St. Vincent Medical Center Documentation

ST. VINCENT MEDICAL CENTER FOUNDATION Number Restriction Fund Name Balance as of 5/31/15 #of Gifts #of Donors Description of Fund Purpose

2303 temp Historical Conservancy $4,882 1 1 Archival and Education Outreach 1014 temp SGC Capital Improvements $188 1 1 SGC Capital Improvements 1019 temp Cancer Outreach Clinic $64 1 1 Cancer Outreach Clinic 1020 temp Career Advancement Program $7,008 1 Career Advancement Program 1101 temp Arm X-ray Sys $112 1 1 C-Arm X-ray System 1112 temp McAlister $27,274 1 1 Cardiac Clinic 1415 temp Komen $206 Breast Health Access 2307 temp Annenberg Nurse Education $1,390 1 1 Nurse Education 1106 temp Avon BHOP MHAP Center $1 1 1 Mammograms and Administration 1114 temp Lakers-Casa $15 1 1 Casa Sports Program 1119 temp Boston Scientific $5,000 1 1 Medical Education

UniHealth Palliative Care 1121 temp Service Planning Project $59,392 1207 temp Doheny Diabetes $19,143 1 1 Diabetes Education 1208 temp Awarens & Prevntn $17,628 1301 temp QueensCare Transportation $62,573 1 1 Transport low income patients

LA84 Casa Athletic Equipment Athletic Equipment and Capital for 1400 temp and Capital $33,219 Casa program 2001 temp Capital & Equipment $535 Offset any Capital Expense 2008 temp Social Services $100 Offset related expenses 1406 temp Gilead Hep B Education $82,477 1 1 Hep B Education and Screening 1410 temp Aetna $1,191 1 1 Obesity Prevention

Bone Mineral Density Study/ 1412 temp Gilead $97,428 1 1 Research 1413 temp UniHealth API $254 1 1 Health Access Collaborative 1416 temp United Latino $4,000 1 1 Casa Computer Training 2051 temp Casa Renovation Project $51,500 Capital Expenses 2054 temp Casa Summer Camp $1,131 Summer Camp for Casa Children 2056 temp Stryker Orthopaedics Ed $750 1 1 Education 1417 temp Gilead - APLC $39,400 1 1 Seroconversion Study 1418 temp Gilead Hep B & C Screening $50,094 1 1 Hep B and C Screening

APLC Hep C Prevalence in LA 1419 temp Gilead $32,052 1 1 Asian Communities 2003 temp Charitable Patient Care $19,773 numerous Charity care 2034 temp Dr. Harlan Amstutz/Blalock $416 1 1 Research Coordinator 2033 temp Dr. Schmalzried $20,000 1 1 JRI Research Position 2009 temp Community Youth Center $105,707 numerous Support of Casa Programs

2202 temp Treatment $151,401 numerous Diabetes Nurse Educator 2212 temp Renal Disease Program $18,068 numerous Renal Disease Program 2218 temp Emergency Room Expansion $6 numerous Emergency Room Expansion 2237 temp Kidney Transplant $1,195 numerous Support Kidney Transplant 2239 temp APLC General $68,286 numerous Asian Pacific Liver Center 2301 temp Seton Guest Center $12,360 numerous Costs related to Guest Center 2320 temp Home for Healing $4,658 numerous Offset expenses of Guest Center 2011 temp Heart Chapel $12,449 numerous Spiritual Services & Chapel 2012 temp Care for Children $60 Care for Children 2015 temp 2131 Club $2,000 numerous For Associates in Dire Need 2021 temp Casa Food Program $13,390 numerous Food Program at Casa 2023 temp Spiritual Care Fund $9,141 1 1 Spiritual Care Fund 2024 temp Patient Rooms $1,438 numerous Clocks and Bulletin Boards 2025 temp Joint Replacement Institute $1,221 Related Costs 2026 temp Transitional Care Unit $36 Related Costs 2027 temp We Care Fund $5,881 numerous For Needy Patients 2032 temp Physical Therapy $250 Related Costs 2035 temp Annual Korean Day $2,002 Korean Day Program 2036 temp Doheny Operating Room $10,000 1 1 Operating Room Costs 2039 temp Fair $472 numerous Health Fair 2050 temp Beverages for Guests $2,819 numerous Complimentary Beverages for 2057 temp Gl Lab Renovations $6,460 1 1 Gl Lab Renovations 2058 temp Pet Therapy Program $2,748 numerous Pet Therapy Program 2100 temp LACI General $275 2102 temp LACI Research $3,362 Cancer Research 2105 temp LACI Pancreatic Research $600 Pancreatic Cancer Research 2108 temp Community Mammogram $6,217 numerous MHAP Program 2204 temp Kidney Dialylsis $110 several Dialysis Program 2205 temp Liver Disease Research $50 1 1 Liver Disease Research 2207 temp Organ Transplantation $34,059 Organ Transplant Program 2208 temp Liver Transplant Program $387 1 1 Liver Transplant Program 2222 temp Perioperative Services $2,500 Related Costs 2223 temp Transplant Services Support $3,866 Transplant Support Group 2226 temp Orthopedic Surgery $135 Related Costs 2228 temp Pediatric Care $1,550 Care for Children 2237 temp Kidney Transplant Program $1 '195 Related Costs 2308 temp Nurse Week Fund $4,434 numerous Activities for Nurse Week 2314 temp Multi-Organ Transplant Center $1,964 Professional Education

