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
Mennonite Home of Albany Inc
 
Employer identification number

93-0473211
Return Reference Explanation
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Randy Friesen and Nancy Friesen have a family relationship.
Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Management services are performed by Mennonite Services Northwest, a related organization. Executive staff who are officers of the reporting organization are compensated by the management company. The amount of such compensation is reported on Form 990, Part VII, Section A.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The sole member of the organization is Mennonite Services Northwest.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The board of directors of Mennonite Services Northwest appoints all board members.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Mennonite Services Northwest must approve: the Articles of Incorporation and Bylaws of the organization, and amendments of the same; the election and removal of all directors; indebtedness for borrowed money in excess of an annual aggregate of one million dollars; any and all mergers, acquisitions, consolidations or reorganizations of one million dollars or more; any and all sales or transfers of assets with a value of one million dollars or more; the organization's mission statement, philosophy and purpose; and the creation of any subsidiary or the organization's participation in any business entity.
Form 990, Part VI, Line 11b: Form 990 Review Process The form and supporting schedules are reviewed by the Controller and CFO and are provided to the Mennonite Village Finance Committee prior to filing. A copy of the form and supporting schedules is available to all board members upon request.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Conflicts of interest are disclosed at each meeting of the board of directors and/or meetings of the standing board committees. Known conflicts are addressed at each meeting by the board chair. An annual conflict of interest statement is signed by all members.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The CEO is an employee of Mennonite Services Northwest and that board manages the compensation for the CEO. For other officers and key employees, salary surveys provided by Leading Age of Oregon and Cascade Employers are used to review compensation structure as needed. Annual compensation increases are set during the budget process and are approved by the board.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available These documents are made available to the public by request at the organization's place of business.
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