2021-07-12T13:47:38-05:00 2020-12-31 562382653 NORTHWEST CPA GROUP PLLC 1333 COLUMBIA PARK TRAIL STE 210 RICHLAND WA 99352 990 2020-01-01 911952283 SIGN FRACTURE CARE INTERNATIONAL SIGN 5093711107 451 HILLS STREET SUITE B RICHLAND WA 99354 JEANNE DILLNER CHIEF EXECUTIVE OFFICER 5093711107 2021-07-06 1 JEANNE DILLNER 999009999 ALISON C GEBERS P00423745 5097351300 2021-07-06 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SIGN 451 HILLS STREET SUITE B RICHLAND WA 99354 7081078 0 X WWW.SIGNFRACTURECARE.ORG X 1999 WA BUILD ORTHOPAEDIC CAPACITY IN DEVELOPING COUNTRIES BY PROVIDING ORTHOPAEDIC TRAINING AND IMPLANTS. 10 10 49 57 0 0 8367998 5247095 943761 878615 275085 252688 -6784 34037 9580060 6412435 71934 105673 0 0 2614789 2797745 0 0 474489 5087142 3806038 7773865 6709456 1806195 -297021 11949446 12430004 324872 408406 11624574 12021598 X SEE SCHEDULE O 0 0 757205 105673 12457 WE PROVIDE ACCESS TO ORTHOPAEDIC TRAINING AND EDUCATION TO SURGEONS IN DEVELOPING COUNTRIES VIA FIVE PRIMARY CHANNELS:1. ONSITE VISITS BY LOCAL SURGEONS AND NORTH AMERICAN AND EUROPEAN SURGEONS. 2. EMAIL COMMUNICATIONS WITH SIGN HEADQUARTERS.3. DISCUSSION TOPICS AND EDUCATIONAL RESOURCES POSTED ON OUR WEBSITE, THE HUB.4. REVIEW OF CASES SUBMITTED TO THE SIGN SURGICAL DATABASE BY ORTHOPAEDIC SURGEONS ON THE SIGN BOARD. 5. REGIONAL SIGN AND TRAUMA CONFERENCES, AS WELL AS THE ANNUAL INTERNATIONAL ORTHOPAEDIC CONFERENCE HELD AT SIGN HEADQUARTERS.THE OBJECTIVES FOR ALL MODES OF TRAINING ARE: 1) ENSURE SIGN SURGEONS UNDERSTAND THE SURGICAL TECHNIQUE FOR THE SIGN PRODUCTS IN THEIR HOSPITAL; 2) PROVIDE TRAINING ON CURRENT AND RELEVANT ORTHOPAEDIC PRINCIPLES; AND, 3) PROVIDE TRAINING IN ORTHOPAEDIC AND TRAUMA PROCEDURES FOR INJURIES SUCH AS OPEN WOUNDS, LIMB DEFORMITY, PEDIATRIC, AND PELVIC.EXPAND TRAINING AND EDUCATIONAL OPPORTUNITIES:DUE TO THE COVID-19 PANDEMIC, WE WERE UNABLE TO HOLD THE IN-PERSON SIGN CONFERENCE IN 2020; HOWEVER, WE QUICKLY PIVOTED TO A NEW VIRTUAL TRAINING OPPORTUNITY. IN PARTNERSHIP WITH IGOT, WE LAUNCHED THE SUCCESSFUL SIGN TRAUMA SESSIONS WEBINAR SERIES. THESE WEBINARS ARE HELD MONTHLY VIA ZOOM AND RECORDED FOR THOSE SURGEONS WHO CANNOT ATTEND LIVE. NEARLY EVERY SESSION INCLUDES FACULTY WHO ARE SIGN SURGEONS. THE TRAUMA SESSIONS GIVE SIGN SURGEONS A CHANCE TO SHARE THEIR KNOWLEDGE AND EXPERTISE WITH THEIR COLLEAGUES AND DISCUSS RELEVANT TOPICS IN TRAUMA CARE SUCH AS HUMERUS FRACTURES, PEDIATRIC FRACTURES, SOFT TISSUE WOUND COVERAGE, AND PELVIC FRACTURES. IN 2020, WE HELD 5 WEBINARS WHICH REACHED MORE THAN 1500 SIGN SURGEONS. THE HUB, SIGN'S WEBSITE FOR EDUCATIONAL RESOURCES FOR SURGEONS, ALSO TOOK ON ADDITIONAL IMPORTANCE IN 2020 WITH VIDEOS, ARTICLES, DISCUSSIONS, AND MORE TO PROVIDE ONGOING LEARNING OPPORTUNITIES FOR SURGEONS ACROSS THE GLOBE.THE SIGN IT DEPARTMENT UPGRADED THE SIGN SURGICAL DATABASE WEBSITE, WHICH IS THE BACKBONE OF REPORTING AND RESEARCHING SURGICAL CASES. THE UPGRADES MADE IT EASIER FOR SURGEONS TO UPLOAD PHOTOS AND CASE DATA, MADE IT MORE