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: DIVIDEND INCOME. AMOUNT: 2,464. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: WILLOWCREST PARK, INC. GRANTEE ADDRESS: 200 W 53RD ST NDERSON, IN 46013. METHOD USED TO DETERMINE BOOK VALUE: CASH. DATE OF GIFT: 06/27/22. AMOUNT GIVEN: 100,000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FOREIGN TAX WITHHELD. AMOUNT: 1. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: ACCRUED INCOME. AMOUNT: 218. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: IRS REFUND RECEIVABLE. BEG. OF YEAR AMOUNT: 500. END OF YEAR AMOUNT: 500. |
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