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
CASS COUNTY COMMUNITY FOUNDATION INC
 
Employer identification number

35-2125727
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS GIVEN TO EACH BOARD MEMBER FOR THEIR REVIEW PRIOR TO THE BOARD MEETING. THE 990 IS THEN APPROVED BY THE BOARD, SIGNED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE BOARD MEMBERS AND EMPLOYEES COMPLETE OR REVIEW THE CONFLICT OF INTEREST POLICY. ANY ISSUES ARE ADDRESSED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCE COMMITTEE ASKS EACH BOARD MEMBER TO COMPLETE AN ANNUAL EVALUATION FORM FOR EMPLOYEES. COMPENSATION IS THEN DETERMINED, USING THE EVALUATION AND COMPARABILITY DATA.
FORM 990, PART VI, SECTION C, LINE 19 THESE FORMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9: SFAS #136 ADJUSTMENT -278,342.
FORM 990, PAGE 12, LINE 2C THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT PROCESS REMAINS THE SAME FOR THE CURRENT 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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