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
IBERVILLE REHABILATATION SERVICES INC
 
Employer identification number

04-3605650
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available No documents available to the public.
Form 990, Part IX, Line 24e: Other Expenses BANK CHARGES: Column (A) - Total = $326; Column (B) - Program Services = $326; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses CABLE: Column (A) - Total = $409; Column (B) - Program Services = $409; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COPIERS: Column (A) - Total = $539; Column (B) - Program Services = $539; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses LICENSES AND PERMITS: Column (A) - Total = $50; Column (B) - Program Services = $50; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses PAYROLL PROCESSING FEE: Column (A) - Total = $672; Column (B) - Program Services = $672; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses POSTAGE: Column (A) - Total = $97; Column (B) - Program Services = $97; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses TELEPHONE: Column (A) - Total = $552; Column (B) - Program Services = $552; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses UTILITIES: Column (A) - Total = $295; Column (B) - Program Services = $295; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
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


Additional Data


Software ID: 17005038
Software Version: 2017v2.2