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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
CHUCKANUT HEALTH FOUNDATION
 
Employer identification number

91-1192943
Return Reference Explanation
FORM 990, PART I, LINE 6: THERE WERE 12 BOARD MEMBERS WHO SERVED IN 2020. AVERAGE NUMBER OF HOURS PER MONTH IS APPROXIMATELY 3-5. BOARD MEMBERS PROVIDE GOVERNANCE AND OVERSIGHT TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B FINANCE COMMITTEE RECEIVES A DRAFT COPY OF THE FORM 990 AND PROVIDES RECOMMENDED CHANGES TO THE THIRD PARTY CPA. A COPY OF THE FORM 990 IS DISTRIBUTED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST. IN THE EVENT THERE COMES BEFORE THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE A MATTER FOR CONSIDERATION OR DECISION THAT RAISES A POTENTIAL CONFLICT OF INTEREST FOR ANY MEMBER OF THE BOARD OR THE COMMITTEE, THE MEMBER SHALL DISCLOSE THE POTENTIAL CONFLICT OF INTEREST AS SOON AS HE OR SHE BECOMES AWARE OF IT, AND THE DISCLOSURE SHALL BE RECORDED IN THE MINUTES OF THE MEETING. ANY MEMBER OF THE BOARD OF DIRECTORS OR OF THE EXECUTIVE COMMITTEE WHO IS AWARE OF A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO ANY MATTER COMING BEFORE THE BOARD OR THE EXECUTIVE COMMITTEE SHALL NOT VOTE IN CONNECTION WITH THE MATTER OR PERMIT HIS OR HER PRESENCE AT THE MEETING TO BE COUNTED IN DETERMINING WHETHER THERE EXISTS A QUORUM.
FORM 990, PART VI, SECTION B, LINE 15 BOARD APPROVES MANAGEMENT COMPENSATION. THE LAST COMPENSATION REVIEW WAS COMPLETED IN DECEMBER OF 2020.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9: PRIOR PERIOD GRANT PAYABLE ADJUSTMENT 47,200.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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