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: DIVIDENDS. AMOUNT: 5,573. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: VENDING MACHINE PROCEEDS. AMOUNT: 114. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE GIFTS AND SCHOLARSHIPS. GRANTEE NAME: SEE LIST ATTACHED. GRANTEE ADDRESS: VARIOUS VARIOUS, NJ 12345. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 14,201. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CONFERENCE EXPENSES. AMOUNT: 1,246. DESCRIPTION: GRAND LODGE DUES. AMOUNT: 721. DESCRIPTION: PROMOTIONAL EXPENSES. AMOUNT: 81. DESCRIPTION: FUND RAISING EXPENSES. AMOUNT: 4,987. DESCRIPTION: INSURANCE EXPENSES. AMOUNT: 4,480. DESCRIPTION: MISCELLANEOUS EXPENSES. AMOUNT: 249. DESCRIPTION: STATE LODGE DUES. AMOUNT: 4,769. DESCRIPTION: NJ ANNUAL REGISTRATION RENEWAL. AMOUNT: 290. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 713. DESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 60. DESCRIPTION: TRAVEL EXPENSES. AMOUNT: 25. TOTAL TO FORM 990-EZ, LINE 16: 17,621. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: DUES RECEIVABLE. BEG. OF YEAR AMOUNT: 1,248. END OF YEAR AMOUNT: 1,131. |
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