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: INTEREST INCOME. AMOUNT: 22. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: OTHER INCOME. AMOUNT: 1,220. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: KID-SAFE DONATIONS. AMOUNT GIVEN: 10,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: SCHOLARSHIPS. AMOUNT GIVEN: 4,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: CRYSTAL LAKE PANTRY. AMOUNT GIVEN: 3,025. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: CORNERSTONE. AMOUNT GIVEN: 5,887. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: . GRANTEE NAME: OTHER SMALL MISCELLANEOUS. AMOUNT GIVEN: 2,090. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 25,502. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: NATIONAL AND STATE DUES. AMOUNT: 4,921. DESCRIPTION: BANK CHARGES. AMOUNT: 53. DESCRIPTION: STATIONARY/SUPPLIES. AMOUNT: 467. DESCRIPTION: MEETINGS. AMOUNT: 12,517. DESCRIPTION: TAXES & LICENSES. AMOUNT: 190. DESCRIPTION: REPAIRS AND MAINTENANCE. AMOUNT: 185. DESCRIPTION: INSURANCE. AMOUNT: 850. TOTAL TO FORM 990-EZ, LINE 16: 19,183. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: UNCATEGORIZED ASSETS. BEG. OF YEAR AMOUNT: 5,470. END OF YEAR AMOUNT: 5,470. |
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