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 - RENTAL INCOME | KIND AND LOCATION OF PROPERTY: LODGE BUILDING RENTAL. AMOUNT: 23,900. |
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 25. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: GRAND LODGE AF & AM OF VIRGINIA. AFFILIATE ADDRESS: 4115 NINE MILE ROAD RICHMOND, VA XXX-XX-XXXX. PURPOSE OF PAYMENT: CAPITATION TAX. AMOUNT OF PAYMENT: 3,285. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEALS. AMOUNT: 2,397. DESCRIPTION: DONATIONS. AMOUNT: 1,790. DESCRIPTION: OTHER EXPENSES. AMOUNT: 631. DESCRIPTION: MAINTENANCE AND UTILITIES FOR RENTAL. AMOUNT: 8,141. TOTAL TO FORM 990-EZ, LINE 16: 12,959. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: DUES RECEIVABLE. BEG. OF YEAR AMOUNT: 2,300. END OF YEAR AMOUNT: 756. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: PREPAID DUES. BEG. OF YEAR AMOUNT: 842. END OF YEAR AMOUNT: 849. |
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