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
Providence House Inc
 
Employer identification number

34-1336325
Return Reference Explanation
Pt VI, Line 8a Minutes are recorded at each Board or Committee meeting
Pt VI, Line 8b Minutes are recorded at each Board or Committee meeting
Pt VI, Line 12c Each person is required to sign off annually
Pt VII, Col (F) Benefits include health care, disability coverage, life insurance and 403(b) plan
Pt VI, Line 11b Reviewed by Finance Committee and presented to Board
Pt VI, Line 15a CEO compensation determined and approved by the Board
Pt VI, Line 15b CEO sets compensation which is approved by the Board in the annual budget process
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


Additional Data


Software ID: 15000272
Software Version: