throbber
efile GRAPHIC rint - DO NOT PROCESS
`
`
`OMB ”° 15“5'°°“7
`Return of Organization Exempt From Income Tax
`M990
`Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 1 2
`"5
`benefit trust or private foundation)
`Department of the Treasury
`Open to Public
`lntemal Revenue Service
`I-The organization may have to use a copy of this return to satisfy state reporting requirements
`Inspection
`
`
`
`
`
`
`
`
`
`
`
`
`D Employer identification number
`
`95-3435919
`
`, 2012, and ending 09-30-2013
`A For the 2012 calendar year, or tax year beginning 10-01-2012
`C Name of organization
`
`City of Hope
`
`
`
`
` Doing Business As
`
`3 check If apphcable
`I— Address change
`I_ Name change
`I
`t
`I
`t
`|— '1'
`'3 IE um
`I_ Terminated
`I— Amended retum
`
`
`
`
`1055 Wllshire Blvd
`E Telephone number
`Number and street (or P 0 box if mail is not delivered to street address) Room/suite
`
`
`
`(626)930-5445
`5”"e
`
`
`City or town, state or country, and ZIP + 4
`
`
`Los Angeles, CA 90017
`G Gross receipts $ 613,467,135
`
`H(a) 15 thls a group return for
`affiliates?
`
`
`
`I—YesI7No
`
`I_ AppI'Cat'°” pendmg
`
`F Name and address of principal officer
`R°be"t 5t°”e
`1500 East Duarte Road
`
`
`
`Duarte’ CA 91010
`I Tax-exempt status
`
` I7 501(c)(3) I_ 501(c)( )1 (insen no)
`
`J Website: h- wwwcltyofhope org
`
`K Form of organization I7 Corporation I_ Trust I_ Association I_ other H
`Pa rt I
`Sum ma ry
`1 Briefly describe the organization's mission or most significant activities
`City ofHope raises money to support research and clinical care in a way that allows innovative exchange ofknowledge and ideas,
`
`
`inhel s eed the time from initial ideas to new treatments See Sch 0
`
`H03) Are all affiliates inc|uded?I— Yes I_ No
`If"No," attach a list (see instructions)
`
`H(c) Group exemption number I'-
`
`L Year of formation 1980
`
`M State of legal domicile CA
`
`I’ 4947(a)(1) or I’ 527
`
`§E= E
`
`L5
`
`E
`2
`E
`d:
`
`%
`E
`I:
`
`Q
`E
`3
`
`2 Check this box D-I‘ if the organization discontinued its operations or disposed of more than 25% ofits net assets
`
`3 Number ofvoting members ofthe governing body (PartVI, line la)
`4 Number oflndependent voting members ofthe governing body (PartVI, line lb)
`5 Total number oflndlviduals employed in calendar year 2012 (Part V, line 2a)
`.
`6 Total number ofvolunteers (estimate ifnecessary)
`7aTotalunre|ated business revenue from PartVIII,column (C),|lne 12
`bNet unrelated business taxableincome from Form 990—T,line 34
`
`.
`.
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`.
`.
`
`.
`
`.
`
`.
`
`.
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`
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`3
`. E
`. E
`. 3
`.
`.
`
`15
`15
`214
`10,000
`—113,132
`-113,132
`Current Year
`122,465,764
`.
`. 0
`.
`19,024,515
`248,194,989
`
`Contributions and grants (PartVIII,|lne 1h)
`Program service revenue (PartVIII,llne 2g)
`Investmentlncome (PartVIII,column (A),llnes 3,4,and 7d )
`Other revenue (PartVIII,co|umn(A),llnes 5,6d,Bc,9c,10c,and11e)
`Total revenue—add lines 8 through 1 1 (must equal Part VIII, column (A), line
`12)
`322,529,307
`Grants and slmllaramounts paid(PartIX,column(A),|lnes 1-3)
`.
`211,168,997
`Benefits paid to orformembers (PartIX,column (A),llne 4)
`. 0
`Salaries, other compensation, employee benefits (Part IX, column (A), lines
`5_1o)
`23,492,347
`Professionalfundraising fees (PartIX,column(A),line 11e)
`.
