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
SENIOR ACTION INC
 
Employer identification number

57-0507961
Return Reference Explanation
FORM 990, PAGE 2, PART III, LINE 4D OTHER ACCOMPLISHMENTS INCLUDE HEALTH AND WELLNESS, RSVP, AND HOME CARE
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PREPARED BY THE CPA FIRM THAT PERFORMS OUR ANNUAL FINANCIAL STATEMENT AUDIT. FORM 990 IS REVIEWED BY OUR AGENCY'S FINANCE DIRECTOR & EXECUTIVE DIRECTOR AND THEN IT IS PRESENTED TO OUR BOARD OF DIRECTORS FOR REVIEW & APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 12C ALL ACTUAL & POTENTIAL CONFLICTS OF INTEREST ARE MADE AVAILABLE TO THE BOARD'S EXECUTIVE COMMITTEE BY WAY OF AN ANNUAL DISCLOSURE FORM OR WHENEVER A POTENTIAL CONFLICT ARISES. THE EXECUTIVE COMMITTEE DETERMINES IF A CONFLICT EXISTS AND IF ANY ACTION IS NECESSARY. THE EXECUTIVE COMMITTEE INFORMS THE BOARD OF SUCH DETERMINATION AND NECESSARY ACTION. THE BOARD RETAINS THE RIGHT TO MODIFY OR REVERSE SUCH DETERMINATION AND ACTION, AND IS THE ULTIMATE ENFORCEMENT AUTHORITY WITH RESPECT TO THE INTERPRETATION AND APPLICATION OF THIS POLICY.
FORM 990, PAGE 6, PART VI, LINE 15A EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED, REVIEWED, AND APPROVED BY THE BOARD OF DIRECTORS AFTER CONSULTING WITH AND COMPARING TO SIMILAR AGENCIES.
FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION OF KEY EMPLOYEES, SUBJECT TO BOARD APPROVAL, AFTER CONSULTING WITH AND COMPARING TO SIMILAR AGENCIES.
FORM 990, PAGE 6, PART VI, LINE 19 THE PUBLIC IS INVITED TO ALL BOARD MEETINGS AND MAY REVIEW ALL DOCUMENTS. ALL DOCUMENTS ARE ALSO AVAILABLE FOR PUBLIC INSPECTION 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) 2016


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