TY 2016 Form 990 Schedule O

efile Public Visual Render ObjectId: 201743189349309524 - Submission: 2017-11-14 TIN: 43-2069293

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.
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Attach to Form 990 or 990-EZ.
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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

ALLEN COUNTY DRUG & ALCOHOL
CONSORTIUM INC

Employer identification number

43-2069293

Return Reference	Explanation
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS PARTICIPATE IN THE NO ALCOHOL NO DRUG (NAND) TASK FORCES AT HIGH SCHOOLS.
FORM 990, PAGE 6, PART VI, LINE 9	KATHY FRIEND 1200 S CLINTON ST FORT WAYNE, IN 46802 JUDGE FRAN GULL 715 S CALHOUN ST FORT WAYNE, IN 46802 PAULA HUGHES 3530 KIRLAND AVE FORT WAYNE, IN 46805 STEPHEN JARRELL 2712 S CALHOUN ST FORT WAYNE, IN 46807 BENNIE LEWIS 320 E SUPERIOR STREET FORT WAYNE, IN 46802 MIKE MCALEXANDER 602 S CALHOUN ST FORT WAYNE, IN 46802 JONATHAN RAY 2135 S HANNA ST FORT WAYNE, IN 46803 JOHN ROGERS PO BOX 10359 FORT WAYNE, IN 46851 MARY ANN ZIEMBO 4311 SABINO PASS FORT WAYNE, IN 46845 CHRIS DICKSON 1600 E WASHINGTON BLVD FORT WAYNE, IN 46802 KENT CASTLEMAN 2523 GREEN ASH COURT FORT WAYNE, IN 46845 BRAD STILES 7337 W JEFFERSON, SUITE 100 FORT WAYNE, IN 46804 CLAIR MCKINLEY 3305 NORTH ANTHONY BLVD FORT WAYNE , IN 46804 CONNIE KERRIGAN 1720 BEACON STREET FORT WAYNE, IN 46805 KIMBRA O'BRIEN 1417 N. ANTHONY BLVD FORT WAYNE, IN 46805 NELSON PETERS 200 E BERRY ST FORT WAYNE, IN 46802
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 WILL BE PROVIDED THROUGH THE MAIL TO THE DIRECTOR PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM IS ALSO PROVIDED TO THE FINANCE COMMITTEE WHO THEN ADVICES THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12C	THE CONFLICT OF INTEREST POLICY IS REVIEWED AT ORIENTATION OF NEW DIRECTORS AND AS NEEDED DURING MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY BASED ON COMPARABILITY STUDIES AND AVAILABLE BUDGETED FUNDS.
FORM 990, PAGE 6, PART VI, LINE 15B	THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY BASED ON COMPARABILITY STUDIES AND AVAILABLE BUDGETED FUNDS.
FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS AVAILABLE UPON REQUEST.

Return Reference

Explanation

FORM 990, PAGE 1, PART I, LINE 6

VOLUNTEERS PARTICIPATE IN THE NO ALCOHOL NO DRUG (NAND) TASK FORCES AT HIGH SCHOOLS.

FORM 990, PAGE 6, PART VI, LINE 9

KATHY FRIEND 1200 S CLINTON ST FORT WAYNE, IN 46802 JUDGE FRAN GULL 715 S CALHOUN ST FORT WAYNE, IN 46802 PAULA HUGHES 3530 KIRLAND AVE FORT WAYNE, IN 46805 STEPHEN JARRELL 2712 S CALHOUN ST FORT WAYNE, IN 46807 BENNIE LEWIS 320 E SUPERIOR STREET FORT WAYNE, IN 46802 MIKE MCALEXANDER 602 S CALHOUN ST FORT WAYNE, IN 46802 JONATHAN RAY 2135 S HANNA ST FORT WAYNE, IN 46803 JOHN ROGERS PO BOX 10359 FORT WAYNE, IN 46851 MARY ANN ZIEMBO 4311 SABINO PASS FORT WAYNE, IN 46845 CHRIS DICKSON 1600 E WASHINGTON BLVD FORT WAYNE, IN 46802 KENT CASTLEMAN 2523 GREEN ASH COURT FORT WAYNE, IN 46845 BRAD STILES 7337 W JEFFERSON, SUITE 100 FORT WAYNE, IN 46804 CLAIR MCKINLEY 3305 NORTH ANTHONY BLVD FORT WAYNE , IN 46804 CONNIE KERRIGAN 1720 BEACON STREET FORT WAYNE, IN 46805 KIMBRA O'BRIEN 1417 N. ANTHONY BLVD FORT WAYNE, IN 46805 NELSON PETERS 200 E BERRY ST FORT WAYNE, IN 46802

FORM 990, PAGE 6, PART VI, LINE 11B

THE FORM 990 WILL BE PROVIDED THROUGH THE MAIL TO THE DIRECTOR PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM IS ALSO PROVIDED TO THE FINANCE COMMITTEE WHO THEN ADVICES THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.

FORM 990, PAGE 6, PART VI, LINE 12C

THE CONFLICT OF INTEREST POLICY IS REVIEWED AT ORIENTATION OF NEW DIRECTORS AND AS NEEDED DURING MEETINGS.

FORM 990, PAGE 6, PART VI, LINE 15A

THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY BASED ON COMPARABILITY STUDIES AND AVAILABLE BUDGETED FUNDS.

FORM 990, PAGE 6, PART VI, LINE 15B

THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY BASED ON COMPARABILITY STUDIES AND AVAILABLE BUDGETED FUNDS.

FORM 990, PAGE 6, PART VI, LINE 19

DOCUMENTS AVAILABLE UPON REQUEST.

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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