VENICE FAMILY CLINIC FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC FOUNDATION (EIN 27-3484548)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-22
IRS object ID
202121129349301137
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-04-22T14:06:23-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN951777440PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GREEN HASSON & JANKS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1700 SOUTH FLOWER STREET SUITE 3300AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273484548EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVENIBusinessNameControlTxt
Phone3103928630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH B FORERPersonNm
Person TitleCEOPersonTitleTxt
Phone3103928630PhoneNum
Signature2021-04-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIZBETH G NEVAREZPreparerPersonNm
PTINP01399868PTIN
Phone3108731600PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELIZABETH B FORERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,163,146GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.VENICEFAMILYCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO SUPPORT THE MISSION OF THE VENICE FAMILY CLINIC, TO PROVIDE QUALITY PRIMARY HEALTHCARE TO PEOPLE IN NEED.ActivityOrMissionDesc
Voting Members Governing Body35VotingMembersGoverningBodyCnt
Voting Members Independent35VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers244TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,322,937PYContributionsGrantsAmt
CY Contributions Grants$5,693,715CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8,460PYInvestmentIncomeAmt
CY Investment Income$33,742CYInvestmentIncomeAmt
PY Other Revenue$40,710PYOtherRevenueAmt
CY Other Revenue$186,934CYOtherRevenueAmt
PY Total Revenue$3,372,107PYTotalRevenueAmt
CY Total Revenue$5,914,391CYTotalRevenueAmt
PY Grants And Similar Paid$3,200,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,800,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$31,934CYTotalFundraisingExpenseAmt
PY Other Expenses$65,005PYOtherExpensesAmt
CY Other Expenses$119,919CYOtherExpensesAmt
PY Total Expenses$3,265,005PYTotalExpensesAmt
CY Total Expenses$2,919,919CYTotalExpensesAmt
PY Revenues Less Expenses$107,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,994,472CYRevenuesLessExpensesAmt
Total Assets BOY$6,024,659TotalAssetsBOYAmt
Total Assets EOY$7,610,310TotalAssetsEOYAmt
Total Liabilities BOY$3,356,026TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,947,205TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,668,633NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,663,105NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S SPECIFIC PURPOSE IS TO SUPPORT THE MISSION OF THE VENICE FAMILY CLINIC, TO PROVIDE QUALITY PRIMARY HEALTHCARE TO PEOPLE IN NEED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,800,000ExpenseAmt
Grant$2,800,000GrantAmt
DescSUPPORTING THE EFFORTS OF THE VENICE FAMILY CLINIC.Desc
Total Program Service Expenses$2,800,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members35GoverningBodyVotingMembersCnt
Independent Voting Member35IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREA BLACKBIRDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3106647941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER1.0040.00Yes (X)$0$297,010$84,231
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER1.0040.00Yes (X)$0$200,895$64,616
JOHN R GERESI
CHAIR2.002.00Yes (X)$0$0$0Yes (X)
FRANK MATRICARDI DR PH
TREASURER2.000.00Yes (X)$0$0$0Yes (X)
FERN SEIZER
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
CAROL L ARCHIE MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
JOANNE BOURNE
BOARD MEMBER2.000.00$0$0$0Yes (X)
RICK BRADLEY
BOARD MEMBER2.000.00$0$0$0Yes (X)
LOWELL C BROWN ESQ
BOARD MEMBER2.000.00$0$0$0Yes (X)
DAVID M CARLISLE MD PHD
BOARD MEMBER2.000.00$0$0$0Yes (X)
MAYER B DAVIDSON MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
SUSAN FLEISCHMAN MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
WILLIAM FLUMENBAUM
BOARD MEMBER2.002.00$0$0$0Yes (X)
MARK R GAVENS
BOARD MEMBER2.002.00$0$0$0Yes (X)
CHESTER F GRIFFITHS MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
JIMMY H HARA MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
JOAN E HERMAN
BOARD MEMBER2.002.00$0$0$0Yes (X)
BARSAM KASRAVI MD MBA MPH
BOARD MEMBER2.000.00$0$0$0Yes (X)
DEBORAH LAUB
BOARD MEMBER2.000.00$0$0$0Yes (X)
HARLEY LIKER MD MBA
BOARD MEMBER2.000.00$0$0$0Yes (X)
TRACEY LOEB
BOARD MEMBER2.000.00$0$0$0Yes (X)
VIREN MEHTA
BOARD MEMBER2.000.00$0$0$0Yes (X)
WENDY SMITH MEYER PHD LCSW
BOARD MEMBER2.000.00$0$0$0Yes (X)
ETAN CHAIM MILGROM MD MS
BOARD MEMBER2.000.00$0$0$0Yes (X)
JEFF NATHANSON
