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 16 | EXPENSES OFFICE AND SUPPLIES 6,831 AWARDS 2,591 DUES 250 HOSPITALITY 20,183 RETIREMENT 1,000 WIDOWS 2,500 TOTAL 33,355 |
| FORM 990-EZ, PART II, LINE 24 | LOANS RECEIVABLE 11,500 30,850 TOTAL 11,500 30,850 |
| FORM 990-EZ, PART II, LINE 26 | UNREALIZED GAIN/LOSS ON INVESTMENT 56,513 102,880 |
| FORM 990-EZ, PART III | TO ENGAGE IN ANY LAWFUL ACT OR ACTIVITY FOR WHICH FOUNDATIONS MAY BE FORMED, TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS AND ORGANIZATIONS UPON THE TERMS AND CONDITIONS WHICH SHALL BE IMPOSED FROM TIME TO TIME BY THE BOARD OF DIRECTORS. |
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