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
ALLIANCE FOR BETTER LONG TERM CARE INC
 
Employer identification number

05-0394877
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 GERI SEPE, VICE PRESIDENT, AND PAUL SEPE, SECRETARY, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BOARD FOR REVIEW. ANY AND ALL QUESTIONS ARE RESPONDED TO INDIVIDUALLY AS WELL AS BROUGHT BEFORE THE ENTIRE BOARD WHENEVER APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: RECEIVES A COPY OF THE CONFLICT OF INTEREST POLICY, READS AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR. IF AT ANY TIME DURING THE YEAR, INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM. THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT.
FORM 990, PART VI, SECTION B, LINE 15A THE BOARD PRESIDENT GIVES THE RI STATE LONG TERM CARE OMBUDSMAN AND THE OPERATIONS OFFICER THEIR ANNUAL REVIEWS AT WHICH TIME THEY COMPLETE THEIR EVALUATIONS. THEIR EVALUATIONS ARE MADE UP OF DIFFERENT COMPONENTS, STRATEGIES AND GOALS FOR THE RI LONG TERM CARE OMBUDSMAN AND OPERATIONS OFFICER TO ATTAIN THROUGHOUT THE YEAR. BASED ON THE SUCCESS OR FAILURE TO COMPLETE THESE GOALS DETERMINES WHETHER OR NOT A RAISE WILL BE GIVEN.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT, AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART XII, 2C: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT.
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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