Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Schedule O: | Form 990-EZ, Part I, Line 8, Other Revenue Interest Income: $38 Form 990-EZ, Part I, Line 10, Payments to Affiliates Lions Club International 300 W 22nd St, Oak Brook, IL 60523-8842; Purpose of Payment: Initiation Fees and Dues; Amount = $1,762 Lions District 5NE 619 10th Ave SE Jamestown, ND 58401; Purpose of Payment: District dues; Amount = $1,221 Form 990-EZ, Part I, Line 10, Grants Dakota Lions Sight & Health, 4501 W 61st St N, Sioux Falls, SD 57107-6411; Amount = $1,000 Leader Dogs for the Blind, 1039 S Rochester Rd, Rochester Hills, MI 48307-3115; Amount = $500 ND Lions Foundation, PO Box 273, Bowman, ND 58623-0273; Amount = $750 Service Dogs of America, PO Box 513, Jud, ND 58454-0513; Amount = $1,000 Sight Assistance (glasses/exams for underprivileged); Amount = $25,581 NDSU Saddle and Sirloin Club Department of Animal Science NDSU Dept. 76 PO Box 6050 Fargo, ND 58108-6050: Amount = $100 Ronald McDonald House Red River Valley 4757 Agassiz Xing S Fargo, ND 58104; Amount = $500 Part I, Line 10, Total $32,414 Form 990-EZ, Part I, Line 16, Other Expenses Awards and Recognition $58 Bank Charge $10 Member Meals $4,733 Miscellaneous $352 Social Activities $57 Transaction Processing $9 Youth Outreach & Education $500 Part I, Line 16, Total $5,719 Form 990-EZ, Part II, Line 24, Other Assets End of Year Beg of Year Accounts Receivable $1,687 $5,036 PrePaid Mission Trip $955 $955 Part II, Line 24, Total $2,641 $5,991 Form 990-EZ, Part III, Primary Exempt Purpose - Create and foster a spirit of understanding among all people for humanitarian need by providing voluntary services through community involvement and international cooperation. Form 990-EZ, Part V, Information Regarding Personal Benefit Contracts: The organization did not, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract. The organization, did not, during the year, pay any premiums, directly or indirectly, on a personal benefit contract. |
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