SCHEDULE O
(Form 990)

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.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NORTH CENTRAL SIGHT SERVICES INC
 
Employer identification number

24-0814118
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND FORMAL ADOPTION OCCURS PRIOR TO SUBMISSION
FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE CONDUCTS AND EVALUATION OF THE CEO'S PERFORMANCE AND THE COMPENSATION IS DETERMINED BASED ON A COMBINATION OF PERFORMANCE AND SIMILAR INDUSTRY SALARY TRENDS. THE EXECUTIVE COMMITTEE PRESENTS A SALARY RECOMENDATION TO THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION. THE APPROVED SALARY IS THEN CONVEYED TO THE CEO. ALL OTHER SALARIES ARE SET AS PART OF THE ANNUAL BUDGET THAT IS REVIEWED AND ADOPTED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 2121 REACH ROAD, WILLIAMSPORT, PA 17701. THE IRS FOR 990 IS POSTED ON THE ORGANIZATIONS WEBSITE AT WWW.NCSIGHT.ORG.
FORM 990, PART XI, LINE 9: GAIN ON PERPETUAL TRUST HELD BY THIRD PARTY 40,032. CHANGE IN VALUE OF LIFE INSURANCE ANNUITY 54,247. COVID-19 PPP LOAN FORGIVEN IN 2021 -365,299.
FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND MAKES RECOMMENDATIONS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT, WHICH IS APPROVED BY THE BOARD OF SUPERVISORS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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