Agenda
CHAC BOARD OF DIRECTORS MEETING REVISED FEBRUARY 24, 2025 MEETING AGENDA.PDF
Meeting Materials
CHAC BOARD OF DIRECTORS MEETING FEBRUARY 24, 2025 AGENDA PACKET.PDF
1. Documents:
1.I.
Documents:
1 CHAC BOARD OF DIRECTORS
MEETING AGENDA
3:00 P.M. FEBRUARY 24, 2025
Los Altos City Council Chambers
Los Altos City Hall
1 N. San Antonio Road, Los Altos, California
Meeting Information:
• Board meetings are open to the public at the location shown above. • Members of the public may use the information below to participate online:
Topic: CHAC Board Meeting
Time: Feb 24, 2025 03:00 PM Pacific Time (US and Canada) Join Zoom Meeting:
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Find your local number: https://us02web.zoom.us/u/kdnocrK1i4 • More information on public comment and accessibility is given at the end of the agenda. 2 WELCOME & CALL TO ORDER
ROLL CALL
ORAL COMMUNICATIONS FROM THE PUBLIC ON NONAGENDIZED ITEMS This portion of the meeting is reserved for persons wishing to address the Board on any matter not on the agenda. State law prohibits the Board from discussing and/or acting on nonagendized items.
AGENDA
1. Election of Chair, Vice-Chair and Secretary/Treasurer
2. Financial Overview
a. Presentation
b. Action Needed:
Consider adoption of budget for Fiscal Year 2024-25 and 2025-26. c. Direction Needed:
1. Audit. Does the Board want to do an annual audit or an audit covering a two-year period? What process does the Board want to use to contract for audit services? Who will handle contracting process on behalf of the Board?
2. Form 990. Who does the Board want to retain to prepare the Form 990 for this fiscal year and the final Form 990? Who will handle the contracting process on behalf of the Board?
3. Financial Statements. Provide direction regarding the frequency the Board wishes to
3. Adoption of Bylaws
4. Adoption of Regular Meeting Schedule
5. Review of Update from Pacific Clinics and Discussion
6. Direction regarding future Agenda Items
ADJOURNMENT
3 PUBLIC COMMENT
Members of the public wishing to comment on an item on the agenda may do so in the following ways:
1. Email comments to [email protected]
▪ IMPORTANT: identify the Agenda Item number in the subject line of your email. ▪ Emails must be received at least 72 hours before meeting start day/time to be entered into the record for the meeting.
2. Provide oral public comments in-person during the meeting
3. Provide oral public comments virtually during the meeting ▪ When the Chair announces the item on which you wish to speak, click the “raise hand” feature in Zoom.
Speakers will be notified shortly before they are called to speak. ▪ When called to speak, please limit your comments to the time allotted (up to 3 minutes, at the discretion of the Chair).
ACCESSIBILITY
We strive for our meetings and materials to be accessible to all members of the public, and welcome feedback and requests for accommodations. Please submit requests for accommodations to [email protected] at least 72 hours in advance of the meeting to allow us to best meet your request.
NOTICE TO THE PUBLIC: The agenda, reports, and any writings or documents provided to a majority of the Board regarding any item on this agenda may be requested beginning the February 21, 2025 by sending a request to [email protected].
The Board may consider and act on items listed on the agenda in any order and thus those interested in an item listed on the agenda are advised to be present throughout the meeting.
CHAC does not discriminate on the basis of race, color, religion, national origin, sex, disability, age, source of income, gender, gender expression or identity, or any other State or Federal protected class in any of its policies, procedures or practices.
Background and Analysis
Section 6.1 of the Amended JPA requires the Board to elect a Chairperson, Vice-Chairperson and a Secretary/Treasurer. These three officers will serve as the Executive Committee for the Board.
Now that the board appointments have been made, it is necessary for the Board to select its officers. While the duties of the Chairperson and Vice-Chairperson are not specified in the JPA, it is anticipated the Chairperson will oversee and conduct the meetings of the Board, assist with the preparation of the agenda for the board meetings and call a special meeting should the need arise.
The Vice-Chairperson will perform these duties when the Chairperson is unavailable.
The Secretary and Treasurer roles have been combined into a single position so that the Executive Committee can function as a subcommittee of the Board. Per the JPA, the duties of the Secretary/Treasurer include the following:
The Secretary/Treasurer of CHAC shall establish and maintain funds and accounts as may be required by good accounting practices and by the Board.
The Secretary/Treasurer or designee will take and maintain minutes of all regular, adjourned regular and special meetings. The Secretary/Treasurer or designee shall forward to each Board Director, a copy of the minutes of the meeting.
The Secretary/Treasurer, or his or her designee, shall have the custody of and disburse CHAC’s funds. The Secretary/Treasurer may delegate disbursements to persons as may be authorized by the Board to perform them. The Secretary/Treasurer or designee shall perform all functions then required to be performed by the Treasurer under the Joint Exercise of Powers Act. The Secretary/Treasurer shall review the financial statements and the annual audit of CHAC.
The contractors who are providing services to CHAC do not have access to CHAC’s funds or accounts. Currently, it is understood that the Chairperson has signature authority.
On a practical level. Shining Star approves payments of invoices other than those of Shining Star and forwards approved invoices to FASS for payment. FASS pays the invoices on CHAC’s behalf. The Chairperson reviews and approves the invoices of Shining Star and has signature authority to sign checks on behalf and make changes to CHAC’s accounts.
Per the bylaws, these functions should be transferred to the Secretary/Treasurer or the Board might be interested in authorizing more than one individual to have access to and ability to disburse CHAC’s funds.
Recommended Actions
1. Elect an Executive Committee consisting of a Chair, Vice-Chair and Secretary/Treasurer. 1 Agenda Item 1: Election of Officers
2. Adopt a Resolution Regarding Signature Authority
Attachment
Resolution Regarding Signature Authority
2 RESOLUTION OF THE BOARD OF DIRECTORS OF CHAC REGARDING SIGNATURE
AUTHORITY
Resolution 25-_____
WHEREAS, winding up the business affairs of CHAC involves financial transactions; and WHEREAS, the JPA provides the Secretary/Treasurer, or his or her designee, shall have the custody of and disburse CHAC’s funds; and
WHEREAS, the JPA further provides the Secretary/Treasurer may delegate disbursements to persons as may be authorized by the Board to perform them; and WHEREAS, it is essential to have signature authority regarding CHAC’s funds in order to disburse those funds and complete financial transactions in accordance with the JPA; NOW, THEREFORE, BE IT RESOLVED that the Board of Directors hereby designates and authorizes Secretary/Treasurer (INSERT NAME) [optional: and Chairperson (INSERT NAME)] to have custody of and authority to disburse funds on behalf of CHAC as well as signature authority on behalf of CHAC for any financial transactions.
Passed, Approved and Adopted this 24th day of February 24, 2025.
AYES
NOES
ABSENT
ABSTAIN
___________________________________________________
, Board Chair
The undersigned Secretary/Treasurer of CHAC, a joint powers authority, does hereby certify and attest that the foregoing is a true and correct copy of a resolution that was duly adopted by CHAC’s governing body on February 24, 2025.
___________________________________
, Secretary/Treasurer
3 FINANCIAL OVERVIEW
Introduction
The agreements between CHAC and Pacific Clinics on June 26, 2024 took effect on July 1, 2024. CHAC terminated all of its employees and ceased operations by the end of August 2024.
Since that time, consultants have been used to assist CHAC in winding up its affairs and move towards dissolution. CHAC’s status as both a tax-exempt nonprofit organization and a joint powers authority subjects it to certain reporting obligations until it dissolves. In addition, it has ongoing unemployment obligations. The purpose of this agenda report is to provide an overview of CHAC’s finances, ongoing obligations and seek direction from the board to continue winding up CHAC’s affairs.
Financial Overview
Contract Services
CHAC contracts with Shining Star Consulting for Office Manager and Administrator services.
The Office Manager collects the mail, prepares invoices for payment, prepares documents for FASS (CHAC’s accountants), manages unemployment claims and provides documentation for audits and the Form 990 and has averaged approximately 40 hours per month. The Administrator manages the accountants at FASS who provide accounting services for CHAC, IT support, reviews monthly financial statement, reviews and approves invoices for payment, reviews the unemployment reserves, manages cash requirements, prepares the IRS Quarterly Report (Form 941); Annual Federal Benefits Report (Form 5500); Annual California registration (Form RRF-1) and supports the annual audit and Form 990 Filing, follows up on the employee tax credit, and will collect the payment due from Pacific Clinics in July of 2025. She averages approximately 25 hours per month.
FASS makes payments once the invoices are reviewed and approved by CHAC and performs accounting services.
Legal services are provided through the Renne Public Law Group on an as-needed basis to support the Board in the dissolution process.
Please note that the hours submitted by Shining Start are decreasing and are expected to continue to do so as CHAC nears dissolution. The legal fees fluctuate based on what is transpiring with the JPA (amendment and board meetings).
Most recent Financial Statement
The draft financial statement for December 2024 is attached to the is agenda report as Attachment A. Carol Sanders is currently working with FASS to review some of the entries 4 Agenda Item 2: Financial Overview
under the category of current liabilities and to ensure they accurately reflect CHAC’s financial status.
These statements are prepared monthly. The Board can provide direction whether it wishes to receive these statements and if so, the frequency for receiving them. A quarterly basis is suggested.
Audits
The Joint Exercise of Powers Act requires CHAC to perform an annual audit. However, the Joint Exercise of Powers Acts also permits a JPA to replace the annual audit with an audit covering a two-year period upon unanimous consent of the Board. A copy of the audited financial statement for Fiscal Year 2023 -2024 was previously provided to the Board members. The Board has the option to prepare an audit for Fiscal Year 2024-2025 or prepare an audit covering a two-year period. The second option would allow the Board to perform one final audit before CHAC is dissolved instead of two. (California Gov. Code § 6505 (f)).
The audit must be performed by a CPA or Public Accountant. For the past three years, CHAC has contracted with Novogradac to perform the audit. That agreement has now expired.
Next steps
Board direction is needed regarding the preparation of future audits. First, does the Board want to do an annual audit or an audit covering a two-year period? Second, CHAC must hire a CPA to perform the audit. Due to potential conflict of interest issues, Shining Star consultants are not involved in this process. The Board should designate who will be responsible for retaining an auditor. The Board could contact Novogradac who has expressed interest in continuing to provide services to CHAC or solicit proposals.
Form 990
Tax-exempt organizations such as CHAC are required to file a Form 990 annually with the IRS.
In addition, CHAC will be required to file a Final Form 990 before it can dissolve. The information included in Form 990 details the mission of the nonprofit, its programs and its finances. The IRS utilizes the form 990 to ensure nonprofits are complying with the rules for taxexempt organizations. A copy of the Form 990 filed for 2023 is attached to this agenda report as Attachment B.
Next Steps
The 990 Form is due in mid-November of 2024, but it is possible to obtain an extension.
Approval of the Form 990 could be a key agenda item for a fall Board meeting. To date, CHAC has contracted with Novogradac to prepare these forms. Shining Star Consulting provides services to CHAC, specifically those of Administrator Carol Sanders and Office Manager Ursula Osores. Shining Star also has a Form 990 team and can provide these services. 5 CHAC is also required to file a final 990 before it can dissolve. In order to dissolve the JPA in a timely manner, it is recommended that preparation of the final Form 990 be prepaid to avoid any postponement of the dissolution because of payments that are still outstanding. Depending on the timeline for the dissolution of CHAC which will be determined by the unemployment claims, it is possible that CHAC could file a single Form 990. It is too early to tell if a single form will be possible and it can be reviewed by the Board at its next meeting.
Direction is sought from the Board regarding contracting services for the preparation of the 990 Forms for Fiscal Year 2024-2025.
Adoption a Budget
Section 4.3.5 of the JPA requires the Board to adopt an annual budget by April 30th of each year.
Given the timing of the Amendment to the JPA and selection of the Board members, a budget has not yet been adopted for the current fiscal year. The proposed budget includes funding to cover the ongoing expenses of CHAC (including unemployment claims), preparation of the required Form 990 and the audit, and insurance.
In terms of revenue, CHAC will receive a payment of $250,000.00 from Pacific Clinics in July of 2025.
As it is not anticipated that the CHAC Board will meet again prior to April 30, 2025 , it is also recommended that the Board adopt a budget for the next fiscal year.
Proposed Budgets are set forth in Attachment C.
Unemployment Claims
As mentioned above, those CHAC’s employees who were laid off last summer are eligible for unemployment benefits. CHAC must remain in existence so long as these former employees are eligible for unemployment benefits. Employees are eligible to file for unemployment benefits for one year after the termination date. The last employee left CHAC in August of 2024. Employees may receive twenty-six weeks of unemployment benefits, and it is possible those benefits can be extended for an addition six months if the employee participates in certain training programs.
Former employees apply for unemployment benefits with the California Employment Development Department (EDD). EDD determines eligibility and the benefits due. Each quarter EDD requests reimbursement from CHAC for the unemployment benefits it has provided to former CHAC employees. While information regarding the claimants is confidential, it can be stated that CHAC is reimbursing EDD for benefits paid. The proposed budget includes funding for these reimbursements for the remainder of the year.
It is not currently known when CHAC’s obligation to pay unemployment benefits will terminate.
However, EDD provides CHAC with quarterly updates after the end of each quarter followed by 6 a notice of the reimbursement amount CHAC owes EDD. CHAC will receive the next updates during the last ten days of April, July and October. At a minimum, CHAC must remain in existence through August of 2025 based on the eligibility of the former employees to file a claim for unemployment. At the latest, CHAC would be able to dissolve at the end of August 2026. The EDD quarterly updates will help guide the Board in determining the dissolution date.
Insurance
CHAC has the insurance coverages described on Attachment D. The cost of the insurance for the next fiscal year are also included in the budget.
Action Needed:
Consider adoption of budget for Fiscal Year 2024-25 and 2025-26.
Direction Needed:
1. Audit. Does the Board want to do an annual audit or an audit covering a two-year period? What process does the Board want to use to contract for audit services? Who will handle contracting process on behalf of the Board?
2. Form 990. Who does the Board want to retain to prepare the Form 990 for this fiscal year and the final Form 990? Who will handle the contracting process on behalf of the Board?
