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
EBONY HOUSE INC
 
Employer identification number

86-0287878
Return Reference Explanation
Pt VI, Line 8a See Pt VI 2
Pt VI, Line 11b Copies are provided to all board members and reviewed with the board by the outside CPA the same time the annual audit is presented.
Pt VI, Line 12c Conflict of interest forms are completed and updated annually by all board members. Conflict of interest is discussed openly at least once a year at a board meeting.
Pt VI, Line 15a CEO compensation and management compensation is based on experience, education and the prevailing rate. The board does discuss and determine the CEO's salary.
Pt VI, Line 15b Open discussion and documented in the board meeting.
Pt VI, Line 19 The Form 990 and financial statements are made available via written request submitted to the board.
Pt XII, Line 3b The audit is required and it is complete but the report has not been issued so unable to complete Sch D Part XI and Part XII.
Form 990, Part III, Line 4d PARENT AIDE PROGRAM PROVIDES SUPPORT AND SUPERVISION 348259. 0. 166078.
Form 990, Part III, Line 4d ORGANIZATION RECEIVED FUNDS FROM AUNT RITAS 3946. 10000. 10000.
Form 990, Part III, Line 4d The targeted population for the CDC grant is African 384668. 0. 376945.
Form 990, Part III, Line 4d INTEGRATED HEALTH CARE CLINIC PROVIDING MENTAL 101118. 0. 953.
Form 990, Part IX, Line 24e DONATIONS 3160. 2660. 500. 0.
Form 990, Part IX, Line 24e SPECIAL EVENTS 79578. 297. 31315. 47966.
Form 990, Part IX, Line 24e CLIENT ACTIVITIES 22970. 15683. 7287. 0.
Form 990, Part IX, Line 24e PROFESSIONAL SRVC-MEDICAL 261729. 261729. 0. 0.
Form 990, Part IX, Line 24e HOUSE SUPPLIES 9936. 6922. 3014. 0.
Form 990, Part IX, Line 24e OUTSIDE SERVICES 5895. 0. 5895. 0.
Form 990, Part IX, Line 24e WORKERS COMPENSATION 33152. 30435. 2717. 0.
Form 990, Part IX, Line 24e FOOD AND BEVERAGES 61522. 61522. 0. 0.
Form 990, Part IX, Line 24e CONTRACT SERVICES 46494. 40428. 6066. 0.
Form 990, Part IX, Line 24e PROGRAM LITERATURE 452. 0. 452. 0.
Form 990, Part IX, Line 24e POSTAGE 1340. 740. 600. 0.
Form 990, Part IX, Line 24e LICENSES 8027. 6752. 1275. 0.
Form 990, Part IX, Line 24e PROGRAM INCENTIVES 18800. 18800. 0. 0.
Form 990, Part IX, Line 24e DUES& SUBSCRIPTIONS 2121. 1422. 699. 0.
Form 990, Part IX, Line 24e EQUIPMENT RENTAL 8135. 5886. 2249. 0.
Form 990, Part IX, Line 24e STORAGE RENT 11095. 4877. 6218. 0.
Form 990, Part IX, Line 24e LATE FEES 165. 0. 165. 0.
Form 990, Part IX, Line 24e BAD DEBT 158544. 115009. 43535. 0.
Form 990, Part IX, Line 24e LOSS ON SALE OF ASSET 6400. 0. 6400. 0.
Form 990, Part IX, Line 24e MEDICAL SUPPLIES 5519. 5519. 0. 0.
Form 990, Part IX, Line 24e INDIRECTS 0. 33960. -33960. 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) 2018


Additional Data


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