HARBOR COMMUNITY BENEFIT FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HARBOR COMMUNITY BENEFIT FOUNDATION (EIN 45-2487333)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-04
IRS object ID
201331559349300238
Schema version
2012v2.0
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)
Timestamp2013-06-04T15:28:09-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RBZ LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111766 WILSHIRE BLVD NINTH FLAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90025ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN452487333EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARBOR COMMUNITY BENEFIT FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARBNameControl
Phone3109977116Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 W 6TH STREET SUITE 203AddressLine1
CitySAN PEDROCity
StateCAState
ZIP Code90731ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY SILVERSTEINName
TitleEXEC. DIRECTORTitle
Date Signed2013-06-03DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRenee OrdeneauxName
PTINP00733066PTIN
Phone3104784148Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY SILVERSTEINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 W 6TH STREET SUITE 203AddressLine1
CitySAN PEDROCity
StateCAState
ZIP Code90731ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1217940GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.HCBF.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO CARRY OUT PUBLIC BENEFIT PROJECTS THAT ASSESS, PROTECT, AND IMPROVE PUBLIC HEALTH, QUALITY OF LIFE AND THE NATURAL ENVIRONMENT, INCLUDING BUT NOT LIMITED TO NOISE MITIGATION, AIR QUALITY, HEALTH CARE, WORKFORCE DEVELOPMENT, LAND USE, AND COMMUNITY BENEFIT PROGRAMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year137575ContributionsGrantsPriorYear
Contributions Grants Current Year1217650ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2InvestmentIncomePriorYear
Investment Income Current Year290InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year137577TotalRevenuePriorYear
Total Revenue Current Year1217940TotalRevenueCurrentYear
Grants And Similar Amnts CY350000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8353SalariesEtcPriorYear
Salaries Etc Current Year195486SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7804OtherExpensePriorYear
Other Expenses Current Year245241OtherExpensesCurrentYear
Total Expenses Prior Year16157TotalExpensesPriorYear
Total Expenses Current Year790727TotalExpensesCurrentYear
Revenues Less Expenses Prior Year121420RevenuesLessExpensesPriorYear
Revenues Less Expenses CY427213RevenuesLessExpensesCY
Total Assets BOY130475TotalAssetsBOY
Total Assets EOY768174TotalAssetsEOY
Total Liabilities BOY9055TotalLiabilitiesBOY
Total Liabilities EOY219541TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY121420NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY548633NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE FOUNDATION IS TO CARRY OUT PUBLIC BENEFIT PROJECTS THAT ASSESS, PROTECT, AND IMPROVE PUBLIC HEALTH, QUALITY OF LIFE AND THE NATURAL ENVIRONMENT, INCLUDING BUT NOT LIMITED TO NOISE MITIGATION, AIR QUALITY, HEALTH CARE, WORKFORCE DEVELOPMENT, LAND USE, AND COMMUNITY BENEFIT PROGRAMS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense658298Expense
Grants350000Grants
DescriptionTo carry out public benefit projects that assess, protect, and improve public health (the health care program), quality of life (noise assessment program), and the natural environment (land usE program) of the local communities.Description
Total Program Service Expense658298TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY SILVERSTEINNamePerson
Telephone Number3109977116TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 W 6TH STREET SUITE 203AddressLine1
CitySAN PEDROCity
StateCAState
ZIP Code90731ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KATHLEEN WOODFIELD
Director2.000.00X000
DR JAMES SADD
Director2.000.00X000
PETER PEYTON
Director2.000.00X000
JESSE MARQUEZ
Secretary2.000.00X000X
SILVIA PRIETO
Treasurer2.000.00X000X
MICHELE PRICHARD
Vice President2.000.00X000X
SEAN HEChT
President2.000.00X000X
MARY SILVERSTEIN
EXEC. DIRECTOR40.000.0013253402632X
FieldValueIRS element (for citing)
Total Reportable Comp From Org132534TotalReportableCompFromOrg
Total Other Compensation2632TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1214200GovernmentGrants
All Other Contributions3450AllOtherContributions
Total Contributions1217650TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column290TotalRevenueColumn
Exclusion$290ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1217940TotalRevenueColumn
Exclusion$290ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total350000Total
Program Services350000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total132534Total
Program Services99401ProgramServices
Management And General33133ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41974Total
Program Services31481ProgramServices
Management And General10493ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8774Total
Program Services6580ProgramServices
Management And General2194ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12204Total
Program Services9153ProgramServices
Management And General3051ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total32050Total
Management And General32050ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total425Total
Management And General425ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21200Total
Management And General21200ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5167Total
Management And General5167ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12764Total
Management And General12764ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25322Total
Program Services18123ProgramServices
Management And General7199ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2991Total
Management And General2991ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2973Total
Program Services2230ProgramServices
Management And General743ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total1019Total
Management And General1019ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NOISE ASSESSMENT PROGRAM4392043920
LAND USE STUDY9741097410