3. Financial Statements. Provide direction regarding the frequency the Board wishes to receive financial statements.
Attachments
Attachment A: December 2024 Financial Statement
Attachment B: 2023 Form 990
Attachment C: Proposed Budgets for Fiscal Year 2024-2025 and 2025-2026 Attachment D: Insurance coverage
7 FINANCIAL STATEMENTS
First draft
CHAC
8 Attachment A
CHAC
TABLE OF CONTENTS
Page
STATEMENT OF ACTIVITIES 1
SCHEDULE OF OPERATING CASH AND INVESTMENTS & DASHBOARD 2 STATEMENT OF FINANCIAL POSITION 3
9 CHAC
Statement of Activities - Agency Wide
For the Period Ended December 31, 2024 - Actual vs. Budget Revenue
Unrestricted
Total Public Support
Total Other Support and Revenue
Total Net Assets Released from Restriction
Total Unrestricted
Temporarily Restricted
Total Public Support
Total Net Assets Released from Restriction
Total Temporarily Restricted
In-Kind Revenue
In-Kind Revenue
Total In-Kind Revenue Total
Revenue
Expenses
Operating Expenses
Total Payroll Costs
Total Non-Labor Expenses
Total Operating Expenses
Total In Kind Expense Total
Expenses
NET SURPLUS/(DEFICIT)
Year-to-Date Annual
Actual Budget Variance PY PY Variance
$576,107 $0 $576,107 $712,028 ($135,921)
$2,617,981 $0 $2,617,981 $1,228,136 $1,389,845
$0 $0 $0 $86,069 ($86,069)
$3,194,088 $0 $3,194,088 $2,026,233 $1,167,855
($304,000) $0 ($304,000) $13,000 ($317,000)
$0 $0 $0 ($86,069) $86,069
($304,000) $0 ($304,000) ($73,069) ($230,931)
$0 $0 $0 $376,673 ($376,673)
$0 $0 $0 $376,673 ($376,673)
$2,890,088 $0 $2,890,088 $2,329,836 $560,252
$473,833 $0 ($473,833) $1,207,616 $733,783
$5,494,285 $0 ($5,494,285) $536,557 ($4,957,729)
$5,968,118 $0 ($5,968,118) $1,744,172 ($4,223,946)
Budget To Go %*
$0 ($576,107) 0%
$0 ($2,617,981) 0%
$0 $0 0%
$0 ($3,194,088) 0%
$0 $304,000 0%
$0 $0 0%
$0 $304,000 0%
$0 $0 0%
$0 $0 0%
$0 ($2,890,088) 0%
$0 ($473,833) 0%
$0 ($5,494,285) 0%
$0 ($5,968,118) 0%
10 $0 $0 $376,673 $376,673
$0 ($5,968,118) $2,120,845 ($3,847,273)
$0 ($3,078,030) $208,991 ($3,287,021)
$0 $0 0%
$0 ($5,968,118) 0%
$0 $3,078,030 0%
*% of annual budget remaining
1 CHAC
Dashboard 1
As of December 31, 2024
11 Cash (excluding Investments)
Challenge Team Cops & Gobblers CHAC
Months of Expenses on Hand*
* Calculated using average monthly budgeted expense
Operating Cash and Investments
Cash December 31, 2024 November 30, 2024 October 31, 2024 September 30, 2024 WELLS FARGO CHECKING - - - HERITAGE CHECKING 237,414
253,672 891,469 979,146
HERITAGE PPP 17 17 17 17 Total Cash**
237,431 253,689 891,485 979,163
CHARLES SCHWAB 1,693,811 1,697,574 1,092,707 1,095,920 TD AMERITRADE - - - Total Cash &
Investments 1,931,243 1,951,264
1,984,192 2,075,083
Change from previous month
**Cash balance includes agency funds held as follows:
Funds Held for Challenge Team - - - -
(20,021) (32,928) (90,891)
2 CHAC
Statement of Financial Position
As of December 31, 2024
Monthly Chg. UnAudited Jul-24 to Dec 24
Mo
nth
s
Re
ma
ini
ng
12 12/31/2024 11/30/2024 Incr./(Decr.) 12/31/2023 6/30/2024 Incr./(Decr.) ASSETS:
Current Assets
WFB Checking - - - - - -
Heritage Bank Merchant Acct 54,828 54,821 7 49,030 55,224 (395)
Heritage Bank Checking 182,586 198,851 (16,265) 1,009,209 1,112,313 (929,727)
Accounts Receivable 0 0 - 517,305 115,620
(115,620)
Unbilled Accounts Receivable - - - 41,000 - -
Pledges and Grants Receivable - - - 152,000 304,000
(304,000)
Prepaid Expenses 2,717 5,476 (2,759) 33,921 29,381
(26,664)
Total Current Assets
Fixed Assets
240,149 259,165 (19,017) 1,802,483 1,616,555
(1,376,406)
Land and Buildings - - - 3,837,409 3,837,409
(3,837,409)
Furniture, Fixtures, Equipment - - - 142,425 142,425
(142,425)
Intangible Assets - EMR System - - - 169,363 169,363
(169,363)
Less: Accumulated depreciation - - - (901,883) (956,016) 956,016 Total Fixed Assets
Other Assets
- - - 3,247,313 3,193,180
(3,193,180)
Unemployment Insurance Deposit - - - 41,627 23,843
(23,843)
Charles Schwab 1,693,811 1,697,574 (3,763) 325,641 333,637 1,360,174 TD Ameritrade Investment Account - - - - - -
Long-term Grants Receivable - - - 304,000 - -
Total Other Assets 1,693,811 1,697,574 (3,763) 671,269 357,480 1,336,332
TOTAL ASSETS 5,721,065 5,167,214 (3,233,254)
LIABILITIES & NET ASSETS:
Current Liabilities
Accounts Payable 7,255 15,720 (8,465) 26,169 70,593
(63,339)
Accrued Expenses - 221 (221) 1,496 2,683
(2,683)
Accrued Payroll Liabilities 3,412 3,412 - 92,853 76,079 (72,667)
Accrued Vacation 23,515 23,515 - 104,353 39,931
(16,416)
Deferred Revenue (0) (0) - 544,438 (0) -
Loan Payable - - - - - -
Funds Held for Challenge Team - - - 53,189 120
(120)
Total Current Liabilities
NET ASSETS
Net Assets Without Donor Restrictions
34,181 42,867 (8,686) 822,498 189,406
(155,224)
Undesignated 1,138,636 1,152,730 (14,094) 324,730 719,485 419,150 Board Designated - Operating Reserve 641,743 641,743 - 641,743 641,743 - Board Designated - Mary White Scholarship Fund 3,400 3,400 - 3,400 3,400 - 1,933,960 1,956,740
(22,780)
13 Board Designated - Capital Reserve 116,000 116,000 - 116,000 116,000 - Invested in Property & Equipment - - - 3,247,313 3,193,180 (3,193,180)
Total Net Assets Without Donor Restrictions 1,899,779 1,913,873 (14,094) 4,333,187 4,673,809 (2,774,030) Net Assets With Donor Restrictions - - - 565,381 304,000 (304,000) Total Net Assets 1,899,779 1,913,873 (14,094) 4,898,567 4,977,809 (3,078,030)
TOTAL LIABILITIES & NET ASSETS 1,933,960 1,956,740 (22,780) 5,721,065 5,167,214 (3,233,254) 3 14
Check
if
self-employed
Department of the Treasury
Internal Revenue Service
Check if
applicable:
Address
change
Name
change
Initial
return
Final
return/
terminated Gross receipts $
Amended
return
Application
pending
Are all subordinates included?
332001 12-21-23
OMB No. 1545-0047
Beginning of Current Year
Paid
Preparer
Use Only
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public.
Open to Public
Go to www.irs.gov/Form990 for instructions and the latest information. Inspection A For the 2023 calendar year, or tax year beginning and ending B C D Employer identification number
E
G
H(a)
H(b)
H(c)
F Yes No
Yes No
I
J
K
Website:
L M
1 2
3 4
5 6
7 3
4 5
6 7a
7b
a
b
Activities & Governance
Prior Year Current Year
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10 11
12 13
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16 17
18 19
Revenue
a
b
Expenses
End of Year
20 21
22 Sign
Here
Yes No
For Paperwork Reduction Act Notice, see the separate instructions. (or P.O. box if mail is not delivered to street address) Room/suite 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527
Form of organization: Corporation Trust Association Other Year of formation: State of legal domicile:
Net Assets or Fund Balances
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Signature of officer Date
Type or print name and title
Print/Type preparer's name Preparer's signature
Date PTIN
Firm's name Firm's EIN
Firm's address
Phone no.
Form
Name of organization
Doing business as
Number and street Telephone number
City or town, state or province, country, and ZIP or foreign postal code Is this a group return
Name and address of principal officer: for subordinates? ~~ If "No," attach a list. See instructions
Group exemption number
Tax-exempt status:
Briefly describe the organization's mission or most significant activities:
Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets.
Number of voting members of the governing body (Part VI, line 1a) Number of independent voting members of the governing body (Part VI, line 1b) Total number of individuals employed in calendar year 2023 (Part V, line 2a) ~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~
Total number of volunteers (estimate if necessary)
Total unrelated business revenue from Part VIII, column (C), line 12 Net unrelated business taxable income from Form 990-T, Part I, line 11 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
Contributions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~ Investment income (Part VIII, column (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~ Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~ Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1-3) Benefits paid to or for members (Part IX, column (A), line 4) Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~~~~~~~~~
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~~~
Professional fundraising fees (Part IX, column (A), line 11e) Total fundraising expenses (Part IX, column (D), line 25) ~~~~~~~~~~~~~~
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 18 from line 12
~~~~~~~~~~~~~
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Total assets (Part X, line 16)
Total liabilities (Part X, line 26)
Net assets or fund balances. Subtract line 21 from line 20 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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May the IRS discuss this return with the preparer shown above? See instructions LHA Form (2023)
Part I Summary
Part II Signature Block
990
Return of Organization Exempt From Income Tax
990 2023
** PUBLIC DISCLOSURE COPY **
JUL 1, 2023 JUN 30, 2024
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL
94-2223670
590 W EL CAMINO REAL (650) 965-2020
4,103,468.
MOUNTAIN VIEW, CA 94040
KEVIN DUGGAN X
WWW.CHACMV.ORG
X 1983 CA
CHAC'S COUNSELING PROGRAMS
17 17
49 37
0. 0.
3,551,747.
526,609.
15,097.
10,015.
3,931,137. 4,103,468.
0. 0.
2,697,982.
0. 194,413.
1,124,954.
4,358,204. 3,822,936.
-427,067. 280,532.
4,934,626. 5,167,216.
245,049. 189,406.
4,689,577. 4,977,810.
ANNE EHRESMAN, INTERIM EXECUTIVE DIRECTOR
ERIC BARNETT P01433887
NOVOGRADAC & COMPANY LLP 94-3108253
2033 N. MAIN ST., SUITE 400
WALNUT CREEK, CA 94596 (925)949-4300
X
SAME AS C ABOVE
ADDRESS A WIDE RANGE OF EMOTIONAL AND SOCIAL PROBLEMS AFFECTING
SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT CONTINUATION X
3,261,703.
610,552.
58,837.
45. 0.
0. 3,377,544.
0. 980,660.
15 Attachment B
Department of the Treasury
Internal Revenue Service
File by the
due date for
filing your
return. See
instructions.
323841 12-22-23
File a separate application for each return.
Go to www.irs.gov/Form8868 for the latest information.
Electronic filing (e-file).
Part I - Identification
Type or
Print
Application Is For Return
Code
Application Is For Return
Code
Part II - Automatic Extension of Time To File for Exempt Organizations (see instructions) 1 2
3a
b
c
3a
3b
3c
$
$
$
Balance due.
For Privacy Act and Paperwork Reduction Act Notice, see instructions. 8868 Form
(Rev. January 2024)
OMB No. 1545-0047
You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form 8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.
Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions.
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns.
Name of exempt organization, employer, or other filer, see instructions. Taxpayer identification number (TIN) Number, street, and room or suite no. If a P.O. box, see instructions.
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Enter the Return Code for the return that this application is for (file a separate application for each return) Form 990 or Form 990-EZ
Form 4720 (individual)
Form 990-PF
01 03
04 05
06 07
08 Form 4720 (other than individual) 09
10 11
12 13
14 Form 5227
Form 6069
Form 8870
Form 5330 (individual)
Form 990-T (sec. 401(a) or 408(a) trust)
Form 990-T (trust other than above)
Form 990-T (corporation) Form 5330 (other than individual) Form 1041-A
¥ After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of ¥
time to file Form 5330.
If this application is for an extension of time to file Form 5330, you must enter the following information.
Plan Name
Plan Number
Plan Year Ending (MM/DD/YYYY)
The books are in the care of
Telephone No. Fax No.
¥ If the organization does not have an office or place of business in the United States, check this box ~~~~~~~~~~~~~~~~~~ ¥ If this is for a Group Return, enter the organization's four-digit Group Exemption Number (GEN) . If this is for the whole group, check this box . If it is for part of the group, check this box and attach a list with the names and TINs of all members the extension is for. I request an automatic 6-month extension of time until , 20 , to file the exempt organization return for the organization named above. The extension is for the organization's return for:
calendar year 20 or
tax year beginning , 20 , and ending . , 20
If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions.
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit.
Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions.
Form (Rev. 1-2024)
LHA
Application for Extension of Time To File an Exempt Organization Return or Excise Taxes Related to Employee Benefit Plans 8868
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL
KEVIN DUGGAN
X
0. 0.
0. (650) 965-2020
590 W EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
94-2223670
MAY 15
JUL 1 JUN 30
590 W EL CAMINO REAL - MOUNTAIN VIEW, CA 94040
0 1
23 24
25 16
Code: Expenses $ including grants of $ Revenue $
Code: Expenses $ including grants of $ Revenue $
Code: Expenses $ including grants of $ Revenue $
Expenses $ including grants of $ Revenue $
332002 12-21-23
1 2
3 4
Yes No
Yes No
4a
4b
4c
4d
4e
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ?
If "Yes," describe these new services on Schedule O.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization cease conducting, or make significant changes in how it conducts, any program services? If "Yes," describe these changes on Schedule O.
~~~~~~
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.
Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
( ) ( ) ( )
( ) ( ) ( )
( ) ( ) ( )
Other program services (Describe on Schedule O.)
( ) ( )
Total program service expenses
Form (2023)
2 Part III Statement of Program Service Accomplishments 990
CHAC SEEKS TO IMPROVE LIVES AND STRENGTHEN COMMUNITIES THROUGH ACCESS X
X
TO COMPREHENSIVE AND CULTURALLY RESPONSIVE MENTAL HEALTH SERVICES IN 1,929,128. 137,277.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
NORTHERN SANTA CLARA COUNTY.
SCHOOL-BASED SERVICES
CHAC THERAPISTS SUPPORT THE PSYCHOLOGICAL AND EMOTIONAL WELL-BEING OF STUDENTS IN GRADES K-12 IN 34 SCHOOLS ACROSS FOUR SCHOOL DISTRICTS -
MOUNTAIN VIEW-WHISMAN ELEMENTARY, MOUNTAIN VIEW-LOS ALTOS UNION HIGH
SCHOOL, LOS ALTOS ELEMENTARY, AND SUNNYVALE ELEMENTARY INCLUDING SIX 545,989. 9,466.
CLINIC SERVICES
HIGH-NEEDS TITLE 1 SCHOOLS. CHAC PROVIDES ONGOING COUNSELING FOR
STUDENTS WITH BEHAVIORAL AND EMOTIONAL CHALLENGES WITH A GOAL OF SERVING THE WHOLE CHILD. OUR CLINICIANS TAKE AN "INTEGRATED CARE"
APPROACH, PROVIDING STUDENTS WITH COPING MECHANISMS THAT REPLACE
UNHEALTHY HABITS WITH BETTER CHOICES AND FACILITATE ACADEMIC SUCCESS,
INCREASED ATTENDANCE, DECREASED TARDINESS AND IMPROVED SOCIAL
CHAC'S APPROACH TO INDIVIDUAL, COUPLES, AND FAMILY COUNSELING REFLECTS WHAT WE BELIEVE IN MOST: THE VALUE OF EACH INDIVIDUAL, THE IMPORTANCE OF FAMILY, AND THE NECESSITY OF COMMUNITY. OUR PROGRAMS SERVE ALL AGES 420,734. 389,881.
FAMILY RESOURCE CENTERS
ON A SLIDING FEE AND ADDRESS A VARIETY OF EMOTIONAL CHALLENGES THAT
CAUSE STRESS WITHIN THEIR FAMILIES INCLUDING BULLYING, ANXIETY,
SADNESS/DEPRESSION, AGGRESSIVE OR DEFIANT BEHAVIOR, DRUG AND ALOCOHOL
ABUSE, PHYSICAL AND PSYCHOLOGICAL ABUSE, TRUANCY, DOMESTIC VIOLENCE,
GANG PARTICIPATION, CHILD CUSTODY CONFLICTS, SUICIDE PREVENTION, AND ECONOMIC HARDSHIP. CLINICAL SERVICES ARE PROVIDED VIA TELE-HEALTH DURING COVID AND ALWAYS ON A SLIDING SCALE FEE PAYMENT PLAN; NO ONE IS CHAC'S FAMILY RESOURCE CENTERS (FRCS) COLLABORATE WITH FIRST 5 SANTA
CLARA COUNTY AND OTHER COMMUNITY PARTNERS TO OFFER PROGRAMS THAT HELP
PARENTS AND OTHER CAREGIVERS UNDERSTAND THE IMPORTANCE OF PHYSICAL AND
SOCIAL-EMOTIONAL DEVELOPMENT DURING THE FIRST YEARS OF LIFE AND EARLY 2,895,851.
