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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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NORTHWEST WISCONSIN COMMUNITY
SERVICES AGENCY INC
Employer identification number

39-1091469
Return Reference Explanation
FORM 990, PAGE 2, PART III, LINE 4D MULTI-PURPOSE PROGRAMS ENCOMPASSING NUTRITION SERVICES, COMMUNITY SERVICES, SENIOR SERVICES, HOMELESSNESS SERVICES, TRANSPORTATION SERVICES AND EMERGENCY ASSISTANCE SERVICES.
FORM 990, PAGE 6, PART VI, LINE 2 BARB CERTA-WERNER JOEL CERTA-WERNER CHAIR DIRECTOR FAMILY RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 11B PRIOR TO FILING THE FORM 990, AS DESIGNATED BY THE BOARD OF DIRECTORS, THE FORM IS REVIEWED BY MANAGEMENT PRIOR TO DISTRIBUTION TO THE FULL BOARD FOR REVIEW AND APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ARE REQUESTED TO APPROVE AND SIGN THE POLICY ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 15A THE SALARY OF THE EXECUTIVE DIRECTOR IS SET BY THE BOARD OF DIRECTORS AND REVIEWED ANNUALLY. THE WAGE IS BASED UPON COMPARABILITY STUDIES OF OTHER DIRECTORS IN SIMILAR ORGANIZATIONS WITH LIKE DUTIES. THE BENEFIT PORTION OF COMPENSATION IS SAME FOR ALL EMPLOYEESS. THE BOARD OF DIRECTORS ESTABLISHES BENEFIT PROGRAMS THROUGH THE PERSONNEL POLICY HANDBOOK AND DELEGATED TO THE EXECUTIVE DIRECTOR TO ENFORCE.
FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATIONS ADMINISTRATIVE OFFICES IN SUPERIOR, WI.
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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