Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FILING OF FORM 990-T | FORM 990, PART V, LINE 3B ALTUS REALTY INC IS A TITLE HOLDING COMPANY UNDER IRC SECTION 501(C)(2) AND REPORTS UNRELATED BUSINESS INCOME ON A CONSOLIDATED FORM 990-T WITH DELTA DENTAL OF RHODE ISLAND, ITS PARENT. |
| MEMBERS OF THE ORGANIZATION | FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 72 CORPORATE MEMBERS. |
| MEMBERS THAT MAY ELECT THE GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBERS MEET ANNUALLY TO APPROVE ANY BY-LAW CHANGES AND TO ELECT INDIVIDUALS TO THE 15 MEMBER BOARD OF DIRECTORS, WHICH IS THE ORGANIZATION'S GOVERNING BODY. |
| DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS | FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERSHIP APPROVES OR REJECTS RECOMMENDATIONS MADE BY THE BOARD OF DIRECTORS RELATIVE TO ANY BY-LAW CHANGES OR NOMINATIONS OF INDIVIDUALS TO SERVE ON THE BOARD OF DIRECTORS. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11 THE ANNUAL FORM 990 IS PREPARED BY Altus Realty Inc'S FINANCE DEPARTMENT WITH INPUT FROM SENIOR MANAGEMENT. UPON COMPLETION OF THE PREPARATION OF THE DRAFT, IT IS PROVIDED TO GRANT THORNTON LLP, THE COMPANY'S TAX ADVISOR AND INDEPENDENT AUDITOR. UPON GRANT THORNTON'S REVIEW, THE DRAFT IS AGAIN REVIEWED BY FINANCE AND MANAGEMENT, INCLUDING THE CONTROLLER, CFO, AND CEO AS NECESSARY. THE COMPLETE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C Altus Realty Inc follows the conflict interest policy of Delta Dental of Rhode Island ("The Company"). All W2 employees, interns, temps, dental consultants, and board members complete an annual conflict of interest questionnaire. The review process for complete questionnaires containing disclosures is as follows: For W2 employees, interns, and temps, disclosures are reviewed by the director of compliance and CFO. Disclosed potential conflicts are discussed and may be elevated in the review process to the CEO and external legal counsel for advice. Any required actions are immediately implemented in accordance with the company's documented conflict of interest policies. For the CEO and CFO, disclosures are reviewed by external legal counsel. Legal counsel advises of any required actions which are immediately implemented in accordance with the company's documented standards of conduct and business ethics and conflict of interest policies. For dental consultants, disclosures are reviewed by the director of compliance, the VP-CFO, the director of program integrity and network management, and the VP-CIO. All conflicts are discussed and may be elevated to external legal counsel for advice. Any required actions are immediately implemented in accordance with the company's documented conflict of interest policies. For board members, disclosures are reviewed by external legal counsel. Legal counsel prepares a written memorandum for presentation to board members with the results of the review. All conflicts are discussed and any required actions are immediately implemented in accordance with the company's documented conflict of interest policies. Should an undisclosed conflict come to light, then immediate and appropriate action is also taken in accordance with the company's policies. Persons with a conflict are prohibited from participating in the resolution of the conflict. |
| COMPENSATION POLICY | FORM 990, PART VI, SECTION B, LINE 15 The officers and directors of the organization are also officers and directors of Delta Dental of Rhode Island ("DDRI" or "The Company"), a related tax exempt organization, and receive compensation from DDRI. Compensation for these individuals is determined according to DDRI's compensation policy. The Board of Directors of DDRI elects members to serve on its compensation committee which is responsible for setting the CEO's compensation and approving pay ranges for the various job tracks within the company as well as approving any fringe benefits. The company and the committee annually contract with independent compensation consultants to help determine appropriate pay ranges and fringe benefits such as health and other insurances and retirement and other benefits. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 Altus Realty Inc's governing documents, such as bylaws and corporate charter are available upon request from the company, and can also be obtained from the secretary of state's office within the state of Rhode Island. Delta Dental of Rhode Island's conflict of interest policy, as well as the audited financial statements are also available upon request at Delta Dental of Rhode Island's headquarters. Altus Realty Inc's Form 990 is also posted on www.guidestar.org. |
| Other Changes In Net Assets | Form 990, Part XI, Line 9 Interest rate swap agreement - $325,367 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER LOSS TOTAL EXPENSES:273000 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:ADMINISTRATIVE EXPENSES TOTAL EXPENSES:7764 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:MISCELLANEOUS EXPENSE TOTAL EXPENSES:1805 |
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