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
NORTHERN CALIFORNIA HOSPITAL
AND INSTITUTION COMMITTEE
Employer identification number

94-2964772
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PRESENTED TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST TO THE GOVERNING BOARD.
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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