FRIENDS OF THE LOS ANGELES FREE CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FRIENDS OF THE LOS ANGELES FREE CLINIC (EIN 95-3433824)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-15
IRS object ID
201440489349300939
Schema version
2012v2.1
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)
Timestamp2014-02-15T12:22:13-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN951777440EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GREEN HASSON & JANKS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110990 WILSHIRE BLVD 16TH FLOORAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953433824EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF THE LOS ANGELES FREE CLINICBusinessNameLine1
Business Name Line2DBA FRIENDS OF THE SABAN FREE CLINICBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone3233371707Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18405 BEVERLY BOULEVARDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY BUJERName
TitleCEOTitle
Phone3233371707Phone
Date Signed2014-02-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD L RUVELSONName
PTINP00234075PTIN
Phone3108731600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFREY BUJERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18405 BEVERLY BOULEVARDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6183895GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THESABANFREECLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO RAISE FUNDS FOR THE SABAN FREE CLINICActivityOrMissionDescription
Nbr Voting Members Governing Body43NbrVotingMembersGoverningBody
Nbr Independent Voting Members43NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1827597ContributionsGrantsPriorYear
Contributions Grants Current Year1636154ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year599176InvestmentIncomePriorYear
Investment Income Current Year1022025InvestmentIncomeCurrentYear
Other Revenue Prior Year43080OtherRevenuePriorYear
Other Revenue Current Year-13834OtherRevenueCurrentYear
Total Revenue Prior Year2469853TotalRevenuePriorYear
Total Revenue Current Year2644345TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2010309GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2023412GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18688TotalFundrsngExpCurrentYear
Other Expense Prior Year185613OtherExpensePriorYear
Other Expenses Current Year98153OtherExpensesCurrentYear
Total Expenses Prior Year2195922TotalExpensesPriorYear
Total Expenses Current Year2121565TotalExpensesCurrentYear
Revenues Less Expenses Prior Year273931RevenuesLessExpensesPriorYear
Revenues Less Expenses CY522780RevenuesLessExpensesCY
Total Assets BOY12983001TotalAssetsBOY
Total Assets EOY12873423TotalAssetsEOY
Total Liabilities BOY550009TotalLiabilitiesBOY
Total Liabilities EOY1480TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12432992NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12871943NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2023412Expense
Grants2023412Grants
DescriptionFUNDRAISING:DONATED $2,023,412 TO SABAN FREE CLINIC FOR GENERAL SUPPORT OF THE CLINIC'S SERVICES AND MORTGAGE OF CLINIC FACILITY.Description
Total Program Service Expense2023412TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members43NbrVotingGoverningBodyMembers
Number Independent Voting Members43NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MURIEL NOUWEZEMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3233371707TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18405 BEVERLY BOULEVARDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LOU ADLER
BOARD DIRECTOR1.00X000
ROBERT ADLER
BOARD DIRECTOR1.00X000
KENNETH A AUGUST
BOARD DIRECTOR1.00X000
IRVING AZOFF
BOARD DIRECTOR1.00X000
MARILYN BARRETT JD
BOARD DIRECTOR1.00X000
LLOYD BRAUN
BOARD DIRECTOR1.00X000
BARBARA CORDAY
BOARD DIRECTOR1.00X000
SAM FISCHER ESQ
BOARD DIRECTOR1.00X000
ROB FRIEDMAN
BOARD DIRECTOR1.00X000
ANDY FRIENDLY
BOARD DIRECTOR1.00X000
DAVID T FRIENDLY
BOARD DIRECTOR1.00X000
MARC GRABOFF
BOARD DIRECTOR1.00X000
ROBERT GREENBLATT
BOARD DIRECTOR1.00X000
TED HARBERT
BOARD DIRECTOR1.00X000
MARTHA HENDERSON
BOARD DIRECTOR1.00X000
ELLEN HOBERMAN
BOARD DIRECTOR1.00X000
TOM HOBERMAN
BOARD DIRECTOR1.00X000
AARON KAPLAN
BOARD DIRECTOR1.00X000
JASON KAPLAN
BOARD DIRECTOR1.00X000
WARREN LITTLEFIELD
BOARD DIRECTOR1.00X000
MICHAEL LOMBARDO
BOARD DIRECTOR1.00X000
HOWARD C MANDEL MD FACOG
BOARD DIRECTOR1.00X000
BARBARA MARSHALL RN
BOARD DIRECTOR1.00X000
FAYE MILLER
BOARD DIRECTOR1.00X000
LESLIE MOONVES
BOARD DIRECTOR1.00X000
DAVID NOCHIMSON
BOARD DIRECTOR1.00X000
KARL A PETTIJOHN
BOARD DIRECTOR1.00X000
LOU PITT
BOARD DIRECTOR1.00X000
MICHAEL PLONSKER
BOARD DIRECTOR1.00X000
BRUCE ROSENBLUM
BOARD DIRECTOR1.00X000
PETER ROTH
BOARD DIRECTOR1.00X000
HENRY SHIELDS JR ESQ
BOARD DIRECTOR1.00X000
ERIC SIEGEL
BOARD DIRECTOR1.00X000
DON SPETNER
BOARD DIRECTOR1.00X000
MARCIA STEERE
BOARD DIRECTOR1.00X000
CORI WELLINS LAGAO
BOARD DIRECTOR1.00X000
BARBARA YAROSLAVSKY
BOARD DIRECTOR1.00X000
PETER BENEDEK
PRESIDENT4.00X000X
DANA WALDEN
IMMEDIATE PAST PRESIDENT2.00X000X
KEVIN REILLY
1ST VICE PRESIDENT2.00X000X
RICHARD WEITZ
2ND VICE PRESIDENT2.00X000X
JORDAN LEVIN
TREASURER2.00X000X
STEVEN MARENBERG
SECRETARY2.00X000X
JEFFEREY BUJER
CEO2.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events1636154FundraisingEvents
Total Contributions1636154TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column486656TotalRevenueColumn
