Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE FRATERNAL LIFE INSURANCE BENEFITS . TO PROVIDE SECURITY FOR MEMBERS THROUGH AFFORDABLE INSURANCE AND ANNUITY FINANCIAL PRODUCTS. TO PROMOTE , PERSERVE AND PERPETUATE THE COMMON BOND OF THE CZECH LANGUAGE, HERITAGE AND CULTURE. TO SPONSER EDUCATIONAL SCHOLARSHIPS AND FRATERNAL ACTIVITIES FOR THE BENEFIT OF ITS MEMBERS. TO SUPPORT THE COMMUNITIES WHEREIN OUR MEMBERSHIP RESIDES THROUGH ACTS OF BENEVOLENCE AND VOLUNTEERISM. |
| FORM 990, PAGE 1, PART I, LINE 6 | ASSISTANCE AT FRATERNAL FUNCTIONS AND MEETINGS |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION IS A FRATERNAL BENEFIT SOCIETY WITH ITS MEMBERS BEING OWNERS OF A LIFE INSURANCE POLICY. MEMBERS ARE ACTIVE BY MAINTAINING AN INSURANCE OR ANNUITY POLICY CONTRACT. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MEMBERS ARE ACTIVE BY MAINTAINING AN INSURANCE POLICY. MEMBERS CAN BE ELECTED TO BE A CONVENTION DELEGATE THROUGH THEIR RESPECTIVE LODGE SOCIETY.MEMBERS CAN BE NOMINATED FOR THE BOARD AT THE CONVENTION.THE CONVENTION IS HELD EVERY FOUR YEARS. |
| FORM 990, PAGE 6, PART VI, LINE 9 | AUDREY SCHMIDT 6556 HUNT CIRCLE MAYFIELD, OH 44143 ROBERT CERMAK 3633 WYNDE TREE DR. SEVEN HILLS, OH 44131 KARLA MAHONEY 209 GOULD AVE BEDFORD , OH 44146 MARYANN LANGEVIN 33429 CRESTWELL STERLING HTS., MI 48310 CYNTHIA KVETON 4029 HOLLY HILLS ST.LOUIS, MO 63116 JOSEPH KOCAB 4501 CULLEN DRIVE CLEVELAND, OH 44105 ANITA SCHAFER 301 PARK DRIVE BROOKLYN HTS., OH 44131 RICHARD PROSPAL 312 NANCY CIRCLE BRUNSWICK, OH 44212 |
| FORM 990, PAGE 6, PART VI, LINE 11B | CERTIFIED PUBLIC ACCOUNTANT PREPARES THE FORM AND REVIEWS IT WITH THE PRESIDENT AND THE TREASURER.THE FORM IS REVIEWED FOR AMOUNTS AND IS RECONCILED TO THE CERTIFIED STATUTORY AUDIT FOR ANY CHANGES IN POLICY OR PROCEDURES FROM THE PRIOR YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH YEAR THE DIRECTORS AND OFFICERS COMPLETE A DISCLOSURE FORM. THE PRESIDENT REVIEWS ANY POTENTIAL CONFLICTS AND PROPOSES ANY RESOLUTIONS. THE AUDIT CHAIRMAN REVIEWS THE OFFICERS DISCLOSER FORMS FOR THE SAME. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SALARY IS SET BY THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | PRESIDENT REVIEWS ALL OTHER EMPLOYEES SALARIES ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART XI, LINE 9 | DECREASE IN ASSET VALUATION RESERVE 10,553 DECREASE IN INTEREST MAINT RESR 21,601 BOOK AND TAX DEPRECIATION DIFFERENCE 4,673 CODE 6 IMPAIRMENT BASIS BOND LOSS -175,635 TOTAL -138,808 |
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