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
INDIANA HOME AND HOSPICE CARE FOUNDATION
 
Employer identification number

59-0194755
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 165.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: PROGRAM EXPENSES. AMOUNT: 2,235. DESCRIPTION: SPECIAL EVENTS. AMOUNT: 1,015. DESCRIPTION: TECHNOLOGY EXPENSES. AMOUNT: 150. DESCRIPTION: OTHER. AMOUNT: 12. DESCRIPTION: BANK CHARGES. AMOUNT: 353. TOTAL TO FORM 990-EZ, LINE 16: 3,765.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,050.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 879. END OF YEAR AMOUNT: 934.
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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