Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 7

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CANCER SUPPORT COMMUNITY MONTANA
81-0542266
6
Form 990 (2015)
Page
Part VI Governance, Management, and Disclosure
For each "Yes" response to lines 2 through 7b below, and for a "No" response
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
X
Check if Schedule O contains a response or note to any line in this Part VI
•••••••••••••••••••••••••••
Section A. Governing Body and Management
Yes
No
13
1
a
Enter the number of voting members of the governing body at the end of the tax year
~~~~~~
1a
If there are material differences in voting rights among members of the governing body, or if the governing
body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
13
b
Enter the number of voting members included in line 1a, above, who are independent
~~~~~~
1b
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
X
officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2
Did the organization delegate control over management duties customarily performed by or under the direct supervision
3
X
of officers, directors, or trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~
3
X
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
~~~~~
4
4
X
Did the organization become aware during the year of a significant diversion of the organization's assets?
~~~~~~~~~
5
5
X
Did the organization have members or stockholders?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
6
a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
7
X
more members of the governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7a
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or
X
persons other than the governing body?
7b
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
8
X
a
The governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8a
X
b
Each committee with authority to act on behalf of the governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~
8b
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the
X
If "Yes," provide the names and addresses in Schedule O
9
organization's mailing address?
•••••••••••••••••
Section B. Policies
(This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
X
10
a
Did the organization have local chapters, branches, or affiliates?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10a
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,
X
and branches to ensure their operations are consistent with the organization's exempt purposes?
~~~~~~~~~~~~~
10b
X
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11
a
11a
Describe in Schedule O the process, if any, used by the organization to review this Form 990.
b
X
If "No," go to line 13
12a
Did the organization have a written conflict of interest policy?
~~~~~~~~~~~~~~~~~~~~
12a
X
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
b
~~~~~~
12b
If "Yes," describe
c
Did the organization regularly and consistently monitor and enforce compliance with the policy?
X
in Schedule O how this was done
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12c
X
13
Did the organization have a written whistleblower policy?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
X
14
Did the organization have a written document retention and destruction policy?
~~~~~~~~~~~~~~~~~~~~~~
14
15
Did the process for determining compensation of the following persons include a review and approval by independent
persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
X
a
The organization's CEO, Executive Director, or top management official
~~~~~~~~~~~~~~~~~~~~~~~~~~
15a
X
b
Other officers or key employees of the organization
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15b
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16 a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
X
taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16a
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation
in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's
exempt status with respect to such arrangements? ••••••••••••••••••••••••••••••••••••
16b
Section C. Disclosure
NONE
J
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available
for public inspection. Indicate how you made these available. Check all that apply.
X
(explain in Schedule O)
Own website
Another's website
Upon request
Other
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial
statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records: |
BECKY FRANKS - 406-582-1600
102 S 11TH AVE, BOZEMAN, MT
59715
990
Form
(2015)
532006 12-16-15
6
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1

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