2020-02-24T16:57:56-06:00 2019-06-30 331197384 ANDERSEN TAX LLC 1200 FIFTH AVENUE SUITE 1600 SEATTLE WA 98101 990 2018-07-01 954493310 LA CLIPPERS FOUNDATION LACL 4254400522 10400 NE 4TH STREET NO 3000 BELLEVUE WA 98004 NICOLE DUCKETT PRESIDENT 4254400522 2020-02-24 1 MICHAEL J HOLMES P01748034 2065777880 38.104.124.190 2020-02-24 16:57:35 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 909E36843CCA273980BF95AB6DE1A7017776D0AD 2018 2020-09-23 17:36:50Z NICOLE DUCKETT 10400 NE 4TH STREET SUITE 3000 BELLEVUE WA 98004 985750 0 X WWW.NBA.COM/CLIPPERS/COMMUNITY/LACF.HTML X 1994 CA TO FOSTER AND SUPPORT COMMUNITY OUTREACH PROGRAMS & ACTIVITIES WITH POSITIVE EDUCATIONAL, CIVIC, ENVIRONMENTAL AND HUMANITARIAN VALUES THAT BENEFIT & ENHANCE THE LIVES OF CHILDREN. 7 2 0 340 0 0 17074718 442383 0 0 1281 150512 221551 242200 17297550 835095 13486590 5689122 0 0 0 0 0 0 0 371683 441070 13858273 6130192 3439277 -5295097 12709153 6387048 7009745 5966011 5699408 421037 X THE LOS ANGELES CLIPPERS FOUNDATION EXISTS TO FOSTER AND SUPPORT COMMUNITY OUTREACH PROGRAMS & ACTIVITIES WITH POSITIVE EDUCATIONAL, CIVIC, ENVIRONMENTAL AND HUMANITARIAN VALUES THAT BENEFIT AND ENHANCE THE QUALITY OF LIFE PRIMARILY FOR CHILDREN IN GREATER LOS ANGELES. TO MEET THESE COMMITMENTS, THE FOUNDATION WILL SEEK, ACCEPT AND DONATE FUNDS AND IN-KIND ITEMS TO SUPPORT COMMUNITY OUTREACH PROGRAMS AND INITIATIVES OF LOCAL CHILDREN'S CHARITIES AND ORGANIZATIONS. 1 0 506391 493634 0 JR. CLIPPERS: THIS PROGRAM PROVIDES A PLATFORM TO PROMOTE HEALTHY, ACTIVE LIFESTYLES FOR CHILDREN OF THE GREATER LOS ANGELES AREA. CHILDREN AGES 5-14 ARE TAUGHT THE FUNDAMENTALS OF BASKETBALL, SPORTSMANSHIP AND ATHLETICS THROUGH JR. CLIPPERS LEAGUES, CLINICS AND CAMPS. 1644850 1644850 0 VISION TO LEARN: THIS PROGRAM PROVIDES FREE EYE EXAMS AND GLASSES TO CHILDREN AGES 5-19 IN LOW-INCOME COMMUNITIES IN THE LOS ANGELES AND SACRAMENTO AREAS. VISION TO LEARN HAS SCREENED OVER 700,000 CHILDREN, PROVIDED OVER 140,000 WITH EYE EXAMS AND MORE THAN 110,000 WITH FREE GLASSES. 260860 207755 0 SCIFEST SOCAL: THIS PROGRAM EXISTS TO STIMULATE AND SUSTAIN THE INTEREST OF THE NATION'S YOUTH IN SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS (STEM), AND ARE COMMITTED TO PROVIDING EDUCATIONAL AND INSPIRATIONAL PROGRAMMING TO THE GENERAL PUBLIC, INCLUDING UNDERSERVED POPULATIONS. 3535292 3342883 125800 PROGRAM COSTS - OTHERS 3535292 3342883 125800 5947393 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 CA X ANGELA TRINDLE 4255780654 10400 NE 4TH STREET SUITE 3000 BELLEVUE WA 98004 X X DENISE BOOTH DIRECTOR 25.00 X 0 0 0 RAYMOND ORTEGASO DIRECTOR 1.00 X 0 0 0 GILLIAN ZUCKER CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 NICOLE DUCKETT PRESIDENT 1.00 X X 0 0 0 BRANDT VAUGHAN DIRECTOR 1.00 X 0 0 0 CONNIE BALLMER DIRECTOR 1.00 X 0 0 0 ERIC CHAN CFO/TREASURER 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 442383 442383 150512 150512 118002 31564 86438 86438 274853 119091 155762 155762 835095 150512 0 242200 5674122 5674122 15000 15000 35038 19696 15342 8225 8225 60000 60000 25643 22928 2715 SUPPLIES 231544 162579 68965 CREDIT CARD CHARGES 29238 29238 REGISTRATION FEEES 23830 23830 POSTAGE & SHIPPING 22725 22725 4827 4827 6130192 5947393 182799 0 12400925 1072571 75387 5068215 308228 170875 12709153 6387048 9745 264173 7000000 5701838 7009745 5966011 X 0 0 0 0 5699408 421037 5699408 421037 12709153 6387048 -5295097 16726 0 X 0 1 X 1 0 X 1199994 4655455 4410957 17074718 442383 27783507 1199994 4655455 4410957 17074718 442383 27783507 8939573 18843934 32069 29876 24118 1281 150512 237856 28021363 0.67250 0.68350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1002476 16726 16726 985750 -150655 -150655 835095 6280847 150655 150655 6130192 0 6130192 PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -31,564. DIRECT GAMING EXPENSES -119,091. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 31,564. DIRECT GAMING EXPENSES 119,091. AUCTION 118002 118002 31564 118002 118002 31564 31564 86438 274853 119091 0 274853 119091 119091 155762 CA 1 0 0 0 1.00000 0.00000 ANGELA TRINDLE 10400 NE 4TH STREET SUITE 3000 BELLEVUE WA 98004 0 0 1 AGUA CALIENTE BAND OF CAHUILLA INDIANS 32-250 BOB HOPE DR RANCHO MIRAGE CA 92270 330937194 10000 GENERAL DONATION ANGEL FLIGHT WEST INC 3161 DONALD DOUGLAS LOOP SOUTH SANTA MONICA CA 90405 953956297 501(C)(3) 5323 GENERAL DONATION ASSISTANCE LEAGUE OF SAN PEDRO - SOUTH BAY 1441 W 8TH ST SAN PEDRO CA 90782 951882853 501(C)(3) 5000 GENERAL DONATION BIG BROTHERS BIG SISTERS OF GREATER LOS ANGELES INC 3150 N SAN FERNANDO RD SUITE C LOS ANGELES CA 90085 951904857 501(C)(3) 5500 GENERAL DONATION BOYS AND GIRLS CLUBS OF LONG BEACH INC 3635 LONG BEACH BOULEVARD LONG BEACH CA 90807 951643977 501(C)(3) 5000 GENERAL DONATION C5 YOUTH FOUNDATION OF SOUTHERN CALIFORNIA INC 3100 NORTH BROADWAY LOS ANGELES CA 90031 262458769 501(C)(3) 5000 GENERAL DONATION CEDARS SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 951644600 501(C)(3) 12000 GENERAL DONATION CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(C)(3) 118990 GENERAL DONATION COMMUNITIES IN SCHOOLS OF LOS ANGELES INC C/O CAA 2000 AVENUE OF THE STARS LOS ANGELES CA 90067 260404220 501(C)(3) 35000 GENERAL DONATION COMMUNITY PARTNERS 1000 N ALAMEDA STREET SUITE 240 LOS ANGELES CA 90012 954302067 501(C)(3) 5000 GENERAL DONATION DA VINCI SCHOOLS FUND 201 N DOUGLAS ST SEGUNDO CA 90245 824350823 501(C)(3) 150000 GENERAL DONATION DREAM STREET FOUNDATION 324 S BEVERLY DRIVE SUITE 500 BEVERLY HILLS CA 90212 954210774 501(C)(3) 7615 GENERAL DONATION EASTER SEALS SOUTHERN CALIFORNIA INC 1570 EAST 17TH ST SANTA ANA CA 92705 943068149 501(C)(3) 10000 GENERAL DONATION ELEVATE HOPE INC 9663 SANTA MONICA BLVD SUITE 352 BEVERLY HILLS CA 90210 273778816 501(C)(3) 10000 GENERAL DONATION EMPOWHER INSTITUTE INC 1055 WILSHIRE BLVD SUITE 1660 LOS ANGELES CA 90017 450508517 501(C)(3) 5000 GENERAL DONATION FOR THE CHILD INC 4565 CALIFORNIA AVENUE LONG BEACH CA 90807 953601230 501(C)(3) 5000 GENERAL DONATION GENESIS ACADEMY FOR INNOVATION 9595 WILSHIRE BLVD SUITE 700 BEVERLY HILLS CA 90212 474460740 501(C)(3) 5000 GENERAL DONATION GREATER LOS ANGELES AREA COUNCIL BOY SCOUTS OF AMERICA 2333 SCOUT WAY LOS ANGELES CA 90026 951643982 5000 GENERAL DONATION HAPPY HATS FOR KIDS 923 VAN NESS AVE TORRANCE CA 90501 954385664 501(C)(3) 5000 GENERAL DONATION HEALTH ACCESS FOR ALL INC 269 S BEVERLY DRIVE 468 BEVERLY HILLS CA 90212 462972741 501(C)(3) 5033 GENERAL DONATION LACER AFTERSCHOOL PROGRAMS 1277 N WILCOX SUITE 2 LOS ANGELES CA 90038 953890819 501(C)(3) 6000 GENERAL DONATION LOS ALAMITOS YOUTH CENTER INC 10909 OAK STREET LOS ALAMITOS CA 90720 952142369 501(C)(3) 5000 GENERAL DONATION LOS ANGELES CHAIRMEN ADAPTIVE 2804 SAWTELLE BLVD LOS ANGELES CA 90064 113700657 501(C)(3) 28921 GENERAL DONATION LOS ANGELES DODGERS FOUNDATION 1000 