| FORM 990, PART VI, SECTION A, LINE 2 |
LYA PFEIFER TRUSTEE EFFECTIVE 6/2021 AND JOSEPH PFEIFER TRUSTEE THRU 6/2021 HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 |
VALLEY HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A |
VALLEY HEALTH SYSTEM HAS THE RIGHT TO ELECT ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B |
ANY OF THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE SOLE MEMBER: A) ORGANIZING, ACQUIRING OR AUTHORIZING THE ORGANIZATION OF, ANY SUBSIDIARY OR AFFILIATE OF THE FOUNDATION B) MAKING ANY DONATIONS, CONTRIBUTIONS, GRANTS OR LOANS TO ANY PERSON OR ENTITY OTHER THAN THE HOSPITAL OR THE PARENT IN EXCESS OF TWENTY FIVE THOUSAND DOLLARS IN ANY FISCAL YEAR OR TO ALL SUCH PERSONS AND ENTITIES IN THE AGGREGATE, IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEAR C) ADOPTION OF A PLAN OF DISSOLUTION OF THE FOUNDATION D) ANY TRANSACTION, OTHER THAN IN ORDINARY AND REGULAR COURSE OF BUSINESS, PROVIDING FOR THE SALE, TRANSFER, MORTGAGE OR OTHER DISPOSITION OR ENCUMBRANCE OF ANY ASSETS OF THE FOUNDATION HAVING AN AGGREGATE VALUE IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS IN ANY FISCAL YEARS E) ADOPTION OF A PLAN OF MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER ORGANIZATION F) SELECTION OF INDEPENDENT AUDITORS G) ANY CHANGE IN THE MANNER AND PROCEDURE FOR NOMINATION AND ELECTIONS OF TRUSTEES OF THE FOUNDATION H) AMENDMENT OF THE CERTIFICATE OF INCORPORATION I) AMENDMENT OF THE BYLAWS OF THE FOUNDATION WITH RESPECT TO ANY OF THE SUBJECT MATTERS OF THE ARTICLE III, SECTION 11. |
| FORM 990, PART VI, SECTION B, LINE 11B |
A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY'S EXECUTIVE COMMITTEE BEFORE IT IS FILED. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, THE COMMITTEE REVIEWS THE 990 AND PROVIDES ANY COMMENTS. THE COMMENTS ARE REVIEWED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST ANNUALLY. GENERAL COUNSEL REVIEWS THE ANNUAL DISCLOSURE TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT OF INTEREST EXISTS THE ORGANIZATION WILL NOTIFY MEMBERS OF MANAGEMENT OR THE GOVERNING BODY AND INVESTIGATE THE CONFLICT. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE PART OF ANY DECISIONS ABOUT SUCH TRANSACTIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON NEW YORK STATE ATTORNEY GENERAL WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT 223 NORTH VAN DIEN AVE, RIDGEWOOD, NJ 07450 OR BY CALLING THE ORGANIZATION DIRECTLY AT 201-447-8000. |
| FORM 990, PART XI, LINE 9: |
WRITE-DOWN OF CONTRIBUTIONS -4,068. |
| FORM 990, PART XI, LINE 2C |
THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGNT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Attach to Form 990 or 990-EZ.