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: 110. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: JOB POSTING INCOME. AMOUNT: 240. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: JENNIFER TAYLOR. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: ALI JAVAHERI. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: JOEL SCHILLING. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: TAISHI HIRAI. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: OMAIR YOUSUF. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 25,000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MANAGEMENT SERVICES. AMOUNT: 34,320. DESCRIPTION: INSURANCE. AMOUNT: 1,072. DESCRIPTION: CHAPTER MEETINGS & SEMINARS. AMOUNT: 24,570. DESCRIPTION: ACC MEETINGS - ANNUAL MEETING. AMOUNT: 11,139. DESCRIPTION: ACC MEETINGS - LEGISLATIVE CONFERENCE. AMOUNT: 2,914. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 2,412. DESCRIPTION: BOARD OF DIRECTOR EXPENSE. AMOUNT: 184. DESCRIPTION: ACC MEETINGS - LEADERSHIP SUMMIT. AMOUNT: 4,025. DESCRIPTION: MIDWEST WIC CONFERENCE. AMOUNT: 2,000. DESCRIPTION: PARTNERSHIP PROGRAM. AMOUNT: 6,000. DESCRIPTION: GIFT CARDS. AMOUNT: 1,750. TOTAL TO FORM 990-EZ, LINE 16: 90,386. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 2,860. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 17,391. END OF YEAR AMOUNT: 5,700. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 336. END OF YEAR AMOUNT: 25,750. DESCRIPTION: CREDIT CARD. BEG. OF YEAR AMOUNT: 13. END OF YEAR AMOUNT: 0. |
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