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
FAUQUIER FREE CLINIC INC
 
Employer identification number

54-1669652
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 11B THE PREPARED 990 WAS REVIEWED BY THE TREASURER BEFORE IT WAS FILED WITH THE IRS. THE RETURN WAS REVIEWED, WITH THE ASSISTANCE OF THE PREPARING CPA, FOR BOTH INFORMATIONAL AND FINANCIAL ACCURACY.
FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL DISCLOSURES WERE REVIEWED BY THE BOARD EXECUTIVE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS DISCUSSED AT THE FINANCE COMMITTEE MEETING IN DECEMBER WHEN THE CLINIC'S BUDGET IS BEING DEVELOPED. THE PROPOSED SALARY IS APPROVED BY THE BOARD AS PART OF THE BUDGET APPROVAL PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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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