Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 990 REVIEWED AND SIGNED BY THE PRESIDENT OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | DATA QUERY OF USUAL/CUSTOMARY REIMBURSEMENT FOR OFFICERS AND SIMILAR POSITIONS WITH DUTIES AND RESPONSIBILITIES. |
| FORM 990, PART VI, SECTION B, LINE 15B | DATA QUERY OF USUAL/CUSTOMARY REIMBURSEMENT FOR OFFICERS AND SIMILAR POSITIONS WITH DUTIES AND RESPONSIBILITIES. |
| FORM 990, PART VI, SECTION C, LINE 18 | A COPY IS PROVIDED TO THE ELECTED OFFICIALS FOR A REVIEW. INACCURACIES ARE NOTED AND CORRECTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 24E | UTILITIES: PROGRAM SERVICE EXPENSES 1,463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,463. FEES: PROGRAM SERVICE EXPENSES 1,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,330. BUILDING FEES: PROGRAM SERVICE EXPENSES 1,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,209. TELEPHONE: PROGRAM SERVICE EXPENSES 1,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,153. POSTAGE: PROGRAM SERVICE EXPENSES 763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 763. DONATIONS: PROGRAM SERVICE EXPENSES 271. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271. COMPUTER EXPENSES: PROGRAM SERVICE EXPENSES 40. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF FUNDS TO URGENT CARE CENTER ACCREDITATION OF AMERICA, INC. (46-5375040) 71,000. |
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