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: 17. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 5630. AFFILIATE ADDRESS: 616 S POPLAR ST NORTH PLATTE, NE 69101. PURPOSE OF PAYMENT: ANNUAL DUES. AMOUNT OF PAYMENT: 4,757. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVE EVANSTON, IL 60201. PURPOSE OF PAYMENT: ANNUAL DUES. AMOUNT OF PAYMENT: 7,815. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: THE ROTARY FOUNDATION. AFFILIATE ADDRESS: 1560 SHERMAN AVE EVANSTON, IL 60201. PURPOSE OF PAYMENT: POLIO PLUS. AMOUNT OF PAYMENT: 250. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: GREAT PLAINS RYLA. AFFILIATE ADDRESS: PO BOX 211 ARNOLD, NE 69120. PURPOSE OF PAYMENT: STUDENT SUPPORT. AMOUNT OF PAYMENT: 1,600. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 14,422. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: STUHR MUSEUM FOUNDATION. GRANTEE ADDRESS: 3133 W HIGHWAY 34 GRAND ISLAND, NE 68801. DATE OF GIFT: 09/29/15. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: CENTRAL CATHOLIC FOUNDATION. GRANTEE ADDRESS: 1200 RUBY AVENUE GRAND ISLAND, NE 68803. DATE OF GIFT: 09/29/15. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE . GRANTEE NAME: BARBERSHOP HARMONY SOCIETY. GRANTEE ADDRESS: 1304 N CUSTER AVE GRAND ISLAND, NE 68801. DATE OF GIFT: 12/15/15. AMOUNT GIVEN: 50. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: NORTHWEST 14K GOLD. GRANTEE ADDRESS: 2710 NORTH ROAD GRAND ISLAND, NE 68803. DATE OF GIFT: 12/15/15. AMOUNT GIVEN: 50. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 7,600. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SALES AND USE TAX. AMOUNT: 119. DESCRIPTION: MEMORIALS. AMOUNT: 89. DESCRIPTION: EXCHANGE STUDENT PROGRAM STIPEND. AMOUNT: 920. DESCRIPTION: SUPPLIES. AMOUNT: 107. TOTAL TO FORM 990-EZ, LINE 16: 1,235. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 20. END OF YEAR AMOUNT: 192. |
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