2025-11-14T17:58:42-06:00 2024-12-31 420714325 RSM US LLP 6 S Patterson Blvd Dayton OH 45402 990 2024-01-01 562582561 The CareSource Foundation CARE 9372243300 Po Box 8738 Dayton OH 454018738 Lawrence Smart CFO 9372243300 2025-11-14 1 0 Karen O Crim P00368385 9372980201 2024 2025-03-06 01:10:19Z Erhardt Preitauer Same as C above Dayton OH 454018738 3680093 0 X www.caresource.com X 2006 OH To invest in initiatives and organizations that make a lasting difference in CareSource's members' lives & in their communities by improving their health and well-being. 8 6 0 0 0 0 3500000 3500000 0 0 168665 180093 0 0 3668665 3680093 3459510 3145400 0 0 0 0 0 0 0 227658 276200 3687168 3421600 -18503 258493 1136861 1053870 399484 58000 737377 995870 X The CareSource Foundation is organized and operated exclusively to further the charitable purposes of the Internal Revenue Code Section 501(c)(3) organizations within the CareSource Public Charities(Continued on Schedule O). 0 0 3145400 3145400 0 Since 2006, The CareSource Foundation has awarded more than $35.5 million to nonprofits that are working to eliminate poverty, provide much-needed services to low-and moderate-income families, encourage healthy communities, develop innovative approaches to address critical health issues and enhance the lives of a diverse array of children, adults and families (Continued on Schedule O).The CareSource Foundation is committed to improving the overall health and well-being, both physically and mentally, on behalf of and at the direction of, its supported organizations.To do this, the Foundation focuses on the following priority areas: (1) Support health education and promote healthy habits (2) Improve maternal, infant and child health (3) Support individuals with disabilities and other complex populations to live independently (4) Redevelop neighborhoods and downtown (Exclusive to the Dayton region) (5) Develop a 21st century workforce2024 HighlightsThe CareSource Foundation is committed to working every day alongside providers and community partners to make a difference in the lives of our members and the communities we serve. The following grants are a small sampling of how the Foundation achieves this goal.(1) Invested $180,000 into Georgia's Valley Healthcare System Inc.'s OnMed Mobile Care Station, supporting access to care for underserved communities.(2) Donated $144,000 to Bring Change 2 Mind Middle School Mental Health Awareness Program in Indiana.(3) Donated $170,000 to Habitat for Humanity of Greater Dayton to support critical home repair and workforce development in Dayton, OH. (4) Invested $100,000 to the CHC: Creating Healthier Communities Black Birthing Initiative to address maternal health disparities affecting Black birth individuals in Georgia. (5) Donated $150,000 to the Arc of Indiana, supporting people with disabilities. (6) Donated $150,000 to the Victory Over Poverty Campaign in Dayton, OH, focused on empowering young men through education and work training programs. 3145400 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X Lawrence Smart 9372243300 PO Box 8738 Dayton OH 454018738 Erhardt Preitauer President, Trustee 1.00 59.00 X X 0 6076721 6124441 Richard Topping Secretary/Trustee (To 5/31) 1.00 59.00 X X 0 2659280 831276 Edward Stubbers Secretary/Trustee (Eff 6/1) 1.00 59.00 X X 0 1060829 1137246 Ellen Leffak Trustee 1.00 0.00 X 0 4000 0 J Thomas Maultsby Trustee 1.00 0.00 X 0 4000 0 James Gross 2nd Vice Chair, Trustee 1.00 0.00 X X 0 4000 0 Kenneth Herr Vice Chair, Trustee 1.00 0.00 X X 0 4000 0 Ro