If agency is a non-profit corporation with fewer than five board members, explain the rationale for the number of board members, and indicate what, if any, compensatory controls are in place to mitigate self-dealing and other potential abuses by the Board. Board Committees/ Advisory Committees Committee Name Committee Purpose The Board of Directors’ 2014 meetings for the agency will be held on the following dates: January May September February June October July November April August December Contractor agrees to retain Board of Directors’ meeting minutes for a period of at least four (4) years following contract termination and agrees to provide Milwaukee DHHS access to the meeting minutes upon request. Authorized Signature: _______________________ Date: _________________ Printed Name: ____________________________________Title: __________________________ Agency: _________________________________________________________ YEAR 2014 AGENCY OWNERS/STOCKHOLDERS/OFFICERS ITEM # 7 (applicable to all organizations) Please list each agency owner, stockholder, officer, LLC manager, Partner, and/or LLC member, and indicate the office title and total compensation. For Non-profits this will include names of officers appointed by the Board (such as COO or CEO). In addition, for For-profit organizations also provide the percentage of ownership interest, amount of prior year’s distributions or dividends from the agency
If agency is a non-profit corporation with fewer than five board members, explain the rationale for the number of board members, and indicate what, if any, compensatory controls are in place to mitigate self-dealing and other potential abuses by the Board. Board Committees/ Advisory Committees Committee Name Committee Purpose The Board of Directors’ 2014 meetings for the agency will be held on the following dates: January May September February June October July November April August December Contractor agrees to retain Board of Directors’ meeting minutes for a period of at least four (4) years following contract termination and agrees to provide Milwaukee DHHS access to the meeting minutes upon request. Authorized Signature: _______________________ Date: _________________ Printed Name: ____________________________________Title: __________________________ Agency: _________________________________________________________ YEAR 2014 AGENCY OWNERS/STOCKHOLDERS/OFFICERS ITEM # 7 (applicable to all organizations) Please list each agency owner, stockholder, officer, LLC manager, Partner, and/or LLC member, and indicate the office title and total compensation. For Non-profits this will include names of officers appointed by the Board (such as COO or CEO). In addition, for For-profit organizations also provide the percentage of ownership interest, amount of prior year’s distributions or dividends from the agency
2014GroupCareRFPTechnicalandPr.docx