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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
SAFE HARBOR FREE CLINIC
 
Employer identification number

26-3825107
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT; THIS INCLUDES CONTINUING CARE AND EDUCATION REGARDING DIABETES, HYPERTENSION, AND GENERAL WELLNESS.
FORM 990, PAGE 6, PART VI, LINE 11B FORMS ARE REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS MAY BE MADE 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) 2017


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