EFFICIENT TO REVIEW CASES, AND MAKES IT EASIER TO RESEARCH THE LARGEST DATABASE OF LONG BONE FRACTURES IN THE WORLD. WE CONTINUE TO PARTNER WITH BLACK LION HOSPITAL, IN ADDIS ABABA, ETHIOPIA ON THE FIRST EAST AFRICAN PELVIC FELLOWSHIP PROGRAM. IN 2020, THEY TRAINED 2 ETHIOPIAN FELLOWS IN ADDITION TO A NIGERIAN SURGEON WHO WAS THEN ABLE TO RETURN HOME AND PUT HIS NEW SKILLS INTO PRACTICE IN HIS LOCAL COMMUNITY.ALSO IN 2020, A NEW TRAVELING SET PROGRAM MODEL WAS PILOTED IN ETHIOPIA AND TANZANIA. IN THIS NEW MODEL, THE MENTOR SURGEON MANAGING THE SET IDENTIFIES A HOSPITAL THEY BELIEVE HAS THE POTENTIAL TO SERVE MANY PATIENTS. THE MENTOR SURGEON THEN TRAVELS TO THE HOSPITAL AND TRAINS THE SURGEONS IN THE SIGN TECHNIQUE AND DATABASE REPORTING. AFTER THE TRAINING IS COMPLETED, THE SET IS STATIONED AT THE HOSPITAL FOR THREE MONTHS. IF THE HOSPITAL REPORTS AT LEAST 10 CASES WITHIN THE THREE-MONTH PERIOD, THEY ARE ELIGIBLE TO APPLY TO START THEIR OWN SIGN PROGRAM. THESE TRAVELING SET PROGRAMS HAVE ALREADY BEGUN ONE SIGN PROGRAM EACH AND MOVED TO THEIR NEXT LOCATIONS. 4998013 866158 DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY:THE SIGN IM NAIL AND INTERLOCKING SCREW SYSTEM IS DESIGNED FOR USE IN HOSPITALS IN DEVELOPING COUNTRIES WHERE C-ARMS AND RELIABLE POWER ARE NOT AVAILABLE. SIGN ENGINEERS CONTINUALLY DEVELOP NEW ORTHOPAEDIC INSTRUMENTS AND IMPLANTS IN RESPONSE TO THE NEEDS DESCRIBED BY THE LOCAL SURGEONS. IN 2020, SIGN ENGINEERS DEVELOPED TWO INSTRUMENTS TO ASSIST IN A VARIETY OF ORTHOPAEDIC SURGERIES. THE COLLINEAR CLAMP IS INTENDED TO HELP ALIGN AND HOLD FRACTURED FEMURS AND PELVISES DURING SURGERY. THE BONE SCOOP IS A TOOL USED IN CONJUNCTION WITH SIGN REAMERS TO COLLECT BONE GRAFT MATERIAL LEFT IN THE CANAL AFTER REAMING, WHICH CAN BE PACKED AT THE FRACTURE SITE TO SPEED UP THE HEALING PROCESS.WE SUPPLY NEW PROGRAMS WITH THE SIGN IM NAIL SYSTEM, WHICH SURGEONS USE TO REPAIR SEVERE FRACTURES IN THE FEMUR, TIBIA, AND HUMERUS. ONCE A PROGRAM HAS DEMONSTRATED ITS ABILITY TO REPORT THEIR CASES, INCLUDING ADEQUATE FOLLOW-UP THAT CONFIRMS THEIR RESULTS COMPLY WITH OUR EXPECTATIONS, THEY BECOME ELIGIBLE TO RECEIVE ADDITIONAL SIGN PRODUCTS, AS WELL AS IN-KIND DONATIONS RECEIVED FROM FOR-PROFIT ORTHOPAEDIC IMPLANT COMPANIES.IN 2020, WE DISTRIBUTED 29,551 SIGN NAILS TO 54 COUNTRIES. OUR AIM IS TO ENABLE THE POOR TO GAIN ACCESS TO AFFORDABLE ORTHOPAEDIC SURGERY, WHICH MEANS THAT THE MAJORITY OF OUR IMPLANTS ARE DONATED FREE OF CHARGE TO THE PATIENT.WE STARTED 23 NEW SIGN PROGRAMS IN 2020. THE BREAKDOWN WAS AS FOLLOWS: AFRICA: 15 PROGRAMS ASIA: 8 PROGRAMS AS OF DECEMBER 31, 2020, THE WORLD BANK INCOME CLASSIFICATIONS BY GNI FOR THE COUNTRIES WITH NEW SIGN PROGRAMS WERE AS FOLLOWS: LOW INCOME 26%, LOWER MIDDLE INCOME 61%, AND UPPER MIDDLE INCOME 9%. (4% ARE TERRITORIES NOT RECOGNIZED BY THE WORLD BANK.)DISASTER AND CONFLICT RESPONSE:WE BELIEVE IN EQUALITY OF FRACTURE CARE FOR ALL, REGARDLESS OF GENDER, RELIGION, POLITICAL AFFILIATION, OR ANY OTHER IDENTITY. CONTROL OF