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: INTEREST. AMOUNT: 5,553. DESCRIPTION: DIVIDENDS. AMOUNT: 3,940. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 9,493. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: ALL FUR LOVE ANIMAL SHELTER. DATE OF GIFT: 02/09/15. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: COMMUNITY YMCA. DATE OF GIFT: 03/17/15. AMOUNT GIVEN: 1,666. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: JASONS DREAM FOR KIDS. DATE OF GIFT: 06/24/15. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: HAM PARENTS. DATE OF GIFT: 07/16/15. AMOUNT GIVEN: 250. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: ENERPRISE / UNITED WAY. DATE OF GIFT: 07/27/15. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: THE TRUTH 365. DATE OF GIFT: 08/17/15. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: COMMUNITY YMCA. DATE OF GIFT: 08/09/15. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: RAINBOW FOUNDATION. DATE OF GIFT: 09/03/15. AMOUNT GIVEN: 250. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: COMMUNITY YMCA. DATE OF GIFT: 10/27/15. AMOUNT GIVEN: 3,400. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: 180 TURNING LIVES AROUND. DATE OF GIFT: 11/24/15. AMOUNT GIVEN: 2,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 12,566. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ACCOUNTING FEES. AMOUNT: 1,400. DESCRIPTION: OTHER INVESTMENTS ADJUSTMENTS. AMOUNT: 1,424. TOTAL TO FORM 990-EZ, LINE 16: 2,824. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED CHANGE IN VALUE OF INVESTMENTS. AMOUNT: -13,551. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 218,660. END OF YEAR AMOUNT: 203,978. |
| Software ID: | |
| Software Version: |