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
2015
Open to Public
Inspection
Name of the organization
CHRISTOPHER HOUSE ASSISTED LIVING INC
C/O CHRISTOPHER HEIGHTS OF MARLBOROUGH
Employer identification number

04-3307731
Return Reference Explanation
Form 990, Part VI, Section B, line 11 Board reviews 990 at board meetings or it is circulated for review and comment.
Form 990, Part VI, Section B, line 12c Conflict of interest policy requires all board members to disclose any conflict of interest they may have prior to any board vote or other activity that may suggest a conflict of interest. Each member must disclose the potential conflict. The president of the corporation determines in consultation with the clerk whether any member must abstain from voting or taking any other action. The board monitors regularly and enforces compliance with this policy. At scheduled board meetings, the clerk reviews the policy with members.
Form 990, Part VI, Section C, line 19 These documents are available upon request.
Form 990, Part XI, Line 5, Change in Net Assets EQUITY INVESTMENT IN PARTNERSHIPS IS A GAAP ONLY GAIN OF $139,481.
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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