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
LILYS HOUSE
 
Employer identification number

82-2683320
Return Reference Explanation
Form 990, Part VI, Section A, Line 2 Jeff Vick and Sara Vick, Husband and Wife Sara Vick and Diane Ferguson, Sisters Sara Vick and Mary Kendrick, Sisters Diane Ferguson and Mary Kendrick, Sisters Matt Sears and Mary Ellen Sears, Husband and Wife
Form 990, Part VI, Section A, Line 9 Steve Hubbard PO Box 34 Adrian MO 64720, Diane Ferguson 11793 NW State Rt FF Adrian MO 64720, Mary Kendrick 514 Plainview Dr Adrian MO 64720, Kelly Davidson 3 West Dakota Street Butler MO 64730, Shelli White 10003 NW CR 1001 Adrian MO 64720, Tiffany Essenpries 930 Old 71 Hwy Adrian Mo 64720, Matt Sears 214 Elgin Street Adrian MO 64720, Mary Ellen 214 Elgin Street Adrian MO 64720, Sara Bidondo 403 W Chestnut Street Archie MO 64725
Form 990, Part VI, Section B, Line 11b Form 990 was presented at the April Board Meeting for Lily's House. The board voted to except Form 990 as presented and requested Form 990 to be filed with IRS.
Form 990, Part VI, Section B, Line 15 Sara Vick was compensated $5.00 an hour for 15 hours a week in 2021. The board of directors voted to compensate Sara for her work as Executive Director. Executive Director Sara Vick and her executive committee hired Sara Bidondo as an employee of Lily's House. She became a board elected director in 2021. Sara Bidondo continues as an employee making $15.00 an hour.
Form 990, Part VI, Section C, Line 19 Lily's House governing documents and financial statements are available to the public on demand.
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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