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 INCOME. AMOUNT: 1. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: MISCELLANEOUS INCOME. AMOUNT: 2,158. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 7870. AFFILIATE ADDRESS: 9 OLD COACH RD BOW, NH 03304. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 816. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVE EVANSTON, IL 60201. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,115. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,931. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: NUTRITION. GRANTEE NAME: HAVEN FOOD SHELF. GRANTEE ADDRESS: 713 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 158. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIPS. GRANTEE NAME: WHITE RIVER CHARITABLE FUND. GRANTEE ADDRESS: P.O. BOX 4003 WHITE RIVER JUNCTION, VT 05001. 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 LESS THAN $5000. GRANTEE NAME: VARIOUS NOT FOR PROFITS ORGS. GRANTEE ADDRESS: P.O. BOX 4003 WHITE RIVER JUNCTION, VT 05001. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 26,208. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 46,366. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADVERTISEMENT. AMOUNT: 853. DESCRIPTION: MEALS EXPENSE. AMOUNT: 2,630. DESCRIPTION: SUPPLIES. AMOUNT: 164. DESCRIPTION: TRAINING. AMOUNT: 707. DESCRIPTION: WEBSITE EXPENSE. AMOUNT: 465. DESCRIPTION: INSURANCE. AMOUNT: 68. DESCRIPTION: BANK FEES. AMOUNT: 179. DESCRIPTION: CHAMBER OF COMMERCE DUES. AMOUNT: 200. DESCRIPTION: SALES & USE TAX. AMOUNT: 65. DESCRIPTION: CHANGE OF GAVEL DINNER AND AWARDS. AMOUNT: 179. DESCRIPTION: FUN FUND EXPENSE. AMOUNT: 100. DESCRIPTION: DISTRICT MEETING FEE. AMOUNT: 50. DESCRIPTION: CHRISTMAS PARTY. AMOUNT: 530. DESCRIPTION: DISTRICT CONF. AMOUNT: 175. DESCRIPTION: DISTRICT GOVENOR EXPENSE. AMOUNT: 650. DESCRIPTION: COMMUNITY DINNER. AMOUNT: 940. TOTAL TO FORM 990-EZ, LINE 16: 7,955. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: UNDEPOSITED FUNDS. BEG. OF YEAR AMOUNT: 14. END OF YEAR AMOUNT: 20. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: MEMBER SHARE 50/50. BEG. OF YEAR AMOUNT: 15. END OF YEAR AMOUNT: 23. DESCRIPTION: SOUTH AFRICA BOOK PROJECT. BEG. OF YEAR AMOUNT: 2,275. END OF YEAR AMOUNT: 1,500. DESCRIPTION: SALES/ROOM & MEALS TAX PAYABLE. BEG. OF YEAR AMOUNT: 19. END OF YEAR AMOUNT: 8. DESCRIPTION: DUE CHANGE FOR CHANGE. BEG. OF YEAR AMOUNT: 225. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID DUES. BEG. OF YEAR AMOUNT: 150. END OF YEAR AMOUNT: 0. DESCRIPTION: THE HAVEN FOOD SHELF. BEG. OF YEAR AMOUNT: 224. END OF YEAR AMOUNT: 0. |
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