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
PEDIATRIC VISION RESEARCH AND DIAGNOSTIC
CENTER
Employer identification number

27-2116318
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 ERIC PACKWOOD, MD, ALAN NORMAN, MD, AND MICHAEL HUNT, MD HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS AND THE DIRECTORS WILL BE GIVEN AN OPPORTUNITY TO ASK QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS MADE THE CONFLICT RESOLUTION POLICY AVAILABLE TO ITS' BOARD OF DIRECTORS AND REQUIRES THE DIRECTORS TO REPORT ANY CONFLICTS.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS 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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