ELYSIAN PARK AVE LOS ANGELES CA 90012 954623022 501(C)(3) 10000 GENERAL DONATION LOS ANGELES PARKS FOUNDATION 2650 N COMMONWEALTH AVE LOS ANGELES CA 90027 262358338 501(C)(3) 10000 GENERAL DONATION LOS ANGELES RAMS FOUNDATION 29899 AGOURA ROAD AGOURA HILLS CA 91301 813467846 501(C)(3) 5000 GENERAL DONATION MATH HOOPS INC 3300 WALNUT ST 211 DENVER CO 80205 451059457 501(C)(3) 20000 GENERAL DONATION POSITIVE COACHING ALLIANCE 1001 N RENGSTORFF AVE SUITE 100 MOUNTAIN VIEW CA 94043 770485946 501(C)(3) 15000 GENERAL DONATION PS SCIENCE 1714 21ST STREET SANTA MONICA CA 90404 200607113 501(C)(3) 29000 GENERAL DONATION PUEBLO NUEVO EDUCATION AND DEVELOPMENT GROUP 3435 WEST TEMPLE STREET LOS ANGELES CA 90026 811668428 501(C)(3) 5000 GENERAL DONATION READING IS FUNDAMENTAL 7250 BANDINI BLVD 209 LOS ANGELES CA 90040 237425712 501(C)(3) 10000 GENERAL DONATION REALIZATION OF DREAMS FOUNDATION INC 2340 N ROBINHOOD PLACE ORANGE CA 92867 831829697 501(C)(3) 11341 GENERAL DONATION REDLANDS EDUCATIONAL PARTNERSHIP FOUNDATION PO BOX 7840 REDLANDS CA 92373 330281561 501(C)(3) 5000 GENERAL DONATION SCIENCE SPARK 3663 LONE DOVE LANE OLIVENHAIN CA 92024 262497802 501(C)(3) 207480 GENERAL DONATION SHAREFEST COMMUNITY DEVELOPMENT INC 638 S BEACON ST SUITE 700 SAN PEDRO CA 90731 205651596 501(C)(3) 5000 GENERAL DONATION THE FRIENDSHIP FOUNDATION 2108 VAIL AVENUE REDONDO BEACH CA 90278 208575157 501(C)(3) 5000 GENERAL DONATION UNITED IN HARMONY PO BOX 34456 LOS ANGELES CA 90034 954527278 501(C)(3) 24000 GENERAL DONATION VISION TO LEARN 11611 SAN VICENTE BLVD SUITE 500 LOS ANGELES CA 90049 453457853 501(C)(3) 1644850 GENERAL DONATION WE CARE OUTREACH MINISTRIES 14334 ERIE ROAD APPLE VALLEY CA 92307 223836444 501(C)(3) 20000 GENERAL DONATION WELLS BRING HOPE 16563 PARK LANE CIRCLE LOS ANGELES CA 90049 273123341 501(C)(3) 7695 GENERAL DONATION YMCA OF METROPOLITAN LOS ANGELES 625 SOUTH NEW HAMPSHIRE AVE LOS ANGELES CA 90005 951644052 501(C)(3) 200000 GENERAL DONATION ADOPT A FAMILY 30 15000 PART I, LINE 2: THE FOUNDATION'S BOARD OF DIRECTORS APPROVES SPECIFIC DONATIONS, SCHOLARSHIPS AND GRANTS. FORM 990, PART III, LINE 2 SCIFEST SOCAL: THIS PROGRAM EXISTS TO STIMULATE AND SUSTAIN THE INTEREST OF THE NATION'S YOUTH IN SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS (STEM) BY PRODUCING AND PRESENTING THE MOST COMPELLING, EXCITING, AND EDUCATIONAL FESTIVAL IN THE WORLD. FORM 990, PART VI, SECTION A, LINE 2 DENISE BOOTH, RAYMOND ORTEGASO, GILLIAN ZUCKER, ERIC CHAN, AND NICOLE DUCKETT ALL SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S CHIEF FINANCIAL OFFICER & BOARD OF DIRECTORS REVIEWS AND APPROVES FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS & DIRECTORS MUST DOCUMENT ANY POTENTIAL CONFLICT OF INTEREST ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY WRITTEN REQUEST. PAGE 7, PART VII FORM 990 - GENERAL EXPLANATION ATTACHMENT OFFICERS & DIRECTORS' COMPENSATION FROM RELATED ORGANIZATIONS FORM 990 , PAGE 7, PART VII EACH OF THE OFFICERS AND DIRECTORS BELOW ARE EMPLOYED AND COMPENSATED BY RELATED ORGANIZATION LA CLIPPERS, LLC, EIN: 47-1060673. HOWEVER, COMPENSATION IS NOT DISCLOSED DUE TO THE VOLUNTEER EXCEPTION. DENISE BOOTH RAYMOND ORTEGASO GILLIAN ZUCKER NICOLE DUCKETT ERIC CHAN LA CLIPPERS LLC 10400 NE 4TH STREET STE 3000 BELLEVUE WA 98004 471060673 BASKETBALL TEAM CA N/A UNRELATED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 LA CLIPPERS LLC N 60000 FMV