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
55 GREEN MEADOWS
 
Employer identification number

27-1789902
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS THE OHIO HEALTH CARE ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 7A THE OHIO HEALTH CARE ASSOCIATION, THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO APPOINT THREE DIRECTORS TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B THE OHIO HEALTH CARE ASSOCIATION, THE ORGANIZATION'S SOLE MEMBER, HAS THE POWER TO APPROVE GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND STAFF ACCOUNTANT WILL REVIEW THE 990 AND WILL MAKE IT AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS PAID BY A RELATED ORGANIZATION, OHIO HEALTH CARE ASSOCIATION. HIS SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE OHIO HEALTH CARE ASSOCIATION. THE EXECUTIVE COMMITTEE LOOKS AT THE PERCENT INCREASE IN STAFF SALARY EACH YEAR TO ASSIST IN DETERMINING THE EXECUTIVE DIRECTOR'S SALARY FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST
FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 105,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,000.
FORM 990, PART XI, 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
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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