Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Description of other revenue Part I line 8 | DESCRIPTION AMOUNTSOCIAL ROOM 19,570 |
| List of grants and similar amounts paid Part I line 10 | ACTIVITY CHARITABLE GRANTEE SPARTA COMMUNITY HOSPITAL HOLIDAY STREET BROADWAY STREET CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 50ACTIVITY CHARITABLE GIVING TO NON FOR PROFIT ORGANIZATIONS GRANTEE CHARITABLE ORGANIZATIONS STREET MAIN STREET CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 118ACTIVITY CHARITABLE GRANTEE SPARTA HOSPITAL TREE OF HOPE STREET BROADWAY STREET CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 100ACTIVITY CHARITABLE GRANTEE RANDOLPH COUNTY CARE CENTER STREET BELMON ST CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 50ACTIVITY SCHOLARSHIP GRANTEE ALLISON RHEINICKER STREET 205 W HOOD CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 500ACTIVITY SCHOLARSHIP GRANTEE KAITLYNN WITHERBY STREET 205 W HOOD CITY, STATE, ZIP SPARTA, IL 62286RELATIONSHIP NONE AMOUNT 500 |
| Description of other expenses Part I line 16 | DESCRIPTION AMOUNTADVERTISING 769BANK CHARGES 1,348INSURANCE 6,266INTEREST EXP 328SUPPLIES 9,267UNEMPLOYMENT TAX 259REAL ESTATE TAX 1,491DEPRECIATION EXPENSE 6,636MISCELLANEOUS 5,281 |
| Description of other assets Part II line 24 | CATEGORY BEGINNING OF YEAR END OF YEARDEFERRED INTEREST 601 273 |
| Description of total liabilities Part II line 26 | CATEGORY BEGINNING OF YEAR END OF YEARNOTE PAYABLE 5,292 3,546 |
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