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 | VISION INSURANCE INCOME 24,300 TOTAL 24,300 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 489 OFFICE EXPENSES 411 POSTAGE 24 TRAVEL 105 MEETINGS 3,419 INSURANCE 526 VISION INSURANCE 33,034 CONTRIBUTIONS 450 DUES 638 CELLULAR PHONE 2,244 SUPPLIES 913 AWARDS / WATCHES 2,223 FEES 50 BANK CHARGES 30 NON-INVESTMENT DEPRECIATION 115 TOTAL 44,671 |
| FORM 990-EZ, PART II, LINE 24 | 5,932 5,931 LESS ACCUMULATED DEPRECIATION 4,682 4,797 TOTAL 1,250 1,134 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 613 764 |
| FORM 990-EZ, PART III | ORGANIZE AND MAINTAIN A CLUB FOR THE PROMOTION OF THE PHYSICAL WELFARE OF AND SOCIAL INTERCOURSE AMONG THE MEMBERS. |
| Software ID: | |
| Software Version: |