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
2019
Open to Public
Inspection
Name of the organization
FINGER LAKES IPA INC
 
Employer identification number

82-4271469
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 DURING 2019, FLIPA ENGAGED AN INDEPENDENT CONTRACTOR TO SERVE IN THE CAPACITY OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 15A IN 2019, FLIPA DID NOT COMPENSATE EMPLOYEES. COMPENSATION TO ALL CONTRACTORS WAS APPROVED AFTER DISCUSSION BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G FQHC'S JOG INITIAL: PROGRAM SERVICE EXPENSES 187,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,500. BH'S JOG INITIAL: PROGRAM SERVICE EXPENSES 112,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,500. FQHC'S JOG EARNED : PROGRAM SERVICE EXPENSES 1,433,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,433,632. BH'S JOG EARNED: PROGRAM SERVICE EXPENSES 365,925. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 365,925. OTHER: PROGRAM SERVICE EXPENSES 132,619. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,619.
FORM 990, PART VI, LINES 12 - 14 THOUGH FLIPA HAS ANSWERED NO TO KEY GOVERNANCE AND DISCLOSURE QUESTIONS, THIS IS DUE TO FLIPA BEING A NEW ENTITY. IN 2020, FLIPA EXPECTS TO COMPLETE AND APPROVE A CONFLICT OF INTEREST POLICY, WHISTLE BLOWER, AND DOCUMENT RETENTION POLICY. ALL BOARD MEMBERS OF FLIPA'S GOVERNANCE AND MANAGEMENT ARE WELL VERSED IN CONFLICT OF INTEREST MATTERS AND ADHERE TO FULL DISCLOSURE AND TRANSPARENCY IN DEALING WITH FLIPA MATTERS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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