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
COASTAL CONNECT INC
 
Employer identification number

32-0304211
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION TO SECURELY CONNECT HEALTH CARE PROVIDERS IN AND AROUND SOUTHEASTERN NORTH CAROLINA BY WAY OF ELECTRONIC MEDICAL INFORMATION SHARING AND INCREASE THE EFFICIENCY OF PATIENT CARE ALONG WITH THE ABILITY TO DIAGNOSE AND TREAT IN A TIMELY MANNER, DECREASING THE NUMBER OF UNNECESSARY TESTS AND PROCEDURES AND MINIMIZING CLINCIAL ERRORS.
FORM 990, PAGE 6, PART VI, LINE 11B CPA PREPARED AND REVIEWED WITH BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C RESOLVED AT THE TIME OF CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST
FORM 990, PART VII THE CEO IS PAID THROUGH A MANAGEMENT AGREEMENT WITH COASTAL CAROLINAS HEALTH ALLIANCE WHICH IS INCLUDED IN THE AMOUNTS ON SCHEDULE R. SEE THE COASTAL CAROLINAS HEALTH ALLIANCE 990 FOR DISCLOSURE OF THE CEO COMPENSATION.
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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