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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF MEMBERS AND THEIR RIGHTS ALL OF THE 53 REPRESENTATIVE POSITIONS ARE APPOINTED BY THE WA STATE DEPARTMENT OF HEALTH. REPRESENTATIVES ARE RECOMMENDED TO DOH, BY EACH LOCAL EMS/TRAUMA CARE COUNCIL WITHIN THE WESTERN REGION OF THE STATE OF WA. THE EXECUTIVE BOARD CONSISTS OF UP TO 8 REPESENTATIVES ELECTED AT AN ANNUAL MEETING OF THE FULL COUNCIL OF REPRESENTATIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS SUBJECT TO APPROVAL OF MEMBERS WITH THE EXCEPTION OF MONTHLY FINANCIAL REPORT APPROVAL AND ACTIONS RELATED TO PERSONNEL MATTERS, ALL ACTION OF THE EXECUTIVE BOARD SHALL BE SUBJECT TO REVIEW AND RATIFICATION BY THE FULL COUNCIL AT THE NEXT MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORAGANIZATIONS PROCESS TO REVIEW FORM 990, THE EXECUTIVE DIRECTOR HAS THE AUTHORITY TO APPROVE THE 990 WHICH IS PROVIDED TO THE BOARD AT THE FOLLOWING BOARD MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICY- ALL VIOLATIONS OF CONFLICT OF INTEREST POLICY IS SUBJECT TO PUNISHMENTS SPECIFIED IN THE REVISED CODE OF WASHINGTON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICAIL COMPENSATION IS SUBJECT TO A SALARY GRADE WITH ANNUAL STEP INCREASES WHICH WAS DEVELOPED IN 2008 BASED ON A STUDY OF COMPENSATION PAID TO OTHER EXECUTIVE DIRECTORS OF ALL OTHER REGIONAL EMS ORGANIZATIONS IN WASHINGTON STATE. ANNUAL STEP INCREASES ARE SUBJECT TO BOARD APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNMENT DOCUMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST IN COMPLIANCE WITH THE PUBLIC RECORDS ACT OF WASHINGTON STATE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>