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
PROJECT ACCESS NORTHWEST
 
Employer identification number

20-4377921
Return Reference Explanation
FORM 990, PART III, LINE 3 DUE TO HIGHER THAN EXPECTED COSTS AND A LACK OF SUSTAINABLE FUNDING THE HEALTH HOME PROGRAM WAS ENDED IN 2019
FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW AND APPROVAL BY THE FINANCE AND INTERNAL ADMINISTRATION COMMITTEE, THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR FEEDBACK AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS AND AT HIRE, ALL EMPLOYEES SIGN A WRITTEN CONFLICT-OF-INTEREST DISCLOSURE. EXECUTIVE DIRECTOR REVIEWS FOR ALL STAFF. EXECUTIVE DIRECTOR'S CONFLICT-OF-INTEREST DISCLOSURE IS SIGNED AND REVIEWED BY THE BOARD PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 15 DEPUTY EXECUTIVE DIRECTOR AND SENIOR PROGRAM DIRECTOR EACH RECEIVED PAY INCREASES THAT WERE GIVEN WITH CHANGE OF DUTIES REFLECTED IN EACH JOB DESCRIPTION, AFTER COMPARISON WITH DATA FROM ARCHBRIGHT HR CONSULTING FIRM - AND RECORDED ON PAY CHANGE FORM SUBMITTED TO ACCOUNTANT/BOOKKEEPER FOR PROCESSING AND REPORTING TO CONTRACTED PAYROLL OF PAY NORTHWEST.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE AUDIT COMMITTEE PROCESS.
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


Additional Data


Software ID:  
Software Version: