Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 8 | MISCELLANEOUS INCOME 330 TOTAL 330 |
| FORM 990-EZ, PART I, LINE 10 | NAME: BOYS AND GIRLS CLUB OF LENAWEE ADDRESS: 340 E CHURCH ST, SUITE A ADRIAN, MI 49221 CASH CONTRIBUTION: 7,500 NAME: CATHERINE COBB SAFE HOUSE ADDRESS: 220 N MAIN ST. ADRIAN, MI 49221 CASH CONTRIBUTION: 6,500 NAME: CROSWELL OPRA HOUSE ADDRESS: 129 E MAUMEE ST. ADRIAN, MI 49221 CASH CONTRIBUTION: 5,500 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSE 482 INSURANCE 743 MISC. EXP 468 TOTAL 1,693 |
| FORM 990-EZ, PART III | TO CREATE A CLOSER FRIENDSHIP AMONG ITS MEMBERS AND TO FUNCTION AS A CHARITABLE ORGANIZATION WITH EMPASIS ON CHILDREN'S NEEDS. |
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