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
HARTFORD ANESTHESIOLOGY ASSOCIATES
FOUNDATION INC
Employer identification number

01-0599855
Return Reference Explanation
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: charitable. Grantee Name: Hartford hospital. Grantee Address: 80 seymour street hartford, CT 06102. Date of Gift: 12/31/15. Amount Given: 9,456.
Form 990-EZ, Part I, Line 16 - Other Expenses Description: BANK FEE. Amount: 428.
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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