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.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CHESHIRE HOME INC
 
Employer identification number

22-1936587
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE FORM WAS REVIEWED BY MANAGEMENT AND A COPY OF THE FORM WAS THEN SENT TO THE FULL BOARD FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING. IF THE BOARD HAS ANY QUESTIONS THEY ARE ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED EACH YEAR TO DISCLOSE ANY CONFLICTS OF INTEREST. ANY CONFLICTS MUST BE REPORTED TO THE CHAIRMAN OF THE BOARD AND THE INDIVIDUAL IS RECUSED FROM BOTH THE DISCUSSION AND THE VOTING PROCESS RELATING TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A THE PERSONNEL COMMITTEE, WHICH IS MADE UP OF BOARD MEMBERS, REVIEWS AND AUTHORIZES SALARIES ON AN ANNUAL BASIS. THEY USE SALARY DATA PROVIDED BY THE NEW JERSEY HEALTH CARE ASSOCIATION FOR SIMILAR ORGANIZATIONS. THE COMMITTEE ALSO TAKES THE INDIVIDUALS RESPONSIBILITIES INTO ACCOUNT WHEN DETERMINING COMPENSATION. THE LAST REVIEW WAS DONE IN SEPTEMBER 2020.
FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR
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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