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. AMOUNT: 88. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: FOOD BANK DONATION. GRANTEE NAME: CONCRETE FOOD BANK. GRANTEE ADDRESS: 45942 MAIN STREET CONCRETE, WA 98237. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: REFRIGERATOR. DATE OF GIFT: 03/08/18. AMOUNT GIVEN: 1,194. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: BOYS AND GIRLS CLUB. GRANTEE NAME: LACONNER BOYS AND GIRLS CLUB. GRANTEE ADDRESS: 305 N 6TH STREET LACONNER, WA 98257. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 03/16/18. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: NATIONAL LAW ENFORCEMENT. GRANTEE NAME: NATIONAL LAW ENFORCEMENT MEMORIAL. GRANTEE ADDRESS: 450 F ST NW WASHINGTON, DC 20001. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: WREATH. DATE OF GIFT: 04/23/18. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: ANNE JACKSON SCHOLARSHIP. GRANTEE NAME: ALEX NELSON. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: SCHOLARSHIP. DATE OF GIFT: 06/01/18. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: ERICK VALENZUELA SCHOLARSHIP. GRANTEE NAME: KARIMA HAMILTON. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: SCHOLARSHIP. DATE OF GIFT: 06/22/18. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MISCELLANEOUS. GRANTEE NAME: MISCELLANEOUS. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: VARIOUS. AMOUNT GIVEN: 1,564. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COAT DRIVE. GRANTEE NAME: MOUNT VERNON POLICE DEPARTMENT. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: COAT DRIVE. DATE OF GIFT: 12/07/18. AMOUNT GIVEN: 250. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 6,808. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: LICENSES. AMOUNT: 180. DESCRIPTION: PO BOX RENEWALS. AMOUNT: 82. DESCRIPTION: BANK FEES. AMOUNT: 30. TOTAL TO FORM 990-EZ, LINE 16: 292. |
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