BOARD MEMBER2.000.00$0$0$0Yes (X)
WILLIAM D PARENTE
BOARD MEMBER2.000.00$0$0$0Yes (X)
HUTCH PARKER
BOARD MEMBER2.000.00$0$0$0Yes (X)
NEIL H PARKER MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
TOM PAULSEN MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
ANDREW J RITTER
BOARD MEMBER2.000.00$0$0$0Yes (X)
ALAN SIEROTY
BOARD MEMBER2.000.00$0$0$0Yes (X)
JEFFREY E SINAIKO
BOARD MEMBER2.002.00$0$0$0Yes (X)
JOHNESE SPISSO MPA
BOARD MEMBER2.000.00$0$0$0Yes (X)
SUSAN TICK
BOARD MEMBER2.000.00$0$0$0Yes (X)
RUSSEL TYNER AIA
BOARD MEMBER2.000.00$0$0$0Yes (X)
MICHAEL S WILKES MD PHD
BOARD MEMBER2.000.00$0$0$0Yes (X)
LEISA WU
BOARD MEMBER2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$497,905TotReportableCompRltdOrgAmt
Total Other Compensation$148,847TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$2,065,263FundraisingAmt
All Other Contributions$3,628,452AllOtherContributionsAmt
Noncash Contributions$502,534NoncashContributionsAmt
Total Contributions$5,693,715TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,742TotalRevenueColumnAmt
Exclusion$33,742ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$435,689FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$2,065,263ContriRptFundraisingEventAmt
Fundraising Direct Expenses$248,755FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,934TotalRevenueColumnAmt
Exclusion$186,934ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,914,391TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$220,676ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,800,000TotalAmt
Program Services$2,800,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Management And General$1,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,962TotalAmt
Management And General$6,525ManagementAndGeneralAmt
Fundraising$4,437FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,967TotalAmt
Management And General$26,967ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,882TotalAmt
Management And General$179ManagementAndGeneralAmt
Fundraising$21,703FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,580TotalAmt
Management And General$5,580ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$190TotalAmt
Management And General$190ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,815TotalAmt
Management And General$1,815ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
LICENSES, FEES, AND DUE$13,739$13,739
MEALS & ENTERTAINMENT$12,136$12,136
MERCHANDISE$3,940$3,940
MUSIC/ENTERTAINMENT$1,317$1,317

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,891TotalAmt
Management And General$19,354ManagementAndGeneralAmt
Fundraising$537FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,919,919TotalAmt
Program Services$2,800,000ProgramServicesAmt
Management And General$87,985ManagementAndGeneralAmt
Fundraising$31,934FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,144,531BOYAmt
EOY$1,866,704EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,845,073BOYAmt
EOY$5,558,987EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,630BOYAmt
EOY$130,334EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,900BOYAmt
EOY$53,754EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$525BOYAmt
EOY$531EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,024,659BOYAmt
EOY$7,610,310EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,233,710BOYAmt
EOY$30,086EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,316BOYAmt
EOY$1,917,119EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,356,026BOYAmt
EOY$1,947,205EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,668,633BOYAmt
EOY$5,663,105EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,668,633BOYAmt
EOY$5,663,105EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,024,659BOYAmt
EOY$7,610,310EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,994,472ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$313,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$329,403CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,857,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,322,937CurrentTaxYearMinus1YearAmt
Current Tax Year$5,693,715CurrentTaxYearAmt
Total$11,516,399TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$313,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$329,403CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,857,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,322,937CurrentTaxYearMinus1YearAmt
Current Tax Year$5,693,715CurrentTaxYearAmt
Total$11,516,399TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,176,500SubstantialContributorsTotAmt
Public Support Total170$10,339,899PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$8,460CurrentTaxYearMinus1YearAmt
Current Tax Year$33,742CurrentTaxYearAmt
