SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
CHILDREN AND YOUTH SERVICES INC
 
Employer identification number

26-0610918
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO IT BEING FILED.
  FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION COMPLIES WITH A CONFLICT OF INTEREST POLICY. THE POLICY STATES THAT: "ANYONE MAKING DECISIONS ON BEHALF OF THE ORGANIZATION SHOULD ALWAYS ACT BASED IN THE BEST INTERESTS OF THE ORGANIZATION, AND NO INDIVIDUAL ASSOCIATED WITH THE ORGANIZATION SHOULD USE HIS OR HER POSITION FOR PERSONAL BENEFIT, FOR THE BENEFIT OF FRIENDS OR RELATIVES, OR TO FURTHER ANY OUTSIDE INTERESTS OR PERSONAL AGENDA. THIS STANDARD APPLIES TO ALL TRANSACTIONS AND DECISIONS, WHETHER OR NOT COVERED BY THE DETAILED POLICIES AND PROCEDURES BELOW." THE POLICY DEFINES POTENTIAL AND ACTUAL CONFLICTS OF INTEREST, REQUIRES DISCLOSURE BY RELEVANT PARTIES OF POTENTIAL AND ACTUAL CONFLICTS, AND ESTABLISHES PROCEDURES BY WHICH BOARD MEMBERS AND STAFF CAN DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF A CONFLICT, THE POLICY FURTHER PROVIDES A PROCESS FOR DECIDING WHETHER A PROPOSED TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION DESPITE THAT CONFLICT OF INTEREST. THE POLICY STATES THAT IT SHALL BE DISTRIBUTED ANNUALLY TO ALL DIRECTORS, OFFICERS, MEMBERS OF BOARD COMMITTEES, AND STAFF ALONG WITH A DISCLOSURE QUESTIONNAIRE DESIGNED TO UNCOVER POTENTIAL CONFLICTS OF INTEREST BY ASKING RECIPIENTS TO LIST FAMILY AND BUSINESS RELATIONSHIPS WITH OTHER OFFICERS, DIRECTORS AND KEY EMPLOYEES. ALL COVERED INDIVIDUALS ARE ASKED TO RESPOND ACKNOWLEDGING RECEIPT OF THE POLICY, THEIR INTENTION TO ABIDE BY IT, AND DISCLOSING ALL ISSUES LISTED IN THE QUESTIONNAIRE.
  FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION WILL MAKE ITS FORM 990 AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST.
  FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST THE ORGANIZATION WILL PROVIDE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC.
  FORM 990 PART XII LINE 2C THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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