Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Other | DESCRIPTION: MISC. INCOME $ 4,083.00 |
| Other | DESCRIPTION: PULL TAB NET RECEIPTS 12,285.00 |
| Other | PT. 1 LINE 8 GAMING INCOME: 19,697.75 |
| Other | EXPENSES: PT. 1 LINE 16: PULL TAB SUPPLIES: 515.00, AFFAIRS & FUNCTIONS: $97.00 SALES TAX PAID: 835.00, PULL TAB PRIZES: $6830.00, TRASH PICK UP: 2,883.00, SUPPLIES: 4632.00, PAYROLL TAXES: 5,026.00, UNEMPLOYMENT TAX: $108.00, LICENSE FEES: $1600.00, INSURANCE: $4,552.00, REAL ESTATE TAX: $168.00, REPAIRS: $502.00, MISC. EXPENSE: $151.00, BOUGHT FLAGS: 2,012.00, PULL TAB TAX PAID: $999.00, DONATIONS: $115.00 |
| Other | PART II, LINE 24: DESCRIPTION: INVENTORY BEGINNING OF YEAR $1800 AND END OF YEAR $1800 |
| Form 990EZ, Part I, Line 8 | MISC. INCOME 4083. |
| Form 990EZ, Part I, Line 8 | PULL TAB NET RECEIPTS 12285. |
| Form 990EZ, Part I, Line 8 | GAMING INCOME 19698. |
| Form 990EZ, Part I, Line 16 | TAB SUPPLIES 515. |
| Form 990EZ, Part I, Line 16 | AFFAIRS & FUNCTIONS 97. |
| Form 990EZ, Part I, Line 16 | SALES TAX PAID 835. |
| Form 990EZ, Part I, Line 16 | PULL PRIZES 6830. |
| Form 990EZ, Part I, Line 16 | TRASH PICK UP 2883. |
| Form 990EZ, Part I, Line 16 | SUPPLIES 4632. |
| Form 990EZ, Part I, Line 16 | TAX PAYMENTS 5026. |
| Form 990EZ, Part I, Line 16 | UNEMPLOYMENT TAX 108. |
| Form 990EZ, Part I, Line 16 | LICENSE FEES 1600. |
| Form 990EZ, Part I, Line 16 | INSURANCE 4552. |
| Form 990EZ, Part I, Line 16 | R ESTATE TAX 168. |
| Form 990EZ, Part I, Line 16 | OTHER TAXES |
| Form 990EZ, Part I, Line 16 | TRASH HAULING |
| Form 990EZ, Part I, Line 16 | REPAIRS 502. |
| Form 990EZ, Part I, Line 16 | PAYROLL TAXES |
| Form 990EZ, Part I, Line 16 | UNEMPLOYMENT TAXES |
| Form 990EZ, Part I, Line 16 | MISC EXPENSES 151. |
| Form 990EZ, Part I, Line 16 | BOUGHT FLAGS 2012. |
| Form 990EZ, Part I, Line 16 | PULL TAB TAX PAID 999. |
| Form 990EZ, Part I, Line 16 | DONATIONS 115. |
| Form 990EZ, Part II, Line 24 | INVENTORY 1800. |
| Software ID: | 21013422 |
| Software Version: |