Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. List of grants and similar amounts paid (Part I, line 10) | Activity Scholarship Grantee B Navaloski Address PO Box 141 Palos Heights IL 60463 Relationship none Amount 1000 Activity Donation Grantee Childrens Memorial Hospital Address 2300 Childrens Plaza Chicago IL XXX-XX-XXXX Relationship none Amount 500 | |
| 02. Description of other expenses (Part I, line 16) | Description Amount Meeting expenses 21392 Conference and CPE 10106 License and permits 15 Illinois Charity Bureau 215 | |
| 03. Description of other assets (Part II, line 24) | Beginning Category of Year End of Year Due from Tracy 37071 37071 |
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