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 990-EZ 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
2014
Open to Public
Inspection
Name of the organization
BROAD STREET CLINIC FOUNDATION INC
 
Employer identification number

56-1853604
Return Reference Explanation
FORM 990, PART VI DIRECTORS ARE HUSBAND AND WIFE. THEY DO NOT CONSTITUTE A VOTING MAJORITY.
FORM 990, PAGE 6, PART VI, LINE 2 DR. CHRIS HEATON JANE HEATON CHARIRMAN BOARD MEMBER
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 WAS PROVIDED TO THE BOARD FOR THEIR REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12C BOARD HAS INSTITUTED A CONFLICT OF INTEREST POLICY AND BOARD MEMBERS ARE SURVEYED ANNUALLY FOR COMPLIANCE.
FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE BOARD ON A YEARLY BASIS. SALARY IS SET BY WHAT THE ORGANIZATION CAN AFFORD AND IS BELOW MARKET RATE.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND COPIES OF FORM 990 MAY BE OBTAINED AT THE OFFICES OF THE ORGANIZATION IN MOREHEAD CITY, NC.
FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE 9,066
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

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