Total$42,202TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,557CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,430CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$40,710CurrentTaxYearMinus1YearAmt
Current Tax Year$191,437CurrentTaxYearAmt
Total$335,134TotalAmt
FieldValueIRS element (for citing)
Total Support$11,893,735TotalSupportAmt
Public Support CY1700.86940PublicSupportCY170Pct
Public Support PY1700.86930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYABLE TO VENICE FAMILY CLINICDesc
Amt$1,917,119Amt
FieldValueIRS element (for citing)
Total Liability$1,917,119TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE VENICE FAMILY CLINIC FOUNDATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2020, THE VENICE FAMILY CLINIC FOUNDATION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SILVER CIRCLEEvent1Nm
Gross Receipts Event1$1,677,511GrossReceiptsEvent1Amt
Charitable Contri Event1$1,677,511CharitableContriEvent1Amt
Other Direct Expenses Event1$4,503OtherDirectExpensesEvent1Amt
Event2ART WALKEvent2Nm
Gross Receipts Event2$718,648GrossReceiptsEvent2Amt
Charitable Contri Event2$282,959CharitableContriEvent2Amt
Gross Revenue Event2$435,689GrossRevenueEvent2Amt
Rent Facility Costs Event2$90RentFacilityCostsEvent2Amt
Food And Beverage Event2$581FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$229,196OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$104,793GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$104,793CharitableContriOtherEventsAmt
Rent Fclty Costs Other Events$3,012RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$33FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$11,340OthDirectExpnssOtherEventsAmt
Gross Receipts Total$2,500,952GrossReceiptsTotalAmt
Charitable Contributions Tot$2,065,263CharitableContributionsTotAmt
Gross Revenue Total Events$435,689GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$3,102RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$614FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$245,039OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$248,755DirectExpenseSummaryEventsAmt
Net Income Summary$186,934NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Recipient EIN952769432RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$2,800,000CashGrantAmt
Purpose Of GrantTO SUPPORT OPERATING ACTIVITIES OF THE VENICE FAMILY CLINIC.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDES SUPPORT TO THE VENICE FAMILY CLINIC, WHICH IS A PUBLIC CHARITY THAT THE VENICE FAMILY CLINIC FOUNDATION IS CLOSELY ASSOCIATED WITH.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER$0$297,010$0$0$0$0$0$45,210$0$39,021$0$381,241$0$0
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER$0$200,895$0$0$0$0$0$34,682$0$29,934$0$265,511$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationOFFICERS ELIZABETH B. FORER AND ANDREA B. BLACKBIRD ARE COMPENSATED BY THE RELATED ENTITY VENICE FAMILY CLINIC (VFC). THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION INDEPENDENTLY, WITH THE CEO'S PARTICIPATION. THE CFO & OTHER KEY EMPLOYEES' COMPENSATION IS BASED UPON SKILL SET & MARKET RATE.ExplanationTxt

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,643NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$500,891NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, COLUMN (B):NONCASH DONATIONS ARE LISTED BY TOTAL NUMBER OF DONOR CONTRIBUTORS.
PART I, LINE 32B:THE ORGANIZATION HAS AN AGREEMENT IN PLACE GIVESMART, A MOBILE BIDDING AND EVENT MANAGEMENT COMPANY TO HELP FACILITATE THE FUNDRAISING SIDE OF SILVER CIRCLE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHIS QUESTION IS NOT APPLICABLE TO THE FILING ORGANIZATION. THERE IS NO COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE INFORMATIONAL RETURN IS PREPARED BY OUTSIDE ACCOUNTANTS AND IS REVIEWED BY THE AUDIT COMMITTEE. ONCE APPROVED BY THE AUDIT COMMITTEE, THE RETURN IS THEN REVIEWED AND APPROVED BY THE FOUNDATION BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CIF ANY INDIVIDUAL REASONABLY BELIEVES THAT SOME POLICY, PRACTICE, OR ACTIVITY OF THE ORGANIZATION IS IN VIOLATION OF LAW, A WRITTEN COMPLAINT MAY BE FILED BY THAT INDIVIDUAL WITH THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15OFFICERS ELIZABETH B. FORER AND ANDREA B. BLACKBIRD ARE COMPENSATED BY THE RELATED ENTITY VENICE FAMILY CLINIC (VFC). THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION INDEPENDENTLY, WITH THE CEO'S PARTICIPATION. THE CFO & OTHER KEY EMPLOYEES' COMPENSATION IS BASED UPON SKILL SET & MARKET RATE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
EIN952769432EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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