Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL HOME HEALTH PROVIDERS AND HOSPICE PROVIDER MEMBERS ARE ALLOWED TO DESIGNATE ONE INDIVIDUAL TO VOTE ON THEIR BEHALF. CORPORATE MEMBERS SHALL DESIGNATE INDIVIDUAL TO CAST VOTES BASED ON THE NUMBER OF HOME HEALTH AGENCIES AND/OR HOSPICE IT REPRESENTS UP TO SIX. ASSOCIATE MEMBERS ARE NOT ALLOWED TO VOTE. |
| FORM 990, PART VI, SECTION A, LINE 7B | IN THE EVENT THAT ANY OFFICE OR DIRECTOR'S POSITION BE VACATED, WITH THE EXECPTION OF PRESIDENT, THE BOARD OF DIRECTORS WOULD BE CHARGED WITH THE RESPONSIBILITY OF EITHER APPOINTING A REPLACEMENT OR LEAVING THE POSITION VACANT UNTIL THE NEXT ANNUAL MEETING OF MEMBERSHIP. SHOULD THE OFFICE OF PRESIDENT BE VACATED, THE VICE PRESIDENT WOULD IMMEDIATELY ASSUME THAT OFFICE. THE OFFICE OF VICE PRESIDENT WOULD REMAIN VACANT UNTIL THE NEXT ANNUAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS SENT IN DRAFT FORM TO THE BOARD OF DIRECTORS FOR APPROVAL. UPON APPROVAL THE TAX RETURN IS E-FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY AND HAS NOT HAD ANY CONFLICT OF INTEREST ISSUES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | ADMINISTRATIVE SERVICES 74,594. |
| Software ID: | |
| Software Version: |