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
ANTELOPE VALLEY FOUNDATION
FOR THE DEVELOPMENTALLY DISABLED
Employer identification number

95-4215965
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE RETURN AND COPY OF THE RETURN WAS PROVIDED TO THE GOVERNING BODY AND REVIEWED BY AVAILABLE MEMBERS/DIRECTORS TO THE AUDITED FINANCIAL STATEMENTS AND INTERNAL FINANCIAL STATEMENTS FOR ACCURACY AND ACTED THEREON.
FORM 990, PART VI, SECTION B, LINE 12C THE CEO, WITH THE AID OF THE CFO, EXAMINE AND REVIEW THE CONTRACTS AND PAYROLL RECORDS, REPORTING THEIR FINDINGS TO THE DIRECTORS, AT THE MEETING OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STAEMENTS ARE ON FILE AND MADE AVAILABLE FOR INSPECTION UPON A QUALIFIED REQUEST.
FORM 990, PART XI, LINE 9: SBA GRANT 300,600. PRIOR PERIOD ADJUSTMENT - -4,333.
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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