THE NAGORNO-KARABAKH REGION HAS BEEN DISPUTED BETWEEN ARMENIA AND AZERBAIJAN FOR MANY YEARS AND FIGHTING FLARED UP IN 2020. AFTER THE CONFLICTS BEGAN, WE WERE CONTACTED BY TWO US SURGEONS WHO WERE SUPPORTING LOCAL SURGEONS WITH DONATIONS OF MEDICAL EQUIPMENT. THE LOCAL SURGEONS WERE RECEIVING MANY INJURED PATIENTS, BUT LACKED THE IMPLANTS NEEDED TO CARE FOR THEM. SIGN QUICKLY SENT AN INSTRUMENT SET AND IMPLANTS TO BEGIN A NEW PROGRAM IN YEREVAN, THE CAPITAL CITY. ADDITIONALLY, WE SENT A SET TO BEGIN A TRAVELING PROGRAM TO BRING ORTHOPAEDIC CARE TO PEOPLE LIVING CLOSER TO THE FIGHTING. EVEN BEFORE THE INSTRUMENTS AND IMPLANTS ARRIVED, THE ARMENIAN SURGEONS WERE SENDING X-RAYS TO OUR PRESIDENT AND FOUNDER, DR. LEWIS ZIRKLE, FOR CONSULTATION ON SPECIFIC CASES. TOWARD THE END OF THE YEAR, CONFLICT AROSE IN NORTHERN ETHIOPIA, RESULTING IN HUNDREDS OF PEOPLE KILLED AND INJURED. IT IS UNCLEAR HOW MANY PEOPLE WERE WOUNDED IN THE INITIAL CLASHES BECAUSE THE REGION OF TIGRAY HAS BEEN IN A COMMUNICATIONS BLACKOUT SINCE THE CONFLICT BEGAN, WITH NO INTERNET OR PHONE SERVICE. SIGN RESPONDED BY PROVIDING ADDITIONAL SHIPMENTS OF SIGN INSTRUMENTS AND IMPLANTS TO SIGN SURGEONS IN AND AROUND TIGRAY, WHO WERE PROVIDING CARE FOR PATIENTS IN THE REGION. OUR LOCAL PARTNERS ARE EXPERT SURGEONS AND KNOW THE NEEDS OF THE COMMUNITY BETTER THAN WE CAN FROM THE UNITED STATES, SO WE EMPOWER THEM TO RESPOND TO NEEDS AS THEY ARISE. 5755218 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 8 0 1 49 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AR CA CO DC FL GA HI IL KS KY MA MD MI MN MS NH NJ NM NV NY NC OH OK OR PA SC TN UT VA WA WI CT ME RI ND WV MO X GINNETTE ERNST 5093711107 451 HILLS STREET SUITE B RICHLAND WA 99354 CARLA SMITH MD PHD BOARD MEMBER 1.00 X 0 0 0 DAVID WHITNEY MD BOARD MEMBER 2.00 X 0 0 0 JOHN STAEHELI MD BOARD MEMBER 1.00 X 0 0 0 LEWIS G ZIRKLE MD PRESIDENT/FOUNDER 60.00 X X 0 0 0 RANDALL HUEBNER BOARD MEMBER 13.00 X 0 0 0 STEPHEN SCHWARTZ BOARD MEMBER 1.00 X 0 0 0 RICHARD GELLMAN MD BOARD MEMBER 1.00 X 0 0 0 THOMAS VASILEFF MD BOARD MEMBER 1.00 X 0 0 0 PATRICK YOON MD BOARD MEMBER 1.00 X 0 0 0 DAVID SHEARER MD BOARD MEMBER 2.00 X 0 0 0 JEANNE DILLNER SECRETARY /TREASURER 75.00 X 156664 0 13244 JOEL GILLARD SENIOR R&D ENGINEER 40.00 X 122369 0 14725 ROBERT SCHMITT REGULATORY AFFAIRS MANAGER 40.00 X 114192 0 12606 TERRY SMITH ENGINEERING MANAGER 40.00 X 133273 0 5709 SANDRA BROWN BUSINESS ADMIN MANAGER 40.00 X 116616 0 21536 BRIAN BARNES IT MANAGER 40.00 X 105464 0 11196 748578 0 79016 6 0 1 0 ALLAN ELECTRIC INC 918 W CANAL DRIVE A KENNEWICK WA 99336 ELECTRICAL MAINTENANCE 120075 1 493033 649461 4104601 1584080 5247095 IMPLANT REVENUE 339110 866158 866158 OTHER REVENUE 541900 12457 12457 878615 81210 81210 70730 17783 52947 52947 52947 772508 599727 1303 172781 -1303 171478 171478 30920 493033 49830 -18910 -18910 6412435 878615 0 286725 105673 105673 158200 118650 39550 2639545 1908637 389007 341901 15718 15718 52418 10715 16411 25292 10891 9764 567 560 15118 