`Total fundraising expenses (Part D(, column (D),
`line 25) I*19r753I477
`Otherexpenses(PartIX,co|umn(A),|lnes 11a—11d,11f—24e)
`.
`Totalexpenses Add lines 13-17 (must equalPartIX,column (A),llne 25)
`Revenue less expenses Subtract line 18 from line 12
`
`.
`
`
`
`389,685,268
`
`22,647,595
`3,234,243
`
`17,994,061
`255,044,896
`134,640,372
`End of Year
`798,389,825
`25,754,751
`772,635,074
`
`33
`fig
`Totalassets (PartX,|lne 16)
`3g 20
`Total Ilabllltles (Part x, line 26)
`53 21
`Net assets orfund balances Subtract line 21 from line 20
`33 22
`Signature Block
`Part II
`Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
`my knowledge and belief, it is true, correct, and complete Declaration ofpreparer (other than officer) is based on all information ofwhich
`preparer has any knowledge
`
`Year
`
`.
`
`
`
`******
`Signature of officer
`RICHARD MAGNUSON CFO
`
`2014-08-11
`Date
`
`Mylan v. Genentech
`y an V,
`enentech
`PTIN
`Date
`Preparers slg nature
`_
`IPR2016-00710
`
`
`‘Z “R2016 007"’
`
`Genentech Exhibit 2110
`
`
`
`Type or print name and title
`Print/Type preparer's name
`
`
`
`
`
`Phone no (949) 794-2300
`
`.
`
`.
`
`.
`
`.
`
`.
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`.
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`.
`
`I7YesI_No
`
`Preparer
`Use
`
`
`
`Flrrn's address F‘ 18111 VON KARMAN AVENUE SUITE 1000
`
`IRVINE, CA 92612
`MaytheIRSdlscussthlsreturnwiththepreparershownabove?(seeinstructlons).
`
`For Paperwork Reduction Act Notice, see the separate instructions.
`
`C at No 1 1 28 2Y
`
`Form 990 (20 1 2)
`
`Here
`
` Sign
`
`
`

`
`Form 5190:2012)
`
`Statement of Program Service Accomplishments
`Checi-(ifScheduie0containsaresponsetoanyquestioninthisPartIII
`1
`Briefly describe the organization's mission
`SEE SCHEDULE 0
`
`.
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`J7
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`Page 2
`
`Did the organization undertake any significant program services during the vearwhich were not listed on
`the priorForm990 or99D—EZ?
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`If“Yes," describe these new services on Schedule 0
`Did the organization cease conducting, or make significant changes in how it conducts, any program
`services‘-’...........................
`If“Yes," describe these changes on Schedule 0
`
`I_‘I'es I7No
`
`I_YesI7No
`
`Describe the organization‘s program service accomplishments for each of its three largest program SEFVICES, as measured by
`expenses Section 501(c)(3) and 50l(c)(4}organizatIons are required to report the amount ofgrants and allocations to others,
`the total expenses, and revenue, ifanv, for each program service reported
`
`0)
`211,168,993? ) (Revenue 3;
`including grants of $
`211,15a,99:r
`) (Expenses 25
`(Code
`GRANTS MADE TO SUPPORT MEDICAL RESEARCH AND HEALTH CARE ACTIVITIES OF THE CITY OF HOPE NATIONAL MEDICAL CENTER AND THE BECKMAN RESEARCH
`INSTITUTE OF THE CITY OF HOPE
`
`4b
`
`(J) (Revenue $
`including giants of 1;
`4,059,491
`) (Expenses $
`(Code
`A VARIETY OF SOCIAL SERVICES INCIJJDING COMMUNITY OUTREACH, ADVOCACY AND HEALTH EDUCATION, HEALTH, PREVENTION, TREATMENT AND
`SURVIVORSHIP INFORMATION FOR PATIENTS AND FAMILIES, PUBLIC INFORMATION AND EDUCATION IN CANCER, DIABETES AND HIV,/AIDS AWARENESS AND
`EDUCATION, CHARITY CARE, BIOMEDICAL RESEARCH AND VARIOUS MEDICAL EDUCATION ACTIVITIES CONDUCTED AT THE MEDICAL CENTER AND THE BECKMAN
`RESEARCH INSTITUTE OF THE CITY OF HOPE
`
`0)
`
`(Code
`
`) (Expenses $
`
`Including grants of $
`
`) (Revenue $2
`
`)
`
`4d
`
`4e
`
`Other program services (Describe in Schedule 0 )
`(Expenses 1;
`including grants of$
`
`Total program service expenses?
