COMMUNITY CARE OF WEST VIRGINIA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE OF WEST VIRGINIA INC (EIN 55-0599096)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349305735
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T17:03:06-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1John Burdette & AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 418AddressLine1
CityBuckhannonCity
StateWVState
ZIP Code26201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550599096EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRI-COUNTY HEALTH CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRI-NameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1980AddressLine1
CityROCK CAVECity
StateWVState
ZIP Code26234ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICK SIMONName
TitleCEOTitle
Phone3049246262Phone
Date Signed2012-05-11DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn P BurdetteName
Phone3044723600Phone
Date Prepared2012-05-11DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICK SIMONNameOfPrincipalOfficerPerson
Gross Receipts12216445GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTHE CLINIC WAS DEVELOPED TO PROVIDE PRIMARY CARE HEALTH SERVCIES TO THE UNDERSERVED AREAS OF UPSHUR LEWIS AND WEBSTER COUNTIES OF WEST VIRGINIA THE CLINIC HAS CONTINUALLY ASSESSED COMMUNITY NEEDS AND RESPONDED WITH EXPANSION AND DEVELOPMENT OF APPROPRIATE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees220TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3090326ContributionsGrantsPriorYear
Contributions Grants Current Year4200040ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6806627ProgramServiceRevenuePriorYear
Program Service Revenue CY8016193ProgramServiceRevenueCY
Investment Income Prior Year632InvestmentIncomePriorYear
Investment Income Current Year212InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9897585TotalRevenuePriorYear
Total Revenue Current Year12216445TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6042640SalariesEtcPriorYear
Salaries Etc Current Year6648333SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3810503OtherExpensePriorYear
Other Expenses Current Year5115785OtherExpensesCurrentYear
Total Expenses Prior Year9853143TotalExpensesPriorYear
Total Expenses Current Year11764118TotalExpensesCurrentYear
Revenues Less Expenses Prior Year44442RevenuesLessExpensesPriorYear
Revenues Less Expenses CY452327RevenuesLessExpensesCY
Total Assets BOY3674025TotalAssetsBOY
Total Assets EOY5081827TotalAssetsEOY
Total Liabilities BOY2700049TotalLiabilitiesBOY
Total Liabilities EOY3655524TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY973976NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1426303NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CLINIC WAS DEVELOPED TO PROVIDE PRIMARY CARE HEALTH SERVCIES TO THE UNDERSERVED AREAS OF UPSHUR LEWIS AND WEBSTER COUNTIES OF WEST VIRGINIA THE CLINIC HAS CONTINUALLY ASSESSED COMMUNITY NEEDS AND RESPONDED WITH EXPANSION AND DEVELOPMENT OF APPROPRIATE SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10204912Expense
Revenue7628152Revenue
DescriptionPROVIDING RURAL HEALTH CARE SERVICES TO LOW INCOME FAMILIES OF UPSHUR WEBSTER AND LEWIS COUNTIES OF WEST VIRGINIA THE ORGANIZATION SERVED 18418 PATIENTS FOR THE YEAR ENDED JUNE 30 2011Description
Total Program Service Expense10204912TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees220NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT ROGERSNamePerson
Telephone Number3049246262TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 1980AddressLine1
CityROCK CAVECity
StateWVState
ZIP Code26234ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EDDIE WILLIAMS
BOARD MEMBER1.00X000
JOYCE GIBSON
VICE PRESIDENT1.00X000
KAREN GRANT
SECRETARY1.00X000
RAY KNOTTS
TREASURER1.00X000
RENEE HOFER
BOARD MEMBER1.00X
THELMA SAMPLES
BOARD MEMBER1.00X000
TOM HEFNER
BOARD MEMBER1.00X000
TOM LYNCH
PRESIDENT1.00X000
TRAVIS M MILLER
BOARD MEMBER1.00X000
RICK SIMON
CEO40.0010096700XX
AIMEE WHITEHAIR
PHYSICIAN40.0014198100X
ELAINE KIRCHDOERFER
PHYSICIAN32.0011036900X
NANCY JOSEPH
PHYSICAN36.0012403500X
RAYMOND LEONARD
PHYSICAN40.0011481300X
SARITA BENNETT
PHYSICAN40.0013295900X
WILLIAM GIVEN
PHYSICIAN40.0013295900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org858083TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants2967512GovernmentGrants
All Other Contributions1232528AllOtherContributions
Total Contributions4200040TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH CARE SERVICESDescription
Business Code621300BusinessCode
Total Revenue Column8016193TotalRevenueColumn
Related Or Exempt Function Income8016193RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8016193TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column212TotalRevenueColumn
Exclusion$212ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12216445TotalRevenueColumn
Related Or Exempt Function Income8016193RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$212ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total100967Total
Management And General100967ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5192320Total
Program Services4530017ProgramServices
Management And General662303ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total68317Total
Program Services50395ProgramServices
Management And General17922ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total833876Total
Program Services698365ProgramServices
Management And General135511ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total452853Total
Program Services396546ProgramServices
