Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| List of grants and similar amounts paid Part I line 10 | ACTIVITY DONATIONS GRANTEE COMMUNITY DONATIONS STREET HASTINGS AREA CITY, STATE, ZIP HASTINGS, PA 16646AMOUNT 200 |
| Description of other expenses Part I line 16 | DESCRIPTION AMOUNTPAYROLL TX SOC SEC AND MEDI CARE 2,796PAYROLL TX SUTA 1,782INSURANCE 5,458LICENSE 450PAYROLL TX FUTA 155 |
| Description of total liabilities Part II line 26 | CATEGORY BEGINNING OF YEAR END OF YEARPAYROLL TAXES 4,000 1,178OTHER PAYABLES 4,086 4,086 |
| Business income not reported on 990-T Part V line 35 | INCOME GENERATED BY MEMBERS ONLY - NO OUTSIDE SUPPORT |
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