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: INVESTMENT INCOME. AMOUNT: 6,182. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: JOHN THEISSEN CHILDREN'S FOUNDATION. GRANTEE ADDRESS: 1881 WANTAGH AVE WANTAGH, NY 11793. PROPERTY DESCRIPTION: CASH DONATION. DATE OF GIFT: 11/28/22. AMOUNT GIVEN: 200. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PER CAPITA TAX. AMOUNT: 11,622. DESCRIPTION: OFFICE & ADMINISTRATIVE EXPENSE. AMOUNT: 14,196. TOTAL TO FORM 990-EZ, LINE 16: 25,818. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED LOSS ON INVESTMENTS. AMOUNT: -23,559. DESCRIPTION: REINVESTED DIVIDENDS AND GAINS. AMOUNT: -6,175. TOTAL TO FORM 990-EZ, LINE 20: -29,734. |
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