`
`215,2 23,4 88
`
`)(Revenue $
`
`)
`
`Form 99o(2o12)
`
`

`
`
`
`Form 990 (2012)
`
`Part IV Checklist of Required Schedules
`
`
`
`No
`
`No
`
`No
`
`No
`
`No
`
`No
`
`Yes
`
`Yes
`
`Yes
`
`6
`
`3
`
`9 1
`
`0
`
`f
`
`11b
`
`Ia
`
`11¢:
`
`11d
`
`11e Yes
`
`11f
`
`Yes
`
`12a
`
`12b Yes
`
`13
`
`“*3
`
`“°
`
`No
`
`No
`
`E1 No
`
`15
`
`16
`
`17
`
`YES
`
`18
`
`Yes
`
`N0
`
`N0
`
`No
`
`No
`
`to
`
`Is the organization required to complete Schedule 3, Schedule of Contributors (see instructions)? 5 .
`Did the organization engage in direct or indirect political campai
`n activities on behalf ofor in opposition
`candidates for public office? If “Yes,“coiriplete Schedule C, Part 1'
`.
`.
`Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section S01(h)
`election in effect during the tax year? Ii‘ "'r'es,”complete Schedule C, Part HE .
`.
`.
`.
`.
`.
`Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
`assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes,"completeSci‘7eclule C,
`i>arti_ii°E..................
`Did the organization maintain any donor advised funds or any similarfunds or accounts for which donors have the
`right to provide advice on the distribution or investment ofamounts in such funds or accounts? If "Yes/'complete
`sciiearuieo,i=a.-tffl....................
`Did the organization receive or hold a conservation easement, including easements to preserve o en spa
`the environment, historic land areas, or historic structures? ll‘ "Yes,"corriplete Schedule D, Part I
`Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,”
`comp-leteSclieduleD,PartIII'E .
`.
`.
`.
`.
`.
`.
`Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a
`custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt
`negotiation services? l'f“Ya:,”coi'i'iplete Schedule D, Partll/E .
`.
`.
`.
`.
`
`CE,
`
`10
`
`11
`
`12a
`
`13
`
`14¢!
`
`15
`
`16
`
`17
`
`18
`
`19
`
`20a
`
`Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments,
`permanent endowments, or quasi-endowments? If "Yes,"com,oi'ete Schedule D, Pant i/E .
`Ifthe organization's answer to any of the following questions is "‘les," then complete Schedule D, Parts VI, VII,
`VIII, IX, or)( as applicable
`Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
`If"Yes,”completeSclieduleD,Part I/LE .
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`X line 12 that is 5% or more of
`Did the organization report an amount for investments—other securities in Part
`its total assets reported in Part X, line 16? If "Yes,“complete Schedule D, Part l./Ilfi
`.
`.
`.
`Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of
`its total assets reported in Part X, line 16? Ii‘ "Yes/’coi'riplete Schedule D, Part VIIIE .
`.
`Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total as
`reported in Part X, line 16? If“Yes,”com,olete Sclieduleb, Part IXE .
`.
`.
`.
`.
`.
`Did the organization report an amount for otherliabilities in Part X, line 25? If“Yes,"complete Schedule D, Partxg
`
`sets
`
`Did the organization's separate or consolidated financial statements for the tax yearinclude a footnote that
`addresses the organization's liability for uncertain tax positions under FIN 48 (ASC ?40)? If "Yes,'“ccii'nplete
`sciieduieo,Parix'E.....................
`Did the organization obtain separate, independent audited financial statements forthe tax year?
`If"Yes,”coiripleteSclieduleD, Parts XI and XI! E .
`.
`.
`.
`.
`.
`.
`.
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`.
