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: INVESTMENT RETURN. AMOUNT: 4,723. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: RENTAL REVENUE. AMOUNT: 625. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: SHRINERS INTERNATIONAL. AFFILIATE ADDRESS: 2900 N, ROCKY POINT DR. TAMPA, FL 33607. PURPOSE OF PAYMENT: PER CAPITA TAX AND HOSPITAL ASSESSMENTS. AMOUNT OF PAYMENT: 12,058. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INSURANCE. AMOUNT: 7,622. DESCRIPTION: OFFICE SUPPLIES AND EXPENSES. AMOUNT: 11,520. DESCRIPTION: BUSINESS SESSIONS AND CEREMONIALS. AMOUNT: 3,461. DESCRIPTION: VISITATIONS AND PILGRIMAGES. AMOUNT: 5,260. DESCRIPTION: DONATIONS TO FRATERNAL GROUP. AMOUNT: 500. DESCRIPTION: HOSPITAL PATIENT TRANSPORTATION. AMOUNT: 1,793. DESCRIPTION: DIRECT FUNDRAISING EXPENSES. AMOUNT: 8,428. DESCRIPTION: DEPRECIATION. AMOUNT: 1,291. TOTAL TO FORM 990-EZ, LINE 16: 39,875. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: PRIOR PERIOD ADJUSTMENT. AMOUNT: 6,298. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 10,479. END OF YEAR AMOUNT: 935. DESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 18,205. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 8,337. END OF YEAR AMOUNT: 7,046. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 3,647. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 24,213. END OF YEAR AMOUNT: 22,835. DESCRIPTION: DUE TO PAMCORP. BEG. OF YEAR AMOUNT: 25,000. END OF YEAR AMOUNT: 0. |
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