Sample Form 990 - Return Of Organization Exempt From Income Tax - 2015 Page 8
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3026P0007 10/13/2016 12:54 PM
PHILADELPHIA VETERANS COMFORT HOUSE 23-2694118
8
Form 990 (2015)
Page
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
(B)
(C)
(D)
(E)
(F)
Name and title
Average
Position
Reportable
Reportable
Estimated
hours per
(do not check more than one
compensation
compensation from
amount of
week
box, unless person is both an
from
related
other
officer and a director/trustee)
the
organizations
compensation
(list any
organization
(W-2/1099-MISC)
from the
hours for
related
(W-2/1099-MISC)
organization
and related
organizations
organizations
below dotted
line)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
59,087
1b Sub-total
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c
Total from continuation sheets to Part VII, Section A
. . . . . . . .
59,087
d Total (add lines 1b and 1c)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
0
reportable compensation from the organization
Yes No
3
Did the organization list any former officer, director, or trustee, key employee, or highest compensated
X
3
employee on line 1a? If “Yes,” complete Schedule J for such individual
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
X
4
individual
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
X
for services rendered to the organization? If “Yes,” complete Schedule J for such person
5
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year.
(A)
(B)
(C)
Name and business address
Description of services
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who
received more than $100,000 of compensation from the organization
0
990
DAA
Form
(2015)
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