TY 2019 Form 990 Schedule O

efile Public Visual Render ObjectId: 202110639349300411 - Submission: 2021-03-04 TIN: 52-1772594

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

COMMUNITY FREE CLINIC INC

Employer identification number

52-1772594

Return Reference	Explanation
Form 990 governing body review Part VI line 11	ORGANIZATION PRESENTS FORM 990 FIRST TO THE PRESIDENT OF THE BOARD OF DIRECTORS, WHO REVIEWS THE FORM. AFTER WHICH, THE FORM 990 IS PRESENTED TO THE FULL BOARD FOR PUBLIC DISCUSSION.
CEO executive director top management comp Part VI line 15a	ORGANIZATION FOLLOWS TRANSPARENT PROCESS IS DETERMINING COMPENSATION AND INCREASES THEREIN. COMPENSATION PROCESS FOR OFFICERS/DIRECTORS OF THE ORGANIZATION ARE COMPLETED THROUGH A BOARD REVIEW AND APPORVAL PROCESS. COMPENSATION PACKAGES AND INCREASES ARE FIRST REVIEWED BY THE BOARD AND BASED ON PERFORMANCE REVIEWS AND COST OF LIVING INCREASES.
Other officer or key employee compensation Part VI line 15b	ORGANIZATION FOLLOWS TRANSPARENT PROCESS IS DETERMINING COMPENSATION AND INCREASES THEREIN. COMPENSATION PROCESS FOR OFFICERS/DIRECTORS OF THE ORGANIZATION ARE COMPLETED THROUGH A BOARD REVIEW AND APPORVAL PROCESS. COMPENSATION PACKAGES AND INCREASES ARE FIRST REVIEWED BY THE BOARD AND BASED ON PERFORMANCE REVIEWS AND COST OF LIVING INCREASES.
Form 990 availability to public Part VI line 18	EXPLANATION REGARDING NO PUBLIC DISCLOSUREFORM 990 IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATIONS FORM 990 IS ALSO POSTED TO A WEBSITE THANT CONTAINS NUMEROUS OTHER FORM 990 NON-PROFIT TAX REPORTS AND IS AVAILABLE FOR ANYONE TO VIEW.
Governing documents etc available to public Part VI line 19	GOVERNING DOCUMENTS DISCLOSURETHE ORGANIZATION WILL PROVIDE COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO INDIVIDUALS WHO REQUEST THEM.
Balance Sheet Part X	BALANCE SHEET NOTE (FIXED ASSET)THE ORGANIZATION RECEIVED A DONATION OF REAL ESTATE, MORE SPECIFICALLY REAL ESTATE SITUATED ADJACENT TO CURRENT OPERATIONS, WITH THE ADDRESS OF 235 MILL STREET, SUITE 3 HAGERSTOWN, MD. THE PROPERTY IS LISTED ON THE BALANCE SHEET AT THE INDEPENDENTLY APPRAISED VALUE OF $260,000 PLUS CLOSING COSTS OF $1,235. TOTAL FIXED ASSET ATRIBUTABLE TO THE REAL ESTATE DONATION IS $261,235. THE REAL ESTATE WAS DONATED BY DR MITESH KOTHARI, MD AND ERIN KOTHARI ON MAY 22, 2018.
General explanation attachment	FIN 48 FOOTNOTETHE ORGANIZATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS NO PROVISION FOR FEDERAL INCOME TAXES. THIE ORGANIZATION FOLLOWS FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITYS FINANCIAL STATEMENTS. THE ORGANIZATIONS POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX MATTERS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE ORGANIZATIONS FEDERAL AND STATE TAX REPORTS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAX AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE REPORTS ARE FILED.

Return Reference

Explanation

Form 990 governing body review Part VI line 11

ORGANIZATION PRESENTS FORM 990 FIRST TO THE PRESIDENT OF THE BOARD OF DIRECTORS, WHO REVIEWS THE FORM. AFTER WHICH, THE FORM 990 IS PRESENTED TO THE FULL BOARD FOR PUBLIC DISCUSSION.

CEO executive director top management comp Part VI line 15a

ORGANIZATION FOLLOWS TRANSPARENT PROCESS IS DETERMINING COMPENSATION AND INCREASES THEREIN. COMPENSATION PROCESS FOR OFFICERS/DIRECTORS OF THE ORGANIZATION ARE COMPLETED THROUGH A BOARD REVIEW AND APPORVAL PROCESS. COMPENSATION PACKAGES AND INCREASES ARE FIRST REVIEWED BY THE BOARD AND BASED ON PERFORMANCE REVIEWS AND COST OF LIVING INCREASES.

Other officer or key employee compensation Part VI line 15b

Form 990 availability to public Part VI line 18

EXPLANATION REGARDING NO PUBLIC DISCLOSUREFORM 990 IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATIONS FORM 990 IS ALSO POSTED TO A WEBSITE THANT CONTAINS NUMEROUS OTHER FORM 990 NON-PROFIT TAX REPORTS AND IS AVAILABLE FOR ANYONE TO VIEW.

Governing documents etc available to public Part VI line 19

GOVERNING DOCUMENTS DISCLOSURETHE ORGANIZATION WILL PROVIDE COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO INDIVIDUALS WHO REQUEST THEM.

Balance Sheet Part X

BALANCE SHEET NOTE (FIXED ASSET)THE ORGANIZATION RECEIVED A DONATION OF REAL ESTATE, MORE SPECIFICALLY REAL ESTATE SITUATED ADJACENT TO CURRENT OPERATIONS, WITH THE ADDRESS OF 235 MILL STREET, SUITE 3 HAGERSTOWN, MD. THE PROPERTY IS LISTED ON THE BALANCE SHEET AT THE INDEPENDENTLY APPRAISED VALUE OF $260,000 PLUS CLOSING COSTS OF $1,235. TOTAL FIXED ASSET ATRIBUTABLE TO THE REAL ESTATE DONATION IS $261,235. THE REAL ESTATE WAS DONATED BY DR MITESH KOTHARI, MD AND ERIN KOTHARI ON MAY 22, 2018.

General explanation attachment

FIN 48 FOOTNOTETHE ORGANIZATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS NO PROVISION FOR FEDERAL INCOME TAXES. THIE ORGANIZATION FOLLOWS FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITYS FINANCIAL STATEMENTS. THE ORGANIZATIONS POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX MATTERS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE ORGANIZATIONS FEDERAL AND STATE TAX REPORTS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAX AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE REPORTS ARE FILED.

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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