`.
`Was the organization included in consolidated, independent audited financial statements for the tax year? If
`alfi
`"Yes, ‘” and if the organization answered "l'llo" to line 123, then completing Schedule D, Parts XI and XII is option
`Is the organization a school described in section 170(b}(1)(A)(ii)? If "Yes,”completeScl'ieduleE
`
`Did the organization maintain an office, employees, or agents outside ofthe United States?
`raising,
`Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fund
`business, investment, and program service activities outside the United States, or aggregate foreign investments
`"5
`vaiued at $ 100,000 or more? If “‘i'5,”complete Schedule F, Parts I andllf .
`Did the organization report on Part IX, column (A), line 3, more than $5,000 ofgrants or assistance to any
`organization or entity located outside the United States? If “Yes,"complete Schedule F, Parts I1‘ and IV E
`Did the organization report on Part IX, column (A), line 3, more than $5,000 ofaggregate grants or assistance to
`individuals located outside the United States? If “Yes,"complete Scl'ied‘ulel-', Parts Ill and IV .
`‘.5
`Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Pa
`‘E
`IX, column (A ), lines 6 and 1 1e? If "‘i’es,"coiiiplete Schedule G, Part I (see instructions)
`.
`on Part
`Did the organization report more than $15,000 total offundraising event gross income and contributions
`“E
`VIII, lines 1c and Ba? If '”i’es,"corriplete Schedule G, Part II
`.
`.
`.
`.
`.
`Did the organization report more than $15,000 ofgross income from gaming activities on Part VIII, line 9a? If
`"Yes,”coi'npleteSclieduleG,Paitlll
`.
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`.
`.
`.
`.
`‘*5
`Did the organization operate one or more hospital facilities? If "Yes,"com,plete Schedulel-l
`.
`
`If"‘les" to line 20a, did the organization attach a copy of its audited financial statements to this return?
`
`Form 990 2012
`
`Is the organization described in section 501(c)(3)or494?(a)(1) (otherthan a private foundation)? If “Yes,”
`completescheduleflifi.....................
`
`
`
`Yes
`
`

`
`Form 990 (2012)
`
`
`22
`
`23
`
`
`
`Pa rt IV Checklist of Required Schedules (continued)
`Did the organization report more than $5,000 ofgrants and other assistance to any government or organization in
`n
`the United States on Part IX, column (A), line 1? If "Yes,”compiete Schedule I, Parts I and If
`‘E
`Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
`on Part IX, column (A), line 2'? If "Yes,“complete Schedule}, Parts I and III .
`.
`E
`Did the organization answer“Yes" to Part VII, Section A, line 3, 4, or 5 about compensation ofthe organization's
`current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes ”
`completeschedulel....................
`E
`243 Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000
`as ofthe last day ofthe year, that was issued alter December 31, 2002? If"Yes,"answeri'ines 24b through 24d
`andcompi'eteScliedulel(.If"No,”gotoi'ine25 .
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`I: Did the organization invest any proceeds of tax—exempt bonds beyond a temporary period exception?
`
`
`
`No
`
`23
`
`Yes
`
`c Did the organization maintain an escrow account otherthan a refunding escrow at any time during the year
`todefeaseanytax-exemptbonds? .
`.
`.
`.
`.
`.
`d Did the organization act as an “on behalf of" issuerfor bonds outstanding at any time during the year?
`25:
`
`Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with
`adisqualified person duringthe year? If“Yes,”completeSclieduleL,Part!
`.
`.
`.
`.
`.
`.
`.
`b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
`year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If
`"Yes, ’” complete Schedule L, Part I
`Was a loan to or by a current orformer officer, director, trustee, key employee, highest compensated employee, o
`disqualified person outstanding as of the end of the organization's tax year? If "‘i’es,”complete Schedule L,
`Partff.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`
`26
`
`2?
`
`Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
`contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family
`member of any of these persons? If "Yes/’complete Schedule L, Part III
`.
`.
`.
