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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number
95-1690977
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) California Health Foundation and Trust
1215 K Street Suite 800
Sacramento,CA95814
94-1498687 501(c)(3) 2,135,101       Support charitable activities at hospitals and health systems in California
(2) National Medical Fellowships Inc
347 Fifth Avenue Suite 510
New York,NY10016
01-0963657 501(c)(3) 287,500       Primary Care Leadership Program Support and Donations
(3) Partners in Care Foundation Inc
732 Mott Street Suite 150
San Fernando,CA91340
95-3954057 501(c)(3) 50,000       Sponsorship Dinner
(4) THE UCLA FOUNDATION
10889 Wilshire Boulevard Suite 1100
1100
Los Angeles,CA90024
95-2250801 501(c)(3) 20,000       Sponsorship
(5) HOLLYWOOD CHAMBER OF COMMERCE
6255 W Sunset Blvd Ste 150
Los Angeles,CA90028
95-0838840 501(c)(6) 14,400       Event Sponsorships
(6) ALTAMED HEALTH SERVICES CORP
2040 Camfield Avenue
Los Angeles,CA90040
95-2810095 501(c)(3) 12,500       Sponsorship
(7) VALLEY PRESBYTERIAN HOSPITAL FOUNDATION
15107 Vanowen St
Van Nuys,CA91405
90-1119606 501(c)(3) 12,500       Gala and Annual Golf Classic
(8) DOLORES MISSION SCHOOL
171 S Gless St
Los Angeles,CA90033
47-4979868 501(c)(3) 10,000       Sponsorship
(9) HATHAWAY-SYCAMORES CHILD & FAMILY SVCS
100 W Walnut Street Suite 375
Pasadena,CA91124
95-1691005 501(c)(3) 10,000       Celebrating Children Sponsorship
(10) MAKE A WISH GREATER LA
11390 W Olympic Blvd Suite 300
Los Angeles,CA90064
95-4107024 501(c)(3) 10,000       2019 Hero Sponsorship
(11) AMERICAN DIABETES ASSOCIATION
2451 Crystal Drive Suite 900
Arlington,VA22202
13-1623888 501(c)(3) 7,500       Power Broker Sponsorship
(12) SOCIETY FOR PEDIATRIC UROLOGY
500 Cummings Center Suite 4400
Beverly,MA01915
58-1472879 501(c)(3) 6,000       Donation
(13) JVS SOCAL
6505 Wilshire Blvd Ste 200
Los Angeles,CA90048
95-1643388 501(c)(3) 6,000       Sponsorship
(14) Ronald McDonald House Charities of Southern California
4560 Fountain Avenue
Los Angeles,CA90029
95-3167869 501(c)(3) 500,000       Donation
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019
Page 2

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2: Grants will only be made to 501(c)(3) organizations to ensure the funds will be used properly.
Schedule I (Form 990) 2019



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