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: 2. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Memorial Contributions. Grantee Name: American Lung Association. Date of Gift: 03/20/20. Amount Given: 60. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: WHAS Crusade for Children. Grantee Name: WHAS Crusade for Children. Date of Gift: 08/01/20. Amount Given: 600. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Memorial Contributions. Grantee Name: Kosair Charities. Date of Gift: 08/01/20. Amount Given: 60. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Memorial Contributions. Grantee Name: St. Jude. Date of Gift: 11/01/19. Amount Given: 60. Total included on Form 990-EZ, line 10: 780. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Board Expense Reimbursements. Amount: 1,201. Description: Kentucky SOS Filing Fee. Amount: 15. Description: Treasurer Bond. Amount: 150. Description: Jefferson County Lien Fee Placement. Amount: 650. Description: Awards, Plaques, Trophies, Flag Pole Plaque. Amount: 170. Total to Form 990-EZ, line 16: 2,186. |
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