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 8 | VOID CHECK DEDUCTED PRIOR YR 5,000 TOTAL 5,000 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES INSURANCE 250 MEMBERSHIP 35 OFFICER LIABILITY INSURAN 1,270 TOTAL 1,555 |
| FORM 990-EZ, PART III | LIST OF GRANTS AND SIMILAR AMOUNTS PAID (PART I, LINE 10) ACTIVITY - EDUCATIONAL SCHOLARSHIPS GRANTEE - BENTON HIGH SCHOOL ADDRESS - 5655 S 4TH STREET, ST. JOSEPH, MO 64504 RELATIONSHIP - NONE AMOUNT - 1500 ACTIVITY - DONATION GRANTEE - MARCH OF DIMES ADDRESS - 1414 MANSFIELD RD, ST. JOSEPH, MO 64506 RELATIONSHIP - NONE AMOUNT - 350 ACTIVITY - DONATION GRANTEE - SOUTH ST JOE PROGRESSIVE ADDRESS - ST. JOSEPH, MO 64504 RELATIONSHIP - NONE AMOUNT - 160 ACTIVITY - DONATION GRANTEE - AMERICAN CANCER SOCIETY ADDRESS - 3902 RIVERSIDE RD, ST. JOSEPH, MO 64506 RELATIONSHIP - NONE AMOUNT - 500 ACTIVITY - DONATION GRANTEE - SOUTHSIDE BASKETBALL ADDRESS RELATIONSHIP - NONE AMOUNT - 100 ACTIVITY - DONATION GRANTEE - CAMP QUALITY ADDRESS - 1325 VILLAGE DR, ST. JOSEPH, MO 64506 RELATIONSHIP - NONE AMOUNT - 250 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| GARY PETTIS | |
| LINDA MALLOT | |
| RANDI BANKER |