Nita Hawes-Saunders Chair, Trustee 1.00 0.00 X X 0 4000 0 William Marstellar Trustee 1.00 0.00 X 0 4000 0 Lawrence Smart Treasurer 1.00 59.00 X 0 1657234 1813852 Jai Pillai Former Chief Operating Ofr 0.00 0.00 X 0 244761 0 0 11722825 9906815 0 1 1 0 0 3500000 3500000 180093 180093 3680093 0 0 180093 3145400 3145400 Mgmt Fee CareSource 276000 276000 Filing Fees 200 200 3421600 3145400 276200 0 1131861 1026870 5000 0 27000 1136861 1053870 380425 58000 19059 0 399484 58000 X 737377 995870 737377 995870 1136861 1053870 258493 0 X 0 1 X 1 0 X X X 6 CareSource Ohio Inc 311143265 10 0 1991400 0 CareSource Indiana Inc 320121856 10 0 454000 0 CareSource Kentucky Co 464991603 10 0 25000 0 CareSource West Virginia Co 473028244 10 0 0 0 CareSource Georgia Co 472408339 10 0 675000 0 CareSource Life Services Co 811602217 10 0 0 0 6 3145400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Form 990, Schedule A, Part IV, Section A, Question 1: The Articles of Incorporation state that The CareSource Foundation is organized and operated to carry out the purposes of one or more organizations that are within its class of Supported Organizations. The class of Supported Organizations includes organizations that: (1) Maintain exemption from federal income taxation under section 501(c)(3) of the Internal Revenue Code of 1986 ("Code"); (2) Maintain classification as a public charity under sections 509(a)(1) or 509(a)(2) of the Code; and (3) Operate in a manner consistent with section 501(c)(3) of the Code for the purpose of addressing the social determinants of health, which include alleviating poverty and reducing barriers that impede access to healthcare. Additionally, The CareSource Foundation is a supporting organization to the IRC Section 501(c)(3) organizations classified as public charities that are members of the CareSource Public Charities. Although not mentioned by name in the Articles of Incorporation, those organizations include CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Georgia Co., CareSource Kentucky Co., CareSource West Virginia Co., and CareSource Life Services Co. (Dissolved 11/15/24) (collectively referred to as the "CareSource Public Charities"). Form 990, Schedule A, Part IV, Section A, Question 6: In furtherance of the charitable purposes of the CareSource Public Charities, which primarily operate to improve the health and overall well-being of low-income populations, The CareSource Foundation improves the lives of the underserved by providing grants on behalf of, and pursuant to the instructions from, the CareSource Public Charities to other charitable organizations that deliver a broad array of health and human services and programs in support of their purposes. Form 990, Schedule A, Part IV, Section C, Question 1: As noted above, The CareSource Foundation is a supporting organization to the members of the CareSource Public Charities that are classified as charitable organizations under section 501(c)(3) of the IRC and public charities under section 509(a) of the IRC. The CareSource Foundation was "supervised or controlled in connection with" the CareSource Public Charities, its supported organizations, because control and management of The CareSource Foundation and the CareSource Public Charities were largely vested in the same individuals. During 2024, The CareSource Foundation and each of the CareSource Public Charities had board member and/or officer overlap through Erhardt Preitauer, Richard Topping (through 5/31/2024), Lawrence Smart, and Edward Stubbers (effective 6/1/2024). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X Part X, Line 2: As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of The CareSource Foundation: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2021-2023 are open for audit by the Internal Revenue Service. 1 VALLEY HEALTHCARE SYSTEM INC 1600 FORT BENNING ROAD COLUMBUS GA 31903 581999205 501(c)(3) 180000 0 OnMed Mobile Care Station to Increase Healthcare Access HABITAT FOR HUMANITY OF GREATER DAYTON 115 W RIVERVIEW AVE DAYTON OH 45405 311104456 501(c)(3) 170000 0 Critical Home Repair and Workforce Development PEOPLE WORKING COOPERATIVELY INC 4612 PADDOCK RD CINCINNATI OH 45229 310859104 501(c)(3) 169000 0 Contractor Training and Capital Investment VICTORY PROJECT INC 409 TROY STREET DAYTON OH 45404 262243366 501(c)(3) 150000 0 Victory Over Poverty Campaign THE ARC OF INDIANA INC 143 W MARKET STREET SUITE 200 INDIANAPOLIS IN 46204 351075886 501(c)(3) 150000 0 Leadership, Advocacy, Peer Mentoring for People with Intellectual & Developmental Disabilities BRING CHANGE 2 MIND 155 SANSOME STREET SUITE 530 SAN FRANCISCO CA 94104 010974537 501(c)(3) 144000 0 Middle School Mental Health Awareness Program SHEPHERD COMMUNITY INC 4107 E WASHINGTON ST INDIANAPOLIS IN 46201 351765846 501(c)(3) 100000 0 The Ruby Project GEORGIA FAMILY CONNECTION PARTNERSHIP INC 235 PEACHTREE STREET STE 1600 ATLANTA GA 30303 581888262 501(c)(3) 100000 0 Virtual Community Engagement Hub MANNA FOODBANK INC 627 SWANNANOA RIVER RD ASHEVILLE NC 28805 581514800 501(c)(3) 100000 0 General Support CHC CREATING HEALTHIER COMMUNITIES 1199 NORTH FAIRFAX ST STE 600 ALEXANDRIA VA 22314 136167225 501(c)(3) 100000 0 Black Birthing Initiative APPARO SOLUTIONS INC 1117 E MOREHEAD ST STE 100 CHARLOTTE NC 28204 571140089 501(c)(3) 95000 0 Apparo and CareSource Cohort for Asheville Nonprofit Impact ROCKING HORSE CHILDRENS HEALTH CENTER 651 S LIMESTONE ST SPRINGFIELD OH 45505 311593544 501(c)(3) 90000 0 Interpretation Services SAM'S FANS 4041 N HIGH ST STE 401E COLUMBUS OH 43214 473808548 501(c)(3) 90000 0 Music and Art Therapy Services for Seriously Ill Children and Their Families MAPLE TREE CANCER ALLIANCE 425 N FINDLAY ST STE 16 DAYTON OH 45404 274113397 501(c)(3) 75600 0 Free Exercise Programming for Patients with Chronic Disease MICHIGAN HUMANE SOCIETY 30300 TELEGRAPH ROAD SUITE 220 BINGHAM FARMS MI 48025 381358206 501(c)(3) 75000 0 Supporting Detroit Seniors and Disabled Pet Owners UNITED WAY OF GREATER DAYTON 33 WEST FIRST ST 500 DAYTON OH 45402 310536658 501(c)(3) 75000 0 General Support CARINGBRIDGE 3600 AMERICAN BLVD W STE 405 BLOOMINGTON MN 55431 421529394 501(c)(3) 75000 0 Surrounding caregivers with support while they care for a loved one on a health journey NPOWER INC 55 WASHINGTON ST STE 560 BROOKLYN NY 11201 134145441 501(c)(3) 75000 0 IT Tech Fundamentals NATIONAL CHRISTIAN CHARITABLE FOUNDATION INC 1150 SANCTUARY PKWY STE 350 ALPHARETTA GA 30009 581493949 501(c)(3) 75000 0 Donation to Jay's Light Fund DIEUDONNE CORPORATION 1347 N PARK AVE INDIANAPOLIS IN 46202 923074969 501(c)(3) 60000 0 EQuiMama Initiative MORGAN COUNTY UNITED MINISTRIES PO BOX 303 MCCONNELSVILLE OH 43756 311078441 501(c)(3) 60000 0 Box Truck WRIGHT STATE UNIVERSITY FOUNDATION INC 3640 COLONEL GLENN HIGHWAY DAYTON OH 454350001 237019799 501(c)(3) 50000 0 Take Flight Program & Scholarships CHILDRENS HUNGER ALLIANCE 1105 SCHROCK ROAD SUITE 505 COLUMBUS OH 43229 237303509 501(c)(3) 50000 0 Food Access for Children in Southern Ohio ARKANSAS BAPTIST CHILDREN'S HOMES AND FAMILY MINISTRIES 9701 W MARKHAM ST LITTLE