Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt III, Line 31 | All programs and activities have been listed |
| Pt IV | All Officers, Directors, Trustees have been listed |
| Pt V, PBC | No info needed |
| Pt V, Line 33 | No info needed |
| Pt V, Line 34 | No info needed |
| Pt V, Line 35b | No info needed |
| Pt V, Line 44d | No info needed |
| Pt VI, Line 50 | No employees |
| Pt VI, Line 51 | No compensation paid |
| Form 990EZ, Part I, Line 8 | Rental Income 32600. |
| Form 990EZ, Part I, Line 10 | Contribution; Medical; Go Fund Me: GoFundMe.org, Redwood City, CA, 94061; Donee, 269. |
| Form 990EZ, Part I, Line 10 | Contribution; Medical; NYS Grand Lodge: 2101 Bellmore Avenue, Bellmore, NY, 11710; Donee, 53. |
| Form 990EZ, Part I, Line 16 | Alarm 458. |
| Form 990EZ, Part I, Line 16 | Bank service charges 154. |
| Form 990EZ, Part I, Line 16 | Exterminator 175. |
| Form 990EZ, Part I, Line 16 | Food 2548. |
| Form 990EZ, Part I, Line 16 | Hardware supplies 150. |
| Form 990EZ, Part I, Line 16 | Insurance 3673. |
| Form 990EZ, Part I, Line 16 | Interest expense 2428. |
| Form 990EZ, Part I, Line 16 | Kitchen supplies 1745. |
| Form 990EZ, Part I, Line 16 | Depreciation 5128. |
| Form 990EZ, Part I, Line 16 | Membership dues 100. |
| Form 990EZ, Part I, Line 16 | Miscellaneous 1058. |
| Form 990EZ, Part I, Line 16 | Office supplies 197. |
| Form 990EZ, Part I, Line 16 | Per Capita Tax 1434. |
| Form 990EZ, Part I, Line 16 | Permits and fees 192. |
| Form 990EZ, Part I, Line 16 | Repairs 1650. |
| Form 990EZ, Part I, Line 16 | Software 216. |
| Form 990EZ, Part I, Line 16 | Wine 292. |
| Form 990EZ, Part II, Line 26 | Mortgage |
| Software ID: | 21013422 |
| Software Version: |