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 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 23. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: FOOD FOR THE NEEDY. AMOUNT GIVEN: 4,687. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: KID-SAFE DONATIONS. AMOUNT GIVEN: 6,998. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: SCHOLARSHIPS. AMOUNT GIVEN: 4,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: CRYSTAL LAKE PANTRY. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: SENIOR CITIZENS PICNIC. AMOUNT GIVEN: 2,125. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: VERNON PARKS AND REC. AMOUNT GIVEN: 1,150. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: OTHER DONATIONS. AMOUNT GIVEN: 2,780. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: CORNERSTONE FOUNDATION. AMOUNT GIVEN: 6,231. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: FIDELCO. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: CHRYSALIS CENTER. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: HVCC. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 33,471. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: NATIONAL AND STATE DUES. AMOUNT: 7,171. DESCRIPTION: BANK CHARGES. AMOUNT: 598. DESCRIPTION: STATIONARY/SUPPLIES. AMOUNT: 2,908. DESCRIPTION: MEETINGS. AMOUNT: 9,706. DESCRIPTION: LIABILITY INSURANCE. AMOUNT: 670. DESCRIPTION: TAXES. AMOUNT: 804. DESCRIPTION: REPAIRS AND MAINTENANCE. AMOUNT: 596. TOTAL TO FORM 990-EZ, LINE 16: 22,453. |
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