Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| PT 1 LINE 1(SCH G PT 2 LINE C2) DONATIONS $300,$440,$176,$60,$155,$60,$260,$425 | 1876 |
| PART 1 LINE 1 ( SCH G, PART II LINE A-2) 1-$80, 2-$60 | 200 |
| PART 1 LINE 1 ( SCH G, PART II LINE B-2) $60 AND $20 AND $60 | 140 |
| PART 1 LINE 3 MEMBERSHIP DUES PAID 4315 AND BAR 50/50 671 | 4986 |
| PT 1 LINE 6A (SCH G PT 3 GAMING) 1A BINGO $28157 1B PULLTABS/PROGRESSIVE $12540 1C B.RAFFLE $7287 | 47984 |
| PT 1 LINE 6C (SCHEDULE G PT 3 PG 2 LINE 2A ) PDOUT $11553 2B $8329 PDOUT | 19882 |
| PART 1 LINE 6C (SCHEDULE G PG2 PT3 LINE 3A $137 3B 0 3C 0 | 137 |
| PT 1 LINE 6C (SCHG PG 2PT 3 LINE 5)A $4060 (2643 TAX,$12 B.TALLY,$1393 B.SUP, 5)B$613 PULLTAB & LIC | 4661 |
| PT1 LINE 6B(SCH G, PT2 LINE C1) $3474, 1900, $2544 $704 | 8622 |
| PT 1 LINE 6A 47984 6B (2216) 24646=72630 MINUS PT 1 6C 35251 =37379 | 37379 |
| LINE 6C FOOD & BEV EXPENSE (SCH G,PT 2 LINE C7 B.FRY $861, PORK OUT $1455, | 2316 |
| PT1 LINE 8 RENT 1825 AND 291 COMMUNITY XMAS | 2116 |
| PT1 LINE 10 WR SCHOOL B.CLUB & POST PROM $485, EYE BANK $500, LEADER DOGS $500,DIABETE $500 | 1985 |
| PT1 LINE 10 LIONS CLUB FOUNDATION LIONS CAMP $1000 & MELVIN JONES/BIRCH $167 | 1167 |
| PT1 LINE 10 FT MEYER LIONS DISASTER RF $500, 2 $500 SCHOLARSHIPS, WAUSHARA FOOD PANTRY $400 | 1900 |
| PT1 LINE 10 HCE $100 ELAINE NESTLE $500 JOSIE BIELMEIR $500 WR CAR SHOW $100 BOY SCOUTS $197 | 1397 |
| PT1 LINE 10 LOVE LIGHTS $100 PT1 LINE 10 ALL OF LINE 10 ADDED TOGETHER | 6549 |
| PT1 LINE 11 LCI NEW MEMBERS 106 LIFETIME BILL SCHMIDT 650 | 756 |
| PT 1 LINE 14 UTILIES $4025 KITCHEN RANGE CHECKUP $178 BUILD MAINT AND GROUNDS $7684 | 11887 |
| PT1 LINE 16 OTHER EXPENSES SUNSHINE $40,LION APPAREL AND PINS $841 | 881 |
| PT1 LINE 16 MTG MEALS $2636, DST ZONE MTG $173, KITCHEN SUPPLIS $4163, PO BOX RENEWAL $66 | 7038 |
| PT1 LINE 16 FLOAT EXPENSE $24, BAR SUPPLIES $154, DISTRICT& INTERNATIONAL DUES $2114 | 2292 |
| PT1 LINE 16 OFFICE EXPENCE $152,PARKING LOT STRIPING $600,ADVERTISING $350,BUILDING SUPPLIES $1683 | 2785 |
| PT1 LINE 16 COMMUNITY EVENT EXP SPECIAL NEED XMAS $818,THANKSGIVING/XMAS BASKETS $301, EGG HUNT $139 | 1258 |
| PT1 LINE 16 INSURANCE $1546,ANNIV $898,CAR SHOW $5,PEACE POSTER $36,SCHOLARSHIP CERT $64 | 2549 |
| PT 1 LINE 16 CONT $438 TRICOUNTY ENV HEALTH LICENSE, $81 CELEBRATION, MISC 486, LOAN PAYMENTS 1555 | 2560 |
| LINE 16 PURCHASE OF BING0 MACHINE 9177 STOVE 1494 DOWN PAYMENT ON LOAN 10000 | 20674 |
| LINE 16 I THE ABOVE 8 TOTALS 2549,2560,20674,1258,2785,2292,7038,881 | 40037 |
| PT 1 LINE17 ADD LINES 10 6549, LINE 11 756, LINE 14 11887 AND LINE 16 400037 | 59229 |
| PT 1 LINE 18 -5906 IS FROM LINE 9 53323-LINE 17 59229= LINE 18 | -5906 |
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