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: 49. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: DIVIDEND INCOME. AMOUNT: 1,304. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: OI FOUNDATION. GRANTEE ADDRESS: 4494 LINDELL BLVD SAINT LOUIS, MO 63108. DATE OF GIFT: 11/04/19. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: JUNIOR ACHIEVEMENT. GRANTEE ADDRESS: 5721 MARLIN ROAD, #3400 CHATTANOOGA, TN 37411. DATE OF GIFT: 11/11/19. AMOUNT GIVEN: 600. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: FRIENDS OF HARRISON BAY STATE PARK. GRANTEE ADDRESS: 6120 SHIRLEY POND ROAD HARRISON, TN 37401. DATE OF GIFT: 02/14/20. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: LAKESIDE ACADEMY. GRANTEE ADDRESS: 4850 JERSEY PIKE CHATTANOOGA, TN 37416. DATE OF GIFT: 02/20/20. AMOUNT GIVEN: 400. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: YMCA . GRANTEE ADDRESS: 301 W 6TH STREET CHATTANOOGA, TN 37402. DATE OF GIFT: 03/06/20. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: OPTIMIST INTERNATIONAL. GRANTEE ADDRESS: PO BOX 500473 SAINT LOUIS, MO 63150-0473. DATE OF GIFT: 04/03/20. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL SUPPORT. GRANTEE NAME: RONALD MCDONALD HOUSE . GRANTEE ADDRESS: 200 CENTRAL AVENUE CHATTANOOGA, TN 37403. DATE OF GIFT: 08/17/20. AMOUNT GIVEN: 500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,800. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CONVENTIONS & DISTRICT MEETINGS. AMOUNT: 1,166. DESCRIPTION: OPTIMISTS INTERNATIONAL DUES & FEES. AMOUNT: 1,262. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 176. DESCRIPTION: CLUB MEETING EXPENSE. AMOUNT: 1,012. DESCRIPTION: YOUTH SPONSORED ACTIVITIES. AMOUNT: 3,781. DESCRIPTION: FOREIGN TAXES. AMOUNT: 47. TOTAL TO FORM 990-EZ, LINE 16: 7,444. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED LOSS ON INVESTMENT. AMOUNT: -1,838. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: UNEARNED REVENUE. BEG. OF YEAR AMOUNT: 1,250. END OF YEAR AMOUNT: 0. |
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