Management And General56307ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total608Total
Management And General608ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9000Total
Management And General9000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total203342Total
Program Services203342ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total37164Total
Program Services125ProgramServices
Management And General37039ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total225865Total
Program Services43833ProgramServices
Management And General182032ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total403068Total
Program Services403068ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total103867Total
Program Services62776ProgramServices
Management And General41091ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total102067Total
Management And General102067ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total126661Total
Program Services115970ProgramServices
Management And General10691ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total61383Total
Program Services53731ProgramServices
Management And General7652ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE593223483124491
COMMUNICATION AND UTILITIES23019213198898204
SUPPLIES33058653305865
EDUCATION40159386611498
TAXES LICENSES AND DUES43878350348844

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total163344Total
Program Services100365ProgramServices
Management And General62979ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11764118Total
Program Services10204912ProgramServices
Management And General1559206ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY203921BOY
EOY119620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY169454BOY
EOY496927EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1000BOY
EOY299379EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1390802BOY
EOY2077796EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY348974BOY
EOY397580EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2840862LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1150337LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1559874BOY
EOY1690525EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3674025BOY
EOY5081827EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1180674BOY
EOY1547564EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1000BOY
EOY500554EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1518375BOY
EOY1607406EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2700049BOY
EOY3655524EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY973976BOY
EOY1426303EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY973976BOY
EOY1426303EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3674025BOY
EOY5081827EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses452327ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2816808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2039197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2932119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3090326CurrentTaxYearMinus1Year
Current Tax Year4200040CurrentTaxYear
Total15078490Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2816808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2039197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2932119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3090326CurrentTaxYearMinus1Year
Current Tax Year4200040CurrentTaxYear
Total15078490Total
FieldValueIRS element (for citing)
Public Support Total17015078490PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year632CurrentTaxYearMinus1Year
Current Tax Year212CurrentTaxYear
Total3318Total
FieldValueIRS element (for citing)
Total Support15081808TotalSupport
Public Support Pertcentage1700.99980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis41036OtherCostOrOtherBasis
Book Value41036BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2080909OtherCostOrOtherBasis
Depreciation627265Depreciation
Book Value1453644BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis718917OtherCostOrOtherBasis
Depreciation523072Depreciation
Book Value195845BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1690525TotalOfBookValueLandBuildings
Total Revenue12216445TotalRevenue
Total Expenses11764118TotalExpenses
Excess Or Deficit For Year452327ExcessOrDeficitForYear
Excess Or Deficit Per FS452327ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12216445TotRevenueEtcAuditedFinclStmt
Revenue Subtotal12216445RevenueSubtotal
Total Revenue Per Form99012216445TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11764118TotExpensesEtcAuditedFinclStmt
Expenses Subtotal11764118ExpensesSubtotal
Total Expenses Per Form99011764118TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)THE 990 IS PRESENTED TO THE GOVERNING BOARD OF DIRECTORS ALONG WITH THE ANNUAL AUDIT REPORT FOR REVIEW AND APPOROVAL
02. Conflict of interest policy compliance (Part VI, line 12c)CONFLICT OF INTEREST POLICY IS IN PLACE POSSIBLE ISSUES ARE REPORTED TO SENIOR MANAGEMENT AND TO GOVERNING BOARD IF APPICABLE GOVERNING BOARD AND SENIOR MANAGEMENT ADDRESS ANY ISSUES AND MONITOR
03. CEO, executive director, top management comp (Part VI, line 15a)DETERMINED BY THE GOVERNING BOARD OF DIRECTORS
04. Other officer or key employee compensation (Part VI, line 15bDETERMINED BY THE GOVERNING BOARD OF DIRECTORS
05. Governing documents, etc, available to public (Part VI, line 19)DOCUMENTS ARE ON FILE AND AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST

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