Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| GRANTS AND SIMILAR AMOUNTS PAID | LINE 10 |
| SCHOLARSHIPS | 3500 |
| SERENITY PLACE | 1000 |
| SHOP WITH A COP | 500 |
| VARIOUS | 900 |
| TOTAL GRANTS AND SIMILAR AMOUNTS PAID CARRIED TO LINE 10 | 5900 |
| ------------------------------------------------------------------ | ------------------------------------------------------------------ |
| OTHER EXPENSES - LINE 16 | LINE 16 |
| MEMBERSHIP DUES/ INT'L & DISTRICT | 3946 |
| MEALS-MBRS/GUESTS | 454 |
| TAX FILING | 129 |
| CORPORATE FILING FEE | 23 |
| P O BOX RENTAL | 226 |
| SUPPLIES/FORMS | 19 |
| DIST CON REGISTRATION | 99 |
| CHAMBER OF COMMERCE | 75 |
| FLOWERS/MEMORIALS/MEMBERS | 25 |
| STORE PURCHASE | 381 |
| INSURANCE | 160 |
| INSTALLATION BANQUET | 503 |
| TOTAL OTHER EXPENSES - LINE 16 | 6040 |
| Software ID: | |
| Software Version: |