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: 3. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: MISCELLANEOUS INCOME. AMOUNT: 274. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: INTERNATIONAL AND STATE ASSOCIATION OF LIONS CLUB. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 4,623. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: CONRAD WEISER ACADEMIC GRADUATES. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 6,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY BENEFIT. GRANTEE NAME: VARIOUS ORGANIZATIONS. GRANTEE RELATIONSHIP: NONE. BOOK VALUE OF PROPERTY: 12,728. AMOUNT GIVEN: 12,728. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 18,728. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SUPPLIES. AMOUNT: 1,530. |
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