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: 4. Description: Dividend Income. Amount: 716. Total Included on Form 990-EZ, line 4: 720. |
| Form 990-EZ, Part I, Line 8 - Other Revenue | Description: Member Fees Weekly Mtgs. Amount: 1240. Description: Website Sponsors. Amount: 857. Description: Miscellaneous. Amount: 71. Total to Form 990-EZ, line 8: 2168. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: Rotary Int'l. Affiliate Address: 1600 Ridge Ave Evanston, IL 60201. Purpose of Payment: Per capita assessment. Amount of Payment: 6410. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: Rotary District 7870. Affiliate Address: 9 Old Coach Rd Bow, NH 03304. Purpose of Payment: Per capita assessment. Amount of Payment: 1172. Total included on Form 990-EZ, line 10: 7582. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Community Support. Grantee Name: Milford Interact Group. Grantee Address: Milford High School, West Street Milford, NH 03055. Grantee Relationship: Club Sponsored. Property Description: cash. Date of Gift: 06/30/21. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Community Support. Grantee Name: Captial City Sunrise Club. Grantee Address: 26 Washington St Penacook, NH 03303. Property Description: cash. Date of Gift: 03/26/21. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Scholarship. Grantee Name: Garret Robinson. Property Description: cash. Date of Gift: 05/09/21. Amount Given: 2000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Scholarship. Grantee Name: Jacob Erdody. Date of Gift: 05/09/21. Amount Given: 1000. Total included on Form 990-EZ, line 10: 4000. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Weekly Mtg Costs. Amount: 1750. Description: Event Expenses. Amount: 988. Description: Office Exp & Supplies. Amount: 1413. Description: Other Expenses. Amount: 381. Total to Form 990-EZ, line 16: 4532. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Unrealized gain investments. Amount: 786. Description: Change in prepaid dues. Amount: 363. Total to Form 990-EZ, line 20: 1149. |
| Form 990-EZ, Part II, Line 26 - Other Liabilities | Description: Prepaid Dues. Beg. of Year Amount: 5050. End of Year Amount: 4688. |
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