TY 2014 Form 990 Schedule O

efile Public Visual Render ObjectId: 201542269349300824 - Submission: 2015-08-14 TIN: 54-1967650

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.
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Attach to Form 990 or 990-EZ.
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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

GOOCHLAND FREE CLINIC & FAMILY SERVICES INC

Employer identification number

54-1967650

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND THEN GIVEN TO THE PRESIDENT FOR REVIEW, APPROVAL AND SIGNATURE. COPIES OF FORM 990 ARE DELIVERED TO EACH MEMBER OF THE FINANCE COMMITTEE PRIOR TO FILING AND TO ANY OTHER BOARD MEMBERS WHO REQUEST IT.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS PART OF THE BYLAWS OF THE ORGANIZATION. BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS AT ANY TIME WITH TOPICS BEFORE THE BOARD AND ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY OF THOSE ITEMS. THE BOARD DEVELOPMENT COMMITTEE IS RESPONSIBLE FOR MONITORING COMPLIANCE AND DOES SO BY INTERVIEWING BOARD MEMBERS ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION DATA FOR EXECUTIVE DIRECTORS OF OTHER FREE CLINICS IN VIRGINIA AND OF OTHER NON-PROFITS IN THE AREA, ALL OF WHICH IS PUBLISHED AND READILY AVAILABLE. A MEMBER OF THE EXECUTIVE COMMITTEE ALSO INTERVIEWS EXECUTIVE DIRECTORS OF OTHER NON-PROFITS TO DETERMINE WHETHER DUTIES AND RESPONSIBILITIES ARE COMPARABLE. THE EXECUTIVE DIRECTOR OF GOOCHLAND FREE CLINIC AND FAMILY SERVICES REVIEWS RELEVANT COMPENSATION DATA OF OTHER FREE CLINICS AND OTHER AREA NON-PROFITS TO DETERMINE APPROPRIATENESS OF COMPENSATION FOR OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION.
FORM 990, PART XII, LINE 2C	NO CHANGES TO AUDIT OVERSIGHT PROCESS OR INDEPENDENT ACCOUNTANT SELECTION PROCESS DURING THE TAX YEAR.

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11

THE 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND THEN GIVEN TO THE PRESIDENT FOR REVIEW, APPROVAL AND SIGNATURE. COPIES OF FORM 990 ARE DELIVERED TO EACH MEMBER OF THE FINANCE COMMITTEE PRIOR TO FILING AND TO ANY OTHER BOARD MEMBERS WHO REQUEST IT.

FORM 990, PART VI, SECTION B, LINE 12C

THE CONFLICT OF INTEREST POLICY IS PART OF THE BYLAWS OF THE ORGANIZATION. BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS AT ANY TIME WITH TOPICS BEFORE THE BOARD AND ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY OF THOSE ITEMS. THE BOARD DEVELOPMENT COMMITTEE IS RESPONSIBLE FOR MONITORING COMPLIANCE AND DOES SO BY INTERVIEWING BOARD MEMBERS ANNUALLY.

FORM 990, PART VI, SECTION B, LINE 15

THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION DATA FOR EXECUTIVE DIRECTORS OF OTHER FREE CLINICS IN VIRGINIA AND OF OTHER NON-PROFITS IN THE AREA, ALL OF WHICH IS PUBLISHED AND READILY AVAILABLE. A MEMBER OF THE EXECUTIVE COMMITTEE ALSO INTERVIEWS EXECUTIVE DIRECTORS OF OTHER NON-PROFITS TO DETERMINE WHETHER DUTIES AND RESPONSIBILITIES ARE COMPARABLE. THE EXECUTIVE DIRECTOR OF GOOCHLAND FREE CLINIC AND FAMILY SERVICES REVIEWS RELEVANT COMPENSATION DATA OF OTHER FREE CLINICS AND OTHER AREA NON-PROFITS TO DETERMINE APPROPRIATENESS OF COMPENSATION FOR OTHER KEY EMPLOYEES.

FORM 990, PART VI, SECTION C, LINE 19

GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION.

FORM 990, PART XII, LINE 2C

NO CHANGES TO AUDIT OVERSIGHT PROCESS OR INDEPENDENT ACCOUNTANT SELECTION PROCESS DURING THE TAX 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) 2014

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