Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt VI, Line 11b | A copy of Form 990 is given to each member of Governing body. They sign a log that they have received and reviewed prior to filing of the tax return. |
| Pt VI, Line 12c | Members of the Governing body are required annually to complete a conflict of interest statement. Any conflicts noted would be compared against companies the organization does business with. |
| Pt VI, Line 19 | Copies of financial statements, governing documents and conflict of interest policy are maintained in the business office and available to members upon request. |
| Pt VI, Line 6 | The lodge has members |
| Pt VI, Line 7a | The members of the lodge elect the governing board annually. |
| Pt VI, Line 7b | Governing board has monthly meetings which can be attended by members. Significant actions would have to be voted on by all members. |
| Pt XI | The other change in net assets of -133 represents |
| Other | restricted funds received which were disbursed. |
| Software ID: | 19009670 |
| Software Version: |