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: INVESTMENT INCOME/SCHOLARSHIP FUND. AMOUNT: 3242. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME/GENERAL FUND. AMOUNT: 42. DESCRIPTION: ROTARY FOUNDATION DONATIONS. AMOUNT: 3428. TOTAL TO FORM 990-EZ, LINE 8: 3470. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 14255 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693. PURPOSE OF PAYMENT: ANNUAL ASSESSMENT. AMOUNT OF PAYMENT: 2121. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 7910/M. AFFILIATE ADDRESS: 72 CHARLES COURT SOUTHBOROUGH, MA 01772. PURPOSE OF PAYMENT: ANNUAL ASSESSMENT. AMOUNT OF PAYMENT: 1344. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3465. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: INTERNATIONAL POLIO CAMPAIGN. GRANTEE NAME: ROTARY INTERNATIONAL FOUNDATION. GRANTEE ADDRESS: 14255 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693. GRANTEE RELATIONSHIP: INTERNATIONAL HEADQUARTERS. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 33. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: HABITAT FOR HUMANITY. GRANTEE NAME: NORTH CENTRAL. GRANTEE ADDRESS: 138 GREAT ROAD ACTON, MA 01720. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 200. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: ROTARY DISTRICT 7910/M. GRANTEE NAME: CHARITABLE CONTRIBUTION. GRANTEE ADDRESS: 72 CHARLES COURT SOUTHBOROUGH, MA 01772. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: HIGH SCHOOL STUDENT DEVELOPMENT. GRANTEE NAME: ROTARY DISTRICT 7910 YOUTH PROGARAM. GRANTEE ADDRESS: 72 CHARLES COURT SOUTHBOROUGH, MA 01772. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 750. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: 2 $500 SCHOLARSHIPS. GRANTEE NAME: FITCHBURG HIGH SCHOOL. GRANTEE ADDRESS: 376 SOUTH STREET FITCHBURG, MA 01420. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: 2 $500 SCHOLARSHIPS. GRANTEE NAME: SAINT BERNARDS HIGH SCHOOL. GRANTEE ADDRESS: 45 HARVARD STREET FITCHBURG, MA 01420. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: 2 $500 SCHOLARSHIPS. GRANTEE NAME: MONTACHUSETT REG TECH HIGH SCHOOL. GRANTEE ADDRESS: ROUTE 2 A WESTMINSTER, MA 01473. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: 1 $500 SCHOLARSHIP. GRANTEE NAME: NORTH CENTRAL CHARTER ESSENTIAL SCHOOL. GRANTEE ADDRESS: 500 RINDGE ROAD FITCHBURG, MA 01420. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CARE FOR THE ELDERLY. GRANTEE NAME: MONTACHUSETT HOME CARE INC. GRANTEE ADDRESS: 680 MECHANIC STREET LEOMINSTER, MA 01453. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 50. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: ROTARY INTERNATIONAL FOUNDATION. GRANTEE NAME: INTERNATIONAL CAMPAIGN. GRANTEE ADDRESS: 14255 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693. AMOUNT GIVEN: 3500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 8133. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INVESTMENT FEES/SCHOLARSHIP FUND. AMOUNT: 936. DESCRIPTION: ROTARY DISTRICT 7910 CONFERENCES REGISTRATIONS. AMOUNT: 554. TOTAL TO FORM 990-EZ, LINE 16: 1490. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED GAIN ON INVESTMENTS. AMOUNT: 3170. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 1023. END OF YEAR AMOUNT: 0. DESCRIPTION: FITCHBURG FOUNDATION/POOLED INVESTMENT FUND. BEG. OF YEAR AMOUNT: 86439. END OF YEAR AMOUNT: 90164. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: MEMBER DUES PAID IN ADVANCE. BEG. OF YEAR AMOUNT: 763. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 1623. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO ROTARY INTERNATIONAL FOUNDATION. BEG. OF YEAR AMOUNT: 1314. END OF YEAR AMOUNT: 1022. DESCRIPTION: DUE TO CALENDAR WINNINGS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1400. |
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