BURBANK HEALTH CARE FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BURBANK HEALTH CARE FOUNDATION (EIN 95-1643337)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201813189349102141
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Accounting Fees Schedule
- Cash Deemed Charitable Expln Stmt
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T14:20:20-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 463462919 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KKAJ LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27200 TOURNEY ROAD STE 475 | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643337 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BURBANK HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BURB | BusinessNameControlTxt |
| Phone | 8185592423 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 1119 S FLOWER STREET NO 4 | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDY STEVENSON | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8185592423 | PhoneNum |
| Signature | 2018-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT N JENSEN JR | PreparerPersonNm |
| PTIN | P00123887 | PTIN |
| Phone | 6617054222 | PhoneNum |
| Preparation | 2018-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-13 | IPDt |
| IP Tm | 11:09:08 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 64579C849EC6AAFB33E1E1619F47ABA68E1F958D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2F3C9753A9629DB4492491191B25354F63090D47 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $4,899,737 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $129,003 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $129,003 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $393,268 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,473,256 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $88,371 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $522,271 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $217,374 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $1,868 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $374 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $1,494 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $20,805 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $4,161 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $16,644 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $66,638 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $13,328 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $53,310 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $55 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Occupancy Rev And Expnss | $11,324 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $2,265 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $9,059 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $10,224 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,045 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $8,179 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $110,914 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,173 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $88,686 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $113,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $113,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $223,914 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,173 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $201,686 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $298,357 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $195,201 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $153,702 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $119,391 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $119,391 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $4,448,957 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $4,780,346 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,780,346 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $4,602,659 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,899,737 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,899,737 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $1,711 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $432 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $1,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $432 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $4,600,948 | RetainedEarningBOYAmt |
| Retained Earning EOY | $4,899,305 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,600,948 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,899,305 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $4,602,659 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,899,737 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,600,948 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $298,357 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,899,305 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,899,305 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | SECURITIES (VARIOUS) | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Gross Sales Price | $1,473,256 | GrossSalesPriceAmt |
| Cost Or Other Basis | $1,384,885 | CostOrOtherBasisAmt |
| Gain Or Loss | $88,371 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $88,371 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $88,371 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $216,649 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $4,209,223 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051470 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $218,140 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $4,396,692 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.049615 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $222,265 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,942,122 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.044974 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $265,052 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,879,684 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.054317 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $211,703 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $4,645,369 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.045573 | DistributionYr5Rt |
| Total Distribution | 0.245949 | TotalDistributionRt |
| Average Distribution | 0.049190 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $4,622,162 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $227,364 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,952 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $229,316 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $201,686 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $3,904 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,904 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,904 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,520 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $760 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,280 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $16 | EsPenaltyAmt |