2316 temp Pharmacy Education $6,850 Related Costs 2321 temp Patient/Family Sleep Chairs $4,500 Sleep Chairs 2322 temp SVMC Mission Integration $1,984 several Discretionary Fund 2400 temp LAHI Unrestricted $94,852 numerous MHAP Heart Education Programs 2402 temp LAHI Research $1,105 several LA Heart Institute Research 2403 temp LAHI Charitable Care of $330 LA Heart Institute- Children 2413 temp LAHI Professional Ed $669 Related Costs

Doheny Multicult Hlth Awarens 2906 temp & Prevntn Cntr (MHAP) $8,797 2907 temp Neuro Surgery $554 Related Costs 2909 temp Virgil and Hilma Thompson $21,798 1 1 Deseases of the Blood 2912 temp Virgil and Hilma Thompson $43,778 1 1 Capital Fund 2911 temp Acute Rehab Unit $50 Related Costs 2913 temp Patient/Guest Relations $3,054 numerous Related Costs 2914 temp Pandemic lnfluenze $191 numerous lnfluenze Preparedness

temp Miscellaneous Restricted $8,989 Miscellaneous 2910 temp Gombiner $8,469 1 1 Treatment 2916 temp Dr. Myron & Eloise Olson $15,305 1 1 Medical Treatment of Children

2916-A temp Dr. Myron & Eloise Olson $1,516 1 1 Capital Fund Research, Treatment, Education

2917 temp Omar & Doris Brands $17,638 1 1 for Heart and Cancer 2915 temp Riyu Endowment $91,660 1 1 Heart Research 2920 temp Lanus Trust $8,011 1 1 Cancer 2921 temp Perry Fund Income $11,135 2922 temp Brunswick CA Asset Trust $50,000

LAHI Virgil & Hilma Thompson 2923 temp RET & Care Giving $41,977

Virgil & Hilma Thompson -2924 temp DIABETES -RET & Care $41,977

temp Brands Fund $186,298 temp Jack & Yvonne Perry Family $171,688 1 1 Research and Treatment of Cancer

Research, Treatment, Capital for perm Gombiner Endowment $239,492 1 1 Hearing Impaired perm Riyu Endowment $1,232,080 1 1 Heart Research

Pediatric Education, Treatment and perm Myron & Eloise Olson $115,454 1 1 Capital perm Lanus Trust $158,973 1 1 Cancer

Cancer Research, Treatment and perm Angelo & Fanny Koudounaris $135,696 1 1 Capital

Total Temp Restricted: Total Permanently Restricted:

$1,975,120 $1,881,695

StVINCENT MEDICAl CENTER FOUNDATION 2131 WestThirdStreet P.O. Box 57992 Los Angeles, California 90057-0992 Telephone: (213) 484-7325 FAX: (213) 484-5323

