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: INTEREST. AMOUNT: 3,163. DESCRIPTION: DIVIDENDS. AMOUNT: 5,766. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 8,929. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: COMMUNITY YMCA. DATE OF GIFT: 11/12/18. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: SHRINERS HOSPITAL. DATE OF GIFT: 07/19/18. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: ALLARIE COMMUNITY FARM. DATE OF GIFT: 08/10/18. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: KNIGHTS OF COLUMBUS. DATE OF GIFT: 09/24/18. AMOUNT GIVEN: 200. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: JERSEY SHORE RESCUE MISSION. DATE OF GIFT: 11/12/18. AMOUNT GIVEN: 101. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: HAZLET YOUTH ATHLETIC. DATE OF GIFT: 11/24/18. AMOUNT GIVEN: 250. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: PTTMIC. DATE OF GIFT: 04/04/18. AMOUNT GIVEN: 500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 7,051. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ACCOUNTING FEES. AMOUNT: 1,400. DESCRIPTION: BANK FEES. AMOUNT: 150. DESCRIPTION: OTHER INVESTMENT ADJUSTMENTS. AMOUNT: 2,280. TOTAL TO FORM 990-EZ, LINE 16: 3,830. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED CHANGE IN VALUE OF INVESTMENTS. AMOUNT: -5,590. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 223,596. END OF YEAR AMOUNT: 215,753. |
| Software ID: | |
| Software Version: |