| Tax Due | $1,640 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.BURBANKHCF.ORG | WebsiteAddressTxt |
| Individual With Books | GERI HERNANDEZ | IndividualWithBooksNm |
| Phone | 8185592423 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 1119 S FLOWER STREET NO 4 | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MARSHA JACKSON | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | SECRETARY | 1.00 | $0 | $0 | $0 |
| SUNDER RAMANI | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | VICE-CHAIRMAN | 1.00 | $0 | $0 | $0 |
| RANDY STEVENSON | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | TREASURER | 1.00 | $0 | $0 | $0 |
| CONNIE LACKEY | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | MEMBER OF THE BOARD | 1.00 | $0 | $0 | $0 |
| TOMME LENZ | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | MEMBER OF THE BOARD | 1.00 | $0 | $0 | $0 |
| DR JAMES FELONY | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | MEMBER OF THE BOARD | 1.00 | $0 | $0 | $0 |
| DR BOYD FLINDERS | ||||||||
| 1119 S FLOWER ST NO 4 | BURBANK | CA | 91502 | CHAIRMAN | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,633,354 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $174,047 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,807,401 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,807,401 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $185,239 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,622,162 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $231,108 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $231,108 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,904 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,904 | TotalTaxAmt |
| Distributable Before Adj | $227,204 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $227,204 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $227,204 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $201,686 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $201,686 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $201,686 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $227,204 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $199,307 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $201,686 | QualifyingDistributionsAmt |
| Applied To Year1 | $199,307 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,379 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $224,825 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | BURBANK HEALTH CARE FOUNDATION | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 1119 S FLOWER ST NO 4 | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 8185592423 | RecipientPhoneNum |
| Form And Info And Materials | APPLICANTS MUST COMPLETE A GRANTS APPLICATION PROVIDED BY THE FOUNDATION AND SUBMIT A COPY OF THE APPLICANT'S FINANCIAL STATEMENTS, A COPY OF ITS IRS DETERMINATION LETTER AND ANY OTHER RELEVANT INFORMATION DEEMED NECESSARY | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | GENERALLY NOV. 1ST & NOV. 30TH EACH YEAR, AS APPLICABLE PER TYPE UNLESS BOARD DETERMINES OTHERWISE | SubmissionDeadlinesTxt |
| Restrictions On Awards | GRANTS ARE MADE TO ORGANIZATIONS THAT PROMOTE AND PROVIDE FOR BETTER HEALTH CARE IN THE CITY OF BURBANK | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ASCENCIA | |||||||
| 1851 TYBURN ST | GLENDALE | CA | 91204 | NONE | PC | GRANT | $30,000 |
| BURBANK CENTER FOR THE RETARDED | |||||||
| 230 E AMHERST DR | BURBANK | CA | 91504 | NONE | PC | GRANT | $10,000 |
| WEST COAST UNIVERSITY | |||||||
| 12215 VICTORY BLVD | NORTH HOLLYWOOD | CA | 91606 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $3,000 |
| UNIVERSITY OF SOUTHERN CALIFORNIA | |||||||
| USC | LOS ANGELES | CA | 90007 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $13,570 |
| CHAMBERLAIN COLLEGE OF NURSING | |||||||
| 3005 HIGHLAND PARKWAY | DOWNERS GROVE | IL | 60515 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $3,000 |
| DREXEL UNIVERSITY | |||||||
| 3141 CHESTNUT ST | PHILADELPHIA | PA | 19104 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $6,785 |
| UNIVERSITY OF PHOENIX | |||||||
| 4025 S RIVERPOINT PRKWY | PHOENIX | AZ | 85040 | NONE | FOR PROFIT SCHOOL | SCHOLARSHIP | $3,000 |
| SPECIAL OLYMPICS | |||||||
| 1133 19TH STREET NW | WASHINGTON | DC | 20036 | NONE | PC | GRANT | $5,000 |
| TOURO UNIVERSITY | |||||||
| 10601 CALLE LEE 179 | LOS ALAMITOS | CA | 90720 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $3,000 |
| TULANE UNIVERSITY | |||||||
| 6823 ST CHARLES AVE | NEW ORLEANS | LA | 70118 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $6,785 |
| UNIVERSITY OF CALIFORNIA LOS ANGELES | |||||||
| UCLA | LOS ANGELES | CA | 90095 | NONE | NON PROFIT SCHOOL | SCHOLARSHIP | $23,360 |
| WOODBURY UNIVERSITY | |||||||
| 7500 N GLENOAKS BLVD | BURBANK | CA | 91504 | NONE | NON PROFIT SCHOOL | GRANT | $5,000 |
| CITY OF BURBANK | |||||||
| 275 E OLIVE AVE | BURBANK | CA | 91502 | NONE | MUNICIPALITY | GRANTGRANT | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $113,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $129,003 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $393,268 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $522,271 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $522,271 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 4 | ALLOWED FOR THE TIMELY PAYMENT OF CHARITABLE GRANTS |
| 8 | AIDED IN PERFORMING TIMELY REVIEWS AND TIMELY PAYMENTS OF GRANTS |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $20,805 | Amt |
| Net Investment Income | $4,161 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $16,644 | DisbursementsCharitablePrpsAmt |
Cash Deemed Charitable Expln Stmt CashDeemedCharitableExplnStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Short Explanation | THE BURBANK HEALTH CARE FOUNDATION ESTIMATES IT WILL USE $185,239 FOR CHARITABLE PURPOSES. THIS AMOUNT REPRESENTS AN ESTIMATE OF DIRECT CHARITABLE DISBURSEMENTS FOR GRANTS AND SCHOLARSHIPS, AS WELL AS AN ESTIMATE OF THE ALLOCATION OF DISBURSEMENTS FOR EXPENSES ASSOCIATED WITH THE GRANTS AND SCHOLARSHIPS AND ASSOCIATED WITH THE CHARITABLE PURPOSE OF BEING A CHARITABLE GIVING PRIVATE FOUNDATION AND OPERATING AS SUCH. | ShortExplanationTxt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | WELLS FARGO SECURITIES | CategoryOrItemTxt |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMVCd |
| Book Value | $4,780,346 | BookValueAmt |
| EOYFMV | $4,780,346 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $1,868 | LegalFeesAmt |
| Net Investment Income | $374 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,494 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INSURANCE | $5,250 | $1,050 | $4,200 |
| MISCELLANEOUS | $4,974 | $995 | $3,979 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT FEES | $35,289 | $7,058 | $28,231 |
| ADMINISTRATIVE | $31,349 | $6,270 | $25,079 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAXES | CategoryTxt |
| Amt | $55 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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