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
CLC INDEPENDENT LIVING INC
 
Employer identification number

57-0884504
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS FOR BOARD OF DIRECTORS' REVIEW OF THE FORM 990 IS TO DISTRIBUTE, VIA EMAIL, COPIES OF THE FORM 990, UPON COMPLETION, TO INDIVIDUAL BOARD MEMBERS. QUESTIONS AND COMMENTS RAISED BY BOARD MEMBERS BY EMAIL, TELEPHONE, OR IN WRITING ARE TO BE ADDRESSED PRIOR TO FILING THE INFORMATION RETURN.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS ADOPTED A "CONFLICT OF INTEREST POLICY" WRITTEN AND ESTABLISHED BY THE BOARD, TO ENACT POLICIES AND PROCEDURES TO ENSURE THAT ALL CONTRACTS, TRANSACTIONS, AND DEALINGS ARE IN THE BEST INTEREST OF THE ORGANIZATION, AND NOT FOR THE PURPOSE OF BENEFITING ANY INDIVIDUAL MEMBERS OF THE BOARD OF DIRECTORS. AT LEAST ONCE PER YEAR, EVERY DIRECTOR IS COMPELLED TO SIGN A "CONFLICT OF INTEREST DISCLOSURE STATEMENT" ON WHICH HE OR SHE ACKNOWLEDGES HIS OR HER UNDERSTANDING OF A DIRECTOR'S DUTY TO DISCLOSE KNOWN ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AND THE NATURE AND EXTENT OF ANY KNOWN TRANSACTIONS IN WHICH THE DIRECTOR MAY HAVE AN INTEREST.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, AS WELL AS THE FORM 990. REQUESTS MAY BE DESCRIBED AS IN PERSON, IN WRITING, OR BY MAIL.
FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN 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) 2016


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