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: DIVIDEND INCOME. AMOUNT: 1,066. DESCRIPTION: CAPITAL GAIN MUTUAL FUND. AMOUNT: 952. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 2,018. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: ROTARY SHOW INCOME. AMOUNT: 1,650. DESCRIPTION: FINES & HAPPY BUCKS. AMOUNT: 832. DESCRIPTION: ROTARY ADVERTISING GRANT. AMOUNT: 1,248. DESCRIPTION: GRANT INCOME EXCHANGE STUDENTS. AMOUNT: 2,427. TOTAL TO FORM 990-EZ, LINE 8: 6,157. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 14255 COLLECTIONS CENTER DR CHICAGO, IL XXX-XX-XXXX. PURPOSE OF PAYMENT: INTERNATIONAL ROTARY DUES. AMOUNT OF PAYMENT: 1,867. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 6290. AFFILIATE ADDRESS: 302 S MITCHELL CADILLAC, MI 49601. PURPOSE OF PAYMENT: ROTARY DISTRICT DUES. AMOUNT OF PAYMENT: 1,176. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3,043. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: POVERTY EDUCATION AGRIBUSINESS. GRANTEE NAME: UTOPIA FOUNDATION. GRANTEE ADDRESS: 111 CASS ST TRAVERSE CITY, MI 49684. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 01/08/16. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: MICHIGAN STATE UNIVERSITY. GRANTEE ADDRESS: 426 AUDITORIUM RD EAST LANSING, MI 48824. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 06/30/16. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: CARPE DIEM EDUCATION. GRANTEE ADDRESS: 1529 N KINGSWORTH ST PORTLAND, OR 97217. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 06/30/16. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: EXCHANGE STUDENT GRANT. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 06/20/16. AMOUNT GIVEN: 1,660. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: ROTARY CAMPS & SERVICES KIDS FREE FISHING DAY. GRANTEE ADDRESS: 202 E GRANDVIEW PKWY STE 200 TRAVERSE CITY, MI 49684. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 06/07/16. AMOUNT GIVEN: 400. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: ROTARY FOUNDATION. GRANTEE NAME: ROTARY FOUNDATION ANNUAL PROGRAMS FUND. GRANTEE ADDRESS: 14280 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 06/22/16. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: LITERACY PROJECT - BORN TO READ. GRANTEE ADDRESS: 610 WOODMERE AVE TRAVERSE CITY, MI 49686. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECKS. AMOUNT GIVEN: 2,300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH. GRANTEE NAME: JUNIOR ACHIEVEMENT. GRANTEE ADDRESS: P.O. BOX 1928 TRAVERSE CITY, MI 49685. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 01/22/16. AMOUNT GIVEN: 1,700. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DISTRICT WATER PROJECT. GRANTEE NAME: ROTARY CLUB OF ELK RAPIDS. GRANTEE ADDRESS: P.O. BOX 814 PETOSKEY, MI 49629. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECK. DATE OF GIFT: 07/28/15. AMOUNT GIVEN: 750. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION BORN TO READ PROJECT. GRANTEE NAME: ROTARY CLUB OF TRAVERSE BAY TWILIGHT FOUNDATION. GRANTEE ADDRESS: 107 CASS ST STE A TRAVERSE CITY, MI 49684. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CHECKS. AMOUNT GIVEN: 5,420. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 14,730. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEALS & MEETINGS. AMOUNT: 7,396. DESCRIPTION: CONFERENCES DISTRICT. AMOUNT: 195. DESCRIPTION: CLUB SUPPLIES. AMOUNT: 2,485. DESCRIPTION: ADVERTISING. AMOUNT: 2,157. TOTAL TO FORM 990-EZ, LINE 16: 12,233. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE MEMBERS. BEG. OF YEAR AMOUNT: 20. END OF YEAR AMOUNT: 0. DESCRIPTION: RECEIVABLE ROTARY. BEG. OF YEAR AMOUNT: 1,975. END OF YEAR AMOUNT: 2,241. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 176. END OF YEAR AMOUNT: 2,005. DESCRIPTION: UNEARNED REVENUE. BEG. OF YEAR AMOUNT: 600. END OF YEAR AMOUNT: 210. |
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