ROCK AR 72205 710296619 501(c)(3) 50000 0 General Support THE C A L L PO BOX 25524 LITTLE ROCK AR 72221 208866268 501(c)(3) 50000 0 General Support JACES JOURNEY 7053 BARNSTONE CT DENVER CO 28037 833121570 501(c)(3) 50000 0 Preventing Stillbirth, Advancing Maternal and Infant Health ATLANTA HBCU ALUMNI ALLIANCE INCORPORATED PO BOX 880 ATLANTA GA 30301 593817259 501(c)(3) 50000 0 Community Health and Wellness Scholarship Fundraiser MOTHER'S MILK BANK OF MISSISSIPPI 4209 LAKELAND DR 395 FLOWOOD MS 39232 273205771 501(c)(3) 50000 0 Support Mississippi Milk Bank GEORGIA FOUNDATION FOR AGRICULTURE INC 1620 BASS ROAD MACON GA 31210 472035360 501(c)(3) 40000 0 Weathered, But Strong: Georgia Farmer Hurricane Relief Fund SYNERGIES WORK INC 7050 WYCOMBE RD ATLANTA GA 30328 812603676 501(c)(3) 35000 0 EDDIE Awards 2025 HOUSTON FOOD BANK 535 PORTWALL ST HOUSTON TX 77029 742181456 501(c)(3) 25000 0 General Support THE CRAIG & FRANCES LINDNER CENTER OF HOPE 4075 OLD WESTERN ROW ROAD MASON OH 45040 134343743 501(c)(3) 25000 0 General Support MIAMI VALLEY LEADERSHIP FOUNDATION 1133 S EDWIN C MOSES BLVD STE 175 DAYTON OH 45417 473314624 501(c)(3) 25000 0 General Support STANLEY G TATE FLORIDA PREPAID COLLEGE FOUNDATION INC 1801 HERMITAGE BLVD STE 210 TALLAHASSEE FL 323087707 593012202 501(c)(3) 25000 0 General Support THE JOE BURROW FOUNDATION 6862 LIBERTY PLAZA DRIVE STE 100 LIBERTY TOWNSHIP OH 45044 883653719 501(c)(3) 25000 0 General Support BELOVED ASHEVILLE PO BOX 6386 ASHEVILLE NC 28816 843381632 501(c)(3) 25000 0 General Support BRUNNER LITERACY CENTER 4825 SALEM AVENUE DAYTON OH 45416 452407008 501(c)(3) 25000 0 Holistic Family Literacy Initiative RESCUING HOPE INC 1750 POWDER SPRINGS RD SUTE 190 BOX MARIETTA GA 30064 473356764 501(c)(3) 25000 0 A Night of Hope THOMPSON CHILD & FAMILY FOCUS 6800 SAINT PETERS LANE MATTHEWS NC 28105 560547460 501(c)(3) 20000 0 Thompson: Changing Lives Changes Everything TRANSFORMATIONS BY CHARLOTTE ANGELS PO BOX 77755 CHARLOTTE NC 28271 844893067 501(c)(3) 20000 0 Transforming Foster Care for Everyone! PARTNERS IN LEARNING CHILD DEVELOPMENT CENTER INC 1775 S MARTIN LUTHER KING JR AVE SALISBURY NC 28144 562116380 501(c)(3) 20000 0 Partners In Learning: A Beacon of Hope UNIVERSITY OF DAYTON 300 COLLEGE PARK DAYTON OH 45469 310536715 501(c)(3) 20000 0 Flyer Initiative for Digital Literacy CRAYONS TO CLASSROOMS 1750 WOODMAN DRIVE DAYTON OH 45420 261594574 501(c)(3) 15000 0 Direct Delivery of School Supplies to Preble County Schools GIRLS ON THE RUN OF DAYTON PO BOX 752105 DAYTON OH 45475 272528377 501(c)(3) 15000 0 Expanding Access to Girls on the Run of Dayton's Programs CARE RING INC 601 E 5TH ST SUITE 140 CHARLOTTE NC 28202 560621073 501(c)(3) 10000 0 Care Ring's Access to Care and Maternal-Child Health Programs SPRINGDALE ATHLETIC FOUNDATION PO BOX 6305 SPRINGDALE AR 72766 455369135 501(c)(3) 10000 0 General Support UNITED REHABILITATION SERVICES OF GREATER DAYTON 4710 OLD TROY PIKE DAYTON OH 45424 310592919 501(c)(3) 10000 0 Empowered Through Wellness at United Rehabilitation Services PRINCETON ATHLETIC BOOSTERS CLUB 100 VIKING WAY CINCINNATI OH 45246 994115554 501(c)(3) 10000 0 General Support PRO BONO PARTNERSHIP OF OHIO 255 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 464283169 501(c)(3) 10000 0 Supporting Healthy Nonprofits: Understanding Their Legal Issues Through a Nonprofit Legal Checkup B HELPFUL LOVE INC 436 E 36TH ST CHARLOTTE NC 28205 842072919 501(c)(3) 10000 0 Lifeline of Love THE OHIO STATE UNIVERSITY 2020 BLANKENSHIP H 901 WOODY HAYES COLUMBUS OH 43210 