Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. List of grants and similar amounts paid (Part I, line 10) | Activity DONATION Grantee EAGLES HANDICAP FUND WY ST AERIE Address PO BOX 2093 SHERIDAN WY 82801 Amount 250 Activity DONATION Grantee CHEYENNE VAVS Address PO BOX 742 CHEYENNE WY 82003 Amount 5000 Activity DONATION Grantee DARE CITY OF CASPER Address 200 NORTH DAVID CASPER WY 82601 Amount 1000 Activity DONATION Grantee FOE CHARITIES GRAND AERIE Address 1623 GATEWAY CIRCLE SOUTH GROVE CITY OH 43123 Amount 3450 Activity DONATION Grantee HOME ON THE RANGE Address 16351 I-94 SENTINEL BUTTE ND 58654 Amount 100 Activity DONATION Grantee CENTRAL WYOMING HOSPICE Address 319 S WILSON STREET CASPER WY 82601 Amount 3200 Activity DONATION Grantee DIABETES RESEARCH CENTER Address 1623 GATEWAY CIRCLE SOUTH GROVE CITY OH 43123 Amount 2300 Activity DONATION Grantee NATRONA COUNTY BURN FUND CASPER WY 82601 Amount 43 Activity DONATION Grantee MEMORIAL FOUNDATION GR AERIE FOE Address 1623 GATEWAY CIRCLE SOUTH GROVE CITY OH 43123 Amount 10450 Activity DONATION Grantee MILLS VOLUNTEER FIRE DEPT MILLS WY 82644 Amount 300 Activity DONATION Grantee CHILD DEVELOPMENT CENTER Address 2020 EAST 12TH STREET CASPER WY 82601 Amount 50 Activity DONATION Grantee HIGH SKY CHILDRENS RANCH Address 8701 W COUNTRY ROAD 60 MIDLAND TX 79707 Amount 100 Activity DONATION Grantee WYOMING RENAL FOUNDATION Address 1141 WILKINS CIRCLE CASPER WY 82601 Amount 700 | |
| 02. Description of other expenses (Part I, line 16) | Description Amount BOND COVERAGE 119 CONVENTION EXPENSE 3488 FUNERAL TAX 277 PER CAPITA TAX 4095 DEPRECIATION 1020 OFFICE EXPENSE 973 ANNUAL CORPORATE FEE STATE 25 BANK EXPENSE 64 | |
| 03. Description of other assets (Part II, line 24) | Beginning Category of Year End of Year EQUIPMENT NET OF DEPRECIATION 2552 1533 | |
| 04. Description of total liabilities (Part II, line 26) | Beginning Category of Year End of Year ACCRUED EXPENSES 165 561 |
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