Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: SAVINGS ACCOUNT. AMOUNT: 1. DESCRIPTION: DIVIDENDS ON SECURITIES. AMOUNT: 1,640. DESCRIPTION: INTEREST ON SECURITIES. AMOUNT: 4,333. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 5,974. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL USE. GRANTEE NAME: ST. LUKES HOSPITAL ARCHIVAL FUND. GRANTEE ADDRESS: 1111 AMSTERDAM NEW YORK, NY 10025. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/31/13. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: EMILY COLLETT. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 05/16/13. AMOUNT GIVEN: 1,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,500. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE & COMPUTER SUPPLIES. AMOUNT: 6,831. DESCRIPTION: INSURANCE. AMOUNT: 2,063. DESCRIPTION: CUSTODIAL & INVESTMENT ADVISORY FEES. AMOUNT: 2,872. DESCRIPTION: FOREIGN TAX PAID ON DIVIDENDS. AMOUNT: 5. DESCRIPTION: BANK CHARGES. AMOUNT: 30. DESCRIPTION: PAYROLL TAXES. AMOUNT: 13,028. DESCRIPTION: MISCELLANEOUS. AMOUNT: 259. DESCRIPTION: COMMITTE EXPENSE. AMOUNT: 456. TOTAL TO FORM 990-EZ, LINE 16: 25,544. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: LOAN RECEIVABLE. BEG. OF YEAR AMOUNT: 8,975. END OF YEAR AMOUNT: 8,925. DESCRIPTION: INVESTMENTS - PUBLICLY TRADED SECURITIES. BEG. OF YEAR AMOUNT: 146,032. END OF YEAR AMOUNT: 95,294. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: PAYROLL TAXES. BEG. OF YEAR AMOUNT: 2,044. END OF YEAR AMOUNT: 1,418. |
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