Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, Line 8 | Other revenue: Refund - Refreshments - Coffee etc. $53.80; Refund - Telephone $2136.95 |
| Part I, Line 16 | Other Expenses: $25179.03; Officer- Non-Tax Travel Per Diem Etc. $2330.49; Reimbursement for Checks and Deposit Slips (Not a Bank Debit) $497.05; Refreshments Reimbursement $1060.42; Supply Reimbursement $534.65; DONATIONS-CHARITABLE EVENTS $740.00; Reimburse - Travel Per Diem others non-t $1201.23; Medical/Prescription Fee Reimbursements $1563.76 Pension Allocations $9960.58 |
| Part I, Line 16 | Medical/Prescription Fee Reimbursements $1563.76; Pension Allocations $9960.58; Donations - Other $500.00 Furniture & Equipment-Purchases $265.57; Internet Service (Access Fees) $489.08 Promotional Items (Clips Magnets etc) $2413.13 |
| Part I, Line 16 | Recognition/Service Awards $200.00; Refreshments- Coffee Donuts Food Soft Dk $239.12; Registration/Conference/Tuition Fees $1045.00 Service Fees - Other $2138.95 |
| Part I, Line 20 | Total other changes $242; Fixed assets $266; Inventories $0 Liabilities $148; Voided checks from a previous year $124 |
| Part II, Line 26 | Federal Income Taxes (941) Forward $19.40; FICA-Employee OASDI and HI Forward $38.71; State Income Taxes Forward $169.30 County Income Taxes Forward $77.61 |
| Part II, Line 26 | FICA Employer OASDI and HI (941) $38.71; Unemployment Taxes Federal (940) $31.45; Unemployment Taxes State $72.22 Internet Service (Access Fees) $129.72 |
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