SCHEDULE O
(Form 990 or 990-EZ)

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 Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
ELDER SERVICES OF CAPE COD AND THE
ISLANDS INC
Employer identification number

04-2523904
Return Reference Explanation
Form 990, Part VI, Section B, line 11b The Form 990 is presented to the finance committee for review, approval, and signature.
Form 990, Part VI, Section B, line 12c Annual conflict of interest disclosure forms are sent to each board member and officer.
Form 990, Part VI, Section B, line 15 The compensation of the officers of the organization is reviewed and approved by the board of directors.
Form 990, Part VI, Section C, line 19 The financial statements are available on the agencies website. The Form 990, 1023, governing documents, and conflict of interest policies are available upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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