Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 4 - Other Investment Income | Description: Interest Income. Amount: 114. Description: Dividend Income. Amount: 1,380. Total Included on Form 990-EZ, line 4: 1,494. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: General Support. Grantee Name: Carson Newman University. Grantee Address: 1646 Russell Ave Jefferson City, TN 37760. Date of Gift: 01/10/23. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: General Support. Grantee Name: YMCA Chattanooga. Grantee Address: 301 W 6th St Chattanooga, TN 37402. Date of Gift: 01/13/23. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Camp Hope support. Grantee Name: Partnership for Families, Children and Adults. Grantee Address: 5600 Brainerd Rd, Ste E-3 Chattanooga, TN 37411. Date of Gift: 12/05/22. Amount Given: 154. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Run4Kids 2023. Grantee Name: Ronald McDonald House Charities Chattanooga. Grantee Address: 200 Central Ave Chattanooga, TN 37403. Date of Gift: 06/09/23. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: Library support. Grantee Name: Woodmore Elementary School. Grantee Address: 800 Woodmore Lane Chattanooga, TN 37411. Date of Gift: 09/11/23. Amount Given: 750. Total included on Form 990-EZ, line 10: 3,404. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Club Meeting Expense. Amount: 1,645. Description: Convention and District Meetings. Amount: 130. Description: Foreign Taxes. Amount: 51. Description: Office Expense. Amount: 215. Description: OI Dues and Fees. Amount: 1,232. Description: Youth Sponsor Activities. Amount: 2,798. Total to Form 990-EZ, line 16: 6,071. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Change in Unrealized Gain/(Loss) on Investments. Amount: -1,107. |
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