TY 2023 Form 990EZ

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

Gary Rozik

Administrator

020.00

7,800

(a) Name and title of each employee

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC)

(d) Health benefits, contributions to employee benefit plans, and deferred compensation

(e) Estimated amount of other compensation

NONE

(a) Name and business address of each independent contractor

(b) Type of service

(c) Compensation

NONE

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Belle Vernon Lodge No 209 Loyal Order of Moose

Employer identification number

25-0628370

Return Reference	Explanation
Form 990-EZ, Part I, Line 8, Other Revenue	Vending and Lottery 12,910
Form 990-EZ, Part I, Line 16, Other Expenses	Travel 600
Form 990-EZ, Part I, Line 16, Other Expenses	Depreciation 9,879
Form 990-EZ, Part I, Line 16, Other Expenses	Licenses 3,180
Form 990-EZ, Part I, Line 16, Other Expenses	Donations 3,085
Form 990-EZ, Part I, Line 16, Other Expenses	Bank charges 4,723
Form 990-EZ, Part I, Line 16, Other Expenses	Insurance 461
Form 990-EZ, Part I, Line 16, Other Expenses	Lottery Expense 9,833
Form 990-EZ, Part I, Line 16, Other Expenses	Laundry 155
Form 990-EZ, Part I, Line 16, Other Expenses	Repairs 7,051
Form 990-EZ, Part I, Line 16, Other Expenses	Utilities 16,937
Form 990-EZ, Part I, Line 16, Other Expenses	PMA per capita fee 507
Form 990-EZ, Part I, Line 16, Other Expenses	Supplies 6,601
Form 990-EZ, Part I, Line 16, Other Expenses	Payroll Taxes 1,673
Form 990-EZ, Part II, Line 24, Other Assets	Inventory Beginning of year 8,728, End of year 8,333
Form 990-EZ, Part II, Line 26, Liabilities	Payroll Liabilities Beginning of year 333, End of year 441
Form 990-EZ, Part II, Line 26, Liabilities	Dut Other Faternal Units Beginning of year 0, End of year 80

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23017659
Software Version:	23.1.0.0

1	Contributions, gifts, grants, and similar amounts received ....................	1	2,994
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	1,689
4	Investment income ....................................	4	921
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000) List of Attached Documents: // Content	6a	13,594
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b
c	Less: direct expenses from gaming and fundraising events ...	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	13,594
7a	Gross sales of inventory, less returns and allowances ......	7a	112,873
b	Less: cost of goods sold .............	7b	79,896
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c	32,977
8	Other revenue (describe in Schedule O) ....................	8	12,910
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	65,085

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	17,346
13	Professional fees and other payments to independent contractors ............	13	3,198
14	Occupancy, rent, utilities, and maintenance ...................	14	7,299
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	64,685
17	Total expenses. Add lines 10 through 16 .................	17	92,528

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-27,443
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	439,568
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	412,125

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? Unite members in the bonds of fraternity and charity.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 The lodge unites its members in the bonds of fraternity, benevolence and charity. This is accomplished through a year-round schedule of social and recreational activities for members and their families, estimated to number 209. (Grants $ ) If this amount includes foreign grants, check here ...			28a	92,528
29 (Grants $ ) If this amount includes foreign grants, check here ...			29a
30 (Grants $ ) If this amount includes foreign grants, check here ...			30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	92,528

Sign Here

	Signature of officer	Date

	Type or print name and title

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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