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. AMOUNT: 630. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: DISTRICT ROTARY. AFFILIATE ADDRESS: 7501 CELTIC COURT CHARLOTTE, NC 28277. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 5,170. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVENUE EVANSON, IL 60201. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 8,316. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 13,486. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CIVIC. GRANTEE NAME: ROTARY FOUNDATION. GRANTEE ADDRESS: 1560 SHERMAN AVENUE EVANSON, IL 60201. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 2,705. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: GASTON COLLEGE. GRANTEE ADDRESS: 201 HWY 321 SOUTH DALLAS, NC 28034. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: DISTRICT YOUTH CAMP. GRANTEE ADDRESS: PO BOX GASTONIA, NC 28053. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 538. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: COMMUNITY FOUNDATION. GRANTEE ADDRESS: 1201 E. GARRISON BLVD. GASTONIA, NC 28054. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 750. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: GASTON COUNTY SCHOOLS. GRANTEE ADDRESS: 943 OSCEOLA STREET GASTONIA, NC 28053. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: WEST GASTONIA BOYS AND GIRLS CLUB. GRANTEE ADDRESS: 310 S BOYD STREET GASTONIA, NC 28052. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CIVIC. GRANTEE NAME: DILWORTH CHARITIES, INC.. GRANTEE ADDRESS: 1530 CENTER PARK DRIVE CHARLOTTE, NC 28217. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 5,714. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 19,207. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BADGES & ENGRAVING. AMOUNT: 500. DESCRIPTION: INSURANCE. AMOUNT: 500. DESCRIPTION: SUPPLIES. AMOUNT: 3,000. DESCRIPTION: CONFERENCES & MEETINGS. AMOUNT: 51,768. DESCRIPTION: INVESTMENT FEES. AMOUNT: 504. DESCRIPTION: BANK FEES. AMOUNT: 252. DESCRIPTION: PETS TRAINING. AMOUNT: 410. TOTAL TO FORM 990-EZ, LINE 16: 56,934. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION. AMOUNT: 1,181. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVESTMENT HELD BY COMMUNITY FUND. BEG. OF YEAR AMOUNT: 48,088. END OF YEAR AMOUNT: 56,022. |
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