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 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CANCER FUND RECEIPIENTS. GRANTEE NAME: CANCER FUND RECEIPIENTS. DATE OF GIFT: VARIOUS. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: HOSPITAL FOUNDATION. GRANTEE NAME: GOSHEN CO HEALTHCARE FUND. DATE OF GIFT: 09/30/19. AMOUNT GIVEN: 953. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3,453. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FEES & DUES. AMOUNT: 275. DESCRIPTION: POST OFFICE BOX RENT. AMOUNT: 56. DESCRIPTION: ENTERTAINMENT. AMOUNT: 126. DESCRIPTION: LOCK BOX RENT. AMOUNT: 8,799. DESCRIPTION: MISCELLANEOUS. AMOUNT: 94. TOTAL TO FORM 990-EZ, LINE 16: 9,350. |
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