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 CASH DONATION Grantee FRANCIS HOUSE Street 102 MICHAELS AVE City, State, Zip Syracuse, NY 13208Amount 250Activity CASH DONATION Grantee ASSUMPTION CHURCH Street NORTH SALINA ST City, State, Zip Syracuse, NY 13208Amount 150Activity CASH DONATION Grantee VITAS COMMUNITY CONNECTION Street 255 E 5th st City, State, Zip Cincinnati, OH 45202Amount 100 |
| Description of other expenses Part I line 16 | Description AmountBUSINESS MEETINGS 4,624INSURANCE 756CEU COORDINATOR STIPEND 1,500CEU REGISTRATION 75UBIT TAXES 250MISCELLANEOUS 247SECRETARY/ TREASURER 1,500 |
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