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 - RENTAL INCOME | KIND AND LOCATION OF PROPERTY: LODGE BUILDING RENTAL. AMOUNT: 22,850. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INSURANCE REFUND. AMOUNT: 3,861. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: GRAND LODGE AF & AM OF VIRGINIA. AFFILIATE ADDRESS: 4115 NINE MILE ROAD RICHMOND, VA XXX-XX-XXXX. PURPOSE OF PAYMENT: CAPITATION TAX. AMOUNT OF PAYMENT: 3,072. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEALS. AMOUNT: 1,008. DESCRIPTION: DONATIONS. AMOUNT: 1,799. DESCRIPTION: OTHER EXPENSES. AMOUNT: 330. DESCRIPTION: MAINTENANCE AND UTILITIES FOR RENTAL. AMOUNT: 14,848. TOTAL TO FORM 990-EZ, LINE 16: 17,985. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: DUES RECEIVABLE. BEG. OF YEAR AMOUNT: 820. END OF YEAR AMOUNT: 1,300. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: PREPAID DUES. BEG. OF YEAR AMOUNT: 390. END OF YEAR AMOUNT: 520. |
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