Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PAGE 1, LINE 10 GRANTS PAID | ||
| BPOE 2108 .. SPONSER $ 1,183 | ||
| HARRY ANNA TRUST 11,250 | ||
| FL ELKS YOUTH CAMP 950 | ||
| AMERICAN HEART ASSN 700 | ||
| COVENANT HOSPICE 400 | ||
| LOAVES AND FISHES 200 | ||
| VARIOUS 1,205 | ||
| TOTAL $ 15,888 | ||
| PAGE 1, LINE 16 OTHER EXPENSES | ||
| AWARDS $ 782 | ||
| CONFERENCE AND TRAVEL 1,939 | ||
| OFFICE & SUPPLIES 888 | ||
| TOTAL $3,609 | ||
| PAGE 2, LINE 14 OTHER ASSETS | ||
| EQUIPMENT ( BOTH AT BEGIN AND END OF YEAR ) $2,106 |
| Software ID: | 10000108 |
| Software Version: |