TY 2010 Form 990EZ

- TIN:

Form990-EZ
Click to see list of attachments

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)

Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-1150

2010

Open to Public
Inspection

For the 2010 calendar year, or tax year beginning 04-01-2010, and ending 03-31-2011

Check if applicable:

Address change

Name change

Initial return

Terminated

Amended return

Application pending

C Name of organization
BENEVOLENT & PROTECTIVE ORDER OF ELKS
MOUNT SHASTA LODGE NO 2333

Number and street (or P. O. box, if mail is not delivered to street address)326 NO MT SHASTA BLVD
Room/suite

City or town, state or country, and ZIP + 4 MT SHASTA, CA96067

D Employer identification number

94-1646077

E Telephone number

(530) 926-2138

F Group Exemption
Number. . bullet

1156

G Accounting method: CashAccrualOther (specify) bullet

H Check bullet

required to attach Schedule B
(Form 990, 990-EZ, or 990-PF).I Website: bullet

WWW.ELKS.ORGJ Tax-Exempt status(check only one)501(c)(3) 501(c)( 8) bullet

(insert no.) 4947(a)(1) or 527

K Check

if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.

L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ.. . bullet

$ 190,788


1	Contributions, gifts, grants, and similar amounts received . . . . . . . . .			1
2	Program service revenue including government fees and contracts . . . . . . .			2	1,170
3	Membership dues and assessments . . . . . . . . . . . . . .			3	26,259
4	Investment income . . . . . . . . . . . . . . . . . .			4	47,640
5a	Gross amount from sale of assets other than inventory . . . .	5a
b	Less: cost or other basis and sales expenses . .	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . .			5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a	2,592
b	Gross income from fundraising events (not including $ 65,861 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c	Less: direct expenses from gaming and fundraising events . . .	6c	17,458
d	Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)			6d	50,995
7a	Gross sales of inventory, less returns and allowances . . . .	7a	46,087
b	Less: cost of goods sold . . . . . . . . . .	7b	25,619
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . .			7c	20,468
8	Other revenue (describe in Schedule O) . . . . . . . . .			8	1,179
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . .			9	147,711
10	Grants and similar amounts paid (list in Schedule O) . . . . . . . .			10	14,659
11	Benefits paid to or for members . . . . . . . . . . . . . . .			11
12	Salaries, other compensation, and employee benefits . . . . . . . . . . .			12	1,800
13	Professional fees and other payments to independent contractors . . . . . . . .			13
14	Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . .			14	75,375
15	Printing, publications, postage, and shipping . . . . . . . . . . . .			15	986
16	Other expenses (describe in Schedule O) . . . . . . . . . .			16	49,074
17	Total expenses. Add lines 10 through 16 . . . . . . . . . . . .			17	141,894
18	Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . .			18	5,817
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) . . . . . . . . . . .			19	70,821
20	Other changes in net assets or fund balances (explain in Schedule O) . . . . . . .			20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . .			21	76,638

Part IIBalance Sheets Check if the organization used Schedule O to respond to any question in this Part II. . . . . . . . .

(See the instructions for Part II.)(A) Beginning of year(B) End of year

22Cash, savings, and investments . . . . . . . . . .

35,362

41,728

23Land and buildings . . . . . . . . . . . . .

137,536

133,952

24Other assets (describe in Schedule O) . . . . . .

17,257

16,314

25Total assets . . . . . . . . . . . . . .

190,155

191,994

Total liabilities (describe in Schedule O) . . . . .

119,334

115,356

27Net assets or fund balances (line 27 of column (B) must agree with line 21) .

70,821

76,638

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 10642I Form 990-EZ (2010)

Form 990-EZ (2010)

Page 2

Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? PROVIDE CHARITABLE FUNDS FOR CHILDREN USING A VARIETY OF CHARITABLE PROJECTS INCLUDING STATE, NATIONAL AND LOCAL PROJECTS. LOCALLY THE LODGE ASSISTS IN THE D.A.R.E PROGRAM, PROVIDED LOCAL SCHOLARSHIPS FOR HIGH SCHOOL STUDENTS, VETERANS AID, MEMORIAL SERVICES, AMERICANISM PROGRAMS AND YOUTH ACTIVITIES.
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 A VARIETY OF CHARITABLE PROJECTS INCLUDING STATE, NATIONAL AND LOCAL PROJECTS HAVE BEEN ACHIEVED. LOCALLY THE LODGE ASSISTS IN THE D.A.R.E PROGRAM, PROVIDED LOCAL SCHOLARSHIPS FOR HIGH SCHOOL STUDENTS, VETERANS AID, MEMORIAL SERVICES, AMERICANISM PROGRAMS AND YOUTH ACTIVITIES. THIS YEAR THE LODGE SPONSORED A CHRISTMAS BASKET GIVING FOR LOCAL FAMILIES, A EASTER EGG HUNT FOR LOCAL CHILDREN AND SPECIAL PERSONAL SUPPLY BOXES FOR SOLDIERS WHO ARE SERVING OUR NATION ABROAD. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . .	32

Part IVList of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . .

(a) Name and address	(b) Title and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-.)
CHRISTINE REHBERG 326 N MT SHASTA BLVD MT SHASTA,CA96067	CHAPLIN5.00	0
D VAN DE WALKER 326 N MT SHASTA BLVD MT SHASTA,CA96067	Trustee2.00	0
JOSEPH D MILLINGTON 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	TILER2.00	0
RONALD STEVENS 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	Trustee2.00	0
DAREL E BARHAM 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	Trustee2.00	0
JOHN MCDOWELL 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	Trustee2.00	0
JAMES H LLOYD 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	ESQUIRE2.00	0
THAD MCKINNON 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	LOYAL KNIGHT2.00	0
RALPH E WAREING 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	INNER GUARD2.00	0
SANDY RICHARDSON 326 N MT SHASTA BLVD MT SHASTA,CA96067	EXALTED RULER2.00	0
BRENT RICE 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	LECTURING KNIGH2.00	0
GRANT V TUTTLE 326 N MT SHASTA BLVD MT SHASTA,CA96067	Trustee2.00	0
NORMAN DETTMAN 326 N MT SHASTA BLVD MT SHASTA,CA96067	Treasurer5.00	0
NANCY PATRICK 326 N MT SHASTA BLVD MOUNT SHASTA,CA96067	LEADING KNIGHT2.00	0
Fred Taylor 326 N MT SHASTA BLVD MT SHASTA,CA96067	Secretary30.00	2,700

Form 990-EZ (2010)

Page 3

Part VOther Information(Note the statement requirements in the instructions for Part V.)YesNo Check if the organization used Schedule O to respond to any question in this Part V . . . .

Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ..............

Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change on Schedule O (see instructions). ...................

If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. ........................

Did the organization have unrelated business gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?

35a

Yes

If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions) ........

35b

Yes

Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N .............

37a

Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet

37a

Did the organization file Form 1120-POL for this year? ...............

37b

38a

Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were

any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?

38a

Yes

If “Yes,” complete Schedule L, Part II and enter the total amount involved Click to see attachment

38b

1,196

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on line 9 ......

39a

Gross receipts, included on line 9, for public use of club facilities ....

39b

40a

Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:

section 4911 bullet

; section 4912 bullet

; section 4955 bullet

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. ....

40b

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 .. bullet

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ................... bullet

All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. .................

40e

41List the states with which a copy of this return is filed. bullet

42aThe organization's books are in care of bullet

FRED TAYLOR Telephone no. bullet

(530) 926-2138

Located at bullet

326 N MT SHASTA BLVD
MT SHASTA,CA ZIP + 4 bullet

96067

At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?

Yes

42b

If “Yes,” enter the name of the foreign country: bullet

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

At any time during the calendar year, did the organization maintain an office outside of the U.S.?

42c

If “Yes,” enter the name of the foreign country: bullet

43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041Check here ....... bullet

and enter the amount of tax-exempt interest received or accrued during the tax year . . . bullet

44a

Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of

Yes

Form 990-EZ.. . . . . . . . . . . . . . . . . . . .

44a

Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completed instead of Form990-EZ. . . . . . . . .

44b

Did the organization receive any payments for indoor tanning services during the year? . . . . . . .

44c

If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanation in Schedule O. . . . . . . . .

44d

Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. . . . . . . . .

45a

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. .

45a

Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I. . . . . . . . . .

Form 990-EZ (2010)

Page 4

Part VI

Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . .

Yes

Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II . . . .

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .

49a

Did the organization make any transfers to an exempt non-charitable related organization? . . . .

49a

If "Yes," was the related organization a section 527 organization? . . . . . . . . .

