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
LAKEVIEW CHRISTIAN HOME OF THE
SOUTHWEST INC
Employer identification number

85-0160614
Return Reference Explanation
FORM 990, PAGE 1, PART I, LINE 6 THE HOME RECEIVES CONTRIBUTED SERVICE PRIMARILY RELATED TO ITS NURSING HOME (851 HOURS) AND HOSPICE (478 HOURS).
FORM 990, PAGE 2, PART III, LINE 4D ITEMS IN SUPPORT OF THE FIRST ACHIEVEMENT
FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS COMPTROLLER AND CEO
FORM 990, PAGE 6, PART VI, LINE 12C ENFORCEMENT OF CONFLICTS POLICY IS MAINTAINED THRU A CORPORATE COMPLIANCE OFFICER.
FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING INSTRUMENTS OF THE LAKEVIEW CHRISTAIN HOME OF THE SOUTHWEST, INC. ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF ANNUITY OBLIGATION 0 WRITE-OFF OF PLEDGE RECEIVABLE 0
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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