SCHOOL YEARS, ALONG WITH THE FAMILY AND COMMUNITY ENGAGEMENT NEEDED TO BUILD STRONG COMMUNITIES.
X
SEE SCHEDULE O FOR CONTINUATION(S)
17 332003 12-21-23
Yes No
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 1
2 3
4 5
6 7
8 9
10 Section 501(c)(3) organizations.
a
b
c
d
e
f
a
b
11a
11b
11c
11d
11e
11f
12a
12b
13 14a
14b
15 16
17 18
19 20a
20b
21 a
b
20 21
a
b
If "Yes," complete Schedule A
Schedule B, Schedule of Contributors
If "Yes," complete Schedule C, Part I
If "Yes," complete Schedule C, Part II
If "Yes," complete Schedule C, Part III
If "Yes," complete Schedule D, Part I
If "Yes," complete Schedule D, Part II
If "Yes," complete
Schedule D, Part III
If "Yes," complete Schedule D, Part IV
If "Yes," complete Schedule D, Part V
If "Yes," complete Schedule D,
Part VI
If "Yes," complete Schedule D, Part VII
If "Yes," complete Schedule D, Part VIII
If "Yes," complete Schedule D, Part IX
If "Yes," complete Schedule D, Part X
If "Yes," complete Schedule D, Part X
If "Yes," complete
Schedule D, Parts XI and XII
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional If "Yes," complete Schedule E
If "Yes," complete Schedule F, Parts I and IV
If "Yes," complete Schedule F, Parts II and IV
If "Yes," complete Schedule F, Parts III and IV
If "Yes," complete Schedule G, Part I.
If "Yes," complete Schedule G, Part II
If "Yes,"
complete Schedule G, Part III
If "Yes," complete Schedule H
If "Yes," complete Schedule I, Parts I and II
Form 990 (2023) Page
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization required to complete ? See instructions Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? Did the organization maintain collections of works of art, historical treasures, or other similar assets? ~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16?
Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16?
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16?
Did the organization report an amount for other liabilities in Part X, line 25? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? Did the organization obtain separate, independent audited financial statements for the tax year? ~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Was the organization included in consolidated, independent audited financial statements for the tax year? ~~~~~
Is the organization a school described in section 170(b)(1)(A)(ii)? Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization?
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? See instructions ~~~~~~~~~~~~~~~~~~~~ Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization operate one or more hospital facilities? ~~~~~~~~~~~~~~~~~ If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~ Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? ~~~~~~~~~~~~~~ Form (2023)
3 Part IV Checklist of Required Schedules
990
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CHAC
X
X
X
X
X
X
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
18 332004 12-21-23
Yes No
22 23
24 25
26 27
28 29
30 31
32 33
34 35
36 37
38 22
23 24a
24b
24c
24d
25a
25b
26 27
28a
28b
28c
29 30
31 32
33 34
35a
35b
36 37
38 a
b
c
d
a
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. a
b
c
a
b
Section 501(c)(3) organizations.
Note:
Yes No
1a
b
c
1a
1b
1c
(continued)
If "Yes," complete Schedule I, Parts I and III
If "Yes," complete
Schedule J
If "Yes," answer lines 24b through 24d and complete
Schedule K. If "No," go to line 25a
If "Yes," complete Schedule L, Part I
If "Yes," complete
Schedule L, Part I
If "Yes," complete Schedule L, Part II
If "Yes," complete Schedule L, Part III
If
"Yes," complete Schedule L, Part IV
If "Yes," complete Schedule L, Part IV
If
"Yes," complete Schedule L, Part IV
If "Yes," complete Schedule M
If "Yes," complete Schedule M
If "Yes," complete Schedule N, Part I
If "Yes," complete
Schedule N, Part II
If "Yes," complete Schedule R, Part I
If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1
If "Yes," complete Schedule R, Part V, line 2
If "Yes," complete Schedule R, Part V, line 2
If "Yes," complete Schedule R, Part VI
Form 990 (2023) Page
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
Did the organization engage in an excess benefit
transaction with a disqualified person during the year? Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? ~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? ~~~~~~~~~~~~~ Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? ~~~ Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
A family member of any individual described in line 28a? A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? ~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization receive more than $25,000 in noncash contributions? Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?
~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization liquidate, terminate, or dissolve and cease operations? Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? ~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?
Was the organization related to any tax-exempt or taxable entity? ~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a controlled entity within the meaning of section 512(b)(13)? If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)?
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~
Did the organization make any transfers to an exempt non-charitable related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? ~~~~~~~~ Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? All Form 990 filers are required to complete Schedule O Check if Schedule O contains a response or note to any line in this Part V Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~ Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable ~~~~~~~~~~ Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? Form (2023)
4 Part IV Checklist of Required Schedules
Part V Statements Regarding Other IRS Filings and Tax Compliance 990
X
X
X
X
X
X
X
X
X
X
X
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
30 0
X
X
X
X
X
X
X
X
19 332005 12-21-23
Yes No
2 3
4 5
6 7
a
b
2a
2b
3a
3b
4a
5a
5b
5c
6a
6b
7a
7b
7c
7e
7f
7g
7h
8 9a
9b
a
b
a
b
a
b
c
a
b
Organizations that may receive deductible contributions under section 170(c). a
b
c
d
e
f
g
h
7d
8 9
10 11
12 13
14 15
16 17
Sponsoring organizations maintaining donor advised funds.
Sponsoring organizations maintaining donor advised funds. a
b
Section 501(c)(7) organizations.
a
b
10a
10b
Section 501(c)(12) organizations.
a
b
11a
11b
a
b
Section 4947(a)(1) non-exempt charitable trusts. 12a
12b
Section 501(c)(29) qualified nonprofit health insurance issuers.
Note:
a
b
c
a
b
13a
13b
13c
14a
14b
15 16
17 Section 501(c)(21) organizations.
~~~~~~~~~~~~~~~~~~~
(continued)
If "No" to line 3b, provide an explanation on Schedule O If "No," provide an explanation on Schedule O
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? Form (2023)
Form 990 (2023) Page
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~ If at least one is reported on line 2a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ Did the organization have unrelated business gross income of $1,000 or more during the year? If "Yes," has it filed a Form 990-T for this year?
~~~~~~~~~~~~~~
~~~~~~~~~~
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ~~~~~~~ If "Yes," enter the name of the foreign country
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? ~~~~~~~~~~~~
~~~~~~~~~
If "Yes" to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?
~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," did the organization notify the donor of the value of the goods or services provided? Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
~~~~~~~~~~~~~~~
If "Yes," indicate the number of Forms 8282 filed during the year Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ~~~~~~~~~~~~~~~~
~~~~~~~
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~ If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ~
Did a donor advised fund maintained by the
sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~ Did the sponsoring organization make any taxable distributions under section 4966? Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~
Enter:
Initiation fees and capital contributions included on Part VIII, line 12 Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~~~~~~~~~~
~~~~~~
Enter:
Gross income from members or shareholders
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.)
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization filing Form 990 in lieu of Form 1041? If "Yes," enter the amount of tax-exempt interest received or accrued during the year Is the organization licensed to issue qualified health plans in more than one state? See the instructions for additional information the organization must report on Schedule O. ~~~~~~~~~~~~~~~~~~~~~
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans Enter the amount of reserves on hand
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization receive any payments for indoor tanning services during the tax year? If "Yes," has it filed a Form 720 to report these payments? ~~~~~~~~~~~~~~~~
~~~~~~~~~
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year?
If "Yes," see the instructions and file Form 4720, Schedule N.
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~
Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? If "Yes," complete Form 6069.
5 Part V Statements Regarding Other IRS Filings and Tax Compliance 990
X
X
X
X
X
X
X
X
X
X
X
X
49 FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
X
20 332006 12-21-23
Yes No
1a
1b
1 2
3 4
5 6
7 8
9 a
b
2 3
4 5
6 7a
7b
8a
8b
9 a
b
a
b
Yes No
10 11
a
b
10a
10b
11a
12a
12b
12c
13 14
15a
15b
16a
16b
a
b
12a
b
c
13 14
15 a
b
16a
b
17 18
19 20
For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
If "Yes," provide the names and addresses on Schedule O (This Section B requests information about policies not required by the Internal Revenue Code.) If "No," go to line 13
If "Yes," describe
on Schedule O how this was done
(explain on Schedule O)
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Form (2023)
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part VI Enter the number of voting members of the governing body at the end of the tax year Enter the number of voting members included on line 1a, above, who are independent ~~~~~~
~~~~~~
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~~ Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets? Did the organization have members or stockholders?
~~~~~
~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body?
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The governing body?
Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address?
Did the organization have local chapters, branches, or affiliates? If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe on Schedule O the process, if any, used by the organization to review this Form 990.
Did the organization have a written conflict of interest policy? ~~~~~~~~~~~~~~~~~~~~~ ~~~~~~
Did the organization regularly and consistently monitor and enforce compliance with the policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. ~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
Own website Another's website Upon request Other
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
State the name, address, and telephone number of the person who possesses the organization's books and records 6 Part VI Governance, Management, and Disclosure.
Section A. Governing Body and Management
Section B. Policies
Section C. Disclosure
990
17 17
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
KEVIN DUGGAN - (650) 965-2020
590 W EL CAMINO REAL, MOUNTAIN VIEW, CA 94040
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
X
CA
X
21 Individual trustee or director
Institutional trusteeOfficerKey employeeHighest compensatedemployeeFormer (do not check more than one
box, unless person is both an
officer and a director/trustee)
332007 12-21-23
current
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a
current
current
former
former directors or trustees
(A) (B) (C) (D) (E) (F)
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part VII Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. ¥ List all of the organization's officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.
Enter -0- in columns (D), (E), and (F) if no compensation was paid. ¥ List all of the organization's key employees, if any. See the instructions for definition of "key employee." ¥ List the organization's five highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. ¥ List all of the organization's officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ¥ List all of the organization's that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
Position
Name and title Average
hours per
week
(list any
hours for
related
organizations
below
line)
Reportable
compensation
from
the
organization
(W-2/1099-MISC/
1099-NEC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC/
1099-NEC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
Form (2023)
7 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
990
(1) JOANNA CARSON-YOUNG
STAFF
(2) RAKHEE SHARMA
(3) CAROL MELBERG
(4) DIANA RITTER
(5) ANNE EHRESMAN
(6) PHIL FAILLACE
(7) KEVIN DUGGAN
(8) ELISE BERGERON
(9) LEONA PEARCE
(10) GEORGE TYSON
(11) DENNIS YOUNG
(12) LAURA BLAKELY
(13) SANDY BERGAN
(14) ELLEN KAMEI
(15) JESSICA MANCINI
(16) IDAROSE SYLVESTER
(17) STEVE TAGLIO
STAFF
DIRECTOR OF CHAC | ARTS
STAFF
INTERIM EXECUTIVE DIRECTOR
DIRECTOR
BOARD CHAIR
VICE CHAIR
VICE CHAIR
TREASURER
DIRECTOR
DIRECTOR
DIRECTOR
DIRECTOR
SECRETARY
DIRECTOR
DIRECTOR
40.00 40.00
40.00 40.00
40.00 2.00
2.00 2.00
2.00 2.00
2.00 2.00
2.00 2.00
2.00 2.00
2.00 X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
134,601.
116,875.
105,121.
100,669.
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. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
22 Individual trustee or director
Institutional trusteeOfficer
Key employee
Highest compensatedemployee
Former
(do not check more than one
box, unless person is both an
officer and a director/trustee)
332008 12-21-23
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (A) (B) (C) (D) (E) (F)
1b
c
d
Subtotal
Total from continuation sheets to Part VII, Section A
Total (add lines 1b and 1c)
2 Yes No
3 4
5 former
3 4
5 Section B. Independent Contractors
1 (A) (B) (C)
2 (continued)
If "Yes," complete Schedule J for such individual
If "Yes," complete Schedule J for such individual
If "Yes," complete Schedule J for such person
Form 990 (2023) Page
Average Position
hours per
week
(list any
hours for
related
organizations
below
line)
Name and title Reportable
compensation
from
the
organization
(W-2/1099-MISC/
1099-NEC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC/
1099-NEC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
~
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
Did the organization list any officer, director, trustee, key employee, or highest compensated employee on line 1a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? ~~~~~~~~~~~~~ Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year.
Name and business address Description of services Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
Form (2023)
8 Part VII
990
(18) CHRIS CLARK
DIRECTOR
2.00 X 0. 0. 0.
(19) TANIA A O' CONNELL
DIRECTOR
2.00 X 0. 0. 0.
(20) CECILE CURRIER
DIRECTOR
2.00 X 0. 0. 0.
(21) SALLY MEADOWS
DIRECTOR
2.00 X 0. 0. 0.
457,266. 0. 0.
0. 0. 0.
548 MARKET STREET, SAN FRANCISCO, CA 94104
ST., SUITE 120 #266, MOUNTAIN VIEW, CA
4 2
457,266. 0. 0.
FKA COMMUNITY HEALTH AWARENESS COUNCIL
X
X
X
94-2223670
UIS TECH PARTNERS
CHAC
VENTURE LEADERSHIP COLLECTIVE, 650 CASTRO
COMPUTER CONSULTANT
PROFESSIONAL FEES
240,487.
177,678.
23 Noncash contributions included in lines 1a-1f
332009 12-21-23
Business Code
Business Code
Total revenue.
(A) (B) (C) (D)
1 a
b
c
d
e
f
1 1
1 1
1 1
1 a
b
c
d
e
f
g g
Contributions, Gifts, Grants
and Other Similar Amounts
h Total.
a
b
c
d
e
f
g
2 Program Service
Revenue
Total.
3 4
5 6 a
b
c
d
6a
6b
6c
7 a
7a
7b
7c
b
c
d
a
b
c
8 8a
8b
9 a
b
c
9a
9b
10 a
b
c
10a
10b
Other Revenue
11 a
b
c
d
e
Miscellaneous
Revenue
Total.
12 Revenue excluded
from tax under
sections 512 - 514
All other contributions, gifts, grants, and
similar amounts not included above
Gross amount from sales of
assets other than inventory
cost or other basis
and sales expenses
Gross income from fundraising events
See instructions
Form (2023)
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part VIII Total revenue Related or exempt
function revenue
Unrelated
business revenue
Federated campaigns
Membership dues
~~~~~
~~~~~~~
Fundraising events
Related organizations
~~~~~~~
~~~~~
Government grants (contributions)
~
$
Add lines 1a-1f
All other program service revenue ~~~~~
Add lines 2a-2f
Investment income (including dividends, interest, and
other similar amounts)
Income from investment of tax-exempt bond proceeds
~~~~~~~~~~~~~~~~~~
Royalties
(i) Real (ii) Personal
Gross rents
Less: rental expenses
Rental income or (loss)
Net rental income or (loss)
~~~~~
~
(i) Securities (ii) Other
Less:
Gain or (loss)
~~~
~~~~~
Net gain or (loss)
(not
including $ of
contributions reported on line 1c). See
Part IV, line 18 ~~~~~~~~~~~~
Less: direct expenses ~~~~~~~~
Net income or (loss) from fundraising events
Gross income from gaming activities. See
Part IV, line 19 ~~~~~~~~~~~~
Less: direct expenses
Net income or (loss) from gaming activities
~~~~~~~~
Gross sales of inventory, less returns
and allowances ~~~~~~~~~~~~
Less: cost of goods sold
Net income or (loss) from sales of inventory
~~~~~~~
All other revenue ~~~~~~~~~~~~~
Add lines 11a-11d
9 Part VIII Statement of Revenue
990
3,284,465.
