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
CALAVERAS HEALTHY IMPACT PROD SOL
 
Employer identification number

26-1435215
Return Reference Explanation
Form 990 governing body review Part VI line 11 A COPY OF THE ENTIRE RETURN HAS BEEN REVIEWED AT A REGULAR MEETING OF THE BOARD OF DIRECTORS.
Governing documents etc available to public Part VI line 19 ANY MEMBER OF THE PUBLIC MAY REQUEST A COPY OF THE PUBLIC DOCUMENTS AT THE OFFICE DURING REGULAR BUSINESS HOURS, SUBJECT TO THE STAFFS WORK SCHEDULE.
List of other fees for services expenses Part IX line 11g WILSEYVILLE PROPERTY 1,955CAMPGROUND HOSTS 10,000CONTRACTOR FEES 293,395PROFESSIONAL FEES 63,102
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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