Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | BENEVOLENT, PROTECTIVE AND CHARITABLE |
| FORM 990, PAGE 6, PART VI, LINE 6 | YES |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBERS OF THE LODGE ELECT THE GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 7B | YES |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE LODGE SECRETARY, AUDIT COMMITTEE AND TRUSTEES ALL REVIEW FROM 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ENFORCEMENT OVERSEEN BY LODGE OFFICERS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE AUDIT COMMITTEE AND THE TRUSTEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PER CAPITA G/L 8,053 0 0 PER CAPITA STATE 942 0 0 RENT REAL PROPERTY 2,500 0 0 MAINTENANCE CONTRACTS 860 0 0 UTILITIES TRASH REMOVAL 1,690 0 0 LODGE ACTIVITIES MEMBERS 200 0 0 LODGE CHARITABLE/COMMUNITY 6,950 0 0 DECORATIONS 113 0 0 MISCELLANEOUS UNASSIGNED 12,374 0 0 MUSIC/ENTERTAINMENT 5,310 0 0 REPAIRS/MAINTENANCE 6,140 0 0 REPLACEMENTS 100 0 0 TAXES OTHER EXPENSE 4,850 0 0 OTHER CLUB EXPENSES 671 0 0 CLEANING SUPPLIES 30 0 0 CREDIT CARD EXPENSE 1,557 0 0 BADGES & PINS 270 0 0 BULLETIN 240 0 0 KEY CARD/ LOCKS AND KEYS 443 0 0 CONVENTION G/L 1,190 0 0 OFFICERS EXP STATE CONV 471 0 0 DD CLINICS 118 0 0 LODGE SUPPLIES G/L 474 0 0 COMMUNITY ACTIVITIES 20 0 0 YOUTH PROGRAMS 128 0 0 STATE MAJOR PROJECT DONATION 2,092 0 0 OTHER LOCAL CHARITIES 17,712 0 0 ENF GRANTS RESTRICTED ACCESS 8,067 0 0 ENF DONATIONS 2,323 0 0 DINING UTILITIES 23,243 0 0 LODGE OTHER 9,006 0 0 PHONE 3,282 0 0 TOTAL 121,419 0 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE -988 |
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