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 B, LINE 11B | THE GOVERNING BOARD DOES NOT REVIEW THE COMPLETED 990 PRIOR TO FILING; HOWEVER, ONE OR MORE OFFICERS PERFORMS A CURSORY REVIEW PRIOR TO SIGNING THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | REQUIRE SIGNED DISCLOSURE STATEMENTS FROM BOARD MEMBERS AND OFFICERS REGARDING CONFLICTS OF INTEREST ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MANAGING AGENT (CHIEF FINANCIAL OFFICER) AND EXECUTIVE DIRECTOR ARE EMPLOYED BY A RELATED TAX-EXEMPT ORGANIZATION IDENTIFIED IN SCHEDULE R. SALARY IS SET BY RELATED ENTITY'S BOARD OF DIRECTORS. BOARD SETS COMPENSATION IN RELATION TO COMPENSATION PAID TO OTHER OFFICERS OF SIMILAR MENTAL HEALTH AGENCIES IN MINNESOTA. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |