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
Mid-Island Y Jewish Community Center Inc
 
Employer identification number

11-1841899
Return Reference Explanation
Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Health and fitness
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mark Senders is a is a board member who also acts as Mid-island Y's insurance broker for medical insurance, however he is not a principal owner at the insurance company.
Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 is completed by the audit firm and submitted to management for review. The CFO reviews the 990 and submits it to the finance committee for their review. In addition, the President and CEO perform a final review for approval. The audit chair presents the approved 990 to the board of directors prior to the 990 being filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The conflict of interest policy is regularly reviewed and monitored by the CEO, CFO and other administrative members and is disclosed to the board of directors. The policy itself is reviewed annually and signed by each director and member of the administrative team. Any conflict that may arise during the year are openly discussed with the board.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The compensation committee reviews salaries of chief executive officers of other similar organizations, discusses and approves a salary for the CEO.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Financial statements, governing documents, and policies are all maintained at the administrative offices located in Plainview, NY. The public may request to see these documents at the offices.
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: 16000303
Software Version: 2016v3.0