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. AMOUNT: 97. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: MEETING CONTRIBUTION. AMOUNT: 14,836. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 1560 SHERMAN AVENUE EVANSTON, IL XXX-XX-XXXX. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,825. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 5190. AFFILIATE ADDRESS: 200 LITTON DRIVE, SUITE 200 GRASS VALLEY, CA 95945. PURPOSE OF PAYMENT: DUES & ASSEMBLY. AMOUNT OF PAYMENT: 1,160. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3,985. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY SERVICE. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 7,194. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: YOUTH SERVICE. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 12,380. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MISCELLANEOUS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 5,273. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 24,847. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SUPPLIES. AMOUNT: 668. DESCRIPTION: POST OFFICE BOX RENTAL/WEBSITE. AMOUNT: 432. DESCRIPTION: TRAVEL & CONVENTION COSTS. AMOUNT: 980. DESCRIPTION: MISCELLANEOUS CLUB EXPENSES. AMOUNT: 1,244. DESCRIPTION: MERCHANT FEES AND BANK CHARGES. AMOUNT: 595. DESCRIPTION: CLUBRUNNER. AMOUNT: 618. DESCRIPTION: MEETING EXPENSES. AMOUNT: 16,031. TOTAL TO FORM 990-EZ, LINE 16: 20,568. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: DEFFERED REVENUE - GOLF TOURNAMENT. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,900. |
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