BETA

VENICE FAMILY CLINIC FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC FOUNDATION (EIN 27-3484548)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-02
IRS object ID
201611239349300736
Schema version
2014v6.0
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)
Return2016-05-02T17:45:04-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN952302617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD STE 700AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900243783ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

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 TitleINTERIM CEOPersonTitleTxt
Phone3103928630PhoneNum
Signature2016-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIOR TEMKINPreparerPersonNm
PTINP00748170PTIN
Phone3104773924PhoneNum
Preparation2016-04-19PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANITA ZAMORAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$611,070GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://VENICEFAMILYCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE CLINIC IS TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED.ActivityOrMissionDesc
Voting Members Governing Body37VotingMembersGoverningBodyCnt
Voting Members Independent37VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers402TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$529,065PYProgramServiceRevenueAmt
CY Program Service Revenue$611,070CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$529,065PYTotalRevenueAmt
CY Total Revenue$611,070CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,003PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$490,312PYOtherExpensesAmt
CY Other Expenses$596,556CYOtherExpensesAmt
PY Total Expenses$491,315PYTotalExpensesAmt
CY Total Expenses$596,556CYTotalExpensesAmt
PY Revenues Less Expenses$37,750PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,514CYRevenuesLessExpensesAmt
Total Assets BOY$435,741TotalAssetsBOYAmt
Total Assets EOY$422,901TotalAssetsEOYAmt
Total Liabilities BOY$52,437TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,083TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$383,304NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$397,818NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE FOUNDATION'S SPECIFIC PURPOSE IS TO SUPPORT, THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS, THE PROVISION OF SERVICES AND COMMUNITY OUTREACH. THE MISSION OF THE CLINIC IS TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. IN ADDITION, THE FOUNDATION HOLDS THE ANNUAL VENICE ART WALK TO RAISE FUNDS FOR THE CLINIC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$596,556ExpenseAmt
Revenue$611,070RevenueAmt
DescTHE VENICE ART WALK & AUCTIONS IS ORGANIZED AND HELD BY THE VFC FOUNDATION. IT GENERATES INCOME FROM SPONSORSHIP, RAFFLE, ADMISSION TICKET SALES, SILENT AUCTION OF ORIGINAL ART, STUDIO/HOME TOURS AS WELL AS SALE OF FOOD & BEVERAGES, T-SHIRTS AND RELATED SOUVENIRS. INVITATIONS ARE MAILED AND TICKETS ARE PRE-SOLD THROUGH THE MAIL, ON-LINE THROUGH THE WEBSITE AND ON THE DAY OF THE EVENT.Desc
Total Program Service Expenses$596,556TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members37GoverningBodyVotingMembersCnt
Independent Voting Member37IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
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
OtherYes (X)OtherInd

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 (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
SUSAN ADELMAN
BOARD MEMBER2.00Yes (X)$0$0$0
CAROL L ARCHIE MD
BOARD MEMBER2.00Yes (X)$0$0$0
NEAL BAER MD
BOARD MEMBER2.00Yes (X)$0$0$0
RICK BRADLEY
BOARD MEMBER2.00Yes (X)$0$0$0
LOWELL C BROWN ESQ
BOARD MEMBER2.00Yes (X)$0$0$0
DAVID M CARLISLE MD PHD
BOARD MEMBER2.00Yes (X)$0$0$0
MAYER B DAVIDSON MD
BOARD MEMBER2.00Yes (X)$0$0$0
SUSAN FLEISCHMAN MD
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN R GERESI
BOARD MEMBER2.00Yes (X)$0$0$0
CHESTER F GRIFFITHS MD
BOARD MEMBER2.00Yes (X)$0$0$0
JIMMY H HARA MD
BOARD MEMBER2.00Yes (X)$0$0$0
JOAN E HERMAN
BOARD MEMBER2.00Yes (X)$0$0$0
CONSTANCE LAWSON
BOARD MEMBER (UNTIL 10/14)2.00Yes (X)$0$0$0
DEBORAH LAUB
BOARD MEMBER2.00Yes (X)$0$0$0
LOU LAZATIN
BOARD MEMBER2.00Yes (X)$0$0$0
HARLEY LIKER MD
BOARD MEMBER2.00Yes (X)$0$0$0
TRACEY LOEB
BOARD MEMBER2.00Yes (X)$0$0$0
GAIL MARGOLIS ESQ
BOARD MEMBER2.00Yes (X)$0$0$0
MELISSA R MARTINEZ
BOARD MEMBER (UNTIL 06/15)2.00Yes (X)$0$0$0
FRANK MATRICARDI DR PH
BOARD MEMBER2.00Yes (X)$0$0$0
VIREN MEHTA
BOARD MEMBER2.00Yes (X)$0$0$0
WENDY SMITH MEYERPHD
BOARD MEMBER2.00Yes (X)$0$0$0
JEFF NATHANSON
BOARD MEMBER2.00Yes (X)$0$0$0
WILLIAM D PARENTE
BOARD MEMBER2.00Yes (X)$0$0$0
HUTCH PARKER
BOARD MEMBER2.00Yes (X)$0$0$0
NEIL H PARKER MD
BOARD MEMBER2.00Yes (X)$0$0$0
BILL RESNICK MD
BOARD MEMBER2.00Yes (X)$0$0$0
PAUL M SABEN MBA
BOARD MEMBER (UNTIL 06/15)2.00Yes (X)$0$0$0
MIKE SARIAN
BOARD MEMBER2.00Yes (X)$0$0$0
FERN SEIZER
BOARD MEMBER2.00Yes (X)$0$0$0
JUDY SHORE
BOARD MEMBER (FROM 10/14)2.00Yes (X)$0$0$0
ALAN SIEROTY
BOARD MEMBER2.00Yes (X)$0$0$0
RUSSEL TYNER AIA
BOARD MEMBER2.00Yes (X)$0$0$0
MICHAEL S WILKES MD PHD
BOARD MEMBER2.00Yes (X)$0$0$0
LEISA WU
BOARD MEMBER2.00Yes (X)$0$0$0
WILLIAM FLUMENBAUM
IMMEDIATE PAST CHAIR2.00Yes (X)$0$0$02.00Yes (X)
ASHLEY JOHNSON
SECRETARY (UNTIL 06/15)2.00Yes (X)$0$0$02.00Yes (X)
BRIAN D KAN MD
PAST BOARD CHAIR (UNTIL 06/15)2.00Yes (X)$0$0$02.00Yes (X)
LOETTE LOSHAK
SECRETARY2.00Yes (X)$0$0$02.00Yes (X)
STEWART SERADSKY
TREASURER2.00Yes (X)$0$0$02.00Yes (X)
JEFFREY E SINAIKO
BOARD CHAIR2.00Yes (X)$0$0$02.00Yes (X)
ANDREA BLACKBIRD
CHIEF FINANCE OFFICER1.00$0$145,833$64,01940.00Yes (X)
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER1.00$0$194,278$78,42940.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$340,111TotReportableCompRltdOrgAmt
Total Other Compensation$142,448TotalOtherCompensationAmt
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