316025986 501(c)(3) 6462 0 General Support FLORIDA CENTER FOR CHILDREN AND YOUTH INC 111 SOUTH MAGNOLIA DRIVE SUITE 4 TALLAHASSEE FL 32301 591710785 501(c)(3) 10000 0 General Support 52 Part I, Line 2: The CareSource Foundation provides numerous grants on behalf of and at the direction of its supported organization to further their charitable purposes. The CareSource Foundation funds responsive grants to nonprofit organizations that impact children, adults, and families in areas that mirror the social determinants of health. Those areas include the following: economic stability; safety and healthy homes and neighborhoods; job skills and employment; access to healthcare, including physical, mental and behavioral health; early childhood education and child development; healthy behaviors and lifestyle concerns; public policy surrounding critical need health issues; and strategic public/private partnerships designed to increase health communities. The CareSource Foundation also funds signature grants with numerous regional, state and/or national partners. Proposing organizations must be Internal Revenue Code Section 501(c)(3) qualified nonprofit organizations or government agencies that further the charitable purposes of its supported organizations. All funded grantees are requested to provide a formal report with information on how the funds were utilized and the success of their program. 1 1 0 0 0 0 0 0 0 Erhardt Preitauer President, Trustee 0 1407328 0 2654031 0 2015362 0 6101217 0 23224 0 12201162 0 3942595 Richard Topping Secretary/Trustee (To 5/31) 0 279104 0 561640 0 1818536 0 815252 0 16024 0 3490556 0 1122987 Lawrence Smart Treasurer 0 589886 0 570124 0 497224 0 1794168 0 19684 0 3471086 0 656889 Edward Stubbers Secretary/Trustee (Eff 6/1) 0 452231 0 322470 0 286128 0 1117562 0 19684 0 2198075 0 441638 Jai Pillai Former Chief Operating Ofr 0 0 0 0 0 244761 0 0 0 0 0 244761 0 0 Form 990, Schedule J, Part I, Question 3: CareSource Management Services LLC ("CSMS"), a related entity, utilizes a compensation committee, independent compensation consultant, CEO written employment contract, compensation survey or study, review of Form 990 of other organizations, and approval by the board or compensation committee comprised solely of independent directors. Form 990, Schedule J, Part I, Question 4a: CSMS made severance payments to Richard Topping and Jai Pillai during the calendar year. The payments are included in Part VII, Column E and it is reported on Schedule J, Part II, Column B(iii). The terms and conditions of the confidential severance agreements are available to the Internal Revenue Service upon request. Form 990, Schedule J, Part I, Question 4b: CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a supplemental nonqualified retirement plan. Amounts are accrued monthly for plan participants. The plan provides compensation to the participants after a vesting period, and the funds are available to the participants after they retire or resign from the organization. The plan provides for normal terms and conditions contained in a standard nonqualified retirement plan. The following listed person was paid under the plan in 2024: Richard Topping $39,893. The payment is included in Part VII, Column E and it is reported on Schedule J, Part II, Column B(iii). CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a long-term incentive plan. The plan provides compensation to the participants based on annual and long-term goals. The plan will pay out if these goals, or a subset of these goals, are achieved