Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE IMMEDIATE PAST PRESIDENT, DEBORAH FRANKLIN, AND DISTRICT III PRESIDENT, DAVID MINNICI, BOTH WORK FOR HAWTHORNE VILLAGE RETIREMENT. DEBORAH IS DAVID'S SUPERVISOR. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS SEVERAL CLASSES OF MEMBERS. THE FACILITY MEMBERS IS THE ONLY CLASS OF MEMBER THAT HAS VOTING RIGHTS. EACH SKILLED NURSING FACILITY IS GIVEN ONE VOTE WHICH IS TYPICALLY EXCERCISED BY THE ADMINISTRATOR OF THE FACILITY. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FACILITY MEMBERS ARE THE ONLY CLASS OF MEMBER WHICH HAVE VOTING RIGHTS. THE NATURE OF THE RIGHTS FOR THIS CLASS INCLUDE VOTING FOR STATEWIDE OFFICERS AND APPROVING THE ANNUAL BUDGET, AS WELL AS ANY MEMBERSHIP DUES CHANGES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE DECISIONS OF THE GOVERNING BODY THAT ARE SUBJECT TO APPROVAL BY THE VOTING MEMBERS INCLUDE APPROVAL OF THE ANNUAL BUDGET AND ANY MEMBERSHIP DUES CHANGES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO MEMBERS OF THE ORGANIZATION'S BUDGET AND FINANCE COMMITTEE FOR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S EXECUTIVE DIRECTOR MONITORS PROPOSED OR ONGOING CONFLICTS AND DISCLOSES THEM TO THE BOARD PRESIDENT IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. FOR EACH CONFLICT DISCLOSED TO THE BOARD PRESIDENT, APPROPRIATE ACTION IS TAKEN BASED ON THE NATURE OF THE CONFLICT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION IS DETERMINED BY AN INDEPENDENT COMPENSATION/MANAGEMENT COMMITTEE AND IS BOUND BY A EMPLOYMENT AGREEMENT. THE COMPENSATION IS REVIEWED AND APPROVED USING COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENTS: 9,667. ROUNDING 6. OTHER DISTRICT ACTIVITY 4,020. TOTAL TO FORM 990, PART XI, LINE 5: 13,693. |
| OVERSIGHT OF AUDIT | FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY OF OVERSEEING THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT, AS THERE IS NO DESIGNATED AUDIT COMMITTEE. THE PROCESS HAS NOT CHANGE FROM THE PRIOR YEAR. |
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