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 8 - OTHER REVENUE | DESCRIPTION: CLUB ACTIVITY INCOME. AMOUNT: 1,293. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY INTERNATIONAL. AFFILIATE ADDRESS: 14255 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 3,917. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: ROTARY DISTRICT 5580. AFFILIATE ADDRESS: 2143 MILLER CREEK DRIVE, DULUTH, MN 55811. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,938. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 6,855. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: COMMUNITY SERVICES. GRANTEE NAME: MISCELLANEOUS GRANTS UNDER $5,000. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 15,114. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: INTERNATIONAL SERVICE. GRANTEE NAME: INTERNATIONAL SERVICE PROJECTS UNDER $5,000. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 2,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 17,114. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEALS. AMOUNT: 16,230. DESCRIPTION: MISCELLANEOUS. AMOUNT: 75. DESCRIPTION: CLUB ACTIVITIES & EVENTS. AMOUNT: 173. DESCRIPTION: BAD DEBTS. AMOUNT: 1,352. DESCRIPTION: WEBSITE. AMOUNT: 522. TOTAL TO FORM 990-EZ, LINE 16: 18,352. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 1,916. END OF YEAR AMOUNT: 4,105. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 10,679. END OF YEAR AMOUNT: 1,495. DESCRIPTION: OTHER PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 0. |
| FORM 990-EZ, PART V, LINE 35 | THE INCOME REPORTED ON LINE 6A IS FROM GAMING ACTIVITIES THAT ARE NOT REGULARILY CARRIED ON, AND CONDUCTED BY VOLUNTEERS. HENCE, THE ACTIVITIES ARE NOT CONSIDERED UBI, AND ARE NOT INCLUDED IN THE FORM 990-T. |
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