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
Keiro Northwest
 
Employer identification number

51-0172382
Return Reference Explanation
Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company ADMINISTRATIVE DUTIES ARE DELEGATED TO A MANAGEMENT COMPANY, Senior Services of America, LLC.
Form 990, Part VI, Line 11b: Form 990 Review Process The 990 is provided to the Board for review.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The conflict of interest policy is enforced through communication between the Interim Executive Director, the Board and the Board Governance Committee.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The Board utilizes research performed for comparable positions. Interim Executive Director contarct compensation is then reviewed by all board members and approved by the majority of the board.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Board utilizes research performed for comparable positions. Interim Executive Director contarct compensation is then reviewed by all board members and approved by the majority of the board.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organizations governing documents, conflict of interest policy and financial statements are available for review upon request at the organizations business office, which is located at 700 6th Avenue S., seattle, wa.
Other Changes In Net Assets Or Fund Balances - Other Increases donated use of facilities = $142500
FORM 990, Part XII, LINE 2B KEIRO NORTHWEST IS CURRENTLY UNDERGOING A FINANCIAL STATEMENT AUDIT THAT HAS NOT BEEN COMPLETED AT THE TIME OF FILING OF THE FORM 990.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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Software Version: 2021v4.1