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: 143. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 14255 COLLECTION CENTER DRIVE CHICAGO, IL 60693. PURPOSE OF PAYMENT: INTERNATIONAL DUES. AMOUNT OF PAYMENT: 3,165. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: DISTRICT 5710 EASTERN KANSAS ROTARY. AFFILIATE ADDRESS: PO BOX 394 GARDNER, KS 66030. PURPOSE OF PAYMENT: DISTRICT DUES. AMOUNT OF PAYMENT: 1,525. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: OTHER NON-AFFILIATE PAYMENTS. AMOUNT OF PAYMENT: 10,830. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 15,520. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BANK CHARGES. AMOUNT: 517. DESCRIPTION: MEETING EXPENSE - MEALS. AMOUNT: 5,856. DESCRIPTION: MISCELLANEOUS EXPENSES. AMOUNT: 334. DESCRIPTION: ROTARY EVENTS. AMOUNT: 2,101. DESCRIPTION: ROTARY SUPPLIES. AMOUNT: 391. DESCRIPTION: TRAVEL. AMOUNT: 38. TOTAL TO FORM 990-EZ, LINE 16: 9,237. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: PRIOR PERIOD ADJUSTMENT - NO TAX EFFECT. AMOUNT: 150. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: MEMBER DUES RECEIVABLE. BEG. OF YEAR AMOUNT: 144. END OF YEAR AMOUNT: 1,750. |
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