`Was the organization a party to a business transaction with one ofthe following parties (see Schedule L, Part IV
`instructions forapplicable filing thresholds, conditions, and exceptions)
`a A current or former officer, director, trustee, or key employee? If "reef.-:omplete Schedule L, Part
`
`b A family member ofa current orformer officer, director, trustee, or key employee? l'f“Yes,"
`com,pleteSclieduleL,Partl'V.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`c An entity of which a current orformer officer, director, trustee, or key employee (ora family member thereof} was
`an officer, director, trustee, or direct or indirect owner? If "Yes,”complete Schedule L, Part IV .
`
`29
`
`30
`
`31
`
`Did the organization receive more than $25,000 in nori-cash contributions? If "Yes, "complete Schedule M .
`
`Did the organization receive contributions ofart, historical treasures, or other similar assets, or qualified
`conservation contributions? If “Yes,"complete5cheduleM .
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes,"complete Schedule N,
`
`33
`
`32
`
`Did the organization sell, exchange, dispose of, ortransfer more than 25% ofits net assets? If "Yes,“complete
`ScheduleN,PartII.................
`Did the organization own 100% ofan entity disregarded as separate from the organization under Regulations
`E
`sections 301 7701-2 and 301 ??01-3?l'f"Yes,"completeSclieduleR,Partf
`.
`.
`.
`.
`.
`.
`34 was the organization related to any tax-exempt or taxable entity? If “Yes/complete Schedule R, Part II, III, orfi/,
`andPartV,i'me1.....................
`35a Did the organization have a controlled entity within the meaning ofsection 512(b){13)?‘
`
`I:
`
`36
`
`37
`
`38
`
`If‘Yes‘to line 35a, did the organization receive any payment from or engage in any transaction with a controlled
`‘E
`entity within the meaning ofsection S12(b)(13)? If "Yes,"complete Schedule R, Part V, i'ine2 .
`.
`Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related
`organization? If "Yes,”cornplete Schedule R, Part V, i'ine2 .
`.
`.
`.
`.
`.
`E
`Did the organization conduct more than 5% of its activities through an entity that is not a related organization
`and that is treated as a partnership for federal income tax purposes? If "Yes/“complete Schedule R, Part V! E
`Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19?
`Note. All Form 990 filers are required to complete Schedule 0
`
`No
`
`No
`
`No
`
`Yes
`
`Yes
`
`
`
`Form 990 2012
`
`
`
`

`
`Form 990 (2012)
`Statements Regarding Other IRS Filings and Tax Compliance
`Check ifschedule 0 contains a resonse to an uestion in this Part V
`.
`.
`
`1a
`
`Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
`Enter the number ofForms W-2G included in line la Er.Iter-0- if not applicable
`
`.
`
`1a
`
`Did the organization compiy with backup withholding rules for reportable payments to vendors and reportable
`gaming (gambling) winnings to prize winners?
`Enter the number of employees reported on Form W-3, Transmittal of Wage and
`Tax Statements, filed for the calendar year ending with or within the year covered
`2&1
`bythis return
`.
`.
`.
`.
`Ifat least one is reported on line 2a, did the organization file all required federal empioyment tax returns?
`N-ote.Ifthe sum oflines la and 2a is greater than 250, you may be required to e—file (see instructions)
`
`24?
`
`214
`
`Did the organization have unrelated business gross income of $ 1,000 or more during the year?
`If"Yes,“‘ has it filed a Form 990-T for this year? If ‘Wo,”provide an explanation in Schedule 0
`At any time during the calendar year, did the organization have an interest in, or a signature or other authority
`over, a financial account in a foreign country (such as a bank account, securities account, or otherfinancial
`account)?
`
`If"Yes," enter the name ofthe foreign country FED « VI - C]
`See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts
`
`was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
`Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
`
`3‘
`
`If‘"‘i’es,'“toline5aor5b,didtheorganizationfi|eForm8886—T?
`
`.
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`Page 5
`
`Yes
`
`J7
`No
`
`Yes
`
`YES
`
`l'DI'DLl’!III
`
`Yes
`
`22 DD
`
`2 O
`
`2 0
`
`22 DO
`
`Does the organization have annual gross receipts that are normally greater than $100,000, and did the
`organization solicit any contributions that were not tax deductible as charitable contributions?
