Medical Staff Of San Gabriel Valley Medical Center in San Gabriel, California (CA)
Table of contents:
| Medical Staff Of San Gabriel Valley Medical Center | |
| Employer Identification Number (EIN) | 262256361 |
| Name of Organization | Medical Staff Of San Gabriel Valley Medical Center |
| In Care of Name | Luong T Ly Md Inc |
| Address | 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 |
| Subsection | Civic League |
| Ruling Date | 03/2010 |
| Deductibility | Contributions are not deductible |
| Foundation | All organizations except 501(c)(3) |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 03/2014 |
| Assets | $100,000 to $499,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $107,196 |
| Amount of Income | $89,816 |
| Form 990 Revenue Amount | $89,816 |
| National Taxonomy of Exempt Entities (NTEE) | Human Services - Multipurpose and Other: Human Service Organizations - Multipurpose |
Non-representatives - add comments:
Revenue for 2013
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $47,066 | $119,418 | $93,769 |
| Contributions, gifts, grants, and similar amounts received | $0 | $0 | $0 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $46,835 | $119,272 | $93,670 |
| Investment income | $231 | $146 | $99 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $108,019 | $103,159 | $98,708 |
| Total net assets | $107,472 | $123,731 | $118,792 |
| Excess/Deficit for the year | $-60,953 | $16,259 | $-4,939 |
| Net assets or fund balances at beginning of year | $168,425 | $107,472 | $123,731 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $123,731 | $118,792 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $107,472 | $123,731 | $118,792 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $107,472 | $123,731 | $118,792 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | Not provided |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
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| 10 | Medical Staff Of San Clemente General Hospital | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | CA | 1985-10 | $49,792 |
| 11 | Medical Staff Of San Gabriel Valley Medical Center | 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | CA | 2010-03 | $89,816 |
| 12 | Medical Staff Of Santa Barbara Cottage Hospital | PO BOX 689, Santa Barbara, CA 93102-0689 | CA | 1992-11 | $251,872 |
| 13 | Medical Staff Of The El Camino Hospital | 2500 Grant Rd, Mountain View, CA 94040-4302 | CA | 1965-09 | $449,679 |
| 14 | Medical Staff Of The Garden Grove Hospital And Medical Center | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | CA | 1999-10 | $85,624 |
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| 19 | Medici Foundation | 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618-3722 | CA | 1995-11 | $445,704 |
| 20 | Medicine Arm-In-Arm Inc | 496 Paseo Del Descanso, Santa Barbara, CA 93105-2928 | CA | 2000-07 | $7,365 |



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