13160 72 1886 1300 1300 90975 78605 5920 6450 14125 10500 1823 1802 COST OF PRODUCT DISTRIB 1703214 1703214 SUPPLIES 1563516 1520530 12210 30776 SHIPPING 128532 128532 DUES, FEES AND TAXES 62777 26902 22066 13809 147454 119036 15955 12463 6709456 5755218 479749 474489 316805 404026 1883641 2112094 1705279 395393 69051 146801 872479 1047601 95225 95950 6444907 2727810 3539238 3717097 3450428 4496124 17300 14918 11949446 12430004 324872 408406 324872 408406 X 9619533 11156606 2005041 864992 11624574 12021598 11949446 12430004 -297021 694045 0 X X 0 1 X 1 0 X 2449418 2952158 3629218 8420434 5247095 22698323 1098905 1514890 831528 943761 878615 5267699 3548323 4467048 4460746 9364195 6125710 27966022 707896 811252 792373 1557089 669090 4537700 692199 1051967 370893 517401 552226 3184686 1400095 1863219 1163266 2074490 1221316 7722386 20243636 200177 165317 163467 143468 151940 824369 200177 165317 163467 143468 151940 824369 3748500 4632365 4624213 9507663 6277650 28790391 0.70310 0.74070 0.02860 0.02430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 880000 880000 1631388 80175 1551213 1491301 558158 933143 2150107 1827056 323051 292111 262421 29690 3717097 X 8242696 694045 1098220 67613 1859878 6382818 29617 29617 6412435 7845672 1098220 68916 1167136 6678536 30920 30920 6709456 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 49,830. RENTAL EXPENSES 17,783. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON EQUIPMENT DISPOSAL -1,303. DONATED AUCTION ITEMS 30,920. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 49,830. LOSS ON EQUIPMENT DISPOSAL 1,303. RENTAL EXPENSES 17,783. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED AUCTION ITEMS 30,920. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 49409 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 558338 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 7425 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 1140 SOUTH AMERICA 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 3266 SOUTH ASIA 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 193023 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 896766 SUB-SAHARAN AFRICA 0 0 GRANTS TRAINING, IMPLANTS, STIPEND 55000 RUSSIA & THE NEWLY INDEPENDENT STATES 0 0 PROGRAM SERVICES ORTHOPAEDIC IMPLANTS 15095 0 0 0 0 0 0 1764367 15095 1779462 FELLOWSHIP STIPEND SUB-SAHARAN AFRICA 3 55000 CASH PAYMENT 0 0 0 0 0 0 PART I, LINE 2: GRANT REQUESTS ARE REVIEWED BY THE GRANT REVIEW COMMITTEE AS ESTABLISHED BY THE SIGN COMPLIANCE PROGRAM. MONITORING AWARDS IS A TWO PRONG APPROACH: A) FINANCIAL REPORTS OR RECEIPTS ARE SUBMITTED; AND, B) STATUS UPDATES ARE PROVIDED BY RECIPIENTS. PART III ACCOUNTING METHOD: SUMMER BASH 78187 69847 8340 8340 6794 MOONLIGHT MASQUERADE 416908 411097 5811 5811 13468 1 28858 12089 16769 16769 -2900 1548 523953 493033 30920 30920 -2900 21810 49830 -18910 X X 0 0 0 0 0 0 0 0 0 JEANNE DILLNER SECRETARY /TREASURER 156664 0 0 0 0 0 6328 0 6916 0 169908 0 0 0 X 2 4700 FAIR VALUE X 11100 FAIR VALUE X 14615 