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. AMOUNT: 24. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: QUEEN OF HEARTS RAFFLE. AMOUNT: 1,020. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVENUE EVANSTON, IL XXX-XX-XXXX. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,675. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 5190. AFFILIATE ADDRESS: 200 LITTON DRIVE, SUITE 200 GRASS VALLEY, CA 95945. PURPOSE OF PAYMENT: DUES & ASSEMBLY. AMOUNT OF PAYMENT: 1,083. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3,758. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CLUB/VOCATION PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 4,546. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY SERVICE. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 1,134. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH SERVICE. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 6,480. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 12,160. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SUPPLIES. AMOUNT: 939. DESCRIPTION: POST OFFICE BOX RENTAL/WEBSITE. AMOUNT: 422. DESCRIPTION: TRAVEL & CONVENTION COSTS. AMOUNT: 873. DESCRIPTION: MISCELLANEOUS CLUB EXPENSES. AMOUNT: 994. DESCRIPTION: MERCHANT FEES AND BANK CHARGES. AMOUNT: 619. DESCRIPTION: CLUBRUNNER. AMOUNT: 456. TOTAL TO FORM 990-EZ, LINE 16: 4,303. |
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