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescART WALKDesc
Business999999BusinessCd
Total Revenue Column$611,070TotalRevenueColumnAmt
Related Or Exempt Func Income$611,070RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$611,070TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$611,070TotalRevenueColumnAmt
Related Or Exempt Func Income$611,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$72,843TotalAmt
Program Services$72,843ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,429TotalAmt
Program Services$15,429ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,230TotalAmt
Program Services$35,230ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$56,128TotalAmt
Program Services$56,128ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,132TotalAmt
Program Services$2,132ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$350,000TotalAmt
Program Services$350,000ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,448TotalAmt
Program Services$1,448ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SIGNS & FRAMING$17,959$17,959
MEALS & ENTERTAINMENT$15,970$15,970
LICENSES & FEES$14,555$14,555
AWARDS - HONOREES$2,712$2,712

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,150TotalAmt
Program Services$12,150ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$596,556TotalAmt
Program Services$596,556ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$414,135BOYAmt
EOY$33,700EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,310BOYAmt
EOY$20,884EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,296BOYAmt
EOY$368,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$435,741BOYAmt
EOY$422,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,437BOYAmt
EOY$25,083EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,437BOYAmt
EOY$25,083EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$383,304BOYAmt
EOY$397,818EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$383,304BOYAmt
EOY$397,818EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$435,741BOYAmt
EOY$422,901EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$14,514ReconcilationRevenueExpnssAmt
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$463,803CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$529,065CurrentTaxYearMinus1YearAmt
Current Tax Year$611,070CurrentTaxYearAmt
Total$2,689,505TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$463,803CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$529,065CurrentTaxYearMinus1YearAmt
Current Tax Year$611,070CurrentTaxYearAmt
Total$2,689,505TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$42,420SubstantialContributorsTotAmt
Public Support Total170$2,647,085PublicSupportTotal170Amt
Total Support$2,689,505TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$38,914,694TotalRevEtcAuditedFinclStmtAmt
Other Revenue$38,303,624OtherRevenueAmt
Revenue Not Reported$38,303,624RevenueNotReportedAmt
Revenue Subtotal$611,070RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$611,070TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$37,058,985TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$36,462,429OtherExpensesIncludedAmt
Expenses Not Reported$36,462,429ExpensesNotReportedAmt
Expenses Subtotal$596,556ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$596,556TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:EFFECTIVE JULY 1, 2009, THE FOUNDATION ADOPTED FASB ASC TOPIC NO. 740, "UNCERTAINTY IN INCOME TAXES" ("ASC 740"). IN ACCORDANCE WITH ASC 740, THE FOUNDATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE FOUNDATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE FOUNDATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2015, THE FOUNDATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE FOUNDATION'S INCOME TAX RETURN REMAINS SUBJECT TO EXAMINATION FOR THE TAX YEARS ENDED ON OR AFTER JUNE 30, 2014 WITH REGARD TO ALL TAX POSITIONS AND RESULTS REPORTED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 38,303,624.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 36,462,429.

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
ANDREA BLACKBIRD
CHIEF FINANCE OFFICER$0$145,833$0$0$0$0$0$19,250$0$44,769$0$209,852$0$0
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER$0$194,278$0$0$0$0$0$25,375$0$53,054$0$272,707$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 15THE ORGANIZATION DOES NOT COMPENSATE ANY EXECUTIVES, OFFICERS, OR EMPLOYEES. HENCE, THERE ARE NO PERFORMANCE EVALUATIONS MADE TO DETERMINE COMPENSATIONS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
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.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 72,843. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,843.

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 Status509(A)(2)PublicCharityStatusTxt
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$350,000InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

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