2015-02-16T12:37:45-06:00 2014-06-30 951777440 GREEN HASSON & JANKS LLP 10990 WILSHIRE BLVD 16TH FLOOR LOS ANGELES CA 900243929 990 2013-07-01 953433824 FRIENDS OF THE LOS ANGELES FREE CLINIC FRIE 3233371707 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 JEFFREY BUJER CEO 3233371707 2015-02-13 1 RICHARD L RUVELSON P00234075 3108731600 2013 2016-02-25 16:41:14Z FRIENDS OF THE SABAN FREE CLINIC JEFFREY BUJER 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 5165990 0 X WWW.THESABANFREECLINIC.ORG X 1973 CA TO RAISE FUNDS FOR THE SABAN FREE CLINIC 44 44 0 44 0 0 1636154 1317269 0 0 1022025 1039698 -13834 92851 2644345 2449818 2023412 2043654 0 0 0 0 0 0 5263 98153 73645 2121565 2117299 522780 332519 12873423 13446779 1480 90497 12871943 13356282 THE FRIENDS OF THE SABAN FREE CLINIC WAS ORGANIZED TO RAISE FUNDS FOR THE SABAN FREE CLINIC. ALL FUNDS RAISED EACH YEAR, (NET OF EXPENSES) ARE DISTRIBUTED TO THE LOS ANGELES FREE CLINIC. 0 0 2043654 2043654 FUNDRAISING:DONATED FUND OF $2,043,654 TO SABAN FREE CLINIC FOR GENERAL SUPPORT OF THE CLINICS SERVICES AND FOR MORTGAGE OF CLINIC FACILITY. 2043654 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 1 1 0 0 X 44 44 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MURIEL NOUWEZEM 3233371707 6043 HOLLYWOOD BOULEVARD LOS ANGELES CA 90028 X LOU ADLER BOARD DIRECTOR 1.00 X 0 0 0 ROBERT ADLER BOARD DIRECTOR 1.00 X 0 0 0 KENNETH A AUGUST BOARD DIRECTOR 1.00 X 0 0 0 IRVING AZOFF BOARD DIRECTOR 1.00 X 0 0 0 MARILYN BARRETT JD BOARD DIRECTOR 1.00 X 0 0 0 LLOYD BRAUN BOARD DIRECTOR 1.00 X 0 0 0 BARBARA CORDAY BOARD DIRECTOR 1.00 X 0 0 0 SAM FISCHER ESQ BOARD DIRECTOR 1.00 X 0 0 0 ROB FRIEDMAN BOARD DIRECTOR 1.00 X 0 0 0 ANDY FRIENDLY BOARD DIRECTOR 1.00 X 0 0 0 DAVID T FRIENDLY BOARD DIRECTOR 1.00 X 0 0 0 MARC GRABOFF BOARD DIRECTOR 1.00 X 0 0 0 ROBERT GREENBLATT BOARD DIRECTOR 1.00 X 0 0 0 TED HARBERT BOARD DIRECTOR 1.00 X 0 0 0 MARTHA HENDERSON BOARD DIRECTOR 1.00 X 0 0 0 ELLEN HOBERMAN BOARD DIRECTOR 1.00 X 0 0 0 TOM HOBERMAN BOARD DIRECTOR 1.00 X 0 0 0 AARON KAPLAN BOARD DIRECTOR 1.00 X 0 0 0 JASON KAPLAN BOARD DIRECTOR 1.00 X 0 0 0 WARREN LITTLEFIELD BOARD DIRECTOR 1.00 X 0 0 0 MICHAEL LOMBARDO BOARD DIRECTOR 1.00 X 0 0 0 HOWARD C MANDEL MD FACOG BOARD DIRECTOR 1.00 X 0 0 0 BARBARA MARSHALL RN BOARD DIRECTOR 1.00 X 0 0 0 FAYE MILLER BOARD DIRECTOR 1.00 X 0 0 0 LESLIE MOONVES BOARD DIRECTOR 1.00 X 0 0 0 DAVID NOCHIMSON BOARD DIRECTOR 1.00 X 0 0 0 KARL A PETTIJOHN BOARD DIRECTOR 1.00 X 0 0 0 LOU PITT BOARD DIRECTOR 1.00 X 0 0 0 MICHAEL PLONSKER BOARD DIRECTOR 1.00 X 0 0 0 BRUCE ROSENBLUM BOARD DIRECTOR 1.00 X 0 0 0 PETER ROTH BOARD DIRECTOR 1.00 X 0 0 0 ERIC SIEGEL BOARD DIRECTOR 1.00 X 0 0 0 DON SPETNER BOARD DIRECTOR 1.00 X 0 0 0 MARCIA STEERE BOARD DIRECTOR 1.00 X 0 0 0 CORI WELLINS LAGAO BOARD DIRECTOR 1.00 X 0 0 0 BARBARA YAROSLAVSKY BOARD DIRECTOR 1.00 X 0 0 0 DAVID NEVINS BOARD DIRECTOR 1.00 X 0 0 0 ANDY PATMAN BOARD DIRECTOR 1.00 X 0 0 0 PETER BENEDEK PRESIDENT 4.00 X X 0 0 0 DANA WALDEN IMMEDIATE PAST PRESIDENT 2.00 X X 0 0 0 KEVIN REILLY 1ST VICE PRESIDENT 2.00 X X 0 0 0 RICHARD WEITZ 2ND VICE PRESIDENT 2.00 X X 0 0 0 JORDAN LEVIN TREASURER 2.00 X X 0 0 0 STEVEN MARENBERG SECRETARY 2.00 X X 0 0 0 JEFFEREY BUJER CEO 2.00 39.00 X X 218619 0 9215 218619 0 9215 1 0 1 0 0 1317269 1317269 449487 449487 3061666 2471455 590211 590211 590211 178818 1317269 196303 -17485 -17485 158750 48414 110336 110336 2449818 0 0 1132549 2043654 2043654 11450 11450 32553 32553 28714 23560 5154 195 157 38 513 446 67 LICENSES/PERMITS/TAXES 216 216 4 4 2117299 2043654 68382 5263 1821972 1897023 145939 39940 119739 36400 8144 9030 7542 9648434 10273096 1120165 1192778 12873423 13446779 1480 336 0 90161 1480 90497 X 881288 841799 11353560 11877388 637095 637095 12871943 13356282 12873423 13446779 X 332519 174423 -22603 X X 0 1 X 1 0 X 1380209 1646004 1870677 1636154 1317269 7850313 1380209 1646004 1870677 1636154 1317269 7850313 828636 7021677 345213 405868 364704 486656 449487 2051928 9902241 1281728 0.70910 0.66420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 904396 101625 45813 960208 860080 101572 57256 904396 11888348 25241 19736 499037 11434288 10868944 164518 1360973 506087 11888348 11242401 18954 977994 1370405 10868944 0.66350 0.33650 0 0 0 ALTERNATIVE INVESTMENTS 1192778 F 1192778 DUE TO THE LOS ANGELES FREE CLINIC 90161 90161 2609173 174423 174423 2434750 32553 -17485 15068 2449818 2124834 40088 40088 2084746 32553 32553 2117299 PART V, LINE 4: THE BEGINNING TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS BALANCES HAVE BEEN RESTATED TO PROPERLY REFLECT A DONOR'S INTENT TO HAVE THE CORPUS OF THE GIFT TOTALING $637,095 HELD IN PERPETUITY, AND THE EARNINGS USED TO FUND THE CLINIC'S DENTAL DEPARTMENT. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -17,485. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 22,603. SPECIAL EVENT EXPENSES 17,485. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 ALTERNATIVE INVESTMENTS 1192778 0 0 0 0 0 0 1192778 0 1192778 0 0 1 0 0 0 ANNUAL DINNER 1330007 1194213 135794 148603 10000 GOLF TOURNAMENT 166080 123056 43024 10000 20905 6795 1496087 1317269 178818 10000 169508 10000 6795 196303 -17485 158750 25000 23414 0 158750 25000 23414 48414 110336 CA 1 0 0 0 1.00000 LENNA POULATIAN 8405 BEVERLY BLVD LOS ANGELES CA 90048 0 1 110336 1 THE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 952539105 501(C)(3) 2043654 FMV N/A MORTGAGE FOR CLINIC FACILITY, AND GENERAL OPERATING SUPPORT. 1 PART I, LINE 2: THE ORGANIZATION PROVIDES SUPPORT TO THE SABAN FREE CLINIC, WHICH IS A PUBLIC CHARITY. 0 0 0 0 0 0 0 0 0 JEFFEREY BUJER CEO 218619 0 0 0 0 0 3600 0 5615 0 227834 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 AARON KAPLAN AND JASON KAPLAN HAVE A FAMILY RELATIONSHIP. ELLEN HOBERMAN AND TOM HOBERMAN HAVE A FAMILY RELATIONSHIP. ANDY FRIENDLY AND DAVID FRIENDLY HAVE A FAMILY RELATIONSHIP. LOU ADLER AND ROBERT ADLER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM AND THEN REVIEWED AND APPROVED BY MANAGEMENT. A COPY OF THE FINAL VERSION IS EMAILED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DOCUMENTS AND SIGN THEM. THESE DOCUMENTS ARE FILED WITH THE EXECUTIVE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -22,603. FORM 990, PART XII, LINE 2C NO CHANGES WERE MADE TO THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR, AS COMPARED TO THE PRIOR TAX YEAR.