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.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Rejuvenations Outpatients Facility
 
Employer identification number

06-1740982
Return Reference Explanation
Pt VI, Line 11b Tax Return is reviewed by Director.
Pt VI, Line 2 Annual Line Budget is submitted to the State of California.
Pt VI, Line 8b Meetings Documented with Minutes
Pt XII, Line 3b N/A
Pt VI, Line 3 N/A
Form 990, Part IX, Line 24e Licensing 4032. 4032. 0. 0.
Form 990, Part IX, Line 24e Auto Expens 7187. 7187. 0. 0.
Form 990, Part IX, Line 24e Auto Purchase 18000. 18000. 0. 0.
Form 990, Part IX, Line 24e Gift Cards 0. 0. 0. 0.
Form 990, Part IX, Line 24e Building & Lawn Care 0. 0. 0. 0.
Form 990, Part IX, Line 24e Toxicology Expense 0. 0. 0. 0.
Form 990, Part IX, Line 24e Client Support 0. 0. 0. 0.
Form 990, Part IX, Line 24e Training 48. 48. 0. 0.
Form 990, Part IX, Line 24e LiveScan Service 241. 241. 0. 0.
Form 990, Part IX, Line 24e Meals 328. 328. 0. 0.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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