492,638.
267,282.
3,551,747.
MISCELLANEOUS INCOME 541900
526,609.
33,971.
10,015.
4,103,468. 536,624. 0. 15,097.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
CONTRACT REVENUE 541900 492,638.
PROGRAM SERVICE FEES 541900 33,971.
15,097. 15,097.
10,015.
10,015.
24 if following SOP 98-2 (ASC 958-720)
332010 12-21-23
Total functional expenses.
Joint costs.
(A) (B) (C) (D)
1 2
3 4
5 6
7 8
9 10
11 a
b
c
d
e
f
g
12 13
14 15
16 17
18 19
20 21
22 23
24 a
b
c
d
e
25 26
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Grants and other assistance to domestic organizations
and domestic governments. See Part IV, line 21
Compensation not included above to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B)
Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)
Professional fundraising services. See Part IV, line 17 (If line 11g amount exceeds 10% of line 25,
column (A), amount, list line 11g expenses on Sch O.)
Other expenses. Itemize expenses not covered
above. (List miscellaneous expenses on line 24e. If
line 24e amount exceeds 10% of line 25, column (A),
amount, list line 24e expenses on Schedule O.)
Add lines 1 through 24e
Complete this line only if the organization
reported in column (B) joint costs from a combined
educational campaign and fundraising solicitation.
Check here
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part IX Total expenses Program service
expenses
Management and
general expenses
Fundraising
expenses
~
Grants and other assistance to domestic
individuals. See Part IV, line 22 ~~~~~~~
Grants and other assistance to foreign
organizations, foreign governments, and foreign
individuals. See Part IV, lines 15 and 16 ~~~
Benefits paid to or for members ~~~~~~~
Compensation of current officers, directors,
trustees, and key employees ~~~~~~~~
~~~
Other salaries and wages ~~~~~~~~~~
Other employee benefits ~~~~~~~~~~
Payroll taxes ~~~~~~~~~~~~~~~~
Fees for services (nonemployees):
Management
Legal
Accounting
Lobbying
~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Investment management fees
Other.
~~~~~~~~
Advertising and promotion
Office expenses
Information technology
Royalties
~~~~~~~~~
~~~~~~~~~~~~~~~
~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Occupancy ~~~~~~~~~~~~~~~~~
Travel ~~~~~~~~~~~~~~~~~~~
Payments of travel or entertainment expenses
for any federal, state, or local public officials ~
Conferences, conventions, and meetings ~~
Interest
Payments to affiliates
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~
Depreciation, depletion, and amortization
Insurance
~~
~~~~~~~~~~~~~~~~~
All other expenses
Form (2023)
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
10 Part IX Statement of Functional Expenses
990
105,121.
2,258,721.
26,121.
135,664.
172,355.
58,076.
90,002.
370,134.
11,600.
278,329.
84,665.
108,266.
22,488.
60,757.
21,739.
273.
18,625.
3,822,936.
89,942. 8,563. 6,616.
1,932,562. 183,997. 142,162.
17,077. 7,384. 1,660.
88,690. 38,353. 8,621.
148,820. 14,089. 9,446.
58,076.
90,002.
185,891. 176,383. 7,860.
9,936. 1,120. 544.
159,468. 113,950. 4,911.
77,802. 3,593. 3,270.
98,504. 9,762.
13,320. 8,814. 354.
47,598. 12,331. 828.
11,436. 2,420. 7,883.
214. 55. 4.
14,591. 3,780. 254.
2,895,851. 732,672. 194,413.
CLINICAL EXPENSES
DUES & SUBSCRIPTIONS
LICENSES AND TAXES
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
25 332011 12-21-23
(A) (B)
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20
21 22
23 24
25 26
27 28
29 30
31 32
33 1
2 3
4 5
6 7
8 9
10c
11 12
13 14
15 16
17 18
19 20
21 22
23 24
25 26
a
b
10a
10b
Assets
Total assets.
Liabilities
Total liabilities.
Organizations that follow FASB ASC 958, check here
and complete lines 27, 28, 32, and 33.
27 28
Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29 30
31 32
33 Net Assets or Fund Balances
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part X Beginning of year End of year
Cash - non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~
Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ~~~~~~~~~ Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ~~ Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Land, buildings, and equipment: cost or other
basis. Complete Part VI of Schedule D
Less: accumulated depreciation
~~~
~~~~~~
Investments - publicly traded securities
Investments - other securities. See Part IV, line 11
Investments - program-related. See Part IV, line 11
Intangible assets
~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ Add lines 1 through 15 (must equal line 33)
Accounts payable and accrued expenses
Grants payable
Deferred revenue
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Tax-exempt bond liabilities
Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ~~~~~~~~~ Secured mortgages and notes payable to unrelated third parties ~~~~~~ Unsecured notes and loans payable to unrelated third parties ~~~~~~~~ Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines 17 through 25
Net assets without donor restrictions
Net assets with donor restrictions
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds ~~~~~~~~~~~~~~~
~~~~~~~~
~~~~
Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~ Total liabilities and net assets/fund balances Form (2023)
11 Part X Balance Sheet
990
511,640. 1,167,554.
96,681. 115,620.
608,000. 304,000.
64,255. 29,381.
141,832. 151,564.
4,149,197.
956,016. 3,289,984. 3,193,181.
50,811. 23,843.
4,934,626. 5,167,216.
171,423. 182,073.
193,271. 189,286.
51,778. 120.
245,049. 189,406.
X
4,051,127. 4,673,810.
638,450. 304,000.
4,689,577. 4,977,810.
4,934,626. 5,167,216.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
26 332012 12-21-23
1 2
3 4
5 6
7 8
9 10
1 2
3 4
5 6
7 8
9 10
Yes No
1 2
3 a
b
c
2a
2b
2c
a
b
3a
3b
Form 990 (2023) Page
Check if Schedule O contains a response or note to any line in this Part XI Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 2 from line 1
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses
Prior period adjustments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other changes in net assets or fund balances (explain on Schedule O) Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
~~~~~~~~~~~~~~~~~~
Check if Schedule O contains a response or note to any line in this Part XII Accounting method used to prepare the Form 990: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.
Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? ~~~~~~~~~~~~~~~ If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits Form (2023)
12 Part XI Reconciliation of Net Assets
Part XII Financial Statements and Reporting
990
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
4,103,468.
3,822,936.
280,532.
4,689,577.
0. 4,977,810.
X
7,701.
X
X
X
X
X
27 (iv) Is the organization listed
in your governing document?
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
332021 12-21-23
(i) Name of supported (ii) (iii) (v) (vi)
organization
Type of organization
(described on lines 1-10
above (see instructions))
Amount of monetary
support (see instructions)
Amount of other
support (see instructions)
EIN
(Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public
Inspection
Name of the organization Employer identification number 1 2
3 4
5 6
7 8
9 10
11 12
section 170(b)(1)(A)(i).
section 170(b)(1)(A)(ii).
section 170(b)(1)(A)(iii).
section 170(b)(1)(A)(iii).
section 170(b)(1)(A)(iv).
section 170(b)(1)(A)(v).
section 170(b)(1)(A)(vi).
section 170(b)(1)(A)(vi).
section 170(b)(1)(A)(ix)
section 509(a)(2).
section 509(a)(4).
section 509(a)(1) section 509(a)(2) section 509(a)(3).
a
b
c
d
e
f
Type I.
You must complete Part IV, Sections A and B.
Type II.
You must complete Part IV, Sections A and C.
Type III functionally integrated.
You must complete Part IV, Sections A, D, and E.
Type III non-functionally integrated.
You must complete Part IV, Sections A and D, and Part V. g
Yes No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990) 2023 (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) A church, convention of churches, or association of churches described in A school described in (Attach Schedule E (Form 990).)
A hospital or a cooperative hospital service organization described in A medical research organization operated in conjunction with a hospital described in Enter the hospital's name, city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in (Complete Part II.)
A federal, state, or local government or governmental unit described in An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in (Complete Part II.)
A community trust described in (Complete Part II.)
An agricultural research organization described in operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
See (Complete Part III.)
An organization organized and operated exclusively to test for public safety. See An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in or . See Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization.
A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s).
A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions).
A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions).
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information about the supported organization(s).
LHA
SCHEDULE A
Part I Reason for Public Charity Status.
Public Charity Status and Public Support
2023
X
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
28 Subtract line 5 from line 4.
332022 12-21-23
Calendar year (or fiscal year beginning in)
Calendar year (or fiscal year beginning in)
2 (a) (b) (c) (d) (e) (f)
1 2
3 4
5 Total.
6 Public support.
(a) (b) (c) (d) (e) (f)
7 8
9 10
11 12
13 Total support.
12 First 5 years.
stop here
14 15
14 15
16 17
18 a
b
a
b
33 1/3% support test - 2023.
stop here.
33 1/3% support test - 2022.
stop here.
10% -facts-and-circumstances test - 2023.
stop here.
10% -facts-and-circumstances test - 2022.
stop here.
Private foundation.
Schedule A (Form 990) 2023
Add lines 7 through 10
Schedule A (Form 990) 2023 Page
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) 2019 2020 2021 2022 2023 Total
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ~~
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~
The value of services or facilities
furnished by a governmental unit to
the organization without charge ~
Add lines 1 through 3 ~~~
The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 11,
column (f) ~~~~~~~~~~~~
2019 2020 2021 2022 2023 Total
Amounts from line 4 ~~~~~~~
Gross income from interest,
dividends, payments received on
securities loans, rents, royalties,
and income from similar sources ~
Net income from unrelated business
activities, whether or not the
business is regularly carried on ~
Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part VI.) ~~~~
Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) ~~~~~~~~~~~ Public support percentage from 2022 Schedule A, Part II, line 14 %
~~~~~~~~~~~~~~~~~~~~~ %
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~ If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~ If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) Section A. Public Support
Section B. Total Support
Section C. Computation of Public Support Percentage
2,286,369.
2,286,369.
2,835,135.
2,835,135.
2,711,274. 3,261,703. 3,551,747. 14,646,228.
2,711,274. 3,261,703. 3,551,747. 14,646,228.
14,646,228.
2,286,369. 2,835,135. 2,711,274. 3,261,703. 3,551,747. 14,646,228. 17,557. 10,664. 10,721. 15,079. 15,097. 69,118.
43,803. 43,803.
14,759,149.
99.23 99.15
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
29 (Subtract line 7c from line 6.)
Amounts included on lines 2 and 3 received
from other than disqualified persons that
exceed the greater of $5,000 or 1% of the
amount on line 13 for the year
(Add lines 9, 10c, 11, and 12.)
332023 12-21-23
Calendar year (or fiscal year beginning in)
Calendar year (or fiscal year beginning in)
Total support.
3 (a) (b) (c) (d) (e) (f)
1 2
3 4
5 6
7 Total.
a
b
c
8 Public support.
(a) (b) (c) (d) (e) (f)
9 10a
b
c
11 12
13 14 First 5 years.
stop here
15 16
15 16
17 18
19 20
2023
2022
17 18
a
b
33 1/3% support tests - 2023.
stop here.
33 1/3% support tests - 2022.
stop here.
Private foundation.
Schedule A (Form 990) 2023
Unrelated business taxable income
(less section 511 taxes) from businesses
acquired after June 30, 1975
Schedule A (Form 990) 2023 Page
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) 2019 2020 2021 2022 2023 Total
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ~~
Gross receipts from admissions,
merchandise sold or services performed, or facilities furnished in any activity that is related to the
organization's tax-exempt purpose
Gross receipts from activities that
are not an unrelated trade or business under section 513 ~~~~~ Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~
The value of services or facilities
furnished by a governmental unit to
the organization without charge ~
Add lines 1 through 5 ~~~
Amounts included on lines 1, 2, and
3 received from disqualified persons
~~~~~~
Add lines 7a and 7b ~~~~~~~
2019 2020 2021 2022 2023 Total
Amounts from line 6 ~~~~~~~
Gross income from interest,
dividends, payments received on
securities loans, rents, royalties,
and income from similar sources ~
~~~~
Add lines 10a and 10b ~~~~~~
Net income from unrelated business
activities not included on line 10b,
whether or not the business is
regularly carried on ~~~~~~~
Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part VI.) ~~~~
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) Public support percentage from 2022 Schedule A, Part III, line 15 ~~~~~~~~~~~ %
%
Investment income percentage for (line 10c, column (f), divided by line 13, column (f)) Investment income percentage from Schedule A, Part III, line 17 ~~~~~~~~ %
~~~~~~~~~~~~~~~~~~ %
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization ~~~~~~~~~~~~ If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization ~~~~~~ If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions Part III Support Schedule for Organizations Described in Section 509(a)(2) Section A. Public Support
Section B. Total Support
Section C. Computation of Public Support Percentage
Section D. Computation of Investment Income Percentage
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
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30 332024 12-21-23
4 Yes No
1 2
3 4
5 6
7 8
9 10
Part VI
1 2
3a
3b
3c
4a
4b
4c
5a
5b
5c
6 7
8 9a
9b
9c
10a
10b
Part VI
a
b
c
a
b
c
a
b
c
a
b
c
a
b
Part VI
Part VI
Part VI
Part VI
Part VI,
Type I or Type II only.
Substitutions only.
Part VI.
Part VI.
Part VI.
Part VI.
Schedule A (Form 990) 2023
If "No," describe in how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
If "Yes," explain in how the organization determined that the supported organization was described in section 509(a)(1) or (2).
If "Yes," answer
lines 3b and 3c below.
If "Yes," describe in when and how the
organization made the determination.
If "Yes," explain in what controls the organization put in place to ensure such use.
If
"Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
If "Yes," describe in how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
If "Yes," explain in what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
If "Yes,"
answer lines 5b and 5c below (if applicable). Also, provide detail in including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
If "Yes," provide detail in
If "Yes," complete Part I of Schedule L (Form 990).
If "Yes," complete Part I of Schedule L (Form 990).
If "Yes," provide detail in
If "Yes," provide detail in
If "Yes," provide detail in
If "Yes," answer line 10b below.
(Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.) Schedule A (Form 990) 2023 Page
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Are all of the organization's supported organizations listed by name in the organization's governing documents?
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)?
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes?
Was any supported organization not organized in the United States ("foreign supported organization")? Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization?
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)?
Did the organization add, substitute, or remove any supported organizations during the tax year? Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor?
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))?
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest?
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)?
Did the organization have any excess business holdings in the tax year? Part IV Supporting Organizations
Section A. All Supporting Organizations
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
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31 332025 12-21-23
5 Yes No
11 a
b
c
11a
11b
Part VI. 11c
Yes No
1 2
Part VI
1 2
Part VI
Yes No
1 Part VI
1 Yes No
1 2
3 1
2 3
Part VI
Part VI
1 2
3 (see instructions).
a
b
c
line 2
line 3
Part VI
Answer lines 2a and 2b below. Yes No
a
b
a
b
Part VI identify
those supported organizations and explain
2a
2b
3a
3b
Part VI
Answer lines 3a and 3b below.
Part VI.
Part VI
Schedule A (Form 990) 2023
If "Yes" to line 11a, 11b, or 11c, provide
detail in
If "No," describe in how the supported organization(s)
effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
If "Yes," explain in
how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
If "No," describe in how control
or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
If "No," explain in how
the organization maintained a close and continuous working relationship with the supported organization(s).
If "Yes," describe in the role the organization's
supported organizations played in this regard.
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year Complete below.
Complete below.
Describe in how you supported a governmental entity (see instructions).
If "Yes," then in
how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
If "Yes," explain in
the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement.
If "Yes" or "No" provide details in
If "Yes," describe in the role played by the organization in this regard.
Schedule A (Form 990) 2023 Page
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on line 11a or 11b above? Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year?
