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
FAMILY SERVICES OF SOUTHERN WISCONSIN
AND NORTHERN ILLINOIS INC
Employer identification number

39-0833966
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE PREPARED FORM 990 IS REVIEWED AND APPROVED BY THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15A A REGULAR WRITTEN EXAMINATION OF THE EXECUTIVE DIRECTOR IS CONDUCTED ON AN ANNUAL BASIS. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONDUCTING THE EVALUATION BASED UPON 6 MAIN AREAS: RELATIONSHIP WITH THE GOVERNING BODY, STAFF AND PROGRAM MANAGEMENT, AGENCY AND PROGRAM DEVELOPMENT, FISCAL RESPONSIBILITY, PROGRESS ON STRATEGIC PLAN, AND OTHER CRITERIA DEEMED APPROPRIATE.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY STATELINE COMMUNITY FOUNDAT -677.
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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