JACKSON COUNTY COMMISSION ON AGING INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: JACKSON COUNTY COMMISSION ON AGING INC (EIN 55-0548649)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-13
IRS object ID: 201342259349302439
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-13T15:39:07-04:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	John Burdette & Associates	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O Box 418	AddressLine1
City	Buckhannon	City
State	WV	State
ZIP Code	26201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	550548649	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JACKSON COUNTY COMMISSION ON AGING INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JACK	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 617	AddressLine1
City	RIPLEY	City
State	WV	State
ZIP Code	25271	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GERRY DUNBAR	Name
Title	EXECUTIVE DIREC	Title
Phone	3043722406	Phone
Date Signed	2013-07-29	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	John P Burdette	Name
Phone	3044723600	Phone
Date Prepared	2013-07-29	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LINDA WAYBRIGHT	NameOfPrincipalOfficerPerson
Gross Receipts	1038050	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	ESTABLISH CONDUCT IMPLEMENT OPERATE COORDINATE AND FINANCE PROGRAMS FOR THE BENEFIT OF THE LOW INCOME MINORITY ELDERLY DISADVANTAGED AND HANDICAPPED CITIZENS OF JACKSON COUNTY THROUGH TITLE III AND MEDICAID PROGRAMS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	52	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	724440	ContributionsGrantsPriorYear
Contributions Grants Current Year	748790	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	254030	ProgramServiceRevenuePriorYear
Program Service Revenue CY	285980	ProgramServiceRevenueCY
Investment Income Prior Year	4123	InvestmentIncomePriorYear
Investment Income Current Year	3280	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	982593	TotalRevenuePriorYear
Total Revenue Current Year	1038050	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	623572	SalariesEtcPriorYear
Salaries Etc Current Year	642603	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	423584	OtherExpensePriorYear
Other Expenses Current Year	407085	OtherExpensesCurrentYear
Total Expenses Prior Year	1047156	TotalExpensesPriorYear
Total Expenses Current Year	1049688	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-64563	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-11638	RevenuesLessExpensesCY
Total Assets BOY	2141746	TotalAssetsBOY
Total Assets EOY	2125899	TotalAssetsEOY
Total Liabilities BOY	46405	TotalLiabilitiesBOY
Total Liabilities EOY	42196	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2095341	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2083703	NetAssetsOrFundBalancesEOY
Mission Description	ESTABLISH CONDUCT IMPLEMENT OPERATE COORDINATE AND FINANCE PROGRAMS FOR THE BENEFIT OF THE LOW INCOME MINORITY ELDERLY DISADVANTAGED AND HANDICAPPED CITIZENS OF JACKSON COUNTY THROUGH TITLE III AND MEDICAID PROGRAMS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	377380	Expense
Revenue	53926	Revenue
Description	TITLE III PROGRAMS - PROVIDE TRANSPORTATION NUTRITION AND OTHER SOCIAL SERVICES TO THE SENIOR CITIZENS OF JACKSON COUNTY WEST VIRGINIA THE ORGANIZATION SERVED 20624 CONGREGATE MEALS AND 19735 HOME DELIVERED MEALS TO SENIOR CITIZENS FOR THE YE AR ENDED SEPTEMBER 30 2012	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	547004	Expense
Revenue	41551	Revenue
Description	PERSONAL CARE SERVICES - PROVIDE IN-HOME PERSONAL CARE SERVICES AND OTHER SOCIAL SERVICES TO THE SENIOR CITIZENS OF JACKSON COUNTY WEST VIRGINA	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	924384	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	52	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WV	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	AMANDA HANNA	NamePerson
Telephone Number	3043722406	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	121 SOUTH COURT STREET	AddressLine1
City	RIPLEY	City
State	WV	State
ZIP Code	25271	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
BETTY FENCH
BOARD MEMBERS	1.00	X	0	0	0
BILL CADLE
BOARD MEMBER	1.00	X	0	0	0
DIANNE CARY
SECRETARY	1.00	X	0	0	0
GENE MORGAN
BOARD MEMBER	1.00	X	0	0	0
GERALDINE SALLIE
VICE PRESIDENT	1.00	X	0	0	0
HELEN COHENOUR
BOARD MEMBER	1.00	X	0	0	0
JEANNETTE HOUCHEN
BOARD MEMBER	1.00	X	0	0	0
LINDA WAYBRIGHT
PRESIDENT	1.00	X	0	0	0	X
RITA WEST
BOARD MEMBER	1.00	X	0	0	0
ROY GUTHRIE
BOARD MEMBER	1.00	X	0	0	0
GERRY DUNBAR
EXECUTIVE DIRECTOR	40.00					X	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	707597	GovernmentGrants
All Other Contributions	41193	AllOtherContributions
Total Contributions	748790	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PERSONAL CARE SERVCIES	624100	184903	184903
OTHER SOCIAL SERVICES	900099	101077	101077

Field	Value	IRS element (for citing)
Total Program Service Revenue	285980	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3280	TotalRevenueColumn
Exclusion	$3,280	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1038050	TotalRevenueColumn
Related Or Exempt Function Income	285980	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,280	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	43025	Total
Program Services	40095	ProgramServices
Management And General	2930	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	506055	Total
Program Services	506055	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	32420	Total
Program Services	31126	ProgramServices
Management And General	1294	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	61103	Total
Program Services	61103	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	538	Total
Management And General	538	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4000	Total
Program Services	4000	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	52311	Total
Program Services	50361	ProgramServices
Management And General	1950	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	95170	Total
Management And General	95170	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	16446	Total
Program Services	16446	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
RAWFOOD AND DISPOSABLES	106170	106170
COMMUNICATIONS AND UTILITIES	55286	54704	582
PRINTING AND SUPPLIES	18521	13419	5102
REPAIRS AND MAINTENANCE	54574	38091	16483

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4069	Total
Program Services	2814	ProgramServices
Management And General	1255	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1049688	Total
Program Services	924384	ProgramServices
Management And General	125304	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	120312	BOY
EOY	143021	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	177020	BOY
EOY	179248	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	26173	BOY
EOY	28608	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	24000	BOY
EOY	35773	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10878	BOY
EOY	7331	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2775883	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1043965	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1783363	BOY
EOY	1731918	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2141746	BOY
EOY	2125899	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	46405	BOY
EOY	42196	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	46405	BOY
EOY	42196	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2049911	BOY
EOY	2057730	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	45430	BOY
EOY	25973	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2095341	BOY
EOY	2083703	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2141746	BOY
EOY	2125899	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-11638	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	626559	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	781691	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	702522	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	724440	CurrentTaxYearMinus1Year
Current Tax Year	748790	CurrentTaxYear
Total	3584002	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	626559	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	781691	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	702522	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	724440	CurrentTaxYearMinus1Year
Current Tax Year	748790	CurrentTaxYear
Total	3584002	Total

Field	Value	IRS element (for citing)
Public Support Total170	3584002	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3694	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2871	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4169	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4123	CurrentTaxYearMinus1Year
Current Tax Year	3280	CurrentTaxYear
Total	18137	Total

Field	Value	IRS element (for citing)
Total Support	3602139	TotalSupport
Public Support Pertcentage170	0.99500	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99480	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	201566	OtherCostOrOtherBasis
Book Value	201566	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2257802	OtherCostOrOtherBasis
Depreciation	770592	Depreciation
Book Value	1487210	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	316515	OtherCostOrOtherBasis
Depreciation	273373	Depreciation
Book Value	43142	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1731918	TotalOfBookValueLandBuildings
Total Revenue	1038050	TotalRevenue
Total Expenses	1049688	TotalExpenses
Excess Or Deficit For Year	-11638	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-11638	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1038050	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	1038050	RevenueSubtotal
Total Revenue Per Form990	1038050	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1049688	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1049688	ExpensesSubtotal
Total Expenses Per Form990	1049688	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)	THE 990 IS PRESENTED TO THE GOVERNING BOARD ALONG WITH THE ANNUAL AUDIT REPORT FOR REVIEW AND APPROVAL
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 APPLICABLE GOVERNING BOARD AND SENIOR MANAGEMENT ADDRESS ANY ISSUES AND MONITOR POLICY
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 15b	DETERMINED 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