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
MIDLAND AREA AGENCY ON AGING
 
Employer identification number

37-0968177
Return Reference Explanation
Pt VI, Line 11b Form 990 is reviewed by Executive Director and Fiscal Manager for completeness. A copy of Form 990 is presented to each board member for review and approval prior to filing.
Pt VI, Line 12c Prior to admittance to the Board,each candidate goes through an orientation program and training. Before being accepted to the Board, each candidate must provide a list of affliations with companies, boards, and other not-for-profit agencies, and current and past employment to ensure that conflicts of interest will not arise. The Board then approves the membership. Board members are expected to refrain from voting on issues wehere their independence is questionable.
Pt VI, Line 15a Compensation for all staff, including the Executive Director is established by the Board of Directors. The Board uses the Abbott-Langer study for determining comparables for the Executive Director's salary. The Executive Director's salary is reviewed at least annually. All other staff are evaluated by the Executive Director and the personnel committee.
Pt VI, Line 15b Compensation for all staff, including the Executive Director is established by the Board of Directors. The Board uses the Abbott-Langer study for determining comparables for the Executive Director's salary. The Executive Director's salary is reviewed at least annually. All other staff are evaluated by the Executive Director and the personnel committee.
Pt VI, Line 19 The Agency makes its governing documents, conflict of interest policy , and financial statements available upon request at the Agency's business office at 434 South Popular St. Centralia, IL.
Pt XI Principal pymts on debt expensed as prg cost $ 8,134
Pt XI Depreciation - unallowed as a program cost $ -3,860
Pt XI Total $ 4,274
Form 990, Part III, Line 4d Title III B- Ombudsman- 99195. 102665. 102665.
Form 990, Part III, Line 4d Title III D- 13158. 12592. 12592.
Form 990, Part III, Line 4d Title III E- 105959. 123823. 123823.
Form 990, Part III, Line 4d Title VII- Elder Abuse 3964. 4330. 4330.
Form 990, Part III, Line 4d Title VII- Ombudsman- 9526. 11053. 11053.
Form 990, Part III, Line 4d Senior Employment Specialist- 14554. 14554. 14554.
Form 990, Part III, Line 4d Crisis Intervention- 28510. 28510. 28510.
Form 990, Part III, Line 4d Systems Development Contract- 12108. 12108. 12108.
Form 990, Part III, Line 4d Senior Health Assistance- 37883. 61405. 61405.
Form 990, Part III, Line 4d Senior Medicare Patrol- 6604. 6604. 6604.
Form 990, Part III, Line 4d Farmers Market- 800. 1000. 1000.
Form 990, Part III, Line 4d Dementia Caregiver- 0. 0. 0.
Form 990, Part III, Line 4d Chronic Disease Self Mgmt Education- 180. 180. 180.
Form 990, Part III, Line 4d III B I&A Project Income- 734. 734. 734.
Form 990, Part III, Line 4d General Program- 27676. 30738. 30738.
Form 990, Part III, Line 4d MIPPA AAA- 4282. 4282. 4282.
Form 990, Part III, Line 4d MIPPA ADRC- 3751. 3751. 3751.
Form 990, Part III, Line 4d Nursing Home Deflection- 0. 0. 0.
Form 990, Part III, Line 4d Senior Health Insurance- 38145. 43206. 43206.
Form 990, Part III, Line 4d Money Follows the Person- 0. 0. 0.
Form 990, Part III, Line 4d Money Management- 0. 0. 0.
Form 990, Part III, Line 4d Matter of Balance 2148. 2148. 2148.
Form 990, Part III, Line 4d Adult Protective Services 0. 25213. 25213.
Form 990, Part III, Line 4d Long Term Care Ombudsman- 25328. 25328. 25328.
Form 990, Part III, Line 4d SHIP M-1 502. 2909. 2909.
Form 990, Part IX, Line 24e Trash 1138. 596. 542. 0.
Form 990, Part IX, Line 24e Cleaning 145. 76. 69. 0.
Form 990, Part IX, Line 24e Pest 113. 59. 54. 0.
Form 990, Part IX, Line 24e Mowing 330. 173. 157. 0.
Form 990, Part IX, Line 24e Rental 455. 238. 217. 0.
Form 990, Part IX, Line 24e Dues 4608. 3181. 1427. 0.
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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