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
SAM INC
 
Employer identification number

47-2400657
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B PRESIDENT AND CPA WILL REVIEW AND FINALIZE.
FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND BOARD MEMBERS REVIEW AND SIGN POLICY YEARLY.
FORM 990, PART VI, SECTION B, LINE 15 SEVERAL BOARD MEMBERS, INFORMAL ADVISORS AND OTHERS WORKED TO DETERMINE WHAT COMPARABLE SALARIES WERE.
FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO PUBLIC.
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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