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 INCOME. AMOUNT: 64. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: SPECIAL EVENTS. AMOUNT: 8,770. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY FOUNDATION. AFFILIATE ADDRESS: P.O. BOX 75133 CHICAGO, IL 75133. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 11,100. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT. AFFILIATE ADDRESS: P.O. BOX 1609 FREDERICKSBURG, VA 22402. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,890. |
| 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: DUES. AMOUNT OF PAYMENT: 4,734. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 18,724. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: MOUNTAIN VIEW HIGH SCHOOL. GRANTEE ADDRESS: 2135 MOUNTAIN VIEW ROAD STAFFORD, VA 22556. AMOUNT GIVEN: 10,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PROVIDING CHILDREN'S BOOKS. GRANTEE NAME: DOLLY PARTON IMAGINATION LIBRARY. GRANTEE ADDRESS: 1020 DOLLYWOOD LANE PIGEON FORGE, TN 37863. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: VARIOUS COMMUNITY SERVICE PROJECTS. GRANTEE NAME: VARIOUS. GRANTEE ADDRESS: HERNDON HERNDON, VA 20172. AMOUNT GIVEN: 22,215. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP AWARDS. GRANTEE NAME: HERNDON HIGH SCHOOL . GRANTEE ADDRESS: 700 BENNETT ST HERNDON, VA 20170. AMOUNT GIVEN: 8,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 45,215. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CLUB SERVICE DIRECTOR EXPENSE. AMOUNT: 9,395. DESCRIPTION: MEALS. AMOUNT: 21,103. DESCRIPTION: MISC EXPENSE. AMOUNT: 75. DESCRIPTION: MEMBERS' RECOGNITION BANQUET. AMOUNT: 4,617. TOTAL TO FORM 990-EZ, LINE 16: 35,190. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ROTARY FOUNDATION. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 115. DESCRIPTION: FOUNDATION FUND ROTARY. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 6,420. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: OTHER PAYABLE. BEG. OF YEAR AMOUNT: 852. END OF YEAR AMOUNT: 391. DESCRIPTION: ROTARY FOUNDATION. BEG. OF YEAR AMOUNT: 568. END OF YEAR AMOUNT: 0. |
| Software ID: | |
| Software Version: |