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: 1. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: MARBLE GAME - NET. AMOUNT: 79. DESCRIPTION: POLIO PLUS DONATIONS. AMOUNT: 100. TOTAL TO FORM 990-EZ, LINE 8: 179. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 5220. AFFILIATE ADDRESS: P.O. BOX 425 ESCALON, CA 95320. PURPOSE OF PAYMENT: PER CAPITA FEES. AMOUNT OF PAYMENT: 3,455. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: ONE ROTARY CENTER 1560 SHERMAN AVE EVANSTON, IL 60201. PURPOSE OF PAYMENT: PER CAPITA FEES. AMOUNT OF PAYMENT: 5,219. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 8,674. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY SERVICE. GRANTEE NAME: MERCED ROTARY CLUB FOUNDATION. GRANTEE ADDRESS: PO BOX 751 MERCED, CA 95341. GRANTEE RELATIONSHIP: CLUB FOUNDATION. DATE OF GIFT: 06/25/21. AMOUNT GIVEN: 9,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY SERVICE. GRANTEE NAME: MERCED ROTARY CLUB FOUNDATION. GRANTEE ADDRESS: PO BOX 751 MERCED, CA 95341. GRANTEE RELATIONSHIP: CLUB FOUNDATION. DATE OF GIFT: 11/03/20. AMOUNT GIVEN: 7,250. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 16,250. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEETINGS & FELLOWSHIP. AMOUNT: 1,343. DESCRIPTION: FILING FEES. AMOUNT: 35. DESCRIPTION: BADGES, PINS, APRONS, SHIRTS, ETC. AMOUNT: 154. DESCRIPTION: WEBSITE AND BULLETIN. AMOUNT: 310. DESCRIPTION: PRESIDENT EXPENSES. AMOUNT: 281. DESCRIPTION: OFFICE & COMP SUPPLIES. AMOUNT: 33. DESCRIPTION: CREDIT CARD FEES. AMOUNT: 482. TOTAL TO FORM 990-EZ, LINE 16: 2,638. |
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