FAIR VALUE X 8 66875 FAIR VALUE X 15 5063 FAIR VALUE X 7 1323139 FAIR VALUE X OTHER 4 105132 FAIR VALUE X TRAVEL EXPENSES FOR TRAINING 8 53457 FAIR VALUE 0 0 0 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: SIGN'S MISSION IS TO BUILD ORTHOPAEDIC CAPACITY IN DEVELOPING COUNTRIES BY PROVIDING ONGOING TRAINING AND EDUCATION TO THE LOCAL ORTHOPAEDIC SURGEONS, WHICH IS AUGMENTED BY PROVIDING A SUSTAINABLE SUPPLY OF ORTHOPAEDIC IMPLANTS DESIGNED FOR USE IN PRIMITIVE LOCAL HOSPITAL CONDITIONS. THE MAJORITY OF THE IMPLANTS AND INSTRUMENTS PROVIDED TO PROGRAMS HAVE BEEN DESIGNED AND MANUFACTURED BY SIGN PERSONNEL. IN-KIND DONATIONS OF PRODUCTS NOT MANUFACTURED BY SIGN ARE DISTRIBUTED TO SOME OF THE BUSIER PROGRAMS. ACCORDING TO THE WORLD HEALTH ORGANIZATION, THE EPIDEMIC OF INJURIES CAUSED BY ROAD TRAFFIC ACCIDENTS, WORK INJURIES, AND CONFLICTS AFFECTS 20 TO 50 MILLION PEOPLE EVERY YEAR. NINETY PERCENT OF THE PEOPLE INJURED LIVE IN DEVELOPING COUNTRIES WHERE ACCESS TO ADEQUATE CARE IS LIMITED. SIGN'S MISSION TO BUILD THE ORTHOPAEDIC CAPACITY WITHIN THESE COUNTRIES WILL SUPPORT THE LOCAL SURGEONS IN PROVIDING APPROPRIATE AND TIMELY CARE TO THE INJURED POOR. THERE ARE APPROXIMATELY 5,000 SURGEONS IN NEARLY 300 HOSPITALS IN 50 DEVELOPING NATIONS WHICH HAVE BENEFITED FROM SIGN TRAINING AND THE PROVISION OF IMPLANTS AND INSTRUMENTS. SIGN ALSO RESPONDS TO DISASTERS IN LOCATIONS WHERE SIGN HAS EXISTING PROGRAMS OR WHERE SIGN PROGRAMS NEED TO BE DEVELOPED. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS PROVIDED TO SIGN'S CEO. THE FORM 990 IS PRESENTED FOR REVIEW TO THE BOARD OF DIRECTORS. ANY CHANGES ARE THEN DIRECTED TO THE RETURN PREPARER AND ADDRESSED BEFORE THE FINAL RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER. THE CHIEF COMPLIANCE OFFICER REQUESTS ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH BOARD MEMBER. THE STATEMENTS ARE REVIEWED WITH THE CEO/SECRETARY AND DISPOSITIONED. THE PRESIDENT IS BRIEFED ON FINDINGS ALONG WITH THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL PERFORMANCE REVIEW IS CONDUCTED FOR ALL EMPLOYEES INCLUDING THE CEO. THE ENTITY'S SIZE, INDUSTRY, TYPE OF ORGANIZATION, AND POSITION OF RESPONSIBILITIES ARE CONSIDERED IN DETERMINING COMPENSATION ADJUSTMENTS. ACCORDING TO THE ORGANIZATION'S BY-LAWS, THE PRESIDENT IS AUTHORIZED TO CONDUCT THE CEO'S ANNUAL REVIEW AND DETERMINE COMPENSATION. THE ORGANIZATION UTILIZES A SUBSCRIPTION TO PAYSCALE WHICH PROVIDES ACCURATE SALARY INFORMATION TO ESTABLISH PAY RANGES FOR EMPLOYEES. PAYSCALE ALSO ALLOWS THE ORGANIZATION TO INPUT PERFORMANCE RANKING DATA IN ORDER TO OBTAIN "RECOMMENDED RAISES" VIA THOSE RANKS JUXTAPOSED WITH WHERE EACH INDIVIDUAL'S CURRENT SALARY LANDS IN THE SALARY RANGE FOR THEIR POSITION. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC MAY CONTACT THE ORGANIZATION AT IT'S PHYSICAL LOCATION TO REQUEST COPIES OF ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT PROCESS OR SELECTION PROCESS OF SELECTING AN INDEPENDENT AUDITOR DURING THE TAX YEAR.