2023-03-28T18:46:49-05:00 2022-12-31 953001179 WINDES INC PO BOX 87 LONG BEACH CA 908010087 990 2022-01-01 952785554 COMMUNITY HOSPITAL OF LONG BEACH FOUNDATION COMM 5625066286 PO BOX 92456 LONG BEACH CA 90809 WILLIAM D'ALVIA TREASURER 5625066286 2023-03-20 1 WILLIAM DALVIA 999009999 1 DONITA M JOSEPH P00286656 5624351191 2023-03-20 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DIANE DEWALSCHE PO BOX 92456 LONG BEACH CA 90809 1531304 0 X WWW.CHLBFOUNDATION.ORG X 1972 CA TO SUPPORT, FINANCIALLY AND OTHERWISE, THE CHARITABLE PURPOSES AND ACTIVITIES OF COMMUNITY HOSPITAL OF LONG BEACH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND/OR SUCH OTHER NONPROFIT HEALTHCARE RELATED FUNDS, FOUNDATIONS OR CORPORATIONS OPERATING IN THE CITY OF LONG BEACH. 17 17 3 40 0 0 270954 13645 0 0 279632 77366 8263 3584 558849 94595 321255 941165 0 0 244713 117497 0 0 18876 101288 100480 667256 1159142 -108407 -1064547 4242144 2546648 1354 39 4240790 2546609 X TO SUPPORT, FINANCIALLY AND OTHERWISE, THE CHARITABLE PURPOSES AND ACTIVITIES OF COMMUNITY HOSPITAL OF LONG BEACH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND/OR SUCH OTHER NONPROFIT HEALTHCARE RELATED FUNDS, FOUNDATIONS OR CORPORATIONS OPERATING IN THE CITY OF LONG BEACH. 0 0 1044030 941165 THE MAIN ACTIVITY OF THE FOUNDATION WAS TO RAISE MONEY TO SUPPORT COMMUNITY HOSPITAL LONG BEACH. AS COMMUNITY HOSPITAL LONG BEACH CEASED TO EXIST AS OF OCTOBER 2021, THE ENTITY IS IN THE PROCESS OF TRANSITIONING TO A GRANT-MAKING ORGANIZATION TO BENEFIT OTHER NONPROFIT HEALTHCARE RELATED FUNDS, FOUNDATIONS OR CORPORATIONS OPERATING IN THE CITY OF LONG BEACH. 1044030 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 CA X PAMELA DINGWELL 5625066286 10401 SPRY ST NORWALK CA 90650 MATTHEW FAULKNER EXECUTIVE DIRECTOR THRU 3/2022 40.00 X X 23077 0 3360 DIANE DEWALSCHE CHAIRPERSON 1.00 X X 0 0 0 ROSS RIDDLE VICE CHAIRPERSON 1.00 X X 0 0 0 BILL D'ALVIA TREASURER 1.00 X X 0 0 0 ANDREA CABALLERO SECRETARY 1.00 X X 0 0 0 DENNIS MCCONKEY DIRECTOR 1.00 X 0 0 0 FREDY DOMINGUEZ DIRECTOR 1.00 X 0 0 0 NANCY EILERS DIRECTOR 1.00 X 0 0 0 DAVID FERNANDEZ DIRECTOR 1.00 X 0 0 0 LORIE MERRILL DIRECTOR 1.00 X 0 0 0 SUZANNE NOSWORTHY DIRECTOR 1.00 X 0 0 0 CALVIN WARREN DIRECTOR 1.00 X 0 0 0 KATHLEEN COSTELLO-PITTS DIRECTOR 1.00 X 0 0 0 ANNE CRAMER DIRECTOR 1.00 X 0 0 0 JULIE KNABE DIRECTOR 1.00 X 0 0 0 DONNY LOPICCOLO DIRECTOR 1.00 X 0 0 0 DIANE OWEN DIRECTOR 1.00 X 0 0 0 MACHELLE THOMPSON DIRECTOR 1.00 X 0 0 0 TALA BALTAZAR DIRECTOR THRU 1/2022 1.00 X 0 0 0 JANINE RANSOM DIRECTOR THRU 11/2022 1.00 X 0 0 0 RAY BURTON DIRECTOR THRU 3/2022 1.00 X 0 0 0 23077 0 3360 0 0 0 0 0 13645 13645 92711 92711 3314 3314 1404374 16990 1420473 16236 -16099 754 -15345 -15345 REFUND OF PERMIT FEES 900099 141 141 INSURANCE REFUND 900099 129 129 270 94595 0 0 80950 940165 940165 1000 1000 26437 15862 10575 81376 74052 6510 814 580 528 46 6 9104 8285 728 91 7100 7100 14940 14940 35105 35105 742 742 989 277 712 12182 7309 4873 80 80 937 937 