The organization satisfied the Activities Test.
The organization is the parent of each of its supported organizations.
The organization supported a governmental entity.
Activities Test.
Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? Parent of Supported Organizations.
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations?
Part IV Supporting Organizations (continued)
Section B. Type I Supporting Organizations
Section C. Type II Supporting Organizations
Section D. All Type III Supporting Organizations
Section E. Type III Functionally Integrated Supporting Organizations
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
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32 332026 12-21-23
6 1 Part VI See instructions.
Section A - Adjusted Net Income
1 2
3 4
5 6
7 8
1 2
3 4
5 6
7 Adjusted Net Income 8
Section B - Minimum Asset Amount
1 2
3 4
5 6
7 8
a
b
c
d
e
1a
1b
1c
1d
2 3
4 5
6 7
8 Total
Discount
Part VI
Minimum Asset Amount
Section C - Distributable Amount
1 2
3 4
5 6
7 1
2 3
4 5
6 Distributable Amount.
Schedule A (Form 990) 2023
explain in
explain in detail in
Schedule A (Form 990) 2023 Page
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( ).
All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year
(optional)
(A) Prior Year
Net short-term capital gain
Recoveries of prior-year distributions
Other gross income (see instructions)
Add lines 1 through 3.
Depreciation and depletion
Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) Other expenses (see instructions)
(subtract lines 5, 6, and 7 from line 4)
(B) Current Year
(optional)
(A) Prior Year
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):
Average monthly value of securities
Average monthly cash balances
Fair market value of other non-exempt-use assets
(add lines 1a, 1b, and 1c)
claimed for blockage or other factors
( ):
Acquisition indebtedness applicable to non-exempt-use assets Subtract line 2 from line 1d.
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).
Net value of non-exempt-use assets (subtract line 4 from line 3) Multiply line 5 by 0.035.
Recoveries of prior-year distributions
(add line 7 to line 6)
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) Enter 0.85 of line 1.
Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3.
Income tax imposed in prior year
Subtract line 5 from line 4, unless subject to
emergency temporary reduction (see instructions).
Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions).
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
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33 332027 12-21-23
7 Section D - Distributions Current Year
1 2
3 4
5 6
7 8
9 10
1 2
3 4
5 6
7 8
9 10
Part VI
Part VI
Total annual distributions.
Part VI
(i)
Excess Distributions
(ii)
Underdistributions
Pre-2023
(iii)
Distributable
Amount for 2023
Section E - Distribution Allocations
1 2
3 4
5 6
7 8
Part VI
a
b
c
d
e
f
g
h
i
j
Total
a
b
c
Part VI.
Part VI
Excess distributions carryover to 2024.
a
b
c
d
e
Schedule A (Form 990) 2023
provide details in
describe in
provide details in
explain in
explain in
explain in
Schedule A (Form 990) 2023 Page
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets
Qualified set-aside amounts (prior IRS approval required - ) Other distributions ( ). See instructions.
Add lines 1 through 6.
Distributions to attentive supported organizations to which the organization is responsive ( ). See instructions.
Distributable amount for 2023 from Section C, line 6
Line 8 amount divided by line 9 amount
(see instructions)
Distributable amount for 2023 from Section C, line 6
Underdistributions, if any, for years prior to 2023 (reasonable cause required - ). See instructions.
Excess distributions carryover, if any, to 2023
From 2018
From 2019
From 2020
From 2021
From 2022
of lines 3a through 3e
Applied to underdistributions of prior years
Applied to 2023 distributable amount
Carryover from 2018 not applied (see instructions)
Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
Distributions for 2023 from Section D,
line 7: $
Applied to underdistributions of prior years
Applied to 2023 distributable amount
Remainder. Subtract lines 4a and 4b from line 4.
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, See instructions.
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero,
. See instructions.
Add lines 3j
and 4c.
Breakdown of line 7:
Excess from 2019
Excess from 2020
Excess from 2021
Excess from 2022
Excess from 2023
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
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34 332028 12-21-23
8 Schedule A (Form 990) 2023
Schedule A (Form 990) 2023 Page
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Part VI Supplemental Information.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
35 Department of the Treasury
Internal Revenue Service
323451 12-26-23
For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990) (2023) OMB No. 1545-0047
(Form 990)
Attach to Form 990, 990-EZ, or 990-PF.
Go to www.irs.gov/Form990 for the latest information.
Employer identification number
Organization type
Filers of: Section:
not
General Rule Special Rule.
Note:
General Rule
Special Rules
(1) (2)
General Rule
Caution: must
exclusively
exclusively
exclusively
nonexclusively
Name of the organization
(check one):
Form 990 or 990-EZ 501(c)( ) (enter number) organization 4947(a)(1) nonexempt charitable trust treated as a private foundation 527 political organization
Form 990-PF 501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the or a
Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of $5,000; or 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an religious, charitable, etc., purpose. Don't complete any of the parts unless the applies to this organization because it received religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~~~ $ An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990).
LHA
Schedule B Schedule of Contributors
2023
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
X 3
X
** PUBLIC DISCLOSURE COPY **
CHAC
36 323452 12-26-23 Schedule B (Form 990) (2023)
Employer identification number
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
Payroll
Noncash
Schedule B (Form 990) (2023) Page
Name of organization
(see instructions). Use duplicate copies of Part I if additional space is needed. $
(Complete Part II for
noncash contributions.)
$
(Complete Part II for
noncash contributions.)
$
(Complete Part II for
noncash contributions.)
$
(Complete Part II for
noncash contributions.)
$
(Complete Part II for
noncash contributions.)
$
(Complete Part II for
noncash contributions.)
2 Part I Contributors
1 X
1,000,000.
2 X
399,145.
3 X
113,067.
4 X
313,371.
5 X
961,435.
6 X
401,199.
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
37 323453 12-26-23 Schedule B (Form 990) (2023)
Employer identification number
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
(a)
No.
from
Part I
(c)
FMV (or estimate)
(b)
Description of noncash property given
(d)
Date received
Schedule B (Form 990) (2023) Page
Name of organization
(see instructions). Use duplicate copies of Part II if additional space is needed. (See instructions.)
$
(See instructions.)
$
(See instructions.)
$
(See instructions.)
$
(See instructions.)
$
(See instructions.)
$
3 Part II Noncash Property
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
38 completing Part III, enter the total of exclusively religious, charitable, etc., contributions of for the year. (Enter this info. once.) 323454 12-26-23
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. (a) (e) and
$1,000 or less
Schedule B (Form 990) (2023)
Complete columns through the following line entry. For organizations Employer identification number
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990) (2023) Page
Name of organization
$
Use duplicate copies of Part III if additional space is needed. 4 Part III
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
39 Department of the Treasury
Internal Revenue Service
332051 09-28-23
OMB No. 1545-0047
Held at the End of the Tax Year
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information. (Form 990)
Open to Public
Inspection
Name of the organization Employer identification number (a) (b)
1 2
3 4
5 6
Yes No
Yes No
1 2
3 4
5 6
7 8
9 a
b
c
d
2a
2b
2c
2d
Yes No
Yes No
1 2
a
b
(i)
(ii)
a
b
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2023 Complete if the
organization answered "Yes" on Form 990, Part IV, line 6.
Donor advised funds Funds and other accounts
Total number at end of year
Aggregate value of contributions to (during year)
Aggregate value of grants from (during year)
Aggregate value at end of year
~~~~~~~~~~~~~~~
~~~~
~~~~~~
~~~~~~~~~~~~~
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~ Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (for example, recreation or education) Protection of natural habitat
Preservation of open space
Preservation of a historically important land area
Preservation of a certified historic structure
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Total number of conservation easements
Total acreage restricted by conservation easements
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Number of conservation easements on a certified historic structure included on line 2a Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register ~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items.
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.
Revenue included on Form 990, Part VIII, line 1
Assets included in Form 990, Part X
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items:
Revenue included on Form 990, Part VIII, line 1
Assets included in Form 990, Part X
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $
$
LHA
Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Part II Conservation Easements.
Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
SCHEDULE D Supplemental Financial Statements
2023
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
40 332052 09-28-23
3 4
5 a
b
c
d
e
Yes No
1 2
a
b
c
d
e
f
a
b
Yes No
1c
1d
1e
1f
Yes No
(a) (b) (c) (d) (e)
1 2
3 4
a
b
c
d
e
f
g
a
b
c
a
b
Yes No
(i)
(ii)
3a(i)
3a(ii)
3b
(a) (b) (c) (d)
1a
b
c
d
e
Total.
Schedule D (Form 990) 2023
(continued)
(Column (d) must equal Form 990, Part X, line 10c, column (B)) Two years back Three years back Four years back
Schedule D (Form 990) 2023 Page
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
Public exhibition
Scholarly research
Preservation for future generations
Loan or exchange program
Other
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X?
If "Yes," explain the arrangement in Part XIII and complete the following table:
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Amount
Beginning balance
Additions during the year
Distributions during the year
Ending balance
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ~~~~~
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
Current year Prior year
Beginning of year balance
Contributions
Net investment earnings, gains, and losses
Grants or scholarships
~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~
Other expenditures for facilities
and programs
Administrative expenses
End of year balance
~~~~~~~~~~~~~
~~~~~~~~
~~~~~~~~~~
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
Board designated or quasi-endowment
Permanent endowment
Term endowment
The percentages on lines 2a, 2b, and 2c should equal 100%. %
%
%
Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
Unrelated organizations?
Related organizations?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? Describe in Part XIII the intended uses of the organization's endowment funds. ~~~~~~~~~~~~~~~~~~~~
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property Cost or other
basis (investment)
Cost or other
basis (other)
Accumulated
depreciation
Book value
Land
Buildings
Leasehold improvements
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~
Equipment
Other
~~~~~~~~~~~~~~~~~
Add lines 1a through 1e.
2 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Part IV Escrow and Custodial Arrangements
Part V Endowment Funds
Part VI Land, Buildings, and Equipment
1,371,249.
2,466,160.
311,788.
763,704.
192,312.
1,371,249.
1,702,456.
119,476.
3,193,181.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
41 (including name of security)
332053 09-28-23
Total.
Total.
(a) (b) (c)
(1)
(2)
(3)
(a) (b) (c)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(a) (b)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total.
1. (a) (b)
Total.
2. Schedule D (Form 990) 2023
(Column (b) must equal Form 990, Part X, line 15, col. (B)) (Column (b) must equal Form 990, Part X, line 25, col. (B)) Description of security or category
(Col. (b) must equal Form 990, Part X, line 12, col. (B)) (Col. (b) must equal Form 990, Part X, line 13, col. (B)) Schedule D (Form 990) 2023 Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
Book value Method of valuation: Cost or end-of-year market value Financial derivatives
Closely held equity interests
Other
~~~~~~~~~~~~~~~
~~~~~~~~~~~
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
Description of investment Book value Method of valuation: Cost or end-of-year market value Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
Description Book value
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
Description of liability Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Federal income taxes
Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII 3 Part VII Investments - Other Securities
Part VIII Investments - Program Related.
Part IX Other Assets
Part X Other Liabilities
FKA COMMUNITY HEALTH AWARENESS COUNCIL
FUNDS HELD IN TRUST
94-2223670
120.
120.
CHAC
X
42 332054 09-28-23
1 2
3 4
5 1
a
b
c
d
e
2a
2b
2c
2d
2a 2d 2e
2e 1 3
a
b
c
4a
4b
4a 4b
3 4c.
4c
5 1
2 3
4 5
1 a
b
c
d
e
2a
2b
2c
2d
2a 2d
2e 1
2e
3 a
b
c
4a
4b
4a 4b
3 4c.
4c
5 Schedule D (Form 990) 2023
(This must equal Form 990, Part I, line 12.)
(This must equal Form 990, Part I, line 18.)
Schedule D (Form 990) 2023 Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total revenue, gains, and other support per audited financial statements Amounts included on line 1 but not on Form 990, Part VIII, line 12:
~~~~~~~~~~~~~~~~~~~
Net unrealized gains (losses) on investments
Donated services and use of facilities
Recoveries of prior year grants
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts included on Form 990, Part VIII, line 12, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.)
~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines and
Total revenue. Add lines and
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part IX, line 25:
~~~~~~~~~~~~~~~~~~~~~~~~~~
Donated services and use of facilities
Prior year adjustments
Other losses
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines through
Subtract line from line
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Amounts included on Form 990, Part IX, line 25, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.)
~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines and
Total expenses. Add lines and
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. 4 Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Part XIII Supplemental Information
CHAC IS A QUALIFIED ORGANIZATION EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER THE PROVISIONS OF SECTION 504(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND 23701(D) OF THE STATE OF CALIFORNIA REVENUE AND TAXATION CODE. AS SUCH, CHAC QUALIFIES FOR THE MAXIMUM CHARITABLE CONTRIBUTION DEDUCTION BY DONORS.
CHAC HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF 4,961,646.
516,027.
342,151.
858,178.
4,103,468.
0. 4,103,468.
4,338,963.
516,027.
516,027.
3,822,936.
0. 3,822,936.
PART X, LINE 2:
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
JUNE 30, 2024, CHAC DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:
43 332055 09-28-23
5 Schedule D (Form 990) 2023
(continued)
Schedule D (Form 990) 2023 Page
Part XIII Supplemental Information
NET UNREALIZED LOSS ON INVESTMENTS
NET ASSETS RELEASED FROM RESTRICTIONS
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
44 OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
332111 11-06-23
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Open to Public
Inspection
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number
Yes No
1a
b
1b
2 2
3 4
a
b
c
4a
4b
4c
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. 5 5a
5b
6a
6b
7 8
9 a
b
6 a
b
7 8
9 For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2023 Name of the organization
Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Travel for companions
Housing allowance or residence for personal use
Payments for business use of personal residence
Tax indemnification and gross-up payments
Discretionary spending account
Health or social club dues or initiation fees
Personal services (such as maid, chauffeur, chef)
If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain ~~~~~~~~~~~ Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? ~~~~~~~~~~~~ Indicate which, if any, of the following the organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Independent compensation consultant
Form 990 of other organizations
Written employment contract
Compensation survey or study
Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
Receive a severance payment or change-of-control payment? Participate in or receive payment from a supplemental nonqualified retirement plan? Participate in or receive payment from an equity-based compensation arrangement? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of:
The organization?
Any related organization?
If "Yes" on line 5a or 5b, describe in Part III.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of:
The organization?
Any related organization?
If "Yes" on line 6a or 6b, describe in Part III.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments not described on lines 5 and 6? If "Yes," describe in Part III Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? LHA
SCHEDULE J
(Form 990)
Part I Questions Regarding Compensation
Compensation Information
2023
CHAC
94-2223670
X
X
X
X
X
X
X
X
X
X
X
FKA COMMUNITY HEALTH AWARENESS COUNCIL
45 332112 11-06-23
2 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Note:
(B) (C) (D) (E) (F)
(A) (i) (ii) (iii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
Schedule J (Form 990) 2023
Schedule J (Form 990) 2023 Page
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii).
Do not list any individuals that aren't listed on Form 990, Part VII.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC
compensation
Retirement and
other deferred
compensation
Nontaxable
benefits
Total of columns
(B)(i)-(D)
Compensation
in column (B)
reported as deferred
on prior Form 990
Name and Title Base
compensation
Bonus &
incentive
compensation
Other
reportable
compensation
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
46 332113 11-06-23
3 Part III Supplemental Information
Schedule J (Form 990) 2023
Schedule J (Form 990) 2023 Page
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
CHAC
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
47 OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
332211 11-14-23
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
Open to Public
Inspection
Employer identification number
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990) 2023 Name of the organization
LHA
(Form 990)
SCHEDULE O Supplemental Information to Form 990 or 990-EZ 2023
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
CHILDREN AND TEENS AND THEIR FAMILIES.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:
RELATIONSHIPS. THIS PROGRAM IS DESIGNED TO GIVE EACH STUDENT THE
GREATEST CHANCE FOR SUCCESS IN LIFE BY PROTECTING THEM FROM HIGH-RISK
BEHAVIORS WHILE BUILDING PERSONAL ASSETS SUCH AS SCHOOL SUCCESS, VALUING DIVERSITY, MAINTAINING GOOD HEALTH, AND DELAYING GRATIFICATION.
