Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 8
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41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
7
Form 990 (2015)
Page
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII •••••••••••••••••••••••••••
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a
Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.
¥ List all of the organization's
current
officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.
Enter -0- in columns (D), (E), and (F) if no compensation was paid.
¥ List all of the organization's
current
key employees, if any. See instructions for definition of "key employee."
current
¥ List the organization's five
highest compensated employees (other than an officer, director, trustee, or key employee) who received report-
able compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.
¥ List all of the organization's
former
officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
¥ List all of the organization's
former directors or trustees
that received, in the capacity as a former director or trustee of the organization,
more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees;
and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
(B)
(C)
(D)
(E)
(F)
Position
Name and Title
Average
Reportable
Reportable
Estimated
(do not check more than one
hours per
compensation
compensation
amount of
box, unless person is both an
officer and a director/trustee)
week
from
from related
other
(list any
the
organizations
compensation
hours for
organization
(W-2/1099-MISC)
from the
related
(W-2/1099-MISC)
organization
organizations
and related
below
organizations
line)
2.00
(1) DAWN TARABOCHIA
X
X
0.
0.
0.
PRESIDENT
2.00
(2) SPENCER GREEN
X
X
0.
0.
0.
VICE PRESIDENT
2.00
(3) DICK WALTER
X
X
0.
0.
0.
TREASURER
2.00
(4) BRAD HUSE
X
X
0.
0.
0.
SECRETARY
1.00
(5) DEDE BAKER
X
0.
0.
0.
DIRECTOR
1.00
(6) DAN HIMSWORTHL
X
0.
0.
0.
DIRECTOR
1.00
(7) ANN LEUPRECHT
X
0.
0.
0.
DIRECTOR
1.00
(8) BRUCE COMBS
X
0.
0.
0.
DIRECTOR
1.00
(9) JAY JUTZY
X
0.
0.
0.
DIRECTOR
1.00
(10) CINDY WEBB-ARNOLD
X
0.
0.
0.
DIRECTOR
1.00
(11) WENDY GWINNER
X
0.
0.
0.
DIRECTOR
1.00
(12) PAULINE SAGER
X
0.
0.
0.
DIRECTOR
1.00
(13) CHRIS FISHER
X
0.
0.
0.
DIRECTOR
40.00
(14) BECKY FRANKS
X
58,411.
0.
0.
EXECUTIVE DIRECTOR
990
Form
(2015)
532007 12-16-15
7
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
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