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
AMERICAN FAMILY SERVICES INC
 
Employer identification number

72-1150472
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 RICHARD T. DASPIT, SR., PRESIDENT AND RICHARD DASPIT, JR., CHIEF INFORMATION OFFICER, ARE FATHER AND SON, RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 3 AMERICAN FAMILY SERVICES HAS AN AGREEMENT WITH FOUNDATION HEALTH SERVICES, INC., SOLE MEMBER OF AMERICAN FAMILY SERVICES, TO PROVIDE MANAGEMENT SERVICES INCLUDING FINANCIAL AND ACCOUNTING SUPPORT SERVICES.
FORM 990, PART VI, SECTION A, LINE 8A NO MEETINGS OF THE GOVERNING BODY WERE HELD IN 2021.
FORM 990, PART VI, SECTION A, LINE 8B NO MEETINGS OF THE GOVERNING BODY WERE HELD IN 2021.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED ANNUALLY AND COPIES ARE PROVIDED TO THE ENTIRE GOVERNING BOARD AS WELL AS THE PRESIDENT OF THE ORGANIZATION. AT THAT TIME THE PRESIDENT REVIEWS THE FORM 990 WITH THE BOARD MEMBERS. ANY NECESSARY CHANGES ARE THEN UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE AND THE PRESIDENT IS IN AGREEMENT WITH THE BOARD MEMBERS ON THE FINISHED FORM 990, IT IS SIGNED BY THE PRESIDENT, DATED AND SUBMITTED BY THE FILING DEADLINE. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO ALL OF THE OFFICERS, DIRECTORS AND TRUSTEES BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PROMULGATES ITS CONFLICT OF INTEREST POLICY TO ASSURE CONTINUED COMMITMENT TO THE INTEGRITY OF ITS EXEMPT PURPOSE. TO PROVIDE ENFORCEMENT OF THE POLICY, A WRITTEN DISCLOSURE OF THE POLICY IS DISTRIBUTED TO THE EMPLOYEES AND BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15 THE OFFICER'S OF THE ORGANIZATION ARE PAID BY A RELATED PARTY, FOUNDATION HEALTH SERVICES. THE COMPENSATION OF THE OFFICERS IS APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION, MADE UP OF INDEPENDENT BOARD MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
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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