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 Grant for State Grantee ASCLS-Colorado Amount 1,898Activity Grant for State Grantee ASCLS Idaho Amount 1,898Activity Grant for State of Montana Grantee ASCLS-Montana Amount 1,898Activity Grant for State of Wyoming Grantee ASCLS Wyoming Amount 1,899Activity Grant for state of Utah Grantee ASCLS Utah Amount 1,899Activity Teton Free Clinic Amy Adams-Gardier Clinic DirectoGrantee Teton Free Clinic Amy Adams-GardierStreet PO Box 10044 City, State, Zip Jackson, WY 83002Relationship None Amount 585 |
| Description of other expenses Part I line 16 | Description AmountTravel 1,561Misc 5,064IMSS Conference Expenses 32,173Leadership Guide 185IMSS Liability Insurance 613Report from MI State 16 |
| Description of other assets Part II line 24 | Category Beginning of Year End of YearCertificate of Deposit 25,000 25,506 |
| Software ID: | |
| Software Version: |