`If“Yes," did the organization include with every S0|ICItatlD|'! an express statement that such contributions or gifts
`werenottaxdeductible?.
`.
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`
`Organizat ions I: hat may receive deductible oont ribiit ions under section 1?O(c) .
`Did the organization receive a payment in excess of$?5 rriade partly as a contribution and partly for goods and
`services providedto the payor? .
`.
`.
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`.
`.
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`.
`If“Yes," did the organization notify the donor of the value of the goods or services provided?
`Did the organization sell, exchange, or otherwise dispose oftangible personal property for which it was required to
`fi|eForm8282?................
`
`7a
`
`Yes
`
`fl’! I'll
`
`If“‘i’es," indicate the number of Forms 3232 filed during the year
`
`7d
`
`Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit
`contract?......................
`
`‘ml
`
`Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
`Ifthe organization received a contribution ofqualified intellectual property, did the organization file Form 8899 as
`required?
`Ifthe organization received a contribution ofcars, boats, airplanes, or other vehicles, did the organization file a
`Form 1098-C?
`
`5!
`
`‘HI5'
`
`Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did
`the supporting organization, ora donor advised fund maintained by a sponsoring organization, have excess
`business holdings atany time during the year? .
`.
`.
`.
`
`Sponsoring organizations inaiiitaining donor advised funds.
`Did the organization make any taxabie distributions under section 4966?
`Did the organization make a distribution to a donor, donor advisor, or related person?
`Section 501(c)(?) organizations. E nter
`Initiation fees and capital contributions included on Part VIII, line 12
`Gross receipts, included on Form 990, Part VIII, line 12, for public use ofclub
`facilities
`
`Section 501(i:}(12) organizations. Enter
`Gross income from members or shareholders
`
`Gross income from other sources (Do not net amounts due or paid to other sources
`against amounts due or received from them)
`
`I-0I-5E=Er
`
`12a
`
`13
`
`143
`
`Section 4947(a}(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 104 1?
`If“‘i"es," enter the amount oftax-exempt interest received or accrued during the
`yeai'.................
`Section 501(c)(29) qualified nonprofit health insurance issuers.
`Is the organization licensed to issue qualified health plans in more than one state?
`Note. See the instructions for additional information the organization must report on Schedule D
`Enter the amount of reserves the organization is required to maintain by the states
`in which the organization is licensed to issue qualified health plans
`Entertheamountofreservesonhand .
`.
`.
`.
`.
`.
`.
`.
`
`125
`
`13b
`
`Did the organization receive any payments for indoor tanning services during the tax year?
`If "Y es," has it filed a Form 720 to report these payments? If “i'li'o,”prowde an explanation in Schedule 0 .
`
`14a
`
`N
`
`o
`
`E-
`Form 990{2012)
`
`

`
`Form 990 (2012)
`
`
`
`Page 6
`Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7!: below, and for a
`"No” response to fines 8a, 8b, or 10b beiow, describe the circumstances, processes, or changes in Scheduie 0.
`See instructions.
`Check ifschedule 0 contains a response to any question in this Part VI
`Section A. Governin
`Bod and Manaement
`
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`
`
`1a
`
`7a
`
`Enter the number of voting members of the governing body at the end of the tax
`year....................
`
`Iftliere are material differences in voting rights among members ofthe governing
`body, or if the governing body delegated broad authority to an executive committee
`or similar committee, explain in Schedule 0
`Enter the number of voting members included in line la, above, who are
`independent.............
`Did any officer, director, trustee, or key employee have a family relationship ora business relationship with any
`other officer, director, trustee, or key employee?
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`Did the organization delegate control over management duties customarily performed by or under the direct
`supervision of officers, directors or trustees, or key employees to a management company or other person‘?
`Did the organization make any significant changes to its governing documents since the prior Form 990 was
`filed?...................
`
`Did the organization become aware during the yearofa significant diversion of the organization‘s assets?
`Did the organization have members or stockholders‘-‘
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
`moremembersofthegoverningbody’?
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,
`orpersonsotherthanthegoverningbody?
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`Did the organization contemporaneously document the meetings held or written actions undertaken during the
`year by the following
`Thegoverningbody7.......................
