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
COMMUNITY ACCESS TO CHILD HEALTH
OF BREVARD INC
Employer identification number

59-3103019
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE RETURN WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE FILING OF THE FORM 990 WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST DURING BOARD MEETINGS OTHER THAN THE PRIMARY CARE SERVICES THEY PROVIDE TO CATCH'S CLIENTS WHICH IS THE PURPOSE THE ORGANIZATION WAS FORMED.
FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION BUDGETS ARE SUBMITTED TO THE FLORIDA DEPARTMENT OF HEALTH FOR THEIR APPROVAL PRIOR TO AWARDING COMPENSATION TO OFFICERS, EXECUTIVE DIRECTORS, AND KEY EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 15B SAME AS ABOVE LINE 15A
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC, UPON WRITTEN REQUEST, AT THE OFFICE IN VIERA, FLORIDA. FORM 990 CAN ALSO BE VIEWED ON WWW.GUIDESTAR.ORG.
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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