Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 10 | | Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| hearing and sight, grantee, "eyeglasses for people in need", $9090.00, No Relationship| xmas baskets, grantee, "food and gifts for people in need", $2267.00, No Relationship| scholarships, grantee, "help with school", $8750.00, No Relationship| donnations, Lions fondation, "1010 n 22nd st Portland Or", $1000.00, None| school testing, grantee, "testing for eyes in schools", $500.00, No Relationship| back pack program, grantee, "food for weekend for school kids in need", $3000.00, No Relationship| bingo prizes, grantee, "drawing at bingo games", $700.00, No Relationship| grants to people in area, grantee, "grants to people in area", $300.00, No Relationship| summer camp for kidds, gales creek camp, "201 hwy 101", $1000.00, None| fun for kidds, grantee, "beach fun day for kids", $1225.00, No Relationship| internal funding to suplement general funds, savings, "201 hwy 101", $13000.00, None| |
| Part I, line 20 | | Description:, Explanation:, Amount:| line 27, cash saving, $57000| line 28, building, $21346| line 24, total libilites, $31940| |
| Part II, line 26 | | Liabilities Name:, BOY Amount:, EOY Amount:| Accounts Payable, $183, 0| |
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