2024-11-05T16:05:19-06:00 2023-12-31 380425840 CLARK HILL PLC 500 WOODWARD AVE SUITE 3500 DETROIT MI 48226 990 2023-01-01 382682321 THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND CLAR 3138555805 3031 WEST GRAND BOULEVARD 800 DETROIT MI 48202 DAVID OZOG MD PRESIDENT/DIRECTOR 3138855805 2024-10-29 1 0 DUANE L TARNACKI P00489064 3139658300 2023 2024-10-15 13:58:12Z DAVID OZOG MD 3031 WEST GRAND BOULEVARD SUITE 800 DETROIT MI 48226 332766 0 X N/A X 1986 MI SEE ATTACHED SCHEDULE O TO BENEFIT THE HENRY FORD HOSPITAL DEPARTMENT OF DERMATOLOGY BY PROMOTING THE EDUCATION OF PHYSICIANS, RESIDENTS, OTHER MEDICAL PERSONNEL & PATIENTS. 10 6 0 0 0 0 53979 66235 0 0 15427 63952 0 0 69406 130187 0 0 0 0 0 0 0 0 0 99546 112137 99546 112137 -30140 18050 1144845 1284538 0 0 1144845 1284538 THE MISSION IS TO BENEFIT THE HENRY FORD HOSPITAL DEPARTMENT OF DERMATOLOGY BY PROMOTING THE EDUCATION OF PHYSICIANS, RESIDENTS, OTHER MEDICAL PERSONNEL & PATIENTS. 0 0 48636 RESIDENT EDUCATION/MEDICAL STAFF EXPENSES 13943 GUEST SPEAKER EXPENSES 16961 OTHER PROGRAM EXPENSES 79540 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X DAVID OZOG MD 3138855805 3031 WEST GRAND BLVD SUITE 800 DETROIT MI 48202 X HENRY W LIM MD DIRECTOR 0.50 60.00 X 0 573670 54568 DAVID M HEMPSTEAD DIRECTOR 0.50 X 0 0 0 MARK BALLE MD SECRETARY-TREASURER/DIRECT 0.50 60.00 X X 0 578719 49746 LYNN FORD ALANDT DIRECTOR 0.50 X 0 0 0 MARTHA FORD DIRECTOR 0.50 X 0 0 0 ROBERT H BLUESTEIN DIRECTOR 0.50 X 0 0 0 ELEANOR FORD DIRECTOR 0.50 X 0 0 0 WILSON LIVINGOOD DIRECTOR 0.50 X 0 0 0 DAVID OZOG MD PRESIDENT/DIRECTOR 0.50 60.00 X X 0 1041364 61027 ROBERT RINEY DIRECTOR 0.50 60.00 X 0 4467923 57039 0 6661676 222380 0 0 1 0 0 66235 66235 36110 36110 230421 202579 27842 27842 27842 130187 0 0 63952 X 9816 9816 12161 12161 BOARD/STAFF EXPENSES FO 36310 36310 MEALS 16495 16495 GUEST SPEAKER EXPENSES 13943 13943 RESIDENT EDUCATION/STAF 10855 10855 12557 1937 10620 112137 79540 32597 0 515990 585181 628855 699357 1144845 1284538 0 0 X 1144845 1284538 0 0 0 0 1144845 1284538 1144845 1284538 X 18050 121643 X 0 0 0 X X 1 HENRY FORD HEALTH SYSTEM 381357020 3 1 79540 0 1 79540 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART I, LINE 12, COLUMN V AMOUNTS INCLUDED ON THIS LINE REPRESENT PAYMENT OR REIMBURSEMENT OF MEDICAL TRAINING AND EDUCATION EXPENSES FOR DEPARTMENT OF DERMATOLOGY RESIDENTS AND FELLOWS AND PAYMENT OR REIMBURSEMENT OF EXPENSES OF GUEST SPEAKERS WHO ARE RECOGNIZED EXPERTS IN THE FIELD OF DERMATOLOGY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 ROBERT RINEY DIRECTOR 0 2165620 0 1535761 0 766542 0 27441 0 29598 0 4524962 0 0 DAVID OZOG MD PRESIDENT/DIRECTOR 0 888058 0 125363 0 27943 0 27441 0 33586 0 1102391 0 0 MARK BALLE MD SECRETARY-TREASURER/DIRECT 0 550045 0 0 0 28674 0 22491 0 27255 0 628465 0 0 HENRY W LIM MD DIRECTOR 0 554872 0 0 0 18798 0 27441 0 27127 0 628238 0 0 FORM 990, PART VI, SECTION A, LINE 2 LYNN FORD ALANDT IS THE NIECE OF MARTHA FORD. ROBERT H. BLUESTEIN IS AN INVESTMENT ADVISOR TO MARTHA FORD, LYNN FORD ALANDT, AND DAVID M. HEMPSTEAD. DAVID M. HEMPSTEAD'S LAW FIRM PROVIDES LEGAL SERVICES FOR SOME OF THE INDEPENDENT DIRECTORS (MARTHA FORD, LYNN FORD ALANDT, AND ROBERT H. BLUESTEIN). FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE TAX RETURN ARE PROVIDED TO BOARD MEMBERS AND WHEN FEASIBLE BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD OF DIRECTORS AS PART OF A PERIODIC PROCEDURE ESTABLISHED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A FOUR OF THE TEN DIRECTORS ARE EMPLOYED BY HENRY FORD HEALTH SYSTEM, A LARGE HOSPITAL AND HEALTH DELIVERY SYSTEM IN SOUTHEAST MICHIGAN, AND RECEIVE COMPENSATION FROM HENRY FORD HEALTH SYSTEM IN EXCESS OF $100,000. HOWEVER, THE DIRECTORS RECEIVE NO COMPENSATION OR BENEFITS FROM THE REPORTING ORGANIZATION. FORM 990, PART IX, LINE 24E SECRETARIAL EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,600. RESIDENT/FELLOW EXPENSE REIMBURSEMENT: PROGRAM SERVICE EXPENSES 1,471. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,471. AWARDS : PROGRAM SERVICE EXPENSES 466. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466. STATE OF MICHIGAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20. FORM 990, PART XI, LINE 9: UNREALIZED GAINS OR LOSSES 121,643. HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTH SERVICES MI 501(C)(3) PUBLIC CHARITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 HENRY FORD HEALTH SYSTEM P 1471 CASH