Exclusion$486,656ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3843544Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3308175Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities535369Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column535369TotalRevenueColumn
Exclusion$535,369ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events134741GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1636154CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses204870FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-70129TotalRevenueColumn
Exclusion-$70,129ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming82800GrossIncomeGaming
Gaming Direct Expenses26505GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column56295TotalRevenueColumn
Exclusion$56,295ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2644345TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,008,191ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2023412Total
Program Services2023412ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13125Total
Management And General13125ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total36586Total
Management And General36586ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34169Total
Management And General18898ManagementAndGeneral
Fundraising15271Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2987Total
Management And General70ManagementAndGeneral
Fundraising2917Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total611Total
Management And General402ManagementAndGeneral
Fundraising209Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionLICENSES/PERMITS/TAXESDescription
Total238Total
Management And General196ManagementAndGeneral
Fundraising42Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10437Total
Management And General10188ManagementAndGeneral
Fundraising249Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2121565Total
Program Services2023412ProgramServices
Management And General79465ManagementAndGeneral
Fundraising18688Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2163468BOY
EOY1821972EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY215383BOY
EOY145939EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY310297BOY
EOY119739EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY8144EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7500BOY
EOY9030EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9270508BOY
EOY9648434EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1015845BOY
EOY1120165EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12983001BOY
EOY12873423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11830BOY
EOY1480EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY538179BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY550009BOY
EOY1480EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY898704BOY
EOY881288EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11534288BOY
EOY11353560EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY637095EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12432992BOY
EOY12871943EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12983001BOY
EOY12873423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses522780ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-89175ReconciliationUnrealizedInvest
Reconcilation Other Changes5346ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1735033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1380209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1646004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1870677CurrentTaxYearMinus1Year
Current Tax Year1636154CurrentTaxYear
Total8268077Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1735033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1380209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1646004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1870677CurrentTaxYearMinus1Year
Current Tax Year1636154CurrentTaxYear
Total8268077Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1532756AmountsSubstContributorsTotal
Public Support Total1706735321PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years270210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years345213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years405868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year364704CurrentTaxYearMinus1Year
Current Tax Year486656CurrentTaxYear
Total1872651Total
FieldValueIRS element (for citing)
Total Support10140728TotalSupport
Gross Receipts From Admissions Etc1166796GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.66420PublicSupportPertcentage170
Public Support Pertcent Prior Year0.64760PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance860080BeginningOfYearBalance
Investment Earnings Or Losses101572InvestmentEarningsOrLosses
Other Expenditures57256OtherExpenditures
End Of Year Balance904396EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11888348BeginningOfYearBalance
Contributions25241Contributions
Investment Earnings Or Losses19736InvestmentEarningsOrLosses
Other Expenditures499037OtherExpenditures
End Of Year Balance11434288EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10868944BeginningOfYearBalance
Contributions164518Contributions
Investment Earnings Or Losses1360973InvestmentEarningsOrLosses
Other Expenditures506087OtherExpenditures
