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Nonprofiteer
← LA CLINICA VALLEJO GEORGIA STREET PROPERTY OWNER

Form 990 for tax year 2023

Filed by LA CLINICA VALLEJO GEORGIA STREET PROPERTY OWNER.

Totals

Total revenue
$230,582
Total expenses
$805,690
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$230,004
Investment income
$578
Other revenue
$0
Total assets, end of year
$23,474,749
Total liabilities, end of year
$17,049,914
Net assets or fund balances, end of year
$6,424,835
Program services expenses (Part IX)
$795,860
Management and general expenses
$9,830
Fundraising expenses
$0
Program service expenses (Part III)
$795,860

Program services were 98.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: RENTAL INCOME - LA CLI

    total $230,004 · related or exempt $230,004

  • 3 · Investment income

    total $578 · excluded $578

Functional expenses

Part IX, the statement of functional expenses.

  • 20 · Interest

    total $175,500 · program services $175,500

  • 22 · Depreciation, depletion and amortization

    total $599,342 · program services $599,342

  • 24a · Other expenses: AMORT OF ISSUANCE COSTS

    total $21,018 · program services $21,018

  • 24b · Other expenses: BORROWER FEES

    total $6,794 · management and general $6,794

  • 24c · Other expenses: WIRE TRANSFER FEES

    total $3,036 · management and general $3,036

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $458,266 · end of year $479,238

  • 10a · Land, buildings and equipment: cost or other basis

    $24,793,538

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,798,027

  • 10c · Land, buildings and equipment, net

    beginning of year $23,601,648 · end of year $22,995,511

  • 17 · Accounts payable and accrued expenses

    beginning of year $26,758 · end of year $14,850

  • 19 · Deferred revenue

    beginning of year $19,167 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $17,014,046 · end of year $17,035,064

  • 27 · Net assets without donor restrictions

    beginning of year -$833,205 · end of year -$1,408,313

  • 28 · Net assets with donor restrictions

    beginning of year $7,833,148 · end of year $7,833,148

Mission and programs · 2023

Mission

THE CORPORATION IS ORGANIZED FOR THE PURPOSE OF SUPPORTING THE CHARITABLE ACTIVITIES OF LA CLINICA DE LA RAZA, INC., A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, INCLUDING LA CLINICA DE LA RAZA'S PROPOSED HEALTH CLINIC IN SOLANO COUNTY, CALIFORNIA AND SERVING AS A QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS, AS SUCH TERM IS DEFINED IN SECTION 45D OF THE INTERNAL REVENUE CODE.

Activities or mission (Part I)

TO SUPPORT LA CLINICA THROUGH FINANCING THE CONSTRUCTION OF A HEALTH CARE FACILITY IN VALLEJO, CA.

  • THE ORGANIZATION SUPPORTS THE CHARITABLE ACTIVITIES OF LA CLINICA DE LA RAZA ("SUPPORTED ORGANIZATION") BY FINANCING THE CONSTRUCTION OF, AND LEASING TO ITS SUPPORTED ORGANIZATION, A 26,000 SQUARE FOOT TWO-STORY MODERN, STATE-OF-THE-ART INTEGRATED HEALTH CARE FACILITY IN DOWNTOWN VALLEJO.

    Expenses $795,860 · Revenue $230,004

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Robert Calvin Katter

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Christopher Ohman

    VICE - PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Aisha Hampton-Bowser

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Paul Marriott Swenson MBA

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Ramon Terrazas MD MPH

    IMMEDIATE PAST CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sophia Bucheli

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jon Elam

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Maria De Los Angeles Espinoza

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Alvaro Fuentes

    INDEPENDENT DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Blanca Gomez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Norma Guadalupe Guerrero

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Yvonne Hudson Harmon

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jo Ann Intili

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Emily Prieto Tseregounis PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tina Raine-Bennett MD MPH Facog

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jane Garcia

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $761,724
    From this org
    $0
    From related orgs
    $710,414
    Other
    $51,310
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $633,999 related
    Bonus
    $0 + $56,300 related
    Other
    $0 + $20,115 related
    Deferred
    $0 + $36,610 related
    Nontaxable benefits
    $0 + $14,700 related
    Filer's total
    $0 + $761,724 related

  • Kanwar Singh

    CHIEF FINANCIAL OFFICER

    Total calculated
    $308,352
    From this org
    $0
    From related orgs
    $306,472
    Other
    $1,880
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,472 related
    Bonus
    $0 + $6,000 related
    Other
    $0
    Deferred
    $0 + $1,880 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $308,352 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S CEO IS COMPENSATED BY LA CLINICA DA LA RAZA, INC., A RELATED ORGANIZATION. LA CLINICA DE LA RAZA, INC. UTILIZED THE FOLLOWING METHODS TO DETERMINE THE CEO'S COMPENSATION: COMPENSATION SURVEY OR STUDY; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
JANE GARCIA PARTICIPATES IN A SUPPLEMENTAL, NONQUALIFIED 457(F) RETIREMENT PLAN PROVIDED THROUGH LA CLINICA DE LA RAZA, INC., A RELATED ORGANIZATION. DURING THE 2023 CALENDAR YEAR, EMPLOYER CONTRIBUTIONS TO THE PLAN TOTALED $10,750, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). THERE WERE NO DISTRIBUTIONS OR AMOUNTS TREATED AS TAXABLE COMPENSATION DUE TO SUBSTANTIAL RISK OF FORFEITURE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202531349349307503

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