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
Free Clinic of the New River Valley Inc
 
Employer identification number

51-0247098
Return Reference Explanation
Pt VI, Line 11b The Board reviews the form 990 before filing same.
Pt VI, Line 12c Conflicts of interest is monitored by requiring annual disclosures initially and changes thereafter
Pt VI, Line 19 Form 990 is available upon request through the Organization, United Way and the Commonwealth of Virginia Campaign
Form 990, Part IX, Line 24e STAFF EXPENSE 37390. 32417. 4973. 0.
Form 990, Part IX, Line 24e BAD DEBT EXPENSE 18886. 18886. 0. 0.
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: