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
LIFEWORKS NW SOLUTIONS
 
Employer identification number

46-2163414
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE BYLAWS OF THE ORGANIZATION, A MAJORITY OF THE BOARD OF DIRECTORS MUST BE APPOINTED BY LIFEWORKS NW.
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT IS COMPLETED/SIGNED ANNUALLY BY ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT DIRECTLY PAY ANY OFFICERS OR EMPLOYEES. COMPENSATION OF OFFICERS AND KEY EMPLOYEES WHO ARE ALSO OFFICERS OR KEY EMPLOYEES OF LIFEWORKS NW IS DETERMINED BY THE COMPENSATION POLICY OF THAT ORGANIZATION, AND INCLUDES A REVIEW BY THE BOARD EXECUTIVE COMMITTEE USING COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19 A COMPLETE COPY OF THE ORGANIZATION'S FORM 990 AND OTHER GOVERNING DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR REGARDING THE OVERSIGHT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANTS' THAT AUDIT THE FINANCIAL STATEMENTS OF THE ORGANIZATION.
PART X, LINES 14 AND 23, COLUMN (A) DURING THE YEAR ENDED JUNE 30, 2017, THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU) 2015-03, INTEREST IMPUTATION OF INTEREST: SIMPLIFYING THE PRESENTATION OF DEBT ISSUANCE COSTS, WHICH REQUIRES DEBT ISSUANCE COSTS RELATED TO A RECOGNIZED DEBT LIABILITY TO BE PRESENTED IN THE STATEMENT OF FINANCIAL POSITION AS A DIRECT DEDUCTION FROM THE CARRYING AMOUNT OF THAT DEBT LIABILITY. THE ADOPTION OF THIS ASU HAS BEEN APPLIED RETROSPECTIVELY. THE NATURE AND REASON FOR THIS CHANGE IS A DIRECT RESULT OF THE GUIDANCE ISSUED BY FASB. AS A RESULT OF THE ADOPTION OF THIS ACCOUNTING PRINCIPLE, NET UNAMORTIZED DEBT ISSUANCE COSTS OF $181,321 HAVE BEEN RECLASSIFIED FROM INTANGIBLE ASSETS TO NOTE PAYABLE IN COLUMN (A) OF PART X. NET ASSETS FOR THE YEAR ENDED JUNE 30, 2016, WERE NOT AFFECTED BY THE ADOPTION OF THIS ACCOUNTING PRINCIPLE.
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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