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
HOSPICE OF NORTHWEST MICHIGAN
 
Employer identification number

38-2391256
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 EXPENSES BANK SERVICE CHARGES 111 CONFERENCES AND MEETINGS 7,465 DEPRECIATION 623 DUES AND SUBSCRIPTIONS 1,062 FUNDRAISING 11,063 INSURANCE 3,196 MISCELLANEOUS 2,684 OFFICE 630 TRAVEL 1,333 TOTAL 28,167
FORM 990-EZ, PART II, LINE 24 INTEREST IN COMMUNITY FOUNDATION 26,654 24,579 FURNITURE AND EQUIPMENT 1,532 909 TOTAL 28,186 25,488
FORM 990-EZ, PART II, LINE 26 RECIPROCAL TRANSFERS 26,654 26,654
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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