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
Incline Village Community Hospital
Foundation
Employer identification number

20-0752156
Return Reference Explanation
Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an external CPA firm and reviewed by treasurer for approval before filing.
Form 990, Part VI, Section C, line 19 Any interested parties who desire to obtain a copy of any of the governing documents and financial statements can contact the office and request a paper copy. Any documents requested are printed and handed to the interested party at the office.
Form 990, Part XI, line 9: Change in beneficial interest in trust 2,953.
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


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