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JOSEPH.DISTRICT 2 HOSPITAL EMERGENCY PLANNING COMMITTEE WILL USE FUNDS RECEIVED TO PURCHASE EQUIPMENT AND SUPPLIES TO BE USED FOR AND BY ALL OF THE DISTRICT 2 HEALTHCARE ENTITIES TO BETTER RESPOND TO EMERGENCY/DISASTER SITUATIONS. 55 51 0 51 0 0 365599 298077 0 0 3 3 0 0 365602 298080 0 0 0 0 79336 178244 0 0 0 254204 196473 333540 374717 32062 -76637 165895 83037 0 0 165895 83037 THE CORPORATION SHALL PLAN, COORDINATE, AND DISTRIBUTE GRANT FUNDS FOR THE BENEFIT OF THE COMMUNITY HEALTHCARE ENTITIES PARTICIPATING IN THE INDIANA BIOTERRORISM AND PREPAREDNESS DISTRICT 2. 0 0 343527 THE CORPORATION SHALL PLAN, COORDINATE, AND SUBMIT APPLICATIONS FOR GRANT FUNDS AND DISTRIBUTE GRANT FUNDS FOR THE BENEFIT OF THE COMMUNITY HOSPITALS PARTICIPATING IN THE INDIANA HOSPITAL BIOTERRORISM AND PREPAREDNESS DISTRICT 2. THE INDIANA COUNTIES COMPRISING DISTRICT 2 ARE ELKHART, FULTON, KOSCIUSKO, MARSHALL, PULASKI, STARKE, AND ST. JOSEPH.DISTRICT 2 HOSPITAL EMERGENCY PLANNING COMMITTEE WILL USE FUNDS RECEIVED TO PURCHASE EQUIPMENT AND SUPPLIES TO BE USED FOR AND BY ALL OF THE DISTRICT 2 HEALTHCARE ENTITIES TO BETTER RESPOND TO EMERGENCY/DISASTER SITUATIONS. 343527 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 55 51 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IN X MARK PHILSON 5748557582 2101 E DUBOIS WARSAW IN 46580 DAVID MCGUIRE BOARD CHAIRMAN/IU GOSHEN 10.00 0.00 X X 0 0 0 DARCY JACKSON FIRST VICE CHAIR 2.00 0.00 X X 0 0 0 LYDIA SPENCER SECOND VICE CHAIR 5.00 0.00 X X 0 0 0 MARK PHILSON TRAINING AND EXCERISE COORDINATOR 20.00 0.00 X 15000 0 0 RENELL FINKE LOGISTICS COORDINATOR 20.00 0.00 X 19990 0 0 TONY DOYLE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 KIM BROWN PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 JENNIFER TOBEY PLANNING COORDINATOR 20.00 0.00 X 44106 0 0 AARON BOLINGER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 RICHEL FOX PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 BRIAN GALLIARD PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 AL KIRSITS PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TORI CHESSOR PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 JOSH SHOOK PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 MICHELLE SUPERCZYNSKI PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DOUG FARMWALD PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 HOLLEY ROSE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DUSTIN DRAKE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 AMY BLUHM PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 GREG BINGAMAN CLINICAL ADVISOR 2.50 0.00 X 13030 0 0 BOB WEAVER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DAVE PEARMAN PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DON ALLYN PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 EMILY NEUFELD PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ERIK HOLSOPPLE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ERIN BONNELL PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 KIM BOOTH PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 MIKE BURROUGHS PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 MIKE DAMIANO PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ROD MILLER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TERRY RHODA PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TOM BUTLER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TRACEY OPACZEWSKI PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ZACHARY ROBERTS PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DOWN SEWELL PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 KIP SHUTER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 JACK GARNER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TRAVIS CLARY PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ALEXANDRA HOLLOWAY PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 AMY WATTS PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ANDY MYER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 CHANNING WESTERMAN PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 CHRISTINA SMITH PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 DUSTIN MCLAIN PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 FRANK LYNCH PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 JAMES GARNER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 JULIANA MWOSE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 LISA WACHOWIAK PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 MARK PEPPLE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 MICHELLE MANIS PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 NICK WOEHLER PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 RODESA VAN VYNCKT PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 SHANE MCKERCHIE PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 WILLIAM REEVES PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 TROY PHILLIPY PREPAREDNESS COORDINATOR 2.00 0.00 X 0 0 0 ELIZABETH BUCHANAN READINESS AND RESPONSE COORDINATOR 40.00 0.00 X 82091 0 0 174217 0 0 0 0 0 0 0 298077 298077 3 3 298080 0 0 3 X 174217 174217 4027 4027 3626 3626 74526 74526 40518 20259 20259 7175 7175 36345 36345 5249 5249 11690 11690 7084 7084 SUPPLIES 10039 10039 221 221 374717 343527 31190 0 104844 23680 25440 35436 675156 651235 35611 23921 165895 83037 0 0 X 165895 83037 165895 83037 165895 83037 -76637 -6221 0 X 0 0 0 X 340507 445689 296491 365599 298077 1746363 340507 445689 296491 365599 298077 1746363 1746363 2 3 2 3 3 13 1746376 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 675156 651235 23921 23921 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION IS EXCLUSIVELY LIMITED TO THE PREPAREDNESS COORDINATORS FOR DISTRICT 2 HEALTHCARE ENTITIES. EACH DISTRICT 2 HEALTHCARE ENTITY MAY DESIGNATE ONE PREPAREDNESS COORDINATOR TO BE A MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM 990 BY THE CHAIRPERSON. THE GOVERNING BODY REVIEWS AND APPROVES THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, AND THE 990 IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE BOARD AND COMMITTEE. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD AND COMMITTEE MEMBERS. THE POLICY IS IN PLACE TO PREVENT CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFRAIN FROM VIOLATING THE CONFLICTS OF INTEREST POLICY. A SELF-DISCLOSURE FROM COVERED PERSONS TO BOARD AND COMMITTEE IS REQUIRED ON ANY POTENTIAL CONFLICT OF INTEREST. THE COVERED PERSONS ARE TO RECUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 74,526. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,526.