Boa1d of Directors

Willium H. Allmanson Gladys Altshuler Tbotnas D. Anderson Bruce li. Archibald

W\lli~m R. Barren. Jr. R. Eric Ba~mgurten Leslie N, B i llen~on Alfred M. Collins Robert H. Cooke Theodore B. Cox L. Donald Damatn Pnlllklin L. Damon Patty DeDomlnic. Sister Mary Helen Doerr, D.C. Linda Eng Vincent F. Guinan Gru-y J. Hanson Sister Andrea Hickey, D.C. Christopher I. M. Houser Joan B. Kessler Bonnie Kyle Sandra A. Lash William Love Stephen T. Mellinger, Jr. Dan Michel Ann J. Mincey Thomas M. Mitchell John J. Moohr Anthony R. Pearson Sister Teresa Piro, D.C. John Popovich James D. Pre!lclergnst William C. Richardson Patrick Rogge Michael Selsmm Keitll A. Sharp William E. Simms Siste1 Fr.tncis Sullivan, D.C. Carl Ter~ian Nnncy L. Thu.ckcr Sister Florence Urbine, D.C. Gerold S, Weistein Thomas A. ZWJic

April 7, 1992

Patrick Rogge, Sr. V.P. J. Walter Thompson/Los Angeles 11766 Wilshire Blvd., Ninth Floor Los Angeles, CA 90025

Dear Pat:

We hope that you are as pleased as we are with the way the Foundation Board is developing. As you know, one of the first major projects we are undertaking is the fundraising for the new Guest Center in Seton Hall. This Center, which will provide short-term accommodations for family members of very young and elderly Eatients undergoing prolonged or difficult treatment, will help to meet a growing and vital need. The Center will include 16 private guest rooms along with shared lounge, kitchen, and laundry facilities. The estimated cost of the project is $500,000. I a.rn enclosing materials which provides additional information about this important facility.

The Development Committee is working actively with the Foundation staff to identify and secure support from selected individuals and private foundations which have previously supported the Medical Center. This effort is very promising. At the same time, however, our commitment, as Trustees, to this fund raising effort is crucial. one of the first questions many prospective donors ask is "What have the Trustees committed?" Our answer must clearly demonstrate our leadership role in fund raising for the things we believe in at St. Vincent. This is especially true for our first major initiative.

During the next few weeks the members of the Development Committee would like the opportunity to sit down with you individually to discuss this project and to explore with you the level of financial commitment you might be prepared to consider. We will be calling shortly to arrange a mutually convenient time to talk. Our goal for this project is a total of $150,000-$200,000 from the Foundation Board of Trustees.

Member of DAUGHTERS OF CHARlTY NATIONAL HEALTH SYSTEM

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Board of Directors St. Vincent Medical Center Foundation April 7, 1992 Page 2

We hope that when you have a chance to sit down together with us or one of the other members of the Committee, you will join us in making a significant commitment to this project and to the future of the Medical Center.

L&W:bjm

Enclosures

cc~ Stephen T. Mellinger, Jr.

gcalapatiaTypewritten Text8540-2670-30010 PRF -ENDOW GOMBINERTRUST

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. A;CQOQN.T DATA . .

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.NAME! Dr. My1:on s. and E~oise H~ Olson.harita~le Remainder 4mluity Truet DAT.E ES'l'ABLISilED: ;tioyember.3, 199.5

TYPE OF TRtrST: 8% Ant\ulty,

DoNOR(S): Myton s"Xain Qlsol't and .Eloise Henrietta OlSon. T:rustee(s): Matthgw B .. Mas;,k

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INCOME :SENEFICIAUY(S): N,l)Q)gnS. Olson-

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~~~~~~~----~~--~~ . . CHARITABLE REMAINDlltR TRU$T.

8$4026':1030030 AOCQJ.Ux1: R;eVUDW &STATUS ttEPORT.

.. :FEBR.TJA:RY 199'8. . . LANUSFAMILYCRT. ( ACCOUNX PATA . . : .

