SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
THE LOS ANGELES FREE CLINIC
 
Employer identification number

95-2539105
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTE IS COMPOSED OF 1) ROBERT BRODER, CO-CHAIR 2) RUSSELL ALEXANDER-OROZCO, CO-CHAIR 3) ANGELA JONES, VICE CHAIR 4) JOANNE DIETCH, SECRETARY 5) MICHAEL ZIERING, TREASURER
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM AND THEN REVIEWED AND APPROVED BY THE CEO AND INTERIM CEO. WHEN THE CEO AND COO/CFO HAVE COMPLETED THEIR REVIEW, THE RETURN IS PRESENTED TO THE FULL BOARD OF DIRECTORS BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DOCUMENTS AND SIGN THEM. THESE DOCUMENTS ARE FILED WITH THE EXECUTIVE OFFICE. ANY CONFLICTS THAT SHOULD ARISE ARE REVIEWED BY THE BOARD EXECUTIVE COMMITTEE OR THE CORPORATTE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE THAT FUNCTIONS AS A COMPENSATION COMMITTEE WHICH HIRES AN INDEPENDENT CONSULTANT. THIS CONSULTANT PERFORMS SALARY SURVEYS FOR THE CHIEF EXECUTIVE OFFICER(S) AND OTHER KEY EMPLOYEES INDEPENDENTLY, WITHOUT PARTICIPATION OF INTERESTED PERSONS. THE COMPENSATION IS BASED UPON THESE SALARY SURVEYS AND SUBJECT TO BOARD APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -114,860.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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