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and address of each employee paid more than $100,000	(b) Title and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans & deferred compensation	(e) Expense account and other allowances
NONE

50(f)

Total number of other employees paid over $100,000 . . . . . . . . . . . . . bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and address of each independent contractor paid more than $100,000	(b) Type of service	(c) Compensation
NONE

51(d)

Total number of other independent contractors each receiving over $100,000 . . . . . . . bullet

Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A .................... Yes No

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (See instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? See instructions ......... bullet

YesNo

Form 990-EZ (2010)

Additional Data

Software ID:	10000105
Software Version:	2010v3.2

Form 990-EZ, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
BENEVOLENT & PROTECTIVE ORDER OF ELKS
MOUNT SHASTA LODGE NO 2333

Employer identification number

94-1646077

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 FUNDRAISING (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	65,861	65,861
2	Less: Charitable contributions . . .
3	Gross income (line 1 minus line 2) . . .	65,861	65,861
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .
7	Food and beverages . .
8	Entertainment . . .
9	Other direct expenses .	17,173	17,173
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		17,173
11	Net income summary. Combine lines 3 and 10 in column (d)............		48,688

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000105
Software Version:	2010v3.2

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BENEVOLENT & PROTECTIVE ORDER OF ELKS
MOUNT SHASTA LODGE NO 2333

Employer identification number

94-1646077

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) DONALD MIDDLETON BUILDING	X		500	598		No	Yes		Yes
(2) NORMAN DETTMAN BUILDING	X		500	598		No	Yes		Yes




Total ............... $				1,196

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000105
Software Version:	2010v3.2

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

BENEVOLENT & PROTECTIVE ORDER OF ELKS
MOUNT SHASTA LODGE NO 2333

Employer identification number

94-1646077

Identifier	Return Reference	Explanation
Form 990-EZ, Part II, Line 26.1	Total Liabilities.1	DEPOSIT - Beginning $1813 DEPOSIT - Ending $1813
Form 990-EZ, Part II, Line 26.1007	Total Liabilities.1007	Secured Mortgages and Notes Payable - Beginning $102932 Secured Mortgages and Notes Payable - Ending $94336
Form 990-EZ, Part II, Line 26.1006	Total Liabilities.1006	Payable to Officers, Directors, Etc. - Beginning $0 Payable to Officers, Directors, Etc. - Ending $1196
Form 990-EZ, Part II, Line 26.1003	Total Liabilities.1003	Deferred Revenue - Beginning $14555 Deferred Revenue - Ending $17801
Form 990-EZ, Part II, Line 26.1001	Total Liabilities.1001	Accounts Payable and Accrued Expenses - Beginning $34 Accounts Payable and Accrued Expenses - Ending $210
Form 990-EZ, Part II, Line 24.1011	Other Assets.1011	Prepaid Expenses and Deferred Charges - Beginning $8205 Prepaid Expenses and Deferred Charges - Ending $8289
Form 990-EZ, Part II, Line 24.1010	Other Assets.1010	Inventories - Beginning $6441 Inventories - Ending $6226
Form 990-EZ, Part II, Line 24.1005	Other Assets.1005	Accounts Receivable - Beginning $1379 Accounts Receivable - Ending $395
Form 990-EZ, Part II, Line 24.1003	Other Assets.1003	Machinery and Equipment - Beginning $1232 Machinery and Equipment - Ending $1404
Form 990-EZ, Part I, Line 16.9	Other Expenses.9	BULK PERMIT $185
Form 990-EZ, Part I, Line 16.8	Other Expenses.8	CASH OVER SHORT $219
Form 990-EZ, Part I, Line 16.6	Other Expenses.6	LICENSE & PERMITS $1092
Form 990-EZ, Part I, Line 16.5	Other Expenses.5	MEMBERSHIP EXPENSE $1172
Form 990-EZ, Part I, Line 16.4	Other Expenses.4	SUPPLIES $1959
Form 990-EZ, Part I, Line 16.3	Other Expenses.3	MISCELLANEOUS $2592
Form 990-EZ, Part I, Line 16.2	Other Expenses.2	OFFICER EXPENSE $4432
Form 990-EZ, Part I, Line 16.1	Other Expenses.1	PROGRAM EXPENSE - CHARITY $29744
Form 990-EZ, Part I, Line 16.1012	Other Expenses.1012	Insurance $25
Form 990-EZ, Part I, Line 16.1007	Other Expenses.1007	Conferences, Conventions, and Meetings $6624
Form 990-EZ, Part I, Line 16.1005	Other Expenses.1005	Travel $1030
Form 990-EZ, Part I, Line 10.2	Grants and Similar Amounts Paid In Excess of $5,000.2	Class of Activity: MAJOR PROJECT \| Donee's Name: MAJOR PROJECTS \| Donee's Address: CA-HI ELKS ASSOCIATION FRESNO, CA 93727 \| Relationship of Donee: NONE \| Cash Amount Given: $5683
Form 990-EZ, Part I, Line 8.1	Other Revenue.1	MISCELLANEOUS $1179

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000105
Software Version:	2010v3.2