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
HILLSDALE SENIOR HOUSING CORP
 
Employer identification number

22-2453406
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 3 SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS AND FINANCIAL OPERATI ONS.
FORM 990, PAGE 6, PART VI, LINE 11B BOARD MEMBERS HAVE THE OPPORTUNITY TO REVIEW THE 990 PRIOR TO FILING. THE FORM IS ALSO REVIEWED BY THE MANAGEMENT AGENT PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS AT THE BOARD OF DIRECTORS MEETING. BOARD MEMBERS REPORT ANY CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15A THE MANAGEMENT FEE PAID TO THE MANAGEMENT COMPANY IS BASED UPON A PERCENTAGE OF RENTAL INCOME. THE MANAGEMENT RATE IS APPROVED BY THE HOUSING AND URBAN DEVELOPMENT(HUD).
FORM 990, PAGE 6, PART VI, LINE 15B ANNUAL EMPLOYEE EVALUATIONS ARE PERFORMED BY THE BOARD OF DIRECTORS. ANY PAY RATE CHANGES ARE APPROVED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19 INFORMATION REGARDING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC ON REQUEST.
FORM 990, PART IX, LINE 11G OFFICE SALARIES 34,045 0 0 MANAGER / SUPER SALARY 78,349 0 0 PAYROLL 105,732 0 0 PAYROLL TAXES 25,012 0 0 EMPLOYEE HEALTH INSURANCE 76,381 0 0 TOTAL 319,519 0 0
FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE 2
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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