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: Income Donor Advised Fund. Amount: 821. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Other Under $1,000. Grantee Address: 8008 North High Street Columbus, OH 43235. Grantee Relationship: None. Amount Given: 2,335. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Paul Harris Awards. Grantee Name: Rotary International. Grantee Address: 14280 Collections Center Drive Chicago, IL 60693. Grantee Relationship: None. Amount Given: 5,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Scholarships and Grants to Worthington Parks and Schools. Grantee Name: College Scholarships - Various Individuals. Grantee Address: 200 East Wilson Bridge Road Worthington, OH 43085. Grantee Relationship: None. Property Description: Scholarship. Amount Given: 3,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Other Rotary Clubs. Grantee Address: 8008 North High Street Columbus, OH 43085. Grantee Relationship: None. Property Description: Contributions. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Worthington Food Pantry. Grantee Address: 445 E Dublin-Granville Road Worthington, OH 43085. Grantee Relationship: None. Amount Given: 7,390. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Rotary Youth Leadership Award. Grantee Address: 2152 Olde Sawmill Blvd. Dublin, OH 43016. Grantee Relationship: None. Amount Given: 600. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Worthington Area Chamber of Commerce. Grantee Address: 25 W. New England, Suite 100 Worthington, OH 43085. Grantee Relationship: None. Amount Given: 575. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: ONe Time Contributions. Grantee Name: See Kids Dream. Grantee Address: 16 Orchard Lane Columbus, OH 43214. Grantee Relationship: None. Amount Given: 3,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: One Time Contributions. Grantee Name: Heinzerling Foundation. Grantee Address: 1800 Heinzerling Drive Columbus, OH 43223. Grantee Relationship: None. Amount Given: 3,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Polio Plus. Grantee Name: Rotary International. Grantee Address: 14280 Collections Center Drive Chicago, IL 60693. Grantee Relationship: None. Amount Given: 728. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Scholarships and Grants to Worthington Parks and Schools. Grantee Name: Worthington Parks and Recrreation. Grantee Address: 6550 N. High Street Worthington, OH 43085. Amount Given: 9,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Scholarships and Grants to Worthington Parks and Schools. Grantee Name: Sutter Park PTO. Grantee Address: 1850 Sutter Parkway Powell, OH 43065. Amount Given: 8,220. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Education. Grantee Name: Future City Competition. Grantee Address: 250 West Wilsonf Bridge Road Wortington , OH 43085. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Charity. Grantee Name: Rotary Foundation. Grantee Address: 14280 Collections Center Drive Chicago, IL 60693. Amount Given: 2,692. Total included on Form 990-EZ, line 10: 48,040. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Meeting Meal Cost. Amount: 14,129. Description: Purchase Banners etc.. Amount: 676. Description: District and International Dues. Amount: 3,569. Description: Office Expense and Other. Amount: 1,327. Total to Form 990-EZ, line 16: 19,701. |
| Form 990-EZ, Part II, Line 26 - Other Liabilities | Description: Raffle Funds. Beg. of Year Amount: 619. End of Year Amount: 479. Description: Other Liabilities. Beg. of Year Amount: 4,125. End of Year Amount: 3,775. |
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