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
UNITYPOINT HEALTH-MARSHALLTOWN
FOUNDATION
Employer identification number

42-1388518
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ALL RELATED SCHEDULES AND SUPPLEMENTAL INFORMATION ARE EMAILED TO BOARD MEMBERS PRIOR TO FILING. ALL QUESTIONS ARE RESOLVED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES ANNUAL CERTIFICATION THAT EACH TRUSTEE HAS RECEIVED. THE CONFLICT OF INTEREST POLICY, THAT THEY HAVE READ AND UNDERSTOOD THE POLICY, AND THAT THEY AGREE TO COMPLY WITH THE POLICY. THE FOUNDATION DIRECTOR IS ASSIGNED TO ASSURE THAT ALL RECEIPIENTS ANNUALLY SIGN THE CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION C, LINE 19 ALL FORMS REQUIRED BY IRS TO BE MADE PUBLICALLY AVAILABLE, ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 37,546. TOTAL EXPENSES 37,546.
FORM 990, PART XI, LINE 9: MISCELLANEOUS ADJUSTMENT -16,947.
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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