Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| State Distribution, $15140| |
| Part I, line 10 | | Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| LOCAL RELIEF, grantee, "PROVIDE FINANCIAL RELIEF FOR ELIGIBLE AND APPROVED FIREFIGHTERS", $15000.00, No Relationship| |
| Part I, line 16 | | Other Expenses:, Amount:| ADMINISTRATIVE FEES, $2000.00| |
| Software ID: | |
| Software Version: |