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AVENUE 3RD FL NEW YORK NY 10018 133530299 501(C)(3) 10000 SEE PART IV 1 PART I, LINE 2: GRANTS TO OUTSIDE 501(C)(3) ORGANIZATIONS, PAGNY MAINTAINS DONOR ACKNOWLEDGEMENTS FROM EACH GRANT RECIPIENT TO SUBSTANTIATE THE AMOUNT OF THE GRANT AND THE TAX EXEMPT STATUS OF THE GRANT RECIPIENT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (I.E., A PUBLIC CHARITY). IN ORDER FOR AN IRC 501(C)(3) ORGANIZATION TO MAINTAIN ITS TAX EXEMPTION IT MUST BE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES. SINCE PAGNY ONLY GIVES GRANTS TO 501(C)(3) CHARITABLE ORGANIZATIONS, NO FURTHER MONITORING IS REQUIRED. PART II, COLUMN (H) PURPOSE OF GRANT OR ASSISTANCE: COMUNILIFE: TO SUPPORT HEALTH AND WELLNESS ACTIVITIES. 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THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S 2020 W-2 AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6: THE ORGANIZATION HAS SHAREHOLDERS, WHO MUST MEET THE FOLLOWING QUALIFICATIONS TO BE A SHAREHOLDER, INDIVIDUALLY DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF NEW YORK, BE A FULL TIME MEMBER OF A MEDICAL STAFF. FORM 990, PART VI, SECTION A, LINE 7A: MEMBERS ARE GIVEN ONE VOTE AT THE ANNUAL MEETING TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11: 990 REVIEW PROCESS FORM 990 IS PREPARED BY A CPA FIRM FROM FINANCIAL STATEMENTS AS WELL AS INFORMATION FROM THE ORGANIZATION. THE CPA FIRM FURNISHES A DRAFT FORM 990 WHICH IS REVIEWED BY MANAGEMENT. AFTER APPROVAL, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW AND COORDINATE ANY APPROPRIATE CHANGES TO FORM 990 BEFORE IT IS FINALIZED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT PAGNY HAS A CONFLICT OF INTEREST POLICY WHICH REQUIRES ALL EMPLOYEES TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE POLICY IS AVAILABLE TO ALL EMPLOYEES IN THE EMPLOYEE HANDBOOK AND AFFIRMATIVELY PROVIDED ANNUALLY TO EMPLOYEES. IN ADDITION, KEY PERSONS IN THE ORGANIZATION ARE REQUIRED TO SUBMIT ANNUAL DISCLOSURE STATEMENTS WHICH ARE REVIEWED TO DETERMINE ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15: THE BOARD OF DIRECTORS OF PAGNY DO NOT RECEIVE COMPENSATION AS OFFICERS OF THE ORGANIZATION; THEY RECEIVE COMPENSATION AS EMPLOYEES PURSUANT TO AN AFFILIATION AGREEMENT BETWEEN PAGNY AND NYC HEALTH + HOSPITALS, WHICH IS A PUBLIC BENEFIT CORPORATION. THE ORGANIZATION CONDUCTS SURVEYS OF EXECUTIVE COMPENSATION TO COMPARE MARKET DATA OF SIMILAR ORGANIZATIONS TO RECOMMEND SALARIES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE CEO'S SALARY IS DETERMINED BY THE PAGNY BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. 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