Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE FRATERNAL LIFE INSURANCE BENEFITS . TO PROVIDE SECURITY FOR MEMBERS THROUGH AFFORDABLE INSURANCE AND ANNUITY FINANCIAL PRODUCTS. TO PROMOTE , PERSERVE AND PERPETUATE THE COMMON BOND OF THE CZECH LANGUAGE, HERITAGE AND CULTURE. TO SPONSER EDUCATIONAL SCHOLARSHIPS AND FRATERNAL ACTIVITIES FOR THE BENEFIT OF ITS MEMBERS. TO SUPPORT THE COMMUNITIES WHEREIN OUR MEMBERSHIP RESIDES THROUGH ACTS OF BENEVOLENCE AND VOLUNTEERISM. |
| FORM 990, PAGE 1, PART I, LINE 6 | ASSISTANCE AT FRATERNAL FUNCTIONS AND MEETINGS |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION IS A FRATERNAL BENEFIT SOCIETY WITH ITS MEMBERS BEING OWNERS OF A LIFE INSURANCE POLICY. MEMBERS ARE ACTIVE BY MAINTAINING AN INSURANCE OR ANNUITY POLICY CONTRACT. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MEMBERS ARE ACTIVE BY MAINTAINING AN INSURANCE POLICY. MEMBERS CAN BE ELECTED TO BE A CONVENTION DELEGATE THROUGH THEIR RESPECTIVE LODGE SOCIETY.MEMBERS CAN BE NOMINATED FOR THE BOARD AT THE CONVENTION.THE CONVENTION IS HELD EVERY FOUR YEARS. |
| FORM 990, PAGE 6, PART VI, LINE 9 | AUDREY SCHMIDT 6556 HUNT CIRCLE MAYFIELD, OH 44143 ROBERT CERMAK 3633 WYNDE TREE DR. SEVEN HILLS, OH 44131 KARLA MAHONEY 209 GOULD AVE BEDFORD , OH 44146 MARYANN LANGEVIN 33429 CRESTWELL STERLING HTS., MI 48310 CYNTHIA KVETON 4029 HOLLY HILLS ST.LOUIS, MO 63116 JOSEPH KOCAB 4501 CULLEN DRIVE CLEVELAND, OH 44105 ANITA SCHAFER 301 PARK DRIVE BROOKLYN HTS., OH 44131 RICHARD PROSPAL 312 NANCY CIRCLE BRUNSWICK, OH 44212 ALLEN PERK 107 AUTUMN RUSH COURT GAHANNA, OH 43230 |
| FORM 990, PAGE 6, PART VI, LINE 11B | CERTIFIED PUBLIC ACCOUNTANT PREPARES THE FORM AND REVIEWS IT WITH THE PRESIDENT AND THE TREASURER.THE FORM IS REVIEWED FOR AMOUNTS AND IS RECONCILED TO THE CERTIFIED STATUTORY AUDIT FOR ANY CHANGES IN POLICY OR PROCEDURES FROM THE PRIOR YEAR. BOARD IS THEN GIVEN A COPY FOR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH YEAR THE DIRECTORS AND OFFICERS SIGN A CONFLICT OF INTEREST FORM. THE PRESIDENT REVIEWS THE FORMS FOR ANY POTENTIAL CONFLICTS. THE AUDIT CHAIRMAN REVIEWS THE OFFICERS DISCLOSURE FORMS FOR THE SAME. WHEN A CONFLICT OF INTEREST IS DISCLOSED , THE GOVERNING BOARD WILL REVIEW ALL MATERIAL FACTS. IF THE BOARD DETERMINES THAT A CONFLICT EXISTS THEY WILL TAKE APPROPRIATE ACTIONS TO ADDRESS THE CONFLICT. THIS MAY INCLUDE PROHIBITING ANY INTERESTED PARTIES FROM VOTING OR TERMINATING EMPLOYMENT WITH THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SALARY IS SET BY THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | PRESIDENT REVIEWS ALL OFFICE EMPLOYEES SALARIES ANNUALLY. BOARD REVIEWS SECRETARY AND VICE PRESIDENT SALARIES ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART XI, LINE 9 | DECREASE IN ASSET VALUATION RESERVE 0 DECREASE IN INTEREST MAINT RESR 0 INCREASE IN ASSET VALUATION RESERVE -101,926 INCREASE IN INTEREST MAINTENANCE RESERVE -4,643 BOOK AND TAX DEPRECIATION DIFFERENCE -3,240 TOTAL -109,809 |
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