Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| List of grants and similar amounts paid Part I line 10 | ACTIVITY RONALD MCDONALD HOUSE GRANTEE RONALD MCDONALD HOUSE STREET 3402 S JACKSON AVE CITY, STATE, ZIP JOPLIN, MO 64804RELATIONSHIP NONE AMOUNT 7,000ACTIVITY BOY SCOUT BEAN FEED GRANTEE BOY SCOUTS STREET MAIN ST CITY, STATE, ZIP BAXTER SPRINGS, KS 66713RELATIONSHIP NONE AMOUNT 7,000ACTIVITY ST JUDES GRANTEE ST JUDES CHILDRENS HOPSITAL STREET 262 DANNY THOMAS POLACE CITY, STATE, ZIP MEMPHIS, TN 38105RELATIONSHIP NONE AMOUNT 7,000ACTIVITY GIRL SCOUTS OF AMERICA GRANTEE GIRL SCOUTS OF AMERICA STREET 1202 S RANGELINE RD CITY, STATE, ZIP JOPLIN, MO 64801RELATIONSHIP NONE AMOUNT 7,000ACTIVITY SHRINERS MIRZA TRANSPORTATION GRANTEE SHRINERS MIRZA TRANSPORTATION STREET 110 W 5TH ST CITY, STATE, ZIP PITTSBURG, KS 66762RELATIONSHIP NONE AMOUNT 7,000ACTIVITY MULTIPLE GRANTEE MULTIPLE STREET MULTIPLE CITY, STATE, ZIP BAXTER SPRINGS, KS 66713RELATIONSHIP NONE AMOUNT 17,562 |
| Description of other expenses Part I line 16 | DESCRIPTION AMOUNTTRAVEL 233 |
| Description of other assets Part II line 24 | CATEGORY BEGINNING OF YEAR END OF YEARINVENTORY FOR SALE OR USE 2,025 0 |
| Description of total liabilities Part II line 26 | CATEGORY BEGINNING OF YEAR END OF YEARTOTAL LIABILITIES 4,991 0 |
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