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: DIVIDENDS. AMOUNT: 9,069. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE GIFTS AND SCHOLARSHIPS. GRANTEE NAME: SEE LIST ATTACHED. GRANTEE ADDRESS: VARIOUS VARIOUS, NJ 12345. GRANTEE RELATIONSHIP: NONE. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. BOOK VALUE OF PROPERTY: 14,316. AMOUNT GIVEN: 14,316. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CONFERENCE EXPENSES. AMOUNT: 1,072. DESCRIPTION: GRAND LODGE DUES. AMOUNT: 715. DESCRIPTION: PROMOTIONAL EXPENSES. AMOUNT: 112. DESCRIPTION: FUND RAISING EXPENSES. AMOUNT: 5,090. DESCRIPTION: INSURANCE EXPENSES. AMOUNT: 1,888. DESCRIPTION: STATE LODGE DUES. AMOUNT: 5,860. DESCRIPTION: NJ ANNUAL REGISTRATION RENEWAL. AMOUNT: 95. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 138. DESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 10. DESCRIPTION: TRAVEL EXPENSES. AMOUNT: 42. DESCRIPTION: MEALS. AMOUNT: 102. DESCRIPTION: REIMBURSEMENT. AMOUNT: 154. DESCRIPTION: LOCKSMITH. AMOUNT: 102. TOTAL TO FORM 990-EZ, LINE 16: 15,380. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: DUES RECEIVABLE. BEG. OF YEAR AMOUNT: 1,131. END OF YEAR AMOUNT: 0. |
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