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
ALLEGHANY MEMORIAL HOSPITAL FOUNDATION
INC
Employer identification number

56-2012634
Return Reference Explanation
Form 990, Part VI, Section B, line 11 A copy of the Form 990 was provided to each voting board member via email if available or US Mail if the member does not have an email address. Prior to the filing date of the 990, the AMH Foundation Board reviewed the 990. Following a discussion period and question and answer session, the board voted to approve and accept the Form 990 as presented.
Form 990, Part VI, Section B, line 12c AMH Foundation has a conflict of interest policy which is reviewed, accepted, and signed by each voting board member on an annual basis along with a Conflict of Interest questionnaire. Pursuant to this policy, each board member will excuse themselves from any discussion and vote for which a conflict for themselves or their family exists. Determinations of whether a conflict exists are made at a management, board member, and individual level. Actual conflicts are reviewed by the Compliance Officer of Alleghany Memorial Hospital, without the presence of the interested party.
Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES IT'S FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, RECENT COPIES OF THE FORM CAN BE ACCESSED ON GUIDESTAR.ORG.
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: EQUITY TRANSFER 86,985.
Form 990, Part XII, Line 2c: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
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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