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: 40. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SPECIFIC ASSISTANCE TO INDIVIDUALS. GRANTEE NAME: COATS/SHOES FOR LOCAL DISADVANTAGED CHILDREN. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/09/20. AMOUNT GIVEN: 6,111. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: BLACK WARRIOR COUNCIL, BSA. GRANTEE ADDRESS: P.O. DRAWER 3088 TUSCALOOSA, AL 35403. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/08/20. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: YMCA. GRANTEE ADDRESS: 2300 13TH STREET TUSCALOOSA, AL 35401. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/10/20. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: TRUSTED CHOICE DISASTER RELIEF FUND. GRANTEE ADDRESS: 127 SOUTH PEYTON STREET ALEXANDRIA, VA 22314. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 09/22/20. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: BOY SCOUTS OF AMERICA. GRANTEE ADDRESS: P.O. DRAWER 3088 TUSCALOOSA, AL 35403. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 03/01/21. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: THE EXCALIBUR FOUNDATION. GRANTEE ADDRESS: 141 LONDON PARKWAY BIRMINGHAM, AL 35211. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 03/29/21. AMOUNT GIVEN: 820. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 9,531. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INSURANCE. AMOUNT: 1,868. DESCRIPTION: MISCELLANEOUS. AMOUNT: 600. DESCRIPTION: TAXES. AMOUNT: 4,494. DESCRIPTION: MEMBERSHIP MEETINGS. AMOUNT: 364. DESCRIPTION: YOUNG AGENTS CONFERENCE. AMOUNT: 1,337. DESCRIPTION: INTEREST EXPENSE. AMOUNT: 7. DESCRIPTION: LEGAL & ACCOUNTING. AMOUNT: 2,000. DESCRIPTION: PENALTIES. AMOUNT: 15. TOTAL TO FORM 990-EZ, LINE 16: 10,685. |
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