Orthopedics Capital Foundation Inc.

“Orthopedics capital foundation does not have any committees with the authority to act on behalf of the governing body.”

“Upon completion of the form 990, an electronic version of the return is distributed to all board members. Board members are asked to review the return and indicate whether they accept or do not accept the form 990 as presented. If accepted by a majority of the board, the form 990 is then submitted to the irs. If not accepted, the form 990 will be revised until accepted by the board of directors.”

“Each director and officer annually receives a conflict of interest questionnaire through which they are asked to confirm or report the following: (i) that he or she has read and understands ocf's conflict of interest policy (which imposes upon each director and officer a continuing, affirmative duty to report any personal ownership, interest, or relationship that might affect his or her ability to exercise impartial, ethical, and business-based judgements in fulfilling responsibilities to ocf); (ii) that he or she is in compliance with the policy; (iii) that he or she is reporting (with his or her completed questionnaire) all actual or potential conflicts of interest that arise as a result of his or her role with ocf, and each position that he or she holds as a director, trustee, officer, or employee of any other nonprofit organization; and (iv) that he or she will report promptly any changes in information reported in his or her questionnaire or in any other matters that might affect compliance with the policy. The board chair collects and reviews the questionnaires as they are returned and makes sure that all who are required to complete a conflict questionnaire have done so. When an individual reports an actual, potential, or perceived conflict of interest, ocf follows the procedures outlined in its policy for disclosure of conflicts to the applicable body of decision-makers and recusal of individual(s) with conflicts from the decision-making process. Pursuant to the policy, ocf's board of directors is responsible for the oversight of, and action regarding, all disclosures and/or failures to disclose.”

“Ocf does not have any employees. The executive director is leased from orthoworx, inc. (an organization unrelated to ocf) and provides services to ocf pursuant to an employee lease agreement with orthoworx.”

“Ocf does not have any employees. The secretary/treasurer is leased from orthoworx, inc. (an organization unrelated to ocf) and provides services to ocf pursuant to an employee lease agreement with orthoworx.”

“Upon request, orthopedics capital foundation makes its governing documents, conflict of interest policy, form 1023, form 990s and audited financial statements available to the general public.”

“Part i, line 1 and part iii, line 1 (continued)- for the benefit of the kosciusko county region, we seek to support the long-term sustainability and growth of warsaw's orthopedic community through charitable, educational and scientific activities focused on: talent development, talent attraction and innovation/entrepreneurship.”

“Employee lease expenses 145,050 0 303 consulting services 1,355 0 0 miscellaneous 0 150 0 total 146,405 150 303”