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
BEAVER ISLAND RURAL HEALTH CENTER
 
Employer identification number

38-3299988
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE 990 RETURN IS GIVEN TO THE AUDIT COMMITTEE FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C FOR THE ANNUAL MEETING, EACH MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM, AND VERBALLY STATE AT THE MEETING IF THERE MAY BE ANY CONFLICT WHEN APPOINTED.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.
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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