End Of Year Balance11888348EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11242401BeginningOfYearBalance
Contributions18954Contributions
Investment Earnings Or Losses977994InvestmentEarningsOrLosses
Other Expenditures1370405OtherExpenditures
End Of Year Balance10868944EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13084378BeginningOfYearBalance
Investment Earnings Or Losses-299829InvestmentEarningsOrLosses
Other Expenditures1542148OtherExpenditures
End Of Year Balance11242401EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.70000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.30000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionALTERNATIVE INVESTMENTSDescription
Book Value1120165BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1120165TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt2532418TotRevenueEtcAuditedFinclStmt
Other Revenues-89175OtherRevenues
Revenue Not Rptd F990-89175RevenueNotRptdF990
Revenue Subtotal2621593RevenueSubtotal
Investment Expenses Not Included36586InvestmentExpensesNotIncluded
Other Revenues Not Included-13834OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt22752RevenueNotRptdOnFinStmt
Total Revenue Per Form9902644345TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2093467TotExpensesEtcAuditedFinclStmt
Other Expenses Included8488OtherExpensesIncluded
Expenses Not Rptd F9908488ExpensesNotRptdF990
Expenses Subtotal2084979ExpensesSubtotal
Investment Expenses Not Included236586InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt36586ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902121565TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS -89,175.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -13,834.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -5,346. SPECIAL EVENT EXPENSES 13,834.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedALTERNATIVE INVESTMENTSTypeOfActivitiesConducted
Total Expenditures1120000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1120000SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent1120000TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION DID NOT MEET THE FILING REQUIREMENTS FOR FORM 5471.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL DINNERNameOfEvent1
Gross Receipts Event11542964GrossReceiptsEvent1
Charitable Contributions Event11459630CharitableContributionsEvent1
Gross Revenue Event183334GrossRevenueEvent1
Non Cash Prizes Event1830NonCashPrizesEvent1
Rent Facility Costs Event186523RentFacilityCostsEvent1
Food And Beverage Event123016FoodAndBeverageEvent1
Entertainment Event110000EntertainmentEvent1
Other Direct Expenses Event133094OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2227931GrossReceiptsEvent2
Charitable Contributions Event2176524CharitableContributionsEvent2
Gross Revenue Event251407GrossRevenueEvent2
Non Cash Prizes Event28505NonCashPrizesEvent2
Rent Facility Costs Event225000RentFacilityCostsEvent2
Food And Beverage Event212279FoodAndBeverageEvent2
Other Direct Expenses Event25623OtherDirectExpensesEvent2
Gross Receipts Total1770895GrossReceiptsTotal
Charitable Contributions Total1636154CharitableContributionsTotal
Gross Revenue Total Events134741GrossRevenueTotalEvents
Non Cash Prizes Total Events9335NonCashPrizesTotalEvents
Rent Facility Costs Total Events111523RentFacilityCostsTotalEvents
Food And Beverage Total Events35295FoodAndBeverageTotalEvents
Entertainment Total Events10000EntertainmentTotalEvents
Other Direct Expenses Total Events38717OtherDirectExpensesTotalEvents
Direct Expense Summary Events204870DirectExpenseSummaryEvents
Net Income Summary-70129NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming82800GrossRevenueOtherGaming
Cash Prizes Other Gaming25000CashPrizesOtherGaming
Other Direct Expenses Other Gaming1505OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming82800GrossRevenueTotalGaming
Cash Prizes Total Gaming25000CashPrizesTotalGaming
Other Direct Expenses Total Gaming1505OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming26505DirectExpenseSummaryGaming
Net Gaming Income Summary56295NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonLENNA POULATIANDEBORAH FOGELMANNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line18405 BEVERLY BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Charitable Distrib Required1CharitableDistribRequired
Amount Distributed56295AmountDistributed

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE SABAN FREE CLINICBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18405 BEVERLY BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient952539105EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant2023412AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantMORTGAGE FOR CLINIC FACILITY, AND GENERAL OPERATING SUPPORT.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION PROVIDES SUPPORT TO THE SABAN FREE CLINIC, WHICH IS A PUBLIC CHARITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2ELLEN 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 11FORM 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 12CANNUALLY, 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:BAD DEBT EXPENSE 5,346.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CNO CHANGES WERE MADE TO THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR, AS COMPARED TO THE PRIOR TAX YEAR.FINANCIAL STATEMENTS AND REPORTING

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