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
2018
Open to Public
Inspection
Name of the organization
NEBRASKA COALITION FOR
PATIENT SAFETY
Employer identification number

20-5408605
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 11B THE FORM WILL BE REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY IS ENFORCED THROUGH YEARLY SIGINING OF THE CONFLICT OF INTEREST STATEMENT AND REVIEW ON AN AS-NEEDED BASIS.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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