TY 2021 Form 990 Schedule O

efile Public Visual Render ObjectId: 202203189349319265 - Submission: 2022-11-14 TIN: 91-0776451

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Bellevue Boys & Girls Clubs Inc

Employer identification number

91-0776451

Return Reference	Explanation
Form 990, Part VI, Section B, Line 11B:	Once the form is completed by our external tax preparers it is reviewed by the accounting department and controller against year-end worksheets. The officers also review a copy of the return. Once all parties are satisfied with the accuracy of the report, the report is signed by the CEO/President and filed with the IRS. The report is made available on request and provided to the public. The entire board receives a complete copy of the form 990 prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, Line 12c:	The conflict of interest policy covers board members, officers and employees. Both the CEO/President and the COO/Vice President will annually review the conflict of interest policy to ensure all board members, officers and employees are in compliance with it. If a potential conflict was discovered, the CEO/President and COO/Vice President review and determine if a conflict exists. If a conflict exists, the person will be recused from discussion and voting on the matter.
Form 990, Part VI, Section B, Line 15:	Performance reviews are conducted on an annual basis and raises are given based on merits and guidelines set forth by the Boys & Girls Clubs of America. Executive positions including CEO/President & COO/Vice President are compensated based on review by the personnel committee of the board of directors. Additionally, salary adjustments are also made based on national average salary results which are compiled by the Boys & Girls Clubs of America every two years. Compensation reviews occur and are effective January 1st each year. The date of the last compensation review was January 2021.
Form 990, Part VI, Section C, Line 19:	The governing documents, conflict of interest policy, and financial statements are provided upon request.

Return Reference

Explanation

Form 990, Part VI, Section B, Line 11B:

Once the form is completed by our external tax preparers it is reviewed by the accounting department and controller against year-end worksheets. The officers also review a copy of the return. Once all parties are satisfied with the accuracy of the report, the report is signed by the CEO/President and filed with the IRS. The report is made available on request and provided to the public. The entire board receives a complete copy of the form 990 prior to filing with the Internal Revenue Service.

Form 990, Part VI, Section B, Line 12c:

The conflict of interest policy covers board members, officers and employees. Both the CEO/President and the COO/Vice President will annually review the conflict of interest policy to ensure all board members, officers and employees are in compliance with it. If a potential conflict was discovered, the CEO/President and COO/Vice President review and determine if a conflict exists. If a conflict exists, the person will be recused from discussion and voting on the matter.

Form 990, Part VI, Section B, Line 15:

Performance reviews are conducted on an annual basis and raises are given based on merits and guidelines set forth by the Boys & Girls Clubs of America. Executive positions including CEO/President & COO/Vice President are compensated based on review by the personnel committee of the board of directors. Additionally, salary adjustments are also made based on national average salary results which are compiled by the Boys & Girls Clubs of America every two years. Compensation reviews occur and are effective January 1st each year. The date of the last compensation review was January 2021.

Form 990, Part VI, Section C, Line 19:

The governing documents, conflict of interest policy, and financial statements are provided upon request.

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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