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
UCC XIX Inc
 
Employer identification number

30-0308421
Return Reference Explanation
Pt VI, Line 3 United Church Homes, Inc (UCH) is the managing agent for UCC XIX Inc. d/b/a David's Way. Under the terms of the management agreement approved by HUD, accounting fees are charged to the organization on a per unit per month basis.
Pt VI, Line 11b The form 990 review process is as follows: The 990 is prepared and reviewed by the management company. Upon the completion of this review process, the form 990 is then submitted to the full Board of Directors for their information.
Pt VI, Line 12c THE PARENT ORGANIZATION, UNITED CHURCH HOMES, REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY AS FOLLOWS:1. THE ORGANIZATION'S CORPORATE BYLAWS REQUIRE THAT EACH OF THE BOARD OF DIRECTOR MEMBERS DISCLOSE ANNUALLY, IN WRITING, INTERESTS THAT COULD BE CONSTRUED AS A CONFLICT OF INTEREST.2. ON NOVEMBER 1, 1999, THE ORGANIZATION ADOPTED A CORPORATE COMPLIANCE POLICY AND PROGRAM APPLICABLE TO DIRECTORS, OFFICERS, KEY EMPLOYEES, AND ALL OTHER EMPLOYEES, WHICH IS INCLUSIVE OF A CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE CORPORATE COMPLIANCE POLICY PROVIDES THAT THE ORGANIZATION IS COMMITTED TO CONDUCTING ITS BUSINESS ETHICALLY AND IN CONFORMANCE WITH ALL APPLICABLE LAWS, REGULATIONS, RULES AND STANDARDS.
Pt VI, Line 15a United Church Homes participates in the annual AAHSA-CEMO Leadership Compensation Survey. The Executive Committee of the BOD requests copies of the annual survey report to consider in setting the compensation package of the President & CEO. In turn, the President & CEO normally relies on this same survey report to determine to compensation package of the Vice President positions.
Form 990, Part IX, Line 24e Supplies 5771. 5771. 0. 0.
Form 990, Part IX, Line 24e Workers Compensation 1099. 1099. 0. 0.
Form 990, Part IX, Line 24e Bad Debts 180. 180. 0. 0.
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


Additional Data


Software ID: 16000371
Software Version: