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: 13. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ZONTA INTERNATIONAL FOUNDATION. AFFILIATE ADDRESS: 1211 W 22ND ST STE 900 OAK PARK, IL 60523. AMOUNT OF PAYMENT: 4,644. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: UNITED WAY OF CENTRAL MN C/O IMAGINATION LIBRARY. GRANTEE ADDRESS: 921 1ST ST N SUITE 200 ST CLOUD, MN 56303. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: TEREBINTH REFUGE. GRANTEE ADDRESS: 110 2ND ST S SUITE 231 WAITE PARK, MN 56387. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CENTRAL MN SEXUAL ASSAULT CENTER. GRANTEE ADDRESS: 15 RIVERSIDE DR NE ST CLOUD, MN 56304. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: LUTHERAN SOCIAL SERVICE OF MN. GRANTEE ADDRESS: 22 WILSON AVE NE ST CLOUD, MN 56304. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: BOYS & GIRLS CLUBS OF CENTRAL MN. GRANTEE ADDRESS: 345 30TH AVE N ST CLOUD, MN 56303. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: AAUW OF MN. GRANTEE ADDRESS: PO BOX 7694 ST CLOUD, MN 56302. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: ANNA MARIE'S ALLIANCE. GRANTEE ADDRESS: PO BOX 367 ST CLOUD, MN 56302. AMOUNT GIVEN: 9,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: JOURNEY HOME. GRANTEE ADDRESS: 210 5TH AVE NE ST CLOUD, MN 56304. AMOUNT GIVEN: 2,750. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: ZONTA INTERNATIONAL FOUNDATION. GRANTEE ADDRESS: 1211 W 22ND ST STE 900 OAK PARK, IL 60523. AMOUNT GIVEN: 13,750. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: HAITIAN AMERICAN CAUCUS. GRANTEE ADDRESS: 495 FLATBUSH AVENUE #32 BROOKLYN , NY 11225. AMOUNT GIVEN: 900. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: PAYTON KOPEL. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: SAMANTHA ANN MICKLESON. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: ANDREA BLOEDEL. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: JESSICA WEBSTER. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION SCHOLARSHIP. GRANTEE NAME: ALYSSA PYSCK. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 42,900. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE EXPENSE. AMOUNT: 762. DESCRIPTION: INFORMATION TECHNOLOGY. AMOUNT: 31. DESCRIPTION: CONFERENCES/CONVENTIONS/MEETINGS. AMOUNT: 2,977. TOTAL TO FORM 990-EZ, LINE 16: 3,770. |
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