Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Description of other revenue Part I line 8 | Description AmountDOOR INCOME 2,990ELECTRIC REIMBURSEMENT 900HALL RENT 1,950 |
| List of grants and similar amounts paid Part I line 10 | Activity DONATION Grantee JONES COUNTY EXTENSION Street 800 N MAPLE ST City, State, Zip Monticello, IA 52310Relationship NONE Amount 100Activity AWARDS Grantee MIDLAND SCHOOL Street 109 W GREEN City, State, Zip WYOMING, IA 52362Relationship NONE Amount 85Activity BOYS STATE Grantee CAMP DODGE Street 720 LYON STREET City, State, Zip Des Moines, IA 50309Relationship NONE Amount 300Activity FLOAT/LIGHTING CONTEST/EGG HUNT Grantee AUXILARY Street PO BOX City, State, Zip Oxford Junction, IA 52323Relationship NONE Amount 150 |
| Description of other expenses Part I line 16 | Description AmountADS & LICENSES 1,194TAXES/TAX PREP 3,241SICK CALLS 21INSURANCE 8,102GROCERIES AND SUPPLIES 524ROCK 400CAR SHOW EXPENSE 806CHECKS/BANK FEES 50FLAGS 443MISC 288 |
| Software ID: | |
| Software Version: |