED THAT IT CURRENTLY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. 1 PCC COMMUNITY WELLNESS CENTER 14 WEST LAKE STREET OAK PARK IL 60302 363828320 501(C)(3) 550000 0 SEE PART IV PART I, LINE 2: PCC FOUNDATION (THE "FOUNDATION") IS ORGANIZED AND IS OPERATED AT ALL TIMES EXCLUSIVELY FOR THE BENEFIT OF PCC COMMUNITY WELLNESS CENTER ("PCC"), AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND SECTION 509(A)(1) OF THE CODE. PCC IS THE SOLE MEMBER OF THE FOUNDATION, AND A MAJORITY OF THE BOARD OF DIRECTORS IS ELECTED BY PCC. THE FOUNDATION DISRIBUTES FUNDS/GRANTS TO PCC TO SUPPORT ITS GENERAL OPERATIONS AS A FEDERALLY QUALIFIED HEALTH CENTER. FORM 990, SCHEDULE I, PART II, LINE 1H - PURPOSE OF GRANTS PCC FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF PCC COMMUNITY WELLNESS CENTER (THE "CENTER"). THE PCC FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES FOR THE CENTER AND AWARDS GRANTS TO THE CENTER UPON REQUEST. 0 0 0 0 0 0 0 0 0 TONI BUSH PRESIDENT, UNTIL 11/30/2023 0 295805 0 0 0 0 0 0 0 13373 0 309178 0 0 PART I, LINE 3 THE OFFICERS OF PCC FOUNDATION ARE COMPENSATED BY THE PCC COMMUNITY WELLNESS CENTER, A SOLE MEMBER OF PCC FOUNDATION. THEREFORE, PCC FOUNDATION FOLLOWS THE SAME COMPENSATION POLICY ESTABLISHED BY THE PCC COMMUNITY WELLNESS CENTER. FORM 990, PART VI, SECTION A, LINE 6 PCC COMMUNITY WELLNESS CENTER ("PCC") SHALL BE THE SOLE MEMBER OF THE FOUNDATION. THE FOUNDATION IS ORGANIZED AND WILL BE OPERATED AT ALL TIMES EXCLUSIVELY FOR THE BENEFIT OF PCC, AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A PCC COMMUNITY WELLNESS CENTER ("PCC") SHALL ELECT A MAJORITY OF THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. SUBSEQUENT TO THAT REVIEW, THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WHO THEN SUBMITS THE RETURN TO THE ENTIRE BOARD FOR APPROVAL. A COPY OF THE RETURN IS KEPT ON RECORD FOR PUBLIC REVIEW SHOULD THERE BE SUCH A REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ALL TRANSACTIONS AND PROCESSES ARE REVIEWED AND MONITORED THROUGH POLICY, EXECUTIVE MANAGEMENT, AND RATIFIED BY THE VOTING MEMBERS OF THE BOARD, IF NECESSARY. ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH IS KEPT IN EACH STAFF AND BOARD MEMBERS' FILES. DISCLOSURE OF CONFLICT OF INTEREST POLICY QUESTION IS PRESENTED TO EVERY STAFF OR BOARD MEMBER DURING THE RECRUITING OR HIRING PROCESS. FURTHERMORE, AT ANY JUNCTURE WHEN MAJOR DECISIONS ARE ABOUT TO BE MADE, INDIVIDUALS ARE ASKED TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT PAY COMPENSATION TO ITS OFFICERS, DIRECTORS AND OTHER EMPLOYEES. PCC COMMUNITY WELLNESS CENTER ("PCC") (EIN# 36-38283200), A RELATED ORGANIZATION, ISSUES THE FORM W-2 BASED ON THE TOTAL COMPENSATION DISTRIBURED TO THE RECIPIENT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO PCC COMMUNITY WELLNESS CENTER -2,584,519. PCC COMMUNITY WELLNESS CENTER 14 LAKE STREET OAK PARK IL 60302 363828320 FEDERALLY QUALIFIED HEALTH CENTER IL 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PCC COMMUNITY WELLNESS CENTER B 550000 CASH PCC COMMUNITY WELLNESS CENTER R 2584519 CASH