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
2020
Open to Public
Inspection
Name of the organization
ELDERSERV
 
Employer identification number

93-1092457
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION CONTRACTED WITH CONCEPTS IN COMMUNITY LIVING, INC. FOR THE MANAGEMENT OF THEIR ASSISTED LIVING FACILITY.
FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT CPA AND REVIEWED BY THE BOARD MEMBERS AT THE NEXT AVAILABLE BOARD MEETING AFTER THE 990 IS PREPARED. THE 990 IS ALWAYS REVIEWED BY THE BOARD TREASURER, AS WELL AS ANOTHER BOARD MEMBER, PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE -4,313
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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