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
Worksafe Inc
 
Employer identification number

94-2927954
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process Once we receive a copy of the 990, management reviews it and send it to the executive board. Once we agree that it is accurate, we share the document with the entire board.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The ED actively engages the Board on these matters, meeting with the Executive Board several times quarterly, and the entire Board quarterly as well where concerns regarding these issues can be addressed. Staff meet on a weekly basis at weekly staff meetings and in 1:1s with management where these issues can be addressed. The staff and Board conduct a 360 evaluation/review of the E.D. and in turn the E.D. evaluates staff on a regular basis.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The executive board meets and deliberates to determine the ED compensation after they receive staff's feedback about the ED performance.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon written or verbal request
Form 990, Part IX, Line 1 - Pass through grants The Organization serves as the lead fiscal agent for a collaboration of a number of nonprofit organizations. In addition to the activity reflected on the Organizations financials, an additional $121,410 was accounted for on a pass-through basis reflecting the activity of the collaborative partners for the year ended June 30, 2022.
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