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
HELEN KELLER INTERNATIONAL INCORPORATED
 
Employer identification number

13-5562162
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY TAIT, WELLER & BAKER LLP BASED ON INFORMATION RECEIVED FROM THE CONTROLLER. THE CONTROLLER DOES THE INITIAL REVIEW OF THE RETURN.THE FINAL COPY OF THE FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES' FINANCE AND AUDIT COMMITTEE AND A COPY IS DISTRIBUTED TO EACH BOARD MEMBER BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C HKI HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES HKI'S OFFICERS, DIRECTORS AND EMPLOYEES TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST PERTAINING TO THEMSELVES AND THEIR FAMILY MEMBERS ON A QUESTIONNAIRE DISTRIBUTED BY THE PRESIDENT'S OFFICE. THE EXECUTIVE ASSISTANT ENSURES THAT ALL QUESTIONNAIRES DISCLOSE ACTUAL OR POTENTIAL CONFLICTS. AT THE ANNUAL BOARD MEETING, THE CEO AND SENIOR MANAGEMENT TEAM ARE REQUIRED TO SIGN THE QUESTIONNAIRE.
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT/CEO IS REVIEWED ANNUALLY BY A SUBSET OF THE EXECUTIVE COMMITTEE THAT INCLUDES THE BOARD CHAIR AND THE CHAIR OF THE HR COMMITTEE, AMONG OTHERS, WITH COMPARABILITY DATA AVAILABLE FROM BOTH SURVEYS AND OTHER SIMILAR ORGANIZATIONS' 990 FORMS. THIS IS DISCUSSED WITH THE PRESIDENT/CEO DURING HER ANNUAL PERFORMANCE REVIEW AND THEN AN UPDATE IS PRESENTED AT THE NEXT BOARD EXECUTIVE COMMITTEE MEETING. COMPENSATION RANGES FOR OFFICERS ARE REVIEWED BY THE BOARD OF TRUSTEES HUMAN RESOURCES AND COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE ON THE HKI WEBSITE AND UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19 HKI'S IRS TAX DETERMINATION LETTER, AUDITED FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION AND BY-LAWS ARE AVAILABLE UPON REQUEST. FORM 990, THE CURRENT STATEMENT OF ACTIVITIES AND ANNUAL REPORT (ALSO INCLUDES CURRENT STATEMENT OF ACTIVITIES) ARE AVAILABLE ON THE WEBSITE.
FORM 990, PART XI, LINE 9: CHANGE IN PERPETUAL AND RESTRICTED TRUSTS 100,241.
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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