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
CROSSPOINT CLINICAL SERVICES INC
 
Employer identification number

46-0784342
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE REVIEWED BY THE PRESIDENT AND TREASURER AND A COPY WILL BE PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 18 THESE FORMS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19 AVAIALBE UPON REQUEST
FORM 990, PART XII, LINE 2C THERE ARE NO CHANGES DURING THE TAX YEAR.
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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