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
SAMARITAN HOUSE INC
 
Employer identification number

88-0096054
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 EXPENSES INSURANCE 13,173 UTILITIES 26,094 LICENSES AND FEES 1,400 HOUSE EXPENSES 6,690 OFFICE 579 REPAIRS 8,296 BANK SERVICE CHARGES 19 NON-INVESTMENT DEPRECIATION 4,207 TOTAL 60,458
FORM 990-EZ, PART II, LINE 24 BUILDINGS AND EQUIPMENT 142,484 142,484 LESS ACCUMULATED DEPRECIATION 83,682 87,889 DEPOSITS 1,143 1,143 TOTAL 59,945 55,738
FORM 990-EZ, PART II, LINE 26 PAYROLL TAX LIABILITIES 814 787
FORM 990-EZ, PART III, LINE 31 PROVIDING HOUSING ACCOMODATIONS WHILE EDUCATING AND REHABILITATING ALCOHOLICS
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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