Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Description of other revenue Part I line 8 | Description AmountRENT INCOME 50 |
| List of grants and similar amounts paid Part I line 10 | Activity 2020 BOYS AND GIRLS STATE PROGRAM Grantee CAMERON SHOEMAKER Street 253 NY ROUTE 355 City, State, Zip Poestenkill, NY 12140Amount 100Activity 2020 BOYS AND GIRLS STATE PROGRAM Grantee CARLEY SALERNO Street 141 OLD ROUTE 66 City, State, Zip Averill Park, NY 12018Amount 100Activity DONATION TO SAND LAKE AMBULANCE Grantee SAND LAKE AMBULANCE Street PO BOX 222 City, State, Zip West Sand Lake, NY 12196Amount 100Activity REGIONAL FOOD BANK Grantee REGIONAL FOOD BANK NORTHEASTERN NY Street 965 ALBANY-SHAKER ROAD City, State, Zip Latham, NY 12110Amount 2,000Activity SUPPORT OF VETERANS OF SAND LAKE Grantee VETERANS OF SAND LAKE INC Street PO BOX 412 City, State, Zip Averill Park, NY 12018Amount 3,000 |
| Description of other expenses Part I line 16 | Description AmountGIFT CARDS FOR CHURCHES AND VETS 2,030MEMORIAL DAY DECORATIONS 129CHRISTMAS TREE FOR MEMORIAL PARK 180 |
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