RESEARCH SHOWS THAT SOCIAL-EMOTIONAL LEARNING (SEL) IMPROVES ACADEMIC
ACHIEVEMENT AND INCREASES PROSOCIAL BEHAVIORS SUCH AS KINDNESS, SHARING, AND EMPATHY; IMPROVES STUDENT ATTITUDES TOWARD SCHOOL; AND REDUCES DEPRESSION AND STRESS AMONG STUDENTS. CHAC OFFERS SEVERAL
INNOVATIVE SEL PROGRAMS TARGETED TO HELP STUDENTS SUCCEED DURING THEIR ELEMENTARY AND MIDDLE SCHOOL JOURNEYS. BEYOND SEL SUPPORT, CHAC'S
COUNSELORS ARE POISED TO SUPPORT SCHOOL PERSONNEL - BOTH ON-SITE AND
OUT OF OUR CLINIC WITH ADDITIONAL STAFF AND RESOURCES IN RESPONDING TO LOCAL, SITE-BASED, OR FAMILY CRISES. CHAC'S SCHOOL-BASED APPROACH HAS A RIPPLE EFFECT; HEALTHIER CHILDREN LEAD TO HEALTHIER FAMILIES, CLASSMATES AND TEACHERS, AND ULTIMATELY, HEALTHIER COMMUNITIES. ALL
CHAC SCHOOL PROGRAMS ARE PROVIDED FREE OF CHARGE TO STUDENTS AND THEIR FAMILIES.
FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS:
TURNED AWAY DUE TO INABILITY TO PAY. CHAC'S ASSESSMENT CLINIC
PROVIDES COMPREHENSIVE PSYCHOLOGICAL ASSESSMENTS USING BEST-PRACTICE MODELS AND EVIDENCE-BASED TESTING MEASURES.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
48 332212 11-14-23
2 Employer identification number
Schedule O (Form 990) 2023
Schedule O (Form 990) 2023 Page
Name of the organization
FORM 990, PART VI, SECTION B, LINE 11B:
A COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED, FOR ACCURACY PURPOSES. THE EXECUTIVE DIRECTOR AND THE
ASSOCIATE DIRECTOR/CHIEF FINANCIAL OFFICER AND THE BOARD OF DIRECTORS WILL REVIEW THE FORM 990 AND THE BOARD CHAIR SIGNS THE REVIEWED FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C:
CHAC'S REPUTATION FOR INTEGRITY IS ITS MOST VALUABLE ASSET AND IS DIRECTLY RELATED TO THE CONDUCT OF ITS OFFICERS AND OTHER EMPLOYEES. THEREFORE,
EMPLOYEES MUST NEVER USE THEIR POSITIONS WITH CHAC, OR ANY OF ITS CLIENTS,
FOR PRIVATE GAIN, TO ADVANCE PERSONAL INTERESTS OR TO OBTAIN FAVORS OR
BENEFITS FOR THEMSELVES, MEMBERS OF THEIR FAMILIES OR ANY OTHER INDIVIDUALS, CORPORATIONS OR BUSINESS ENTITIES.
CHAC ADHERES TO THE HIGHEST LEGAL AND ETHICAL STANDARDS APPLICABLE IN OUR ORGANIZATION. CHAC'S BUSINESS IS CONDUCTED IN STRICT OBSERVANCE OF BOTH
THE LETTER AND SPIRIT OF ALL APPLICABLE LAWS AND THE INTEGRITY OF EACH EMPLOYEE IS OF UTMOST IMPORTANCE.
EMPLOYEES OF CHAC SHALL CONDUCT THEIR PERSONAL AFFAIRS SUCH THAT THEIR
DUTIES AND RESPONSIBILITIES TO CHAC ARE NOT JEOPARDIZED AND/OR LEGAL QUESTIONS DO NOT ARISE WITH RESPECT TO THEIR ASSOCIATION OR WORK WITH CHAC.
REGARDING OUR CONFLICT OF INTEREST POLICY AND PRACTICE:
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
CHAC ADMINISTERS A CONFLICT OF INTEREST (COI)POLICY #3140 AND FORM TO EACH EMPLOYEE UPON HIRING. THE COI REQUIRES THAT "EMPLOYEES MUST FULLY DISCLOSE 49 332212 11-14-23
2 Employer identification number
Schedule O (Form 990) 2023
Schedule O (Form 990) 2023 Page
Name of the organization
ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR." EACH COI IS SIGNED AND RETAINED IN THE EMPLOYEE FILE. ANY REPORTED OR
IDENTIFIED CONFLICTS ARE REVIEWED BY THE ED AND A DECISION IS MADE BY THE ED FOR APPROPRIATE ACTIONS TO BE TAKEN IF NECESSARY.
ANNUALLY, THE POLICY IS REVIEWED WITH THE ENTIRE STAFF TO ENSURE THAT THEY
REPORT ANY CHANGES TO THEIR STATED CONFLICT OF INTEREST TO THEIR SUPERVISOR. MANAGEMENT REMAINS ATTENTIVE TO REPORTED KNOWLEDGE OF THE
ACTIVITIES OF ITS EMPLOYEES TO ENSURE THAT ANY CONFLICTS ARE REVIEWED BY SENIOR MANAGEMENT.
THE COI FOR THE BOARD OF DIRECTORS IS ADMINISTERED ANNUALLY AS WELL.
FORM 990, PART VI, SECTION B, LINE 15:
ALL EMPLOYEES ARE EVALUATED ON AN ANNUAL BASIS, USUALLY IN THE SUMMER. THE
ANNUAL EVALUATION IS BASED ON THE EMPLOYEE'S JOB DESCRIPTION AND THE GOALS SET DURING THE EVALUATION PERIOD IN THE PREVIOUS YEAR. ALL EVALUATIONS WILL BE RENDERED IN WRITING ON CHAC'S PERFORMANCE EVALUATION FORM. THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOD. THE SUPERVISOR
OR DESIGNATED REPRESENTATIVE AND CHAC MANAGEMENT DETERMINE THE OTHER EMPLOYEES' COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19:
GOVERNING DOUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
FORM 990, PART XII, LINE 2C:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
50 332212 11-14-23
2 Employer identification number
Schedule O (Form 990) 2023
Schedule O (Form 990) 2023 Page
Name of the organization
FKA COMMUNITY HEALTH AWARENESS COUNCIL 94-2223670
CHAC
51 CHAC
Annual budget
FY24/25 FY25/26
Total Budget Total Budget
Revenue
Gov't grants $ 576,107 $ 250,000
Disposal of net assets 2,617,981 -
Release of temporary restricted (304,000) -
Total revenue 2,890,088 250,000
Expense
Payroll & EDD 523,833 $ 100,000
Contractors 293,000 120,000
All other 5,286,285 29,000
Total expense 6,103,118 249,000
Net deficit $ (3,213,030) $ 1,000
12/31/24 Cash Account Balance
Heritage Checking $ 237,431
Schwab 1,693,811
Total cash balance $ 1,931,242
007a0f13-efe1-415e-a2b4-176668ef3599.xlsx For presentation 52 Attachment C
Dec '24 Jan - Jun FY24/25 FY25/26
Year-to-Date Estimates Total Budget Total Budget
Revenue
Gov't grants $ 576,107 $ - $ 576,107 $ 250,000
Disposal of net assets 2,617,981 Transfer of building - 2,617,981 - Release of temporary restricted (304,000) El Camino Hospital District - (304,000) - Total revenue 2,890,088 - 2,890,088 250,000
Expense
Payroll & EDD 473,833 50,000 523,833 100,000
Contractors 233,000 60,000 293,000 120,000
All other 5,261,285 Non-cash transfer of grants/building 25,000 Audit/tax 5,286,285 29,000 Total expense 5,968,118 135,000 6,103,118 249,000
Net deficit $ (3,078,030) $ (135,000) $ (3,213,030) $ 1,000 Cash Accounts
Heritage Checking $ 237,431
Schwab 1,693,811
Total cash balance $ 1,931,242
z:\sharedcloud\hydra\data\tmp\pool-6-thread-1-212925421748151406.octo\007a0f13-efe1-415e-a2b4-176668ef3599.xlsx 007a0f13-efe1-415e-a2b4-176668ef3599.xlsx 53 2024 CHAC ACCOUNTS
Institution Address Contact
HERITAGE BANK 419 South San Antonio Road Andrew Huysmans Checking Account Los Altos, CA 94022 [email protected] 650.917.5368
Debit Account
Credit Card
CHARLES SCHWAB
Reserve
Stock (formerly Ameritrade)
Jan 31, 2025 Balance
GL Accounts
400-10610 Heritage Bank - 4541 Merchant Account (Client payments) 400-10610 Heritage Bank - 8256 Checking
400-10630 Heritage Bank - 9767 PPP Account
400-10810 Charles Schwab - 5998 Investment Account
400-10815 Charles Schwab - 2273 Reserve Investment Account 400-10820 Charles Schwab -0878 Investment Account
54 CHAC Authorized Signers View Only
Kevin Duggan, Board Chair
Jessica Mancini, Board Secretary [email protected] Ursula Osores Ursula Osores
George Tyson Ursula Osores
Kevin Duggan, Board Chair Ursula Osores
Sandra Bergan, Board Member
Jessica Mancini, Board Secretary
Jan 31, 2025 Balance
Acct Balance
$ 54,828
196,064
17 2,996
1,471,361
223,417
$ 1,948,683
55 Community Health Awareness Council - CHAC
Schedule of Insurance Policies
Coverage Effective Dates Policy Limits Insurance Company Policy #'s Annual
Premium
General Liability 12/01/2024 - 12/05/2025
$1M Each
Occurrence/$3
M Policy
Aggregate
NIAC 2024-04654 $800
D&O/EPL 12/01/2024 - 12/05/2025 $1M Policy
Aggregate NIAC 2024-04654 $690
Cyber - Extended
Reporting Period 8/25/2024 - 8/15/2026 $1M Policy Aggregate Underwriters at Lloyds
of London
ESM0139824853 -
ERP $3,180
Business Professional Insurance Associates, Inc. (BPIA, Inc.) License #: OD69286
56 Attachment D
Background and Analysis
The Amended JPA requires the Board to adopt bylaws that are consistent with the Amended JPA.
As the membership of the Board has changed and CHAC no longer has an Executive Director, the bylaws have been revised to reflect these changes. In addition, CHAC’s primary purpose is now winding up its affairs and the proposed bylaws attached to this report have also revised to accurately state the purpose of CHAC.
Copies of the existing bylaws, and a clean and strikethrough version of the proposed bylaws are attached to this report for your review and consideration.
Recommended Action:
Discuss the proposed bylaws and consider adoption of bylaws that conform to the Amended JPA.
Attachments
1. Current CHAC Bylaws
2. Proposed Bylaws (strikethrough version)
3. Proposed Bylaws (clean version)
57 Agenda Item 3: Adoption of Bylaws
CHAC
Bylaws
Introduction
Name
Purpose
Board
of Directors
These Bylaws are adopted under Section 8.2 of the Joint Powers Agreement ("JPA"), established in 1973 and as amended from time to time, among the City of Los Altos, the Town of Los Altos Hills, the City of Mountain View, the Los Altos School District, the Mountain View-Los Altos Union High School District, the Mountain View School District, and the Whisman School District, the latter two of which combined subsequent to establishment of the JPA to become the Mountain View Whisman School District (collectively, the "Parties"). These Bylaws are subject to the JPA and Joint Exercise of Powers Act, California Government Code Section 6500 et seq. (the "Act").
1. Name
The name of this joint powers agency is "CHAC," sometimes doing business as "Community Health Awareness Council."
2.1 Nature of Organization
CHAC is a joint powers agency under the Act and is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code.
2.2 Statement of Purpose
CHAC exists to improve lives and strengthen communities through access to comprehensive and culturally responsive mental health services in northern Santa Clara County.
3.1 Powers
As provided in and subject to the JPA, the Board of Directors (the "Board") shall have the following powers:
The Board shall establish the major policies governing the operations of CHAC, shall have general supervision and control of the business and affairs of CHAC, and shall make rules and regulations consistent with the law, the JPA, and these Bylaws, for the management of the operations of CHAC and the guidance of the members, officers, and employees of CHAC.
CHAC shall have the power and authority to incur obligations up to the amounts set forth in the Board-approved budget for the year in question.
The Board may establish and appoint members to advisory committees to perform such functions as the Board may determine. The Board shall have the power to prescribe the manner in which the proceedings of the advisory committees shall be conducted, consistent with the Ralph M. Brown Act (the "Brown Act." Directors shall have no power as individual directors and shall act only as members of the Board.
3.2 Number of Directors
The Board shall consist of one representative appointed by the governing body of each Party (each a "JPA Member Director") and no more than fifteen at-large community representatives (each a "Community Director") with the exact number of authorized Community Directors to be fixed by the Board. 58 Attachment 1
Meetings
3.3 JPA Member Directors
JPA Member Directors shall be elected public officials or designated representatives who have been appointed by their respective city council or school board.
The term of office for each JPA Member Director shall be determined by the city council or school board he or she represents. Terms of at least two years are recommended, to ensure depth of understanding and continuity.
A JPA Member Director may be removed ty the city council or school board he or she represents.
3.4 Community Directors
When vacancies arise on the Board for Community Directors, the appointed committee shall select from the pool and ascertain the current availability of the selected candidates. The committee will then present names to the Board.
Election of new Community Directors shall be by a majority vote of the Board, including the affirmative votes of a majority of the JPA Representative Directors.
The term of office for each Community Director shall be three years. A Community Director is limited to serving a maximum of two consecutive threeyear terms. A Community Director who has served two consecutive three-year terms remains ineligible to be reappointed :o the Board for one year after leaving the Board.
A Community Director may be removed from office at any time, with or without cause, by a vote of a majority of directors then in office.
3.5 Resignation
A director may resign at any time by giving written notice to the Chair, the Executive Director, or the Secretary (as each are defined in Section 6.1), stating the effective date.
3.6 Compensation and Reimbursement
As provided by Section 7.5 of the JPA, directors shall not receive any compensation from CHAC for their services as directors. The Board may authorize, in advance, the advancement or reimbursement to a director of actual reasonable expenses incurred in carrying out his or her duties as a director.
3.7 Conflict of Interest Policy
The Board shall adopt a policy that requires directors and officers to disclose interests that constitute or could result in a conflict of interest, or the appearance thereof, (the "Conflict of Interest Policy"). The Board shall monitor compliance with the Conflict of Interest Policy.
4.1 Open Meeting Laws and Meeting Notice
CHAC shall call, notice, and conduct all Board and Advisory Committee meetings and otherwise take all actions in accordance with the Brown Act and any other applicable open meeting laws.
4.2 Annual Meeting
As required by Section 5.1 of the JPA, an annual meeting of the Board shall be held each year on a date to be specified by the Board, and shall coincide with 59 Advisory
Committees
one of the regular meetings, for the purpose of election of officers and to conduct whatever other business of an organizational nature the Board deems necessary.
4.3 Regular Meetings
As required by Section 5 of the JPA, regular meetings of the Board shall be held at least once every two months at such dates, times, and places as determined by the Board.
4.4 Special Meetings
Special meetings of the Board, for any purpose, may be called in accordance with the Brown Act by the Board. The meeting shall be held at a place within California as designated by the person or persons calling the meeting, and in the absence of such designation, at the principal office of CHAC.
