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
Slovak American Charitable Association
 
Employer identification number

36-2770969
Return Reference Explanation
Form 990, Part I, Doing Business as Slovak American Charitable Association is doing business as Rolling Hills Manor & Rolling Hills Place.
Form 990, Part VI, Section A, line 2 The President of the Board and a Director have a husband/wife relationship.
Form 990, Part VI, Section A, line 6 Slovak American Chritable Association shall have two classes of memebers; organizational members and individual members. Members have the right to elect the directors and committee members at the annual Board Meeting and to approve board decisions.
Form 990, Part VI, Section A, line 7a Directors elect the officers and management committee members after the annual Board Meeting.
Form 990, Part VI, Section A, line 7b Directors report to the members at the Annual Members Meeting. Reports are reviewed, discussed and approved if agreed upon.
Form 990, Part VI, Section B, line 11b The annual Form 990 is handed to Directors/Members and reviewed at the quarterly meeting following completion of the return.
Form 990, Part VI, Section B, line 12c The Management Committee meets monthly and reports to directors quarterly.
Form 990, Part VI, Section B, line 15 The annual compensation review includes documentation of peer level compensation information and analysis of peer review performance using comparison data from the LeadingAge Salary Book received every year. The Executive Director's compensation is reviewed by the management committee after related officers are excused. Employee compensation is based on merit and cost of living increases. The compensation review and approval process is contemporaneously documented and kept in the employee file.
Form 990, Part VI, Section C, line 19 In accordance with section 6104, the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. This information is available in the business office.
Form 990, Part IX, line 24e Assessment Fees and Provdider Tax: Program service expenses 317,923. Management and general expenses 0. Fundraising expenses 0. Total expenses 317,923. Equipment Rental: Program service expenses 40,243. Management and general expenses 115,263. Fundraising expenses 0. Total expenses 155,506. Miscellaneous: Program service expenses 1,063. Management and general expenses 140,999. Fundraising expenses 0. Total expenses 142,062. Dues, Subscriptions and Licenses: Program service expenses 9,087. Management and general expenses 120,720. Fundraising expenses 0. Total expenses 129,807. Other Employee Expense: Program service expenses 12,616. Management and general expenses 102,864. Fundraising expenses 0. Total expenses 115,480. Repairs and Maintenance: Program service expenses 112,821. Management and general expenses 0. Fundraising expenses 0. Total expenses 112,821. Fees: Program service expenses 24,000. Management and general expenses 25,076. Fundraising expenses 0. Total expenses 49,076. Scavenger: Program service expenses 41,923. Management and general expenses 0. Fundraising expenses 0. Total expenses 41,923.
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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