`
`.
`.
`.
`Eachcommitteewithauthoritytoactonbehalfofthegoverningbody?
`Is there any officer, director, trustee, or key employee listed in PartVII, Section A, who cannot be reached at the
`organization's mailing address? If “Yes,"provide the names and addresses in Schedule 0 .
`
`Section B. Policies This Section B reuests information about oiicies not reuired b
`
`the Internal Revenue Code.
`
`103
`
`11a
`
`12a
`
`13
`14
`
`15
`
`163
`
`Did the organization have local chapters, branches, or affiliates?
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`If“‘i'es,"did the organization have written policies and procedures governing the activities ofsuch chapters,
`affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
`Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing
`theform'«-‘...................
`
`Describe in Schedule 0 the process, ifany, used by the organization to review this Form 990
`Did the organization have a written conflict of interest policy? If "No/go to line 13
`Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
`risetoconf|icts7....................
`
`.
`
`.
`
`.
`
`.
`
`Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,”o'escribe
`inscheduieohowthiswasdone.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`
`.
`.
`.
`.
`.
`.
`Did the organization have a written whistleblower policy?
`Did the organization have a written document retention and destruction policy?
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`Did the process for determining compensation ofthe following persons include a review and approval by
`independent persons, comparability data, and contemporaneous substantiation ofthe deliberation and decision?
`The organization's CEO, Executive Director, or top management official
`.
`.
`.
`.
`.
`.
`
`.
`.
`.
`.
`Other officers or key employees ofthe organization
`If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions)
`Did the organization invest in, contribute assets to, or participate in a Joint venture or similararrangement with a
`taxableentityduringtheyear?
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`If“‘i'es," did the organization followa written policy or procedure requiring the organization to evaluate its
`participation ll'I]Olnt venture arrangements under applicable federal tax law, and take steps to safeguard the
`organization's exempt status with respect to such arrangements?
`.
`.
`.
`.
`.
`.
`.
`.
`
`No
`
`N0
`
`Section C. Disclosure
`17
`
`List the States with which a copy of this Form 990 is required to be filedb-AL ,AK , AZ ,AR , CA , CO , CT , DE , FL , GA , HI , IL , IN ,
`KS,l(Y,ME,MD,MA,MI,MN,MS,MO,NH,NJ,NM,
`NY ,i\ic ,ND,OH,0K,OR,PA,RI,SC ,TN ,u1',wn,
`wv , WI
`
`18
`
`19
`
`20
`
`Section 6104 requires an organization to make its Form 1023 (or 1024 ifapplicable), 990, and 990-T (501(c)
`(3)5 only) available for public inspection Indicate how you made these available Check all that apply
`l_ Own website
`I_ Another's website
`I7 Upon request
`I_ Other (explain in Schedule 0)
`Describe Il'l Schedule 0 whether (and if so, how), the organization made its governing documents, conflict of
`interest policy, and financial statements available to the public during the tax year
`State the name, physical address, and telephone number of the person who possesses the books and records ofthe organization
`FR MAGNUSONCITY OF HOPE 1500 E DUARTE ROAD DUARTE, CA (626) 301-8315
`
`Form 990 2012
`
`
`

`
`
`
`Form 990 (2012)
`Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated
`Employees, and Independent Contractors
`CheckifscheduleocontainsaresponsetoanyquestioninthisPartVII
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`.
`
`Page 7
`
`.
`
`.
`
`.
`
`.
`
`J7
`
`.
`
`.
`
`Section A. Officers, Directors, Trustees, Keg Employees, and Highest Compensated Employees
`Ia Complete this table for all persons required to be listed Report compensation for the calendaryear ending with or within the organization's
`tax year
`0 List all ofthe organization‘s current officers, directors, trustees (whether individuals or organizations), regardless ofamount
`ofcompensation Enter -0- in columns (D), (E), and (F) ifno compensation was paid
`G List all ofthe organization's current key employees, ifany See instructions for definition of "key employee"
`0 List the organizations five current highest compensated employees (other than an officer, director, trustee or key employee)
`who received reportable compensation (Box 5 ofForm W-2 aridior Box Tr‘ of Form 1099-M1SC)of more than $100,000 from the
`organization and any related organizations
`it List all ofthe organizations former officers, key employees, or highest compensated employees who received more than $100,000
`ofreportable compensation from the organization and any related organizations
`G List all of the organization's fonner directors or trustees that received, in the capacity as a former director or trustee of the
`organization, more than $10,000 of reportable compensation from the organization and any related organizations
`List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest
`compensated employees, and former such persons
`[_ Check this box ifneither the organization nor any related organization compensated any current officer, director, or trustee
`
`(C)
`Position (do not check
`more than one box, unless
`person IS both an officer
`and a directorftrustee)
`
`(D)
`Reportable
`compensation
`from the
`organization (w-
`2,i'1099—MISC)
`
`I-E|CI|;}.O
`
`
`
`
`
`eeioicltuaieyi
`
`(E)
`Reportable
`compensation
`from related
`organizations
`(W- 2l1099~
`MISC)
`
`(F)
`Estimated
`amount of other
`compensation
`from the
`organization and
`related
`organizations
`
`(A)
`Name and Title
`
`(B)
`Average
`hours per
`week (list
`any hours
`for related
`organizations
`below
`dotted line)
`
`is-aL|fiii.i eeisiiil
`
`aaiopclwa|1I-BESLI-BIZILUIZID
`ioF.IEl1‘$l‘1.l1ioioaiip|D|'IjZIlI".llJ|.l|
`
`|0ll0I1lilll$U|
` See Additional Data Table
`
`
`
`
`
`Form 990 201 2
`
`

`
`
`
`Form 990 (2012)
`Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
`
`Pages
`
`(D)
`Reportable
`compensation
`from the
`organization (W—
`2/‘1099—MISC)
`
`(E)
`Reportable
`compensation
`from related
`organizations (W—
`2}1099—MISC)
`
`(F)
`Estimated
`amount of other
`compensation
`from the
`organization and
`related
`organizations
`
`(A)
`Name and Title
`
`(B)
`Average
`hours per
`week {list
`any hours
`for related
`organizations
`below
`dotted line)
`
`('3)
`Position (do not check
`more than one box, unless
`person is both an officer
`and a directorltrustee)
`
`
`
`ioioeiipJ0a-.=-isnit|Dl't|2I|i".l|JU]
`
`
`
`I2-‘E|].'3'ii.$1_ieiioixiimsui
`
`
`
`eeioi-:lI.i.iatau
`
`
`
`ElB‘\L'.I|:llJ.Ji‘:Ipaqizsu-3i:|Luo:iI|.G-.':'I.[Bl|.-|
`
`IIIIIIO
`
`1h
`
`Sub-Total
`
`3'
`
`c TotalfromcontinuationsheetstoPart VII, Se-ctionn .
`- -
`-
`-
`-

`rota»<a«a-inesn=an-u=i-
`-
`-
`-
`-
`-
`-
`-
`Total number ofindividuals (including but not limited to those listed above) who received more than
`$100,000 of reportable Compensation from the organizationF35
`
`.
`
`.
`
`.
`
`Did the organization list any former officer, director or trustee, key employee, or highest compensated employee
`onlineIa?If“Yes,"oompi'eteScfiediiielforsiiciiindividual
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`.
`
`For any individual listed on line la, is the sum of reportable compensation and other compensation from the
`organization and related organizations greaterthan $150,000’-‘ If "Yes,"como!ete Scheduielforsucii
`individual...........................
`
`Did any person listed on line 13 receive or accrue compensation from any unrelated organization or individual for
`services rendered to the organization? If“Yes,“co.rnpl‘ete Scheduieiforsuch person
`.
`.
`.
`.
`.
`.
`
`.
`
`2
`
`3
`
`4
`
`5
`
` Section B. Inde endent Contractors
`1
`Complete this table for yourfive highest compensated independent contractors that received more than $100,000 of
`compensation from the organization Report compensation for the calendaryear ending with or within the organization's tax year
`(5)
`(3)
`(C)
`Name and business address
`Description of services
`Compensation
`CHAPMAN CUBINE ADAMS HUSSE

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