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
LUTHERAN SENIORLIFE FOUNDATION
 
Employer identification number

25-1705233
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION B, LINE 11 PROVIDED A COPY OF THE FINAL FORM 990 TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW.
  FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED FROM ALL BOARD MEMBERS AND EXECUTIVES.
  FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE LUTHERAN SENIORLIFE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW IN JULY. THE VP OF HUMAN RESOURCES COMPILES MARKET INFORMATION FOR THE COMMITTEES REVIEW. THE BOARD THEN DETERMINES THE COMPENSATION FOR THE CEO.
  FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND TAX FORMS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.
  FORM 990, PART IX, LINE 7: LUTHERAN SENIORLIFE FOUNDATION DOES NOT EMPLOY ANY INDIVIDUALS. THE SALARIES AND BENEFITS REPORTED IN PART IX OF FORM 990 REPRESENT REIMBURSEMENT FOR SERVICES PROVIDED BY EMPLOYEES OF THE PARENT ORGANIZATION, LUTHERAN SENIORLIFE (EIN: 25-1527666). LUTHERAN SENIORLIFE REPORTS ALL SALARIES AND TAXES ON ITS FORM 941.
  FORM 990, PART XI, LINE 2C: THE AUDIT COMMITTEE OF THE LUTHERAN SENIORLIFE BOARD OF DIRECTORS MAKES THE SELECTION OF THE INDEPENDENT AUDIT FIRM, AND MEETS WITH THE AUDIT TEAM PRIOR TO AND AT THE CONCLUSION OF THE AUDIT FOR A DETAILED REVIEW OF THE STATEMENTS AND FINDINGS. THE AUDIT COMMITTEE MAKES RECOMMENDATION TO THE BOARD TO ACCEPT THE AUDIT.
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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