2015-11-16T12:46:25-06:00 2014-12-31 463462919 KKAJ LLP 27200 TOURNEY ROAD STE 475 VALENCIA CA 91355 990PF 2014-01-01 951643337 BURBANK HEALTH CARE FOUNDATION BURB 8186343281 C/O 200 W MAGNOLIA BLVD BURBANK CA 91502 RANDY STEVENSON TREASURER 8186343281 2015-11-18 1 ROBERT N JENSEN JR P00123887 6617054222 2015-11-18 2014 2016-04-25 22:37:26Z X 5091522 X X 261070 261070 -197601 3554888 40643 79030 79030 142499 380743 0 0 0 963 193 770 16200 3240 12960 68689 13738 54951 3045 0 0 11350 2270 9080 10705 2141 8564 110952 21582 86325 135940 135940 246892 21582 222265 -104393 359161 290429 177221 177221 62 4904280 4914301 4914301 5194771 5091522 5091522 1144 0 1144 X 0 0 0 0 5194771 5090378 5194771 5090378 5194771 5091522 5194771 -104393 0 5090378 0 5090378 WELLS FARGO SECURITIES (VARIOUS TRANSACTIONS) P 2013-01-01 2014-07-01 3546578 3514245 32333 32333 CAMPBELL STRATEGIC ALLOCATION FUND P 2014-01-01 2014-07-01 8310 8310 8310 40643 0 265052 4879684 0.054317 211703 4645369 0.045573 260276 4726625 0.055066 176457 4828310 0.036546 291293 4297505 0.067782 0.259284 0.051857 4942122 256284 3592 259876 222265 7183 0 7183 0 7183 3390 3390 16 3809 0 0 0 0 0 0 0 0 0 0 1 1 CA 1 0 0 0 0 1 WWW.BURBANKHCF.ORG GERI HERNANDEZ 8185592423 200 W MAGNOLIA BLVD BURBANK CA 91502 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GARY OLSON 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 SUNDER RAMANI 200 W MAGNOLIA BLVD BURBANK CA 91502 VICE-CHAIRMAN 1.00 0 0 0 RANDY STEVENSON 200 W MAGNOLIA BLVD BURBANK CA 91502 TREASURER 1.00 0 0 0 DR KEITH EMMONS 200 W MAGNOLIA BLVD BURBANK CA 91502 CHAIRMAN 1.00 0 0 0 TJ BAPTIE 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 DR JAMES FELONY 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 DR BOYD FLINDERS 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 SUE GEORGINO 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 MARSHA JACKSON 200 W MAGNOLIA BLVD BURBANK CA 91502 SECRETARY 1.00 0 0 0 CONNIE LACKEY 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 TOMME LENZ 200 W MAGNOLIA BLVD BURBANK CA 91502 MEMBER OF THE BOARD 1.00 0 0 0 NONE 0 NONE 0 0 4856391 297460 0 5153851 0 0 5153851 211729 4942122 247106 247106 7183 7183 239923 0 239923 0 239923 222265 0 222265 0 222265 239923 192440 0 0 222265 192440 0 0 29825 0 0 0 0 0 0 0 0 210098 0 0 0 BURBANK HEALTH CARE FOUNDATION C/O 200 MAGNOLIA BLVD BURBANK CA 91502 8185592423 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 GENERALLY NOV. 1ST & NOV. 30TH EACH YEAR, AS APPLICABLE PER TYPE UNLESS BOARD DETERMINES OTHERWISE GRANTS ARE MADE TO ORGANIZATIONS THAT PROMOTE AND PROVIDE FOR BETTER HEALTH CARE IN THE CITY OF BURBANK UNIVERSITY OF CALIFORNIA LOS ANGELES 405 HILGARD AVENUE LOS ANGELES CA 90095 NONE NON PROFIT SCHOOL SCHOLARSHIP 25000 UNIVERSITY OF CALIFORNIA IRVINE 260 ALDRICH HALL IRVINE CA 92697 NONE NON PROFIT SCHOOL SCHOLARSHIP 5000 GLENDALE COMMUNITY COLLEGE 1500 N VERDUGO GLENDALE CA 91208 NONE NON PROFIT SCHOOL SCHOLARSHIP 4500 UNIVERSITY OF CALIFORNIA UNIVERSITY PARK CAMPUS LOS ANGELES CA 90089 NONE NON PROFIT SCHOOL SCHOLARSHIP 16500 LOS ANGELES VALLEY COLLEGE 5800 FULTON AVENUE VALLEY GLEN CA 91401 NONE NON PROFIT SCHOOL SCHOLARSHIP 1500 CALIFORNIA STATE UNIVERSITY LOS ANGELES 5151 STATE UNIVERSITY DRIVE LOS ANGELES CA 90032 NONE NON PROFIT SCHOOL SCHOLARSHIP 1500 UNIVERSITY OF PITTSBURGH 4200 FIFTH AVENUE PITTSBURGH PA 15260 NONE NON PROFIT SCHOOL SCHOLARSHIP 7500 CALIFORNIA STATE UNIVERSITY LONG BEACH 1250 BELLFLOWER BLVD LONG BEACH CA 90840 NONE NON PROFIT SCHOOL SCHOLARSHIP 1500 SPECIAL OLYMPICS 1133 19TH STREET NW 12TH FLOOR WASHINGTON DC 20036 NONE PC GRANT 2500 USC VERDUGO HILLS HOPSITAL 1812 VERDUGO BLVD GLENDALE CA 91208 NONE PC GRANT 3440 BCR 230 AMHERST DRIVE BURBANK CA 91504 NONE PC GRANT 5000 PROVIDENCE ST JOSEPH FOUNDATION 501 S BUENA VISTA STREET BURBANK CA 91505 NONE PC GRANT 62000 135940 0 261070 79030 -197601 0 0 142499 142499 4 ALLOWED FOR THE TIMELY PAYMENT OF CHARITABLE GRANTS 7 ALLOWED FOR THE TIMELY PAYMENT OF CHARITABLE GRANTS 8 AIDED IN PERFORMING TIMELY REVIEWS AND TIMELY PAYMENTS OF GRANTS 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 16200 3240 12960 THE BURBANK HEALTH CARE FOUNDATION ESTIMATES IT WILL USE $211,729 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. WELLS FARGO SECURITIES FMV 4914301 4914301 LEGAL 963 193 770 INSURANCE 5015 1003 4012 MISCELLANEOUS 5690 1138 4552 FORM K-1 NET TAXABLE INCOME 79030 79030 79030 INVESTMENT FEES 40190 8038 32152 ADMINISTRATIVE 28499 5700 22799 TAXES 3045 0 0