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
NEWARK RESIDENT HOMES INC
 
Employer identification number

31-0852393
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 TWO BOARD MEMBERS, SUSAN SPIKER AND RANDY SPIKER ARE HUSBAND AND WIFE. TWO OTHER BOARD MEMBERS, DONALD MILLER AND MARY MILLER ARE ALSO HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11B THE CPA THAT PREPARES THE 990 PRESENTS IT TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING THE RETURN
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST
PART XI, LINE 2 (C) THE BOARD OF DIRECTORS ACTS IN THE ROLE OF FINANCIAL OVERSIGHT COMMITTEE FOR THE ORGANIZATION
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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