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
THE UNITED PRESBYTERIAN HOME
OF WASHINGTON IOWA
Employer identification number

42-0713662
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE POLICY OF THE BOARD OF DIRECTORS IS TO PRESENT THE FORM 990 TO THE FULL BOARD OF DIRECTORS INCLUDING SIGNIFICANT SCHEDULES. EACH MEMBER OF THE BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE FORM 990 PRIOR TO SUBMISSION OF THE FORM TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO READ AND UNDERSTAND THE CONFLICTS OF INTEREST POLICY, AND ALL BOARD MEMBERS ARE REQUIRED, ON AN ANNUAL BASIS, TO COMPLETE AND SIGN AN ANNUAL STATEMENT OF COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15 WHEN HIRING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES, AND THEREAFTER ON AN ANNUAL BASIS, THE BOARD WILL PERFORM A THOROUGH REVIEW TO DETERMINE SUITABLE COMPENSATION. THE PROCESS INCLUDES A REVIEW OF COMPARABILITY DATA BY THE BOARD OF DIRECTORS OR AN INDEPENDENT COMPENSATION CONSULTANT. EACH YEAR THE BOARD WILL REVIEW THE COST OF LIVING INDEX, LEADINGAGE IOWA WAGE AND BENEFITS SURVEY, YEARS OF SERVICE AND THE LEADINGAGE NATIONAL WAGE AND BENEFIT SURVEY. THE BOARD WILL RETAIN DOCUMENTATION OF THE DELIBERATION AND FINAL DECISION.
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 AT ITS OFFICE IN WASHINGTON, IOWA.
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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