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8540267030050 KOUDOUNARIS ANGELO & FANNY CRT

A. and F .A. Koudounaris Charitable Remainder Unitrust

Established January 24, 1996

Amendment November 6, 1996

Total Estimated Fair Market Value $375,000

Trustors Angelo and Fannie Koudounaris

Management Trustee Angelo and/or Fannie Koudounaris

Administrative Trustee Matthew B. Mack

100% Irrevocable Charitable Remainderman St. Vincent Medical Center Foundation

Estimated Fair Market Value $375,000

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ORIGINAL AMENDMENT TO TRUST

NAME OF TRUST BEING AMENDED: A. AND F. A. KOUDOUNARIS CHARITABLE REMAINDER UNITRUST

NAME OF TRUSTORS: ANGELO KOUDOUNARIS FANNIE ANN KOUDOUNARIS

DATE OF ORIGINAL TRUST AGREEMENT: January 24, 1996

DATE OF THIS AMENDMENT: Novembet 6, 1996

AMENDED PROVISIONS

THE 1RUSTORS, ANGELO KOUDOUNARIS and FANNIE ANN KOUDOUNARIS, HEREBY AMEND THE A. AND F. A. KOUDOUNARIS CHARITABLE REMAINDER UNIT.RUST (herein 11Chadtable Remainder Trust"), AS FOLLOWS:

1. Article 3 of said Charitable Remainder Trw;t is hereby deleted in its entirety and the following Article 3 is hereby adopted and added to read as follows:

3. REMAINDER PROVISIONS.

3.1 Distribution to Remainderman

3.1.1 Within a reasonable period following the first day of the second taxable year of this Trust (i.e., January l, 1997) the Tmstee shall distribute One and One-Quatter Percent (1.25%) of the then determined principal balance of this Trust to ST. VINCENT MEDICAL CENTER FOUNDATION, a California non-profit corporation, located at 2131 West Third Street, Los Angeles, California 90057-0972, to be used for its general charitable purposes. This designation of said Charitable Remainderman shall be irrevocable and unchangeable, and the Trustor does not retain the right to remove said Charitable Remainderman, to substitute other Charitable Remainderman, or to alter the interest designated to said Charitable Remainderman.

3.1.2 Within a reasonable period following the fil'st day of the second taxable year of this Trust (i.e., January 1, 1997) the Trustee shall distribute One and One-Quarter Percent (1.25%) of the then determined principal balance of this Trust to ST. VINCENT MEDICAL CENrBR FOUNDATION, a California non-profit corporation, located at 2131 West Third Street,

Page 1 Amendment to Charitable Remainder Trust

84108/1997 10:04 805496Hl74 ESI MBM PAGE 03

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Los Angeles, California. 90057-0972, to be used for its general charitable purposes. This de~tgnarlon ()/ said Charitable Remainderman shail be irrevocable and unchangeable, and tfte. Trustor does Mt retain the riRht to remove .raid Charitable Remainderman, to sub.~titute mher Charitable Remainderman.~ or to alter the inttrest dttstgnated to said Chan'table. Remainderman.

3.1.3 Within a reasonable time after the Tl'ust Termination Date, the l'emainder of the l'rust Bstate shall be divided and/or distributed as follows:.

3.1.3.1 to ST. VlNCeNT MEDICAL CENTER FOUNDATION, a

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C:nllfomill non-profit corpcra.tion, loo11.ted ~t 2131 West Thil'd Street, Los Angelel'lt CalifomiQ. 900.57-0972, a distribution of Fifty Percent (50%) of the ba.lance of the Trust Estate to be used to ~;stablish the ''Angelo a.ud f'w.mi~ Kvuc.luunads Fund\ an endowment fund t(} be used a..~; follows: (1) income from one-half of the endowment fund shall be used for the following charitable purpose: research ~garding and treatment of dlabetes (other impottattt metl'ical research projects may be submituted hy the 'Roarrl f.lf Oh"P.r.tor.~ of .~tlili Ch#loty in the. event that they detennine that significant treatments and/or cures have been discovered fm the research provided for herein); arJd, (2) int:ome and/or pl'ir.cipal f~om one-half of the e~ldowlllent funu nhall be used for capital expenditures furthering said charitable pl.1f1'0Se, provided that any such capital asset acquired .shall bear the name: "Angelo Q.nd ~annie Koudounaris r

gcalapatiaTypewritten TextFund #2917 - Omar & Doris Brands Heart &-or Cancer Endowment

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