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.
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OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
KENMORE MERCY FOUNDATION
 
Employer identification number

16-1162971
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 KENMORE MERCY HOSPITAL OF KENMORE, NY IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A KENMORE MERCY HOSPITAL OF KENMORE, NY IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION, APPROVES THE APPOINTMENT OF ALL MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B KENMORE MERCY HOSPITAL OF KENMORE, NY IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND APPROVES THE FOUNDATION'S ANNUAL BUDGET AS WELL AS THE ANNUAL SLATE OF OFFICERS.
FORM 990, PART VI, SECTION B, LINE 11B YES, AN ELECTRONIC COPY OF THE FORM 990 WAS PROVIDED TO THE FOUNDATION BOARD OF DIRECTORS BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE OF THE BOARD, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES. EACH DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR, THE SOLE CORPORATE MEMBER, KENMORE MERCY HOSPITAL, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION.
FORM 990, PART VI, SECTION C, LINE 19 WE MAKE OUR FORM 990 OPEN FOR PUBLIC INSPECTION UPON REQUEST. OUR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PROVIDED UPON REQUEST ACCORDING TO APPLICABLE FEDERAL AND STATE LAWS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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