4.5 Notices to CHAC
The Board shall designate a specific location at which it will receive notices, correspondences, and other communications, and shall designate an officer, in compliance with Section 4 of the JPA, for the purpose of receiving legal notices on behalf of CHAC.
4.6 Quorum
A majority of the total number of directors then in office shall constitute a quorum.
A quorum must be present for the transaction of the business of the Board.
4.7 Voting
Each director present and voting at a meeting shall have one vote on each matter presented to the Board for action at that meeting. No director may vote at any meeting by proxy. Actions requiring a vote must be in compliance with Section 6 of the JPA.
4.8 Inspection of Records
Every director shall have the right at any reasonable time to inspect CHAC's books, records, documents, and physical properties, subject to patient confidentiality restrictions. The inspection may be made in person or by the director's agent or attorney. The right of inspection includes the right to copy and make extracts.
5.1 Advisory Committees
As provided by Section 9 of the JPA, the Board from time to time may establish or abolish one or more advisory committees to perform such functions as the Board may determine. Each committee shall be identified as being either a "standing" or an "ad hoc" committee. The Board shall elect the members of advisory committees and may, at its discretion, elect non-Board members to certain advisory committees, not including the Executive Committee, which shall be composed only of Board members. Non-board members may not constitute more than one-third (1/3) of the membership of any advisory committee to which they are elected.
60 Officers
5.2 Action of Advisory Committees
Meetings and actions of Advisory Committees shall be governed by, held, and taken in accordance with the provisions of these Bylaws, and for standing committees in accordance with the Brown Act, except that the time for regular meetings and the calling of special meetings of such Advisory Committees may be determined either by the Board or by the Advisory Committee, and that a quorum shall be determined in relation to the size of the committee rather than the full Board. Minutes of each meeting of any Advisory Committee shall be kept and filed with CHAC's records and provided to the Board in a timely manner.
Actions of Advisory Committees shall not be binding on the Agency unless and until approved by the Board.
5.3 Other Work Groups
Nothing in this Section 5 shall limit the ability of the Board or the Executive Director to establish or abolish informal work groups or committees to assist with specific time-limited tasks that do not require Board authority.
6.1 Officers
The officers of CHAC shall be a chair (the "Chair"), a vice-chair (the "ViceChair"), the executive director (the "Executive Director"), a secretary (the "Secretary"), a treasurer (the "Treasurer"), and such other officers as the Board may determine.
6.2 Election and Term
The Chair, Vice-Chair, Secretary, Treasurer, and such other officers as may be required shall be elected by the Board at the Annual Meeting for one-year terms and shall serve at the pleasure of the Board.
6.3 Resignation
A director may resign at any time by giving written notice to the Chair, the Executive Director, or the Secretary (as each are defined in Section 6.1), stating the effective date.
6.4 Removal
Any officer may be removed with or without cause by the Board, by a vote of a majority of directors then in office.
6.5 Vacancies
A vacancy in any office for any reason shall be filled as soon as reasonably practicable, for the balance of the unexpired term, by election by the Board.
6.6 Chair
The Chair shall preside at all meetings of the Board, if present, and shall exercise and perform such other powers and duties as may be prescribed by the JPA, the Bylaws, or by the Board.
6.7 Vice-Chair
The Vice-Chair shall have such powers and perform such duties as the JPA, Board or the Bylaws may prescribe. In the absence of the Chair or in the event 61 Liability &
Insurance
Fiscal Affairs
of his/her inability to act, the Vice-Chair shall perform the duties of the Chair, and when so acting shall have all the powers of and be subject to all the restrictions upon the Chair.
6.8 Executive Director
As provided in Section 7.1 of the JPA, the Executive Director shall be the executive and administrative officer of CHAC. The Executive Director shall have such powers and perform such other duties as the JPA, the Bylaws, or the Board may prescribe. The Executive Director shall be an ex-officio member but shall have no voting power on the Board.
6.9 Secretary
The Secretary shall supervise the maintenance of the JPA, Bylaws, minutes and records of the proceedings of the Board and its committees, and the giving of notices as may be proper or necessary. The Secretary shall see that all meeting notices are duly given in accordance with the Brown Act. The Secretary shall have such other powers and duties as the Board may prescribe.
6.10 Treasurer
The Treasurer shall supervise all funds and securities of CHAC, the deposit of such funds in the manner determined by the Board, and the keeping and maintaining of adequate and correct accounts of CHAC's properties and business transactions; and shall render reports and accountings as required by law, the Bylaws, or by the Board. The Treasurer shall ensure that the annual outside audit by a certified public accounting firm is performed in a timely manner and in compliance with the Act. The Treasurer shall have such other powers and duties as the Board may prescribe.
7.1 Non-Liability of Member Agencies
As provided by Section 8.3 of the JPA, the debts, liabilities, and obligations of the Board and CHAC shall not become the debts, liabilities, and obligations of the Parties, unless expressly consented to by an individual Party or Parties, in which case such debts, liabilities, and obligations shall be imputed to that Party or Parties only.
7.2 Insurance
As provided by Section 10 of the JPA, CHAC shall insure itself, the Board, and the Parties in a manner which the Board may determine, from loss, liability, and claims arising out of or in any way connected with the performance of the JPA.
8.1 Fiscal Year
As provided by Section 11.2 of the JPA, CHAC's fiscal year shall begin on July 1st of each calendar year and end on June 30th of the following calendar year.
8.2 Compensation Review Policy
The Board shall adopt a policy that sets forth guidelines for the determination, review and approval of the compensation of its Executive Director, the chief financial officer, and any other employee(s) whose compensation is required by law to be set by the Board.
62 lnurement &
Tax Exemption
Amendment
8.3 JPA Financial Assistance
As provided by Section 11.3 of the JPA, the Board shall send notice by April 1 of each year, or by the date specified by the Parties, to the Parties advising what financial assistance will be needed from them to carry on the CHAC programs in the following fiscal year.
8.4 Contracts
The Board may authorize any officer(s) or agent(s), in the name of and on behalf of CHAC, to enter into any contract or execute any instrument, subject to any applicable policies adopted by the Board. Any such authority may be general or confined to specific instances, or otherwise limited. In the absence of any action by the Board to the contrary, the Chair, the Executive Director, and the Treasurer are each authorized to execute such instruments on behalf of CHAC.
8.5 Payment of Money
Except as otherwise specifically determined by action of the Board, or as otherwise required by law, checks, drafts, promissory notes, orders for the payment of money, and other evidence of indebtedness of CHAC may be signed by each of the Chair, the Executive Director, or the Treasurer, subject to applicable policies of the Board, which may include a requirement that two authorized signatures may be required for certain payments and obligations.
8.6 Deposits
All funds of CHAC shall be deposited to the credit of CHAC in such banks, trust companies, or other depositories or agency organizations as the Board may authorize.
8.7 Gifts
The Board or its designee may accept on behalf of CHAC any contribution, gift, bequest, or devise (e.g., gift of real property by will or otherwise) for the charitable purposes of CHAC.
9.1 lnurement
No part of the net earnings of CHAC shall ever inure to, be for the benefit of, or be distributable to its members, trustees, officers, or any other private persons, except that CHAC shall be empowered to pay any reasonable compensation for services rendered, and to make payments and distributions in furtherance of the exempt purposes for which it was formed.
9.2 Tax Exemption
Notwithstanding any other provisions of the JPA or the Bylaws, CHAC shall not carry on any other activities not permitted to be carried on by an association exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1954.
10. Amendment of Bylaws
The Bylaws of CHAC may be amended and/or new Bylaws adopted by a twothirds vote of the directors then in office, such a vote to have been preceded by thirty days' written notice (by email or other written notice) to the Board, with proposed written amendments provided at least fifteen days in advance. 63 Draft
CHAC Bylaws
Introduction
These Bylaws are adopted under Section 8.2 17 of the Amended Joint Powers Agreement of CHAC ("JPA"),. CHAC was established in 1973 and as amended from time to time, among the City of Los Altos, the Town of Los Altos Hills, the City of Mountain View, the Los Altos School District, the Mountain View-Los Altos Union High School District, the Mountain View School District, and the Whisman School District, the latter two of which combined subsequent to establishment of the JPA to become the Mountain View Whisman School District (collectively, the "Parties"). These Bylaws are subject to the JPA and Joint Exercise of Powers Act, California Government Code Section 6500 et seq. (the "Act").
Name
1. Name
The name of this joint powers agency is "CHAC,". sometimes doing business as "Community Health Awareness Council."
Purpose
2.1 Nature of Organization
CHAC is a joint powers agency under the Act and is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code.
2.2 Statement of Purpose
CHAC exists was created to improve lives and strengthen communities through access to comprehensive and culturally responsive mental health services in northern Santa Clara County. It is no longer providing services and is in the process of winding up its affairs.
Board of Directors
3.1 Powers
As provided in and subject to the JPA, the Board of Directors (the "Board") shall have the following powers:
The Board shall establish the major policies governing the operations of CHAC, shall have general supervision and control of the business and affairs of CHAC as it winds up its affairs. , and shall make rules and regulations consistent with the law, the JPA, and these Bylaws, for the management of the operations of CHAC and the guidance of the members, officers, and employees of CHAC.
CHAC shall have the power and authority to incur obligations up to the amounts set forth in the Board-approved budget for the year in question.
64 Attachment 2
The Board may establish and appoint members to advisory committees to perform such functions as the Board may determine. The Board shall have the power to prescribe the manner in which the proceedings of the advisory committees shall be conducted, consistent with the Ralph M.
Brown Act (the "Brown Act." Directors shall have no power as individual directors and shall act only as members of the Board.
3.2 Number of Directors
The Board shall consist of one representative appointed by the governing body of each Party (each a "JPA Member Director") and no more than fifteen at-large community representatives (each a "Community Director") with the exact number of authorized Community Directors to be fixed by the Board.
3.3 JPA Member Directors
JPA Member Directors shall be elected public officials or designated representatives who have been appointed by their respective city council or school board.
The term of office for each JPA Member Director shall be determined by the city council or school board he or she represents. Terms of at least two years are recommended, to ensure depth of understanding and continuity.
A JPA Member Director may be removed ty the city council or school board he or she represents.
3.4 Community Directors
When vacancies arise on the Board for Community Directors, the appointed committee shall select from the pool and ascertain the current availability of the selected candidates. The committee will then present names to the Board. Election of new Community Directors shall be by a majority vote of the Board, including the affirmative votes of a majority of the JPA Representative Directors.
The term of office for each Community Director shall be three years. A Community Director is limited to serving a maximum of two consecutive three year terms. A Community Director who has served two consecutive three-year terms remains ineligible to be reappointed :o the Board for one year after leaving the Board.
A Community Director may be removed from office at any time, with or without cause, by a vote of a majority of directors then in office.
3.54 Resignation
A director may resign at any time by giving written notice to the Chair, the Executive Director, or the Treasurer/Secretary (as each are defined in Section 6.1), stating the effective date.
3.6 Compensation and Reimbursement
As provided by Section 7.5 6.2 of the JPA, directors shall not receive any compensation from CHAC for their services as directors. The Board may authorize, in advance, the advancement or 65 reimbursement to a director of actual reasonable expenses incurred in carrying out his or her duties as a director.
3.7 Conflict of Interest Policy
The Board shall adopt a policy that requires directors and officers to disclose interests that constitute or could result in a conflict of interest, or the appearance thereof, (the "Conflict of Interest Policy"). The Board shall monitor compliance with the Conflict of Interest Policy.
Meetings
4.1 Open Meeting Laws and Meeting Notice
CHAC shall call, notice, and conduct all Board and Advisory Committee meetings and otherwise take all actions in accordance with the Brown Act and any other applicable open meeting laws.
4.2 Annual Meeting
As required by Section 5.1 of the JPA, an annual meeting of the Board shall be held each year on a date to be specified by the Board, and shall coincide with one of the regular meetings, for the purpose of election of officers and to conduct whatever other business of an organizational nature the Board deems necessary.
4.32 Regular Meetings
As required by Section 5 7 of the JPA, regular meetings of the Board shall be held at least once every two months twice a year at such dates, times, and places as determined by the Board.
4.43 Special Meetings
Special meetings of the Board, for any purpose, may be called in accordance with the Brown Act by the Board. The meeting shall be held at a place within California as designated by the person or persons calling the meeting, and in the absence of such designation, at the principal office of CHAC.
4.54 Notices to CHAC
The Board shall designate a specific location at which it will receive notices, correspondences, and other communications, and shall designate an officer, in compliance with Section 4 of the JPA, for the purpose of receiving legal notices on behalf of CHAC.
4.65 Quorum
A majority of the total number of directors then in office shall constitute a quorum. A quorum must be present for the transaction of the business of the Board.
4.76 Voting
Each director present and voting at a meeting shall have one vote on each matter presented to the Board for action at that meeting. No director may vote at any meeting by proxy. Actions requiring a vote must be in compliance with Section 6 8 of the JPA.
4.87 Inspection of Records
Every director shall have the right at any reasonable time to inspect CHAC's books, records, and 66 documents, and physical properties, subject to patient confidentiality restrictions. The inspection may be made in person or by the director's agent or attorney. The right of inspection includes the right to copy and make extracts.
Advisory Committees
5.1 Advisory Committees
As provided by Section 9 6 of the JPA, the Board from time to time may establish or abolish one or more advisory committees to perform such functions as the Board may determine. Each committee shall be identified as being either a "standing" or an "ad hoc" committee. The Board shall elect the members of advisory committees and may, at its discretion, elect non-Board members to certain advisory committees, not including the Executive Committee, which shall be composed only of Board members. Non-board members may not constitute more than one-third (1/3) of the membership of any advisory committee to which they are elected.
5.2 Action of Advisory Committees
Meetings and actions of Advisory Committees shall be governed by, held, and taken in accordance with the provisions of these Bylaws, and for standing committees in accordance with the Brown Act, except that the time for regular meetings and the calling of special meetings of such Advisory Committees may be determined either by the Board or by the Advisory Committee, and that a quorum shall be determined in relation to the size of the committee rather than the full Board. Minutes of each meeting of any Advisory Committee shall be kept and filed with CHAC's records and provided to the Board in a timely manner.
Actions of Advisory Committees shall not be binding on the Agency unless and until approved by the Board.
5.3 Other Work Groups
Nothing in this Section 5 shall limit the ability of the Board or the Executive Director to establish or abolish informal work groups or committees to assist with specific time-limited tasks that do not require Board authority.
Officers
6.1 Officers
The officers of CHAC shall be a chair (the "Chair"), a vice-chair (the "Vice Chair"), the executive director (the "Executive Director"), and a secretary/treasurer (the "Secretary/Treasurer"), a treasurer (the "Treasurer"), and such other officers as the Board may determine.
6.2 Election and Term
The Chair, Vice-Chair, and Secretary, /Treasurer, and such other officers as may be required shall be elected by the Board at the Annual Meeting for one-year terms and shall serve at the pleasure of the Board.
67 6.3 Resignation
A director may resign at any time by giving written notice to the Chair, the Executive Director, or the Secretary/Treasurer (as each are defined in Section 6.1), stating the effective date.
6.4 Removal
Any officer may be removed with or without cause by the Board, by a vote of a majority of directors then in office.
6.5 Vacancies
A vacancy in any office for any reason shall be filled as soon as reasonably practicable, for the balance of the unexpired term, by election by the Board.
6.6 Chair
The Chair shall preside at all meetings of the Board, if present, and shall exercise and perform such other powers and duties as may be prescribed by the JPA, the Bylaws, or by the Board.
6.7 Vice-Chair
The Vice-Chair shall have such powers and perform such duties as the JPA, Board or the Bylaws may prescribe. In the absence of the Chair or in the event of his/her inability to act, the ViceChair shall perform the duties of the Chair, and when so acting shall have all the powers of and be subject to all the restrictions upon the Chair.
