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 16 | EXPENSES CONVENTIONS/DISTRICT MEET 175 CLINICS - DD 100 INSURANCE - GL 4,246 JANITORIAL 1,200 GRAND LODGE FEES 1,425 STATE LODGE FEES 431 PROPERTY TAXES 1,274 PUBLIC CHARITY/SERVICES 4,380 TRAVEL & DELEGATE EXPENSE 396 TOTAL 13,627 |
| FORM 990-EZ, PART II, LINE 26 | DEFERRED DUES & FEES 4,800 5,040 |
| FORM 990-EZ, PART III, LINE 31 | PUBLIC CHARITY & SCHOLARSHIPS |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| FREDERICK SHAW | |
| WILLIAM WEBSTER FORD | |
| JAMES CHANDLER |