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 | A COPY IS SENT TO THE ADMINISTRATIVE DIRECTOR AND TREASURER FOR THEIR REVIEW AND COMMENT PRIOR TO FILING THE RETURN. A DESIGNATED OFFICER THEN SIGNS THE RETURN AFTER CONSIDERING BOARD COMMENTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY DOCUMENT IS SIGNED ANNUALLY BY THE POHMS' BOARD OF DIRECTORS AND STAFF. THE INTENT OF THESE POLICIES IS TO AVOID ANY ASSUMPTION OR APPEARANCE OF CONFLICT OF INTEREST OR UNAUTHORIZED REPRESENTATIONS OF POHMS. FRAN SPINE, THE ADMIN DIRECTOR, REVIEWS THE SIGNED CONFLICT OF INTEREST POLICY STATEMENTS SIGNED BY THE BOD MEMBERS AND STAFF AND IS RESPONSIBLE FOR MAKING THE DETERMINATIONS. INDIVIDUALS ACTING ON BEHALF OF POHMS SHALL NOT PARTICIPATE IN ANY POHMS RELATED DECISIONS OR ACTION IN WHICH THEY HAVE A FINANCIAL INTEREST UNLESS SUCH PARTICIPATION IS AUTHORIZED BY THE BOARD AFTER FULL DISCLOSURE OF ALL RELATIVE FACTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
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