2024-11-13T16:20:28-06:00 2023-12-31 680037990 GILBERT CPAS 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2023-01-01 942938597 CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION CALI 4153458667 816 21ST STREET SACRAMENTO CA 95811 LISA FOLBERG CEO 4153458667 2024-11-06 1 1 JENNIFER Z IWATA P01310188 9166466464 2024-11-06 2023 2024-10-15 13:58:12Z LISA FOLBERG 816 21ST STREET SACRAMENTO CA 95811 3085788 0 X WWW.CAFPFOUNDATION.ORG X 1984 CA TO RECRUIT DIVERSE PHILANTHROPIC RESOURCES TO SUPPORT THE GOALS AND PROJECTS OF THE CALIFORNIA ACADEMY OF FAMILY PHYSICIANS. 11 11 0 20 0 0 646739 2567572 42390 66167 -203564 99830 29 25 485594 2733594 446076 1935155 0 0 0 0 0 0 0 416465 416760 862541 2351915 -376947 381679 2601834 3196899 63373 95100 2538461 3101799 X THE MISSION OF THE CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (CAFP-F) IS TO ADVANCE THE DELIVERY OF ACCESSIBLE, COMPASSIONATE AND COMPREHENSIVE HEALTH CARE TO THE PEOPLE OF CALIFORNIA BY SUPPORTING THE GOALS AND PROJECTS OF THE CALIFORNIA ACADEMY OF FAMILY PHYSICIANS AND SECURING DIVERSE PHILANTHROPIC RESOURCES TO ACCOMPLISH THOSE GOALS. 0 0 2260703 1935155 66192 THE CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION SUPPORTS MEDICAL STUDENT AND FAMILY MEDICINE ACTIVITIES SUCH AS THE FAMILY MEDICINE INTEREST GROUPS ON MEDICAL SCHOOL CAMPUSES, THE FAMILY MEDICAL SUMMIT FOR RESIDENTS, THE FUTURE FACES OF FAMILY MEDICINE PROGRAM, AND MEDICAL STUDENT RESEARCH EXTERNSHIPS. THE FOUNDATION SUPPORTS THE CALIFORNIA RESIDENCY NETWORK AND FM RESIDENTS. THE FOUNDATION ALSO FACILITATES MEETINGS AND DEVELOPS CONTINUING MEDICAL EDUCATION ACTIVITIES RELATED TO ADDRESSING A VARIETY OF CLINICAL ISSUES OF IMPORTANCE TO FAMILY PHYSICIANS. 2260703 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X THE ORGANIZATION 4153458667 816 21ST STREET SACRAMENTO CA 95811 RON LABUGUEN PRESIDENT 2.00 2.00 X X 0 0 0 IRINA DE FISCHER SECRETARY-TREASURER 2.00 X X 0 0 0 ANNA ASKARI DIRECTOR 2.00 X 0 0 0 MATTHEW VARALLO DIRECTOR 2.00 X 0 0 0 LALITA ABHYANKAR DIRECTOR 2.00 2.00 X 0 0 0 SOOMIN JUNG DIRECTOR 2.00 2.00 X 0 0 0 AMANDA HELLE DIRECTOR 2.00 2.00 X 0 0 0 PARASTOU FARHADIAN DIRECTOR 2.00 X 0 0 0 SCOTT KESSENICK DIRECTOR 2.00 X 0 0 0 THOMAS BENT DIRECTOR 2.00 X 0 0 0 VAN NGUYEN DIRECTOR 2.00 X 0 0 0 PAMELA MANN EXECUTIVE DIRECTOR 40.00 X 0 91562 3396 LISA FOLBERG CEO 2.00 40.00 X 0 304134 18673 0 395696 22069 0 0 1 0 0 141491 2392500 33581 2567572 CONTINUING MEDICAL EDU 611430 66167 66167 66167 73268 73268 378756 352194 26562 26562 26562 OTHER INCOME 611430 25 25 25 2733594 66192 0 99830 1911656 1911656 23499 23499 10382 10382 70225 55589 14636 1282 1013 269 19877 19806 71 10345 6533 3812 1500 1185 315 REIMBURSED PERSONEL EXP 208680 170146 38534 FOOD, BEVERAGE AND FACI 44580 42785 1795 OTHER OPERATING EXPENSE 23128 4125 19003 OTHER PROJECT EXPENSE 18988 18676 312 7773 5690 2083 2351915 2260703 91212 0 578585 934886 5000 2018249 2262013 2601834 3196899 63373 95100 63373 95100 X 2524411 3087215 14050 14584 2538461 3101799 2601834 3196899 381679 181659 0 X X 0 1 X 1 1 1 X 1086537 1475871 1968456 646739 2567572 7745175 1086537 1475871 1968456 646739 2567572 7745175 7745175 94242 53301 66219 70077 73268 357107 3119 29 25 3173 8105455 108557 0.95560 0.94250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE ACADEMY HAS APPLIED THE ACCOUNTING PRINCIPLES RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT THERE IS NO MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. 