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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Presbyterian Village North
 
Employer identification number

51-0190369
Return Reference Explanation
Form 990, Part VI, Section A, line 3 On 5/1/2008, Presbyterian Communities & Services was formed to provide management and shared services to Presbyterian Village North and other affiliated organizations.
Form 990, Part VI, Section B, line 11 The 990 is reviewed by management to review and correct prior to submitting to the Finance Committee of the Board for review. Management meets with the Finance Committee, along with the outside preparer, to discuss the 990 return and recommends changes, if any. After the 990 has been finalized and approved by the Finance Committee, it is submitted to the Board of Directors for their review prior to sending to the IRS.
Form 990, Part VI, Section B, line 12c We have a compliance officer (CO) who review all transactions of the organization that may result in a conflict of interest. The CO determines if the transaction would result in undue influence as a result of the relationship and not be pursued. The CO reports all conflicts of interest to the Board of Directors.
Form 990, Part VI, Section B, line 15 The Board has a compensation committee that reviews the current compensation compared to like entities and makes recommendations to the Board for changes in compensation. The Board also uses an outside consultatnt to review compensation, independent of the compensation committee.
Form 990, Part VI, Section C, line 19 These documents are available at the site, based on written request.
Form 990, Part XII, Line 2c The organization does have a committee that assumes responsibility for oversight of the audit, and the neither the oversight process nor the selection process has changed during the filing 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) 2013

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