Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I Line 16 | Insurance $4514.00 |
| Part I Line 16 | Supplies $1547.00 |
| Part I Line 16 | Taxes & Licenses $1312.00 |
| Part I Line 16 | Donations for Funerals & VA $369.00 |
| Part I Line 16 | Member Dues to State&Distric $3141.00 |
| Part 1 Line 8 | Keno Commissions $7,163.09 |
| Software ID: | 22016286 |
| Software Version: | ta22mefv1.0 |