TY 2021 Form 990 Schedule O

efile Public Visual Render ObjectId: 202213129349303801 - Submission: 2022-11-08 TIN: 04-2104318

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

HOME FOR AGED WOMEN IN SALEM

Employer identification number

04-2104318

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1A	THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE WITH GENERAL CHARGE OF THE AFFAIRS OF THE INSTITUTION DURING THE INTERVALS BETWEEN THE REGULAR QUARTERLY BOARD MEETINGS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S TOP MANAGEMENT REVIEWS THE DRAFT FORM 990 AND PROVIDES FEEDBACK TO THE TAX PREPARER. THE FINAL FORM 990 IS PROVIDED TO THE PRESIDENT FOR SIGNATURE BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, THE BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SIGN A STATEMENT INDICATING THAT THEY HAVE RECEIVED A COPY OF THE POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND AGREE TO COMPLY WITH THE POLICY. THE BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST POLICY. THIS POLICY IS PERIODICALLY REVIEWED AND MONITORED AT LEAST ANNUALLY DURING A BOARD MEETING. AFTER A BOARD MEMBER DISCLOSES A POTENTIAL CONFLICT, THE REMAINING MEMBERS SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND WILL DISCUSS TO DECIDE IF A CONFLICT EXISTS, AND THE APPROPRIATE COURSE OF ACTION. THE PERSON WITH THE CONFLICT IS EXCLUDED FROM PARTICIPATING IN DELIBERATION, DECISIONS REGARDING THE TRANSACTION, AND VOTING. SEE CONFLICT OF INTEREST POLICY FOR FURTHER DETAILED PROCEDURES.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT AND OFFICERS IS DETERMINED THROUGH COMPENSATION SURVEYS, EMPLOYMENT AGREEMENTS, AND APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION ANALYSIS AND DECISIONS ARE CONDUCTED IN THE DECEMBER BOARD OF DIRECTORS MEETING WITH AN EFFECTIVE DATE OF JANUARY 1ST OF THE FOLLOWING YEAR AND ARE DOCUMENTED THROUGH MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 1A

THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE WITH GENERAL CHARGE OF THE AFFAIRS OF THE INSTITUTION DURING THE INTERVALS BETWEEN THE REGULAR QUARTERLY BOARD MEETINGS.

FORM 990, PART VI, SECTION B, LINE 11B

THE ORGANIZATION'S TOP MANAGEMENT REVIEWS THE DRAFT FORM 990 AND PROVIDES FEEDBACK TO THE TAX PREPARER. THE FINAL FORM 990 IS PROVIDED TO THE PRESIDENT FOR SIGNATURE BEFORE FILING WITH THE IRS.

FORM 990, PART VI, SECTION B, LINE 12C

ANNUALLY, THE BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SIGN A STATEMENT INDICATING THAT THEY HAVE RECEIVED A COPY OF THE POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND AGREE TO COMPLY WITH THE POLICY. THE BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST POLICY. THIS POLICY IS PERIODICALLY REVIEWED AND MONITORED AT LEAST ANNUALLY DURING A BOARD MEETING. AFTER A BOARD MEMBER DISCLOSES A POTENTIAL CONFLICT, THE REMAINING MEMBERS SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND WILL DISCUSS TO DECIDE IF A CONFLICT EXISTS, AND THE APPROPRIATE COURSE OF ACTION. THE PERSON WITH THE CONFLICT IS EXCLUDED FROM PARTICIPATING IN DELIBERATION, DECISIONS REGARDING THE TRANSACTION, AND VOTING. SEE CONFLICT OF INTEREST POLICY FOR FURTHER DETAILED PROCEDURES.

FORM 990, PART VI, SECTION B, LINE 15

THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT AND OFFICERS IS DETERMINED THROUGH COMPENSATION SURVEYS, EMPLOYMENT AGREEMENTS, AND APPROVAL BY THE BOARD OF DIRECTORS. COMPENSATION ANALYSIS AND DECISIONS ARE CONDUCTED IN THE DECEMBER BOARD OF DIRECTORS MEETING WITH AN EFFECTIVE DATE OF JANUARY 1ST OF THE FOLLOWING YEAR AND ARE DOCUMENTED THROUGH MEETING MINUTES.

FORM 990, PART VI, SECTION C, LINE 19

THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE 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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