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: 15. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: National Exchange Club. Affiliate Address: 3050 Central Avenue Toledo, OH XXX-XX-XXXX. Purpose of Payment: Dues. Amount of Payment: 4,883. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: Lincolnland District Exchange Clubs. Affiliate Address: 385 N 30th St Kenosha, WI 53144. Purpose of Payment: Dues. Amount of Payment: 1,261. Total included on Form 990-EZ, line 10: 6,144. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Meals. Amount: 23,679. Description: Speaker gifts and program expense. Amount: 499. Description: Insurance. Amount: 457. Total to Form 990-EZ, line 16: 24,635. |
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