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 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INVESTMENT INCOME. AMOUNT: 900. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: OTHER INCOME. AMOUNT: 11,781. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: DISTRICT ROTARY. AFFILIATE ADDRESS: 7501 CELTIC COURT CHARLOTTE, NC 28277. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 4,420. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVENUE EVANSON, IL 60201. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 7,553. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 11,973. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CIVIC. GRANTEE NAME: ROTARY FOUNDATION. GRANTEE ADDRESS: 1560 SHERMAN AVENUE EVANSON, IL 60201. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 600. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATIONAL. GRANTEE NAME: GASTON COUNTY SCHOOLS. GRANTEE ADDRESS: 943 OSCEOLA STREET GASTONIA, NC 28053. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 20,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CIVIC. GRANTEE NAME: ADVENT LUTHERAN CHURCH. GRANTEE ADDRESS: 8840 UNIVERSITY CITY BLVD CHARLOTTE, NC 28213. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 750. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 21,350. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BADGES & ENGRAVING. AMOUNT: 471. DESCRIPTION: SUPPLIES. AMOUNT: 1,387. DESCRIPTION: CONFERENCES & MEETINGS. AMOUNT: 43,487. DESCRIPTION: INVESTMENT FEES. AMOUNT: 543. DESCRIPTION: BANK FEES. AMOUNT: 42. DESCRIPTION: PETS TRAINING. AMOUNT: 2,577. DESCRIPTION: CLUB DIRECTORY/WEBSITE. AMOUNT: 96. TOTAL TO FORM 990-EZ, LINE 16: 48,603. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION. AMOUNT: 2,067. |
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