over a three-year period. The amounts are subject to forfeiture if certain employment conditions and vesting periods are not met. Amounts are included in Part VII, Column F and reported on Schedule J, Part II, Column C when accrued and included in Part VII, Column E and reported on Schedule J, Part II, Column B(iii) in the year paid. The following listed persons participated in and were paid under the plan in 2024: Erhardt Preitauer $1,516,425; Lawrence Smart $371,773; Richard Topping $774,290; and Edward Stubbers $188,273. CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a management incentive plan. The plan provides compensation to the participants based on certain financial measurements of the Company, which are calculated annually. The plan will pay out if the targets are achieved over a three-year period. If a participant leaves their employment prior to this three-year performance period, they may be entitled to a pro-rated payment if the targets are achieved over the three-year period. Amounts are included in Part VII, Column F and reported on Schedule J, Part II, Column C when accrued and included in Part VII, Column E and reported on Schedule J, Part II, Column B(iii) in the year paid. No amounts were paid in 2024 under the plan. Form 990, Schedule J, Part II: All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMS. Form 990, Part III, Line 1, Description of Organization Mission: The CareSource Foundation furthers the charitable purposes of its supported organizations by improving overall community health and addressing health-related issues. The CareSource Foundation improves the lives of the underserved by providing grants, on behalf of and at the direction of its supported organizations, to non-profit organizations that can significantly impact individuals and families through a broad array of health and human services and programs. This charitable assistance targets the neediest populations and provides innovative solutions to critical health care needs and creates meaningful collaboration. The CareSource Foundation's mission is to invest in initiatives and organizations that make a lasting difference in our members' lives and communities by improving their health and well-being. Form 990, Part VI, Section A, line 6 CareSource is the sole member of The CareSource Foundation. CareSource is recognized as exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3). Form 990, Part VI, Section A, line 7a CareSource, the member of The CareSource Foundation, has the authority to appoint The CareSource Foundation's board. Form 990, Part VI, Section B, line 11b The Form 990 was provided to each voting member of the filing organization's governing body for review prior to filing. Additionally, the Form 990 was reviewed by CareSource's Audit Committee, VP Treasury, Internal Tax Department, and Internal General Counsel as well as an external CPA firm and legal counsel Form 990, Part VI, Section B, line 12c Annually, each director, principal officer, and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict-of-Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by the organization on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) the organization is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to the organization; and (d) the organization could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken. Form 990, Part VI, Section C, line 19 The CareSource Foundation's ("the Company") Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The Company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company