TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201602919349300110 - Submission: 2016-10-17 TIN: 03-0397867

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

2015

Open to Public
Inspection

Name of the organization

CANCER NAVIGATORS INC

Employer identification number

03-0397867

Return Reference	Explanation
FORM 990, PAGE 2, PART III, LINE 3	THE NURSE NAVIGATOR PROGRAM WAS DISCONTINUED 7/1/2015.
FORM 990, PAGE 6, PART VI, LINE 2	KIM MAUER REED BIGGERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KIM MAUER THAD WATTERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP REED BIGGERS THAD WATTERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 3	EFFECTIVE NOVEMBER 1, 2015, THE ORGANIZATION ENTERED INTO A MANAGEMENT AND SUPPORT SERVICES AGREEMENT WITH FHMI, THE SOLE MEMBER. UNDER THIS AGREEMENT, FHMI MANAGES THE DAILY OPERATIONS OF THE ORGANIZATION, INCLUDING SUCH SERVICES AS PURCHASING, ACCOUNTING AND ALL OTHER FINANCIAL FUNCTIONS. FHMI STAFF ADDITIONALLY OVERSEE AND SUPERVISE THE ORGANIZATION'S EMPLOYEES, CREATE AND IMPLEMENT AN ANNUAL BUDGET, ENSURE COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, PROCURE APPROPRIATE INSURANCE COVERAGE, AND PROCURE THE SERVICES OF FLOYD HEALTHCARE FOUNDATION STAFF TO ASSIST IN FUNDRAISING ACTIVITIES.
FORM 990, PAGE 6, PART VI, LINE 4	THE ORGANIZATION RESTATED ITS ARTICLES OF INCORPORATION EFFECTIVE OCTOBER 27, 2015 TO INCLUDE THE FOLLOWING CHANGES: THE SOLE MEMBER IS FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI); FHMI SHALL APPOINT AND APPROVE ALL BOARD DIRECTORS FOR THE ORGANIZATION; ANY SIGNIFICANT ACTIONS BY THE ORGANIZATION'S BOARD (SUCH AS DISSOLUTION; REVISION, AMENDMENT OR RESTATEMENT OF BYLAWS; AMENDMENT OF ARTICLES OF INCORPORATION) SHALL REQUIRE THE APPROVAL AND ADOPTION BY FHMI.
FORM 990, PAGE 6, PART VI, LINE 6	THE ORGANIZATION'S SOLE MEMBER IS FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI).
FORM 990, PAGE 6, PART VI, LINE 7A	THE SOLE MEMBER, FHMI, HAS THE AUTHORITY TO APPOINT AND REMOVE ALL DIRECTORS OF THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 7B	PRIOR TO ANY SIGNIFICANT ACTIONS (SUCH AS DISSOLUTION; REVISION, AMENDMENT OR RESTATEMENT OF BYLAWS; AMENDMENT OF ARTICLES OF INCORPORATION) BY THE BOARD DIRECTORS, THE SOLE MEMBER MUST APPROVE AND ADOPT SUCH ACTIONS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE EXECUTIVE DIRECTOR AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS AVAILABLE TO ALL BOARD DIRECTORS UPON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR 29,016 0 0

Return Reference

Explanation

FORM 990, PAGE 2, PART III, LINE 3

THE NURSE NAVIGATOR PROGRAM WAS DISCONTINUED 7/1/2015.

FORM 990, PAGE 6, PART VI, LINE 2

KIM MAUER REED BIGGERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KIM MAUER THAD WATTERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP REED BIGGERS THAD WATTERS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP

FORM 990, PAGE 6, PART VI, LINE 3

EFFECTIVE NOVEMBER 1, 2015, THE ORGANIZATION ENTERED INTO A MANAGEMENT AND SUPPORT SERVICES AGREEMENT WITH FHMI, THE SOLE MEMBER. UNDER THIS AGREEMENT, FHMI MANAGES THE DAILY OPERATIONS OF THE ORGANIZATION, INCLUDING SUCH SERVICES AS PURCHASING, ACCOUNTING AND ALL OTHER FINANCIAL FUNCTIONS. FHMI STAFF ADDITIONALLY OVERSEE AND SUPERVISE THE ORGANIZATION'S EMPLOYEES, CREATE AND IMPLEMENT AN ANNUAL BUDGET, ENSURE COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, PROCURE APPROPRIATE INSURANCE COVERAGE, AND PROCURE THE SERVICES OF FLOYD HEALTHCARE FOUNDATION STAFF TO ASSIST IN FUNDRAISING ACTIVITIES.

FORM 990, PAGE 6, PART VI, LINE 4

THE ORGANIZATION RESTATED ITS ARTICLES OF INCORPORATION EFFECTIVE OCTOBER 27, 2015 TO INCLUDE THE FOLLOWING CHANGES: THE SOLE MEMBER IS FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI); FHMI SHALL APPOINT AND APPROVE ALL BOARD DIRECTORS FOR THE ORGANIZATION; ANY SIGNIFICANT ACTIONS BY THE ORGANIZATION'S BOARD (SUCH AS DISSOLUTION; REVISION, AMENDMENT OR RESTATEMENT OF BYLAWS; AMENDMENT OF ARTICLES OF INCORPORATION) SHALL REQUIRE THE APPROVAL AND ADOPTION BY FHMI.

FORM 990, PAGE 6, PART VI, LINE 6

THE ORGANIZATION'S SOLE MEMBER IS FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI).

FORM 990, PAGE 6, PART VI, LINE 7A

THE SOLE MEMBER, FHMI, HAS THE AUTHORITY TO APPOINT AND REMOVE ALL DIRECTORS OF THE BOARD.

FORM 990, PAGE 6, PART VI, LINE 7B

PRIOR TO ANY SIGNIFICANT ACTIONS (SUCH AS DISSOLUTION; REVISION, AMENDMENT OR RESTATEMENT OF BYLAWS; AMENDMENT OF ARTICLES OF INCORPORATION) BY THE BOARD DIRECTORS, THE SOLE MEMBER MUST APPROVE AND ADOPT SUCH ACTIONS.

FORM 990, PAGE 6, PART VI, LINE 11B

THE EXECUTIVE DIRECTOR AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS AVAILABLE TO ALL BOARD DIRECTORS UPON REQUEST.

FORM 990, PAGE 6, PART VI, LINE 19

GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

FORM 990, PART IX, LINE 11G

CONTRACT LABOR 29,016 0 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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