1 ADVENTIST HEALTH - HANFORD 115 MALL DRIVE HANFORD CA 93230 940535360 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION ADVENTIST HEALTH - TULARE 869 NORTH CHERRY STREET TULARE CA 93274 832351753 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION ALAMEDA HEALTH SYSTEM HIGHLAND HOSPITAL EMRP PO BOX 45730 SAN FRANCISCO CA 94145 943302014 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION CONTRA COSTA REGIONAL MEDICAL CENTER FMRP 2500 ALHAMBRA AVENUE MARTINEZ CA 94553 237046788 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION COUNTY OF SAN MATEOSAN MATEO PSYCH RP 2000 ALAMEDA DE LAS PULGAS SAN MATEO CA 94403 946000532 GOV 52500 0 PCRCP PROGRAMMING & PARTICIPATION EISNER HEALTH (CA HOSPITAL MEDICAL CTR FMRP) 1500 S OLIVE STREET LOS ANGELES CA 90015 951690966 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION FOURTH SECOND ONE LOVE VALLEJO MOBILE HEALTH 839 VALLE VISTA AVE VALLEJO CA 94590 843202218 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION KAISER PERMANENTE SANTA ROSA - FMRP 401 BICENTENNIAL WAY SUITE 110 SANTA ROSA CA 95403 941105628 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION KAISER SAN DIEGO FMRP 6911 CONVOY COURT SAN DIEGO CA 92111 941105628 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION KERN MEDICAL CENTER IMRP 900 TRUXTUN AVENUE SUITE 330 BAKERSFIELD CA 93301 475618278 GOV 52500 0 PCRCP PROGRAMMING & PARTICIPATION LUNDQUIST INSTITUTE - UCLA FMRP 1403 WEST LOMITA BLVD SUITE 102 HARBOR CITY CA 90710 952138184 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION LUNDQUIST INSTITUTE - UCLA IMRP 1403 WEST LOMITA BLVD SUITE 102 HARBOR CITY CA 90710 952138184 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION OLIVE VIEW-UCLA MEDICAL CENTER EMRP 14445 OLIVE VIEW DR SYLMAR CA 91342 952249539 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION POMONA VALLEY HOSPITAL MEDICAL CENTER FMRP 1770 N ORANGE GROVE AVE SUITE 201 POMONA CA 91767 951115230 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION RIO BRAVO FMRP 7800 NILES STREET BAKERSFIELD CA 93306 952707101 501C3 80800 0 PCRCP PROGRAMMING & PARTICIPATION SAN JOAQUIN GENERAL HOSPITAL FMRP 500 W HOSPITAL ROAD FRENCH CAMP CA 95231 946000531 GOV 52500 0 PCRCP PROGRAMMING & PARTICIPATION SHASTA COMMUNITY HEALTH CENTER FMRP 1035 PLACER STREET REDDING CA 96001 680165855 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION SIERRA NEVADA MEMORIAL HOSPITAL FMRP 155 GLASSON WAY GRASS VALLEY CA 95945 680005939 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION ST JOSEPH'S STOCKTON EMRP 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION UC DAVIS EMRP 1850 RESEARCH PARK DRIVE SUITE 300 DAVIS CA 95618 946036494 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION UC DAVIS FMRP 1850 RESEARCH PARK DRIVE SUITE 300 DAVIS CA 95618 946036494 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION UC SAN DIEGO FMRP 9500 GILMAN DRIVE MC 0934 LAJOLLA CA 92093 956006144 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION UC SAN DIEGO IMRP 9500 GILMAN DRIVE MC 0934 LAJOLLA CA 92093 956006144 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION UCSF FRESNO FMRP PO BOX 748872 LOS ANGELES CA 90074 946036493 501C3 52500 0 PCRCP PROGRAMMING & PARTICIPATION VENTURA COUNTY MEDICAL CENTER FMRP 300 HILLMONT AVE BLDG 340 SUITE 120 VENTURA CA 93003 464373196 GOV 26600 0 PCRCP PROGRAMMING & PARTICIPATION IPMA PO BOX 5474 MADISON WI 53705 390368317 174006 0 PCRCP PROGRAMMING & PARTICIPATION CALIFORNIA ACADEMY OF FAMILY PHYSICIANS 816 21ST STREET SACRAMENTO CA 95811 941149565 501C6 422750 0 PCRCP PROGRAMMING & PARTICIPATION 22 5 RESIDENT/STUDENT SUPPORT 41 23499 CASH RESIDENT/STUDENT SUPPORT PART I, LINE 2: THE CAFP-FOUNDATION GENERALLY USES AN APPLICATION PROCESS FOR THE SELECTION OF RECIPIENTS OF ITS GRANTS. RECIPIENTS MUST MEET THE SELECTION CRITERIA FOR THE GRANT AND ARE REQUIRED TO REPORT ON THE STATUS OF DELIVERABLES IN ACCORDANCE WITH THE GRANT AGREEMENT. 0 0 0 0 0 0 0 0 0 LISA FOLBERG CEO 0 292484 0 11650 0 0 0 2942 0 15731 0 322807 0 0 SCHEDULE J, QUESTION 3, PART I THE CEO IS PAID FROM A RELATED ORGANIZATION, CALIFORNIA ACADEMY OF FAMILY PHYSICIANS. THE RELATED ORGANIZATION USES THE FOLLOWING PROCEDURES TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO. COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL OF THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE ENTIRE BOARD IS E-MAILED WITH AN ELECTRONIC DRAFT OF THE 990 PRIOR TO FILING. THE GOVERNING BOARD HAS DEPUTIZED THE SECRETARY-TREASURER, PRESIDENT, PRESIDENT-ELECT AND IMMEDIATE PAST PRESIDENT TO REVIEW THE 990 IN DETAIL AND APPROVE FILING. FORM 990, PART VI, SECTION B, LINE 12C PERSONS COVERED BY THIS POLICY WILL ANNUALLY DISCLOSE OR UPDATE TO THE CHAIR OF THE BOARD OF TRUSTEES ON A FORM PROVIDED BY THE ORGANIZATION THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, SUCH AS A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, AND OTHER TRANSACTIONS OR AFFILIATIONS WITH BUSINESSES AND OTHER ORGANIZATIONS OF THOSE FAMILY MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND ALL EMPLOYEES ARE PAID FROM A RELATED ORGANIZATION, CALIFORNIA ACADEMY OF FAMILY PHYSICIANS. THE RELATED ORGANIZATION USES THE FOLLOWING PROCEDURES FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES: THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE ORGANIZATION'S PRESIDENT, IMMEDIATE PAST PRESIDENT , AND PRESIDENT-ELECT ON BEHALF OF THE BOARD OF DIRECTORS. KEY EMPLOYEE'S COMPENSATION AND BONUSES ARE DETERMINED BY THE CEO, PURSUANT TO BUDGETARY PARAMETERS ESTABLISHED BY THE BOARD. THIS PROCESS WAS LAST UNDERTAKEN IN 2023. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 1023, FORM 990 AND FORM 990-T, IF APPLICABLE, ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. BOARD OF TRUSTEES AND EXECUTIVE COMMITTEE MINUTES ARE KEPT IN PERPETUITY. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. CALIFORNIA ACADEMY OF FAMILY PHYSICIANS 816 21ST ST SACRAMENTO CA 95811 941149565 PROMOTION OF FAMILY MEDICINE EXCELLENCE CA 501(C)(6) N/A 0 CALIFORNIA ACADEMY OF FAMILY PHYSICIANS POLITICAL ACTION COMMITTEE 455 CAPITOL MALL SUITE 600 SACRAMENTO CA 95814 200225958 POLITICAL ACTION COMMITTEE CA 527 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 CALIFORNIA ACADEMY OF FAMILY PHYSICIANS O 208680 BY CONTRACT CALIFORNIA ACADEMY OF FAMILY PHYSICIANS P 50160 BY CONTRACT CALIFORNIA ACADEMY OF FAMILY PHYSICIANS B 422750 ACTUAL AMOUNT