2189 2189 RETURN OF UNUSED GRANT 20000 20000 DUES AND SUBSCRIPTIONS 3927 3927 VOLUNTEER EXPENDITURES 1416 1416 PROCESSING FEES 519 130 389 354 354 1159142 1044030 96236 18876 324862 170226 10774 2172 1755 1092 1038 2356 54 3901980 2374613 4242144 2546648 1354 39 1354 39 X 2218594 1455393 2022196 1091216 4240790 2546609 4242144 2546648 -1064547 -629634 0 X 1 X 0 1 0 X 114291 96300 111553 270954 13645 606743 114291 96300 111553 270954 13645 606743 186472 420271 105288 93852 65209 101447 96025 461821 6828 6828 -9608 -1222 269 -10561 1064831 215270 0.39470 0.43850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1019549 32977 1052526 988648 30901 1019549 933709 54939 988648 865709 68000 933709 822931 42778 865709 0 0 1092 1038 54 54 X PART V, LINE 4: THE ENDOWMENT FUNDS HAVE BEEN ESTABLISHED TO SUPPORT THE CANCER TREATMENT CENTER, MEDICAL EDUCATION AND FOUNDATION OPERATIONS. PART X, LINE 2: FIN 48: THE FOUNDATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). THE FOUNDATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF TAX POSITIONS, SUCH AS FILING STATUS OF TAX-EXEMPT, ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE FOUNDATION IS SUBJECT TO POTENTIAL INCOME TAX AUDITS ON OPEN TAX YEARS BY ANY TAXING JURISDICTION IN WHICH IT OPERATES. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. 1 PANCREATIC CANCER ACTION NETWORK 1500 ROSECRANS AVE 200 MANHATTAN BEACH CA 90266 330841281 501(C)(3) 0 939165 TO PROVIDE AID FOR PANCREATIC CANCER RESEARCH. 1 PART I, LINE 2: THE FOUNDATION INQUIRES OF PROGRAM AND PROJECT UPDATES FROM THE ADMINISTRATION AT COMMUNITY HOSPITAL LONG BEACH. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990. A DRAFT 990 IS REVIEWED BY THE AUDIT COMMITTEE. ANY CHANGES OR QUESTIONS ARE THEN FORWARDED TO THE PREPARER OF THE 990 SO THEY MAY UPDATE THE RETURN. BEFORE THE FINAL COPY IS FILED WITH THE IRS, THE FORM 990 IS DISTRIBUTED TO AND REVIEWED BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE HOW THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. CONFLICT OF INTEREST POLICIES ARE DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS IN ORDER TO DETERMINE IF ANY NEW CONFLICTS HAVE ARISEN IN THE CURRENT YEAR. UPON THE IDENTIFICATION OF ANY CONFLICTS, THE CHAIRMAN AND THE BOARD DETERMINES THE BEST WAY TO PROCEED. FORM 990, PART VI, SECTION B, LINE 15 DESCRIBE THE PROCESS USED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S OFFICERS, EXECUTIVES, AND EMPLOYEES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND DEVELOPMENT DIRECTOR AND IS TASKED WITH THE EMPLOYEE REVIEW PROCESS. THE COMPENSATION PROCESS WAS LAST COMPLETED IN AUGUST 2021 FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE HOW THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 MAY EITHER BE ACCESSED ON WWW.GUIDESTAR.ORG OR VIEWED UPON REQUEST AT THE ORGANIZATION'S OFFICE. THE DETERMINATION LETTER, GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST POLICY MAY BE VIEWED UPON REQUEST AT THE ORGANIZATION'S ADDRESS.