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
AmeriServe Housing Inc
 
Employer identification number

81-2105028
Return Reference Explanation
Part VI Line 2 Wayne G Nielsen - Father
Part VI Line 2 Dana W Nielsen - SOn
Part VI Line 11b Copy given to each member
Part VI Line 12c Reported and monitored by the board of directors in accordance with policy
Part VI Line 19 Available upon request
Part VI Line 1a None
Part VI Line 1a None
Part VI Line 2 Wayne G Nielsen - Father
Part VI Line 2 Dana W Nielsen - Son
Part VI Line 11B Approved by governing board
Part VI Line 19 Upon request
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: 17005300
Software Version: ta17mefv1.0