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: DONATION - OTHER $168.00 Exchanges (Other) $260.00; Rebate from International Strike Fund $572.56 Rebates -Insurance $658.00; Rents - Building Office and Property $570.00 |
| Part I, Line 16 | Other expenses: Postage Reimbursement $14.50 SUPPLY REIMBURSEMENT $20.16; Refund Dues - Regular $247.51Affiliation Fees - Intl Union $117.78; Corporate Filing Fees (Sec.of State etc) $10.00 Exchange (Other Identify) $260.00 |
| Part I, Line 16 | Fees Licenses Permits Etc $10.00 Furniture & Equipment-Purchases $266.67; Insurance-Comprehensive $1517.95 Per Capita Taxes - International $21036.74; Per Capita Taxes - CAP Councils $716.17 Per Capita Taxes- Retired Workers 65% $70.20 |
| Part I, Line 16 | Printing - Checks & Deposit Slips $271.77 Refreshments- Coffee Donuts Food Soft Dk $189.57; Service Fee-Other $10.00 Supplies - Office $93.00; Games (Board Cards of Chance.etc) $90.00 |
| Part I, Line 20 | Total other changes $937; Fixed assets $267.; Liabilities $670. |
| Part II, Line 26 | State Income Taxes Forward $16.65 Unemployment Taxes Federal (940) $8.82; December Per Capita Taxes $1574.00 Dues Refund $57.52 |
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