TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201731159349300338 - Submission: 2017-04-25 TIN: 95-4576023

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.
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Attach to Form 990 or 990-EZ.
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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

COMMUNITY CLINIC ASSOCIATION OF
LOS ANGELES COUNTY

Employer identification number

95-4576023

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO ELECT DIRECTORS, VOTE ON THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, ON ANY MERGER AND ITS PRINCIPAL TERMS AND ANY AMENDMENT TO THOSE TERMS, AND ON ANY ELECTION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO ELECT DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO VOTE ON THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, ON ANY MERGER AND ITS PRICIPAL TERMS AND AMENDMENT OF THOSE TERMS, AND ON ANY ELECTION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY JONES AND ASSOCIATES AND THE COO. A COPY OF THE FORM 990 IS THEN GIVEN TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CCALAC HAS AN ANNUAL REQUIREMENT THAT OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES FILL OUT A CONFILICT OF INTEREST QUESTIONNAIRE. THE CEO MONITORS THE COMPLIANCE OF THE CONFILICT OF INTEREST POLICY BY REVIEWING THE ANNUAL QUESTIONNAIRES.
FORM 990, PART VI, SECTION B, LINE 15A	THE PERSONNEL COMMITTEE REVIEWS AND APPROVES THE CEO'S COMPENSATION BY COMPARING COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION DETERMINATION IS THEN PRESENTED TO THE BOARD FOR APPROVAL INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PARTIES.
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 IX, LINE 11G	PROFESSIONAL SERVICES AND SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 881,591. MANAGEMENT AND GENERAL EXPENSES 17,660. FUNDRAISING EXPENSES 28,000. TOTAL EXPENSES 927,251.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION FORMED AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 6

THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO ELECT DIRECTORS, VOTE ON THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, ON ANY MERGER AND ITS PRINCIPAL TERMS AND ANY AMENDMENT TO THOSE TERMS, AND ON ANY ELECTION TO DISSOLVE THE ORGANIZATION.

FORM 990, PART VI, SECTION A, LINE 7A

THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO ELECT DIRECTORS.

FORM 990, PART VI, SECTION A, LINE 7B

THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHO HAVE THE RIGHT TO VOTE ON THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, ON ANY MERGER AND ITS PRICIPAL TERMS AND AMENDMENT OF THOSE TERMS, AND ON ANY ELECTION TO DISSOLVE THE ORGANIZATION.

FORM 990, PART VI, SECTION B, LINE 11

THE FORM 990 IS REVIEWED BY JONES AND ASSOCIATES AND THE COO. A COPY OF THE FORM 990 IS THEN GIVEN TO ALL BOARD MEMBERS PRIOR TO FILING.

FORM 990, PART VI, SECTION B, LINE 12C

CCALAC HAS AN ANNUAL REQUIREMENT THAT OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES FILL OUT A CONFILICT OF INTEREST QUESTIONNAIRE. THE CEO MONITORS THE COMPLIANCE OF THE CONFILICT OF INTEREST POLICY BY REVIEWING THE ANNUAL QUESTIONNAIRES.

FORM 990, PART VI, SECTION B, LINE 15A

THE PERSONNEL COMMITTEE REVIEWS AND APPROVES THE CEO'S COMPENSATION BY COMPARING COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION DETERMINATION IS THEN PRESENTED TO THE BOARD FOR APPROVAL INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PARTIES.

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 IX, LINE 11G

PROFESSIONAL SERVICES AND SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 881,591. MANAGEMENT AND GENERAL EXPENSES 17,660. FUNDRAISING EXPENSES 28,000. TOTAL EXPENSES 927,251.

FORM 990, PART XII, LINE 2C:

THE ORGANIZATION FORMED AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

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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