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
JHC ASSISTED LIVING CORP
 
Employer identification number

04-3323502
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 MATT SHWACHMAN; PHILIP SHWACHMAN; RELATIONSHIP: FATHER, SON JAY AFRAME; AFFILIATES AT LAW FIRM PHILLIPS, SILVER, TALMAN, AFRAME & SINRICH, P.C.
FORM 990, PART VI, SECTION B, LINE 11B REVIEWED BY A QUALIFIED ACCOUNTANT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR IS EVALUATED AGAINST DATA FROM THE ANNUAL WAGE AND BENEFIT SURVEY FROM MASSACHUSETTS SENIOR CARE ASSOCIATION.
FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -30,040.
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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