2025-11-17T20:11:41-06:00 2024-12-31 770165080 MICHAEL P FISCHER CPA 65 WEST EASY ST SUITE 205 SIMI VALLEY CA 930656202 990 2024-01-01 237108154 FREE CLINIC OF SIMI VALLEY FREE 8055223733 2003 ROYAL AVE SIMI VALLEY CA 93065 FRED BAUERMEISTER EXECUTIVE DIRECTOR 8055223733 2025-11-17 1 0 MICHAEL P FISCHER P00223947 8055223771 X 2024 2025-03-06 01:10:19Z FRED BAUERMEISTER 2003 ROYAL AVENUE SIMI VALLEY CA 93065 928623 0 X WWW.FREECLINICSV.COM X 1971 CA MEDICAL, DENTAL, COUNSELING & LEGAL SERVICES FOR THE GENERAL PUBLIC 15 15 8 152 0 0 984523 772209 116894 108931 7271 8308 21397 22051 1130085 911499 0 0 0 0 303379 385556 0 0 72477 315496 293094 618875 678650 511210 232849 3211509 3443767 661 70 3210848 3443697 X TO PROVIDE MEDICAL CARE, COUNSELING, DENTAL AND LEGAL ASSISTANCE TO INDIVIDUALS AND FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. THIS INCLUDES THOSE OF ALL AGES, ETHNICITIES, RELIGIONS AND SOCIOECONOMIC BACKGROUNDS, WHO ARE UNABLE TO USE TRADITIONAL SOURCES WITHIN THE COMMUNITY 0 0 113515 23421 MEDICAL 200070 25830 FAMILY COUNSELING SERVICES 207617 51828 DENTAL SERVICES 1236 12976 LEGAL $ 3,686OPHTHALMIC $852TATTO REMOVAL $130INVESTMENT INCOME $8,308 1236 12976 522438 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 0 CA X X FRED BAUERMEISTER 8055223733 2003 ROYAL AVE SIMI VALLEY CA 93065 MAGGIE KESTLY SECRETARY 1.00 X X 0 0 0 REV RON HYRCHUK HONORARY BOARD MEMEBER 1.00 X X 0 0 0 BARRY FISHER DIRECTOR 1.00 X 0 0 0 FRED BAUERMEISTER EXECUTIVE DIRECTOR 40.00 X 109311 0 0 PHYLLIS WILSON MA MFT DIRECTOR 1.00 X 0 0 0 VINCENT DULCICH PAST PRESIDENT 1.00 X X 0 0 0 POLLY VLASSIC DIRECTOR 1.00 X 0 0 0 BJ ADERSON DIRECTOR 1.00 X 0 0 0 CURT WITEBY DIRECTOR 1.00 X 0 0 0 KELLY ANN GAINES DIRECTOR 1.00 X 0 0 0 PATRICK HYLTON VICE PRESIDENT 1.00 X X 0 0 0 TOMMI DIAZ TREASURER 1.00 X X 0 0 0 SYLVIA FOWLER DIRECTOR 1.00 X 0 0 0 DONALD REESE DIRECTOR 1.00 X 0 0 0 TOM KUDLICK DIRECTOR 1.00 X 0 0 0 JONATHAN KUROHARA MD PRESIDENT 1.00 X X 0 0 0 NATASHA SHAH DIRECTOR 1.00 X 0 0 0 109311 0 0 1 0 0 0 0 178486 124994 468729 772209 PROGRAM SERVICE FEES 624100 108931 108931 108931 8308 8308 0 178486 17124 -17124 -17124 SUBLET RENTAL INCOME 531120 39175 39175 39175 911499 117239 0 22051 109311 83077 14210 12024 248846 189123 32350 27373 27399 20823 3562 3014 112 85 15 12 40550 30817 5272 4461 41216 32662 100 8454 4872 3703 633 536 52547 39936 6831 5780 906 688 118 100 1821 1384 237 200 83178 63215 10813 9150 10749 8170 1397 1182 REPAIRS 21642 16448 5194 MEDICAL SUPPLIES 7544 7544 MEDICAL LAB FEES & WAST 5867 5867 ONLINE MEDICAL RECORDS 4517 4517 17573 14379 3003 191 678650 522438 83735 72477 610532 931660 374071 193067 2701468 406468 2202866 2295000 24040 24040 3211509 3443767 661 70 661 70 X 0 0 0 0 3210848 3443697 3210848 3443697 3211509 3443767 232849 0 X 0 0 0 X 985015 583484 448778 991794 772210 3781281 985015 583484 448778 991794 772210 3781281 3781281 3366 754 800 7271 8308 20499 3801780 0.99460 0.99710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2539099 275815 2263284 47389 27011 20378 114980 103642 11338 2295000 PART XI, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT FOR ACCRUAL TO CASH BASIS CONVERSIONS PART XII, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT FOR ACCRUAL TO CASH BASIS CONVERSIONS DEPRECIATION VARIANCE PART XII, LINE 4B - OTHER ADJUSTMENTS: DEPRECIATION VARIANCE ADJUSTMENT FOR ACCRUAL TO CASH BASIS CONVERSIONS LINE 15-OTHER ASSETS-PREPAID RENT & DUE FROM SIMI VALLEY COMMUNITY FOUNDATI OTHER ASSETS-PREPAID RENT $540 OTHER ASSETS-DUE FROM SIMI VALLEY COMMUNITY FUND $ 23,500 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION EMPLOYS AN EXECTUTIVE DIRECTOR WHO TAKES CARE OF THE DAY TO DAY OPERATIONS OF THE ORGANIZATION INCLUDING THE HIRING, THE FIRING & SUPERVISION OF EMPLOYEES, PREPARATION OF OPERTATING BUDGETS FOR APPROVAL BY THE BOARD & FINANCIAL OPERATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S OUTSIDE CPA DELIVERS THE FORM 990 TO THE ORGANIZATION'S EXECUTIVE DIRECTOR FOR THE BOARD'S REVIEW. THE EXECUTIVE DIRECTOR COMMUNICATES WITH BOARD MEMBERS AND ANY CORRECTIONS OR CHANGES ARE NOTED AND COMMUNICATED TO THE CPA. ONCE ANY REQUIRED CORRECTIONS ARE MADE A FINAL DRAFT OF THE RETURN IS SENT TO THE EXECUTIVE DIRECTOR ALONG WITH THE ELECTRONIC E-FILE AUTHORIZATION FORM. ONCE THE SIGNED E-FILE AUTHORIZATION FORM IS RECEIVED BY THE CPA, THE ORGANIZATION'S RETURN IS ELECTRONICALLY TRANSMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12 PROCEDURES TO MANAGE CONFLICTS. A. FOR EACH INTEREST DISCLOSED TO THE CHAIRMAN OF THE BOARD OF DIRECTORS, THE CHAIRMAN WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION, (B) ASSURE FULL DISCLOSURE TO THE BOARD OF DIRECTORS AND OTHER INDIVIDUALS COVERED BY THIS POLICY, (C) ASK THE PERSON TO RECUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE ORGANIZATION, OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE ORGANIZATION OR, IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE ORGANIZATIONS REMOVAL PROCEDURES. THE ORGANIZATION'S EMPLOYED EXECUTIVE DIRECTOR WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE CHAIRMAN OF THE BOARD OF DIRECTORS IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BUDGET & FINANCE COMMITTEE REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION CONTRACT FOR PRESENTATION TO AND APPROVAL BY THE FULL BOARD OF DIRECTORS. THE COMMITTEE COMPARES THE EXECUTIVE DIRECTOR'S COMPENSATION CONTRACT WITH OTHER INDUSTRY STANDARDS AND STATISTICS FROM OTHER LOCAL PUBLIC CHARITIES TO DETERMINE THE FAIR ARM'S LENGTH COMPETITIVE COMPENSATION CONTRACT. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FINANCIAL STATEMENTS AND TAX RETURN INFORMATION ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.