does not make its audited financial statements available to the public. The Company's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us. Form 990, Part VI, Section C, Line 17: A copy of Form 990 is not required to be filed with the state of Ohio. The CareSource Foundation does, however, file the Ohio Annual Report with the Ohio Attorney General. Therefore, Ohio is listed on Form 990, Part VI, Section C, Question 17. CareSource Ohio Inc PO Box 8738 Dayton OH 454018738 311143265 HIC Ins Plan OH 501(c)(3) Line 10 CareSource 0 CareSource PO Box 8738 Dayton OH 454018738 311703368 Supporting OH 501(c)(3) Line 12b, II N/A 0 CareSource Indiana Inc PO Box 8738 Dayton OH 454018738 320121856 HMO Ins Plan IN 501(c)(3) Line 10 CareSource 0 CareSource Georgia Inc PO Box 8738 Dayton OH 454018738 472408339 HMO Ins Plan GA 501(c)(3) Line 10 CareSource 0 CareSource Kentucky Co Po Box 8738 Dayton OH 454018738 464991603 HMO Ins Plan KY 501(c)(3) Line 10 CareSource 0 CareSource West Virginia PO Box 8738 Dayton OH 454018738 473028244 HMO Ins Plan WV 501(c)(3) Line 10 CareSource 0 CareSource Life Services Co (Dissolved 111524) PO Box 8738 Dayton OH 454018738 811602217 No activity OH 501(c)(3) Line 10 CareSource 0 CareSource Diversity & Social Impact Investment 50 East 91st Street Suite 213 Indianapolis IN 46240 871811106 Investing DE N/A 0 0 CareSource Midwest Fund LLC 415 12th Ave SE Cedar Rapids IA 52401 883585337 Investing DE N/A 0 0 ImagineCare Holdings LLC PO Box 8738 Dayton OH 454018738 932340017 Holding Co DE N/A 0 0 HAP Empowered Holding LLC PO Box 8738 Dayton OH 454018738 933877012 Holding Co DE N/A 0 0 CareSource Bayou Holding LLC PO Box 8738 Dayton OH 454018738 883042610 Holding Co DE N/A 0 0 CareSource Virginia Co (Dissolved 101724) PO Box 8738 Dayton OH 454018738 811727271 No activity VA N/A C 0 CareSource Arkansas Health Plan Co PO Box 8738 Dayton OH 454018738 844476729 HMO Ins Plan AR N/A C 0 Kids' CareAlliance Co (Dissolved 111324) PO Box 8738 Dayton OH 454018738 854022039 No activity OH N/A C 0 CareSource Oklahoma Health Plan Co PO Box 8738 Dayton OH 454018738 854038326 HMO Ins Plan OK N/A C 0 CareSource Kansas LLC PO Box 8738 Dayton OH 454018738 873411276 HMO Ins Plan KS N/A C 0 CareSource Passe LLC PO Box 8738 Dayton OH 454018738 863112470 RBPO Ins Plan AR N/A C 0 Columbus Organization Holdings LLC PO Box 8738 Dayton OH 454018738 814132952 Holding Co DE N/A C 0 CareSource Tennessee Co PO Box 8738 Dayton OH 454018738 874254502 HMO Ins Plan TN N/A C 0 Columbus Medical Services Inc PO Box 8738 Dayton OH 454018738 300975112 No activity MD N/A C 0 CareSource North Carolina Co PO Box 8738 Dayton OH 454018738 873079479 HMO Ins Plan NC N/A C 0 CareSource Iowa Co (Dissolved 112624) PO Box 8738 Dayton OH 454018738 881429834 HMO Ins Plan IA N/A C 0 CareSource Florida Co PO Box 8738 Dayton OH 454018738 883601120 HMO Ins Plan FL N/A C 0 CareSource Bayou Health LLC PO Box 8738 Dayton OH 454018738 883401520 HMO Ins Plan TX N/A C 0 CareSource Military & Veterans Co PO Box 8738 Dayton OH 454018738 932552094 Tricare CPD OH N/A C 0 GCRE Protected Cell No 3 - CS LLC PO Box 8738 Dayton OH 454018738 933077861 Captive Ins MT N/A C 0 HAP CareSource New Center One Ste 110 3031 W Grand Detroit MI 48202 383123777 HMO Ins Plan MI N/A C 0 CareSource Reinsurance II LLC PO Box 8738 Dayton OH 454018738 872901879 Captive Ins MT N/A C 0 GCRE Protected Cell No 2 - MS LLC (Incorporated 42524) PO Box 8738 Dayton OH 454018738 992726467 Captive Ins MT N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0