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
THE COMMUNITY FREE CLINIC
 
Employer identification number

63-1216505
Return Reference Explanation
FORM 990, PAGE 1, ITEM B MINOR CHANGES WERE REQUIRED
FORM 990, PAGE 6, PART VI, LINE 11B THE TEASURER OF THE BOARD, A CERTIFIED PUBLIC ACCOUNTANT, REVIEWED THE 990 PRIOR TO COMPLETION. THE TREASURER WILL PRESENT TO THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 ROUNDING -84
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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