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
UPPER BAY COUNSELING & SUPPORT SERVICES
INC AND AFFILIATE
Employer identification number

51-0329224
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE CEO, DIRECTOR OF FINANCE, AND THE BOARD FINANCE COMMITTEE PRIOR TO FILING. IT IS PROVIDED TO ALL OTHER BOARD MEMBERS UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, AT THE BEGINNING OF THE FISCAL YEAR THE GOVERNING BOARD AND KEY EMPLOYEES ARE ASKED TO UPDATE THEIR STATUS WITH CONFLICT OF INTEREST FORM. CONFLICT OF INTEREST FORMS AND DISCLOSURES ARE REVIEWED BY THE EXECUTIVE COMMITTEE, AND CONFLICTS ARE IDENTIFIED AND RESOLVED AS DEEMED APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15 THE BOARD PERSONNEL COMMITTEE CONDUCTS ANNUAL PERFORMANCE REVIEWS OF THE CEO, WHO IS NOT A MEMBER OF THAT COMMITTEE. THE COMMITTEE THEN RECOMMENDS A MERIT SALARY ADJUSTMENT BY REFERENCE TO AN INDEPENDENT SALARY SURVEY FOR SIMLIAR POSITIONS IN THE REGION TO ENSURE THE ADJUSTED SALARY FALLS WITHIN ITS COMPARABLE RANGE. THE HUMAN RESOURCES DEPARTMENT PERFORMS MARKET RESEARCH AND INTERNAL COMPARISONS FOR ALL OTHER EMPLOYEES. MANAGEMENT'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ANY PROPOSED COMPENSATION PER EMPLOYEE.
FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST
FORM 990, PART XI, LINE 9: UBI TAX RECOVERY FOR REPEALED QUALIFIED TRANSPORTATION FRINGE BENEFITS 4,480.
FORM 990, PART XII, LINE 2C DRAFT AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE CEO, DIRECTOR OF FINANCE, AND FINANCE COMMITTEE OF THE BOARD PRIOR TO FINALIZATION.
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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