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
GRAYS HARBOR COMMUNITY HOSPITAL FOUNDATION
 
Employer identification number

91-1122992
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 GRAYS HARBOR COMMUNITY HOSPITAL IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND SCHEDULE B IS DISTRIBUTED TO ALL BOARD MEMBERS IN THEIR BOARD PACKET AND DISCUSSED AT THE BOARD MEETING BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES FILLED OUT BY BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15 THE OFFICER OF THE FILING ORGANIZATION IS PAID BY GRAYS HARBOR COMMUNITY HOSPITAL, A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18 GRAYS HARBOR COMMUNITY HOSPITAL FOUNDATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND OTHER GOVERNANCE DOCUMENTS AVAILABLE UPON REQUEST.
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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