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
Anoka Champlin Firefighter's Relief
Association
Employer identification number

41-6036539
Return Reference Explanation
Form 990, Part VI, Section A, line 6 The Organization is comprised of members of the volunteer fire department.
Form 990, Part VI, Section A, line 7a The members elect the members of the governing body.
Form 990, Part VI, Section A, line 7b Decisions affecting investments, bylaws, etc are approved by the members.
Form 990, Part VI, Section B, line 11b A member of the board receives a copy of the 990 for review and to approve the 990 for signatures and filing.
Form 990, Part VI, Section B, line 12c The conflict of interest policy is reviewed annually by the Organization's board members for any necessary changes.
Form 990, Part VI, Section C, line 19 The Organization's governing documents and financial statements are made available by request of the President, the Fire Chief, or at the City of Anoka's City Hall.
Form 990, Part XII, Line 2c: The Organization's Board of Trustees assumes the responsibility for oversight of the audits of its financial statements and the selection of the independent accountant.
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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