6.8 Executive Director
As provided in Section 7.1 of the JPA, the Executive Director shall be the executive and administrative officer of CHAC. The Executive Director shall have such powers and perform such other duties as the JPA, the Bylaws, or the Board may prescribe. The Executive Director shall be an ex-officio member but shall have no voting power on the Board.
6.98 Secretary/Treasurer
The Secretary/Treasurer shall supervise the maintenance of the JPA, Bylaws, minutes and records of the proceedings of the Board and its committees, and the giving of notices as may be proper or necessary. The Secretary/Treasurer shall see that all meeting notices are duly given in accordance with the Brown Act. The Secretary/Treasurer shall have such other powers and duties as the Board may prescribe.
The Secretary/Treasurer shall supervise all funds and securities of CHAC, the deposit of such funds in the manner determined by the Board, and the keeping and maintaining of adequate and correct accounts of CHAC's properties and business transactions; and shall render reports and accountings as required by law, the Bylaws, or by the Board. The Secretary/Treasurer shall ensure that the annual outside audit by a certified public accounting firm is performed in a timely manner and in compliance with the Act. The Secretary/Treasurer shall have such other powers and duties as the Board may prescribe.
68 Liability & Insurance
7.1 Non-Liability of Member Agencies
As provided by Section 8.3 13 of the JPA, the debts, liabilities, and obligations of the Board and CHAC shall not become the debts, liabilities, and obligations of the Parties, unless expressly consented to by an individual Party or Parties, in which case such debts, liabilities, and obligations shall be imputed to that Party or Parties only.
7.2 Insurance
As provided by Section 10 27 of the JPA, CHAC shall insure itself, the Board, and the Parties in a manner which the Board may determine, from loss, liability, and claims arising out of or in any way connected with the performance of the JPA.
Fiscal Affairs
8.1 Fiscal Year
As provided by Section 11.2 of the JPA, CHAC's fiscal year shall begin on July 1st of each calendar year and end on June 30th of the following calendar year.
8.2 Compensation Review Policy
The Board shall adopt a policy that sets forth guidelines for the determination, review and approval of the compensation of its Executive Director, the chief financial officer, and any other employee(s) whose compensation is required by law to be set by the Board.
8.3 JPA Financial Assistance
As provided by Section 11.3 of the JPA, the Board shall send notice by April 1 of each year, or by the date specified by the Parties, to the Parties advising what financial assistance will be needed from them to carry on the CHAC programs in the following fiscal year.
8.42 Contracts
The Board may authorize any officer(s) or agent(s), in the name of and on behalf of CHAC, to enter into any contract or execute any instrument, subject to any applicable policies adopted by the Board. Any such authority may be general or confined to specific instances, or otherwise limited. In the absence of any action by the Board to the contrary, the Chair, the Executive Director, and the Secretary/Treasurer are each authorized to execute such instruments on behalf of CHAC.
8.53 Payment of Money
Except as otherwise specifically determined by action of the Board, or as otherwise required by law, checks, drafts, promissory notes, orders for the payment of money, and other evidence of indebtedness of CHAC may be signed by each of the Chair, the Executive Director, or the Secretary/Treasurer, subject to applicable policies of the Board, which may include a requirement that two authorized signatures may be required for certain payments and obligations.
8.64 Deposits
All funds of CHAC shall be deposited to the credit of CHAC in such banks, trust companies, or 69 other depositories or agency organizations as the Board may authorize.
8.7 Gifts
The Board or its designee may accept on behalf of CHAC any contribution, gift, bequest, or devise (e.g., gift of real property by will or otherwise) for the charitable purposes of CHAC.
Inurement & Tax Exemption
9.1 lnurement
No part of the net earnings of CHAC shall ever inure to, be for the benefit of, or be distributable to its members, trustees, officers, or any other private persons, except that CHAC shall be empowered to pay any reasonable compensation for services rendered, and to make payments and distributions in furtherance of the exempt purposes for which it was formed.
9.2 Tax Exemption
Notwithstanding any other provisions of the JPA or the Bylaws, CHAC shall not carry on any other activities not permitted to be carried on by an association exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1954.
Amendment
10. Amendment of Bylaws
The Bylaws of CHAC may be amended and/or new Bylaws adopted by a two thirds vote of the directors then in office, such a vote to have been preceded by thirty days' written notice (by email or other written notice) to the Board, with proposed written amendments provided at least fifteen days in advance.
70 Draft
CHAC Bylaws
Introduction
These Bylaws are adopted under Section 17 of the Amended Joint Powers Agreement of CHAC ("JPA"). CHAC was established in 1973 among the City of Los Altos, the Town of Los Altos Hills, the City of Mountain View, the Los Altos School District, the Mountain View-Los Altos Union High School District, the Mountain View School District, and the Whisman School District, the latter two of which combined subsequent to establishment of the JPA to become the Mountain View Whisman School District (collectively, the "Parties"). These Bylaws are subject to the JPA and Joint Exercise of Powers Act, California Government Code Section 6500 et seq. (the "Act").
Name
1. Name
The name of this joint powers agency is "CHAC”.
Purpose
2.1 Nature of Organization
CHAC is a joint powers agency under the Act and is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code.
2.2 Statement of Purpose
CHAC was created to improve lives and strengthen communities through access to comprehensive and culturally responsive mental health services in northern Santa Clara County. It is no longer providing services and is in the process of winding up its affairs.
Board of Directors
3.1 Powers
As provided in and subject to the JPA, the Board of Directors (the "Board") shall have the following powers:
The Board shall have general supervision and control of the business and affairs of CHAC as it winds up its affairs.
CHAC shall have the power and authority to incur obligations up to the amounts set forth in the Board-approved budget for the year in question.
The Board may establish and appoint members to advisory committees to perform such functions as the Board may determine. The Board shall have the power to prescribe the manner in which the proceedings of the advisory committees shall be conducted, consistent with the Ralph M. 71 Attachment 3
Brown Act (the "Brown Act." Directors shall have no power as individual directors and shall act only as members of the Board.
3.2 Number of Directors
The Board shall consist of one representative appointed by the governing body of each Party (each a "JPA Member Director").
3.3 JPA Member Directors
JPA Member Directors shall be elected public officials or designated representatives who have been appointed by their respective city council or school board.
The term of office for each JPA Member Director shall be determined by the city council or school board he or she represents. Terms of at least two years are recommended, to ensure depth of understanding and continuity.
A JPA Member Director may be removed ty the city council or school board he or she represents.
3.4 Resignation
A director may resign at any time by giving written notice to the Chair or the Treasurer/Secretary (as each are defined in Section 6.1), stating the effective date.
3.6 Compensation and Reimbursement
As provided by Section 6.2 of the JPA, directors shall not receive any compensation from CHAC for their services as directors. The Board may authorize, in advance, the advancement or reimbursement to a director of actual reasonable expenses incurred in carrying out his or her duties as a director.
3.7 Conflict of Interest Policy
The Board shall adopt a policy that requires directors and officers to disclose interests that constitute or could result in a conflict of interest, or the appearance thereof, (the "Conflict of Interest Policy"). The Board shall monitor compliance with the Conflict of Interest Policy.
Meetings
4.1 Open Meeting Laws and Meeting Notice
CHAC shall call, notice, and conduct all Board and Advisory Committee meetings and otherwise take all actions in accordance with the Brown Act and any other applicable open meeting laws.
4.2 Regular Meetings
As required by Section 7 of the JPA, regular meetings of the Board shall be held at least twice a year at such dates, times, and places as determined by the Board.
4.3 Special Meetings
Special meetings of the Board, for any purpose, may be called in accordance with the Brown Act 72 by the Board. The meeting shall be held at a place within California as designated by the person or persons calling the meeting, and in the absence of such designation, at the principal office of CHAC.
4.4 Notices to CHAC
The Board shall designate a specific location at which it will receive notices, correspondences, and other communications, and shall designate an officer for the purpose of receiving legal notices on behalf of CHAC.
4.5 Quorum
A majority of the total number of directors then in office shall constitute a quorum. A quorum must be present for the transaction of the business of the Board.
4.6 Voting
Each director present and voting at a meeting shall have one vote on each matter presented to the Board for action at that meeting. No director may vote at any meeting by proxy. Actions requiring a vote must be in compliance with Section 8 of the JPA.
4.7 Inspection of Records
Every director shall have the right at any reasonable time to inspect CHAC's books, records and documents, subject to patient confidentiality restrictions. The inspection may be made in person or by the director's agent or attorney. The right of inspection includes the right to copy and make extracts.
Advisory Committees
5.1 Advisory Committees
As provided by Section 6 of the JPA, the Board from time to time may establish or abolish one or more advisory committees to perform such functions as the Board may determine. Each committee shall be identified as being either a "standing" or an "ad hoc" committee. The Board shall elect the members of advisory committees and may, at its discretion, elect non-Board members to certain advisory committees, not including the Executive Committee, which shall be composed only of Board members. Non-board members may not constitute more than one-third (1/3) of the membership of any advisory committee to which they are elected.
5.2 Action of Advisory Committees
Meetings and actions of Advisory Committees shall be governed by, held, and taken in accordance with the provisions of these Bylaws, and for standing committees in accordance with the Brown Act, except that the time for regular meetings and the calling of special meetings of such Advisory Committees may be determined either by the Board or by the Advisory Committee, and that a quorum shall be determined in relation to the size of the committee rather than the full Board. Minutes of each meeting of any Advisory Committee shall be kept and filed with CHAC's records and provided to the Board in a timely manner. 73 Actions of Advisory Committees shall not be binding on the Agency unless and until approved by the Board.
5.3 Other Work Groups
Nothing in this Section 5 shall limit the ability of the Board or the Executive Director to establish or abolish informal work groups or committees to assist with specific time-limited tasks that do not require Board authority.
Officers
6.1 Officers
The officers of CHAC shall be a chair (the "Chair"), a vice-chair (the "Vice Chair"), and a secretary/treasurer (the "Secretary/Treasurer").
6.2 Election and Term
The Chair, Vice-Chair, and Secretary/Treasurer shall be elected by the Board at the Annual Meeting for one-year terms and shall serve at the pleasure of the Board.
6.3 Resignation
A director may resign at any time by giving written notice to the Chair or the Secretary/Treasurer, stating the effective date.
6.4 Removal
Any officer may be removed with or without cause by the Board, by a vote of a majority of directors then in office.
6.5 Vacancies
A vacancy in any office for any reason shall be filled as soon as reasonably practicable, for the balance of the unexpired term, by election by the Board.
6.6 Chair
The Chair shall preside at all meetings of the Board, if present, and shall exercise and perform such other powers and duties as may be prescribed by the JPA, the Bylaws, or by the Board.
6.7 Vice-Chair
The Vice-Chair shall have such powers and perform such duties as the JPA, Board or the Bylaws may prescribe. In the absence of the Chair or in the event of his/her inability to act, the ViceChair shall perform the duties of the Chair, and when so acting shall have all the powers of and be subject to all the restrictions upon the Chair.
6.8 Secretary/Treasurer
The Secretary/Treasurer shall supervise the maintenance of the JPA, Bylaws, minutes and records of the proceedings of the Board and its committees, and the giving of notices as may be proper or necessary. The Secretary/Treasurer shall see that all meeting notices are duly given in accordance with the Brown Act. The Secretary/Treasurer shall have such other powers and duties as the Board may prescribe.
74 The Secretary/Treasurer shall supervise all funds and securities of CHAC, the deposit of such funds in the manner determined by the Board, and the keeping and maintaining of adequate and correct accounts of CHAC's properties and business transactions; and shall render reports and accountings as required by law, the Bylaws, or by the Board. The Secretary/Treasurer shall ensure that the annual outside audit by a certified public accounting firm is performed in a timely manner and in compliance with the Act. The Secretary/Treasurer shall have such other powers and duties as the Board may prescribe.
Liability & Insurance
7.1 Non-Liability of Member Agencies
As provided by Section 13 of the JPA, the debts, liabilities, and obligations of the Board and CHAC shall not become the debts, liabilities, and obligations of the Parties, unless expressly consented to by an individual Party or Parties, in which case such debts, liabilities, and obligations shall be imputed to that Party or Parties only.
7.2 Insurance
As provided by Section 27 of the JPA, CHAC shall insure itself, the Board, and the Parties in a manner which the Board may determine, from loss, liability, and claims arising out of or in any way connected with the performance of the JPA.
Fiscal Affairs
8.1 Fiscal Year
CHAC's fiscal year shall begin on July 1st of each calendar year and end on June 30th of the following calendar year.
8.2 Contracts
The Board may authorize any officer(s) or agent(s), in the name of and on behalf of CHAC, to enter into any contract or execute any instrument, subject to any applicable policies adopted by the Board. Any such authority may be general or confined to specific instances, or otherwise limited. In the absence of any action by the Board to the contrary, the Chair, the Executive Director, and the Secretary/Treasurer are each authorized to execute such instruments on behalf of CHAC.
8.3 Payment of Money
Except as otherwise specifically determined by action of the Board, or as otherwise required by law, checks, drafts, promissory notes, orders for the payment of money, and other evidence of indebtedness of CHAC may be signed by each of the Chair or the Secretary/Treasurer, subject to applicable policies of the Board, which may include a requirement that two authorized signatures may be required for certain payments and obligations.
8.4 Deposits
All funds of CHAC shall be deposited to the credit of CHAC in such banks, trust companies, or other depositories or agency organizations as the Board may authorize. 75 Inurement & Tax Exemption
9.1 lnurement
No part of the net earnings of CHAC shall ever inure to, be for the benefit of, or be distributable to its members, trustees, officers, or any other private persons, except that CHAC shall be empowered to pay any reasonable compensation for services rendered, and to make payments and distributions in furtherance of the exempt purposes for which it was formed.
9.2 Tax Exemption
Notwithstanding any other provisions of the JPA or the Bylaws, CHAC shall not carry on any other activities not permitted to be carried on by an association exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1954.
Amendment
10. Amendment of Bylaws
The Bylaws of CHAC may be amended and/or new Bylaws adopted by a two thirds vote of the directors then in office, such a vote to have been preceded by thirty days' written notice (by email or other written notice) to the Board, with proposed written amendments provided at least fifteen days in advance.
76 Background and Analysis
The JPA requires the Board to hold 2 regular meetings each calendar year. To satisfy this requirement, one additional meeting should be scheduled for this calendar year. It is recommended the Board meet in the fall to review the status of the unemployment claims, review the Form 990 and consider any other items the Board wishes to agendize.
Recommended Actions
1. Establish a regular meeting schedule.
Attachment
Resolution declaring the Regular Meeting Schedule for 2025 77 Agenda Item 4: Meeting Schedule
RESOLUTION OF THE BOARD OF DIRECTORS OF CHAC ESTABLISHING ITS
REGULAR MEETING SCHEDULE
Resolution 25-_____
WHEREAS, the members of CHAC recently entered into an Amended Joint Powers Agreement (“JPA”) and a new reconstituted Board of Directors who will meet to wind up the affairs of CHAC in accordance with the JPA and the Joint Exercise of Powers Act ; and WHEREAS, the JPA requires the Board of Directors to hold two regular meetings each year; and WHEREAS, the Board of Directors is holding its first regular meeting of 2025 on February 24, 2025;
NOW, THEREFORE, BE IT RESOLVED that the Board of Directors of CHAC hereby adopts the following regular meeting schedule:
(Insert date, 2025)
(Insert date, 2026)
Passed, Approved and Adopted this 24th day of February 24, 2025.
AYES
NOES
ABSENT
ABSTAIN
___________________________________________________
, Board Chair
The undersigned Secretary/Treasurer of CHAC, a joint powers authority, does hereby certify and attest that the foregoing is a true and correct copy of a resolution that was duly adopted by CHAC’s governing body on February 24, 2025.
___________________________________
, Secretary/Treasurer
78