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total790727Total
Program Services658298ProgramServices
Management And General132429ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY130475BOY
EOY605837EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY159323EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY3014EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY130475BOY
EOY768174EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9055BOY
EOY4416EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY215125EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9055BOY
EOY219541EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY121420BOY
EOY204963EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY343670EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121420BOY
EOY548633EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130475BOY
EOY768174EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses427213ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year137575CurrentTaxYearMinus1Year
Current Tax Year1217650CurrentTaxYear
Total1355225Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year137575CurrentTaxYearMinus1Year
Current Tax Year1217650CurrentTaxYear
Total1355225Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701355225PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year2CurrentTaxYearMinus1Year
Current Tax Year290CurrentTaxYear
Total292Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support1355517TotalSupport
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

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

FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt1217940TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1217940RevenueSubtotal
Total Revenue Per Form9901217940TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt790727TotExpensesEtcAuditedFinclStmt
Expenses Subtotal790727ExpensesSubtotal
Total Expenses Per Form990790727TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
THE CHILDRENS CLINIC
2790 ATLANTIC AVELONG BEACHCA90806951643332501(c)(3)500000FMVMITIGATE AIR POLLUTION IN WILMINGTN
LBACA A DPT OF MLLR CHLN HSP
2651 ELM AVENUE SUITE 100LONG BEACHCA90806956105984501(C)(3)889080FMVIMPROVE HLTH OF CHILDREN WTH ASTHMA
LA BIOMED RSCH INST HBR-UCLA
1124 W CARSON STTORRANCECA90502952138184501(c)(3)2030920FMVBLD PRMRY CARE PULMONOLOGY CLINIC
BUDDHIST TZU CHI MEDICAL FDN
1355 BROAD AVENUEWILMINGTONCA90744954457939501(c)(3)80000FMVHOLISTICALLY PROMOTE HEALTHY LIVING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationGRANTEES SUBMIT REPORTS DESCRIBING THEIR ACTIVITIES AND, FOR PROJECT SPECIFIC GRANTS, A FINANCIAL REPORT ON HOW THEY SPEND THE GRANT. PROGRAM ASSOCIATES USE THESE REPORTS TO DETERMINE IF THE GRANTS WERE USED FOR APPROPRIATE CHARITABLE PURPOSES AND, WHEN APPLICABLE, TO ACHIEVE THE SPECIFIC OUTCOMES IDENTIFIED IN THEIR GRANT APPLICATIONS. THROUGHOUT THE YEAR, QUARTERLY MEETINGS ARE HELD AND PROGRAM ASSOCIATES ATTEND GRANTEEE EVENTS TO CONDUCT FIELD OBSERVATIONS OF THE WORK.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, LINES 13 AND 14 - POLICIESTHE FOUNDATION IS WORKING WITH A CONSULTANT TO DEVELOP AND ESTABLISH A WHISTLE BLOWER POLICY AND A DOCUMENT RETENTION AND DESTRUCTION POLICY.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Availableupon requestForm 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE BOARD APPROVES AN OPERATING BUDGET EACH YEAR, WITH A LINE ITEM FOR PAYROLL AND BENEFITS EQUAL TO A SET AMOUNT. THIS AMOUNT INCLUDES THE EXECUTIVE DIRECTOR'S COMPENSATION PACKAGE, WHICH IS SET BY THE BOARD. THE EXECUTIVE DIRECTOR CANNOT MAKE ANY CHANGES TO HER COMPENSATION, BUT WITHIN THE REMAINING PAYROLL AND BENEFITS PORTION AS ALLOCATED BY THE BOARD, SHE HAS FULL DISCRETION TO DETERMINE WHO GETS THE REMAINING PORTIONS.TO HELP HER MAKE THAT DECISION, THE EXECUTIVE DIRECTOR LOOKS AT SALARY DATA AND INDUSTRY STANDARDS AND PREPARES A WRITTEN PERFORMANCE REVIEW OF EACH STAFF MEMBER.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD OF DIRECTORS DETERMINED THE EXECUTIVE DIRECTOR'S INITIAL SALARY BY USING A SALARY SURVEY AND BY ESTABLISHING A COMMITTEE OF 3 BOARD MEMBERS WHO CONFERRED AND RECOMMENDED AN AMOUNT FOR THE EXECUTIVE DIRECTOR'S SALARY TO THE FULL BOARD.GOING FORWARD, THE FOUNDATION WILL CONDUCT AN ANNUAL PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR AND THIS REVIEW WILL PLAY A ROLE IN THE DETERMINATION OF THE EXECUTIVE DIRECTOR'S SALARY.Form 990, Part VI, Line 15a
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FOUNDATION'S AUDIT COMMITTEE WILL REVIEW THE DRAFT OF THE FORM 990 ON BEHALF OF THE ENTIRE BOARD AND MAKE A RECOMMENDATION TO APPROVE THE RETURN AS PREPARED. HOWEVER, FOLLOWING THE AUDIT COMMITTEE'S REVIEW, THE RETURN WILL BE PRESENTED TO THE ENTIRE BOARD FOR DISCUSSION BEFORE IT IS SIGNED AND MAILED TO THE IRS.Form 990, Part VI, Line 11b

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