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
DOMESTIC VIOLENCE SERVICE CENTER INC
 
Employer identification number

23-2070668
Return Reference Explanation
FORM 990, PART IV, LINE 29 DURING THE YEAR THE ORGANIZATION RECEIVED NON-CASH CONTRIBUTIONS WHICH INCLUDED CHILDREN/INFANT SUPPLIES, CLOTHING AND HOUSEHOLD GOODS, PERSONAL CARE ITEMS, SCHOOL SUPPLIES, FOOD ITEMS, CELL PHONES, AND OTHER MISCELLANEOUS ITEMS. THE ORGANIZATION DID NOT PLACE A MONETARY VALUE ON THESE NON-CASH CONTRIBUTIONS AND AS SUCH WERE NOT INCLUDED IN THE ORGANIZATIONS FINANCIAL STATEMENTS OR FORM 990.
FORM 990, PART VI, SECTION A, LINE 2 PAUL LANTZ, BUILDING AND GROUNDS COMMITTEE CHAIR, FINANCE AND AUDIT COMMITTEE CHAIR & PERSONNEL COMMITTEE MEMBER IS RELATED THROUGH MARRIAGE TO SANDY RIFKIN LIFE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS REVIEWED BY THE FINANCE AND AUDIT COMMITTEE, EXECUTIVE DIRECTOR, AND THE ENTIRE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS OF INTEREST ARE ADDRESSED DURING BOARD MEETINGS. THE ORGANIZATION REFRAINS FROM ANY ACTION UNTIL THE PROPOSED POLICY, TRANSACTION, OR PROPOSED ACTION HAS BEEN APPROVED BY THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15 SALARIES AND BENEFITS ARE REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD, AND THE ENTIRE BOARD VOTES ON THE PROPOSED CHANGES. WITH REGARD TO OTHER PERSONNEL, THE SAME PROCESS APPLIES, EXCEPT THE EXECUTIVE DIRECTOR WOULD ALSO HAVE INPUT IN THESE PROPOSED CHANGES.
FORM 990, PART VI, SECTION C, LINE 19 A COPY OF FORM 990 IS MADE AVAILABLE TO INTERESTED PARTIES UPON WRITTEN REQUEST
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC MICHAEL LAST - 16 MONTAGE MOUNTAIN ROAD, MOOSIC, PA 18507. PEGGY ENGLE, ESQ. - 33 NORTH MAIN STREET, SUITE 200, PITTSTON, PA 18640. PAUL LANTZ - 1400 SANS SOUCI PARKWAY, WILKES BARRE, PA 18706. PAULA TRIANO - 610 ARTHUR STREET, HAZLETON, PA 18201. MARIAN W BOSCIA PH.D. - 541 RUTTER AVENUE, KINGSTON, PA 18704. PAUL ANTONY - P.O. BOX 434, BLAKESLEE, PA 18610. SANDY RIFKIN - 200 RIVERSIDE DRIVE, WILKES BARRE, PA 18702. KAREN LYNN STAVISH, MS - 46 ST. JOHN STREET, PLAINS, PA 18705. CINDY M. MILAN-ORTIZ - 761 AIRPORT ROAD, HAZLETON, PA 18201. PATRICIA WRIGHT - UNIVERSITY OF SCRANTON, 337 MCGURRIN HALL, SCRANTON, PA 18510. DIANE KANE - 339 HILLSIDE AVENUE, EDWARDSVILLE, PA 18704. EDMUND J ABDO JR - 44 HILL TOP DRIVE, HONESDALE, PA 18431. KATHERINE POHLIDAL - MISERICORDIA UNIVERSITY, 301 LAKE STREET, DALLAS, PA 18612.
FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGES TO THE OVERSIGHT OR SELECTION PROCESS FROM PRIOR YEARS.
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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