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
2016
Open to Public
Inspection
Name of the organization
MENTAL HEALTH AMERICA OF LAKE
COUNTY INC
Employer identification number

35-1014213
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION THE MISSION OF MENTAL HEALTH AMERICA OF LAKE COUNTY IS TO PROVIDE A SELECT SET OF MENTAL HEALTH AND OUTREACH SERVICES FOR CLIENTS AND FAMILIES WHILE PROMOTING GOOD MENTAL HEALTH THROUGH EDUCATION, REFERRAL AND ADVOCACY FOR ALL RESIDENTS OF LAKE COUNTY.
FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE VP OF FINANCE AND THE PRESIDENT/CEO, AND SIGNED BY THE PRESIDENT/CEO.
FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF THE PRESIDENT/CEO IS REVIEWED AND APPROVED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF OTHER OFFICERS IS REVIEWED AND APPROVED BY THE PRESIDENT/CEO AND THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 FUNDRAISING EXPENSES 500 FUNDRAISING EXPENSES -500 BOOK / TAX DEPRECIATION DIFFERENCE -6 TOTAL -6
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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